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HomeMy WebLinkAbout066-490-00966-49-;9%� O -A 00 * a' Johnson p�., d �<7�7 � v � � � I V y '�. aw� In i r lot 94, ;1M#4; Milia contr: Charles a ck, Paradise `.Permit Y 39 2; 77P,E(u�i LEC, r SUP T �STRIJCTIJRE REQ,COMPACTEST HQ. }1, a -49 Contr. ,J.$:,�Mobile,.Se Permit #4376-77 aradise. Issued Ak 66-49- t C. 'WILLIAMS f , l3Y' , � lot 94 I .M. #4, Mag. I a — e'ralat 02 - 78B (new dec �Ii r' .: 66-49-9 CRYSTAL WILLIAMS_ 691"�Indiari"iJr 'h iAgalia""�" . ^.'.`u-C,_f: 'Contr: Ronald Stryker Per . #921-88B(new carport/ >. ,B07 1725 066.490-009 jA:RESIDENTIA`'wSFD"Mohile`Lom'e RET4 EX SITE,:P 6691aINDIAN D ''„•:?fi.11,P/�,K1 a ZIMMERLY DOUGLAS& CYNTHIA?_ r v 1 • at • — a FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B07-1725 Address or location of unit: 6691 INDIAN DR MAGALIA CA 95954 Legal Description of Real Property: 066-490-009 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: ZIMMERLY, DOUGLAS & CYNTHIA Owner's address: 584 LIPARITA AVE ANGWIN CA 94508 INSIGNIA OR HUD NUMBER: 283857/8 SERIAL NUMBER OR V.I.N.: A/B207301911, MANUFACTURER'S NAME: N/A YEAR: 1978 OFFICIAL APPROVING INSTALLATION: �n4 I ),! A DATE: 8-16-2007 PHONE: (530) 538-7541 H.C.D. 513 BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 3 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-1725 Issued: 08/13/2007 Address: 6691 INDIAN DR Area: MAGALIA Owner: ZIMMERLY, DOUGLAS & CYNTHIA Applicant: PREMIER BUILDERS Permit Type: SFD-Mobile Home RET APN: 066-490-009 Description: EX MH, EX SITE, PERM FND Flood Zone: None SRA Area: Yes Front: Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+ ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations/ Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 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 Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 ShearwallB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Inspection Type I IVR I MSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 1 507 Manufactured Homes Set ac s 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures, Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: -' - - Finals T Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 F Public Works Fina 538-7681 Fire Department/CDF 538-6837 cxt 169 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 -rrolect innal is a Certificate of Occupancy for (Residential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 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 y, -PROJECT INFORMATION Site Address: 6691 INDIAN DR Owner: Permit NO: B07-1725 APN: 066-490-009 ZIMMERLY, DOUGLAS & CYN Issued Date: 08/13/2007 By KCG Permit type: RESIDENTIAL 584 LIPARITA AVE Subtype: SFD-Mobile Home RET ANGWIN, CA 94508 Expiration Date: 08/12/2008 Description: EX MH, EX SITE, PERM FND Occupancy: Zoning: RT -1 Contractor Applicant: Square Footage: PREMIER BUILDERS PREMIER BUILDERS Building Garage RemdI/Addn 6055 TERRA VISTA 6055 TERRA VISTA PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530) 872-1096 (530) 872-1096 FEE INFORMATION DBF MH Plan Check DBMSC Mobile Home Permit Fee. $233.56 $350.34 ,,LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires PREMIER BUILDERS 343173 /. B / 09/30/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 7 a, �c 08/13/2007 Contractors Signature Date WORKERS' COMPENSATION: DECLARATION _. I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Y HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; - , Cartier: STATE FUND Policy Number. 1127626-06 Exp. Date:05/01/2007 (This section need not be completed if the permitis oris or on�llars ($100) or es— s ) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become -subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X a��v kp�A 08/13/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. - CONSTRUCTION LENDING AGENCY' I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip Total Charged: $583.90 Fees Paid: $583.90 Balance Due: $0.00 Receipt No:. B4195 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 4 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: X 08/13/2007 Owners Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or uthonzed to act on the property owners behalf. . . M,�1d� ?W*25 08/13/2007 Owner ©-eSntractor OR. Agent for Owner Agent for Contractor FILE COPY BUTTE CO DEPARTMENT OF DEVE] BUILDING PERMIT AND' SUBMITTAL R OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED A, Website: www.butti "PLEASE PRINI OWNER INFORMATION Last Name Z.Name. . Mailing Address -;;.4 ., F q' j, t72p City 6� C_ LO I Stated Iq L Phone Fax E-mail CONTRACTOR Name (',Z.V t � PLO Address1" 0�. tZFOQJ 151 t4 City pQ-t�tg171 s,t^ State.. Address Phone a ` 0 IF Fax E-mail Lic. #tea 3�t Ciass APPLICANT SIGNATURE X ,. For office use only: ARCHITECT/ENGINEER Name RUc 0 Address Address City r< pq vis r;Q State Zip Phone State Fax E-mail .. � I State License Number APPLICANT SIGNATURE X ,. For office use only: APPLICANT INFORMATION Name RUc 0 �d-CSC) it D Address a E; - S7 -1z r< pq vis r;Q City Subdivision Name Map Sook State Zip Phone .. � Policy Number Fax E-mail compensation must be shown at the time of Permit Issuance. I APPLICANT SIGNATURE X ,. For office use only: Zoning APPLICATION Flood Zone 1 SRA I Yes No Oce. Type Const. Subdivision Name Map Sook Page Lot Planner Date Approved: LINTY PE.&MIT ,OPMENT SERVICES NO. APPLICATION EQUIREMENTS FAX #: (530) 538.2140 r TIME OF APPLICATION tounty.net/dds BIN N 'CLEARLY" PROJECT LOCATION - AN 0 r� 1 7 04 9 Property Address (p � � / NDl �� t�c�, City 0►�f��A�A? Cross street WORKER'S COMPENSATION Policy Number Carrier Nhwg anyone other than license contractors% a certificate of worker's compensation must be shown at the time of Permit Issuance. I LENDING AGENCY Name Address g Description or Scope of Work: e. A-44AIL&I Cqs• �7 Sq FT- Irving Garage Open Cov Structure Built without Permits s ❑ Proposed Change of Occupancy (Note previous use): ]EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year atter the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not Received by:i , f /I Amount: _5�11N_Bidg SRA Receipt #:.a'.;b� Sheriff SMP Other Date: -I301 ndation S � X�2 Fou stem Y POP Installation Instructions for California for Ground &. Concrete Systems HUD Wind Zone 1, . 15 PSF Wind Load Seismic 4 By Tie Down Engineering f t ......Y i8i.X::�:"rte ✓ \ [- w; Xi2 Ground System Xi2 Concrete System ('X6011Ja rr�l9 Engineer Approval State Approval MANUFACTURED HOMEIMORILE HOME FOUNDATION SYSTEM 11RALTH AND SAFETY CODE, SECTION 19,551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AV ITIORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS ' State of California of Homing and Commanhy D Mlopmeat D iS3 OF CO ES AND STANDARDS SY fBPAI�. RI Tltie P1am APpre►val Exphee K I . 1 ®M2 Foundation s s em. Installation Instructions for California for Ground & Concrete Systems �1 HUD Wind done 1, 15 PSS' 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. Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0:30 ounces per square foot of surface coating...." Page 2 of 8 ,;� rzzt��rr - r nstallation of -M Ground Systems - 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. y 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground.until level and flush with prepared surface. . 7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9.. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-3/4" Tube / J -Bolt Nut & Washer 1�1 Lateral Struts Strut (flag end) _ r°° 1-1/2" Tube 4-#12x1" Tek Screws ,1 Figure 2 U -Solt & mounting Figure 1 Bracket hd ..... .r_/r 8 O 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. -: -Putl-.the fram-e' bracket clamp -with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. AM ENGINFERINy EE =CM i r,i: .,Xi2 Ground Parts Detail ki2 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 Kitwith all -nuts -and bolts........................................................_._............ Struts for Lorigitudinal Systems Xi2 Ground Longitudinal Strut & Hardware Kit Part Strut Pier Height No. Length Up To: ®�®�� ®� Vag 59330-44 44" ' 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Ion 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 Page 4 of 8 j 1 DOWN Frf( fiva' R&U • 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"13" 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;112" x 2-1/2" bolt/nut provided. 6. Attach theffag end of the larger tube to the opposite I-beam using the "J" bolt over the . _.....to p.:,.of the,.l,-beam..with..the..nut &. washer_provided..(Figure r_next.page).....................: .:>.::...;.:.... 7. Install a minimum of four (#12 x V tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on' I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket.. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. Page 5of8 `DDINN ENGfJI,FFRIfJG ED s LO _o h O O fl1 1 2- �% ADZ Lateral 'Concrete SysteMs Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts.and bolt. ,. Longitudinal Struts for "Concrete Systems Part No.. Length Pier Height #59013 44" up to 4 Blocks #59015 65" uo to 6 Blncks 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 andbolts. Nut & Washer Figure 1 r Beam Clamp Bracket J -Bolt Lateral Longitudinal .U t-. ..._ .�—�— — .. . _.... mR. ......... ........ ............ ... . — — — 1-13eam W. Installation. Placement Longitudinal Strut Xi2 Concrete System v FFF� o� Concrete Longitudinal Hardware Kit Page 6 of 8 Am DOWN EMINEERI615:: Offset Placement • I I I . I � ' I Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems.can be placed at either end of the home. Triple. Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 DOWN� ENGINFF.. . • Hardware 1,, #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 4 59272-2 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 1 121.07 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc . 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 50,306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 X,1-1/4 2 .1 0646Y Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 Carriage Bolt 1/2-13 x 1-1/4 Grade 5 2 845332 U -Bolt 1/2-13 x 2.63 x 2.19 thread Carriage .Bolt- 1/2-13 Ix.2-1/2. 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serrflange . # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 ra e '5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #5991511 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 .1 0646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 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 Lateral Hardware Kit Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 10801 Carriage Bolt 1/2-13 x 2-1/2 Carriage Bolt 1/2-13 x 1-1/4 Grade 5 zinc ..-#59364 Hardware for59332 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 Ix.2-1/2. Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 FNGU�IffRlNG m q Ln G O U PRIMETIF-BrSjj It1Q,,._Eax 5308721964 Aug 8 2001 C1;25am P003/004 STATE OF C,j "Fj' LI1- DIEP"TMCENT OF HOUSING A�W COMMUNM DUVILOPMENT REGISTRATION CA." Mannfactued'I9;w* Decal No: AW7148 iaci w IDRunn TrAde Nsre Madel Dols xs, Date. RAAAAOA ONOWit)78 69i30,2aD4 Sort l Number l abdU$fWm Number . dla�hl LWQ% Wt�► SPC TM77�7 SUOa?83@57 60' 12' AW SFD A207iD101L 283856 w 12 Issued es! DAId i fl Mer o2, 2004 7Tdb[F Sn 00 Addresses� , •�� 00 W B ZIMMERLY & 8 F 7JMMERLY FAMILY 1988 REVOCABLE TRUST DTD 0131488 e o 5089-D CLARK ROAD C PARADISE=, CA 95869 .� O DE� . • � .•- r ---_ _ — — ._._..—� .. .—,-•�—.�"•.—gip.—,=. .,., —_ '—•- � •.,t... . ----- — •-- ... Registered Owner(s) DOUGLAS ZIMMERLY w CYNTH IA ZIMMERLY Tenants in Common And 584 LIPARITA , ANGWIN, CA 94506 1 x Situs Address , 8691 INDIAN DR MAGALIA, CA 95954-97" ' Legal Owner(s) W B ZIMMERLY & B F ZIMMERLY FAMILY 198$ REVOCABLE TRUST DTD 031488 5059-D CLARK ROAD PARADISE, CA 95969 Lien Perfected On. 02120/04 13:27:26 LEGA. OWNER COPY INFOPO"I ifON ONLY BUTTE COUNTY . AUS 13 2007 DEVELOPME14T SERVICES DWIPORTANT TI9 OAR RO ORMATRON SWOWN ABOVE MAY NOT REFLECT ALL LUNS 9EC01WED Wr= T= DEPAR7M'NT OF HOUSING AND COMMUNITY Y I)XVXL0 PA7f X1t AGAINST ))WCR0jD UNIT, TRE CL IFF 'YY LE STA M OF TM L".Jff MAY BE CONYMNMD TRROUGU TFM 0ErA1Tbff T. D78r' 3D<4133 , 03C1S004- 186 s .f COUNTY OF BUTTt_ DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY .This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit ,number for the following location: s _- Owner Owner's Address Mobilehome Mfg. Model Year! i>• 9 Insignia No. L'�'� n'?. G Serial No. It is hereby certified for occupancy at the above described location and may be occupied. � Director of Public Works Date �� d /' By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED PERMIT NO. 3952=77P,E . PERMIT EXPIRES OWNER VIRGINIA JOHNSON CONTR. Charles Han _o _k, Parad; Ge LOCATION (A.P.. 66-49-9 ) t: Indian Dr., lot 94, Magalia 7 -4 •yv f f' Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. ., Called PG&E JOB FINALED ct I 1 _ (Date) (Signa e) V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) F ewall S PLUMBING rormsPa ,ets t r loor Mat Bldg. Res0om Finish 2n Floor Fd' • tins Windo s 3rd oor Stem, all Siding \\ To out Slab Roof She\kthing Water Pipi Piers Roofing I r Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters SlabProv. Carport Footings for phhandcappeysics y dde of ex. Conformance structure Appliances Gas Piping &Test Temp. as Slab Final A Sanitation Patio F E LACE Final Footings Footing LECTRI L Masonry Walls Throat t Rou h Relnf. Steel AFinal Fixtures Bond Beam IRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Subpanofs Mesh Z MECHANICAL Grd. F/ault Prot. Scratch Heatin Sery ce Brown coo 11 g emp. Pole Finish Du s /Underground Interior Jitath V ntilation Permanent Door oser anal Final MOBiLEHOME UTILITIES Elec. Service/ Elec. Pedestal f— '7 Wat r Piping /7 -7•J Sewer Gas Piping M(OB16EMOME INS ELATION Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enoklgl. to provide amperage to'mobileliome. (must equal rating of mobilehome ivitit i -,-iinu,,ium of 100 amp)- and other facilities on lot, i.e., water pumps, c, - ra­e, caD.-LTia, ctc.', Yes No B. Is there. proper clearances around panels? Y e s�No . C. Is power supply cord or feeder assembly properly fused? Yes No_ D Ts continuity test satisfactory as per `tile follcwing procedure.? Yes &"\N o__ 1. 1. s De -energize electrical wiring syste,,-;i of the mobilehome at the pe es 2. Make sure that the power supply cord or -feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4.' Connect one 1.�,..-id of a test instrument to the mobilehome grounding conductor and apply tlie oUILO:r Lead to eac;111 mobi"Lel-Loyi-Le supply conductor, including neuLral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,, water line) , including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity tez:-L shall then be made between Lhe grounding electrode and the chassis of the 1,1.0bilehome. Upon satisfactory completion of the d.lectrical-tests, the lot or site service equipment- may be approved for energizing. job card. signed by health Departmeat for water and sanitation? If everything ol<ay, sign off card and ta- services. N11 DATA Manufacturer and/or Namestyle 1C O& 1*1 c r. g t h (0 1-/- With Vehicle Serial No.�4 S (09 St.ate Identification No. (be, S-1 CD Adel,itional Info-r­,,iiat:,j,,-.,n or Comments: I ii0}3'f. ,i?IiU�tls UIS'CALLATION INSPECTION CHECK LIST 1. Is the mobilehome located required separation from lot lines and buildings and generall-, conform to plot plan? Ycs JNo^ 2 • Doc-; they mw�)bilehome have required clearances above ground? (Sec. 5085) Yes)�Vo_ 3. Are footings and supports properly sized, spaced, and braced as er approved plans? (Note possible variation at spring shackles.) Sec 5082 & 5083) Yes_\No_ 4. Is the mobilehome level.? (Sec. 5088) Yes o� 5. If wqrthan a single unit, are crossover connections properly installed? (Sec. 5088) Yes No h: 7 Q Water. A. Is fl xi_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes Nc B. Test - Does water piping withstand working pressure or 50 lbs, air test? YesV No C. Backflow - If co h 's not State of California approved, does station have backflow device and pressure-relie 1ve? Yes No [tastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YXe No B. Does it have minimum ," per foot slope and. is it properly supported? Ye�S—1 No G. Are any leaks detected in drainage system after running - allons of water through each fixture including washing machine standpipe? Yes No D. If coach's of State of California approved, does station have required trap and vent? Yes No Gas Piping and. Gas V nts A. Connector - Is mo 'lehome connected to the gas supply with an approved 3/4" minimum mobilehome connect 0 not more than 6 long? Note: All piping is to be at least as large as the mobileh e gas line'irile Ywithout reductions other than the mobilehome connector. Yes No B, lest OK as per following\irocedure� Yes_ Pdo 1. Open all appliance con.ector Valves. 2. Shut off appliance burner\aVd pilot valves. :3. Air test with manometer" -14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) cal' rate in tenth pound increments. Test for 10 min. without drop. 4. Connect, gas meter to n bilehome wi h connector, turn. on gas, test connections with soapy water. C. Are all appliance vents /properly installed?\Yes_ No r. + COUNT OF-ErUTTE > — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 5 =--4101 d `t ac3 Sof P BUILDING OF AF Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor J, & o 6ui\ �? �/L (j f Ca ` Total Valuation Mailing Address fr r2 } �/L ems' Permit Fee P I an Check i ng Fee &/o r Penalty P I phoneo _�Y y 1 Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 I7 /1 /c JIB Each Trap 1.50 L� 1 7� Repair drainage or vent piping 1.50 fr.•h f r! Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — y+ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F . 6ertitettm I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin PlansBldg. Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 ens Recd PorceI�pproval P ns Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.001 n.J� Main service 8001 OR LESS 100 AMP OR LESS 5.00 P r7 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 - NEW OR ADDNS. ( ACCLBLDGS.LING CCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON-RESI D, BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS&,1 NON.RESI D. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business Professions Code under the name style t Ex. Occup(OUTLETS OR FIXTURES)50 @25C BAL@1 Ex. Occup.(OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 7 Mobile Home Facilities 15.00 �,r�� License No. 2 1 d Z('lassification . 6 ! 1. l Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. L�10 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued I shall not employ an p p y y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee .. $ $ 1 certify that I have read this application and state that the aboveC) information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby e— TOTAL PERMIT FEE authorize rep esenLaL ves of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date , ' iipt natureof 6rm1,Cr Agent Reo. //EE��®� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF 7LIC WORKS BY Date712—_ Bu ding in expires Date —7 MOBILEHOME SUPPORT DATA Mobilehome Mfr. ��� /��7 iii Setup Model No. _5 Year Width h '(ft.) Length .. D`.%":.. (ff.) .-Expando- Size . ft.x ft. (Draw support details below)-. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets ';(if not .on .file . ith .the County of Butte) . Sin le + Footings -(check. one) A ti 1. Wood.. either . pressure treated or Center Center Support fdn. grade. Support Footing Sizes Locations (in.) ( 2,. Concrete pad. r 3. Other,: 'specify _ I I Supports (check one) in. Al. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support X. Footing Size in. in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. F", ­_ Pier ...�� Max. : oil�- lno) Spacing in.)Max. Overhang BUTTE -COUNTY BUILDING DEPARTMENT APPROVED 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / / No,� (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No 1777 (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes // No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- —1-0 ® Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in,) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or)less'CIt`han -.;50; ;ft:. on LPG.) - :1f 1W COUNTY OF BUTTE,, — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Droville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 1-5 � -7 7 y6z,21�-- authorize representatives of the Cou ty of Butte to enter upon the above-mentioned property for ins a iodpurpos s. xte Signature of Permite o Agent Receipt No.-� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RE T R OF P BLIC WORKS Or r 1115, � JQ B Date Z ui ermit expires Date a k BUILDING ew Owner J H -NS ON/, SQ. FT. I OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor . 4 W.tZLL�;-S dp V1 C 0 C bL Total Valuation Mailing Address � � t_ L f-44�-` ® Permit Fee Plan Checking Fee&/or Penalty f T le hone _ N t 0 Permit Fee Building Address n Q ^/ 02 PLUMBING No.1 @ FEE 7— 2 PERMIT FILING FEE $3.00 3 Each Trap 1.50 L%FJ Repair drainage or vent piping 1.50 Zoning Verification OnIl Water piping 47W Each gas water heater or vent 1.50 A. P. No. �� — is ab A, Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fe W -C Sion Fire Dept. Fire Zone Use Permit 9 claration Parcel Map 60' R/W Improvements EQA PPlan De Building sewer / '- Lawn sprinkler system 2.00 BI Lka s ec'd Pork4oApproval PIJ,<pprovol Permit Fee $ » 7�-� NEW ADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _g Main service V OR LE 1000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 MINIMUMNEW bw SQ- El CONS. DWELLING OR ADDNST ( ACC. BLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea p FOR MOBILES NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of C apter 9, Div. 3 f the State of Calif rnia Business & Profe o s Code under name style of: Ex. Occup(OUTLETS OR FIXTURES) @@1 BA 100 FIXED APLNS. Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 04 License No.dog Classification Mobile Home Facilities 15.00 �— Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $_ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 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 A-v%v) TOTAL PERMIT FEE S� s �- authorize representatives of the Cou ty of Butte to enter upon the above-mentioned property for ins a iodpurpos s. xte Signature of Permite o Agent Receipt No.-� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. RE T R OF P BLIC WORKS Or r 1115, � JQ B Date Z ui ermit expires Date a k ,�•:r�.}, ,r.n. r ..: } �, , . .. 4 . F. ,..` , � ' ��' �.♦ ' +3 Y•'rl f h� .'w+:Y(�' ..' •T• ��F •_ f NOTL:•—AN -motor" Fa lRlwkmoump S KA,, ee rlr ` Accordenae w h .Roto m' W Good Pr+od*mn.,*W "f{''t' 'fr1�~}'�f �d{ . ",6w , as �,,,� j�� �.s• '� 1' •h�y f Sys., t 4 �� r.L i own for the Sp�cifiod` YILoIe! "'` �•�+' Unifort�rtg; Pktmbing Bc.;Mezthonical C "_5•�.,* the.Nlationgl:lec4ricalm'Cod%nerla E. Hancock A; 7043 Molokai Drive; Paradise, California 95969' { Phone (916) 877-1420Own ' �PY ..CQunt Health Depts Re- 'rents. � +. • 1 19 �7 yy A- % d s z &0s 96y ogsi AX ;4C is 3Cr (y 3 c �. NIL: `8 , Liv.11,10:126951; • 1 ► `. All utility connections sW 6* Q �� Ile' 704.3 Uoiokai Drive, , located wiParac'iise, Ca: 9596'9 hin 4 ft- outside the teems t #hire se-Nm of the mobile home c i (916) 877.1420 on fhe left (road) side of the mobile a Xhis o¢ e� , ,Y be home. , set { _ _ a� iA of *4 +mass a�nd,iit fs unl#wfj,t to w"16rainy/ Ina '25 Or Akffa{I oft 3a14Sin A+�t #6 to v t Of Flap- rc a 'g. BUTTE.'COUNTY ,APPROVED �,3A'-*�`nti.. r4 '�"' � � j� t ft,..�. �'� ��. :«�# ���:�"..lv� �4 r��n � �.I ',k. a�,•1k�,l�%�'^"' , 1 »+ •. �i ft �a .:j t,, r�'t tM t .�tF �.. _ t..L '1 ,•_�. ..:dY a �: w�s. �`'� .� s:,.:'€���' a°2:�t► �el.�`ik�,��r.� ��y`. A''�.1j� �':a>r.y.,' � - .'�,�' f }q r r. ERMIT NO. 4025-78B • �j Q PERMIT EXPIRES OWNER P WTT.T.TAMS w k CONTR. owner LOCATION (A.P. - 66-49-9 lot 94, I.M. A, Magalia Indian Drive !k y. Tem .Power Pole alled PG&E Temp. Elec. *Serv. iCalled PG&E mp.Serv.Gas Called P VJG& E, OB s FINALED oC (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC' WORKS BUILDING INSPECTION RECORD BUILDING BUILD G (Cont'd) PLUMBIN Setback — — O Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Pi in &Test Temp. Gas Slab C Fina! d Sanitation Patio t'ClL FIREPLACE Final 1a1" ,eSFQn * gs — Footing ELECTRICAL Masonry Walls Throat Rou h Fteinf. Steel Final Fixtures Bond Beam FIRE RINKLERS Motors Framing .1—PO Test Water Htr. Stucco Final Subpanels Mesh zMECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIE Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. ignature of P�lermitee or Agent Receipt No. i SIJ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PAB'LIC WORKS By Date 7 �� B ding permit expires Date BUILDING 711 Owner ALV' M. SQ. FT. OC(;. BUILDING VALUATION Mailing Address ` t ff e I h o0 0t, Contractor ci Cu YV Com` Mailing Address Fireplace Total Valuation Telephone No. Permit Fee IN Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE �f PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 a A. P. No.� / Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fo/s W.<969-__0_qFire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel claration Parcel Map 60' R/W Improv is Each additional outlet .30 Building sewer 5.00 Bldg. Plan ec'd Parcel ApprovalKPlans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1 Main service 800V OR LESS100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADO'L 100 AMP 2.50 41 Main service V—EFR 05V 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCL BLDGS.LING CCUP. Y\ 20 sq ft / CONTRACTORS LICENSE LAW ' I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: ' y NEW CONSTRES'D, -OUTLET NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS .& NON.RESID. SINGLE OUTLET CIR.j 50 Ex. Occun(DUTLETS OR FIXTIIRES L�; Ex. Occu FIXED APPLNS, OR p. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 mI am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 7 21 I certify that in the performance of the work for which this permit is issued I shall not employ any person i -n any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. ignature of P�lermitee or Agent Receipt No. i SIJ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PAB'LIC WORKS By Date 7 �� B ding permit expires Date Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service / Called PG&E JGB FINALED (Date) / SI ature = OK '0 = Not OK NotRayable edMOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES,(Plans) OK except #'s Date DEC ,C ERS CARPORTS,GARAGES, (Plans)OK except #'s . 1. Zoning.Requirements-Setbacks-Easements o " g Requirements -Setbacks -Easements 2. Soils; Special MH Support-SketchC22-Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete- 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water;. Location -Test -Easement Needed (Sketch) 4. oodd wn.; Posts=Beams-Rftrs.-Connec, 9•-Rfg.-Bracing 5. Electricity; Location -Clearances -G end.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. . 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card-Bw Card -91 Date Card -131 Date Date, Card -B1 Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Card -61 Card -131 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water. and Sewer,. Connected -C/O to Grade -HD Approval3. 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card -61 Date . Date Card -B1 Date Date Card -B1 Card -B1 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enclosu res -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card -B1 Date ;'Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except,#'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -81 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (riot proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING (Continued) - 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties -Purl 1n -Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic 0 Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 79. Following instld.; Drive D Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -61 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS M1=2 .� % 7 County Center Drive - Oroville, California 95905 - Telephone: 916/538-754 a\/ APPLICATION AND PERMIT ASSES OR PARCEL NUMBER c .� ZONING BUILDING PERMIT OWN RTELEPHONE �- � A, S SO. FT. OCC. BUILDING VALUATION OWNE7MAIL04NG ADD CON TO N M O TELEPHONE CONTRACTOR'S MAILING ADD S �� ,. Fireplace CON R CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEND MAILING ADDRESS Permit Fee $ O ARC ITECT OR ENGI EER Zr LICENSE NO. Plan Checking Fee $ o2,5 Energy Plan Checking Fee $ . A HITECT OR EqGINE15R•S AILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ ' PERMIT Filing Fee 10.00 7PLUMBING 7 Each Trap 2.00 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 OFST TURE SF ❑Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work:- /t!/%/>sf Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de la under penaltyof perjury p I y (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an my license is in full for c and effect. C •'- 4 / License No. L J Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) , oR ADDNS. l ACC. BLDGS. /20sgft NEW CONSTR MULTI -OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 2AL 50c eAL030 Ex. Occup. OUED P OUTLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (� I shall not employ any person in any manner so as to become subject �( to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above ntioned property for inspection purposes. I also agree to save, indemnif and keep harmless the County of Butte against all liabilities, judgments, c s, and expenses which may in any way accrue agai said County in c nce of the granting of this permit. G — 01 40 Signature of Applicant — Owner ❑ Contractor 9 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP.CON5T.TTPE I I FLoo PAR5y ,_ OJ N 590E This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By - PER XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7% 277 Receipt No. `�16 `z WHITE-O.P.W., TELLOW-ASSESSOR. PINK- INSPECTOR, GOLDENROD -APPLICANT `'Zt ;..✓ ,, . ,,.r.,u,; ., LU ;` L u ny i �, ,- .,` . ^...���".n��i �r`v�c xi;r3 `•✓r�. ? `'. J�,u...,y,,,/t.^.; i J61.J"� . �,���,. s�-.� r s •° - f - . �t , COUNTY OF BUTTE - DEPARTMENrt9,l.Or,. PUBLIC WORKS - BUILDING DIVISION _ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFA,RN4R 85965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET / Permit No.// OWNER �s�� [.c/// C� � A- P. No. IGD Proposed Building Use/4�Xi Building Inspector = Dates7�Z1`��� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . _ 3''Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans -.and calcs,-vaitH-wet-srgrature-orn­phans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorizaW 10. Sanitation approval from / G 2G_ 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. . . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for___- . _ ...._- _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. - - - 22. — — --- When, you issue the permit, process as follows: Mall to owner, hall to contractor. Telephone and hold for pickup at—off ice, . Deliver w/inspector. Other Applicant ��"" �� :T��Date Copy of plans sent Health Dept.; Fire Dept., ° Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. _ 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone----rnail_counter by Contractor, designer, owner, was advised c? above required data by—phone—mail—counter by Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by _File cabinet AP folder - date date -Date T0; Building Department FROM: Environmental Health i SUBJECT: SANITATION CLEARANCE V, -s ;l��r OWNER LO CATIO N OV AP # Plans approved for: Sewage Disposal 4- Water Supply Hold final for: Water Supply Final Clearance O.K. for: Water Supply Clearance for - . bedroom mobile home. 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