HomeMy WebLinkAbout069-090-027�ame s A .�S /T�
14 Hanging Tree Ct., lot 42, KRIM, Or
Permit 473-77P,E(uti1-,MH)
ELEC.ra
>
GAS
SUPPOR TRUCTURE REQ1.0
COMPACTION TEST REQ._
'ran &044obile Trans Napa
tr-.Ca
Permit #6571-77MHI
.4
>Issue —
contra Acro -Lame, Oroville
Permit #1620-78B(2 new awning/MH)
contr: Acro-Lume, G�roville
Permit #39,W--7'8B(add deck existing
34-66 6? -,09-27
contr: Acro-Lume, Oroville
Permit #3294 789'(,irew covered deck/MR)
Ffila
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BUILDING COUNTY
(VISION
<9 tih � VED
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE Of OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location:,,
Own • .
Owne,,s Address
Mobilehome Mfg. - Model ` Year
Insignia No. Serial No.
It is hereby certified `for occupancy at the above described location and
may be occupied.
Director'of Public Works
Date By,
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
Xi2 Foundation System
Installation Instructions for California
for Ground & Concrete Systems
California Building Code (CBC) 2007
Wind 85 mph, Exposure C;
Seismic Design Category D
By Tie Down Engineering
May 16, 2008
Xi2 Concrete System
BUILDING 15IVISI6
APPROVED
EngineerApproval
State Approval.
MAWWACrURM.jt0MWM NOW.
FOUNDAIn'ON 9V&TwgrAtTmA
=
APPROVED -
�trT�ro.taok��c
APPROVAL DM NOT Ali'!" oft I At!!'i on Al
OMISSIONS OR DEWATION FROt REQt".REMENTS
APPUCANUSSTATILAWS AND Mt NI
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Page 1 of 8
Xi2 Foundation System
t ,
Installation Instructions for California
for Ground & Concrete Systems
CBC -07, 85 mph Wind Exposure C; Seismic
By Tie Down Engineering
REQUIREMENTS
• These plans and specifications meet the requirements of Title 25 Section 1333 and Wind & Seismic'
Requirements, CBC 2007.
• Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are ,
adjusted accordingly and approved by HUD. Y
• Main rail spacing must be 75.5"
- 99.5"
*Except single sections 95ee minimum ,--.
• Additional vertical anchor ties that are unique -to a home's design may be required by the home manufacturer. LL -a_
These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The ry
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. A
• -Designed for 7:12 roof slope. *Except single sections, (200 "= 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 -s
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.:.." { tiV
Page 2 of 8
Installation of Xi2 Concrete Systems
1. Identify the number of systems -to be used on the home using the chart provided.
2. Identify the location where the systems will be. installed.
3. Build pier according to State, Local or Home Manufacturers guidelines.
4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket
as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors
provided. Place nut & washer on anchor; leave enough room for 1 to 2 threads
showing on top of bolt. Using`a: hammer, tap the wedge bolts into hole through
bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench,
tighten wedge/anchor bolt, securing bracket to the concrete.
5.• Attach the end of the smaller tube to the bracket mounted on the pad, using the
grade 5,1/2" x 2-1/2" bolt/nut provided.
6. Attach the flag end of the larger tube to `the opposite I-beam using the "J" bolt over
the top of the I-beam with the nut &'washer provided. (Figure 1 next page)
7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes
provided in the lateral strut so that the two tubes are connected together
B. 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 t
10. Pull the frame bracket clamp with fastened strut outward to remove any slack.
11. Tighten all nuts and bolts on system.
Page 5 of 8
F(D
.P,
Xi2 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 4411 up to 4 Blocks
#59015 6511 up to 6 Blocks
Longitudinal Hardware Kit
Part #59263
(Includes 2 sets per kit: I-beam bracket., nuts,
bolts and washers)
Lateral and Longitudinal Combination
Part #59332
Includes: 5' Strut, Longitudinal Strut (#59364),
Lateral and Longitudinal Hardware
Kit with all nuts and bolts.
Nut & Washer
Fieure I ...... 136!am Clamp
Bracket
J -1301t
Lont
M
Longitudinal
Strut
X2 Concrete
Beam
Xi2 Installation Placement
of �i
Oil
Concretee
Longitudinal
Hardware Kit
10 140tilve
_001
-MMS
rNMKI
I
O
Beam
Xi2 Installation Placement
Installation of Xi2 Ground Systems
1. Identify the number of systems to be used on the home using the chart provided.
2. Identify the location where the systems will be installed.
3. Clear all organic matter and debris from the pad site.
4. Place U -bolts through holes in pan provided.
5. Place pad centered under beam with the lateral strut bracket towards the inside of the home..
6. Press or drive pan into. ground until level and flush with prepared surface.
7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1)
8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided
9. Attach the flag end of the larger tubejo 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)
J -Bolt Nut & Washer
.H;<..,.:.. �
1-314" Tube
s Strut
7; Lateral Struts�f, (flag end)
t Y
1-1/2" Tubex��:.
4 #12x1'1
Tek Screws t: I -Beam
Figure 2
U=Bolt &mounting -
Figure 1
Bracket
11. Install frame bracket clamps to 1 -beam on in
side of-block/pier. Do not tighten.nuts at -this time.
12. Attach longitudinal strut to U=bolt in pan using
nuts provided.
13. Insert strut in the frame bracket clamp, attach with
nut and bolt. Do not tighten at this time.
14. Pull the frame bracket clamp with the fastened
strut outward-to.,remove any slack.
15. Tighten all nuts and bolts on the struts and beam
clamps.
X12 Ground Parts Detail
Xi2 Ground Lateral System
Part Number 59306
Includes: 5' Strut, pad & hardware kit
(#59329-1 includes all nuts and bolts).
Longitudinal Hardware Kit
Part Number 59331
Includes: 2 I-beam brackets &
2 U -bolts with all nuts and bolts.
Lateral and Longitudinal Combination
Part Number 59333
Includes: 5' Strut, Pad, Longitudinal Strut
(#59329), Lateral and Longitudinal Hardware
Kit with all nuts and bolts.
Struts for Longitudinal Systems
Part
Strut
Pier Height
No.
Length
Up To:
59330-44
44"
4 Blocks or 32"
59330-65
65"
6 Blocks or 48"
M
O V
e e �Y1
® TMJ ® <:• l 0 0
a 6;
Ground Longitudinal
Hardware Kit
Xi2 Ground
System -
Longitudinal Strut
& Hardware Kit
Ground Longitudinal
Strut
Xi2 Stab ilization;=Pier Placement for Ground or Concrete
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Xi2 Pier Placement
Double Section Home
0 -62' 3 Xi2 Systems*
63' - 80' 4 Xi2 Systems
*2 Xi2 systems can be placed at either end of the home.
Triple Section Home
0 -62' 4 Xi2 Systems
63' - 80' 5 Xi2 Systems
In -6--6'8 /.11 -/re
Page 4 of 8
0
0
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0
y
` Hardware Breakdown
#59329-1 Hardware for 59306 Lateral System
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
Beam Clamp Base
1-3/4 zinc
4 10556
Tek Screw #12 x 1 "
1 10631 Z
J Bolt 1/2 x 5-1/2 grade 5 zinc
2 10640
Push Nut 1/2
1 12107
Flat Washer 1x2" SS
1 10646Y
Hex Nut 1/2-13 grade 5 zinc
2 10519
Hex Nut 1/2" w/ Serr flange
#59331 Longitudinal Hardware for 59306
2
59272-1
Beam Clamp Base
4
59272-2
Beam Clamp Top Flange
8
10926
Carriage Bolt 1/2-12 x 1-1/4
Carriage Bolt 1/2-12 x 3
full thread
Full Thread
10
10646Y
Hex Nut 1/2-13 grade 5 zinc
2
10801
Carriage Bolt 1/2-12 x 2-1/2
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
6 10646Y
Grade 5
2
84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
Hex Nut 1/2" w/Serr Flange
1-3/4 zinc
4
10640
Push Nut 1/2
4
10519
Hex Nut 1/2" w/ Serr flange
# 59329 Hardware for 59333 Lateral and
Longitudinal combination
1 59329-1
Hardware Kit
1 59272-1
Beam Clamp Base
2 59272-2
Beam Clamp Top Flange
4 10926
Carriage Bolt 1/2-12 x 1-1/4
Carriage Bolt 1/2-12 x 3
full thread
5 10646Y
Hex Nut 1/2-13 Grade 5 zinc
1 10801
Carriage Bolt 1/2-12 x 2-1/2
2 10801
Grade 5 zinc
1 84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
6 10646Y
1-3/4 zinc
2 10640
Push Nut 1/2
2 10519
Hex Nut 1/2" w/Serr Flange
#59315-1 Hardware for Lateral System
1 10631Z
J Bolt 1/2 x 5-1/2 Grade 5 zinc
1 12107
Flat Washer 1/2" SS
4 10556
Tek Screw #12 x 1"
2 10646Y
. Hex Nut 1/2x-13 Grade 5 zinc
1 10826
Carriage Bolt 1/2-12 x 3
4 10801
Grade 5 zinc
#59027 Hardware Kit for 59307 Lateral System
2 59264 3 Way Concrete Bracket
4 10530 Wedge Anchor 3/8 x 3.50
1 59315-1 Hardware Kit
#59263 Longitudinal Hardware for 59307
2 59272-1
Beam Clamp Base
4 59272-2
Beam Clamp Top Flange
8 10926
Carriage Bolt 1/2-13 x 1-1/4
Lateral Hardware Kit
Full Thread zinc
12 10646Y
Hex Nut 1/2-13 Grade 5 zinc
4 10801
Carriage Bolt 1/2-13 x 2-1/2
Carriage Bolt 1/2-13 x 1-1/4
Grade 5 zinc
#59364 Hardware for 59332 Lateral and
Longitudinal combination
1 59264
3 Way Concrete Bracket
2 10530
Wedge Anchor 3/8 x 3.50
1 59315-1
Lateral Hardware Kit
1 59272-1
Beam Clamp Base
2 59272-2
Beam Clamp Top Flange
4 10926
Carriage Bolt 1/2-13 x 1-1/4
Full Thread zinc
2 10801
Carriage Bolt 1/2-13 x 2-1/2
Grade 5 zinc
6 10646Y
Hex Nut 1/2-13 Grade 5 zinc
fr Page 8 of 8
DOf��V sf
ENGINEERING
1.
y ` PERMIT NO.
6173-77P,E
PERMIT EXPIRE
OWNER James A. Storm
CONTR. owner
LOCATION (A.P. 34-66-27
14 Hanging Tree Ct. , lot 42, KRIM, Oroxdle
r
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. t
Called PG&E
/Te Gas Serv.
lled PG&E
FINALED ACeZ& 77
(D
atu
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
S back ewall I SON Ploina
i-orips
Pafqpets
7 sX Floor
MAV Bldg.
Rest om Finish
2n9loor
F tins
Windo s
3rd Nor
Ste wall
Sidin
To out
Slab
Roof ShekhIng
Water PI in
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Garage Vents
Water Htr.
Stemwa I I
Insulation N I
Heaters
Slab
Carport
Footings V
Prov. for physica y
handicapped
Conformance of ex.
structure
Appliances
Gas Piping &Test
Tem .Gas
Slab A
Final
Sanitation
Patio
F E LACE
Final
Footin s
Footing
EL TRICA
MasonryWalls
Throat
Rou h
Reinf. Stee
Final
Fixtures
Bond BeaX
IRE SPRINKL
Motors
Framina
Test ii
Water Htr.
Stucco
Final
Subpanels
Mes
MECHANICAL
Grd. Faul Prot.
Sc tch
Heatind
Service
wn
Coolvg
J�
Tewf. Pole
Inish
Du s
U der round
terior Lath
V ntilation
ennanent
Door Closer
anal1,4final
MOBILEHOME UTILITIES ------------------ Elec. Service
Elec. Pedestal
Water Piping
Sewer a
Gas Piping
E MEI ST LLATI - - - - - - - - - - - - - - Support
Elec. Continuity /�-120V' ;777—
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
S iPA/T Tc) p 4,0 ?DD A A10 r,q s co'" r-
/)—
(NOTE: An entry must be made on this form each time you vislt the job site.)
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with uired separation from lot lines and buildings and generally
conform to plot plan? Yes_ o_
2. Does the mobilehome have,required clearances above ground? (Sec.5085) Yes No
3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No
4. Is the mobil home level? (Sec. 5088) Yes/_ N/o_
5. If more han a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is f�lex�e connector of adequate size and properly installed (1/2'' ID min.)? (Sec. 5566)
Yes — No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes 41 No_
flow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes L -15o
B. Does it have minimum k" per foot slope and is it. -properly supported? YesNo
C. Are any leaks detected in drainage system after running 3- ons of water through each
fixture including washing machine standpipe? Yes No
oach is not State of California approved, does station have required trap and vent?
Wt�s No
8. Gas Piping and Gas Vents
A. Connector - Is mobi. home connected to the gas s ply with an approved 3/4" minimum
mobilehome connector of more than 6 ft, long? ote: All piping is to be at least as
large as the mobilehom gas line inlet withou reductions other than the mobilehome
connector. Yes_ No
B. Test OK as per following pr edure? Yes No_
1. Open all appliance connec r valve
2. Shut off appliance burner ankpAot valves.
3. Air test with manometer to 1 '- " water column,'or test with slope gauge (minimum,
6oz.-maximum 8 oz.) calibr ed itenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter -to
soapy water.
ilehome with connector, turn on gas, test connections with
C. Are all appliance vent's properly installed? \ Yes No
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes LI - o
B. Is there proper clearances around panels? Yes4-__�C�_
C. Is power supply cord,or feeder assembly properly fused? Yes
D. Is continuity test satisfactory as per the following procedure? Yes_ No
De -energize electrical wiring system of the mobilehome at the pedestal_
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.
f�- Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment.. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
�- service equipment may be approved for energizing.
job card signed by Health Department for water and sanitation?
!�.�If�everything okay, sign off card and tag services.
MOBILEHOME DATA /
Manufacturer and/or Namestyle 12:%Z-1,, ` (ZL4LL4F '
Length _(2 / Width
Vehicle Serial No. .S �'�-7
State Identification No.
Additional Information or Comments:
COUNTY OF't BUTTE — DEPARTMENT OF PUBLIC WORKS
-rrCounN; Center Drive — , 0roville, California 95965
-Telephone:534-4541
APPLICATION AND PERMIT
u — —representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X c Date
Sign ure rmitee o Agen
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.
DIF�ECT409 PUBLIC WORKS
F 64.�. - -
BUILDING
Owner James A. Storm
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor Carneros Mobile Transport
Total Valuation
Mailing Address 1290 E1 Capitan
Permit Fee
Plan Checking Fee &/orPenalty
Napa, CA. 94558
Telephone No. 707
252-2411
Permit Fee $
Building Address 14 X Hanging Tree Court
PLUMBING No. @ FEE
PERMIT FILING FEE J$3.00
Oroville, California 95965
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Lot 42, Unit 2A — Kelly Ridge
Each gas water heater or vent 1.50
A. P. No. 34 — 66 — 27
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fd
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma 60' R/W
P
Im provements
Lawn sprinkler system ; 2:00
Bldg=PianRec`d
Parcel Approval
Plans Approval
Permit Fee ,$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
(�
INSTALLATION `'p f 1'7.9 —
Main service i°o°o V OR AMP LESSOR 5.00
Main service EA. ADD•L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
00 AMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONST OR ADDNS. ( DACCLBLDGS.LING Ccup,&) 22sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON -R ESI D. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Cameros Mobile Transport
Ex. Occup(OUTLETS OR FIXTURES) BAL@2rVI
Oq
Ex. Occup. ( OUT ETP P(RESID )RE A) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 259.158 Classification C-61
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cali fomia.
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.
® 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
permit is issued I shall not em
P to an employ y person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ I FEEPERMIT
FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
a +I,and State Laws relating to building construction, and hereby
Mobile Home .$K$ Installation
30.00
TOTAL PERMIT FEE
$ 30 00
u — —representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X c Date
Sign ure rmitee o Agen
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.
DIF�ECT409 PUBLIC WORKS
F 64.�. - -
MOBILEHOME SUPPORT DATA
Mobilehome Mfr. Mountain Valley Home; Setup Model No. 2BR RK Year 1978
Width 24 (ft.) Length .60 ... (ft.) ..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 .f,il . with the County of Butte) .
-Sin le ► Footings (check one
/X/ 1. Wood either
pressure treated ox
Center
Center Support e
Y
Support
Footing Sizes
Locations
(in.)
3 _
"^t.
24 x 3 ,
-
in.)Zin.�
rl-
'
24 X. 30
_
�ft� �in�
(in.)(in.)
41
la
124 x_30J-
1
..
( in.
I
Pfft
3�(�
-in.)
24 x 30®
--
(in.)
I
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
fdn-. grade.
f 2..Concrete pad.'
3. Other,: specify
Supports (check one
1 -Concrete block
2.. Concrete piers
3. Steel piers
4. Other, specify
L12x 30 Typical Support
, Footing Size
(in.(in.)
r Max. Pier
i 5 6 Spacing
( x.n.
Max.
1 - 0 Overhang
BUTTE COUNTY
BUILDING DEPARTMEN-i
APPROVED
1
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS t
__
7 County Center Drive,' Oroville,' CA.
PHONE: 534-4541
T MOBILEHOME INSTALLATION SHEET
1.
Owner's name: James A. Storm Lot 42, Unit
2A
2.
Installer's name: Carueros Mobile Transport
3.
Is the site currently under permit? Yes /X / No
(If yes, furnish permit number 6173-77P,E ) OR
Is the site an.existing site? _ Yes./ / No / X/ ,. .
(If yes,._ furnish two (2) plot .plans.)
S 4
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 /X / No
(If no, 'clarify
)
5.
What is the mobilehome electrical rating? -----------------------
200
Amps
6.
What. is, th.e...mobilehome. site -service rating?- -----------------
Amps
7.
What -is -the mobilehome site circuit' breaker rating? -------------
200-
. Amps
8.
Is -;.there any other electric load to be served by the mobilehome ,
site -service? --------------------------------------------------- Yes
/ /
No /X/
(If yes, identify the load..and size: (Load)
-0-
(Amps)
9.
What is the mobilehome site gas pipe.size?----------------------
-0^
(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?
-0-
(ft.)
12.
What is the mobilehome gas demand? ------------------------------
"0-
(BTU)
(This inform`atio_n nort 'required if pipe length less than 6 ft. on natural gas
or less• than 50 ft. on LPG) -
�.. q i",
W,3
57DAI/I-1
CUINIADICE. DATA..Ha ITT
,3,v-6 6 - -) -2
(7"
k
i COUNTY OF BUTtE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — _ Oroville, California 95965
E ` Telephone: 534-4541
APPLICATION AND PERMIT
6^7a3�
•+uanul— rVF1U3cniat vas UI Ule bounty of butte W enter upon the
above-mentioned property for inspection purposes.
x ` ^ Date Z0
ignat�re ofP>er�m%i't�eJe or Agent
Receipt No. v //
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 OFAIBLIC WORKS
BYDate�2 _6 7 7
B/Idingl�permit expires Date /L' 6 — 7�
BUILDING
Owner e r
SQ. FT. OCC. BUILDING VALUATION
Mailing Address lap r
OrC4 a/ sae.2/
Telephon o.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 , op
�7 J`�'i9n ii7 ///'��G �i✓r�
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
f ri Ica tontx
�d..001 ah'
Each gas water heater or vent 1.50
A. P. No _ 1p — -2
�!
ZO -
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
//��
Igni icon
I Fire Dept.
Fire ne
Use Permit
Building sewer 5.00 J O.
EQA
Parking
Plans
Parcel
Declara'on
p rcel P
60' R/W
Im r
pov ents
Lawn sprinkler system 2.00
Bldg. Plans Recd Parce Approval
Plan Approval
Permit fee $ 0�• 0-0
2.2
NEW ❑ ADDITION ❑ UTILITIES'• OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50 v
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 100EAv1P oR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
C�//y�� �• ��
AWS . Fl. MINIMUM
NEW
OR ADDNST ( ACC. BLDGS.LING CCUP. &) 2¢sq ft
NEW CONSTR. MULTI -OUTLET
BRANCH CIRCUITS) 2.50ea
EOR MOBILES
NEW
NEW CONSTR. POWER APPARATUS &
NON-RESID, (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:Ex.
Ex. Occup(OUTLETS OR FIXTURES) BA@L@1
OCCU FIXED APPLNS,
P•(OUXOR
TLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 /-470-0
License No. Classification
Misc. Wiring 6.25
E115m—exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
.Z _,
TOTAL PERMIT FE
$ oT
•+uanul— rVF1U3cniat vas UI Ule bounty of butte W enter upon the
above-mentioned property for inspection purposes.
x ` ^ Date Z0
ignat�re ofP>er�m%i't�eJe or Agent
Receipt No. v //
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 OFAIBLIC WORKS
BYDate�2 _6 7 7
B/Idingl�permit expires Date /L' 6 — 7�
This set of plans and specifications MU51 be
kept on the job at all times and it is unlawful to
make qny chc+nges or alters+ions on same without
written peitmission from the Department of Public
Works, County of Butte.
NOTE --All Materials & Workmanship Shall Be in
Accordance w'n'h Recognized Good Practices and
of a quality prescri6eJ for t1he Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
_-N 00"s4'.37"W
N I =� Lam, Eft SEMEJ✓T - - -- -
LOT 42
UNIT 2A
J0.» /7, STO (zM
MOUNTtMN \/ALL=y
2.•4' x 44'
VT
wff
'he -Bldg Setback shall be 5 ft. from the
'ide property line -and .1 50 ft. from the
9'•erl4L�AnP n7 f�P rKi, , pa- rm.Wi q -v ioxi-
►�- Septic system
to be as per
Butte County Health Dept. Re-
quirements.
A
�1
,C -/Z- L
5
r�
O gip• `, � o��RB
' •e
e•
be ceQ�o�o�e�°
mum of a 2 ft. eave overhang but
out of all easements.
8,.
_4.KE_.Ou_T._ TizCE
`N
003� o t A
CA�
7"� G
TiZ�E
C O C//�
o%
• P
/ �tC/`G
200 AMP. P=D=SIAL
2ooAMP, De_A«=ca
,. I � ���� — �, S cam► � E /"= 20 ,
Z U�, G
Al) uTility connections shnll be
located wl;;?i7 4 ft. outside the rear
third section of the mobile home
the left (road) side of the mobile
home.
L ¢7. 34'
BUTTE COUNTY
SUII_DING DEPARTMENT
�;
C'O.C3 ASgOCIATES ENGINEERING CONSULTANTS
2060 PARK AVENUE
OROVILLE. CALIFORNIA 95965
--^ PHONE (916) 533.6457
December 9, 1977
James Glander
Department of Public Works
7 County Center Drive
oroville, California 95965
Re: 77551
Dear Jim:
Compaction -test results are enclosed for mobile home site preparation
at Kelly Ridge.Estates for:
3arteck Unit .1 Lot 282
Storm Unit 2A Lot .42
Representative tests indicate -that the 90% relative.compaction
requirement has beien.satisfied.
A location.map is attached..
Very truly yours,
COOK ASSOCIATES
Lew Hiatt
Civil Engineer
LH:nj
' .Enclosures
DR. LLOYD't, CGOK c.:. U. _'OF E. CGOi: 14. E. DAN J. COOK :: Z.
Client Storm
COOKENGI. -SSOCIATES Project Unit 2A - Lot 42
NEERING CONSULTANTS NUClear In-place Job No. 77551
2060 PARK AVENUE moisture Density. Test Dave
OROVILLE CALIFORNIA 95965Operator
,
( 91 6) 533 -6457,
TEST NUMBER
1
2
3
4
5
6
7
B
9
10
TEST DATE
2-1-77
12-6-77
12-6-77
12-8-77
st Lif
1st Lif
lgt Lif
2nd Lift
TEST
12±Fill
13±Fill
1 ±Fill
30Fill
LOCATION
See Map
See Map
See Map
See Map
Fail
Retest
Retest
Final
MODE & DEPTH
811D.T.
811D.T.
611D.T.
811D.T.
MOISTURE
1210
COUNT
1517
1137
1137
1049
MOISTURE
.COUNT RATIO
.851
.800
.800
.736
MOISTURE
16.8
14.5
14.4
12.9
PCF
22.0
20.7
20.7.
18.5
DENSITY COUNT
462
233
424
252
DENSITY COUNT
. RATIO
1.763
.88
1.606
.954
WET DENSITY
,PCF
129.0
135.5
134.5
132.0
DRY DENSITY
112.20
121.0
120.0
119.10
PCF
107.0
114.8
113.8
113.5
15.0
12.0
12.0
10.80
% MOISTURE.
20.0
18.0
18.0
16.3
OPTIMUM DRY
DENSITY PCF
32.0
132.0
132.0
132.0
.
% OPTIMUM
MOISTURE
10.0
10.0
10.0
10.0
% RELATIVE
85
92
91
90
COMPACTION
81
87
86
86
DAILY STANDARD COUNT
COMMENT:
DATE MOISTURE DENSITY
12/1/77 1421 262
12/6/7 1391 264
12/8/7"' 1424 264
LOT 42
UNIT 2 A
STO RM
MOUNTAIN
24'
----TTC EES
.T
BOO AMP. P=C=STAL
1620-78B
PERMIT NO.
PERMIT EXPIRES 0�
OWNER James Storm
CONTR. Acro-Lume, Ornville
LOCATION (A.P. 34-66-27
14 Hanging Tree Ct., lot 42., KRIM , Oro.
R
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Aat Q
ature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback .Z
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
Stemwall
Garage Vents k
Insulation i
Water Htr.
Heaters
Slab
Carport -
Footings
Prov. for phslcally
handicaped
Conformance of ex.
structure
Appliances
Gas Piping Test
Temp. G'
Slab
Final
Sanitati44
Patio
FIREPLACE
Final
Footings/ %
Footing
ELECTRIC
Ma onry Walls
Throat X
Rough
Reinf. Steel
Final f
Fixtures
Band Beam
FIRE S INKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final 14
Subpanels
Mesh
M CHANICAL
Grd. Fault Pr
Scratch
Heating
Service j
Brown X
Cooling
Tempi ole
Finish
Ducts
Und grntind
Interior Lath
Ventilation V
Pe anent
Door Closer /
Final
Final
MOBILEHO TILITIES------------------ Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOB16EHOME 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.)
;l
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
• 11 County Center Drive — Oroville, California 95965
• Telephone: 534-4541
APPLICATION AND PERMIT
" i..I+a..acn wuvco V� UIG VUUllly UI outty to CIILCI UPUII LIIC
above-mentioned pr ty for inspection purposes.
X Date
Signatureermitee or Agents
Receipt No. /���✓�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OPPUBLIC WORKS
By Date �f— %
Building permit expires Date y"-11— 7,f
LJ
r
BUILDING
Owner J�
M i G .C/
SQ. FT. OCC. BUILDING VALUATION
42
Mai I i ng Address
2. yo (� G
Telephone No.
Fireplace
Contractor C iLG r- vi ,
Total Valuation
Mailing Address ii C `'`
Permit Fee
Plan Checking Fee&/or Penalty
U/GLK
Telephone No.
7
Permit Fee 1 Z. ttv
) Z.1 ry
Building Address �� � f�,E,�
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
2d U/C-LK �s} C -
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. �— (Q (o — 2%
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Feal
VAI.
,Satr n
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Pla
I Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
F:A
Bldg.ns Recd
Parcelroyal
PIa pproval
Permit Fee $
$
NEW D ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Z "X -e
Main service 10000 AMP AMP 5.00
(ti
Main service EA. ADD•L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 110.V
100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONST.
OR ADONS. ( ACCLBLDGS.CCUP. &) 20sgft
NEW CONSTR. MULTI.OUTLET
NON•RESID. BRANCH CIRCUITS) 2.50ea
NEW CONST. POWER APPARATUS &)
NON- R
RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
/ZG z%_f'gnIf
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
Ex. Occu FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 7 Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Work en's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$ i 2 77,
" i..I+a..acn wuvco V� UIG VUUllly UI outty to CIILCI UPUII LIIC
above-mentioned pr ty for inspection purposes.
X Date
Signatureermitee or Agents
Receipt No. /���✓�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OPPUBLIC WORKS
By Date �f— %
Building permit expires Date y"-11— 7,f
LJ
r
1.>
L
p a -4
c•� C• 7 � A
1 Qr
A
A
Ir
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Q
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x
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ry
c
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Ir
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yo
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Fv Al
-4
JI
PERMIT NO. 3294-78B
PERMIT EXPIRES
OWNER James Storm
''CONTR. Acro-Acro-Lume,Oroville
t
" LOCATION (A.P. 34-66-27 )
}. 14 Hanging Tree Ct., lot 42, KR#2A, Orovill
c
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
t
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB ^�
FINALED
(Dzv� g
ignature
FIRE SPRINMLERS
Stucco
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Subpanels
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall A P
Sol[ Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish y
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
y Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phy
n ed
Confforormance of ex. sically
C
structure
A liances
Gas Piping& est
Temp. Gas
Slab
Final
Sanitation
Patio
V FIAEPLACE
Final
Footings
7 Footing
ELECTRICA
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures 1
FIRE SPRINMLERS
Stucco
Final
Subpanels
Mesh
MkCH441CAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish X
Ducts
Under roun
Interior Lath
Ventilation
Pennanen
Door Closer V I
Final
Final
MOBILEHOMEUTILITIES------------------
Elec- Service
Elec. Pellistal
Water Piping
M 1 EHOME INSTALLATION - - - - - - - - - - - - - -
Sewer ;
Support V
Gas Piping
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.)
COUNW
— DEPARTMEIST OF PUBLIC WORKS
Drive Oroville, California 95965
Telephone: 534-4541 j
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned prop -ty f r inspection purposes.
X Date 2
S gnature ofitee or gent
'OFMReceipt No. Q
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 BLIC WORK //
S
BY Date ro
B ding permit expires Date 6 '
BUILDING 17
Owner —� M
SQ. FT. OCC.- BUILDING VALUATION
Mailing Address
Telephone No.
Contractor Ac_ e,4- kN "c,
Mailing Address 1-7 37 (,v tf �XJt?
V (.
Fireplace
Total Valuation Q
Telephone
®ABV )LL533--50
No.
17
Permit Fee
Building Address ^-
Plan Checking Fee&/or Penalty
Permit Fee ) (9 G
p 0 o
ll(_
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
aa OU
Repair drainage or vent piping 1.50
A. P. No. -
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
FireDept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parkin Parcel
Plans Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg.ns R 'd
Parcel AEEroval
PI s Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
is
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600v OR LESS
100 AMP OR LESS 5,00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
_ /_ &0 !! n,C� r -G k (a1 ;
(�(r
p,s
I C�uYZ�'
Main service OVER 60.V
O25.00
100 AMP OR LESS
Main service// EA. ADD'L 100 AMP 1.00
DWELING
NEW CONS.Crttt'
OR ADDNST 1 ACCLBLDGS.CCup- 20sgft
f -TM (") )
CONTRACTORS DENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Calif rniaBusiness & Professions Code under the name
st le of:
Y
)2 _C9'-
NEW CONSTR. -OUTLET
NON-RESID 1 BRANCH CIRCUITS) 12.50eal
NEW CONSTR. (POWER APPARATUS .&,
NON -RES,D, SINGLE OUTLET CIR,
Ex. Occup{OUTLETS OR FIXTtIRES g L 10 O
Ex. Occu FIXED APPLNS. OR
p•�OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification (4:_141
Misc. Wiring 6.25
+_
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Wor n Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above I
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
$ L4
authorize representatives of the County of Butte to enter upon the
above-mentioned prop -ty f r inspection purposes.
X Date 2
S gnature ofitee or gent
'OFMReceipt No. Q
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 BLIC WORK //
S
BY Date ro
B ding permit expires Date 6 '
,PERMIT N0.
tl
3931-78B
PERMIT EXPIRES / —10 —7
James Storm
OWNER
CONTR. Acro-Lume, Oroville
LOCATION (A.P. 34-66-27
14 Hanging Tree Ct., lot 42, KRIM , Oro.
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
r
JOB ^�
y
FINALED
(Date)
—
(Signature
y
r
4c r;
�r
•
.L
e
r
r E
1
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR
7 County Center Drive — Ur5,California 95965
Telephone; V4-4-454141 /
APPLICATION AND PERMIT
authorize represent e,6 of Ahe County of Butte to enter upon the
above-mentio , p er y'f i pection purposes.
X Date-Z����'
S nat re of a itee 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.
DIRECTOR OF U LIC WORKS
By Date 7—/,5 7,P
Bd'rlding permit expires Date 7—/-- %
BUILDING
Owner �j7�Cr2
SQ. FT. O BUILDING VALUATION
J
Mailing Address
Telephone No.
Fireplace
Contractor (�,�
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
F__7
�y
Permit Fee $
$ pi
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
_
/ 6IA16i /�
Each Trap 1.50
C�
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. (o 7
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fods
- S`anftzltiert
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma
60' R/W
Im provements
Lawn sprinkler system 2.00
BI Plans Rec'd
`P�
Parcel Approvdf
Plans Approval
Permit Fee ,$
NEW ❑ ADDITION UTILITIES ❑ OTHER E4
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Dp JX ECIC �p
Main service 600V OR 100 AMP ORLESS5.00
415FZ414 ,Fall,;
)
Main service EA. ADD'L loo AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ® Others -1Main
OVER 600V
Main service 1100 AMP OR LESS 25.00
service EA. ADD•L loo AMP 1.00
y�
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ACC. BLDGS. ) 20sq ft
NON -RESIT R ( BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS &
NON•RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: /L �' /�
.�
Ex. OCcup(OUTLETS OR FIXTURES) 50 G BAL�
Occup. AEX. OCCU ED APPLNS. OR
S (RESIDJ EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$ ��
I certify that I have reanthi pplication and state that the above
information is correct. Io comply to all County OrdinancesTOTAL
State Laws rela'building construction, and hereby
PERMIT FEEand
authorize represent e,6 of Ahe County of Butte to enter upon the
above-mentio , p er y'f i pection purposes.
X Date-Z����'
S nat re of a itee 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.
DIRECTOR OF U LIC WORKS
By Date 7—/,5 7,P
Bd'rlding permit expires Date 7—/-- %
Setback
Forms
Main Bldg.
Footings
Stemwal l
Slab
Framir
Stucco
I Interior Lath
Water Piping
MOBILEHOI
I DATE
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION JRECORD
1.
BUILDINGBUILDING (Coylt'd) PLUMBING
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
u CITY OF
DEPARTMENT OF BUILDING & SAFETY
PLOT PLAN
•
DATE: BUILDING PERMIT NO.
P/L I —
P/L'
•
P/L
STREET: LOT No.:
Name of Park: Street Address•
Name of Tenant: Brand Name:
State Approval #: State Model #
Installer: Address: Telephone:
Describe Work to be Done:
Cost:
We, the undersigned, hereby approve the installation of the above structure and
agree that the information furnished herein is correct and in accordance with all •
applicable provisions of the Health and Safety Code and Related Rules of the State
of California.
Tenant: Park Manager
Signature Signature
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