HomeMy WebLinkAbout069-100-002.,bAnest Polly
` 575 S verleaf Dr., lot 201, KRYR , Or
contra 2ro Ridge Properties, Oroville
Permit #44-99-80P E(util.,MH)
ELEC. /,0
GAS /0-6-80
SUPPORT STRUCTURE- Q
COMPACTION TEST REQ! I
Contr: Or, Ridge Propert' Inc
Permit71-80MHIn/,
Ised
• s�i�� 9 0-2
contr: Acro-Lume, Oroville
#1384-8111(new awnings/MH)
69-10-2 ` e
Permit #2001-81B(new deck/MH) `
1 -16 -92-
F
6 -9z
B07-1452 069-100-002
RESIDENTIAL SFD-Mobile Home RET
EX MH PERM FNDN EX SITE (1440)
575 SILVER LEAF DR
BAKER, KENNETH
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 2
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-1452
Issued: 07/05/2007
Address: 575 SILVER LEAF DR
Area: OROVILLE
Owner: BAKER, KENNETH
APN: 069-100-002
Applicant: PREMIER BUILDERS
Map Page:
Permit Type: SFD-Mobile Home RET
114
Description: EX MH PERM FNDN EX SITE (1440)
Flood Zone: None SRA Area: Yes
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
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
Shearwall/B.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
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Inspection Type I
IVR I INSP 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 ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
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: CA
Finals
_-
Public Works Fina
538-7681
Fire Department/CDF
538-6837 ext 169
Env. Health Final
538-7281
Sewer District Final
**PROJECT FINAL
801
-rrolect rmai is a cernttcate 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
PROJECT INFORMATION -
Site Address: 575 SILVER LEAF DR
Owner:
Pernlit NO: B07-1452
APN: 069-100-002
BAKER, KENNETH
Issued Date: 07/05/2007 By KEJ
Permit type: 'RESIDENTIAL
575 SILVER LEAF DR
Subtype: SFD-Mobile Home RET
OROVILLE, CA 95966
Expiration Date: 07/04/2008
Description: EX MH PERM FNDN EX SITE (1440
530
Occupancy: Zoning: RTl
Contractor
Applicant:
Square Footage:
PREMIER BUILDERS
PREMIER BUILDERS
Building Garage Remdl/Addn
6055 TERRA VISTA
6055 TERRA VISTA
PARADISE, CA 95969
PARADISE, CA 95969
Other Porch/Patio Total
(530)872-1096
(530)872-1096
FEE INFORMATION
DBF MH Plan Check $233.56
DBMSC Mobile Home Permit Fee. $350.34
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. /1
Contractor's Signature
07/05/2007
Date
WORKERS' COMPENSATION DECLARATION I
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.
AVE 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;
Carrier: STATE FUND Policy Number: 1127626-06 Exp. Date:05/01/2007
(This section need not be completed if the permitis tor onendreddodollars ($100) or less.
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to 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 07/05/2007
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)
r
Lender's Address
City State Zip
Total Charged: $583.90 Fees Paid:
Balance Due: $0.00 Receipt No:
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
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.).
ElI AM EXEMPT under Section B. 8 P.C. for this reason:
IX 07/05/2007
Owner's Signature T— 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 am authorize o ct on the prop rt wnefs behalf.
tom:( 07/05/2007
❑ Owner Dtontractor OR; DAgent for Owner ❑Agent for
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buftecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last NameG irst_ Name
Mailing Address , DR.
City & V G
State
Zips, 6
Phone
Fax
E-mail
CONTRACTOR
Name L PL -o
Address O S _` Tl_lFd1 U lS ! 04
City paw;' cel 5p
State
Zip
Phone S- 71, 10'F
Fax
E-mail
Lic. #� T
Class
APPLICANT SIGNATURE
X `
i
For office use only:
ARCHITECT/ENGINEER
Name
MA, E'W 0 FI0TH
Address
S G;_ Tl. I?—IZ tR ulI5r�9
City
� �`51 C_
State
Zip
Phone
V 7;Z - /0 y&
Fax
E-mail
Page
State License Number
APPLICANT SIGNATURE
X `
i
For office use only:
APPLICANT INFORMATION
Name
MA, E'W 0 FI0TH
Address
S G;_ Tl. I?—IZ tR ulI5r�9
City
� �`51 C_
State
Zip yS—% Q
Phone
V 7;Z - /0 y&
Fax
E-mail
Page
APPLICANT SIGNATURE
X `
i
For office use only:
AP#
B '�q
Zoning
City
Dec G�—C
Flood Zone
SRA
I Yes
No
Occ.
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
Type Const.
Subdivision Name
Address
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BIN #
PROJECT LOCATION
AP#
B '�q
Property Address
' '76 — -b P
City
Dec G�—C
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
F D0/r%Di-;t /gam
um���zz �x�s7cNc` tJ►�1o�IL�'
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: Bldg
�� � SRA
Receipt #: I VD
Date:
Sheriff
SMIP
Other
Total
Ir
M2 Foundation Sy�terr�
installation instructions f®r cawarnia
for around & concrete systems
HUD Wind Zone I,
15 PSF Wind toed Seismic 4
By Tie Down Engineering
Xi2 Concrete System 4
Engineer Approval
Stat® Approval
UMPAC URED AOMENOBILE HOME
FOUNDATION SYSTEM
>d118A1.TH AND RAFETY CODE, W=OW 18581
APPROVED
3MN=?0C"R=0)M1f0=
A"ROVAL 8088 NOT AUTHORIZE 01 APPROVE ANY
OMUMM OR NV1ATM FROM iREQWRSWWT i OF
AFFLICASO STATE LAWS AND RM ULATIM
ho Of Callfamis
dam �
,... OF W= AND STAMM=r
Page 1 of 6
M2 Foundation System
Installati®n Instructions for California
for Ground & Concrete Systems
HUD Wind Zone 1, 15 PSF Wind'Load Seismic 4
By 'Tie Down Engineering
REQUBREMENT.S
I • 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 ,
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Installation of .Xi2 Ground systems
1. Identify the number of systems to be used on the home using the chart provided.
2. Identify the location where the systems will be installed.
3. Clear all organic matter and debris from the pad site.
4. Place U -bolts through holes in pan provided.
5. Place pad centered under beam with the lateral strut bracket towards the inside of the home.
6. Press or drive pan into ground.until level and flush with prepared surface.
7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) .
8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided
9.. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam
with the nut & washer provided. (Figure 2)
10. Install'a minimurn,of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so
that the two tubes are connected together. (Figure 1)
Figure 1
1-3/4" Tube
Lateral Struts
p�0 1-1/2" Tube
4-#112x1"
Tek Screws
U -Bolt & mounting
Bracket ------'
J -Solt Nut & Washer
Strut
(flag end)
- 1 -Beam
I Figure 2
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.
1-4,--- 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.
Ground P �-
Xi2 Gr PartsQetail
Xi2 G
round
Xi2 Ground Lateral System 5yotem
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.
F. .
Lateral and Longitudinal Combination
Part Number 59333 Longitudinal Strut
Includes: 5' Strut, Pad; Longitudinal Strut - - & Hardware Kit
(#59329), Lateral and Longitudinal Hardware
Kit with all-nuts-andboits......................_..............................._._............ ........__ .... ��
Struts for Longitudinal Systems
Part Strut Pier Height ® Cb °
No. Length Up T0: ®� ���� ®� ���� C> C> Ground Longitudinal
59330-44 44" ' 4 Blocks or 32" Strut
59330-65 65" 6 Blocks or 48" Ground. Longitudinal
Hardware Kit
Xi2 Stabilization Pier Placement for Ground or Concrete
Single Section Home
0 -80' (76' Box) 4 Xi2 Systems
Xi2 Pier Placement
7-0
Double Section Home
0 -62' 3 Xi2 Systems*
63' - 80' 4 Xi2 Systems
*2 Xi2 systems cavi 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
D�INN� -
ElfGlNFERlNG`. -
•
... .......... .
Installation of Xi2 Concrete Systems
11
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 65.
a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors
r
provided. Place hut.-&. washer on anchor, leave:enough room for 1 to 2 threads
showing on top of bot. 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 ti:be to the bracket mounted on the pad, using the
grade 5;'(/2" 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 top.of the.'
with the nut & washer provided. (Fr'gure f. next page)
7. Install a minimum of four (#12 x-1" tek-screws) self -tapping screws into the holes
provided -in the lateral strut so that the two tubes are connected together
8. Install frame bracket clamps on' l -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
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AIZ Lateral concrete Systems
Part #59307
Includes: 5' Strut, Bracket, & Hardware Kit
#59315-1 with all nuts.and bolt.
Longitudinal Struts for
"Concrete Systems"
Part No.. Length Pier Height
#59013 44" up to 4 Blocks
#59015 65" up to 6 Blocks
Longitudinal Hardware Kit
Part #59263
(Includes 2 sets per kit: I-beam bracket, nuts,
bolts and washers)
Lateral and Longitudinal�.Combination
Part #59332
Includes: 5' Strut, Longitudinal Strut (#59364),
Lateral and Longitudinal Hardware
Kit with all nuts and bolts.
Nut & Washer
Figure 1 Beam Clamp
F- Bracket
J -Bolt
fes.
Longitudinal
Strut
Xi2 Concrete
5yotem
\ M .-
Longitudinal
— — — — — — — — — — l -Beam \.........O.ti
---� --- ------ o
Xi2 Installation. Placement
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Concrete Longitudinal
Hardware Kit
Longitudinal
— — — — — — — — — — l -Beam \.........O.ti
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Xi2 Installation. Placement
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Offset Placement
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
IF
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' S Xi2 Systems
Page 7 of 8
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ENGINEERING: �
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Hardware Breakdown
#59329-1 Hardware for 59306 Lateral System
1 845,312
U -Bolt 1/2-13 x 2.63 x 2.19 thread
1 12107
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 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%2-12X 1-1/4
Full Thread
10 10646Y Hex Nut 1/2-13 grade 5 zinc
2 10801 Carriage Bolt 1/2-12 x 2-1/2
Grade 5
,2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread
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
full thread
5 10646Y Hex Nut 1/2-13 Grade 5 zinc
1 10801 Carriage Bolt 1/2-12 x 2-1/2
Grade 5 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
#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 1.0926
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
Page 8 of 8
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Date PA DIW : z atrt
Seca! : LAW1729
Manufacturer:. MOUNTAIN VALLEY HM OriRi� i'IPxtc$;�de:' J+3A
TTetdtrnast9e; . .MOLNTAINSM
Model: Tex Type, c1.
�,lsat IL�':llitr�tst:
Manufactured Date: oamn9sV DmILTTUN id: .
Rsw s=6 on .Exp:
First S61d'On: r'OAYJI1 0 ILT'ExeRlpQicity: NO>�'E
Serial Number HUD Label J Insigni :Width
3030A CAL 197539 43 12'
3014108 CAI.147590 �, y�,
Rogiatered `Owner:
KENNETH BAKER
NORMA 6AKn (3oimTena w+7hPj0da8SurvivOWP)
375 SILVMY..AP DR
OROVILLEXA 93966
Int n* Due; OSI94Pt004
lmi R" Card: 0vm.004
•SdoITvm iob: PriCe'g3d.0(� 0D �°r�9ffrre�6 oA 0�/.t7J2��i1�
SitLs Address:
575 SILVkiPLW Dll
OROVILLE, CA 99966
Siw'Coutay: BUTTE
.inactive Dpc$iJDArI'47:
DMV 179QYD
11a" END OF TITLE, SEARCH"'
7
TOT'L
Iro
remierAperAo
Homes • Land • Investments
Phone: (530) 876-8257.
Fax: (530) 876-8247
6848 Skyway, Suite V
Paradise, CA 95969
�i
FOUNDATION SYSTEM
CERTIFICATE OF OCCUPANCY
BUILDING PERMIT NUMBER: B07-1452
i
Address or location of unit: 575 SILVER LEAF DR OROVILLE CA 95965
Legal Description of Real Property: 069-100-002
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: BAKER, KENNETH
Owner's address: 575 SILVER LEAF DR OROVILLE CA 95966
INSIGNIA OR HUD NUMBER:CAL197589/90
SERIAL NUMBER OR V.I.N.: 3030A/B
MANUFACTURER'S NAME: MOUNTAIN VALLEY HM YEAR: 1980
OFFICIAL APPROVING INSTALLATION: 1 l�
DATE: —711o10-7
PHONE: (530) 538-7541
H.C.D. 513
RECORDING REQUESTED BY
MID VALLEY TITLE & ESCROW CO.
AND WHEN RECORDED MAIL TO:
KENNETH BAKER
NORMA JEAN BAKER
575 SILVERLEAF DR
OROVILLE, CA. 95966
A. P. N .: 069-100-002-000
Order No.: 196410CB
2002-00 1 '95 1 8
Recorded
Official Records
CoBUTyEOf
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:00AM 17 -Apr -2002
I REC FEE 13.00
1 TAX 70.40
I
I
I
I Shauna
I Page 1 of 3
Above This Line for Recorder's Use Only
Escrow No.: 196410CB/ORO-C
GRANT DEED
3
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY EO.40
[ X ] computed on full value of property conveyed, or
([ l computed on full value less value of liens or encumbrances remaining at time of sale,
X ] unincorporated area; ( ] City of _, and
FOR A VALUABLF. CONSIDERATION, Receipt of which is hereby acknowledged,
CHARLOTTE B. POLLY, TRUSTEE OF THE CHARLOTTE B POLLY 1993 TRUST
tiereby,GRANT(S) to
KENNETH BAKER and NORMA JEAN BAKER, Husband and Wife as Joint Tenants
the following described property in the Unincorporated Area of the County of Butte State of California;
See Exhibit "A" attached hereto and made a part hereof.
CHARLOTTE B. POLLY, TRUSTEE OF THE
CHARLOTTE B POLLY 1993 TRUST
By:
CHARLOTTE TTOLILY, TRUS ;E
Document Date: March 27, 2002_
STATE OF CALIFORNIA )SS
COUNTY OF
On before me,
personally appeared_
L personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on
the instrument the persoii(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and !official seal.
Signature
This area for official notarial seal,
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
a
RECORDING REQUESTED BY
MID VALLEY TITLE & ESCROW CO.
AND WHEN RECORDED MAIL TO:
KENNETH BAKER
NORMA JEAN BAKER
575 SILVERLEAF DR
OROVILLE, CA. 95966
A. P. N .: 069-100-002-000
Order No.: 196410CB
2002-00 1 '95 1 8
Recorded
Official Records
CoBUTyEOf
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:00AM 17 -Apr -2002
I REC FEE 13.00
1 TAX 70.40
I
I
I
I Shauna
I Page 1 of 3
Above This Line for Recorder's Use Only
Escrow No.: 196410CB/ORO-C
GRANT DEED
3
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY EO.40
[ X ] computed on full value of property conveyed, or
([ l computed on full value less value of liens or encumbrances remaining at time of sale,
X ] unincorporated area; ( ] City of _, and
FOR A VALUABLF. CONSIDERATION, Receipt of which is hereby acknowledged,
CHARLOTTE B. POLLY, TRUSTEE OF THE CHARLOTTE B POLLY 1993 TRUST
tiereby,GRANT(S) to
KENNETH BAKER and NORMA JEAN BAKER, Husband and Wife as Joint Tenants
the following described property in the Unincorporated Area of the County of Butte State of California;
See Exhibit "A" attached hereto and made a part hereof.
CHARLOTTE B. POLLY, TRUSTEE OF THE
CHARLOTTE B POLLY 1993 TRUST
By:
CHARLOTTE TTOLILY, TRUS ;E
Document Date: March 27, 2002_
STATE OF CALIFORNIA )SS
COUNTY OF
On before me,
personally appeared_
L personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on
the instrument the persoii(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and !official seal.
Signature
This area for official notarial seal,
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
� A - MER I
� C
STATE OF CALIFORNIA }ss.
COUNTY OF MADERA }
On APRIL 9, 2002 , before me, C. LACEY NOtQ/t,l,�`�c�cQ,IG
personally appeared CHARLOTTE B. POLLY
Sig a f— ? , 21 �- �� , personally known to me
(or proved to 'me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature�: I
C. LACEY, COMMISION
Title of Document GRANT
Date of Docui�ent
e
Other signatures not acknowledged
10
6/02 �•,...., C. LACEY
M o NOTARY UBIIFCAAUUFORNIA W
CD
I
' P PAINCIPAI OFFICE IN :
MADERA COUNTY
My Commfssloo Exp. OoI. 16, 2002
(This area for �fficial notarial seal)
NONE
No. of Pages 3
3008 (1194) (General)
First American Title Insurance Company
•
rUw
PERMIT NO. 2001-81B
• PERMIT EXPIRES
f OWNER Charlotte Polly
CONTR. owner
ASSESSOR PARCEL 69-10-2
j LOCATION 575 Silverleaf Dr., lot 201,KR#l,Orc
e
A/ R Qu res
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature
jjl-� s P,
J c OK
0 Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s r
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Depth -Spacing -Connectors
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. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas;.Location-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
.1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10, Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
"1
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
Card -BI
Date
PLUMBING
14.
Date Card -BI Date
(Permit) OK except #'s
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15.
16.
Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑ Yes
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B-1
Date
Date Card -BI Date
MECHANICAL (Perrr.it) OK except #'s
82.
Glass Protection
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32,
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
_
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
Walls over Girders & Floor Nailing
_
-38.
39.
_Bearing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
45.
Hangers_ -Post Caps -Anchors -Connectors
Cing. Joist-Rftr._Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
zpAIS/
��//jj�`�///
BUILDING PERMIT
O W%' ,/�/-���
/[7f� /L`/
�O{}.—/ / �,%
Ci C��/�.
LE. HONE
ONE
S FT. OCC, BUILDING VALUATI N
/f��C/� /�
O ER'S MAI��f.'V���I D���
CONTRACTOR'S NAME✓�,
�(f�
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $ a (ask
Filing Fee
$11 el 10.00
LENDER'S MAILING A D E s
Permit Fee
ARCHITECT OR ENGINEE
LICENSE NO.
Plan Checking Fee
Penalty
AL
ARCHITECT OR ENGIN ER'S MAILING ADDRESS
Permit fee
BU DI G SV\ l��/DR ESSw/� �,^ �A ` ^�
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO
SUBDIDIVIs ON W4ME
F—
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USEOFSRUCTURE
SF ❑ F1Duplex Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Ee Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: D Ec.4
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eoov OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2,50
NEW CONST. (DWELLING OCCUP.N\
OR ADDNS. ACC. BLDGS. I
20 Sq it
CONTRACTORS LICENSE LAW
I deglare under penalty of perjury (check one):
y
-E]I am licensed under provisions of Chapt. 9, Uiv. 3 of the Business
and Professions Code and my license is rn full force and effect.
License No. Classification
51 I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
,❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR (MULTI -OUTLET 2,50 ea
NON-RES'..BRANCH CIRCUITS)
NEW CONSTR. ( POWER APPARATUS O\
NON-RESID, (SINGLE OUTLET CIR, 1
Ex. Occup OUTLETS OR FIXTURES 50 @ 250
,�
IXED APPLNS. OR
Ex. OCCUp.�OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again t said Cou in conseque e of the gr tt this permit.
pp
X e'
Signature of Applicant — 0 er ❑ Contractor ❑ Agent
An OSHA permit is required for excavations ver 5'0" dee and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation 6.0
TOTAL PERMIT FEE $ t1o,QQ
Occup. GROUP
��
TYPE OF CONST,
V . A/
PARCEL
�
PD
HD SSu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above. for which
DIREC OF PUBLIC
By
PE IT XPIRES Date�6�9-44
the applicable provi-
resolutions to do
fees have been paid.
WORKS
-Date 6--1c- P�
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -(NSP CTO., OOLDEN.OD-APPLICANT
`!trt.�'7*Fetwr..e'cyrT`r'i�^wxil�^'�.7�Q/�s'F`tii;s"•-+i++3�.+_�"�..,.0-.a:r�r ��yvM+,Yv-..r,-r.;-r-..-'-.r•'v`•«..�r.�b-�y��4�. n's.w�c. fa..f.-r. +..+�.+�-•moi- r.�.r"^�"5 7
OWNER
: COUNTY OF BUTTE - DEPARTMENT OF'�PUBLIC WORKS - BUILDING DIVISION
t 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET ✓
Permit No.
A. P. No.
Proposed Building Use PC-61--
Permit Fee Based
Building Inspector
Complete Contract Price
Other (Explain)
DPW Valuation
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
], ��jr --Fees of $ . . . . . . . . t�Letter of signature authorization. /6 e
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
3/." Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner[], Mail to owner
15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . . •.
request to17. Pre -Inspection for Required. Building Inspector (Date)
18. Other
When you issue the permit, process as follows: Mail to owner. •Mail'to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant
Da
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of aplic tion, Ir It m )
1. Index permit for above Items No. -- l��F
2. Additional items required:
(Contractor, Designer, wner) was advised of above required data by Telephon4d_iZMail Other
G-/3/81
/nt By Date
Plans checked by l7 I1 Date
Plans approved by �� _ Date
Other:
Copy—DPW
-1 sc
t�
�• COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property rovement (yes or no) Y �.
2. I (have/have not) signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name G Ai -\ t L tl
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name FAm,%��/
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
S igned :
Property Owner A � oz A_
Social Security number
Date 7 -
NOTE This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
V
This verification must be completed and returned to our office before we are
permitted to issue the permit.
C��o rrE �o�G y
-60 . r.- -: C-,'
11
. ........
ft. from tho-
property lines and a setback
of 50ft. from the road
cibntertir)e shall be clear of
structures or equipment except
ft. eave overnany.
zp� �-a' l .
$U#� COUNTY
SUILDII G DEPARfMt-N!
FIAPIIIP -RO v ED
T--
J
-60 . r.- -: C-,'
11
. ........
ft. from tho-
property lines and a setback
of 50ft. from the road
cibntertir)e shall be clear of
structures or equipment except
ft. eave overnany.
zp� �-a' l .
$U#� COUNTY
SUILDII G DEPARfMt-N!
FIAPIIIP -RO v ED
T--
NOTE:-AII "Materials & Workmanship Shall Be in I
Accordance with Recognized Good Priiictices and
• of g quality, prescribed for the- Snecified- use in the
Uniform Building, Plumbing: & Machanical Codes and
the National Electrical Code.
–�
-47
` This set of plans ,and specifications MUST No
make -any changes or altPrn4ians'on sarne w0hout
written permission from the Department of PAIN
Workso,..C_ountyr--of-krtte. - - _. _ :. :_ - - a -•
Lu
7
Provide a,
uate bracing._
s;pp OCC .
t
fl
A—
r 7
Provide adequate bracl".-.
E3
E3\
4- I- I-, i. - -1. - - r- I .F -1- . -i... - .. - - -
A:
QJ
C-�:; � v,,. ,._4
de,
brcicin
i
7,i L-�
I 41Z
t
Li
L
Dil
BUM COUNTY
BUILDING WAfMENI'.
P, p
ROVE
r. 1384-81B
PERMIT NO. �f �
-PERMIT EXPIRES
OWNER Ernest Polley
CONTR. Acro-Lte, Oroville
ASSESSOR PARCEL 69-10-2
LOCATION 575 Silverleaf Dr., lot 201,KRIP1,
Oroville
s
f
t
I
Temp. Power Pole
1
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALEI
4000
Signature
1'
j1
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements—Setbacks—Easementsoning
Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
.Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
Vis; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
A-- and Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
um. Awn.; columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ P'Nat. or/ /"L"ft./ /"LPG
--6,-GafporiS,Windows—Doors
7. Utility Clearance
Card -BI
Date Card -BI Date
Card -Bo., Dated( Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Card -BI Date Card -BI Date
Date POOLS (Plans) OK except k's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10, Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI Date Card -BI Date
J = OK
0 = Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
� „ ,
Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) .
1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Date PLUMBING (Permit) OK except N's 57. Smoke Detector
14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector -
15. Water Pipe; Test & Anchors -Nail Protection In Garage; Above Floor-Ducts-Mech. Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting
17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access
33.
18.
Test Tub & Shower, 2nd Floor -Tub Access
34.
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
35.
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
63.
Fireplace or Stove; Clearances -Hearth
Card -BI Date Card -BI Date
Date FRAMING Plans OK except p's
Comments at Final:
36.
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Date Card -BI Date
39.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Date Card -BI Date
41.
66.
Elec. Outlets & Receptacles at Kit. Counter
_
42.
43.
_ 44.
45.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
67.
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except q's
47.
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
In Garage; Above Floor-Mech. Protection
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. &Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E] Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked Floor ❑
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
under Yes
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Insulated Neutral ❑Yes ❑No
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
83.
Corrections from Previous Inspections
Date
MECHANICAL (Permit) OK except f♦'s
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date FRAMING Plans OK except p's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
^_ 38.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
_
42.
43.
_ 44.
45.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTKENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534 541
f APPLICATION AN4 PERMIT
ASSESS%( PAR EL NUMBER r
4 f 'Z
ZONING
Imo"
LOOP
BUILDING PER1 ,J,e&,a
WNER
es 1, k"
TELEPHONE
—I do -7
SQ. FT. OCC.1 BUILDING VALUATION
44 1
OWNER'S MAFLING ADDRESS
CONTRACTO 'SNAME )
G /Z 0— /l Q M C_
TELEPHONE
__q 1
CONTRACTOR'S MAILING ADDRESS
wVJ9A%0Cr —I L%C'
CONSTRUCTI_OWLENDER UNKNOWN
Fireplace"
$
Total Valuation(01
LENDER'S MAILING AD R SS
Permit Fee
$ e,u
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ m cJ
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISIONA
PARCEL MAP
Each pas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[N Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New] Addition ❑ Remodel ❑ Uti lities ❑ InstallationC Other ❑
Describe work4: E_zTQ-) /y 1122 -Cizces-7,9,yp AwyiW
�iNri ►� ed Ali/�/6W< K/7 •� S�E'f3/2Bty
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP OR0V OR SLESS
5.00
Main service EA. ADO'L too AMP
2.50
NEW CONST. ( DWELING
OR ADDNS. ACCLBLDGS.CCUP.&)
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Bu
and Professions Code and my license is in full force and effect.
p /
License No. %(f Classification 4 - K
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEWCONSTR. UL'_OUTLET
NO N.R ESID BRANT CH CIRC ITS
2.50 ea
&)1
NEW CONSTR. POWER APPARATUS NON-RESID. (SINGLE OUTLET CIR. 1
. Occusiness Exg0@'�`
p�OUTLETS OR FIXTURES BAL@10C
EX. OCCU FIXED APPLNS. OR
p•(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
{ I have placed on file with the County of Butte Building Department
Y� 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
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, dgments, costs, and expenses which may in any way accrue
against aid t n consequence of the granting of this tp rmit.
X ate / �Z����
Signature of App i ant - Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in
Mobile Home Installation Fee $
Land Development Fee $
_
TOTAL PERMIT FEE $
Occup. GROUP
_
I TYPE OF CONST.
v Al
PARCEL
PD
v
HD I
ISSUE
v
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT R OF PUBLIC
By
- P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
/height.
Receipt No. 505%6
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE C..r
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534.4541
CERTIFICATE'OF OCCUPANCY
This mobilehome has been installed in accordance withthe requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number "%77/, d for the following location: ,52S' S/1-0$,S446e'4
Owner k -4-1V,"-,7- R
Owner's Address &-4
Mobilehome Mfg./)'"I!>y /1,4.1.4 Modelc-1281�'j I Z<7 Year
Insignia NoM L-91/965-.Sn Serial No. "s —30, 30
It is hereby certified for occupancy at the above described location and
may be occupied.
Director' off Public Works '
Date «1�,�=D By,/ t'D.1/t�//��1f/�-/!/�5�...
THIS CERTIFICATE IS VOID WHEN MOBILEHOMEJS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
4499-80P,E
PERMIT'NO. Q /
PERMIT EXPIRES
Ernest Polly'
OWNER
CONTR. Oro Ridge Prop., Oroville
34-60-2
ASSESSOR PARCEL
r
LOCATION 575 Silverleaf Dr., lot 201, KRYR „
.�
t Orovale
Temp. Power Pole
a
�. Called PG&E
9
-i' q
*91M. Elec. Service
Called PG&E
Temp. Gas Service
t
l
Cal led PG&E
JOB FINALED ate)
V
A
9
Signature
J n OK
0 = Not OK
= Not Applicable MOBILEHOMES
�k = Not Ready
MISCELLANEOUS
Date
MOBIL ME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
oning Requirements–Setbacks–Easements
1. Zoning Requirements–Setbacks–Easements
Ae-Soils;
2. Footings; Size–Depth–Spacing–Connectors
anon–Test–Fall-C/ onc�ete
3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails
4. Water; Low– –
4. Wood Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rfg.–Bracing
G5/€lectricity; Location–Clearances–Grnd.–/ Q8/ Amp cre
5. -Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures
–4_4as; Location–Test–Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows–Doors
7. Utility Clearance
_
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
Or oning Requirements–Setbacks–Easements
1. Setbacks–Easements
---Z
ootings; Size–Spacing–Marriage Line
.-9.-'ft MH Test–Demand–Valve–Connector
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel–Connections–Thickness–Dead Men–Lining
1 tricity; MH Test–Crossovers–Breakers–Clearances
4. Elec.; Receptacles and Lighting; Distances–GFI
Dr , MH Test–Fall–Flex Connector
5. Elec.; Pool Lighting; 15 volts–GFI
a r; MH Test–Regulator–Connector
6. Elec.; Enclosures; Conduit Entries–Terminals–Listed
ter and Sewer Connected–C/O to Grade–HD Approval
7. Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater
Lz�lnd Electricity Tagged
8. Elec.; Grounding; Equip. w/5'–Circulating Equip.–Pool Lghtg.
Boxes– Enc losures– Pane lboards–Ins. to Main in Conduit
Insp.–Sketch
Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test–Water Supply Test
Card B- !7 / e d -BI Date >
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
= Not Applicable
* Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
-
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
4.
Ftg., Garage; Soils -Steel- / • /" Ftg. Depth
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
50.
51.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
52.
53.
Siding -Nailing -Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except k's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
62.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
19. Gas Pipe; Size & Anchors
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
Fh.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J. -
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes73.
25.
2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails &Deck Construction -Post Caps
26,
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI-Oven,Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive El Yes E3 No; Walks ❑ Yes El No;
Planters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77•
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
82.
83.
Ventilation throughout House
Glass Protection
Corrections from Previous Inspections
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
45.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions
47.
Garage Fire Protection Framing11
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exit at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
I
Inspector
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541 A-/)
/ L/
.A;�,PLICATION AND PERMIT 1ORKS V
GLIUMILC ICtlICJCIILGLIVCA UI UIC VUU111y UI DUMC IU CALCI UNUM Lne
above-mentioned property for inspection purposes.
ORO RI ERTIES, INC
X Date
ignatvre of Permi tee or Ag int
Receipt No._ � -S �c !k:
White-D.P.W. /�nssor — `Iry;pectgr.l Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indi
above for which fees have been paid. �b
DIREC R OF PUBLIC WORKS
By Date
B ' ding permit expires Date
BUILDING
Owner POLLY, Charlotte `
. SQ. FT. OCC. BUILDING VALUATION
r Yl
/60 y
Mailing Address 1398 Los Palmas Drive
Santa Clara, CA 95051
�001Y*-:-161
Contractor ORO RIDGE PROPERTIES, INC.
Mailing Address 5263 Royal Oaks Drive
Fireplace
Total Valuation
Oroville, CA 95965
Tel
Tel;lone N
911 589-0o.152
Permit Fee
Building Address 575 Silverleaf Drive
Plan Checking Fee VorpA I
L
Permit Fee
Oroville, CA 95965
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Lot 201, Unit 1 KELLY RIDGE ESTATES
Repair drainage or vent piping 1.50
A. P. No. 34 — 60 — 02
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W. C.
Sanitation
FireDept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Recd
Parcel A roval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER a
Permit Fee $
$
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
INS. for BP
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. AOD'L 100 AMP 1.00
NEW CONST. ( DWELING
OR ADDNS. ACCLBLOGSCCUP. s) 22sgft
LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business 81 Professions Code under the name
style of:
ORO RIDGE PROPERTIES, INC,
NEWNON-RESIESID. MULTI-OUTL T
CONSTCONTRACTORS
D, ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS 9
NON-RESID. SINGLE OUTLET CIR,
Ex. QCCUp(OUTLETS OR FIXTIIRES BAL@1
FIXED APPLNS. OR
Ex. Occup. ♦a OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
295666 B—Gen.
License No. Classification
Misc. Wiring 6.25
E) 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 Workmen's Compensation.
13 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 N0.1 @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 12.00
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
Xu Mbl Hme Install.
$
TOTAL PERMIT FEE
$
GLIUMILC ICtlICJCIILGLIVCA UI UIC VUU111y UI DUMC IU CALCI UNUM Lne
above-mentioned property for inspection purposes.
ORO RI ERTIES, INC
X Date
ignatvre of Permi tee or Ag int
Receipt No._ � -S �c !k:
White-D.P.W. /�nssor — `Iry;pectgr.l Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indi
above for which fees have been paid. �b
DIREC R OF PUBLIC WORKS
By Date
B ' ding permit expires Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA. i
PHONE:,534-4541
' MOBILEHOME INSTALLATION SHEET
1.
owner's name: Mrs. Charlotte POLLY Lot
201, Unit 1
2.
Installer's name: ORO RIDGE PROPERTIES, INC.
3.
Is the site currently under permit? Yes /XX/ No
(If yes, furnish permit number
Is the site an existing site? Yes / / No /XX/
,
(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 /XX/ No
(If no, clarify
)
5.
What is the mobilehome electrical rating?-----------------------
200 Amps
6.
What is the mobilehome'site service rating?---------------------
200 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 /XX/
(If yes, identify the load and size: (Load)
(Amps)
9.
What is the mobilehome site gas pipe size? ----------------------
-07
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 information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.) . -
y 4*Q?` <?V
BUTTE COUNTY
BUILDING DP-PARTMEN
APPROVED
Mrs. Polly
201/1 MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr.MOUNTAIN VALLEY HOMES,INC. furnish Setup Model No. 2BDR, IK Year
Width 24 (ft.) Box Length 60 (ft.) Tagalong or Expando Size ------ft. x-------ft�
(SHOW SUPPORT DETAILS BELOW) ,
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
x D
(in.) (in.)
Center support Center support
locations* footing sizes
(in.)
a2 vx 3 0
(in.) (in.)
(in.) (in.)
S g x D
(in.) (in.)
(in.) (in.)
Footings (check one)
Single 1. Wood either
pressure treated o
foundation grade.
2. Other (specify)
*If center piers are other than drawn above,
draw in --locations, spacing, and dimensions.
Supports (check one)
1: Concrete block.
2: Other (specify)
Tagalong or Expando,'
show support details.
/.L x 3 0 -- Typical Support
in.) (in.) Footing Size
(ft.)(in.)
(ft.)(in.)
-- Max. Pier Spacing
-- Max. Overhang
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO
7 County Center Drive - Oroville, California 95965
` Telephone: 534-4541 �j� �% �/)l
RK
APPLICATION AND PERMIT ��CC j U
auulunce IepresentauVes of ine t,ounty of ouue to enter upon the
above-mentioned property for inspection purposes.
0 �iRIDGE PROPERTIES, INC. o
X Date
Signature of Permitee or Agent
Receipt No. 'y- 6U % j
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.
DIRECTeR OF PUBLIC WORKS
ey Date
B ding permit expires Date
BUILDIN ee_ /C>00
Owner Ernest Polly
SO. FT. OCC.1 BUILDING VALUATION
Mailing Address 1081 Lorne Way
Sunnyvale, CA. 94087
Telephone No.
Contractor Oro Ridge Properties, Inc.
Mailing Address 5263 Royal Oaks Drive
Fireplace
Total Valuation
Oroville . California 959651589-0152
Telephone No.
Permit Fee
Building Address 575 Silverleaf Drive
Plan Checking Fee &/or PenaltyPermit
Fee 0,00
p 10C
Oroville California 95965
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 10.00
Each Trap 1.50
Lot 201 Unit 1 - Kelly Ridge Estates
Repair drainage or vent piping 1.50
A. P. No. _ _ oning & Lnning
Water piping 1.50 ,p0
Each gas water heater or vent 1.50
Fees
.C.
Sanitation
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel p
60' R/W
Improvem nts
Each additional outlet .30
Building sewer 5.00 Q,tJp
v
Bldg. Plans Recd
Parcel ipproval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES,, OTHER ❑
Permit Fee $ go.00
0 0�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 10,00
Main service 600V OR LESS O
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Others E]
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADO'L 100 AMP 1.00
NEW CONS. ( DWELING OR ADDNST ACCLBLDGS.CCUP. Y) 2�sgft
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
le of:
Oro Ridge Properties, Inc.
NEW CONSTR. MULTI -OUTLET
NON-RESID ( BRANCH CIRCUITS) 2.50ea
'NEW CONSTR. (POWER APPARATUS.a
NON-RESID, SINGLE OUTLET CIR.
Ex. Occup {OUTLETS OR FIXTIIRES1 5 L 251
,@09
Ex. Occup. FIXED APPLNS. OR
p• OUTLETS (RESID•I EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 X00
License No. 295666 Classification B -Gen.
Mise. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.
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 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 employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that 1 have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ '
auulunce IepresentauVes of ine t,ounty of ouue to enter upon the
above-mentioned property for inspection purposes.
0 �iRIDGE PROPERTIES, INC. o
X Date
Signature of Permitee or Agent
Receipt No. 'y- 6U % j
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.
DIRECTeR OF PUBLIC WORKS
ey Date
B ding permit expires Date
&Workmanship Shall Be in _ L O. T Z O 1
NOTE:—Ail Materials -
Accordance with Reco�niaed Good if ed Practices
in the
o¢ a quality prescribed fo+ the Sp.U . �.
Uniform B
uildpre Plumbing & ► gachanical Codes and"*
the National Electrical Code.
7-/o:�- y
-zJT/L-7_ 77Y L 0C.--).7--:/0NS A2E=._— \
Ox.,--N0.T-T. D S•CAL —
EL EG,
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
0` •
structures or equipment except
for a 2 ft. eave overhang.
100
`N
ect�ons shallither
0ility\°nob
P rnilehome' tr® rear
ft. °t � old, within ® ,
directly b C aq;de °¢ th
half of the'5,C 7-- .- �� a I \ mob1(ehomep P�
�. FCS FT/
<=>4,10
�N
-t I peP�i�� Bj/� C/�j'1 : /
' )'�/p f/ evil/
op
d
4� wF Vie'
is \
.� �i
�r C 4z E__ 1.__= - 20
BUTTE COUNT`?
.
BUILDING ®EPARTMEN11
Ws sei 6f plans and specifications MUST to
kept on the job at a!i times and it is E��~.',�"� APPROVED
P .,,-,l ��os a Vin"'hout
make anv changes or r!t on snit - -
written permission from the Department of Public -Ae vG - 9 - 3, _ 73
Works, County of Butte. /
Telephone
5932000
'r
North Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965 208-8D
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance of a building or occupancy
permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant: ERNEST POLLY
Applicant Address: 1.081 LORNE WAY, SUNNYVALE, CA ()4n87
Applicant Phone No.:
Property Location (s): 575 Silverleaf Drive
KELLY RIDGE ESTATES* LOT 201. UNIT 1
A. P. No. (s): 034-60-0-002-0
Fees Paid: ALL FEES PAID IN ADVANCE BY SOUTHERN CALIFORNXA
FINANCIAL CORP.
Application for service approved:
PP PP . ,
AUGUST 28, 1980 North Burbank
Public Utility District r
Inspection(s) made and successful test(s) observed: ''—
Location: �� Date:
North Burbank Public Utility District release to close permit:
Date: 0 By:', A
Telephone
533.2000
North Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965 208-8?
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of
Public Works Building Department prior to issuance of a building or occupancy
permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant: ERNEST POLLY
310 R, MAN A 5HUMMOM
Applicant Phone No.:
Property Location(s). 575 Silverleaf Drive
KELLY RIDGE ESTATES, LOT 201, UNIT 1 .
A. P. No. (s): 034-60-0-002-0
Fees Paid: ALL FEES PAID IN ADVANCE BY SOUTHERN CALIFORNIA
FINANCIAL CORP
Application for service approved:
AUGUST 28, 1980 ` North Burbank
Public Utility District
Inspection(s) made and successful test(s) observed:
Location: Date:
L -
North Burbank Public Utility District release to close permit:
Date: By:
ASSOCIATES ENGINEERING CONSULTANTS
2060 PARK -AVENUE
OROVILLE. CALIFORNIA 95965
PH 0.14 (916) 533-6457
October 85 1980
James Glander
Department of Public Works
7 County Center Drive
Oroville, California 95965
Re: 80551
Dear Jim:
We are pleased to submit the enclosed Report on Controlled
Compacted Fill .for:
Polly K.R.E. Unit 1 Lot. 201 ..
.If you have any questions, please do not hesitate to
contact us.
Very truly yours,
COOK ASSOCIATES
o� Lew iatt
Civil Engineer
LH/cab' No. 22264
Enclosures
cc: Doyle Carter
[1 ® ® K ASSOCIATES. ENGINEEPING CONSULTANTS
2060 PARK AVENUE
OROVILLE. CALIFORNIA 95965
PHONE .(916) 533-6457
October 8, 1980
REPORT OF CONTROLLED COMPACTED FILL
PROJECT: Kelly Ridge Estates
Unit 1 Lot 201
Polly
Re: 80551
GENERAL
Compacted fill was placed to provide support for a mobile home.
The. maximum depth of compacted fill is about 1.5 feet.
DESCRIPTION OF FILL
Prior to placement of fill, the area to receive structural fill
was cleared of weeds and debris. The material used for the fill
was native cut and fill.
Fill was placed in loose layers' about six inches in thickness
and compacted by track rolling. Water was added to the fill
prior to placement of additional fill.
During construction of the mobile home pad, fill was placed
outside the structural fill. This fill was not tested, during
grading and is considered to be a non -.structural fill. A
typical cross-section (Plate 1) depicting this condition is
attached.
The approximate extent of the grading is shown on the attached
drawing "Location of Density Tests"..
TESTING
Field density tests were taken at frequent intervals near the
fill surface. Representative samples of the soil were taken
- to the laboratory for compaction tests. The compaction tests
were performed in accordance with the laboratory standard
"ASTM 1557 Method C The relative density of the fill.was
determined from the compaction tests.'
Where tests indicate insufficient compaction the material was
removed, recompacted and retested.
The location of the field density tests are shown on the
attached drawing. The results of the tests are given on the
table "Summary of Tests".
CONCLUSIONS
Based on intermittent observation, it is concluded that the
structural fill was placed in an orderly and efficient manner
and that the field density tests are representative of the
structural fill placed. It is our opinion that all portions
of the structural fill are compacted to at least 90% of the
maximum density, in accordance with the requirements of the
County of Butte.
COOK ASSOCIATES
By
Lei Hiatt
Ci
eer
it En in
SUyMARY OF TESTS
PROJECT: K.R.E.
Unit 1 -Lot 201
Polly
Re: 80551
FIELD DENSITY TESTS
Field
Test Density Percent Maximum Degree of
No. Date Elev. pcf Moisture Density Compaction 'Remarks*
1 10-2-80 1.5' 116.7 18 130 90.
COMPACTION TEST:
Maximum dry density,'pcf
Maximum size tested:
Optimum moisture, percent:
VISUAL CLASSIFICATION:
Soil type:
LOT ZO
_U NJ f _f '
S.I ZL VE2
�o
ZJT/L'7_ i Y-LoC/1.TJ0/�S AIDE___— \
CONN.
—S.E 7—,e5,4 C l<
.20
URAL
:'
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plu
BUTTE COUNTY
BUILDING DIVISION
APPROVED
'�ISJv�