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069-100-074
N AP ZORDBOOM X09-- /O - 74 Royal Oaks Dr. lot 6; KR#1B:, Oro ,�t Y� %ELE3C74-75P,E(util' ®j,� SUP ORT STRUCTURERBQ._ �j COMPI�QTION TEST Rte. ,1 Oe C,s{> ' A� �i � GAYLORD BOOM 61 Royal Oaks Dr., Issued 'lot ,# .3816-75MHI � AP --_ — Permit 4685-75B (carpor, MH) CONTR: Northstate Alum., Ch"co o�� CONTR: Upstate Awning Co., Sacramen o Permit #2829-J61(awning/MH) Earl Sharp 1 Royal Oaks Dr. 1 1B, 0 -IC Permit #6 9 ne riv t� garage) 1 Modine Sharp 61 Royal Oaks Dr., lot 6, kR1P1B,Qro. C Permit #7049-79B,P,E,M(new cabana/MH) Modine Sharp 74 61 Royal Oaks Dr., lot 6,KR#A Oroville' Permit #5249-8OB(nerw covered deck & F awning/MH)�a1,.__ 069-100-074 04=2888 F SHARP INA MODENE REV, TRUST 5048 ROYAL OAKS DR, ORO Cont: OWNER:: `Ep NEW PROPANE LINES O ., c V B07 -?568.069-100-074 RESIDENTIAL 'SFD-Mobile Home RET EX MHfEX SITE PERM FNDN (600) -LL" ' 5048 ROYAL OAKS DR• PAXTON, MARVIN & VICKI TRUST .—. v 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: B07-2568 Issued: 12/25/2007 Address: 5048 ROYAL OAKS DR Area: OROVILLE Owner: PAXTON, MARVIN & VICKI TRUST Applicant: SIERRA MOBILE SERVICE & SUPPLY Permit Type: SFD-Mobile Home RET APN: 069-100-074 Description: EX MH EX SITE PERM FNDN (600) 1 I Flood Zone: None SRA Area: Yes SETBACKS for Zonin:y. AG. SRA. PW Front: Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+ ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 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 Fina—r-802 IVR I INSP I DATE Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 U Inspection Type I IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System, 611 (ie— 12-t Site Utilities/Trench Insp. i 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: 00/0 Model Name/Number: SILVERCREST Serial Numbers: WS832X/U Length x Width: 10 X 60 Insignia: MH162922/23 7t�;l PublIc Works Fina 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 tie— *Project Final is a Certificate of Occupancy for (Residential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy yl MA2�+N V I& k, TituST 5c) A L a) A KS 0IZ.ovII-L-E eg 95866 06q too g5' IL i ti Fa +y, toFle e�. 9 ecr{ 6p'r b.u8i1.E ��� I(0t E �o�T GS' 1I' Nov 09 07 04:53p Western Mortgage 530 533 3020 P,1 ....._..•..__ ...-.....- ...._..........._.._. DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Dtrtaiw�orcu,3,:o .ne aa..aw.oa 51ivc � O. •� 3 � w Title Search Dare Pri nted : 1110712001; of 'Q Decal #: LHO854e Use Coils: SFD Manufacturer: Original Price Code: AES Tradenamc: stLvl:RCtcrsr Raring Year: I97a 1Vlodcl:. Tax Type: 14anufacrurc/l Date; pa00i1974 LPT Last ILT Amount: Registration Exp: Date ILT Fee Paid: i First Sold On., 10/03/1974 ILT Exemption: NONE Serial Number HUD Label / Insigni Length Width W$832X MH162922 60' 111' WS832U 1,4)4162923 6G' to, Record Condirions: PPF Excmpc vnhmtaty Conversion to LAT Rejisk-rcd Owner: MARVIN PAXTON VICKI P.4:CTON (Joint'remants with Right Of Survivorship) 5048 ROYAL OAKS OROVILLE, CA 95966 Last Title Date! 02/151:005 Last Reg Card: 021158005 S40Traaafer Into: Price $48.000.00 Transferred an 06/27/2004 Situs Address: 5048 ROYAL OAKS DR OROVILLE.CA 95966 Situs County: BU•1'rir Legal Owner: MODENE SHARP R UVOCABLE TRu.Tr 74 POST LN UROVILLE, CA 95966 Last Title Date: 02/15/2005 ..I-tenPerfected On: 02/01/2005 09:53:47 Inactive Deeml/DMV: Dr'CAL A13011748, DMV LR9736, DMv LR9735. DMV SM8254 Title Searches: MID VALLEY TITLE PO BX 1068 2295 FKATHER R-IVER SL OROVILLE, CA 95965 TiGc Fav No: 2936694 aat. END OF r1TLE SEARCH «v• RECORDING REQUESTED BY: Daniel Ledford, Esq. AND WHEN RECORDED MAIL TO: Marvin & Vicki Paxton 5048 Royal Oaks Drive Oroville, California 95966 2006-0011240 Recorded I REE FEE 7.88 Official Records I Co�ye f I QED ICY 1.88 DMIM L tif11J88S I County Clerk-Recorderl I 1 le 812r41ipM 86 -Mar -288f, I page 1 of i sPAO ABO E „MIS LM FOA RECoRD111l 111"' 111i1l1111111fAl APN: 990-234-691-000 GRANT DEED ORIG ASMT:069-100-074-000 I— The undersigned grantor(s) declare(s): Documentary transfer tax is $-0- (R&T Code 11930: Conveyance into or distribution from a revocable living trust) { ) computed on full value of property conveyed, or ( ) computed on full value of liens and encumbrances remaining at time of sale. () Unincorporated area: ( ) I I , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, MARVIN PAXTON and VICKI PAXTON, husband and wife as joint tenants hereby GRANT to MARVIN GUY PAXTON and VICKI LOU PAXTON, Trustees of the MARVIN & VICKI PAXTON TRUST dated March 3, 2006 the following described real property in the County of Butte, State of California, more particularly described as: LOT 6, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT I -B", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 24, 1973, IN BOOK 43 OF MAPS, AT PAGE(S) 25 AND 26. Commonly known as: 5048 Royal Oaks Drive, Oroville, Butte County, California. Dated: March 3, 2006. MARVIN PAXTON ICKI PAXTON STATE OF CALIFORNIA ) COUNTY OF BUTTE ) ss. On March 3, 2006, before me, ; a Notary Public inwd-f� aapd-S- personally appeared MARVIN PAXTON and VICKI PAXTON personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons whose names are subscribed to the within JEDEBORM K. BETH instrument and acknowledged to me that they executed the same in O .01594101 their authorized capacities, and that by their signatures on the instrument Bum Comm the persons,'or the entity upon behalf of which the persons acted, EXP. JULY 9, =Pt executed the instrument. WITNESS y hand d official seal. Signature (Seal) MAIL TAX STATEMENTS TO: Marvin & Vicki Paxton, Trustees, 5048 Royal Oaks Drive, Oroville, CA 95966 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 Site Address: 5048 ROYAL OAKS DR APN: 069-100-074 Permit type: RESIDENTIAL Subtype: SFD-Mobile Home RET Description: EX MH EX SITE PERM FNDN SIERRA MOBILE SERVICE & SUPPLY 466 CIRCLE DRIVE OROVILLE, CA 95966 (530) 534-0599 PROJECT INFORMATION Owner: PAXTON, MARVIN & VICKI TR 5048 ROYAL OAKS DR OROVILLE, CA 95966 SIERRA MOBILE SERVICE &I 466 CIRCLE DRIVE OROVILLE, CA 95966 (530)534-0599 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 SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7W) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X � 12/25/2007 0 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance oft rk-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; Cartier: State Fund Policy Number..046-0004257 Exp. Date:01/01/2008 (This section need not be competed if the permit is or one un re dollars ($100) or ass. ❑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 S�glion 3700 of the Labor Code, I shall forthwith comply with those provisions. �� X 12/25/2007 Signature f 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. I 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) Lender's Address City State Zip Permit No: B07-2568 Issued Date: 12/25/2007 By KEJ Expiration Date: 12/24/2008 Occupancy: Zoning: RT1 Square Footage: Building Garage Remdl/Addn Other Porch/Patio Total 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 Contractors 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. & P.C. for this reason: I 12/25/2007 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, sire or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentions _party for inspection purposes. I hereby certify that I am the property owner or am authorized ct on a prope�y owner's behalf. /C E / 12/25/2007 ❑ OwnerTactor OR; Agent for Owner DAgent for Contractor FILE COPY �%JTT o BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES ° BUILDING PERMIT APPLICATION NO. _ ° o AND SUBMITTAL REQUIREMENTS )94 2.1 t�R -A-ND OROVILLE: (530) 538-7036 • C3IC0: (530) 891-28340 ra OFFICE #: (530) 533-7541 A FFE 1 21L BE REQ UIRED AT TIME OF APPLICATION BIN # **PLEASE PRINT CLEARLY - 0 W I V LEARLY** APPLICANT SIGNATURE X For office use only: Zoning Flood Zona OWIV =R 3st Name 1'•`I<'i412u11u 1V u/ckje First Name r/ZuS7' .ddress s p,'ly /,v Y g k o.#KS ;ity `ii2Uur L�� - ,...� I tale e14 Zip 'hone 'Fax i - :-Mail mail -mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zona CONTR.,CTOR flame Yes address Address 3ity -' -Slate Zip 'hone 5�7y 9S9 9 rF ax -mail Fay: Gc. # y76� Class �S APPLICANT SIGNATURE X For office use only: Zoning Flood Zona ARCHITECTIENGINEER dame Yes Nddress Address amity --;late City 'iP Phone lip 7 i�G ( Fax E-mail Fay: I date License Number APPLICANT SIGNATURE X For office use only: Zoning Flood Zona APPLICANT NAME Name Yes No Address Subdivision Name j j;.tap gook City Lot # - date <<� lip 7 i�G Phone -�l� Fay: E-mail If hiring anyone ofher than license contractors, a cerfiffcate of worker's compensation mustbe shown at the time of permit issuance. APPLICANT SIGNATURE X For office use only: Zoning Flood Zona LOCATION SRA Yes No Occ. I ype Const. ' I_ - Subdivision Name j j;.tap gook Page Lot # Planner Dale Approved: OVER FOR SUBMITTAL REQUIREMENTS Description or Scope of Work: Sq. Footage ❑ 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 required. 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 #: Sheriff SMIP Date: Other Total LOCATION AP# Property Address S4"(Il /,07,04o�;ks City Cross Street WORKER'S COMPENSATION Policy Number Y)_ > 7 Carrier If hiring anyone ofher than license contractors, a cerfiffcate of worker's compensation mustbe shown at the time of permit issuance. LENDING AGENCY Narne Address Description or Scope of Work: Sq. Footage ❑ 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 required. 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 #: Sheriff SMIP Date: Other Total NtAsQu�N � V taf(L TRusT 501(8 AL aAKs 0 VZ.o v I &. &- e C it- g 5 q 6 6 �(79 loo 0 gS' la' lo` Cout�zn El 9 eGr� coo r. �o i� 60' i �ODtrtat� 1�og1�E �<�f( i�OME PoeT CouEREp Zy' {Arlo ILI GS' A oaKs BUTTE COUNTY BUILDING DIVISION APPROVED. Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Ground System W.Concrete System Engineer Approval State Approval MANUFACTURED HOMWOETLE ROME FOUNDATION SYSTEM AEALTH AND SAFETY cOOE. SECTION ISS31 APPROVED SUBJECT TO CORRECTIONS NOTED APMOVAL DOBE NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APMCABLB STATE LAWS AND REGULATIONS Sone of Califbiwa GtRowhV OF Tq!3 AND STANDA>!DS SPANM Th1SPIwApPwdEx*w Page 1 of 8 0 0 0 0 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48° pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 /2!-F,� 57�4/oj C n 0 0 0 I 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 minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so `that the two tubes are connected together. (Figure 1) 1-314" Tube T Lateral Struts Figure 1 ome 4-#12x1" Tek Screws 1-112" Tube I U -Bok & mounting Bracket J -Bolt Nut & Washer QS strut (flag end) ,11 I -Beam 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. 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. 0 121 -r - Page 3 of anta GA, 30336 (404) 349-0401 DOWN .............. _.......... .................. ........_....... _....._ ENGINEERING 11 0 0 O Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Stmt, 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 Longitudinall Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Shuts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems IAS 30336 %IE 149-0401 DOWN • 5j/ 4/0 7 aws 0 I. Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & _ washer.on.anchor,_leave enough_room for -1 to 2 -threads showing on top of bolt.. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-J/2" bolt/nut provided. 6. , Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 'x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. 12t-r—Ae, %30336 c -0401 DOWN _..... _. ___..,_ ENGINEERING jr m 0 0 0 0 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 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. Longitudinal Strut Xi2 Concrete system � 00 0� 0 Concrete Longitudinal Hardware Kit Figure I _ ..: am mp Cla Bracket a YJ r ID, .l✓,Qg � `ate" op— w Mi �d Long Xi2 Installation Placement :Beam Page 6 of TIE DOWN ENGINEERING I 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 Single Section Home Double Section Home 0 -80'(76' Box) 4 xi2 Systems 0 -62' 3 Xi2 Systems' 63' - 80' 4 X12 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 TIE DOWN ENGINEERING • i Single Section Home Double Section Home 0 -80'(76' Box) 4 xi2 Systems 0 -62' 3 Xi2 Systems' 63' - 80' 4 X12 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 TIE DOWN ENGINEERING • OF Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1 /2-13 x 2.63 x 2.19 thread Hardware Kit 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 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 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 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 4 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 10631 Z 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 1/20 3 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 Beam Clamp Top Flange 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 2 59272-2 Beam Clamp Top Flange Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y 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 tlanta GA, 30336 TIE (404) 349.0401 DOWN 1191 ENGINEERING r U i 7049-7gB,P,Eim PERMIT NO. i PERMIT EXPIRES ,,OWNER Modine Sharp CONTR. owner 34-60-74 LOCATION (A. P. 61 Royal Oaks Dr., lot 6, KR#1B, Oroville c' r I k { { Temp. Power Pole I CaIIe PG&E Temp. ec. Serv. Ca ed PG&E Tem . Gas Serv. Called PG&E OB S —ko INALED c� ' 4(D) nature) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 'BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets / 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 1=594> 3rd Floor Stemwall Siding To out Slab Root Sheathing Water Piping Piers Roofing Sewer Garage Fdn.,Vents Fixtures Footings Garage Vents ` Water Htr. Stemwall Insulation Heaters .Slab r pehysic illy Appliances handlca Carport Conformance of Gas Piping &Test Footings structure z Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough -��---� Reinf. Steel Final Fixtures - �-�--� Bond Beam FIRIfSPIUNKLERS Motors Framing - b lc..�� Test- Water Htr. 0 O CZE ` Stucco _ Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath z Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE ��` REMARKS OR CORRECTIONS C s Mi+oo' • f�Di cT? Q44nn T (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS P 7 County Center Drive — Oroville, California 95965 TelephonIb: 53$-4541 C/ APPLICATION AND PERMIT001 1 auuwllcc IcF+lcocn uau vca UI uIG VUmIty OI OULM IU CIIICI UflUII UIC above-mentioned property for inspection purposes. A L X Date l � -� Signature of Permitee or Agent Receipt No. 2] rJ 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 PUBLIC WORKS By 5 Date !l-2��Z Xildin'g permit expires Date CI" 2--0—J>G BUILDING Owner Ad0Q1AJe 5Q. FT. OCC. BUILDING VAL TION Mai I ing Address 0 At, Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. it Fee Building Address 0A%ey5 D.Y— Plan Checking Fee /or Penalty -12 ml ee 2 6 Z PLUMBING No.1 EE PERMIT FILING FEE $3.00 00 Each Trap zoo 6,00 Repair drainage or vent piping 1.50 A. P. No. G>o Zoning 8 Lnning Water piping 1.50 Z-0 c) Each gas water heater or vent 1.50 F&, -s wxL . WiMan Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W I Improvemen additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 --5,G6 Main service soot/ OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home Others ❑ � ❑ Main service EA. ADD100 AMP 2.50 Main service OVER 600 25.00 100 AMP OR LESS ` Main service EA. ADD•L 100 AMP 1.00 NEW CONST. (/ DWELLING O 'f' OR ADDNS. 1 ACC, BLOGS. P ) 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR. ( BRANMULTH CII T NON.RESI D. `BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES) 50@250 BALLSIOq Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors. License Laws of the State of California. Permit Fee $ (P, $ /G FE 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance.E161 ®'1 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 15,off Heating Cooling � Ventilation Hood -2.00 Permit Fee $ ,oCi $ v 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 Land Development Fee $ TOTAL PERMIT FEES C auuwllcc IcF+lcocn uau vca UI uIG VUmIty OI OULM IU CIIICI UflUII UIC above-mentioned property for inspection purposes. A L X Date l � -� Signature of Permitee or Agent Receipt No. 2] rJ 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 PUBLIC WORKS By 5 Date !l-2��Z Xildin'g permit expires Date CI" 2--0—J>G RES IDENT IAL ENERGY CONSERVATION STANDARDS j CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED 7, CONFO� CE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT [— 4- / 6,1q IC S L) r (Potation) BUILDING PERMIT N0. 70 4zf A;P. N0.�' THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn-. Walls Floors 'Walls Ceiling/Roof Ducts �} Circulating Pipes_ APPROVED HEATER APPROVED WTR.HTR. GLAZING: Sin le Glazed Special (Insulated) 1;72 4 CERT.-& LABELED WDS. & SLIDING DRS. �- WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES_ CERT. 'APPLIANCES %_2,4 . I DECLARE THAT ALL REQUIRED ITEMS, AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO. THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of S?2��S"tba'�teCjont'rac�tors nt Insulation Applicator License No. General Contracto Owner Name _��Ox��e (pie s tint) Signature of General Contractor/Owner Date Stat Contractors License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE"POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. CA , BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7536 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO/. BP042666 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/04/2004 APN: 069-100-074-000 the Business and Professions Code, and my license is in full force and effect.' License Class: License Number: Site Address: 5048 ROYAL OAKS DR ORO Date: Contractor Map Index: Description: NEW PROPANE LINES OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ^ Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SHARP INA MODENE REVOCABLE LIVING permit to construct, alter, improve, demolish, or repair any structure, prior ) to • its issuance, also requires the applicant for such permit to file a I TRUST signed statement that he or she is licensed pursuant to the provisions of SHARP INA MODENE TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or i 5048 ROYAL OAKS DR she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95966 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).): PERMIT EXPIRES l7 I, as owner of the property, or my employees with wages as their Ir sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: SHARP INA MODENE REVOCABLE LIVING owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, TRUST provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of f proving that he or she did not build or improve for the purpose of sale.). I ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Pfofessions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as j by Section 3700 the Labor Code, for the Architect'' required performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. O P�°li°may#: Lr I certifythat in the performance of the work for which this permit is P P Valuation: $0.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, l Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall � A forthwith comply with those provisions. Date: Applicant: N�1�4+� �rr� �� P4KT+�✓ WARNING: Failu're to secure workers' compensation coverage is unlawful, and shall subject an employer.to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of comperisation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Pee- ^ �(fyjt , G d � f -r! / / ma/a1 w j CONSTRUCTION LENDING AGENCY This pe it is hereby issued under the pli ble provisions of the Biitte County Cods ?nruor I hereby affirm that there is a construction lending agency for the Resolut' ns to do rk indicated abo for ich s have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: v Date: f Address: PERMIT EXPIRES ON: (Data) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ 'Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any official form orT,rr ent of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection rposes. Print Name: ��i� Ve-✓r "i �• V ,'Q -X. ` �� Signature:ff_L Date: 4t Ue: f O Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042888 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/04/2004 APN: 069-100-074-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 5048 ROYAL OAKS DR ORO Date: Contractor. Map Index: Description: NEW PROPANE LINES ` OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SHARP INA MODENE REVOCABLE LIVING permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a TRUST signed statement that he or she is licensed pursuant to the provisions of SHARP INA MODENE TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 5048 ROYAL OAKS DR she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95966 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).): 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 Contractors' State License Law does not apply to an Applicant: SHARP INA MODENE REVOCABLE LIVING owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, TRUST provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving 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 Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of pery'ury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #• workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: C4;' I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to Census Code: 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.. Date: / D &' -r 041V Applicant: -9*V A4,4�,W ", 10,4X WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. /� �mWio�Y7 __CONSTRUCTION LENDING,AGENCY— -- ; This pe itis hereby issuedunderthe pli ble provisions of the Butte County Code a..nrVor— I hereby affirm that there is a construction lending agency for the Resoluf ns to do rk indicated abofor ich s have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ' /O O Name: By: Date: f O -. C 5 Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or d ument of Butte County. I hereby authorize representatives of Butte County too enter upon the above mentioned property for inspection rposes. 1<-'%f "J 11 ` Print Name: • Signature: Date: q OST Orj ' Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE M (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY" OWNER Last Namer1X� ! d✓� ust Name qyZ k1/ n/ -U y e Addres'5-64-1'e��� b x City C W46 Vt Lc - r— State Zip %� Phone Fax E-mail APPLI CANT NAME CONTRACTOR Name. City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLI CANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State. License Number APPLI CANT NAME Name Address { City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Receipt # 2 7 Z� Flood Zone X SRA Y No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. �- 2, ?r BP BIN # LOCATION AP# PropertyAddress M�� 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 lime ofpermit issuance. LENDING AGENCY Name Address Description or Scope of Work: � - n Sq. Footage ❑ 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. II Received by: feJ Amount C5_5 CC-) Bldg 11 I SRA Receipt # 2 7 Z� Sheriff Cl SMIP Date / Other I I (/ Go Total SUBMITTAL & PERMIT REQUIREMENTS " The following drawings and specifications must be submitted to the Building Division in order to apply or a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLEAND /N/NK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 2. Impact Fees. D 3. California Department of Forestry plan approval (if required). 1 4. NPDES Form. D 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 1 6. Contractor's license information. (Number, Name Style, Classification). D 7. Worker's Compensation Carrier and Policy Number. 7 8. Owner -Builder Verification (if required). 7 9. Letter of Signature authorization (if required). 7 10. Recorded copy of Agricultural Acknowledgment Statement. 7 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). f you have questions or would like additional information regarding this process, contact a Permit kpplication Assistant at (530)538-7541. EXPIRATION OF APPLICATION applications for which a permit has not been issued will expire one year after date of application. In order to renew action -n an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS refunds can oniy be made upon written request by the person who paid the fee. The request must be made within two cars from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits :sued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan Teck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION TORMSSUILDING FORMSOdgApplSubRamts.doc Pang *2 mt'> OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Dale E. McDonald ADDRESS: 4925 Baggett Rd. CITY & STATE: Oroville, CA. 95965 IMPORTANT: November 15 1979 SEE INSTRUCTIONS DATE OF CLAIM: ' ON REVERSE SIDE SUBMIT, CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner (Earl Sharp) not going to build. Building Permit #6659-79B,E -. Receipt IP29842 - AP 34-60-74 i Building permit fee ----- $32.00 Retain 1/3 of fee ------- 10.67 Amount of refund due -------------$21.33 Electrical permit fee --- $16,40 Retain filing fee ------- 3.00 Amount of refund due ------------- LIM TOTAL REFUND DUE ----------------- $34.73 $34.73. 34.73 ' TOTAL $34,.73 I, the undersigned, declare under penalty of perjury that the services or articles claimed havebeen performed or deli , and that this claim is true and correct as stated. .Dated this da of 19 et alif. ....��%�., ........ Y "'.-•Y".'-..... .�.�f .,( .,l�f••�l�Z I ......... �.......:�.. `G. '..cam;2z C/ Signature of 1. ant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval0 (Check one) for the some. Dated this" 15th day of ....NOV' 19 79 at Oroville Cauf. • ......... ........................................................................................................ • Department Head or Authorized Deputy Dept.. Exp. Code .......................... Code ..........................:..................... PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE I DATE DISC. I GROSS AMOUNT ENCUMB. I . SUB -DIST. i I i 1 'PERMIT NO. 6659-79B,E _ a PERMIT EXPIRES OWNER Earl Sharpe t owner �CONTR. LOCATION (A.P. 34-60-74 61 Royal Oaks Dr., lot 6; KR#AOroville } i /Tep.Power Pole_aled PG&E Temp. Elec. Serv._ Called PG&E _ Temp. Gas Serv. Called PG&E ,f • t JOB FINALED f (Date) (Signature) 4 f 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 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 Insulation Water Htr. Heaters Slab Carport po ,' Footings Prov. for phsically handica ez Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. . Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----------------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping BILEH IME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 19 (NOTE: An entry must be made on this form each time you visit the job site.) _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • _:� 7 County Center Drive - Oroville, California 95965 R Telephone: 534-4541 _ I(PPLICATION AND PERMIT0... f / BUILDING Owner SQ. FT. OCC. BUILDIN .VALUATION Mai I ing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ^ 1J Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 g Repair drainage or vent piping 1.50 A. P. No. 'Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Seaketien Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI ns Rec'd Parcel -Approval Plans Approval Lawn sprinkler system 2.00 NEW ff—ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 - _ A ^ (�(/j�(� Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING 0C¢I„(,� 4 2¢Sq ft OR ADDNS. ACC. BLDGS. (p 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 st le of: Y NEW CONSTR (MULTI -OUTLET NON.RESID `BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIIRES) s t@ Ex. Occup.(FIXED APPLNSOR p•(OUTLETS (RESI.D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 14 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ , etc! , 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. "f h h f f h @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 Heating Cooling 18 I cert) y t at In t e per ormance o t e work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ 1 certify that I have read this application and state that the above Land Development Fee $ information is correct. I agree to comply to all County Ordinances TOTAL PERMIT FEE $ and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter up In the This permit is hereby issued under the applicable provisions of abo - entioned property for inspection pu S. the Butte County Code and/or resolutions to do work indicated r above for which fees have been paid. x Date d. z� DIRECTO F PUBLIC WORKS Signature of Permitee or Agent ��X 7�� BY Datej° —2 I'" 2,Z Receipt No. a Building permit expires Date White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 4 Y6 PERMIT NO. 3774-75P.,E P E M MH UTIL. PERMIT NO. PERMIT EXPIRES b WNER Gaylor Boom CONTR. LOCATION (A.P. --- 34-60-7A 61 Royal Oaks Dr., lot 6, KR#lB, Oroville Temp. Power Pole Called PG&E We i p4-Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED—(1F—?—'r'> (Date) (Signatur T-1 6� p n /_ _ 6� %d COUNTY OF BUTTE —DEPARTMENT OF PUBLIC BUILDING INSPECTION RECORD WORKS ° BUILDING BUILDING (Cont'd) PLUMBING Setback 4 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 — 1 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough — % 2— Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts ` Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 6� p n /_ _ 6� %d MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wirequired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec. 5085) Yes N 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note .possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If morejtan a single unit, are crossover connections properly installed? (Seca 5088) Yes &/ o 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. -.5566) Yes �o B. Test - Does water. piping withstand working pressure or 50 lbs. air test? Yes '----No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No -p 7. Wastes and Drains A. Is connection made with Schedule'40 DWV and have.flex connectors at.each end? Yesv No. B. Does it have minimum 4" per foot slope and is it properly supported? Yes �o C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?, Yes 1 No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents , A. Connector - Is obilehome connected to the gas supply ith an approved 3/4" minimum mobilehome connec or not more than 6 ft. long? Note All piping is to be at least as large as the mobile e gas line inlet without red ctions other than the mobilehome connector. Yes No B. Test OK as per following pro dure? Yes o 1. Open all appliance connect0 valves. 2. Shut off. appliance burner and pilo valves. 3. Air test with manometer to 10";44" water -column or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrate in.tenth you increments.. Test for 10 min, without. drop. 4. Connect gas meter to.mobi/iehome with connector, soapy water. C. Are all appliance.vents properly installed? Yes_ No. n gas, test connections with I 9. Electrical �• A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating'oi mobilehome with a minimum of.100 amp) and,other facilities oil lot, i.e., water pumps, garage, cabana, etc.? Yes %— No B. Is there proper clearances around panels? Yes'- No C. Is power supply cord or feeder assembly properly fused? Yes4/ _No 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. G4: 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. 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. 10. Is job card signed by Health Department for water and sanitation? , 11. If everything okay, sign -off card and tag services. MOBILEHOME DATA / Manufacturer and/or Namestyle/�s'�✓G°i�J Length Width 2 Vehicle Serial No. State Identification No. Additional Information or Comments: �,. ; .,� , �.'. tea►*+. � ,. .. � � ; COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WV 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes: KU &� .faDate S, nature of Permiteeor Agent Receipt No. 134 541 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 0 PUBLIC WORKS By wilding permit expires Date BUILDING Owner �� SQ, FT. OCC. BUILDING VALUATION Mailing Address �Q Telephone No Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address ' PLUMBING No. @ FEE ' PERMIT FILING FEE $3.00 ,QO ej� gll �j Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping (y a D Each gas water heater or vent 1.50 A. P. No. �-- (P D Z - F � Fire Dept. FireZo Use Permit Gas piping system 1 - 5 outlets -4.50 Q 1 DO additional outlet .30 Building sewer --&go 0•DD EQA Parking Plans Parcel Declaration P r e 60' R/W Im rovements p Lawn sprinkler system 2.00 Plans Rec'd Parcel val P pro Plans pproval Permit Fee $ 15.5 00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,p a Main service incl. 1 meter , Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Foo SQ Pr 0!/ 7 L mageLZ_S Water Heater or Space Heater 21p00 Light fixtures b a 10 Receps„ switches & fix outlets 25 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: Hood, Ex. Fan or F.A. Furn. Motor 1:00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities —6790' .©a Temp. Power Pole 5.00 f License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ -X©C > $ 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 .25161 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 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes: KU &� .faDate S, nature of Permiteeor Agent Receipt No. 134 541 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 0 PUBLIC WORKS By wilding permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC7 7 County Center Drive — Oroville, California 95965��� _ " Telephone: 534-4541 APPLICATION AND PERMIT v autnorize representatives OT ine county or tsutte to enter upon the above-mentioned property for inspection purposes. X - Date 3 ignature o -Permitee torLAgen :- 61, Receipt No. /37 J 77 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/RUBLIC WORKS By Date /1' f 4/il/dinq permit expires Date J BUILDING Owner W • SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address &axll dk- T:e I ph e� Fireplace Contractor Total Valuation Mailing Address • Permit Fee P I an Checki ng Fee &/or Penalty Telephone No. Permit Fee Building Address �v PLUMBING No. @ FEE PERMIT FILING FEE $3.00 44L,r L-3 _ Each Trap 1.50, Repair drainage or vent piping 1.50 Water piping 1.50 -744 Each gas water heater or vent 1.50. A. P. No. 0 �f- ' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 ., Each additional outlet .30 F. Sani� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma 0' R/W p Improvements p Lawn sprinkler system 2.00 Bldg. Inns Recd Parcel App oval Plans pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Jg ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter 077Lf-7S Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures I2 2 Receps„ switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califor ila Business & Professions Code under the name style of: Hood,.Ex. Fan or F.A. Furn. Motor ,1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. ❑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. 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 T AL PERMIT FEE $ autnorize representatives OT ine county or tsutte to enter upon the above-mentioned property for inspection purposes. X - Date 3 ignature o -Permitee torLAgen :- 61, Receipt No. /37 J 77 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/RUBLIC WORKS By Date /1' f 4/il/dinq permit expires Date J *For plans and specifications of support system. see other side COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,`Oroville, California PHONE: 534-4541 (tn w- utility. ConnPrtionS 20' m ' n m rt w to rr ►t tD M w 51. M J rt rpt n C O F-' ID tµ+ o m v, x. 0 . ' ry r. H t9'' LLL th = H• z 0 MOBILEHOME INSTALLATION INFORMATION Lot Facilities Mobilehome Data H 1. Plot plan dimensioned, location of mobile 1. / Length Width o z and utility connections? .�� Manufacturer Z x Yes !i No Vehicle Serial No.— .,t4 . 2. Electrical. service equipment ampacity�� Insignia Control No. Circuit breaker aapacity 2. Feeder assembly ampacity Permanent_ Wiring Connection Conduit size Ampacty Power supply cord (amps) Receptacle Ampaeity 3. Gas inlet size 3. Gas:. Natural -- LPG Mobilehome connector size Gas riser size_ Capacity 4. Drain inlet size 4. Drain connector: describe on reverse side 5. (Tater riser size . ,- I� 5. Water connector: describe on'reverse side 6.' Are utility collnectioAd located outside 6. Designed loads: the rear 1/3 of the mobilehome within Roof live load 167'op sf. 4 feet of the left wall? Yes 4---No Wind load psf. If not, show dimensions. above. (only for mobilehomes manufactured after 7'. Is the mobilehome clear of septic tank, October 7, 1973) leach fields and located outside ublic 7. Manufacturer's installation instructions? utility easements? Yes_ No Yes No 8. Do you propose to do other work on the- 8. _. --- Will the mobilia home be installed ona property other than the_mobilehome installation which will require a permit? separate support structure? Yes No Yes No_�% If so, specify *For plans and specifications of support system. see other side LOAD BEARING SUPPORTS /v t Column0 Supports eN Y Y ADDITIONALCO;f:�1"°;TS J Drain Connector, Describe Water'..Connector, Describe L` LOAD BEf1ZING SUPPORT AND 1POOTING INFORMATION Pier Spacing Used 00, Maximum Pier Load C"47 Maximum Column Load (multi -units only) Soil Bearing Capacity Footing Dimension Used TYPE OF PIER. USED Steel Concrete Concrete Block r/ Other TYPE OF FOOTING MATERIAL USED Pressure Treated Wood v Concrete Redwood (Grade) Other Approved Type ax, / 'ea,* eI?Cl Y BUTTE COUNTY BUILDING DEPARTMENT APPROVED Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. ;t Called PG&E + �JOB FINALED j (Date) (Signature) ._ 'PERMIt NO. 4685-75B P jf M FMH UTIL. ` IPERMIT NO. PERMIT EXPIRES OWNER G.W. Boom CONTR. Northstate Alum., Chico . LOCATION (A.P. 34-60-74) 61 Royal Oaks Dr., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. ;t Called PG&E + �JOB FINALED j (Date) (Signature) ._ • w. COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback — 7S Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall SidingTo out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. - structure Gas Piping & Ti Temp. Gas Slab ®4<1 Final Sanitation Patio FIREPLACE Final Footings Footing Masonry Walls Throat' Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS ELECTRICAL Owner 9ti z W Mailinq Address A Contractor n Mailing Address Building Address COUNTY OF BUTTE — DEPARTMi•NT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT i� A. P. No. 34—GV — 7 Zoning & Plannir F - Fire Dept. Fire Zone Use Permit EQA - Parking Parcel 60' R/W Improve Tei Plans Declaration p Bldg. PI 4i Rec'd Parcelval Plans pproval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home P3'_� Others ❑ 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: License No. z2 %V 004? Classification 13 'BUILDING . SQ. FT. OCC. BUILDING VALUATION 7 73:2. ::T' a 912 Q Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap. Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer . Lawn sprinkler system is $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE Permit Fee $ . ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each .1.00 Sub-panel'(12 or less) (morethan )2) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b l 2 Receps-, switches & fix outlets 20 Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wiring ❑ I am•exempt from the Contractors License Laws of the State of California. Permit,Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE '$3.00 I am aware of the provisions of Section3700 of the California Labor Heating ' •, „ 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 Cooling „ Workmen's Compensation Insurance. F -1I certify that in the performance of the work for which this Ventilation ` permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood J 2.00 California. PermitI'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 authorize representatives of the County of Butte to enter upon the above-mentioned property for i ction purposes. .9Date 911/17-:i_ Signature oof�Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor,— Pink -Inspector — Golden'rod-Applicant TOTAL PERMIT FEE $ a yy0 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 PUBLIC WORKS By Date�'�� wilding permit expires Date 5249-80B r x PERMIT NO. PERMIT EXPIRES �I Modine Sharp ' OWNER CONTR. owner 34-60-74 ASSESSOR PARCEL 61 Royal Oaks Dr., Oroville LOCATION A �s s S, r I' 1 F Temp. Power Pole Called PG&E s: t` Temp. Elec. Service s' Called PG&E I Temp. Gas Service Called PG&E t. JOB FINAD (Date) —/Up � o t Signature i x', J = OK 0 = Not OK , = Not Applicable-MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except a's Date DECKS, RS, CARPORTS, ETC. (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements onin equirements-Setbacks-Easements 2, Soils; Special MH Support-Sketchootings _ Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) ood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5 ; olumns-Connections-Splice-Decal-Enclosures 6. Gas; Location -Test -Wrap: / /"L" ft./ /"Nat. or/ /"L"ft./ /"LPG 6. 7. Utility Clearance 7. F�,Q c�--- �/�/ & Cbvj - GcIDtlL�D dd�i-t/ t_.%0d,0DG�06BS�7LtlC?1�9�L.G Card -BI Date Card - BI Date Card BI Date ,/- Card -BI Date Card -BI Date Card -BI Date Card -B A_--tZpwe (% Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 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/O 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 M = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / P 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/0 -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 Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q'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. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q'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. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or 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 ❑ 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 Card B -I Date Card -BI Date Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation & Support 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 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. �_41. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 42. 43. 44. Header & Beam -Size _& Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties - Purl in - Roof Brac.-Truss-Shthnp.-Rfnp. Fireplace Ties or Type AFlue-Fireplace Throat _ 45. 46. 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 job site) i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 APPLICATION AND PERMIT ASSESS R PARCEL NU E ZOttNG BUILDING P T P, owN TELEPHONE I� r c SQ. FT. OCC. BUILDING VALUATION O N R' AILING ADDRESS CONTRACTORN ME �.^ TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE No. Plan Checking Fee r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD NG AD SS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT yo.sUBDIVISI..N N�ME 1< [ PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[/� Other 1SPECIFY Building sewer Lawn sprinkler system 2.00 -/ TYPE OF WORK Addition Remodel ❑ Utilities ❑ Installa ElOther ❑ New ❑ R Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR011 OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS. OCCVP.&� 22sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULT' -OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON.RESID, SINGLE OUTLET CIR. ExOccup( OR FIXTURES 50@25C . BAL@IOS FIXEDAPPLNS, OR Ex. Occup.(OUTLETS (RESID.) EAJ 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 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 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 County of 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 ag inst said County in cons que a of the granting of this permit. ��p Date AB - 1%"O d Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ r OCCUP. GROUP �j , I �/ I TYPE OF CONST. V " ~ PARCEL PD HD I55 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC Byd PE EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date oma �7r /�� 7, - e_1 Receipt NO. 4cl- r) 1 c7' WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT IlMiIIIIIIIIII ARMIT NO. PERMIT EXPIRES OWNER F.W. BOOM ;CONTR. Upstate Awning Co. LOCATION (A.P. 34-60-74 61 Royal Oak, Oroville KR unit 1 lot 6 -Temp. Power Pole Called PG&E Tern Elec. Serv. Called PG&E Temp. Gas Serv. /Called PG&E JPO B INALED(D I (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall r. 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 5 ''% 11/0 Sewer Garage Fdn. •Vents Fixtures Footings ' Stemwa l l Garage Vents f Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex: structure r --Temp. Appliances Ga's PI'in &Test Gas Slab Final / f Sanitation Patio FIREPLACE Final Footings Footing ELECTR Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam. FIRE SPRINKLERS - Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final �� DATE 3-13 J 7 d APO REMARKS OR CORRECTIONS N (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive4, Uroviile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT u .. — representatives of the County of Butte to enter upon the above- entioned property fo inspection purposes. X DateSd'l— ::r 6j gnature of P [1itee oor�Ajg'ent Receipt No. T "� 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 said. DIRECTOR OF/PWBLIC WORKS By 77 :it lding perxpires Date BUILDING /11 Owner G�, (AJ . SQ. FT. OCC. BUILDING VALUATION Mailing Address Ro �o lze f01 114- pp,�,, Telephone No. Fireplace Contractor 0 P.97A-Total Valuation Mailing Address �/ 2 M IN e Permit Fee Plan Checking Fee &/or Penalty e.-v-3-0Permit N V* Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �„,�. oU t Each Trap 1.50 /ketRj'J%e,L QA_,'. —r ` Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ,,, /_ o , _ A. P. No. ls� �! Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I !r' W. C. G94wuoA I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Declare ion IBldg. Parcel Map 0' R/W Improv ments Lawn sprinkler system 2.00 Plans Recd Parce pproval Pla Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER [ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home �! Others ❑ Main service 100ER 600V AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.(DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20 -sq ft NEW CONSTR MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST R (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. Occup(OUTLETS OR FIXTURES)@ �C BAL@1 Ex. Occup. (OUT LETSPRESID IKEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ^� License No. Classificati 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. have placed on file with the County of Butte a certificate of ZK Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ an p p y y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby a th ' TOTAL PERMIT FEE is u .. — representatives of the County of Butte to enter upon the above- entioned property fo inspection purposes. X DateSd'l— ::r 6j gnature of P [1itee oor�Ajg'ent Receipt No. T "� 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 said. DIRECTOR OF/PWBLIC WORKS By 77 :it lding perxpires Date