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069-110-016
PER MORK%a�� /a Q 432 Silver eaf Dr, lot 122,KR#1, Orovil Permi07108-79P,E(util, MH) ELEC_1_'4'e)'n�Ap GAS �� 'tr — �yLL�ir�► COMPACTION TEST REQS SUPPORT STRUCTURE REO WA d Contr: Oro Ridge Properties Permit4#1191-80MHI ssued _ O -a 3r �6 contra Dancaster & Son, Oroville Permit #50i86i64ew deck, car or conte ancaster & Son, Oroville m It ��5306-80B(new patio covers/MH) 69-11-16- 3264-91B MORK, er 432 S1Iverleaf'Dr, Oroville cont: H & H Roofing (reroof carport) L 016FAMILY TRUST 05-3157ER LEAFRRq MO�%V1M FND (E )IC5; j 16 5306-!80B T PERMIT NO. PERMIT EXPIRES-/ 7/ OWNER Per Mork Lancaster & Son, Oroville CONTR. 34-64-16 ASSESSOR PARCEL LOCATION 432 Silverleaf Dr., Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINAL ED (Date) Signature f� COUNTY OF PUTTE - DEPARTMENT OF PUBLIC WORKS 0 PERMIT NO. %� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 41 —00 - APPLICATION SAND PERMIT V ASSESSO PARCt; yUpl^ER i (��njz .T BUILDING PERMI ,e OW R Y TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD RESS / yorb- C N ACTOR'S N TELEPHONE 1121117- 3 CO TRACTOR'S A PING ' ��� CONSTRUG TION LENDE jv� UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , D Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Q, BUILDING ADDRESS � PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ®Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 8000 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. ( DWELLING OCCUP.&� OR ADDNS, ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declar under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No.��7W�SQ 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 U TI -OUTLET NON.RESID, BRANCH CIRC ITS 2,50 ea NEW CONSTR. (POWER APPARATUS &� NON-RESID. SINGLE OUTLET CIR. Ex. Occup(o FIXTURES 50@� BAL@12O IXED A POR R Ex. Occup.(O UTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee, 3.00 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 ,91_Hood onsent to Self -Insure. Er 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. Heating Cooling 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, i emnify and keep harmless the County of Butte against h may in any way accrue all liabilities, jud m s, costs,2MJ agai st said Cou t i onsequenchis p/ermit.1 QXate `29_.� 1_ Q/N of Appl c t Owner ❑ Contractor Agent ❑ Sig8SH, Anpermit 's required for excavations over 5'0" deep and demolition or construct- ionctures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ ZJfA occuP. GRouP TYPE of CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date /�' a 7 .moo p �+ /� Receipt No. 'T WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J = OK �- 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DEC COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements . Zo ' g Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing -{r.—Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance -S, -Carports; Windows -Doors - P -Efec. Card -BI Date Card -BI Date Card -BI Date (0 _k W -VI Date Card -BI Date Card -BI Date Card -BI Date Ca - Date Date MOBILEHOME INSTALLATION (Plans) OK except p's Date OLS (Plans) OK except q s 1. Zoning Requirements -Setbacks -Easements . 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 S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 volts-GFI 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 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane [boards -Ins. to Main in Conduit _ 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -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. Ftg., 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 -B lockouts -Wrapped -S lab 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; 12. Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girder -Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date I- (V -.'10 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. 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. 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 Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El 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 ight-Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing _L 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Card B -I Card B -I Date Card -BI Date Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 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 #'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. 43. 44. _ Hangers -Post Caps -Anchors -Connectors Clng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ring. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles v 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) n . r T .PERMIT NO. 508980B PERMIT EXPIRES OWNER Per Mork CONTR. Lancaster & Son, Oroville ASSESSOR PARCEL 34-64-16 LOCATION 432 Silverleaf Dr., lot.122; KR#1, Oroville C Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E t . Temp. Gas Service Cal led PG&E JOB FINALED (Date) �✓ tC Signature OK (�- Not OK — Not Applicable MOBILEHOMES - Not Ready n ,>r M ° MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's Date DECKS COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 4r"2oijjng Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ootin sSize—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) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Sh .—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete Alum. Awn.; lumns— onnec 'ons pu ec I—Enclosures 6. Gas; Location—Test—Wrap: / /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG arports; Wi Ws— s/ 7. Utility Clearance o o7i 4.5Fb,, .laces P Card -BI Date Card -BI Date Card -B to jd-A0—M 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 Date Card -BI Date POOLS (Plans) OK except q'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 Card -BI 10. Plumb; Cir. Test—Water Supply Test Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J OK 0 = Not OK 1 = 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. Ftg., 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 1 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. Cb `+ 13. 3-60 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples A-Zo Card -BI Date Card -BI Date Card -BI Date Card -BI Date R_eC/tea tennneCard-BI Date Card -BI Date Card -BI Date Card -EV Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -81 Date Date Card -BI Date PLUMBING (Permit) OK except #'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. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 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. 67, Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except #'s 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 El Yes 74. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. 76. Following instld.: Drive ❑ Yes []No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 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. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 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 Date Card -BI Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 82. Glass Protection 83. Corrections from Previous Inspections 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 -81 Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except #'s 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. 42. 43. 44. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. 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 you visit jobsite) COUNTY OF BUTTE - DEPAF;TMENT OF PUBLIC WORKSPERMJT 0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 e APPLICATION AND PERMIT ASSE O PA C N ER Z KI l BUILDING PER I lLO OWNERF67r ���� '/G/' TELEPHONE S0. F/�T). OCC. BUILDING VALUATION �+ 'a OWNER'S MAILING ADDRESS CQ ff/N&S0� .SO/I • CON T �TOR'S J.yAILI-NG C ILENDER D CONSTRUCTION UNKNOWN Fireplace Total Valuation I $ juZ62.00 LENDER'S MAILING ADDRESS Permit Fee $ .490 ARCHITECT OR ENGINE E LICENSE NO. Plan Checking Fee $ CPO Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ OO Bul ✓ �DRE:.15>1LU�' / �����• V PLUMBING PERMIT Filing Fee 3`.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO, SUBDIVISION NAM/EE /ZEL..L.I �o/pe/e/ PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 �TYPE OF WORK New ❑ 9[, Addition Remodel ❑ I Uti lities ❑ I stall%lll�lp;4p C Other ❑ De sc 'be work: Q�`��• — ,P{ ,it J M� /CK�C— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR11V OR LESS5.00 •� Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare ungw 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. T 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. MULTI -CUTLET NON.RES'D BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 30@25Q BAL@1oQ FIXED APPLES, OR Ex. Occup.(ouTLETs (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 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 ol,Gonsent to Self -Insure. 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. 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, indemify and keep harmless the County of Butte against all liabilities, ju me s, cos and expenses which may in any way accrue agai st said Cou in seq n of the granting of this permit. X Date �l�� 7'— Sig ar re p licant - Owner ❑ Contractor ��- 19gent ❑ AnOZ permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 tories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ Z roo occUP. GROUP ,,,_ / TYPE of CONST. V PARCEL PD ND sI This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE C OF PUBLIC By PER XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 9_5 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f RECORDING RTGQT3LS,AED BY: 4, AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0074974 Recorded I Official Records I County 6f '1 Butte I CANDACE I GRUBS I County Clerk-Recorderl I I 01:08PM 09 -Dec -2M I REC FEE M N CONFOR S COPY 4.00 SA Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MORK EDITH TRUSTEE MORK FAMILY TRUST REAL PROPERTY OWNER/LESSOR 432 SILVER LEAF .MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP. SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also propeny owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-3157 530 538-7541 BU MG PERMIT N0. TELEPHONE NUMBER ,rmflmi AM 2 SIGN TUR OF LOCAL A CY OFFI IAL DATE NONE' DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. MOUNTAIN HOME 1980 MOUNTAIN HOME MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFJNUMBER 2957A/B 55 X 24 UNKNOW SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 069-110-016 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. LEGAL DESCRIPTION Lot 122, as shown on that certain map entitled, "KELLY RIDGE ESTATES UNIT NO. I which map -was filed in the office of the Recorder of the County of Butte, State of California on October 30, 1970, in Book 38 of Maps, at pages 5, 6, 7, 8, 9 and 10. Subject to all easements, rights of way and restrictions of record. BUILDING PERMITS NUMBER: 05-3157 Address or location of unit: 432 SILVERLEAF DRIVE, OROVILLE Legal Description of Real Property: 069-110-016 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: MORK EDITH TRUSTEE, MORK FAMILY TRUST Owner's address: 432 SILVER LEAF DRIVE, OROVILLE INSIGNIA OR HUD NUMBER: UNKNOWN SERIAL NUMBER OR V.I.N.: 2957A/B MANUFACTURER'S NAME: MOUNTAIN HOME YEAR: 1980 J A Al AA OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) (530) 538-7541 H.C.D. 513C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - 0rovlller California 95965 - Telephone: 916/538-7541 APPLICATION,ANO PERMIT .{ �P�ERRMIIT NO. ('� % ✓�� A9SEssOR CEL NUMBER 69-110-16 ZONING-• -• - rtl BUILDING PERMIT ....._ _. .. -_ __.. OWNER t PER MORK - - - --- -- - -- -- TELEPHONE r 589-0455 so, PT. O. CC_ ___BUILDING VALUATION , 4 SO - WIT 400 OWNER'S MAILING ADDRESS 432 SILVERLEAF "OROVILLE 95966 CONTRACTOR'SNAME H & H ROOFING TELEPHONE 534-1213 CONTRACTOR'S MAILING ADDRESS 3975 ROSEBEN AVE OROVILLE 95966 Fireplace CONSTRUCTION LENDER 1 UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 10,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 432 SILVERLEAF OROVILLE Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL' MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other CARPORT SPECIFY j Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IS G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U t i Iities ❑ Installation❑ Other Describe work: REROOF CARPORT WITH BUILT-UP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 l y f Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (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. lassification. ❑ 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 1 NEW CONST. DWELLING OCCUP.yd OR ADDNS. ( ACC. BLDGS. , /20sgft NEW CONSTRMULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &I SINGLE OUTLET CIR, Ex. Occup( OR FIXTURES 20050Q eALO 30 Ex. OCCup. OUTLETS ((RESID IFIXED APPLNS. REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a C6rtificate of Consent to Self -Insure. j fC7 I shall not employ any person in any manner so as to become subject ''9 to the W. C. laws of California. I Notice to Applicant: If after making this statement, should you become subject • to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 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 against said County in consequence.of the grant' g of this permit. Q� �,r U Sig lure of Appl' ant — Owner ❑ Contractors �Cgent ❑ fAn 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 20.00 HAL I CUA PARx SCHL I FLo COF J= HD. ISSUE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been aid. p I7;P4 /OF PUBLIC WORKS By ' Date PERMIT EXPIRES Date 7 /Z-92- Receipt No. 100767 WHITE-D.P.W.. YELLOW-ASSE39oR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION<•AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 69-110-16 'LONING rtl BUILDING PERMIT OWNER TELEPHONE 589-0455 ,}",Q. FT. DCC, BUILDING VALUATION 4 SQ BUIT 400 OWPERSMORKNGADDRESS 432 SILVERLEAF OROVILLE 95966 CONTRACTOR'S NAME H & H ROOFING TELEPHONE 534-1213 CONTRACTOR'S MAILING ADDRESS 3975 ROSEBEN AVE OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 432 SILVERLEAF OROVILLE Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other CARPORT SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: REROOF CARPORT WITH BUILT—UP _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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. lassi ti cation. ❑ I, as the owner, or m employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.N New CONSTR.( A , qft 2/z¢sea U TI OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. / Ex. Occup( OR FIXTURES 20®30C eAL030 FIXED APPLNS. \\ Ex. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. f� I shall not employ any person in any manner so as to become subject 1 °�J 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 against said County in consequenc�f a grant'ng Of this permit. .t a (d� e of A pl' ant — Owner Contractor gent ❑ tnOSHA� pe itis required for excavations over 5'0" deep and demolition or construct- u urea over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE - TOTAL FEE $ 20 00 HAz. CUA PARK SCHL FLD coF PAR PD j HD. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. IR C OF PUBLIC WORKS By `� Date q1��Z��� PERMIT EXPIRES Date // Receipt No. 100767 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUT DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle. California 95985 - Telephone: 916/538-7541 APPLICATION;AND PERMIT ASSESSOR PARCEL NUMB / _ I/a (� c0 zO�"t" % J BUILDING PERMIT OWNER �� Q/`� TELEPHONE S97-O'�55 SO. FT. OCC. BUILDING VALUATION OWNER'S MAI LIrJ137— ADDRESS wl(f ` / S CONTRAC R'S NA ,' 1?00(}'N TELEPHONE 153dl- /2/3 CONTRACTOR'S MAILING AOCRTSS r/ 3 c) 75 _beA✓ yE f000 �S- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee ; /0-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS L I!3Z SiI et eAF e_oo;((e Permit fee ; c�.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water pining 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE nn SFE]Duplex❑ Mobilehome❑ Other el4l r -1 -Building SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S G W 0.00 ea' TYPE OF WORK New❑ Addition❑ /Remodel❑ Utilities ❑ Installation[ -Other Describe work: rfe f�oc Cgual4- &J,+tA 8u1I+ UD Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 ORMain service ;o°o AMP ORSLES3 10.00 Main service EA. AOO'L too AMP 2.50 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 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING occuP.s OR ACDNS. ACC. BLDGS. ) ,� •z�5q aft NEW CONSTR. ULTI.OUTLET NO N.;,ESID BRANCH CIRC"ITS 12.50 ea \POWER .e) SINGLE OUTLET CIR I EO\ X. Occup( OR FIXTURES IZ0250C .3AL7 ..o Cl FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ LContractor I certify that t 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 or 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- -on of structures over 3 stories In height. Mobile Home Installation Fee $ Energy Inspection Fee g occ CONST TYPE -- TOTAL FEES HA[ CUA I PARK , SCHL FLO i COF i PAR PO This permit is hereby issued unser sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provl- resolutions to do have been paid. WORKS Date ReceiptNo. a=_ +.MITE-D.P.W.. YELLOW-"SE3300. PINx-INSPECTOR. ,:OLOENROO-APPLICANT i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY' This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, -Chapter 5, under permit number /G/� for the following location: Ll '-7.} ch-/.Ak /"F_ i11 Fid n, � � i A t• Owner ✓ /I Owner's Address Mobilehome Mfg. Model -7110 t<rV lyear r Ins ignia No. 0)11 /_ /7 7 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director o�f, Public Works Date 3" .'5�' �� I3 Y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. f PERMIT NO.!7108-79P,E PERMIT EXPIRES ',OWNER PER MORK CONTR. owner w1 LOCATION (A.P. 34-64-16 432 Silverleaf Dr, lot 122, KR#1 , Oroville r z y • p� s . i i Temp. Power Pole Called PG&E Temp., Eleg. Serv.-- ,3"4G `JPD Cad PG&E Temp. Gas Serv. Called PG&E JOB r� OB ✓ O (Date , (Signature) • � N �� C � � �.�» . �. � 1 • t . .. �� �. F .�- -� f r COUNTY OF SUTTEZ — DEPARTMENT OF PUBLIC WORKS . BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setbac Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. f physically hand e Co ormancdde of ex. ucture Appliances Gas Piping &Test Temp. Gas Slab Fin Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Flwhrran oono ream FIRE SPkRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICk Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole FInIsV Ducts Underground Inter Lath Ventilation Permanent r Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service — —l" Elec. Pedestal -/.: -r6 1 Water Piping Sewer .—G/ �Q �(�/ Gas Piping 1 E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity L ion Water Piping 3 -�(n_ Drainage Gas Piping DATE `3 gpo REMARKS OR CORRECTIONS P/26-u1OEA w, 7 b o'AD U 14 A.40 It 43 /VSO cS C"GP C_6e P S (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION. INSPECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome have required clearances above ground? (Sec3085) Yeses" No 3. Are footings and supports properly sized, spaced, and braced asp eri approved plans? (Note possible variation at spring shackles.) (c. 582 & 5083) Yes No O 4. Yes -:N Is the mobilehome level. (Sec. 5088) _ 5. If mor an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fle le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B.' Test - Does water piping withstand working pressure or 50 lbs. air test? Yes,,' -No ABackflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? esf� Nou B. Does it have minimum k" per foot slope and is it properly supported.? Yes_ No C. Are any leaks detected in drainage system after running 3- allons of water,through each. fixture including washing machine standpipe?,.Yes No coach is not State of California approved, does station have required trap and vent? Yes_ No_ 8. Gas Piping and G Vents. A. Connector - Is obilehoVconneto the gas supply with an approved 3/4" minimum mobilehome connec noft. long? Note: All piping is -to be atleast as large as the mobilehomet without reductions other than the mobilehome connector. Yes No B. Test OK as per follow in proced ? Yes_ No 1. Open all appliance connector v ves. 2. Shut off applia ce burner and pilot Ives. 3. Air test wit manometer to 10"-14" water c umn, or test with slope gauge (minimum 6oz.-maximu 8 oz.) calibrated in tenth poun 'ncrements. Test for 10 min. without drop. 4. Connect Kas meter to mobilehome with connector, turn o gas, test connections with soapy w ter. C. Are all a liance vents properly installed? Yes No: 9. Electrical A. Is service large enough to pro de adequate amperage -to mobilehome (must equal rat�Lng-of mobilehome with a minimum of .00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? YesZ <No .� C. Is Ye power supply cord or feeder assembly properly fused s No D. �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. Switch all breakers and switches in the mobilehome to the "on' position. ,3 +�. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. /5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from / such equipment and the grounding conductor. 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 theelectrical tests, the lot or site service equipment may be approved for energizing. sob card signed by Health Department for water and sanitation? 1 If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle 1VOaA-7W/V Length_ Width Vehicle Serial No. State Identification No. C'.4 L., Additional Information or Comments: 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 C®RRECTI®IV NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist 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. 07 - MEW NFIRQWWI�o COUNTY OF BUTTE — `DEPARTMENT OF PUBLIC WORKS -"' 7 County Center Drive - Oroville, California 95965 ' r Telephone: 534-4541 APPLICATION AND PERMIT11-1wp% J dl---) 7—D d 91—, authorize representatives of the County of Butte to enter.upon the above- epAiened-property for inspection purposes. % X C G- v ® ate D Signature of PermitZtee or Agent Receipt No. Z� 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. DIRECTOR OF PUBLIC WORKS ByDate //- 7- Building -Buildding permit expires Date BUILDING//4"' Owner Per Mork SO. FT. OCC. BUILDIN UATION Mailing Address 544 Central, Apt. 114 Alameida CA. 95401 Telephone No. Contractor Owner Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 432 Silverleaf Drive Plan Checking Fee &/or Penalty Permit Fee Oroville, CA. 95965 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Lot 122, Unit 1 - Kelly Ridge Estates Repair drainage or vent piping 1.50 A. P. No. — 64 — 16 Zoning & P1 OL-- annyv 9Each ater piping 1.50 gas water heater or vent 1.50 FW /34 vY✓C. Sa Fire Dept. Fire Zone Use Penni Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plan Rec'd Parceroyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ • �C ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 ,C)O Main service 100 AMP OR00V OR LESS5.00 5,T.00 Single Family ❑ Duplex ❑ Mobil Home LX Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVERe00v 25.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBLDGS.LING CCUP. 9d) 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCHTI.OCIRCUITS)[ NON.RESID (MUL BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS e NON.RESID. SINGLE OUTLET CIR, Ex. OCCUq{OUTLETS OR FIXTIIRES)g L Ex. DCCUp.(OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,Q(� License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ �S;,zm MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Irl' 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 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 Land Development Fee $ OD TOTAL PERMIT FEE $ %3 authorize representatives of the County of Butte to enter.upon the above- epAiened-property for inspection purposes. % X C G- v ® ate D Signature of PermitZtee or Agent Receipt No. Z� 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. DIRECTOR OF PUBLIC WORKS ByDate //- 7- Building -Buildding permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 . a• Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentiopeq pr9Perty for inspection purposes. X -�/� Date .'i '/L Signa re of ermitee or Agent Receipt No. 3or & w o / 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 which fees have been paid. (EXAE-QZDA OF PUBLIC WORKS luilding permit expiresDate BUILDING Owner Per Mork SO. FT. OCC. BUILDING VALUATIONI—V Mailing Address 544 Central A t 11 Alameda CA. 95401 Telephone No. 415-865-5773 Contractor f DC G 7 K P�— G Mailing Address 52(03 09*1_1 ©A1Z-:5 ��, Fireplace Total Valuation ILLS/�� v/ � �p 5� p9 a S Z Permit Fee B Building Address 432 Silverleaf Drive Plan Checking Fee &/or Penalty Permit Fee Oroville CA. 95965 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Lot 122, Unit 1 — Kell Ride Estates Repair drainage or vent piping 1.50 A. P. No. _ _ 'rte ZoningPlanning Water piping 1.50 Each gas water heater or vent 1.50 F s ""�� iyv C. Se+ai>aiiea Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plan Parcel Declaration Parcel Map 60' R/W Improve is Each additional outlet .30 Building sewer 5.00 Bldg. PI s Rec'd Parceroyal ans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 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 HomeE] Others ❑ Main service EA. ADD'L 100 AMP 2.50 INSTALLATION Main service OVER 100 25.00 ,00 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING O OR ADDNST ( ACCLBLOGS CCUP. h\ 2P sq ft I 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: Oro Ridge Properties, Inc. NEWRESID. (MULTI -OUTLET NON.CONSTONSTR ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. Occur)(OUTLETs OR FIXTIIRES 5 L� Ex. Occup. (ouTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 995666 Classification R—(_an R1 rlr. Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby Land Development Fee 14' -:r $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentiopeq pr9Perty for inspection purposes. X -�/� Date .'i '/L Signa re of ermitee or Agent Receipt No. 3or & w o / 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 which fees have been paid. (EXAE-QZDA OF PUBLIC WORKS luilding permit expiresDate BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS Y 7 County Center Drive, Oroville, CA. PHONE: -534-4541 1 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Per Mork Lot 122, Unit 1- 2. Installer's name: Oro Ridge Properties, Inc. 3. Is the site currently under permit? Yes /X / No (If yes, furnish permit number 7110,9 OR Is the site an..existing site? Yes / / No / X/ r :. (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 /X / 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? ---L---------- 200 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / 7 No / X/ (If yes, identify the load and size: (Load) -0- (Amps) 9. What is the mobilehome site gas pipe size? ------ --- 0- (in.) 10. What is the type of..gas...service? ,----------------------------- Natural / / LPG./ / 11. What is the gas pipe length -from meter or tank to the mobilehome? -0- (ft.) 12. What is the mobilehome gas demand? --------- ---- -0- (BTU) (This information not required if pipe length less than 6'ft. on natural gas,-,_` or less than 50 ft. on LPG.) , SUBS COUNTY SUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA y If other than single wide Mobilehome Mfr. Mountain. Valley Home N furnish Setup Model No.2BbR, CKU-R year 1980 Width 24 (ft.) Box Length 55 (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. Footings (check one) Single LN 1. Wood either A A pressure treated o foundation grade. O' ayx3o (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) 1: Concrete block. - 5'7 ) 2. Other (specify) (ft.)(in.) (in.) (in.) <----Tagalong or Expando,' �,�`�(j 8�✓ show support details. yo�O• .. (ft.)(in.) (in.) (in.) 7 x 3 -- Typical Support (in.) (in.) Footing Size ss•d• a x3a (ft.)(in.) (in.) (in.) 5• -- Max. Pier Spacing (ft.)(in.) -- Max. Overhang >(ft'n.) (in .) (ft.)(in.) *If center piers are other than drawn above, draw in -locations, spacinja, and dimensions. �v sv ;�� l.. (fid w►Qa`o� !! �U:&4) \®eAS. � ZOO? q�P,\�� �zvxso 2�� c K xs-4 C --K to„ _4 -Oa etc 49cl8 SG# c. 02 _33epAL c ,o;�S G 213 2 �' I 4 �_ Z� t _ ��„ : v:• J t 2'I - n 20 xs4-zr,>P. RK II-Q� 2- o S-?9--;5e- Z,+A°q t. Z -Bi P 'r ze q1JO ,a�o 2-} A YZ 2- GW, C -C n i 4; v„ , o" , c„ . , 00CKU 11 x ► o " �IV - 24,csz 2r3 r,-C:Ku. ys- Cku _ anship Shall Be eta W orkm practices cxrsd . LOT 12-2 , All Materials &nized Good NOTE: ,Kith ReGQ�! the Specified Use"UNIT 1 rdance .bed �o-ac an a,.._�E q�E2 _ L Acco Uality nest" Uniform•Bui1 'E� ctrical CO the National_— � �. '.i specifications MUST 60 _o T�ii 'set of plans and o, the job at 011ti�e5 and it is "lawfulto kapame Without MOTP c+ y chanr.,es nr e�, . rrt' en �rfinen of Public ` wri an err.�i5sio^+ #corn r !� � ounfy of Bu ott e• Y\ ;\ c CL y�tNtMUM L. o - �i 500 91t.E5 o �' a�0i ccu ro EOE permit will be required e �, a� permit w'Icf the �rn'obile ®• �' c r L '� install .�C O N O �!� ins i v v.. O h i C L - / o 7 ithtCt 3 Q' a � y 40 � b - -- ns Sha b� - connectio. e, er W N' i / Utility bilohom ' rear Of the .00Cl Or ��jithi ih dir cly to, ►- deP yrs h _ BUTTE COU T _ BUILDING DE?A T IPPR®�/� _57 NOT To SCALE, 73_ -_ ��oc� ��,�._--mac � io-/; • is r-.� _ CO 0-K ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA - 95965 'PHONE (916) 539.6457 wt Ni.a Y...., ti :"V Ala March 5,. 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: Stone KRE Unit 3 Lot 183 Ward KRE Unit 4C Lot 363 Launde��'ille KRE Unit 5. Lot ,18 I Mork // KRE Unit 1 Lot 122 If you.have.any questions, please do not hesitate to contact US. LH/cab Enclosures cc: Doyle Carter e Very truly yours, COOK ASSOCIATES Z&e Lew Hiatt Civil Engineer. C ❑ ®K ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE - OROVILLE, CALIFORNIA 95965 PHONE (9t6) 533-6457 _ REPORT -OF CONTROLLED COMPACTED FILL PROJECT: Kelly Ridge Estates a.. 'Unit 1 Lot 122 Mork Re: 8055'1 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 imported to site and consisted of clayey gravelly sand. 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 B The relative density of the -fill wase 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 Lew Hiatt Civil Engineer RPL/cab SUMMARY OF TESTS PROJECT: Kelly Ridge Estates Unit 1 Lot 122 - Mork Re: 80551 FIELD DENSITY TESTS: Field Test Density Percent Maximum Degree of No. Date Elev. pcf Moisture 'Density Compaction Remarks 1 1-29-80 1'Fill 116 ll 127 91 - COMPACTION TEST: Maximum dry density, pcf: Maximum size tested: Optimum moisture, percent: Soil type:. LQCAT!®N OF DENSLT-Y iE5 • i__O T ►. 2 UNITI � I � T.--ri Co tiff � / i o, o - - • Z- 000-', `NIT-..\\ I 'Ir _ \ V1 \ �\; \15, \ Z 551 -- X LEGEND Li►mit of. Tested. -. Fill . 0 f / j / -2* Loc�ition of Donsity ToSt. Fill Slop` / -Y= Cut. Slop �--SETS F Cif � qa. � ` ` ' . " • .. . \ UT/L/7 COC% /O�/S Al - ,4 • URAL coO �SSOCIATES ' ENOWlE RINO CONBtJLTANTO 8000 P4RK AVlNU! ' OROVILLS . CALIFORNIA' 00900 Butte County Department of Development Services. aurrf- art Ea NOTES 7 County Center Drive, 0roville, CA 95965 (530) 538-7601 - v4\vw.buttecounty neUdds RESIDENTIAL AP N: Permit No. Owner. 069-110-016 05-3157 MORK, FAMILY TRUST Site Address:1 432 SILVER LEAF, OROVILLE �- Cont:-SIERRA MOBILE SERVIC y = Contractor. M/H PERM FND (EX) Type of Permit:—� o r Lo 8G6 v iC-ccZ SPECIAL ONDmONS CHECKED BY O SRA Q FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY EJ USE PERMrr CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE 0 DATE JOB FINALED: -'VV\,VVT +=OK 0 = Not OK .MANUFACTURED HOMES MISCELLANEOUS . DATE ERMANEN7 FOUNDATION SOFT -SET DATE ID EC K S'C O V E R S`C A R P O RTS `G ARA G E S 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Sewer; Loctn-Test; Fall/C/0-Concrete 3 Decks, Girders/Joists-Dcking-Brcing . 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp' -Concrete 4 Wood Awn- Posts-Beams-Rftrs-Cnnctrs-Shthg . .6 Yard Gas; Loctn-Test-Wrap Nat O or LPO Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports•, Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Frmg• SilIs-An chrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -C/O to Grade 10 Roof- Shthg-Roofing 12 Gas and Electrici agged 11 Ext; Steps -Doors -Landings 13 Tie Downs . Foundation O 12 Braced Wall pnls 14 Exits �\ i\" 15 Cert of Occupancy S 16 HUD Label/Insignia Numbers Serial Numbers i2 �-aS � Qtt�hoS', 'Y7 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness . Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 1S volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w1S'-Crcltng Eqp-Htr 8 Elec Gmdng; Eqp w/S' Crcltng Eqp-Pool Ightg Bakes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing Alarms 13 Bonding, Diving board or Slide 1 Drawing = OK ' Not OK RESIDENTIAL (Single & Duplex) DATE jEiNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Fig Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg.Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Tess, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub•Acc 6 Stemwalls Garage; Steel-Blockotits-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insulin & Support 14 Girders -Si lls-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic s s` DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rffr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty tine Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-L.anding-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-S kyLts-Plas tic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnis 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 9 ❑ CU or ❑AL AC Wire Sz 9a ❑ CU or ❑ AL 48 Range Circ ga ❑CU or ❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-CImc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GR & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir. Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters Q Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn _ 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD ApprVI 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING'PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053157. PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 12/05/2005 APN: 069-110-016-000 the Business and Professions Code, and my license is in full force and effect. ,( ' ,6 License Class: /� LicenseNumber. i7Uj $" Site Address: 432 SILVER LEAF DR ORO Date: (X Contractor: oOma ) Map Index: . Description: EX MH ON PERM FND (1320) 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: MORK FAMILY TRUST permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a C/O MORK EDITH TRUSTEE signed statement that he or she is licensed pursuant to the provisions of 432 SILVER LEAF the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 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).): ❑ 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 Applicant: SIERRA MOBILE SERVICE Code: The Contractors' State License Law does not apply to an BILL REID owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 466 CIRCLE DRIVE provided that such improvements are not intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one 530-534-0599 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.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Prdfessions Code. The Contractors' State License Law does Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or Improves thereon, BILL REID and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE OROVILLE, CA 95966 ❑ I am Exempt under Article 3 of the Business and Professions Code 530-534-0599 Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrierand policynumber are: Carrier: d`A-^ v T-ct' Total Square Ft: 0 S. F. Policy #: 7 Valuation: $0.00 Census Code: ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' L - compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: L J Applicant: 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. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) ResoI ti ns o do work indicated bove for which fees have been paid. I2 5 Name: By: ` C Date: V5 i 2- CD PERMIT EXPIRES ON: J� Address: 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 & 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 certlfy 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 document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: '1410 Signature: �-ea Date: Q -Owner Contractor C3 Agent for Owner 0 Agent for Contractor BUTTE COUNTY PERIVIII DEPARTIYIENT OF DEVELOPMENT SERVICES NO BUILDING- PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 211 IIOURINSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BPO S31 OFFICE #: (530) 538-7541 A FEF' IWLI BE REQUIRED AT TIME OFAPPLICA2'IOIY BIN # **PLEASE PRINT CLEARLY** OWN -=R - Last Name /f t r First Name Address City `> k,G. v ; �C i . I-- tale Zip Phone 1 Fax E-mail APPLICANT SIGNATURE X 1 1�1'; For office use only - Zoning CONTRACTOR Name city Address .. City ? State u i zip Phone Shy �S9 y I Fax E-mail S 3 q OS qi Lic. # >� Class 7 APPLICANT SIGNATURE X 1 1�1'; For office use only - Zoning ARCHITECT -ENGINEER Name city Address Address City Occ. Stale Zip Phone I Slate I Fax E-mail S 3 q OS qi I Slate License Number APPLICANT SIGNATURE X 1 1�1'; For office use only - Zoning APPLICANT NAME Flood Zone city SRA Address No Occ. City C, LENDING AGENCY I Slate Lot # Phone S 3 q OS qi Fax E-mail APPLICANT SIGNATURE X 1 1�1'; For office use only - Zoning AP# Flood Zone city SRA I Yes No Occ. Type Const. Subdivision Name jlv�-17ap�Book�Pae LENDING AGENCY Lot # Planner Date Approved: UVLK ll -UK SULSM1 I I AL. REQUIREMENTS LOCATION AP# Property Address city 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: ta.u.�.e2�-.�-�_ ,�cv�•, xf.C,;q.�,,:�. .vvco.� Sq. Footage Footage 12 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): E)&I RATION 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:K,C Amount Bldg SRA Receipt #: qq o 4 G Sheriff SMIP Date: _-1 coOther ` r Total COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION bP053157 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 t PERMIT APPLICATION DATA SHEET OWNER: N15�r-.k�c Full Iv1I� Trunk ASSESSOR PARCEL NUMBER Ol0q " 1 1 O" O 1(A Proposed Building User\ 4 OYi PEW N X SJJF_ Permit Technician: Date: Ite s required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 15 "7 IN 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. V❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. `� 1$1 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down ornd plans all in duplicate. ❑ 9. Metal bl.dgs: (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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑/ 18. Erosion Control Plan Required .......................................... . �j 19. Fees as-shewn-eFkhe-attached-SdwduJ"W-ee gae-Street..... 32.q ..Cl�{.......... O 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... \Z❑, 34. Dee striction......�....................................................................... rw 35.`�LedaPdescription, El '.H. Title title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone I S30 5 3y - 05lM itnfltR b)(' and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Im Applicant: p Date: I i I S� 1. Index permit application for the above items numbered: Plan Check Lefler 2. A terns required ontractor esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Con ractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: _11 D Date: i2otL Plans approved by: fT Date: 14 l 06 - Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 Ilii Ili III I iili I li it Illi ili I II i�li 2002—+2!058265 Recorded I REC FEE 13.00 RECORDING REQUESTED BY: OfficialRecords i CONFORM 1.00 unty Of JAMES B. BERGLUND, Attorney at Law BUTTEI CANDACE J. GRUBBS I AFTER RECORDING, RETURN TO: RGSEMARYrDICKSON EDITH MORK Assistant I Kathy 432 Silvexleaf Dr. 09:02AM 30–Oct-2002 1 Page t of 3 Oroville, CA 95966 AFFIDAVIT - DEATH OF TRUSTEE STATE OF CALIFORNIA A.P.N.: 069-110-016 3 . �lr COUNTY OF BUTTE EDITH MORK, being of legal age, and first duly sworn, deposes and says: That PER MORK , the decedent mentioned in the attached certified copy of the Certificate of Death, was the same person named as PER MORK, named as one of the parties in that certain GRANT DEED (Individual) dated August 10, 1995, executed by PER MORK and EDITH E. MORK, husband and wife, as joint tenants to PER MORK and EDITH MORK as Trustees of the MORK FAMILY TRUST, recorded as Instrument No. 95-28445 on August 22,1995 of Official Records in the Office of the County Recorder of Butte County, State of California. See attached legal description. That EDITH MORK is the successor Trustee of THE MORK FAMILY TRUST. Dated: 7-;` -0 a Subscribed and sworn to before me, the undersigned, 'a Notary ' and for said State, this CQ �Y9 day of , 2002. Wa h,- . NotaryPublic � �- )') -2 1, � -, Affiant, EDITH MORK MEUSSA DO t ftCPS1 Cbm-imsion 1 3 h{otary Pubk Butte f Cafifomia M on,mis9ion rso• OCT.18.7.0 , ..Y. OF0. i LEGAL DESCRIPTION Lot 122, as shown on that certain map entitled, "KELLY RIDGE ESTATES UNIT NO. 1 ", which map was filed in the office of the Recorder of the County of Butte, State of California on October 30, 1970, in Book 38 of Maps, at pages 5, 6, 7, 8, 9 and 10. Subject to all easements, rights of way and restrictions of record. Part #59306 Xi2 Ground System 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 cart Youjul X12 Concrete System v Engineer Approval State Approval MMWACM1W WMWM(WME RDME FOUMAIMON SYtSUM 1l M=AMD SAMN CDD% WCnM l AF WWW ww=T0C0"MCnM" mail A"MALMM NDTAtJTROMM ORAMWMAW OMU8810M OR DB UTM FROM REQUADDtBM O1 AMXAMa STATS 1AW8 MW XSUULWX= sm"KCWf * aaiq ad Ca0 DWAAWMM. _ STA?IDA>S8, ©S3/ 7 7 BUTTE COUNTY BUILDING UIVIBIO APF'I®VE®1 r Page 1 of 8 0 L\ ONJ 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 Updated: 8/29/2005 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" • 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. Contact Tie Down if piers exceed these heights. HUD approval required. • 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. • Additional systems may be needed for roof slopes greater than 20 degrees, (4.37" in 12" Pitch ) See page 7. 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 � SPk Iv -IC 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 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) Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-3/4" Tube Lateral Struts - Tube 4-V!2x1" Tek rews U -Bok & mounting Figure 1 Bracket J' J -Bolt Nut & Washer _ 1 i@) Strut (flag end) I -Beam Figure 2 5Pk 121 — 1 C earn on in s at this time. n pan using np, attach with 'n e. M fastened is and �A, 30336 r/E 349-0401 DOWN ' ENGINEERING - Xi2 Ground Parts Detail Xi2 Ground System Includes: 5' Strut, pad & hardware. Part Number 59306 LSD Hardware Kit Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts.. Part Number 59331 Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-30 30" 2 Blocks or 18" 59330-39 39" 3 Blocks or 24" 59330-44 44" 4 Blocks or 32" 59330-53 53" 5 Blocks or 40" 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 30" Anchor w/vertical strap or frame tie w/stabilizer plate, Additional System for 40 within 10' of end of home • homes over 80' �..� Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 2 Xi2 Systems (1) Over 80' (76' Box)3 Xi2 Systems NOTE: 1 Double Section Home 0 -80' (76' Box) 3 Xi2 Systems' (1) Over - 80' (76' Box) 4 Xi2 Systems Triple Section Home 0 -80' (76' Box) 4 Xi2 Systems (1) Over - 80' (76' Box) 5 Xi2 Systems Diagram represents single section up to 16' width, double section up to 31' width, and triple section homes up to 46.5' width. Single section homes have an "overturning moment" in high winds, requiring two anchors per side. 2 Xi2 systems can be placed at either end of the home. Page 4 of 8 � <-7 X2:1^1F 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, o tighten wedge/anchor bolt, securing bracket to the concrete. o ' 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5, 1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure i 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 (Figure 2 next page). 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. Xi2 Longitudinal Concrete Installations 1-3/4" Tube Lateral Struts x� 1-1/2" Tube x, o. f r f r 4- #12 X'u I' k Screws x r UI _u 1 t 7a rn ! /1z'9 T'f, �b S� �,•P tkf�S �'rT, fs:. Ay s ��' tarts `� �`2�t �- w �� v: �" Z` � the° 607, r n �T94 ` FI/JUre Z ..."x..�.. tf�,.x... �. ..i ...�..h:.' 7 Nut & Washer Beam Clamp. e J-Bolt.,.� Bracket f oH° x end Long -77 4 � c ^ 4 Xi2 Installation Placement Page 6 of -8 Figure 1 Drive • Atlanta GA, 30336 r/E 1' 000 - FAX (404) 349-0401 DOWN ENGINEERING � SPR lig-tF �26I"� 30" Anchor w/vertical strap • or frame tie w/stabilizer plate, within 10' of end of home Offset Placement Additional System for L— homes over 80' +_, Xi2 Pier Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 System Requirements for Roof Pitches Higher than 20 degrees Length of Building Roof Pitch/Degree of Slope 5:12 6:12 7:12 9:12 23.60 26.6* 30.3* 36.9* S D T S D T S D T S D T 34' J2 3 4! 423 442,1 1 W 36' 60' 38' it2'�3$44` x234` 3 3 4 40' 64' 3 3 4 42' WX 1 3 3 4 3 3 41 44' 2 W31,4 3 3 4 3 3 4 46' iV-3, 3 3 4 3 3 4 3 3 4 48' g3 3 3 4 3 3 4 '3 3 3 4 50' 3 3 44 3 34 3 3 4 3 3 4 52' 334 334 3 3 4 3 3 4 54' 3 3 4 3 34 3 3 4 56' 3 3 4 3 3 4. 3 3 4 334 Length of Building Roof Pitch/Degree 5:12 6:127:12 23.6* 26.6° S D T S D T of Slope 9:12 30.3° 36.9* S D T S D T 58' 1 3 3 4 3 3 4 3 3 4 3 3 4 60' 3 3 4 3 34 3 3 4 3 3 4 62' 3 3 4 3 3 4. 3 3 4 1 3 3 4 64' 3 3 4 3 3 4 ,0 66' 3 3 4 3 3 4 341,449 1041*i 68' 3 3 4 14,444'44 1 70' 3 3 4 72' 3 3 4 Aii4F "4ti �-47 $,4,'Z4 74' ,i4W .141 5 5 5 76' 4f`44,? 5 5 5 78' 15E4 5 5 5 80 �41 1E4 4 1 K ,�`4 ,1',4�A '1' 5 5 5 _j ,5(24 I'Ll - IC Page 7 of 8 Ck O M Installation Notes LOT 12� �s. 2 Z E-�� ��� UNIT '! I - =-� _ ���'• A-7 -7-^J. 4 /z/So"o C' 0 A/A/.- J p • 70,00 � . c�� A '@tback of 5 � " l' o Pp®party lines ft. from the N i 4 \ ®f Soft. from and-a the $hack \ JWCO►�t�rline�,a11' mad i� � oq �) I \\ _ 8�Otures or e be el&If of ; �I � N 7j .\ for a 2 ft. eave ou�e hast ek.Ce�{ A. )n W � 5'—:� Accordance MWerl� & Workmanship of �vvrt"eco�n1ped Shall �e �. _ Good d� )/ Unif qualmr,, ascribed for Me S prc+ctices an ' Byy�I""'� filum in necified use i th !RNJnol Electrical C �` achanicaI Co n the I / ode, des and \ \ 1 Hyl -cations MUST be �. This set Of plan . a ' s� �d 9` t on the I� b ' aA,Les and it is unlawful to kept c s .r altP.rry�o. an same without written permission from Y'�r tmerrt f�Publ` BUTTE COUI<yT Works, County of Butte. ,' � � BUILDING DE?AaR�M T l-SET3FiC.� -e' ; =A,P P R O E\r% U Ti /- / TY L O CA Ti o Ns A.ZE-___ /e O X. - n/ o T To S C A z-E-- ...cam r: 2 /?J .-, C. .._.�' _ .. .,'G�•� .�'v /G.-;' ,' � WIA ILL rT- ccl Z 1= J \ C 7 . ... � Vl _ .__........ - m`` Z BUTTE' COUNTY BUILDING (AFP r. nTa Ort ,- r APPROVE® Z� ... . .... XI D -F eoo St"VF sS o�n� ffA� SPAM S Vs c-I*L tru 1`or�s/oYC, ivlax 3. Die( xz X rx p. `r_ +L. �e o f IN e7 (moi / Af f40 t1gLLw t1-' A NC4-.ems.. � 1 BUTTE COUNTY O BUILDING DE?ARTWN' 0 APPROVED tibv."`�.,..-=r.—..-..--�1,.....•.,..,. - -.... _ ___ _ ... ., ... _ _ ..:..:; � :.1 -.w. A ,, ..�..4.. . � . c..:.f Y.r.:.i.,�.�<��`.. _'�:,+���-.�:.._.L. �i-r�.'3aY:..1 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT o,)stNc q� Division of Codes and Standards Cal © ,u W 3G 0 Title Search��.. DE Date Printed : 11/23/2005 Decal #: LAA4562 Use Code: SFD Manufacturer: 9248 GOLDEN WEST HOMES Original Price Code: APN Tradename: CALYPSO Rating Year: Model: CALYPSO Tax Type: LPT Manufactured Date:. 08/13/1981 Last ELT Amount: Registration Exp:. Date ELT Fee Paid: First Sold On: 08/31/1981 ELT Exemption: NONE Serial Number HUD Label / Insignia Length Width GW6CALCA63028A CAL224339 60' 12' GW6CALCA63028C CAL224341 24' 10' GW6CALCA63028B CAL224340 60' 12' Registered Owner: M E FAUNCE DONA FAUNCE (Joint Tenants with Right of Survivorship) 5316 BLINZIG CT OROVILLE, CA 95965 Last Title Date: 11/03/1988 Last Reg Card: 11/03/1988 Sale/Transfer Info: Price $43,500.00 Transferred on 09/15/1988 Situs Address: 5316 BLINZIG CT OROVILLE, CA 95965 Situs County: BUTTE * * * END OF TITLE SEARCH STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 11 Division of Codes and Standards ��)SING • u • O ©all aZ .m w Title Search3G"r w0 Date Printed : 11/23/2005 Decal #: AAA2287 Use Code: SFD Manufacturer: Original Price Code: AHH Tradename: MOUNTAIN HOME Rating Year: 1980 Model: MOUNTAIN HOME Tax Type: ILT Manufactured Date: Last ILT Amount: $26.00 Registration Exp:. 04/30/2006 Date ILT Fee Paid: 04/30/2005 First Sold On: 00/00/1980 ILT Exemption: NONE Serial Number 2957A 2957B Record Conditions Registered Owner: HUD Label / Insignia Length Unknown' 55' Unknown 55' PPF Exempt MORK FAMILY TRUST 081095 432 SILVERLEAF DR OROVILLE, CA 95966 Last Title Date: 11/13/2002 Last Reg Card: 05/03/2005 Sale/Transfer Info: Price $.00 Transferred on 09/13/2002 Situs Address: 432 SILVERLEAF DR OROVILLE, CA 95966-3960 Situs County: BUTTE Inactive Decal/DMV: DMV SU4610 Open Escrow: MID VALLEY TITLE PO BX 1068 2295 FEATHER RIVER BL OROVILLE, CA 95965 Escrow File No: 2158977KB Pending Buyer: FRANCILE DARRAH Dealer Name: None Reported Escrow Opened On: 11/07/2005 Expires on: 03/07/2006 * * * END OF TITLE SEARCH Width 12' 12' 1 III MORK FAKkLy T A u 6 r S��Ut�t liAf 7 /5-7 .BUTTE COUNTY BUILDING DIVISION APPROVED 12h c�i'�