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069-120-032
- - 5 Donald E. Price 488.'Silverleaf :Dr., 1„t 94, KR#l, Orov .,f Permit #5406177P.,E(util. ,MH) -HEC. 7 S 'P_ GAS1/'--,-L,Z - C-+ - 7 s �f SUPPORT STRUCTURE REQ. �Z COMPACTION TEST REQ.. ------------------- Permit.'##5562 77MHI >al�1�7 ! contr.::, 'Orbville' Tr filer Sales; r Issued arm ontr: Acro -Lome, Oroville Permit 618-78B(ne . aZ33ing%MH) contr: Acro-Lume Oroville Permit #69 09B(new awning, spa & _ deck/MH) 069-120-032 > �, • *+■ ; :: 06-1894' ° .. ALBRIGHT, LONDA r. 488 SILVER LEAF DR, OROVILL Cont: SIERRA MOBILE SERVIC'`--f "1 MH PERM FND EX✓�` t ' f _ 7 v r i t ' f } v r f ' t ' f } v ' Yi w � � ,� .. _ . l �� L • � �� � F W r f � 1 �. W f .i 4 i � • � y� � . ` ' - •• • � ' �i. a .. � +�] , � i ' S - Y .. � : � - , -. 069-120-032j „ 06 l 894` /J� WA�LBRIGHT; LONDX0W 4 =� NOTES _ _ f 488 SILVER,L•EAF-DRN; OROVILLE ' • Cont SIERRA MOBILE SERVIC'' a' '`Al MH PERM FND EX RESIDENTIAL- - APN: Owner. Site Address- 1 Contractor. Type of Permit: _ //i��\+ ori �r.��—rC ✓� tI � y//���{e/� i r b . — k Permit No. u :CIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUtRED FIRE SPRINKLERS:REQUIRED SPECIAL INSPECTION ITEMS ^ VERIFY USE PERMIT CONDITIdNS SUBSTANDARD HOUSING LETTER ?' ENCROACHMENT PERmrr REINSPECTION FEE PAID ENV HLTH CLEARANCE ` DATE JOB FINALED' J + SIGNATURE _ - BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7641 I PERMIT NO. BP061894 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/07/2006 APN: 069-120-032-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. rJ ?C3 86 License � � Site Address: 488 SILVER LEAF DR ORO ss 1 CI License Number. 06� Map Index: Date: Contractor Description: EX MH ON PERM FND OWNER43UILDER 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: ALBRIGHT LONDA F & RALPH permit to construct, alter, improve, demolish, or repair any structure, prior P O BOX 1925 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of ORANGEVALE, CA the Contractor's State License Law (Chapter9 commencing with Section 95662-1925 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 466 CIRCLE DRIVE such work himself or herself or through his or her own employees, 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 oimprove for the purpose of sale.). 1 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does 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 CA 95966e ❑ I am Exempt under ArticleOROVILLE, 3 of the Business and Professions Code 530-534-0599 Date: Owner. License #: 470386 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. ! Engineer: ❑ I 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 carrier and policy number are: t Carrier: Total Square Ft: 0 S. F. �( ') Valuation: $0.00 Policy #: ,-LS 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply withthoseprovisions. D /( 166 Date: _ 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 iniSection 3708 of the Labor code, interest, and attorney's fees. i 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.) Resolu • s tc do work Indicated ove for which fees have been paid. Name: BY Date: o Address: PERMIT EXPIRES ON: ate O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 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: �E�D i � Signature: r Date:/—Oe O Owner j QwIff5tractor ❑ Agent for Owner ❑ Agent for Contractor +=OK 0 = Not OK MANUFACTURED HOMES DATE Lj PERMANENT FOUNDATION SOFT- ET , 1 ZoningSetbacks-Easements " 2 Soits; Special MH Support Sketch 3 Sewer; Lorin -Test•, Fall/C/O-Concrete 4 Wtr; Loctn Test -Easement Needed -Regulator 5 Elec Loctn-Cimcs-0md Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat ❑ or LPQ i- inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr i 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs li j 10 Drain; MH Test -Fall -Flex Cnnctr I 11 Wtr & Sewer Connected -C/O to Grade "j { 12s and Electricity Tagged *& ie Downs Q Foundation 14 Exits i 15 Cert of Occupancy 16 HUD LabeBlnsignia Numbers Serial Numbers • �� i��. G/4L Oro tIZ 11� "'Z, 114 1 ions, r 40e �. Drawing MISCELLANEOUS - ID _ 1 ZoningSetbacks-Easements 2 Figs; SailsSz-Dpth4acing-0nnc rsSteel _ 3 Decks, Girders/Jolsts-Dcking-Brcing Stairs-Guard/Handrails _ 4 Wood Awn; Posts-Beams-Rftrs-Cnnct sShthg• Frmg-Brcng 5 Alum Awn; Columns-0nnctnsSplice-Decal-Enclsrs _ 6 Carports; Wndws-Doors _ 7 Electric _ 8 Frmg, Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing VengerStucco-Lath _ 10 Roof. Shthg-Roofing * . 11 Et; Steps -Doors -landings 12 Braced Wail pnis Irtrv�� _ 1 Setbacks -Easements 2 Soils;,CompadionStructure Stability 3 Pool Structure; Steel-Cnnctns Thickness Dead Men4 Jning _ 4 Elec Rcptcls/Lting; Distance -GR _ 5 Elec Pool Lting; 15 volts -GR _ 6 Elec.Enclsrs; Conduit Entries-Terminals-11sted _ T Elec Bonding; Metal w/5'-Crcltng Eqp4ttr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Epclsrs-prilboards4nsuitn-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 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Gmd Fig Dpth54 Wtr Pipe Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Parches/Decks; Soils -Steel Ftg Dpth • ' 56 Shwr Pan; Test. First fir -Tub Ace 5 Stemwails Main; Steel-Blockouts Wrapped 57 Test Tubi & Shwr, 2nd fir - Tub Arc 6 Stemwalis Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fre Sprinkler, Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fatting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd DATE M E C H A N'i C A L 13 Plenums & Ducts; Clmc-MaterialSupport-Insulin 61 AC Ducts Insulin & Support 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Ace & VnUtn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace Vent Acc-Comb Air RtndVent 115 Outlet 65 Attic Arc & Pitfrin if Furnace in attic d DATE FRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 18 V1l611s Studs4 ailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-landings 19 Bearing Walls over GirdertA fir Nalling 67 Smoke Detector 20 Draft Stop In Walls (rat proof) ' 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr 21 Fre Stops; Furred Ceilings—Stairs—Chasers—Tubs In Garage;abv-flr-0udsaVlech Prtctn 22 Headers & Beariissi &' Bearing' 69 Bedroom Exiting 23 Hangers-Posf:Caps-Anchrs-Cnnctru 70 GFl 8. Bath Fxtrs & Tub AccSpa 24 Ceiling Jolst4b*Ties-Purtir�-Roof Brac-Truss 71 GFl Arc Fault 25 Frplc Ties or Type"A Flu`6*f"Ie Throat Cimc 72 Elec Trim & Subpni, Breaker Szs & Labels 26 Attic Ace; Sz &'Rinz Prtctn-Draft Stop -Ins Baffles 73 Stairs, Gu ardMandrails 2T Bdmt Wndws or 1_ziting . rsSill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtet i Framing -RC Charinel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs' . 76 Ktchn, Fxtr & Appinc; Grnd Air -Gap -Cooking Clrnc 30 Ext Doors One 3' -Check Garage 3r4 Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm4Use4Run4Landing-Fire Pdc n 78 Garage Fie Door Swing -Landing -Closure 32 Plywd on Roof Ovrhng--Attic Vnts-Rftr Outrgrs 79 AC Duct In Garage -Damper. 33 Siding-Nairing Veneer 80 Wtr Htr Vnts-CimcCom Air Cnnctr-PRV; abv fir 34 Stucco Lath Weep Screed-Fndtn Vnts-Undrfir Ace Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Are PrtctnSkyLts-Clastic • 81 Plmb; Elec & Mech Eqp Listed for Loc n 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insuitn-Foam-Looked in Attic 38 Insultn Walls -Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Drnge Planters Dyes Q No a. 4e Oyu 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Plmb. Appinc-Frplc-Cimc to Opngs DATE ELECTRICAL 90 Wtr Well, Dscnnct, Elec, PImb 91 Ext Elec Trim, GFl Reptcl-Undrgmd 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cndetrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous inspctns 44 Eqp Gmd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz oa 0 C or 0 A 98 Address Posted AC Wire Sz " OCU or QAL 99 Fire Sprinkler 48 Range Clic oa QCU or ❑AL Oven Circ ye" Q CU or DAL Insulated Neutral [—I Yes ❑ No dr 0.e"` 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clmr-s pnts-Motors-Meth Eqp 51 .Clothes Closet LtShwr LI -Spa Lt 52 Smoke Detector ;1 , RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 16 -Aug -2006 2006-0042194. -Has not been compared vith original BUTTE COUNTY COUNTY RECORDER 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. LONDA F AND RALPH ALBRIGHT REAL PROPERTY OWNER/LESSOR PO BOX 1925 MAILING ADDRESS ORANGEVALE SACRAMENTO CA 95662 CITY COUNTY STATE ZIP 488 SILVER LEAF DRIVE INSTALtiATION MAILING ADDRESS, ff DIFFERENT OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property 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 06-189 530 538-1541 NO. TELEPHOlf NUMBE[t ' O co SIGNATbp OT LOCAL AGENCY OFFICIAL. DATE NONISJ DEALER NAME (if not a dealer We, write "NONE") NONE DEALER LICENSE NO BENDIX 1978 8175 MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAMEINUMBER RB0836A/B 40x24 CAL061218/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCUMON ASSESSORS PARCEL NUMBER SEE ATTACHED HCD FORM 433(A) REV. 8/91 WWTr _ r- Recorder CANARY - HCD PINK - ADDlicant GOLDENROD -Building Dept. Order No. 101519 EXHIBIT "ONE" Lot 94, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT ONE", filed in the Office of the County Recorder of Butte County, California, on OCTOBER 30, 1970, in Book 38, of Maps, at Page(s) 5 thru 10. Assessor's Parcel No: 069-120-032 2 a FOUNDATION SYSTEM M ,L TTERTIFICATE.'OF "OCCUPANCY:: BUILDING PERMITS NUMBER: 06-1894 Address or location of unit: 488 SILVER LEAF DRIVE, OROVILLE CA 95966 Legal Description of Real Property: 069-120-032 SEE ATTACHED (x) Mobilehome/Manufactured Home O 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: LONDA F AND RALPH ALBRIGHT Owner's address: PO BOX 1925, ORANGEVALE CA 95662 ' INSIGNIA OR HUD NUMBER: ' CAL061218/9 SERIAL NUMBER OR V.I.N.: RB0836A/B MANUFACTURER'S NAME: BENDIX YEAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 ` H.C.D. 513C 0 � illi III 111 l 1111 I it 1111 111 l IN Il III RErORDING REQUESTED BY: 2 0 0 G51-1010 1 7 0 1 9 Fidelity National Title of California Eecrow No. 101519 -Lc Recorded I REC FEE 18.80 Official Records Title Order No. 00101519 I TAX 57.20 County Of I When Recorded Mail Document J. 6RUBIlS I and Tax Statement To: Recorder I Mr. & Mrs. Ralph Albright ROSEMARY DICI(SON I 488 Silver Leaf Drive Assistant I Myles 09:6 M 10 -May -2800 I Page 1 of 2 Oroville, CA 95966 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED The undersigned grantors) declare(s) Documentary transfer tax is 8,5%a t) I X l computed on full value of property conveyed, or [ l computed on full value less value of liens or encumbrances remaining at time of sale, [ l Unincorporated Area City of Oroville FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Zerie Mahala Price, Trustee of the Donald E. and Zana M. Price Family Trust dated 4/1/96 hereby GRANT(S) to Londa F. Albright and Ralph Albright, Wife and Husband as Joint Tenants the following described real property in the City of Oroville County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF •• • 000 STATE OF 1",VF111 I P% COUNTY OF Donald E. and Zana M. Price Family Trust By ? ¢. �N�; Z a Mahala Price, Trustee __.—_persooall.y_kno_wn_to_.me_(or proved_to-me.on..the-basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. OMCIALSEAL KATY CHILDERS Witness my han adoMI§ealQ��) NOTAAY PUBLIC- ORE60N 1l/vc-� COMMISSION NO. A316816 .2002 AdY COhrhI1SSIQI! EXWRES OCT. 8.2002 Signature MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards Decal #: LBC2996 Manufacturer: Tradename: BEND Model: Manufactured Date: 00/00/1978 Registration Exp: First Sold On: 10/26/1977/ Serial Number RB0836A RB0836B Record Conditions Registered Owner: Title Search Date Printed: 06/12/2006 HUD Label / Insignia CAL061218 CAL061219 PPF Exempt Voluntary Conversion to LPT ARNOLD SCHWARZENEGGER, Governor Use Code: SFD Original Price Code: ABX Rating Year: 1977 Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Length Width 20' 12' 20' 12' RALPH M ALBRIGHT LONDA F ALBRIGHT (Joint Tenants with Right of Survivorship) 488 SILVERLEAF DR OROVILLE, CA 95966 Last Title Date: 10/07/2005 Last Reg Card: 10/07/2005 Sale/Transfer Info: Price $17,000.00 Transferred on 05/10/2000 Situs Address: 488 SILVER -LEAF DR OROVILLE, CA 95966-3960 Situs County: BUTTE Legal Owner: WELLS FARGO BANK -------------- -- -410 HEMSTED.DR--_----___--- REDDING, CA 96002 Lien Perfected On: 10/06/2005 14:29:50 Inactive Decal/DMV: DMV SG8485 Title Searches: BIDWELL TITLE 1835 ROBINSON ST P0BOX 811 OROVILLE, CA 95965 Title File No: 226743-JLB *** END OF TITLE SEARCH *** 0,v51NG , •� u Q O ®® �� Z DE��� 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. BP061894 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/07/2006 APN: 069-120-032-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. license CI Ss' License Number. _I `703 86 Site Address: 488 SILVER LEAF DR ORO �_ Date: tS� 7 � 6 Contractor: �_ Map Index: OWNER43UILDER DECLARATION Description: EX MH ON PERM FND I hereby affirm under penalty of perjury that I am exempt from the Applicant: SIERRA MOBILE SERVICE Contractors' State License Law for the following reason (Sec. 7031.5 BILL REID Business and Professions Code: Any city or county which requires a Owner: ALBRIGHT LONDA F & RALPH permit to construct, alter, improve, demolish, or repair any structure, prior P O BOX 1925 to its issuance, also requires the applicant for such permit to file a OROVILLE; CA 95966 signed statement that he or she is licensed pursuant to the provisions of ORANGEVALE, CA the Contractors State License Law (Chapter 9 commencing with Section 95662-1925 7000) of Division 3 of the Business and Professions Code) or that he or License #: 470386 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 466 CIRCLE DRIVE 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 530-534-0599 proving that he or she did not build or improve for the purpose of. License #: 470386 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SIERRA MOBILE SERVICE not apply to an owner of property who builds or Improves thereon, BILL REI D and who contracts for such projects with a contractor(s) licensed 466 CIRCLE DRIVE pursuant to the Contractors' Slate License Law.). OROVILLE, CA 95966 13 I am Exempt under Article 3 of the Business and Professions Code 530-534-0599 Date: Owner. License #: 470386 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for O workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I 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 carrier and policy number are: Carrier: 7-wrk Total Square Ft: 0 S. F. - Policy 15 -% Valuation: $0.00 #: Census Code: ❑ I certify that in the performance of the work for which this permit Is Issued, 1 shall not employ any persons any manner so as become subject to the workers' compensation laws of California, and agree that If 1 should become subject to the workers' compensation provisions of. Section 3700 of the Labor Code, I shall forthwith comply with those provisions. " Date: Applicant: R WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), Inaddition 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 appllcatile`provlsions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Resolu ' s to do work Indicated ove for which fees have been paid. Q /� performance of the work for which this permit is issued (Sec 3097 Civ.) r ug-&, 011"Date: (3 f Name: By' Address: PERMIT EXPIRES ON: ( ate O 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. O Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 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; E Signature: Dale:y 6406 ❑ Owner DwIlf5rit-ractor 0 Agent for Owner ❑ Agent for Contractor ' r Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Ground System==s` BUTTE CO N`A'Y BUILDING DIVISION APPROVED Xi2 Concrete System www.s►eaawn.cvm - vwuw . Engineer Approval State Approval MANUFACTURED HOME/MOETLE HOME FOUNDATION SYSTEM HBALTH AND SAFETY CODE, SECTION ism APPROVED KWECT TO CORRECTIONS NOTED APPROVAL DOBS NOT AUTHORIZE OR APPROVE ANY 04I33IONS OR DEVIATION FROM REQUIREMENTS OF A WCABLE STATE LAWS AND REGULATIONS State Of Califomis GfRoaling ,-Ppmqw OF COQ43 AND STANDARDS Page 1 of 8 0 Li 0 0 0 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By. Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly.and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48 pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in: 12" pitch). Additional Requirements for Concrete Systems . • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. Emil> * Xi2 components exceed HUD code 3280.306 "Anchoring equipment exposed to weath ring shall ha4a�� p 9 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 0 0 o • 0 Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the 1 -beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) �n d of N°me Install frame bracket clamps to I-beam on in . side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten.at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and . beam clamps. TIE; DOWN:- ENGINEERING J -Bolt Nut & Washer 1-3/4"Tube � � ®,1 Strut Lateral Struts (flag end) z.` o. 1 " Tube 00 -1/2 4-#12x1" Tek Screws 1 -Beam ` 1 Figure 2 - Ul U -Bolt & mounting Figure 1 Bracket �n d of N°me Install frame bracket clamps to I-beam on in . side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten.at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and . beam clamps. TIE; DOWN:- ENGINEERING Xi2 Ground Parts Detail X12 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" o 0 o 0 Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home . 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems` 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket.wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Fieure 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 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 en ete brac t. 10. Pull the frame bracketclamp with fastened strut outward to remove any slac 11. Tighten all nuts and bolts on system. jj- 2. cr1i�ay� Page 5 of 8 TIE:" DOWN: ENGINEERING m 0 0 0 0 O Xi2 Lateral Concrete Systems Part#59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015- 65" up to 6 Blocks Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part.#59332 Includes: 5'. Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figure 1 J -Bolt Lone Nut & Washer Beam Clamp Bracket Xi2 Installation Placement Beam i Xi2 Concrete r � 5ystem Longitudinal Strut i f H°me Pad i 9�6F Concrete Longitudinal Hardware Kit 4 Page 6 of 8 m 0 0 o 0 Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems" 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems G 2 Lt 11/6S— Page 7 of 8 m 0 / l of"104) 349-040 LO o 0 Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 4 59272-2 1-3/4 zinc 4 10556 Tek Screw, #12 x 1 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base . 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut, 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 TIE" DOWN' ENGINEERING BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 .4 FEE WILL BE REQ UIRED AT TIME OF APPLIC.4 TION **PLEASE PRINT CLEARLY** OWNER Last Name rst Name Address City D�DuI� t E Stale Phone Zrp 9 S SEC Fax E-mail Name CONTRACTOR Address y�6 � �� City State Zi P Phone Shy pS9 9 Fax E- Namail Lic. # Class � y7�3�6 ARCHITECT/ENGINEER me Address City Stale Zp PhoneFax E-mail State License Number APPLICANT NAME Name - — ----- -�-LP--,�� - -- ---- --. � -- -- Address Ciry State C� d-- zip Phone Fax E-mail APPLICANT SIGNATURE X !'G I For office use only: Zoning Flood ZoneSRA Yes . No Occ. Type'Const. Subdivision NameMap Book I Page Lot # Planner Date Approved: OVER FOR -iLIBMITTAI PF=ni IIR�nn�r,rTc LOCATION AP# e6 y azo o3 Z Property Address y�� SIt vE,p,t6/9F Cross Street PERMIT NO. BP BIN # city O o✓lt<E WORKER'S COMPENSATION Policy Number yzs-7 Carrier J If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Com— .Cw,e6n Sq. Footage ` ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OEA.PPLICATION---------- ------ - -- 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 -- ;-A 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 cbecked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: Other 697-79B PERMIT NO. • i PERMIT EXPIRES -OWNER Don Price CONTR. ' Acrn-T.tiime a Ornvi 1 1 e 34-63-32 LOCATION (A.P. ) 488 Silverleaf Dr., Oroville Temp. Power Pole Called PG&E Temp./Elea Serv. C�zed PG&E Te p. Gas Serv. Called PG&E ;l O B FINALED 11 42" (Signature) nn ! • � 1! �` + ;y �� t 5 �i � n � � r / , �i � n � � .I [ ,r. .. .. . , r� :� Setback /Q Forms Main Bldg. Footings .StemwaI I Slab Piers Garage Footings Stemwa I I Footin Slab Patio Footin COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION,tECORD BUILDING BUILDING (Cont'd) PLUMBING --V1- Firewall Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidina To out Roof SheathingWater Piping Roofing - Sewer Fdn. Vents Fixtures Garage Vents Insulation / Water Htr. Heaters ' Prov. for ph dhandica e Conformance of ex. N structure Appliances Gas Piping & Te Tem .Gas Final 4A �Z Sanitation FIREPLACE Final - >-O -:-> Footin Fix E Mesh MECH&NICAL Gird. Fault P ot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping Mg§16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 1 r COUNTY CSF~BUTTES — DEPARTMENT OF PUBLIC WORKS 7 Coun y Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICITIQN AND PERMIT Lignature of IS Itee or Agent BY Date y 4-7 / Receipt No.—/-/-/ n,3 7 p White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date BUILDING Owner iZ, l C SO. FT. OCC. BUILDING VALUATION / 1. CJ Mai I i ng dress Telephone No. Contractor �1 _ k/ Mailing Address Fireplace Total Valuation P-0 L) IL p Tele hone No r^�i5i) Permit Fee Building AddressPlan 495? Checking Fee&/or Penalty Permit Fee P—® �-s It ---. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 �'7 Y , — A.P. No. (p F. Long &Planning Water piping 1.50 Each gas water heater or vent 1.50 �� Fomesr+ Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map R/W Improves me Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec' Parcel A proval pval Plans pro Lawn sprinkler system 2.00 NEW B ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR L Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 i AJ./4/ 7 / X 47 (�� ,! Main service OVER 600V 25.00 Main servlce EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACC. BLOGS.LING CCUP. 5120Sq 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 le of: style % A �iZO — /�tl A-�1� NEW CONSTR.BRANCHMULTI-OCIRCUITS) NON -REBID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. OCCUr)(OUTLETs OR FIXTURES B Ex. Occu FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 14 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Work s Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representat' q of the County of Butte to enter upon the above-mentione ert for inspectio es. X \ Date- 77— fi ` Land Development Fee $ TOTAL PERMIT FEE $ 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. DIRECTC��PUBLIC WORKS Lignature of IS Itee or Agent BY Date y 4-7 / Receipt No.—/-/-/ n,3 7 p White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date [PERMIT NO. 1618-78B ; PERMIT EXPIRES���� Don Price :t(OWNER `CONTR. Acro-Lume, Oroville 'LOCATION (A.P. 34-63-32 488 Silverleaf Dr., Oroville lot 94, KR#1 �y ft s t. ail C ' 1 . A Temp. Power Pole Called PG&E T p. Elec. Serv. Called PG&E emp. Gas Serv. Called PG&E JOB FINALED (Da t (Signature) � r a_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback- Firewall Soil Piping Forms Parapets list Floor Main Bldg. Restroom Finish A 2nd Floor Footings A Windows 1A 3rd Floor StemwaII Siding y To out Slab i V Roof Sheathing , Water Piping Piers A Roofing �' Sewer j Garage Fdn. Vents Fixtures Footings// Stemwa Garage Vents Insulation I V Water Htr. Heaters Slab Prov. for physically Aoollances handlca e Carport Conformance of ex. Gas Piping t & ;Te Footin s % b structure Temp. Gas Slab Final 2 — Sanitation 77 Patio FIREPLACE- Final Footings Footing ELECTRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam \ FlReSARINKI ERS Motors s Scratch Heatina IV Service Brown Cooling Temp. Pule Finish Ducts Undergr u Interior Lath Ventilation Perman t " Door Closer Final Final MOBILEHOME UTILITIES -----------------" Elec. Service Elec. Pedestal Water Piping Sewer yGas Piping OBILEHOME INSTALLALION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE �� REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE '— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 / 1dp 1 Telephone: 534-4541 (/ APPLICATION AND PERMIT Zigno a..ac��au vallcVvu y UI �Ul LU UIIICI UVUII IIIC abed ro rty f inspection purposes. X Date e of mitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By � ate �—� �- 7 � B Ildina permit expires Date - f BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing ddress Telephone No. Fireplace Contractore- I u -_1 i Total Valuation Mailing Address ) r Yg �� 4� i V Permit Fee Plan Checking Fee&/or Penalty ® Co (J I C_(_ )t` � . Telep one No. �3^cl 5/j Permit Fee $ Building Address iL v I /C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 a U ILk- IG Each Trap 1.50 Repair drainage or vent piping 1.50_ Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. q—(Q Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 / FP�e�s W. ,Saa�tefierr FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Pla s Parcel Declaration Parcel Map,60' R/W Im prove s P Lawn sprinkler system 2.00 Bldg. ons Recd Parce pproval PI s Approval Permit Fee $ $ NEW ll'ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service ;000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 60 Main service 00 AMR OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 _ H / a-7 / y/'Jr• �G. /� (J V NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20sq ft NEW CONSTR MULTI -OUTLET NON -RES ID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. r CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Calif rnia Business & Professions Code under the name style of: % C>2C� iLv .�1� Ex. Occup(OUTLETS OR FIXTURES)@@ BAL100 . FIXED APP LNS.D.) EA) 2.00 OR P -(OUTLETS (RESI ExOccuTemporary service 10.00 Mobile Home Facilities 15.00 License ? No.Q�/ —� � Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability en's Compensation. e placed on file with the County of Butte a certificate of Wo.�,r,,, ormen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 .Permit Fee $ $ TOTAL PERMIT FEE Zigno a..ac��au vallcVvu y UI �Ul LU UIIICI UVUII IIIC abed ro rty f inspection purposes. X Date e of mitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By � ate �—� �- 7 � B Ildina permit expires Date - f i 141 Zoning Use Proposed PERMIT APPLICATION WORK SHEET Permit fee based upon: 1. Complete contract price. _2. Partial contract price (explain). 3. DPW Valuation (show): Permit No. A.P. No. Approved Not approved At time of permit application, the applicant was advised the following data or information must be submitted ,prior to permit processing and/or issuance: Date received 1. All.items have been submitted- ------------------ ------ 2. Plot plans in duplicate/triplicate- --------------------- 3. Complete plans in duplicate/triplicate- ----------------- 4. Complete engineered plans and calcs- -------------------- 5. Fees of $ -------------------- 6. Letter of signature authorization- ---------------------- 7. Sanitation approval- ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation•Insurance Certificate - ----------- 10. Contractors license information. -----7 ------------- 11. Parcel declaration, recorded copy- ---------------------- 12. Access declaration- ------------------------------------- 13. Aunt Minnie information- -------------------------------- 14. Deed of access, recorded copy- -------------------------- 15. Deed of parcel creation, recorded copy. -----.------------ 16. Parcel map, recording data- ----------------------------- 17. Pre -inspection request for -- 18. Improvements - plans required & DPW approval: ----------- 19. Other ------ y - By Date / Bldg. Inspector During plan checking process, the following data or information must be submitted -prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor., 3. Deliver with inspection. -4. Telephone and hold for pickup @ aloffice. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent A, Street Imp. B. Drainage C. Permits .& Fees D. Other Y5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other { tans pQutica#ons • MU51 ' �• L of and, s` i i.his. Eet• F, bat an times :end is` �'n� NOTE:—Al Materials 8 Workmanship Shall Be irr Rept on the J° Accordance with Recognized Good Practices and nwke any chaa9� 9r atteretivns _on"�sarna withq� • • rm�sson from the D.ep?fi"'nt of :Public +' #•-a—quenty--prescribed for the Si�ecified use in the '�ihO" Pe.. :' �'�� � Uniform"Buildi g,' Plumbing 8 ' Machan cal Codes ari �lorks. ' _ t_ the National lectrical 'Code.. . lob i� jX)Z The Bfdg. Setback shall be 5 'ft. from the !Ride �'properfy line. and 50 Jt. from the centerline of the road, permitting a maxi' ;. mum of a 2 ft. save overhang but entirely out, of ;all easements: t' « iiUITCOUNlY ��,.. BUILDING DEPARTME-141 r = APP ROVr- — —fi o x p.- 0 3'x 12"W° PAN FLAT PAN I Atvnertunl 3ool •M30 - ' eWwyyuMw.l 3004-M 30" Fty eZO NB Icy=•17we O•RAT FPPfI TO 66roE0�H TM P. ®' FA6CIA onlV.1101 Oe Us01 M6.1d �ql Ivmt vaaec (ur+.m,7j exn. ew Msa enle. ? e.m.e. M b 0.M.0. ab 00 .0 on-e.e. 1 `p, ,T l m,n•oc. "PnNP e1n• .c.n Sno,n.autTPa y N•oc. 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P'eaT 20 -ICE •e¢ae.. ey. P•er=�11 E wcto Bw+eert III d Q°y I j OC •.'04 r'e9T•IeEf O+'L MND. Q • �: roor eaxi. FASCIA I j - e H EXT2.FASCIA'pep�" - 1-Y ♦ecar� A CONN. �mtsaTL.. OC nSECTION R.F FASCIA BM. s'� L I a+ t.,2a�- 8/A. 1'6o.PwT �J P,TM )"xM" M peN enM.piov�mean \ L4f,GTNOrP6G. ��• aEprlcwt t w i"`.»cw III ''I IIIA :II'Ili. W SECTION AT OVERHANG leo ad I.Oo• 0.018 A+M+1. loo3-M14 \ �� 3, �♦ '� I wml o" i• M. I,. e,0„ rY tic qt. pe.ae•w.e»ee 17 S$pIL ANCHOR AT1—L :A9 1107ED ATTACHED nrN•x . - . W II1fFIIF,�IIIIII{.- .g =- PERSPECTIVE „re.l1„�.�,. m •�+§,h�• •-}_ ^ U o � •'` _.. eeLTYq 0 mtT�rne ' f � I _ to 'S .mw� '.`oo m;:twi-w.o.cw. e'.M, • ' oar. ar+. ♦ � : •p•ro lo•o we,. o � N lei A+Prvo (04 awe) W a W LL a 10 POF wL- 10 PSP UPLIFT a 10 F10F PN•4MInp OeMEDULE J rQy l0 0 T,c 3'nQ"•w' "a+"eL —n-w"IY, SO. POST 3.00. ICOR TIVE F vaa I Poor AlyO Rxm?vw Tm (prvl0,Sep) n 5 a.•.o” •L: 000aro 1 M 4 t AO POArQiB"'v) fee r'aq., epi 4P I sago (Exrntmeo) q' I mnm ta.Tmoea ErTP-UOEO PUL1w. IIB 3"SO. POST PANEL f y •: %%° ) ISTD 3"ALUM. POST 13RKT 1 1 PR.O.040'TNL.gLUwg `� y[ on of g tc� Fp k d e Q 'p aae"TN TffL.tg 3 ! a x @ xd dpF §5 Q allvsTau�r on.'Y eE Ea in r PF Eg [c& Cf �k Lc� 8�III, E�Cd BC C Y[�� I FOP q•I eeAmoa rAeclgBn.co""a. P05T TA BLEno,nuTfui. Mba.,ne. tn„r.' onq `' a E a :. g IP0•• --•��. -- QN•'o. e. 1Tieioi BI -p• PI e%eI.% v, Ek II'-,• eeCP.x pa eBG G• 8M14S p2 FA '1e-,• �R•.F FASCIA ze SP TYPE o iecA,l Tr.o v - RmEanaj- P I "1' 1'0+ eO.Iea+9w/OCnwL enWP 4M 36 T. 90Ue Fate, pZ 3' ¢roer x. coo' r%ic+i"—' 'aac�wac P 3 3' 41 Pxn x.-48' T.— c oP 3'•%1'%NG°+>•w.ylp.em..rr.nee gemaw l0 Ee•oc. g -O• •011 n♦ ,=,",111Vx PI GR IO=4• -M.x Pa HSC It 10" MI.1S pl P9 -Wu- e.Q.% FLAT P• pAM fFP-a3-A nER% p11 ¢SC 0'- Ileecx IO-GMU -Want 0LLAT LL $1- n -O^ .eta ene'•+' nMtF% pl ESG r.8• 11eER Pa ¢BC 6'-3' 11M-% pn Tsan-r p1 Fe a'13• la 0 U"ve'4 Na (/j a e.P 9».0¢2 _ la oc°ca[wse \/\I +t' I E%�9T. STQU[TINEZ9: P1 {VBf Cqn BE IMp Y+UN OF PI 3.(.LTAn9eeee+Mee utlm V+LINwEWON•00tAe CGIIR'TIO1K� O 74 K n'+' , ✓•' �' • PP lm oa°M _ ave._1 An,a%.. fiber conn L —_ Y--. 11. P 3 roar c'M Be w In uN of P•1 oP PI Q � n J ,ngri: loco NBa r+��1�. ALL N✓Is.�eRN Oaa. Ee .aaNlp Mp GNe, ao6T ePaT. GENERAL NOTES � AroAr awa, P+MnE+., nn RE FACIA 6M. CONN. 3'•le waaM ^".'""" W W _] O��L'--�� 1.I+h'9p. pogT- Crone )'aw.pOel_Qaed.Te/q �;,/ MITM nYt•t O• ILPT IAN. {pr{. 2-O ^'^"-. a •lOae.a I < < n�n�^"Pun:BaiPe°�en :-,Ie AI^ Sr0 YnWw. M e0.wT.--� onDrTAIL ... , EXISTING SLAB CONNECTION CESC) -\j\ I'•t°617.W T • 70, v DETAIL G°f'o TT.w..,. '1a DETAIL ATTACHED POURED FOOTING C AF)—CF) ens -I 1. AlNwev,n el01p• POI 1913 1e+110nq euu.olMS t' 6. - "' • .. ^vn..... O C) 2n aM:. • a'n� n. aeaacn uwos:u-lo w,wlasT ale w,wL .wry `"+""•" ti nw ww♦am m •1. PPawC1eD Pros♦ d raL ate or as •. �.:.• •- ♦n " • •-_ • •1 PAv of Awv,p s ePeT a+tx¢e F ¢P_,oam. :': • • • •-„-:• u .ro aa' '+ yep 3. 6rm+CTUPe we,Ts s+nnam.m+l are+ n%w ncct .• -^ • • •..• •. .- a z Q ••.>, roa' 2.wm errnau+oaenrn oPpewv -EMLnlY.pM+Pe,r Asa AT ruaroamnn.. %� o SN 1977 so I- 3wN1 mut r •ew+rea.EncLos pts wwY nm x miwoFn ro rnl rots ' c %-/BPw —21 UUUU�JJJN� Q aG EXT ASCIA SPLICE 'H,CQ1A ;�F�tim a c•..°G� 4. Bol A m PP .w,tALeoLOP mm Pnm. aP. Pp. 78 _[B $� Laos. oeor»,c ,•rte FMAx vloee roa,•mt,+ow.. wo11iP 1 lw I'. oad mwonrm 3•wW Pet FT. ev La•,w, LA+eM♦L . rnr, N.^ •OP"v1 E,•I,.,IAN 21 1979 YZ N°�•gr1: 6074 DT4 uTA.gtluw"�~"� 4 0 T.�rfi CM. 9'eww. ♦ a�o%M �' I pH, °. eonCae+F One wne ..m0e pm me♦. BfCSF,ph- 3— wcTD.2 FXTR.FASCIA B/ ye o eoLre o. PU FAer.,e ee wa.r,.Pw anew rowevwuew,e.w. aw .I cTQ -c�, �e+. O ager 1•uTeo. �' �. sulF e'q•' 1. 5A01 p,OtRLLATIe" a..Au Iti+.e An Iee'•TIMG,TIM IMO oNo.+n P c roue u�� ♦ o [ InooeL ro., en, no..l•vP.rw.s 1 alai„ sive lone. + enolu1Rq �g`_ cot oe a F. 'ta Mie. Peanlr. ?Er GL1{eLe�a ORK. ND. ' S 1�ST'LAPOST BRKT. SECTIONc� 6° 8 FTG. DATE ,Ae 1',w�. SC -76144 -Al 3G OMi k R ILDING D.EP R APPROVED %/y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE,.CAL.IF. - 534-4541 CERTIFICATE'OF OCCUPANCY, ,Thi mobilehome has�been instal -led -in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 62 - 72 for the following location: dam• Oe 0 1-Y Owner/14 0 )—=- Owner's Address 54 rn)—c - Mobilehome Mfg.AFIV2)/X Model 1?1/75 Year Insignia No.CA/ 0Jh/a?/�l Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Directrra of Public Works, Date k �7 By �C THIS CERTIFICATE IS VOID WHEN MOBILEMOME IS RELOCATED a s 36� o PERMIT NO. 5406-77P,E • PERMIT EXPIRES T OWNER Donald E. Price CONTR. owner LOCATION (A.P. 34-63-32 488 Silverleaf Dr., lot 94, KR#l, Oroville s k: r s 36� o PERMIT NO. 5406-77P,E • PERMIT EXPIRES T OWNER Donald E. Price CONTR. owner LOCATION (A.P. 34-63-32 488 Silverleaf Dr., lot 94, KR#l, Oroville s k: r Temp. Power Pole Called PG&E JAwM. Elec. Serv. u 444--' Called -PG&E .To"- Gas Serv. (Ai— Called Q**E /,`'(/O B t / FINALED (Date) (Signature) �i Temp. Power Pole Called PG&E JAwM. Elec. Serv. u 444--' Called -PG&E .To"- Gas Serv. (Ai— Called Q**E /,`'(/O B t / FINALED (Date) (Signature) k� J M k� J COUNTY OF BUTTE - -DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING F ewall Ski Piping Vrm Par ets 1 t Floor Bldg. Rh 2n Floor tin s Windo 3rd Noor Stvmwall Siding To out Sia Roof Shea Ina Water Pi i Jq Pier Roofing Sewer Garage Fdn. Vents Fixtures FootinA Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sical handicapedy Conformance of ex. structure z Appliances Gas Piping & Test Temp. Gas Slab V Final A Sanitation Patio A FA E ACE Final Footings Footing E ECTRI L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLEhS Motofs Framing Test Water Htr. Stucco inal Sub anel Mesh MECHANICAL Grd. F It Prot. Scra h ServiB n JHeatI9(9 oo ng T p. Pole F ish is nder round In rior Lath entllation Permanent oor Closer anal" foal MOBILEHOME UTILITIES ------------------ Elec. Service 00 A- Elec. Pedestal Water Piping /d Za 7 Sewer /0/:;L , Gas Piping MOR16EU014E INSTALLATION - - - - - - - ------ Support�� Elec. Continuity 164a Water Piping /� ��. Drainage A 7 Gas Piping 107--a gZ7 2 d -- DATE DATE -REMARKS✓7� OR CORRECTIONS �Oo /1 C.. F,- ©` Qd� ,- /-L/O j um/C 7 - (NOTE: (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 wit equired separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes[/ No_ 3. Are footings and supports properly sized, spaced, and braced as pe pproved plans? (Note . possible variation at spring shackles.) (:71_ . 082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ o 5. If morean a single unit, are crossover connections properly installed? (Sec. 5088) Yes f No I 6. Water A. Is fl ible 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 Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7.. Wastes and Drains / A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes _--No B. Does it have minimum 'k" per foot slope and is it.properly supported? Yes -No 1 C. Are'any leaks detected in drainage system after running.3cel-lons 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 Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector more than 6 ft. long? Note: All piping is to be at least as large as the mobil ome gas line iiilet without reductions other than the mobilehome connector. Yes_ No_ , B. Test OK as per following procedure? Yes_ No ,1� Open all appliance connector valves. l?i Shut off appliance burner and pilot valves. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 'Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes r/ No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1.0 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No - B. Is there proper clearances around panels? Yest/ No C. Is power supply cord,or feeder assembly properly fused? Yes�o_ D. Is continuity test satisfactory as.per the following procedure? Yes i/No_ 4! De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. -3 Switch all breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. Is job card signed by Health Department for water and sanitation? If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestylefz/y / X_ Length Width Vehicle Serial No. State Identification No. C-41- n G, % Al 2 J_- CAL QL -;�./ k Additional Information or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT lei auinarize re sent lives ne co ty OT tsutte to enteaupothe abov n Ione pperor ins ion pu {poses. Date Signat re of P r tee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IRE-T,qR OF PUBLIC WORKS B Date -Jb 1k717 -7 � Ah U_ a 0 , , / �_- it"ermit expires Date _ , 60 7-"� 7, BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address RiverPermit Fee Plan Checking Fee &/or Penalty OnTele ho e V 1 �' Permit Fee $ Building Address S Ti PLUMBING No. @ FEE PERMIT FILING FEE J$3.001 Each Trap 1.50 V Repair drainage or vent piping 1.50 Water piping 1.50 ak OIL Each gas water heater or vent 1.50 /_ A. P. No. �'C4 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W m Improvements - provements Lawn sprinkler system 2.00 Bldg. P s ec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 o - I Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home &- Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS &) NON-RESIR D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State o alifornia B siness Profe sions Code under the name style f a Ex. Occup(OUTLETS OR FIXTURES) BAL� 04 APPLES. OR Ex. Occup. ( FFIXXED OUTLETS (RESID) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.�lo/Cl 0 Classification`__J Misc. Wiring P6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation , Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to Iil ing construction, and herby + v TOTAL PERMIT FEE s� s 3v auinarize re sent lives ne co ty OT tsutte to enteaupothe abov n Ione pperor ins ion pu {poses. Date Signat re of P r tee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IRE-T,qR OF PUBLIC WORKS B Date -Jb 1k717 -7 � Ah U_ a 0 , , / �_- it"ermit expires Date _ , 60 7-"� 7, MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No. "/X� Year Width (ft.) Length (ft.) Expando Size. .x ft. (Draw support details below) . 1 y 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). Sin 1� Footings-(check-one) �{ / { / `/ 1 Wood.. either . pressure treated or Center Center Support fdn-. grade. Support Footing .Sizes, Locations (in.) J�L.2. Concrete pad. 3. Other,: specify n. In.�in. Supports (check one) /AVI. Concrete block 2. Concrete piers •ft/ lin ('in (in.') 3. Steel piers 4. Other, specify Typical Support -x Footing Size • In . --------- in. in. I i Max. Pier -' ( J` -Cl: Spacing 40 ln•) 43n.fin.) ` (in.) (in.) ( ( ( �� Max. Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY P�� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 � r / MOBILE HOME INSTALLATION SHEETL 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes. No ( If yes, furnish permit number ��d��� ? ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /. No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 140 r Amps 6. What is the mobilehome site service rating? -------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) site service? --------------------------------------------------- Yes / / No / (If yes, identify the load and size: (Load (Amps) 5V 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- ::--Na-tural /--7-- LPGT77/"' 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) Y V _ _~-• COUNTY OF BUTTE^ DEPARTMENT OF PUBLIC WORKS % `� "-] 7 County Center Drive — Oroville, California. 95965 (0 / Telephone: 534-4541 APPLICATION AND PERMIT au.,vc.� uic VV 11LY — UUII CIIICI UPUII LIIe above-mentioned propertyy%for inspection purposes. e—, - 9 1 Signature of Permitee or Agent Receipt No. /�w _7.-1 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 O'FIPUBLIC WORKS BY ate,l�..� Bu ding permit expires Date BUILDING Owner Donald E. Price SQ. FT. OCC.1 BUILDING VALUATION Mailing Address Almond. Grove Mobile Park Space #8 567 Lassen Ave., Chico, CA. 95927 Telephone No. Fireplace Contractor (Owner) Total Valuation Mailing Address Permit Fee J Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address 488 Silverleaf Drive PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 Oroville, CA. 95965 Each Trap 1.50 Repair drainage.or vent piping 1.50 Water piping 1.50 00 is in ayes Ippf Lot 94, Unit 1 — Kelly Ridge �stgates Each gas water heater or vent 1.50 A. P. No. 34 - 63 - 32 %�� —� c ZO Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sa ation FireDept. Fire Zone Use Permit Building sewer 5.00 10,00 EQA I Parking Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. P nRec s d L Parcel proval J Pla s Approval Permit Fee $ naab $ 0� NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 (7 Main service V OR LE 100 AMP ORSLESS 5.00 Main service EA. AOD•L too AMP 2.50 �-y Single Family ❑ Duplex ❑ Mobil Home u Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 500 SQ- F1_ MINIMUM NEW OR ADDNST ( DACCLBLDGLING OCCUP. &) 22sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50e6 FOR MOBILES NEW CONSTR (SINGLE OUTLET CURPOWER .& NON-RESID. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le Of: Y Ex. Occup(OUTLETS OR FIXTURES)so @250 109 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ �j ^ $ 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. 9_�' certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Per it Fie $ $ 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 4A) k J d0 TOTAL PERMIT FEE $ au.,vc.� uic VV 11LY — UUII CIIICI UPUII LIIe above-mentioned propertyy%for inspection purposes. e—, - 9 1 Signature of Permitee or Agent Receipt No. /�w _7.-1 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 O'FIPUBLIC WORKS BY ate,l�..� Bu ding permit expires Date This set of plahs'an.d'-specifications MUST be s unlawfuL to kept J��b6naf A ft*.m49'and 44 LOT 94 UNIT I make �.--y or aric.rations on same W!TrWUI wrWen perIiissicn from the .Department of: Nt- Ac O.C. NJ ID X Ii.c Works. County-,Pf ftuftv..p— --atcro i;c %-4-orks, County of Butte. t 0 'V J". 4a" -f . eS-r,..'.' . or,!. G 0/ r'.a / (-"Y X' - P f 0 te . . . . . . . . . . it) e P 0//,& '9 1 "actic "Ic Ode.'., ec a®d 0S 01)ZI tlse� 044F /Codes the es —72E The ftiurSetblock steal: be 5 ft, from the side property lizie and So ff. from the centerline of the road, Pemiff ing a maxi. mum of a 2 ff. eave overhang but entirely out of all easements. Yo A, f jilty 10CCjf � ff . 0 , F - secti In 4 "S shall or) outside iL 4je f fire re On 'he le-fi-.1ro, 0 fhe mobil e h CIP. 'Ormne. ad) side of the orn a mobile 0 lot Will e re of 941;j -574-- 7--0 I -q C-/< . Zoo xxr-qP... F �- -%v � . � / "_S�1Z/P So P - k9 C'oo' 0 0 /050.00' -V 0 7 - TO -CA Z 3 6 '. 1 BUTTE COUNT Y BUILDING DEPARTMENT APPROVED 3 �-3- -7 '2, 2Fa oYl 69 c99'6 sb ND 100o �d�y y�n7�S gS Na 3 v 9 1 ',�9AI)s I m