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HomeMy WebLinkAbout069-130-010I jo 34-6r�O Lynn A./Eisenberg 0 62 Nd6h LodgevieAr.' lot 134\ KR#l, Or-o"ville Permit #1892-80V _;E(util.,MHS ELEC. q- - F-0 GASxl-�I) SUPPORT STRUCTURE REQ. COMPACTION TEST REQ Contr: Daniel C. Hughes, Y.C. 11 L' P rmit#2103-80MHI >I \SUe d Permit #3552-80B(new covered deck & -patio Q cove;/MH) '4A� P1Qeezj'j 34r-*-� 69,17 -lo Permit#5695 80B< r* ate t d gar- age-) ;;e_,, i: /V ------- ------- Contr - 81 . erra Roof & Acoustics Permit#61 -80BJgacof lex walking deck) l / 706=2537 B06'-2537 069-130-010 0'1 ' ' RESIDENTIAL SFD-Mobile Home RET S E I X EX MH, EX SITE PE FN E MH , E) 3 9 90 LODGEVIE�a OLO LI DALE M & BEVERLY Abp 0 � 16 i -- - Y - ;Ct�lj�l �, � RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0057134 Recorded I REC FEE 10.00 Official Records I Count? of i CONFOM COPY 1.00 RutCROU J. GRUBBS I County Clerk-Recorderl I I NZ 09:35M 01 -Nov -2006 I Page 1 of 2 IIII 111 III 1 [I�l I II li III III! t�1 � II 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. ASH, DALE M & BEVERLY A BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 390 LODGEVIEW DR 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 390 LODGEVIEW B06-2537 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER OROVILLE BUTTE CA 95966..,U: kAJ.of\ 10/31/2006 CITY COUNTY STATE ZIP SI T RE OF L AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME - CITY COUNTY STATE ZIP UNIT DESCRIPTION UNKNOWN 1980 N/A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S2978Al13 60'X 24' CAL186466/71 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 069-130-010 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. :IBTION 96-02855 ORDER NO. BU -151459-1 ALL THAT CERTAIN REAL PROPERTY. SITUATE IN THE STATE OF CALIFORNIA,',.. COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: IAT 134, AS SHOWN ON THAT CERTAIN MAP ENTITLED,- "KELLY RIDGE,,;,,' ESTA'L'ES UNIT ONE", WHICH MAP VAS RECORDED IN T4E OFFICE OF RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFRNIA, ON: OCTOBER``;-` . 30, 1970, IN BOOR 38 OF MAPS, AT PAGE(S) 5 THRU 10.A. CERTIFICATE OF CORRECTION RECORDED MARCH 17, 1971, IN BOOR 166' -3` -Ti' --',f.4,`!" ' PAGE 624, OFFICIAL RECORDS. cE ISLa NorAit7 SIAL 0 I certify under penalty of Perjury thatehe notary $eal on the J document to whlch.this statement is actach.td reads as follows: Name of Notary(,�6x .Date —�% ?l? Commis===— Kanufactur a IDI County �[1a�7 State Place of execution of the is laratlon Date /-a6 9ma ur Mrs name any ``N.�•' li.5i �i BUILDING PERMIT NUMBER: B06-2537 Address or location of unit: 390 LODGEVIEW OROVILLE CA 95966 Legal Description of Real Property: 069-130-010 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: ASH, DALE M & BEVERLY A Owner's address: 390 LODGEVIEW DR OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL186466/71 SERIAL NUMBER OR V.I.N.: 52978A/B MANUFACTURER'S NAME: UNKNOWN YEAR: 1980 OFFICIAL APPROVING INSTALLATION: Al�alagv DATE: 10 -�`�� - 0 G PHONE: (530) 538-7541 H.C.D. 513 1792e.:W`..xEi;^e��t'�4� 'r a i, ��+� �Fa `M.y'1��«,,yy-��}T�1ynb{/7.: �j,� 2}:S�b. yi*,{+°.yp� '34M+�+�r�f-4�- �' 4 �.�,^y .'t •� i ;&FOUNDATIONSYSTEM�� �"" x �,y � +,t t�rys -y ��+�'.yy7�,*�tr Ly,�,h r "�'(au ���7i ri +t• � } µ k C 7"A�'• Ss�,�.• Y 9�" ?SiF .R �S61�F-"?—1`9i"� '"✓'fes �1u' Y. tl#`. >A h��� .....y.��CER�TIFICATE OF OC:CUPANC� ��Y Arli, 00, .v Sr,�.ra7yr,':i+'x qr. BUILDING PERMIT NUMBER: B06-2537 Address or location of unit: 390 LODGEVIEW OROVILLE CA 95966 Legal Description of Real Property: 069-130-010 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: ASH, DALE M & BEVERLY A Owner's address: 390 LODGEVIEW DR OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL186466/71 SERIAL NUMBER OR V.I.N.: 52978A/B MANUFACTURER'S NAME: UNKNOWN YEAR: 1980 i OFFICIAL APPROVING INSTALLATION: DATE: �O - `I 0 PHONE: (530) 538-7541 H.C.D. 513 BSCRIPTION 96-02855. ORDER NO. BU -151459-3'.;' ALL THAT -CERTAIN REAL PROPERTY. SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: LOT 134, AS SHOWN ON THAT CERTAIN MAP ENTITLED,• "KELLY RIDGE.;:;: ESTATES UNIT ONE", WHICH MAP WAS RECORDED INbOFFICE OF THE:a: RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIF RNIA, ON, OCTOBER;�4-` 30, 1970, IN BOOR 38 OFMAPS, AT PAGE(S) 5 THRU 10. CERTIFICATE OF CORRECTION RECORDED MARCH 17, 1971, IN BOOK PAGE 624, OFFICIAL RECORDS. I L=12Ld NOTARY ltAL DCL RA S N I certify under penalty of perjury thatthe notary $eal on the document to which• this statement is attached reads as follows: Name o! Notary(,// Up. Da t a Commission IDI D gKanufaetuc s IDI_ County ' State Place Of execution of ehJ�lsratlon v Date /- a� Signature Run name if any rr: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CA" 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2537 Issued: 10/27/2006 Address: 390 LODGEVIEW OROVILLE APN: 069-130-010 Permit Subtype: SFD-Mobile Home Owner: ASH, DALE M & BEVERLY A Applicant: SIERRA MOBILE SERVICE & SUPPLY Description: EX MH, EX SITE, PERM FND MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set acs 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 (. L DATE PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 390 LODGEVIEW Owner: Permit NO: B06-2537 APN: 069-130-010 ASH, DALE M & BEVERLY A Issued Date: 10/27/2006 By KCG Permit type: RESIDENTIAL 390 LODGEVIEW DR Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: 10/27/2007 Description: EX MH, EX SITE, PERM FND Occupancy: Zoning: RTl Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE & SUPPLY SIERRA MOBILE SERVICE & Building Garage Remdl/Addn 466 CIRCLE DRIVE 466 CIRCLE DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)534-0599 (530)534-0599 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B677 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SIERRA MOBILE SERVICE & S CSLB-470386 / C47 / 03/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 10/27/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I as required by CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law down not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 046-0004257 01/01/2007 Cartier. Policy Number: Exp. Date: Contractors License Law.). (This section nee not a competed if the permit is or one undred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 10/27/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 10/27/2006 I hereby certify that I have read this application and state that the above information is cortex. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. CONSTRUCTION LENDING AGENCY 10/27/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) 11 Owner ❑ Contractor OR; E]Agent for Owner Agent for Contractor INSPECTOR COPY Lender's Address City State Zip STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ovstNG ati Division of Codes and Standards O pnm© u.Z sea w 3Gti���0 Title Search DE Date Printed : 10/24/2006 Decal #: '-LAX8977 Use Code: SFD Manufacturer: Original Price Code: AJQ Tradename: MOUNTAIN HM Rating Year: Model: Tax Type: LPT Manufactured Date: 00/00/1980 Last ELT Amount: Registration Exp: Date ELT Fee Paid: First Sold On: 00/00/1980 ILT Exemption: NONE Serial Number S2978A S2978B Record Conditions: Registered Owner: HUD Label / Insignia CAL 186466 CAL188471 PPF Exempt Voluntary Conversion to LPT Length Width 60' 12' 60' 12' DALE M ASH BEVERLY A ASH (Joint Tenants with Right of Survivorship) 390 LODGEVIEW DR OROVILLE, CA 95966 Last Title Date: 04/24/1997 Last Reg Card: 04/24/1997 Sale/Transfer Info: Price $30,000.00 Transferred on 01/24/1996 Situs Address: 390 LODGEVIEW DR OROVILLE, CA 95966 Situs County: BUTTE Legal Owner: DONNA PENIX PATRICIA HASEMEIER PENIX Trustees 128 RIVERVIEW DR OROVILLE, CA 95966 Lien Perfected On: 09/30/1996 16:54:00 Inactive Decal/DMV: DMV SR5249 * * * END OF TITLE SEARCH rrz COUNTY UL 12'7 2006 DEVELOpra SERVICES Record at the Request of Mid Valley Thle dr Escrow Company Orden No. 96-02855 Emow No. Loan No. 151459Ah4-3 S 6 —0028551 WHEN RECORDED MAIL TO: DALE M. ASH and BEVERLY A. ASH 390 LODGEVIEW OROVILLE, CA 95966 MAIL TAX STATEMENTS TO: SAME AS ABOVE 069 -130 -MO I Recorded I Official Records I County of I Butte I Candace J. Grubbs 1 Recorder I 8:00am 24 -Jan -96 I Rec Fee 12.00 DOC 58.30 Check 70.30 MVTC CA 3 DOCUMENTARY TRANSFER TAX $5930 X CMIPU d on ttte om Wwafln a value Of Pmo«b GM»Ye4 OR CWFPA d an M aomldaation or varve Is" bm a amm6mion mna'nhp at true d Sam, GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, MRSTIWMRSTATE BANK OF CALIFORNIA, EXECUTOR OF THE ESTATE OF LYNN ANDREW EISENBERG, DECEASED hereby GRANT(S) to DALE M. ASH and BEVERLY A. ASH, husband and wife, as Joint Tenants the real property In the UNINCORPORATED AREA County of BUTTE , State Of CaftrrMa, deeabed as SEE LEGAL DESCRIPTION ATTACHED `PHIS DEED IS PURSUANT TO IM -MS TESTAMENTARY FMSr ttDi1'MTATF BA A. K.OF CALIFORN(A EXECUTOR FIT MAY 9, 1994 U NDER THE INDEPENDENT ADMINISTRATION OF ESTATES ACT FILED IN SUPERIOR COURT OF &kH'FWIA gVUNTY OF BUT — Dated ant a N t n, 998 NiiTT:: �� 1l �i 69 �, , } M.A. DRAKE 9IC PRESIDENT STATE OF CALIFORNIA COUNTY OF } l USISTAMICE On M _ WOMAN appeared pe =Wly known to me (or proved to me on the bvb of satisfactory evidence) to be the pow (a) whoee nams(s) ta/are subscribed to the BUTTE WI Mn Irtstrunertt and adkrnrwledged to me that he/sheAhey executed the SW" In hbAter/thelr aWK'dze0 COUNTY rapactyQss), and that by htatlterRhelr Wgnetwe(s) on the katrumsnt the persona) or the entity upon behalf of UL 1 006 2) 2 which the penw(s) aded, executed the Instnanent. L L v WITNESS my hard and official seai. DEVELOPMENT glpnahaa j C CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT GENT State • County of 1 �1 e. s 96-02855 On ---=i21=1� -(Q - before me, NCk Q o j- a . M _JQQ o A 4`11 �� Dale Nemta Th Nems arid of Officer (o.D., Doe, Notary personally appeared \ Name(s) of Signerts) ' V TKI personally known to me - OR - fxcey�etFideCsc� to be the person(s) whose name(s)*are subscribed to the within Instrument and acknowledged to me that Wasp/they executed the same in h AiF/their authorized capacity(les), and that by "their signsture(s) on the instrument the person(s), WAM MM or the entity upon behalf of which the person(s) acted,' MCGWft_ executed the Instrument. ,mmw. lhloh MR 17,19" WITNESS my hand and official seal. 11110'"601W4 - OPTIONAL 'though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this !orm to another document. Description of Attached Document Title or Type of Document: _-10 Document Date: � "• � 1 - l ((L— Number of Pages: Signer(s) Other Thar. Named Above: Capacity(les) Claimed by Signer(s) Signer's Name:�(1, - ��' Signer's Name: \❑ Individual �J Corporata Officer Titie(s): \4 2 ❑ Partner — ❑ Limited O General ❑ Attomey-in-Fact ❑ Trustee \O Guardian or Conservator Other: E.: L1 Top of thumb hare Signer Is Representing: star° sank )rs .45 rizfr of 'Streel CA .4104 . A..- .- n-_ .. ❑ Individual �j Corporate Officer Title(s): A11 P ❑ Partner — ❑ Limited CJ General ❑ Attomey-in-Fact ❑ Trustee ❑ Guardian or Conservator Other: C�_ cj_pr:. Top of thumb here Signer Is Representing: First InteMtAte fn Francisca CA 841 { r. �_. . •• . -^ •....o rroo. Na. 5907 Reorder: Call Toll -Fres 1-0DD-87fS4W END OF DOCUMENT 4 • •. S. is BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 390 LODGEVIEW Owner: Permit NO: B06-2537 APN: 069-130-010 ASH, DALE M & BEVERLY A Issued Date: 10/27/2006 By KCG Permit type: RESIDENTIAL 390 LODGEVIEW DR Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: 10/27/2007 Description: EX MH, EX SITE, PERM FND Occupancy: Zoning: RT1 Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE & SUPPLY SIERRA MOBILE SERVICE & Building Garage Remdl/Addn 466 CIRCLE DRIVE 466 CIRCLE DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530) 534-0599 (530) 534-0599 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B677 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SIERRA MOBILE SERVICE & S CSLB-470386 / C47 / 03/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 700) is in full force and effect. 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]; X J� 10/27/2006 l Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION - OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the 004257 01/01/2007 State Fund 046-0Exp. Date Policy olicy Number: : Contractors License Law.). (This section need not a completed if the permit is oror one dollars ($100) or ass. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 10/27/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 10/27/2006 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused o,o arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) t is the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize Gia DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the p party owners behalf. CONSTRUCTION LENDING AGENCY C r D 10/27/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner Contractor OR;Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip Last Name Td—c7'--. City 012ourL�-F Phone BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION NO. AND SUBMITTAL REQUIREMENTS 2'4 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 BP n BPO69C A FEE WILL BE REQ UIRED AT TIME OF APPLIC;4 TION BIN # **PLEASE PRINT CLEARLY** OWNER A s ti First Name LOCATION Dett 6rvLKLr AP# 06 i 130 /o 390 ltint7�-�U�..u� Property Addr3e 9 State o ko0oev , e « Zip City Fax Cross Street CONTRACTOR State u` Zip 9SfE6 Shy oS9 9 Fax Lic. # y7o.3,E Class ARCHITECT/ENGINEER Stale Fax State License APPLICANT NAME Name 4ddress wily Lei State d— 'honeFax S`3 qoS-6 6 -mail APPLICANT SIGNATURE Policy Number WORKER'S COMPENSATION Y2-;-7 Carrier !f hiring anyone other than license contractors, a certificate of worker's compensation mustbe shown at the time of permitissuance. A 1_ _ LENDING AGENCY _ Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits r ❑ Proposed Change of Occupancy (Note previous use): 9S%ebl or office use only: zoning — Flood Zone SRA Yes - No - )cc. Type Const. -ubdivision Name Map Book Page Lot # tanner Date Approved: )VER FOR Sl1BMITTAI J RFf11 1-11—;,;=Nnf=t,1-r EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be r wired. 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:K(), Amount ?b49' r" Bldg Receipt #: 131 �.hccK�Qci� Date:6 SRA Sheriff SMTP Other 45gq - 5IL L)tpp EGKS O : 30 `I x •l 4 OPEN �Ec,tC DEC K ISO' L m � LAO LI 1 ri I _ 1 � DALE 13 CJE�L'i A. ASM 2J�D 111DGC�tE� QtoUIL E- 6 q 6q -u)o - © 1 �0�253�1 BUTTE COUNTY I BUILDING ®IVISIC �i,% APPROVE® 10, ocoq-Wclo va- �l-DSO �� Copy I 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 ao�253� BSE CO _ BUILDING DIVY%.,�..: APPROVED -111-n-7 ^r. F Xi2 Concrete System r Engineer Approval State Approval MANUFACTURED HOME/MOBTLE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18331 APPROVED SUBR= TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY 404ISMONS OR DEVIATION FROM REQUIREMENTS OF APPLWABLB STATE LAWS AND REGULA71ONS S" Of Celifomis DqaftaW afftusinS ,, O8 COVES AND STANDARDS Fite Copy Page 1 of 8 0 Li 0 0 0 r1ol Xi2 Foundati on System I 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 13.36.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.3068 "Anchoring equipment exposed to weathCrng sha11 have ai 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 TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta GA., 30336 11'ag Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) J -Bolt Nut Washer 1-3/4 Tube S� I� Lateral Struts Strut (flag end) 1-1/2" Tube 4-#12x1 / Tek Screws I -Beam Figure 2 - Ul U -Bolt & mounting Figure 1 Bracket No're F_of rid 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. 5 1i Y.. 2. TIE, °'DOWNs� >` ENGINEERING µf, Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" 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 >- �S ((� 2.. Page 4 of 8 Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads p 9 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,t 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.a� 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite en . ete brack t. 10. Pull the frame bracket clamp with fastened strut outward to remove any slac 11.Tighten all nuts and bolts on system. &7_�; 11Y- z. c 11i/��� Page 5 of 8 T/E.. DOWN.' ENGINEERING Xi2 Lateral Concrete Systems Part#59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Longitudinal Strut Concrete Longitudinal Hardware Kit /Nut & WasherNome Figure 1 , Beam Clamp �ri 7 Ol W Bracket J -Bolt uF Lone Xi2 Installation Placement Z �F O� -Beam 3 .�, � .M t 15 ti -2.. c t Nay Page 6 of 8 �r f T/E3 "DOWN;' ENGINEERING 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 0 -80' (76' Box) 4 Xi2 Systems 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 " 2 L r Page 7 of 8 �9 m n 0 0 i o 0 /f .f Breakdown eakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 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 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 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 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 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 M 7' C PO A -i,-- Page 8 of 8 s i TIE.. DOWN" ENGINEERING < r PERMIT N,O. 5695-80B PERMIT EXPIRES OWNER LYNN EISENBERG owner CONTR. ' ASSESSOR PARCEL 34-62-10 LOCATION 62 N. Lodgeview, lot 134 I RIP1 z TemF TemF i Teml JOB J=OK O Not OK -. Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except.k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's--- . 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI - - 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK O = Not OK - = Not Applicable = Not Ready RESIDENtIAI (Single and Duplex) � ' , Date UNDER'OOR Plans OK except #'s Date FRAMING Continued ening requirements -Setbacks -Easements 48. g. ain; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth x rs-One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- / /" Ftg. Depth ta' ' h -Headroom -Rise -Run- Land ing- Fire Protection Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth lyw d on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer emwalls, Garage; Steel-BIockouts-Wrapped-Slab 53 -Mess - - 54.- rotection-Skylights-Plastic jollIF-D.W.V.: Fall-Fittings-Test-2.waV.C1G.-Sewer Test 55. s 9 -Gas Pipe; Size -Anchors ?6 -Water Pipe; Test -Anchors -Regulator -Service Test 44:- Electric; Underground 44- Plenums & Ducts; Clearance -Material -Support -Ins. 14, -Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI ate ---, -,ff Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI at -jam Card -BI Date Date FIIIIAL (Plans) OK except H's C -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 14. - - s- om Steps -Door & Sidelight Protection -Landings 5 58. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; eve oor-Ducts-Meth. Protection 4r -VF iPipe; Test & Anchors -Nail Protection td"' D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. 17. trs oor- u Access 18. - u _ss - & Subpanel; Breaker Sizes -Labels 19.nc airs & Rails 63. Fireplace or St ve• Clearwti - - Outlets at Wood Panel; Int. & Ext. Card -BI Date -Z--2 Card -BI Date 65. K arance Card -BI Date Date Card -BI Date ELEC CAL Permit OK except q's 66. Garage Fire Door; Swing -Landing -Closer 68. -nampa- Fix & Transformer Clearance -Ins. Protection 69. I%tr. Htr- ve..,^ cele^-^^..er mh Air- nnnertpr-P.R.V.- In Garage; Above Floor-Mech. Protection let. ceptacles Spacing -Lights &Switches at Doors 70. P ec .Equi Liste o s & No. of Conductors -Stapled 1Et:. Receptacles in Garage; (G.F.I.)-Romex Protec. 2 omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & W 72' I - in Attic ❑ Yes 2 tze 26. - tre ize -ga. Cu or AI rd Rails & Deck Construction -Post Caps 74. 75. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Loo oor Yes Following instld.: Drive es ❑ No; Walks es E] No; Pianiers ❑Yes o_ 27' []NoInsulated Neutral ❑Yes No 28. S - - n isconnect 76. 77, - r r. & Cond. Size -115 u et 29. 30. _ 78.- 1 m 79. W 80. - ergroun Card B -I ate Card -BI Date 81 . 82 ih,oushe"t Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except p's 84P<6rrections from Previous Inspections 84. R� Tea! IdAlere 7aggcd "^^-G'�^ ' 31. A. ucts: Insulation & Su 85. g6. W er - I i tea e- er--erfficates 32. Vent Fan, gust ab nsulation 33• Condensate Dr verflow; Size & Grade 34. Furnace- t; Access -Co 'r -Return Air Vent -115V outlet 35. At ' ccess & Platform if Furnace t Card- 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 Comments at Final: Date FRAMING Plans OK except q's S' ; Proper Material & Anchors , Studs -Nailing, Spacing & Bracing -Plates -Sound _Wa __ earing Walls over Girders & Floor Nailing 39. in a s ra prop 40. rre eilings-Stairs-Chases-Tub eader & Beam -Size & Bearing angers -Post Caps -Anchors -Connectors ng_Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. _ 44. ue-Fireplace Throat _4_5. ize Rom op -ns. affles - 46. imensions 47. y (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 47-2 A� L. D C� �". cJi f t� 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. AS C t)j,-c J)Lj ( `( -- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California X95965 - Telephone 916/534-454 o APPLICATION AND PERMIT A S S_q SOR P RCEL NUMBER ZONING _ — UILDING P ONER ��^^ TELEPHONE M r -s SQ. FT. OCC. BUILDING VALUATION rCWNE'SMA LING A DRES10O m N RACTOR'S NAME V TELEPHONE tin V CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Q UNKNOWN Fireplace Total Valuation LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER WPI LICENSE NO. Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee b BUILDI G ADDR 5 � PLUMBING PERMIT Filing Fee .00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAr)p.t� /<--JR, 1-- PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCT E SF ❑ Duplex❑ Mobilehome❑ Other ! SPECIFY Building sewer J!' awn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — Permit Fee $ (7 Contractor ELECTRICAL PERMIT Filing Fee Zl,0o Main service SS tO0V OR L OOO AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING O OR ADDNS. ACC. BLDGS. 20 sq ft O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI-OUTLE 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. / POWER NON•R ESID. l SINGLE OUTLET CIRAPPARATUS &) . 50 @L @se Ex. Occup(o XED Ts OR FIXTURES BAL@10S APPLNS. OR Ex. Occup.(FIXED OUTLETS (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 of Consent to Self -Insure. I shal I 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 Venti lation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. r X to ���� Date x214 Signature of pplicant — Owner Con roctor Agent An OSHA permit is required for excavo ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in heigh . Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL I PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above -for which DIRECTO OF PUBLIC BYP:j� PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date��—/—�`� �Z� �- �/ Receipt No. WHITE-D.P.W.. YELL SESSOR, PINY(, -SP-cGOLDENROD-APPLICANT COUNTY OF BUTTE - F)r--rARTMENT OF PUBUG '0JORKS PERIMIT NO. 7 County Center Drive - Oroville, Telel:;ono 910/`34-4541 APPLICATION AND PERMIT ASSESSOR PAIICL-.t- NUMBER z Ot'l I N G BUILDING PERMIT OWN if`R__ - 'Et FT. OCC. BUILDING VALUATION _S0. 90 0 A4 de V 5? SO.00 - -,/ 5-0 0 OWNFR'S MAILING ADDRESS _ CONTRACTO��S .1FA—ME 0 r OD CONTRACT5n,s MAILING Ai3'6R­ES!�_____­______'___ CONSTRUCTION _�LENDER Fireplace Vaivation $ .00 LENDER'S MAILING ADDRESS _Total Permit Fee $60. 0 0 ARCHITECT OR E:r,](;It,;Lz.ER LICCNSr_ NO. Pian Chocking Fee $ 36. DO Penalty ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee BUILDING ADDRESS PLUMENG PERMIT Filing Fee /0.00 Each Trap "L 2.00 00 Repair drainage or vent piping 2.00 ki'later piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFO DLJpIexFJ Mobilehonief_� Other SPECIFY Building sewer —Lawn sprinkler system 2.00 42 TYPE OF WORK Ne,nPl AdditionEl Remodelo Utilities[:] installationE other[] Describe work: Permit Fee $ v 0 contractor ELECTRICAL_ PERMIT Filing Fee 10.00 M600V OR LESS blain service 100 AMP OF? LESS 5.00 -Main service EA. ADD'L 100 AMP 2.50 NEW CONS -r.( DWELLING D 0 C) OR ADONS, N ACC. B G S 20sqft COMTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0 1 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 1-1 1, 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) 0 1, 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 CONSI*R( MULTI-OU-I'LET N N _R E.31 D. E,,pA,!cI.4 2.50 ea 'N F V1_ CONST n. If POWER A IIP AR ATUS & NCINRE z S,0. 1, SiNGLE 01.11'L -ET CIR . Ex, OCCLIP(OUTLE-1-S OR FIXTURES :50 0 Z'7" FIXED APPL.N5. OR Ex....00CLIP.I(oul-LE-rs (RESID.) LA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ CoWtacter __N1ECHANICA1_ PERMIT FilingFtKe 3.00 WORKMEN'S COMPENSATION INSURANCF 1 declare under penalty of pet -jury (check one): ❑ The permit is for $100.00 (valuation) or less. IJ I have placed on file with the County of Butte Building Department a Certificate of 4Ij'orkmen'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 suhje,-t to the W. C. provisions of the Labor Code, You Must forthwith Comply With such provisions or this permit shall be deemed revoked. Healing Cooling _�Iood —Ventilation — Permit Fee $ contractor I certify that I have 7 read this application and state that the above Information is correct, I agree to COMPlY to 211 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Courayot Butte to enier 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. XDate Sigclure of Applicant - OwnerP F_ n. .1 Contractor F I Agent I All OSHA permit is ryuired for excavotions over 5'0" deep and demolition or construct- ion of �;!ru,�tvrcs over storie.,, in height. P'4 o b i I Home Installation F.,-, $ Land Development Fee $ TOTAL- PERMIT FEE -zo oE.51. Rour. TYPE 757 ­Co 14 3T. PAVC6. PU —Ho- FISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By-- Date PI-_RMIT EXPIRES Date—_____ Receipt No.— -.*t11rc-o.P.-.v_ YF1.L0W-A_',rF.ff;0R, ;'1NK-1::SJ'F.CTQR. G0I_DE,';A00-APPL I CANT 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 numberfor the following location: 62 fr c,tV s i..hr� lt, ` i3 q�/ 6"6J/4 -L -F Owner ti/A/itL F /4�c! �121L✓ In i t Owner's Address -t���J�0...A� Mobilehome Mfg. AbLI/1T�1N Z Model JQ K' Year ;i Insignia Nom Serial No. S a 97 9-- It is hereby certified for occupancy at the above described location and may be occupied. Director) of/Public � Works Date S % B l'/�,ylf"1—// y . ,— I THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. PERMIT NO. 1892780P,E PERMIT EXPIRES OWNER Lynn A. Eisenberg CONTR. nwner LOCATION (A.P. 34-62-10 ) 62 North Lodgeview Dr:, lot 134, KR#l, Oro. - y S Q Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. GasServ. Called PG&E p J FINALED (Dat (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING tback Pirewall Soil aping Fo s PAWpets i stV Ioor MlIn Bldg. Resitoom Finish 2nd oor otin s Wind o s 3rd Flhr SAnwall / Siding To out Slab % Roof Sh2NthIng Water Pi In Piers / Roofing Sewer Garage X t Fdn. Vents Fixtures Footings Stemwal I / Garage Vents Insulation X Water Htr. Heaters Slab Carport Footings Prov. for physica handica Ped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final A Sanitation Patio F E ACE Final Footings Footing LECTRICA Masonry Walls ;' Throat Rough Reinf. Stee • Final ' Fixtures Bond Bea4l, IRE SPRINKLEF& Motors Framina Test Water Htr Stucco FinalSub an s Mes MECHANICAL Grd. Mult Prot. Scr tch I Heating Sery e I erlor Lath N I V12tilation door Closer VAnal MOBILEHOME UTILITIES ------------------ Elec. Service Water Piping ;,i.� �(.� Sewer Alf:aWJb M0816EMOME INSTALLATION - - - - - - - - - - - - - - Support Water Piping Drainage DATE REMARKS OR CORRECTIONS Qrf- Sou pts Py�p SAIs%?Jc.. 10ASSa2C g"u,� ®>L� -.>P» A Af6 a4r Mo co.tp Ak 1316P M o afLI T '/V tJ /a- LLQ -u �pXti- L lo6 emp. Pole nder round Permanent inal Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) „ 9 Electrical A. Is service large enough to provide adequate. amperage -to mobileaome*(must equal rating of mobilehome with a minimum of 10�0 amp) and'other facilities on lot, i.e., water pu..,,p garage, cabana, etc.? Yes .Lo_ B. Is there proper clearances around panels? Yes -____<4o_ 1 C. Is power supply cord or feeder assembly properly fused? Yes_ No D. Ts.,continuity test 1satisfactory as per the following procedure? Yes_ No De -energize electrical wiring system of the mobilehome at the pedestal. -2-” Make sure that the power supply cord or feeder assembly conductors, including neutral f� 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 theelectrical tests, the lot or site service equipment may be approved for.energizing. 1@ Is job card signed by Health Department for water and.sanitation? If everything okay, sign off card and tag services. MOBILEHOME DATA L �� Manufacturer and/or Namestyle Length_lalg Width --2=V Vehicle Serial No. 2- `� State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome locatedith uired separation from lot lines and buildings and generally conform to plot plan? Yesw1c � 2'. Does the mobilehome have required clearances above ground?.(Sec.5085) Ye No 3. Are footings and supports properly sized,, spaced, and braced as per proved plans? (Note possible,variation at spring shackles.) '(Sec. 5082 & 5083) Yes o_ 4. Is the mobilehome level? (Sec. 5088) Yes --'No_ 5. If more t a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 6.. Water A. Is flexi 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 C,Aza ow - If coach is not State of California approved, does station have backflow device and nd 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 B. Does it have minimum 4" per foot slope and,is it properly supported? Yes e --Io C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No-!/`� f coach is not State of California approved, does station have required trap and vent? ftA—es— N o_ 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector nb more than 6 ft. longi Note: All piping is to be at least as large as the mobilehome s line inlet witho t reductions other than the mobilehome connector. Yes No B. Test OK as per following proc dure? Ye No 1. Open all appliance connect valve 2. Shut off appliance burner and lot valves. 3. Air test with manometer to"-1\tth r column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibr ted in pound increments. Test for 10 min. without drop. 4. Connect gas meter tobilehome with conn tor, turn on gas, test connections with soapy water. C. Are all appliance vent properly installed? Yes COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE JI. L O ® (' 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. d�M-M- - FROWNW—li� e'\ •, COUNTY OF Bl?TTE - DEPARTMENT OF PUBLIC WORKS 7 bounty Center Drive -' Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT V authorize representatives of the County of Butte to enter upon the above -menti ed property forinspection purposes. q— f S -8p X- C Date Si ature of Permltee or Agent Receipt I 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 f which fees have been paid. D EC OF PIJBLIC WORKS r C7D B � Date 7 7 Building permit expires Date '-"/O 4/ BUILDING Owner Mr. & Mrs. Lynn A. Eisenberg SQ. FT. OCC. BUILDING *L.,UXTION Mailing Address 3050 W. Ball Rd., 4186 Anaheim CA 92804 Telephone 1714-821-7239 Contractor OWNER Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 62 North Lodgeview Drive P I an Checking Fee &/or Penalty Permit Fee Oroville, CA 95965 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,00 Each Trap 1.50 KELLY RIDGE ESTATES Lot 134, Unit 1 Repair drainage or vent piping 1.50 A. P. No. 34 - 62 - 10 r /01-1ing`& Planning Water piping 1.50 JJ>.C)' Each gas water heater or vent 1.50 Fs S Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parce Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 10.co Bldg. PI s Recd Por A roval ans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ Permit Fee $ .0b $ 0C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,DO 600V OR L Main service ESS L1O 100 AMP OR LESS 5.00 V Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 p Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. 'Y) 20sgft OR ADDNS. ACC. BLDGS, 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 BRANCH CIR T NON-RESID, � BRANCH CIRCUITS 2.50ea NEW CONSTR POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g L2; FIXED LNS Ex. Occup. ( OUT ETS APP (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .W License No. Classification Misc. Wiring 6.25 4 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ s -:yo $ 04T MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the Californ a 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 OrdinancesTOTAL and State Laws relating to building construction, and hereby Land Development Fee g,':)Z557. PERMIT FEE authorize representatives of the County of Butte to enter upon the above -menti ed property forinspection purposes. q— f S -8p X- C Date Si ature of Permltee or Agent Receipt I 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 f which fees have been paid. D EC OF PIJBLIC WORKS r C7D B � Date 7 7 Building permit expires Date '-"/O 4/ • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NU BER ' _ ? ZO ING_/ BUILDING PERMIT OWNER C TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MfYLING ADDRESS CONT ACT`R'SN ME r TELEPH7ONE — CONTR,ACTTOR'S ILING ADDRESS CPJjS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ ' LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MA I G ADDRESS Permit fee $ BUILDING ADDRESS , . PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. /,s/)e SUBDIVISION NAME PARCEL MAP I Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeK Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100°V OR o AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business d m and Professions Code a y license is in full force and effect. License No. Classification 13 ❑ 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 ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON-RESID. ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BA L@10S FIXED APPLNS. 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 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. 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 is to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liab' ' ies, judgments, costs, and expenses which may in any way accrue against s id Count In ons q ' nce the granting of this permit. L/l X Date T Sig Are of Applicant — Ow Contractor" Agent ❑ An OSHA permit is required for excavations over 5 0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee Q-- $ 1-16—. Land Development Fee $ TOTAL PERMIT FEE $ Q OCCUP. GROUP I TYPE OF CONST. F PARCEL �- PD N ISSUE This permit is hereby issued under sions of the Butte County Code and/or work i 1 ated above for which f DI R F PUB �y7� B PERMIT EXPIR 5 Date the applicable provi- resolutions to do fees have been paid. IC WORKS ` (x� y^�_�/ f��� Receipt No. d'01 WNITE•D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS :. 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Ownera name: A U -A )A) C�TS/,iii 6�1 2. Insthller's name: 3. Is the site currently under permit? Yep No (If yes, furnish permit number OR ! Is the site an existing site? Yes _1 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? -------------------=--- D Amps .6. What is the mobilehome site service rating? --------------------- -26 O Amps 7.. What is the mobilehome site circuit breaker rating? ------------- .2 o4D Amps 8. Is there any other electric load to be served by the mobilehome siteservice? ------------------------------------------------ -- Yea No (If yes, identify the load and size: (Load) (Amp a) 9. What is the mobilehome site gas pipe size? -----=------ (in.) 10. What is the,type of gas service? ----------------------------- Natural F7 .LPG 1-1 11. What is the gas pipe length from meter or tank to the mobilehome? (ft•) 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.) MOBILEHOME SUPPORT DATA If other than single wid Mobilehome Mfr. /%� Qom%/ furnish Setup Model No. /� Year �y Width(ft.) Box Length [�(ft.) Tagalong or Expando Size�ft. k 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 1. Wood 'either pressure treated or foundation grade. (ft.)(in:) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supporta (check one) (in.) Concrete block: 2: Other (specify) *---Tagalong or Expando,' show support details. (in.) (in.) xj -- Typical Support (in. (in.) Footing Size It (in.) (in.) Max. Pier Spacing Max. Overhang (ft.)1(in.) 8UTTE. COUN n SUILDING DEPARTMEN1 APPROVED *If center piers are other than drawn above, ____draw_ in •locatigns,, _ spacing, and dimensions. This sef.at plans and specifications MUST be LOT 134 kept on the job at all times and nt isful�o UNIT 1 make any changes or alteration$ on same without written permission from fhe De artment of Pu1.. _ -� =✓C= -��'S' '` '�"`'`�` ,lic Works. County of Butte.') 4Z0. oar -.-- /p- - L= = 2Q• 00.' /2/ �� - `" G��✓ted - N q • � �JN�1 TE2 Co�/N. - 1 �f .v -_-a 7- - L lis/ J T,�/< s �4 D�'✓r*� a ._ 1 \ � G C1 T Chi= .� •�.: -�-� Im z NOTE -,AD Materials jork an itip Shall Ben , m' Accordance with ReconiooC Practices d 4R of of a quality prescribed for the; ppe ifiod use in he ` .�a �, Uniform Building, Plumbing & M chIcai Codes nd !r the National Electrical Code. 1 `Utility connections shall be whin ft. of the mobilehome, either directly behind or within the real O ` half of the roadside (left) of the mobilehom . •-�'���—_ %- �! .off \ , l . s 0 BUILDING DEPARTMENT A setback of 5 ft. from a �`� property lines and a se a�k ygj/ APPROVE D of 50ft. from the road L= 0 centerline shall becle r y / :.4_no_X.-n/OT.TU scf��; structures or-equipme t cept/ oa,po overh nq. T /� (-9 '3Z se ") G .5'/ 9 c'.-• i' . / i� �C^' r:. _ . ''•'jOB%L Telephone 593-2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: Applicant Address: Applicant Phone No.: Property Location (s): A. P. No. (s): Fees Paid: 2 If Application for service approved: North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: 6;2 ��� -a Z` td! T/ Dater- ---a By: / 1 ��t •� ate: (�c% North Burbank Public Utility District release to close permit: PERMIT NO. 3552-80B PERMIT EXPIRES OWNER Lynn Eisenberg owner CONTR. LOCATION (A.P. 34-62-10 ) 62 No.Lodgeview Dr., lot 134, KR#l, Oroville t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gels Serv. Ca led PG&E • VNALED (Date) (Signature) Framing 'r - t a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Htr. BUILDING BUILDING (Cont'd) PLUMBING Setback '' Firewall Soil Piping Forms Parapets A 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing i Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex structure Appliances Gas Piping& Test Temp. as Slab Final ' y� Sanitation Patio FIREPLACE Final Footing's - f' Footing ELECTRIC L Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRIN ERS Motors Framing 'r - t a Test Water Htr. Stucco Final Subpanels Mesh MECHAN tQAL Grd. Fault Pro . Scratch Heating Service Brown Cooling Temp. Po Finish Ducts Under r nd Interior Lath 4 Ventilation Pennanen* Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping =E ME 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.) COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. �� 1 ASSESSOR P R EL NUMBER Z'PING _ BUILDING/ PE OWER I's 6 LEPHONE - 3 SO. FT. OCC. ILDING VALUATION v OW ER M ILING DDR S r• C NTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER v UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD SS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. ' 3 SUBDIVISION N_p�,E � PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USEOFSRUCTURE S ❑ DuplexMobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New [)J- dditionRemodel Eltilities ElInstallation❑ Other ❑ Describe work:&Ve-4-02-jIn CZ V11Main Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 service 8000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20 sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTF; E U TI-OUTLT 2,50 ea NON-RESID. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@254 BAL@tOs FIXED APP LNS. 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 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 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. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to e r upon the above-mentioned property for inspection purposes. I also ree to save, indemnify and keep harmless the County of Butte against all li ilit' s, judgmen s, cos , nd expenses whi h may in any way accrue agai st d County i cons uen a of the granting f this permit. _atePf���.O X Date "� Signa tUr of Applicant — 0lvner ® Contractor Agent ❑ An OS permit is required for excavations over 5'0" deep and demolition or construct- ion of s r ctures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee 4 $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST, PARCEL �J PD ND ✓ ssuE �/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '���Jf6.—,P Receipt No. I I '1AA WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT i ., PERMIT NO. 6.193-80B PERMIT EXPIRES 12/23/81 OWNER LYNN EISENBERG CONTR. Sierra Roof & Acoustics, Chico ASSESSOR PARCEL 34-62-10 { LOCATION 62 North Lodaeview Dr-, Oro r t Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E J Temp. Gas Service Called PG&E JOB FINALE[ Signature = OK = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, E C. (Plans) OK except It's 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requi ments-Set ks-Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size epthS cing-Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders a /o Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts ms-Rftrs.-Connec.-Shing.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; C mns-C ctions-Splice-Decal-Enclosures 6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Wi ows-Doors 7. Utility Clearance 7 Iec. m Card -BI Date Card -BI Date Card -B ate? -i Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H'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; Compacti -Structure Sta lity 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; St I-Connec ' ns -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles d Li ting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; olts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; n 't Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; tal w/5 Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Ground' g; Eq6ip.w/5 Circulating Equip. -Pool Lghtg. Boxes -En' sures- Pane Iboards ns. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test NN Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single -and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., 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 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI Card -BI Date Card -BI Date Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. 72. 73. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation-Foam-Looked am -Looked in Attic ❑Yes Guard Rails Deck Construction -Post Caps 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75, Following instld.: Drive E] Yes E] No; Walks El Yes [-]No; Planters []Yes ❑No 28. Service -Riser Conductors & Giound-Main Disconnect 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Card B -I Date Card -BI Date 79. 80. Water Well; Disconnect, Electrical, Plumbing _ Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. 84. Corrections from Previous Inspections 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. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. 39. 40. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cln_g. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time you visit jobsite) J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 WOR //�� Telephone: 534-4541 / / 9� ,/'/,) APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 40 Sig �e�oGr Agent Receipt No. 0 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Thismit is hereby issued under the applicable provisions of th But a County Code and/or resolutions to do work indicated &wches havebeen paid. GTOR OF PUBLIC WORKS CB Date 12 -2'3 -FO Building permit expires Date �2-- 2-3 —9i/ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Tel hone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. _ Permit Fee S Building Address eektngFee& o Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 3 r� Z _ /� % oning 8f Planning Water piping 1.50 Each gas water heater or vent 1.50 Few 9aRi4a.Uon Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Btdgi Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER X permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main Se(VICe 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR AODNS. ( DWEACC,-BLOGS.LING CCUP. Y) 22sgft 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 o - r NEW CONSTSL (MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. (SINGLE OUTLET CIR. EX. OCCUO(OUTLETS OR FIXTIIRES) BAL01 IXED ALNS Ex. Occup.(OUTLETSP(RESID )REA) 2.00 Temporary service . 10.00 Mobile Home Facilities 15.00 License No. 352-185classification��� 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. F -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. 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 relating to buildinq construction, and hereby Land Development Fee Is TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 40 Sig �e�oGr Agent Receipt No. 0 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Thismit is hereby issued under the applicable provisions of th But a County Code and/or resolutions to do work indicated &wches havebeen paid. GTOR OF PUBLIC WORKS CB Date 12 -2'3 -FO Building permit expires Date �2-- 2-3 —9i/ COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES OwnerL\j�/N /T. i /-/1ANcL r 29 Location (0 A/o. Z -o4 e U eL,l n2. Lc 7- Al 61,V, T kF/XH el Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width L474 x Box Length &0 x 3 = *3.20 2. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry Circuit ............................ = 1,500 4. Ovens ........................................ = 5'.�(�d. 5. Cook Stove Top = 6, 7 0L) 6. Hot Water Heater = 0c) 7. Dishwasher & Disposal = ] 4 2 2- 8. 8. Clothes Dryer ................................ = 570(De) 9. Other (specify, i.e., motors, exhaust fans, etc.) CEfLjA1I != /►N 3oc _ S ro V K V 1� n1 T :4 t i _ 5 X7` 0 Sub -total - Watts ..... 3 .z Af �? "2- First 10,000 watts @ 100% ................................. = 10,000 Remaining .22_44S'2_ watts @ 40% ....................... = 9 91 F 3 10. Air Conditioner L l 4C watis 0100%,. = 6 /yo ) f g9s Largest Demand Central Heat System 4_30(_') watts @ 65%.. = TOTAL DEMAND WATTS REQUIRED 131�- 3® "Demand Watts Required" - 230 ....... ............_–Fi AMPS De -rate Mobilehome to .................................. 13�4-30 AMPS BUTTE COUNTY 8UILDING DE?ARTMEW A-PP'ROV E �-i- 0,sem