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HomeMy WebLinkAbout069-130-001!ane &Dorothy Weiss "('�j' J3' / c_ ' 53 o:Lodgeview Dr., lot 292, KR#l,Oro contr, a �o Ridge Prop., Oroville `PerwL 19�-80P,E(ut11 GAS®�- r -- 01 -7 SUPPORT STRUCTURE REQ. f COMPACTION TEST REQ. L�GI it 3r. Contr. Ric d Van St"vert' MH Se` Permit## '74-80MHI ` Issu . ' -�� Rte" V�1 ir� 9 - / 3 - J •�"%`�i'. _ Per it, ��5007-80��ec�o e/decks/MH) ; ty//` �/ef-I 3- r con r: Sierra Mobile Serv., PaJ3287 Permit #210-81B(ndw awning/MH) 069-130-'001 - „ NAYLOR. PATRICIA 369 LODGFVIf W DR; OPOVII SIERRA NIHS EX MH PERM FND5�l Z`* FNAYLOR, 30-001 OS -0767 PATODGEVIEW, OROVILLE OWNER y ���r���,�rM� �_� Butte County Department of Development Services. a°Tse, ae� 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vnnv.buttecounty neUdds UP, RESIDENTIAL APN: 0617- 13 a-07 L Permit No. ` Owner. All -1- /// +�! Site Address: .3t/9 i Contractor. Type of Permit: 4 c I SPECIAL CONDITIONS. CHECKED BY Q SRA Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID 0 ENV HLTH CLEARANCE E V DATE JOB FINALED: 2 SIGNATURE: L SPECIAL CONDITIONS. CHECKED BY Q SRA Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID 0 ENV HLTH CLEARANCE E V DATE JOB FINALED: 2 SIGNATURE: Hpr i�1 U4 U1:54p _W.estern, o s Ewp:,Rick 5303431124 p.1 - l �•l AP%AMAMb �V&f4)P1' .Certificate of Conformance Certificate 054086 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS).were manufactured in accordance with the applicablestandards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And"GAP" Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWStrademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine, audits include inspection of the manufacturing process and evaluation of the in -plant .QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. ,t�tttllll�� W 0 0 F1 'rid'• � 2J 40 oom 00 z t SEAL j 3 .. CO b.y - ga, . Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS is a relalecl corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 South 19th Street - P.O. Box 11700 - Tacoma. WA 9 04 1 1-07 00 Telephone: (253) 565-6600 -.Fax Nurnbor: (253) S65-7265 OK - - - n v MM nK MAN-UFA-CTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET DATE E C K S'C O V E R S`C A R P O R T S.. AGE S 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch \ 2 Ftgs; Soils-Sz-Dpth-Spacing-Cnnctrs el 3 Sewer; Loctn-Test; Fall/C/O-Concrete Decks, GirdersIJoists-Dcl% cmg 4 Wtr, Loctn-Test-EaSement Needed -Re julator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-.Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth Stairs- uar andrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 AI Awn; Columns-CnnctnsSplice-Decal-Enclsrs. 7 Blckng; Sz-Spacing-Marriage Line arports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test=Crossovers-Breakers-Cirncs YElectr* 8 Fr ; S ills -Anchrs-Stu ds-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr - i ng; Nailing -Veneer -Stucco -Lath - 11 Wtr & Sewer Connected -610 to Grade. 1 00 , Shthg-Roofing 12 Gas and Electricity Tagged 13 Tie Downs Q '- Foundation Q 14 Exits 15 Cert of Occupancy .116 HUD LabeUlnsignia Numbers Serial Numbers h VE ; Steps -Doors -Landings raced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI s` 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcitng Eqp-Htr ti r 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Enclsrs•pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing Alarms 13 Bonding, Diving board or Slide �L FCC- Pool Drawing 4�� a I r� og 3 = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; SoilsSteel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub. Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-Rgitr-Service Test 12 Elec Undrgrnd DATE MECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16• Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic O' 0� DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-CImc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-fir-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cirnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Wi dth-Hdrm-Rise-Run-Landing -Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-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 Drnge & Wood -Earth 86 Clrnc Drnge Planters 1:1 Yes ❑No A87 Stucco Brown -Finish ° °'� °��c 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑CU or [—I AL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or ❑AL Oven Circ ga ❑ CU or ❑AL Insulated Neutral ❑Yes ❑No 1+e 0�' 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 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. BPO50767 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 05/16/2005 APN: 069-130-001-000 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. Site Address: 369 LODGEVIEW DR ORO License Class : License Number: Map Index: Date: Contractor: Description: NEW DETACHED GARAGE/SHOP 400 OWNER -BUILDER DECLARATION 1 hereby affirm under penally of perjury that I am exempt from the SQ.FT. Contractors' State License Law for the following, reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: NAYLOR PATRICIA D to its issuance, also requires the applicant for such permit to file a 369 LODGEVIEW signed statement that he or she is licensed pursuant to the provisions of DR the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the•Business and Professions Code) or that he or 95966-3978 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 Code: The Contractors' Stale License Law does not apply to an Applicant: NAYLOR PATRICIA D owner of property who builds or improves thereon, and who does 369 LODGEVIEW DR such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95966-3978 year of completion, the owner -builder will have the burden of proving that he or she did not build,or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Pr ssi s ode Date: S -Owner: License #: WORKERS' COMPENSATION DECtIdOATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: 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: Total Square Ft: 400 S.F. Policy #: Valuation: $9,600.00 (I I certify that in the performance of the work for which this permit is Census Cod (ti ` 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 V� v forthwith comply with those provisions. 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 in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is reby issueOnder a applic le provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for which this is issued (Sec 3097 Civ.) Resolutions o do coot ndicate above ich f s have been paid. performance of work permit By Date: Name: �� h Address: PERMIT EXPIRES ON: Date 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 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: Signature: + Date: - Owner ❑ Contractor 0 Agent for Owner ElAgent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR fNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-283 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION dl • /�� Website: www.buttecounty.net/dds "t "PLEASE PRINT CLEARLY" 91 1 APPLICANT NAME OWNER Last Name City oke vt 4`� First Name NAVI-0itz Stat e— Zip Address SS ®.q /c Fe/. 1-917 Fax Lic. # Class L < & ccs DR City Zip State Zi Fax S Phone .. ck m 05 Fax E-mail APPLICANT NAME CONTRACTOR Name Address City oke vt 4`� City O �{Bl�2C3� Stat e— Zip Phone SS ®.q /c Fe/. 1-917 Fax Lic. # Class E-mail State APPLICANT NAME ARCHITECT/ENGINEER Name City oke vt 4`� Stat O �{Bl�2C3� Address Fax E-mail SS ®.q /c Fe/. 1-917 City © Map Book State Zip Phon Date Approved: Fax E -mad_ S to Licen a Number Q r C 917 APPLICANT NAME Name Nfa 4 6 R Address 7 City oke vt 4`� Stat Zip Phon63 Q SS g ©.1 os- Fax E-mail APPLICANT SIGNATURE x Aa'�) For office use only: Zoning Property Address :3 6 c--eC, Flood Zone I SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. � 5- � BIN # LOCATION AP# 0 6 9--1o—o®J Property Address :3 6 c--eC, City 6,oeotr<4r oc Cross Street x . i.�- WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: is O% a a G Sq. Footage 40 0Sr O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be. required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. (VA/DY Qc( Received b : Amount: Bldg ' SE SR- A Receipt #i�`(/,�- �/� Sheriff /1� l..�r�� SMIP Other Date: Qn / Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 7 If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only -be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans., 3,or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning. review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). , ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only -be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 , utte County Department of Development Services DNNE CHRISTOPHER, DIRECTOR County Center Drive roville, CA 95965 30) 538.7601 Telephone 30) 538.7785 Facsimile TO: FROM: SUBJECT: DATE: WILLDAN Scott Rutherford (530) 538-7160 srutherford@buttecounty.net Plans Transmittal For Review Per Contract 3/25/2005 Applicant: INaylor, Pat Permit No: 05-0767 Project Type: Stora a/Gar/Sho APN: 069-130-001 100% 70% Plan Check Fees $ 219.96 $ . 153.97 $ 219.96 $ 153.97 WILLDAN Fee $ 153.97 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE-DEPARTMENTF DEVELOPMENT ` t / , O VISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 1or r ASSESSOR PARCEL NUMBER Proposed Building Use: C��((�o/P/.S`J�,n Permit Technician: Date: Items required in order to apply(%r a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. �Y 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other ' Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) kD4PbO. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ , 19. Erosion Control Plan Required........................................................................ 4 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ . City of Chico Plumbing permit.: ...................................................................... �❑ 22. Site plan and business license approval from the City of Biggs .............................. A25 alifornia Department of Forestry Ian approval K�paid. Sent by: �f- -d 9­1lanning approval for (A) Use: (B)Parking: (C) Parcel Check:1P, - ❑ontact Land Development about _ Improvements, _ Drainage ........................ j6- 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... .9 30. Owner -Builder Verification ( -k-@iben to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone ' ,5�5 17-o )evtgyai and hold for pickup. I have been ;ra& ed oft a above items and requirements for obtaining a building permit. Applicant: t- Date: 1. Index permit application for the abo ' s numbered: Plan Check Letter 2. Additional items ed Contractor, design caner as advise6 of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date: Structuralreviewed b Date: _ Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE "" S r7& r7 DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNERA. P. # 7/CIO ' a� PROPROSED BUILDING USE DATE RECEIPT # DATE RE C. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X -=$ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) R 7. SRA FIRE INSPECTION AND PLAN CHECK FEE II (paid at Building Division)P10/4 8. WATER TENDER FEES BATTALION #. $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 166) 10. OTHER_9 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed dia the plait checking, process. APPLICANT DATE —*>) `2 ��� Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) o� Department ®f Public Works O C o u n t y o f B u t t e = O C J. Michael Crump, Director LAND DEVELOPMENT DIVISION 6 Storm Water Management Program 7 County Center Drive Oroville, CA 95965 A�Lt �5. (� (FAX) 538-71715266 1 I r National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storrs Water Permit and Stora Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE Project Description:' Project Location and/or Parcel Number: e 1 c&ZAO z/ l By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre -or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: t Title:' Date:�- Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 MVM, WEI -R&ar1aCA Attention Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major laborand material for construction of this proposed property improvement: YES [ ] NO ]. 2. I HAVE [k] HAVE.NOT [ ] signed an a plication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: 6,! -S,,, te' PROPERTY OWNER: rat - 1_0n1:8 if I NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department ®f Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile A 1*1W;r7_E"W%_____ Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a pen -nit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect. yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their ­own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. XV1_1 Micipel C. Vieirl, C.B.O. M ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. SITE PLAN REVIEW APPLICATION Date: AP# Permit Number (if applicable) 05-- 6 7 O Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: nst Owners Address: Telephone No.: Situs Address: Proposed Use: ��9 • (�c�� � � �; •� ®rev � :. � Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site I7;7/ ed Approved ' By I Date l3' 0 S^ Page 1 of 5' Residential ' ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home / Residential Accessory j.&gV/Skr/�/1� ve.Permanent Second Dwe ❑ Temporary Mobile Home (Aunt Minnie) " ❑ Temporary Travel -Trailer" ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site I7;7/ ed Approved ' By I Date l3' 0 S^ Page 1 of 5' T i ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage:❑Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: 0$%5 ( Index Date: 6, ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=---------------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit- Agricultural ermitAgricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: P r- ( (Lb P,) Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. jj CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front SCJ Side �- Side Street — Rear 5-1 Height ' Waterway N/A N/A N/A ons Gre ❑ Setbacks drawn on site Plan. jj CDF approval needed for encroachments into SRA setbacks. Page 2of5 Q4 14 Applicable Development Fees: Standard Fees Amount Formula ❑ 'Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ; -------------------------------------- Subdivision Map Special Fees ❑ WaterTender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created -By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ElYes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 'f. Subdivision Map/Parcel Map: ply Map Date of Recording: 0 - 30 - 76 O Lot: 222 ❑ Use Permit/Minor Use Permit Permit Number: Book: ? 6 Page: S-' (b Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 0 FE Page 4of5 1� auo -stun salvisa bIMK I I N47 WILLDAN , Serving Agencies May 5, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1510 Jurisdiction Job No: 05-0767 Assessor's Parcel No: 069-130-001 Description: Naylor New Detached Garage Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: ➢ Plans: Two (2) copies sheets 1 of 1, not dated, by Art Naylor ➢ Truss Calculations: Two (2) copies dated 03/11/05 by Endeavor Homes The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. WI LLDAN Serving Public Agencies APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of'the 2001 California Building Standards Code found in, the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as CBC • Part 3, known as the California Electrical Code and abbreviated herein as CEC • Part 4, known as the California Mechanical Code and abbreviated herein as CMC • Part 5, known as the California Plumbing Code and abbreviated herein as CPC • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as CECS CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans and permit documentation. Specific Type of Type of Is` Floor 2"d Floor Total Sprinklers Stories Use Occu a ncy Construction Sq Ft Sq Ft Sq Ft Garage U-1 V -N No 1 400 NA 400 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Sincerely, Iac Kuster Plans Examiner Ce: Alice Mefford, E-mail: amefford@buttecounty.net Pat Naylor, 369 Lodgeview Drive, Oroville, CA 95966, Fax: (530) 589-0305 Pa<*e 2 of 2 Coum.tti of Butte Permit .Number 05-151.0 ` ti'4'il.1dan P.roiect Number 11353-0767 Telephone 533.2000 r North BurN' nk Public Utility District. - 1960 Elgin Street 0R0VILLE,.CALIF0RNIA'95965 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION 145-80 r BUILDING SEWERS This verification form must be submittedto 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.Burbanki Public Utility District, must be submitted to Butte County. Applicant: LANE & DOROTHY WEISS Applicant Address: 6927 NAVARRO, COURT, CITRUS HEIGHTS, CA- 95610 Applicant Phone No.: 916-969-3315• Property Location (s): 53 NO. LODGEVIEW 'DRI -VE , OROVILLE - r ` r KELLY RIDGE ESTATES, LOT 292, UNIT 1 A. P. No. (s): 034-62=0-001-0 , Fees Paid: ALL FEES. - PAID IN ADVANCE. 'BY SOUTHERN CALIFORNIA FINANCIAL CORP. Application for service approved:\�_ North Burbank S� AUGUST -8, 1980 Public Utility District " /Ydt cJrfl ,�d•Q Inspection(s) made - and successful tests) observed:B Location: •3 �;r�� %1ia vr2r(Z u.ji Date: B. , • - ! e y'l ;a North Burbank Public Utility Dist -;fit, release to dose: permit: , Date: %b d°O By: ; fi'a &.c�.e�/ RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2Qi/D4-11GD780105 7 COUNTY CENTER DRIVE Recorded i REC FEE 10.00 OfficialRecordsI CONFORM 1.00 CoBUTTEOf CONFORM 1.00 ZIP i CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON 1. Assistant i Jason 12:45PM 22 -Dec -2004 I Pa9e l of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This, document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. PATRICIA D. NAYLOR REAL PROPERTY OWNER/LESSOR 369 LODGEVIEW DR. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also 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 04-328 530 538-7541 BUILD G PERMIT N0. TELEPHONE NUMBER / 222 D� SIG ATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. DELAWARE WESTERN HMS 1980 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER SI 165A/B 53'X 24' 187509/10 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-130-001 HCD FORM 433(A) REV.,8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. RECORDING REQUESTED BY: ARTHUR F. NAYLOR JR. and PATRICIA D. NAYLOR, Trustee(s) WHEN RECORDED, MAIL TO: ARTHUR F. NAYLOR JR. Am PATRICIA D. NAYLOR, Trustee(s) 369 Lodgeview Drive Oroville, California, 95966 DOCUMENT PREPARED BY: American Family Legal Centers 18008 Sky Park Circle, Suite 203 Irvine, CA 92612 APN B 069-130-001-000 ��03-0+0�79t�65 Recorded Official Records County CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:02PM 07 -Nov -2003 REC FEE 7.00 Cheryl Page l of I-' SPACE ABOVE TRIS LINE FOR RECORDER'S USE QUITCLAIM DEED The undersigned grantor(s) declare(s): This conveyance transfers the grantor's interest in or from a Trust R&T 11930. Not pursuant to a sale. No consideration given for this transfer and is excluded from reappraisal under Proposition 13,I.E., California const. 13A; Section 1, et seq. (Documentary Transfer Tax = $0) GRANTOR(S): PATI ARTHUa F. N YL( Dated M 3 -' CALIFORNIA: , hereby REMISES, RELEASES and QUITCLAIMS to: following described real property in the City of Oroville, County of BUTTE, State of LOT 292, AS SHOWN ON THAT CERTAIN MAP ENTITLED, ."KELLY RIDGE ESTATES UNIT 1", 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. Commonly known as 369 Lodgeview Drive, Oroville, California 95966 DATED: 03 at4&j,,lCalifornia. Q-07 �_- PATRICIA D. NAYLOR NOTARY PUBLIC ) STATE OF California )SS COUNTY OF BUTTE ) On 10— ;Lt — ID 3 before me, a Notary Public in and for said State, personally appeared PATRICIA D. NAYLOR; personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. S OARTA. WILLIS 1M.#1287555 Signature: (Seal) V NOTARY PU9UC•CAUFORNIA H ~ F 16.2004. V D}EGOCOUN yM CUUoN on a�tpkes Mai! Tax Statements to: Same As Above TITLE SEARCH NEITHER REQUESTED OR DONE—PREPARED FROM INFORMATION SUPPLIED BY GRANTOR(S). COPY of Document Recorded 22 -Dec -2004 2004-0078005 RECRDING REQUESTED BY: Has not been compared with original BUTTE COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 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. PATRICIA D. NAYLOR REAL PROPERTYOWNER/LESSOR _ 369 LODGEVIEW DR. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also 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 y MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-328 530 538-7541 BUILD PERMIT NO TELEPHONE NUMBER { SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. DELAWARE WESTERN HMS 1980 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER S1165A/B 53'X 24' 187509/10 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-130-001 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. _ � S N� RECORDING REQUESTED BY: ARTHUR F. NAYLOR 7R. and PATRICIA D. NAYLOR, Trustee(s) WHEN RECORDED, MAIL TO: ARTHUR F. NAYLOR JR. AND PATRICIA D. NAYLOR, Trustee(s) 369 Lodgeview Drive Oroville, California, 95966 DOCUMENT PREPARED BY: American Family Legal Centers I8008 Sky Park Circle, Suite 203 Irvine, CA 92612 APN # 069-130-001-000 C�1Q13--�r�79+PJ'65 Recorded Official Records CountyBUTTEOf CANDACE J.' GRUBBS Recorder ROSEMARY DICKSON Assistant 09.02AN 07 -Nov -20@3 REC FEE 7.00 Cheryl Page I of I SPACE ABOVE THIS LINE FOR RECORDER'S USE QUITCLAIM DEED The undersigned grantor(s) declare(s): This conveyance transfers the grantor's interest in or from a Trust R&T 11930. Not pursuant to a sale. No consideration given for this transfer and is excluded from reappraisal under Proposition 13,1.E., California const. 13A, Section 1, et seq. (Documentary Transfer Tax = $0) GRANTOR(S): PATRICIA D. NAYLOR, a married woman as her separate property, hereby REMISES, RELEASES and QUITCLAIMS to: ARTHUR F. N ViQ .3 JR, and PATRICIA D. NAYLOR. Trustee(s)—or their Successors in Trust of THE NAYLOR FAMILY TRUST Dated — 3 — 02 the following described real property in the City of Oroville, County of BUTTE, State of CALIFORNIA: LOT 292, AS SHOWN ON THAT CERTAIN MAP ENTITLED,"KELLY RIDGE ESTATES UNIT 1", FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON OCTOBER 30, 1970, IN BOOK 38i OF MAPS, AT PAGE(S) 5 THRU 10. Commonly known as 369 Lodgeview Drive, Oroville, California 95966 DATED: 10 — 'M-- O3 , at 462t, it California. PATRICIA D. NAYLOR NOTARY PUBLIC ) STATE OF California )SS COUNTY OF BUTTE ) On LD— a-(— ID 3 before me, a Notary Public in and for said State, personally appeared PATRICIA D. NAYLOR, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their sipature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seat. STEWARTA. WILDS Signature: ''Y �`' (Seal) tj NOTARYPUB�UpO c� �OORNIA U) a Nly�om�trt>SSionEXPlress JUNE 16.2004. Mail Tax Statements to: Same As Above TITLE SEARCH NEITHER REQUESTED OR DONE — PREPARED FROM INFORMATION SUPPLIED BY GRANTOR(S). L - H.C.D. ATTACH CHECK NAME: & r AP#: O ®1 ' DATE: O ` . BUILDING PERMIT NUMBER: 04-2387. Address or location of unit: 369 LODGEVIEW DR., OROVILLE, CA- 95966 ' Legal Description of•Real Property: AP#: 0697130-001 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: PATRICIA D. NAYLOR s' Owner's address: 369 LODGEVIEW DR., OROVIL-LE, CA 95966 INSIGNIA OR HUD NUMBER: 187509/10 ,. f SERIAL NUMBER OR V.I.N.: 51165A/B -MANUFACTURER'S NAME: DELAWARE WEST RN HMS YEAR: 1980 , OFFICIAL APPROVING INSTALLATION: ' DATE: /I�/J� PHONE: (530) 538-7541 `• k ` H.C.D.513C ,. NOTES ► ' RESIDENTIAL r, 069-130-001 04-3287 PERMIT NO. _._NAYLOR,PATRICIA • 369 LODGEVIFW DR, OROVILLE� Cont SIERRA MHS- F -EX MH PERM FND ,, 1 P ' THE HCD FORM 433A FOR THIS MH CANNOT BE , t RECORDED UNTIL ONE OF THE FOLLOWING. HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE ' INSPECTOR MUST RETREWV )v • . (2) STATEMENT OF FACTS (ONLY ON NEW MH, S) INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS ' CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ae4 t?ernoyed w , r JOB FINALED (Date) 4 - Signature J=OK 0 = Not OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements-Setbacks-Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location-Test-Fall-C/O-Concrete Electric 4. Water; Location-Test-Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete Roof; Shthg-Roofing 6. Gas; Location -Test-Wrap;-/ P' L'ft. / P Nat. or / P' L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date PER ENT END SYSTEM (ONLY) ning Requirements-Setbacks-Easements 2. ootings; Size Spacing-Marriage Line Blocking 0. 19VTF Test-Demand-Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. G sand Electricity Tagged geo'Exits 10. License Decals 11. Verify #'s with Office Date j:l. 17,A Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s f 1. Zoning -Setbacks -Easements -Flood -Slope Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Siding -Nailing Veneer 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5. Stemwalls, Main; Steel-Blockouts-Wrapped Glazing Area -Glass Protection -Skylights -Plastic 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Shear Walls; Nailing -Bolts 6a. Hold Downs and Special Anchors Brace Interior/Exterior Wall Panels 7. Slab, Steel -Wrapped Insulation -Walls -Ceilings 8. Piers -Fireplace Ftg.-Steel Infiltration -Walls -Windows 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Card B-1 Date Card B-1 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Card B-1 Date Card B-1 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 17. Water Htr.; Vent -Access -Combustion Air Baffle Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 18. Water Pipe; Test & Anchor -Nail Protection Elec. Outlets & Receptacles at Kit. Counter 19. D.W.V.; Test Fittings & Anchor -Nail Protection Garage Fire Door; Swing -Landing -Closure 20. Shower Pan; Test, First Floor -Tub Access A.C. Duct in Garage -Damper 21. Test Tub & Shower, Second Floor -Tub Access Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 22. Gas Pipe; Sixe & Anchors Plb.; Elec. & Mech. Equip. Listed for Location 23. Fire Sprinkler; Test Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 83. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes 0 No 25. Elec. Receptacles Spacing -Lights & Switches at Doors Stucco Brown -Finish 26. Size Boxes & No. of Conductors Stapled A.C. Unit Disconnect, Electrical -Plumbing 27. Romex Installed Close to Edge of Studs & C.J. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Water Well, Disconnect, Electrical, Plumbing 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Exterior Elec. Trim, G.F.I. Receptacle -Underground 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At Ventilation Throughout House 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At Insulated Neutral 0 Yes O No Glass Protection 32. Service -Riser Conductors & Ground Main Disconnect Corrections from Previous Inspections 33. Equip. Clearances Panels-Motors-Mech. Equip. Gas Test -Meters Tagged, Gas -Electric 34. Clothes Closet Light -Shower Light -Spa Light Water & Sewer Connected -C/O to Grade -HD Approval 35. Smoke Detector Energy Compliance Certificate -Other Certificates 95. Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 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.neAdds PERMIT NO. BP043287 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/07/2004 APN: 069-130-001-000 the Business and Professions Code, and my license is in full force and effect. License Class: � License Number: yJ3�L Site Address: 369 LODGEVIEW DR ORO ! 6 t/ Map Index: Date: Contractor: Description: EX_MH ON PERM.FND­ OWNER -BUILDER DECLARATION affirm I hereby arm 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: NAYLOR PATRICIA D permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 369 LODGEVIEW DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966-3978 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).): D I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SIERRA MOBILE SERVICE Code: The Contractors' State License Law does not apply to an BILL REID owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 466 CIRCLE DRIVE provided that such improvements are not intended or offered for OROVILLE, CA 95966 sale. If however, the building or improvements are sold within one 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 sale.). ❑ I, as owner of the property, am exclusively contracting with s" 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, and who contracts for such projects with a contractor(s) licensed BILL REID pursuant to the Contractors' State License Law.). 466 CIRCLE DRIVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-534-0599 Date: Owner: License #: 470386 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: I have and will maintain workers' compensation insurance, as wired 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: i Carrier: 5Z T-1� Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: Policy a: yZ 6-7 ❑ I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �- 7 0i 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 in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This pe ' 's her y issued under the applicable provisions of the Butte County Cody a.,nr1/n Resoluti n t work ird' ed above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �6 By: Date: Name: PERMIT EXPIRES Q Address: Date O I 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. /11 Print Name: Signature: Date: ❑ Owner ,dl Contractor 0 Agent for Owner 0 Agent for Contractor 1: 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 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X 16-1 For office use only: OWNER Last Name yea First Name Address q City d�DII k E State Zip 95 %E6 Phone Zip 9Sf6 Fax E-mail s3 q 0S6 6 APPLICANT SIGNATURE X 16-1 For office use only: CONTRACTOR Name Name reet rss Address Address - No City City 01te� Zip 9Sf6 Phone Phone s3 q 0S6 6 E-mail�G �;�rj �G �7�96/�Class 45 E-mail ARO,,,. c' -7 =R AName Address ' O� ' City �-; iZ71P Phone l n ter• �• APPLICANT SIGNATURE X 16-1 For office use only: APPLICANT i; '. ,-�iE Name Flood Zone reet rss Address I Yes - No City C� Subdivision Name State ZP Phone s3 q 0S6 6 Date Approved: Fax E-mail APPLICANT SIGNATURE X 16-1 For office use only: Zoning Property Address Flood Zone reet rss SRA I Yes - No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: UVLK t -UK SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # LOCATION AP# 0-',F X30 Oo Property Address City reet rss WORKER'S COMPENSATION Policy Number Yzs � Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance, LENDING AGENCY Name Address Description or Scope of Work: ,Cwv"L Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will' expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan cbecked and other department costs are not refundable. Received Receipt #: 41SS7/ Date: 11110y Amount Bldg SRA Sheriff SMIP Other •U Total V�a"6 7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEETU l� %� OWNER: qa ASSESSOR PARCEL NUMBER CJ / Proposed Building Use: Counter Technician: %. Date: Items equired in order to apply for a permit. All bd(xes MUST 'e J checked OR marked NA in oder to apply. / IV 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. q� 8. Manufactured homes: (A) Qg&s.beetsand installation illst `Ba Marriaoe line info�loo"Wa ie�rgr fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public W rks D pt ........................... 28. Pre -Inspection for 1= required....... �`'` o+ +4 ❑ 29. Contractor's license information. (Number, Name S le, lassification)................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ................................ ❑ 34. Manufactured home utility clearance............................................................... ❑- -35. Existing violations and/or expired permits................................................:........ ❑ 36. Deed Restriction......................................................................................... _W 37. .Grant Deed, O.H. Title/Statement of Facts, ItCetter from Legal Owner, l❑-Gfieek-te-F4 Q�$ �_ ❑ 38. Other: ❑ 39. Other: When issued Telephone =- :;?4 0Cg � and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner was advised of theabov da by ❑ phone, ❑ mail, ❑ counter, 7 Date: Plans reviewed by: 7. Date: 2 b Plans approved by: ,_ Date : O Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division NOU-11-2004 03:43P FROM: TO:5340709 P:1/1 NOVEMBER 11, 2004 1, DOROTHY WEISS AGREE TO 14AVE A FIXED FOUNDATION PUT ON PROPERTY AT 369 LODGEVIEW DRIVE, OROVILLE, CALIFORNIA AT PAT NAYLORS EXPENSE. DOROTHY WEISS A�-L� �_- Wx� 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. BP050767 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS, LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under Issued Date: 05/16/2005 APN: 069-130-001-000 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. Site Address: 369 LODGEVIEW DR ORO License Class : License Number: Map Index: Date: Contractor: Description: NEW DETACHED GARAGE/SHOP 400 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the SQ.FT. Contractors' State License Law for the following. reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: NAYLOR PATRICIA D to its issuance, also requires the applicant for such permit to file a 369 LODGEVIEW DR signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the -Business and Professions Code) or that he or 95966-3978 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 penally 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 Code: The Contractors' State License Law does not apply to an Applicant: NAYLOR PATRICIA D owner of property who builds or improves thereon, and who does 369 LODGEVIEW DR such work himself or herself or through.his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95966-3978 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ lam Exempt under Article 3 of tthhe' Business and Pr ��s,Code Date: `' ZOwner: ! " LICenSe #: WORKERS' COMPENSATION DEC ATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: 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: Total Square Ft: 400 S.F. Policy #: Valuation: $9,600.00 fel I certify that in the performance of the work for which this permit is Census Cod ` 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 V forthwith comply with those provisions. Date: �' S / Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is p6re by issued undo 'e, applic le provisions of the Butte. County Code and/or - I hereby affirm that there is a construction lending agency for the is issued 3097 Civ.) Resolutions o do or 'ndicate above ich f shave been paid. performance of the work for which this permit (Sec By 7 Date: Name: 5— ^/ PERMIT EXPIRES ON: Address: (Date) 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. �^ ~V S— Print Name: % Signature: Date:' COwrier ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor _ e. 1 NOTES 0=SI®ENTIAL 069-130-001 05-0767', NAYLOR, PAT - z t PERMIT NO..369•LODGEVIEW, OROVILLE -may , e- Cont: OWNER t t Ind CLECT21Cf}( ✓•O �A2� �-� $^, GARAGE a SPECIAL CONDITIONS • CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f { , • a` SPECIAL CONDITIONS • CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER J= OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 4. 1. Zoning Requirements -Setbacks -Easements Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. Soils; Special MH Support Sketch 7. 3. Sewer; Location -Test -Fall -C/O -Concrete Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 4. Water; Location -Test -Easement Needed (Sketch) 10. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Ext.; Steps -Doors -Landings 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 9. 7. Well Clearance & Disconnect Plumb.; Cir. Test -Water Supply Test 8. Utility Clearance 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Beams- Rftrs Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 58. 11. Water Pipe; Test -Anchors -Regulator -Service Test 59. 12. Electric Underground 60. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 61. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 62. 15. Access & Ventilation 63. 16. Insulation Card B-1 Date Card B-1 Date Date Card B-1 Date Card -B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 65. 17. Water Htr.; Vent -Access -Combustion Air Baffle 66. 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/0 to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card -B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes O NoMalks O Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT '3stNc 114,Division of Codes and Standards O© �u Z 'L�r W Title Search C.�Ili��0 '� Date Printed : 11/09/2004 Df -\J Decal #: LBE1178 Manufacturer: DELAWARE WESTERN HOMES CO: Tradename: SILVERCREST Model: Manufactured Date: 00/00/1980 Registration Exp: First Sold On: 00/00/1980 Serial Number S1165A S1165B Registered Owner: HUD Label / Insignia 187509 187510 Use Code: Original Price Code: Rating Year: Tax Type: Last ILT Amount: Date ILT Fee Paid: ILT Exemption: Length 53' 53' PATRICIA D NAYLOR 369 LODGEVIEW DR OROVILLE, CA 95966 Last Title Date: 02/14/2003 Last Reg Card: 02/14/2003 Sale/Transfer Info: Price $13,205.00 Transferred on 01/24/2003 Situs Address: 369 LODGEVIEW DR OROVILLE, CA 95966 - Situs County: BUTTE Legal Owner: DOROTHY E WEISS 256 MAIN RD HAMPDEN, ME 04444 Lien Perfected On: 02/04/2003 09:37:32 Inactive Decal/DMV: DMV 618QYC * * * END OF TITLE SEARCH SFD AEX 1980 LPT NONE Width 12' 12' r6+ Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 SECTION INTRODUCTION GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS SET-UP INSTRUCTIONS INDEX Approval PAGE NUMBER RELEASE DATE MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM - TRIPLE 11 HEALTH AND SAFETY CODE, SECTION 18551 12 WIND ZONE II - SINGLE APPROVED 2 3 4&5 6 7 8 FOOTER SIZES WIND ZONE I - SINGLE 9 - DOUBLE 10 - TRIPLE 11 - HIGH PIER 12 WIND ZONE II - SINGLE 13 - DOUBLE 14 - TRIPLE 15 V -DRIVE & PIER SYSTEMS 16 SOIL CLASSIFICATION 17 CONCRETE INSTALLATION 18 & 19 COMPONENT PARTS AVAILABLE UPON REQUEST 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 SUBJECT TO CORRECTIONS NOTED MOVAL DOES NOT AUTHORIZE OR APPROVE ANY ISSIONS OR DEVIATION FROM REQUIREMENTS Of APPLICABLE STATE LAWS AND REGULATIONS �Stato of California t f in and Community Davdoi." 'N DES AND STANDARDS I SPA This P • Approval E (sipau—) 17Pvk,�& -M -M, i QROFESS/O-' M. w� No.6 245 � p. (P13,; 04_ C10- `�'/ \� OF CA��FO ;41 e,>y- 3Z 87 BUTTE COUP AUILDING DEPARTMW 4 P P R 0 V M AN 03 00 0 N a O ►- Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. 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, end frame ties and rim plates. Page 2 California 9/2/0 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 49/2/03 K - Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts = 1 L.S.D. system. Can be used on one pad or slipt on opposite ends of the home. Examples of Possible Placement: (contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I O I I I . I I I 1 I I I I I I I I I I I I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Wind Zone I Triple Section Wind Zone I Tag Section 48 Ft. Max. Page 6 California 1407-- 9/2/03 1 I Wind Zone I Tag Section 48 Ft. Max. Page 6 California 1407-- 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 in max. Unequal Pier Heights Maximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". < =R6, -P Page 7 California 2 g 9/ /03 1. Set Vector Pads 4.. Inside brackets & straps Clear all vegatation where pads will rest. Place `' Attach the inside tie brackets to the U=bolts over arlong U -bolt in pad as shown.' Press or ham- -the compresion, member: Attach a strap.w/hook mer pad into'the ground. or swivel strap w/nut & bolt. Place other end of r the strap over opposite I-beam & down to'out- 2. Set Block or. piers on, pads. side tension. bracket., Cut strap'12 --15 inches Center foundation blocks or piers on pads. Place, past bracket. Attach strap' & slotted ,bolt in pre-cut center compression member between bracket. Tighten strap until.tight with 4-5 wraps. ` blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket i Attach outside tens_ ion bracket as shown to out-' side of pads. Page 8 Califor 9/2/03' ; f t �LS.�II �m S jxyax.. z t aFIN \. qa,. x�S :.,YY .4��Yhn+.S-3�r. �_� _ .+HSS• • ^ 1m 1. Set Vector Pads 4.. Inside brackets & straps Clear all vegatation where pads will rest. Place `' Attach the inside tie brackets to the U=bolts over arlong U -bolt in pad as shown.' Press or ham- -the compresion, member: Attach a strap.w/hook mer pad into'the ground. or swivel strap w/nut & bolt. Place other end of r the strap over opposite I-beam & down to'out- 2. Set Block or. piers on, pads. side tension. bracket., Cut strap'12 --15 inches Center foundation blocks or piers on pads. Place, past bracket. Attach strap' & slotted ,bolt in pre-cut center compression member between bracket. Tighten strap until.tight with 4-5 wraps. ` blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket i Attach outside tens_ ion bracket as shown to out-' side of pads. Page 8 Califor 9/2/03' ; f t 1. Set Vector Pads 4.. Inside brackets & straps Clear all vegatation where pads will rest. Place `' Attach the inside tie brackets to the U=bolts over arlong U -bolt in pad as shown.' Press or ham- -the compresion, member: Attach a strap.w/hook mer pad into'the ground. or swivel strap w/nut & bolt. Place other end of r the strap over opposite I-beam & down to'out- 2. Set Block or. piers on, pads. side tension. bracket., Cut strap'12 --15 inches Center foundation blocks or piers on pads. Place, past bracket. Attach strap' & slotted ,bolt in pre-cut center compression member between bracket. Tighten strap until.tight with 4-5 wraps. ` blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket i Attach outside tens_ ion bracket as shown to out-' side of pads. Page 8 Califor 9/2/03' ; WIND ZONE 1.'5EISMIC ZONE 4 L — ` Vector Dynamics Systems Required for Double Section Homes me ` I (Materials Required) _ - - _ : - ` Ct`pt1 hC _ 1-60 CD I"1 I 4— `"+>. '� .,,h � [. - ,•� c� ' i' w "moi' � ,.,Z � �x ( 'e. - • - ...` �� ���K.� ra mss. , .. ', ��/4ti NOTE: Vector Systems should be spaced as€ - symmetrically as possible along the length of the home. Pier spacing must be consistent with home — r� manufacturers' instructions and/or state requirements. w Soil Classifications: 2, 3; 4A, & 4B ' _Soil,Bearing Capacity: 1,000 PSF minimum Anchors Required': None ("Marriage wall anchors may be required by home manufacturer) No anchors required. For pier heights up to'46" for WIND ZONE 28'-36' wide, 38 for 24' wide. See Pg 12 for high pier instructions. ' Home _Length' Vector Systems Required Anchors Required Per Side L.S.D. 0to40' 2 0 2 " 41' to 66' 3 0 3' 67' to 84' 4 0 4 85' to 90' S .0. 4 Note: L:S.D.= Longitudinal Stabilization Device See Page 6.. r - Each Vector System requires one of the following: - 1-4x4 ort-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or t adjustable steel compression (see parts list) n •2 sq. ft. pad VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. - - _ 20x20 = 400 sq. in. or 16x18 = 288 sq. in. or 17x25=425 sq. in. - - - EQUALS -- - - EQUALS 2 -Vector Pads # 59275 _ ` 1 -Vector Pad # 59271 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalyinkar ove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Enh site conditonsCPage 17 California 3 STATE OF CALIFORNIA BUSINESS, .TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND CO1 MUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TIRING PROGRAM STATEMENT OF FACTS This unit is a: ®Mobilehome 0 Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) No.(s) t CSC 1178 Trade Name gitveK CKe!f-T I/We, the undersigned, hereby state: Serial No.(s) if ti 6 E// 7 P j -'/ • I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify :under penalty of perjury that the foregoing is true and correct. Executed on «h` /0'/ at Q.,-,,x4k C`` - (Date) (City) (State) Signature(s)/1011/ Address q(G 6.,� p, Printed name(s) City 0114 2 ee-- , State P('r) d7 i; F M FV 9/91) PRE -INSPECTION REPORT OWNER: Mat, O K- DATE: �� U n LOCATION: 44eui V=, om,76 A.P. # CONTRACTOR: 61 �lO� /ULA ZONING: REASON FOR PRE-INSP CT ON 1 DATE TO INSPECTOR PERMIT HISTORY ( ) NONE (C ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: _ Residential # of Units: Currently Occupied ( ) Yes ( ) No Abandoned/Vacant: Electric: Gas: Electric Currently ( ) On ( ) Off Condition of Electric Currently ( ) On ( ) Of,- Condition ff Condition Sanitation: Plumbing Worldng () Yes ( ) No Obvious Sewage Problems ( ) Yes ( ) No ACTION RECOMMENDED: ISSUE ( ) Yes Hold for permits or verify:. 13h pro Gi Inspector: 1 Mobile home # of Units: ( )No' Date: U cryT7TT!^TT 7lTTTT T1TNTI-0 d -%XT 13_VAr V.L'F. ANTI TNTT1TI- A rr-P T rAP A'TTnNT (1N DDnD'FD'TV 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 A FEE WILL BE REQ UIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** CONTRACTOR Name OWNER Address yE�� Last NameFirst Name ' 4 y ka :� 1.747 tc iy Address 36 9 ( o D G e v r e w O 9 i v t City C`�KDv State Zip Phone Lic. # y76596 Fax State License Number E-mail E-mail CONTRACTOR Name ARCHITECT/ENGINEER Address yE�� 4c- M City Address State �` Zip ysf�E Phone Shy oS9 9 Zip Fax E-mail Fax Lic. # y76596 Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name 4c- M Address Address City - No State Zip Phone State d Fax E-mail S-3 q 0.5-6 6 State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name 4c- M Cross Street Address Yes - No City L� Subdivision Name Map State d zip yS%66 Phone S-3 q 0.5-6 6 Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address .36 9 •ld dGE vie •v Flood Zone Cross Street SRA Yes - No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: C)\/1=P P09? C11R11AITTAI Pi=0111P1=hA1=RITC PERMIT NO. BP BIN # LOCATION AP# Property Address .36 9 •ld dGE vie •v City Cross Street WORKER'S COMPENSATION Policy Number y2, Z Carrier i-ze leo . If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Ca-� ,wry► ��.� re�L Sq. Footage 0 Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received Receipt #: 41r/ 1 Date: Amount Bldg SRA Sheriff SMIP Other Total ne & Dorothy Weiss 53_ .Lodgeview Dr., lot 292, KR#1,Oro t contra o Ridge Prop., Oroville 4' Permi #480P,E(util MH) IIEC . GAS j SUPPORT STRUCTURE RE j jCOMPACTION TEST REQ. A_ � �9LI I I Contr s Ric d Van 5t ve r� MH Sei Permit# 4-8OMIlI Iss 9- 11—do 'v*wis2-i '40 PeraLits#5007-80B(ne a decks/MH) 94 con Si a Mobile Serv., Paradise Permit #210-81B(ndvi awning/MH) i PERMIT NO. 5007780B i. PERMIT EXPIRES d /-3 A/ Lane & Dorothy Weiss OWNER owner CONTR. 34-62-1 ASSESSOR PARCEL LOCATION 53 No.Lodgeview-Dr.,lot 292, KR#1,0rc • r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG& -__ i 'FINALED (Date) Signature J=OK 0 = Not OK — =Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS RS, CARPORTS, ETC. (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements. Zoni irements—Setbacks—Easements 2, Soils; Special MH Support—Sketchootin _ e—Depth—Spacing—Connectors 3. Sewer; Location-Test—Fall-C/0—Concrete 4, Water; Location—Test—Easement Needed (Sketch) ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4, A*e-ATffr-pests—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, —Connections—Splice—Decal—Enclosures 6, oors 7. Utility Clearance 7. floe. M Card -BI Date Card -BI Date Card -B ate:_ r Card -BI 'Date Card -BI Date Card -BI Date Card -BI 11.n ma —YJ Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2, Soils; Compaction -Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6, Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8, Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10, Cert. of Occupancy 9. Health Department Approval 10, Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) , Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood'on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 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 q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 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 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic F] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes []No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except p's 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cl ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/53 4541 APPLICATIbN AND PERMIT n ASS E550 PARC L UMB R ��— [ ZONING .- BUILDING PERMIT%, F o ERno ELEPHONE SQ. FT. OCC. BUILDIN ALUATION OWNER'S MAILING AD RESS - � v I�n1 r . CONTRACTOR'S NA TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace - Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ f)t ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILIN4S ADD ESS _ Permit fee $ BUILDING ADD SS v. PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 D Water piping LOT NO. SUBDIVISION NAME I PARCEL MAP I Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeop"� Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New eAddition ❑ Remodel EJ Utilities [_1 Installation❑ Other [_1 Describe work: �P—n e — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service i000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACC`BLDGS. OCCUP.&� 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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 NON-RESIT.NEW BRANCH MULTI-OUTLET 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 50e25C BALNIOQ FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.I 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. Noti a to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid Cou ty in co equence of the granting of this permit. r X Date r 0 Signature of Appli9ot — Owner li Contractor ❑ Agent ❑ An OSHA permit is required for ex ovations over 5'0" deep and demolition or Construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP,GOUP I TrvOF CONST. IPARCELI PD No ISS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By PER XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /a— J^8o L O ��� 'S��� Receipt No. .� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK, -INSPECTOR. GOLDENROD -APPLICANT -A'210 PERMIT NO. -81B 1 PERMIT EXPIRES- XPIRES 4 OWNER Dorothy Weiss OWNER CONTR. Sierra Mobile Serv'., Paradise ASSESSOR PARC SRU 34"-12-1 LOCATION 53 No.Lodgeview Rd., lot 292,KR#l, - Oroville { J e , Temp. Power Pole Called PG&E 2 Temp. Elec. Service' Called PG&E y Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V = OK 0 = Not OK — = Not Applicable MOBILEHOMES = Not Ready ;., i MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date —$Y DECKS COVERS, CARPORTS, ETC. (Plans) OK except N's Vfop2g Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3 or Joists—Decking—Bracing—Stairs—Rails- 4. Water; Location—Test—Easement Needed (Sketch) 4.eams-8fIrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete . Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Locatiorr-Test—Wrap:/ /"L"fL/ /"Nat. or/ /"L"ft./ /"LPG 6 — oors 7. Utility Clearance . . r Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Card -BI Date'POOLS Date Card -BI Date (Plans) OK except q's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip. -Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIALr(Sing,le and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI 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 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except H'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 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic F-] Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes E] No: Walks El Yes E] No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing _ Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF 'PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 .,0 - APPLICATIWANC PERMIT M ASSESSOR PARCEL NUMBER 34 —(dam1 ZONING BUILDING PERMI - OWNER� ` � ' - Wcs i-55 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1 ki CO TRACTOR'S NAMETELEPHONE I ry 0, _� 5 CONTRACTOR'S MAILFNG ADDRESS ' - Fireplace CONSTRUCTION LE DER 0'0 UNKNOWN Total Valuation Is QC) Filing Fee $ - 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARC E T OR ENG NEERLICENSE NO. W171,���5_1Penalt la 443 Plan Checking Fee $ y $ R ARCHITECT ONGINEER'S MAILING ADDRESS — Permit fee $ Q BUILDING A DDRES "� .., _ PLUMBING PERMIT Filing Fee 10.00 d / Each Trap 2.00 Repair drainage or vent piping 5.00 AWater piping LOT NO. SUBDIVISION NAME lGas PARCEL MAP Each qas water heater or vent 5.00 piping system 1 - 5 outlets USEF S UCTURE SF [:1Duplex ❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New keAddition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: I (�( I f Awnin® Permit Fee $ Contractor. ELECTRICAL PERMIT ' Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 5.00 - Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.al OR ADONS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): lam licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessionsCode and my license is in fu force and effect. License No.Ql,/� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2,50 ea IRC ITS NON.RESID BRANCH CIRCUIT ' NEW CONSTR. POWER APPARATUS &I NON-RESID. SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES 50 BAL@1 00 FIXED APPLNS, OR Ex. Occup.�OUTL. TS (RESID) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to .become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating . Cooling, Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga• aid upo in asequence of the granting of this permit. Date ��'� '� Signature pplicant - Owner ❑ Contractor ❑ Agent An OSH permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OccUP. GROUP �1/�_ • TYPE OF NST. ✓ PARS€L (/ PD ND 15s This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' Zf- kl over Receipt No. `7 r�%� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT YjPERMIT EXPIRES r OWNER Lane & Dorothy Weiss Oro Ridge Prop., Oroville CONTR. ASSESSOR PARCEL 34-62-1 LOCATION 53 No.Lodgeview Dr., lot 292, KR#1, Oroville 1 9 r 7 i, Temp. Power Pole ) Called PG&E ' Temp. Elec. Sery Called PG&E Temp. Gas Service Calletl PG&E iv r JOB ALED (Date) �! a Signature _ •. e.v %��% ��ss .SOP_ vto-��- /K- = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready % r Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 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 -Blackouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12'. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except #'s 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic E] Yes 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes 0 N 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ID Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-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 Card B -I _ -_ _Date _ Card -BI Date Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perrnit) OK except #'s 83. Corrections from PreviousAnspections 84. Gas Test -Meters Tagged; Gas -Electric _ 31. 32. 33. A.C. Ducts: Insulation &Support Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34. 35. Furnace-Vent_Access-Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card-Bli_ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Date _ FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors 37. Walls_Studs-Nailing, Spacing & Bracing -Plates -Sound 38. 38. Bearing Walls over Girders & Floor Nailing_ _ 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Comments at Final: 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) i J = OK 0 = Not OK — = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEFj,OME UTILITIES (Plans) OK except q's 1 oning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 42"iSoil5; Special MH SupportgSketc " 2. Footings; Size—Depth—Spacing—Connectors — ewer; 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 4. Electricity; Location—Clearances—Grnd.—/,?_ Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures --6, fasiLocation—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors tility Clearance 7. Elec. Card -BI 94 DatelQ/M�and-BI Date Card -BI Date Card -BI Date Card -B Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except b's 1, Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability J� Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining fd�Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI kr�Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater G8 Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit Exits; Insp.—Sketch Cert, of Occupancy. 9. Health Department Approval 02 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 -B1 Date Card -BI Date Card -BI Date t �ov e .e1/ ✓�a/e .��osS MOBILEHOME INSTALLATION INSPECTION CHECK LIST I. -Is the mobilehome located with required 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 per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) -Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) . Yes_ No_ 6.. Water A,.. Is flexible 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. 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 4" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? .Yes_ No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8._ Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4",minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No " B. Test OK as per following procedure? Yes\, No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. 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. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No_ 9. Electrical- A. Is service large enough to provide adequate amperage -to mobile�iomd'(must equal rat mobilehome mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water Dump garage, cabana, etc.? Yes_ 'No_ B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes_ No D. Is continuity test satisfactory as per the following procedureT Yes_ No_ 1. 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 conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas Pine, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: COUNTY OF BUTTE - DEPARTMENT OF ,FU$L,,IC WORKS PERMIT NO. 7 County Center Drive--Orov°ille, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -4 { ZONING BUILDING PERMIT OWNER ILA Alf I Pat,74Y w ,s TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS yy�� ONTRACTOR'S NAME ici{•:,K • UKra 3F4uE0,0 JA f-eRklic L TELEPHONE 72 t736 ; CONTRACTOR'S MAILING ADDRESS { ?..n: lq 1Q IQ l L L n1 CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation t LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS X i f. Sj .• �J �. � ' L M.i PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome0-° Other SPECIFY Building sewer Lawn sprinkler system E-2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationEX Other ❑ Describe work: .,-`-���` i�yrr• �� «'• l,.,r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 t� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&1 OR ACDNS. ACC. BLDGS. l 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p er i y (check one): ©' I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. � + 1 ��'� K- Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2,50 ea NON-RESID. BRANCH CIRC ITS) NEW CONSTF;L / POWER APPARATUS & NON-RESID. OUTLET CIR. (SINGLE) Ex. OccuP(OUTLETS OR FIXTURES 50 @ 25C BAL@ioa FIXED Ex. Occup.( OUTLETS P(RESID )REA.1 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. F,_1 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 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. X t....ir a__� of 1."t.�. ti r74.t��.. ,i:� Date �' �s'� Signature of Applicant — Owner L� Contr 4or ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ Ii' o - OCCUP. GROUP I TYPE OF CONST, PARCEL PD I HD ssuE r. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC'TOR'jOF PUBLIC c. By '; -_^._- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r- i -If Receipt No.��' 1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT E COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number, 3T 4" - T1*9 for the following location: Owner.. Owner's Address Mobilehome Mfg. Model -,'Year � Insignia No. / 1��%. Sr/i � /� Serial No. -F-//45 It is hereby certified for occupancy at the above described location and may be occupied. a Directtor�of)Pu�blicWork Date .% oo? By�i•,� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. .r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 3434211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE >r s BUILDING OR PROPERTY AD RESS 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. • " ra COUNTY OF BUTT- - DEPARTMENT OF PUBLIC WORKS ► 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 V E APPLICATION AND PERMIT -r PERMIT NO,. - ASSESSOR PARCEL NUMBER ZONING BUILDING PEV&T WN ER ANE4 PoRTH W��sS TELE PHONE* SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS $'3 Al. Lo06C vtsw o2OtTl1-Le CA ' CONTRACTOR'SN ME is ARO V�rj. (4 AJ rt; TELEPHONE $72-10XIf CONTRACTOR'S MAILING ADDRESS li�30 fop KR_o t. L_ (.N %�fl/e/4o `Sr Lizy� CONSTRUCTION LENDER JUN I KNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS r Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 53 Al, L0066 Ut E w PLUMBING PERMIT Filing Fee 3.00 IC E l" LVRf Ce Each Trap 2.00 Repair drainage or vent piping 2.00 ,. Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomee—Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation Other ❑ Describ ork: -0V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 OR LE Main service 80000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS, ( 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 and Professions Code and my license is in full force and effect. v q to -7--- License No._J "I f 9f -1 FY OIaSSIflCatlOn -�f 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR.( POWER APPARATUS &\ NON-RESID, SINGLE OUTLET CIR. s0.@zsa Ex. Occup(o XTS OR FIXTURES Bi4L@101 Ex. Occup.FIXEEDD APPLES, OR (DUT LETS (RESID) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Ialso 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 ,p�eermit. I� L�- X�t.i.... Date I .ZS—eS70 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 546-- ViI OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE?1_0OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS G� 7 Dates/����ro� Receipt No. �C, )--. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT BUTTE COUNTY DEPARTMENT OF PUBL.M WORKS , 7 County Center Drive,. Oroville, CA. PHONE: 534-4541 t MOBILEHOME INSTALLATION SHEET L A Aj O it Dv&TNS 1. Owner's name: %� �� W CIE S 2. Installer's name:' OC "C -H VAN JC tel) I ce 3.. Is the site currently under permit? Yes No (If yes, furnish permit number` ) OR a 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 T);;�/ No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------- 0 r' Amps 6. What is the mobilehome site service rating? Ames 7. What is the mobilehome site circuit breaker rating? ------------- oZ C5 Amps 8. Is there any other electric load to'be served by the mobilehome site service? --------------------------------------------------- Yes / / No IPCI (If yes', identify the load and size: (Load) (Amps) 9. What is,the mobilehome site gas pipe size? ---------------------- J (in.) 10. What is ,the type of gas service? -=------------ Natural / / LPG 11. What is the gas'pipe length from meter or.tank to the mobilehome? — (ft.) 12. What is the mobilehome gas deiriand?------------------ .------- -------.►' '-- (BTU) (This information not required if pipe length less than 6 ft. on natural gas , or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT. r _ APP -ROVED 3 . MOBIUHOME SUPPORT DATA y�,� If other than single wide, i Mobilehome Mfr. c-pAi kolv�e furnish Setup Model, No:&22 �'E 00R_A Year Width 2 (ft.) Box Length .S+V (ft.) Tagalong or Expando Size _ - ft: x ft. (SHOW SUPPORT DETAILS BELOW)' On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not'on file with the County of Butte). All center -supports measured from front of mobilehome unless otherwise specified. Single 0 o,. xI0 (ft.)(in.) (in. ).( in. ) Center support Center support' locations* footing sizes (in.) 3(o x 3d (ft.)(in.) (in.) (in.) F3 --S-77 (ft.)(in.) (in.) (in.) E�;� 1 .11; ft.)(in.) 124-x -7 -30 (ft.)l(in.) (in.) (in.) Footings (check one) E9 l- Wood either pressure treated or foundation grade. 0 2. Other (specify) Supports (check one) Egi ; Concrete block. 2. Other (specify) 4�--Tagalong or Expando; show support details. 12-x30 -- Typical Support in.) (in.) Footing Size -- Max. Pier Spacing (ft.) (in.) 2/ e -- Max. Overhang (ft.)(in.)• *If center piers are other than drawn above, ,,00 draw in locations, spacing, and dimensions. /4P ��'�-6Z-/ S3 Al, -- ,I.,_ .a .. AP OWNER_ PERMIT' # MH UTIL;CLEARANCE DATE. INSPECTOR ✓`�w-L'� ELECTRIC GAS Support Compaction Service Other Pipe 11 Str -c. Test Req. Size Load Tye Size Len th YES NO 11 YES I NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Cf)unty Cgnter Drive — Orovi,lle, California 95965 Tel e0hone: 534-4541 C� APPLICATION AND PERMIT. Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Oro Ridge Properties, Inc. License No. 99,5666 Classification 'R— Ginn ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ®I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ab e -mentioned property for inspection purposes. 0 RIDG PERTIE , INC. X Date Signature of Per '4eee or Agent Receipt No. ex White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING F Ie_Fee, II SQ. FT. 7 OCC. I BUILDING VALUATION Fireplace BAL@1 Owner Lane & Dorothy Weiss Total Valuation ix Mailing Address 6927 Navarro Court PERMIT FILING Citrus Heights, 95610 Telephone No. 916-969-3315 Contractor Oro Ridge Properties, Inc. Plan Checking Fee &/or Penalty Mailing Address 5263 Royal Oaks Drive Main service Oroville CA. 95965 Telephone No. 589-0152 Building Address 53 No. Lodgeview Drive PLUMBING Oroville. CA. 95965 FEE PERMIT FILING FEE $3.00 Lot 292 Unit 1 - Kelly Ride Estates A. P. No. 34 - 62 - 01 on ng & Planning s NEW CONSTR. NOW RESID. -54JF Sa ' Ion Fire Dept. Fire Zone Use Permit EQA Parking Plans I Parce Declaration Parcel Ma p 60' R/W Im r p ovements Bldg. PI ec'd Par A proval Each additional outlet Plans Approval NEW ❑ ADDITION ❑ UTILITIES M JAJ OTHER ❑ 5.00 d .Q Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Oro Ridge Properties, Inc. License No. 99,5666 Classification 'R— Ginn ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ®I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ab e -mentioned property for inspection purposes. 0 RIDG PERTIE , INC. X Date Signature of Per '4eee or Agent Receipt No. ex White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING F Ie_Fee, II SQ. FT. 7 OCC. I BUILDING VALUATION Fireplace BAL@1 Ex. Occup.(OUTLETS P(RESID.)REA) Total Valuation @ PERMIT FILING Permit Fee $3.00 Main service Plan Checking Fee &/or Penalty Main service Permit Fee 2.50 0. eC PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q, Each Trap 1.50 NEW CONSTR. NOW RESID. Repair drainage or vent piping 1.50 Water piping 1 1.50 0 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 d .Q Lawn sprinkler system 2.00 Permit Fee BAL@1 Ex. Occup.(OUTLETS P(RESID.)REA) ELECTRICAL No. @ PERMIT FILING FEE $3.00 Main service 600V OR L 100 AMP ORLESS5.00 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 CONS. OR ADDNST ( ACCLBLGS.CCUP. !DWELING e) 20sq ft NEW CONSTR. NOW RESID. MULTI.OUTL T (BRANCH CIRCUITS) 2.50ea Ex. OCCUp(OUTLETSOR FIXTURES I BAL@1 Ex. Occup.(OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S".00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No.J @ PERMIT FILING FEE J$3.00 Heating Cooling Ventilation 1, - Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ �oZ 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. DIR R OF PUBLIC WORKS By Dates Bu ding permit expires Date ��� Z'� 14 INI.ra Y Pj s, t 'o, t, G r:. Q F. NN WI L F I I h A,% rT re pat - oro I - 4,0 r ;1 Coy— 3-z4e-7 SUM axjw� %ILDING DEPARTM-1 AP P ROVE