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069-140-023
J P .J MR . • VERGEZ 112 Kristee Place, Oroville Permit 1032=74P,E (Util. for MH) A.P. 'JOHN VERGEZ �ix�.� 8' a3-'7� 112 Kristee Place, Lot 231, K.R. Permit.1694-74B (deck for MH) -- A 63 _25— JOHN VERGEZ 112 Kristi Place, lot 231,KR## 1, �roville, ::ontr: North State Alum_, C ico Permit## 2615-74B (1�carport, 2 awnings)•-�\� I > Permit #1464-79B(new covered deck/MH) B07-1485 069-140-023 RESIDENTIAL SFD-Mobile Home REIT/ EX MH, EX SITE, PERM FN,1' 112 KRISTEE PL LOPEZ, ANTHONY' 23� i 23� GflI C71 ; � d- ' 1r, C-3 BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 2 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-1485 Issued: 07/10/2007 Address: 112 KRISTEE PL Area: OROVILLE Owner: LOPEZ, ANTHONY APN: 069-140-023 Applicant: SIERRA MOBILE SERVIMap Page: Permit Type: SFD-Mobile Home RET Description: EX MH, EX SITE, PERM FND Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 1 802 Inspection Type IVR INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: uCt Z o Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-6837 cxt 169 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 1 801 lip. /i , iJ -rrujcct rmai is a ♦,eruncare o► occupancy for knesmennai vmy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds SIERRA MOBILE SERVICE & SUPPLY 466 CIRCLE DRIVE OROVILLE, CA 95966 (530)534-0599 SIERRA MOBILE SERVICE &I 466 CIRCLE DRIVE OROVILLE, CA 95966 (530)534-0599 FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 LICENSED_ CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 907/10/2007 Contractor's Signature Date I - WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this peril is issued. I79rFTAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by [[_J Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number. 046-000425 Exp. Date.01/01/2008 (This section need not be competed if the permit is or one 'un dollars ($100) or less. ❑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. X 07/10/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip Building Garage Remdl/Addn $583.90 Other Porch/Patio Total Balance Due: $0.00 Receipt No: B3815 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: Owner's Signature 07/10/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or authorized to act on the property owners behalf. ,1�4 1. �Fi v 07/10/2007 Owner E ontractor OR; E]Agent for Owner Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 112 KRISTEE PL Owner: Permit No: B07-1485 APN: 069-140-023 LOPEZ, ANTHONY Permit type: RESIDENTIAL 112 KRISTEE PLACE Issued Date: 07/10/2007 By KCG Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: 07/09/2008 Description: EX MH, EX SITE, PERM FND Occupancy: Zoning: RT1 SIERRA MOBILE SERVICE & SUPPLY 466 CIRCLE DRIVE OROVILLE, CA 95966 (530)534-0599 SIERRA MOBILE SERVICE &I 466 CIRCLE DRIVE OROVILLE, CA 95966 (530)534-0599 FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 LICENSED_ CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 907/10/2007 Contractor's Signature Date I - WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this peril is issued. I79rFTAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by [[_J Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number. 046-000425 Exp. Date.01/01/2008 (This section need not be competed if the permit is or one 'un dollars ($100) or less. ❑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. X 07/10/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip Building Garage Remdl/Addn $583.90 Other Porch/Patio Total Balance Due: $0.00 Receipt No: B3815 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: Owner's Signature 07/10/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or authorized to act on the property owners behalf. ,1�4 1. �Fi v 07/10/2007 Owner E ontractor OR; E]Agent for Owner Agent for Contractor FILE COPY • ...�o���lllllllll/�i�_ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES :BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 110UR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED :4T TIA1E OF APPLICATION **PLEASE PRINT CLEARLY** OVVN^R --- Last Name f E Name First Name C) / r+ 0 ri i Address II z /<�rsf E F %��/��� Cit City ox « � � i late C Jj ?Ip Phone (rax I - E-mail — APPLICANT SIGNATURE X For office use oniv_ Zoning Flood Zorle CONTRACTOR Name Yes Address / City Subdivision Name heap i State,- Zip Phone Shy DS9 % I Fax E-mail 93 I Lic. # y7�� �,� Class 45 APPLICANT SIGNATURE X For office use oniv_ Zoning Flood Zorle ARCMTECT%ENGINEER Name Yes Address Address City Subdivision Name heap r State Zip Phone ~late I Fax E-mail 93 ~tate License Number t APPLICANT SIGNATURE X For office use oniv_ Zoning Flood Zorle APPLICANT NAME SRA Yes No Address Type Const. Subdivision Name heap City (� --I ~late Zip Phone 93 If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Fax E-mail Name APPLICANT SIGNATURE X For office use oniv_ Zoning Flood Zorle LOCATION SRA Yes No Occ. Type Const. Subdivision Name heap Book Page Lot # j Planner Date Approved: PERMIT NO. V - BIN # Description or Scope of Work: Sq. Footage Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: �/ AmountBld ` IV d g Receipt # Date: � ' I V 3 7 SRA Sheriff SMIP - - kJVCM rvrc 0UbIVII I l AL KLUUIKEMENTS it _ 'I ELM .),N, ) Total LOCATION AP# 1elo 0,2_3 Property Address City Cross Street WORKER'S COMPENSATION Policy Number YJ 7 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: Sq. Footage Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: �/ AmountBld ` IV d g Receipt # Date: � ' I V 3 7 SRA Sheriff SMIP - - kJVCM rvrc 0UbIVII I l AL KLUUIKEMENTS it _ 'I ELM .),N, ) Total } 31 Xi2 Foundation System. Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Concrete System X01- 1 4<65 BUTTE COUNTY BUILDING DIVISION Kb. Engineer Approval State Approval MANUFACTURED ROME/MOBTLE HOME FOUNDATION SYSTEM HBALTH AND SAFETY CODE, SECTION 18551 APPROVED S Mn= TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY GMISSIONS OR DEVIATION FROM REQUIREMENTS OF AiPIJCABLB STATE LAWS AND REGULATIONS Stift of Califotr" Det at NQS and Comum ty Davdapmed ,PWW* (W CO1)ES AND STANDARDS Page 1 of 8 0 G G IdL Xi2 Foundation System I Installation Instructions for California 'l A for Ground B Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. I * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathbring shall have a) resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 LO 0 TIE r � • o Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the. length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems l i Page 7 of 8 m 30336401, 04 / LO O 1 } �1 A k : Breaown d Hardware #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/203 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 271/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 2_ z `DOWN' ENGINEERING 0 0 0 0 Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-3/4" Tube Lateral Struts p 1-1/2" Tube 4-#112x1" Tek Screws U -Bolt & mounting Figure 1 Bracket lcn4 °f No�1 e f J -Bolt Nut & Washer I@� Strut (flag end) ` 1 1 -Beam Figure 2 11. Install frame bracket clamps to I-beam on in side of block/pier: Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened ~ strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground 5yetem Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems` 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems z. [ i lava Page 4 of 8 I I Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. = 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, " tighten wedge/anchor bolt, securing bracket to the concrete.u�o�®` 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the r grade 5,1/2" x 2-1/2" bolt/nut provided.' 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure I next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral'strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite enate brack t. 10. Pull the frame bracket clamp with fastened strut outward to remove any slac . y 11. Tighten all nuts and bolts on system. 7 jj y 2. L 1 /1/11 � Page 5 of 8 0 0 L 0 0 a Xi2 Lateral Concrete Systems Part#59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & Washer Figure 1 Beam Clamp Bracket J -Bolt Lone Xi2 Installation Placement Beam ®p ft%Q a ftfto Longitudinal Strut Concrete Longitudinal Hardware Kit d of 140 e �n Page 6 of 8 r�E 'DOWN ENGINEERING,;: X061 10 B—. mI LO a ti x Y , '°' BUILDING DIVIsI® l�r Cl1R�6jLP �GOfRE f Ov©rogb g ; q 3g ( PN I `1_0IPE� I1� KQ,LsTEE fINef gsy(0 fObq INb oz3 6s' p '1V �IIZ CD�� STATE OF CA ]Fd - 0F'ROtjS1NG.AND ,.-� IMUNITY DEVELOPMENT fAnnufactur6r [DiNaa ic Serial Number S428X S428U CERTIFICATE OF TfVLE Manufactured Home Decnl No- LBBI 277 [rade Narac+ Model DOM DFS i RY 8xpato WESTERN0=011974 04/19/1974 ! I -- --- L L.abeWw-:.igjnia N -(mbar Weight Length Width SDC SCC Exwnp! Use Type 34' !-12' 04 SFDj LPA 64 1 12. . . ........ Issued Total Fees Paid I Mar 21,;!006 $1321.00 Addressee n" PAUL JOHN PADGETTAND EEMMA i,M, -,.-RE-:-V0.CAjk?E1-1V1NG TRUST Ole 1r'/CWE3TERN' MORTGAGE -1655 MONTGOMERY ST A-1 OROVILLE, CA 96965 -v A Registered c 1.7 ANTHONY J.:b.PE z .4 112 KRISt EfPL.- OROVIL[I.JCA 959661! -j Situs Address 112 KR)'bTEE PLACE OROMLL`*E. CA -06966 % Legal O.Vqnerfs) Nl 'XND. EW,4. Ai5ZIA' PAUL,f.0 PADGETT- !IN PADGET7,REv QQABLE-,LIVIN TRsJSI 012892 JUL 10 2007 DEVELOPMENT SERVICES IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RYCORDED WITH THE DEPARTMENT OFHOUSING AND COMMUNI-TY DFAIFI,OPMENT AGAINST THE DESCRIBED UNIT. THE CUR-RV--,NrF)T(%U STATUS OF THE UNIT MAY BE CONFIRMED THROUGH TIM. DEPARTMENT. DIX: 4119246 , M-WIAA Int I - J ILIO E C S 0 E S a2e2ljow u I a 4 S a M JGS : 20 Lo 6I unr BUILDING PERMIT NUMBER: B07-1485 Address or location of unit: 112 KRISTEE PL OROVILLE CA 95965 Legal Description of Real Property: 069-140-023 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: LOPEZ, ANTHONY Owner's address: 112 KRISTEE PLACE OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: 159284/5 SERIAL NUMBER OR V.I.N.: S428X/U MANUFACTURER'S NAME: UNKNOWN YEAR: 1974 OFFICIAL APPROVING INSTALLATION: DATE: 7/11/2007 PHONE: (530) 538-7541 H.C.D. 513 2005-0050449 Recorded I REL FEE 18.88 RECORDING REQUESTED BY Official yyRecords I fAX 95. Be Mid Valley Title & Escrow Company Coun4eof I PCUR-PRELIKINAR 28.88 CANDN(t J. DOBS I AND WHEN RECORDED MAIL TO: County Clerk-Recorderl Anthony Lopez 112 Kristee Place I Orovile, CA 95966 Change of DNaMr 09:88 25-A°� k Page 1 of P i ship StatemHied. (Sec. 4Code). Sent address on de This Line for Recorder's Use Only i t A.P.N.: 069-140-023-000 File No.: 0403-2015532 (CB) GRANT DEED 7 The Undersigned Grantors) Declare(s): DOCUMENTARY TRANSFER TAX r; CrrY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, F, X unincorporated area; [ ] City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Michelle Velez, Successor Trustee of The Frenna Family Trust dated September 1, 1999 hereby GRANTS to Anthony Lopez, an unmarried man the following described property in the City of Orovile, County of Butte, State of California: LOT 231, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT ONE", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 1970, IN BOOK 38 OF MAPS, AT PAGE(S) 5 THRU 10. CERTIFICATE OF CORRECTION RECORDED MARCH 17, 1971, IN BOOK 1663, PAGE 624, OFFICIAL_ RECORDS. u ,i Dated: 08/1612005 i c' r The Frenna Family Trust dated September 1, s' 1999 C®IIrtTY Michelle Velez, Succes or Trustee JUL 10 2007 DEVELOPMENT SERVICES Mail Tax Statements To: SAME AS ABOVE t It } A.P.N. ?064'-140-0:23-000 Grant Deed - continued File No.:0403-2015532 (CB) Date: 08/16/2005 STATE OF (01} )ss. COUNTY OF R On T i oZ S before i' me, n!N /u personally appeared cPZ 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 i) in his/her/their authorized capacity(ies) and that 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 s al. This area for ofcia/notaria/seal { Signatur / JENNIFER GRAHAM t., = COMM. #1335344 Notiry PubUc-C.0tomin w uJ ALAtIEDACOUNTY •+ My Commission Expires: d� My Comm. Exp. Jan 8, 2006 GGtG/�'I qac, a 00 7 D y Notary Name: e4 l.Y Notary Phone: �U' i Notary Registration Number: County of Principal Place of Business: r. Page 2 of 2 f r, 1' I� FPERMIT NO. P E ,9 e M MH UTIL. 1032-74P,E 'PERMIT NO. �y —7 PERMIT EXPIRES ,OWNER Mr. Vergez 7CONTR. owner OCATION (A.P. 34-61=23 112 Kristee Plece, Oroville r� n i( 4 Temp. Power Pole Called PG&E 44 Temp. EIec. Serv. Called PG&E Temp. Gas Serv. Called PG&E SOB FINALED� � G� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor. Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer �— — Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas ' Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final, Subpanels Mesh MECHANICAL. Grd. F Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS • — COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — broville, California 95965 Telephone: 534-4541 / D APPLICATION AND PERMIT BUILDING Owner ��� !9,e 3 SQ. FT. OCC. BUILDING VALUATION Mailing Address"c) 104-e do ,r �• Telephone No. Se;73,P ,lVe.l��F,,e -y,Is 2-) Fireplace Contractor i ` / If/ 9sF65 Total Valuation Permit Fee Mai I ing Addr 9 s Plan Checking Fee &/or Penalty Telephone No. Permit Fee - $ $ Building Address PLUMBING No.1 @ FEE // PERMIT FILING FEE $2.00 /4-,5zf-Z6 , - Each Trap 1.50 d r // t Repair drainage or vent piping 1.50 Water piping 1.50 ' Each gas water heater or vent 1.50 A. P. No, til (�/� !:5� �Zng an Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W Sani 4aFire Dept. Fire Zone Use Permit Building sewer 5.00 104 EQA Parking I Parcel Parcel Ma 60' R/W Im rovements Lawn sprinkler system 2.00 g. PPlanes I Declaration P �P lans Ffue Par�ApprovaI ins Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ELECTRICAL No. @ FEE OTHER ❑ PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home [fr Others ❑ Range, Cook -top or Oven 1.00 Som S �.— /!�/>W TL-,ZK_ 5^6-c /=O Water Heater or Space Heater 1.00 Light fixtures ba1015 j'Y%eig �4_,4 Receps., switches & fix outletsb. CONTRACTORS LICENSE LAW Hood, Ex. Fan or F.A. Furn. Motor 1.00 I am licensed under the provisions of Chapter 9, Div. 3, of the Evap. cooler, gar. disp. or D.W. 1.00 State of California Business & Professions Code under the name Air conditioner or heat pump style of: Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Wo kmen's Compensation Insurance. I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ab entioned property for inspection purposes. Date nature of Permitee or Agent Receipt No. 17 t White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE is This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date _iaiWing permit expires Date LOT 231 S —07Erz C o /V/V. 'U N 1 T 1 Z;1T /- L / T LM CA r/ O NS A{ ?E � \ } `l-FTf'120X. =NO..T TO SC,4L E_ (Og y - -A E:d EnlT,o bp . °t ra a� �, o� 1 l �. I .\moo k a W( -111Z t' rte. tea+ h f.. `` • p- a All utility cons f ons located within 4'ft. outside the rare_,, �( third section of tWe mobile► the left (road) sJde of the mah;lei !KA /itis• :` '�.� Q IN,Cb 1. \ .. 8V( UNIY A ENT RTM1f� ��� 7 :r •� .. � C'Q�1/;Tl2�iG"'TO�. /1/Q•TE:.`'." • Z L --• yip � / � lb�2 Y ! G'e.✓7- .4,o-1"1Zax. 2' Co?NE/� �� -•�ti 6.:. TG 3� l2 0 cow �Ea.OEa 9:;rOA/71e IC 7' 0,-Z' No TES 9-26.74C> , . � 'Mo�J'/GE i9017E0 3=//-7Q ,7`"`�l� CONN. '� • 7- 79 T, r'n nrni •" 1464-79B .PERMIT NO. PERMIT EXPIRES _ P-7 !OWNER John Vergez r • CONTR. nrancr ` LOCATION (A.P. 34-61-23 ) 11.2 Kristee Place, lot 231, KR#l, Oroville • P ) Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E /J0B V/ FINALED (Date) --� "� (Signature) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS.- BUILDING INSPECTION! RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall ZSoil Piping Forms Parapets 1st Flo Main Bldg. Restroom Finish v 2nd Floo Footings Windows A 3rd Floor Stemwall Siding To out Slab Roof Sheath in - - Water Piping Piers Roofing 4 Sewer Garage Fdn. Vents Fixtures Footin s Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physic Illy handicaped Conformance of structure Appliances Gas Piping & Ast Terno. Gas Slab Final f' Sanitation Patio FIFtEPLACE Final lif Footings Footing ELECTRI AL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIR SPRIN ERS Motors Framing- -' JF Ct J Test Water Htr. Stucco Final Subpanels Mesh AkCtftlCAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole; Finish Ducts Under roun Interior Lath Ventilation ! Permanent Door Closer Final Final MOBILEHOME UTIf ITIES - - - - - - - - - - - - - - - - - Elec. Service y Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT License No. Classification I I am exempt from the Contractors License Laws of the State of Cal itom ia. 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 VW 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 1 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. Date Sig ature of ermitee or Allgent Receipt No.S_*1 5Z 26 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ MECHANICAL N0.1 @ I FEE PERMIT FILING FEE J$3.001 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ Land Development Fee $ TOTAL PERMIT FEE is o This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date3-2,7-7f 7' Building permit expires Date 3 z' �� BUILDING Owner V SO. FT. OCC. BUILDING VALUATION Mailing Address !� `` -- Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address _ Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 ��ELL v 4ol-A3 i Repair drainage or vent piping 1.50 A. P. No. .34-6 �„3 Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 0 -led 1960-tauQ12- Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EOA Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Plans Recd Parcelproval I NEW ❑ ADDITION ❑ UTILITIES ❑ Pla Approval OTHER Lawn sprinkler system 2.00 Permit Fee $ ef-o _ _ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800V OR LESS100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER s0ovPOR LESS V AM 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. s) OR ADDNS. ACC. BLDGS. 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEW CONSTR. (MULTI—OUTLET NON-RESID ` BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTI aES g 1� Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification I I am exempt from the Contractors License Laws of the State of Cal itom ia. 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 VW 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 1 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. Date Sig ature of ermitee or Allgent Receipt No.S_*1 5Z 26 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ MECHANICAL N0.1 @ I FEE PERMIT FILING FEE J$3.001 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ Land Development Fee $ TOTAL PERMIT FEE is o This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date3-2,7-7f 7' Building permit expires Date 3 z' �� y PERMIT N0. 2615-74R. P E M 1 MH. /� J �j oc � / _ �7�e !}; PERMITMIT NO. /— PERMIT EXPIRES ;OWNER John Vergez 'CONTR. Nnrth State Alum—. Chico LOCATION (A.P. 34-61-23 ) i 112 Kristi Place, lot 231, KR# 1,- Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB // �/ FINALED�.--20 _74 (Date) (Signature) COUNTY OF BUTTE — DEPARTMIfNT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Setback Forms Main Bldg. Footings StemwaI l Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Mesh Scratch Brown Finish Interior Lath Door Closer DATE PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidinq To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Gara a Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing EL Fixtures FIRE SPRINKLERS Motors Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent % Final Final REMARKS OR CORRECTIONS_ L COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive — OrovExt. California 95965 Telephong: 533-1.30, Ext. 259 APPLICATION AND PERMIT - BUILDING Owner © SQ. FT. OCC. BUILDING VALUATION Awn U49 Mailing Address � � � /GG F place Contractor Total Valuation L� Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address , PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 J_ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �— Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. �' Eni Planning Building sewer 5.00 Plans Feet W.� R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION OTHER❑ Permit Fee $ / f �� X �l ��'�'�C� ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 � Main service incl. 1 meter �� U�/L� �y� �� Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No.i�%� UOQ Classification ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability LforWlo�rKen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby intstr�mentaatj $rryn g Motion $0.07/$1000 Evaluation $ TOTALI' PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X --00�Date Signature of Permitee4or ent Receipt No. T_ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS By � L,� 2 Date 2-2— 7 Building Permit Expires Date7f_ 2S r • 1 tip' .. PERMIT NO. 1694-74B P • k. E M 4MHMIT / Oma _ / PERMIT NO. PERMIT EXPIRES 'OWNER John Vergez CONTR. Owner 1LOCATION (A.P. 34-61-23 ) V 112 Kristee Place, Lot 231, K.R. - r4 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB Uc � FINAL ED Setback Forms Main Bldg., Footings Stemwal I Slab Piers Garage Footings Stemwa l l Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF' BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping 1 F Para ets Restroom Finish S loor 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLEF Test Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS M Grd. Fault Prot. Service Temp. Pole Underground Permanent Final COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center brive 0 Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner /SlN �G SQ. FT. OCC. BUILDING VALUATION Mailing Address �� /Zf� j �� RZG C-t!� X24 V!U-� Telephone No. Fireplace Contractor d �-CJ N Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Aa Each Trap 1.50 �2C1�� Cf Repair drainage or vent piping 1.50 Water piping 1.50 �t7� ,� / Each gas water heater or vent 1.50 A. P. No. 3 ev ^ 6 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W1.15 're Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel 4 a Plans Approval Permit Fee $ $ NEW ❑. ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater1.00 Light fixtures )�a_l� falo Recaps., switches & fix outlets 20 -5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ Chi authorize representatives of the County of Butte to enter upon the ,;entioned property for inspection purposes.�GDateVgnature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF, -PUBLIC WORKS By Date3'?�/— iiding permit expires Date .............. -5 �77j,