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069-210-047
•r. '4 I r LOT 193 UNITK.R. P �� .3 ERM I T ,16129-75'P E%1T I ) 1 ELEC. GAS �— SUPPORT STRUCTURE REQ._ f�� COMPACTION TEST REQ. � �� 4�1 Esee `i ( palQ-n Y.0- 6 CONTR: Carneros Mobile Trans ,Napa . o Permit ##6490=75MHI Issued Permit ��6509-75Pad d--1 g to ex. Si ' Permit #3Q,9_76:b• new 1 , age' private gar- L: 'J. Nelsen Xkq I ' 241 Apache Circle, rovill� �/7� i, Permit #1117-76B(new wood deck/MH) [ contr: Upstate Awnings, Sacramento r Permi #3238-76B(2 new awnings/MH) 069-210-047 02-2649 HALLEN, JAMES est ELAINE �Ep 241 APACHE CIRCLE, OROVI CONT: SIERRA MHS EX MH PERM FND EX SITE 069-210-047 • 06-0363 GARZA,RAFAEL 4 241 APACHE CIR, OROVILLE Cont: GALLAGHER'S HEATING FURNACE C/O �I P BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (536) 538-7541 PERMIT NO. BP060363 B. C. Building Permit 01-16-04 pg 1 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: 02/16/2006 APN:O69-210-047-000 the Business and Professions Code, and my license is in full force and effect. '— License Class :L16 - G3$ License Number -1_11 33 Site Address: 241 APACHE CIR ORO 2-I G �-O q( to4V XkVA-G Date: Contractor.G Map Index: Description: CHANGE OUT FURNACE ONLY OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or -county which requires a Owner: GARZA RAFAEL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 241 APACHE CIR 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 95966-3906 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: GALLAGHER'S HEATING & AIR Code: The Contractors' State License Law does not apply to an PO BOX 35 owner of property who builds or improves. thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for LOS MOLINAS, CA 96055 sale. If however, the building or improvements are sold within one 800-892-3556 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 Contractor: GALLAGHER'S HEATING & AIR not apply to an owner of property who builds or improves thereon, PO BOX 35 and who contracts for such projects with a contractors) licensed pursuant to the Contractors' State License Law.). LOS MOLINAS, CA 96055 C3I am Exempt underArticle 3 of the Business and Professions Code 800-892-3556. Date: Owner: License #: 777334 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: D/ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance c-arriier and policy ,number.are: tt Carrier: e, _/Vt/YIC� J 6L+ Total Square Ft: 0 S. F. Valuation: $0.00 9, 5�5' Policy #: oo 139, Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosse� provisions. (5-0 Date: lP Applicant: WARNIN : failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section .3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is hereby i"ssqed under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to do rk ' dicated above for which fees have been paid. performance BY Date: Name: Name: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby 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 do ument of Butte County. I hereby authorize representatives County to enter upon the. above mentioned property for inspection pu93Qses. tof�Butte Print Name: s Its► ` 1 i �� v► r Signature: Date: ❑ Agent for Owner ®"Agent for Contractor ❑ Owner ❑ Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 591-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "*PLEASE PRINT CLEARLY* * r CONTRACTOR Name I tt prI11-0' AddressVb & City Phon City Stat Zig Fax Stat Zipgw IIWW Phone Book Fax E-mail Planner Lic. #-1773341s C r APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address Address City Phon City Stat Zig Fax State Zip Phone Book Fax E mail Planner State License Number APPLICANT INFORMATION Name( -,)n f a_ -kV1q-(_) Address Cross Street City Phon D Stat Zig Fax E-mail Type Const. WIA% E - ' Imo/ For office use only: Zoning PropM11ress Gh r Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: nvr✓D r=np ci IMIMITTAll Ps=nl IIRFMFNTS PERMIT USP • 05Le-:� BP BIN 9 PROJECTLOCATION AP# © ' Zl ' V'"f PropM11ress Gh r C' i Cross Street OMPENSATION WORKER'S COMPENSATION- Policy Policymber CarrierstQ4-c— R , , ,, l 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 ope of Work: on I d `� 1 Sq FT- Living Garage Open Cov ❑ 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. I I Received by: Amount: 5:5 Bldg I I SRA Receipt #: , + � Sheriff SMIP � � (' r l Other Date: `' U YP Total v 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 manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. 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. ❑ 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. Building Permit Application Without Required Clearances Form ❑ 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). 01 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: ❑ Legal description from current recorded grant deed, E3Copy of M.H. Title, Title transfer, or MCO. ❑ 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 K:\FORMSWILDING FORMS\BIdaADDISubRamts.doc Paoe 2 of 2 RFV 8-12-05 NOTES RESIDENTIAL - PERMIT NO. ' 069-210-047 02-2649 HALLEN, JAMES BSc ELAINE"- - 241 APACHE CIRCLE, OROVILLE CONT: SIERRA MHS EX MH PERM FND EX SITE THE HCD FORM 433A FOR THIS MH CANNOT BE ~RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). .(2 STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature, CHECKED BY J=OK 0 = Not OK + = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L'"ft./ P LPG 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 B -f Date Card B-1 Date PERMANENT END SYSTEM (ONLY) ZopiFxjl3equirements-Setbacks-Easements ootings• Size -Spacing -Marriage Line in Z4--ergs-NIH Test -Demand -Valve licit ;.M4- ESt- ater, MH.Tost e nd Sewer Connected as and.Electricity Tagged s 10. License Decals 11. Verify #'s with Office Date j) Card B-1Date Card B-1 Date Card B-1 Date Card B-1 t 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 Insulation -Walls -Ceilings 1. Zoning -Setbacks -Easements -Flood -Slope 63. Infiltration -Walls -Windows 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Date 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Card B-1 Date Card B-1 5. Stemwalls, Main; Steel-Blockouts-Wrapped FINAL (Plans) OK except #'s 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 64. 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Smoke Detector 8. Piers -Fireplace Ftg.-Steel 66. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Bedroom Exiting 11. Water Pipe; Test -Anchors -Regulator -Service Test 68. 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Stairs & Rails 15. Access & Ventilation 71. 16. Insulation 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 17. Water Htr.; Vent -Access -Combustion Air Baffle 75. 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Plb.; Elec. & Mech. Equip. Listed for Location 22. Gas Pipe; Sixe & Anchors 79. 23. Fire Sprinkler; Test 80. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors _ 26. Size Boxes & No. of Conductors Stapled Following Instld./Drive D Yes D No/Walks D Yes El No/Planters O Yes O No 27. Romex Installed Close to Edge of Studs & C.J. 84. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI A.C. Unit Disconnect, Electrical -Plumbing 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 86. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes • O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. Exterior Elec. Trim, G.F.I. Receptacle -Underground 34. Clothes Closet Light -Shower Light -Spa Light 89. Ventilation Throughout House 35. Smoke Detector 90. Glass Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support Water & Sewer Connected -C/O to Grade -HD Approval 37. Vent Fan, Exhaust above insulation 94. 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 Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 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 Exitina 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 ❑ Yes _ 83. Following Instld./Drive D Yes D No/Walks D Yes El No/Planters O Yes O 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: 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 o7 �1 0 (Rev.12/96) APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER 069-910-047 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1440 R 77 760. OWNERS MAILING ADD ESS CONTRACTOR'S NAME STERRA MHS - TELEPHONE 534-0-59-9 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 270.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 91.00 BUILDING ADDRESS 24 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublifies ❑ Installation ❑ Other ❑ Describe Work: EX MFT PERM EM EX STTE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A pp LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full forge and effect. r ?O ��� License Class js Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 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 erformance of the work for which this permit is issued. U-Ilp,ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation i/nsuranncce� r and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. Bins. SO 3.5¢FT; NOµgESlp BRANCH CIRCUITS MULTI -OUTLET @7,50 POWER APPARATUS & SINGLE OUTLET CIR. 1 EX. OCCU OUTLET OR FIXTURES .00 BAL @ .50 Ex. Occup. DFlxEDuT R� p� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Policy Number LS'] (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 ith those provisions. G G Z X Date _ r Z3 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 363.25 Al. _ p. FEES IMP I FLOOD cpF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab ve for which fees have been paid. n �� By e "f PERMIT EXPIRES ON D Date ReceiptNo. 363760 $363-9S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 D PERMIT NO. Rev. 12/96) APPLICATION AND PERMIT .S.f- -'ESOR°iP° r---°81 �� - OW G _ 6 n-4 BUILDING PERMIT pWNER // T[IANONe SO. FT. OCC. BUILDING VALUATION orrNER: wAuroo i oaEss � Y LP UAL �1 Se► �1 -47 COMRACTORS NAME M \ , S 3ElEPtgN V ' %CONSTRUCTION LENDS LENDERS MAILING ADDRESS ARCHITECT OR ENGINEER ARCHRECT OR ENOINEERB MAL1NO ADDRESS SULDINDADDRESS a Z-�� LOT NO. SUSONSION3NA►f UUSSEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ,®/ Other New ❑ Addition ❑ OF WORK n A A. V -R� Total Valuation b PERMIT FEE S (f Filing Fee S 20.6c Permit Fee 23.00 Main Service Plan Checking Fee b NEw CONST. OR ADDNs. Energy Plan Checking Fee b NEW V10mr. NOWRESIO. MUM -OUTLET MUNCH CIRC RM i b PERMIT FEE b ' PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping SHERIFF $ 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00. Building sewer 15.00 Mobile Home I S I G I W Ca?20.00 PERMIT FEE S (f ELECTRICAL PERMIT Filing Fee 20.00 Main Service o0 o0R mss 23.00 Main Service 200A TO 1000A 46.00 NEw CONST. OR ADDNs. DWaLMO occuP. CC a A. alas. 9.52so NEW V10mr. NOWRESIO. MUM -OUTLET MUNCH CIRC RM i @7.50 Ex. Occup. wnzr OR FIXTURES N, aA- 5.� Ex. OCCu VTlET9�IM IFS D.011, 5.00 PERMIT FEE PAID $ ��➢ �� Temporary service 23.00 bile Home Facilities 20.00 iiin i� 23.00 SRA $ PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling SHERIFF $ Hood 6.50 Ventilation .OTHER $ PERMIT FEI: $ Mobile Home Installation Fee b Energy Inspection Fee b OCC CONST. TTFS < TOTAL FEES - �z o. FMwP Flmo -� co, PARCEL Fo No of t permit In hereby Issued under the okiticable provisions of the Butte County Code and/or Resolutions to do work AMOUNT, RECEIVED $ Indicated above for which fees have been paid. ;,,..._. By Date RECEIPT- # - ILe -22 i PERMIT EXPIRES ON 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 SHEET OWNER: ASS SSOR PARCEL NUMBER Proposed Building Use: , An I "A Counter Technician: Date: Items required in order to apply for i permit. All boxes MUST be checked OR marked NA in order to apply. �. 1.. Plot plans, 3 or 4 sets, signedty 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. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, )- ie down or >7 foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. .Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Pakiod ' (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvem❑ DYainage .....................21. ncroachment Pe t r ay th s Dept. (construction approval prior to occupancy). Pre -Inspection foR required ................ 23. Contractor's licen a mformation. umber, Name Style, bassification)...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. iiiufactured home utility clearance .....................❑ 29. in violation nd/or expired permits ...................................... ... ❑ 30. rant Deed 4.H. Title/Statement of Fact , etter from Legal Own Check to H.C.D. ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: / � Date: 9A 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the abo data b ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: %/ Z OLPlans approved by: �� Date: 2 $ GZ Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 5C\, 1�S Ies m AFACG tf E C t2CLE ,TA Oh QS S C t -A - NE HA 0-E u Zq( RnAr<<tE A(Lt osLav«a.e CA cr571G§ 4" 1 13 6' #oz- �bv5 BUTTE COUNTY BUILDING DEPARTMENT APPROVED VECTOR DYNAMICS FOUNDATION SYSTEM WIND ZONE 1 & 2 INSTALLATION INSTRUCTIONS For the State of California INDEX SECTION INTRODUCTION PIER,HEIGHTS GENERAL INSTALLATION SET-UP INSTRUCTIONS METAL PIER & V -DRIVE PARTS LIST CONCRETE INSTALLATION SCHEMATICS PAGE NUMBER 2 4 5 &5a 6 7, 7A, 7B & 7C 8&9 WIND ZONE I - SINGLE SECTION 10 - SINGLE V DRIVE 11 - METAL PIER 12 Si- -DOUBLE CTION 13 ' -SECTION - TRIPLE 14 WIND ZONE II - SINGLE SECTION 15 - DOUBLE SECTION 16 - TRIPLE SECTION 17 SOIL CLASSIFICATION 18 COMPONENT PARTS AVAILABLE UPON REQUEST Foundation System BUTTE COUNTY Release Date 8/13/2001 Engineer Approval i Z IIS 25,370 }iEA[.TH ael'`AWO & gl 18551 SUBJECT TO CO R' ":CTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMUT S OF APPLJCABLE STATE LAWS AND REGULATIJ.:S State of California Department of Housing and Community Develepmant F CODES AND STANDARDS r Date ` ! (sigg ture))p NO. / / — / plan Approval E�cpirrs " For Further Information TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta, GA 30336 404-344-0000 FAX 404-349-0401 I www.tiedown.com Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION INSTRUCTIONS Introduction These instructions describe the proper use of the Vector Dynamics Foundation System in Wind Zones 1 & 2. Additional. installation instruction is available in VHS video, from manufactured housing distributors or from Tie Down Engineering, titled, Vector Dynamics installation Video. The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone I & II III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec- tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & II), are available through local distributors of Vector Dynamics or directly from Tie Down Engineering. General The Vector Dynamics Foundation System. provides the support to resist lateral and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these instructions. See manufac tures Home Installation Manual for other pier & anchoring requirements The following characteristics apply to both single and multi section homes: • Main rail minimum spacing of 86 inches or greater. • Nominal 8 foot or less top plate height at side walls. • Main rail depth of 12 inches or less. • Maximum roof slope of 20 degrees (4.4 in. in 12 in.) • Maximum pier height under main rail of 56 inches (see page 3). WIND ZONE I • Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. WIND ZONE II • Maximum single section home width is 15 ft. including eaves, maximum eave width is 6" per side. • Maximum single section home width of 16 ft. including eaves must use two additional vertical ties/ anchors/stabilizer plates (one per side) as listed in the charts on page 15. • Maximum double section home width including eaves 32 ft., maximum 12" eaves per side • Maximum triple section home width including eaves 48 ft., maximum 12" eaves per side The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic pad (s) has two (2) or three (3) square feet bearing area. Piers not used as part of the Vector system shall be located and constructed in accordance with the home installation instructions and/or state standards. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than 56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806. The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See page 3. Note that a ground anchor is used at each Vector system location in Wind Zones II & III. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or the state. Check with the most recent regulations in California. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located 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 include shear walls, mar- riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the perimeter joist or specified as a location for vertical ties. c Page 2 California /2001 56 i ma: Figure Maximum Pier Height (Wind Zones I & II only) The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location in Wind Zone II, and where the pier heights exceed 24 inches on a single section home in Wind Zone I. Piers must be constructed in accordance with the manufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. 56 ii ma; I yuc Unequal Pier Heights ( Wind Zones I & 11 only) 5 in. iax. Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails. The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. Page 3 California /2001 z 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. See manufacturer's home installation manual and state requirements for grading and other site preparation. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See pages 8 & 9. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each (set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe or TIDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva- nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust- ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size and pier spacing must be consistent with home manufacturers' instructions and/or state requirements. LUMBER/MOISTURE - TERMITE SHIELD To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con- crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281 must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter bracket is used on top of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture Termite Shield may be required between the lumber and ground. 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 TENSION All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight- ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight- ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven- tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con- nectors with welds. Page 4 California N001 Z Set -Up Instructions for the Vector Dynamics Foundation System #59007 (Kit #59007 is interchangeable with Kit #59018) 1. SET VECTOR FOUNDATION PADS snort Long Short U-bolClear all loose vegetation from the immediate u -bolt u -bolt area where your Vector foundation pads will \ I' rest. Press or hammer pads into the ground. Tip: Place a 3/8" nut on each U -bolt to keep it in place while you position the Vector pads. 2. SET BLOCKS (OR PIERS) ON VECTOR FOUNDATION PADS Center the foundation blocks over the Vector pads. Place the pre-cut 4x4, 2x4's (side by side), Schedule 40 PVC (w/PVC adapter plate, part #59281) or 1 adjustable TDE steel compression member, (part #59043) tightly between the blocks, with ends resting on the Vector pads, and centered on each U -bolt. 3. OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of the foundation blocks and Vector pads. Place one of the short 6"- 2x4's between the bracket and Vector pad. Adjust the short 2x4 so that it pushes against the foundation blocks, removing any space between the piers and center compression section. Tighten the 3/8" bolts. 2 square foot pad placement or (1) 3 square foot pad 4. INSIDE BRACKETS AND STRAPS Attach the Inside Tie Brackets to the U -bolts over the pre-cut boards or PVC. Attach a strap with hook to each inside tie bracket. Tighten bracket. When using looped strap and a crimp seal, in place of the hook, place a 3" long section of strap, folded in half and inserted between the strap and inside tie bracket. Place other end of strap over the opposite (- beam and continue down to outside of the foundation blocks. Attach the strap to the Outside Tension brackets using the slotted bolt and nut provided. Wind strap a minimum of five times around the bolt. Continue tightening the slotted bolt until all slack has been removed and the strap is tight. 5. SET ANCHORS Refer to section home drawings for anchor installation information. Stabilizer plates are required for diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is tight. For single section homes in rocky soil conditions in Wind Zone 1 Only (Soil Classifications 2 & 3 only), use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement. Page 5 California 001 Set -Up Instructions for Vector System #59018 (Kit #59018 is interchangeable with Kit #59007) A 4 4el 11 �r ,v Long U-8 1. Set Vector Pads Clear all vegetation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compression member. Attach a strap w/hook or swivel strap w/nut/washer & bolt (washers are required). Place other end of the strap over opposite I-beam & down to outside tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Page 5a Califomia N12001 Cp CD W O 3 I IN - WIND NWIND ZONE I ti n hOmems• u eines Vector Dynamics Systems Required _ , _ - ' - - " Seco Sy 1e uat g �d for Double Section Homes _ _ _ - - f a Fad "'-v e sea` ti;° ' 2 t � �tn9 °� tiaNa n ' \ (Materials Required EXampsho s gest b 59 e to h°m 11Wstratlon 3C'%0g m " _ _ - dIN F ound anion pa , I I Maximum allowable working drag load N for the Vector System with the steel compression strut Is 3,150 pounds per NOTE: Vector Systems should be spaced as evenly as the K2 Engineering test report. _. ! is practicable along the length of the home. (pier spacing not be consistent with home manufacturers, installation instructions and/or state requirements. 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) �2 sq. ft. pad Home Length Vector Systems Required 0to48' 2 48' to 71' 3 72' to 89' 4 Each Vector Foundation System requires • One Vector Kit, 2 slotted bolts • 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break), 1 ea. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member • or 1 TDE adjustable steel strut 1fE DDWN ucuriaurc VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified as Class 4A 48, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class 5 conditions (above 50 in. lbs.), contact Tie Down Engineering. SOIL CLASSIFICATIONS (1) The purpose of the soil test probe is to gage 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 inch lbs. 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. Information about geographical areas of termite infestations which might require the optional termite and moisture shield when a wood compression member is used may be obtained from the local building official or may be found in the 1995 edition of the One and Two Family Dwelling Code. � Page 18 California 8/2001 Soil Test Probe (1) Soil Class Types of Soils Blow Count (ASTM D1586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 in. lbs. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 in. lbs. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 in. lbs sands, firm to stiff clays 413 and silts, alluvian fill 175-275 in. lbs Peat, organic silts, 0-14 175 in. lbs 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 gage 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 inch lbs. 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. Information about geographical areas of termite infestations which might require the optional termite and moisture shield when a wood compression member is used may be obtained from the local building official or may be found in the 1995 edition of the One and Two Family Dwelling Code. � Page 18 California 8/2001 OWNER PRE -INSPECTION REPORT LOCATION: �l A o�&Lk CONTRACTOR: PRE -I NSPETION FOR: Je< M S DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE. AS Building Description: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Gas BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric DATE: -I ° q-3 . 6a A.P.#-CtsgJIb-U4- ZONING: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: LSSUE: HOLD FOR Inspector. Date Sketch buildings on reverse and indicate location on pi'opert; 49- z1-47 a • NFLSEIN P LCT 193 UNIT E T i6�29-75P I( T IL_ / I � E L E CC. . ,r�t�U I CAS I SUPPORT STRUCTURE REQ. I `q ' COMIACT I ON T EST REQ. see I � /' r r- J CONTR: Carneros Mobile Trans,Napa. Permit #6490-75MHI Issued /oZ-1�s1)n� Permit #6509-75P(ad'1 gas m- -- `- - . tox. site) Permit w gage/-f PlFi #30.9-76B new Priv ; -�7-7 gar- L. J. Nelsen ' 241 Apache Circle roville Permit #1117-76B(new wood deck/MH) l09- Z/ -Q7 contra ' Permi Upstate Awnings, Sacramento,, #3238-76B(2 new awnings/MH) I 7X/ // (— 3,231-0 .3ip-)vad ,SL Jr O1 6S b V.J 3 v 1. Q"f o -viV )?-2-t �3�ydN 3��tl7J P 53wgj tY i tkiI Rev. 12/96) n i T yr esu 111_ - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 lJ PERMIT No. APPLICATION AND PERMIT A••E••OR►ARCELMM nm— BUILDING PERMIT L� -a )6� 6 OWNER TELZPMNE SO. FT. OCC. BUILDING VALUATION ow►�s YAaxa i oRE•• _ I • �r � () �%j �'i Ski �l CONTRACTORS ►NYE ti� �s TELEPHONE CONTRACTOR =JMD E '( !J , ), IS 9 (96 CONSTRUCTION LNO6% Total Valuation Is AACNRECT OR ENGINEER LICENSE NO. Filina Fee S 2o.6c ARCWMCT OR ENONEERS YALING ADDRESS Permit Fee -S6 S Plan Checking Fee E euaONa ADDRESS Energy Plan Checking Fee t S PERMIT FEE S IOTNo aLeonsioNTrwwE PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE �� SF ❑ Duplex ❑ Mobilehome ,®! Other � � •PECiY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 E OF WORK New ❑ Addition ❑ Rem ❑ 70stala 'er De ribs ork: Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Filing Feel 20.00 Main Service 20= OOR LE�ss 23.00 PERMIT FEE PAID $ SRA $ SHERIFF $ .OTHER $ . AMOUNT,. RECEIVED RECEIPT ) a I $ aou To IOOOA 48.00T. Maiin4Service DWEUJ+O OCCUV. sa a ACC. Burs. 3.54fT. NON•RESiO. YULTI.OtrTLM @7.50 ROvvEA AvrAVN a S OURET d0. Ex. Occup. OUR£► OR FLRURES ZO O 1'00 SAL .SO EX. Occupora OceE7S ESiO. EJL f Temporary Service 23.00 3.00 bile Home Facilities 20.00 23.00 M UPERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 ' Heating Cooling I Hood 6.50 Ventilation PERMIT FEI: t Moble Home Installation Fee i Energy Inspection Fee i E7�7--Eiii CONST• TYPE TOTAL FEES ::C [This wr r3000 COf - ftFl_� 6S?%A permit is hereby fsaued under the applicable provisions f the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 09 -Oct -2002 2002-0053075 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JAMES E. HALLEN AND ELAINE C. HALLEN REAL PROPERTY OWNER/LESSOR 241 APACHE CIRCLE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS 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' 02-2649 (530)538-7541 B PERMff N TELEPHONE NUMBER 71 ,kjt10-8-02 LS(G]RbOF LOCAL AG AFF DATE NONE DEALER NAME (if not a dealer sale, write 'NONE") NONE DEALER LICENSE NO. MOUNTAIN VALLEY HOMES 1976 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 2284AM 60 X 24 225175/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 069-210-047 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. r:-�. r. 1 w .::rh++. -�•-� �'..-.:. Y' -y' '.'. "_W !,'-P-.+cw.-.�-..._r:} .�';'4" 46'Yu1JhP.. -irlI. .i^..Qr— arf� '.+ 'saM1 I F �' - _ � G. ,� } �• il Fwd FOUNDATION SYSTEMS CERTIFICATE;OF OCC ►� pANl .Y. r BUILDING PERMIT NUMBER: 02-2649 Address or location of unit: 241 APACHE CIRCLE, OROVILLE, CA. 95965 Legal Description of Real Property:. A.P.# 069-210-047 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: JAMES E. AND ELAINE C. HALLEN Owner's address: 241 APACHE CIRCLE, OROVILLE, CA. 95965 INSIGNIA OR HUD NUMBER: 225175/6 SERIAL NUMBER OR V.I.N.: 2284AB MANUFACTURER'S NAME: MOUNTAIN VALLEY HOMES YEAR: 1976 OFFICIAL APPROVING INSTALLATION �. DATE: 10-8-02 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P.# 069-210-047 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 193, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 26, 1974 IN BOOK 43 OF MAPS, AT PAGES 44, 45, 46, 47 AND 48. ILL 89-13059 O,tfcr No at L an nrr Nu. 1 G l l U L can No I 11i1i' /.:0 t'i�ltN iiEr,OnOED MAIL TO. ii. ••'''!uo *-•,,1 •.1:'_•S;•, James I,. b Elalrle C. iiallen Z-1-1 Circle Uvi1Ir, C,a 95966 TIt1n:'1:''d. (;,•u1:!,.,roVPd1ONWE/tLTH'1'ITLI=CO. ,ler ,11'' 17* 0 G`.1 ,1-1)4•-U '3:iJ-,•a ::-A1n -;ih DG ::PACE AOOVE TNIS LINE FOR AECORni�R'S USE t.!Ali. TAX STATEIAENTS TO: (' t, DCCL&MVTARY TRANSFER TAX S_2 7 . 5 Q,_La n K• sd u lu e ) 11 01 name as above ..X. Compulod an the . .. Computed on the considcraticn or va;ue of propart, comayeQ oR con id rod I 1 • . o on or v ue as I ons of drlcumbramn r.rnai et time,to. 17 ((are �- slan.tura er DK .r AO.nr ,fOtarminln0 t.a — FlnnN.rr� -- Commonwealth Title & Escrow Company SRANT DEED F' -)R N . LIABLE .:ONSIDEHATION, receipt of which is heithy acknowledged, �C 0,,410 CLARENCE A. LINDSKY and 11-11P.1310, L. LINDSEY, husband and wife limhy GRAiNTI M w JAME:3 !,. IIALL,EPI ind E1,211NL' C. IIALLEN, husband and wife as Joint Tenants the real property •a the City of County of Butte Stale of California, described as Lut 193, ;vs sho'an on that c,:. -r ai.n Map entitled, "KELLY RIDGE __lA'1'ES UNI'Y Ni). 3", which Map .:as filed in the office of the Recorder of the County Of 13utte, State of California, Jil.y 26, 1974 in hook 43 Lf Maps, a- panes �. 45. 46 ,17 and 413. TATE OF CALIFOUNIA L%_1M0NwEALTi'I LAND` y 53• 99 Wif vs,re.r tca vu:r !N'ITOF'_ Autte_ 1( th,_ April 11, 1.969 yeller, Geri puayle tary P aNnuhlieinaalfoesaid State,penr. nnaily.p,. drrarls MiKll:wi.n P,.onoll/Iknown me) Nv p,eecd to ow un the basis of satiJortory evidenmi to be the pe,_ wl,n.e mime u subscn"b'r In Cu within IInnstm- ment, u o W itnem the eto, wFo hei" by me duly sworn, depose& and says: •'ebur--bY_,r-ei:lea in_,LlLL1� `�(`nttnl-}. and that _l1[_, .;a• vrnenl anA mw .__L_LAT.s1l(_P__A- T.i rrlrLt >; Mahle I.,J. I•eroimol!y known In— It i nI 1 tube dl mrperwm-&_.,deur&,d In and wlteoennmrs areanbeerilred to lis a:ithin u,J anneelvl lnrWmcnl ea thereto, e.mute and deliver dee "me. and _ -JL! r_4-_ aehnmrled7ed to uid eifunt that 1-hnli executed the toms; and that mid a:iiant sAmribed 12I'n Dm DO®¢ noun mega 108178EIRBOB® bis_ name thereto .a a lyimeaa. 0G ERI s my P.m, and nnirjeY t 1. a GEl41 QUAYLE m 1 NOTARY "UOUC-CALIFORNIA q thato county a .. D MY Carlotlit-aam Fapraa Oc1.23, 19!10 D '-' ®gODt Of AP. 711700 g00B�peenrmm6 Dar_ -d Apr. t 1 10.�_.19fd9�./Cc ll I) se Y I V7 • �% � ATEOF•C'_atJFt St41A idu:tryor•,!ttltte. - t �ia6eR I,:`ihdseyJ. '`�-__._.._..... ..w;znessCSGy �rarlcis 4. `�ct�iwin ,wi,.,a n•L•. Iha U,tdB+:i,7ntle, a Now, P�.b;r_ In and to, :ara State, pe'• xnacybrmnared_ Clarence A'- i,i.ndsey and ttahcl h.._- poetenalle kn— to mo (dr provml Io rase on the basis e: satisfactory oodantn) ip be the peruonl7, wftLw nama(s) Wate subs, dt,ed to the v lhtn inalnlmPnt and aek,niwlcdoed to me last he/shpllhey er .—Ie0 the same. WITUFSS mt h_nd and omlctal seal Ithn eras Is, nti,rmt notoria —1) Si�neture_ _._. _ .. r"_ t08 MAIL TAX STATEMENTS AS DIRECTED A30VE END OF DOCUMENT FROG'. AID VALLEY TITLE AND ,E30RO01 COMPANY (THU) 9 5 2002 10:43; ST. i0:42!N0, 5011992877 P 2 ' DEPARTMENT OF HOUSING AND ..JMMUNITY DEVELOPMENT Dlvlalen of Codes and standarde %MWG a Title Search ° Date Printed : 0800/2002 ay1r Decal #: LAP42OR Use Code: SFD Manufacturer: MT VALLEY HMS Original Price Code: AEF Tradename: MOUNTAIN .HMS Rating Year: Model: Tax Type: LPT Manufactured Date: 00/00/1976 Last LLT Amount: Reeistration Exp: Date TLT Fee Paid: First Sold On: 01/24/1976 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Widtb 2284E 225175 60' 12' 2284A 225176 60' IT Record Conditions: PPF Exempt Voluntary Conversion to LPT Registered Owner; JAMES L HALLEN ELAINE C HALLEN (Joint Tenants with Right of Survivorship) 241 APACHE CIR OROVILLIE, CA 95965 Last Title Date: 07/16/1989 Last Reg Card: 07/16/1989 Sale/Transfer Info: Price $28,600.0D Transferred on 04/10/1989 Situs Address: 241 APACHE CIR OKOV11 LE, CA 95965 Situs County: BUTTE Legal Owner: FIRST INTERSTATE BANK PO BX 269028 SACRAMENTO, CA 95826-9028 Lieu Perfected On: 06/15/198912:23-00 Inactive Decal/DMV: DMV MK9650, DMV ME7999, DECAL AAT3530 Open Escrow: MiD VALLEY TITLE PO BX 1068 2295 FEATHER RIVER BL OROVILLE, CA 95965 !Escrow File No: 201093KB Pending Buyer: RAFAEL GARZA Dealer Name: None Reported Excrow Opened On: 08/30/2002 Expires on: 121282002 *** END OF TITLE SEARCH *** -PERMIT NO. 3 09-76B P `�. E M y,MH UTIL.•- ,.PERMIT NO. r r. PERMIT EXPIRES OWNER L. J. Nelsen CONTR. owner d, PLOCATION (A.P. 34-73-47 241 Apache Circle, Oroville r 'i 3. Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E SOB l 7� FINALED (Date) (Signatur COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Z - 2.-7 - 7 L Firewall Soil Piping Forms Parapets 1st Floor Main -Bldg. Bond Beam Restroom Finish 2nd Floor Footings Test Windows 3rd Floor h Stemwall Subpanels Siding 7.- / % - To out Slab Scratch Roof .Sheathing - / 7- 4- Water Piping Piers Cooling Roofing 7 -7 Sewer Garage Underground Fdn. Vents Fixtures Footings - Z -7 (r, Garage Vents Water Htr. StemwaII Slab l - Zcl --' 7G - J - is 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. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS It , 7 COUNTY OF BUTTE — DEPART. ENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 � /�—.—•� / Tel ephone:.534-4541 APPLICATION AND PERMIT wmpresentOuves VI Me County oI Butte to enter upon the above mentioned property for inspection purposes. r)Lf' X Dati Signa r of Permitee or Agent Receipt No. Z'V_q 4,z O 9 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/�'7il BLIC WORKS BY Date�'—� B Iding permit expires Date l z6 - ? BUILDING Owner ,� E-� S �a SQ. FT. OCC. BUILDING VALUATION Mailing Address 15- /i11� �2�E eC9cf�7' 0RID � i 15 Tele3-:5s Fireplace Contractor ! x. T9,tal Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 _ ee' 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. 7 j —o Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F®ef— *C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA ,Plans Parking Plasg Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Idg. oris RecdParcel proval Pla4rr�ipproval Permit Fee $ NEW � ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEEPERMIT FILING FEE $3.00 1 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBL GS.CCUP. &\ 22sq ft NON.RESID R. ( BRANCH CIRCUITS)) 2.50ea NEW CON5TR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)50 @25� BAL-@1 Ex. Occup.( OUTLETS((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 Fr 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for 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 Lakpermit 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. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby=TOTAL PERMIT FEE Is wmpresentOuves VI Me County oI Butte to enter upon the above mentioned property for inspection purposes. r)Lf' X Dati Signa r of Permitee or Agent Receipt No. Z'V_q 4,z O 9 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/�'7il BLIC WORKS BY Date�'—� B Iding permit expires Date l z6 - ? PERMIT N0. 3238-76B PERMIT EXPIRES OWNER L. J. Nelsen CONTR. Upstate Awning, Sacramento } LOCATION (A.P. 34-73-47 241 Apache Cir., lot 193, R:R#3, Oroville L. . r i Temp. Power Pole Called PG&E Temp. Elea Serv. 95 [led PG&E T mmp. Gas Serv. Called PG&E ° JOB FINALED Z/ % L (Date) t (Signal re) Eh F COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback - Firewall Soll Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Prov. for physically A II Carport Footings handicapped Conformance of ex. structure antes Gas Piping &Test Temp. as 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. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS / C f 1 f (NOTE: An entry must be made on this form each time you visit the job s;te.) ' - COUNTY OF BUTTE 1EPX_1,TMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,33238-76 . c p.1 cnt at, vca o the County VI DUlle U1 enier upon the above-mentioned property f inspection purposes. X Cif W ,...! �,.. Date ignature ofe m .tee [or A-gent2 _ Receipt No. /(/ 232 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 nJBLIC WORKS By Date &-/7-7C Bt"ing permit expires Date (,-I?— BUILDING Owner �L �� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor U A Total Valuation Mai I i ng Address S- EL CA A jf LPI Permit Fee an Checking Fee Penal /&4F.2 Telephone No. 7 3 &/or ty Permit Fee gvz I�t Building Address G l�G "� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Uf Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �' "' Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA plans Declaration Parcel Map 60' R/W Improv ments Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plan Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 iZ / JG 3 k Awo, ��' Main service 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 1100 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET N ON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. 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:01 Temporary Ex. Occup(OUTLETS OR FIXTURES)@�C BALM Ex. Occup. (FIXED OUTLETSP(RESID.)REA) 2.00 service 10.00 Mobile Home Facilities 15.00 G .-- License No. /� Classificatio Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 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. @ FEEPERMIT FILING FEE $3.00 Heating l 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 . c p.1 cnt at, vca o the County VI DUlle U1 enier upon the above-mentioned property f inspection purposes. X Cif W ,...! �,.. Date ignature ofe m .tee [or A-gent2 _ Receipt No. /(/ 232 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 nJBLIC WORKS By Date &-/7-7C Bt"ing permit expires Date (,-I?— C 13 0 K ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (916) 533-6457 December 29, 1975 James Glander Department of Public Works 7 County Center Drive Oroville, California Re: 75258 Dear Jim: Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: Neilson KRE Unit 3 Lot 193 C�''�� '—'�L7 Representative tests indicate that the 90% relative compaction requirement has been satisfied. A location map is attached. Very truly yours, COOK A550CIATE5 c'—i Alan G. Brown Civil Engineer AGB/cap Enclosures DR. LLOYD to COOK Eu U. JOE E COOK M F. DAN J COOK C e Neilson Project KRE Unit 34193 CO®_5S®CIATE-:S Job Number 75256 ENGINEERING CONSULTANTS Nuclear In -Place Taken By Alan Brown 2060 PARK AVENUE December, 1975 Moisture Density Test Date OROVILLE CALIFORNIA 95965 , (91 6) 533-6457 TEST NUIMSER 1 2 3 4 5 6 7 8 9 IO'_ TIME Date 12-10 12-15 1st lif t 2nd lift TEST S.End S.Cor. LOCATION of fill fill MODE 9 DEPTH 811 DT 8" DT MOISTURE 1273 1096 COUNT MOISTURE .898' .763 COUNT RATIO RE MOISTURE 23.25 19.2 5_ DENSITY COUNT 200 215 DENSITY COUNT .729 .784 RATIO WET DENSITY PCF 143.5 140.5 DRY DENSITY PCF 120.25 121.25 ' % MOISTURE 19 16 OPTIMUM DENSITY PCF. 133 133 % OPTIMUM 10 10 MOISTURE % RELATIVE COMPACTION 90 91 . STANDARD COUNT COMMENT: MOISTURE DENSITY 112-10 1417 274 1436 274 12-15.' Od'��e��'�s�r�rrnrr 516 0 � �► ��� vi, j •f < Od'��e��'�s�r�rrnrr 516 0 � �► ��� vi, j PERMIT NO. 61 2275P,E ( MH) ! p E M k MH UTIL. !;PERMIT NO. PERMIT EXPIRES ,OWNER L.J• NELSEN •` CONTR. O W N E R -LOCATION (A.P. MOOTHART RD., LOT 193, UNIT 3 KELLY RIDGE, OROVILLE n. r 3 ..v °i- .3 :l Y Temp. Power Pole Calle PG&E Temp. Iec. Serv.T_�%' C lied PG&E s "-7� Te p. Gas Serv. / --fit — %.� G'� gay • CoW4e-rPLG&-E -GR/ OB FINALED _ia ' 2-f — 7J (Date) / �. (Signatu ) — v 9. Electrical 6/ '2- R -7J A. Is service large enough to provide ade.,p ap-o-amperage to mobilehome (must equal rating of mobilehome with a minimum of 1p'amp)'and Other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes o C. Is power supply cord or feeder assembly properly fused? Yes �lVo D. Is continuity test satisfactory as per the following procedure? Yes 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 m.obilehome supply conductor, including neutral. i S. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. t 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to thel 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. 1 MOBILEHOME DATA Manufacturer and/or Namestyle Length Z. Width S_C�:� , Vehicle Serial No. 13 2--2-8!4 — A 'Z-2.8¢ State Identification No.) Additional, Information or Comments: y.�5AyI�:� au7s,�r� t MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required sepa-knation from lot lines and buildings and generally conform to plot plan? Yes 4 -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_4-,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'$e No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No>4 D. If coach is not State of California approved, does station have required trap and vent? Yes No pN� o 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 P`__No B. Test OK as per following procedure? Yes 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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS- BUILDING INSPECTION RECORD BUILDING 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 ' L ' Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a 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 1 — 'A- —`7; Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS I - 7' -74- /� t z c1� G��S T-s� d 7 0 COUNTY OF BUTTE CYEPAFTMENT OF PUBLIC WORKS - 7 County Center Drive — Orovi116, California 95965 75 Telephone: 534-4541 L, APPLICATION AND PERMIT By Date Receipt No. - `/ / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B dlllj permit expires Date /J, T '71S BUILDING Owner i ss 7 SQ. FT. OCC. BUILDING VALUATION Mailing Address •1 -124 �%9f'yc-�T �A.C� /�• Telephone No. 3`�' J L Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/orPenalty ` Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT ILING FEE $3.00. �'�� � � Each Trap1.50 ��, / /� / Repair drainage or vent piping 1.50 Water piping --4.56-/Q,(jU LIQ', Each gas water heater or vent 1.50 A. P. No., �j` Zonins �� Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FC. FireDept. Fire Zone Use Permit Building sewer -�-A9- �O•d�j EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 BWI a A Recd q Parcel pproval / Plarce pproval Permit Fee $ $ r NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 sQ Main service incl.•'/ZZM 0 .5—.400 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven ' - 1.00 ©p s G Water Heater or Space Heater 1.00 Light fixtures b0 �2 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 Mobil Home Facilities , Temp. Power Pole 5.00 License No. Classification Misc. wiring Rr�am exempt from the Contractors License Laws of the State of California. Permit Fee $ r $ 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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. 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 L Hood Permit Fee $ $ 1 certify that I have read this application and state that•the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date` / TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR OF been( LIC WORKS By Date Receipt No. - `/ / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant B dlllj permit expires Date /J, T '71S COUNTY OF BUTTE DEPARTNiENT OF'.PUBLIC WORKS e 7 County Center Drive — Oroville, California 95965 Tel eph'one: 534-4541 00. APPLICATION AND PERMIT Owner Mailing Address one No. Contractor UalineraSO de / n O Mailing Address 994) 'F/ Ca_pr/--1L/7 r/' _ _ llel ephone Building Address A. P. No..jam Zoning & Planning F '33rtf['atitm Fire Dept. Fire Zone Use Permit EQA I Parking I Parcel Parcel Ma 60' R/W I Im r Plans Declaration P p oyements Bldg. Ids Recd I Parcel Ap V val PIarK Approval NEW ❑ ADDITION ❑UTILITIES [:]—OTHER VN 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 me ros obilP. License No. 4SY%S00 Classification ❑ 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 above-mentioned property for inspection purposes. X -2) Date Signa a of Permite or Agen Receipt No. 40 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee PI anChecking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (morethon 1: Ranqe, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirinq Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 2.00 FEE 30 GO TOTAL PERMIT FEE $-.30 ff, 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 b en paid. DIRECTOR F PUBLIC WORKS By Date `a' 3%-7,1 uilding permit expires Date / i-3/- 7 (, N COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive . = Oroville, California 95965 Telephone: '534-4541 APPLICATION AND PERMIT 7s authorize representatives of.the County of Butte to enter upon the above-mentioned property for inspection purposes. X,Z Date .;;?, " $tnot re offPeerrmitee or Agent Receipt No. X O �xlp e) 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. F PUBLIC WORKS` By Date a �� permit expires Date' �� BUILDING OwnerSQ. 6 FT, OCC. BUILDING VALUATION Mailing Addre /' Let -3 Telephone No. Fireplace Contractor r Total Valuation + Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 .Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 r� Each gas water heater or vent 1.50 `�� _ ^� A. P. No. / Zoning &Planning Gas piping system 1 - 5 outlets /6 .00 Each additional outlet .30 Fos LW'C�. I S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Parcel Ma p` 60' R/W Improvements Lawn sprinkler system 2.00 �PlanssIDeclaration BI 9. PlaC ns Recd Parcel Approval Plans Approval Permit Fee $ s / NEW ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 all-- Main service incl. 1" meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family 0 Duplex E] Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ,b Receps.., switches & fix outlets bal In 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. orD.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 IK I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E] 1 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 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 $ f authorize representatives of.the County of Butte to enter upon the above-mentioned property for inspection purposes. X,Z Date .;;?, " $tnot re offPeerrmitee or Agent Receipt No. X O �xlp e) 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. F PUBLIC WORKS` By Date a �� permit expires Date' �� FE IT NO. 1117-76B PERMIT EXPIRES--_"7/!Z� 4 k! R * L. J. Nelsen ,N T , t CONTR. Y owner S3�S� 34=73-47 LOCATION (A.P. ) µ L241 Apache Circle, 'Orovil-le �-y } � r t - t f _ , v I w Temp. Power Pole Called PG& _ Temp. Elec. erv.. Calle PG&E _ Temp. as Serv. _ alled PG&E _ 1110 B FINALED (Date) (Sign W )` x fr4f, r f r t r. . f w Temp. Power Pole Called PG& _ Temp. Elec. erv.. Calle PG&E _ Temp. as Serv. _ alled PG&E _ 1110 B FINALED (Date) (Sign W )` x COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RE-60RD BUILDING BUILDING (Cont'd) PLUMBING r Setback — Ir L 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 – l' 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. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final 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 — OrdMlle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT i17— 76 I,e / ...r�.,.aci�.o�I v ca VI llle �,uuniy uI oune to enter upon the above-mentioned property for inspection purposes. Dat t �—,6 Ig ature of Permitee or Agent �^� Receipt No. �YS 0 X e 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 PALIC WORKS BBy j_.pate 13-1 inq expires Date ding permit glerMit �� % / BUILDING Owner _ SQ. FT. OCC. BUILDING VALUATION Mailing Address Ap SLq Vele hone No. S f Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 n !� l �GIE Water piping 1.50 Each gas water heater or vent 1.50 -7 g, A. P. No. 7117 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F%%5- ion FireDept. Fire Zone Use Permit Building sewer 5.00 IrkinEQA PPlans Declarration Parc A p 60' R/W Improvements Lawn sprinkler system 2.00 Bld Plans Recd 77 VY Parcel Appro� al Plan pproval Permit Fee NEW 54 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 q /o bd Main service io°o AMP ORV OR LESS5.00 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others Main service �VER 600V 00 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1,00 ' NEW DWELLING R ADD NS. ( ACC. BLDGS. OCCUP. &) 2¢Sgft NEW CONSTR. (MULTI -OUTLET NON.RESID, l BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR, 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: Ex. Occup(OUTLETS OR FIXTURES)@'� BAL@1 01 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 JX1I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 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. MECHANICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authnri>o rn rn.oH,..,� ..s .1 n_.._.. TOTAL PERMIT FEE $ 70c ...r�.,.aci�.o�I v ca VI llle �,uuniy uI oune to enter upon the above-mentioned property for inspection purposes. Dat t �—,6 Ig ature of Permitee or Agent �^� Receipt No. �YS 0 X e 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 PALIC WORKS BBy j_.pate 13-1 inq expires Date ding permit glerMit �� % / MOBILEHOME: SU PRORT DATA Mobilehome Mfr. �/Q�1P�/ Setup ModelrKYear' Width t.) Length (ft.) .-Expando Size — ft.x - ft. (Draw 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). S ingle —� Footings --(check . one), Wood :either . i pressure treated or Center Center Support fdn.`grade.: Support Footing Sizes Locations (in.) 1 IL2..Concrete pad. XZO 3.' Other, `specify Supports (check one) �¢ 1. -Concrete block . _ ,Tqx 2. Concrete piers 3. Steel piers .... ...... . 4. Other, specify ; . Typical Support . .... .. � x�0 Footing Size Max. Pier. . `j - �o Spacing yx�G t. 'ft. in.) .... . (in.)(in.)t Max.9 �T *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Overhang in. BUTTE -COUNTS BUILDING DEPARTMENT PPK0VED BUTTE COUNTY DEPARTMENT OF PUBLIC... WORKS 7 County Center Drive, Oroville, CA. PHONE: ° 534-4541- MOBILEHOME INSTALLATION SHEET 1. Owner's name: J -,4t )j1er7CG 2. Installer's name: 3. Is the site currently under permit? Yes ,/--4 No (If yes, furnish permit number ) OR Is the site an existing site?....- Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 6. What is the mobilehome site service rating? --------------------- 7. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome site service? --------------------------- =-------------------- . (If yes, identify the load and size: woo Amps �Q(> Amps Amps Yes. / / No (Amps) 9. What is the mobilehome site gas pipe size? ------------------ 10. ------------e 10. What is the type of gas service? ------- -�P-�--�-J - Nat 11. What is the gas pipe length from meter -or --tank t.o._ he mobilehome? — 12. What is the mobilehome gas demand? ------------------------------ LPG -------- (f t . ) -- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.)