HomeMy WebLinkAbout069-220-040lk
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Q18 Apache Cir. 1dy�t'20, KR#3, Oroville.
ermit #5052-76P,E(util. ,WI}���
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!PPORT STRUCTURE
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COMPACTION TEST REQ.
contr: Carder -os Mobile Transport, Napa
Permit #5816-76MHI,
Issued
Permit #6237-76B(new_ open decks/MH)
contr: Acro-Lume, Oroville
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Pemit #2805-77B(new awning/
APS
Permit 5788-77B (awning/MH)
CONTR: Acro-Lume, Oroville ,
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(0�=.2 z - 40 ---
Permit ##6453-77B(lst. RENEWAL/�`
6237-76) decks .^-
069-220-040 PERMIT#97-075
MUNN, Damon
f 218 Apache Ct., Oroville
j Cont: Integity Homes, Inc
MHI Ex Site
OF
069-220-040 04-0625
MUNN, DAMON
218 APACHE CIR, OROVILL INALE�
CONT: OWNER
EX MH PERM FDN
069-220-040 BP040657
MUNN, DAMON & D.URELL
218 APACHE CIRCLE, OROrINALIE
DECK/MH
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netWds
PERMIT NO.
BP040657
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: 03/10/2004 APN: 069-220-040-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 218 APACHE CIR ORO
Date: Contractor:
Map Index:
Description: as built deck (395')
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
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: MUNN DAMON & DURELL
to its issuance, also requires the applicant for such permit to file a
218 APACHE CIR
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
OROVILLE, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95966
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
a civil penalty of not more than five hundred dollars ($500).):
aippli.�to
'otI, 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: MUNN DAMON &DURELL
Code: The Contractors' State License Law does not apply to an
pp
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
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:.
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am emp under Article 3 git Business and Professions Code
Z �!�
Date: Owner:—
License #:
W6RKERS'COMPE14SATION 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 perforrnance of the work for which this permit
Architect'
'
is issued.
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Polic :
Valuation: $0.00
Census Code:
I certify that in the performance of the work for which this permit is
issued, 1 shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
andagree that I should become subject to the workers'
compensation pr visions of S become
3700 u the Labor Code, I shall
,
3� /��
akl�
forthwith comply ith those p vision .
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Bette County Code. andlor
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)Q
Resolu 'onp to,do work indicated ov or which fees have been paid.
slcz
Name:
B : Date:
PERMIT EXPIRES 0
Address:
ON:
ate
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that 1 have read this application, that the above information is correct, and that I am the owner or the duly authorized a nt 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 official form or d ument of Butte County. I hereby
authorize repre 'ves of Butte County to a ter upon the above mentioned property for inspection s.
Print Name: 114lSi re:"
Date:
caner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP
DATE:
APN:� /'
/
ZONI
er I
OWNER'S AST NAME:
I OW'S FIRST NAME:
E:
STREET ADO SS:
FAX:
CITY, ZIP:
0 Ir' \
E-MAIL:
SITE ADDRESS: C
CITY, ZIP:
f r
=2-2AG
NEAREST CROSS STREET: O n )2
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APPLICANT NAME:
PHON .
STREET ADDRESS:
c-1
FAX
CITY, ZIP: /I
0 n / G
E-MAIL:
CONTRACTOR NAME:
PHONE:
STREET ADDRESS: U
FAX:
CITY, ZIP:
E-MAIL:
LICENSE NUMBER:
LICENSE TYPE:
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
LICENSE NUMBER:
E-MAIL:
DESCRIPTION OR SCOPE OF WORK:
�
Ci ju l-
_.
❑ 9tructure 6 ilt without permit (Q!/M
a l
❑ 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 fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
For office use only:
Notes:
Application Received by: Date: l�
Receipt number: �� Amount Receive
' �O
Master application 3-"4
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: ASSESSOR PARCEL NUMBER U
Proposed Building Use: _ � ]� (J, ; Counter Technician: �i Date: U• 04
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orde o apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans. J /s
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. JP(�V C
3. Engineered plans, 3 or 4 sets, with wet signature onlans AND 2 sets of stamped and signed calc latlons.
P P 9
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable! s -v `
` ❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... .........
❑ 20. Erosion Control Plan Required........................................................................ ........
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
❑� 23. California Department of Forestry plan approval ❑ paid. Sent by:
e( 24. Planning approval (A) User K(B)Parking: (C) Parcel Check: -1 __0
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
❑ 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization......................................:.............................
El 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ '35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
ate:
1. Index perg.iit`application for the above items numbered: �� t
2. Additionalitems re
Contractor, desig o s advised of the above data by ph ne, ❑ mail, ❑ counter, by
Contractor, design wn wa advised of the abo a ata b one, ❑mail, ❑counter,
Plans reviewed by: � Date: `� t) ' Plans approved by:
Structural reviewed by: Date: Structural approved by:
Note transfer by: Date:
Yellow: Building Division
�-) / bz/
Plan Check Letter
Date:
Date:
Date
Date:
NPC
1
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Building Permit Number: OV— Q (p S 7
Owner Name: rKUn n
Residential Construction Requirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 2001 California Building Code
(2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California
Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required.
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Page 2of 2
Building Permit Number:
Owner Name:
Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
MFire sprinklers are required in this structure.
MThe following parcel map requirements shall be met:
All structures and equipment including overhr
,geas shallshallbe clear of all easements.
,
e
A setback ofd 0' �eet from the side andO' eoin the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
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BOUNTY OF BUTTE — DE�'ARTMEN7 OF PU9LIC WORKS
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7 County center Ddve — orovttte, Cellrornla 95965
Telephone:
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RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
19 -Mar -2004 2004-0015340
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.
Damon and Durell Munn
REAL PROPERTY OWNER/LESSOR
218 Apache Circle
MAILING ADDRESS
_O_roville, Butte, CA. 95966
CITY COUNTY STATE ZIP
Same
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
Same
UNIT OWNER (if also property owner, write "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
04-062 530 538-7541
PERMIT TELEPHONE NUMBER
SIGN TURF OF LOCAL AGENCY OFXICIAL DATE
DEALER NAME (if not a dealer sale, write "NONE")
DEALER LICENSE NO.
Champion 1997 Infinity III IF6102
MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
09976108187)VB 54 x 26 TRA356141/2
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSORS PARCEL NUMBER AP # 069-220-040
nr•- cnn%r eeei•% —1 oin,
BUILDING PERMIT NUMBER: 04-0625
Address or location of unit: 218 Apache Circle, Oroville, CA. 95966 ..
Legal Description of Real Property:
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on "a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: Damon and Durell Munn
Owner's address: Same
INSIGNIA OR HUD NUMBER: TRA356141/2
SERIAL NUMBER OR V.I.N.: 09976108187A/B
MANUFACTURER'S NAME: Champion YE 19 7
OFFICIAL APPROVING INSTALLATION
DATE: �S
PHONE: (530) 538-7541
H.C.D. 513C
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-SCI-ITE DULE C
111c land .r:eri-ed to herein is Described as foilows
.411 Chet c.ernC in re' -1 Pxoperty Situate in Lhe Countv of huttc, State of California,
described au folloz:s:
Lot 220 as shown on the Map entirIed, "KELLY RIDGE ESTPT} S LNIT No. 3" which t•1ap was
filed for record in the Butte County Re:cord;er's office on July 2G, 1574 i, Rook 4.3 of
MCIPS, -t page, 44 through 40.
AP No. 0G.4-220-040
te: 3/8/2004 Time: 9:39 AM To: @ 9, 15305382140--karen or tammy Page: 003-003
f
STATE OF CALIFO - DEPARTMENT. OE HOUSING' COMM 'N'ITY DEVELOPMENT..
CE TIFICATE OF TITLE MOBILEHOME �� 0 DECAL Mo: PIRATI 3
iL0997161081878
TURER NAME/ID TRADE NAME MODEL BOM DOT.. DFS. SPC .. EMPIRATIOH
ALDERS/90086 INFINITY III IF6102 04/04/97 04/!0/97 04/17/97
IAL NUMBER LABEL/INSIGNIA NUMBER HEIGHT LfNGTH WIDTH"FEES
EXEMPT USE TYPE
7ATRA-356141 018950. 00N48..0.06156.. SFp LP1 TRA35614Z 014690 000648 000156
A GREEN TREE FIN CORP 3.
RELEASE OF DEALER
0 PO BX 276708 ear NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9 ■w
D SACRAMEKTO CA 95827
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THIS OF HOUSINGCATE OF TITLE AND COMMUNITY DEY 140T VELOPMENT ENT AGAINST THE DES RIBEDFLECT -ALL LIENS. D UNIT. THE THE CURRENT 0200172 0200172
TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
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03/19/2004.11:42 FAX 9492503235 CHICAGO TITLE/6001/001
CHICAGO TITLE COMPANY
16969 VON KARMAN AVENUE, IRVINE, CA 92606
(949)263-8274 Fax (949)263-1509
March 16, 2004
Butte County Planning Dept
7 County Center Drive
Oroville, CA 95965
Ph (530) 53B-7601
Fax (530) 535-2140
Re: Damon Munn
Parcel # 069220040
Property: 218 APACHE CIRCLE, OROVILLE. CA 95966.
Escrow No: 208129356 S87
Dear Karen Jones
In connection with the above referenced escrow, which closed on 04/01-/04, we enclose-the-fcftwiag
This letter is in regards to Damon Munn's property at 218 Apache Circle. Oroville, CA 85966, parcel #
069220040. Mr. Munn's current mortgage is with. Green -Tree. This.Green.Tree mortgage. is.being.refinanced by
Best Rate Funding. Best Rate Funding requires a permanent foundation to be placed under Mr. Munn's
modular home in order to complete the -mortgage -refinance transaction.
If we can provide any addlilonal information or answer any questions, please call.
Thank you for choosing Chicago Title Company:- We know you-had.a.choice-..We.appreciateyouur business
and look forward to assisting you with your next real estate transaction.
Sincerely,
CHICAGO TITLE COMPANY
Teri Spencer
Escrow Officer
1CLTR ••06/23/98M
Ia:Corul:v�+';i:ciul�,reu [J; I
t:tl)>Yl;ld. Tl'Pl.ts e;ti( t3dD"i COMPANY 9 7-01,
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OFdc'r rf i- 17'791 y 6� �?`1 ' ° p I Fee 9.0.0
Check
9.00
Recorded I
AN!) W(ll:N RECOROLD MAIL TO Offici:-.1 Records I
r?r . rind t-!rs. Parecn Munn County Of
2.18 Anache CircaeButte I
OrOvil).e, CA 95906 Candace 7. Grubbs I
Recorder
-- _ 8:00am 17--pe-97 ! BWTC HD 2
AP# 069-2:20-090 Grant Deed
THIS FORAM FURNISHED EY BIDWELI- TITLE & ESCROW COMPANY
Thi: ur.<Iersig[Ied t;rauior(s) dec!are(s):
D(JCltt)1Cg41ty transfr1 tax 1!: $ J.OU - :.!IS IS D, nCNAFII:E GIFT 17RO:d Piur-NT to CHILD
fnli ;lluC of palp;'rty conveyed, or
valpe :c:;s liens and encumbrances remaining at time of sale.
(X) i!nir_!::�mcr;uta acct( ( ) unincorporated area
FOR A VALUABLE CONSIDERATION, receipt of Which is irereby'a_luiowledged, and
Joe S. G;a:r.�i,: Jr. and Sabra V. Garcia, hrisbandand wife
hereby GRANT(S) to
Darnon Munn and Dureli. Munn, husband 'Wife , as Joint Tenants
the fbilowing descrilb-d regi property in the ur incurporated area County of Dutte
State of Caiiforrtia:
SSE ATTACHED SCHEDULE C FOR LEGAL DESCi2_TPTIOU
D ted: g=F 19'47,i
1 ; /Jce S.
rte.,
—/ Sabra V. Garcia
Sate of Cali rurnia
Coen:y of S a n It r it i t o
SS.
()tt •—JJ! C.L.1_.�t-�—� r1. t! ['_ ` �..'�.—.~_ before r.!c.
the unlersigned. a Notary 1•l:t+tic i:t and for said Stalc persomliy appeared
.Joe S. Carcia _1r. and Sabra V. Garcia
er,,)t~uy :it Mn tn'(tfc te:r ; roved to n:e un the hasis of satisfactory cvidcnce)
:o Ire the person:.) whose t!. me(s)%. rc su,:,cribcd In the within inst'sancnt and
ackuo:vledyed I:+ :I:r I11:11 qv Jh /(trey etc the >:atnc in itlJcnr/Their
aa!horired capacity.:ie+). and !hat by hixi}tea/liteir s;4na:arc(-) on Ill-- instntn:ct:t
Ilio person(s) or :hc cIni!y upon hci!alf ollvhich tilt persoll(s) ac;cd csccu:cd thc.
insm—ItIcttl.
PwraC!A ANN ii-10MAS a
' ®
Corry mm 9 1077283 D,
tbtarY Public — C0510M)a
San eo: Jlo Corday
MY Carrvn.E)p!,*vs Fob 9.700[•
WITNBS my hard an,l
Sit;na!_+rc`i�(_1._� t/1�.�'�_� t_�•lt_J �'��•�''�l \1J! J
.y i phis atca Inr unicial nota!iid seal)
MAIL TAX STATIi�lF..tV1:S '1'O _ San -c- s Ahoce
NOTES
RESIDENTIAL
{
PERMIT NO.
069-220-040 04-0625
MUNN,DAMON
218 APACHE CIR, OROVILLE
CONT: OWNER
EX MH PERM FDN
11 SPECIAL CONDITIONS 11
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)a 'G
Signature
J=OK
0 = Not OK
Not
4
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;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
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
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
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
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
_
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
FRAMING (Continued)
Card B-1 Date Card B-1
Date
Hangers -Post Caps -Anchors -Connectors
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
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
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Date
57.
Card B-1 Date Card B-1
Date
58.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Glazing Area -Glass Protection -Skylights -Plastic
24.
Fixture & Transformer Clearance -Ins. Protection
Shear Walls; Nailing -Bolts
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Brace Interior/Exterior Wall Panels
26.
Size Boxes & No. of Conductors Stapled
Insulation -Walls -Ceilings
27.
Romex Installed Close to Edge of Studs & C.J.
Infiltration -Walls -Windows
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Card B-1 Date Card B-1
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Card B-1 Date Card B-1
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes 0 No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
Date
70.
Card B-1 Date Card B-1
Date
71.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Elec. Outlets at Wood Panel, Int. & Ext.
36.
A.C. Ducts Insulation & Support
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
37.
Vent Fan, Exhaust above insulation
Elec. Outlets & Receptacles at Kit. Counter
38.
Condensate Drain & Overflow, Size & Grade
Garage Fire Door; Swing -Landing -Closure
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
A.C. Duct in Garage -Damper
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
80.
41.
Sills Proper Materials & Anchors
81.
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
82.
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
83.
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
84.
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
_
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
_
83.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
,r. v`...�.-..... 1-..�..-.—,..,,. ��s.a"zr—.,-a�...,e,.,--•.r�..""�.^ti:-:-ffF�`tcni.�.,r-'s+._--�--rt�.. .0---'^a �,-t.�. _. +.....
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
&M21 -
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address fid should be corrected. Please notice this office when correction of work is
completed. If u have any questions pertaining to this matter, or need additional explanation,
please cont t this office immediately.
C
Date Inspector
REV t0/92
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530538-2140
WEBSITE: www.buttecounty.netWds
PERMIT NO.
BP040625
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: APN: 069-220-040-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 218 APACHE CIR ORO
Date: Contractor:
Map Index:
Description: ex mh perm fndn (1352 sq ft)
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
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: MUNN DAMON & DURELL
to its issuance, also requires the applicant for such permit to file a
218 APACHE CIR
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
OROVILLE, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95966
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).):
as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: DAMON MUNN
pp
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
218 APACHE CIRCLE
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
OROVILLE, CA 95966
year of completion, the owner -builder will have the burden of
530-589-2956
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ [am" amxem under Article 3 of th Business and ofessions Code
Date:
License #:
WORKERS' COMP NSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carder:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
❑ I certify that in the performance of the work for which this permit is
Census Code:
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'
comped tion provisions of Section 3700 of the Labor Code, I shall
forthwit compl with those provisions.
Date: L
^^ 11 ••
Appli�ca�nt lA�
—
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutio s do�work indicated ab for w 'ch fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
/
Name:
By Date: /
Address:
PERMIT EXPIRES ON:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the Califomia 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.
Cl Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County enter upon the above mentioned property for inspection purposes.
Print Name: Signature:
Date:
❑ Owner ❑ "Contractor 13 Agent fdr Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
�knv�
PERMIT NO.
BP 61�
DATE:
APN: _ �J rj�
ZONING:
OWN 'S LAST NAME:
UP J L4 [A
OWNER'S FIRST NAME:
PHONE:
b
STREETD S .
FAX:
CITY, ZIP ,
t/Jv
E-MAIL:
SITE ADDRESS•
-e— C -
CITY, ZIP: .
D CIO
NEAREST CROSS STREET:
TRACT/LOT it.
APPLICANT NAM -
PHONE; -
STREET ADDRESS:
FAX:
CITY, ZIP: ,
E-MAIL:
CONTRACTOR NAME:
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
E-MAIL:
LICENSE NUMBER:
LICENSE TYPE:
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
LICENSE NUMBER:
E-MAIL:
DESCRIPTION OR SCOPE OF WORK: c,.,� �� b
❑ 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 fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
For office use only:
Notes:
r
Application Received by: `� Date: 6
Receipt number: •307 5Gq C) Amount Received:
Master application 34-04
yY 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
i
OWNER- ASSESSOR PABCEL NUMBER `I ' Q(dy
Proposed Building Use: M -1 . cAC\_ Counter Technician: Date:
Hems required in order to apply for a permit. All boxes MUST be checkedbR marked NA in order t pply.
F 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
4 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan-,([�)'7ie down or fnd plans, all in
--�
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
-❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required .................................................
❑ 20. Erosion Control Plan Required........................................................................ ........
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
❑ 26. NPDES Form.............................................................................................
❑ / 27. Encroachment Permit for driveway the Public Works Dept ...........................
28. Pre -Inspection for _1" . JV1'Tt required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
31. Owner -Builder Verification (ie iven to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization......................................:.........................:...
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ -35. Existing violations and/or expired permits.........................................................
❑ 36. FDe'Restriction. ....: ... . 9.......37.ant Deed, H Title/Statement of Facts ter from Le al Owne eck to H.C.D. $
38.: 1
❑ 39. Other:
When issued Telephone and hold for pickup.
I have. been informed of the above items and requirements for obtaining a building permit.
Applica t ' I/// ,11,! i;C /� Date:
1. Iniiex permitlapplication for the -above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner as advised of thea ve data by ❑ phone, ❑ mail, ❑ counter / Date:
Plans reviewed by: Date: Plans approved by: V� Date : f
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
O.B.-1
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building peimit will be issued until this
verification is received
QI personally plan to provide the major labor and materials for construction of the proposed
property. improvement : YE§#— NO ❑
Q I HAVE.HAVE NOT 13 signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE:
CONTRACTOR'S LICkNSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
01 PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
NOTE: This Owner -Builder Verification is required by Section 19531 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit:
OVER
r
I OWNER BUILDER INFORMATION
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such
a permit Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If youplan to do your own work, with the exception of various trades that you planto subcontract, you should
be aware of the following information for your benefit and protection:
0 Ifyou employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contract the Interval Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit; erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contactors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
reIJ I
— ,
Ivlic 1 C. Vi ira, C.B.O.
er, Building Inspection
NOTE: 771 is Owner-Buflder Information is required by Section 19830 of the California Health and Safety Code
�11
A
COUNTY OF BUTTE
BUiiZO1,NG IDIVISION
DEPARTMENT GF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2 51
7 County Center Drive - Oroville, CA - (530) 5
CORRECTION NOTICE
1A D kx, 1A 4P
OWNER rPERMIT NO.
A routine inspection inclic6les that the following violatio it couryty Ordinances exist at the
above address and should be corrected. Pleas q notice/i 0 n correction of work is
c,omp I piiYateif i to thisatte , 0�� Ped additional explanation,
p I e a s Mn Avef'i fthl 0 c mp—mye�y
C
Ck ci.0- to L e q/tdy/
U 11. j I
Date Inspector YU
REV 17V -f
t,
i
PRE -INSPECTION R
OWNER: n Jl 1
LOCATION: �`1 CVLSL (Cb-
CONTRACTOR: kgj�
REASON FOR PRE-IN✓�S,PECTION
DATE TO INSPECTOR: J PERMIT HISTORY ( ) NONE SEE ATTACHED
EPORT
DATE:
A.P. #
Building Description:
Commercial/Usage: _
Residential # of Units:
Currently Occupied
Abandoned/Vacant:
Electric:
Electric Currently
Condition of Electric
Gas:
BUILDING INSPECTOR'S REPORT
Mobile home # of Units:
( ) Yes ( ) No
f;
( ) On ( ) Off
Currently ( ) On
Condition
Sanitation:
Plumbing Working ( ) Yes
Obvious Sewage Problems ( ) Yes
ACTION RECOMMENDED:
Hold for permits or verify: _
Inspector• /5::z--
ISSUE
) Off
( ) No
( ) No
( ) Yes i0 -
Date: ,O
BUTTE COUNTY
-DEPARTMENT OF DEVELOPMENT SERVICES -
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP
DATE:
APN:
ZONING:�CO �
OWN 'S LAST NAME:
O NER'S FIRST NAME:
PHONE:
ILA J 14 ij
STREETDD
G /
FAX
CITY, ZIP: _
/v�
E-MAIL:
SITE ADDRESS;
;,7/
CITY, ZIP:.
ci Jct
NEAREST CROSS STREET:
TRACT/LOT M.
APPLICANT NAM ;.-
nt
PHON
a�
STREET ADDRESS: %
FAX
CITY, ZIP: .
E-MAIL:
CONTRACTOR NAME:
PHONE:
STREET ADDRESS:
FAX
CITY, ZIP:
E-MAIL:
LICENSE NUMBER:
LICENSE TYPE:
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS,
FAX:
CITY, ZIP:
LICENSE NUMBER.
E-MAIL:
DESCRIPTION OR SCOPE OF WORK:��� 6
❑ 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 fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
For office use only:
Notes:
Application
Received by: Date:
Receipt number: 3c� 5U Amount Received: J
Master application 3.4-04
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"mil Cranert -Z; z
,-18 Apache Cir.,l
OMPACTION TEST REQ.
4
contr: Carfferos-Mobile Transport, Napa
Permit #5816-76mHi
Issued /
Permit 237-76B(new open decks/MH)
rd
10 el�
Permit 5788-77B (awning/MH)
Permit #6453-77B(lst RENEWAL/
'.
^ � 000-220-040 PERMIT#
- MUN0, Damon
� 218 Apache Ct., 0roville /
m � Cont: Iote8ity Homes, Inc
| M8I Ex Site 1�\\N;�l �
� �r' �
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-
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-
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RESIDENTIAL
i
+ 069-220-040 PERMIT#97-0755
MUNN, Damon
218 Apache Ct., Orovilie
Cont: Integity Homes, Inc.
MHI Ex Site Al
0
a.
i
4
JOB FINALED (Date _
Signature
V=OK
O = Not OK
NottReadp I . . MOBILE HOMES '
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements - Setbacks - Easements
POOLS (Plans) OK except #'s
2. Soils; Special MH Support Sketch
1. Setbacks -Easements
3. Sewer, Location Test -Fall -C/O -Concrete
2. Soils; Compaction -Structure Stability
4. Water, Location -Test -Easement Needed (Sketch)
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
4. Elec.; Receptacles and Lighting, Distance-GFI
6. Gas; Location -Test -Wrap; / /'L'ft.
/ /Nat. or/ /'L"ft./ /LPG
5. Elec.; Pool Lighting; 15 Volts-GFI
7. Well Clearance & Disconnect
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
8. Utility Clearance
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
I
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!L�gRequirements- Setbacks Easements
Footiod: Size-Soacino-Maniaoe Line
%3,49as;,MH Test -Demand -Valve -Connector
O AiElectricity: MH Test -Crossovers -Breakers -Clearances
J% -'brain: MH Test -Fall -Flex Connector
7. Wind Sewer Connected -C/O to Grade -HD Approval
`--IF Gas and ged
ie Downs -Type -Installation Cert.
10. Exits; In etch
_jj,efrt of Occupancy
Date- and B-1 �ate Card B-1
Date Card B-1 V Date j Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; SoilsSize-Dep"pacing-ConnectorsSteel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
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
f3.
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/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
I
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓= OK
O = Not No OK RESIDENTIAL (Single & Duplex)
- = Not Applicable
Not Ready
Date
46.
UNDERFLOOR (Plans) OK except #'s
1.
Zoning-Setbacks-Easments-Flood-Slope
2.
Ftg., Main; Soils-Elec. Grnd. / P Ftg. Depth
3.
Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth
4.
Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF. Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Silts -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card E-1
Date
63.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
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
22.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
73.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Ran je Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
86.
Water Well, Disconnect, Electrical, Plumbing
Date
87.
Card B-1 Date Card B-1
Date
88.
Card B-1 Date Card B-1
Date
89.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
• Date +
46.
, FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Wall Panels
61.
Insulation -Walls -Ceilings
62.
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
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 NoAValks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
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:
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION --7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN: %
i� i(0
PERMIT NO.: _
Owners:
aI
,, f
Name:
"
Iv �' V
Owners:
Address:
Mobilehome �
Year of j ��
/
Manufacturer
Y`�
Manufacture:
Serial number�/
O 7
/ �)
% �%
Insignia or
t
P A-
or V.I.N. / !
C C /(
`
HUD number: 1.
Official approving irStallation:
Date:
If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall
not be used when the mobilehome is installed on a foundation system.
513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING VISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 -7541 PERMIT NO.
(Rev. 12/96) 'APPLICATION AND PERMIT q
ASSE(%RP 220UMO'+O
ZONIN
ZOO ILDING PERMIT
OWNER
DAMON MUNN
TELEPHONE
589-2956
SO. FT. OCC. BUIL VALUATION '
T _
OWNER'S MAILING ADDRESS
218 APACHE, OROVILLE CA 95966
CONTRACTOR'S NAME
INTEGRITY HOMES, INC.
TELEPHONE '
533-4403
CONTRACTORS MAILING ADDRESS
1740 FEATHER RIVER BLVD., OROVILL•E CA 95965
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
'
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
218 APACHE CT., OROVILLE
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 43.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee[* 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ MobilehomeOther
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work: EXISTING SITE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ioon OR mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is full force and effect. (
p �� / X
License Class / Lic. No. C,
OWNER -BUILDER ORATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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
Main Service 200A TO I000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS.
s0
3.5¢Fr.
NEWCONS
NON•RESIDT RMAUNLCTI-OUTLET
97,50
PowER APPARATUS
d SINGLE OUTLET CIR.
Ttr
Ex. Occup OUTLET OR FIXTURES
"00o
BAL @ .50
Ex. Occup. OUTLEETS (RREES D.OF.A
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
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
performance of the work for which this permit is issued.
1 have 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' cQm ensation insurance carrier and policy number are:
Carrier (�n j CSC
Policy Number
(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
fo with comply with t se provisions.
X Date _ / /�� /
Siqfhatu-rd of Applicant - ❑ Owner ❑ Contractor ❑ AgentT-
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEi: S
Mobile Home Installation Fee is 100.00
Energy Inspection Fee Is
occ
TOTAL FEE $ 143.00
IR2
c
P L
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees ave
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
...d.":""`y.... - "k'i . -.�,.. ,ti ,;'F .r"rtirlfii ;�;'_.�,,, .^! � - +sem ..+.T�7,►4: r..� T!. I .r� '� _. ., F. _ _ J.;
V L ws
COUNTY OF BUTTE DEPAq TMENT OF DEVELOPMENT SERVICES - BUIL NG DIVISION
7 COUNTY CENTE'4 D - OROVILLE, CALIFORNIA 95965 - TELEPHONE (91 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: ��; V%)I 1 �((Li�6LSSESSOR PARCEL NUMBER`
Proposed Building Use: z Building Inspector: Date: L
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or it
Date Received
❑ 1. All items have been submitted ---------------------------------------------------------------------------------------
❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------ -----------------
E13. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- A '
❑4. Enginee d plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- _
❑ 5. Engineer A truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ _
❑ 6. Energy Design Compliance and supporting documentation.----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
08. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications. ------------------
❑ 10. Fees of $ -------------------------------------------------------------------------------------
6hnpact fees as shown on the attached schedule.
--------L-�y�-------------------------------
❑ 12. California Department of Forestry plan approval/fees. ---------- -------------------------------
C3 13. Flood elevation certificate. ----------------------------------------------------------------------------------------
❑14
El 15
❑16
El 17
❑18
❑19
Sanitation and plot plan approval Health Department. ---------------------
City of Chico plumbing permit. ---------------------
Plot plan and business license approval from the C ty'of Biggs-------------------------
Planning
-----------------------Planning approval for (A) Use: (B) Parking:
�s
Contact Land Development about El Improvements, El Drainage, ❑ Legal Parcel. --
Encroachment Permit for driveway (construction approval prior to occupancy). ------
E120. Pre -inspection for
required. Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number. -----------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -
024. Letter of signature authorization. -------------------------------
0 2 5.
------------------------------❑25. Recorded copy of Agricultural Acknowledgment Statement. -
❑26. Letter of intent on building use. ---------------------------------
027. Manufactured Home utility clearance. --------------------------
028. Existing violations and/or expired permits. --------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
By
(Date)
WyVh9n you issue the Dermt4roess follows ❑ Mail to owner, ❑Ma' to contractor.
Telephone o and hold for pickup at office. 11 Deliver with inspector.
APPhcantjj L�
Copy of Haz-Mat form sent 11 Health Department, ❑ Fire Department, 11 Air Pollution Date: - By: 1
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, 13 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin Div' 'on counter, by Da
Plans reviewed by: Date: Plans approved by: Date: 2
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
.. t h
,. ,:.s.: rte-•'. y it .}y�' i,t,�4 F.. C,, i f.,.9 I ♦ "i?7Wrt"�)r�""''•�91t''"f} i•Fi"'1Y �iyv^.^o ..'siM;,�f+e�'i•i yr "i�FiJ�'t�.%'y�'��r—}��` - ,„
et
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
G `
School District . L L Building Department No.
o
A.P. Numbero (�' -ply �D Jurisdiction: City i v i County
Property Owner A M A- /U V /V /y - -
Property Location/Address O� % ,9 -PA -c -E
Subdivision
Lot No.
Residential Development
✓�
No of Living
Mobile Home
Addition
Units
Installation
Commercial/Industrial
_
New
Addition
ir-ioor vians reviewed oy scnooi uistnct versonneu
Sq. Footage
(Group R)
Sq. Footage
Ilncluding Exterior
Roofed Areas)
q_/ L/- %
Date
District Identification No.
School District certifies that
(Applicant)
ai�
(Street Address)
(City)
has complied with the requirements of Resolution No.
representing 1 aJ o U square feet.
School District Representative
Paid by Check # Remarks:
cr+-
(State)
(Phone Number)
(Zip Code)
9�=�/'o t7 by payment of $ /U
JFBi 2926 $
ULL MITIGATION $
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQAI,
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)dmm
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. '
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT -
ER
n h
TELEP ONE
L5�gE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS o r �
Ire 4
CONTRACTOR'S NAME`
�s 1 c.
TELEPHONE
53303
CONTRACTOR'S MAIUM ADDRES L
c f e,- r v d
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGDRESS
-O\A-
Energy Plan Checking Fee
$
0 v 1.
$ _
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Each Trap
Solar or heat pump water heater
7.00
23.00 i
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work: c,-7k?r
G,Cpo,e
Gas piping system 1- 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 'WO'A OR LESS
zooR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and effect.
License Class 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:
❑ 1, 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.
❑ 1, 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCU.
OR ADDNS. ( a Acc. 81ns. P
3.5¢sSO:
NEW CONST. MULTI -OUTLET
NON-RESID. . I
' 97.50
POWER APPARATUS
a SINGLE OUTLET C.R.
Ex. OCCU OUTLET OR FIXTURES
BA�Q'.50
Ex. Occup. ouxTLE:Ts RES o.oEA
5.00
Temporary Service
-23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
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
performance of the work for which this permit is issued.
❑ 1 have 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 insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certifythat in the performance of the work for which this permit is issued, I shall
P P
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 with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable proy)sipAg
Resolutions to do work
been paid.
Date
Dere
ReceiptNo.
WHITE•D.D.S.-.D. CANARY• E SOR PINK -INSPECTOR GOLDENROD -APPLICANT
n
MD EOUNAM INCL"
ffln= .6
ALL BE CLEAR OF ALL EASEMENTS.
OVEF*MWSK
A,WT BACK OF S FT. FROM THE SIDE AND
FT. FROM THE REAR PROPERTY LINES AIND
FT. FROM THE ROAD CENTERLINE SHALL BE
CLEAR OF STRUCTURES AND EOUIPMENT EXQWT
'FoRA 2 FT, EAVIROVERHAN(L
1 �.o��
�Pfl®vto
dojo rm 0 tj #j
2-1 Id Afp A-" e Ct
06oi- z? -o-
1. Owner's Name:- /U M Un n
2. Assessor's Parcel Number: 069 DLa(O— 09() -
3. Installer's Name:_ 4-s-4 r-
4. Is the site currently underpermit? Yes[X] No[ ] Permit No.
5. Is the site an existing site? Yes 'Nobor (If Yes, furnish two plot plans).
6.. What is the electrical rating. of the mobilehome? 1.00 Amperes.
....7. What is� the mobilehome 'site circuit breaker rating?
_3LQLQ _Amperes. -
8. What is the electrical rating of the mobilehome site?—
_Amperes.
9. Is the main service remote from the mobilehome site? Yes[ NoV1 if it is, what is
the rating?
Amperes.
10. Is there. any other- electric. load to be served by the mobilehome site electric 'service
(i.e. well, garage etc.)? Yes[ J Wo[ If yes, please identify the load and size:
a) The mobile home site:
Load-.- Amperes -
b) The main service:
Load- Amperes- .
11. Type of gas service at mobilehome site: Natural[ Propane[]
None[
12. Size of gas pipe at the mobilehome site from the meter or
tank: 3 L I inches.
13. What is the gas pipe length from the meter or tank to the mobfle*homeQ_0
14. What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is- less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS"FORM MUST BE COMPLETED IN ORDER TO
.V 06.
May 1995
— . v►9
BUILDING D E-PARTMElff
4PPROVED
8.5
•
Mobilehome Manufacturer: Manufacture Year:
If other than single wide, furnish Setup Model Number: %
Width:. (ft.) Length: (ft.) Tagalong or Expando Size_g4(R•) x (ft )
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade[x] Other:
SUPPORTS: Concrete block[ Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and, Location ivrrLTt-wIDE
SINGLE WIDE I'
=Liao 2
.................................... .
MainBeaau.......................................... e 2
.......................` ................... Line 3
L
ine 2
.......:............................................................ .
Main Beams - Line 2
............................................................................................. Line 1
............................................. e S
Tag or Triple e 4
. ...... ine 1
Line 1 Piers:
Size minimum: _
Spacing maximum:
From ends-maximu
Line 2 Piers:
Size minimum:
Spacing maximum: q
From ends -maximum
Line 3 Roof Loads:
Size minimum
Location (from'front):;
Line 5 Roof Loads:
Size minimum:
Location (from front):
Line 1 Openings
Size minimum: x [ ]
Each side of openings
with width over:
Line 4 Piers:
Size minimum: [ ] x [ ]
Spacing maximum: `
From ends -maximum: 4`
NIONGi OVER P o
f
{ D
PERMIT NO. 2805-77B
PERMIT EXPIRES
OWNER Emil Cranert
CONTR. Acro -Lune, roville
LOCATION (A.P. 34-74-40
218 Apache Cir., lot 220, KRIP3, Oroville
y
s
a
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
/FINALED
B
(Datg)
Footin s --:)3-7) 4L—, Footing ELECTRICAL
Masonry Walls r, Throat Rou h
Reinf. Steel V Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Stucco
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Subpanels
BUILDING BUILDING (Cont'd)
PLUMBING
Setback 41
A177) Firewall
Soil Piping
Forms
Parapets
list Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathins
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures.
Footin s
Garage Vents
Water Htr.
Stemwa I I
Insulation
Heaters
Slab
Carport
Footings
Prov. for physically
handicapped
Conformance of ex.
structure
Appliances
Gas PI in & Testj
Temp. as
Slab
Final 47 3 —71
Sanitation
Patio
FIREPLACE
Final
Footin s --:)3-7) 4L—, Footing ELECTRICAL
Masonry Walls r, Throat Rou h
Reinf. Steel V Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Stucco
Final
Subpanels
Mesh V
MECHANICAL
Gird. Fault Prot
Scratch A
Heating
Service
Brown
Cooling
Temp. Po
Finish
Ducts
Undergr,96nd
Interior Lath
Ventilation A
Penna ent
Door Closer j
Final
Final
MOBILEHOME TILITIES --y ---------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEWOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUPdfi i QF, BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — UroviIle, California 95965 � �/7
• • Telephone: 534-4541 f-odt;5
/
APPLICATION AND PERMIT %/
authorize representatives of the County of Butte to enter upon the
above-mentioned pro erty or inspe 'on purposes.
X Date —
77
Signature ermitee or Ngent
Receipt No. /
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date 7.2
Building permit expires Date 7rp
BUILDI
Owner ���CZ)9AJ4�^
SQ. FT. OCC. BUILDING VALUATION
106 9yo, Gv
Mailing Address
]Fireplace
Telephone No.
Contractor �� _ �N p7�,
Total Valuation 0? 0 O
Mailing Address 1737
Permit Fee QV
Plan Checking Fee &/or Penalty
&/Zp �� � /9L/�.
Telephone No.
Permit Fee $ j .o d
Cr1
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
/ LL
(gyp
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A P — %C/ T A
T
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
es
S i on Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
cel
Declaration
Parcel
60' R/W
Im rove nts
p
Lawn sprinkler system 2.00
Bldg. Ions Recd
Parcel Approval
oo,
Plan pproval
Permit Fee �
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 6000V OR 0 AMP LESS
5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil 'Ji'me*91 Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. &
OR DCONSTR. A CC20Sgft
NEW MULTI-OUTLET
NON-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 Calif rnia Business & Professions Code under the name
style of:
C %Z Al— A,,6,
Ex. Occup(OUTLETS OR FIXTURES) BAL�1
FIXED ALNS
Ex. Occup. ( OUTLETS P(RESID IKEA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Q7 Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
rvl 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. @ 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
$ B
authorize representatives of the County of Butte to enter upon the
above-mentioned pro erty or inspe 'on purposes.
X Date —
77
Signature ermitee or Ngent
Receipt No. /
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date 7.2
Building permit expires Date 7rp
1
` .
PERMIT
NO' 6237-76B.
PERMIT EXPIRES &Ae:7
;} _5 '11OWNER
Emil Cranert
•. s+�;,. �". CONTR.
owner
x
LOCATION (A.P. 34-74-40
r rl" 218
Apache Cir.,lot 220, KR#3, Oroville
e
1 �r
el
`j
�w'fit
Temp. Pow//r Pole
• • ,
Ca l l e//d' P G& E
Temp. �lec. Serv.
j
Celled PG&E '
Tem . Gas Serv.
1
Called PG&E '
JOB 3_�-
�
FINALED
•
Z
(Date
• v
1
( gnature)
1
COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
(NOTE: An entry must be made on this form each time you visit the job site.)
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback �� �� iZ_� Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
* 2nd Floor
Footings
Windows
3rd Floor 4
Stemwall
Siding,
To out
Slab
Roof Sheathing
Water Piping}'
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures °.
' Footings
StemwaI l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport ',
1 Footings
Prov. for physics y
handica edd
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final . O
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKL1,ERS
Motors
Framing t>
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECH L
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground ,
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
i
DATE REMARKS OR CORRECTIONS
Pts ✓G OL 6U49-0 404- col 7-/7/
J � OA 16,
_q PXC
(NOTE: An entry must be made on this form each time you visit the job site.)
,COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
t Telephone: 534-4541
APPLICATION AND PERMIT
v
.+ SLG ievresentall ves UI LHe Bounty of Butte to enter upon the
above mentioned property for inspection purposes.
X Date / 2-11 X A )II
Signature of Perini Agent
Receipt No. / Vo I 9� 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.
'%'_; IQIRECJTW OF PUBLIC WORKS
!12013hWMI/
Building permit expires Date
BUILDING
Owner en
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
fellp one No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Pen Ity
e
Tlephone No.
Permit Fee $ 1 b
Building AddressI
PLUMBING No. @ FEE
s^��
e�-C.J
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
(% v
A. P. No. TT
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
W
Sanirtali�
Fire Dept.
Fire Zone
Use Pen -nit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00
ec
Parcel Approval J
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER K
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
_
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER Main service 00 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
NON•R ESI D. BRANCH CIRCUITS) 2.50ea
NEW CONSTSLPOWER 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) BAL21
FIXED APLNS.
Ex. Occup. (OUT ETP RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ 'w have placed on file with the County of Butte a certificate of
orkmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
.+ SLG ievresentall ves UI LHe Bounty of Butte to enter upon the
above mentioned property for inspection purposes.
X Date / 2-11 X A )II
Signature of Perini Agent
Receipt No. / Vo I 9� 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.
'%'_; IQIRECJTW OF PUBLIC WORKS
!12013hWMI/
Building permit expires Date
1. -�� �.
OJT � ' \ �,�
v � ' �. ���
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S � � �� �
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_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Dri\te — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
7?��7-Z�
X Date I
SignatureCl Permitee or Agent
Receipt No.l�y��
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
DIRECTOR PUBLIC WORKS
By Date7—
wilding permit expires Date //—/7—%
BUILDING irl
Owner
SQ. FT. OCC. BUILDING VALIJATION
v ®C5
Mailing Address %
Telephone N ®�N
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee "00
P I an Checking Fee &/or Penalty
Telephone No.
Permit Fee $ V
Building Address `
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
' GEach
Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
vo s
W
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
ParcelParcel
Declaration
Ma P
60' R/W
Im Provents
Lawn sprinkler system 2.00
Bldg. Mons Recd
Parcel Approval
FIC 4<Approval
Permit Fee $
$
NEW
ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE 1 $3.00
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others
Main service 10 EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLOGS.CCUP. &) 2¢sgft
NEW CONSTR. MULTI -OUTLET
NON-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:
250
Ex. OCCup(OUTLETS OR FIXTURES) @.1
BAL1
Ex. Occu FIXED APPLNS. OR
P'(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
Warn exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
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.1 @ I 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
authorize repreh' a es of the County of Butte to enter upon the
above tion d prope y for inspection o�C 457,the
TOTAL PERMIT FEE
�1
$ �0/ QC
This permit is hereby issued under the applicable provisions of
Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
X Date I
SignatureCl Permitee or Agent
Receipt No.l�y��
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
DIRECTOR PUBLIC WORKS
By Date7—
wilding permit expires Date //—/7—%
hod .¢,6�a1!_G✓ ..�,�:�/(�`- /�
• L.P
PERMIT NO. 5052-76P,E
PERMIT EXPIRES
OWNER Emil Cranert
CONTR. owner
LOCATION (A.P. 34-74-40
r 218 Apache Cir.,lot 220, K03, Oroville
r
s
,,
Temp. Power Pole
Call d PG&E
Temp Call
Serv.
alled PG&E
T mp. Gas Serv. �-/ - ` C w
Called PG&E
JOB , I)e
FINALED /0
(Date)
(Signature
Ll
COUNTY OF BUTTE '— DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
ELECTRICAL
PLUMBING
Setback
Firewall
Soil Piping
Final
Forms I
Parapets
1st Floor
Motors
Main Bldg.
Restroom Finish
2nd Floor
Stucco
Footings
Windows
3rd Floor
MECHANICAL
StemwalI
Sidinq
To out
Service
Slab
Roof Sheathing
Water Piping
Finish
Piers
Roofing
Sewer
/-5—
SGarage
Garage
Fdn. Vents
Fixtures
Final
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov, for physically
handica e
Conformance of ex.
structure
Appliances
Gas Piping
Temp. Gas
& Test
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough Dry'?C
Relnf. 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
0
(NOTE: An entry must be made on this form each time you visit the job site.)
74,
rV 5 2- - 7
9. Electrical
A. Is seivice large enoiigl� to provide .adequate amperage to mobilcliume (must equal rating of
mob i-leliome (aith a.-,:in.bum of 100 amp) and other faciliti_as .on lot, i.e., water pumps,
,,rate, cabnna, cctc.? Ycc pyo_
. v-
1; Is ther.� proper. clearances Around panels? Yes_ No
C. Is power supply cord or feeder assembly properly fused? Yes ---Vb_
D. Is continuity test satisfactory as per the following procedure? Yes --'No-
1. De -energize electrical -Tiring syste;u 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 breaker;; and switches in the mobilehome to the "on" position.
4. Connect one 1:�-ad of a test instrument.to the mobilehome grounding conduc.tor and
Gh1'1) LLiC UtIACL i.Caii to eai:ii ruuui.�euumC suplAiy CU"nuuCtUr, llicluuliig I"1euL"rai.
5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
.ater line), including fixtures and appliances, shall be tested for continuity from
such egv.i.pment and the, grounding conductor.
6. Upon completion of the above proc.edu"re, the power supply cord or feeder assembly
conductors shall be connected to the site service" equipment. A further continuity
te:;t shall then be n.ade between the grounding electrode and the chassis of the
viobilehome. Upon sat"i_sfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
I:> job card signed by health Department for water and sanitation?
I.I. If everything -okay, sign off card and ta; services.
MOBILEi?OML DATA
Manufacturer and/or Namestyl.e
Length 46 Width
Vehicle Serial No. � � /75 — - 7 3
State Identification NO-0�70—
P.&t i t Tonal Infoz-na tion or Cormp..ents :
M0}31,1?Ii01ME, INS`L'ALLATI.M INSPECTION CHECK LIST
1. Is the. mobilehome loc;jtcii wi.iah required separation from lot lines and buildings and general].)'
conform to plot plan? Yes ,&--go
?. Does the m)bil.chome have required clearances above ground? (Sec.5085) Yes No
3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes -;--No-
4.
;--No4. Is the mobilehome level.? (Sec. '5088) Yes moo_
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes ;/No
5. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)?"(Sec. 5566)
Yes t-�No
B. Test - Does water. piping withstand working pressure or 50 lbs, air .t.e.s.t?. Yes e—N-o
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ NoJ2 N,14
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes v No
B. Does it have minimum ." per foot slope and is it properly supported? Yes ----No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes No i-�
D. If coach is not State of California approved, does station have required trap and vent?
Yes No p•A
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 C140
B. Test OK as per following procedure? Yes No
1. Open all appliance connector valves.
2. Shut off appliance burner and pilot valves.
3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect: gas meter to mc,bilehoiae with connector, turn. on gas, test connections with
soapy -water.
C. Are all appliance vents properly installed? Yes - No
�.c,..f^Es''�r`.'f`V:.....xO+�,,�yyy;'�..`'+:"r�i��J,'r�',���K'��''L'`�•,w��a^'?�-'
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the Califorpia Administrative Code, Title 25, Chapter 5, under permit
numbers for th following location:
-2-,10
Owner /= 4 -
Owner's Address 5�7 C sCT
Mobilehome Mfg./ �ih' �' Model'U Year ��-
Insignia No.,) 14¢70 - 0/ q-4- / Serial No. C2 / -7 >�
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date /0 - 2- / - 7 4 -
By
THIS CERTIFICATE IS VOID WHEN /OBILEHOME IS RELOCATED
~ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Oroviile, California 95965
Telephone: 534-4541 1(�"
APPLICATION AND PERMIT
'^ • •'F, tela V -0G Me I,UUllly UI DUlle IU enter upon the
above-mentioned property for inspection purposes.
X — I Date 4 /
e of rmitee or Ag
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR F PUBLIC WORKS
BY Date
permit expires Date �� - 24- 7
BUILDING
Owner Emil Cranert
SQ. FT. OCC.1 BUILDING VALUATION
Mailing Address Lot 220, Unit 3
Telephone No.
Fireplace
Contractor Carneros Mobile Transport
Total Valuation
Mailing Address 1290 E1 Capitan
Permit Fee
Plan Checking Fee&/or Penalty
Napa, California 94558
Telephone No. ]
252-2411
Permit Fee
Building AddressPLUMBING
218 Apache Circle
No. @ FEE
PERMIT FILING FEE J$3.00
Oroville, California 95965
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. N 34-74-40Gas
Zoning & Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
FI/es
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA I
PPlan arkin9
Declaration
I Parcel MapJ.
60' R/W
I Improvements
Lawn sprinkler system 2.00
Bldg. Plo s Recd
Parcelroyal
Plzezpproval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
INSTALLATION y ?
For 4/yA vT-!A O�.Z-%
r
an service 600V OR LESS
Mii 100 AMP OR LESS 5.00
Main service EA. ADO'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ® Others ❑
Main service OVERAMP OR LESS 25.00
Main service EA. ADO'L 100 AMP 1.00
NEW CONST. I DWELLING OCCUP. 5)
OR ADDNS. ACC. BLDGS. 20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR.POWER APPARAU&
NON-RESID. (TS
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:
CarnproG Mnhi 1 p Transport
Ex. Occup(OUTLETS OR FIXTURES) BALM¢
FIXED ALNS.
Ex. Occup. ( OUTLETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 259158Misc.
Classification C-61
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.
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. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
E�4I
-
Hood 1 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
n thn.i � ..t
Mobile Home Installation
30.0(
TOTAL PERMIT FEE
$ 3$.0(
'^ • •'F, tela V -0G Me I,UUllly UI DUlle IU enter upon the
above-mentioned property for inspection purposes.
X — I Date 4 /
e of rmitee or Ag
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR F PUBLIC WORKS
BY Date
permit expires Date �� - 24- 7
BUTTE COUNTY DEPARTMENT OF -PUBLIC WORKS
7 County Center Drive,•Oroville, CA.
PHONE:.534-4541
MOBILEHOME INSTALLATION SHEET
+ Emil Cranert ';220/3
1. owner's name:
2. Installer+s 'name: Carneros Mobile Transport -
3. Is the site currently under permit? Yes /X / No _L
( If yes,-, furnish permit number YO S of - -7 to ) OR
Is the site an existing site? Yes / / No %X 7
(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 /X / No / /
(If no, clarify )
5. What is the mobilehome electrical rating? -----------------------
6. What is the mobilehome sit e.service rating? ---------------------
7. What is the mobilehome site circuit breaker rating? -------------
8. Is there any other electric load to be served by the mobilehome
100
Amps
-ser -vice? --------=------------------------------------------
100
Amps
100
Amps
(Load) -0-
site
-ser -vice? --------=------------------------------------------
Yes / /
No %=
(If yes, identify the load and size:
(Load) -0-
(Amps)
9.
What
is the mobilehome site gas pipe size? =--------=------------„
-0
(in.)
10.
What
is the type of gas service? -----------------------------
Natural,/ /
LPG /X_/
11.
What
is the gas pipe length from meter or tank to
the mobilehome? -0
(ft.)
12.
:What
is the mobilehome gas•demand?------------------------------
0
(BTU)
(This information not required if pipe length
less than 6 ft'. an natural
gas
or less than 50 ft, on LPG.)
o
MOBILEHOME SUPPORT DATA
2GK 2B
Mobilehome Mfr. Skyline Mobile Home Setup Model No. 801 Year 76
Width 24 (ft.) Lengt. h40 (.ft.)' -Expando-`Size ft.x ft. `
(Draw. support''details below)
On all mobilehoug, manufactured after October.7, 1973, furnish manufacturer's installation
manual and structural setup sheets .(if. not .on file with the County of Butte).
Sin le -�� Footings--(check.oni
/sell .. Wood :either ..,
pressure treated -�
Center Center Support ... ...... fdn.'grade.:.
Support Footing Sizes
Locations (in.) ...... /i` .2. -Concrete pad.
3.-- Othe�
r -'-specify
�9-D .-: -
in, in.
Supports (check on(
1. Concrete block
2. Concrete piers
3. Steel'piers
. ............
/A. Other, specify
Al..... ....
Typical Support
PInE.
30 Footing Size
f_ i) x x in.
M Pax -
24 30 in.
24x 3 0-- -(in.)(in.) 1_ 0 Max.
fi in• Overhang
IA'
13
*If center piers are other than drawn above, BUTTE COUNTY- '
draw in locations, spacing, and dimensions. BUILDING DEPARTMENT
APPROVED,
COUNTY OF BUTTE — "AEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
QULJIo Ize rep esentat ves of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of ermi�teee or Agent
Receipt No. /,�dt T-- 0
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 UBLIC WORKS
By_ Date_
Biding permit expires Date �7+/ 3-- 7
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i n Address
Telephone No.
�FV
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Adres
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 W
�b
Each Trap 1.50
/ /
Repair drainage or vent piping 1.50
Water piping d.5r9-
/�` j
/Le, Xl ni
Each gas water heater or vent 1.50
A. P. No. ` �y 0
nin
j! as piping system 1 - 5 outlets ,9• (�, ap
Each additional outlet .30
Fees
C.
a� 'op
Fire Dept.
Fire Zone
Use Permit
Building sewer r, Cr (6,40
EQA
Parking
Plans
Parcel60'
Declaration
R/W
Im r
p ovements
Lawn sprinkler system 2.00
Bldg. Plans Recd
r ParcelAppprroval
PI ns pproval
Permit Fee $
NEWADDITION
❑ ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE J$3.00 ,.Or)
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADD'L too AMP 2.50 ,5z)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 1100 AMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
' • MINIMUM
FOR MOBILES
NEW OR ADONST ( ACCLBLDGS.LING 0 CCUP. &) 2¢Sgft
NEW CONSTR. MULTI -OUTLET
NON.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
St le Of:
Y
Ex. Occup(OUTLETS OR FIXTURES) BAL�
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
am exempt from the Contractors License Laws of the State of California.
Permit Fee $. s -n
l
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 1 1 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
QULJIo Ize rep esentat ves of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of ermi�teee or Agent
Receipt No. /,�dt T-- 0
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 UBLIC WORKS
By_ Date_
Biding permit expires Date �7+/ 3-- 7
G (3 ®k ASSOCIATES ENGINEERING CONSULTANTS
2060 PARK AVENUE
ORCNILLE, CALIFORNIA 95965
PHONE (916) 533-6457
James Glander
Department of Public Works
7 ' County Center Drive
..Oroville, California 95965
Re: 76551
September. 14, 1976
Dear Jim:
Compaction test results are enclosed for mobile home site.
preparation at Kelly. Ridge Estates for:
Theander KR E Unit 3 Lot 179 3 y.-_7 q Jc),
Berry KRE- Unit 1. Lot 11
Cranert KRE Unit 3 Lot 220 c 7Cc
Representative tests indicate that.the 9.0% rela,t,ive, compaction.,.
requirement has been satisfied.
A location map is attached..
Very truly yours,
COOK -ASSOCIATES -
Alan G. Brown
Civil Engineer
AGB/cap
Enclosures
M
Client Cranert
COO -ASSOCIATES Project KRE Unit 3 ##220
ENGINEERING CONSULTANTS Nuclear In -Place 76551
Job No.
2060 PARK AVENUE
OROVILLE Moisture Density Test Kimbrell
, CALIFORNIA 9.5965 Operator
( 91 6) 533 —6457
TEST NUMBER
1
2
3
4
5
6
7
8
9
10
TEST DATE
9-13-76
1st Lift
TEST
NE Cor
LOCATION
FINAL
MODE 8 DEPTH
8" DT
MOISTURE
COUNT
987
MOISTURE
COUNT RATIO
•706
MOISTURE
11.0
PCF
17.50
DENSITY COUNT
265
DENSITYCOUNTRATIO
.981
'
WET DENSITY
PCF
131
DRY DENSITY
1201
PCF
113.5
% MOISTURE
9.
0/
.
5.4
OPTIMUM DRY
DENSITY PCF
130
% OPTIMUM
MOISTURE
10
% RELATIVE
92/
COMPACTION
.87
DAILY STANDARD COUNTCOMMENT:
DATE MOISTURE DENSITY
9-13 1397 270
�., LOT 220
UNIT 3
C NE"AE�' T—
'
f i
00
G;:.
PO
ro
to
P ZT_ EA 3EMENT.
4
JJo79%L E fl DOES 8• / 7.76
75..
chis set of plans i .MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permisson from the Department of Public
Works, County of Butte.
LOT 220
UNIT 3
C 1F,-7 _"E-2 T
6
SEJ_.-BA',:?f
The 9�Yij Se Nt
Ta e 5 #. from
the side property line and 50 ft. from -
the centerline of the road, permitting
a. maximum of a 2 ft. eaveov rhang,
F�
All utility .connections shall be
located within 4 ft. outside the rear
third section of- the mobile home
on the left (road) side of the mobile
home.
l-�o
•�j�2b o�1,• 1 \
-��Permit will 6e requires! for the ;
iraollation of the mobilehomee
BUTTE COUNTY
BUILDING DEPARTMENT
APP
J��l o?3%L C •: f117L7�17 � 8: % 7= 76::?!/cam _
PERMIT NO. 5788-77B •
• PERMIT EXPIRES � ..
�.
OWNER E- CRANNERT
CONTR. ALTO-Lume
LOCATION (A.P. 34-74-40.
218 Apache Circle, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
/Temp.s
G&E
erv.
G&E
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback /� C._
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows ix
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr. r
Heaters
Slab
Carport
Po
Footings
Prov. for phsically
handicaped
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
cam,
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICA
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam(7
FIRE SPRI LERS
Motors
Framing`i7
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
'MEChANICAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Under roun
Interior Lath
Ventilation F
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES -----•---•----- - --
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOSILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping,
Drainage
Gas Piping
DATE OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ✓/ /�
7 County Center Drive — Oroville, California 95965/ X�— ��
r Telephone: 534-4541 C7" Cl
APPLICATION AND PERMIT
1I-V%O „ 3 By Date r� K--7,Z-
Receipt No. �y y�
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date - l�"U
BUILDING
`�
Owner /-
rte--
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor Wcozo --
Total Valuation 67
Mailing Address / 7 f/ /��� j� ��
Permit Fee <<y U
Plan Checking Fee &/or Penalty
Telep one No.
_q
Permit Fee i acJ
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
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. N — °%�— 7
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fk9Js
Seslsatian
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60'.R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans R 'd
/
Parcel ApprovaY
Plans A ;o val
Permit Fee $
NEW 2r ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE J$3.00
Main service 1000 AMP ORV OR LESS5.00
Main service EA. ADD'L 100 AMP 2.5'50
Single Family ❑ Duplex ❑ Mobil Home 01, Others ❑
Main service 1100EAMP oR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
C•- ���
NEW CONST.DWELLING OCCUP. &
OR ADDNS. ( ACC. BLDGS. ) 22sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) '2.50ea
'
�r y �l p
s -7c `
NEW CONST R. (POWER APPARATU SINGLE OUTLET CIR.&
NON-RESID.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Cal Iforni Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)"2aa
BAL�1
Ex. Occu (/ FIXED APPLNS. OR
w 0UTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. �7�Classification (�
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor
Code which requires every employer to be insured against liability
for Work en's Compensation.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑ I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatiof the County of Butte to enter upon the
above-mentioned r ert� f inspection urposes.
X' Date /�
re
ianatu af, ., + —it— r.r A�
TOTAL PERMIT FEE
$
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 P BLIC WORKS
/ J/1� d
1I-V%O „ 3 By Date r� K--7,Z-
Receipt No. �y y�
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date - l�"U
3 6 6„
9/16' DIA. TYP.
NUS-. iYP. q
LO t/•• wprE
GRIPER EASE DETAIL
TOP VIEW = MGP = PAD
..
170
io
O
I. -.f/8" EXT. MG PLNWOCD-,----
WOLMANIZED - SEE NOTE 14
SIDE. VIEW - MGF - PAD
2" X 2" X
ANGLE IRCIN 28
N
DESIGN LISTED AND `TESTED BY BSK & ASSOCIATES
JJAYNE T. PQI:VA.DO, PE - LISTING NO., F94249
FLAIRED SCH40 PIPE BUTTE COUNTY
1� °_DED AT COR14ERS i
O n -0-. _ .3 1 ,,- c nTEc UILDIN DEPARTMW
AT CCP.NERS AND CENTERS
opm
CAP PLATE DETAIL �
�TUF-1 i -
I
t eT ll)
S116" DLA. rf
i�4 pVT
WELDED 3/16" R0�
GRIPER PLATE DETAIL
er / MGP
00
3/8" X 2' MACH BOLTS \
FLESH AND COUNTER SUNK
i/2' GRADE 5 PIN OR E(
LOCK WITH 1/2- LOCKING
NUT OR COTTER PIN
END VIEW - MGP - PAD
CCA. Fi�ESSURE TREATED
MCP= MARINE GRADE PLYWOOD CCX P AND S
PIPE
/4"
0
2' FlAiRED ECH40 PI=E
WELDED AT CORNERS -
Q'.:L..PORT G;RDER
FLA: -'ED SCH 40 PIPC /\
4:� P!PE
z DIA. HOLE
C(1G• PnF, - PI II 1
SC:-i4O PIP_ ��✓`'
y:E--DED TO 1/4" PLATE
PICA.L INSTALLA31ON DETAIL
PAJENTS FENDII G
'<
F04k
U
No. C 051110 rr'
Exp. 3
6N�i�/F�rt�o A'A',oawy 0-t r -2F -,V
APPROVED
SUMFCT TO COPPECTIONS NOTED
4j%, -,c, 1 does nct cv;htrize or opp,o�,a r.ny orris s;qn o:
3e r;nt:o, f,cn: requirements cf c^pScoU!e State lows and
e�olatia�s.
Stole of California
Deporsmer.t of Hausinc and Commuri:y Development
DivI510`: OF ODES AND STANDARDS
(signature)
.SPA No.-_ X1^__'//2 /$
This Plan. Approval Expires._�gr e<
IW4:y Jr)
n�v/s
IpF ESS'O�i�
N.
y Ve -.
No. 2729' �
Erp. 3 35-97
C I V 1
OF Ch��`� Ai
ENGINEERED TUF-I TIE DOWN SYSTEM
WITH MGP PAD
JOE N. OZOA , CIVIL ENGINEER
2721 CHAPEL CT.. MODESTO. CA 95355
P.E.# 27219 e.•p. 3/31/97 (209) 524-8302
APRIL 1996 SHEET I OF 3 SHEETS
GUS -GUARD PRODUCTS, INC.
1.-800-322-2479
- _....._
DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
GENERAL NOT 5 JARD T F-1 WAYNE T. POLVADO, PE - LISTING NO. F94249
- -
1. DESIGN LOADS: ROOF LIVE LOAD 30 LB.
FLOOR LIVE LOAD -40 P50 10. THE G -U5 -GUARD TUF1 5Y5TEM5 ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS
WIND LOAD- bO MPH EXPOSURE 'C' WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF 3 FEET. ()FESS/��
SEISMIC ZONE - 4
""n "not:
TL1 E A,'Qv 155 REFER TO 12,4 3 ArrArwrn 111 MULTIPLE -UNIT INSTALLATION 15 ACCEPTABLE PROVIDED THE NUMBER OF GUS-GUARD�(v�� r��j P044
i FiL
2. TH15 FOUNDATION SYSTEM 15 DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL 51TE TIJF-i UNITS MEET THE REQUIREMENTS SHOWN ON SHEET 3 AND THE PLACEMENT
WITH NO EXISTING SOIL PROBLEMS. AND INSTALL ATION PROCEDURES ARE FOLLOWED PROPERLY. 111Q r i
Exp•-1kilcl-1 �
3 CHA556 BEAM SUPPORT SHA 5 i USE (/ I •-r r r � 5 -HALL BE AND SIZED FOR THE LONGS A5 SHOWN IN 12. FOR LONG- DJR�.-10N ,.NO>ti LOADS, � r•FPR.irF.,r,l c NUMBER Or GUS -GUARD TIJF-1
J
ON SHEET 3 '�yT�
THE ;JUNITE5 A5 5HOi'.'N'
vE!LE HOME INSTALLATION INSTRUCTIONS.
4 IN AREA5 WHERE GIFFERENTI' L 5E T TLEMENT (D.5.) CAIN OCCU, MANU,.FACTORED HOME
SH .LL 5E READJUSTED WHEN G.S. EXCEEDS 1/4", OR WHEN IT WILL BE ,_,GVERSELY
FF --T MANUFACTURED HOME' UNIT.
5. CARRY ALL FOOT ING5 DOWN TO FIRM, UNDISTURBED 501L. FOOTINGS ARE DESIGNED
FOR 1000 F5F TOTAL LOAD 501L FRE551 JRE AND 5HALL BE COMPATIBLE WITH LOCAL
SOIL CONDITiON5.
6. 5TRLICTURAL 5TEEL: FA5RICATE ACCORDING TO A51C SPECIFICATIONS, WELD ACCORD
ING TO AW5 '5F ECIFiCATION5. ELECTRODES - 370 PLATES - A5TM A36 DOLTS - SAE
Gel. 5 = ASTM A449 = A5TM A3725
7. . THE GUS -GUARD ASSEMBLIES 5HOWN BELOW SHALL BE LISTED AN.D.LP,BELED BY E5K
& A55OCIAT E5 FOR THE FOLLO'hIiNG' LOAD5:
ASSEMBLY LOADS
HOR. VERT.
GUS -GUARD TUF1 STANDS 1062.# 5900',{'
GUS GUARD MGP. 1062#. 5900#
. .. ... - PADS IN At,: ?AIR MAY--/ j
BE RCTAitD 90 ' OR OFPSE. i
. TO OTFEF S;DE TO A%low 2. NOM. —� ^US -GUARD AICP
CLEARANCE FROELEYS
SERIFS SUPPORT PADS _ 7YP
8. DURING- PRELIMINARY INSPECTION, THE ESTIMATOR 5HALL ENSURE THAT M051LEHOME E= 2' MIN. / 6' MAX.
CHAS515 BEAMS ARE OF STANDARD SECTION EQUAL TO OR GREATER THAN W10X10#. S=61 MIN. / 24' MAX.
13. ALL METAL CO'AFONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED.
14. FOR MIG -F, USE i ?/5" EXTERIOR FLYWOOD WITH WOLMANINZED TREATMENT TO O.4 - i MAX
PCF RE TEN TION :KITH GRY!NG AFTER TREATMENT.
VAi�..ES 10' - 70' SEE TABLE
E
SI I S
S E
F -I
El i _
1. -
�
RIDGE BEAR; SUPPORT
AS REGUIRED BY
�� MANUFAC-URER - T:7.
STANDARD 1i
PIERS - ASi
THE MA-NVFA
RELoCATE
RELOCATE
/ ❑
❑
❑
I
�J
ir'j
�-❑
❑
❑
u
El
GI
zI i
-C
-
F I
F]
-
F I
ElI
F'I
9• EX15-FING COACHES MAY BE RETROFITTED TO RESIST 5EIC-MIC FORCES BY INSTALLING
GUS -GUARD TUF i UNITS AS SHOWN ON SHEET 3 AND THE TYPICAL FOUNDATION PLAN,
BUTTE COUNTY
BU
nal MPARTMENT
4PPROVED
I -RJUNDATION
REC.^.MAIE\'DED BY
TU-RER OR THE
- TYPICAL THROUGHOUT
NECESSARY - TYP
Q�pF ESS10
F,
y
cD m
a 00. 27219
Exp. 3-31-97
qTF OF C. \x
Y ti3/f
ENGINEERED TUFA TIE DOWN SYSTEM
WITH MGP PAD
JOE N. OZOA , CIVIL ENGINEER
2721 CHAPEL CT., MODESTO, CA. 95355
P.E.# 27219 exp. 3/31/97 (209) .524-8302
APRIL 1996 SHEET 2 OF 3 SHEETS
•
r r
_.... NIIMBER _ OF UNITS REQUIRED FOR -VARYING LONG-TERM ;SNOW LOADS .-.:: GQS GUARD _'MGP :-P1D;; ASD TUF; l STANCHION PSIGN LISPED AND TE= EY M b A`ER IA
3�5
NDEl49L - - - - - tWIiYNE -
SNOW M 0 -30# 40 /FTZ'(cant) 40#/FT2 (cont) 50#/FT2 (cant) 60 FT2 c — - ._
(cant) }
i"'= 'POLVADO PE LISTING NO ^`94249
cant) - - - - -...- - -- - - - ----
No. o No. o No: o No. ,of: No. - .. No, o - o. o --..._
Width . Le�oth Units` Width th Units Width Length OnitsWidth Lerioth Units! Width I.en�th Units'Width Units Width h Units
10 To 37 4 12 To 9' 6 28 T �2 :: 24 To 24 10 1 '- To 22 -";—T 20 T 20 6
38-58' 6 30-39' 8 28-32' I 28 To 2-64
14 25-28 12 ; 23-30 8 27'30' 16 27-30' 14 pFESSlQ
10' 59-78' 8 40-50' 10 33-37' 16 29-33' 14 i 31-38' 10 31-34' 18 . 31-35 16 �QR
51-60' 12 38-42' 18 34-38' 16 j 39-46' 12 ' 35-38' 20 36-�. 18 C�' F-�' 0(!i. Fy
41-44' 20
12' To 32' 4 12' 61-70' 14 43-46' 20 39-43' 18 47-54' 14 39-42' 22
33_50 6 47-51' 22 44-48' 20 - 55-62' 16 43-46' 24 45-49 22
51-68' 8 13' To 27' 6 52-56' 24 49-53' 22: 13' 63-70' 18 47-50' 26 : 50-53' 24 a i�O.0 051110rn
12' �a_o510 28-37' 8 57-61' 26 54-58' 24 ! 51-54' 28 54-58' 26 0i(���U L
38-46' 10 62-66' 28 59-63' 26 14' To 28' 8 55-57', 30 59-63' =8 Exp. A-
%
13' To 30' 4 47-56' 12 28' 64-67' 30
67-71' 30 64-68' 28 29-35' 10 58-61' 32 cfJ9l Cn�tl. cO�-,���
31-47' 6 57-66' 14 24' 69-74' 30 36-43' 12 62-65' 34 20' 68-72' 32 `
48-64' 8 13' 67-75' 16 c,,+OW LOAD = 50#/FT2 44-50' 14 66-69' 36 E OI_ c"'k
13' 65-80' 10 No. o 26' To 26' 12 51-58' 16 24' 26 25' 14
28 70-73 38 26-29 16
.14' To 25' 6 Width Lenqth Units 27-31'. 14 59-65' 18 30-33' 18
14' To 28' 4 .'26-34.' 8 1T To 31 6 32-35' 16 14' 66-73' 20 SNOW LOAD = 80#/FT2 34-37' 20
29-44' 6 35-43' 10' 32-42' 8 36-40' 18 No. of 38-41' 22
45-60' 8 44-52' .12 43J53' 10 41-45' 20 20' To 25' 10 Width Length Units 42-45' 24
14' `61-76' 10 53-61'. 14 54-64' 12 46-49' 22 26-31' 12 10T To 4 6 46-49' 26
14' 62-70' .,16 10 65-75' .14 50-54' 24 32-36' 14 25-33' 8 50-52' 28
20' To 32' 6 55-59' 26 37-42' 16 34-41' 10 53-56' 30 BUTTE COUNTY
8 20' To 24' 8 12' To 26' 6' 60-63' 28 43-47' 18 42-50' 12 57-60' 32
45-56.' 10 25-31' 10 27-35' 8 64-68' 30 46'-52' 20 51-58' 14 61-64' 34 BUH.DING QEPAR O
57-68' 12 32-37' 12 36-45' 10 26' 69-73' 32 53-58` 22 59-67' 16 65-68' 36
20' 69-80' 14 38-44 14 46-54' 12 59-63' 24 10' 68-75' 18 24' 69-72'. 38 � P P
45-51' 16 55-64' 14 28' To 24' 12 64-69' 26 26' To 24' 14
24' To 37' 8 52-57' 18 12' 65-73' 16 25-29' 14 20' 70-74' 28 12' To 27' 8 25-27' 16
38-48' 10. 58-64' 20 30-33' 16 28-35' 10
49=60' 12 20' 65-71' 22 13' To 24' 6 34-37' 18 24' To 26' 12 36-42' 12 28-3 18
24' 61=70.'14 25-33' 8 38-42' 20 27-30' 14 43=49' 14 35-38' 22
32-344 ' 20
24' -To 26` 10 34-42' 10 43-46' 22 31-35` 16
2v 50-56 16 39-41' 24 M1
1=' To 34' 8 27-31' 12 43-50' 12 47-50' 24 35-=39' 18• 57-64' 18 42-45' 26
35-44' 10 ..32-37' 14 51-59' 14 51-55' 26 40-44' 20 12' 65-71' 20
45-54' 12 38-43' .16 60-68' 16 56-59' 28 45-48' 22 46-48' 28
55-64' 14 .44-48' 18 .13' 69-77' 18 60-64' 30 4 49-52' 30 QRpF ESS/04,1
26' 65-73' 16. 49=54' 20-53 2�4 13 To 25 8 53-56 ' 32O�� F,y
65-68 ,2 5_4-581 6 26-32 10 57-59 34 q ��
55-60 22 14 To 23 6 28' 69-72' 34 �'-52` 28 33-39' 12 60-63' 36 m
28' To 32' 8 61-65' .24 24-31' 8 6s-67' 30 40-46' 14
64-66' 38 ' do. 27219 a
33-41'.rn
10 24' 66-71' 26 32-39' 10 SNOW LOAD = 60#/FT2 24' 63-71' 32 47-52' 16
26 67-70 40 Exp. 3 31.97
42-50' 12 40-47' 12 No. 0 53-59' 18
51-59 14 26 To 24 - 10 48-55 14
Width Length Units 26' To 24' 12 60-66' 20 28' To 25' 16 `Fr9 C IVO-
60=68' 16 25-29' 12 56-64' 16 10 T 20 8 6 25-28' 14 13' 67-73' 22 26-28' 18 TF OF CN��E� /
28': 69-77' 18 30-34' 14 14' 65-72' 18 29-38' 8 29-32` 16 29-32' 20
35-39' 16 39-48' 10 33-36' 18 14' To 24' 8 33-35' 22
Snow Load = 40#/FT 2 40-45' 18 .20' To 22' 8 49-58' 12 37=40' 20 25-30' 10 36-38' 24 ENGINEERED TUF-1 TIE DOWN SYSTEM
No. -of 46-50' 20 23-28' 10 59-68' 14 41-45' 22 31-36' 12 39-42' 26- WITH MGP PAD
Width Length Units 51-55' 22 29-34' 12 10' 69-78' 16 46-49' 24 37-43' 14 43-45' 281
_07_ T 30 4 4 56-60' 24 35-40: 14 5-3-53' 26 44-49' 16 46-48' 30
35-46' 8 61-66' 26 41-46' 16 12' To 24' 6 54-57' 28 50-56' 18 49-52' 32 JOE N. OZOA , CIVIL ENGINEER
47=58' 10 26' .67-71' 28. 47-52' 18 25-32' 8 53-62' 30' S7-62' 20 53-55' 34 2721 CHAPEL CT., MODEST0, CA 95355
10' 59-70' 12: 53-58' 20 33-41' 10 63-66' 32 63-68' 22 56-58' 36 P.E.i# 27219 exp. 3/31/97 (209) 524-8302
59-64' 22 42-50' 12 26' 67-70' 34 14' 69-75' 24 59=62' .,8
20' 65-70' 24 51-58' 14 63-65' 40
59-67' 16 66-68' 42 APRIL 1996 SHEET 3 OF 3 SHEETS
12' 68-75' 18 28' 69-72' 44
e �I
36
h
TOP VIEW - MGP - PAD
1
1 1/E" EXT. MG PLYWOCD_,--
v:CLMAN,2ED—.SEE-.NOTE 14
SIDE VIEW - ,MGP - F,^ -,D
2" X 2" X
ANGLE IRON 28
6" r 4, "!/'I C DIA. TPP.
NO— 7YP-
DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
WAYNE T. POLVAQO, PE - LISTING NO. F94249
T
s-
l0 t /, P"TE C OF ~ l
4- T I_ ' rf
C 1 C
GRIPER ,EASE DETAIL.a
• t � � � 1U� (_U'�'vlrtn,.l�o�
�. F'LAIRED SCH40 PIPE / r 1 U" F O 05111
� 1�n
�<LJED AT CCRI�ERS�� JCS 1 :J J
° �. O tc C , i,- T« • L. �''�� Exp. 3 �l ;� I JI'
A � �� t r
�lelk
^%ELDED AT CCF.NERS AND CENTERS
CA.PPLATE' DETAIL
I �
1 �I�I( �= APPROVED
IJI.riL� HriviE S'J'`.P!T TO CORRECTIONS NOTED ? ,�
COACT
y
1
C. ;•: r..O'R i (.`i!n' DEQ — I �1�Y.� � :I.s,•n�-1 dcec. ,,a 1IV "'I!omi'se�'•-, c: I
t � I �� ie a^p'�i: o,� t }::( r�s and �a
{rn,:: :C•C: 1;;1 IV! r.n .. f- of r; j
- II IIS, -
/- TUF-1 I (F (°I I �1 r -\ Slate o1 Cc!i{c r
Coma.
I I t?
u -,:y :�•e'opmen: / -
/ I IQI+ ��, /_ cC, , 4,:) PIPE
` - yL�� r_ MS!c): , OF' ODES AND STANDARDS
a t e -gO*IY2�-
S/15 DIA. ?)'F./ I i- • o I'
WELDED 3/15 ROD --s/~ I I r + Inr Sfigncture
GRIPER FLA�i E DETAIL I°I - 12" DIA. HOU 1/2,4- SPA NO�o FOR ROPE PULL `
Cfil o I 1•,j;;� Plor, Approval Expires._
i MGI
00
3/E'' X 2 MACH COLTS \ IAI/C�t^ ! � M1� � F it
FLUSH AND COUNTER SUNK s1!' i� r p cr. `'i^`t i
E ��. PrP. 1 r: i I 3 Il
�% }� P:O.'27c I
( ) �. ;j ` . I \ �• \ /� s ly /(�°CC �l/ t I b; P 1-t:
1/''.. G .r E 5 Pitt nc cntrv_ 11. 1 �, t r � •./ � / I H , � � —1 /) / A y
END VILEW - MGP - PAD
CCA. PRESSURE TREATED
M( -3P= -MAIRINE GRA.DE'••PL)'W00D CCX P AND. S
PIPE
/4"
rvt�
LOCK 151TH 1/2 -
NUT
/2"NUT CR COTTiER
Y F' A:RED SCH-
fiELDED AT CCRN
GUS -GUARD PRODUCTS, INC.
1-800-322-2479
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APACHE CIRCLE
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