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069-220-064
.497. 22 - 4 4 GEORGE rInnVE Lot!2 6 KR #3 ANa he CirVle,,.. Permit 7 7-76P,%,(util..,ELEC . / G .146 GAS/3 6 `y SUPPORT STRUCTURE REQ ....Z `. COMPACTION TEST REQ, CONTR: Carneros Mobile Tra 5. a Permit #203'8-76MHI Issued -- - CONTR: Ac'r �Lume, Oroville Permit #2656-7'6B(4wring �& deck contr: Acro-Lumerovil� ' Permit #46.499--76B(add'l ftg. for permit #2;Y6-76) I 69-22-64 --� It, Blocker Const., Oro. 81B(cover over deck/MH) 64 04-2852 AYNE HE CIROROVILLE-k'-' HARP'ELECTRICY GENERATOR 1 r Q cfli ori � �Arl .0x PERMIT NO. 3734-81B 'j PERMIT EXPIRES J� A /K7 R i OWNER George Coover CONTR. Jeff Blocker Const:, Oro. ASSESSOR PARCEL 69-22-64 I LOCATION t" 3 t� i� u t r i f+ .,J 1 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E ,i JOB FINALED (Date) e Signature 70 Avache Cir., lot 256,KR#3,Oro V = OK i O = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's onin Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ootings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -B .' �__Date#V-7SV Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1• Zoning Requirements -Setbacks -Easements. 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 55. Shear Walls; Nailing -Bolts 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked in Attic E] Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic ----- Card -BI Date Card -BI Date Card -BI_ Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ __41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire -Protect ion Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER & y :2, -,e _ 61/ ZONING BUILDING PERMIT OWNER �- ,/� o' / TELEPHONE TELEPHONE SQ. FT. OCC. BUILDING VALUATION !� V L- I `` �• V OWNER'S MAILING ADDRESS 7.6 A f1 ,e A/C r le CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS' 2- LA bRE-17 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is -'ZI + C • :� u Filing Fee 10.00 LENDER'S MAILING ADDRESS ' � Permit Fee $ Z41 . L U ARCHITECT OR ENGINEER 7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$' ) 2 `V Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Q O BUILDING ADDRESS J PLUMBING PERMIT Filing Fee 10.00 i f.l Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. 2 �lo SUBDIVISION NAME el_1l✓ A0I WCP STT PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [I Duplex❑ Mobilehome,r" Other i SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition,A Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work: /1,4,/to,-64 dA .-e- y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 - Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ADDNS. \ ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full orce and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their. sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) - ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) N. t❑ I am exempt under Sec.-, and Professions Code for this reason j NEW CONSTR I -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &I NON RESID. SINGLE -OUTLET CIR, 1 -� w @ 2110and Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED00 APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 c WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ®� I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X i, /", __ <- Date Signature of Applicant — Owner ❑ Contractor ru Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ �/ TOTAL PERMIT FEE $ `a , O U OCCUP. GROUP I 1W" I TYPE OF CONST. V— �✓ PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By � PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/' Receipt No. 5:� `� 7,q WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT NOTES i 10 f RESIDENTIAL r PERMIT NO. C+��-'( �A� bau-� jai ME `B Sd R2P0LEj�:) is ENO-, 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER y 0( C.-3 1�_6LCI MDC; C x. . JOB FINALED (Date) t I Signature �C�-�� ✓V�CV'Q J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ /" 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- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Service -Riser Conductors & Ground Main Disconnect 1. Zoning -Setbacks -Easements -Flood -Slope Equip. Clearances Panels-Motors-Mech. Equip. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Clothes Closet Light -Shower Light -Spa Light 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Smoke Detector 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped Card B-1 P_i k $ . Date Card B-1 6. Stemwalls, Garage; Steel -Blockouts-Wrapped Card B-1 Date Card B-1 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 Date 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 41. 15. Access & Ventilation 42. 16. Insulation 43. Bearing Walls over Girders & Floor Nailing Card B-1 Date Card B-1 Date Draft Stop in Walls (rat proof) Card B-1 Date Card B-1 Date Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 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. ToofTub & Shower, Second Floor -Tub Access 221Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date- 23- OS Card B-1 � S • Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT CAL (Permit) OK except #'s 75. Garage Fire Door; Swing -Landing -Closure fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled u 27. 5e2ex Installed Close to Edge of Studs & C.J. (tQ Elec. Receptacles in Garage (F.F.I.)-Romex Protection Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Date 32. Service -Riser Conductors & Ground Main Disconnect 47. Hangers -Post Caps -Anchors -Connectors Equip. Clearances Panels-Motors-Mech. Equip. 48. 34. Clothes Closet Light -Shower Light -Spa Light 49. 35. Smoke Detector 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Datel-23 -OS Card B-1 P_i k $ . Date Card B-1 Date Garage Fire Protection Framing -RC Channel Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 59. Card B-1 Date Card B-1 Date 60. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Brace Interior/Exterior Wall Panels 41. Sills Proper Materials & Anchors Insulation -Walls -Ceilings 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Infiltration -Walls -Windows 43. Bearing Walls over Girders & Floor Nailing Card B-1 Date Card B-1 44. Draft Stop in Walls (rat proof) Card B-1 Date Card B-1 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive Cl Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042852 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: 09/29/2004 APN: 069-220-064-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 70 APACHE CIR ORO Map Index: Date: Contractor: Description: STANDBY GENERATOR OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LALLY JAYNE E permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 70 APACHE CIR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95966 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 0 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LALLY JAYNE E Code: The Contractors' State License Law does not apply to an 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.). 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: B SHARP ELECTRIC INC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 1390 ❑ I am Exempt under Article 3 of.the Business and Professions Code OROVILLE, CA 95965 Z� /0 (530) 533-5218 Date: Owner: License #: 394993 WORKERS'COWENSKTION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy ar; Valuation: $0.00 Census Code: 0 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwithcomplywith those provisions. Date: Applicant: WARNIN . Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY - This permit is he issue under the applicable provisions of the Butte Oo inty Cod ?nNo I hereby affirm that there is a construction lending agency for the Resolutions to 0 o ad ated above for which fees have been paid. /�/� performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Da ti, Address: PERMIT EXPIRES ON:O--� 1{/J� Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. J.A 4 L � Print Name:Z Signature: Date: 0 Owner 13 Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name t4 L L y first Nep itilc J Address D GW c City 090 LU' State n4 Zip 'T r- &'(6 Phone 3, S$ 5— iia t 3 Fax E-mail CONTRACTOR Name f3,(( S�Av io Address P.0. fox 130 City 6 ro v State,,, Zip S—y �- Phone 3U� s 33 _`SZt Fax E-mail Lic. # 351 �. �� Class APPLICANT NAME ARCHITECT/ENGINEER Name City �r : G� Address Zip City Fax State Zip Phone Address Fax E-mail State License Number APPLICANT NAME Name Address .7O City �r : G� State Zip Phon 30) Sg S—+l ti L I Fax E -mai APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # LOCATION AP# d (oe� - 2 Z o• o 6 ,- Property Address 76 City Cross Street Lo d e v ."060 - WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: -TAS-40 I stvl 4-1 Sq. Footage S' ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg Received SRA Receipt #: —Sheriff SMTP Date: Other Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS'MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. - ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ , 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 i e r' PERMIT NO. 4649-76B Jr'G i✓ 2S � �^?� PERMIT EXPIRES ;OWNER George Coover CONTR. Acro -Lune, Oroville LOCATION (A.P. 34-74-64 .72 Apache Cir.,lot 256, KR#3, Oraville Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E ' JOB FINALED — IF- 7c (Date) (Signa ure) COUNTY OF BUTTE — DEPARTMENT,OF PUBLIC WORKS • <c BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (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 Oro -Ville, California 95965 (� / Telephon,0: x&34-4541. APPLICATION AND PERMIT /( ct/c�cn aou vcJ VI Ula %1VU11ty VI OUll6 LV UllLU1 uNvn Lilt: above-mentiozo y f inspection purposes. X Date '�� ignatuee or Agent Receipt No. �✓�^�G y 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 P 1GVBLIC WORKS By ate ,l —1ef- 7 VtC11din'g permit expires Date _ 77 [q l BUILDING 7 Owner � � V�-1 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. " Fireplace Contractor i2®� �u y,C Total Valuation Mai I i ng Address 17-- ,E7 �/�Jb Permit Fee PI an Checking Fee &/or Penalty /� �L Telephone No. Permit Fee $ J Building Address 44 7 pycy� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ale-oil.ln_ J_ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ,EL.L ,QST &'STiQ 11v -3 Air 2156 Each gas water heater or vent 1.50 A. P. No. - 7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FV ,A. -&ern at+er� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Bldg. Plans Rec'd ` Parcel A vol I PI s Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex Mobil Home Other ❑ Range, Cook -top or Oven 1.00 IV _� �" "-A/ !W 0Water x �z/ Heater or Space Heater 1.00 Light fixtures y 2 Receps., switches & fix outlets 20 P 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cali ornia Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. _ot7VW-V% Classification <f-66 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El 1 certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL N0.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ ct/c�cn aou vcJ VI Ula %1VU11ty VI OUll6 LV UllLU1 uNvn Lilt: above-mentiozo y f inspection purposes. X Date '�� ignatuee or Agent Receipt No. �✓�^�G y 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 P 1GVBLIC WORKS By ate ,l —1ef- 7 VtC11din'g permit expires Date _ 77 [q l i r 2 2656-76B }'PERMIT NO. 00 n PERMIT EXPIRES OWNER G. Coover CONTR. Acro -Lune, Oroville LOCATION (A.P. 34-74-64 72 Apache Circle, lot 256, KRO , Oroville a. Temp. Pow/oleCalled -` Temp. E c. Serv. Cal ed PG&E Tem Gas Serv. Called PG&E '°rE JOB yv� FINALED (Date (Signa)6re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION kE'CORD BUILDING BUILDING (Cont'd) PLUMBING • Setback Z:� / '�% Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers %L Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Masonry Walls Relnf. Steel ELECTRICAL Bond.Beam FIRE SPRINKLERS Motors Framing —1 7L 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 Aw �G�9 dw0/;' (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPART HENT OF PUBLIC WORKS - 7 County Center Drive — Orovi Ile, California 95965 Tel ephone► 534-4541 APPLICATION AND PERMIT BUILDING OwnerSQ. G a vC FT. OCC. BUILD NG VALUATION �-- I a Mailing Address Telephone No. Fireplace Contractor �� Total Valuation Mailing AddressPermit L+Ju Fee ,moi P I an Checki ng Fee &/or Penalty Telephone No. Permit Fee (� Building Address A1.),q C>4 a-), zc, k-, L, PLUMBING No.1 @ FEE PERMIT FILING FEE 1$3.00 C eaU 1 Lr` 1C Each Trap 1.50 AE L L 1 f Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 _ (e A. P. No "jZ oning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 4<W Saaitatloa Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im proveme is Lawn sprinkler system 2.00 Bldg. P UCf 9e`cd Parcel Approval Plans royal Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter Additional meters, each 1.00 — Single Family ❑ Duplex ❑ Mobil Home © Others Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 .FA2TC i r C n iL few Water Heater or Space Heater 1.00 Light fixtures b alla2 10 Receps., switches & fix outlets 120 in CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: /( c-eo '— /Ly A4 r' Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. `�7��V7 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I,1 1 have placed on file with the County of Butte a certificate of Loa 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 $ $ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned roperty for inspection purposes. X Dat $ignatur f z4i��2 �' 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 DateJ_/**2 6 Building permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO S PERMIT 40. 7 County Center Drive - Oroville, California 95965 - Telephone 91 34-4541 --�-5 APPLICATION AND PERMIT All C/ A SIS $S SOR WARC L UMBER �p f-2 — 1pir, Z BUILDING PERMIT OWNER Q e- O Q v eR TELEPHONE SQ.FT. OCC. BUILDING VALUATION It- d OWNER'S MAILING ADDRESS M WA G CONTRACTOR'S NAME TELEPHONE CON A TOR'S MAIL G AD SS R 0 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is -*Zj 12.-0 c1 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z_00 Penalty $ ARCHITECT OR ENGINEER'S MAILINM ADDRESS Permit fee $ O 0 BUILDING ADDRESS PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NA E � Z E5(,Gas PARCEL MAP Each qas water heater or vent 5,00 piping system 1 - 5 outlets USE OF STRU URE SF ❑ Duplex[—] Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:: JileX a) j -.l C& Permit Fee ,. $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 / OR AODNS.NEW CONST' �DWEACCLBLOGS.LING CCUP.y` 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): vsr I am licensed under provisions of �Chapt. 9, Div. 3 of the Business and Professions Code and my Ikense is in .full ce ,and effect. License No. _ 3S 7Q W Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON -RESIT R BRANCH TLFTCIRUTs 2.50 ea NEW CONSTR.POWER APPARATUS e NON.RESID. kSNGLE OUTLET CIR. / 50 @ 26¢ Ex. Occup OUTLETS OR FIXTURES BAL@1 EX. OCcup.(OUT ETS FIXED P(RESID )LNS REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, qosts, and expenses which may in any way accrue against s id County in co uen a of the granting of this permit. /� X Date � Sin of licant - Owner g p ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' " deep and demolition or Construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ O O OCCUP. GROUP I TYPE OF CONST. I PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS DatelJ�� ��J ��2� Receipt No.J��7�. WHITE-D.P.W., YELLOW -ASSESSOR, P NK -INSPECTOR, GOLDENROD -APPLICANT ---s.-.. �wL=:c9RL�:d-+Ai�.:�-r.1E:.K:=+�'=i�•`'Y:Raiawa..'-_ - .:.iJ"i"'R'v" . �S.�ii+.1l�+`.4'i!"ist`�'.'c"�C,�{':+'�_`:.�.--�-�`"`-1:...'-.. _.4. �., COUNTY OF BUTTE - DEPAR 'ME NT�F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE- CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET }r/ p l Permit No. OWNER-7�DI�GL �O� l\ �s G9 -Z�2_ �o a�.,.""'` A. P. No. Proposed Building�e / Permit Fee Based Upon. Complete Contract Price 41 DPW Valuation Other (Explain) Building Inspec orMk_:::: Date 40�/L At time of permit application, I was advised the following data must be submitted prior to'permit processing and/9riissuance: DATE RECEIVED APPROVED I/ 1. All items have been submitted. . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .,. . Pre-Inspec. request to (Dote) 17. Pre -Inspection for Required. Building Inspector ) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. _1Telephone and hold for pickup at office. Deliver w/inspector. 0therAM14- 70 /f%ES eweA.1.5k.5 , 675 541AJSc i 2 W. P4e�4Z> S E /' 4✓ Applrca•lat_ Date /d Copy of plans sent Health Dept., Fire Dep Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date d — Other: Copy—DPW `q oXmons�ilp S�n°J! je in ond ,a}eriols , P� 7,,od e8 use in the �1p�E:�Ar' with Rof.A!flnQf {�15e coecifie� Codes dna Accordance rescriberl �,ochonical o{ o �u°Htbding� plumbing j uniform,Bua� Electricol C Ql the tyotwn �. _. 0�,2 � 0 Zo— �b0 I C; A setback of 5 ft. from fit Property lines and a setback Of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. I _ I I !�3 C) �.S kC COUNTt Z 0 1— BUILDING DEPART�AT� —4 R®!V t U W O —i V'1 /D' k r-6: p rl d/ `y J o; n U r. s ode adequate breci r-_9� BUTTE COUNT Y INN DEP ARTMENT P R OV E D util. ,MH -----777-76P-,E PERMIT NO. PERMIT EXPIRES Qr-- OWNER George B. Coover 1' CONTR. oumer 'LOCATION (A.P. 34-74-64 A ,Lot 256 Apache Cixie, KR#3, Oroville Y t 4 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E_] 7G Temp. Gas Serv. C led PG&E B (Date) (Signatu e) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback - Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi ing Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall -Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure ' Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. • Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS - (NOTE: An entry must be made on this form each time you visit the job site.) :h ;,'7,i.r: '� t�'i .!� •syn C— Ycvr �j COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE Of OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Ad inistrative Code, Title 25, Chapter 5, under permit number 2 . 3a' % for the followine location: _ Owner %G v /C Owner's Address *47 � Cr Mobilehome Mfg. MI)atilwl U,��,-�/ Model 2-/3/-� RX YearZql�o Insignia No.2-4 / L4 3 Serial No.13 Z- 7 — It is hereby certified for occupancy at the above described location and may be occupied. h Director of Public Works Date 4- By / 7� r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 9. Electrical "7 %— A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobi_lehoiile with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yest--No B. Is there proper clearances around panels? Yes_L,No C. Is power supply cord or feeder assembly properly fused? YesNo� D. Is continuity test satisfactory as per the following procedure? Yes C-16 1. De-eriergize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other lead to each TO.obileholue supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBTLEHOME DATA Manufacturer and/or Namestyle/ Py47��`/ icy/ r— Length i4.�_ Width -2-4 Vehicle Serial No. . 3 -7 2- S . tate State . Identification No.'416,4-3 Additional.Information or Comments:' e MOBILEHOME INSTALLATIPN INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to.plot plan? Yeso 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yeses No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082.& 5083) Yes �No 4. Is the mobilehome level? (Sec. 5088) Yes — No+ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes ---N--o 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes P -'No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes k -__'No C. Backflow - If coach is not State of California pproved; does station have backflow device and pressure -relief valve? Yes_ No � j(� 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yeses No B. Does it have minimum k" per foot slope and is it properly supported? Yes /--No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No (/ D. If coach is not State of California approved, does station have required trap and vent? Yes No_ --P 8. Gas Piping a Gas Vents A. Connector - s mobilehome connected to the gas supply`w an approved 3/4" minimum mobilehome con ector not more than 6 ft. long? Note• A11 piping is to be at least as large as the mobi ehome gas line iril'et without re ctions other than the mobilehome connector. Yes , B. Test OK as per following ocedure? Yes_ No 1. Open all appliance Gonne or valy 2. Shut off appliance burner ans]��ot valves. 3. Air test with manometer o 10"-14" wa r column; or test xdith slope gauge (minimum 6oz.-maximum 8 oz.) c ibrated in tenth and increments. Test for 10 min. without drop. 4. Connect gas mete to mobilehome with connector, rn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Urov_Ile, California 95965 Telephone: 534-4641 / APPLICATION AND PERMIT UUL or ze representallves UI the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or�ntt Receipt No. -6 `f White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PaLIC WORKS BY Date wildin�perm�itexp=res ate �� BUILDING OwnerI -W e r SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace 11 4�12 Contractor61 6 ' >° Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty NO /' 1"n +_ Telephone No. 1707 Permit Fee Building Address C f� / PLUMBING No. @ 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. No. 54— �'�G—�pGas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeesT C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Pplanrk I s Declarration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel proval Plans proval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 GZ ) Qt Main service 100 AMP ORV OR LESS5.00 77-7 Main service EA. ADD•L teo AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 100EAMP OR LESS 25.00 Main service EA. ADD•L too AMP 1,00 NEW CONST OR ADDNS. ( ACCLBLDGLING OCCUP. &� 22sgft NEW CON TFL 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: //��� // C1!017Bi')n3 14-10LIG /^T Ex. Occup(OUTLETS OR FIXTURES) 500 BAL 2.5 Ex. OCCU109 FIXED APPLNS, OR Occup. (RESID.) EA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 g License No. O 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. 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 'le 3D TOTAL PERMIT FEE UUL or ze representallves UI the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or�ntt Receipt No. -6 `f White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PaLIC WORKS BY Date wildin�perm�itexp=res ate �� e� } COUNTY OF BUTTE — D`EPARiMENT OF PUBLIC 7 County Center Drive { OrovAle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORKS authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signotu of Permitee or Agent e��q 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 0 UBLIC WORKS BY' Date 4up ilding permit expires Date Z ZL —7? BUILDING Owner �. ��., SQ. FT. OCC. BUILDING VALUATION Mailing Address � as De i Te ho a No. e, Fireplace Contractor 14 J12 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 pp Al f /9 z'. t Each Trap 1,50 �! Repair drainage or vent piping 1.50 Water piping t;w 10-0Each gas water heater or vent 1.50 A. P. P o. 2 %y- - 2T"'� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each dditional outlet .30 Fes SanitatiXng4a. Fire Dept. Fire Zone Use Permit Building sewer _5= C) -00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Imp rovements Lawn sprinkler system 2.00 Bldg. P1 4 -s Rec'd Parc pproval P ,P Ionsp7C proval Permit Fee $ J . NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 :Z 00 Main service incl. 1 meter X00 Additional nu4e€s,-%e l Bo aw0 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 S L Water Heater or Space Heater 1.00 Light fixtures6al 0(dd102 Receps., switches &.fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 6:08 Temp. Power Pole 5.00 Li se No. Classification Misc. wiring LIn I am exempt from the Contractors License Laws of the State of California. Permit Fee $ .75-15'0 $ WORKMEN'S COMPENSATION INSURANCE t 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 W rkmen's Compensation Insurance. certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 $ 8 SD authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signotu of Permitee or Agent e��q 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 0 UBLIC WORKS BY' Date 4up ilding permit expires Date Z ZL —7? NOTE-'— 11 Materials & Workmanship Shall Be 1A A L s and OT 256 accordance with Rr,,corinl-ed. Good Practice of a.'qualitv nrescr;kf-4 -for +he Specified use in the UNIT 3 Uniform Bui'IJ;nq, Piurn!iinq & Machanical Codes and C 0 -0 the National Electrical Code. A-/ 7—IV, ihis set of pians av MUST b6 .(apt on the fob at all times and it is unlawful to make any chang&s or alferations on same without permisson from th6 Department of Public Works, County of Butte. C 0 V z 41 0 Clle cz 'A 0 111=11q.41:2 A 111F co ^/z, —5--- 7--.e5F,,q z5Er-,dF,4 CA� All 'utility conn ctions shall be located within 4 f . outside the rear third section of --he mobile home on the left (road) ide of the mobile home. BUTTE coUt4Ty BUILDING: DEPARTMENT APPROVED _Tzli6 7-8-75 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: -534-4541 . MOB ILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer -'s name: C.4PiG�/� 3. Is the site currently under permit? Yes / ✓r' No (If yes, furnish permit number % %%- 76 ) OR ' Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? -.---------------------- Z G Amps 6. What is the mobilehome site service rating? --------------------- Z OD Amps 7. What is the mobilehome site circuit breaker rating? ------------- Z O ® Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------- ------------------------------- Yes / / No /°--r (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------= ------ (in.) 10. What is the type of gas service? ----- --------------- ------ Natural / / LPG./ / 11. What is the gaspipe,length-.from meter or tank to .the mobilehome?:... (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length -less than 6 ft. on natural gas or less than [50 sft..on"tLPGR) MOBILEHOI`1E SUN1'0KT DATA Mobilehome Mfr. /V4,04/17-A/a/ e41_Z4 Y NOM'Ef Setup Model No. Z ®"Y /W Year/�?;ileo- Width Z. S/ (ft.) Length 4,ffTft.) Expando Size 'ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with. the County of Butte). Sin le Footings- (check.one), 1. Wood 'either a i pressure treated or i Center Center Support A fdn.'grade.:' Support Footing Sizes Locations (in.) : 2. Concrete pad. x10 3. Other, 'specify -- •_ _ _ — — — _ Supports (check one) '+l /✓r .1. Concrete block 2. Concrete piers o ft��inl -(in.)-(in.) 3. Steel piers . . ........ .. . 4. Other, specify Typical Support _ / ix �Footing Size = in . Y x ,940 in. in . ) 'd Max. Pier. .. ..... . .. Spacing . ... Ott.tn . in.) (in.) (in.) ( Max. / - C Overhang rzv center piers are other than drawn above, -aw in locations, spacing, and dimensions. BUTTE COUNTY - BUILDING DEPARTMENT APPROVED z r 0 ❑ O K ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE• CALIFORNIA 95965 PHONE (916) 533-6457 April 9, 1976 James Glabder r " Department of Public Works 7 County Center Drive Oroville, California 959.65 • Re: 76551 Dear •.Ji,m. Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: Abernathy ,..KRE Unit 3, Lot .164 Coover KRE Unit 3 Lot 256 Ockenden KRE Unit 1C Lot 15 Representative tests indicate that the 90% relative compaction ,requirement has been satisfied. r A'location map is attached. Very truly yours,. COOK ASSOCIATES Alan G. Brown Civil Engineer AGB/cap Enclosures �- - — Coov.er _ : - - - - Cii.ent. COO ASSOCIATES Project KRE Unit 3 #256 'in ENGINEERING CONSULTANTS Nudear -Puce 76551 Job Ido. 2060 PARK AVENUE - �}. OROVILLE , CALIFORNIA 95965OIStUrO Density Test Operator Brown/Kimbrell ( 91 6) 533 — 6457. TEST NUMBER 1 2 3 4 5 6 7 8 9 10 TEST DATE 3-11-76 3-25-76 3-25 4-6 1st lif 2nd lif 2nd lift 2nd lift TEST LOCATION S. Cor. SE Cor SW Cor S Cor. FINAL MODE & DEPTH 8" DT 8" DT 8" DT 8" DT MOISTURE COUNT 976 984 949 1077 MOISTURE COUNT RATIO .688 .692 .667 .754 MOISTIF PCF 17.17 17.0 16.25 19.0 - DENSITY COUNT 226 252 301 217 DENSITY COUNT RATIO .830 .923 1.102 .803 WET DENSITY PCF 138.0 133.5 125.5 140.0 DRY DENSITY PCF 121.0 116.5 109.25 121.0 % MOISTURE 14 14.6 14.8 15.7 OPTIMUM DRY DENSITY PCF 135 135 135 135 % OPTIMUM MOISTURE 9 9 9 9 RELAI"IVE COFIPACTION 90 86.2 81.0 90.0- DAILY STANDARD COUNT COMMENT: Re -ripped pad and re -compacted for Test ##4 DATE N101STURE DENSITY 3-11 1417 272 ' 3-25 1421 273 4-6 1427 270