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069-250-041
Grenell H. Bartlett 5304 Blinzig Ct., lot 187, KR#4B, Oro. Permit #1930-79B.,E_(util..,MH) E IFI; .Q -2o - 71'i 2'G ,L F/h1AL GAS -1-z0 -79 NaK)F_ S/60xt SUPPORT STRUCTURE REQ."" i COMPACTION TIE REQ.�n Contr : Shas`�}ta Trailer Sales, Chic PErmit #2182-79MHI AVIA Issued 23-19 contr:BetterrEdrs.Const , Oroville Per it #2572-791(71 carport/MH) contr: Better Bldis.Const., Oroville Permit #3286-79Fs(new storage shed/MH) Contr: Waibel AC ZS -q/ Permit #357 ''9 ( 791 porp� B fl'"r GP�st., Oro. MAX- "1 0�n� eck/MH).- 069250=041a h� PERMIT#97239V9.`, 5. MATTSON 6,144" Kanaka,v roville Cpn" : •Ben', Sparks Re'�air' Deck/SF fF307 I!;(iA �`;,r; =', =069`250-041 .�. -RESIDENTIAL- -SFD-Mobile Home RET. t MH PE7RM FND EX SITE 1896-S .FT'(:z ,'' 6141 s1< -\NAKA AVEY- =..ST(ONi' WILLIAM W7:4: 9 -,.t M-1 3 RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WjIEN RECORDED MAIL TO: Jll ///44/0 5 i o�vE 6144 Kt1NAKA OROVILLE, CA. 95966 21004—CD4b2 i Si27 Recorded Official Records Count JTYTE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 15 -Apr -2004 Above This Line for Recorder's Use Orgy 00 Rz 1FEE 54.09 Jason Page 1 of 2 2- A.P.N.: 069-250-041 Order No.: 220068CB Escrow No.: 220068CB/ORO-C S C. GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $154.00 X ] computed on full value of property conveyed, or 11 computed on full value less value of liens or encumbrances remaining at time of sale, x ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, ALVIN D MATTSON and JUANITA J MATTSON, Husband and Wife hereby GRANT(S) to WILL ONEA AN UNMARRIED MAN WANDABBL NKENSHIP , AN UNMARRIED W0100 AS JOINT TENANTS M the following described property in the Unincorporated Area of the County of Butte State of California; See Exhibit "A" attached hereto and made a part hereof. ALVIN D MATTSON' Document Date: Apii1�8, 2004 STATE OF CALIFORNIA )SS COUNTY OF BUTTE ) On APRIL 8, 2004 before me, CKARITY D BERRY, NOTARY personally appeared, ALVIN D XITTSON AND JUANI A J MATTSON personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my handa d ogicial seal. CSignature P"",-etAo This area for official notarial seal. �FIAAI'IY D .@EtY (981.0" #/3,51358 BPub t� flomta My.t' titttl. Exp. APR, 14� 2008 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below � ..... _ - ,.,,y. _.:.�.. .,..,..-..-.. ,� r..,._ ._... _.. .. - . -� ry .^K�.cwea..�.,,a�x�*w:+�,7x... :�•is,-.vw>:9r..rro.rv....,v -n rc� •,� -.. _ ti � i •� , ` .. _ { 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 ANDPERMIT ASSESSOR PARCEL NUMBER 69-250-041 ZONING 1 RT 1 BU ING PERMIT OWNER ASI. r�iATTSOP: TELEPHONE 589-5928 SO. FT. OC BUILDING VALUATION CONTR • 1500. 00 OWNER'S MAILING ADDRESS 6144 WAKA CONTRACTOR'S NAME EE's SPARKS TELEPHONE 589-0784 CONTRACTOR'S MAILING ADDRESS 60 Ar•1BUS11 11M. 1N OROM1 E CONSTRUCTION LENDER I Fireplace LENDER'S MAILING ADDRESS 1 Total Valuation 1 $ 1500.00 ARCHITECT OR ENGINEERLICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS I j Plan Checking Fee $ BUILDING ADDRESS 6144 KANAKA Energy Plan Checking Fee $ $ OROVIII -E, PERMIT FEE $ 55.00 LOT NO. SUBDNISION'S NAME PARC,' MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE i SF ❑ Duplex ❑ Mobilehome ❑ Other 1 SPECIFY ` Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New. ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ I Describe Work: tiT't'.K RR.pETRq Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 a000 R LESS Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS In full force and effect. r� �.�/ - License Class -701 Lic. No. / _ 69 -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ACDNS. ( a ACC. BUDS.3.5,s NON-HESID. T.MULTI-OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES Bn� @ l.50 Ex. Occup. ourLEEDTs AEUslo.oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 t_ PERMIT FEE $ 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 S'7' Crl"i/?!7 ;,::-, MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number' -2 7 qR `e-) / / 5- / (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, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those, prov sions. f / X� Date_Jr ----r--- 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 $ 55.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE 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. i By ,. = Date PERMIT EXPIRES ON !/- �-, Date Receipt No.�- /3/;7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINX110 7 County Center Drive - Oroville,•California 95965 - Telephone (916) 53PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 69-250-041 ZONING RT 1 BUING PERMIT OWNER ASL MATTSON TELEPHONE 589-5928 SQ. FT. OC . BUILDING VALUATION CONTR. 1500.00 OWNER'S MAILING ADDRESS 6144 KANAKA CONTRACTOR'S NAME BEN SPARKS TELEPHONE ' 589-0784 CONTRACTORS MAILING ADDRESS 60 AMBUSH HILL LN OROVILLE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace '.Total Valuation $ 1500.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ,Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6144 KANAKA Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ 55.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 1 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BECK RER.A-IIS Gas piping system 1 - 5 outlets 15.00 Building sewer15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service ZO.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisi6n 3 of the Business and Professions Code, and my license is in full force and effect.®Z �S_ License Class LIC. NO. ' NER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. s0 3.50FT. NOS AESIDT' MULTI -OUTLET �a 7.50 POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20� I.00 BAL @ .50 PPUNS EX. Occup. OUTELETSRESDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 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 insuranceier and po'cy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number '7_>7�4 -,ep4/ 5 % (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 fort ith comply with thio pro ' ions. X Date/�� — Signat a of Applicant - ❑ bWCer ❑ 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 $ 55.00 HA2. D. FEES IMP FLOOD CDF PARCEL PO HD SSUE 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. By Date /� s PERMIT EXP RES ON 1 a I � Date ReceiptNo.2�/�? WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT X 3286-79B _ - PERMIT NO. qq PERMIT EXPIRES OWNER Grenell Bartlett Better Bldrs Const., Oroville CONTR. LOCATION (A.P. 34-84-41 ) 5304 Blinzig Ct., lot 187, KRYMB, Oroville Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E / JOB r - V FINALED (Dat) ( ignature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ,6 , BUILDING BUILDING (Cont'd) Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwa I I Slab Carport Footin s Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing &` Stucco Firewall C119— ly ZZ, CL, Parapets Soil Piping 1st Floor Restroom Finish 2nd Flooi Windows 3rd Floor Siding ^ ? To out Roof Sheathing Water Pi in Roofing--ere,i2,/ Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for phsically handicapped Conformance of ex. structure Final "`� �-��iz�� Appliances Gas Piping Tem. Ga Sanitati FIREPLACEFinal Elec- Service Zo'Footina I Water Piping Motors PLUMBING . E meso MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath 1 Ventilation Permanent Door Closer Final Final MOBILEHO E UTILITIES - - - - - - - - - - - - - - - - - - Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE 4 — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive' — R Qtovil e,. California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatl es of the county of t3utte to enter upon the abov -mention prop y fo spe 'on purposes. X rr ignatu of rrmitee orr Agent Re Re ipt o. 1 17? "� White- . .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 eft PUBLIC WORKS By Date Kil ng permit expires Date BUILDING Owner/Z/_4 ��-� SQ. FT. OCC. BUILDING WUATION Mai I Ing Address Telephone No. Contractor %��'" UI L%�� GD/Y$ %- Mailing Address Fireplace Total Valuation 5 © (S457S Tale hone No. ^ Permit Fee ^- Building Address �j D �L�N Plant ng Fee&/or Penalty Fee Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ' 0XC2 Repair drainage or vent piping 1.50 /} A. P. No. `j ' L" �Zo)Ing & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ��. �� Bldg. PIaIFec'd Parcel Approval Plans proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSOR ADONST ( ACCLBLDGS.CCUP. 4DWELING '� 2¢sq ft _ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the nder the name State of California Business & ProfessiI'V, style of: // J Al _X� Lci(� NEW CONSTR. MULTI -OUTLET ( BRANCH CIRCUITS 2.50ea ..NON.RESID. NEW CONSTR. POWER APPARATUS B NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 13 U Ex. Occup.(OUTLETSFIXED P(RESID.ILNS REA) 2.00 Temporaryservice 10.00 _ Mobile Home Facilities 15.00 License No. _Sa��`-'as Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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 ompensation. ave 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatl es of the county of t3utte to enter upon the abov -mention prop y fo spe 'on purposes. X rr ignatu of rrmitee orr Agent Re Re ipt o. 1 17? "� White- . .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 eft PUBLIC WORKS By Date Kil ng permit expires Date i t T COUNTY QF BUTTE — DEPARTMENT OF PUBLIC WORKS 7,Count4Center Drive — OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. El Signature of Permitee or Agent Date 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 Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Building permit expires Date Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 r ' Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A royal pI ..� Aaprovol Lawn sprinkler system 4L.0-0 NEW ❑ ADDITION ❑ LITIES ❑ OTHE rmit Fee $ $ ' ELECTRICAL No. @ FEE P MIT FILING FEE $3.00 Main service 100 AMP ORV OR SLESS 5.00 Single Family ❑ Duplex ❑ Mo s Main service EA. ADD'L 100 AMP 2.50 � i Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 7i) 20sgft OR ADONS. ACC: BL OGS.• CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI-OUTL T ( BRANCH CIRCUITS) 2.50ea ..NON.RESID. NEW CONSTR. POWER APPARATUS 6 NON.RESID. (SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIiPES a L061 FIXED ALNS. Ex. Occup. ( OUT LETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ ' MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 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. 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 buildino construction, and herebv Land Development Fee $ TOTAL PERMIT FEE $ ' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. El Signature of Permitee or Agent Date 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 Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Building permit expires Date Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Ca l+ ornia' 5965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or gent Receipt No. �Z-q cf- 73 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. ECTOR OF IC WORKS By cy� Date .Bid ll 1ppermit expires Date BUILDING Owner LL SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor ug ' gz MailingAddress ` ?CSD '�d�L�t�s-iC e.✓ctrL Lvd, Fireplace Total Valuation ' Telephone No. 0 ,(,L -,S Permit Fee Building Address-Z—:62Plan G Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Aj A. P. No. I r3 �! ' �`7 —' Z lQ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F6,ef W GI Ssw4etivn Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60 ' R/W Improvements additional outlet .30 Building sewer 5.00 FA 1.4 p-��'d I Parc!LAEproval I Plans Approval Lawn sprinkler system -77 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ej-sC 7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 e --C> Main service 100 AMP OR00V OR LE LESS5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Main service EA. ADD'L 100 AMP 2.50 G' Main service OVER e00v 25.00 100 AMP OR LESS ' Main service EA. ADD•L 100 AMP 1.00 NEW CONST. OWE CCuP. Y OR ADDNS. ACC 2�sgft 7;) CONTRACTORS LICENSE LAW I am li,censed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: tooi 163x,4 4 /R NEW RESID, (MULTI-OUTLETCH NON-RESID BRANCH CIRCUITS 12.50ea NEW CONSTR. POWER APPARATUS a SINGLE OUTLET CIR. _NON.RESID, EX. Occuo(OUTLETS OR FIXTIIRES) 50@@5 Ex. Occup. (OUTLETS P(RESID.IREA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 2677 y3 Classification 6-/0 6--26 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ b �� 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. lecertify 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 Land Development Fee $ TOTAL PERMIT FEE $ L authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or gent Receipt No. �Z-q cf- 73 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. ECTOR OF IC WORKS By cy� Date .Bid ll 1ppermit expires Date COUNTY OF BUTTE --� DEPARTMENT OF PUBLIC WORKS If 6OUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner /.' /' �F / �, /-�. /-�+ 4 Owner's Address Mobilehome Mfg. /' Model Year ^ r Insignia Nof't1 Serial No. It is hereby certified for occupancy at the above in. be occu ied described location and y p IDirector of Public Works / Date S - tr By r, /�i `jl� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 1930-79P,E PERMIT. NO. . l { PERMIT EXPIRES 'OWNER Grenell H. Bartlett CONTR. owner LOCATION (A.p. 34-84-41 5304 Bl'inzig Ct., lot 187, KRIk4B, 0roville 41 D I ( f _ I t Temp. Power Pole Called PG&E `• Temp. Elec. Serv. ,'�� P Called,PG&E Temp. Gas Serv. Called PG&E JOB _ J rAI FINALED (Date) C (Signature) 41 R ,� F MECHANICAL IlLfterior Lath X I V ntllation oor Closer 14 anal MOBILEHOME UTILITIES ------------------ Elec. Service Water Piping At— 14 Z f4_,- Sewer I E OME INSTALLATI N --------------Support Water Piping �� _Drainage DATE REMARKS OR CORRECTIONS .;2 L-> o P- /,4 D e54,S Gird. F ult Prot. Ser/M10 T. Pole oder round Permanent Final Elec. Pedestal Gas Piping Elec. Continuity 7- 75 — Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) APO 5-U/Wl COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 'BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Set ck F ewall oil Piping Form Par pets 1st Floor Mai Bldg. Rest om Finish nd Floor Fo ins Windo 3 Floor Stem all Si To 0 Slab Roof SheNhIna Water in Piers Roofing N 4 Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation 4 Water Htr. Heaters Slab Carport Footings Prov. for ph sica y handica ed V Conformance of ex. A structure y Appliances Gas PI Ing & Te Temp. Gas Slab Final Sanitation Patio - IRE ACE Final Footin s Footing LECTR AL Masonry Wall Throat Rou h Reinf. Ste Final Fixtures Bond Be FIRE SPRINKLE Motors F MECHANICAL IlLfterior Lath X I V ntllation oor Closer 14 anal MOBILEHOME UTILITIES ------------------ Elec. Service Water Piping At— 14 Z f4_,- Sewer I E OME INSTALLATI N --------------Support Water Piping �� _Drainage DATE REMARKS OR CORRECTIONS .;2 L-> o P- /,4 D e54,S Gird. F ult Prot. Ser/M10 T. Pole oder round Permanent Final Elec. Pedestal Gas Piping Elec. Continuity 7- 75 — Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) APO 5-U/Wl 9. Electrical ` A. Is service large enough to provide -`adequate amperage-to-mobilehome (must equal rating of mobilehome with a minimum of 10�J amp) and other facilities on lot, i.e., water puifilib, garage, cabana, etc.? Yes _/No B. .Is there .proper clearances around panels? Yes �—NS C. Is power supply cord or feeder assembly properly fused? Yesz., D. Is ontinuity test sat'i'sfactory as per the following. procedure? Yeo r. e -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. "3 Switch all•breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. `'S. All non-current, carrying metal parts of the mobilehome,(aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the groundingvconductor. 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.theelectrical tests, the lot or site service equipment may be approved for energizing. Is j 'card signed by Health Department for water and sanitation? If everything okay, sign off card and tag services. MOBILEHOME,DATA Manufacturer and/or Namestyle !-I)Es—f&.)'4� Length Width Gcl /®x a�.' Vehicle Serial No. State Identification No. -Additional Information or Comments: MOBILEHOME INS.TAL,LATION INSPECTION,CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yesrt,/ No 2. Does the mobilehome have required clearances above ground? (Sec:5085) Yes z1"N`o 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles:) (Sec. 5 82 & 5083) -Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No_ 5. If more�,�fi. a single unit, are crossover connections properly installed? (Sec. 5088) Ye s_t/N o 6. Water A. Is flexibW connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 4, -,No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No Backflow - If coach is not State of.California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes -L --'5o B. Does it have minimum '" per foot slope and is it.properly supported? Ye C. Are any leaks detected in drainage system after running 3 -gallons of water through each. fixture including washing machine standpipe?..Yes No s� f coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobileh a connected to the as supply with an'approved 3/4" minimum mobilehome connector no more than 6 fYong? Note: All piping is to be at;least as large as the mobilehome g line inlethout reductions other than the mobilehome connector. Yes. No B. Test OK as per following proceAure? JYes No 1. Open all appliance connecto va es. 2. Shut off appliance burner and jKlot valves. 3. Air test with manometer to 1 "-14' water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibra ed in to th pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobi,�ehome with connl,t r, turn on gas, test connections with soapy water. / C. Are all appliance vents pro}erly installed? Yes :-Wgi R COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 . . APPLICATION AND PERMIT 930 2 authorize r presentatives of the County of Butte to enter upon the above -me ned pro for inspection purposes. X/� Date � © ` Signature of Permitee or Agent Receipt No. /2see1,,Z?4 White-D.P.W. - Yellow -Assessor - Pink -In pector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. I EC OF P BLIC WORKS Date Building per expires Date --V//- I —loll BUILDING Owner Grenell H. Bartlett SQ. FT. OCC. BUILDING VALUATION Mailing Address 4310 Winding Circle Colorado Springs, Colo. 80917 Telep a No 303-l3�7-1341 Contractor OWNER Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 5304 Blinzig Court Plan Checking Fee&/or Penalty Permit Fee Oroville, CA 95965 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 QO Each TraD 1.50 Lot 187, Unit 4B - Kelly Ridge Estates Repair drainage or vent piping 1.50 A. P: No. - 84 - 41 R°r�i Zoning & arming Water piping 1.50 0,00 Each gas water heater or vent 1:50 F W . Sanf ttlon I Fire Dept. I FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel ap 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 1 C). 00 Bldg. P Parc A roval tans Approval Lawn sprinkler system 2.00 1.$ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 3 ,'CrJ C-)6 10C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 do Main service 600V OR LESS too AMP OR LESS 5.00 x,00 Single Family Duplex Mobil Home 9 y ❑ P ❑ ® Others ❑ Main service EA. ADD•L 100 AMP 2.50 a.,TD Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. S) 2¢sgft 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: %( T NEW CO ID � BRANCH CIRCUITS) 2.50ea NEW RESID, BRANCH CIRCUIT NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTURES g L 1 Ex. QCCU FIXED APPLNSOR Occup. (RESI.D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 J,,�,flp 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 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 �1 permit is issued 1 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 L2.00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ DID TOTAL PERMIT FEE $ %3 authorize r presentatives of the County of Butte to enter upon the above -me ned pro for inspection purposes. X/� Date � © ` Signature of Permitee or Agent Receipt No. /2see1,,Z?4 White-D.P.W. - Yellow -Assessor - Pink -In pector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. I EC OF P BLIC WORKS Date Building per expires Date --V//- I —loll f= - COUNTY OF BUTTE — DEPAF;TMENT OF PU-BLIC`VVORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541- . ; APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the aboT11/IZ_W tioned property for inspection purposes. A X Date vkhi? Sigture of Perm1 ee or Agent Receipt No. X335 7 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 abov r hich fees have been paid. iD1REC700 OF PUBLIC WORKS Building . .. / BUILDING Owner L SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor J Zoa 1,LPA-0 Mailing Address Fireplace Total Valuation e000 _M17 Permit Fee Building Address Jal Plan Checking Fee&/or Penalty Permit Fee �3 PLUMBING No. @ FEE - PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. "'� `� Q � ^Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F&ICI V. I Saa+t ion I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 ane Rec'd Parcel proval ons Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ 1$ '/g3CJ—Zc ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST,( DWELL IOR ADDNS. ACC`BLDGS.NG CCUP. !i) 2�sgft 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: ((( �9a Zer y �� G/J NEW CONSTR MULTI.OUT LET NON -REBID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTI IBES) g L@1 Ex. OCCU FIXED APPLNS. OR LETS (REBID.) EA) 2.00 Temporaryy cervi service 10.00 Mobile Home Facilities 15.00 License No. LClassification 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. ave 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 $ $ 6� 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 Land Development Fee $ TOTAL PERMIT FEE Is 6010e authorize representatives of the County of Butte to enter upon the aboT11/IZ_W tioned property for inspection purposes. A X Date vkhi? Sigture of Perm1 ee or Agent Receipt No. X335 7 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 abov r hich fees have been paid. iD1REC700 OF PUBLIC WORKS Building . .. / BUTTE COUNTY DEPARTMENT 'OF .PUBLIC` WORKS 7 County Center Drive, Or_oville,, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 64le,0,17 .e� e�P' 2. Installer's name: Zp 3. Is the site currently under permit? Yes— No (If yes, furnish permit number ) OR Is the site an existing site? Yes ,/ / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields 'and. r' clear of all setbacks and easements?, Yes No (If no, clarifygoo ) 5. What is the mobilehome elect'rical'rating?---------------------- Amps 6. What is the mobilehome site service rating? --- Amps 7. What is the mobilehome site circuit -breaker rating? ------------- 0 Amps 8. Is there any other electric load to be served by the mobilehome -, site service? --------------------------------------------------- Yes / / No (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.gas pipe 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 ft, on LPG.) " MOBILEHOME SUPPORT DATA • •If other than single wide, .-� Mobilehome Mfr. eS f, furnish Setup Model No. ��� rT 6 Year ; Width -(ft.) Box Length(ft.) Tagalong or Expando Size % ® ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. I 6y (ft.)(in.) Center support locations - f el (ft.)(in.) gA ��:�r 4 =�a (ft.)(in.) (in.) (in.) Center support footing sizes (in.) ?,Cx L1 (in.) (in.) 2 � (in.) (in.) 6 d (in.) (in.) aq. x so (in.)I (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) M--f-.-Wood either pressure treated or. foundation grade. Ej 2. Other (specify) Supports (check one) Q--I----Concrete block. 2. Other (specify) Tagalong or Expando, show support details. x ?Q -- Typical Support (in.)'(in.) Footing Size. ,. 6`f -- Max. Pier Spacing (ft.)(in.) 0, G• -- Max. Overhang (ft.)(in.) BUTTE COUNTY. BUILDING DEPARTMEN. APPROVED /� 'j, /Fo This set of plans and kept on the job at .0 times and i't ---------------- make aflY changes or a 11'eraf,*Ons on saw C C) wiften permission from the 11C Warks, Ccnfyqj--8 01 C BZ'40'00" R= 2 0. 00' ZS.S(-' jq The Setback shall -be side e ff. from fh '. *pA'perfy 8 Q� o�//6ef . t7 line and So ff- from the the t., centerline of the road, Permi tin g a maxi- mum t1f ,, 2 ft. eave overhang but entirely out oft all easements, x T\ ON o. SQ. FRT. MINIM UA E AOBILES--- �?O' OkN h/ NOTE:—All Mn terials & WorkmansNp Shall Be in Accordance w4h Recognized Good Practices and of a quality prescribed for the Specifiod use in ihe .Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. 00 0 00 88 p 00 LO T 18-7 UNIT 4B "E;' 7-ZE 7--/-'-- -WA ,SCA,\-.,::: 1'=20' 19,30-79 I�ZO-5 Z�A7 COU NTYA BUILDING DEPARTMEN APPROvr:p, -4 ?e - 79 H-2-0--7-7, 0 -a A C. K y i � tt '''PERMIT NO' 2572-79B PERMIT EXPIRES OWNER Grenell H. Bartlett CONTR. Better Builders Const., Oroville 34-84-41 LOCATION (A.P. ) 530 Blinzig Ct., lot 187, KRAB, Oroville i i I a. i . y i I Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. S Called PG&E 1 - e JOB ,,ss FINALED + (Date) Q (Signature) j COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK$ BUILDING INSPECTION `RECOO 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 Stemwall Garage Vents z Insulation Water Hit. Heaters % Slab Carport Footings Prov. for phslcally handicap e.1Gas Conformance of ex. structure Appliances / Piping & Te Temp. Gas Slab Final -2�— Sanitation Patio FIREPLAeE Final Footings Footing ELECTI 11CAL Masonry Walls Throat 1A I Rouah rramin Y Test Water Htr. Stucco Final Subpanels Mesh MEdtIANICAL Grd. Fault PA. Scratch Heating Service Brown Cooling Temp. ole Finish Ducts Unde round �- Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOM ATILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - .DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive — Oroville, California 95965 s Telephone: 534-4541- APPLICATION 34-4541APPLICATION AND PERMIT autnonze represeniatives or the county or tsutte to enter upon the above- entioned prope for inspection purposes. X Dat I notur of P mitee or Agent 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. DIRECTO"F PUBLIC WORKS BY DatRS %� 7 9 ang permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING V LUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address - Plan Checking Fee&/or Penalty Permit Fee 9 s-De wt PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 AO Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Jpe 14V -'C- n I FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 'n'�� Rec'd Parcel Aroyal ans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ i 30-7 F ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR L Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLLING BLDGSCCUP. 'I)20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code und the name st le f: T NEW CONSTR. BRANCH CIRCUITS) NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS It NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES B L� FIXED APPLNS, OR Ex. OCCUP-%OUTLETS (RESID.) EA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 rMisc. License ClassificationZ_ Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. ve placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r-11 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ Z autnonze represeniatives or the county or tsutte to enter upon the above- entioned prope for inspection purposes. X Dat I notur of P mitee or Agent 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. DIRECTO"F PUBLIC WORKS BY DatRS %� 7 9 ang permit expires Date PERMIT NO. 4542-79B 7 PERMIT EXPIRES OWNER G. H. Bartlett CONTR. BPt1"er Builciers Const Oroville " 34-84-41 LOCATION (A.P. ) 530 Blinzig Ct., lot 187, KRAB, Oroville Temp. Power Pole Called PG&E Temp. Elec., Serv. Called PG&E Temp. Gas Serv. Called PG&E JF OBINALED U (Date) (Signature) Setback Forms Main Bldg. Footings StemwaI I Slab Piers Stemwa I I Slab Carport Footings Slab Patio Footings isonry Walls Relnf. Steel COUNTY OF BUTTE — DEPARTMENT OF ---PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) MECHANI AL c� �? G Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Flooi Windows 3rd Floor Siding To out Roof Sheathing Water Pi in ' Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physicall Annli— —& Footl of ex. FIREPL, Gas Piping & Temp. Gas Sanitation Final PLUMBING ELECTRICAL Mesh MECHANI AL Grd. Fault Prot. Scratch Heating % Service Brown Cooling A Temp. Pole Finish Ducts Under roun Interior Lath Ventilation Y PermanJEW Door Closer X Final Final Or MOBILEHOMEUTILI S ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping JL2A.1"E OME INS ALL TI N - - - - - - - - - - - - - - Support Elec. Continuity Water. Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE ,DEFARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �C _ BUILDING Owner(�jL;LT�r-F SQ. FT. OCC. BUILDING V LUATIO Mailing Address Telephone No. Contractor 9E"TJ5R Rot L/JE�Q-� COI )W—, Mailing Address —39 Lik Fgkor pto v I L / y_ Telephone No. S�9 _nom z Building Address LfLe uV z/ Cr. WT I9'7 UPIT L4 `` �f,, - r-� -3 A. P. o. y — S / 11 T1 Z2ng & Planning Fees W.C. Sni n I Fire Dept. FireZone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Im rovements Plans Declaration p p Bid. Plans Rec'd I Parcel A val Plan pprovol NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business & Professions Code uder the ame sty Ie o ` / 7_44 'II// D License No. :&�Z OL o7 -- Classification Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trao Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee BALs10� ELECTRICAL PERMIT FILING FEE Main service 6,000FoR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / OR ADDNS. % DWELLING OCCUP. Y ACC. BLDGS. NEW CONST. NnN_R Rccin_ MULTI-OUTL T 6RANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 .50ea FEE FEE EX. OCCUDIOUTLETS OR FIXTIIRES BALs10� EX. OCCU FIXED APPLNS, OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. I *I 14ieV—e placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-rgentioned property jpr insQeetign,purposes. X \ 1 e 6� , d-a�t� Date l Sig oture of Per tee or Agent Receipt Pp. 46--l✓ I 1 7 White -D. W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $U' This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov o which fees have been paid. r�& F PUBL WORKS BJ` I ateT_ 0 v v Building permit expires Date - .co F— Shall ge `o, (� r � :Dkrnansh`�ractices wor s. l &theGceoo-d keria. use Sp;lCRecon ° ' �' VI ,dace ibe3 orMech �o �Q IA. 00 car bng too- 0 oo aqmauyOde. ° p T IluII . b No j O e Z3� `Zcoo 1 o h p L 1 N �J 4th .s -A ..._....- k1����b Nb •GAO ,,lo C2J�e�o�QJ`d o 8'So3o0.. V f �@ el� ky_ c�t�` ft. from the n� a Setback shall be from �<°e e o o , The Bldg- line and 50 ft. the $ , ~r `r ° side property a maxi 'off v'� .� N ° er;;ne of the road' permitting han but entirely �k O°p N N cent o{ a 2 {t. eove Overhang L------`- oIt mum k r� ��<�''' oJ° out of all easements \e� �. Q G _ -- 3UILDING DEPARTMEN1 APPROVED V w i V N' 'Vt -" 7 4 L p V m0 jp� } E- �. z Tv C� _ . Z 7'C o z� Z V �q C s 3 BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 3 INSPECTION CARD li%`!UST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-1808 Issued: 08/23/2007 Address: 6144 KANAKA AVE Area: ORO VILLE Owner: STONE WILLIAM Applicant: SIERRA MOBILE SERVICE & SUPPLY Permit Type: SFD-Mobile Home RET APN: 069-250-041 Description: MH PERM FND EX SITE 1896 SQ.FT.(3WID Flood Zone: None SRA Area: Yes Front: Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+ ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Stee l/Ho ldowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 ShearwallB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type 1 IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 1 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: A L d GeAL l 14 C b t It Public Works Fina 538-7681 Fire Department/CDF 538-6837 ext 169 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 --rrulect anal is a t-ermicare or vccupancy [or (xesiaennai unly) - PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy J-�— BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6144 KANAKA AVE Owner: Permit No: B07-1808 APN: 069-250-041 STONE WILLIAM Issued Date: 08/23/2007 By TMP Permit type: RESIDENTIAL 6144 KANAKA AVE Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: 08/22/2008 Description: MH PERM FND EX SITE 1896 SQX Occupancy: Zoning: RT1 Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE & SUPPLY SIERRA MOBILE SERVICE &1 Building Garage RemdUAddn 466 CIRCLE DRIVE 466 CIRCLE DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 Other. Porch/Patio Total (530)534-0599 (530)534-0599 FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 Total Charged: $583.90 Fees Paid: $583.90 Balance Due: $0.00 Receipt No: B4358 ,LICENSED CONTRACTOR'S DECLARATION _ ". OWNER /,BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am exempt from the Contractor's License SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 X 08/23/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION - OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund Policy Number: 046-0004257 Exp. Dale:01/0112008 Contractors License Law.). (This section nee not be completed if the permit is for one hundred ollars ($100) or less.) 1 AM EXEMPT under Section B. & P.C. for this reason: ❑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, and agree that if I should become subject to the workers'X 08/23/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 08/23/2007 I hereby certify that 1 have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 08/23/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. DAgent for Owner ❑Agent for Contractor INSPECTOR COPY Lenders Address City State Zip w0 -1AM 5 ErH1, 61 P7 bgov 1ka e �'1 `i s`r 66 U9 191 �bo ` 10 S io IC) KPrk- A AVE IV m U� t_. Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering . Q 7- / <3 0 g BUTTE CQUf BUILDING DEPARTWARIENT Xi2 Ground System K. Xi2 Concrete System Engineer Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE„ SECTION 111551 APPROVED ATPROVAL DOM NOT AUTHORIZE OR AT"OVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS Of APPLICAN S STATE LAWS AND RBOULAT10Ns Stdo of Colifoe�i� bop boddit I ad ?W PlaAword Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" " Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design maybe required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20` - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 121—r—A40'- f4/o; 0 0 0 0 a 9 1. 2. 3. 4. 5. 6. 7. 8. 9. 10 Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-3/4" Tube 4-#12X1" Tek Screws Figure 1 rnd of N0'"e A Lateral Struts 1-1/2" Tube U -Bok & mounting Bracket J -001t Nut & Washer Strut (flag end) ) 1-13eam Figure 2 11. Install frame bracket clamps to 1 -beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. 1 zt-F.,4e_ A, 30336 49-040 1DOWN ......... ......... _......... _. ENGINEERING Xi2 Ground Parts Detail Xi2 Ground Lateral Sin Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam braclots & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bods. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete 41 Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 DOWNr�E ENGINEERING ,._.. ._. Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. A, 3 3336 49-oao t DOWN ENGINEERING m 0 0 0 0 ell �.. 'o o �n 4W provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. A, 3 3336 49-oao t DOWN ENGINEERING m 0 0 0 0 Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. . Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & V1asher Figure 1 l BearnClamp Bracket I Bolt Lone -Beam M Longitudinal Strut Xi2 Concrete System N°me end °f g g F 8 00 0� 0 Concrete Longitudinal Hardware Kit Xi2 Installation Placement Page 6 of 8 TIE DOWN ENGINEERINGM Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62'- 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' ' 5 Xi2 Systems Page 7 of 8 Zs * 121-r—Ae, ,5-1, 7t/0 rIE DOWN ENGINEERING Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Hardware Kit 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-1 3 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1 A Carriage Bolt 1 /2-12 x 3 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 4 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631 Z J Bolt 1/2 x 6-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/20 3 Grade 5 zinc 1 10826 Carriage Bolt 1 /2-12 x 3 Beam Clamp Top Flange Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 2 59272-2 Beam Clamp Top Flange Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Clanta GA, 30336 , ' I -it ,'(404) 349-04oi DOWN _.._...._ 'ENGINEERING Ae- s/,(,,/o,-7 W1lIfAM S —P 1E rR E.TAf, �9-,�r66 b��j iso O ct t 18' FILE COPY W 5.3 BUTTE CGU Y BUILDING ®EPA APPRO V KAVE Last Name S Tb N E BUTTE COUNTY DEPARTIYIENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24t )IJR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 .4 FEE WILL BE REQ UIRED AT TIME OF APPLICATION O Vt,'m E R Address 6I y q K&Na kq_ AVE City D i2.oy tea a I: irate C j. Phone T ax E-mail **PLEASE PRINT CLEARLY** Name tau11-�-rhV_ Z'p c?s _ 9 G�( APPLICANT SIGNATURE X. For office use only: CONTRACTOR Name CetAZ..ovd�s. Address Address City T State u Zip Phone Shy ©S9 y I I E-mail Page Lic. # • 4'� Class �S APPLICANT SIGNATURE X. For office use only: ARCHITECT/ENGINEER Name CetAZ..ovd�s. Address Address City Yes State Zip Phone Stale d– Fax E-mail Page State License Number APPLICANT SIGNATURE X. For office use only: APPLICANT NAME Name CetAZ..ovd�s. Flood Zona Address SRA Yes City C. i Type Const. Stale d– Zip s6E Phone Page 7'Fax Planner E-mail Dale Approved: APPLICANT SIGNATURE X. For office use only: AP# DG'? Zoning CetAZ..ovd�s. Flood Zona SRA Yes No Occ. i Type Const. Subdivision Name Name l,lap Book Page Lot# Planner Dale Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT 67—�� BP BIN # LOCATION AP# DG'? Property Addressty SUE CetAZ..ovd�s. Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIIRATION 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 SRA Receipt #: Sheriff SMTP Date: Other Total STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ")SING Division of Codes and Standards .j.� N� p oO �u 2 w Title Search 3G 0 Date Printed : 08/09/2007 P DEQ Decal #: LAV8162 Manufacturer: WESTWAY Tradename: WESWAY Model: Manufactured Date: 00/00/1979 Registration Exp: First Sold On: 05/04/1979 Serial Number WW791277A WW791277C WW791277B HUD Label / Insignia 145618 145620 145619 Record Conditions: PPF Exempt Registered Owner: Use Code: SFD Original Price Code: AMA Rating Year: Tax Type: LPT Last ELT Amount: Date ILT Fee Paid: ILT Exemption: NONE Length Width 64' 12' 24' 10' 64' 12' Voluntary Conversion to LPT - An application for title or registration change is pending with the department. For information regarding this application, please call 1-800-952-8356 and request to speak with a customer representative. ALVIN D MATTSON JUANITA J MATTSON (Joint Tenants with Right of Survivorship) 6144 KANAKA AVE OROVILLE, CA 95966 Last Title Date: 06/26/1997 Last Reg Card: 06/26/1997 Sale/Transfer Info: Price $48,000.00 Transferred on 06/26/1992 Situs Address: 6144 KANAKA AVE OROVILLE, CA 95966 Situs County: BUTTE Inactive Decal/DMV: DECAL AAH5873, DMV SP7202 * * * END OF TITLE SEARCH