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069-310-032
B07-0078 069-310-032 RESIDENTIAL SFD-Mobile Home RET RETRO FIT MH PERM FND 5412 HIGH ROCKS CT KELLEY, GAY C 69-31-32 E)nit 4C, lot 467 Kelly Ridge PACTION TEST REPORT 69-,3132 MikeDarla Burroughs ' 5412 H gh�%Rocks Ct., lot 467,Kk#4C, Oro? contra Oro Ridge Prop., Oroville Permit #3902-8lP- E(.util. ,MH) ELEC . 10-11Z-91 GAS 10 - Z2-8 SUPPORT STRUCTURE REQ. i Q► OMPACTION TEST REQ. Q g� 1 ami -31-32 . . - ontr : Oro Rich -properties Per mit#4 011MHI Issue )0-,26 --,j1 69- ermit # 2076-82B(add awning/MH)2 ontr: No Valle Awnin Oroville X69-31-32 Perini 14-82B(adrd ope dec MH)"' f��h 6-31 Perm- 2628-8'2B(add awning/MH) tr: Norfrh Valley Awning,Oroville d -- _--T- I %/,�✓' ' '�r� � I n fly _ . }.. w I OM Al FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING'PERMIT NUMBER: B07-0078 Address or location of unit: 5412 HIGH ROCKS CT OROVILLE CA 95966 Legal Description of Real Property: 069-310-032 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach .Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: KELLEY, GAY C Owner's address: 5412 HIGH ROCKS CT OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL229384/5/6 SERIAL NUMBER OR V.I.N.: S3100A/B/C MANUFACTURER'S NAME: MT. VALLEY HOMES YEAR: 1981 OFFICIAL APPROVING INSTALLATION: A —fit OCL DATE: PHONE: (530) 538-7541 - H.C.D. 513 If BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0078 Issued: 01/16/2007 Address: 5412 HIGH ROCKS CT Area: OROVILLE Owner: KELLEY, GAY C APN: 069-310-032 Applicant: SIERRA MOBILE SERVIMap Page: Permit Type: SFD-Mobile Home RET Description: RETRO FIT MH PERM FND AREA 2 Flood Zone: None SRA Area: Yes Set Backs Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Finals Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 1 802 jrZ►T. i �ZZ .o Inspection Type IVR INSP DATE Do Not Insulate Until Above S gned Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: G J— (� Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 "PROJECT FINAL 1 801 -rrolecf anal is a uernncafe of occupancy for (Kesldential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector, Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5412 HIGH ROCKS CT Owner: Permit NO: B07-0078 APN: 069-310-032 KELLEY, GAY C Issued Date: 01/16/2007 By GLB Permit type: RESIDENTIAL 5412 HIGH ROCKS CT Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: 01/16/2008 Description: RETRO FIT MH PERM FND Occupancy: Zoning: RTI Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE & SUPPLY SIERRA MOBILE SERVICE $ Building Garage Remdl/Addn 466 CIRCLE DRIVE 466 CIRCLE DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)534-0599 (530)534-0599 FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B1499 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2007 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 70 0) 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 01/16/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor's 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 OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I 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.). r71 :IAVE•AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, 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. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 046-0004257 0110112007 Carrier: Policy Number: Exp. Date: Contractor's License Law.). (This section nee not be completed if the permit is or one hun red dollars ($100)—or-lass.) IAM EXEMPT under Section B. & P.C. for this reason: ❑ ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 01/16/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X le,01/16/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building 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 CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or 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 permit 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 property owner's b elf., � / (� 01/16/2007 CONSTRUCTION LENDING AGENCY I 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. Agent for Owner ElAgent for Contractor FILE COPY Lender's Address City State Zip 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION NO. N#: ^ C` AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIOOROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP6 ^ l `.6 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION BIN # **PLEASE PRINT CLEARLY** OWNER Last Name First Name El.I.Ey CA% Address L�tZ �� •S ffl�f-(-lc,Cs City �aU t E State Phone C� Zp Fax E-mail CONTRACTOR Name Address City, State u� Zip 9Sf E 6 Phone S� y OS y 9 Fax E-mail Lic. # y7�,}KCla� - ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E-mail State License Number APPLICANT NAME La=�� Slate S-3 q oS-6 E Fax Zip 9 gia APPLICANT SIGNATURE X; For office use only: EZoningET Flood Zone SR - N Type ConsA Subdivision Name Map Book I Page Lot # -t-, r I , LOCATION AP# 31e 032 - Property Address 6-Y12- High 4ce,<_5 City ©d�,� « Cross Street WORKER'S COMPENSATION Policy Number Yzs� Carrier If hiring anyone other than license contractors, a certficate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Address Description or Scope of Work: ",,.16.► ,?,r"JV'11 5q. Footage 0 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 required - REQUEST uired.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. Receive by: Amount Rece #: SRA Sheriff C� (I I SUP Planner gale pproved: OV�Fav� b� Date: a� � ather OR SUBM(TTA1 RFnt ttp�nn�nr, l _ rn G)0 ; �DO® ;1:5 t 0U) I z C6 O o crr 4� s C I� � n � 3 N � Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOME/MOBTLE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED RMINCT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY 0041SMONS OR DEVIATION FROM REQUIREMENTS OF APPLICAM STATE LAWS ANQ REGULATIONS Sono of Califomis DWSOMM Otft=in =4 =L "�l AND STANDARDS A]iQ. tom) >rLoAp{aswlFisDhtis C.-' BUTTE COUNTY BUILDING DIVISION APPROVED; 1•1b•d-?" Page 1 of 8 1 0 Li 0 0 0 qr, Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone I, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall hav" to resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 LO liqlllo O I,I. . .. Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-3/4" Tube o, 0 4-#12x1" Tek Screws Figure 1 Nose rnd i J -Bolt Nut & Washer (S—" 111 Lateral Struts Strut (flag end) 1-1/2" Tube 1 -Beam Figure 2 U -Bolt & mounting Bracket Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. SIE DOWN ENGINEERING Xi2 Ground Parts Detail X'i2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts) Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" .......... 0 0 LA _ _ ®tea ®aI�� R=:� Ground Longitudinal Strut Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63'- 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems t-1 � ... -2. Page 4 of 8 0 01 0 0 0 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 sem' 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 en ete brack t. 10. Pull the frame bracket clamp with fastened strut outward to remove any slac 11. Tighten all nuts and bolts on system. r PC; Page 5 of 8 Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part#59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut &Washer Figure 1 Beam Clamp Bracket J -Bolt Lateral Longitudinal Yy M ME I -Beam Xi2 Installation Placement yeti_" �QQ ; ``r= Longitudinal Strut Concrete Longitudinal Hardware Kit rnd of too e y Yus�Y.'`i�E�'.sY ta 2. Page 6 of 8 TIE DOWN ENGINEERING • 5901 Wheaton Drive • Atlanta GA, 30336 %lE www.tiedown.com • (404) 344-0000 • FAX (404) 349-0401 DOWN: .___.... _. ....._. _.....___ _...._. _ .. _.... .._ __.__...._._......._.................... _. . __................. ENGINEERING 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 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 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 Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y .Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2. 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 112" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Zas--M*)� 041 p� Page 8 of 8 rlE DOWN ENGINEERING -. 0 L6 0 0 0 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT )SING Division of Codes and Standards O ©m an Z Title Search 3G0 Date Printed : 01/08/2007 �Ev� Decal #: LAA8531 Use Code: SFD Manufacturer: 28150 MOUNTAIN VLY HOMES IN Original Price Code: ANY Tradename: MOUNTAIN HM Rating Year: Model: 36X663LPK Tax Type: LPT Manufactured Date: 10/22/1981 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 12/10/1981 ' ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width S3100A CAL229384 70' 12' S3100B CAL229385 70' 12' S3100C CAL229386 36' 12' Registered Owner: GAY C KELLEY 5412 HIGH ROCKS CT OROVILLE, CA, 95966 Last Title Date: 11/21/2002 Last Reg Card: 11/21/2002 Sale/Transfer Info: Price $85,320.00 Transferred on 04/12/2002 Situs Address: 5412 HIGH ROCKS CT OROVILLE, CA 95966 Situs County: BUTTE Legal Owner: FLAGSTAR BANK FSB 5151 CORPORATE DR TROY, MI 48098 Last Title Date: 11/21/2002 ` Lien Perfected On: 11/12/2002 14:28:49 * * * END OF TITLE SEARCH PERMIT NO. 3902-81P,E PERMIT EXPIRES_ j OWNER Mire & Darla Burroughs CONTR. Oro Ridge Prop., OroviMe ASSESSOR PARCEL 69-31-32 LOCATION 5412 High Rocks Ct., lot 467, KRAC, Oroville i� 1 I t, - f!1 J. Temp. Power Pole 4 t Called PG&E j / 0 Tem'. Elec. Service—4— i Called PG&E ! Temp. Gas Service Called PG&E JOB FINALED (Date) 1 Signature i J OK 0 = Not OK -= Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOB!,HOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) G . .xcept h, Zon' g Requirements -Setbacks -Easements - 1. Zoning Requirements -Setbacks -Easements r oils; Special MH Support -Sketch e,041, 99,q 2. Footings; Size -Depth -Spacing -Connectors :1 kl<StWer Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails at ocat i on -Test- Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs:=Connec.-Shthg.-Rfg. -Bracing_ lectricity; Location-Clearances-Grnd.-C&Amp-Concrete _ 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc:os„ res 6. /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors • Utility Clearance 7. Elec. Card -B Dat �- 1`j Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's te' oning Requirements -Setbacks -Easements Card -BI Date Date Card -BI ^Date, POOLS (Plans) OK except N's 1. Setbacks -Easements ootings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. - ector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining /*-'f-he-ctricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed W r and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater wand Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Insp.-Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B- Dat �i- Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK Notyablc# ► Read Not Ready RESIDENTIAL (Single and Duplex) = 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-Blockouts-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 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 19. Gas Pipe; Size & Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test -11 . Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. Date Card -BI Date 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's _ 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 59. .60. 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access Fireplace or Stove; Clearances -Hearth 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except N's 20. Fixture & Transformer Clearance -Ins. Protection 21. 22. 23. 24. Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water _ 25. 2 Appliance Circuits in Kitchen & Conductor Size - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B -I Date Card -BI Date Card B -I _ Date Card -BI Date Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support _ 32. Vent Fan; Exhaust above Insulation _ __33. Condensate Drain & Overflow; Size & Grade _ 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 Date FRAMING(Plans) OK except q's 36. 37. 38. 39. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ 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-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. 47, Attic Access: Size & Rom ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing Date FINAL (Plans) OK except p's 56. Ext. Steps -Door& Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. .60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 0 N 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates ICard -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196*Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office •, when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact' this office immediately. f "W0Z lee "�4 1-01 Inspe Date i 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 Administrative Code, Title 25, Chapter 5, under permit number 4/r7/ � w ~ R- � for the following location: '/ S Al_, �-y o 7- 4 oT- 7 K,� s/ C, n e o Owner Al Owner's Address G4 -a> !L— Mobilehome Mfg. &f 7-1,(, JAL / F `l Model G I Year Insignia No"Al - 4.?`�7 - ��G+ Serial No. I - It is hereby certified for occupancy at the above described location and may be occupied. _ Director 6f Public Works Date ��`.�' �/ j$yi�l THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - REPARTMENT OF PUBLIC WORKS PENT N0. 7 County-CentAr Drive - Orovilie, Ck.liforr is 95965 - Telephone 916/534-45 �- .APPS-ICA,TION AND PERMIT ASSESSOR PARCEL NUMBER 69 — 31 — 32' ZONING F -T-1 BUILDING PERMIT OWNER Mike Burroughs & Darla Burroughs TELEPHONE SO. FT. OCC. BUILDING VXJAATION OWNER'S MAILING ADDRESS 3625 hwood Avenue Los Angeles, CA. 90066 CONTRACTOR'S NAME ORB RIDGE R PERTIES INC. TELEPHONE CONTRACTOR'S MAILING ADDRESS 526-1 a ss ye, Orovi.11e,._CA`95-9 CONSTRUCTIO LENDER UNKNOWN Fireplace Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS A Permit Fee $ ARCHITECT OR ENGINEER N/A LICENSE NO. Plan Checking Fee ,$ 0,,G10 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 44G Permit fee $ Qi C& ADDRESS SA19 High Rork Cpiirt BA PLUMBING PERMIT Filing Fee 10.00 Ornirillp, CA- 95()65 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. 467/4C SUBDIVISION NAME Kelly Ridge Estates PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOUCTURE SF [:1Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition [JRemodel [:1Utilities [:1I1 stallation Le/ Other ❑ Describe work:F0/Z ZrnL P67e i1 3CIb2 ,S/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 ('j ^ Z,V X6 / /?,,K7 Main service EA. AOD'L 100 AMP 2.50 OR ADDNSNEW T /ACCLBLDGS.LING CCUP.y� 20sgft CONTRACT RS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 295666 Classification B—Gen• ❑ 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 NON•RESID R BRANCH CIRRCUITS 2.50 ea NEw CON ST Ft /POWER APPARATUS &I NON.RESID.`SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �@1 IxeD APP LNS. OR Ex. DCCUp.�OUTLE TS (RESID,) EA.) 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 liabiliti ents, costs, and expenses which may in any way accrue against I u onsequence of the anting of this permit. X Date ��—!Z 8� >� Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5' " deep and demolition or const- ion of structures o r 3 stories in hei ht. Mobile Home Installation Fee $ o. e� ' Qo 0C) TOTAL P RMIT FEE $ Q �� OCCUP. GROUP I TYPE OF CONST. PARCEL 11D ND- ISSUE 4� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for w ich DI TOR O UBLIC By PERMIT EXPIRES Date AWNITE-D.P.W., the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 01 `` Soo Ye LOW -ASSESSOR, PINK -INSPECTOR, GDE OD -APPLICANT APS# PERMIT # MH UTIL.CLEARANCE DATE G INSPECTOR. ELE TRIC GAS Support Str c. Compaction Test Re . service tize Other Load Type Pipe Size Length YES NO YES NO ,;LOD � - r. COUNTY OF BUTTE - DEPAATMENT OF PUBLIC OR PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/5 -4 1 —/ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 69 - 31 - 32 ZONING g%/ BUILDING PERMIT OWNER Mike and Darla Burroughs TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS3625 Ashwood r� AvenueLos An eles CA. 9OO66 CONTRACTOR'S NAME nc =599-0i52 LEPHONE CONTR ACTO 'S MAIL G ADDRE S 5263 Royal Oaks Drive, Oroville, CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ AR HITECT OR ENGINEER N/A LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI DING ADDRESS 5412 High Rocks Court PLUMBING PERMIT Filing Fee 10.00 Oroville CA. 95965 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping 6,,00 LOT NO. 467/4C SUBDIVISION NAME Kell Ridge Estates PARCEL MAP Each Sjas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome;< Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitie,-.X Installation[- Other ❑ Describe work: Permit Fee $ pp Contractor ELECTRICAL PERMIT Filing Fee 10//.��0,�0 Main service 100 AOR S MP ORLESS +t —++iW Mair service EA. ADD'L 100 AMP 2,50 SJ NEW CONST. ( DWELLING OCCUP.y\ OR ADDNS. ACC. BLDGS. / 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 295666 Classification B- Gen. ❑ 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 CONSTR I -OUTLET 2,50 ea NON.RESI.. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 00 IXED APPLNS. OR Ex. Occup.(ouTLETS (RESID•) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �(7D Misc. Wiring 7.50 Permit Fee , S 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against ar-tiabilities, judgments, costs, and expenses which may in any way accrue a ' 1st said in consequence of the granting of this permit. X Date 1Q' I���� Ignatu0a,of) p��nt icEpvptr ' detractor F} Agent ❑ An OSHA permit is required for excavatio s over 5'0" d p and demo li ion or construct- ion of structures over 3 stories/in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE occuP. GROUP I TYPE OF CONST. PARCE PD HD Iseu This permit is hereby issued under sions of the But County Code and/or work indicated above for which DIRE R OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �j Receipt No. to b S �` 9)�67� s -06 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -1 SPECTOR, GOL -ROD-APPLIG NT Return -to DPW �C AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT 51--33055 Section 26-8.1 of the Butte County Code requires this acknowledgement„,.. be recorded prior to issuance of a building permit. -The property described herein is adjacent to land or included'" 39 within an area zoned for agricultural purposes, and residents of CLAX14 this property may be subject to inconveniences or discomfort arisintL£pK-RECORDER �t from the use of agricultural chemicals, including, but not limited to herbicides, FEE pesticides, and fertilizers; and from the pursuit of -agricultural operations including, but not.limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that -real property situate in the County of Butte, State of California, described as follows: Lot 467, as shown on that certain map entitled, "KELLY RIDGE ESTATES UNIT 4C", which map was filed in the office of the Recorder of the County of Butte, State of California, May 2, 1978 in Book 66 of Maps, at pages 9, 10, 11, 12 and 13. Subject to all easements, rights of way_and restrictions of record. Date: September 2, 1981. Mike Burroughs - c, State of C A4 / r• ) (� ) SS. County, of c 5 & PROPERTY OWNERS: Darla urrou s On this the day of � , 19 before me, the undersigned Notary Public, personally appeared /� I DavIa 1�. wV known to me to be the person(s) whose name(s) cYe /. PAT 6FFtMLSFAL subscribed to the within instrument and acknowledged NOTARY PUBIC • CALIFORNIA that fihe executed the same for the purposes PRINCIPAL OFFICE IN therein contained. LOS ANGELES COUNTY IN WITNESS WHEREOF, I hereunto set my hand and official My Commi"-on Exp. Jan. 7, 1983 seal. Notary Public Present A.P. NO. / '.3/ .37 NOTE: --All Materials & Workmanship Shall Be in Accordance with Recntin -, ed Gond Practices and of a quality prescribc:-1 or Am Specified use in the Uniform Building, Plumbing & Machanica, Cod®s and fho National Electrical Code. ulG a L.� Y A setback of )rft. from the U property lines and a setback �o 4 of 50ft. from the road N centerline shall be clear of' „i stxaactures orequi ment e_xce for a 2 ft. eave overhang. , OAS Ill . . �a 0 ov n� R O'C K 5 N6 za'oo"- 9.95' LOT 467 UNIT 4C COURT pc2L'�Z'S5" rz=izc• S 9i' t /1 permit will be re�uired for the installation of the, mobilehome, h o0 i / tKo . Q' `" 500 SQ MOBILES � FOR / i Utility connections shall�6e vvithm.__\ 4 ft. of the mobil om4, either directly behind o wAin�the rear half of the road. idee of the \ mobilehome. 0 59.9G' — P. u_=ea5.m=�vT This set of plans and specifications M! IST Fe kept on the job at all times and it is unlawful to rnake any changes or alter -+inns on sarno without written permission from the Departmont of Public Works, County of Butte. SCA.L= 1'•=20' !371/a BUTTE COU TY BUILDING DEPARTMEN°I B -Z6 -7e> 0. /'D. 1 Telephone 533-2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND 131-81 VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: MIKE & DARLA BURROUGHS (Doyle Carter) Applicant Address: 3625 Ashwood Avenue, Los, Angeles, CA 90066 Applicant Phone No.: • Property Location(s): 5412 High Rocks Court, Orodille, CA 95965 Kelly Ridge Estates Unit 4C, Lot 467 A. P. No. (s): 069-31-0-032-0 (34-89-32) Fees Paid: SCOR Regional FAcility Charge of $900.00 Due Application for service approved - North Burbank October 14, 1981 Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: M North Burbank Public Utility District release to close permit: Date: By: ENGINEERING SURVEYING - PLANNING 01,19 - y /. - 3 C-1-1 463 ORO DAM BLVD., SUITE M OROVILLE, CA. 95965 (916) 533-2068 Mr. Jim Glander September 30, 1981 Assistant Director of Public Works ' County of Butte 7 County Center Drive Oroville, CA 95965 RE: COMPACTION TEST, Kelly Ridge Estates, Unit #4C Lot #467 Dear Jim; Enclosed please find two (2) copies of compaction test results taken for Mr. Doyle Carter, Kelly Ridge Estates. Results.indicate that the fill has been constructed in excess. of 90% relative density. Also attached.is a.location map of the site. Please call if you have any questions. Sincerely, G.D.A. Engineering, Surveying and Planning Alan G. Brown, C.E. Project Engineer AGB : par Enclosures CC: Mr. Doyle Carter Oro Ridge Properties 5263 Royal Oaks Drive Oroville, CA 95965 GDA # 216-81 WILLIAM W. GEDDIS - DAVID R. DRISCOLL JOHN D. CHRISTOFFERSON - KENNETH C. LENHARDT EDDIS 111, I:NG � .ti RISCOII I, GG A[5090 DAM BLVD. AND AND SU!1E M ` 0 "ILLE, CALIF. 95965 1516: S5f M65 ENGIN r EDDIS SURVEYING NULL EA R RISCOLL PLANNING •, OROAN BLVD. SU. w /9f IVS' / jF y 7 ES r AND OROVILLE, CALIF. e39e6 (916) 633-2058 SSOCIATES � TEST ntiTE MODE As rm n-2922 ASTM 0-1557 REL 1AT :;01ST WET DRY % mAXORY % TivE HATER/AL / CONT. DENS DENS, DENS OPT.TE$T LOCAT/OlL' DEPTH PAF P.C.F R.C.F Al0/ST PC.F MO/S.T. DENS 9/2 2 DT/8" 12.1 1134.5 122..4 9.9 i 128.3 112.8 95 S:E. corner of pad fill -,i rrface 2 1 9/22 DT/8" ! 14.1 130.7 116.5 12.1 128.3 112.8 91 S.W. corner of pad -fill surface 3 i ! 4 I ; I 6 i . 7 - 8 _I. 9 /2 /3 /4 /5 COAMEMT Both tests taken of finished pad surface CL/ENr CARTER/ PROJECT Lot 467, Unit 4C K.R.E. JOB NO. 216-81 REf- OPERATOR AGB _ EDDIS ENGINEERING6J SURVEYING RISCOLL PLANNING •63 ORO DAN BLVD. SU. v AND Q�w OROVILLE, CALIF. e6"6 (918) 633-2038 SSOCIATES �� �� %� �`` , ` � —W5I T Y / ES r TE5T ' nATE 1981 MODE /REL/- DEPTH ASTM/ D-2922 Asrm D-/557 % TIVE DENS DEN /TATER/AL / TEST LOCAT/Oh' -o/sT wEr CONT. nENS PAF P.C.F nRr DENS, P.C.F % �D/ fSr MAX..DRY DENS P.C.F OPT. NO/ST. 9/22 DT/8" 12.1 1134.5 iurfact 122.4 9.9 128.3 12.8 95 S:E. corner of pad fill 2 9%22 DT/8" 14.1 130.7 116.5 12.1 128.3 12.8 91 S.W. corner of pad fill surface 3 f � 4 5 I i � I 6 7 i 8 I . 9 /o i I. /2 /3 I /4 /5 conttEA,r Both tests .taken of finished pad surface CL/El T CARTER/ PRD✓ECT Lot 467, Unit 4C K.R.E. JOB NO. 216-81 REf- OPERA TDR AGB (','I) ),Ill BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Mike & Darla Burroughs. Lot 467, Unit 4C 2. Installer's name: Oro Ridge Properties, Inc. 3. Is the site currently under permit? Yes / X / No / / (If yes, furnish permit number ). OR Is the site an existing "site? Yes / / No /X / (If yes, furnish two (2) plot plans.) 4. Will -the mobilehome be located at least 5 ft. away from septic tank and leach.fields and clear of all setbacks and easements? Yes / X / No ( If no,. clarify ) ( ) 5. What is the mobilehome,;electrical rating? ----------------------- 200 Amps 6. What is the mobilehome-site service Al ing?--------------------- 200 Amps 7. What is theinobilehome site circuit breaker rating?`------------- 200 Amps 8. Is there any other electric load to be served by the mobilehome site service?.--------------------------------------------------- Yes No /x / (If yes, identify the load and size: (Load):: 200 (Amps) 9. What is the mobilehome site gas pipe size? ----------------------- 200. -(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? -0- (ft.) 12. :What is the mob:iTehome gas demand? ------------------------------ -0- (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. Mountain Valley Homes furnish Setup Model No.3 BDR LPK Year 1981 NET Width 24 (ft.) Box Length 66 (ft.) Tagalong or Expando Size 12 ft. x 32 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. 0' (ft.)(in;) Center support locations* W01 (ft.)(in.) I `A0 " (ft.) (in.)-- h,2Jo'' (ft.)(in.) Tq , 91 (ft.)l (in.) 1 / / , A.11 S ingle 14x301 (in.) (in.) Center support footing sizes (in.) ayx3a I (in.) (in.) PZ a. o (in.) (in.) A) a 11x 30 (in.) (in.) (a) LQ L& 3v (in.)l (in.) Footings (check one) ® 1. Wood either pressure treated of foundation grade. 2. Other (specify) Supports (check one) ® 1: Concrete block. 2: Other (specify) � I N LTagalpng or Expando,' Or Vshow support details. h /�x3U -- Typical Support (in. (in.) Footing Size '& -- Max. Pier Spacing (ft.)(in.) �, mil -- Max. Overhang (ft.)(in.) x3o q012_&/ BUTTE COUNTY BUILDING DEPARTMENT *If center piers are other than drawn above, draw in --locations, spacing, and dimensions. APPROVED �y 4� 4 ��I • -f PERMIT N0. A _._2076-82B,.. PERMIT EXPIRES e OWNER Mike Burroughs CONTR. North Valley Awning, Oroville F ASSESSOR PARCEL 69-31732 LOCATION 5412'High Rocks Ct, Oroville a I 1 4} Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Called PG&E . 1 }JOB FINALE[ a � Signature t J = OK 0 = Not OK ' - = Not Applicable ._ MOBILEHOMES MISCELLANEOUS - = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DEC COVERS, CARPORTS, CTC. (Plans) 0,. except # . mooning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Wings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4—W-996--wn.; Posts-'Beams-Rftrs.-.Connec.-Shthg.=fifg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ Alum. Awn.; Columns-Connections-Splice-Decal-Enc!.sures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"fl./ /"LPG -6—Ga4:ports; Windows -Doors ' 7. Utility Clearance -Zr� Card -BI Date Card -BI Date B ate and -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI "Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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/O 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK O = Not OK = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) 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-Blockouts-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. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 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 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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k'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 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 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 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes73. 23. Romex Installed Close to Edge of Studs & C.J. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 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 AI, Insulated Neutral ❑Yes ED 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 (Perrr,it) OK except H's 83. Corrections from Previous Inspections 84. 85. 86. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation _ _33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI 35. Attic Access & Platform if Furnace in Attic ------ Date Card -BI Date 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 FRAMING(Plans) OK except q's 36. _Sills; Proper Material & Anchors Comments at Final: 37. _ Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. 40. _Walls; Bearing Walls over Girders & Floor Nailing_ Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41.Header 42. 43. 44. & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Rfng. 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 Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT --OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45461�-6� APPLICATION AND .PERMIT ASSESSOR P,RC L NUMBERZONING --3/ --3.� BUILDING PER 'A .[9 O %/� ;56(e" a [� TELEPHONE SQ. FT. OCC, BUILDIN ALUATI`O7N 2- �� �v OWNER'S MAILING ADDRESS C9t`J TOR S NA�/ , J►-, //� / I Al �1`� ///✓���.7 CTR�ACTO�ZoMAILING ODESS �/�/`//�/� Fireplace CONSTRUCTION LENDERS UNKNOWN/r/• Total Valuation I $ 32, Qry Filing Fee $ 10.00 LENDER'S MAILING.ADDRE S Permit Fee $ , ov /$�L�iJJJ���,,, /J rH'--'/C,L/L'!`�V//1`�/l/ A(aJENGIylE1aR/ ^ ` � ii / L {��SE N J` S Plan Checking Fee , $ UD Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 60'(90 BUILDING �M 1 f s �^ (✓�� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 0&V/�fj(- Water piping L Oft NO.SUBDI�( / 4AM PARCEL MAP // ��! Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ AdditionsRemodel tilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR101 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW OR ADDNST IACCDWELBLDGS.LING CCUP.y` / 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code a d my license is in full) force 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR, -OUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea APPARATUS 61 NEW CONSTR. (SINGLE NON.RESID. SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES BAL@1 FIXED APPLNS, OR \00 Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): R. 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. /21 1 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S 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 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 again aid County i co ce of the granting of this permit. X Date __ ! r�2 r 0 �� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3p'stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $t OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY / PEPVT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. o N WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I N ,i PE MIT NO. 2314-82B a PERMIT EXPIRES OWNER MIKE & DARLA BURROUGHS CONTR. owner ASSESSOR PARCEL 69-31=32 LOCATION 5412 High Rocks Ct. KR 3 J. .1 f 1 s I !} Temp. Power I j Called PC Temp. Elec. S Called PC s. Temp. Gas Sei Cal led PG JOB FINALE[ Signature = OK O = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) 01, accept g Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch f�_—Fq.17_ngs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) g gkQod Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.-Bracing__ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete ,5,.Ium. Awn.; Columns—Connections—Splice—Decal—Enc .osures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG --6—Gerports; Windows—Doors " 7. Utility Clearance Card -BI Date Card -BI Date OK -BI ate ! and -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 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 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—Enc losures— Pane Iboards— 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 4 I = OK = Not OK = Not Applicable RESIDENTIAL-(Si.ng.le and Duplex) = Not Ready Date UNDERFLOOR Plans OK except N'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-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 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 Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date - Date Card -BI Date PLUMBING (Permit) OK except k's Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. 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 q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. &Mech. Equip. Listed for Location 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 73. 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. 80. Water Well; Disconnect, Electrical, Plumbing 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. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI -.- - ----- -- - Date-- _ Card -BI Date Date Card -BI Date Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Proper Material & Anchors 37. _38. 39. _Sills; _ _Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__ _ 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-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) f 1 ' PERMIT NO. 2628-82B PERMIT EXPIRES / �®IF—A OWNER MIKE BURROUGHS CONTR. North V,lley Awning ASSESSOR PARCEL 69-31-32 LOCATION 5412 High Rocks Ct, Oro Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) v s� 5 Signature I/ OK 0 = Not OK — = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, CO S, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easementsone equirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete s and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location-Test—Easement Needed (Sketch) *,49 i-kvaft bsts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete um. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG e rmrrs,7ri_ndowi—Doors 7. Utility Clearance Card -BI Date Card -BI Date C I at Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 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 = Not Ready RESIDENTLAL )Single and Duplex) 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-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55, Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 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 q'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. Smoke Detector 58. 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. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 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 q'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. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 73. 74. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, 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-1 Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date -MECHANICAL (Permit) OK except q'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. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 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 Comments at Final: 36. Proper Material & Anchors _ 37. 38. 39. _Sills; Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 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 -Purl in -Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) ft • -' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO KS . 7 County Center Drive - Oroville, California 95965 - Telephone 916 34-4541 - APPLICATION a46 PERMIT PERMIT NO . 2— A 4 / .11 ASSESSOR PARCEL MBER I +. %.—'"L _ P BUILDING PERMIT o E�O_C;Vrl 74r_PHUNE C 1- Q ,' S0. F -I OCC. BUILDING VALUATION OWNER'S MAILING DRES �c (/�' /�/ rfJ . CONTRACTOR•SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN a Total Valuation Is Filing.Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ r ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $v BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 ro Water piping LOT NO. (p SUBDIVISION NAMEff // K tF7C PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOF STRUCTURE SF ❑ Duplex ❑ Mobilehome /Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ AdditionRemodel Utilities Installation[]Other❑ Describe work:Kcoa^l\�ELECTRICAL Permit Fee $ Contractor PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. / DWELLING OCCUP.d\ OR ADDNS. \ ACC. BLDGS. 20 Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NON•RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessSO@281 and Professions Code and my license is in full force and effect.FIXED Icense 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEN-RE SID R BRA cH CIRCTITs 2.50 ea, NE.W CONST R. / POWER APPARATUS eI %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 APLINIS Ex. Occup.(OUTLETS P(RESID )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 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 --posts, and expenses which may in any way accrue against oun in equence of the gr Ing of this permit. X Date �^ (�� Signature of Applicant — OwnerW Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3tstorries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP Pi - t I TYPE OF CONST. �,� PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT�q OF PUBLIC By PER EXPIRES Date the applicable pr ovi- resolutions to do fees have been paid. WORKS Date �j �y�, �Q8 y /� •� (�G., eipt No. % 'f li� r�eE-D.P.W.,. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, Californ95965 -Telephone 91 /534- 541Ar fir-, ZO : APPLICATION AND HERMIT ASSESSOR PARC y�NUMBER - �`7— % �' ZON,��- A', BUI DING PERMIT owN�R�/ v �I TELEPHONE SQ./F_T. OCC./ BUILDING VALUATION (�CTORA OWNER'S MAILING ADDRESS /V V E 14 •S N V ^`—Csf.✓ ✓/ /fiV /v! /V 533 HU L_ CONTRACTOR'S MAILING ADDRESS P. 0- 09ox ZS 06 (,//Z- L,!57, e4 9S �G� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ X00 ARCHITECT OR ENG_x-15 0• / Plan Checking Fee Ea $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee$ 60C? Bull 0l G�pDRESS / �o,� / s J � L �i l Lj �'i l�—C/c�c� � PLUMBING PERMIT FiIin Fee 10.00 9 Each Trap 2.00 Repair drainage or vent piping 5.00 ,/ Water piping LOT NO.SUBDIVISION/NAM `tro �- 2 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeEg-'�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition E5 R,�emodel�4 Utilities [:1Installation❑ Other ❑ 46 Describe work: l�/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e10v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW OR ADDNST. J DWELLING % ACC. BLDGS.CCUP.y\ / 2P• 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 and Professions o e a my license is in full for ?1 a d effect. License No. Classification G ❑ 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 NNEW O CONSTR.BRANCH clacTlTs 2.50 ea NEW CONST R. ( POWER APPARATUS .& NON.RESI D. `SINGLE OUTLET CIR, 50 @ 29¢ Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. Occu FIXED APPLES, OR p•�OUTLETS (RESID.) EA. 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor 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 ,Qf Consent to Self -Insure. N 1)shall not employ any person in any manner so as to become subject o the W. C. laws of California. ti Noce 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. MECHANICAL PERMIT Filing Fee 10.00 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 Iia ties, judgm nts, costs, and expenses which may in any way accrue again aid County"i:n co eq ce of th granting of this permit. %� Date Sig"Si nature of Applicant - Owner n"ature pp ❑ Contractors Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ssttorii7es in height. ion of structures over 31/73/ Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP _ / I TYPE co T. PARCEL PD HD IS, --, This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. P DIRECTOVI BLIC WORKS By Date 9 PERMIT EXPIRES Date— cy',-Y � Receipt NO. � / // 3 / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT