HomeMy WebLinkAbout069-540-0181
I
I
69-54-18
-
ROBERT MUNDAY
29 Osborne Ct,lot 18, KR#8, Oroville
Contr: Sparks Const, Oroville
Permit#422=85P,E(Util, MH)
ELEC
G S L P6, �Y .�.5
COMPACTION TEST REQ 5 JA) -SSUPPORT
STRUCTURE REfLNQ
69-54-i8
Contr: R. Van Stavern, Paradise
Permit#494-85MHI
Issued
~ 69-54-18
Contr:- a Enterprises
Permit #1418=8' arage & eck/
p
�r:69-541-8Io .��p�CoRainesP25-86B(new
deck & cover/MH)
04-2810
069-540-018
MIJNDAY, ROBERT I"AL
29 OSBORNE C'T, ORO
CONT: SIERRA MHS
EX MH PERM FND
RECORDING REViUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
IIIlilllllllllilllllillllllllllill
20104-00636 1 7
Recorded
I REC FEE 10.00
Official Records
I CONFORM 1.00
CoBBUUTyEOf
!
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Alyce
12:52PN 15 -Oct -8004
I Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, "
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
ROBERT B. MUNDAY'AND MONA 0. MUNDAY
REAL PROPERTY OWNER/LESSOR
29 OSBORNE CT.
MAILING ADDRESS
OROVILLE
BUTTE CA. 95965
CITY
COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY
COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY
COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAI LNG ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
04-2810 530 538-7541
BUr[>C PQM IT N0. TELEPHONE NU BE
k—SO
IGNATURE OF LOCAL A CY OFFICIAL D
NONE i
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
SILVERCREST IND. INC 1985 WINFIELD 010
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
A/B/C3SC1383CA 64'X 247 24'X 12' 301119/20/21
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 069-540-018
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept.
09/'23/2004 16 : 2O FIDELITY T1TLE OROU I LLE > 5346709 NO.536 PO4
c
^•r
---' Ve No, 04-106614-8
Locate No, CAFNT0958-0958.0001-0000106614
LEGAL DESCRIMON
EXHIBIT **A6
THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE. UNINCORPORATED AREA, COUNTY OF BUTTE,
STATE OF AND I5 DESCRIBED AS FOLLOWS:
Lot 18, a5 shown on that certain map entitled, " KELLY RIDGE ESTATES UNIT NO, 8" which map was filed in
the office of the Recorder of the County of BuM, State of California, lune 26, 1981 in Book 80 of Maps, at
Page(s) 65, 86, and 8s.
Certificate of Correction recorded June 29, 1982, in Book 2734 of Official Records, at Page(s) 210, and
recorded May 6, 1982 in Bmk 2717, at Page(S) 402, records of Butte County, California,
APN: 069-540-018
CLTA PWIMI+aty RaPort Poet (WISS)
COPY of Document Recorded
15 -Oct -2004 2004-0063617
RECm'itDING REQUESTED BY: Has not been compared with
original
BUTTE COUNTY RECORDER
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION '
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
ROBERT B. MUNDAY AND MONA 0. MUNDAY
REAL PROPERTY OWNER/LESSOR
29 OSBORNE CT.
MAILING ADDRESS
OROVILLE BUTTE CA. 95965
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also Property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
04-2810 530 538-7541
3IGNATURE
I PF�'MIT N0. TELEPHONE NU BE
0
OF LOCAL A CY OFFICIAL D
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO
SILVERCREST IND. INC 1985 WINFIELD 010
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFJNUMBER
A/B/C3SC1383CA 64'X 247 24'X 12' 301119/20/21
SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
Q1Q'Q A TT A ruFT)
ASSESSOR'S PARCEL NUMBER 069-540-018
urn Pr)PM 41VA) RF.V. R/91
16:28 FIE -EL I TY TITLE OROt; ILLS 7 5346705 11"0. 536 904
f
---'
Title No. 04-106614.8
Locate No, IrAFNT0958-0958-0001-0000106614
LEGAL DEi GRIM N
EXHIBrVAa
THE LAND REFERRED TO HEREIN BELOW IS SITUATED Its THE UNINCORPORATED AREA, COUNTY OF BUTTE,
STATE OF AND IS DESCRIBED AS FOLLOWS:
Loft 18, aas shown on that certain map entitled, " FELLY RIDGE ESTATES U14IT NO, 8" which map was filed in
the office of the Recorder of the CauntV of Butte, State of CaBfornia, June 26, 1981 In Book 80 of Maps, at
Page(s) 85, 86, and 87.
Certificate of Correction recorded )une 29, 1982, in Book 2734 of Official Records, at Page(s) 210, and
recorded May 6, 1982 in took 2717, at Page(5) 402, records of Butte County, California.
APN: 069-540-018
CVA ftim!pary Report Form (I /9S)
BUILDING PERMIT NUMBER: 04-2810
Address or location of unit: 29 OSBORNE CT. OROVILLE, CA. 95965
Legal Description of Real Property: AP#: 069-540-018
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: ROBERT B. MUNDAY AND MONA 0. MUNDAY
Owner's address: 29 OSBORNE CT. OROVILLE, CA. 95965
INSIGNIA OR HUD NUMBER: 301119/20/21
SERIAL NUMBER OR V.I.N.: A/B/C3SC1383CA
MANUFACTURER'S NAME: SILVERCREST IND. INC. EAR: 1985
OFFICIAL APPROVING INSTALLATIO
DATE: 10111(lw
PHONE: (530) 538-7541
H.C.D. 513C
09/''4/ 2004 2;9:58 FIDELITY TITLE URDU I LLE
4 53407219
NO. 549 D02
STATE OF CAUFORNI& • SUSINESA TRANSPORTATION AND MOUBING AGENCY _
—�—" ' - ' • — `—...,.--- ARNOLD 8CN1AIA6tZENEGGEsi, Gaveefloe
DEPARTMENT OF HOUSING AND COMMUNITY OEVEL'OPMENT—
OMWW d Godwa and awndaeds
a
of w
Tittle Sea reb
Date Printed:
00/2412004
Decal #: LA05678
Use Code:
SPD
Manufacturer: 09861 SILVERCREST IND INC
Original [mice Code:
API:
Ttadenarne; ST1. ERCREST
Rating Year:
Model: WINFIELD 010
Tax Type:
LPT
Manufactured Daae: U2/0811985
Last ILT Amount:
Registration Exp:
Date ILT Fee Paid:
First Sold On: 03/08/)965
TLT Exemption:
NONE
Serial Number I MD Label / Inxignia.
Length Widtn
A3SC1383CA 30111.9
S4�
12'
B3SC 1383CA 301120
64'
12,
C3SC 1383CA 301121
741
IT
Revord .Cond.itions: PPF Exempt
Registered Owner:
ROBERT B mVNDAY
MONA 0 Mt7NDAY Trustees
29 OSBORNE CT
OROIALLE, CA 95965
)Gast Title .Date: 09/22/1991
Last Reg Curd: 05/22/1991
SAOTransaer Info: Price $53,744.00 Transferred on 03/4$/1985
Situs Address:
29 OS$ORNE "T
OROVILLE, CA 95965
Simb Caiuity; BUTTE
*� o END OF TITLE SEARCH( ss�
I
16:2-18 FIDELITY TITLE OROU 1 LLE 4 534070S
1
Oki �,j,N"L.
KlECDR0.jNC RCQVC5n0 11Y AND
MNkN RBCORD20 MAII, TCI!
Klr N&MeN'r to.,
MONA B, MUNDAY
29 Ulbwr+s Gfim
Cy , 01 CA 9S98b
9�'b1�5R
1i.
Vl-i�0 t Quo Vrao u0F.00
1 Cgacp
RORoreD®rd t
afflolbl R�oordo i
County of I
eue@r I
Cmndm¢o J. CrubCm
Rocarder I ya g
81081km A2 •dbn•l�i i
Ynr wu6hi Iq&I plilms Ilse9Ali:
Dmumsaw r e rja rail b Er yOkP.
t 1 tatlooitlstl at to tw of ad4yflMly NSWy6�l. o<'
L 1991%puW4 on wl two im i4w or Ila0 ad uo.•wnluancuc tumn:Alna at IWw of ask
ASN: 0)61-�"Md-a�8"oo0 Q41iCClA1Mt)il4iU ��•••
F
NO CON MERAMN
RQBERT d, pyUNDaT AND NONA 4). WNDAY
tcrcby nolAiaa, rvliLsi, Jflil i0f6VEt QbliCi alm IY
iROE RT 8, MWDAY and MONA U. $AVHDAY, Tnuwe of thr MUNDAY PAWl.Y'lltUV data
ALnja 1S, l9w
tiw k1 wlllo do�rtb,4 rod �roporsy !A Zhu
c olmy at Aetre __ �. _ , 64�10 v( 4alifdrni ___—:
THIS CQNYHYANCi vantifrra Cro wl In(Mest WO III& RrvacoWa 1""Id Trwl and is townpl
purauont to Revinut b 'Psuation Cato Seeltva 11911.
'sEu V"C(t1P9'ON A'I'l'AUHL•'tl AS L'> MBIT• "1' ANU MAJ)L A l'•gft'I' H4•ltEiUlt.
�09kR1' S • tR'1NDAY \r
10A Q. MUNUAY
�TAIT' OF ChOUdM & COUNrf Ui a %'—e —
bdom im, tto 4r*bv6Wru'J-
Nocaoq`YnW in oid /1a t 0,juid (tato. p•In:mly' aul+rJarPf
zy
NA la Int Ia w to Famm Whew r4ft 4 ito wjW r a a It1r
�Id1N lfo',0101, al oelotu"%1 1 I1611 du•r \kIll"I ll�• 4tN iFA:
wCrms my haw Imo otAtlll seal,
Slgiw,we
s � �
'moi •� ",M �'-• 1F....<
Dosoripti tta,CB occumant-Year.DcOlD 2991.2555 Page: % Of 2
order: greaA Commmnt,
NO.536 002
STATE OF CALIFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPh4ENT '►.
DIVISION OF CODES AND STANDARDS
REGISTRATION AND TITLING PROGRAM
STATEMENT' OF FACTS
This unit ii a: 0 Mobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper
Decal (Lice-nse) No.(s) Trade Name Serial No.(s)
S/1.vr• K CRt-ST /I Sc l3�3LA
,cAG S6?8 63SG
e3Sc /3.f3 CA
I/We, the undersigned, hereby state:
I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State
of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
I/We certify under penalty of perjure that the foregoing is true and correct.
Executed on y X`/ o`/ at
(Date) (City) (State)
Signature(s)
Address
City
P( r) 4766 (REV 9/91)
Printed name(s)
A/_0
State e;"_
-4
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.neAdds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect. A
License Class: License umber:
Date: .36 lI `/Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
O 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.
O 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Lebor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carderandpolicy number are:
Carrier:
PERMIT NO.
BP042810
Issued Date: 09/30/2004 APN: 069-540-018-000
Site Address: 29 OSBORNE CT ORO
Map Index:
Description: EX MH ON PERM FND
Owner: MUNDAY (DEC -D) FAMILY TRUST
C/O SANDERS LUELLA TRUSTEE
2950 FEATHER RIVER BLVD
OROVILLE, CA 95965-9643
Applicant: SIERRA MOBILE SERVICE
BILL REID
466 CIRCLE DRIVE
OROVILLE, CA 95966
530-534-0599
Contractor:' SIERRA MOBILE SERVICE
BILL REID
466 CIRCLE DRIVE
OROVILLE, CA 95966
530-534-0599
License #: 470386
Architect:
Engineer:
Policy
Ji2S� Total Square Ft:
#:
Valuation:
O 1 certify that in the performance of the work for which this permit is Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' a)mpensation 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 provisiois. !
Date:
0 S. F.
$0.00
Applicant:
WARNING: Failure to secure workers compensation coverage is
unlawful, and shall subject an employer tb criminal penalties and one
hundred thousand dollars ($100,000), %11 addition to the cost of
compensation, damages as provided for hi Section 3706' of the Labor
code, interest, and attorney's fees.
V01C ! z ��IS AGI• qd
CONSTRUCTION LENDINX, AGENCY This permit Is hereby Issued under the applicable provisions of the Butte County Coda and/or
I hereby affirm that there is a construction lerffing agency for the Resolutio �s to dork indica? for which fees have been paid.
performance of the work for which this permit Is Issued (Sec 3097 Civ.)
Name: By: o Date: Ci
PERMIT EXPIRES ON: r W'a 5
Address: (Date)
❑ 1 hereby certify that the use of this facililyshall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section'l9827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P'A. notification forms.
I hereby certify that I have read this applicatitm. that the above information is correct, and that I am the owner or the duty authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of utte County to enter upon the above mentioned property for inspection purposes. ///� /
Print Name: ( 6) _ Signature: �d/�lr �� 1(e,
Date:
❑ Owner
Id -contractor
O Agent for Owner
❑ Agent for Contractor
PERMITS BECOME NULL AND VOIOH YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP042810
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 09/30/2004 APN: 069-540-018-000
the Business and Professions Code, and my license is in full force and
effect. --ZI
License Class: License %�rl G
Site Address: 29 OSBORNE CT ORO
umber:
Date: 3e d `Contractor: 2c,
Map Index:
Description: EX MH ON PERM FND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: MUNDAY (DECD) FAMILY TRUST
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 pursuant to the provisions of
C/O SANDERS LUELLA TRUSTEE
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
2950 FEATHER RIVER BLVD
she is exempt therefrom and the basis for the alleged exemption. Any
OROVILLE, CA 95965-9643
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: SIERRA MOBILE SERVICE
pe.
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
BILL REID
provided that such improvements are not intended or offered for
466 CIRCLE DRIVE
sale. If however, the building or improvements are sold within one
OROVILLE, CA 95966
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
530-534-0599
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: SIERRA MOBILE SERVICE
pursuant to the Contractors' State License Law.).
BILL REID
466 CIRCLE DRIVE
❑ 1 am Exempt under Article 3 of the Business and Professions Code
OROVILLE, CA 95966
Date: Owner:
530-534-0599
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 470386
❑ 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.
Architect: F
❑ I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F. `.
X2.517
Policy #:
Valuation: $0.00
❑ 1 certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
'
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code. andlor
I hereby affirm that there is a construction lending agency for the
Resolutio s to indicate o for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.),.
doork
?o
Name:
By: ?n /� Date: V
Address:
PERMIT EXPIRES ON:
(Dale)
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby
authorize representatives of utte County to enter upon the above mentioned property for inspection purposes.
Print Name: rF Signature:
Date: �G `
❑ Owner Contractor ❑ Agent for Owner 0 Agent for Contractor
o�UTrFo BUTTE COUNTY
1 DEPARTMENT OF DEVELOPMENT SERVICES
° ° BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
' = ° 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
O-�_-=� p
OFFICE #: (530) 538-7541
(O(f NA A FEE WILL BEREQ UIRED AT TIME OF APPLICATION
**PLEASE PRINT CLEARLY**
APPLICANT SIGNATURE
X 4/l/ ,
For office use only:
OWNER
Last Name
M v N H Y
11- ,
First Name
/Qod E�2 i /tile N,q
Address
City D Qovt�� r.
State u`
StaleC/
Zip 9.ri6s
Phone
Fax
Fax
E-mail
Lic. # y7f�
APPLICANT SIGNATURE
X 4/l/ ,
For office use only:
CONTRACTOR
Name
11- ,
Address
n
City
Cc�C'e
State u`
Zip 9SfE�
Phone
5-7 y 96_9 F
Fax
E-mail
Planner
Lic. # y7f�
Class
APPLICANT SIGNATURE
X 4/l/ ,
For office use only:
ARCHITECT/ENGINEER
Name
11- ,
Address
n
City
C"Id-ee
State
Zip
Phone
S-3 q OS -6 6
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
X 4/l/ ,
For office use only:
APPLICANT NAME
Name
11- ,
Address
n
City
C"Id-ee
State
Zp f -'r
Phone
S-3 q OS -6 6
Fax
E-mail
Planner
APPLICANT SIGNATURE
X 4/l/ ,
For office use only:
Zoning
Property Address
,Z ? O Sdo N+' C' i
Flood Zone
Cross Street
SRA
Yes
= No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAI Rt=nl ltRt=nnrnlTc
PERMIT
NO.
BPCltgYIC)
BIN p
LOCATION
AP#
Property Address
,Z ? O Sdo N+' C' i
City
0 ✓«i -E
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):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and.fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received byUW Amount J i 9. t?v Bldg
SRA
Receipt #: 4],)S'qr Sheriff
Date:q/P_V/40�
SMIP
Other
;W. - G o Total
COUNTYjOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
r 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET (�
OWNEIV ASSESSOR PARCEL NUMBER ,)l// 0 I
Proposed Building Use: l C 6�1 r/ Counter Technician Date:
Items required in order to apply for a permit. Ajl boxes MU$T be checked OR marked m order to apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans. azu-(.�
T_ � 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 2� l
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 2� -
8. Manufactured homes: (A) Data sheets and installation inst. (Bl ��nfn ern ElQQL2agafnd plans, ;all
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ 20. Erosion Control Plan Required........................................................................ ........
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
❑ 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept/ : ........................
28. Pre -Inspection for T�ae"7"/required....... a.27. o4-
0 29. Contractor's license information. (Number, Name Style, . lassification)...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization ..................................... .:........
.....................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ '35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
.,r 37. jGrant Deed, C IT H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone C -R4-rn and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: X"// Date: 712 ��/ 0,
1. Index permit application f r the_ above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner was advised of thepi�pv d to by phone, C1mail, ❑ counter by Date:
Plans reviewed by: Date: Plans approved by: Date
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
r . n Yellow: Building Division
i
OWNER: 1 ►' LW,
PRE -INSPECTION REPORT
oa —
A.P. nr�-�Q-ad"
DATE TO INSPECTOR
PERMIT HISTORY ( ) NONE (
M tit 9
BUILDING INSPECTOR'S REPORT
Building Description:
Commercial/Usage:
Residential # of Units: _ Mobile home # of Units:
Currently Occupied () Yes () No
Abandoned/Vacant: ,Q
-Electric:
Electric Currently () On ( ) Off
Condition of Electric
Gas:
Currently () On ( ) Off
Condition
Sanitation:
Plumbing Worldng () Yes ( ) No
Obvious Sewage Problems ( ) Yes ( ) No
ACTION RECOMMENDED: ISSUE O Yes ( ) No
Hold for permits or verify: - ✓`��/
Inspector:
Date: 2
nT7'rnm!" YT 7lTTTT T%T7kTrN0 fNAT T)VAFPRCF ANTI T*NTnTf-1 A rP-V T nrA'TTnIV !1N 137Dn-V DrrV-
--- ' - _ - 69-54-18
ROBERT, MUNDAY
29 Osborne Ct,lot 18, KR#8, Oroville
Contr: Sparks Const, Oroville, A 3 s,0
Permit#422=85P,E(Util, MH)
ELEC -� *ZP
GAS 1, P&
COMPACTION TEST REQ zS
SUPPORT STRUCTURE R /V®
69-54-id
Contr: R. Van Stavern, Paradise
Permit#494-85MHI
Issued
69-54-18
Contr: a _ Enterprises_
Permit #1418-8 arage eck/Mfh
Y Y 69-54-18
Contr,,���r1 Raines
P ---.#125-86B(new deck & cover/MH)
a
j
s
I
I
a -
n
/o oXj T r BUTTE COUNTY
°
° DEPARTMENT OF DEVELOPMENT SERVICES
° BUILDING PERMIT APPLICATION
o AND SUBMITTAL REQUIREMENTS
0 24 HO INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
°
° OFFICE #: (530) 538-7541
cO (� N'�y ---4 FEE WILL BE REQ UI.RED AT TIME OF APPLICATION
**PLEASE PRINT CLEARLY**
APPLICANT SIG" __ ATURE —7
X
For office use o• Y
Zoning
Occ.
Subdivision Name
Planner
OWNER
Last Name MU N i7 H Y
SRA
First Name d
1pv6E�T / lke�A
Address
C
City 0 Izo v t 1,1- _
Stag
Stab Cly
p t
Phone
Fax
Fax
E-mail
Lic. ;—
APPLICANT SIG" __ ATURE —7
X
For office use o• Y
Zoning
Occ.
Subdivision Name
Planner
CONTRACT—OR
Name
SRA
Address
No
City
e Const.
Stag
Zip 9Sf'E
Phone Shy
pS9 9
Fax
E-mail
Lic. ;—
APPLICANT SIG" __ ATURE —7
X
For office use o• Y
Zoning
Occ.
Subdivision Name
Planner
ARCHITECT/ENS= JNEER ;
Name
SRA
Address
No
City
e Const.
Stat-
Zp
Phone
Lot #
Fax
Stale License Number
E-mail
APPLICANT SIG" __ ATURE —7
X
For office use o• Y
Zoning
Occ.
Subdivision Name
Planner
OVER FO
FA� SUBMITTAI R
(ll IIRP:MGKt-rc
PEI
NO
BPI
BIN
LOCATION
AP# ---------------------
6.117 .S -Vo of
Property Address
.2% OSdo�N C� CityOc
Cross Street
WORKER'S COMPENSATION
Policy Number
Y), -S- 7
Carrier
If hiring anyone other than license contractors, a certificate of
compensation must be shown at the time of permit issuance.
Name LENDING AGEMCY
Address
Description or Scope of Work:
94-
r
Sq. Footage
iE
Structure Built with out Permits
Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION `3
Applications for which a permit has not been issued will e:
year after the date of application. In order to renew acti
application after expiration, a new application_, plans and fe
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the.pe
paid the fee. The request must be made prio-x to the expirati
permit and no construction work has .been "done. Filing f
check fees for work plan checked and other 't epartmenf cos
refundable.
Received
r - r
1,
Amount
}
Receipt #: _1r1 f )5 ! j
Date:q/,W/40�
F7Map
SRA
Yes
No
e Const.
imok
Lot #
Da— —.-_fie ApprovedPage
:
OVER FO
FA� SUBMITTAI R
(ll IIRP:MGKt-rc
PEI
NO
BPI
BIN
LOCATION
AP# ---------------------
6.117 .S -Vo of
Property Address
.2% OSdo�N C� CityOc
Cross Street
WORKER'S COMPENSATION
Policy Number
Y), -S- 7
Carrier
If hiring anyone other than license contractors, a certificate of
compensation must be shown at the time of permit issuance.
Name LENDING AGEMCY
Address
Description or Scope of Work:
94-
r
Sq. Footage
iE
Structure Built with out Permits
Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION `3
Applications for which a permit has not been issued will e:
year after the date of application. In order to renew acti
application after expiration, a new application_, plans and fe
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the.pe
paid the fee. The request must be made prio-x to the expirati
permit and no construction work has .been "done. Filing f
check fees for work plan checked and other 't epartmenf cos
refundable.
Received
r - r
1,
Amount
}
Receipt #: _1r1 f )5 ! j
Date:q/,W/40�
Building Permit Number:
Owner Name:
Residential Construction Requirements
DI-PORTANT-
This
IPORTANT-
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
,All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 2001 California Building Code
(2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California
Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical,
" H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
�1
Page 2of 2
Building Permit Number: Q '� — Z 8l a
Owner Name: NA*t6L,0'`7
V
Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
IMFire sprinklers are required in this structure.
. The following parcel map requirements shall be met:
All structures and equipment including overhangs shall be clear of all easements.
A setback ofOl 011emet from the side ander eet from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
E Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
K
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
` = 7 County Center Drive, Oroville,.CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name - K�L-uX �,=0. m ��� YVl
3. Is the site currently under permit? Yes / No
(If yes, furnish permit number OR
0
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 field® and
clear of all setbacks and easements? Yes / No
APP -M01 �ED
91
( If no, clarify
)
S.
What
is the mobilehome electrical rating?- -----------------------
Amps
6.
What
is the mobilehomd'site service
rating? --------------------
Amps
7..
What
is the mobilehome site circuit
breaker rating? ------
------- �'a
Amps
S.
Is there any other electric load,, to
be served by the mobilehome
siteservice?
---------------------------------------------------
Yes No
(If yes, identify the load and
size:
(Load)
(Amps)
3/4611(in.)
9.
What
is the mobilehome site gas pipe size? ----------------------
10.
What
is the type of gas service? -----------------------------
Natural —7-7 LPG
T:7
11.
What
is the gas pipe length from meter or tank to the
mobilehome?
12.
What
is the mobilehome gas demand?
=----------
(BT(J
(This information not required
if pipe length less than 6 ft. on natural_gas
or less than 50 ft. on LPG.)
q 9 4 — 8
BUTTE COUNTY
BUILDING DEPARTME i"
APP -M01 �ED
91
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. a-�����o furnish Setup Model No. O f f Year 19 JPS-
;lidth_(ft.) Box Length (0-f-__2_(ft.) Tagalong or Expando Size tO ft. x
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturers installation
manual and structural setup sheets (,if-ne on file with the County of Butte).
<;�14X
All center supports measured from of
mobilehome unless otherwise specified.
Footinas (check one)
(ft.)(in.)
nter support
locations*
l b r 0`
(ft.)(in.)
r rr
(ft.)(in.)
(ft.)(in.)
;br i11
tZ x30
(in.) (in.)
Center support
footing sizes
(in.)
(in.) (in.)
30
(in.) (in.)
(in.) (in.)
Single Wood either
pressure treated oz
foundation grade.
'-tjLLx20j Typical Support
(in.) (in.) Footing Size
$`
0`1 -- Max. Pier Spacing
(ft.)(in.)
-- Max. Overhang
z � .
(ft.)(in.)
NIZE: Suf1h4tS REt U1fzC4:>
/ 8 r a C, EAC --14 S I NZ 4 L C.
CaPkat"&S Ov e/l. �b
:f center piers are other than drawn above,
2. Others (specify)
d 3'y " r�x3D
Supports.(check one)
ITL Concrete block.
.2. Other (specify)
r,;LX 3o
4—Tagalong or Expando,'
/.� X30
show support details.
'-tjLLx20j Typical Support
(in.) (in.) Footing Size
$`
0`1 -- Max. Pier Spacing
(ft.)(in.)
-- Max. Overhang
z � .
(ft.)(in.)
NIZE: Suf1h4tS REt U1fzC4:>
/ 8 r a C, EAC --14 S I NZ 4 L C.
CaPkat"&S Ov e/l. �b
:f center piers are other than drawn above,
Vector Dynamics
Foundation System
INSTALLATION INSTRUCTIONS
for the State of California
Version 9/2/2003
INDEX
Approval
PAGE
RELEASE
SECTION
NUMBER
DATE
MANUFACTURED HOME/MOBILE HOMI;
FOUNDATION SYSTEM
HEALTH AND SAFETY CODE, SECTION 18551
APPROVED
INTRODUCTION
2
9/2/03
SUBJECT TO CORRECTIONS NOTED
GENERAL INSTALLATION
3
9/2/03
ROVAL DOES NOT AUTHORIZE OR APPROVE ANY
PARTS LIST
4 & 5
9/2/03
MISSIONS OR DEVIATION FROM REQUIREMENTS OF
LONGITUDINAL DEVICES
6
9/2/03
APPLICABLE STATE LAWS AND REGULATIONS
Ste. ofCalifomia
PIER HEIGHTS
7
9/2/03
t o'0in anaCommwlcynevotoymoot
SET-UP INSTRUCTIONS
8
9/2/03
N DES AND STANDARDS
DATE
(tigoaUue)
SPA
FOOTER SIZES
This AP''' alEv"0S
WIND ZONE I - SINGLE
9
9/2/03
�'��DOUBLE �
10
9003
-TRIPLE
11
9/2/03`.
- HIGH PIER
12
9/2/03
WIND ZONE II - SINGLE
13
9/2/03
�oQROFESS/
Ongl
M.
- DOUBLE
14
9/2/03
�Q,���E
- TRIPLE
15
9/2/03
No. 6 245
/a4-
P. IO
V -DRIVE & PIER SYSTEMS
16
9/2/03
C10 -
�T� OF CW\FO \P
SOIL CLASSIFICATION
17
9/2/03
CONCRETE INSTALLATION
18 & 19
9/2/03
COMPONENT PARTS AVAILABLE UPON REQUEST &M -E C®UNPt
OttJILDING DEPARTME*
4kpp0V':
00
Tie Down Engineering, Inc.
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
Introduction
These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer
to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun-
dation system.
General
The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning
movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a
specified wind zone when the system is used as described in these instructions. Please verify state or local wind
load requirements prior to installation of the home.
The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the
two longitudinal main rails. The system is approved to be used on single or multi section homes:
Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater
on center; multi section main rail spacing of 75 inches or greater on center.
Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less.
Maximum roof slope of 20 degrees (4.4" in 12" slope).
Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II
Maximum pier height under main rails -see page 7.
The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con-
sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area.
To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other
widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down
Engineering, Inc. at 1-800-241-1806.
The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500
feet of the coastline.
Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer.
These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates.
C:<' ` r� c
Page 2 California 9/2/0
GENERAL INSTALLATION INSTRUCTIONS
SITE PREPARATION
It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or
flowing beneath the home.
FOOTINGS AND FROST LINES
The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured
concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see
pages 20 & 21) to comply with local requirements for footer depth.
FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS
Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square
feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the
home. For pier locations in between the Vector Systems, use the normal foundation pads.
LUMBER/MOISTURE -TERMITE SHIELD
To cut PVC or lumber (2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the
center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis-
tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16".
ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED.
Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the
same, the pre-cut boards will also be the same length in each Vector set-up.
STRAP INSTALLATION
All frame ties and diagonal straps must go from the anchor to
the top of the I -Beam. See illustration below.
1. Attach frame hook to top inboard
location of "I" beam. (Frame hook must be
attached to frame at points closest to floor support.)
2. Keeping in line with the hook, wrap galvanized
strap completely around "I" beam.
3. Pull strap past anchor head approximately ten inches
before cutting to allow enough strap to give a minimum
of five turns around the slotted anchor bolt.
4. Thread loose end through slotted bolt so that the strap is
flush with the other side of the bolt.
5. Tighten slotted tensioning bolt a minimum of five full turns.
Page 3 California 411-9/2/03
C
V
Longitudinal Stabilizer Devices
The use of LSD systems on a single or multi section home replaces longitudinal anchors,
stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector
Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The
number of LSD required is shown on pages 10-13.
LSD
1. Longitudinal Foundation Pad
2. Beam Clamp (2 per system)
3. Longitudinal 5trut (2 per system)
4. Tie Bracket (2 per system)
Combine Vector Dynamics
& LSD
Note: Two struts =1 L.S.D. system.
Can be used on one pad or slipt on
opposite ends of the home.
Examples of Po55ible Placement:
(Contact TIE DOWN for placment in other Wind Zones)
Wind Zone
I
Single Section
i
I
I�
I I
I I
I I
I I
I I
I I
I I
I I
I I
I
I
I
Wind Zone
I
Double 5ection
18 Ft. Max. 32 Ft. Max.
Forgreater widths use
triple 5ection design.
Page 6
Wind Zone
I
Triple Section
UL;
Wind Zone
I
Tag 5ection
48 Ft. Max.
California
IV" c .
9/2/03
50 in
max.
Maximum Pier Height
Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier
heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or
both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height
exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used
at each Vector System location with pier heights above 46" with the following exception: double section homes
that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for
double section home high pier set instructions.
50 it
max.
Unequal Pier Heights
Homes with unequal pier heights are limited to 50" maximum pier height.
and the shorter pier cannot exceed 26".
Page 7
Maximum
The difference between the taller pier
M
California 9/2/03
U
Set -Up Instructions for
Vector System #59018
Long U -Bolts
1. Set Vector Pads
Clear all vegatation where pads will rest. Place
a long U -bolt in pad as shown. Press or ham-
mer pad into the ground.
2. Set Block or piers on pads.
Center foundation blocks or piers on pads. Place
pre-cut center compression member between
blocks, resting on pads, centers between U -bolts
as shown.
3. Outside Tension Bracket
Attach outside tension bracket as shown to out-
side of pads.
Page 8
4. Inside brackets & straps
Attach the inside tie brackets to the U -bolts over
the compresion member. Attach a strap w/hook
or swivel strap w/nut & bolt. Place other end of
the strap over opposite I-beam & down to out-
side tension bracket. Cut strap 12 - 15 inches
past bracket. Attach strap & slotted bolt in
bracket. Tighten strap until tight with 4-5 wraps
around bolt. Repeat with opposite strap.
Califor 9/2/03
D
4. Inside brackets & straps
Attach the inside tie brackets to the U -bolts over
the compresion member. Attach a strap w/hook
or swivel strap w/nut & bolt. Place other end of
the strap over opposite I-beam & down to out-
side tension bracket. Cut strap 12 - 15 inches
past bracket. Attach strap & slotted bolt in
bracket. Tighten strap until tight with 4-5 wraps
around bolt. Repeat with opposite strap.
Califor 9/2/03
C-)
0
WV
WIND ZONE 1, SEISMIC ZONE 4
Vector Systems
Required
Anchors Required
Per Side
L.S.D. '
0 to 40'.
2
0
2
Vector Dynamics Systems Required for
3
0
3
Double Section Homes
4
0
4
(Materials Required)
5
0
4
s e�t�o'
double
01
`
T
w s,
NOTE: Vector Systems should b
symmetrically as possible alon
home. Pier spacing must be cc
manufacturers' instructions ani
No anchors required. For
pier heights. up to 46" for
28'-36' wide,
38" for 24' wide.
See Pg 12 for high pier
instructions.
WIND ZONE I
2 sq. ft. pad
Soil Classifications: 2, 3, 4A, & 4B
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required*'-' ('Marriage wall anchors may be required by home manufacturer)
Home Length
Vector Systems
Required
Anchors Required
Per Side
L.S.D. '
0 to 40'.
2
0
2
41' to 66'
3
0
3
67' to 84'
4
0
4
85' to 90'
5
0
4
Each Vector System requires one of the following:
1-4x4 or 2-2x4's pressure treated wood compression member,
Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list)
Note: L.S.D.=
Longitudinal
Stabilization
Device
See Page 6.
0
tc
i
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as
described in the table below:
SOIL CLASSIFICATIONS
Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1)
D2586) Torque Value (2)
1 Sound hard rock...... NA NA
Very dense and/or 40 -up More than 550 lbs - in.
cemented sands, coarse
2 gravel and cobbles,
preloaded silts, clays,
and corals
Medium -dense coarse 24-39 350-549 lbs - in.
3 sands, sandy gravels, very
stiff silts and clays
4A Loose to medium dense 14-23 275-349 lbs - in.
sands, firm to stiff clays
4B and silts, alluvian fill 175-275 lbs - in
Peat, organic silts, 0-44 175 lbs - in.
5 inundated silts, loose fine and lower
sand, alluvium, loess,
varied clays, fill, fly ash.
(1) The purpose of the soil test probe is to gauge the strength of the soil below the surface
and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration
(flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The
overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.;
the pitch is 1.75 in. The shaft must be of suitable length for anchor depth.
(2) A measure synonymous with moment of a force when distributed around the shaft of the
test probe.
Vector Foundation Pads Equivalent to Footer Pads*
Footer Size: Footer Size: _
16x16 = 256 sq. in. - - 20x20 = 400 sq. in.or 16x18 = 288 sq. in. _ - or 17x25=425 sq. in. - - -
EQUALS - EQUALS
2 -Vector Pads # 59275 - 1 -Vector Pad # 59271
288 sq. in, or 432 sq. in.
1 Vector Pad # 59130
Vector Pad(s) exceed the surface area required when used as the equivalefisteove.
'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Eh site
conditons
Page 17 California 3
'4
s
PERMIT NO. 85P,E(IM
PERMIT EXPIRES
OWNER ROBERT MUNDAY
CONTR. Sparks Construction
ASSESSOR PARCEL 69-54-18
LOCATION 29 Osborne Ctjot 18, KR#8, Oroville
OFFICE COPY
Address
t0
i GAS 61 pate .
i Ee�EGT RSG
tef
Meter By
i
{
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (D J
Signat
"
J = OK
0 = Not OK ,
Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK exce t#'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.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.Water
Pipe; Test-Anchors-Regulator-Seryice 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
Date Card -BI Date
FINAL (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
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.
21.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. &Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E) Yes
25.
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 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.
79.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B I
Date Card BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B-1 Date Card -BI Date
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.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except N's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._
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:Anentrymust be made each time youvisit jobsite)
0 _ OK I — . , _.
0 = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date MOBI HOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
ng Requirements—Setbacks—Easeme
1. Zoning Requirements—Setbacks—.Easements
oil pecial MH Support. -Sketch
2. Footings; Size—Depth—Spacing—Connectors
3 ew , Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4, a , Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / AmR:�2oncretq
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; ocation—Test—Wrap:/ /"L"ft./ /"Nat. or /"L"ft./ "LPG
6. Carports; Windows—Doors
7, tility Clearance
7. Elec.
Card -BI Date )— and -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Date MOBIL ME INSTALLATION (PlaX OK except N's
V'foning Requirements—Setbacks—Easements
Date
POOLS (Plans) OK except #'s
1. Setbacks—Easements
0o ings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
&-16as; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
ectricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
rain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
E>Nrater; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
ater.,and Sewer Connected—C/0-to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
as a d Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
N26 • nsp.—Sketch
1 art. of Occupancy
g. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
C B -I to .-- and -BI Date
Card -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card -BI
Date Card -BI Date
� 3 S 3 A -p °`C__
:51 &191
3o1�i9
-3 4,X
�DX31
COUNTY OF BUTTE 1.
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIV&
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the =ement.s
of the California Administrative Code, Title 25, Chapter 5, permit
number 'V!r—for the following location:
;zq
Owner. P11-4 4 !-f "i,
0 w n e r's 'A d d r e s s
Mobilehome Mfg;�, Z 4 Model Year
Ins,ignia No. 2— -4 1, -0- Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date — 37— 1, - F.5 -
By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
COUNTY OF BUTTE - DEPARTMENT OP PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0. j
ASSESSO PARCEL NUMBE
5^�)
ZO
'414_ 1
BUILDING PERMIT
OWNER b
er V
TELEPHONE
SO. FT. OCC. TI
BUILDING VALUAON
OWNER'S MAILINa AD RE
On h or C;— r D V P
CONT CTO 'S N ME^N ��
J
A Ll VA A
TEL PHONE
CON RACTO M IL G ADDRESS
he3 _CL
IC f2
Fireplace
CONST CTION LENDER
10 P1 0-
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDE 'S MAILING ADDRESS
Permit Fee
$
ARCHIT C,T OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ JS-,
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
N
Water piping
5.00
LOT NO. SU15DI VISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeX Other
TT`` SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition Remo I ❑ Utilities ❑ Installationl 0th r ❑
Describe work: I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.g
OR ADDNS. L ACC. BLDGS.
2/2 P.sq ft
CONTRACTORS LICENSE LAW
I de la nder 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 orc and effect.
License No. 3`I(IF? 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. ULTI.OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS .&)
NON-RESID. SINGLE OUTLET CIR.
EX. OUTLETS OR FIXTURES 200®30
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Vhave 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, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Y`� Date - ` z �O ` d�
Signature of Applicant — Owner❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures cver 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ,
OCCUP. GROUP
I TYPE OF CONST.
ARCEL
PD D
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE=Date
/
By.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
II
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califordia 95965 - Telephone 916/534-4541
APPLICATION WAND PERMIT
PERMIT NO.
ASSES $O PARCELM1 NUMBER
ZONING
...
BUILDING PERMIT
OW
OW ER IlIl
D/r
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
OyVN R'SM ICL'ING ADDRESS r &0X&Ile
C4 ? S'�
C N RA OR'S NAME
1 % S%Z S' --PAL S .O
TELEPHONE
6_5� -A':) 7
COPTRACT'S MAILING ADDRE S
lVV11 0 a t I1� (4 9S A�
Fireplace
CON TRUCTION LENDER -
UNKNOWN
Total Valuation $
Filing Fee
$��
LEND R'S MAILING ADDRESS
Permit Fee
$
ARC, ITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARC TECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILIDING ADDR s
S O /)E �i Up—r
PLUMBING PERMITg
Filin Fee 10.00
Each Trap
2.00
I�&V �I e 1A 95T9,
Solar Water Heater
20.00
Water piping
5.00
LOT NO,
SUBDIVISION NAME PARCEL MAP
�F)/, (� C--09lgs-
Each qas water heater or vent
5.00
Gas piping system 1 -5 outlets
5.00
USE OP STRUCTURE
SF ❑ Duplex❑ Mobilehomeffl"�'Other
SPECIFY
Building sewer
5.00
Mobile Home
10-00ei 90.0
TYPE OF WORK�—,/
New ❑ Addition ❑ Remodel ❑ Utilities Installation[] Other ❑
Describe work:
Permit Fee
$ Q 1
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
00
10.010
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2/20Sgft
CONTRACTORS LICENSE LAW
1 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 fulforce and effect.
License No. 75J19// 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 ULTI-OUTLET 2,50 ea
NON -REBID BRANCH CIRC ITS.
NEW CONSTR. ( POWER APPARATUS &'1
NON-RESID. SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES a� ®ao
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 3
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.
In 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, gopts, and expenses which may in any way accrue
n 'd Count in c n e of the granting of this permit.
X Date ?' i5
Sign ure of pplicant — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion Of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST,
J,[PAPJ
D HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF
By.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
LIC WORKS
Date
,
1.,
Receipt No. `I
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Telephone
533-2000
North Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965
DISTRICT APPROVAL AND 6-85
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:
Applicant Address:
ROBERT B. MUNDAY (Doyle Carter)
2124 - 166th Place N.•E. Bellevue, Wash. 98008
Applicant Phone No.: 206-747-5782
Property Location (s): 29 Osborne Court, Or.oville
Kelly Ridge ;Estates, Unit 8, Lot X¢ .18
A. P. No. (s): 69-54-18
Fees Paid: ALL FEES PAID
Application for service
February 11, 1985
Public Utility District
Inspection(s) made and successful test(s) observed: `
Location: Date:
'E
By:
North Burbank Public Utility District release to close permit:
Date: By:
11
Return to DPW
.15— 456
NOT COMPARED Will AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT i§1y.., �=AMW;
ORIGINAL DOCUMENT FOR RESIDENTIAL DEVELOPMENT :tK^'+ 1�•Et�t"} Ni 1
-o t
Section 26-8.1 of the Butte County Code requires this acknowledgemen �'4J i I p 9�
be recorded prior to issuance of a building permit..
The property described herein is adjacent to land or included FEE
within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort arising
from the use of agricultural chemicals, including, but not limited to herbicides,
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 18, as shown on that certain map entitled, " KELLY RIDGE ESTATES UNIT NO.8",
which map was filed in the office of the Recorder of the County of Butte, State
of California, June 26, 1981 in Book 80 of Maps, at pages 85, 86 and 87.
Subject to all easements,,.krights of way and restrictions of record..
Dat e D S
State of California )
SS.
County of Butte )
T/ -;5
C,-iL•C-CAL{FCRi•:iA
utte Ccunt•,r
.?�
'�? a �y Commie ion txpir2; liorch 2,. lq,-. y
PROPERTY OWNERS: �J
/
L
On this the 30th day of January
before me, the undersigned Notary Public,
appeared
, 19 85 ,
personally
***Robert B. Munday, proved to me on the basis of
satisfactory evidence***
kNWMx%4xf14 to be the person(s) whose name(s) is
subscribed to the within instrument and acknowledged
that he executed the same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal. ,
Notary Public
Present A.P Drivc. Orovil!e CA. 95955
N0. 9 — J �1— c� 5?.53 Ro r `
^,b�
sI
A
..
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS`
7 County Center Drive, Oroville,- CA. .
PHONE: 534-4541
1. Owner's name:
2. Installer's na
MOBILEHOME INSTALLATION SHEET
(If yes, identify the load and size: (Load) ~-- (Amps)
9. What is the mobilehome site gas pipe size? -------- -------------- 31
10. What is the type of gas service?'-'--=---------- ------ Natural 7% LPG
11. What is the gas pipe length from meter or tank to the mobilehome? `�.s (ft.)
12. What is the mobilehome gas demand? ------------------------------ (BTU)..
(This information not required if pipe length less than 6 ft. on natural as
or less than 50 ft. on LPG.) 14944-8
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
�i
3.
Is the site currently under permit?
Yes
/ ±
No
•
(If yes, furnish permit number
�-�-
'
) OR
s
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
field® and
clear of all setbacks and easements?
Yes
/ `-f—
No
( If no, clarify
)
5.
What is the mobilehome electrical rating?- -----------------------
o.�
Amps
6.
What is the mobilehomesite service
rat in g.
---------------------
��
Amp s.
7..
What is the mobilehome site circuit
breaker
rating?
-------------
Amps
8.
Is there any other electric load; to.be'served
by the
mobilehome
siteservice) ---------------------------------------------------
Yes
No s_._c'
(If yes, identify the load and size: (Load) ~-- (Amps)
9. What is the mobilehome site gas pipe size? -------- -------------- 31
10. What is the type of gas service?'-'--=---------- ------ Natural 7% LPG
11. What is the gas pipe length from meter or tank to the mobilehome? `�.s (ft.)
12. What is the mobilehome gas demand? ------------------------------ (BTU)..
(This information not required if pipe length less than 6 ft. on natural as
or less than 50 ft. on LPG.) 14944-8
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
�i
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. e2�cX�tclir�/zp furnish Setup Model No. << Year i ky3--
j4idth —(ft.) Box Length (off (ft.) Tagalong or Expando Size�ft. x�ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1923; furnish manufacturer's installation
manual and structural setup sheets •--ne on file with the County of Butte).
All center supports measured from of
mobilehome unless otherwise specified. .,
Footings (check one)
Single ' •' ,
Wood either
*If center piers are other than drawn above,
draw in -locations, spacing, and dimensions.
pressure treated or
foundation grade.
(ft.)(in.)
(in.) (in.)
�' I# P3K30 El 2. Other; (specify)
Center support
locations*
Center support
footing sizes
� 3 y �e�X��
'
Supports.(check one)
(in.)
�L Concrete block.
�b r iib
x 3p
.2. Other. (specify)
(ft.)(in.)
"(in.) (in.)
4—Tagalong or Expands,
3y'$"' /.;x30
show support details.
(in.) (in.)
6(in.
°
--
Typical Support
in.)
Footing Size
7 •
\ , �x �
(ft.)(in.)
(in.) (in.)
Max. Pier Spacing
,
(ft.)(in.)
1/0
�,x
--
Max. Overhang
(ft.)
(in.)
(in.)
(in.)
(ft.)(in..)
0q' o''3®
/b' o,V W" 1ax30
F...4Cj4 S at 4tL
•
f�Pfr�//NGS 4v fUL. ��
" .
*If center piers are other than drawn above,
draw in -locations, spacing, and dimensions.
This set of. plans and specifications MUST 'be..,
kept on the job at all times and :it is unlawful
make any changes or alterations -on same `without
written, permission from the Department of Public
Works, County of Butte;--,
NOTE -;—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a qualify prescribed for the Specified use in the
Uniform Building, Plumbing &.Mechanical Codes, and
-the National Electrical Code.
7
t u Fi T
ect
temeifher
—4 of tb.e
Jf
directly behind or within the ror
half of the roadside (left) of the
mobilehomO.
"Z
';On of equ;j
the 1�70 6'01d�O'
r
AR�l�p
-R
/wu
IN,
�j
0
0
.
prop from the
, � /� 1
P hnL-i'�d a setback
Of 5
(f
\ "I
t
Oft. r . the rob<
Centerline sha clear
Structures or equipm Of-,
excep*,,
f r a 2 ft. eave overhang.
&" c -FALL
Z'
7 Z 0
BUTTE COUNTY -
BUILDING DEPARTMENT
APPROVED
�arnharf ~Drm
IWA
n &
Oijociatej
Alan G. Brown
CE 24578
Richard Barnhart
LS 4202
ifornio Corporation
Thomas Odekirk
LS 3991
/88/ A Robinson Street P.0 Box /576
Orovi//e, CA 95965
9/6/534- /9//
NoncyVonderhaar
CE 37359
Ronald L. Graves
LS 4085
CIVIL ENGINEERS
• LAND
SUR V E Y0 R S
Thomas Finlayson
LS 2900
February 21, 1985
Mr. James Glander
Assistant Engineer
Butte County Building Dept.
7 County Center Drive
Oroville, CA. 95965
Re: Mobilehome Pad
Munday
KRE Unit 8, Lot 18
Dear Jim:
Enclosed in duplicate, please find compaction test results
taken for Doyle Carter; proposed Mobilehome Pad in Kelly
Ridge Estates.
Representative tests taken indicate that the average relative
density is in excess of 900.
Also enclosed, for you general information, is a map indi-
cating test locations.
Very truly yours,
'illarnG.
NH -BROWN & ASSOCIATES
Brown
Civil Engineer
AGB /dh
85-020
cc: Doyle Carter w/enc.
�z3arnlrart-73rvrJn � a.��;at�
1I61 '&.Ak :.M, Pp 6b 11)6 OrorilM. Ci 9!963 916/134.1911
CIVIL ENGINEERS LAND svRi✓EYOI4S
SAN
D. -CONE
•
DENSITY TEST
-ASTM D-1556
TEST NO
1
2
3
4
S
DATE f
1-2S-85
1-25-8S
2-19-8S•
2-20-85
2-20-85 .
MATERIAL
&
LOCATION
.1st lift
north side
center
1st lift
northeast
corner
1st lift re-
test north
side center
2nd 'lift
north side
center
2nd lift
northeast
corner
PAN NO.
12
12
12
12
.PAN+SOIL lbs.
4.4S
S.36
3.10
4.24
3.54
PAN'lbs
.37
.37
.37
.37
.37
SOIL lbs
4.08
4.99
2.73
3.87
3.17
APPARATUS +
SAND BEFORE lbs
15.54
12.87
9.75
15.68
11.75
APPARATUS +
SAND AFTER lbs
8.60
S.S7
4.16
9.46
6.08
SAND CONE +
TEST HOLE lbs
6.94
7.30
5.59
6.22
5.67
SAND CONE lbs
3.70
3.70
3.70
3.70
3.70
SAND IN TEST POLE
3.24
3.60
1.89
2.52
1.97
SAND DENSITY
90.0
90.0
90.0
90.0
90.0
VOL. TEST HOLE
0.0360
0.0400
0.0210
0.0280
0.0219
WET DENSITY
113.3
124.8
130.0
138.2
144.8
PAN NO.
3
6
11
10
8
PAN+WET SAMPLE
109.7
102.2
103.3
108.1
108.0
PAN+DRY SAMPLE.
9S.3
90.1
96.0
96.6
97.8
PAN lbs
23.2
23.4
23.6
23.0
24.1
% MOISTURE
20.0
18.1
10.1
15.6
13.8
DRY DENSITY
91.4
105.7
118.1
119.5
127.2
MAX. DEN/(SPT MOIST.
131/8
131/8
131/8
131/8 1
131/8
% REL MT.
69.8
80.7
90.1
91.3
97.1
COMMENT: Moisture content for failing test # 1
& 2 was very high, recommended reworking when
CLIENT Carter/Monday
PROJECT KPE Unit 8, Lot 18
JOB NO. 8S-020
OPERATOR Alan G. Brown
weather clears. retested 1st lift February 19, 1985
1 �arnfiart --�rorJn � Q.�vociater
1061 • fth4j ,s el PO so, 1576 do.,iN, Ci 95961 9/6/5.14-19/1
CIVIL ENGINFERS . LAND SURVEYORS
S AND
-CONE
D ENSITY T
ASTM D-1556
TEST NO
1
2
3
4
5
DATE
1-25-85,.'
1-25-85
2-19-85
2-20-85
-2-20-8S
MATERIAL
&
LOCATION
:1st-1-ift.
north side
center
1st 1ift
northeast
corner
1st lift re-
test north
side center
2nd lift
north side
center
2nd lift
northeast
corner
PAN NO.
12
12
12
12
.PAN+SOIL lbs
4.4S
S.36
3.10
4.24
3.54
PAN'lbs
.37
.37
.37
.37
.37
SOIL lbs
4.08
4.99
2.73
3.87
3.17
APPARATUS +
SAND BEFORE lbs
15.54
12.87
9.7S
15.68
11.75
APPARATUS +
SAND AFTER lbs
8.60
5.S7
4.16
9.46
6.08
SAND CONE +
TEST HOLE lbs
6.94
7.30
S.S9
6.22
S.67
SAND CONE lbs
3,70
3.70
3.70
3.70
3.70
SAND IN TEST ROLE
3,24
3.60
1.89
2.52
1.97
SAND DENSITY
90.0
90.0
90.0
90.0
90.0
VOL. TEST HOLE
0.0360
0.0400
0.0210
0.0280
0.0219
[JET DENSITY
113.3
124.8
130.0
138.2
144.8
PAN NO.
3
6
11
10
8
PAN+WET SAMPLE
109.7
102.2
103.3
108.1
108.0
PAN+DRY SAMPLE
95,3
90.1
96.0
96.6
97.8
PAN lbs
23.2
23,4
23.6
23.0
24.1
% MOISTURE
20.0
18.1
10.1
15.6
13.8
DRY DENSITY
91.4
105.7
118.1
119.5
127.2
MAX. DEN/(SPT MOIST.
131/8
131/8
131/8
131/8
131/8
REI. COrT .
69.8
80.7
90.1
91.3
97.1
.COM�iENT: Moisture content for failing test # 1
$ 2 was very high, recommended reworking when
weather clears. retested 1st lift February 19, 198S
CLIENT Carter/Munday
PROJECT KRE Unit 8, Lot 18
JOB NO. 8S-020
OPERATOR Alan G. Brown
I
PERMIT NO. 1418-85B3E
PERMIT EXPIRES +A �d
OWNER ROBERT Be. iUNDAY
CONTR.. Carter Enterprises
ASSESSOR PARCEL 69-54-18
LOCATION 29 Osborne Ct; Oroville KR
V
Temp. Power I
Called P(
Temp. Elec. S
Called P(
Temp. Gas Sei
Called PC
ji JOB FINALE[
1
Signature
i
at
jS
1
�i
f s t
J,.OK:� [
0 _• Not 05 r 1
Not Applicable E
Not Ready RESIDENTIAL (Single and Duplex)
SIE =
Date
UND FLOOR Plans OK except #'s
Date
FRAMING (Continued) K j.
Zoning requirements -S t ks=E ments
48.
14ngs
-2r-Ftg
Soils-Steel=Elec. Grnd.- / /" Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
tg., Gar -St - / l" Ftg. Depth
50.
S -Rise'-Run-Landing-Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
P,'Plywood
on Roof Overhahg-Attic Vents -Rafter Outriggers
-5--&temwe#s,
ain; Steel-Blockouts=Wrapped-Slab
Siding -Nailing -Veneer }
to IIs, Ga ge; SteTBlocKuts-Wrapred- ab
53.
tt ccs �"_ P5h m-. p. ^ -Pdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
54.
Gleeing-Area-fi•fa" Protection=Skylights-Plast ic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55. Shear4e4e-+4a44pg-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
Card -BI
Card -BI
0
Dat Card -BI Date
Date Card -BI Date
Date Card -BI Date
Card-B
Date $ a S Card -BI Date
Date
FINAL (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except N's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
.6pi,
61.
G.F.I. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
18. Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe; Size & Anchors
62.
S!airs & Rails
63.
ireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except k's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
FiRtUPe-'&--Transformer Clearance -Ins. Protection
69.
Wir,,Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
jkiGarage; Above Floor-Mech. Protection
21.
E eceptacles Spacing -Lights &Switches at Doors
(p'
P ., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Siz oxes & No. of Conductors -Stapled
o ex Installed Close to Edge of Studs & C.J.
quip. Ground made up w:/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E] Yes
25.
Kitchen &Conductor Size
73.
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.
Re9ge-9irc--f--/ ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75•
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
c^••^^aR4w&w-Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
ances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.
CI oset 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
r
Date Card BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
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.
86.
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
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
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
Comments at Final:
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date FRAM G Plans OK except q's
Sills; Proper Material & Anchors
37
38.
ails' Studs -Nailing, Spacing & Bracing -Plates -Sound
' aring Walls over Girders & Floor Nailing
39.
t proof)
40.
Jri ings-Stairs-Chases-Tub
4Y
Header & Beam -Size & Bearing
42.
aps- nchors-Connectors
4
Ing. Joist-Rftr. Ties-Purlin- Roof -Shthng.-Rfn_g_._
_Brac.-T_
44.es or Type A Flue -Fireplace Throat
45.
A omex Protection -Draft Stop -Ins. Baffles
46.
47.
Bd w' E 444,@ Doors -Sill Hgt.'& Dimensions
G ming
(NOTE: An entry must be made each time youvisit jobsite)
fir,. - v
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans) OK except q'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. Elec.; Receptacles and Lighting; Distances-GFI
4. Electricity; MH Test -Crossovers -Breakers -Clearances
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 Lghig.
Boxes -Enc losures- Pane lboards-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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
4 of . ,j
t COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
r
CORRECTION NOTICE
R
W
A routine inspection indicates that the following violations of County Ordinance
exist at the abov address and should be corrected. Please notify this office
when correctio f work is completed. If you have any question pertaining to this
mat er, or d additional explanation, please contact this office immediately.
Inspector �� Date '
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N
7 County Center Drive - Orovill'e, Califora 95965 -Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
69-54-18
ZONI G
—
BUILDING PERMIT
OWNER
Robert B. Munda
T15LEPRONe
SO. FT. OCC. BUILDING VALUATION
O _
OWNER'S MAILING ADDRESS
2124 — 66E
DD D
CONTRACTO
Do le W. Carter — Carter Enterprise
TELEPHONE
589-0152
CONTRACTOR'S MAILING ADDRESS
5263 Royal Oaks Drive, Oroville, CA. 95965
Fireplace
CONSTRUCTION LENDER
N A
UNKNOWN
Total Valuation Is
Filing Fee
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 10
ARCHITECT OR ENGINEER
IT
LICENSE NO.
Plan Checking Fee
$ `
Penalty
$
ARCHITECT
TECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
Oroville, CA. 95965
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
18/8 Kelly Ridge Estates
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome2fl Other
SPECIFY
Building sewer
5.00
Mobile Home Fs_TG1 W I
10.00e
TYPE OF WORK
New M Addition ❑ Rem el ❑ Utilities Inst lation Other ❑ yy
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST DWELING 0
OR ADDNS. ACCLBLDGS.0
21/20sgft ,0
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 m license is in full force and effect.
License No. �:�� 47220Classification 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 ULTI-OUTL 2.50 ea
NON-RESID. BRANCH CIRCUITS
NEW CONSTR. POWER APPARATUS &\
NON.RESID• SINGLE OUTLET CIR. /
'f
Ex. Occu BA
P.OUTLTS OR FIXTURES ALO30Q
FIXED
Ex. OCCUp. OUTLETS P(RESID•1R EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$ S ,Q
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 shal I 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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs and ex enses which may in any way accrue
a said Co ty in copse aceQ. g ting of this permit.
ate
Signatur f Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE$ I ��
OCCUP. GROUPTYPE
r/
OF CONST.
-��'V
PARC
PD
HD 155u�
✓
This permit is hereby issued under
sio f the Butte County Code and/or
wok cated a ve for which
R CTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date-//�/���ti�
"- •-` � ��
Receipt No.
WHITE-D.P.W., YELLOW.ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT O.F,<YU'BLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET %
Permit No.
fOWNERke�L f f O N/'Ih I/ A. P..No. 69 " Sw
Proposed Building Use (v ve)n 0 1<
Permit Fee Based Upon: Complete Contract Price _ DPW Valuation
Other (Explain),
Building Inspector / / Date_
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
j1. All items have been submitted. . . . . . .
.,, Plot plans in duplicate./triplicate. _ I Com lete lans in duplicate/triplicate. . . .�by�Yu�1-3
P P
4. Complete engineered plans and calcs. . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate,of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑) .�
15. Improvements may be required. . . . . . . . . . . . '
16. Mobilehome Installation Data. . . . . . . .
... t
Pre-Inspec. request to w)
17. Pre -Inspection for Required. Building Inspector (Date)
b
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other
When you issue the permit, process as follows: Mail to owner: Mail to contractor.
YTelephone R"�-C�/� and hold for pickup at office. Deliver w./inspector.
Other
Applican 4"11 Date 05
Copy of plans sent Health Dept., Fire Dept., �jOther Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
Plans checked by_
Plans approved by
Other:
Copy—DPW
By 1. r Date
k.
N
U
1418-85
-PERMIT NO. 125-86
PERMIT EXPIRES Z- A7 17
OWNER ROBERT MUNDAY -
CONTR. Roy Raines
ASSESSOR PARCEL 69-54-18
LOCA ION 9 Osborne Ct, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec.
Called P(
Temp. Gas Sei
Cal led PC
JOB FINALEI
Signature
V = OK ' r
0 = Not OK.
- = Not Applicable RESIDENTIAL (Single and Duplex)
Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3'-Check.Garage-3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4:
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel -B lockouts -Wrapped -Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53,
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10.• Water Pipe; Test -Anchors -Regulator -Service Test
55.
Shear Walls; Nailing -Bolts
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
Card -BI
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except #'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.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
r-
19.
Gas Pipe; Size & Anchors.
62.
Stairs & Rails
--
63.
64.
Fireplace or Stove; Clearances -Hearth
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 #'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.
72.
Insulation -Foam -Looked in Attic ❑Yes
24.
Equip. Ground made up Ai/Mech. Fasteners -Bond Gas & Water
73.
Guard Rails & Deck Construction -Post Caps
-
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
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 Al,
_Insulated Neutral _,Yes El 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
-_
----
Card Bvl_
Card 15-1
30.
--.
Clothes Closet Light -Shower Light
--.- -
_--
_Date - - Card -BI Date
Date Card -BI Date
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
Q ate
MECHANICAL (Permit) OK except #'s
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
32.
33•
A.C_Ducts: Insulation & Support _
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86,
Energy Compliance Certificate -Other Certificates
_
Card -BI
Card -BI
34.
35.
-=-
-
Furnace -Vent Access Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
- .. - --- - --- - - ---
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
_
3_6.
37.
38.
38.
39.
40.
Sills; Proper Material _& Anchors__
Walls: Studs -Nailing, Spacing _& Bracing -Plates -Sound
Bearing Walls over Girders _& Floor Nailing- _
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45.
46,
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp
Fireplace Ties or Type AFlue-Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hg_t. & Dimensions
Garage Fire Protection Framing
_
(NOTE: Anentrymust be made each time youvisit jobsite)
V =OK -
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DEC , COVERS, CARPORTS, ETC. (Plans) OK except a's
Al'Zpeng Requirem mts-tbacks-Easement _
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
-18
.4)3
Footings; Si -De -Sp ng -Gonne ors Y
91,-BIFF-ks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
ood Awn.; Po�ts�t�¢Gars"Rf¢re!L`dnr+e�-BtYtttg'=RfBcaciny_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.' -
Card -BI
Date Card -BI Date
Card -BI
Date f Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Dat r Card -BI Date:
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
Date
1626OLS (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
2. Soils; Compaction -Structure Stability
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
6. Water; MH Test -Regulator -Connector
5. Elec.; Pool Lighting; 15 volts-GFI .
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed'
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghig.
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
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION Ake PERMIT
PERMIT NO.
,A1
ASSESS PARCEL NUMBER
ITELEPHONESO.
ZONI G
BUILDING PERMIT
OWN
FT. OCC. BUILDING VALUATION
OWN AILI A ORES
c
CONT CTO A'
TELEPHONE
CON C T'S (LING ADDRESS ^
` ` f/)
Fireplace
CONS RUCTION LENDER
UN NOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER _
LICENSE NO.
Plan Checking•Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS%%
n
c�C`/
Permit fee
$
PLUMBING PERMIT -
Filing Fee 10.00
Each Trap
2.00
Ira 0 1
Solar or heat pump water heater
20.00
LOT k
SUBDIVISION NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome(� Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Insta11 on❑ er ❑
Describe work: EC � ✓'
'X ` t ` V10 10 y & G
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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. Classification
❑ 1, 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 Profession's Code
for this reason
LIN CCUP.&\ 2y=¢sgft
of ADDNSCONST. DWEACCLLING
/
NEW CONSTR ULTI.OUTLET 2.50 ea
NON -R, BRANCH CIRC ITS
POWER APPARATUS eI
SINGLE OUTLET CIR.
Ex, Occup OUTLETS OR FIXTURES30 eAL@
BAL0REA
FIXED P
Ex. Occup. OUTLETS IRESID,I\\
2.00
..J
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. 6yirin 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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.
MECHANICAL PERMIT
FiIingFee 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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s 'd ounty in co quence of the granting of this per m•t.
�Q'��
X Date &(a
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ovve—r-3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ !
occu P.
CONST.TYP!
I
lFg.C111
PD
MO 139UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By �
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have..been paid.
WORKS
Date
Receipt No. 6190l (4
�'
WHITE-D.P.W., YELLOW-A98lS90R, PINK -INSPECTOR, GOLDENROD -APPLICANT
y V
'' •-' k:P COUNTY OF BUTTE - DEPARTMENT OF;- PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, C'A'LIFORNIA 95965 - TELEPHONE: 916/534-4541
Al"
PERMIT APPLIC`HTfOI DATA SHEET , f
n AA I Permit No.
OWNER
Proposed Building Use
Permit Fee Based Upon
Complete Contract Price
Other (Ex
A. P. No. - /9/- S l —/R-,
�( DPW Valuation
Building Inspector iii��'_"Za14, iv Date r4 4) CIO
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED. APPROVED
1. All items have been submitted. . . . . . . . . . . .
2.,. Plot plans in duplicate./triplicate.
y . Complete plans in duplicate/triplicate.. . . . . (`�-7 �� �-►_�
4. Complete engineered-pl` ans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9,dfLetter of signature authorization. . . . . . . . . . .
--ki Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
.
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (pole)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other DRTVFWAV PERNITT (C.O ST UCTTON A 1P OV7 T. REOUTRED PRTORTO OCCUPANCY)
=eIephone<e,?_
issue the permit, process as follows:tp
Mail to owner. Mail to contractor.
I and hold for pickup at 01, office. Deliver w.
/inspector.
Other
Applicant /%��� Date
Copy of plans sent Health Dept., Fire Dept., Other \� Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by' Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date /"-�
Other:
Copy—DPW
i
:=Al1 Maferials & r -manship Sn.qH De
Accordance with Recognized Good Kactices and
o ) of a quality prescribed for the S eci rse�n�b--�"
.
Uniformr-Buildinc ,-Plumbing-& Mec�anic �— �•i�
��- the National Electrical Code.
c; This �et of tans and specifications MUST be �� GAS �� � Snip
ept onl the iot at all times and it is unlawful to a I
Nake any-changes or alterations on same without
P�� ritten rmission from the Deoartment'of Public
of Butte.°' zS'
�J orks ,County --- _ - --- i � - _ oi� 0 .
30
SGS /ooh I
Ga r �s I
cG/✓C/2ET
ft. from the AcCk d r t ��S 0
A setback of 5 A i,J
rty lines and a setback
prope6-.�
of 50ft. from the road
centerline shall be clear of
structures or equipment except i
v for a 2 ft. eave overhang.
1!
20
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED .
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2' x 12" STAIR STRINGER. 48'0.x. MAX.
RS TDP VIEW
H AUDRRIL. NOT SHOW M F07, b-R9IT`f.
3/gl BOLT BUTTE COUNTY
EPARTMENT
N� D
MOBILE HDME PROVE D
OR D 4(o"
�' a
pp
MAX. \cry .�
IF (EA.Li
9"Mli�.
L
4"x 4" POST
.. Lllx I Lp
f_ CTUARDRAIL #2DF (2)3/a„
8'M� BOLTS
6" MAX. DECKIIJG GIRDER _
a ♦/h
• r G.
PRECAST 4'X9" POST
`PIE K ADEQUATE DIACONAL
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7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 42
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