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072-200-033
72-20-33 Robert Heath \ S/S pri.rd.,app.3/4 mi.S.of Oro Forbestown Rd.,app.l mi.E.of log scaling stn., Oroville 10 Permit #2943-79P,E(util.,MI��/I�j%�� ELEC .S- �I .Z 9 a�I �I.2 ► P ter✓`'' p GAS3f" SUPPORT STRUCTURE REQ. „!e� COMPACTION TEST REQ. LUQ ermit",#4181- _ ssued ti 7%�fif%�d�'�-+�•�► 72-20-33 Permit#3541-85B(new storage) N 072-200-033 PERMIT#96-0336 DeCANN, Phillip 169.Bardolino Ln., Qrovill / Cont; Phil DeCan MHI Ex Site I. 072-200-033 02-2 NALE[ DECANN, SARA 169 BARDOLINO LN., OROV w EX MH PERM FND EX SITE F 033 02-2997 , SARA OLINO LN., OROVILLE AWNING 4PI;jJ3,c1_Ot� -033 , SARAH 04-0348 DOLINO LN, OROVILLE WNER s CH/MH 72-20-33 DECANN S/S pri rd, 3/4 mi S Oro Forbes Rd Permit#10-86A(,A.g_ricultural Bldg Exeipp hay & chicken feed) G k q� a�� ai�•y',,�,s,l 072-200-033 ,r `► 02=2997 �tiDECANN; SARA 1`69 BARDOLIN0 LN:, OROVILLE DECK AWNINLG f f7 ail • k, <N COUNTY OF'BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMI (Rev. 12/96) APPLICATION AND PERMIT ��� � ' f ASSESSOR PARCEL NUMBER 7 ffl ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 24 ''f 1, • OWNERS MAIUNG ADD ESS 1169 I) 1 P' r c Sc�� r CONTRACTOR'S NAME _ - TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is.312u.uu ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $40-95 BUILDING ADDRESS 169 BARDOLINQ UN �' Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT9 Filin Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK & AWNING (12' x. 20') Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License wf or the following reason: ,,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. OCS. SO 3.5¢FT. P10" CONST,.,. MULTI -OUTLET 07,50 POWELER APPARATUS, b SI OUTLET CR. IN. Ex. Occup. OUTLET OR FDCTURES BAL°':so Ex. Occup. OFIxLI RE.SDOEA 5.0* 0,, Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ � WORKERS' COMPENSATION DECLARATION I hereby ?affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions ql section 3700 of the Labor Code, I shall forthwith comply ,With those provisi ns. X Date R /� Z_ �'"�'i'` � I;.. __ Signature -of Applicant - a -Owner ❑ Contractor ❑ Agents 5 An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over3 stories In height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ corsT. TYPE ,,. TOTAL FEE $ 123.95 HAZ. D. FEES IMP 1 E This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have ----- Ft By `,� ' � `' PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date j4 7`�/ iJk (Dt,) LReceiptNo. 364247 $123.95 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION s° 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Z�_�E�I (Rev. 12/96) 1 APPLICATION AND PERMIT tQ v6 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE S/'(0��. FT. OCC. BUILDING 240 1 u 1 2 0.00 VAI�JATION A OWNER'S MAIUNG ADD ESS CONTRACTOR'S NAME ' nwNTPR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is 3120.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 03.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ ' BUILDINGADDRESS 169 B Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO. SUBDIVISION'S MIME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK & AWNING (12' x 20' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service pq pp LfiSS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License j4Lw f'sJor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION IZZ affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service ?DOA TO 46. NEW CONST. DWELLING OCCUP. CCU OR ADONS. ( so SO . NtpµRESID. M Ti OUTLET 97.50 8 POWERSINGLE APOUTLET PARATUS CIR. Ex. Occup. OUTLET OR FIXTURES zo @ ,.00 BAL @ .SD 11 XEO APPLNS. . OR Ex. Occup. ourLETs RESIDEA 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensat' n laws of California, and agree that 'rf I should become subject to the workers' mpensation provisions o section 3700 of the Labor Code, I shall forthwith omply se p ns. X a e L1 ®Z-- _ Signature of Applic at - wner ❑ Contractor ❑ Agen An OSHA erne re ed for excavations over 5'0" dee and demolition or construction P P of structures stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL qEE $ 123. 95 HAZ. p, FEES IMP CDF HD UE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By �Z $ PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. CJ' Date l! 2 A" � ate Receipt No. �hLLiLL7 1ii_g9 WHITE-D.D.S.-B. D. CAN RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Earn , I. )G CA, t, rl ASSESSOR PARCEL NUMBER Proposed Building Use: J JC C' 140)1111�Q Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. -EII� 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. - �Eflj 2. Complete plans, 3 or 4 sets, signed by the }ireparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-sipng ed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13.,,Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................... Sanitation and plot plan approval from the Environmental Health Department in �(n 1.1 �i✓ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone �e2U = (y. ,ril'i and hold for pickup. I have bee Applicant: 1. Index permit application,fop4ree above items numbered: Plan Check Letter 2. Additional items req> Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the abovf data by ❑ phone, ❑ mail, ❑ counter by Date:_ Plans reviewed by: (Lk -Date: Plans approved by: _� Date: / 0' Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division lk TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance EAa USE ONLY Plot Plan Anachad Flow Man AttlFhad Sent to S.D. I ( — I 17\4\1 Owner Location AP# Plan Approved for: Sewage Dispos&�-� Watter Supply: Public Clearance for dwelling. Other 2�- �Ijt A, Hold final for: Final clearance O.K. for: NOTE: Environmental He-a—Ith Specialist 8/96 Private Well "� Date MOR _ I o � �• a°r°m the a . ached uire �e^p/i.0�nA`�s®nStf71[��ili • � ; r es • a - `� 3utlle County . 1 Environmental Health �\ n Date srgilatvle COUNTY IMPA . 0\*ANANQS BHAL•L ®p- c O ALL EA EMENS,.> 17 ROAD tN T`#���4.3Pu� DI SRP. OF STRUCTURES AND Ei iPME41 ti. T -d 20 62 400 l-. Ti G PLYWOOD CC EXT. L 4-9 DF*Z L 2"st DECKING GIRDERS --77--\ _. . u . -•-. i n. v...nn.� n n r.rr GUARDRAIL j4'M- DECKIIJG' W PRECAST ' 4 ER ... ... ... . 9 �o r �%%#5 14° x I 0 MIN. FOOTING 6' TYP. - 4'x 9' X FRMJfi CLIP _ �• - 9 r —' _ to ,• STAIR STRINGER. JcWe.o. MAX. It"%IT PIES JQF VIEW PF x1F' r;.e. ootl� T SHOIUN FDR CLARITY HAIJDRAIL NO 3/g 60LT Z"x4' `' MOBILE HOME m J P OR DECK . C MAX. \ MTL. FRMIJ--- — — \` �� CLIP (EA. RE 9'MI J %4 4%V 4'x4' POST • 2'x IV ac I "2QF. . 2"�4" PRESSURE' -RrAT-rll OR in /ATE CA e MIN. 6QLTS RFOW GIRDER _ { ��E. "� .♦ •:rye . . . t(a�i �0 4X4" POST - ADL'QU4TE' DIAGONAL 13RACI NG. OING l DENT//ll_ 9,r4PS Avo1 QD.ECAC DEPARTMENT OF PUBLIC WORKS Wt orDrive — Oroville. Calllornle 95965 Telephone: 538-7541 _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 P R T NO. (Rev. 12/96) APPLICATION AND PERMIT - 914-©3 ASSESSOR PARCEL NUMBER 072-200-033 ZONING 1 BUILDING PERMIT OWNER XM SARATJ TELEPHONE SO, Fr, OCC. BUILDING VALUATION .OWNER'S MAILING ADDRES CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: UPGRADE aEC SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G 1W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800VMain Service zo.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is inmi orce and effect. / T6 License Class Lic. No. (O i—V OWNER -BUILDER DECLARATION 1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License P hY P 1 rY p Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service POA TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDs. SO 3.5¢FT; NOWR SID CU.MULTI-OUTLET @7.50 PLE OWER APPARATUS a SINGOUTLET CIR. Ex. Occup. OUTLET ORFDRUREs BAS@'.s50 Ex. Occup. FIXED APPLNS. OR ourLETs RESID. EA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 here affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensatio provi ' of section 3700 of the Labor forthw' comp) i th Isions. _ Date 3d Signature of App' ant ❑ Owner ❑ Contractor ❑ Agent An OSHA per Is uired for excavations over 5'0" deep and demolition or constructionof structure3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HA2. D FEES IMP I FLOOD CDF PARCEL -- ------ PD ND ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicat d above f*fTeebeen yDaReceiptNo. RMIT EXPIRE� provisions to do work paid. fe WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES RESIDENTIAL PERMIT NO! 072-200-033 02-2996 DECANN, SARA 169 BARDOLINO LN., OROVILLE EX MH PERM FND EX SITE r THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY,ON NEW MH' S). INSPECTOR TO VERIFY SERIAL& LABEL #'S. 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER , 1 JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not OK Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 Date PERMANENT END SYSTEM (ONLY) 1. Zo ing Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line 3. Blog)ing 4e119as Test -Demand -Valve ectricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals l/ 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 U MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;,Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable r = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test Fireplace or Stove, Clearance -Hearth 72. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 75. 24. Fixture & Transformer Clearance -Ins. Protection 76. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 77. 26. Size Boxes & No. of Conductors Stapled 78. 27. Romex Installed Close to Edge of Studs & C.J. 79. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Clearance Looked under Floor O Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive D Yes O No/Walks O Yes O No/Planters O Yes 0 No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts - 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive D Yes O No/Walks O Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541® P o. (Rev. 12/96) - APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-200-033 ZONING BUILDING PERMIT OWNER DECANN SARA TELEPHONE 624-4880 SO. FT. OCC. BUILDING VALUATION -1 1800 R G 7,200.00 OWNERS MAILING ADDRESS 169 BARDOLINO LN. OROVILLE CA CONTRACTOR7SS��NpAAME OWNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MNUNG ADDRESS Total Valuation $ 1 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 630/2 $ 315. 25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 358.25 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY - Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX IH PM4 FND EX SITE Gas piping system 1 - 5 outlets 15.00 15.0' Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t 50,00 ELECTRICAL PERMIT Fling Fee 20.00 800V OR UESS Main Service ZDDA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( DVT ACC. BLDS. SO 3.5¢FT. NOON-ROESIOT' MULTI.OUTLET 97,50 OWELEPPALETRATUCIRS 8 R A OUT . Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL p .50 Ex. Occu . DFlxuTL�ECTs Aa oEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre-Insoection PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that'd I should become subject to the workers' ompensation pro isions of section 3700 of the Labor Code, I shall forthwit com ly provisions. X Date �/� _ Owner ❑Contractor ❑Agent Signat a of �-requiredofolr An OSHA per excavations over 5'0" deep and demolition or constructionof structures oies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $5408.25 HAZ. D. FEES HD SU This permit is hereby issued under the of the a County de and/or indi ed a or w Ich`fees have By ^' v PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date /l// 0 3 Date Receipt No. 364247 $408.25 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .4 . R I R.ev.12/96) A:SESSORPARCEL -OWNER �� OWNER'S ralurao CO-NTRACTTOOR'S SNA CONTRACTOR MA COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERMIT NI APPLICATION AND PERMIT -Z 1MB ZONING BUILDINGPERMIT Ica I71A, TELEPHONE SO. FT, OCC. BUILDING VALUATION 'a"' I _n 7/, . J.C.11%rl XN _ ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS 11111111:1b, ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS r - e% WI) /_V1. LOT NO. I SUBDIMIONS NAME PARCEL USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK Newat-'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (� l�/✓I'I �1_ *PERMIT FEE PA1b SRA • • SHERIFF OTHER AMOVN'T RECEZVED "RECEIP'T NVA&M " TO' IN rvr ZNTO COMI VTot Fireplace Total Valuatlon $ Filing Fee $20 00 Permit Fee K n. so --2- APPLNS. OR OUTM RESID. EA I 5.00 Plan Checking FeeJEQ $ • - -"' orgy Plan Checking Fee $ 20.00 phic. Wiri $ _. PERMIT FEE $ PLUMBING PERMIT (ling Fee 20.00 Each Trap 7,00 Solar or heat um water heater 23.00 Water piping 15.00 S ae Each as water heater or vent 1 5.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1 920.001 PERMIT FEE S ELECTRICAL PERMIT Main Service OOOY OR LESS 200A OR LESS Main Service 200A TO 1000A NEW OR ADCOONST. / DWELLING�^cUP. Fling Fee, 20.00 23.001 46.001 3.5cF° @7.50 Ex. Occup. OUTLET OR FixTURES 20 O 1.00 SAL Q .SO Ex. OCCU .FIXED APPLNS. OR OUTM RESID. EA I 5.00 Temporary Service 23.00 Mobile HcAe Facilities 20.00 phic. Wiri 23.00 `PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Coolinq 6.50 Ventilation PERMIT FEt I S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPETOTAL FEE $ HAZ. I D. FEES I IMP CDF PARCEL -PD �HM� — This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET f,JCl fl`� (� L 1[�OWNER: 1 Proposed Building Use: �� ry, C)P(al j�&J- (0)( :S! )e Counter Technician: { 1' J Date: / �" ' is L Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �PJ L. Plot plans, 3 or 4 sets, signedAy the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ,M 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-sijzned by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ....................... • ............. ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: (B)P ing: (C) Parcel Check: Contact Land Development abgut ❑ Improve a ts, Drainage ............................... roachment Pe i e a b ' W ks Dept. (construction approval prior to occupancy). 22. Pr Inspection for required ................ ❑ ontractor's license information. Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations arld/or expireid permits.......................................................... El 30. rant Deed,&l'iDI.H. Title/Statement of Facts, ❑ Letter from Legal Owner,**heck to H.C.D. $ Orl ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed bf the above -items a• d,-" rquirements for obtaining a building emit. Applicant&-:Z�Z �� Date: 1. Index permit applicati� for t eve items numbered: �i Plan Check Letter 2. Additional items re ui ed� Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the abov da by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: 192.Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division PRE -INSPECTION REPORT CONTRACTOR: PRE-INSPETION DATE: ZONING: DATE TO INSPECTOR: fzRmrr HLSTORY:( ) NONE ( ) AS FOLLOWS: SMLDIM INSPECTOR'S REPORT Bu1lding Description: . Canma+ciaUUsege: Residential/# of Units: Currently Occupied Abandoned/Vacant; Electric: Yes No Electric currently On Off D–clt,,7 A� Condition of Electric Gas: Natural PropaneNone Currently On Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems f C_[ ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. Date/ Z— Sketch buildings on reverse and indicate location on p'ropert COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 ERMIT N IRev. 12/96) APPLICATION AND PERMIT 'Z 'g ASSESSOR PARCEL NUMS _ ZONING BUILDING PERMIT pRS' OWNER TELFPHONE � S IAE�SO. FT. OCC. BUILDING VALUATION OWNERS AWLINO ADDRE59 /. CONTRACTOR'S NAME (f TELEPHONE nv ( _. CONTRACTOR MAILING ADDRESS -- CONSTRUCTION LENDER . LENDERS MAILING ADDRESS Fre lace -' ARCHITECT Valuation $ECT OR ENGINEER LICENSE NO. $ Filing Fee 20.0( ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee - SO �2- $ Plan CheckingFee BUILDING ADDRESS ` Uorgy Plan. Checking Fee S S - LOT NO. SUBDIVISIONS NAME PARCEL MAP PERMIT FEE $ PLUMBING PERMIT (ling Fee- 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPECIFY TYPE OF WORK Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 � New�ddition ❑ Remodel ❑ U61'Ibes ❑ Installation ❑ Other ❑ Buildingsewer 15.00 Describe Work: / /{ /rj'f �� X c 4j��p Mobile Home S G W @20.001 V PERMIT FEE $ ELECTRICAL PERMIT Fling Fee, 20.00 Main Service 000OR LESS 200A0A OR LESS 23.00 Main Service zow, TO 1000A ) 46.001 *PERMIT FEE PMIb SRM�T • . SHERIFF OTM AAO' VNT RECEZVEb *RECEItT NVAAEEst L/ t7 " TO to KIM vqm COIN Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 50 EX. Occup. oUTLrr OR FIXTURES 200 100 EX. OCCU . FIXED APPLNS. OR O OUTLETS ESID. EA a4l .SO 1 5.00 Temporary Service 1 3.00 Mobile HqAe Facilities 1 20.00 &C. Wiri 23.00 PERMIT FEE 1 $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 1 6.501 PERMIT FEt I S Mobile Home Installation Fee $ Energy Inspection Fee $ occ COiWT• TTS TOTAL FEE $ HA2. I D. FEES I IMP I FLOOD I CDF I PARrFL I PD I HD ; ISSL•E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Oct 29 02 08:14a r,.1 1 • M .C� V V I .. I -----�--�------- •vim '.) \v I � � 1 \_ �� �.� ate. �. ,...,.� ..a��=w,r .a • —.w -ti+rr _ r..r - TRAILER W/0 PE LMS a8 (OCCUPI � � �. 0 72-20-33 Robert Heath SIS pri.rd.,app.3/4 mi.S.of Oro Forbestown Rd.,app.l mi. of log scaling stn., Oroville e Permit #2943-79P,E(uti1.,MH)I/ GAS �E=%t" 4; i SUPPORT STRUCTURE REQ, N 0 COMPACTION TEST REQ. �o 72-20-33 'ermit #4181-79MHI ssued 76�d a 72-20-33 "P=T.TP ilFrn*7AT 1 Permit#3541-85B(new storageW _01\ 072-200-033 PERMIT#96-0336 DeCANN, Phillip 169 Bardolino Ln., rovill SII Cont; Phil DeCan MHI Ex Site $I� JIRO ^1 Vi i„ + fk• 72-20-33 .�,; ac�-iL DECANN SIS pri rd, 3/4 mi S Oro Forbes Rd'4- Permit#10-86A(AQricultural Bldg Ex erp hay & chicken feed) Oct,29 02 08:14a p.1 M ' 0. d _ o � � hay C l i i ` r I � v i,r 4� v2/3v/zuuz 14:uG FAA 55U5ZVd6 v 6C1•1Ccly ukie(A UOI)ileb 11 0 VECTOR DYNAMIC FOUNDATION SYST'I WIND ZONE 1 & 2 INSTALLATION INSTRUCTIONS For the State of California INDEX SOIL CLASSIFICATION 18 COMPONENT PARTS AVAILABLE UPON REQUEST Foundation System W-jVvo hom;�S: • Release Date 8/13/2001 Engineer Approval �• s C 26v/0 ; T' Diffm IUS1 SUBJECT TOCO. ^7C;IONSTOTED APK0VAL GOES NOT AVrW0R= OR AM0vE ANY OM5506 OR 0PVM7W FROM REQUIRr axn of APMJCAAW VrAMS LAWi AND AWu;.ATNJ::.f 3urdCAUGA98 Dquw=1 orHoviol 4w c0=wdq DeYelcpnw D CbDES AND STANDARDS w IA+Na R 2- 1 �' For Further Information TIL DOWN ENGINEERING 5901 Wheaton Drive AWnts, GA 30338 404.344-0000 FAX 404349.0401 ffwww.wown:wn 9�rZJ�11� 11 BUN.DNG DEPAR?MENT APPROVED PAGE SECTION NUMBER INTRODUCTION. 2 PIER HEIGHTS 3 GENERAL INSTALLATION 4 SET-UP INSTRUCTIONS 5 & 5a METAL PIER & V DRIVE 6 PARTS LIST 7, 7A, 7B & 7C CONCRETE INSTALLATION 6 & 9 SCHEMATICS WIND ZONE I - SINGLE SECTION 10 - SINGLE V•DRIVE 11 • METAL PIER 12 - DOUBLE SECTION 13 - TRIPLE SECTION 14 WIND ZONE 11 - SINGLE SECTION 15 - DOUBLE SECTION 16 - TRIPLE SECTION 17 SOIL CLASSIFICATION 18 COMPONENT PARTS AVAILABLE UPON REQUEST Foundation System W-jVvo hom;�S: • Release Date 8/13/2001 Engineer Approval �• s C 26v/0 ; T' Diffm IUS1 SUBJECT TOCO. ^7C;IONSTOTED APK0VAL GOES NOT AVrW0R= OR AM0vE ANY OM5506 OR 0PVM7W FROM REQUIRr axn of APMJCAAW VrAMS LAWi AND AWu;.ATNJ::.f 3urdCAUGA98 Dquw=1 orHoviol 4w c0=wdq DeYelcpnw D CbDES AND STANDARDS w IA+Na R 2- 1 �' For Further Information TIL DOWN ENGINEERING 5901 Wheaton Drive AWnts, GA 30338 404.344-0000 FAX 404349.0401 ffwww.wown:wn 9�rZJ�11� 11 BUN.DNG DEPAR?MENT APPROVED pq e"v 0. IP -4,114 f , V$ ."Hl� A R q •O n �0 .: obi - O E E, E V Eo 0 0 o c £ C u or ` '^ O •Lo C u O C V O N � o E h V C •� a �Q N A C _�' C �i C7 0 0 d C +yyam �C $O E � Y � � t L CQC �YC! V. 0 3fp2 b V> N D .Yn � q O c L O Y r C n N y s V u Y O x CO > g L_ o, o w V N C O O O a � C E rn O V C N re N 1' 10 7S Y _ Y Z d o g aE aft o f O • C 0 cc � V O E: O^ N C v p p C V C N N ��E�j1j Q C O C uy •g O {� O C TO r s V .t•' 3 Cj try? Q yp V L C O? O vi 4 C O r V CO L > ,o n= W C N O~ E C~ •d y N ��• C O L C e s �u Y u ? A oo-E, A E E E E+ us y S coo o'> >> N E. U) > S{ Y ` C O q> i E D O O Y 9 L oAi Yq_!' � � � = t o N C ,• � so � Q F.S3 v A 0v aDu�v i'^ C- o r d Ep oa N N e 3> > > Y r0 q C 7r{ C E O L^ Z O O V Y � V � YR� � iC � Y j7 V Vl 0 $ O C C CC g o YA c~ N $ Y V = Z+l = E D L N T d d p 40 w C) vr. Zt 15 = tY v� c N .�•. o �' v c a c o w L o %i .E , d A C O .o h _ L L_ S � s _ U 73 O~ 4 N _Y Q 3 c C L V u N $ y y$ L C L L L O t O ` 1��' A r g y . c_ b O N p N n V Y Y O ` N N V s O C 0 J d vj y Lo ro �` g n u � °' y p N ,n a o __ = n h.In o u p C N C O A o= C 0 3 V • e "` FF �- g S >> >.o .co " A o-- c E E o o°. y� _i �, ;�$ E o a o N C'n E E c o u 2 •S N g �O C E D Q V _� 91 0 O O AL 09/30/2002 `14:03 FAX 5305296890 Strictly Used Mobiles Z010 { 561 Me Q*.: . V$cW Dynamlcs Foundation bYstem may be used on homes which require pier heights not to exceed 56 Inchf under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system locatio, In Wind Zone 11, and where the pier heights exceed"24 'inches on a single section home in Wind Zone 1. Pie. must be constructed in accordance with the manufacturer's installation instructions and/or state requiremeni The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Che: Wb the most recent regulations in your state. tie 1 Ma i IrL WM -Mai Pic[ Heights ( Mnd_ZpnCA j & 11 212A. Figure 2 Vector Dynamics may be used on homes with unequal pier helghts of 56" or less under one or both main rail' The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must t. used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that locatic° exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumbo compression members are permitted on unequal pier heights using the Vector system. Piers must be construcif In accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocke double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recet regu*ons In your state, . Page 3 Cawamta .4600i •• •rt " -A 561 Me Q*.: . V$cW Dynamlcs Foundation bYstem may be used on homes which require pier heights not to exceed 56 Inchf under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system locatio, In Wind Zone 11, and where the pier heights exceed"24 'inches on a single section home in Wind Zone 1. Pie. must be constructed in accordance with the manufacturer's installation instructions and/or state requiremeni The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Che: Wb the most recent regulations in your state. tie 1 Ma i IrL WM -Mai Pic[ Heights ( Mnd_ZpnCA j & 11 212A. Figure 2 Vector Dynamics may be used on homes with unequal pier helghts of 56" or less under one or both main rail' The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must t. used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that locatic° exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumbo compression members are permitted on unequal pier heights using the Vector system. Piers must be construcif In accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocke double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recet regu*ons In your state, . Page 3 Cawamta .4600i 09/30/2002 14:04 FAX 5305296890 Strictly Used Mobiles e 011 GENERAL INSTALLATION INSTRUCTIONS ** wo K is necessary that the home she be prOPerlY >RTE PREPARATION o. flowing beneath the home. See manufacturer's heo�me installation and anual ands ate egto Prevent water and lu Semsture ens for grad -:tn gghW site preparation. The Vector Dynamics Foundation $ystQmtanlbe pGS �falced dR�cStly on top of T LINES vegetation. In areas where frost line/poured footers are required, the Vector lsystem he ufor concrete is usend after clarinld. Se. Pa9e4 a & 9. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Eac! (set 00 Vector Pad(s) provides two or three square feet Of pier bearing support. Vector Systems should b, spaced as evenly as possible along the length of the home. with one Vector system within two feet of each en, of the home. For pier locations In between the Vector Systems, use the roundapon pads normally recommende by the home manufacturer and/or state requirements. Pier heights Ih excess of 24 inches or when unequal mus: follow instructions printed on page 3 of these instructions. Nominal 3-112 inch or 4 inch Schedule 40 PVC pips: or TOE steel compression strut (1159043) may be used only when the pier heights are similar on fairly Ievt- ground. Steel stmt and PVC are not permitted when metal pier foundations are used. The adjustable galea nized steel compression strut, 059043, Is attached to each inside pad with 8 1/2' X 2.1/Z' grade 5 carriage boa and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector ani the steel strut to the pod. When the swivel connectw is used with a wooden tt pipe compressive member, the vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolls, member, I mens bolt Is st installed through the two square steel compression struts to lock them in place. Foundation pad siz. and pier spacing must be consistent with home manufacturers' instructions and/or state requirements. UAN To cut lumber (2 - 2x4'3 or 1-4x4SER//MVector OIS URE o TERMITE ToSHIELD center compression section, when using con Crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16'. When using META PIER STANDS, measure center to center frame distance andgadd 16-. 3.1/2' or 4' nominal schedule 40 PV( pipe meeting ASTM 01784 or Tie Down's steel compression strut (#59043) may be substituted for lumbi as the Center compression strut under certain Conditions described above. Pipe adapter bracket, part #5928 must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapi(. bracket is used on top of the pipe and under the Inside tie Bracket. In certain regions the optional Moistur. Termite Shield may be required between the lumber and ground. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. nPr PV*Ct : yaur lumber end rnerk as to brand or model of honfes yeu t+vr71 be inscelAng. N �Ferna width- ere the same, the precut boards will also be the same length in each Vector set-up. STRAP TEJY,SION Ail strapping must be tight upon assembly of the Vector System. Tests have been conducted with 'hand tight. ened ' strap in the Vector system to remove the need for specific tension specifications. Hand light is define.. as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight ening of the straps is not required, straps should be checked after any strong wind conditions, just as convel. Uonal anchor tie down straps should also be checked, to insure the maximum performance of the foundatiu• system. A minimum of two factory 1/4' spot welds must be used when straps are connected to the swivel co: nectors with welds. Pada 4 CallfMN001 09/30/2002 14:04 FAX 5305296890 Strictly Used Mobiles Set -Up Instructions for the Vector Dynamics Foundation System r— #59007 (Kit /s9w to werchang"bie whir Kif #s9o18)' I. SiETVECTOR FOUNDATION PADS L" M04 Clear all loose vegetation from the Immediate u \ u area where your Vector foundation pads will rest. Press or hammer pads Into the ground. Tip: Place a 318' nut on each U -bolt to keep it in place whilt you po"OM the Vector pads. aCri. 3. OUTSIDE Map - g 2.8ET BLOCKS (OR PIERS) ON `% VECTOR FOUNDATION PADS Cor W ttM ldwidatkm blocks over VW Vedw pads. Puce the pro -cut 4x4, W's (side by side), Schedule 40 PVC (w/PVC adapter plate, part 0=81) or 1 adjustable TDE steel cvmprasston member, (part *SOW) lightly between the blocks, with ends resting on the Vector pada, and centered on each U-bok, 3.OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of -the foundation blocks and Vector pads. Place one of the short 6% 20's between the bracket and Vector Pad. Adjust the short 2x4 so thAt it pushes against the foundation blocks, removing any space between the piers and anter co�pmpression section. Tighten the 3180 bolts. I O12 2 square for,, pad ptacemern W (1) 3 sQuari• hot pad 4. INSIDE BRACKETS AND STRAPS Attach the Inside Tie Brackets N. U -Molts over the pre-cut boars PVC. Attach a strap with hoo. each inside tie bracket. Tigo bracket. When using looped strap a crimp seal. In place of the hoc,.. place a 3' long section of sir folded In half and inserted bet\. the strap and Inside tie bracket. P other end of strap over the oppos. beam and continue down to out of the foundation blocks. Attach strap to the Outride Tension brae, using the slotted bolt and provided. Wind strap a minimun: live times around ton bolt Contin..: tightening the slotted bolt until •. stack hap boon removed and strap Is tight & SET ANCMOtiS Refer to sectkm horde drawings for anchor Installation IMOtrhsNon. Stabillzer plates are required for diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is tight- For single section homes In rocky soil conditions in Wind Zone 1 only (Soil Classifications 2 3 3 only), use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement. Pap 5 calklmla 0f1� m n W Vector for WIND ZONE I _ Dynamics Systems Required _ S�cio�, Ooubf a Section Homes "" s z2 is do,�iaos�n 1ne"w (Materials Required - - a pshovis le smn t ba to twom �� _ - "r- tUustts'd spe�ng - - f ♦ f .Yr- f r� ` . ♦ ♦ ♦ t ♦ f-00 Ow toy !!al 61PUM wo 10 d'OiQ Ihs KZ Flt ill0IM! ldport sq. R. WINO ZONE t (not so wale) Oki .4� \ '_ pD III ubm- Year S ow1Q be sgoed as wm* at Ispreak" s ons f t Ear9d1 dew hemi." rspecig meds eaatsrer - W-Wrs-- Mww%ehesrs'Irrlrlsltlon Inrtrars 1MY, 11-1- mgAwneWL Sall Ctasshications: 2.3.4A• 8 46 Soil Bearing Capacity; 1,000 PSF minimuva Anchors Required: 1.000 (marriage wad &Khora my be required by home rxwWadw" Nome Length Vector Systems E&Ck Vecrorfooedorlour?rerun,,quint Required . 2 i;_ r« w..�refp4n wit vary wftn ON eebht OM Ib. Irk brook). O to 4B' 2 • 1 ea 4 it 4 proutare rrealed wood canpreovronowaDer 88'(0 71 3 •far 2 ea. 2 sd pressure &Utes wood compression w4mber 72' to 89' :: • Of 108. 3-Vr or 4' nomkal SCN 4o PVC 1 pipe caepnossMn msmba • a 1 i0E adJwubEe stool sknR 'WIND Vactotr Systema ReQulred Anchotn !11 ulred Per Side • ZONE I 3 3 73' to 90' Vector Dynamics Systems Required 4 ♦�', Single Section Homes -'_""- -- 4�. Difficult Soil Conditions \ • on >np� efig• idsiines• S�tteclot sys tral 4u man � � _ -. \ \ - _ - - X15 tot elation 1 a nets, Pah the K`sta to _ E ample aeon 600!00g 9MO loqW30 asp `. ♦♦ Poondatiotti Pads 1 1 , ♦ 1 ' i• � 1 2tL�.typ. ♦ 1 � t�1 4slp• m V Drive anchors o are used only in WIND ZONE [ iu (not to scale) � �2 sq. (t. padr O O Nola: Veotor aylalame should be evenly spaced as practicableatong the length of the hone. Plw spacing must be conalslual with the home manulhMmers leatallalians andlor state requrramente. Na dmum etlalp6le warldrfttg� dreg lad forlhe Vactor3yetem with the }heal camprilselon 1Wut Is 3,160 pounds per Soil Claseifrcations: 2, 3, the 10 Enginealltig teat tepart. Soil Bearing Capacity: 1,040 PSF minimum Anchors Required': 'V' Drive Anchor, Part Number 59269 1-1 /4• frame ties w/4725 itis. min. breakingafreInpth. IN,%— teal M iDri A—A Home Length Vactotr Systema ReQulred Anchotn !11 ulred Per Side • 0to72' 3 3 73' to 90' 4 4 age Eact, 1/;oror Faundatfen System requires • One Vector MI.2 •V" Drive anchor.} 4 atoned bolts • 2 ea. 1-1/411. go. length will vary wah pier height V725 b. rala. break}. • ea 4 x 4 pressure treated wood compression member • at 2 ea. 2 x4 pressure treated wood compresalos member • or 1 aa. 3-1/21 at 4• nominal SC 40 PVC pipe compression member (tartar compression member only} • or 1 TOE adoutable sisal strut Drive Anchor, Part Number 59269 •2 ee. 2x4praawre treated woad for va tLxhor c .V. OAonneclion. Nate: PVC pipe cannot be subsllbuted for wood on the 'V• Drive Anchor connectlons. D�YyN C7 O O D O O WIND ZONE 1 Vector Dynamics Systems Rel for Multi Section Homes (Materials Required) Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum uired j _ oi tc °Amman a1 9uldelines holds muslbe (111u ds astra�rd sPacrn9 ifoundation Da ` 1 i WIND ZONE 1 NOTE: Shear wail, ridge beam support posts & marrlage wail straps & anchors may be required by the home manufacturer. Vector systems should be spaced as evenly as Is practicable along the length of the home. A two foot variance + or - is allowable at each system.Pler - spacing must be consistent with the home Installation manual. \2 sq. ft. pad/ Maximum allowable working drag load for the Vector System with the steel compression strut is 3,150 pounds per the K2 Engineering test report. Materials: Each Vector foundation system requires One Vector Kit 2 ea. 1-1/4 in. ties (4 725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member or 3-1/2" or 4" nominal SCH40 Pipe comressIon member or 1 TDE adjustable steerstrut Anchors Required Home Length Vector Systems Required Per Side Homes up to 48' 2 Vector Foundation Systems 0 Homes over 48' 3 Vector Foundation Systems 0 up to 52' Homes over 52' 4 Vector Foundation Systems 0 up to 76' WIND ZONE 1 NOTE: Shear wail, ridge beam support posts & marrlage wail straps & anchors may be required by the home manufacturer. Vector systems should be spaced as evenly as Is practicable along the length of the home. A two foot variance + or - is allowable at each system.Pler - spacing must be consistent with the home Installation manual. \2 sq. ft. pad/ Maximum allowable working drag load for the Vector System with the steel compression strut is 3,150 pounds per the K2 Engineering test report. Materials: Each Vector foundation system requires One Vector Kit 2 ea. 1-1/4 in. ties (4 725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member or 3-1/2" or 4" nominal SCH40 Pipe comressIon member or 1 TDE adjustable steerstrut RECORDING REQUESTED BY:, AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 06 -Nov -2002 2002-0059959 Has not been compared with original BUTTE COUNTY RECORDER I 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. PHILLIP DECANN & SARAH AVERA REAL PROPERTY OWNER/LESSOR 169 BARDOLINO LANE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP PHILLIP DECANN UNIT OWNER (if also property owner. write "SAME") 169 BARDOLINO LANE MAILING ADDRESS OROVILLE, BUTTE, CA 95966 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 SIGNATURE OF LOCAL AGENCY OFFI NONE DEALER NAME (if not a dealer sale, write DEALER LICENSE NO. 530)538-7541 TELEPHONE NUMBER 11/5/02 BARON 1981 VILLA SANTANA MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 1895A/B/C 24' X 64' & 24' X 40' CAL194845/46/47 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #072-200-033 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. ✓-r7!sr•+u,�'.iih IV V.Y z .:'•.—arx;.�. r •".v uc r 3-: FONDATIO'N SYSTEAM' �t;tr��uER�TIFICATETOF.00CUP�ANC�Y: �` � �,,'� � eS x-�« 5M �.3 � ar �t` - .a1�',, f jL�{JxI..�e '� `'".S'�p,+% i.r r� a f•t k �'� °,$�'.V"?*ty,'Y' " ^},, v Y t'G: 'V^'�. i`tY�.°`;. `� � WL . i:.... a -=n �rt.�::re.._.`•i� �`� BUILDING PERMIT NUMBER: 02-2996 Address or location of unit: 169 BARDOLINO LANE, OROVILLE, CA 95966 Legal Description of Real Property: A.P.#072-200-033 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: PHILLIP DECANN & SARAH AVERA Owner's address: 169 BARDOLINO LANE, OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: CAL194845/46/47 SERIAL NUMBER OR V.I.N.: 1895A/B/C MANUFACTURER'S NAME: OFFICIAL APPROVING INSTALLA' DATE: 11/5/02 PHONE: (530) 538-7541 H.C.D. 513 \lr ' DESCRIPTION:• r'�{; w; I,�!S.k:\^s�����?'t ;r.. ALL THAT CURTAIN REAL, PROPERTY COUNTY OF BUTTE, DESCRIBED AS P&L01-u 96-20030 ORDER No; BU -152017-3 SITUATE IN THE STATE OF CALIFORNIA, FOLLOWS: PARCEI. 2,, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 28, 1976, IN BOOK 59 OF MAPS, AT PAGES) 93. A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCEL I, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER of THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 28, 1976, IN BOOK 59 OF MAPS, AT PAGE(S) 93. PAROET�:. AN EASEMENT FOR ROAD'AND PUBLIC UTILITY PURPOSES THROUGH THE NORTH ONE HALF OF THE SOUTHWEST ONE QUARTER OF THE SOUTHEAST ONL QUARTER OF SECTION 17, TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M., AND ALL THAT PORTION OF THE NORTHWEST ONE QUARTER OF THE SOUTHEAST ONE QUARTER OF SAID SECTION 17, LYING SOUTH OF THE CENTERLINE OF THE OROVILLR-FORSESTOWN ROAD, AS SAID ROAD EXISTED APRIL 61 1980, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMIXENCING AT A 1 1/2 INCH DIAMETER IRON PIPE WITH BRASS CAP XARXING THE SOUTHEAST CORNER OF SECTION 17, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.A.D. A M.I.THENCE SOUTH 89 DEG. 481 0411 WEST, ALONG THE SOUTH LINE OF SAID SECTION 17, A DISTANCE OF 2614.16 FEET TO A 1 INCH DIAMETER IRON PIPE TAGGED RCB 11128 MARRING THE SOUTH ONE QUARTER CORNER OF SAID SECTION 171 THENCE NORTH 27 DEG. 460' 27u EAST, A DISTANCE OF 744.14 FEET TO A POINT ON THE NORTH BOUNDARY OF THE SOUTH ONE HALF OF THE SOUTHWEST ONE QUARTER OF THR SOUTHEAST ONZ QUARTER OF SAID SECTION 17, AND THE TRUE POINT OF BEGINNING OF SAID EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, 60 FELT IN WIDTH LYING 30.00 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED Ct:11TERLINEI TIIENC$ NORTH 16 DEC. 490 4011 EAST, A DISTANCE op 15.57 YliY.T TO A POINT OF TANGENCY OF A 150 FOOT RADIUS CURVE TO THE I.EFT1 TilENCE ALONG THE ARC OF BAI6 CURVE THROUGH A CENTRAL ANGLE OF 56 01;0. 03" 30" AN ARC DISTANCE OP 146.72 FEET1 THENCE NORTH 39 DEG. A61502FOOT RADIUS BCU VE TO THE RIGHT IA DIDTANCE OF 1&2. 10 E T1lEt CE ALONG HE ARET TO A POINT OF C OFCSAIOP D CURVE T1102.49F8F.Tc14,A CENTRAL ANGLE Or 39 THENCE NORTH 0 DEG. 07'D52" WEST, A DISTANCEG. 09, 0010 AN ARC OPDISTANCE93.04 CONTINUED :J -o. •rr:newy r.nzuc�'r,.'p''s:�XdrC!.tpr"L•tt:b . EOOO Z06 ' ON b0££Z£S F 3-1 I nONO 3-1 I 1 IHNO I IHN Al 17;a i -4 RT : aT. �r�rn� ,cam ZM T ORDER No. BU -152017_3 CONTZMMD FEET TO A POINT OF TANGENCy OF A ISO FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE THROUoll A CENTRAL AsaLEE OF 16 -DkG. 411 00" AN ARC DISTANCE OF 43.68 FEET. THENCE NORTIf 16 DEG. 331 08'j EAST, A DISTANCE OF 186.65 FEET TO A POINT OF TANGENCY OF A 150 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 17 DEG. 13f Do" AN ARC, DISTANCE OF 45.07, IFEETT THENCE NORTH 0 DEC. 391 52" WEST, A DISTANCE OF 279.17 FEET TO A POINT OF TANGENCY OF A RADIUs. CURVE TO THE LEFT; THENCE ALONG - 1000 FOOT THROUGH A CENTRAL ANGLE OF 1 DEC THE ARC OF SAID CURVE, FEET) THENCE NORTH 1 DzG.'42,* DEC. 030 0011 AN ARC DISTANCE or 18.33 TOA 52 WEST, A DISTANCE OF 264;26 FEET 1 INCH IRON PIPE TAGGED RCE 11128 16f 4311 nST, A DISTANCE OF 3339.02 WHICH BEARS NORTH 44 DEC. OF SAID SECTION 17? THENCE NORTH I FEET FROM THE SOUTHEAST CORNER 30.2 DEG. 42" 5211 WEST, A DISTANCE OF OROVZXZE-FO FEET, MORE OR LESS, TO A POINT IN THE CENTERLIW. RBESTOWN ROAD ANDTHEEND OF SAID rASEI.MNT. E OFT11E 41 It"ll."Zi A D 0 R E S 9 E STATE OF CALIFORNIA- DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE MOHILEHOME DECALwn. LAE4444 MANUVACTURER NAME110 )RADE NAME MODEL DOM I UOT pFSSPG EXMMnpN BARON/ VILLA SANTANA 00/00/81 00/00/81 USEIIIAI, NUMBER 1 1895A LABEL/INSIGNIA NUMBER WEIGN1 CAL19484S 000000 LENGTH 000480 WIUIII 000144 ISSUED SCC EXEMPT 03/12/96 04 z 18958 CAL194846 000000 000768 000144 3 1895C CAL194847 000000 000768 00014Vi TOTAL 9. A FEES s L i ( I w,;. NEW LEOAL,OWMERd FILL IN IT6MS 10 -1z 1e)f+e PAID= fi - i $89.00 D/D MH a WE�-/?J/94 0918:00 2243 FEATHER RIVER HL N ��i ' "• t% NAME PLEASE PRINT R OROVILL E CA 95965 ! �','�•��;�":111.+°� •'I' RELEASE OF DEALER L 11* NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9 *A 4.A)_ AND OR 01 �� !ra :}+��, .••,. NAME - PLEASE PRINT DECANN PHILLIP i•S.A) .d ��t •'I"� ;� i.d u. 71,.;. :Y 1.;,.'.ruPRENT MAZI.YNP. A000FIS 169 BAROOLINO LM ;il �, " e) •"' CITY V. CNTY ST ZIP OROVILLE ''+ CA 95966 rim '� .' '� '• FUTURE MAILING ADDRE55 RELEASE'OF REOISTERED OWNER .'. '�'''•y'••Y'i i. LOCATION'A O 5 169 BARDOLINO LN; • i'. a• .. W-59 •� E u OROVILLErf CA 95966 • I �) CSTv'.:;'; ,i I CNTY ST ZIP L PURCHASE PRICE DATE 9. A 2243 FEATHER RIVER BL t NE4;REGISTERED OWNER'GICNATURE 'oewx1! L i ( I w,;. NEW LEOAL,OWMERd FILL IN IT6MS 10 -1z 1e)f+e 1 - i '• 1c.A)��ri' O OROVIILE CA 95965 WE�-/?J/94 0918:00 ? a' r N ��i ' "• t% NAME PLEASE PRINT R RELEASE OF LEC O ! �','�•��;�":111.+°� •'I' L 81 t ADDRESS; . RETENTION OF LEGAL OWNER C) f't ;'i: ,,, CITY;:, ,,.5. .,CNri ST 2IP 14±kN NEW IST JR. LIENHOLDER:' FILL IN ITEMS 13 - 15 HNNf ASSIGNMENT OF LEGAL OWNER ^ 1s "NAME- U F +'"d Y'.,t i" '.� ',�° - PLEASE PRINT ,T' ��'� '• :'t•7 O S h ADDRESS R T 13. CITY CNTY ST ZIP L mit NEW 2ND .1R. LIENHOLDER, FILL IN ITEMS 16 - 18 *-X-K I E N 3 16. M E NAME - PLEASE PRINT O C 17. L O D N ADDRESS E D 1H. R IMPORTNT CITY CNTV ST ZIP THIS CERTIFICATE OF TITLE MAY NOT REFLECT AALL LIENS RECORDED WITH THE DEPARTMENT 02-067-00475 OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0200092 I til—p Wrq el '1e Request of Mld Valley Title A Eacraw Company 96-70030 Order No. I -:j 2caroNo, c 152017DH-3 /� 0' I 96-0200,7j 1 Rec Fee 12.00 WHEN RECORDED MAIL TO: I DOC 37.40 Recorded I Check. 49.40 PHILLIP DECANN and SARAH AVERA Official Records 1 169 BARDOLINO LANE'.-,. •.,,... Counttty OROVILLE, CA eof Candace 'J. Grubbe I Ropcorder t 8:00am30-11®y-96 1 MVTC MD 3 MAIL. TAX STATEMENTS TO;n`_```:.. DOCuhLENTARY TAAfVSFER TAX S 3�y0 GAME AB ABOVE C&M, OW on M otrw &%flon or vow C4 t>r000ry Iwo OR _ Computed on IM OMS-WOMOM Of vetue bau tern of enmmbm-ipee 7e"ehbo k tree or nese. ThA I dGrclCInaff Grnnfnr dedarwa Sloneury d De twrent a Apar derom%rig tax - Ftmr m m. GRANT DEED APO 072-2DG--= FOR A VALUABLE CONSIDERATION, receipt of which le hereby acknowledged. PHILLIP DECANN, an unmerried man hwetr/ GRANT(S) to PHIWP DECANN, an unmarried man AND SARAH "ERA, an unmarried woman, as Joint Tenants the real property In It" unincorporated area of the County of BUTTE m SEE ATTACHED LEGAL DESCRIPTION Dated _.Ma STATQ aF CALJFq� ) 00vt(Yrof, IiUlti� X40' On S/_,4/r)11 boob nr, IX)M I". 1111[17 n«.«>d77 •vpoered I'll [ J. p P . Iv pff—stry Ong" to (a proved Lo rrte on the lett@ of wislecty "!dw,AwI w be we prreen(t) whoa nentelN wrue wroeohb.d to he *VM k%UW"eN"64m—%dg.Q 10 me tUt 111WOOk-my otrtoueo the e.rno In hsrtreryttnl7 &&wxllw eapedty(1N), erd ttw IV WaWlf%) °n Yw wVLO4 Va pertwKm"b1 or the entity upnrfunan of w TN tib =.fi(7lteo0.lflaMgot [ / rwwmant L•� NnTNete trrd r;d 9 I N<L / /(� 3voltoo , Btate of Caidomia, described A A n DODIE HULTZ Cerveru"ion • I0b1700 we, CP e I 144"Y F"Alc wra c4wrr/. Crewrw r7 M Gor"WArA,n F.n rMr 51199k, I 1006 E06 bo=_29 F 3- I (�O..NO 3-1111 LUNO I iUN Al 17719 T -4 FIT : 4 T 7aa7 /c7.fi T fit... DESCRIPTIOtI! ALL THAT CERTAINREALPROPERTY COUNTY OF BUTTE, DESCRIBED AS PAI:CEL�I. 96-20030 ORDER NO'; BU -152017-3 SITUATE IN THE STATE of CALIFORNIA, FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THY COUNTY OF BUTTE, STATE of CALIFORNIA, ON OCTOBER 28, 1976, IN BOOK 59 of MAPS, AT PAGE(S) 93. A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCEL I, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 28, 1976, IN BOOK 59 OF MAPS, AT PAGE(S) 93. I'ARCEI. M- AN EASEMENT FOR ROAD'AND PUBLIC UTILITY PURPOSES THROUCK THE NORTH ONE HALF OF THE SOUTHWEST ONE QUARTER OF THE SOUTHEAST ONE QUARTER OF SECTION 27, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., AND ALL THAT PORTION OF THE NORTIIWEST ONE QUARTER OF THE SOUTHEAST ONE QUARTER OF SAID SECTION 17, LYING SOUTH OF THE CENTERLINE OF THE OROVILLF'-FOR3ESTOWN ROAD, AS SAID ROAD EXISTED APRIL 6, 1960, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS COMMENCING AT A 1 1/2 INCH DIAMETER IRON PIPE WITH BRASS CAP MARKING THE SOUTHEAST CORNER OF SECTION 17, TOWNSHIP 19 NORTH, RANGE 5 EAST, MoD.D, b M.1 THENCE LOUTH 89 DEG. 48' 0411 WEST, ALONG THE SOUTH LINE OF SAID SECTION 17, A DISTANCE OF 2614.16 FEET TO A 1 INCH DIAMETER IRON PIPE TAGGED RCE 11126 MARKING THE SOUTH ONE QUA12TER CORNER OF SAID SECTION 17) THENCE NORTH 27 DLG. 461 2711 EAST, A DISTANCE OF 744.14 FEZT TO A POINT ON THE NORTH BOUNDARY OF THE SOUTH ONE HALF OF THE SOUTHWEST ONE QUARTER OF THY SOUTHEAST ONE QUARTER OF SAID SECTION 17, AND THE TRUE POINT OF BEGINNING OF SAID EASEMENT FOR ROAD AND PUULIC UTILITY PURPOSES, 60 FEET IN WIDTH LYING 30.00 FEET ON EACH SIDE OF TI[E FOLLOWING DESCRIBED CRUITRLINEI THENCZ NORTH 16 DEC. 45' 4811 LAST, A DISTANCE OF 15.57 Ylir,T TO A POINT OF TANGENCY of A 150 IrooT RADIUS CURVE TO Ttil* T XF1,01 THENCE ALONG THE ARC OF RAID CURVE THROUGH A CENTRAL ANGLE OF 56 DEG. 021 3011 AN ARC DISTANCE Plr 146.72 FEET) THENCE NORTH 39 DEC, 16' 5211 WEST, A DICITANCE OF 162.10 FEET TO A POINT OF TANGENCY OF A 150 FOOT RADIUS CURVE TO THE RICHT) THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 39 DEC. 09' 00,t AN ARC DISTANCE OF 102.49 FEET? THENCE NORTH 0 DEG, 07' 52" WEST, A DISTANCE OIC 493.04 CONTINUED ._....-- .. ... ... __.._...-..-.-....... _:.,-,,.,ti.,,.... �.w.-,•::.-o-.:a:roc-; .c..?-cc4•-.�y,.__.:..;.;cr�nT�'(!�'A7: e.'.c�b.�. F.Gi3 2006 Z06 ' ON b0``£Z�S F 3-� I f10N10 3�1 I 1 I il3N 1,1 I -13Q I3 BT :9T Z00Zi6Zi0I ORDER No. sU-152017-3 CONTINUED / FEET TO .A POINT OF TANGENCY OF A 150 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 16 DEG. 411 0011 AN ARC DISTANCE OF 43.68 FEET; THENCE NORTH 16 DEG. 331 06" EAST, A DISTANCE OF 186.65 FEET TO A POINT OF TANGENCY OFA 750 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 17 DEG. 130' 001, AN ARC DISTANCE OF 45.07• FEET; THENCE 14ORTH 0 DEG. 391 52" WEST, A DISTANCE OF 279.17 FRET TO A POINT OF TANGENCY OF A 1000 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF -SAID CURVE, THROUGH A CENTRAL ANGLE OF 1 DEG. .030 00" AN ARC DISTANCE OF 18.33 POET/ THENCE NORTH 1 DEC.'42" 52" WEST, A DISTANCE OF 264.26 FEET TOA I INCH IRON PIPE TAGGED RCE 11128 WHICH REARS NORTH 44 DEC. 160 4511 WEST, A DISTANCE OF 3339.02 FEET FROM THE SOUTHEAST CORNER OF SAID SECTION 177 THENCE NORTH 1 DEG. 421 52" WEST, A DISTANCE OF 30.2 FEET, MORE OR LESS, TO A POINT IN THE CENTERLINE OF' THE OROVILLE-FORBESTOWN ROAD AND -TIM END OF SAID EASEMENT. f I 2006 Z06.0N END OF DOCUMENT 0 V022Z£S F = I 00210 31111 _lbNO I idN J.1 I -13G 13 81:: 9Z ZOW/6Zi0Z rpt= Nti arc �u ..'.•. 95-20036 ORDER No. sU-152017-3 CONTINUED / FEET TO .A POINT OF TANGENCY OF A 150 FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 16 DEG. 411 0011 AN ARC DISTANCE OF 43.68 FEET; THENCE NORTH 16 DEG. 331 06" EAST, A DISTANCE OF 186.65 FEET TO A POINT OF TANGENCY OFA 750 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 17 DEG. 130' 001, AN ARC DISTANCE OF 45.07• FEET; THENCE 14ORTH 0 DEG. 391 52" WEST, A DISTANCE OF 279.17 FRET TO A POINT OF TANGENCY OF A 1000 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF -SAID CURVE, THROUGH A CENTRAL ANGLE OF 1 DEG. .030 00" AN ARC DISTANCE OF 18.33 POET/ THENCE NORTH 1 DEC.'42" 52" WEST, A DISTANCE OF 264.26 FEET TOA I INCH IRON PIPE TAGGED RCE 11128 WHICH REARS NORTH 44 DEC. 160 4511 WEST, A DISTANCE OF 3339.02 FEET FROM THE SOUTHEAST CORNER OF SAID SECTION 177 THENCE NORTH 1 DEG. 421 52" WEST, A DISTANCE OF 30.2 FEET, MORE OR LESS, TO A POINT IN THE CENTERLINE OF' THE OROVILLE-FORBESTOWN ROAD AND -TIM END OF SAID EASEMENT. f I 2006 Z06.0N END OF DOCUMENT 0 V022Z£S F = I 00210 31111 _lbNO I idN J.1 I -13G 13 81:: 9Z ZOW/6Zi0Z STATE OF CALIFORNIA ODEPAR T OF HOUSING AN® CO NI ®EVEL®P NT DIVISION OF CODES AND STAN®AROS REGISTRATION AND TITLINO SECTION •. TA NT ®F FACTS _ This Unit VS. as Mob iI@horns Commercial Coach Floating- Home Truck Cay Decal (License). Ho, (s) Trade: Mame . Serial No. ($) _ o I/Wee the undersigned® hereby state that the unit described above: m Affiant further agrees to indemnify and save harmless the Director of Housing and Corrinu Development, State of California, and subsequent purchasers of said unity for any loss may suffer. resulting from registration of the above-described unit in California, or fr issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on /l - - dat , ®ate (City) (St e) Signof each •aff' t Printed name. of each affiant Address -C i ty JL HCO 47606 (Rev 11/86) o State/ ' ,' - . , • . F4'ESIDENTIAL . f, 072-200-033 PERMIT#96-0336 i DeCANN, Phillip 169 Bardolino Ln., Oroville a. Cont; Phil DeCann i MHI Ex Site �r a. r V=OK O = Not OK f- '=Noo`tReaplyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / NL'ft. / /Nat. or/ P'L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Date 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing Date 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date 6. Carports; Windows -Doors Date 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage: Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth v. oicnwan�, main, omm-oiut,nvura-vv�aNycu 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors I 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------------------------------------- ------------ - ---- - - - - - ----- 17. Water Pipe; Test & Anchor -Nail Protection - -------------------- 18. D.W.V ; Test -Fittings & Anchor -Nail Protection ----------------------------------------------- --- - -- --- 19. Shower Pan; Test, First Floor -Tub Access 20.--Test--&-Shower'- & -Shower.-Second-Floor-Tub Access ------------------------------------------------------------- 21. Gas Pipe: & Anchors -------------------------------------------------------------------------------- Date Card B-1Date Card B-1 --------------------- --------------------------- - -------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except rr's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------- ------ -- - -------------------------------------- ---------- 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------- ------- --- - - - - 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------- ........ 26. Equip. Ground made up wrMech. Fasiners-Bond Gas & Water --------- - - --- ------ -- -- _ .. . 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ---------------------------------------- - ----- --....... -. .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At ------------------------------------------ I --------------------------------------- .. 29. Range Circ. r ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------- --- --------------------------- --------------- .. 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------------- -- - -- 31. Equip. Clearances Panels-Motors-Mech. Equip. -- ------- ------------ _._..._. ........ ....... .. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector --------------- --------------- - - -- - --- -- -- -- . ....... .. .... .. Date Card B-1Date Card B-1 -------------- ------- - -------- - ------------------- ... ... ... ... ... . Date Card B -t Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ----------------------- -- - -- ----- ------- --- - - 35. Vent Fan: Exhaust above insulation ------------- 36. --------- 36. Condensate Dram & Overflow. Size & Grade - ... ....... ....... ... 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38 Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39 Sils. Proper Material & Anchors 40 Walls Studs -Nailing. Spacing & Brac ng -Plates -Sound ..... ... ... .. .. . ........... ... 41 Bearing Walls over Girders & Floor Nailing 42 Draft Stop in Walls (rat proof) ...... .. ... .. .... ... ... ....... ... ... 43 Fire Stops: Furred Ceilings -Stags -Chases -Tub ---------- _ ... - 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type ype A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ----------------- _ 51. Property Line Firewall & Openings -- -- --------- 52.- Ext.-- Doors -One 3 -Check Garage -3rd Story, 2 Exits ------- --------------------- 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------- 55. Siding -Nailing Veneer ------------------ ----------------------------------------- 56. -Stucco Mesh -Drip - Screed -Fd. Vents-Underflr. Access ------------------ -- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear WalIs:-Nailing- Bolts ------------- - 59. Insulation-Walls-Cei-I i ngs -------------------------- - 60. Infiltration -Walls -Windows ---------------- ------------------------------------------------- -- Date Card B-1 Date Card B-1 - - - ----- ------------------------ Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ----- ---------------------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ....-------- ----------------------------- 64. Bedroom Exiting 65 G.F.I & Bath Fixtures & Tub Access -Spa - .._ ... ----------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels .--- --- ----------------------------- 67. Stairs & Rails ...... . . - -- - --- ----------------------- 68. Fireplace or Stove: Clearances -Hearth .. --- ..---------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. .. ..--------------------------- ---------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance -------------- - ---------------- 71 Elec. Outlets & Receptacles at Kit. Counter . ... ... ... ......................-------------------- 72. Garage Fire Door: Swing -Landing -Closer ...... ... ... ....... - __.._ ----- ----------------- ----- 73. A.C. Duct in Garage -Damper .. _ ... .......-- ... -- -------------------------------- 74. Wir Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection --------------------------------------- ----- 75. Plb.. Elec. & Mech. Equip. uiListed for Location ------------------------------------------ - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. ... ....... ----- ------------------------------------------ 7;. Insulation -Foam -Looked in Attic ❑ Yes . ------------------------------------------------ 7d. Guard Rails & Deck Construction -Post Caps . ... .................---------------------------------- -- 79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - - ----------- ------------------ 80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------------------ - - 81. Stucco: Brown -Finish .. .. . ..... ............... _.._...---------------------- --------------- 82 A C Unit: Disconnect. Electrical. Plumbing . ... ... .. ---------------------------------- -- ------ 83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - - - --------------------------------- 84 Water Well: Disconnect. Electrical, Plumbing ----------------------- -- ------- ----- 85 Exterior Elec Trim: G.F.I. Receptacle -Underground . . . . --- -- -- ----- - -- -- ---- ------- 86 Ventilation Throughout House - --------------------------------- 8 7 -------------------------------87 Glass Protection -- -- - ----------- ---------------- ---- 88 Corrections from Previous Inspections - -- - -------------- 89 Gas Test -Meters Tagged: Gas -Electric ----------------------------- 90 Water & Sewer Connected -C/O to Grade -HD Approval - -- ..------------------------------ 91 Energy Compliance Certificate -Other Certificates .--- ---------------------- Date Card B-1 Date Card B-1 . . .... . ------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: RESIDENTIAL JOB FINALED (Date) Signature I.z? f4-7/ IV V=OK O =. Not OK `=Not t able NoReadyMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 11. Ext.; Steps -Doors -Landings 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test Fall -C/O -Concrete Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete POOLS (Plans) OK except #'s 6. Gas; Location -Test -Wrap; / tVft. / /Nat. or/ NL"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date - Card B-1 Date MOBIL ME INSTALLATION Plans OK except #'s on equirements- Setbacks Easements Foo' ; Size -Spacing -Marriage Line AAOTas; MH Test -Demand Valve -Connector 4. ec 'city; MH Test -Crossovers -Breakers -Clearances / . fain; MH Test -Fall -Flex Connector ater and Sewer Connected -C/O to Grade -HD Approval 8. s Electricity Tagged ie Downs -Type Installation Cert. xits; Insp.-Sketch l;)Cert of Occupancy Date L Card B-1 Date Card B-1 Date and B-1 Date Card B-1 149L �i v8s'� y�v7 13 & ?5/?,gj C'_ MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 0 NE 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9: Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 NE ✓=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL v(Single = Date UNDERFLOOR (Plans) OK except p'sj I Date 1. Zoning -Setbacks -Easements -Flood -Slope ---------- 45. -Hangers -Post Caps -Anchors -Connectors --------- 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shth & Duplex) FRAMING (Conti 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except rr's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ----------------------------------------------- ---- 19. - Shower Pan: Test. First Floor -Tub - Access -------------------------------------- - - - - - --- -- - - 20. Test Tub & Shower. - Second Floor -Tub Access ----------------------------------------------- - ---- -- - - - - - - - 21. Gas Pipe: Size & Anchors -------------- ------ -------------------------------------------------------------------- -- --- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------------------------- 23. ------------------------------------------- ---------- 23 Elec. Receptacles Spacing -Lights & Switches at Doors -------- ------ - -------------------------------------- ---------- 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------------- .._._.---- 25. Romex Installed Close to Edge of Studs & C.J. -- --------...------------`------------------------------------- 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water ----------------------------------------- - ........ 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI -------------------------------------------------------- 28. -----------------------------------------------.28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At -------------------------------- --------- 29. ----- 29. Range Circ. / , ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----- --- --------------------------- ............... .. 30. Service -Riser Conductors & Ground -Main Disconnect ----:.-.----....._.. ......... ....... .. 31. Equip Clearances Panels-Motors-Mech. Equip. - --- - ------ -----. ......... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light ------------------------------------ --------- 33. Smoke Detector --- -------------------------------- ----- --- ------------ _-- ... ....._........ .. Date Card B-1 Date Card B-1 ---------------------- --- ----------- ---------------- ... ....... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support -- ------------_...------------.. - - - - ......----- ............ ... ... .. .... 35. Vent Fan: Exhaust above insulation -------------------- - -- --- ------- - ----....._._. .. 36. Condensate Dram & Overflow: Sze & Grade ---- ....... ........ ........ . ....._...... ..... . . 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet .............. ... ... ....... ... ... --_ ... ... ... 38 Attic Access & Platform if Furnance in Attic -------------- . ------- _-- ... ......... .. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. S Is. Proper Material & Anchors 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ...... ... ... _. .... --- ....... ... ....... 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ...... --' ------- .._..... ..... .... ... .. .... ... . 43. Fire Stops: Furred Ceil ngs-Stags-Chases-Tub ---------------------- - .. .. .. .. 44. Headers & Beam -Size & Bearing -R 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits --------------------- -- --------------------- _____________ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------- - - ------ 55. Siding -Nailing Veneer ----------------------------- ---- - 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings ------------ ------------------ --- 60. Infiltration -Walls -Windows -------------------- -------------------------------- Date ----------------------------Date Card B-1 Date Card B-1 ---------- -------- --------- -------- ----- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------ ---------------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection .....------- ----------------------------- 64. Bedroom Exiting ---------------------------- 65 G.F.I & Bath Fixtures & Tub Access -Spa ....... ---------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------------------------- 67. Stags & Rails ------ ---- ----------------------------------- 68. Fireplace or Stove: Clearances -Hearth ..... .._..------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. .... ----------------------------- - ---------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance .................. ------------------------- -- 71 Elec. Outlets & Receptacles at Kit. Counter ...... ... ... ...................... -------- 72. Garage Fire Door: Swing -Landing -Closer -- ------------- --------- --- -- - 73. A.C. Duct in Garage -Damper . _ ......------------------------------ ----- ----- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ...... -------------------------- -------- ---- 75. Plb.. Elec. & Mech. E4ui Listed for Location ._.-------------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection - -- - -------------------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes ----------------------------------------------------------- 78. Guard Rads & Deck Construction -Post Caps . ... --- ----------------------------------- -------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _.. .... - -- --- I \ --------------------------- 80. - - - 80. Following inslld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No .--------------------------------------------- 81. Stucco: Brown -Finish .-..._--_------------------------------------- 82 A C. Unit: D sconnect. Electrical. Plumbing . ... ... ... .-- -- -------------------------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - - ............- .---------------------------- - 84 Water Well: Disconnect. Electrical, Plumbing -------------------------------------- 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground . . . ..... ..... - ------------------------------ 86 Ventilation on Throughout House 87 Glass Protection - --------------------- 88 Corrections from Previous Inspections - -- - --------------------- 89 Gas Test -Meters Tagged: Gas -Electric - ..------------------------------ 90 Water & Sewer Connected -C/O to Grade -HD Approval - _ .------------------------------- 91 Energy Compliance Certificate -Other Certificates .............----------------------------------- Date Card B-1 Date Card B-1 . . . ..._ . ...... .----------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISIOW DEFFARTMENT OF DEVELOPMENT SERVICES 891-2751 1469 Humboldt k oad, Chico, -f-A 4- (916) 538-7541 7 County Center Drive, Croville, CA 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C0 3 6 OVVNER PERMIT NO. K. - A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pbwe contact this office immediately. �'k lLef�? /- If - - . - J, . 'n / a 41 Date A -Z Inspector f REV 10/9� M CS2 59250 MIC2 59292 MGR13 MIDH -MIS2 6756 BUCKLES C(DVE PAGE 10 59125 PATIO -ANCHbR W/EXPANSION BOLT 59250 3/4" �X 36 DOUBLE HEAD ANCHOR W/6" & 4" AUGER 59110 CROSS DRIVE ROCK ANCHOR 3/4" X 30" ROD 59096 5/8" X 30"- CORAL ANCHOR 59292 LATERAL STABILIZER PLATE 59145 GALVANIZED ROOF BRACKET 59100 DOUBLE HEAD ONLY 591'05 SWIVEL ADAPTER HEAD- M-=mpHis, TN 38 1 33 90 1-385-1 1 99 F,",X 90 1-386-66 1 4 INSTALLER/CONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS. AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUELDING STRUCTURE. 49-�D COMPANY CONTRACTOR #-4�52-0-- DATE: SIGNAT PAGE 9 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO..- -36 Ownees: A �v Name: Owner's- Aj L t�) Address� Mobilehome Yearof R Manufacturer Manufacture: Serial number c' Insignia or or V.I. N. HUD number Official approvinglitn�tallation: ate: IS— V7 If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner. Yellow -Installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California ,95965 - Telephone (916) 538-7541 _ � PERMIT N APPLICATION AND PERMIT J ASSESSOR PARCEL NUMBER 72-20-33 ZONING BUILDING PERMIT OWNER T TELEPHONE 589-3694 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 169 IRARITOLINO N CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER T UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ 43.00 16Q n PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CX Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IN Other ❑ Describe Work: REPLACE EXISTING WBILE W/ 3 BDRM — 2 BA 24 X 60 W/ 10 X 36 TAG Mobile Home S I G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service a0OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in II fo and effect. / License Class r Lic. No. D /C / ��C/ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( s ACC. BLDS. ) so. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET S Ex. Occup. (OUTLET OR FOCTURES ) BAL @ I.00 Ex. Occup. ( OUFIXED TLETS (RESI�.)ERA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' corn tion insurance carrier and olicy number are: /� Carrier \ TIe /rL/,Q/ MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensatiq�L, provisions of section 3700 of the Labor Code, I shall forthwith c mpt se pr sions. r"Iof X Date_ Signature of Applicant - ❑ wner R—Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is 100,00 Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 143.00 HA2. D. FEES IMP FLOOD CDF PARCEL I PD HD LSSU This permit is hereby issued under the the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON Z I applicable provisions Resolutions to do work been paid. 2 2 9 7 Date p Y� �- 4% 7 (DA) Receipt No. 190875 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ...«_ter. -..,.a -..rte .......� ,.,.. ,...+,. .+�+..--•••1•�'"�'+-• -�?' �%'+,.-y_fi".�,.,*�;►i•w�-`... � ...�.... �,--.,,.t -. .. .- . cam'" wc, " COUNTY OFeutt DEPARTMENTOFDEVELQPMENT SERVICES - BUILDING DIVISION z / 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA•95965 -TELEPHONE (916) 538-7541.' PERMITAPPLICATION`UTA SHEET OWNER �l � � 1 tP � � �-ex A. P. No. -vZ 0 Proposed Building Use r%% 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 RECENED BY 1, All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................... .7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to'plan check). . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $.................................. . -�1. Impact fees as shown on attached schedule . .....................! ........ 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood by�C�lifornia Engineer . ................. . 14. Sanitation and plot plan approval foHealth Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ..........• . 19. Driveway permit (construction approval required prior to occupancy). .. .. .... Ire-Inspection requestZ0. Pre -inspection for required. - to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . .................................. :...... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access. ` 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. 34. i Wh ou issue the perm' p ess as follows: Ma'llo owners Mail to contractor. Telephoned 1 "� and hold for pickup at rO V It ((�E- office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitt d,prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised!of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by(�i (330,v S Date Sets of plans on hold in File cabinet_ AP folder Copy - Ddrprtmerit o�Public Works 11 ZH. USE�� Pla Pim Aftb&ad Fb" Pion Aftachq&- Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -13 14*o6L //V,6 Z,) 7c� — 9C —33 Owner Location CW. AP# Plan Approved for: Sewage Disposal '� Water Supply: Public Private Well Clearance for -bedroom mobile Foffi-e—.Otf;�?> IU<S -&)6Cn Moe( t4j 1 7,04 A 77 -,he /tj dlgle- cr Hold final Final Environmental Q /01) 6;VI Date COUNTY OF. BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVII.LE CA 95965 TELEPHONE (916) 538-7541 OWNER - In i ( /tom A.P. # 7� o� 3 PROPOSED BUILDING USE ,J_Z:Z. -;,r K DATE O REC: # DATE REC 1. SCHOOL DISTRICT FEES = aid at District Office) a� 2. -SHERIFF FEES (paid at Building. Division) - Residential....:. - x =$ - unit amt. Commercial (sq.ft.). x _$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #units amt. Commercial (sq.ft.). x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND -PLAN CHECK $89.00 (paid .at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8.CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the Permit. APPLICANT DATE ,7 ZI C -I This set c kept on the make any 6 written per Works, Cow P O Oans aud 8PSOffloations MM bg pb at all tknes and it is unlwxful to �.n&s or alterations an same without fission from the Department of public 5r of Butte. NI NOTE: All Materials ii,-Workir Aptoordanoe with Rscc� ed ( .....of a Quality Presorfbe�or the in the Uniform Building, Plum !0j;7— -National- 10 qQdw. and the /A Eq �� CO, iJ A/. I Shall Be lu LCtiCGe and ---------- /13 U UTE ,61 Ilia CbUNTY , I 'INC UI -,.. r I> DEPARnipT ATPR a ma E, D Mobilehome Manufacturer:4X2 01 J Manufacture Year._ Nother than singlevide, furnish Setup Model Number: Width:_? t_(ft.) Length: �(ft.) Tagalong or Expando Size ) d (ft.).x C - -On all mobilehomes manufactured. after October 7,. 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[A, Other: - SUPPORTS: Concrete block[,4 Other: Provide Tie Down Specifications for all Mobilehomes: ' TIE1\oold F'iJG►,v ££�21.�G Pier Footings Sizes and Location -SINGLE WIDE-. - MULTI WIDE _ Line 1 Lice 2 • - . :. - .... - . - - ....:......... ..................... :............................................................ = ' Main Beans - Line 2 - ........................................................................... ........ .. .... .... .... -\ ... •. Line 1 - im .................................................Ee Tag or Triple e 4 I Line 1 Piers: Size minimum: r 1 x Spacing maximum: 1 6Al,From ends -maximum: Line 2 Piers: Size minimum: VIX ] x U01. Spacing maximum: From ends -maximum: Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): -Line 1 . ,line 2 .Line 2 Uni3 • Line 2 Line 2 - Line 1 Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ 2i x Spacing maximum: From ends -maximum: e •. OVER BUTTE COUNTY Toa .SIT -f- Cofy 9(�,-d336 2.' Assessor's Parcel Number: ? 3. Installer's Name: Z;0 j j/_ 4. Is the site currently under permit? Yes[• ] No[ ]Permit No.' 5. -Is the site an wdsting site? YeskA No[ ] (If yes, furnish two plot plans)'. 6.. What is the electrical rating of the mobilehome?1Amperes.. I. What is the mobilehome'site circuit breaker rating?'����Amperes: _ 8. - -What is the electrical rating of. -the mobilehome site? ,a�9Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] - No[Aj If it is, what is - the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yesp] No[ ] If -yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes- 11. Type of gas service at mobilehome site: Natural[ ]� Propane[(-.] None[ ] 12. Size:;, of ga pipe at the" mobilehome site from the meter or tank: ? inches. T3. What is thegas pipe length from the meter or tank to the mobilehome?, 2(ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 11 V CV W •fig AI fin® ' 0 s 1 � 1 � • cZ� M 0UO � � b TRI STATE TESTING - MEMPHIS, TENNESSEE g6&_iF01LNIA.APPROVED LISTING AGENCY .tti?i;TT tT o%� •;.�;.. 0.04 TIE DOWN ENGINEERING' CALIFORNIA APPROVED ANCHORING PRODUCTS MANUFACTURED HOUSING AND COMMERCIAL COE a ��•-e;.4, . , ,.,f• : `:.:,;� INCLUDES SCHEDULES, DIAGRAMS FOR !•,�_�� SINGLE/DOUBLE/TRIPLE/QUADRUPLE WIDE UNITS 1 r� •r:..I.1'.1 „ 1. PRODUCTS DESIGNED FOR A. SOIL ---1,000-4,000 AND UP PSF SOILS OR HE: VALVE D (CLASSES 1-4, 200-550 INCH FJUNDS AND UP T Q (CLASSES 1-5, UBC -CALIFORNIA) SOIL CLASSIFICATION � 11311?7 GENERAL DESCRIPTION OF SOILS at.- Count ALLOWABLE PRESSURE (Pounds Per Square Foot) SOIL TYPE No allowance made for overburden based on the unified pressure, embedment depth, water classification system table height or settlement problems rock or hard an d•000 and u Sand Gravel or Gravel 2.000 Sand, Sihy Sand, Clayey Sand• 1 500 Silly Gravel, or Clayey Gravel preioad.d Wu, end cleya Clay. Sandy Clay, Sihy Clay, or 1,000 -- Clayey Silt Uncornmhled Fill Special analysis is requi: ed. Peat or Organic Clays Soecial analysis is required. E. WIND—ZONE 1, 85 MPH EXPOSURE -C- A SUadtiC'. TO CQecEC TIC'I:S NOTLD Approygl dnr.•. not . 01:orirc opp•oye ar.y omission o, d..•..r.lign I:wa rni t.. ., �. rgnpliccLle Stc:!c• In•+s o�d m.:lo+ices. Slam of C Aifornio (`r. r... ,. r! Hu•:o-ir •; .:nil l,cnuw,❑;;y Ur•.r 1pr.•r,rnl CfIV:S!QN 79 r,t li;;S Ar:D STANDARDS Date-- Gam. /. ."lis Plan Apr1r-)vc:I Ex,.rires. 42,`__/1,. C. SEISMIC—ZONE 4 Type. of Soil at.- Count Tear Probe 1 fASTM D1586) Tara.. Value 2 1 Herd ro:h NA NA 21.1 V.:y d .... ... d•ar em+en:.d ...dc cog.•.. gavel .nd cobb4., more than preioad.d Wu, end cleya 40 up SY) (be. Inch mor. then lb) Ccr.l. 40.p SSO Ib.. b ch 7 M,dt— mar co.:,e .end...andy 9r .h. v..y 350 io .:ill r_4. & day. 2739 549 Ib.. b h 4 Looe to medium dam. .end.. rum .o .00 clay. & 200 to .dn. a9uvium fd 1. 23 349 Ib.. hch S Conan. dab T.n 1-9 devkn for w. h eona.t. pad. rums, nc.. "ll be ..,ted home ea ' aochcnl and .pMhc.acn, .. to PSI and cut. erne of canna.. r.inf.,c..—,. d....ud thick u, of cona.t...1., and dry:h al bob We. ryp. and 44.d of .hidd it pemtu.ibl.. hlinimx-. Ci.tanc. at Jh1ch ten.lun nj d.vic. — be but.led born edge a end el tLb. pad. r_cr.o. oc., .hd be .peciN1. h.pveron..hippd .ith .mh 1m.lnniny d. +k. .he0 6tc!ud. a. above. lel The u t prob. 1. a dr.ice for rnurau.e dw twN. valu. of .oU, to a II, N eviloat!rq the ho;d•: y cap.b0lry of .M .Dila In ..hid. the a hn 13 placed. The lent probe ha. a E.O. ar. U. Th. o...r.0 4rgth of .h. he5cal ..cion b 10.75 trachea: the majw 11—eve 4 1.25 urian; the minor dlam.:e 6 0.51 inchn: the pitch 1.75 Inch- The .heft nnut b. of ..4: :eb:. 1-7h for . ", d�.h Ibl A r.emr.... -,non. v.ith rens:: el a force ..l— dwSb—d a:ound th..hah or the ".t ;robe. 10 BI— than. wlua. a p,.f... ;.-I .-jr— .h-Zd be e ulld w .ddww:al .rx;m. ad -'d. Desion Wind load Zcnes:. Standard Wind Zone 1 15 psf Horizontal 9 psf uplift' Hurricane Zone II _39 psi Horizontal 27 psi uplift Hurricane Zone III =47 psf Horizontal 32 psf uplift net uplift Note -- pot: pounds per square fool Refererrce -- Manufactured Home Construction and Safety Standards (MHCSS) 24 CFR 3280.305(c)(2), latest edition 2. CAPACITY OF ANCHORS -EACH GROUND ANCHOR, WHE r �QVBTV AAE OF RESISTING AN ALLOWABLE WORKING LOAD AT LEA 1i}"Yt> i A 50 PERCENT OVERLOAD (4,725 POUNDS TOTAL) WITHOUTtF�7 �i3. CAPACITY OF STRAPPING - TIE DOWN ENGINEERING GALVA 'STEL 4 NEED OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -D 3953-91 SPECIFICATIONS FOR 1-1/4"X.035 (MIN.) TYPF. 1, FINISH B, GRADE HOT DIPPED GALVANIZED STRAPPING. CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF THE CALIFORNIA CODE OF REGULATION TITLE 25, 18613.4 OF THE HEALTH AND SAFETY CODE. PAGE 1 Side Frame Ties Must Be No More Than 2' From Each End Df Unit. Other Ties Spaced Evenly Thoughout The Length Of Unit, Side Ties —I I— 2' Max. —I I— 2' Max. Single Wide Unit End Ties Wind - Zone I (85 MPH - Exposure "C") Seismic - Zone 4 • Required Number Of Tledowns For Each Side And Each End Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70' Tledown LocationsSide End Side End Side End Side End Side End Side End Side End Side End Side . End Single Wide 4 2 4 2 5 2 6 2 .7 2 7 2 8 2 8 2 8 2 Total Number OF Tiedorns 12 12 14 16 18 18 20 20 20 N W a Side Frame Ties Must Be No More Than 2 From Each End Of Unit. Other Ties Spaced Evenly Thoughout The Length Of Unit. W Single Wide 4 4 4 C 4 6 4 7 47 4 4 8 4 8 4 8 4 Tledo Number DF 16 16 18 Tiedo�ns 20 22 22 u ! 24 24 24 ®M cc) Wind - Zone I (85 MPH - Exposure "C") Side Ties Seismic - Zone 4 —I 1-21 Max. —I I— 2' Max. Double Wide Unit End Ties Re uir�o o Number Of Tiedowns For Each Side And Each End Unit Leith 20' 30' 40' 50' 56' 60'--7 62' 66' 70' Tiedown Locations Side End Side I End Side End Side End Side End S de =En'd�' Side End Side End Side End Single Wide 4 4 4 T 4 5 4 6 4 7 47 4 4 8 4 8 4 8 4 Tledo Number DF 16 16 18 Tiedo�ns 20 22 22 u ! 24 24 24 D C) M C4 Side Frame Ties Must Be No More. Than 2' From Each End Of Unit. Other Ties Spaced Evenly Thoughout The Length Of Unit. Wind - Zone I (85 MPH - Exposure "C") Side Ties Seismic - Zone 4 —I I— 2' Max. —I I— 2' Max. Triple Wide Unit End Ties Required Number Of Tiedowns For Each Side And Each End Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70' Tledown Locations Side End Side End Side End Side End Side End Side End Side End Side End Side 1 End Single Wide 4 6 4 1 6 5 6 6 1 6 7 6 7 6 8 6 8 6 8 6 Totni Number Of 20 20 22 24 26 26 28 28 28 Tledo�ns Side Frame Ties Must Be No More Than 2' From Each End Of Unit. Other Ties Spaced Evenly Thoughout The Length OP Unit. Wind - Zone I (85 MPH' - Exposure "C') Side Ties Seismic — Zone 4 —I I— 2' Max. —I I— 2' Max. Quadruple Wide Unit End Ties Required Number Of Tiedowns For Each Side And Each End Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70' Tiedown Locations Single Wide Side End 4 8 Side 4 End _ Stde :8 5 End 8 Side 6 End 8 Side 7 End 8 Side 7 End Side 8 8 End 8 Side 8 End Side 8 B End 8 ot(LI-do Number DF Tledoms 24 � 24 26 28 30 30 32 32 32 — _ Engineering Calculations 85 MPH Wind EXP aC" 85 MPH Wind EXP "C" Vs. Seismic Zone 4 P LAT=(1.06)(1.3)(17)(1)=25.6 PSF 333 PLF=0.186 1(32.5)( L-gtV�h)+1601 W LAT=(25.6 PSF)(13')=333 PLF`Vi; =50.8'=D 51' th Seismic Zone 4 V=0.186(DL) V=0.186 C00 PSF)(V; )+(T +10 Psf)(v'r )+(2 WALLS)(8')(10 PSF)lkmh d-th Wind - Zone 1 (85 MPH - Exposure "C") Seismic - Zone 4 Width Length Load /Load Trans Trans Total Load (Trans) Totat Load (Long) It Trans T.D. Side Ties It Long T.D. End Tles Single Wide Wi14' 40 FT. 333/333 13,320 LBS. 4,662 LBS. 5 2 50 FT. 333/333 16,650 LBS. 4,662 LBS. 6 2 60 FT. 333/392 19,980 Lbs. 5,488 LBS. 7 2 70 FT. 333/453 23,310 LBS. 6,342 LBS. 8 2 Double Wide Wi28' 40 FT. 333/333 13,320 LBS, 9,324 LBS, 5 4 50 FT. 333/333 16,650 LBS, 9,324 LBS. 6 4 60 FT. 333/392 19,980 Lbs. 10,976 LBS, 7 4 To 70 FT. 333/453 23,310 LBS. 12,684 LBS. 8 4 Triple Wide 40 FT. 333/333 13,320 LBS. 13,986 LBS. 5 6 50 FT. 333/333 16,650 LBS. 13,986 LBS. 6 6 60 FT. 333/392 19,980 Lbs. 16,464 LBS. 7 6 To 42' 70 FT, 333/453 23,310 LBS. 19,026 LBS. 8 6 QUQd Wide Wi50' 40 FT. 333/333 13,320 LBS. 16,650 LBS. 5 8 50 FT. 333/333 16,650 LBS. 16,650 LBS. 6 8 60 FT. 333/392 19,980 Lbs. 19,600 LBS. 7 8 70 FT. 333/453 23,310 LBS. 22,650 LBS, 8 B T TIE DOWN ENGINEERING INDEPENDENT TESTING RESULTS NOTE: ALL ABOVE TESTS WERE.CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALLET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE MADE AVAILABLE UPON REQUEST. PLEASE FORWARD YOUR REQUEST FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 PAGE 7 ULTIMATE MODEL NO. DESCRIPTION OF TEST STRENGTH TEST DATE MI2H VERTICAL PULL-OUT IN MOIST SILTY CLAY. 6,133# 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE BETWEEN (AVG.) . 200-349 INCH POUNDS - M122 VERTICAL PULL-OUT IN SILTY SAND AND GRAVEL . 5,733# 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE 550 INCH POUNDS (AVG.) AND MORE-,-- ' MRA VERTICAL PULL-OUT IN LABORATORY FIXTURES 5,567# 3/2/93 FOR SIMULATION. UNCONFIRMED ROCK WAS NOT AVAILABLE. MICS2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200# 3/24/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MIJ2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200# 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MIT2 VERTICAL PULL-OUT IN 2,500 PSI CURED 5,200# 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MI21164 VERTICAL PULL-OUT IN SILTY CLAY. TEST PROBE 5,200# 10/6/93 (59250) TORQUE VALUE BETWEEN 200-340 INCH POUNDS ML 45 DEGREE PULL ON STABILIZER PLATE IN SILTY 6,067# 8/5/92 (59292) CLAY. TEST PROBE TORQUE VALUE BETWEEN (AVG.) 200-349 INCH POUNDS - NOTE: ALL ABOVE TESTS WERE.CONDUCTED BY ATEC ASSOCIATES, PRODUCT TESTING, INC. AND GALLET & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE MADE AVAILABLE UPON REQUEST. PLEASE FORWARD YOUR REQUEST FOR THIS INFORMATION TO: TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 PAGE 7 TIE DOWN ENGINEERING ANCHORING SYSTEM MI2H (5/8"-3/4") 48" LONG ANCHOR NERAL STABILIZER PLATE MI22 (5/8"-3/4") 30" LONG ANCHOR 40' IO 50' V 0� i � •MAYIMikla SIDE FRAME TIE (MBU) J IL I l J PAGE 8 MRA (ROCK ANCHOR) . eo _ o0 M aw. BUCKLE/W STRAP (SIDE FRAME TIE) MLFT (END FRAME TIE) WARNING BEFORE BEGINNING GROUND ANCHOR INSTALLATION, MAKE SURE THE ANCHOR LOCATIONS WILL NOT BE CLOSE TO ANY UNDERGROUND ELECTRICAL CABLES, WATER LINES, SEWER LINES OR GAS LINES. FAILURE TO DETERMINE THE LOCATION OF ELECTRICAL CABLES OR GAS LINES MAY RESULT IN SERIOUS INJURY OR DEATH. 1. PARTIALLY INSTALL APPROPRIATE GROUND ANCHOR ALLOWING TENSION HEAD TO MAINTAIN APPROXIMATELY 14" TO 16" MINIMUM GROUND CLEARANCE. 2. USING OVERSIZED HAMMER, VERTICALLY INSTALL STABILIZER PLATE BETWEEN FRAME AND ANCHOR. THE TOP SECTION OF THE STABILIZER PLATE MUST BE DRIVEN FLUSH WITH THE GROUND TO INSURE SURFACE SOIL COMPACTION. 3. FULLY INSTALL GROUND ANCHOR UNTIL TENSION HEAD BOTTOMS OUT AGAINST STABILIZER PLATE. INSTALLERICONTRACTOR CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. COMPANY NAME: CONTRACTORS LICENSE # DATE: SIGNATURE PAGE 9 TE 11Q�C� G SERVICES, INC. September 28, 1994 Mr. Locke M. Jones Tie Down Engineering 5901 Wheaton Drive Atlanta, GA 30336 Dear Mr. Jones: LISTING NUMBER: TIE -942609 Having completed the in-house audit of quality control, quality assurance, procurement, welding procedures, etc., Tri-State Testing Services in compliance with the rules and regulations of the Department of Housing of California lists the following products: MODEL NUMBER PART NUMBER DESCRIPTION M12H5/8 59080 5/8" X 58" .DOUBLE HEAD ANCHOR W/6" AUGER M12H3/4 59085 3/4" X 48" DOUBLE HEAD ANCHOR W/6" AUGER M1225/8 59090 5/8" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS M1223/4 59095. 3/4" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS MIT2 59115 3/4" X 8" DOUBLE HEAD THREADED ROD PATIO ANCHOR MIJ2 59120 5/8" X 12" DOUBLE HEAD J -ROD SLAB ANCHOR MICS2 59125 PATIO ANCHOR W/EXPANSION BOLT 59250 59250 3/4" X 36" DOUBLE HEAD ANCHOR W/6" & 4" AUGER MRA'% 59110 CROSS DRIVE ROCK ANCHOR 3/4" X 30" ROD MIC2 59096 5/8" X 30" CORAL ANCHOR 59292 59292 LATERAL STABILIZER PLATE MGRB 59145 GALVANIZED ROOF BRACKET MIDH . 59100 DOUBLE HEAD ONLY MIS2 59105 SWIVEL ADAPTER HEAD 6756 (SUCKLES CC)VE M=mpi-fis, TN 38 1 33 90 1-385-1 1 99 F 901-386-66 1 4 PAGE 10 Tie Down Engineering Page 2 September, 28, 1994 BCS 59175 CRIMPING SEAL FOR 1-1/4" STRAP MBU 59140 GALVANIZED STRAP BUCKLE MBUS 59139 SPECIAL GALVANIZED STRAP BUCKLE BISB 59135 SLOTTED BOLT AND NUT MS33 59149 1-1/4" X 33' GALVANIZED STRAP MS35 59150 1-1/4" X 35' GALVANIZED STRAP MS37 59.155 1-1/4" X 37' GALVANIZED STRAP MS42 59160 1-1/4" X 42' GALVANIZED STRAP MS60 59165 1-1/4" X 60' GALVANIZED STRAP MS600 59170 1-1/4" X 600 GALVANIZED STRAP MHT6 59185 1-1/4" X 6' FRAME TIE W/HOOK MHT7 59190 1-1/4" X 7' FRAME TIE W/HOOK MHT8 59195 1-1/4" X 8' FRAME TIE W/HOOK MHT10 59210 1-1/4" X 10' FRAME TIE W/HOOK MHT12 59211 1-1/4" X 12' FRAME TIE W/HOOK MHT15 59050 1-1/4" X 15' FRAME TIE W/HOOK MBU6 59137 1-1/4" X 6' FRAME TIE W/BUCKLE MBU7 59141 1-1/4" X 7' FRAME TIE W/BUCKLE MBU8 59142 1-1/4" X 8' FRAME TIE W/BUCKLE MBU10 59138 1-1/4" X 10' FRAME TIE W/BUCKLE MBU12 59144 1-1/4" X 12' FRAME TIE W/BUCKLE MBU15 59143 1-1/4" X 15' FRAME TIE W/BUCKLE If you have any questions or if we may be of further help, please call us. Sincerely, TRI-STATE TESTING SERVICES, INC. William E. Jac son Manager TRI -STA fl L� TESTING SERVICES, II PAGE 11 STATE OF CALIFORNIA - BUSINESS. TRANSPORTATION AND -HOUSING AGENCY PETE WICSON, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT a `°„Tor" DIVISION OF CODES AND STANDARDS, 1800 THIRD STREET, Suite 260 P.O. Box 1407 �hcx SACRAMENTO, CA 95812-1407 (916) 445-9471 FAX (916) 327-4712 TDD 800-735-2929 f i (�"Tt f September 29, 1994 OCT 0 5 1994 William E. Jackson., Manager — - j Lo-(� Tri-State Testing Services, Inc. _____________._______ 6756 Buckles Cove T-iemphis, TN 38133 Dear Mr. Jackson: This is to confirm that the California Department of Housing and Community Development has approved your firms application to become an approved testing and listing agency for load bearing supports and structural components used with manufactured homes, mobilehomes and commercial coaches. This approval is for the listing and labelling of structural components used in the. manufactured housing industry in accordance with the standard established by your firm. Please note the T)epartmert may require design calculations and test data be submitted to substantiate a design when the listed system or component does not appear to conform to your approved standard. We may also request this information for the purpose of routine nionitorina or complaint investigation. Revisions to your approved standard as well as listed designs may be necessary in the future as a result of amendments to current statutes and/or regulations. Thank you for choosing to become an approved listing and testing agency. If in the future you have any questions or need to discuss a particular issue, you may contact either myself at (916) 445-9471 or Mike Rosenberg at (916) 255-2501. Sincerely, Chris L. Anderson Mobilehome Parks Program Manager cc: Mike Rosenberg PAGE 12 Nrwtt'N1�"llNrw�mr+r.*,rry.�"t.,...,y.,-.-.. o .a--+... .w• �... ...n+riPrr�.�wr ^'^��pi�.'F "`T ,..v a..�f(....-+'�K'Y+'f'rr'-'w ,,,. ��. r .,. ... +.rk .. a :"j' -.N..1._ . q.r r.�,.* +,•Fr' .' + 4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Oro Building Department No. A.P. Number V — ,;Z D— 3 -�o Jurisdiction: 0 City �� County Property Owner p I� s ► I ; Q (fes.✓ i✓ Property Location/Address (v % .46 C( .1—CIC) 1�,,L/0 Subdivison Lot No. Residential Development D� 0 Sq. Footage No. of laving MHI Addition _ (Group R) Units 134514 mob--I-e- Commercial/Industrial 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) a-�o-sem Building Department Represe ive Date (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that (Applicant) (Street (City) (Phone Number) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing �OQ7! square feet. As 2926 $ FULL MITIGATION $ l0 School District Representative Date Paid by Check # Remarks:t Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkt (11/94)dmm Important Message 0) Time: Date: For: From: Telephone: ❑ Telephoned ❑ Please call ❑ Wants to see you ❑ Will call again ❑ Returned your call ❑ URGENT ❑ Was here to see you Message: Taken by: Post -it' 7679-4 ©3M 1993 Inspector must draw -a plot plan with all building locationsi Additional comments from Inspector: 2 COUNIII F BUTTE BUILDINPIDIVISION DEPARTMENT OF DEVELOPMENT SERVI�ES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive * Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER f "'4 - PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. a e el Date '9 <:;- Inspector V REV 10/92 COUNTY OF gUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF�a�,q534- f541 CERTIFICATE OF iCCUPANCY This.mobilehome has been installed in accordance with the relluirement.s of the C lifornl> Administrative Code, Title 25, Chapter 5, un er permit number -?7? f or the following location: R?:1- -2.1,1 Owner P -086&7 - Owner's Address oso< —A Mobilehome Mfg. <1611 Alt�- y Model ear Insignia No. 1 �---Z- Serial No. w- 144 x It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date l3y THIS CERTIFICATE IS VOID WHEN MOBILEHOMEIIS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. pppl7pp- T' ?ERMIT NO. 2943-79P,E PERMIT EXPIRES bWNER Robert Ib.th CONTR. nwnPr 72-20-33 LOCATION (A.P. ) S/S pri.rd.,app.3/4 mi.S.of Oro-Forbestown Rd., app.l mi.E.of log Scaling Station,Oro td 3 r t ti su � h r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. G'AL—CaIIed - Lo 40 i w 9 JOB FINALED f Ir�� (Dat (Signature) r t�- T. 19N R 5E. MOB 4ivl. ' -1 uJ 1 0 u?e-G ro<2'-s 9.02 Ac S 870 10 17 E �I e 0 92' �O 0ij-3.12 187.72 q 1.7j. L 2 / '.35AC n: 3 '\`4.99 -� "4.89-, .89 4C ti 6.01 Ac. P/M 9-93 4c T T` �$ 415.E 30 i q r 646.75 323. '7o R 3. W S 99 4� 04 \ 4 CCR. \ _ 21 NOTE -ASSESSOR'S PARCEL BLC SHOD & LOT NUMBERS. IN CIRCLES k 2i.2.i 1.38.64 . , .59 ;.,.t23 I o 36 2.71ac �, G�O s 8,30 ,v 414 2.C, -1c 2."oC 10.24 4[ 12 398.87 ri I P/M 60.22 co 2 0 (1\\ 1p e/ N or` U) v 4 75 4C WI 10.67AC. h IZi 858.43 442.43 ?L) -J1 1300.85 J 1 01 izl 3 l0 38 ON C 1.3-J3 � I0I c 41 11.94AC 1298.84 7 4 39 16.16 Ac Q 11.92AC . '296.82 648.41' - - - - 324.2- 1 1 3 4 4.894c 4758 2 / '.35AC n: 3 '\`4.99 -� "4.89-, .89 4C ti 6.01 Ac. P/M 9-93 4c T T` �$ 415.E 30 i q r 646.75 323. '7o R 3. W S 99 4� 04 \ 4 CCR. \ _ 21 NOTE -ASSESSOR'S PARCEL BLC SHOD & LOT NUMBERS. IN CIRCLES f _ COUNTY OF BUTTE'— DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ' BUILDING BUILDING (Cont'd) Set ck Filvwall Sol Pipin FormX Par ets 1 s'KF Ioor Main Idg. Res tr om Finish 2nd Xloor Foo n s Windo 3rd FIV Stem II Siding To out Slab Roof Sheahing Water Pipindk Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents X Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsical handicape.1 Conformance of ex. X structure Appliances Gas Piping& T Temp. as Slab Final Sanitation Patio IREP ACE Final Footings X Footing Masonry Walls Throat Rou h Reinf. Stee Final Fixtures Bond Bea FIRE SPRINKILEN Motors Framing Test Water H Stucco Final Subpa Is Mesh MECHANICAL Grd. fault Prot. Scrgitch HeaAg SerAce B wn Co Ing emp. Pole PLUMBING ELECTR Flinish X D cts Ainderground 1 rior Lathentilation Permanent or Closer Final Final MOBILEHOME UTILITIES ----------------- Elec_ Service31�-2 k,Pedestal Water Piping Sewer _ �? �t� Gas Piping �-° V41- MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping . � Drainage Gas Piping DATE ` J 31 2 � REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical _• A. Is service large enough to'provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1Q0 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes. No_ rt B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes o_ D. Is ntinuity test satisfactory -as per the following procedure? Yes o De -energize electrical wiring system.of the mobilehome at the pedestal. 2 Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" .position. 4,! -Connect one lead of a test instrument to .the mobilehome grounding conductor and l apply the other lead to each mobilehome supply conductor, including neutral. All non-current, carrying metal parts�of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. Upon completion of the above procedure., the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle LengtWidth Vehicle Serial No.. - 6 S� State Identification No. l �/�l / k Additional Information or Comments: .1 ' MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with,.-kequired separation from lot lines and buildings and generally conform to plot plan? Yes bNo 2. Does the mobilehome have required clearances above ground? (Sec..5085) Yes Z ----No Are footings and supports properly sized, spaced, and braced as per pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 &.5083) Yes o 4. Is the mobilehome level? (Sec. 5088) Yes L_—Noo 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No_ 6. Water A. Is flexibl onnector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes coo B. Test - Does water piping withstand working pressure or 50-1bs. air test? Yes Q anckflow - If coach is not State of California approved, does station have backflow device d pressure -relief valve? Yes_ No 7. Wastes and Drains ' A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3-g�Ylons of water through each fixture including washing machine standpipe7.Yes. No_ JJ�� D. If coach is not State of California approved, does station have required trap and vent? U`-� s— N o- 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping -is to be at least as large as the mobilehoq' gas line inlet without reductions other than the mobilehome connector. Yes-IeNo B. Test OK as per following procedure? Yes- No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C.. Are all appliance vents properly installed? Yes_ COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS V 7 County Center Drive - Oroville, California 95965 /�/�j///���1- Telephone: 534-4541 6) �// X —/APPLICATION AND PERMIT (l / !�/ authorize representati es of the CQwty of Butte to enter upon the abo mentione pro i c on p oses. / Date Signature of Permitee or Agent Receipt No. /15!5(:)q White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. Dl,ffiECTORI OF PUBLIC WORKS Building Date BUILDING Owner (�'Gf�/�- r /d �T- E?q_-t1 SQ. FT. OCC. BUILDING VALUATION Mailing Address f,()5e 9�yo /T 0A60Vlac_ Telephone No. Contractor �, "_.ti Mailing Address Fireplace Total Valuation Telephone No. Permit Fee p n Building Address S R/ 1tC �� SOFvQO Plan Checking Fee&/or Penalty Permit Fee EQ,egasToL, m 20 � {yl, [�'0 i � PLUMBING No. @ FEE tel` PERMIT FILING FEE $3.00 Each Trap 1.50 04?0Vf Repair drainage or vent piping 1,50 A. P. No. — 3 Zoning 8 Planning Water piping 1,50 Each gas water heater or vent 1.50 Fees I1 W.C. 9tirti-lairew FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 BI . Plans Rec'd Parcelal PI s Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER &T Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0V OR L Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home 02r Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPso0v OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 OR ADDNST % ACCLBLDGS.CCUP. Y� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CIR T NON-RESID ( BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS e NON-RESID, SINGLE OUTLET CIR. St Ex. OCCUD{OUTLETS OR FIXTIIRES B L@; FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. I certify that in the performance of the work for which this maner so as tol becomeusubjectato the Workmen's Compensationanperson in anyLawsnof California. MECHANICAL No. @ FEEWORKMEN'S PERMIT FILING FEE $3.00 Heating Cooling Ventilation +2.001 Hood Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby L Fee /h14 _ $ 30 0V TOTAL PERMIT FEE $ 30 O1 authorize representati es of the CQwty of Butte to enter upon the abo mentione pro i c on p oses. / Date Signature of Permitee or Agent Receipt No. /15!5(:)q White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. Dl,ffiECTORI OF PUBLIC WORKS Building Date MOB ILEHOME StJPPORT DATA. If other than single wide, / Mobilehome Mf r. �G�Pir', furnish Setup Model No. Year Width 2 (ft.) Box Length .r — -(ft.')' Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) � On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with.the County of Butte). All�center•supports measured from front mobilehome unless otherwise specified.j�„,_; ,QJL �QFootings (check one) Sin�g'le n 1. Wood either (ft.)(in: (in.) (in.) Center support Center support locations* footing sizes (in.) 2 (ft.)(in.) (in.) (in.) i r ( f t.) (in . ) (in.). ( in .) (ft.)(in.) (in.) (in.) ,x (ft.)I (in.) (i •)I (in.) pressure treated or foundation grade. �.2. Other (specify) Supports (check one) @' 1: Concrete block. 2. Other (specify) 4 --Tagalong., or Expando, ;. show support details. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. A2 YJD -- Typical. Support (in.) (in.) Footing Size S" -- Max. Pier Spacing (ft.)(in.) 2 ' -- Max. Overhang (ft.)(in.) BUTTE COUNTY. 13UILDING DEPARTMEM APPROVED j 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: P�21 3. Is the site currently under permit? Yes /1// No (If yes, furnish permit number OR site?. / �) Is the site an existing Yes / No / (// (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be, -located at least :5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /C// No / / (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- 2 %j/) Amps 7. What is the mobilehome site circuit breaker rating? ------------- /h Q Amps 8. Is there any other electric load to be served.by..the mobilehome site service? --------------------------------------------------- Yes / _/ No / (If yes, identify the load and size: AleZ(Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / t LPG 11. What is the gas pipe length from meter or tank to the mobilehome? y.2 (ft.) 12. What is the mobilehome.gas demand? ----------------------------- (BTU) (This information not required if pipe length less, than.6 ft. on natural-gas ,or less than 50 ft. on LPG,) �: f ' i r4 - COUNTY OF BUTTE '_'DLPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 � APPLICATION AND PERMIT -79 GUl11UrILerC�Jr CSCIIU7UVUb UI lne UUUnLY UI MULLU to enter Upun lne above-m?en�tioned property for inspection purposes. X /� S/ZaoE�%�� Date�2I?'� Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to'do work indicated above for which,fees have been paid. DIRECTOR OF—RUBLIC WORKS By Dates'27'7 B ing permit expires Date J—, Z 3 —d�0 ldi BUILDING Owner 677 Ilea -7-11 SO.FT. OCC. BUILDING VALUA N J Mailing Address Ws sk. O110—,4 VA OR' I Telephone No. Contractor Mailing Address Fireplace. Total Valuation Telephone No. Permit Fee Building Address S .. e ox- Plan Checking Fee&/or Penalty Permit Fee 3 t e tet,/ cS_ PLUMBING No. @ FEE ' PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & PInn'n Water piping 1.50 ®, p$ Each gas water heater or vent . 1.50 Fe s Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EUVIParking Parcel Plans Declaration Par el M 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg.4455s Re�-cd �'� Parcel roval Plans Approval Lawn -sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ •O� $3� ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 _&e.7 Main service 600V OR LESS 100 AMP OR LESS 5•Q� _ _ Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 _fid t Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLLING BLDGS.CCUP '�) 22sq'ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONST R. MULTI.OUTL T NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIiRES) BAL@1 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 _dam License No. Classification Misc. Wiring 6.25 i I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,�S : �ro $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 4 ❑I have placed on file with the County*of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall. not employ any ,person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that -the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee TOTAL PERMIT FEE $ $ gs GUl11UrILerC�Jr CSCIIU7UVUb UI lne UUUnLY UI MULLU to enter Upun lne above-m?en�tioned property for inspection purposes. X /� S/ZaoE�%�� Date�2I?'� Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to'do work indicated above for which,fees have been paid. DIRECTOR OF—RUBLIC WORKS By Dates'27'7 B ing permit expires Date J—, Z 3 —d�0 ldi 3vo IMIS set of pi ns end speclf"rcatlors N4U^.T ' kept on the job 1,f a;l rimes and i.t is url;. make any chanr,= ; or al;crations on sar,�a °yr•, written permissic ; from the Department of I'd'.. lit Works, COUn1 y of Butte. < - ,r/cw iiJ-1 err-�)s "- 1, � &.W' 4kman�hlp Shall Ke i- 0, a cluchfy fir ;rr. �� , G- joG ?rC.Ct'^_ +5 an,l Uniform Eui: '. to 5f �. r. f L,_y i Me N Gq- i . ld• ;.�,, n the �r f:,a:'i� j Ccrl's and ational ..fc; Septic system and location o;t. v' t to be Butte I o•, . quiremefl-ts� perrnif V,,g gaeTiG G— !�eRof er '00'/e A Selioloci s'.( F—a propertyfine c c�.iterline of the root', e -.r,.:,, 'r. -'M of c 2 rit sae But of ON ea.-crPgm-:s. MI dibitlyror:s shall 6c locrter.i tiii,,�in 4 ft. ci}tside the rear third' ss --;ion of :,',a moSile home on the left (road) side of the mobilo home, rQ�K f A,.d c, t,Je ' 1 I UTi TE—cUI►NTY BUILDING DEPAk T, ;E ,c. ADPROVED r joutte OROVILLE, CALIFORNIA GENERAL 'CLAIM CLAIMANT: Phillip Decann ADDRESS: 9252 WSR CITY JI. STATE: Oroville, CA 95965 IMPORTANT: December 19 1985 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES _DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT 12/19/85 Owner has decided not to do work. (Bldg Permit appin. 163541-85B Receipt #51753 dated. 12/16/85, AP 1672-20-33. Building Permit Fees Paid --------------- $157.75 Retain filing fee----------------------- 10.00 Refund due ----------------------------------------$147.75 TOTAL REFUND DUE. $147.75 TOTAL $147.75 1, the undersigned, declare under penalty of perjury that the services or articles claimed hav tfee a fo d ofQelly ped, end -that this claim Is true and correct as stated. Dated this ... % ............ day of lL 19` e� 1.4.:S..L, C•ll(��/, ............i..........� _..-...�......S!gnre / of Cllm6n"t 1. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above eve been performed or de- livered and that there is a Budget Appropriation or Specific Board Approvals (Check one) for the some. Dated this ... l9th..................... day of December , 1985, at Orolle _ .............................. Calif. 1 Department Head or Autho �d Deputy•• Dept. Esp. j =. Code ........................................... Code , ........................ ... ...PAYABLE FROM........................................................................................ FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S '.USE ONLY DEPT. E, SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTT.F - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -^rville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. S5_'W_ ASSESSOR PARCEL NUMBER 7--> _ ®_ 33 ZONING FR p BUILDING PERMIT OWNER TELEPHONE .! . SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME - CONTR.ACTOR'S MAILING ADDRESS Fireplace CONSTRUCnT'ION LENDER LENDER'S MAILING ADDRESS Total Valuation $ Filing Fee Permit Fee ` $ 10.00 $ 5;7r-, -;70 ARCHITECT OR ENGINEER Plan Checking Fee ,$' ARCHITECT OR ENGINEER'S MAILING ADDRES: �/ Energy Plan Checking Fee Penalty $ $ BUILDING ADDRESS - - - /✓1 A ?p ' 3t 1`i'! 1, s � d � �j/� _ Permit fee PLUMBING PERMIT Each Trap $ Filin s 9 Fee 10.00 2.00 f'tO Gs (!!fq- L/ /tJ( 5 r I], O-Z(D Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 5��� Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea SPECIFY TYPE OF WORK NewS_ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Permit Fee $ Contractor Describe work: _ 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 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.R I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ 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- NEW CONST. DWELLING OCCURMI OR ADDNS. ( ACC. BLDGS. 1 2/ZQsgft NEW CONSTR. MULTI -OUTLET 2,50 ea ESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. EZDa x. Occu p OUTLETS OR FIXTURES eAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 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) Mobile Home Facilities 15.00 Misc. Wiring 15.00 ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ for this reason Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 Heating ❑ 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. Cooling Hood 3.00 shall not employ any person in any manner so as to become subject ,29_1 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. Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ 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. TOTAL PERMIT FEE $ I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgmentscosts _ d expenses which may in any way accrue occuP. CONST.TYPEJ I I FLOOD PARCEL I PD I ND ISSUE against oun co a �nc� of the gran g of this permit. �2 _��,�� Signature of Applicant — Owner IL/ ontractor ❑ Agent ❑ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DIRECTOR OF PUBLIC By PERMIT EXPIRES Date WORKS Date ' Receipt No..: [ WNITC-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPA}}=MEyENT OF-PUBLIC,WORKS - BUILDING DIVISION .b1.. 7 COUNTY CENTER DRIVE - OR©VILL, CALIFORNIA 95965 - TELEPHONE:.916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER P/41 1. L I P U20'ARIV 1 A. P. No. 7,2 `0-2 a -33 Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) / Building Inspector (.AW Date /,v At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED .i1':"'All items have been submitted. . . . . . . . . . . 2- Plot plans in duplicate./,triplicate. . . . . . ... . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other DRIVEWAY PERMIT & CONSTRUCTION APPROVAL REQUIRED PRIOR TO OCCUPANCY When you issue the permit, process as follows: Mail to owner. Mail to contractor. __4ZTelephone and hold for pickup at office. !=:!:fD__eliver w/inspect6r. Other' ate% Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the fol lowing 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 Plans checked by Date Plans approved by Date Other: Copy—DPW Date To: Build.ing Departmeiat: From: 7.nvironmental Health _.:Ubject: -Sa", tion Clearance 64� �lcu_a Owner Location AP# Plan Approved -for: Sewage disposal water supply Hold final fori water supply Final clearance O.K. for: ..water supply Clearance for bedroom mobile hbme. Other Ct dz V SanitariaA Date, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. zo_ 10 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 7,,) _ O _ ZONING OWNER ' � I042 PHONE NO.� _ OWNER'S ADDRESS 4 2Se D ra ' LOCATION OF BUILDING s / e US OF BUILDING I rj� 4ec� SIZE OF STRUCTURE ' X �� L'Ji—L� SO. FT. TYPE OF CONSTRUCTION: WOODFRAME _X__ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE 2. -PYl-L ESTIMATEED- COST OF CONSTRUCTION V $ t9 `, AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: J� !0 FRONT 0 rt _ SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date _;2 Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt NoIsr .f_)'_)() I Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant I Y M VIOLATION CHECK LIST A. P.- # 072-20-0-033L Address 169 Bardolino Lane, Oroville 95966 Owner Owner''s Address Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. 1 TRAVEL OCCUPIED W/O PERMITS Specific Plot Plan with C/V Noted des no -Penalties Required .1st. Notice Sent 8/3/98 2nd. Notice Sent ate ate Comments and/or Determination Disposition For Citation Citation Date Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) Phillip DeCann 169 Bardolino Lane Oroville, CA 95966 RE: Code Violation 169 Bardolino Lane, Oroville Dear Mr. DeCann: E ,�3utte C LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 August 3, 1998 A.P. #072-20-0-033 This is a courtesy notice to notify you that you are in violation of the Butte County Code,.as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a travel trailer. Occupying travel trailer without the required approvals. Since travel trailers are not permitted in the FR -10 zone, the travel trailer must be removed from the property or the occupancy and use must cease and desist.immediately and the travel trailer be placed in dead storage: It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, MCV:dms Mich1 C. V eira, C.B.O. Mana er, Bui ding Inspection cc: Assessor • • �) L ^ 1 1---i In I -V X' ~ m �R Cxl Z n\ 10 tN Lr :t MLP 2�U " 1 6 -1 a��o a ° . 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