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072-250-037
Q 0 0 0 0 0 0 9 6 QD OD (P a ilk r 77 72-25-37 LIVING IN GARAGE, TRAVEL TRAILER AND MOBILEHOME WITHOUT PERMITS 91Ki e 1/24/94 -5 d lei, -Zi Permit#111-89B(new gar e/stg) I - Al-'? 72-2�5 37 IPermit#2396-89P,'E(e1ec''s & well cir bit)garage 72-25-37 967-90 MHU HOLMES, Gerald E. 91 Kim Dr, Orovill`e (MHU) v, ELEC. GAS COMPACTION TEST REQ... - SUPPORT STRUCT REQ 072-250-037 PERMIT#96-0123 HOLMES-.''Gerard ..91 Kim Dr., Orov�ille o Mobile ie home Utilit �s ELECTRIC 06 wed GAS LINE 7`0 COMPACTION TEST REQ SUPPORT STRUCT REQ 072-2510-037 .PERMIT#96-0067 -HOLMES, Gerard 91 Kim Dr.,, Oroville -Mobilehome-iI�_Sfjjjati�ln �f �% ��' -. O0I72-250-037 HOLMES; GERALD 91 KIM DRIVE, CIROVILLE Cont: PHIL DECANN W14161 EX MH PERM FND Q 0 0 0 0 0 0 9 6 QD OD (P a ilk r � •REGORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 II�I'OI II" I'I' I 2005-0005235 I�I' I I'�'II' II II'I Recorded I REC FEE 13.00 Official Records I CONFORM 1.00 Count yy Of I Bur I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSUN I Assistant 1 Kathy 02e00PM 27 -Jan -2005 i Page 1 of 3 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. GERALD E. AND SHARON K. HOLMES REAL PROPERTY OWNERILESSOR 91 KIM DR. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0027' 530 538-7541 BUIL IN PE(MITNO. TELEPHONE N 1BER �SZCNAWRMMLOOA0,GE OF CIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CHAMPION HOME BLDRS. 1995 IL6442 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME NUMBER 09956445635A/B 40'X 23'8" TRA246356/7 SERIALNUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 072-250-037 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. DESCRIPTION 88-21747 ORDER NO. BU -100320-3 ALL THAT CERTAIN REAL- PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING A PORTION OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. ti M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 20, 1987, IN BOOK 109 OF MAPS, AT PAGE(S) 40. RESERVING 'THEREFROM A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION LYING WITHIN KIM DRIVE, AS SHOWN ON SAID PARCEL MAP. PARCEL II: A RIGHT OF WAY FOR,ROAD PURPOSES OVER THE WESTERLY 30 I'EET OF THE 1OLLOWING DESCRIBED PARCEL OF LAND: BEING A PORTION OF THE NORTH HALF OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.R. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE NORTH LINE OF SAID SECTION 16 THAT BEARS NORTH 89 DEG. 29' 30" WEST, A DISTANCE OF 1304.87 FEET FROM THE NORTH QUARTER CORNER OF SAID SECTION 16; THENCE SOUTH 89 DEG. 291 30" WEST ALONG THE NORTH LINE OF SAID SECTION 16, A DISTANCE OF 697.58 FEET; THENCE SOUTH 1 DEG. 17' 0801 EAST, A DISTANCE OF 2251.62 FEET '1'0 A POINT ON THE SOUTH LINE OF THE OROVILLE- FORBESTOWN ROAD; SAID POINT BEING ALSO THE NORTHERLY LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN THE DEED TO WILLIAM D. DEDERICK AND WIFE, DATED MARCH 7, 1942 AND RECORDED IN BOOK 286, PAGE 333, OFFICIAL RECORDS; THENCE ALONG THE SOUTHERLY LINE OF SAID OROVILLE-FORBESTOWN ROAD, AND THE NORTHERLY LINE OF SAID DEDERICK PARCEL, THE FOLLOWING COURSES AND DISTANCES: SOUTH 83 DEG. 131 EAST, 167.65 FEET; THENCE NORTH 88 DEG. 18' EAST, 227.20 FEET; NORTH 75 DEG. 33' EAST, 71.20 FEET; NORTH 66 DEG. 46' EAST, 107.0 FEET TO A POINT AT THE NORTHEAST CORNER OF SAID DEDERICK PARCEL; THENCE LEAVING THE SOUTHERLY LINE OF SAID OROVILLE- FORBESTOWN ROAD, NORTH 41 DEG. 16' EAST, 65.51 FEET TO A POINT AT THE MOST WESTERLY CORNER OF THE LAND DESCRIBED IN THE DEED FROM WALTER A. POST, ET A.L, TO OROVILLE WYANDOTTE IRRIGATION DISTRICT, DATED AUGUST 2, 1923, AND RECORDED AUGUST 31, 1923, IN BOOK 204 OF DEEDS, PAGE 15, BUTTE COUNTY RECORDS; THENCE ALONG THE NORTHERLY LINE OF SAID OROVILLE-%iANDOTTE IRRIGATION DISTRICT CONTINUED 12 w •- it � C Xx � PARCEL II: CONTINUED 88~21747 ORDER NO. BU -100320-3 PROPERTY NORTH 17 DEG. 14' EAST, 224.60 FEET TO A POINT THA'l- BEARS SOUTH 0 DEG. 37' 15" EAST FROM THE POINT OF BEGINNING; THENCE NORTH 0 DEG. 37' 15" WEST, 1946.21 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM THAT PORTION LYING WITHIN THE BOUNDARIES OF THE OROVILLE-FORBESTOWN COUNTY ROAD. ALSO EXCEPTING THEREFROM, THE FOLLOWING DESCRIBED PARCEL OF LAND: A PORTION OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID -SECTION 16; THENCE SOUTH 1 DEG. 17' 08" WEST, 2119.24 FEET; THENCE NORTH 70 DEG. 45' EAST, 129.78 FEET; THENCE SOUTH 79 DEG. 42' EAST, 76.70 FEET; THENCE SOUTH 76 DEG. 45' EAST, 108.50 FEET; THENCE SOUTH 60 DEG. 59' EAST, 194.70 FEET; THENCE SOUTH 78 DEG. 04' EAST, 71.60 FEET; THENCE SOUTH 83 DEG. 37' EAST, 234.10 FEET; THENCE NORTH 87 DEG. 54' EAST, 46.42 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIEED; THENCE NORTH 87 DEG. 54' EAST, 180.78 FEET; THENCE NORTH 75 DEG. 09' EAST, 69.22 FEET; THENCE NORTH 20 DEG. 44' WEST, 357.0 FEET;. THENCE SOUTH 84 DEG. 22' WEST, 248.77 FEET; THENCE SOUTH 20 DEG. 441. EAST, 357.0 FEET TO THE TRUE POINT OF BEGINNING. A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION OF PARCELS 2, 3 AND 4, LYING WITHIN KIM DRIVE, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING A PORTION OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 20, 19871 IN BOOK 109 OF MAPS, AT PAGE(S).40. END OF DOCUMENT i 1 NOTESRESIDENTIAL V;z s �u PERMIT NO 072-250-037y HOLMES,GERALD 91 KIM DRIVE, OROVIL,LE Cont: PHIL. DECANN EX MH PERM FND i `AAF HC'D FORM 433A FOR THIS MH CAm*OT BE RECORDED UNTIL ONE OF THE FOLLOWING. HAS BEEN T'URNFD IN TO THE BUILDING Dlvwfoll - a ' (1) LICENSE PLATE(S) OR DECAL (T IC INSPECTOR MUST RETREIVE)• ,2) S I A f*E-\ i Wr OF FACTS (ONLY ON NEW INSPECTOR I VL•RIFY SERIJU. R. LABEL #'S. SPECIAL CONDITIONS CHECKED BY JOB FINALED (Date) Signature J�— SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY it �h USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER P r JOB FINALED (Date) Signature J�— J=OK 0 = Not OK Not . = NotReadyable 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 / /" 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 B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmq.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = No10K - = Not Applicable . = 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 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 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 0 Yes 0 No Clearance Looked under Floor O Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 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 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 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 (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BPO50027 , LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/19/2005 APN: 072-250-037-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of r the Business and Professions Code, and my license is In full force and affect. Site Address: 91 KIM DR ORO License Class : License Number: Map Index: Dater Contractor. Description: EX MH PERM FND EX SITE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Owner: HOLMES GERALD E &SHARON K Business and Professions Code: Any clly or county which requires a permit to construct, alter, Improve, demolish; or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a 91 KIM DR signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9.commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: HOLMES GERALD E &SHARON K Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, 91 KIM DR provided that such Improvements are not intended or offered for sale. If however, the building or Improvements are sold within one OROVILLE, CA year of completion, the owner -builder will have the burden of 95966 proving that he or she did not build or Improve for the purpose of sale.). 1, as owner of the properly, am exclusively contracting wilh licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: DE CANN, PHIL pursuant to the Contractors' State License Law.). ❑ -1 am Exempt under Article 3 qfjhe Business and Pr fesslons Code 169 BARDOLINO LANE _(9 DS Date: Owner: OROVILLE, CA 95966 (530) 534-7670 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 670920 ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 0 S. F. Policy a: Valuation: $0.00 I certify that in the performance of the work for which this permit Is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Q compensation provisions of Section 3700 of the Labor Code, I shall forthwilh.comply with those provisions. /y Date: 5 'XL----' wq Applicant: ^ WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000). In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is here Issued nder the pp'" a ovisions of the Butte Cnunly Coda a, nrilor I hereby aKrm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3087 Civ.) Resolutions to d ork Indicated ab e f r Whic ees have been paid. -- Name: By. Date: dj 6 Address: PERMIT EXPIRES ON: � / Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that 1 em the owner or the duty authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance. any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purpos Print Name: �-� (T.- Signature: i Date: Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor 4f 5y q, q0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name / S irat Na e, Address Cityo C D J` (� State r,\ -Zip' X 6 6 Phone S 6 �� Fax E-mail 00000 0 < <<e G 5,6 cc—t D 6,Q. -4-;t CONTRACTOR Name i_ � Address (D City r0 J ; ��� State C Address -Phon 3 6 Z (oax E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address 6 G City Fax State Zip Phone T# Fax E-mail Date Approved: State License Number APPLICANT NAME Name d S'Ct Lj n" e s Address City Sttte A- 6 G V Phone 52( O (o G Fax E-mail APPLICANT SIGNATURE X\"��/► For office use only: AP# Zoning Flood Zone SRA I Yes I No Occ. WORKER'S COMPENSATION I Type Const Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page T# Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PERMIT NO. LIS- GUZ BP BIN # LOCATION( AP# Property ddr , City , Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY -Name Address De criptioJor e c of Work:�'� p UL I Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Sal 07. c/o --360. 1,0 Received by Amount: �3Crj. Bldg SRA Receipt #: ! ! Sheriff 0,1W .131 SMTP Date: � / � 1 S � �( n U Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INIC 0 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. .M 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down d plans, indu licate. ❑ 7. Metal gs. A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). n 13 Sainitental- Health-Department-Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ , 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractors license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ' ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Peed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). cq GI l4 If you have questions o ould like additional informati6 ardin th process, contact a Perm 9 9 Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS1J3IdgApp1SubRgmts.doc Page 2 of 2 RE/ 7-27-o4 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION r 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 1, PERMIT APPLICATION DATA SHEET 11 OWNER: J f ��/�/%%{� ASSESSOR PARCEL NUMBER ��� " n - 4,a Proposed Building Use: ��� /� � L Counter Technician: TP Date: +5 6a Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by 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. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Interif for Non -heated and A/C for Non -Residential Buildings. 1 8. Manufactured homes: (A) Data sheets and installation Inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down oyfrlTplans, duplicate. ��_--_---- ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required.'...................................................................... ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. ed Restriction........................................................................................ ❑ 37. rant Deed, . Title) atement of Facts, ❑ Letter from Legal Owner, WIl ck to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone _ and hold for pickup. I have been infor "ed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index per it application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, design own was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designe , owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER � G'Y%i :S (S e-oo PROPROSED BUILDING USE C- ,tal Ta id W1. BUILDING PERMIT FEES --- Balance Due ..................... $_ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ 4. URBAN AREA FEES Residential (per unit)...... X # Units Amt. A.P. # DATE RECEIPT # DATE REC. L� (paid at Building Division) Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit ap lication, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed d g the plan c e king process. APPLICANT DATE - (- f Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) m N Lr) m m m Lo o, m m N N \ Lr) m 2"x 2"x 3/16" STEEL ANGLE 3/8" CAD PLA -ED BOLT, NUT &r WASHER COUNTER BORED FLUSH WITH 30TTOM AT e" D.C. (8) REQUIRED 1/4" STAND BASE DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4"• BOLT WITH HUT'S (4) REQUIRED set 1/2" SCH 40 PIPE- RISER WITF o 01/2" ADJUSTER HOLES AVD 3/S" THICK TOP PLATE a Or SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES AHESCO ABS PAD #503 -1 STEEL FFAME SEE DETAIL "A"- ASESCO ARS PAD #503 36' �AAX TO BOTTOM OF PAD 01/2"x 3" C-R. LOCK PIN WITH 01/$" BRIDGE PIH COACT "C" FRAWE 2" CHANNEL 1/4" GRIPPER 1/4"xt-1/4" PLATE TEK STS (2) REQUIRED 1/4" GRIFPER J BASE 1/2' A307 BOLT (2) REQUIRED 3/8"x 6'x 6" STEEL PLATE 1/2" A307 BOLT C—BEAM (2) REQUIRED ATTACHMENT 09/16 HOLE (TYP) STAND BASE TO P VI EW CAµ up, OF 37" TUF--1 PERMANENT FOUNDATION SYSTEM AEESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAK: (916) 383-5207 COACH "J" FRAME; 1/4"1,1-1/4" TEK STS (4) REQUIRED M . 1/4' GRIPPER BASE 1/2" A307 B01 (4) REQUIRED J—BEAU ATTACH -M ---NT g" 1/2' DIA. HOLE (S) PLACES $ $ $ $ L 30" STEEL FRAME TOF VIEW �'r S T Pl T C �I1L'�R11t� iA£eTY OOD1L >�f !1!!N � -- • -oonto= Woom TorigR11mCilAMss11vm 17918 r f_: •.Oi 9IBvtAnm P'Im amQL�Asov �1CA=1ttM1AV.i A= wo *A WAYNE '. POLVAOO, PE—LISTING NO. F94249 SHEET 1 c\ GENERAL NOTES GUS GUARD TUF-1 DEgGN WADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF IVIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE 115) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON A FARLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS 8EAN SUPPOETS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS". �. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) . CAN OCCUR, MANUFACTURED NOME SHALL BE READJUSTED WHEN OS EXCEEES 1/4", OW WHEN IT WILL ADVERSELY AFFECT MOBILE HONE UNIT. 5. CARRY ALL. FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL FODTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. E. STRUCTURAL STEEL- FABRICATED ACCORDING TO A1SC SPECIFICATION. WELD ACCORDING TO ANS SPECIFICATIONS. ELECTRODE'S -170 PLATES -ASN A36 601 -TS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE'CUS GUARD ASSENBUES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORTZOKTAL VERTICAL GJS GUARD TUF-1 2200¥ 60001 GUS GUARD MGP PAD 2200f 60001 GUS GUARD E -Z TIE PAD 2200f 6000f S. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THA')' MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. S. EXISTING COACHES MAf BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 LNITS AS SHOWN ON' TH[S PAGE OF TYPICAL FOUNDATION 2LANS. 1O. THE CUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAIML - (SEE SHEET 13)..s 13. ALL METAL COMPONENTS W ATTACHMENTS FTE44S SHALL BE PROTECTIVE COATED. 14, WHEN CONCRETE -SLAB IS IN EUSTANCE, PAD IS NOT 16. FOUNDATION FLOCKS 16"x 16'x12' POUPED IN PLACE AT GROUND LEVEL WAY BE USED AT IIISTAIL ERS DISCRETION ALTEMATTVE TO PADS. , SItiGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' Will. / 8' MAX. £- 2' MIN. / 11' MAX. S= 6` MN. /16' WAX. S= 6, MIN_ / 22' MAX. VARIES 10'-70" (SEE TABLE ON SKEET #3) -' E-- S S S E u u ❑ ❑ u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a a (TYPICAL) a 0 ❑ a a 13-T ❑ ❑ ❑ a 8' NOIR. ❑ ❑ 2' NOM. PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION � ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES CIFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROP -EMS. ENGINEER. TYPICAL THROUGHOUT PAD TYP) .Harz _ Exp,�e' &lqr� OF IV � REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH —,UF -1 PERMANENT FOUR (4) 1/2"x 3 1j2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 10C PSF WHEN INSTALLED ABFSCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIAT-REP.ICINS ROAD MANUFACTURER OR REPLACE THEN ON A ONE TO CRAAIti/EI� et $23 ONE BASIS. SA _ C_ 95,_. STATE APPROVAL MANL'FAC`T1M13DRO71iEJA10BT AROA FOUNDATION SYST m TFBALTRAND SATM OODB„ JAN 19M APPROVI0 sUw= Ti0 COBRBC1rmm 110R8i1< A"10VAL DOTS NOTALI2'HORIZB MAi'isMIll Ali! OMISSIONS OR DEVIATION PROM R M(W APPLICABLB STATE LAWS AND A pWjLkTX)W ftib ofCalifceods D-00WOfAoaa9TDadC Doi 001DES AND STANIMARng/ I- 'BY SPA NO. TJ is Plan �� WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 a/ Cr) m W C7 EL U Z H O U) w CA <1 I` Co CV Lf) m 00 m Lo m M CV 1 CV L0 m F/2"x 3 1/2" 1/2'x 8' LONG (4) REQUIRED .EXPANSION ANCHOR ANCHOR SOLT 3/8' CAO PLATED BOLT, NUT 8 WASHER ;4) REQUIRED (4) RECUIRED COUNTER BORED FLUSH WITH BOT -OM AT B" O.C. (8) REQUIRED CONCRETE PAD INSTALLATION POURED IN PLACE 16xl6x12 ^CONCRETE ` FOUNDATION INSTALLATION ti 1 ti CHASSIS FRAME LIGH- HEAVY -WEIGHT PLASTIC PAD [INSTALLATION r, 1/4' GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4' BOLT WITH NUTS (4) REQUIRED 01 1/2' SCH 40 PIPE RISER WIT' -i 01/2" ADJJSTER HOLES AND 3/E" THICK TOP PLATE 02" SCH 40 PIPE STAND. WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME -Ar 36 MAX UM71 WIDDB QKrirg SINGIR WERE UNITS TO BOTTOIi CSF PAD OF VADTH OF HOME LENGTH WIQTH OF 14011E HOLE 24 2 26 44 HOME 10 12 14 16 UP TO 4l' B 8 8 12 JUP TO 44' 1 6 1 6 8 1 $ 1"-l-t*Srl 11 1 12 1 12 18 44'-1 to fir I $ 8 8 I 8 01/2'x 3" CR. j 6i' -t' ro 80 20 1 20 20 24 6C -t' to Sd 10 TO .0 1O LOCK PIN WITH NUMBER OF 7ur-1 REQUtMD NUMBER OF TUF-1 REDUISI P BRIDGE ! NOTE-- SINGLE VADE UNITS REQLKRE 4) E -Z TU PADS. GUS GUARD TUF-1 PIERS AF PIN TO 8E PLACED AT APPRD tMATELY EQUAL I9iirMIAIS ALOtM EACH FRAME RAl1. E j STATE APPROVALpFES310 ` MAWWACnMED HDIA MODMS Iwai$ FCUNDATION SYMI M LTH AMC SAP COED,S8CT7OH �S11 AP � 'P* OF 37" TUF-1 PERMANENT FOUNDATION SYSTEM AMCO-QUIS GUARD COMYAKY 5851 FWXW - PHRKINS ROAD SACRAMMM, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 17918r I M I SURD= TO CORREC ONIS NOTSD ' APPROVAL DOES NOT AUMORM DR APPt Ya ANY I` DMISSIOVS OR DEVIATION MON REQUIREMENTS 03 APPLICABLE ETATB LAWS AND REGULAnON5 Sute of Ca1iiotoiit" E[ ESAND STANDmz; n&78 � � � c•Iar� SPAWO. Th[s P1snAppmval Exptra WAYNE T. POLVADO, PE—JSTING NO. F94249 SHEET 3 o1 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CQPY of Document Recorded 27 -Jan -2005 2005-0005235 Has not been compared with original BUTTE COUNTY RECORDER 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. GERALD E. AND SHARON K. HOLMES.,r REAL PROPERTY OWNERILESSOR 91 KIM DR. MAILING ADDRESS' . zFM ?�. 3,,. .z _ /``•' OROVILLE BUTTE CA95966 CITY COUNTY - STATE - • ZIP' SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT;— :..,.., -•- , SAME - CITY COUNTY STATE SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME - CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY - 7 COUNTY CENTER DRIVE MAILING ADDRESS - r OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0027' 530 538-7541 BUILR ,PEF11vBTNO.f� c TELEPHONE NU BEA -- CSItNA LOCAL AGZ11QV OFFICIAL `DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CHAMPION HOME BLDRS. 1995 IL6442 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 09956445635A/B 40'X 23'8" TRA246356/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 072-250-037 HCD FORM 433(A) REV. 8/91 DESCRIPTION 88-21747 ORDER NO. BU -100320-3 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL 1: PARCEL 1, AS SHOWN ON THAT CERTAIN,PARCEL MAP, BEING A PORTION OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. tt M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 23, 1987, IN BOOK 109 OF MAPS, AT PAGE(S) 40. RESERVING *THEREFROM A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION LYING WITHIN KIM DRIVE, AS SHOWN ON SAID PARCEL MAP. IN .A7ItI;GHfi ,-OF--WAY--FOR.,ROAD .:PURPOSES OVER THE WESTERLY. 3 0` FEET - OF' -THE - 1'OLLOWING DESCRIBED PARCEL OF LAND: -- - -- BEING A PORTION. OF THE . 23ORTH HALF OF SECTION 16, TOWNSHIP NORTH,...RANGE 5 EAST, M:D.-B. & M., MORE PARTICULARLY DESCRIBED AS1 FOLLOWS: - = BEGINNING AT A POINT ON THE NORTH LINE OF SAID SECTION 16 THAT BEARS NORTH 89 DEG. 291 30" WEST, A DISTANCE OF 1304.87 FEET FROM.THE NORTH QUARTER CORITER OF SAID SECTION 16; THENCE SOUTH 89 DEG. 291 30" WEST ALONG THE NORTH LINE OF SAID SECTION 16, A DISTANCE. OF 697.58 FEET; THENCE SOUTH 1 DEG. 171 0801 EAST, A DISTANCE OF 2251.62 FEET TO A POINT ON THE SOUTH LINE OF THE OROVILLE- FORBESTOWN ROAD; SAID POINT BEING ALSO THE NORTHERLY LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN THE DEED TO WILLIAM D. DEDERICK AND WIFE, DATED MARCH 7, 1942 AND RECORDED IN BOOK 286,, PAGE 333, OFFICIAL RECORDS; THENCE ALONG THE SOUTHERLY LINE OF SAID OROVILLE-FORBESTOWN ROAD, AND THE NORTHERLY LINE OF SAID DEDERICK PARCEL, -THE FOLLOWING COURSES AND DISTANCES: SOUTH 83 DEG. 131 EAST-, 167.65 FEET; THENCE NORTH $8 DEG. 181 EAST, 227.20 FEET; NORTH 75 DEG. 331 EAST, 71.20 FEET; NORTH 66 DEG. 461 EAST, 107.0 FEET TO A POINT AT THE NORTHEAST CORNER OF SAID DEDERICK PARCEL; THENCE LEAVING THE SOUTHERLY LINE OF SAID OROVILLE- FORBESTOWN ROAD, NORTH 41 DEG. 161 EAST, 65.51 FEET TO A POINT AT THE MOST WESTERLY CORNER OF THE LAND DESCRIBED IN THE DEED FROM WALTER A. POST, ET Af:, TO OROVILLE WYANDOTTE IRRIGATION DISTRICT, DATED AUGUST 2, 1923, AND RECORDED AUGUST 31, 1923, IN BOOK 204 OF DEEDS, PAGE 15, BUTTE COUNTY RECORDS; THENCE: ALONG THE NORTHERLY LINE OF SAID OROVILLE-%i'ANDOTTE IRRIGATION DISTRICT CONTINUED PARCEL II• CONTINUED 88•-2 174 7 ORDER NO. BU -100320-3 PROPERTY NORTH 17 DEG. 141 EAST, 224.60 FEET TO A POINT THA'- BEARS SOUTH 0 DEG. 370 1511 EAST FROM THE POINT OF BEGINNING; THENCE NORTH 0 DEG. 371 1511 WEST, 1946.21 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM THAT PORTION LYING WITHIN THE BOUNDARIES OF THE OROVILLE—FORBESTOWN COUNTY ROAD.. ALSO'EXCEPTING THEREFROM, THE FOLLOWING DESCRIBED PARCEL OF LAND: A PORTION OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID SECTION 16; THENCE SOUTH 1 DEG. 171 0811 WEST, 2119.24 FEET; THENCE NORTH 70 DEG. 451 EAST, 129.78 FEET; THENCE SOUTH 79 DEG. 420 EAST, 76.70 FEET; THENCE SOUTH 76 DEG. 451 EAST, 108.50 FEET; THENCE SOUTH 60 DEG. 54'1 EAST, .134.70 -FEET; THENCE SOUTH 78 DEG.:1,.60 FEET; THENCE"._SOUTH 83 DEG. 371 EAST, 234.10 FEET; THENCE"NORTH.87, DEG.: 4o EAST oy 46 42 FEET TO.. THE " TRUE- POINT_,• -OF p GINNING FOR TYKE, - - -PARCEL - OF LAND" HEREIN DESCRIEED; THENCE NORTH `"87 I) G. 54' EASE; -18D.78 FEET; THENCE NORTH 75 DEG. 09' EAST, 69.22 FEET; THENC.E::. -- _NORTH 2_O DEG., 44! WEST, 357.0 FEET;.; -'-THENCE. SOUTH 8.4 DEG,. 22"°.:,'-T,- - -- L_WEST, 2-4'.8:77 FEET; THENCE SOUTH 20. DEG. 44 1 £AS -T, 357..0 : FEET TOS THE TRUE POINT OF BEGINNING. PARCEL III • A NON—EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION OF PARCELS 2., 3 AND 4, LYING WITHIN KIM DRIVE, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING A PORTION OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 201 1987, IN BOOK 109 OF MAPS, AT PAGE(S).40. EN!D OF DOCUMENT , GEilld[L L. J,7�/017/lCJ ♦. .. a '3 a t J1 Sharon ,% 01?flCS 919(p' n Drive �Oroville,-09195966 g.. .. ,. a IT i,, ! n8379Z ` 11a2aertzto; z^. �+ [ 4" !PXl 530) 589 0664 � Y ++ Cr � �� �} S.+ r ,4 DATE PAY Of t! ORDER�F + � . ` �£�� � �' � p�oZ e:}."�' �}-1+Ik1[/ty�,.+✓.� +4; ��� f �f �r. s � !.� ,�r � yL Y-�s �x � nnj LARS M. 3. �.�°+i� WELLS FAH K 1-800.869-9557 ' E r : y rur - ,�+ ��.r"w � � :• � � �7t �; wRlx i ,4 r !� -..: '* ♦ s' t his? c• r a�t FOR 1: 12 10It288 21: 0 L 2LA 2996'011'" 8379 0 BUILDING PERMIT NUMBER: 05-0027 Address or location of unit: 91 KIM DR., OROVILLE, CA 95966 Legal Description of Real Property: AP#: 072-250-037 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: GERALD E. AND SHARON K. HOLMES Owner's address: 91 KIM DR., OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: TRA246356/7 SERIAL NUMBER OR V.I.N.: 09956445635A/B MANUFACTURER'S NAME: CAMPION HOME BLDRS. YEAR: 1995 OFFICIAL APPROVING INSTALLATION: / DATE:-�Q PHONE: (530) 538-7541 H.C.D. 5130 DEC -14-2004 TUE 0445 PM FAX N0, 909 944 2497 P. 01 I R -Ml 1597 STATE OF CALIFORR-DEPARTMENT OF HOUSING AAOMMUNITY DEVELOPMENT wrnT*r_w�r _� MANUFACTURER NAKAO CHAMPION HH BUILDERS/90086 �• •--•-. -- -, , TRADE NAME INFINITY .— MODEL IL602 CON 02/16/45 OOT 02/17/95 utUALNU. OFS 01/17/96 SPC ' LAV7785 EXPIRATION U SERML NUMBER T 09956445635A LAB L/IN51GNIA NUMBER TRA246356 WEIGHT 022040 LENGTHDTN 000400 000142 SSU 06/2 96 SCC 04 E"PT USE TY� z 099564456358 TRA246357 020080 000480 000142 SFO LP: TOTAL J 4 S FEES 8 PAID: 570.00 A GREEN TREE FIN CORP D PO HX 276708 D SACRAMENTO CA 95827-5524 R 8 ' 3 [ HOLMES GERALD E/SHARON K JTR� 91 KIH OR OROVILLE. ,CA' 95966 RELEAGE.,.OF AMSTEREO OWNER 91 KIM OR I OROVILLE CA' 95966,.�w--- -� t G M TA 6 Z T L a R a D L e 0 A L 0 W N H R 7}f 1 . GREEN TREE FIN CORP RELEASE OR DEALER 1 NEW AEOI9T;RED OWNER, FILL IN ZTBMS 4 Q•A) AND OR B) r NAME - PLUME PRINT N )+ b ;q�'^" =LNEM HAILING A10CR288 city CNTY ST ZIP 6. 5t FUTURE MAIT.INO ,ADDRESS PO RX 276700 A I_@��y,. I I iiiiNil NEWyLE04Ll • • - 'I' SACRAM6TO �I CA 958T7-552 DATE: Ol/s /9� ; 10:00:00' RELEASE OP LEGAL OWNER 11. RBTwNTZOm-OFF 'EGA,L OWNER 2Y. Lia- CNTY ST' ZIP ' vAICB DATE I>3TlRSD OW R, PILL IN 0 - 12 **N C) *� CITY ' , ,' CNTY 8T ZIP xrw NOW 16T JR. L;ENNOLD RILL IN STENS 1i - 13 Wier A88I43oNMENT OF L 0AL mm �i'.. NAME - PLEASE ITNI ADDRESS 15, CITY CNTY ST ZIP I Ali NEW 2N0 JR. LlamOLDER, FILL IN ZTEM6 16 - 10 xxx 916. N 9 NAMIR • PLOASE' PRINT - - O c 17. L 0 D N ADDRESS E O 10, R CITY CNTY ET ZIP IOR THIS CERTIFICATE OF TITLE MAY NOT REFLECTAALL LIENS RECORDED WITH THE DEPARTMENT 02-170-0072' OF MOTITLE STATUS OFNT E UNITLMAYEHE AGAINST THE THE UNIT. THE 0200073 RESIDENTIAL S f 0�-72-250-037 µ ' PERMIT#96-0123 i HOLMES, Gerard -.91 Kim Dr., Oroville Mobilehome Utilities I a f t r 1 .. i OFFICE COPY Address i. GAS Meter �By E ' e LECTRIC Dat Meter By �. Date — JOB FINALED ( ate) — i ' Signature V=OK O = Not OK NotApplicable.le. MOBILE HOMES MISCELLANEOUS Date E HOME UTILITIES Plans OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements L_,2, -Soils; Special MH Support Sketch , 2. Footings; Soils-Size-Deptt Spacing-Connectors-SteelO Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails tion -Test -Easement Needed (Sketch) Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Locati n-Tes Wr��ap;��/ 1"Uft. / / o L -ft./ GfLpG 7 ell Clearance & Disconnect 8. Utility Clearance Date `Jv �G(� Card B-1 V 1- m Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s _,I, -Zoning Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line �3!�Gas; MH Test -Demand Valve -Connector 4. Elec 'city; MH Test -Crossovers -Breakers -Clearances rain;,WTest-Fall-Flex Connector ater; MH Test -Regulator -Connector C_Z_1Vrattrr a ewer Connected -C/O to Grade -HD Approval 8. and jectricity Tagged 9 owns -Type -Installation Cert. 10. Date —7. Card B-1 -Date Card B-1 Date' Card B-1 Date Card B-1 • r- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors t Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 1 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh j 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 1 } Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s j 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI - ` k "` 5. Elec.; Pool Lighting; 15 Volts-GFI 'G 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ' 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit f 9. Health Department Approval i 10. Plumb.; Cir. Test -Water Supply Test r .i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J CK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except It's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main;'Soils-Elea Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 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 a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection - ---------------------------- 18. ------------------------- - 18. O.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: Size & Anchors -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except n'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. --------------------------.26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water --------- ------------- ------------- 27. ----------- 27 2 Appliance Circuts in Kitchen & Conductor Size,GFI --------------------------------------- ----- --- --- .. 28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size • 'ga. Cu or At ------ ------------------------------------------- .. 29. Range Circ. / ' ga. Cu or AI -Oven Circ. r r 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. --...33. Smoke Detector --------------- - --------....-. . - ----------......... ....... ....... ....... .. Date Card B-1Date Card B-1 - -- - - ----..._............ . . - - --------- ... ... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except rr's 34. A.C. Ducts Insulation & Support .......... ............... .... ... .. .. . 35. Vent Fan: Exhaust above insulation --------- - ------ --... . ..... ..........._... .. 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 a's 39. Sils. 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 Ceilings -Stairs -Chases -Tub ....... .. - -- .. -- ...... .. .. .. 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) _ 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 43. 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 Walls: -Nailing-Bolts ------------- 59.- Insulation -Walls -Ceilings -------------------------------------- 60. Infiltration -Walls -Windows ------------------ ---------------------- - -- Date ard 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 .. ----...._ ------------ I--.--- --------- 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.Fixl. & 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. Equip. Listed for Location ...... -------------------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. ... ....... ----- ------------------------------------------- 7, Insulation -Foam -Looked in Attic ❑ Yes .....------------------------------------------- ----- 78. 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 --- - - - - - - - - --- ----------------- ll: ------------- 84 Water WeD Disconnect, Electrical. Plumbing -------------------- - -- - ------------- - - -------------------------------------- 85 Exterior Elec. Trim; G.F.I. Receptacle -Underground 86 Ventilation Throughout House -- - - -------------------------- 87 Glass Protection - - - - - - ----------- ---------- -- ----------- 68. Corrections 'rom 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 -DEPARTMENT OF D--VELOPMENT SERVICES -BUILDING DIVISION ' .� 7 County Center Drive - Oroville, C*rnia 95965 - Telephone (916) 538-754j.� PERMIT NO. APPLICATION AND PERMIT `� ASSESSOR PARCEL NUMBER 072-250-037 ZONING FR5 BUILDING PERMIT OWNER RD GERt1AH0 Ll, =ES GERARD TELEPHONE SO. FT. OCC. BUILDING VALUATION 'S q OWNERMAILING ADDRESS. 91 KIM DR OROVILLE, 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 91 KIM , DR PERMITFEE $ OROVILLE. 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome l3' Other SPECIFY Water piping 15.00 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 IN Installation ❑ Other ❑ Describe Work: — Mobile Home kS kG I XW 1 920.00 60.00 PERMITFEE $ 80.00 Contractor ELECTRICAL PERMIT Filina Fee 1 20.00 o ov R LELES Main Service ( e0200A SSS ) OR 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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 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 OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL 30 Ex. Occup. oFIXEEDTs (RESID.) ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ' Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor 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 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.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X--- Date—���� �— Signatur of Applican Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE $ 166.00 L HAZ. D. FEF dVd/vj IMP FLOOD COF PARC PD Ho u This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. �Q Date 1� �4 A9 (Date) Receipt No. I gO800 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 a E.H. USE ONLY Plot Plan Ansdwd Floor Plan Amo6ed Seat to B.Dr TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -(�;CRACJD AL-merS 03 7 Owner Location 0/19D AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well ✓ Clearance for 9 bedroommobile . Other Environmental Health Q1013 7 OWNER tt•nwiw?rFX�pZSv)::�f +'�t'tsert �►� u.C�^^[ r = g fs�.. F171 a �'i,i�5 ii :fX�fi•. 4yF., it F BUTTEDEPARTMENTO, :DE EOPMENTSERVICES - BUILDING DIVISION JUNTYCENTER DRIVE - OROVILLE CAtwORNIA 95965 -TELEPHONE (916)-538-7541 PERMIT APPLICATION DATA SHEET Proposed Building Use l �a so o me's 5 A. P. No. t7 t Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. ' 4. 5. 6. 7. 8. 9. 10. 11. 12. • _. 13: 15. 17. 18. Ij 9. 20. 21. -22. I - 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ...................:.................... . Plot plans, 3/4 sets, signed by preparer of plans. ......................... . Complete plans, .3/4 sets,1signed by preparer of plans . ...................... Engineered plans, and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form l ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ..................... . Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobil home data and manufacturer's installation instructions, 2 sets. ........... Feesof $ • .......................................... Impact fees as shown on attached schedule. ... : . California Department of Forestry plan approval/fC_e/s�. JS�4.. . Flood elevation letter (100 year floo by Ca lornigineer. ................. . Sanitation and plot plan approval NByi l P Health Department . ............ Z� City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: ' \� . Contact Land Development about (A) Improvements (B) Drainage.) ..........'. . Driveway permit (construction approval required prior to occupancy). .. .. ... . r• 111nspec ion requeis Pre=inspection for required. .. to Building inspector (Date) Contractor's license information. (No., Name Style, Classification) . ............. . .Certificate of Workmans Compensation Insurance . ............ :............. Owner -Builder Verification (Given to owner , Mail to owner . ........... Recorded copy of Agricultural Acknowledgement Statement . .................... Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use . ......................................... Mobilehome utility clearance . ............. ............................. Documentation of legal access . ............... :..... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . Existinq violations/expired permits..............................I........ . When you issue the permit process as follows: Mail to owner. Mail -to contractor. Telephone 53,3q y03 and hold for pickup at Or'o v ;' l 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 Th47-ollowing data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items. 2. Additional items required: / aQf% �'pyu{ ,�P r 1—a Contractor, dVsst%ber( M,='d vIsed of above required data by _ phone _ mail Counter by _ Date Contractor, designer, o ed of above required data by _ phone _ it C t ' _ Date Plans checked by Date /'a7 - 9i Plans approved by Date Q Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE. BUILDING. DIVISION I DEPARTMENT QF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 8.91-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA7!nl(916) 872-6307 CORRECTION NOTICE 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, please contact this office immediately. a ( 7-tJGte — Inspecto REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELrOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE /'; P-3 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and shouki-be corrected. Please notify this office when correction of work is completed. If you have ah'y questions pertaining to this matter, or need additional explanation, please con ct this of ice` immediately. I . _ - — . m / s�F - 7 �► ANO REV 10/92 � 4 TRI STATE TESTING - MEMPHIS, TENNESSEE A CALIFORNIA APPROVED LISTING AGENCY TIE DOWN ENGINEERING CALIFORNIA APPROVED ANCHORING PRODUCTS MANUFACTURED HOUSING AND COMMERCIAL COQ a. INCLUDES SCHEDULES, DIAGRAMS FOR :, A. - _ SINGLE/DOUBLE/TRIPLE/QUADRUPLE WIDE UNITS 'w o • w 1. PRODUCTS DESIGNED FOR I: It ---1,000-4,000 AND UP PSF SOILS A. SOIL (CLASSES 1-4 200-550 INCH POUNDS AND UP TOR UE VALVE (CLASSES 1-5, UBC -CALIFORNIA) IleQsou CLASSIFICATION oN -3/ W 7 GENERAL DESCRIPTION OF SOILS 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 oan 4,000 and u Sandy Gravel or Gravel 2.000 Sand, Silty Sand, Clayey Sand, Silty Gravel, or Clayey Gravel . 1,500 Clay, Sandy Clay, Silly Gay, or Clayey Silt 1,000 Uncommitted Fill Special analysis is required. Peat or Organic Clays Soodal analysis is required. B. WIND—ZONE 1, 85 MPH EXPOSURE 'C' .E�vG�iv�frZ�o T/Eoow.v sy>SrE�n APPROVED SUSJECT TO CORPECTIONS NOTED APprovnl clans not c-1horize or approve any omission or deviation from requirements of an plicnble Shote lows and •erlulaticns. State of California Department of Housing and Community Develepment ; DIV:SIO/1 CODES A,^tD STANDARDS Date_/L/ (si3•eature) .SPA NO ------fir -� This Plan Apprava! Expires_2 / . C. SEISMIC—ZONE 4 Type- of Sad Blom Count Teat Probe I (ASTM 015861 Toroue Value 2 1 Hard rock NA NA 21a) Vey -dense end'. emwt:ed ands. caaru greed enW cobbles. rt,ore then preaaded alts. and days 40 -up 550 fit,. hdh nesse it— IN Carla 40vp 550 lb.. trah 7 bledpun-d— coast - w+d'. saucy grads, very. 350 to stiff alts & days 24.39 549 lbs. ash 4 Loose to medius dams sends, fir. ro slit days & 200 to .hs. eAnAum M 1423 349 lbs. b, h 5 Conaen deb T-donhg deAces to use 1. tsmete ped, thtrvhcr, arc- shall be tested (tama es 'anchors) and spWficatio s as to PS -1 end sae it= of aanaetc rehforcem do, and dhYiness of concrete. suit and depth of bot holt, type and bbd of O*W if put. a'la, henher,h dnwca u vdddh tandomg d-im am be hstnled bon, edge a end d dab. pad mo,a. etc., shall be spacifit' i,t"vawns chipped arch aad, to,aa,bhg dean .Fait i,tihde dw above. 4.1 The tat probe b a dnAn 6o _auairy the Thr.+■ value of sols to assht h a.kwbV the holding cwAgLty of the sols to which the andioi Is placed. The test phobe hes a htea on R The Cueall 4ngth of ttw helical section Is 10.75 hdws: dw major diuneta la 125 tnr : tha mbho dla oate, is 091 tithes: the push 1.75 babes. The theft mm be of ndtab4 k.0 to, arc,o dgtL . (bl A mean"' sve nysoous wldh motet: of a force -- dIsubAed "mud the shit of dw tat probe. (c) Belwn these values, a prolesaional a,g'reer should be mnndted a addl8ohd vehos added. Design Wind -load Zones:. Standard Wind Zone I Hurricane Zone II Hurricane Zone III Note — psf: pounds per square foot 15 psf Horizontal 9 psf uplift' c39 psf Horizontal 27 psf uplift X47 psf Horizontal 32 psf uplift net uplift Reference — Manufactured Home Construction and Safety Standards (MHCSS) 24 CFR 3280.305(c)(2),'latest edition 2. CAPACITY OF ANCHORS - EACH GROUND ANCHOR, WHEN INSTALLED, S OF RESISTING AN ALLOWABLE WORKING LOAD AT LEASE EQUAL,AWT, A 50 PERCENT OVERLOAD (4,725 POUNDS TOTAL) WITHOUT FA Q'T ,� 0 (� src 3'. CAPACITY OF STRAPPING - TIE DOWN ENGINEERING GAQ`AD ETR7�sP MEETS OR EXCEEDS THE NCSBCS/ANSI225.1-1994 AND THE ASTM -953-91 SPECIFICATIONS FOR 1-1/4"X.035 (MIN.) TYPE 1, FINISH B, GRADE HOT DIPPED (3vA-LVANIZED 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. : f PAGE'l F Side Frame Ties Must Be No More Than 2' From Each End Of Unit, Side Ties .Other Ties Spaced .,!Evenly Thoughout 2' Max. 21 Max. ,,The Length Of. Unit. - Frame End Ties Single Wide Unit Wind - Zone I (85 MPH - Exposure "DO) Seismic.— -Zone 4 * .R6_4ulrec Number Of Tieclowns For Each Side And Each End Unit Length 20' 301 401. 50' 56' 60', 62' 66' 70' _F_ b da* 'wn Locations Side End Side Side End End =Side End Side EndSide End Side .1 EndSide End T Side End Single Wide 4 2 4 1 2 5 2 6 2 7 2 7' 2 8 1 TptaI,,Num0er OF 12 12 14 16 18 18 20 20 20 , Tje�q Is 1 `40* Tie Down Engineering Page 2 September. 28, 1994 BCS MBU MBUS BISB MS33 MS35 MS37 MS42 MS60 MS600 MHT6 MHT7 MHT8 MHT10 MHT12 MHT15 MBU6 MBU7 MBU8 MBU10 MBU12, MBU15 59175 CRIMPING SEAL FOR 1-1/4" STRAP 59140 GALVANIZED STRAP BUCKLE 59139 SPECIAL GALVANIZED STRAP BUCKLE 59135 SLOTTED BOLT AND NUT 59149 1-1/4" X 33' GALVANIZED STRAP 59150 1-1/4" X 35' GALVANIZED STRAP 59155 1-1 /4" X 37' GALVANIZED STRAP 59160 1-1/4" X 42' GALVANIZED STRAP 59165 1-1/4" X 60' GALVANIZED STRAP 59170 1-1 /4" X 600 GALVANIZED STRAP 59185 1-1/4" X 6' FRAME TIE W/HOOK 59190 1-1/4" X 7' FRAME TIE W/HOOK 59195 1-1/4" X 8' FRAME TIE W/HOOK 59210 1-1 /4" X 10' FRAME TIE W/HOOK 59211 1-1,/4" X 12' FRAME. TIE W/HOOK 59050 1-1/4" X 15' FRAME TIE W/HOOK 59137 1-1/4" X 6' FRAME TIE W/BUCKLE 59141 1-1/4" X 7' FRAME TIE W/BUCKLE 59142 A-1/4" X 8' FRAME TIE W/BUCKLE 59138 1-1/4" X 10' FRAME TIE W/BUCKLE 59144:, 1-1/4" .X 12' FRAME TIE W/BUCKLE 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-STAM TESTING SERVICES,.Ir PAGE 11 STATE OF CALIFORNIA - BUSINESS. TRANSPORTATION AND HORSING AGENCY PETE WILSON Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS m _. 1800 THIRD STREET, Suite 260 P.O. Box 1407 )s SACRAMENTO, CA 95812-1407a (916) 445-9471 FAX (916) 327-4712 TDD 800-735-2929 September 29, 1994 William E. Jackson, Manager Tri-State Testing Services, Inc. 6756 Buckles Cove Memphis, TN 38133 Dear Mr. Jackson: OCT 0 5 1994 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 arid 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 Department_may require design calculations and test data be submitted to substantiate a design when-tlie'listed system or component does not appear to conform to your approved standard..'�'We"may also request this information for the. purpose of routine monitoring 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 �: . Side Frame Ties Must Be No More Than 2' From Each End Of Unit, Other Ties Spaced Evenly Thoughout The Length Of Unit, d Side. Ties —I (— 2' .Max. —I I— 2' Max. Double 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' Tiedown Locations SideEnd Side End Side- --�En), Side End' Side End Side End Side End Side End Side End 1 Single Wide 4 4 4` 4,—. 7 ""-,4� 1 6 1 ` 4 1 7 4 1 7 1 4' 8 4 B 4 B 1 4 ied `r s"few urI 16 1618 20 22 22 24 24 1 _ 24 n M C4 4 Side Frame Ties Must Bq No More Than 2' From Each End Of Unit, Other Ties Spaced Evenly Thoughout The Length Of Unit. is 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' 3'0' 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 I End Single Wide 4 6 4 6 5 6 6 6' 7 6 7 6 8 6 8 1 6 86 T= Nunber OF 20 ' 20 22 24 26 26 28 • 28 28 doens d W 0 a CL. waxrrrrrG 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 BB DRIVEN FLUSH WITH THE GROUND TO INSURE SURFACE SOIL COMPACTION. 3. FULLY INSTALL GROUND ANCHOR. UNTIL TENSION HEAD BOTTOMS OUT AGAINST STABILIZER PLATE. � iq 41 3) Atn- - -.. 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 MODMCATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. ,�/ COMPANY NAME: !r� f 1 CONTRACTORS LICENSE # r DATE: ZZ SIGNATURE PAGE.9 TES G SERVICES, INC. September 28, 1994 LISTING NUMBER: TIE -942609 Mr. Locke M. Jones Tie Down Engineering 5901 Wheaton Drive Atlanta, GA 30336 Dear Mr. Jones: 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 M121-15/8. 59080 5/8" X'558" 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 Z" DOUBLE HEADTHREADED ROD PATIO ANCHOR MIJ2 59120 5/8" X '12" DOUBLE HEAD J -ROD SLAB ANCHOR MICS2 59125 PATIO ANCHOR W/EXPANSION BOLT 59250 59250 3/44" X'.36" DOUBLE HEAD ANCHOR W/6" & 4`' AUGER MR 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 BUCKLES CovE MEmrHis, TN 38133 90 1-385-1 1 99 FAx 901-386-66 1 4 :PAGE 10 rr- �:-•-- ;rY�. ,r r sa � y T—i �«,fes ct �!` �e �. � � �ytvey ti ��P'> i BS=c ! P MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE8,. :.- DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: 0�`•.�•_ PERMIT NO.: ` O Owner's: Name: 1 ". •. L rr e Owners: Address: Mobilehome � � n/ /-J Q �tJ Year of i C. ,�,,,, • Manufacturer / I rY l Manufacture: Serial number 3 <— Insignia or _ n �y� J ' K or V.I.N. HUD number: Official approving installation: Date. /� r� 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. t 5138 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) 538-754 PERMIT NO. APPLICATION AND PERMIT -7 ASSESSOR PARCEL NUMBER 072-250-037 ZONING FR5 BUILDING PERMIT OWNER GERARD HOLMES TELEPHONE SO. FT. OCC. BUILDING VALU OWNER'S MAILING ADDRESS 91 KIPf DR OROVILLE, 95956 CONTRACTOR'S NAME AL CARL TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIDJOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 91 KIM DR PERMITFEE $ ' OROVILLE, 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDA/IS IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Water piping 15.00 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 EX Other ❑ Describe Work: _ 24 X 40 3 BEDROOM 2 BATH Mobile Home I S I G W 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20:00 O - OR LESs Main Service O ( 200AA OR IFS' ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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. Y� y�/ License Class Z Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) So. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAIL w Ex. Occup. OUTLEEDTS (RE ISIS D.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor 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' compensatio insurance c vier and policy number are: Carrier l ,vW MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be competed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date �� � Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.60 HAZ. D. FEES I IIM;4 FLEXI CDF PARC PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have ^_ ,�+ By ro PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date VC19,4 (Date) Receipt No. 190784 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .60UNTYOF BUTTE - DEPART$MENTOF pEV ENT SERVICES -BUILDING DIVISION 7 COUNWdNTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET s J�- OWNER O C'"S P. No. Proposed Building Use 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. Ploi 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 $ -............ . 6 11. Impact fees as shown on attached schedule. 12. California Department of. .Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health 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). ...PR4� a ctio� � tFest. 20. 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. ecorded copy of Agricultural Acknowledgement Statement . .................. 25 etter of signature authorization . .............: 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. .............................. 34. If When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 5R9-0751' and hold for pickup at Dr D U It 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 submitted 1. Index permit for above items No. _ 2. Additional items required: issuance: (Circle new item not checked above). 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 q y _)Date Plans checked by Date Plans approved by Jos / 5 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER r75�? f /G I—J ZZn A.P. # 7�-- 2 5 0 ^03 % PROPOSED BUILDING USE AA Y L DATE REC. # DATE REC i . SCHOOL DISTRICT FEES (paid at District Office) t2 /' - 1 7-,5�,G 2 SHERIFF FEES (paid at Building Division),,� Residential...... x =$�° 46 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. DATE APPLICANT :I w OWNER PERMIT MHUTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. IlTest.Req.._ Compaction Service S_ize Other Load Type Pipe Size Length YES NO YES NO .161 Kiel pR zeAAGES" M116C0 w i y 6xIrr,A* foxso 3:- .. I "-I yo Sao a ►hH Location of s'tMAures:-�' - A Ow.d NI nW*ii'drVA_- r fW / P 644 WEL_ This sot of pians and specifications MUST os kept on the job at aA times and it is unlawful tk make any changes or alterations on some withoui written pe4m ission from the Department of PuW -Works. County of Butte. NOTE:—All Materials &-. Workmanship- Shah So in AecordaRc-wrtb.- Recognized. Good Practices en3- of a. quality prescribed for the $Hczi$ied use en tIwED - Uniform BuMing, Plumbing & triecitarit�l Codes GounW 'he Notronol Eiectricol Cade. Butte tat Health^ cnen �' (9 Jibe attached Fire Safe -- requirements must be 0offvM_ as specified and approved by C.D.F. If_� 1714 6Zo C—)4EO b f(VIES 9t Kim. dR• OfibJUE (CA AN it 01-250 -03 i Ni i6l �f h _ , 1 v i�(vt"3: ct: r.': i;;i;� *l'f'NfYlCiir'y53 e s TPLI tt bA*c Hgm i ftp �f,► 4�a€ ttt!` do] 9r,. ra 3yeA Rltltii4'ttr q:4"K,r< h7 2^i:,►�^1;;��.) ,J 4.9�tf'l�i�;y YS'!i1 !�Y�r,.��t �ici� $.� 4r,; rn?�r-•a.j�� ��'i rra�} ra�rt+rsy�t� +�a#4i°►�e ,q h(:fli � :flow y,q`,no A;;t9otom IIA-3TOW C",E! �rt�t t::•i',::�,�► ;,;,:�;:` ;::ssroMa:�ei ;s::,, Z�+ jj{S� r}I q't{ !• :! :�� :•i'. �Vt fi%P.'!!.�$N�tl �=ittt:kft: *J 0 ;]�►� r,s4>:� icr�ii�iere�J�.t :� C'�lit�f,9tl��t ,�i+v%%!i�1>�f .r•,;.t�%:,1) or G11 � is�i.o:ifa�'ii rai � wiec MODEL #5 KITCHE 00 BEDROOM 03 BEDROOM 02 NA5TER t LIVING BED ROOM ROOM I A'•5'?cU'•O� n'•4-xn'•o' Ppp1�p�;�D r Gov Neal �o r_t% :INFINITY 644 'ore 24 x 44 -- 933 S.Qo.FT* 1. 06, DJ1 I yEk qp' GAPllopob � . f1�Kh IoxSo yc B O I So �Y 14H Exrsr�►-� 2y+ -�-�� _ � - SElsrcC too W Eli Z. ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF 3o FT. FROM THE SIDE AND 3D Fr. FROM THE REAR PROPERTY LINES AND Jy FT. FROW1 THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. REVIEWED BY BUTTE_ CO. FIRE DEPT. j CALIF. DEPT. of FORESTRY approved as submitts approved with conditions per attached sh et. i �irna!ur� Dets �II SCT- 6Zo 91 Kim 6A. 02oUIL(E , 01 AMA 0i1-256-037 r r "rl r h Z I I b 1. 06, DJ1 I yEk qp' GAPllopob � . f1�Kh IoxSo yc B O I So �Y 14H Exrsr�►-� 2y+ -�-�� _ � - SElsrcC too W Eli Z. ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF 3o FT. FROM THE SIDE AND 3D Fr. FROM THE REAR PROPERTY LINES AND Jy FT. FROW1 THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. REVIEWED BY BUTTE_ CO. FIRE DEPT. j CALIF. DEPT. of FORESTRY approved as submitts approved with conditions per attached sh et. i �irna!ur� Dets �II SCT- 6Zo 91 Kim 6A. 02oUIL(E , 01 AMA 0i1-256-037 r r "rl CDF FIRE SAFE REQUIREMENTS' 72_-2-s- 37 96 AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. �Q 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards ki 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparte-),ant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [� 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of ver'=iT:�1 curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. J 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 width. All driveways shall provide a minimum 10 foot I traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Su'r-2- M�' "�.E{�f Page 1 of� -' ' eu�L��Q r-)EF!4AqyfCjVT AP # PERMIT.# NAME [� 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all % building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [%] 1. Gate entrances shall be least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setbacn for buildings and accessory buildings from ul] property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction :Pr fi_ial inspection of a building permit. Page 2 of 3 ou 7-`-zS _37 AP # xr 1 q6 -01-Z3 PERMIT # Other Reauirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves AME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte,County Fire Department approved materials [ 7 /-Z3 -�4 Date Sicanat Page 3 of 3App�L` YkA pry; CHAMPION HOMES DIVISION 840 Palm Avenue P.O. Box 429 CH a m p, O Lindsay, California 93247 HOME BUILDERS CO. (209)562-4951 —037 Olt couN , Bum BUILDING(; DFFT FE B 0 1 1996 January 30, 1996 TO WHOM IT MAY CONCERN: All homes manufactured at this location have Class A fiberglass shingles installed. Any questions please call me. Sincerely, Ernie Westbrook Zone Manager N MANUFACTURED HOMES AND RELATED COMPONENTS Kim pR I Qp' GARAGE 10 I 1 PRnposc 0LBS w i Iox150 y sa Y 100 WED- . - 6Zo flViE5 9 r Kim. DR. Atte - C°�nHealth^ = O.ijOl��� � lel 6 ental viro APN it 0�2--2So -03- �QV ice l0000 Aa lap �I ■■ss■oo■n • �s a°®aa■ ®�'®"®'� �ItO�r�111��111 �` Elioi n■a■■ ■i.i■i■i.r iii" ■eomm i �. f. r �- • s KNEEN room �•�usmon 46,10 ■■■f■n■ - nu■sUNS .•�■ - ■n°maiiiIMMUNE ineX9■111 , IAMB 0 1 l BEDROOM • , t I 1 I � • ` CoOlnll 1 , I 933 SQ. FT. ADDENDUM - ADDENDUM - ADDENDUM - ADDENDUM The Butte County Building Division strongly recommends perimeter supports where recommended by the setup and installation manual of the manufacturer for Gypsum board tape and texture walls. See Champion Home Builders Co. Vol. I, 1995 Manufactured Home Setup and Installation Manual Figure 4.4 Typical Blocking Diagram for multi -section homes, Note 7. Mobilehome Manufacturer: P -y, Ae N Manufacture Year: /9 S If other than single wide, furnish Setup Model Number: 0� y Width: Z Y (ft.) Length: /-/ Tagalong or Expando Size — (ft.) x (ft.) On :all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. , -:. TIi"dGS° .,.� c�; cl:pressure"treateu�or;l'o zd t o;�-,gradepC]_ SUPPORTS ;:Coc;crete'b•lockX]_ Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1Line 1 Line 2 Line 2 ................................................................................................ Main Beams Line 2 ................................................................ '-,Line 2 Line 1 Line 3 Line 2 ............................... . ........... ..................................................... Main Beams Line 2 ' . Line I .................................................ine 5 Tag or Triple ine 4 rine 1 Line 1 Piers: Size minimum: r/ x 3D 1. Spacing maximum: I�`'! ` From ends-maximum:l' ` Line 2 Piers: Size minimum: [ I Z] x Spacing maximum: ` From ends -maximum: Line 3 Roof Loads: Size minimum Location (from fes): reC-r Line 5 Roof Loads: Size minimum: ,Location (from front): Line 1 Openings Size minimum: [ ] x [ ] Each side of openings L with width over: F` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: C` From ends -maximum: I` K 36 I zyX3o 29e30 i2X3o 0TV `� , doa/"1 1. Owner's Name: d Z/ /n, . S 2. Assessor's Parcel Number: -% Z - 2 5--Z7 - O 3 7 - 3. InstAler's Name: - CX ie z -1. Is the site cuiT,ntiy�under permit? -_ eSi ] No[ ] Permit No.-_ _--'_ 5. Is the site an existing site? Yes[ No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? / 66 Amperes. 7. What is the mobilehome site circuit breaker rating? / G !} Amperes. 8. What is the electrical rating of the mobilehome site? 2 d Amperes. 9. Is the main service remote from the mobilehome site? Yes[X] No[ ] If it is, what is the rating? l v d Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[x'] No[ ] If yes, please identify the load and size: a) The mobile home site- Load- Amperes- Z o b) The main service: Load- Amperes- 11. Type of gas service at mobilehome site: Natural[ ] Propane[,y] None[ ] 12. Size of as pipe at the mobilehome site from the meter or tank: 3/ inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?/O (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 CD CD LD Rl i ry -4 -�.--RAON )-MAt7'0 Act. .I(fro snow ACT. r'D M.1, avI IW ON ACI, !SO'D ACI. RI'1'O .9Room IOOu.• 70.ri. IM11 IM1•f MIT YWI • SC,►1. {rmxT VOIrT YrAI YINt ROOu 1rt./f. 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I OPIrIMA • 11YH10 aCOu -- • q 31 0- !.t 1 R 1 CY.I t L (0 i N fl 'b J fE,G.=..r.-•�-�.�tr.Ir-1:ra-:r•_-:1:::-i�-4_=:r:-•[-�.=mac:, OPT 9-1 -- 3 1/R. 3 13104- I n- 1 3/IrIn-1 0/1 It • "p�llt I OR 11 12 IS Il is 1t 17 1 1f SA 21 11 'is S+ f! to 27 7• tt 30 31 r s I/r s u/tr --1�- lw-1 1/le' .. I 37 14 it ft sI I f a Ot � II ZONE: I -ONLY a►/soyll 31uV - .+ .. 09 D O O R l[ -09 N 0� �1 t t -- • q 31 0- !.t 1 R 1 CY.I t L (0 i N fl llIC1111/A WA DIV DM 9M at LJ1 Ln O w I N D O M l 9 0( N D A-( 1<3Id 1 -up ,.» net ooGR �rRrr IM.• OINArTAN AYrI a ta+7N 10.1 s71 t+ 1 r oaNJno • •NAl► II(ICIIT 7'-r 10 7•-r CIIAMPI0N HOME' BUILDERS [i,[� vinr nNt► J_..__.._..�n IMuleooa 7YYJJ' R1 1 _ ..14. e4uaA► .._ ____. __._/._..�__..._ • frlrll.f r -1-V rttN-tpf --•11.90 a-1 Noaut .-_ '• 1 •...� ►►t1_ 20 12/1111./OROUIIn • ]tAleo'co1M1]tiOH'rT►( WATIA UFAM (prt.1 SSrf f• MORIN tl. onw", M!x10Ar D••_ r ... ._•-•••••••--- l�1 tt 1 111.1' fOw • ! 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SIOR. [00[sf IJ.1 - ` -• .--•---••••--•-----•^••-• DnrR i•/ rn/s •+/.ro IHIEIiIOR 511EAR'NAI.L RE4U1Rf.AlEt1 zon III•r 1.-F9►( AICIrIActl u�� /canl 'I'1lT RAIIG( 10 t/] M/ORA VIIO MIF* 20X1 1 HOi1[ • _ -.�•_ _ _ _ _.______ __...__..--___. ArPt. tUPa. Mill Vo/m, Ara. 11"IR. MIHO IOHI R H'�11I A SEP 25 M a� �� 4 [� TRI STATE TESTING _ MEMPHIS, TENNESSEE A CALIFORNIA APPROVED LISTING AGENCY q Lt TIE DOWN ENGINEERING CALIFORNIA APPROVED ANCHORING PRODUCTS MANUFACTURED HOUSING AND COMMERCIAL COjA INCLUDES S a CHEDULES, DIAGRAMS FOR err -.►As ca w_ SINGLE/DOUBLE/TRIPLE/QUADRUPLE WIDE UNITS .� 1. PRODUCTS DESIGNED FOR A. SOIL ---1,000-4,000 AND UP PSF SOILS (CLASSES 1-4, 200-550 INCH POUNDS AND UP TORQUE VALVE (CLASSES 1-5. UBC -CALIFORNIA) soli CLASSIFICATION P Types of Soil Blom Count Test Probe I (ASTM D1586) Torose Value 2 I Hard rock NA NA B. WIND—ZONE 1, 85 MPH EXPOSURE "C" A'-AvGiveXAZW T/EoOWM syfsr,�rn APPROVED SUEIECT TO CORRECTIOt.S NOTED Approvrd does not vulh.orize or oppeove any omission o, deviation from re •er)uloiiCns. w"i"remens of applicable Stole los and Slate Of Colifornio' 0epartment of Housing and Community Development �jDIV:SIO 4 CODES AND STANDARDS `!�j'� _ D /l/ ��/ - � -- ate---,/-�� tsigetature) �// .SPA NC) .-----G'-r — U This Plan Approved! Expires_ 2 / C. SEISMIC—ZONE 4 9 V'�';Wh 2(a) Vrydense ander _ cemenud land,, at grad end cobbles. more ,Mn preionded fill,. and ,daN 40vp 550 b,. 6+ch (b) Corel,n1O1e d._40wP 550 b.. h h 3 tkdumdmse coons sands. sandy greeds, very. 350 m Riff s?ts &days 24-39 549 cat ba 4 1-. to ,.decal dmst "M,. fi— to -M day, & 200 to sets. alluvium 118 14.13 349 lbs. incl 5 Conte slab Tenabning devkn to use a tstwett pad, clone, etc. fhe0 be tasted (one n ' andorsl and speciflutbns to m Pa, and eat Mx of mnvate. reinfactrt,etl� slu, atd d'ac'e s of tone-. site and e—A of bah hole, type and kid at shkN d Danufs3le. FGnb,aat, &stand at -Nch mufrnbg devkt tan be aut&W tion, edge a ud d dab. Pad tmmsr. etc, shill be :poly instnx ions dopptd ,yell each loubnig deau dab iletnde the abort. k) The WOW Is a 411-1- for ax --V dx mrpx vabx of sof to assist in aduvatfng thehoWIN ea66 aaty of tis so4e to wkvh thar e xha 6 placed The ka probe has a h beon it. The t'mtil length of t:.t hAW section Is 10.75 h :hm- the maim as nates "115 mdxs; dx "*— dia„etto Is (1$1 inch: d. pudl 1.75 ashes. Tit shah nor be of auttable WV6 for soda, dap& . fbl A .neasuse synonymous .hh 000, a of a btu „dor &Ur bred S...d ttx shah of test ptobs. . (d Below these veli es • proles onei a �raer shah be mnwdkd a addhia al . d as added Design Wind -load Zones:. Standard Wind Zone I Hurricane Zone II Hurricane Zone III Note – psf: pounds per square foot 15 psf Horizontal 9 psf uplift' _39 psi Horizontal 27 psf uplift =47 psf Horizontal 32 psf uplift net uplift Reference — Manufactured Home Construction and Safety Standards (MHCSS) 24 CFR 3280.305(c)(2), latest edition 2• CAPACITY OF ANCHORS - EACH GROUND ANCHOR, OF RESISTING AN ALLOWABLE WORYING LOAD AT� CAPABLE e A 50 PERCENT OVERLOAD (4,725 POUNDS TOT �- 3 150.P-�OUNDS �LUS O ( REJ Ful IVI IC f tet. 3• CAPACITY OF STRAPPING -TIE DOWN ENGINES IN �, A1; VAI DQEEEL,"STRAP MEETS OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -D 3953-91 SPECIFICATIONS FOR 1-1/4"X.035 (MIN-) TYPE 1, FINISH B, GRADE HOT DIPPED G D STRAPPING. CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF HEC LIFORNIA 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 Of Unit. Other Ties Spaced Side rtes Evenly Thoughout 2' Max. The Length Of. Unit, 2' Max. -I - Frame End Ties Single Wide Unit Wind - Zone I (85 MPH - Exposure 'C') . Seismic - Zone 4 • 0e ulred Number Of Tledowns 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 End_ Single. Wide 4 2 4 2 5 1 2 6 2 7 2 7 2 8 2 8 2 8 2 otnl Nunber DP 12 12 14 16 18 i s 18 20 20 20 " Side Frame Ties Must Be No More Than 2' From Each End Of Unit. Other Ties Spaced Evenly Thoughout The Length ❑f Unit. Wind — Zone. I (85 MPH - Exposure '.0') Side Ties Seismic — Zone 4 —I I— 2' Max. —I I— 2' Max. Double Wide Unit End Ties Required Number Of Tledowns For Each Side And Each End Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70' Tledown Locations Side End Side End Side, I End Side- End' ;Side End Slde End Side End Side End SideEnd Single Wide 4 4 4 4 f5' �� 6 4 7 4 7 4 8 4 8 4 B 4 Tledo�n� I 16 1 16 1 18 20 1 22 1 22 24 1 24 24 n M CA) Side Frame Ties Must Be No More Than Z' 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 Tledowns 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 Slde End Single Wide' 4 6 4 6 5 6 6 6 7 6 7 6 8 6 8 6 8 1 6 Total Number OF 20 20 22 24 26 26 28 28 28 TIt-downs q* 'L:.1 V Q a M 01 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. Quadrupte 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 Side End Side End Side End Side End Side End Side End Side End Side End Slde End Single Wide 4 8 -4- 8 5 8 6,. 8 .•' .17 B 7 8` 8 8 8 B 8 B otal Nunber [IF24 ledo�ns 24 2,6 1 28 • 30 30 32 32 3 2 — I Engineering Calculations 85 MPH Wind EXP °C" 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)( tl,�)+1601 W LAT=(25.6 -PSF)(13')=333 PLF =50,8'=D 51' Vwth Seismic Zone 4 V=0.18600 th V=0.186 U10 PSF)(�� )+(� +10 Psf)(�',Mh r )+(2 WALLS)(8')(10 PSF)] Wind - Zone 1 (85 MPH - Exposure "C") Seismic - Zone 4 Width Length LoadLoad Trans/Trans Total Lond (Trans) Total Load (Long) N Trans T.11. Side '(les B Long T.D. End Tles Single Wide To 14' 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 Double Wide Wi28' 40 FT. 333/333 13,320 LBS. 9,324 LBS. 5 - 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 Wi42' 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 70 FT. 333/453 23,310 LBS. 19,026 LBS. B. 6 Quad Wide To 50' 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. 3331392. 19,980 Lbs. 19,600 LBS. 7 8 70 FT. 333/453 1 23,310 LBS. 22,650 LBS. 1 8 8 TIE DOWN -ENGINEERING INDEPENDENT TESTING RESULTS 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- MI22 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. MU2 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. MI2H64 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 w 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 ,TERAL STABILIZER PLATE MI22 (5/8"-3/4") 30" LONG ANCHOR 40' to 50* V 0 �'"0R40`i aoMYIniAA SIDE FRAME TIE (MBU) i J J ;PAGE 8 STRAP BOLT & NUT BUCKLE/W STRAP (SIDE FRAME TIE) MRA (ROCK ANCHOR) MLFT (END FRAME TIE), 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 CABLE_ S 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. Al_�,r. J� INSTALLER/CONTRACTOR CERTIFICATION 3) 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: DATE: CONTRACTORS LICENSE # SIGNATURE PAGE.9 r. - TES 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 M121-15/8. 59080 5/8" X 58" DOUBLE HEAD ANCHOR W/6" AUGER M121-13/4 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 jgi� 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 67 56 BUCKLES COVE MEmr-His, TN 38 1 33 90 1-385-1 1 99 FAX 901-386-6614 PAGE 10 Tie Down Engineering Page 2 September. 28, 1994 BCS MBU MBUS BISB MS33 MS35 MS37 MS42 MS60 MS600 MHT6 MHT7 M HT8 MHT10 MHT12 MHT15 MBU6 MBU7 MBU8 MBU10 MBU.12 MBU15' 59175 CRIMPING SEAL FOR 1-1/4" STRAP 59140 GALVANIZED STRAP BUCKLE 59139 SPECIAL GALVANIZED STRAP BUCKLE 59135 SLOTTED BOLT AND NUT 59149 1-1/4" X 33' GALVANIZED STRAP 59150 1-1/4" X 35' GALVANIZED STRAP 59155 1-1 /4" X 37' GALVANIZED STRAP 59160 1-1/4" X 42' GALVANIZED STRAP 59165 1-1/4" X 60' GALVANIZED STRAP 59170 1-1/4" X 600 GALVANIZED STRAP 59185 1-1/4" X 6' FRAME TIE W/HOOK 59190 1-1/4" X 7' FRAME TIE W/HOOK 59195 1-1/4" X 8' FRAME TIE W/HOOK 59210 1-1/4" X 10' FRAME TIE W/HOOK 59211 1-1/4" X 12' FRAME TIE W/HOOK 59050 1-1/4" X 15' FRAME TIE W/HOOK 59137 1-1/4" X 6' FRAME TIE W/BUCKLE 59141 1-1/4" X 7' FRAME TIE W/BUCKLE 59142 1-1/4" X 8' FRAME TIE W/BUCKLE 59138 1-1/4" X 10' FRAME TIE W/BUCKLE 59144;-. 1-1/4" X 12' FRAME TIE W/BUCKLE 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. J4VK . � . William E. Jacson Manager TRI-SSTQ fE TESTING SERVICES,.II PAGE 11 STATE OF CALIFORNIA - BUSINESS TRANSPORTATION AND HOUSING AGENCY PETE WILSON. Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ,q<)1T Or DIVISION OF CODES AND STANDARDS 1800 THIRD STREET, Suite 260 P.O. Box 1407 - t Is SACRAMENTO, CA 95812-1407 (916) 445-9471 FAX (916) 327-4712 TDD 800-735-2929 9, 1994 September 2 E7M 705 1994 pWilliam E. Jackson, Manager Tri-State Testing Services, Inca LD'(i , ili 756 Buckles Cove Memphis, TN 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 ' atid. 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 Department 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`iiiay also'request this information for the purpose of routine monitoring or.complaint investigation. Revisions to your approved standard as well as listed designs may, be necessaryin. the future asa 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, I *V Chris L. Anderson Mobilehome Parks Program Manager cc: Mike Rosenberg PAGE 12 CHAMPION HOMES DIVISION c"ampion HOME BUILDERS CO. January 30, 1996 TO WHOM IT MAY CONCERN: All homes manufactured at this location have Class A fiberglass shingles installed. Any questions please tail me. Sincerely, Ernie Westbrook MANUFACTURED HOMES AND RELATED COMPONENTS ------ [ U Q•�--- � 9 h i-� 9 S- 6 I) i '131, i,ppi)# \Ol dbtiHt1 840 Palm Avenue P.O. Box 429 Lindsay, California 93247 (209) 562-4951 hfi � 80 1311,L) 9b ;0�- '\HP I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Foran Per Building) School District Oro u' c tVt ' ;;- ;%f es Building Department No. A.P. Number ;IS— 0 37 Jurisdiction: 0 City [kl County Property Owner % ar o a 14 o (AA e 15 Property Location/Address cJ / K; ,,,L 0 tt- Of—y u i ((,e q $56 4 - - Subdivison Residential Development 0 No. of Living Units Rip (a�1 w 5 �o�;le 5.A0 Commercial/Industrial Building Depart#h1t Representative Lot No. © Sq. Footage 7 4p, 0 MHI Addition (Group R) ,t 0 �'y_�.. 711. ..r:. � Sq, Footage -:::5: - : i�;'i/.' New Additionincludin Exterior Roofed Areas) Date ./ I by School District Personnel) District Identification No. 1--120 -%La� -: School District certifies that = ' (Applicant) ` (Street Address)- (Phone (City) (State) (Zip Code) has complied with the requirements of Resolution No. 9.3— % /Q by payment of $ representing y'(pQ square feet. As 2926 $ PULL MITIGATION $ 1 � School District Representative Date' Paid by Check # Bank Number Paid by Cash Remarks: c 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) . feeformmkl (11/94)dmm RECORDING REQUESTED BY Ron Graves R Assnciat•PC (Engineer or Surveyor) WHEN RECORDED RETURN TO BUTTE COUNTY PUBLIC WORKS WHEN RECORDED FILE WITH MAP LISTED BELOW ..95=42.24) 95--04224} 1 1 Rec Fee I Check Recorded Official Records County of Butte Candace J. Grubbs I Recorder 2:52pm 30 -Nov -95 I PUBL SPACE ABOVE THIS LINE FOR RECORDER'S USE CERTIFICATE OF CORRECTION' COUNTY OF BUTTE )ss. STATE OF CALIFORNIA ) 6.00 G. OO XX 1 Ronald L. Graves , Being duly sworn, deposes and says: (Name of Engineer or Surveyor) That the following corrections or additions to the map of Gunter Ranft- , as filed in Book 1 o9 , at Page(W) 4p of Mans in the office of the Recorder, are made by me in accordance with Section 66469 through 66472.1 of the Subdivision Map Act: Additional information sheet serial number 87-43118 Item: "Interior sprinklers to be installed in all residential dwellings;" DELL= pursuant to change in conditional zoning as adopted by the Eoard of Supervisors Resolution 89-018.._ 0(cc: O. LANAs GO Signature of Engineer or Surveyor No. 4085 R.C.E No. L.S No. �U Expires 6.30 96OFCA��F� Certificate of County Surveyor: This is to certify the above certificate of correction has been examined for compliance with Section 66471 of the SubdivisiorY"ap Act. -y County Surveyor R.C.E. No. LD 1440.2 (5/95) Listed below are the -present fee owners of property affected by the correction or addition: Gerald E. Holmes E?JD OF DOCUMENT RECORDING REQUESTED -BY RQn Graves & Associates (Engineer or Surveyor) WHEN RECORDED RETURN TO BUTTE COUNTY PUBLIC WORKS WHEN RECORDED FILE WITH MAP LISTED BELOW SPACE ABOVE THIS LINE FOR RECORDER'S USE CERTIFICATE OF CORRECTION COUNTY OF BUTTE )ss. STATE OF CALIFORNIA ) Ronald L. Graves , Being duly sworn, deposes and says: (Name of Engineer or Surveyor) That the following corrections or additions to the map of Cunt -pr Ranft as filed in Book 109 , at Page(sl 40 of Maps in the office of the Recorder, are made by me in accordance with Section 66469 through 66472.1 of the Subdivision Map Act: Condition #26 '.'Dwellings to be constructed of non-flammable siding and roofs" is amended to- read "All new structures must meet the firesafe regulations of Butte County and PRC 4290 with Class A roofing." Signature of Engineer_,or Surveyor - R.C.E No. L.S No. Certificate of County Surveyor: This is to certify the above. certificate of correction has been examined for compliance with Section 66471 of the Subdivision Map Act. County -Surveyor R-.C.E. No. 2 yf 3 LD 1440.2 (5/95) Cpl LAIV p O 0% Gg9.GgL ;O a ;¢ No. 4085 ; 7D Expires * • •630-96 OFCAL\FO _ Listed below are the present fee. owners of property affected by the correction or addition! - Sharon --K- ddition! Sharon--K Holmes minter Ranft Behzad Rod Varasteh Rpn Varaqfph Renate Ranft it /p/9 5., - 4o •no �o� �✓'o►n lK�eA r; al, U �8 MC1S �,S Ni0✓`� � N(j kl� ci eri y ownPr3 on ��i:s PQ'�CE (.parec I •na�0 ✓'�°e.- ureS ir e S� ti ►^e �'hl�a�^�itnZ�" J + roo be or-otellJ. � q Yo✓' A eerye r d` of Corr�c��o.1. -�O ✓ect�ove. t4se vF�M�s, J fgvtYa=06-95 02: 14P COF 916 538-2105 P.01 8CFO VOLUNTEER FIRECOMPANIES BANGOR R1017.9 BUTTE COI FOE BUTTE CREC✓. CANYON BUTTE FFATHER BUTTE MFA{j OLV$ CHEROKEE CLIPPER MILL COHASSET UeSARI A OUAkAM FEATHER FALLS FOREST RANCH C,OLDEN FEATHER KELLY RIOGF MAOALIA NORTH CHICO PALERMO PION E FR RICH VALE RnBINSON MILL &(MUNI crrY TI I"RM AL1 1 a 8CFD FULL-TIME FIRE STATIONS SAN,;OR Rlrn:j 1711 R H AM H106O NOFr, NUHIH ••-RICO OAQVILLC PALERMO RI..HVALE SOUTH CH'r.p U;-�LIi mush. COF FIRE STATIONS HUT TF M;AOOWg C'UHASS. T rrATI ICN fAl IS FOR F$T RANl:IT WOW.i CATI I ,I A. -I j , 13 AP ORO:'ILLL 111 PAFiAM:u ; (IVUIN;iorJ Nill l :;: TIr0.11:U CI t r' BUTTE FIRE CENTER InA,A!1A RESORFETATION NURSERY MACi AI IA. AIR ATTArK DACIE C 111 C i1 FIRE LOOKOUT: HAI,r, K111LINT Mi+! 410OMEA HILL PI ATTE MOIrN TA1,11 SAWMIII(FAY; SUN; ol v O n q11 h>�� a� � , W, ; t 1 1k..4JwY . u�� rf�'���,F��y'yr}��"� �Zigi �,,,��•'�, ����q��� � r 4s'� /}f�„+�xY��S" �'?�,`�i•eY Y1t�.',y���J' i••i'•r•C� �trw,� :'u}`t'�F. �'f" s� W40g.4^ a GASB.�"�.��•��+'�a��'•�:����������d4��������`u'��t � - COI PACTIONMIT TR}RB iT$PdRSTRUCTRE��t,v a d l n dddAAP ° � 8 J I 1 ? .: COUNTY OF BUTTE " BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA-- (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION` NOTICE I:i,, - PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this officewhen correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. PERMIT NO, 111-89B PERMIT EXPIRES 19 D (I 1�,q) OWNER GERALD HOLMES 'CONTR. owner ASSESSOR PARCEL 72-25-37 a 'LOCATION 91 Kim Dr, Oroville J I a s. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E i Temp. Gas Service Called PG&E JOB FINALED (Date) Signature �... Ar PERMIT NO, 111-89B PERMIT EXPIRES 19 D (I 1�,q) OWNER GERALD HOLMES 'CONTR. owner ASSESSOR PARCEL 72-25-37 a 'LOCATION 91 Kim Dr, Oroville J I a s. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E i Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0 =,Not OK Not Not Readyiable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'U ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -61 Date Card -131 Date Card -61 Date Card -61 Date Date MOBILEHOME 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -B1 Date Card -B1 Date Card -B1 Date Card -1211 Date MISCELLANEOUS Date DE KS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zoni . g Requirements -Setbacks -Easements L4 /r ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3_Deekrs;-@irders and/or Joists -Decking -Bracing -Stairs -Rails 4-NVuut—A,va*.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing n -Connections-Splice-Decal-Enclosures MMg; NaW-Veneer-Stdeee-Mesi-r- W. Roof; Sh g -Roofing 11. Ext.; St ps-Doors-Landings Y -5 OR Card -81 Date/f-(—Card-131 , Date Card -B1 Ca Date Ll.-/ - Card -1211 Date / - Date VOOLS (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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal .w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date Card -61 Date Card -131 Date = OK = Not - RESIDENTIAL (.Single and Duplex) =Not App plicable - ' = Not Ready Date U DERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 01. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2 -fig., MaiTr,-Mils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48, Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting,Doors-Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Sup prt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 66. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -81 Date 67: Stairs &Rails Card -131 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing-Landing-Closer73. 24. Size Boxes & No. of Conductors -Stapled A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or At 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive -❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -81 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 96. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date 92. Roofing Certificate Card -B1 Date Card -131 Date Card -131 Date Card -61 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s Card -81 Date Card -B1 Date 39. Sills, Proper Material & Anchors Comments at Final: 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 Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville _ Phone: 538-7541 747 Elliott Road, Paradise— Phone: 812-6307 " CORRECTION NOTICE OWN A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. P4eas`e notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact thiss office immediately. �-,I � I -A A - Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS f 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —'Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 ' CORRECTION NOTICE f�® (wt OWNER PERMIT NO. y A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. i n i , Te ele -- t= Iter (5 pi 14' 6 „s 1S w "A :�s V :i :y c Si Inspector. ��/ Date •.�"d4�;''�-cam ;COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS Kr :. 196 -Memorial Way, Chico — Phone: 891-2751 , 7 County Center Drive, Oro'rille — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE -0 / MIT NO. A�routi a rnspectionln�ica4e that the following violations of County Ordinance ex'i�t "at h v ad fss1 n should be corrected. Please notify this office when correction o� ,off work is completed. If you have any question pertaining to this matter, or need ad 1tional explanation, lease contact this office Immediately. / A n n 't 41 c. 0 fy 'Inspector Date_ t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER -7 ZONING Eg d BUILDING PE IT OWNER 6'el'0-l d TELEPHONE _291-7 -' 495o SQ. FT. OCC. BUILDING VAL ATION ^� L J-�AA Q OWNER'S MAILING ADDRESS (oaf Lqeeoly AveeLiav 9Y5rd0 CONTRACTOR'S NAME Nor TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace A1011CONSTRUCTION LENDER UNKNOWN Total Valuation $ FilingFee $ 10:.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A -D N'-4-- LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ Q, s PLUMBING PERMIT Filing Fee 10.00 T Each Trap 2.00 V Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP ' Water piping 5.00 Each pas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome❑ Other Glr_OL --A—Building CI FY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S I G I W T 10.00ea TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: 1% S+ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI OR ADDNS. ACC. BLDGS. , /iosgft NEW CONSTFL MU TI.OUTLET 2.50 ea NON.RESID BRA C CIRCUITS) POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occu o 209500 p UTLETS OR FIXTURES 113.1.9 30t FIXED APLNS./1, Ex. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Pelt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in c ns quence of the granting of this permit. X .l.�A Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ •, TOTAL PERMIT FEE OCCUP. CONST.T C ISCHOOLIF1001PARCELI / PD ND s8L This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY Y PER T XPIRES Date the applicable prove - resolutions to do fees have been paid. WORKS Date Z — Z 2- Receipt No. ,-- WNITC-D.P.W., YELLOW-ASOCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT y 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,�"''i.ALIFORAIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. G ^ ^I _ OWNER 6V rrx ( D a 44 z A. P. No. !c < Proposed Building Use ��,-A0 M __k�l Building InspectorDate 13 — f4 _ y` At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have been submitted. .. <,2. Plot plans in d�uplic6atpAriplicate, signed by preparer of plans........ 3. Complete plans In duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... T A Statement of Intent for Non -Heated and AC Buildings .............. s �7. Engineered truss details and layout in - uphca (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation in......................................... F 9 Fees of $ d` � '� .......................... U1 1 Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 1:2. School District fees paid ................. 13. Sanitation approval from Health Department 1 City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) ' 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 8. Driveway permit (construction approval required prior to occupancy) ... /-7— 7—F97— e7s 19. Pre -Inspection for required ... Preto • •Building ding Inn. requestspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance ......... ... . Owner -Builder Verification (Given to owner o, Mail to owner p) .... . 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25, 26. When you issue the permit, process as follows: �'%" Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant �f;f Date Copy of plans sent Health Dept,, Fire Dept., Other Date The following data must be submitted prior to permit i suance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designe , owne was advised of above required data by_phone Vnall_counter by Contractor, designer, owner, was advised of above required data by—phone —ma ll_counter by Plans checked b, Copy—DPW Date 4—LZ Plans approved by Sets of plans on hold in File cabinet AP folder date date Date / - �c d TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance -z5- owner location AP # Driveway permit has been issued for the above property. date si ature TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage D Hold final for: Final clearance O.R. for: Clearance for bedroom mobile home. s - c. Nvze NOTE *** ..... �.(PN Sanitarian isposal Water Supply Water Supply Water supply Other (71 e C,- 1O,ji 1��ALIV 1d4 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. I 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City '— Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner e r*w Social Security Number _` Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. GeraAd--oIMes V Gerald Holmes 6263 Cotton Ave. Newark, CA 94560 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 1 With reference to the above subject: ,L_1, Attached is: PHONE: 916-538-7541.. DATE January 20, 1989 RE:Building Permit Application #111-89 A.P. # 72-25-37 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER ,LLXJ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of -payable-,to Butte -County -Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. X Complete plans in one setXg�{X�, Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval fro6'Butte County Health Department at: 196 Memorial Way,' Chico 7 Co.unty.Center Dr., Oroville Skyway.& Elliott Rd., Paradise Planning approval from Butte_ County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. MY OTHER_ 1) We need"another set of Plans (only one was submitted) 2) There is an OWID and PG & E easement in the vicini y of your lgoogpd ga a¢P We need confirmation that you are_aware of this and that your garage is not in this easement. Also, are there any other buildings on this parcel? Should you have any questions concerning the above, please contact this office. JFG/a j LS Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 91'6/538-7541 APPLICATION -AND PERMIT PERMIT NO. f� ASS SSOR'PARCELiNUM%ER ZONING BUILDING PERMIT OW. Ela / V, TELEPHONE SO. FT. OCC. BUILDING VALUATION O NER'S /MAILING ADORE S• CON'TR`ACCTOR'S NAME TELEPHONE CO'NTRACTOR'S MAILING ADDRESS Fireplace COT/STRUCTION LENDER /) n UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER le C LICENSE NO. Plan Checking Fee $ Ener Plan Checking Energy g Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT V Filing Fee 10.00 ' Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 _4q () o Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Cna r0 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G JW 1 10.00 ea TYPE OF WORK New❑ Addition [D Remodel❑ Utilities Installation❑ Other PDescribe work: rr- 1- f~ o. _' )ccfsVo t' f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS0010.00 ' ) 100 AMP OR ESS Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Rr I as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWEL„LING OCC P OR ADDNS. ACC. BLDGS. �Y2Sgft NEW CONSTR U TI.OUTLET NO N.RES,. ..RANG CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050t eALO 30 Ex. OCCUp. OUTLETS FIXED PIRESID LINIS )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g n 1 15.00 re n r f Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. FV_1!I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree'to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cgnsdquence of the granting of this permit. X �!%� �� � � Date -71?— y1W Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $- TOTAL PERMIT FEE $ �� ♦� Occup. CONST.TYPC SCHOOL FLOOD PARCEL PD I Ho I ISSUE 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. DIRE f R OF PUB6WORKS By `�A I Date PERMIT EXPIRES Date Receipt No. + WHITE-D.P.W.. YELLOW -Ase CSS0R. PINK -INSPECTOR. GOLDENROD-AP►LI CANT . .i ��-a 57 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ANDRERMIT ASS 5y PA CEL NU R ZONIN _ BUILDING PERMIT Ow T L P o E SQ. FT. OCC. BUILDING VALU ION O E 'SM ILIN DDR SS_49 nn Stul, CO TRACTOR'SITAMET w4r-n ELEPHONE C NTRAC OR'S MAILING ADDRESS Fireplace COrJSTJhUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECTCOR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS , Permit fee $ PLUMBING PERMIT Filing Fee 1=3.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other 6Q A20 P SPECIE Gas piping system 1 - 5 outlets 5.00 Bui Iding sewer5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑Remodel ❑ Utilities Installation ❑ Other ( Describe work: `/ r EL r (�7 Wt I 1 01 I/` �� — PermlI Fee $ Contractor ELECTRICAL PERMIT Filing Fee 13.00 Main service 100 SS AMP O1 OR R LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I.Ex. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason oR ADDNST ACCLBLDGSCC P yxlCsgit NEW CONSTR. TI -OUTLET 2,50 ea NON.RESID .BRA CH CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(200'301 OUTLETS OR FIXTURES eALeao QCCUp. OUTFIXED TS ((RESID IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 -f t^ Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �f Consent to Self -Insure. L� shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee s Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ce of the anting of this permit./ against ounty in rZ X � v 07 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent Q� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYP! SCHOOL FLOOD PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work i ted above for which DI OF PU B P I EXPIRES Date the applicable provi- resolutions :o do ,Xhave been paid. I WORKS Date Receipt No. WHIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 4 ol t� +I +e I! • t `1 I! r a� ' I i! !I it f f i• J, �I •� COUNTY OF BUTTE - DepZLrtmeht of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDER.VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied,for in your name and bearing., your signature. Please complete and return this- information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally=plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) ,o _y,_ signed an application for a building permit` for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. J plan to provide portions.of this work, .but I have hired the following person to coordinate, supervise, and provide the major work: - Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number , .- Date n- a 4- 8 9 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. -—n I wIrav i yr ULVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 March 15, 1994 Gerald E. & Sharon K. Holmes 294 Appian Way Union City, CA 94587 RE: Building Code Violations 91 Kim Drive, Oroville A.P. #072-25-0-037 Dear Mr, and Mrs. Holmes: 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 conversion of a garage to a living unit, installation of travel trailer and mobilehome. Since an additional living unit is not permitted in the zone, the garage conversion must be converted back to a garage. The travel trailer must be removed from the property or the occupancy and use must cease and desist imediately and be placed in dead storage. If the mobilehome is to be used for a living unit, it will be require permits from this office for mobile - home utilities and installation. 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 Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. Sincerely, MCV:dms Mic el C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor r- .I ,,,�..n..-.� .�,ni�e�j�;Irv'�4_�,�,��;�i:�{�;�9;ti,k�'��-�`",�`7`i�^' �F'"�1�w4,r��1'1�i+:r,j�.'��,�'�'i�:::-•;.:,�=al:i`;�.:.y�,.,�1rtf��:��`�� COUNTYOFBUTTE-- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER /c &61A4e5 A. P. No. 6 i 9, -� Sly- 03'7 Proposed Building Use Building %/1�4�%_ Building Inspector (ZO Date A y At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEWED BY 1. ............. All items hgye been submitted. ........................................ 2. Plot plansL374 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. ........... t� 10. Fees of $........................................ 11. Impact fees as shown on attached schedule. . -J� 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. .. ............ . 14. Sanitation and plot plan approval)-4O6;/&C- Health 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). .. . . 20. Pre -inspection for required. .. to e�°,d 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 )............ C- 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. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at 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 submitted 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 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS• M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. :�U �7_ � a ASSESSOR PARCEL NUMBER 72-25-37 ZONING FR5 BUILDING PERMIT OWNER Gerald E. Holmes (415)790-0669 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6263 Cotton Ave. Newark, CA 94560 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 91 Kim Dr. Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 1109—%1-0 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e 30.0 TYPE OF WORK New Addition❑ Remodel El Utilitiesa Installation❑ Other ❑ Describe work: MH1I _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 10.00 Main service EA. ADO'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d OR ADDNS. ACC. BLDGS. ,/z ¢sq ft NEW CONSTR "'ULT' -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) -SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES zo a ao: eALO 30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESIO.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. byirin g 15.00 Permit Fee $ 35.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X_1114 f ��y11 Date �-31� i� Signature of Applicant — OwnerW Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ 90.0 HAz CUA PARK FED PAR , PD HD ISSUE This permit is Butte Co issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable to i- resolutions to do have been paid. WORKS Date Receipt No. � � X� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ;:•r . q''''..l.+Z"�•7r)'�'�`R� T�_41PARLEVOF ` J + . s :. +'...>< ...y. A�`Y+.,',.�M.•.ryt5. ',irr!,ar;. x•a(s, .Y , ..y.;..r-...�,r,. •-rr COUNTY OF BUTTE PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,,Cal.i'.forr4a 95965, Telephone: 916/538-7541 r` APPLICATION RVD PERMIT (yJ ASSESSOR PARCEL NUMBER 72-25-37 ZONING ' ,S BUILDING PERMIT OWNER Gerald E. Holmes 41 TELEPHONE 7.90-0669' SO. FT. OCC. BUILDING VALUATION + , �, OWNER'S MAILING ADDRESS 6263 Cotton Ave. Newark, CA 94560 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS _ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ =t Filing Fee $ 10.()D LENDER'S MAILING 'ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty$ BUILDING ADDRESS 91 Rim Dr. Permit fee d $ 15.0-J PL .MBING PERMIT Filing Fee 10.00 cip `'rap 2.00 Oroville Solar or heat pump water heater 20.00 - LOT NO. SUBDIVISION NAME J_PA�RCfL M P O Water piping 5.00 L Each qas water heater or vent 5.00 USE OF STRUCTURE ` SF [:IDuplex[]Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G FW 10.00e T "' F WORK New [, Addition ❑ RegmlteIU Utilities a Installation❑ Other ❑ Descritie`k: MHI1 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10-004 Main service too AMP ORSLESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NON-RESIO I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Clasificatioh �-} IFIXED (,Toil I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, 'am -exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. t Business and Professions Code for this reason r NEW CONST. DWELLING OCCUP.rk OR ADONIS.(ACC. BLDGS. , �2(CSgft NEW CONSTR ULTI.OUTLET BRANCH CIRCUITS 2,50 ea POWER APPARATUS (SINGLE OUTLET CIR.6 Ex. Occup(ouTLETs OR FIXTURES eA 20@0530 APPLNS. OR EX. OCCUp. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. bVirin g 15.00 ' Permit Fee $ 35.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑- The permit is for $100:00 (valuation) or less. ❑ I have placed on file with the County of Butte Building De'„ menu a Certificate of Workmen's Compensation Insurance or ertifiL<ate of Consent to Self -Insure. ` ICiY shall not employ any person in any manner so as to b ome subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should.you become subject' to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10,00 Heating --a•�� Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws ret'attng to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ,,ttom�This %�—�Jl Date '3-30 59d Signature of Applicant — Owner JR Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE ,r TOT AL AL FEE'S $ 90.0_ E, HAz CUA PARK . PLR,PD ` HD IssuE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ��W:� WRITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT }yaan''>r.•:•'�6w�1_E1�_ivrN l*:i.P.,�!S"'=�.` . r.e.;. 1„ S .., ,r rs ►i.�. :, .a: w:x . :w y;., S^w...r , y �.., COUNTY OF BUTTE - III`EPARTMAT�OF PUBLIC WORKS PERMIT NO. 7 County Center give - •rovil e, C?Iif��nia �5�G5 - Telephone: 916/538-7541 /! �— �4 • ( APPLICATION AND" PERMIT ASSESSOR PARCEL NUMBER 72--25-37 ZONING FR5 BUILDING PERMIT OWNER Gerald E. Holmes (415)790-0669 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6263 Cotton Ave. Newark, CA 94560 CONTRACTOR'S NAME owner TELEPHONE q, �1 CONTRACTOR'S MAt,LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is t� Filing Fee $ 10.0,) LENDER'S MAILING ADDRESS ! Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 91 Kim Dr. Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 'J -. 0 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE t SF ❑ Duplex[] Mobilehomelg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G I W 10.00e TYPE OF WORK New❑_ Addition[_ Remodel❑ Utilities Installation[] Other❑ Describe work: �iHU _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10-)0. Main service 10001 OR 0 AMP ORLESS10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW - I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tk New CONSTR.(A CC.BLDGS. ) 21 h¢sgft. MULTI -OUTLET NON.RESID BRANCH CIRCU ITS 2.50 ea POWER APPARATUS &) -SINGLE OUTLET CIR. EO Ex. ccu Occup(OUTLETS OR FIXTURES zo@50C eALO 30 FIXED APPLNS. EX. Occup. OUTLETS II RESID IKEA.) 2.00 Temporary service 10.00 •, Mobile Home Facilities 15.00 ; w Misc. bVirin 9 15.00 Permit Fee $ 35.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a.C6rtificate of Consent to Self -Insure. K2 1 shall not employ any person in any manner so as to bl ome subject �P' to the W. C. laws of California. Notice to Applicant: If after making this statement, should.you becomesubject ' to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 22 � ,f d Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3��sttories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ 90.00 AL E FEE HA2 CUA PARK PAR , V/ �l PD HD ssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �'!%� WHITED. P. W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT '�#c;•4��=p+a ... ~��-r _;�_rr,.,.�.. � 1 �,, .x„•r�,,,, _ rv,••r R.co-- --; :. al,; COUNTY OF BUTTE - 6EPARTMENT'OF PUBLIC WORKS yPERMIT NO. 7 County Center Drive - Oroville, California ia 95965 - Telephone: 916/538-754/�' APPLICATION AND"PERMIT ASSESSOR PARCEL NUMBERZONING 72-25-37FR5 BUILDING PERMIT OWNER ITELEP.ONE Gerald E. Holmes (41-)790-0669 SO. FT. OCC. BUILDING VALUATION s 1 IL OWNER'S MAILING ADDRESS 6263 Cotton Ave. Newark, CA 94560 CONTRACTOR'S NAME owner TELEPHONE Y1 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is i Filing Fee $ 1000 LENDER'S MAILING ADDRESS` Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 91 Kim Dr. Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.J0 Each Trap 2.00 IOrorille Solar or heat pump water heater 20.00 LOT NO. If SUBDIVISION NAME Ir PARCEL MAP '") — q Z) Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e • TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities M( Installation❑ Other ❑ Describe work: _ e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 • Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW t I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered ^ for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OccuP.�\ OR ADONS. ACC. SLOGS. / 2yz2sgft- NEWCONSTIRULT'-OUTLET NON . RES ID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20@50C SALO 30 D ARLNS. Ex. Occup. OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1 , • Misc. �yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a.Certificate of Consent to Self -Insure. f I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date :7` 3,0 Id Signature of Applicant — Owner& Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- f stctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 90•� E HAZ CUA PARK SCHL RAR/I {// PD HD I>sue This permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable p,ovi- resolutions to do have been paid. WORKS Date ipNo. il)/ `i/` /� LW.-'T.-..trP'.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 (APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 2— •Z�S�— 2 7 \ ZONING S cL BUILDING PERMIT OWNE\ r /d /Ko r- es TELEPHONE %�=770- S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD ESS a� 63e `WL o ,1 w 9y_6 d CONTRACTOR'S NAME TEL PHONE CONTRACTOR'S MAILING ADDRESS `. CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation S LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS f Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 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[] Mobilehome01" Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00e 7v TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 11C.00 . Main service 1000V OR 0 AMP OR LESS 10.00 C, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.h OR ADONS. ( ACC. BLDGS. , h0sgft NEW CONSTR. M ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) l SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES zos50e .20 AL@ 30¢ FIXED APPLNS. Ex. I Ex. Occup. OUT LE RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S� Misc. Wiring 15.00 Permit Fee $ �S— WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed -on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi!ingFee 19.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE q TOTAL FEE $ ! Q SO 10 HAz CUA PARK SCHL FLo PAR PD HO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. /"�',�t:rF'Ci:."�"$'s'"'+.y:�i''7�+�i�'k�.�,„{�„�,';,�,7�:@ii��,,�;,"”WE- "�1;gyri'•��►i.r'�-�'t�,,,,•,�w`�`�nfA�:%`M^.--�('�r'�C�i�Kye . 1,". COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION i 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER(�5/!?'I S T A. P. No. Proposed Building Use�i�% /�'t �ii Building Inspector % rD Date 73 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1-11DATE RECEIVED APPROVED i All items have been submitted . ........................ .......... 2., Plot plans in u lica /triplicate, signed by preparer of plans ........ 3. Complete plans In duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... / 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings 8. Engineered truss details and layout in�duplicate (required prior to plan check) t 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... /1212. Park fees paid .................................................... AA E=L�& 4. 15. 16. rrJJ'' X�17. 2�*, 20. 21. 22. 23. 24. 25. 26. 27. ScF�,Qol District fees paid .............. Sanitation approval from n f� (C 0 Health Department 3-3 D —Qo %%? U� City of Chico plumbing permit ..................................... Plot plan and business license approval from City of (see City for other requirements) planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature autho•rization................................... When you issue the permit, process as follows: Mail to owner. - _X Telephone yiS 79'02 and hold for pickup at office. Other n6G9 Mail to contractd. _Deliver w/inspector. 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 submitted prior to permit issuance: (Circle new item not checked 1. Index permit for above items No. 3 /1)C� a:,64's-1 /1 I- 2. Additional items re fired: L?j I/ v Contractor, designer, was advised of above required data by_phone�naiI—counter by ate- Contractor, te Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 0 I' To Buildino Department FROM: Environmental Health SUBJECT: Sanitation Clearance --%� Owner Location AP# Plan Approved for: Sewage Disposal _ /�. Water Supply L l Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile ome. Other -- NOTE *** Da Sanitarian e Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT REQUIrSMD'13Y: pffR?y S+r W FOR RESIDENTIAL DEVELOPMENT Sectibn. 26-8. of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 90-013011 9'-0 I Hi i Rec Fee 9.00 The property described herein is adjacent Cash 9.00 to land or included within an area zoned Recorded ' , for agricultural purposes, and residents Official Records ; of this property may be subject to incon- County of veniences or discomfort arising from the Butte I use of agricultural chemicals, including, Candace J. Grubbs ; but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 10:32am 2 -Apr -90 ; BG 3 j of agricultural operations including, _ but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: March 30, 1990 ti� v M:I�� y .• • D. •+� r • PROPERTY OWNERS: State of California) On this the 30th day of March 19 90 , before me, ) SS. the undersigned Notary Public, personally appeared County of Butte ) -----GERALD E. HOLMES=---------------------------------------------- amaeNam annow aENDS ®o.®®al,�e� ,® Proved to me on the basis ® CYNTHIA A. COLLIER ® of satisfactory evidence. m m0... NOTARY PUBLIC -CALIFORNIA to be the person($y/whose name(Q/ is ® MyCommissioButteCou oct.3o,iss24bscribed to the within instrument and acknowledged that he ° etecuted the same for the purposes therein contained. IN WITNESS ®a°ao°ae°aadwnoone°°°®°e OIEREOF, I hereunto set my hand and official seal. Present A.P. No. 072-25-0-001-0 Notary Public IA A. COLLIER DESCRIPTION -90-1 301 1 ORDER NO. BU -100320-3 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING A PORTION OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 5 EAST; M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER -20, 1987, IN BOOK 109 OF MAPS, AT PAGE(S) 40. RESERVING 'THEREFROM A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION LYING WITHIN KIM DRIVE, AS SHOWN ON SAID PARCEL MAP. PARCEL II• A RIGHT OF WAY FOR ROAD PURPOSES OVER THE WESTERLY 30.FEET OF THE FOLLOWING DESCRIBED PARCEL OF LAND BEING A PORTION OF THE NORTH HALF OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON THE NORTH LINE OF SAID SECTION 16 THAT BEARS NORTH 89 DEG. 29' 30" WEST, A DISTANCE OF 1304.87 FEET FROM THE NORTH QUARTER CORNER OF.SAID SECTION 16; THENCE SOUTH 89 DEG. 29' 30" WEST ALONG THE NORTH LINE OF SAID SECTION 16, A DISTANCE OF 697.58 FEET; THENCE SOUTH 1 DEG. 17' 08" EAST, A DISTANCE OF 2251.62 FEET TO A POINT ON THE SOUTH LINE OF THE OROVILLE- FORBESTOWN ROAD; SAID POINT BEING ALSO THE NORTHERLY LINE OF THAT CERTAIN PARCEL OF LAND DESCRIBED IN THE DEED TO WILLIAM D. DEDERICK AND WIFE, DATED MARCH 7, 1942 AND RECORDED IN BOOK 286,. PAGE 333, OFFICIAL RECORDS; THENCE ALONG THE SOUTHERLY LINE OF SAID OROVILLE-FORBESTOWN ROAD, AND THE NORTHERLY LINE OF SAID DEDERICK PARCEL, THE FOLLOWING COURSES AND DISTANCES: SOUTH 83 DEG. 13' EAST, 167.65 FEET; THENCE NORTH 88 DEG. 18' EAST, 227.20 FEET; NORTH 75 DEG. 33' EAST, 71.20 FEET; NORTH 66 DEG. 46' EAST, 107.0 FEET TO A POINT AT THE NORTHEAST CORNER OF SAID DEDERICK PARCEL; THENCE LEAVING THE SOUTHERLY LINE OF SAID OROVILLE- FORBESTOWN ROAD, NORTH 41 DEG. 16' EAST, 65.51 FEET TO A POINT AT THE MOST WESTERLY CORNER OF THE LAND DESCRIBED IN THE DEED FROM WALTER A. POST, ET AL, TO OROVILLE WYANDOTTE IRRIGATION DISTRICT, DATED AUGUST 2, 1923, AND RECORDED AUGUST 31, 1923, IN BOOK 204 OF DEEDS, PAGE 15, BUTTE COUNTY RECORDS; THENCE ALONG THE NORTHERLY LINE OF SAID OROVILLE-WYANDOTTE IRRIGATION DISTRICT CONTINUED ORDER NO. BU -100320-3 PARCEL II: CONTINUED PROPERTY NORTH 17 DEG. 14' EAST, 224.60 FEET TO A POINT THAT BEARS SOUTH 0 DEG. 37' 15" EAST FROM THE POINT OF BEGINNING; THENCE NORTH 0 DEG. 37' 15" WEST, 1946.21 FEET TO .THE POINT OF BEGINNING. EXCEPTING THEREFROM THAT PORTION LYING WITHIN THE BOUNDARIES OF THE OROVILLE-FORBESTOWN COUNTY ROAD. ALSO EXCEPTING THEREFROM, THE FOLLOWING DESCRIBED PARCEL OF LAND: A PORTION OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M.,,MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID SECTION 16; THENCE SOUTH 1 DEG. 17' 08" WEST, 2119.24 FEET; THENCE NORTH 70 DEG. 45' EAST, 129.78 FEET; THENCE SOUTH 79 DEG. 42' EAST, 76.70 .FEET; THENCE SOUTH 76 DEG. 45' EAST, 108.50 FEET; THENCE SOUTH 60 DEG. 59' EAST, 194.70 FEET; THENCE SOUTH 78 DEG. 04' EAST, 71.60 FEET; THENCE SOUTH 83 DEG. 37' EAST, 234.10 FEET; THENCE NORTH 87 DEG. 54' EAST, 46.42 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE NORTH 87 DEG. 54' EAST, 180.78 FEET; THENCE NORTH 75 DEG. 09' EAST, 69.22 FEET; THENCE NORTH 20 DEG. 44'..WEST, 357.0 FEET;. THENCE SOUTH 84 DEG. 22' WEST, 248.77 FEET; THENCE SOUTH 20 DEG. 44' EAST, 357.0. FEET TO THE TRUE POINT OF BEGINNING. PARCEL III• A NON-EXCLUSIVE RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THAT PORTION OF PARCELS 2, 3 AND 4, LYING WITHIN KIM DRIVE, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING A PORTION OF SECTION 16, TOWNSHIP 19 NORTH, RANGE 5 EAST, M.D.B. & M., WHICH PARCEL. MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 20, 1987, IN BOOK 109 OF MAPS, AT PAGE(S) 40. END OF QOCUMENT ���C�, � o<v; ��`� J�p�J� ®� O�� Q ,�. -• ,_ .. ' 72-25-37 907-90 MHU IHOLMES, Gerald E. 91 Kim Dr, Oroville 1(MHU) 72-25-37 907-90 MHU HOLMES, Gerald E. 91 Kim Dr, Oroville (MHU) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS N O T I C E Post job card In a safe, conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on job. 72-25-37 907-90 MHU HOLMES, Gerald E. 91 Kim Dr, Oroville (MHU) PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Do Not Pour Concrete Until Above Signed Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not Install Floor or Slab Until Above Signed Do Not Cover Until Above Signed Fireplace Footing Fireplace Throat Do Not Continue Fireplace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Signed Sewer Service Water Service Plumbing Final Electrical Final Mechanical Final Buildinq or MH Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY CHICO - 196 Memorial Way - 891-2751 OROVILLE - 7 County Center Dr. - 538-7541 PARADISE - 747 Elliott Road - 872-6307 RESIDENTIAL �: 72 25; 37 907-90 MHU HOLMES, Gerald E. 91 Kim Dr, Oroville. (am) JOB FINALED (Date) Signature tl=OK O = Not OK Not = 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L' ft./ /"LPG 7. 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails ' 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Hoofing 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, Distances-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 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 #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ T' Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s - - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made Ea lie, - coun ig LANO OF NATURAL WEALTH ANO 8 E A U T Y - " t DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE. C ALIFOANIA 95965 Teleonane:(916) S36-7541 RE: Attached Building Permit RONALO O. NCELROY 0eoury Oirec:or Dear Permittee: Attached is your building permit along -with the approved set of 01 and a job card. Please post the job card on the job site in 'a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of. inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office — do not proceed with the work without making the correction: The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the.._.card, a white correction notice will list the corrections. -_.to be made and a call.:__back:inspection must be made before going any further. Please -allow 24 hours for inspection service. As a reminder to you, it is.illegal to occupy this building or portion of building for which this .permit is: issued without approval from this office. On certain occasions a temporary occupancy will be'permi.tted. Please do not confuse gas or electrical service : to the building as an -occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the. inspector -or special permission given. Your permit expires one . pear from* date of issitanr•a. _... Upon completion of the work covered by this permit. please contact this office for final inspection. Should you have any questions concerning this letter. or any other matter pertaining to building construction, please do not -hesitate to contact this office. Yours very truly, : William Cheff Director of Public Works. J.F. -Glander ' JFG:ahb Chief Building Inspector : Attachments .' u.s. MAI L Important Because we know your time and money are valuable, we suggest you call your local Post Office before you install a •77 Ask to speak to the Carrier Supervisor, who will tell you the proper location for your box and explain current requirements for mail box installation. The location and other requirements must be approved by the Carrier Supervisor, before your carrier will begin delivery. Thanking you. for your cooperation Va&a SWC A&W SMS aid 1/a zae4l resat ope VIOLATION CHECK LIST - A. P.. # V- 2- 5` 3 Address Owner. Owner's Address . 29Y ,,�u� - C� Y! LP . _Owner's Phone No. USupervis ral District Tenant's Name Auy-t_� Phone No. Type of Violation in Detail with -Code Section Priority No. -,'-� Specific Plot Plan with C/V Noted _yes no Penalties Required 1st. Notice Sent 2nd. Notice Sent ate Date Comments and/or Determination / l_-., Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of -Violation Recorded Date) UJ -fC ib by r I 0 t7 72-- z5 - 3 7 , � lop -rvi-a� Glow n V 5 I f4 setback of from the property lines and a setback of 50ft. from the read cgnterline shall be clear of structures or equipment excert. fora 2 ft .ce ve ove�h2,0 FGc rrGe i 72-z5--3% lop To�-a,l .rf.i Gfio w n z5-- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE 916-538-7541' • DATE April 3. 1990 Gerlad E. Holmes 6263 Cotton Avenue RE: Permit -#907-90 for mobilehome Newark, CA 94560 utilities. A. P. # 72 -25 -37 - With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet° Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / XJXWe need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. XWPlot. plans in triplicate Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section'(DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. TXOTHER Provide revised plot plans showing all buildings and mobilehom is located. out o and QWID Rightor way. NOTE: Will have to comply with Notes #2 through #7 plus note in red on parcei map allctencium. Should you have any questions concerning.the above, please contact Tom May of this office. (916-538-7541 between 3--5) Yours very truly, JFG/aj William Cheff Director of Public Works .F. Glander —� Chief Building Inspector 72-25-37 HOLMES, Gerald E. 91 Kim Dr, Oroville (MHI) _, 908-90 MHI" r + l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT M� ASSESSOR PARCEL NUMBER 72-25-37 ZONING FR BUILDING PERMIT OWNER Gerald E. Holmes (415)790-0669 TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6263 Cotton Ave. Newark, A 94560 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 91 Kim Dr. Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Orovillp Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP — Z-14 Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeXX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationg Other ❑ Describe work: MHT _ MHU# 7 57d Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ,;'% Main service 100 AMP OR111 OR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.& OR ACDNS. \ ACC. BLDGS. 2/z¢sgft NEW CONSTR ULT' -OUTLET NO N•RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®50C BALe3o Ex. Occup. OUED P \ TLETS IRESID.IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X> Date 3D'�y Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45. Energy Inspection Fee $ occ CONST TYPE AL E TOTAL FEE $ 70.0 HAz CUA PARK I PAR PD I HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable prov- resolutions to do have been paid. WORKS Date Receipt No. � � 49 2 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �' .l..t � .. n-��d�-,�.�r��,�..r.-cr"r''' -4Ta .tn'w,x ;''` •'[`'.'rsPl.. 111 _COUNTY OWNER Gerald E. li m TELEFIONE 14`41 OF BUTTEAR;, ~ 7 County Center Drive - Oroville, Cali;Porni NT OF PUBLIC WORKS 95965 - Telephone: 916/538-7541 ����111P1rrrr ERvVa �U OWNER'S MAILING ADDRESS '6263 Cotton Ave e r -CA 4 APPLICATION AND` PERMIT 7 ASSESSOR PARCEL NUMBER - - 72-25-37 1 ZOrJIN.G r JBUILDING PERMIT OWNER Gerald E. li m TELEFIONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS '6263 Cotton Ave e r -CA 4 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS �. F Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is - Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ' Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 91 Kim • Permit fee $ 25. 00' PLUMBING PERMIT Filing Fee, 10.00 Each Trap 2.00 Ornvillp Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP — Z.,%V Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeK3 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationg Other ❑ Describe work: I _ MHU#0 7-5;;W Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR LE Main service 100 AMP ORSLESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions Of Chapt. 9, Div. 3 of the BuSlnesS and Professi'o�s Code and my license is in full force and effect. License No. Classification 1, as the owner; or my employees With wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) d .: ❑ I am exempt under Sec. , Business and Professions Code for this reason oR C NNSST ( DWEACCLL IN GOCCUP.&\ S. / 2y22sgft NEW CONSTR MULTI -OUTLET NON, BRANCH CIRCUITS 2.50 ea (SPO ER INGLE OUTLETTUS.&) CIR Ex. Occup(OUTLETS OR FIXTURES 2011506 e AL030 FIXEDAPPLNS, OR Ex. OCCUp- OUTLETS IRESID .) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):`MECHANICAL E]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 Cert"ificate of Consent to Self -Insure. w 1/ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor PERMIT Filing Fee 10.00 Heating Cooling g y Hood i 3.* Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �n`��✓�/�� 3��D_9v Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ ] HAz cuA PARK FLD PAR PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable prov:- resolutions to do have been paid. WORKS Date ' Receipt No. a'1 dl��� WHITED. P. W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT }�Fsel�eAT I: COUNTY OF BUTTEj- DEPART -ENT OF PUBLIC WORKS PERMIT NQ, -"} 7 County Center Drive - Oroville, Californi 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT f ASSESSOR PARCEL NUMBER 72-25-37 ZCFVING VR BUILDING PERMIT OWNER Gerald E Holmes (415)790-0669 TpELEPyONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS A 6263 Cotton Ave. Newark CA 4560 CONTRACTOR'S NAME own T ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 91 Rim r ' Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SU B.DI VISION NAME PARCEL MAP 41 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomep Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationg Other ❑ Describe work: r� _ mu# 7 fes(% Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP OR1 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjurycheck one p y ( )• Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) - •❑ I, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CAONST.DWELLING OCCUP.& OR ADONS. ( ACC. SLOGS. , 2h¢sgft NON.RESID BRANCH CTRCTITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIS. ) Ex. Occup(OUTLETS OR FIXTURES 2AL@ eL030 Ex. Occup. OUS D APPLNS. K OUTLETS ((RESID IEA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):. ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. j� I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.130 Heating Cooling g Hood t 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Countyinconsequence of the granting of this permit. X r �� *a' Date 3 ' 3 d ' j'(� Signature of Applicant - Owner® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL FEE E TOTAL $ 70Q Q 0 t,qZ CUA PARK E PAR PD I ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions -o do have been paid. WORKS Date Receipt No. �71�.2 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. Californit 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. a 14 ASSESSOR PARCEL NUMBER 72-25-37 ZONING FR5 BUILDING PERMIT OWNER Gerald E. Holmes TrELEPI-,ONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS L 6263 Cotton Ave. Newark CA 94W CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS (y ppi�g� 7 � itlllf � Permit fee $ 25 • 00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. J SUBDIVISION NAME PARCEL MAP 11645�U Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationIg Other ❑ Describe work: NRff _ MIN j) 7 lyrj Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service tOO AMP OR001 OR LESS10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. 2h¢sgft NEW CONSTR. "ULT'-OUTLET NON -R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS & OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIxTURES 1.20050t eALa 30 Ex. Occup. OUTLETS ED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. (� I shall not employ any person in any manner so as to become subject i" to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� �A� � ---, �� ��� Date :,2- ? D' `i''(� Signature of Applicant — Owner � Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ -�• Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAz I CUA PARK I SCHL I FLD I PAR I PO HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. iirel WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT -NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Z- 2 = ZONING vfl,j®,- BUILDING PERMIT OWNER c( &' ko / -e5y/s- TELEPHONE 770-0&0 SO. FT. OCC.1 BUILDING VALUATION OWNER' M ILING ADDR SS °.L6 � 01 cwa,^ CSA -?,gc o CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAIL51PNIPAODRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.001 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ tL PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomel/ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 0.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑ Describe work: //�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.0-0 Main service 100VAMP OR01 SLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with Licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.9 OR ADDNS. ACC. BLDGS. f I esq it NEW coNsrR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20050 BALM 30 FIXED APLNS. Ex. OCCUp. OU LETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERM!T Fi!ingFee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ S� Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 10 HAz I CUA PARK I SCHL I FLD I PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By the applicable provi- resolution: to-do have beer=. paid. WORKS Date Receiot No. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. % 2-- 2 S -3 % Proposed Building Use Building Inspector Date -3- 30 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. ! 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... Engineered truss details and layout in duplicate (required prior to plan check) `. Mobilehome installation data including manufacturer's installation instructions....................................................... C 1 !r 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 13. In 0 School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Lehr of §ignature auAprization 26. `L/✓1/l. L/�(/L6�G. ............................... . cL 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephon1- -066 and hold for pickup at office. Deliver w/inspector. Other Applicant .Date 3o -5d 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 submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Addional item `required: _ CO 90 (41 W Z4 4,102>' OAZ ld6,4��r/4/t /Z / ,, . , /% A / f 6/ Contractor, designer, oWKer, was advised of above required data by phone___rnail_counter b(�L_date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date t Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW r BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM �r (One Form per Building) A.P. Number 92-'-Z S�-3 % Building Department No. School District 0Q0 61tM • City D County Jurisdiction Property Owner, Holmes, Project Location/Address ��' ��/ m lb r Subdivision Lot Number Residential Development: Sq. Footage s 0 # of Living MHI Addition (Group R) Units Commercial/Industrial: New u Building Department Representative Sq. Footage Addition (Including Exterior Roofed Areas) 'fir, 3 - 30 0-�O Date (Floor Plans reviewed by School District Personnel) Go 02-- i District Id No. School District certifies � that (Appli ant N ne Number (Street Address) 0(�� (�W �W616.6 (City) (State) CC (Zip Code) has complied with the requirements of Resolution. No. 0(O 4 by the 4palyment of $ �Q �-` representing square feet. School District ReVresentative Date PAID "BY CHECK NO. ;?� BANK NO PAID BY CASH ' REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS N 0 T I C E Post job card In a safe, conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on job. 72-25-37 908-90 MHI HOLMES, Gerald E. 91 Kim Dr; Oroville (MHI ) PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Do Not Pour Concrete Until Above Signed Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not Install Floor or Slab Until Above Signed Do Not Cover Until Above Signed Fireplace Footing Fireplace Throat Do Not Continue Fireplace Until Above Signed Stucco Lath Scratch and Brown Do Not Cover Until Above Signed Sewer Service Water Service Plumbing Final Electrical Final Mechanical Final Buildinq or MH Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILEHOME IS APPROVED FOR OCCUPANCY CHICO - 196 Memorial Way - 891-2751 OROVILLE - 7 County Center Dr. - 538-7541 PARADISE - 747 Elliott Road - 872-6307 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,'CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name : 5. 2. Installer's Name: O wlwy so Amps F-1 What is the mobilehome site service rating? -- ----------- O O .. V 3. Is the site currently under permit? Yes 7. What No ----- Amps 8. Is there any other electric load to be served by the (If yes, furnish permit number.. --------- -------------------- ')-.OR No '` Is the site an existing site? Yes No Er (If yes, furnish two plot plans.) (If yes, identify the load and size: (Load) (Amps) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach is the mobilehome site as pipe size. g P P ?------------ fields and clear of all setbacks and easements? Yes _[72(] What is the type of gas service? ------------------- No F-1. a (If no, clarify 11. What is the gas pipe length from meter or tank to the mobilehome? ----------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- /U *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (ft.) (BTU) 5. What is the mobilehome electrical rating? --------------- so Amps 6. What is the mobilehome site service rating? -- ----------- O O .. Amps 30 7. What is the mobilehome site -circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the --------- -------------------- -- - Yes No '` mobilehome site service? (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site as pipe size. g P P ?------------ -- � (in.) 10. What is the type of gas service? ------------------- Natural LPG a 11. What is the gas pipe length from meter or tank to the mobilehome? ----------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- /U *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (ft.) (BTU) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.-C—� furnish Setup Model No. Width 0 (ft.) Box Length 15-7 (ft.) Tagalong or Expando Size, Year / 7 ft. x ft. 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). FOOTINGS (check one)lei/ .Wood-pressure treated or foundation-grade.2. Other (specify) SUPPORTS (check one)Concrete block. ❑ 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE " e r MULTI -WIDE LLiar. 1in 1e toy e 7� 6c —�=1'6` L rte 1 � Main Beams Main Beams —. — — — — — -- — a Line + Tag or Triple Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max- --------- From Ends -Max. ------- Line 1 Openings: Size -Min. ------------------� "x Each Side of Openings With Width Over--------- el Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------ (Z„x Z Size-Min------------------- Spacing-Max - -----$pacing-Max. --------- ,_ � n Spacing -Max .--------------- From Ends -Max.------- '_ b n From Ends -Max.------------- r_ n Size-Mlo. (----------) � ..x .,x �� .k � .,x ,.x � , nx '1I „x n Location From Front • ' ' jl '- •' Size -Min.--- ----- -- ik Size -Min.------------------ Spacing -Max.--------- , Spacing -Max ---------------- From Ends -Max.------- From Ends -Max.------------- Line 5 Roof Loads: Size -Min .------------ 1.x n 1k n nx a nx o „x n nx a `x n nx u Location (From. Front) , WW .. ,. ) J1.3 .1:'• 1• , �(6. 61 /, - /2635..7. ; •-\r; - • Uv- / -43993 ��• j• n 620.70 - - all - ._ 1. t, . •� •� �- 389.80- -- - - _ --- tO S� • ►''�'�' �5� 528,26 �� `~'--...--- .� o • _ S t ' 532.66 t w 723.67 4 - ..roti w a w a rn 555 21 c� cn !402.62 1957.83 r - /� t x• O°37 S W 1346.781 670.51 676,28 t, 1 ►� O O two la W V w N UI � � 750.y►69 IS —•� 675.0 904:68 - -W.11, , � � 8sE.4a•• . .. M" � M- � O o 49 904.68 IIA50 z w91 N ;fit ,_..., • .. ,y . 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'............. ...... _.......... ........._....._......:.....:.....:......:......:....._..................................._..__...........................-_.................._.....:...... :.....:......:......:....._......:..:........:._.._.:.....:............:......:............:...................................... n. Assessors Parcel Number 0 ©0 0 0 © U <3 © Scale: 1'68 Owner Name C_` -ate; II �� �1,�� 5 Site L®csfi®n 1A b r Contact: N2me C) G (, V .Phone MIMIF 1 F01fR% OFFICE USE ONLY Zoning: (General Plan ®esug: Size, Acms L 4.®('