The URL can be used to link to this page

Home My WebLink About072-270-043131 AP 72-27-43 Harlen Joe Hall s/s Forbestown Rd.,.lk mi. East of Hurleton Rd., Forbestown Permit 1 " % %6 P,E (util./MH) ELEC. gj'-qC6 'j 7,5-41n p S GAS Ne- SUPPOR S RIJC .. REQ. C7 COMPACTION TEST REQ,rolv — -- - 77-43 Lc�'• ,ONTR: Ernie= 1�' Trs Moans . , Marysville ?ermit #2833-76 issued 72-2 -43 / RICHARD HAFNER �j `Oh// r 141 Forbestown Circle, ORoville Permit#2398-88B(new garage) ' �7-82(�7- ___1% 72-27-43PErmit#378intall elec wiring/g.,"4 B07-1644 072-270-043 SECOND DWELL Mobile Home -ADM MOBILE HOME SOFT SET; ADM07-OC FORBESTOWN CIR FERDINAND, JOHN WILLIAM & JOYC ..- :�.. ...�--_ _^ _T .-mow=• 4 41. I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 131 FORBESTOWN CIR Owner: Permit No: B07-1644 APN: 072-270-043 FERDINAND, JOHN WILLIAM Issued Date: 8/15/2007 By GLB Permit type: SECOND DWELLING 141 FORBESTOWN CIRCLE Subtype: SFD-Mobile Home -ADM OROVILLE, CA 95966 Expiration Date: 8/14/2008 Description: MOBILE HOME SOFT SET; ADMO' (530) 589-2970 Occupancy: R-3 Zoning: M -R Contractor Applicant: Square Footage: FERDINAND, JOHN WILLIAP Building Garage RemdUAddn 141 FORBESTOWN CIRCLE 1,056 OROVILLE, CA 95966 Other Porch/Patio Total (530) 589-2970 1,056 FEE INFORMATION DB SRA Fire Plan Check Fee $115.98 DBEH Building Review Fee $75.70 DBF MH Plan Check $233.56 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Mobile Home Permit Fee. $350.34 Total Charged: $1,090.54 Fees Paid: $1,090.54 DBSMIP Residential $6.86 Balance Due: $0.00 Receipt No: B4242 LICENSED_ CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil than five hundred 8/15/2007 penalty of not more dollars [$500); Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE 71�COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section 3700 Labor I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section need not a completed if the permit rs for one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, 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' f 8/15/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with t hose O is Signature Date provisions. X 8/15/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, personal injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or'occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County ho enter the above me 'oned property -for ins a purposes. I hereby certify that I am the opa owner a a zed to aon the prope w er's behalf. CONSTRUCTION LENDING AGENCY 8/15/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me rmi ee ] Prin Date the performance of the work for which this permit is issued. (3097 civ. code) Owner EEIContractor Q%�. Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip 114 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 /�� • �� A FEE WILL BE REO_UIRED AT TIME OFAPPLICATION (J Website: www.buttecounty.net/dds BIN # . **PLEASE PRINT CLEARLY* - CONTRACTOR OWNER INFORMATION Last Name Address r 0, i First Name State C Zip p Phone t— Maili A dress �,� V c City ra L -e— St to Zip 6 PhoneO State License Number FaDO _� ,–Q E-mail TO j/✓0 CONTRACTOR Name _ '- Address r 0, i City u to a— State C Zip p Phone t— Fax E-mail) Lic. # p �o _ Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail Open Cov State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail i M3 PROJECT LOCATION API 70 Q Pro75 Arress eh4S 1tv City © P0 I WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: MO -7 •moi Sq FT- Livinr Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): fol For office us Zoning Flood Zone SRA Yes No Occ. m Type Const. I ' ft�� X83. 6�0 75-70 CUA rf 'N 0-00, 1 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hq:HmuniciDalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1644 Date: 7/31/2007 Location: 141 FORBESTOWN CIR Parcel Number: 072-270-043 Owner Name: FERDINAND, JOHN WILLIAM & JOYC Phone: (530) 589-2970 Description: MOBILE HOME SOFT SET; ADM07-0013 Signature of Property Owner: Date: 7/31/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds C ld" p�=z O 0 0 0 0 Zfc National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number:, B07-1644 Location: 141 FORBESTOWN CIR Parcel Number: 072-270-043 Owner Name:. FERDINAND, JOHN WILLIAM & JOYC Description: MOBILE HOME SOFT SET; ADM07-0013 Date: 7/31/2007 By: GLB Sub Type: SFD-Mobile Home -A] Phone: (530) 589-2970 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. -Al FILE Date: 7/31/2007 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Permit Number: B07-1644 Job Address: 141 FORBESTOWN CIR Contractor: Printed: 7/31/2007 10:45 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 7/31/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $102.70 7/31/2007 $102.70 0100-450001-4617240-1010 $102.70 13BFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 7/31/2007 $102.70 DB SRA Fire Plan Check Fee 0010-440001-4210500-1010 $115.98 DBMSC Mobile Home Permit Fee. 00104400014210500-1010 $350.34 DBF MH Plan Check 0010-440001-4210500-1010 $233.56 7/31/2007 $233.56 DBSMIP Residential Printed By: Gwyn Benedict 1001-0-280-1011298 $6.86 19090.54 $514.66 Balance Due: $575.88 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees A may clang4uring,theylan checking process. Signatu Date: 7/31/2007 Pursuant to Gov r ment code Section 66020, you are hereby notified those itleti►s listed above may have been imposed on your project. You have 90 days from the date of ftroval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). ' California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-1644 Date: 7/31/2007 Location: 141 FORBESTOWN CIR By: GLB Parcel Number: 072-270-043 Sub Type: SFD-Mobile Home -A] Owner Name: FERDINAND, JOHN WILLIAM & JOYC . Phone: (530) 589-2970 Description: MOBILE HOME SOFT SET; ADM07-0013 To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 7/31/2007 Date v V V nature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http:/Abuttefire.orp/FireDrevention/protplan/protplan.html Rev'd 5/7/07 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. n If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal n income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IM %v��&/HAVE PROVEMENT. S R NO) 1 2. / NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. X33.. 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 THE 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 Description: MOBILE HOME SOFT SET; ADM07-0013 Reference Number: B07-1644 Applicant Name: FERDINAND, JOHN WILLIAM & JOYC Owner's Name: FERDIN, J HNA & JOYC AP # : 072-270-043 Signature of Property Owner: WILLIlf,411 R-4,4 ate: ? ^ ��' 7 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION ION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) DI D-- Property Owner (s) T O y,\ Project Location /Address �J L ori Subdivision Name New Development Alteration/Addition(s) Mobile home Building Permit Number 5 J U� • 1 W4 -Assessable Sq. Ftge Type of Residential Development (check one) Demo Permit (date issued Comments: . 0""-,/?tYG 6��6 Single Family -Detached Non -Residential to Residential Mobile home replacement 4��T S . l� - Building Department a esentative Date (DFRRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department Applicant Name Phone Number 131 F -v riae 54vL_:,�,�1 C�; vcl e oroo'lk ; cel 9s9(,c Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: '! n b�- - O d Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: Paid Recreation and Park District Representative per unit for a total of $ per sq foot for a total of $ Receipt No: Date ~' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District C ��(� Q l�/1 Building Department No. A.P. Number Property. Owner 1 Property'Locatio !Address • - r Subdivision Tax Rate Area No. Jurisdiction:, = City[TC-]County Residential Development No of Living Mob, Home Lot No. .. ........................... _............................................. _.................... . Sq. Footage Addition/ 'Supplemental to (Group R) / Units Installation Conversion Permit # Cr. Demo - ( ) 1€ '(No foundation inspection) existing sqft see attached Cit•_....................................................................................... I t �'(p Net total sq. ft. LAV) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) 8 0 7. ((, w an Commercial/Industrial New Addition Building Sq. Footage (Including Exterior Areas) 0 Roof d A ��-. '~ Date District Identification No.9 , School District certifies that ' (Payor) (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. by payment of $ representing square feet. School B 2926 $ FULL MITIGATION $ Date Paid by Check #�� Remarks: Notice�: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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 (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm Butte County Building Division MANUFACTURED HOME SUPPORT DATA ' Owner's name: A. P.# o7 2— . 27c;) - 0 3 Home Manufacturer: - fC C/ Aj Manufacture Year: 2 ©vim' Model Number / Name: Ag0Q 04,15-0.22 Width: 2-Y (ft.) Length: FOOTINGS: Wood - pressure treated or foundation grade[*] Other:[ ] SUPPORTS: Concrete block D] Other:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier Footinq Sizes and Locations SINGLE WIDE Line 1 ---- ---------- Line 2 �� Section 1 Line 1-------: Line 1 Piers: Minimum size piers: e+ Spacing maximum: From ends maximum: Line 2 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Locatign (from front): Minimum size piers: Location (continued): Section 2 Section 3 MULTI -WIDE ----------- Line 1 Line 2 ----------- Line 3 Line 2 ----------- Line 4 (triple wide only) ------------ Line 2 Snow Load: 2 psf X [ y`% ] Snow Load requirements may be obtained at d" http://www.upstate-ca.com/butte/butte_county/ Insert AP #, view snow load in lower right corner. Line 1 Openings: [ l i' ] X [ 2-Y"] Minimum size pier: [ ] X1 ] I Ll ' O " Required at each side of,openings over i o r, n i n wide.LJU"+. ;'_ ,_ - >I Y >axzy 2q -12-V 2_VX2_ l 12_,K Ly D$ jA DEPT. ISNUE-1- BY FOLLOW Ut SEOVICES DEPT. 00 J L) N1 2, 8 1994 o 0 R I E RS I:ASCIRATORIES, INC. qo 0 00 r( __ ,oma .toa� , FILE MH 03', VOL SEC. 4 CENTERLINE SUPPORT REQUIREMENTS, -.%, ILL. 51 PGa 8 THIS SHEET TO BE INSERTED WITH SUPPLEMENT -,51 0 TO FIELD INSTALLATION MANUAL FOR 24>1* ROOF SNOW LOAD SERIES 0)---1 DESCRIPTION N. ZC>4 ROOF LIVE LOAD 44? -4 - �oc- D W 0. DY E -Z TIE DOWN SYSTEM DESIGN LOADS: *WIND LOAD -- 15 PSF SEISMIC ZONE 4 1. THIS TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. 2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATED -ASTM A36. BOLTS=ASTM A307. 4 4 4 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: HEIGHT HORIZONTAL VERTICAL UPLIFT 18" 2010 (Ib 6000 (Ib) 891 (Ib 21 " 1825 6000 Ib) 801 (Ib 25" 1510 �Ib) Ib 6000 Ib) Ib 664 �Ib 28" 1419 Ib 6000 (((Ib 629 36" 867 �Ib 6000 Ob 385 (Ib 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. 8• WHERE STAND IS PLACED ON A CONCRETE SLAB, USE 1 12" CONCRETE EXPANSION ANCHORS TO SECURE THE STEEL FRAME TO THE SLAB. THE PLASTIC BASE PADS ARE NOT REQUIRED. 9. ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. #2. 10. THE LONG DIRECTION OF THE E -Z TIE PAD (37") MUST BE INSTALLED PERPENDICULAR TO THE CHASSIS BEAM. EXCEPTION: AT 10' WIDE MODULES WITH (el/,Ve4 100" CHASSIS BEAM CENTERS, THE E -Z TIE ABESCO- _-. = _ PAD MAY BE PLACED PARALLEL WITH THE 5851 FLORIN - PERKINS ROAD CHASSIS -BEAM SACRAMENTO, CA _85@.8 PH: (800) 382-8831 FAX: (916) 383-5207 SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. VARIES 10'-70' EVENLY SPACED BETWEEN E E ti iTi ❑ ❑ L L_J RIDGE BEAM SUPPORT AS D BY MANUFACTURER ❑/REQUIRE(TYPICAL) D_ ❑ 0 i E -Z TIE SUPPORT PAD a r_� (TYPICAL) I I ❑ i i ❑ CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING AS REQUIRED BY THE HOME MANUFACTURER. LENGTH OF HOME 18" HT NUMBER 21 " HT OF E -Z 25" HT TIES 28" HT 36" HT 40' 4 4 4 4 6 50' 4 4 4 4 6 60' 4 4 4 6 8 66' 4 4 4 6 8 70' 80' 4 4 1 6 1 1 6 1 6 6 1 6 6 10 10 STATE AHHHOVAL cwn GINEERED TIEDOWN SYSTEM APPROVED 11:a SUBJECT TO CORRECTIONS NOTED oes not authorize or approve any omission or y� deviation from requirements of applicable State laws and =T 4 State of California partment of Housing and Community Development ® DI ISION 0f CODES AND STANDARDS Cr gy k- Date j � i nature SPA NO This Plan Approval Expires THIS TIE DOWN SYSTEM MEETS THt REQUIREMENTS OF SECTION 1336.3 SUBSECTION (a). :_-3 L)/, WAYNE T. POLVADO, PE—LISTING NO. 99001 S1• SHEET 1 of 3 DEPARTMENT USE ONLY NEW DECAL k OLD DECAL # Name Ala acarer �S K STATE OF CALIFORNIABUSINESS, Oa TRANSPORTATION AND NOOSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ■ N z DIVISION OF CODES AND STANDARDS ii • w 3G��0a� REGISTRATION AND TITLING PROGRAM °�` New of o 2.PEN APPLICATION FOR REGISTRATION DEPARTMENT USE ONLY NEW DECAL k OLD DECAL # Name Ala acarer �S K c..1' n e First Middle to of manidacture '�. (900 #AM Name or r k -d Ais oi7s� effodanto .est 'I New of o 2.PEN (New Title 1 A DECAL/LICENSE Y MANUFACTURER SERIAL NUMBERS) HUD LABEL OR MCD INSIGNIA I LENGTH WIDTH WEIGHT Indxs fnches ds ❑ COMPRORS TRF -70 -0756-M- street1 L f! N DUPT Address Cityotoll t Le Calnty wte z OUPR Future Mailing street ADD UNITS USE CODE EXPIMTION DATE TAX 7fPF QDIG T PRICE YR SALE PRICE ❑ dittnrent than above) �!ty..:.:y ILT EXT LPT PPT zip PPF Effective Date > A4 REPO Situs (ioution) Street DEPARTMENT TN NUMBER($) DTH DATE(S)RF W— SALE DATE City Canty state USE ONLY ASF Legal Owner PLT (IkMader) (print SIT tr„e name(s l IIT LRSF ••� a,--� Owners I= 1 -- O m' QlZ First Middle [print true . O MRF name(s)] 2.PEN (New Title 1 Information) 3. k PEN 2 N applicable, chedl one of the fatowkp: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO ❑ COMPRORS TRF Current Mailing street1 L f! / N DUPT Address Cityotoll t Le Calnty wte z OUPR Future Mailing street Address (if SUBD dittnrent than above) �!ty..:.:y sate zip l OFIF Effective Date > A4 REPO Situs (ioution) Street RREG Address of unit City Canty state zip ASF Legal Owner PLT (IkMader) (print SIT tr„e name(s l LRSF N applicable, dwd, one of the fa!owiris: ❑ TENCOM OR ❑ JTRS, ❑ TENCOM AND ❑ COMPRO ❑ COMPRORS MHP Mailing Sum Address Cay state zip CCP Junior Lienholder Wnt N &Wkabfe, check ane or the fa!owina: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO ❑ COMPRORS Mailing Street city Sate zip TOTAL . ADD JR/LM ❑ NOTE: APPLICANT, PLEASE READ AND COMPLETE THE QUESTIONNAIRE ON THE REVERSE SIDE. I/ We certify -under penalty of perjury that the statements made In this application are true and correct. Executed on at Signature(s) 1. of Above Registered 2. Owner(s) 3. BCD 480.5 Side I (REV 01/01) ., .f 1. Use Description: REGISTRATION QUESTIONNAIRE The Described unit on the reverse side of this application is a: A. g Manufactured Home/Mobilehome and is constructed as a ($ Single Family Dwelling or a ❑ Multi -unit Manufactured Housing B. ❑ Commercial Modular and is constructed to be used as a (of m Sdrom, Stere, etc.) C. ❑ Floating Home D. ❑ Truck Camper 2. Last Registration Information: A. Is this a new unit? ................................ ...................... If "NO", enter the date the unit was first sold new A000 ❑ yes no B. Has this unit been registered in California or any other State? ........................... U yes ❑ no If "YES", enter the state and the date the unit was last registered in GG or• • ';k6 0 0 C. Enter the month, day, and year the unit entered California. D. When the unit was last licensed, what state were you a resident of? E. Are you a resident of California ....... • . .......... D ............... If "YES", when did you become a resident? IQ !hQ )2r yes ❑ no F. Are you gainfully employed or in business in California? ... .................. If "YES", enter the date you became employed or entered into business ❑ yes no 3. Title Information: A. Except for any accompanying titles, are there any outstanding titles for this unit issued by any state? ❑ yes no B. Is this unit now being used as security for any lien(s) other than the lien(s) shown (if any) on the reverse side of this application?. ................................... . ..... . ❑ yes ,& no 4. P :,chasc vales ran, eaR� oce: A. This unit was purchased from a ❑ dealer ❑ manufacturer N lr diVidual B. Enter the date of sale - 0 � C. Enter the date of delivery or installation '7 -, �1 6 -07 D. The purchase price or sale price of this unit was: 1) Base unit (do not include sales tax, finance charges, transportation or installation charges) .... $ e 2) Unattached accessories (skirting, awning, refrigerator, etc.) ......................... $ TOTAL........................................................... $i� d Q 5. Exemption Information: A. Are you an active duty member of the U.S. Armed Forces? ............................. ❑ yes D� nc B. When this unit was last licensed, were you on active duty as amember of the U.S. Armed Forces? ... ❑ yes nc If "YES", enter the state or country where your were stationed C. Is the unit installed on the tax-free portion of a military reservation? ...................... ❑ yes ( nc D. Are you a member of a Federally Recognized American Indian Tribe? ...................... ❑ yes j no Enter the name of the Federal Indian Reservation or Rancheria and the date(s) the unit was located there. E. Are you a disabled veteran? .................................................. ❑ yes gL no If "YES", enter the state or country where you were stationed . F. Are you requesting exempt registration? .................................... ..... ❑ yes [R -no Exempt registration is being requested based on the fact that this unit is owned or leased (the unit must be registered in the exempt party's name) by the following exempt organization. ❑ U.S. Government ❑ State Agency ❑ City or County Agency ❑ Civil Air Patrol ❑ Fire Department ❑ Consul or Other Foreign Government Official ❑ Public School ❑ Other Political Subdivision (enter the agency or organization name below) (11Ev 011011 State of California Department of Housing and Community Development Division of Codes and Standards Registration and Titling Program PO Box 2111 Sacramento CA 95812-2111 1 600 952-8356 hftp://www.hcd.ca.gov/codes/rt.htm �QUSING q ti • Oe 3 rZ oa 10� MULTI-PURPOSE °Ev TRANSFER FORM PLEASE COMPLETE ONLY THE SECTIONS THAT APPLY AND SIGN BOTTOM OF FORM ❑ UNIT DESCRIPTION Decal (License) No.(s): Serial No.(s): _ 2 - O .. 0 ?S6—_H:A/) ❑ SMOKE DETECTOR CERTIFICATION The California Health and Safety Code require that all used manufactured homes and used mobilehomes be 'equipped with a smoke detector which is in proper working order on the date of transfer. A declaration may be signed within 45 days prior to the date of sale stating that the smoke detector was operable on the date the declaration was signed. ❑ YES ❑ NO ❑ PARK PURCHASE FEE EXEMPTION The registered owner of the above-described manufactured home/mobilehome that is located on private property owned by the registered owner is exempt from payment of the $5 Park Purchase Fund (PPF) fee. If you feel you qualify for the exemption, complete the following questions. • Do you (the registered owner) own your manufactured home/mobilehome?YES C] N• O Do you (the registered owner) own the.land your manufactured home/mobile home is located on? W YES ❑ NO ❑ DESIGNATION OF CO-OWNER TERM We request the Department of Housing and Community Development to register our ownership interest in the unit described above with the following co-owner term: (READ CAREFULLY AND CHECK ONE BOX.) fg JTRS (Joint Tenants with Right of Survivorship); Upon the death of a joint tenant, the interest of the deceased party passes to the surviving joint tenaht.-'The signature of-bach joint tenant is required to transfer or encumber the title. ❑ TENCOM AND (Tenants in Common with the names joined by the word AND);'Each tenant in common may transfer his or her individual interest without the signature of the other tenant(s) in common. The signature of each tenant in common is required to transfer full interest in the unit to a new registered owner or to encumber the title.. ❑ TENCOM OR (Tenants in Common with the names joined by the word OR); Any one of.the tenants in common may transfer full ownership interest in the unit to a new registered owner without the signature of the other tenant(s) in common. The signature of each tenant in common is required to encumber the title. ❑ COMPRO (Community Property); A unit may be registered ascommunity property in the names of a husband and wife. The signature of each spouse is required to transfer full interest in the unit or encumber the title. ❑ COMPRORS (Community Property with Right of Survivorship); A unit may be registered as community property in. the names of a husband and wife. At the death of one spouse, the decedent's community property interest passes to the surviving spouse without administration. The signature of each spouse is required to transfer full interest in the unit or encumber the title. I/We further agree to indemnify and save harmless the Director of the State of California, Department of Housing and Community Development, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above described unit in -California, or from, issuance of a California certificate of title covering the same. I/We certify under penalty of penury under the laws of the State of California that the foregoing is true and correct. Executed on 7- Q 7 at n Date,^ w city Signature ..,y„ -,...v ` Signature HCD 476.613 (REV 12/03) SIDE I . Permit#3787=88 Richard Hafner ( rr1e,4,,1 Forbes Circe <31 16L . 5• w 01) Permit#3787=88 Richard Hafner ( rr1e,4,,1 Forbes Circe <31 16L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RAAIT NO. l 7 County Center Drive - Oroville, Cal iforni95965 - Telephone: 916/538-7541 I`JY APPLICATION AND PERMIT ✓ / y f ASSESSOR PARCEL NUMBER `7 -�.-y3 ZONING F4'11 BUILDING PERMIT OWNER o -.t' 46 c r TELEPHONE Sig -y1431 So. FT. OCC. BUILDING VALUATION 45 6 nn - OWNER'S MAILING" ADDRESS P1 ��rgs 4,_ i,z �.r l� 'ouI I1,c I- CONTRACTOR'SNAME n (_,Ou AJ 0. T TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE LA0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 1 , .-r I "i �r k� P< '7<4, A ., le 4e Each Trap 2.00 49/ au 1--c Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEIP57 ARCEL MAP 1 Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURES/ SF ❑ Duplex[] Mobilehome❑ Other SP. CI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 19<ther ❑ Describe work: _-7 A11 sE-I L // .I= /,w e ,1f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 v Main service 6001 OR LESS 100 AMP OR LESS 10.00 id, a Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS L CENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ 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 OCCUPAW , OR ACDNS. ACC. BLDGS. /z¢sgft f,( D NEW CONSTRESID* MULTI -OUTLET 2,50 ea NON.R ESID BRA CH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20960t eAL03o FIXED PR EX. Occup. OUT ETS(RESID )EAJ 2.00 Temporary service 10.00 Mobile ,Home Facilities 15.00 Misc. 1Yirin 15.00 9 Permit Fee s 4/440 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 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 againstsaid Cou/nty in consequence of the granting of this permit. X =�1 Date _ ��' ,�-,r' 's1^ �l/''� 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 $ / D TOTAL PERMIT FEE $ Z-l�, b OCc"P. CO"ST*TYPEJ SCHOOL FLOOD PARCEL PD HD Is9u�„ This permit is hereby issued under sions of the Butte County Code and/or work indicated above fpr which y + r DIRECTOR OF PUBLIC -1 By /_ `x PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date — •- ,�c� Receipt No. � % 3 t, WN17C-D.P.W.. 7lLLOW-ASel330R, PILAR-INSPlCTOR, GOLD CNROD-APPLICANT 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: 872-6307 CORRECTION NOTICE JERA PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER %a -D-7 - 43 ZONING S ' BUILDING PERMIT OWNER c aN a r 'TELEPHONE S8q-4lb31 SQ. FT. OCC. BUILDING VALUATION $64 AA OWNER'S MAILING ADDRE S = / rrbeg w.v 6'j-< 14 & Du,,l(.e g5966 CONTRACTOR -5 NAME O w ni e,1— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r b e Each Trap 1 2,00 Solar or heat pump water heater '20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP z ' Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRU TORE SF❑ Duplex❑ Mobilehome❑ Other �°� -��— s cl Fr Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationOther ❑ Describe work: _Til/ S-/eA_ I' r i N 7w f- A1 -a 4 4Z�-10014 j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �� 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS I&ENSE 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 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 ,/x¢sgft OR ADDNS: ACC. BLDGS. NEW CONSTP_ U TI.OUTLET NON.RESID .BRA CH CIRC TS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp�OUTLETS OR FIXTURES 200500 .ALO 30 FIXED APLNS. Ex. OCCUp- OUTLETS P(RESID )REA.) 1 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 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 s 'd Coun in con q ence of the granting of this permit. X Date Z Signature of Applicant Cwner 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.TYPESCN OOL FLOOD PARCEL PD No 39U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 1 OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paidl. WORKS Date Z z -W ^�� Receipt No. a -2 3 (� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT •I . n _COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541 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) S 2. I (have/have not) 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. 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 Social Security Number Date A& 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. I PERMIT NO. 2398-88B PERMIT EXPIRES e OWNER RICHARD HAFNER CONTR. owner n ASSESSOR PARCEL 72-27-43 LOCATION 141 Forbestown Circle, Oroville I r r ' S t Temp. Power Pole Called PC Temp. Elec. S Called PC Temp. Gas Se Called PC JOB FINALE[ Signature x `OK' - 0 = Not OK NotReayable dMOBILE HOMES -_ MISCELLANEOUS 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. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 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 -81 Date Card -B1 Date Card -B1 Date Date s �Zontag Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel _ it ers and/or Joists -Decking -Bracing -Stairs -Rails -Beam s-Rftrs.-Con nec. Shthg.-Rfg.-Bracing o umns- onnections-Splice-Decal-Enclosures s; in ows-Doors !j mg; Sill -An or tuds-Rftrs-Trusses Sid'.ng; Nai ing= eneer-Stucco-Mesh kigRgof; Shthg-Roofing Ext.; Steps -Doors -Landings r Card -B1 Dat —RC d -B1 Date 0'3 Card -B1. Date _ Card -B1 Date Date DOLS (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 I, Card -B1 Date Card -B1 Date l Card -B1 Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready D$te. 'I, UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Der _ 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dep 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liqht-Shower Light -Spa Light Card -131 Date Card -B1 Date Card -131 Date Card -61 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation M. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -Bt Date Card -B1 Date Card -61 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, 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. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52, Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. 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 Protec. 77. 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; PIbg.-Appliance-Firep I. -Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Of. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -61 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Comments at Final: (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 1 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE R —1a MIT NO. 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. o -�7 Inspector \ Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIdN`AND PERMIT i\ E 1 NO ASSESSORPARCEL NUMBER ZONING '` BUILDING PERMIT OWP.ER TELEPHONE ; G 01. r c cJ e( — i�G .SQ. FT. OCC, BUILDING VALU ON G OWNER'S MAILINGADDgg ESS %y c r �S? w CONTRACTOR'S NAMETELEPHONE A.) -4—. CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1 7 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $' 7 PLUMBING PERMIT Filing Fee 10.00 �� O'A) r ch Trap 2.00 r �'Q r or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 1�OZ Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 % Building sewer 5.00 Mobile Home I S FG TW 10.00e TYPE OF WORK Newx Addition[] ^^Remodel❑ //Utilities❑ Install tion❑ Other ❑ Describe work: _ d �%C� h� 2 j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011V 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 P Y P 1 Y( )' ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e' , OR ADDNS. ACC. BLDGS. /20sgft NEW CONSTR. U '.OUTLET '2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCcup(OUTLET3 OR FIXTURES 20050t eAL930 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 + Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ks1 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 ling 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, I dgments, co ts, and expenses which may in any way accrue against said my in co equ ce of the granting of this permit. X Date Signoture of Applicant — OwnerX Contractor El Ag Int 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 $ d OCCUP. CONST.TY SCNOOL I Lo D V RCEL PD ND 139U E. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D REI�Tq#IOF PUBLIC BY PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ! WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .rr whti,. .,*`r, Aires:„�t,..,1`.N`t:.v-��..1y�.,,'�.,:Sii�«1` �Y�l��k� ��.-� 7•...r+r�"7',,Ii.r"v` ��•N�'.'. 3�.[•,..R�S.�%'�' ^" � i-.� - a�` y'F `` - J � .'� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 d � PERMIT APPLICATION DATA SHEET .: Permit No. ' OWNER 41 -?f e- wa-rG� l�C� t' �U e r' A. P. No. 7,1L - 9%- Z/ tProposed Building UseaYX3(f G0.c'�-r,� Building Inspector- Date t At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: x DATE RECEIVED APPROVED I 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. Plans with Energy Design Compliance Statement .. . . . . . 6. School District "Fees Paid" StamponFloor Plan. 7 Statement of Intent for Non -Heated and AC Buildings, 8. Fees of $ r //9. Letter of signature authorization. . :' . . . . �`KL Sanitation approval from O2U _ Healtli Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _.__..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Prednspec. request to Pre -Inspection for__._-_ __. _ Required. Building In, 18. Recorded copy of Agricultural Acknowledgment Statement. 19. t Driveway Permit. _ a _ 20. Plot plan approval from city of_ _ 21. 22. — _— hen you issue the rmit, process as follows: Mail to owner; MaiI to contractor. � �� % Telephone and hold for picku00je_office, Deliver w/inspector. Copy of plans sent Health Dept.; Fire Dept., Other Date i 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---nail—counter by date Contractor, designer, owner, was advised c' above required data by—phone —ma il—counter by date Plans checked by Copy -DPW Date Plans approved by /'/-�-,Z Date Sets of plans on hold in File cabinet AP folder TO Building Department ,._. _. F:, FROM: , Environmental Health SUBJECT: Sanitation Clearance 4<�✓) 0 Owner. Plan Approved for: Hold final for: Final clearance O_K_ fnr'! Clearance f. NOTE *** q1 1;�6s . Locati� AP# 1 Sewage Disposal Water Supply Water Supply arian ' ` Dat 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 andaterials 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. 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 Social Secu4ty tuber Date /i/,"/� JP��0 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. r7,t;7 46 :+ 4A Dim "0 C9 0«1,00 's util.,MH 1727-76P,E ,,PERMIT NO. PERMIT EXPIRES�� ;t OWNER Harlen Joe Hall CONTR. owner +"LOCATION (A.P. 72-27-43 ) X s/s Forbestown Rd., 1k mi. East of Hurleton Rd., Forbestown i N 9" fi Y 9 f /eePole &E y Serv. n G&E erv. G&Ej A Ja-�-7 - 74a e) (Si9rfa&6) COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING ` ` BUILDING (Cont'd) PLUMBING Setback 4 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping 16 Piers Roofing Sewer ?-P— Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing Masonry Walls Reinf. Steel • Bond Beam i Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE FIRE SPRINKLERS Motors Test Water Htr. . Final Subpanels MECHANICAL Grd. Fault Pro Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ELE �""�cii'--X++r+i�a;�l'.•.�-�'"�:7Y`g�''i"'1`"'t'd'�':Yt'-Y''"�.�',�y ��_ _�'.l. �_ ., � ,.. - w: y�;G �`,%t.::4<.�;,. t,`�,s�.f"r' � •t COUNTY OF-bMTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OWF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, hapter 5, under rmit number 2833-76 for the followingg.. location: sY's r orbestown Wa. 1k mi. E. of Hurleton Rd., For bestown Owner Harlen Joe Hall' Owner's Address Box 7204, Feather Falls Star Rte., Oro��Us_ Mobilehome Mfg. Mt. Valley Model Year 1976 Insignia No. U-1133 & X-1134 g Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 10/18/76 By THIS CERTIFICATE IS VOID WHENIMOBILEHOME IS RELOCATED 7 -7 2$ 33•- i� 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on- lot,-i.e., water pumps, garage, cabana, etc.? YesNo_ _X B. Is there proper clearances around panels? Yes_X No C. Is power supply cord -;or feeder assembly properly fused? Yes /No r' D. Is continuity test satisfactory as per the, following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedes 1. r 2. Make sure that the power supply cord !or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of'a test. instrument. to the mobilehome grounding conductor and apply the other lead to each m.obilehcane supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding,19as line, water line) ,• including fixturesandappliances, shall be tested for continuity from such equipment and the grounding conluctor.. 6. Upon completion of the above procedule, the power supply cord or feeder.assembly / conIsite service equipment. A further continuity tds 'shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory complf_tion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If eve thin okay, sign off card and tag secvices. r3' g i, MOBILEHOME DATA r Manufacturer and/or Namestyle Length Width 75t Vehicle Serial No. State Identification No. - Additional.Informati.on or Comments: t s Mme_. MOBILEHOME INSTALLATION INSPECTION CHECK LIST Is the mobilehome located w'th required separation from lot lines and buildings and generally conform to plot plan?Yes No 2. Does the mobilehome have required clearances above ground? (Sec. Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes V No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yeses No B: Test - Does water piping withstand working pressure or.50 lbs. air test? YesVNo C. Backflow - If coach is not State of Califo is approved, does station have backflow device ,,.and pressure -relief valve? Yes_ No Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 4' per foot slope and is it properly supported? Yes_No C. Are any leaks detected in drainage system after r,.UFing 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not tate of California approved, does station have required trap and vent? Yes No— 8. 8. Gas Piping and Gas Vents A. Connector -_Is mobilehome connected to the gas - supply with an approved 3/4" minimum mobilehome connector not more tha 6 ft. long? Note: All piping is to be at least as large as the mobilehome as line rilet without reductions other than the mobilehome connector. Yes No B. Test OK as per follo p g p c ure. �' s N 1. Open all appliance conne or valves. 2.. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 2�-76 Telephone: 534-4541 APPLICATION AND PERMITZ____ _ ... .._ 1— vvunLy U1 Duue to enter upon the above-mentioned property for inspection purposes. y X G Date Signat r of Permitee or Agent Receipt No. 1� SCI I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS BY Date 4-16— 7L ilding permit expires Date %�' BUILDING Owner�1 n P-LEM JOE Mailing Address SldTAIR , RT, , SQ. FT. OCC. BUILDING VALUATION n�-. r DN i LSE Telephone No. Fireplace Contractor Total Valuation Mailing Address. Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Ad ress 5 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00, `O® Each Trap 1.50 ` Repair drainage or vent piping 1.50 Water piping 10fol I V. 00 Each gas water heater or vent 1.50 A. P. No. 72--27-45S`� Z Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F VV S ion Fire Dept. Fi��ree�Zone Use Permit Building sewer 016D 0.00 EQA Parking Plans Parcel Declaration �ircel Ma 60' R/W ImprovementsLawn sprinkler system 2.00 c�P Bldg. ns Recd 3 Parcel pA proval Pla sproval Permit Fee $ 3, �3 oc NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '3,00 Main service 100V DR LESS G7'oO 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 2,S701 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 j NEW CONSTDNS.. DWELLING OCCUPCC.BLDGS. & A 0sq ft ) 2.50ea DONST NEW COR .% MUL I OUTLET NON -R ESI D. ( BRANCH CIRCUITS) '2.50ei3 NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL21 FIXED ALNS Ex. Occup. ( OUT ETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 lc� am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2S.Sp $ _TS_7T,1fft WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. `y\certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authori70 ronroco.,r�rl..00 ..; +k- n,........ ..a n....-. .- _-.__ .._-- . TOTAL PERMIT FEE Is �T( _ ... .._ 1— vvunLy U1 Duue to enter upon the above-mentioned property for inspection purposes. y X G Date Signat r of Permitee or Agent Receipt No. 1� SCI I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS BY Date 4-16— 7L ilding permit expires Date %�' b COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center DrWe '- Uroville, California 95965 Telephorm: 534-4541 APPLICATION AND PERMIT A Ig ture of Permitee or Agent (� Receipt No. I � � � Z O White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR 0 UBLIC WORKS / By ding permit expires Date6 _1._ 77 BUILDING Owner 4EiJ Joe- Q1' SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace -.1 Contractor S U r OM ��!' S 7%, Total Valuation Mailing Address % f/� Permit Fee Plan Checking Fee &/or Penalty cf f"`! � - L % T eph ne No. 3 4 - Permit Fee Building Address-5-/zondwj `� PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 W t ev & 0 N . Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas —�� Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. &&M++etiOtl Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I PPlans arkin Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd ParceiApproval PI s Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 100 AMP OR10V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ,�.•v &,1_?&17-*:_-12Z2— NEW CONST. DWELLING OCCUP. OR ADDNS. ( ACC, BLDGS. ) 2¢sq ft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEWCONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: O Ex. Occup(OUTLETS OR FIXTURES)@5 anLe t Ex. Occup.( FIXED OUTLETS P(RESIO.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Claifiti C6 Classification— Misc. Wiring 6. 25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permi Fee $ $ I certify that I have read this application and state that the above/?; information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the b ao - ntioned property purposes. w -W TOTAL PERMIT FEE $ ® fez This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated nhn . f— —ki-k fee.. ti_..� .,..._ .. Ig ture of Permitee or Agent (� Receipt No. I � � � Z O White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR 0 UBLIC WORKS / By ding permit expires Date6 _1._ 77 NOTE:—All & Work-ranship Shall Be in I Accordanc'e with Gond Pr-r-fices on, e. in the of a qur-l"i'v nrPcr*!,4 for. he Specified use 7.� 7 7` C f'Uniform Buildina, Plurnking & Machani'al Codes and the National Electrical Code. All utility conn--ctions shall be T 4 located wkt'jh;n 4 ft. c-u-I.-sidia the rear The. *. Setback shall be 5 ft. fro third section of the mobile home t - -n N the left (road) side of the mobile this sat of plan: and-a��ns the side proper v line and rr� f m % on i kept on the i:)b the centerl no of i1hp rocA, oc-M-fting home. at "'I i'mes and it is u n a maximum of a 2 ft. eave overhrinrj. m*aj,(0 any 6an:-zs or zilion, tic, ns on si*'P'.-',',X",I,:Y' wrl:f:!m permisson from the Depariment �/T I—F cr kI C VOL Works, County of Butte. LE ACI- 4 will be required for hd a 60 , perm y installation of the mobilke om ,,,Pt;c system and loctoation be as per Butte County Health Dept. Re- quirements. WEU - W AT E_ P., + C7 ti BUTTE COUNT I BUILDING DEPARTMEN-1 APPROVE D '. v BUTTE COUNTY DEPARTMENT OF -PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: MG Ra( P=ll -S / %VX ZZ' ®/lay v, 2. Installer's name: i �A%� %�'�//-TVAN.-Ne'eg"t' 3. Is the site currently under permit? Yes No —L (If yes, furnish permit number i 2- ;2 ?— ) OR Is the site an existing.site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes // No (If no, clarify, ) 5. What is the mobilehome electrical rating? ----------------------- ps 6. What is the mobilehome site service rating? ------------------- K 7. What is the mobilehome site circuit breaker rating? ----------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes _/�/ No./ / (If yes, identify the load and size: �c,rt� (Load) (Amps) w 9. What is the mobilehome site gas pipe size? ---------------------- - (in.) 10. What is the type of gas service? ----------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas demand? (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less;than-,50Tt:-on LPG.) IF .• w I X - l r MOBILEHOME SUPP69T DATA Mobilehame Mfr.. %Yi (,/)q (( Setup Model No.13;k��jQX' Year 7 .WidthT ft.x.(ft.) Length ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets :(if. not .on file with the .County of Butte). I Sin le. Footin�s--(check.one) =+= 1. Wood :either pressure treated or Center Center Support fdn.`grade.:: Support Footing Sizes Locations (in.) jL.2.:Concrete pad. in. in. in. 3.--Other,--specify Supports the one 1. Concrete block Lla 2. Concrete piers IF/ s6 3. Steel piers Other, specify .j .... ......... :. . -� Typical Support xFooting Size *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED SI ... --- . __ .. _..... .. -- _ i - ----- _ __._-._... _-----_ -. ..... _ .. _--. ..__.......... .__. __. . COFButle County Fire M new bui ftp In SRA are requied to hao: This r0•ect IS r Ulred t0 Fuly enclosed noncombustible eaves on entire structue - ._ p 1 � Gutter screens to prevent accur **m of leaves/debris .game practical effect guidelines Co=l =btu, rlo won bwe m I b, itemixtmumopenirlg Autlined in the attached PRC4290 mof and aft verft LANDING AT- EXTERIOR 7 9 3 [WAITH OORS SHALL COMPLY CBC SECTIONS 003.3 & 1003.3.1.7 a _ _ --requirements. Q' ,V� DETERMINED NECESSARY BY THE BUILDING - -- - --- -- — — - - -- - OFFICIAL. PRC 4290 REQUIREMENTS The attached Fire Safe Requirements Must be completed as specified and - - -- - - — - - approved by California Division of Forestry NOTE - - ^•-••= SITE CONDITIONS `' ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED PLANS: • EXCESSIVE SLOPES • EXPANSIVE SOILS • EXCESSIVE CUTS OR FILLS - • ALTERATIONS TO NATURAL DRAINAGE • OTHER UNUSUAL SOIL OR GEOGRAPHICAL :-...... :. CONDITIONS - - rr. Assessor's Parcel Number: ®� ® U ®® m ' u ®� ��1�: V �� 4 � � �.ddr-e� I Phony Nq_ 1 , H b 2 o i� P, r c� e C 4, l o S� � � � 1 D t71/r Q ��%� Site Locator .� ia_ M 2 cad N�-i 9 0 REFER TO CALIFORNIA TITLE y. 25. -MANUFACTURED HOME J SUPPORT SPACING;'AND .SI'ZE CHART--- INFORMATIOIy,. ATTACHED ti APPROVED PLANS AND PERMIT SHALL BE ON SITE FOR ALL INSPECTIONS REQUIRED AT FINAL INSPECTION ---t I Butte County Mobilehome/Manufactured Home Acceptance Certificate. Form 513.; Form to be completed by Field inspector. Health_ hand Safety Code Section 18613 orl8551(b) 1 f FFA P'11\1A AIA> t4,PN 07 BUILDING PERMIT# 07- /6 yy ASSESSOR'S PARCEL# 071 7-70-01i,3 si0� _ . ___..._........... _..... _..... ...=..... -..... ........ -........ ...- ... .......- ----- ---•-- ...._.__. M P. nF-R1r.Fl-1.qF-r)MLy PROVIDE FOR ALL _ rTHE 2001 CBC, CMC, CPC, fCn«C' 2004 CEC, AND 2005 I -, 1 ,ell I. CALIFORNIA ENERGY STANDARDS AS AMENDED BY THE-- - FILE COPY Ste, p° JURISDICTION APPLY TO THIS PROJECT. _ i . ia - y � N OTE. 3y ?I PROPERTY OWNER IS RESPONSIBLE FOR __QETERMINING LOCATIONS OF PROPERTY LINES }� i AND EASEMENTS AND MAINTAINING REQUIRED SETBACKS FROM PROPERTY LINES AND j EASEMENTS. A SURVEY MAY BE REQUIRED IF ,V� DETERMINED NECESSARY BY THE BUILDING - -- - --- -- — — - - -- - OFFICIAL. PRC 4290 REQUIREMENTS The attached Fire Safe Requirements Must be completed as specified and - - -- - - — - - approved by California Division of Forestry NOTE - - ^•-••= SITE CONDITIONS `' ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED PLANS: • EXCESSIVE SLOPES • EXPANSIVE SOILS • EXCESSIVE CUTS OR FILLS - • ALTERATIONS TO NATURAL DRAINAGE • OTHER UNUSUAL SOIL OR GEOGRAPHICAL :-...... :. CONDITIONS - - rr. Assessor's Parcel Number: ®� ® U ®® m ' u ®� ��1�: V �� 4 � � �.ddr-e� I Phony Nq_ 1 , H b 2 o i� P, r c� e C 4, l o S� � � � 1 D t71/r Q ��%� Site Locator .� ia_ M 2 cad N�-i 9 0 REFER TO CALIFORNIA TITLE y. 25. -MANUFACTURED HOME J SUPPORT SPACING;'AND .SI'ZE CHART--- INFORMATIOIy,. ATTACHED ti APPROVED PLANS AND PERMIT SHALL BE ON SITE FOR ALL INSPECTIONS REQUIRED AT FINAL INSPECTION ---t I Butte County Mobilehome/Manufactured Home Acceptance Certificate. Form 513.; Form to be completed by Field inspector. Health_ hand Safety Code Section 18613 orl8551(b) 1 f FFA P'11\1A AIA> t4,PN 07 BUILDING PERMIT# 07- /6 yy ASSESSOR'S PARCEL# 071 7-70-01i,3 si0� _ . ___..._........... _..... _..... ...=..... -..... ........ -........ ...- ... .......- ----- ---•-- ...._.__. M P. nF-R1r.Fl-1.qF-r)MLy PROVIDE FOR ALL _ rTHE 2001 CBC, CMC, CPC, fCn«C' 2004 CEC, AND 2005 I -, 1 ,ell I. CALIFORNIA ENERGY STANDARDS AS AMENDED BY THE-- - FILE COPY Ste, p° JURISDICTION APPLY TO THIS PROJECT. _ i 4—, 00 # d E3 -,r7W--56F-z Nc:JV U3NMr) AdOO 3"11=1 o t. 00 # d E3 -,r7W--56F-z Nc:JV U3NMr) AdOO 3"11=1 o IV