Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
072-340-017
I wpm S B06-2893 072-340-017 IV RESIDENTIAL, SFD-Mobile Home RET MH PERM FND EX SITE F I, E " 520 BLACK BART RD I22� :; PATRON, JEANETTE E TOMASINI PERMIT DESIGNATION: DEPARTMENT OF BUILDING AND SAFETY A.P. / den Asklun wt f p t 12Bnew le 7� g- family) 4 (�� + 72-34- � R har Creswe 1 �rf��/ S Blac c art pp. 1 3/4 Mi .NE O JED Forbestown Rd., Orovi e Permit #1388-78P,E(uti *MH LEC . S / - / - -),( -3;z/ Zj SURPORT STRUCTURE REQ, y� COMPACTION TEST REQ. AJ6 1172-341o17�r NEW OWNERl������ JOHN D•ELONG erMit ##6583-79P,E (transfer owner for 1388-78-util, MH) Con�tr : Beich MH, Chico �g Permi�t#7065-79MHI Issued P1 �_- _� 72-34-i7' - - Permit #2640-81B(new covered deck/ :'MH) B -BUILDING E -ELECTRICAL U -USE PERMIT P- PLUMBING TV - RADIO -TV ANTENNA V - VARIANCE T -TRAILER S/W-SIDEWALK NOTICE S_ SIGN PERMIT REMARKS 2 HM -HOUSE MOVING EP - ENCROACHMENT D - DEMOL+,TION 600.1 3 4 40b INSPECTION RECORD BUILDING APPROVALS F K W Wj 2 Z z z O OtAF atrD Up LL n J 0 I i UJ OLLF Z W W O 2 Q a. IL K O= WQ z ? W O= WQ fX W K OW WN F g Z a C OW WN FX J W a I FW W5c UO Z J V M W J DQ lz Q w O UQ J 4. W LL Q Z LL SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE - SIG. DATE ft SIG. DATE SIG. DA4"E SIG. DATE SIG. DATE SIG. DATE SIG. DATE I " PERMIT NUMSERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES Q VENTS FINAL PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. -DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL !rl/.Y(;L+LLANH;U//4 APPROVALe ' PERMIT NUMBERt DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE �f lk E BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-21140 Website: www.buttecounty.net/dds Permit No: B06-2893 Issued: 12/29/2006 Address: 520 BLACK BART RD OROVILLE APN: Owner: Applicant: Description: MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACHI INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVEIJ. BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Set acs 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149;. Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing " 128 Rough Plumbing Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 7, PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HA COMMENCED, YOU MAY PAY FOR A 1 YEAR:RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy w P71/ 1-Z �X :ham FORRE-INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive * Oroville, CA 9 (530) 538-7541 4 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of -s work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. P71/ 1-Z �X :ham FORRE-INSPECTION CALL: 538-7636 OR 891-2834 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: 520 BLACK BART RD Owner: Permit No: B06-2893 APN: 072-340-017 PATRON, JEANETTE E TOMAS Issued Date: 12/29/2006 By TMP Permit type: RESIDENTIAL 520 BLACK BART RD. Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: 12/29/2007 Description: MH PERM FND EX SITE Occupancy: Zoning: Contractor Applicant: Square Footage: MAJESTIC HOME AND LANDWORKS MAJESTIC HOME AND LANI Building Garage Remdl/Addn P O BOX 361 P O BOX 361 BERRY CREEK, CA 95916 BERRY CREEK, CA 95916 (530)589-4261 (530)589-4261 Other Porch/Patio Total FEE INFORMATION Mobile Home $329.94 Mobile Home Plan Check $219.96 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B1315 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 MAJESTIC HOME AND LANDW C759576 / C 47 / 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) s in full forqA and effect. A of Division 3 of the Business and Professions Code] or that heor she y exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.1. 5 by any applicant for a permit subjects 12/29/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ontractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section 3700 I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractors 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 Contractors License Law.). Carrier. Policy Number. Exp. Date: (This section need not be completed if the permit is for one hundred dollars ($100)—or-Fe-ss.) ❑ 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' X 12/29/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X v--7- 12/29/2006 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 Signatu Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro a owner ora authorizedtoa onth property owners behalf. (� �� 12/29/2006 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR; MAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip MA BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND- SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Name- _AdiM CityggeKe(, Ckreek first Name Mailing Address C City avi E-mail StateC Zip Phone Fax Fax E-mail State License Number CONTRACTOR Name D .Address ,? O l/ CityggeKe(, Ckreek Stater zip Phoney ,gG/_( 2,,/ Fax E-mail Lic. # ?5 p51sl Classe-W APPLICANT INFORMATION ARCHITECT/ENGINEER Name city. !' Creek Address Zip1�� City Fax State Zip Phone Subdivision Name Fax E-mail Page State License Number APPLICANT INFORMATION Name (P(� Le0y1of Address !� 3 (el V city. !' Creek State__ Zip1�� PhoneS3U S� j ` Sl Fax E-mail For office use only: AP#C)gz —3 w — D1 Zoning C���/�� Flood Zone `,' .SRA Yes Noy Occ. Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const.` Subdivision Name Address Map Book Page Lot # Planner "'' s Date Approved: PERMIT NO. ;B6w"2$ BIN N PROJECT LOCATION AP#C)gz —3 w — D1 Pro-61vdress 1 G� r f d C���/�� Crops Street ; 17� (DPS ` -0��n 2_0 WORKER'S COMPENSATION Policy Number Carrier Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by;,.* Amount: �"y _/ y Bldg P SRA Receipt #: Sheriff SMIP Other Date: '-), g —o- y '7' % • Total Majestic Home & Landworks P.O. Box 361 Berry Creek, CA 95916-0361 •530-589-4261 / Lic#759575 LETTER of AUTHORIZATION To whom it may -concern; Gail Leonard is the Permit Agent for Majestic Home and Landworks. As a representative of Majestic Home and Landworks, she has permission to handle all phases of the permit, inspection and research process, including, but not limited to submitting and picking up completed permits. Please contact me, Troy Leonard (owner), at 589-4261, with any questions you may have. Thank you, in advance, for your attention to this very important matter. We look forward to doing business with you, in the near future. Sincerely; Troy D. Leonard, Owner/Contractor. ;'' ' f . + _ ...-.3, iy t r `I, , 4 { tY,i t 1..' ' t Li.. .o l ' , a; 7 A Ef d} C c IN p > �t� r ( t � E F 4 1 Y l t L+' r ro: 7T r f rl;j % > >. id ( { t s i �, ! �' i...Tc YY i )oW raL S�'X T h S ` 1 ', d,S , r F p%. � ����ti, +'p 1 '^ e, �... t e + b s r,� r n. x fi -0041-00000 a i a c. f,- ':.-T ( t'' t �'' ! 4, tc, � i ( + ,rl •� v, CF ,;;"_1 T s t {3.1 r ] r� V y S ` TI. 1 A B 7 d, ,+ �Y 1. 1 „wig;i� i i et / 7 R i -y * �! 0 ^� s A .. .,r p i st• a r ft � '.I Y is � ' � iy ` � ]11 h 9 y ){ i+ y�iy'y w y, .ii'( .Jyr P�� S',ate tt 1 .2.(,a t r f f= dT � t g.,{ t rte,bb ^iF M +'yrs ¢'d4'r:J '� iF• ( 7.td r.'I , �r �i. to it .y.�t. S { h't + U st`wP1111Fi e i�}i` T� ." .?�+'e3•. It f d - +,. ( a w, :: , . P " . , �• tf 4 r 3T . r-'t111Q600r.dr '� - 1T r T (1. a ,— 5,a,. r� y s,ac v _F L'W+ a 3. j �� ,t r .. l t r X ,..i t. w£-r1t�t _ G R ( p. i L r �' t a r i' . t? a- - �,, {._ fr3 6 .'yy y.Ya r. t W..1' u k I l f tt' it S �� -Mk] i t� yet + tt�E' •�,.�. V `r M t Ir ''+ j d' } ... t s J 1,T .rj �' 1 .., �P rt I;— r { y s p. E r�tr r a/ g� Py k -11L T 1. Z. f Nye F ; Y } 1 1 z f - ZA 0 l G i i� t :ri �y� , d. 't } -/ IV/rN v r �, -t rst 1 i�ri i(uy Th F♦ k t l• ' 4 ] 1 !' . Ev.- d :... E r 1 - .. , .. _ M.(,o TA ., T rt . t A r t,. . ( t ; P . k t.•yt ct,'W-,`4,` v' 1 d . t• �` r, . } v+.r.sa, ra a k F. - y y y •q d ti !' 'f`ISrr,a$t f` i3 > ', Y.i,. i xPi�i J N Y f"', �' . I k 21i t,i Lti :. qJ4. >i 4 F 'i' i rSz - l i E-.. J P �- 4, 4G nC . Lt. tPct t T g�tt"', ,,} r 11,� Ft c % . '9 1 w Gy V Pal! ' a�. #bi ? ( a*s x It fr - 2y' 7_ +re-S_,tnt ('. .C� alai a1.. Ra +��� N x� ma,- Q c:i}sva"r a - r-wDr{d y t 1� r w, ;�� . . ! j �.Y -tr f Tyr,t , <kz c 1r 3 r,F ; r,'. Ed s. tl A[ _rr Z 4r iS , .. 1 r ( - 111-1 a yf{ asrr9. a r 1 T 'i JT``: , 2 -'° Sx R 1 y .j Pt?i t -TJ lL9[9 T �` 1 r tit t Ya t } s ;t ,N, axP i7 � ti6 9 r e d t 1 n {i.19 s Sz t 6 r f-1 0 4 �il A..} .z J r f Cit' t S, ,55• Fh'�` if r ten+ I ro J," t, i Jig _.'t''" , _ . 9- :uu`°raNt -w 'F'kj S�-n r !ta"'c"i't, 't, f .# i . .11 t"a�3 r,talw & d .71 It N C S Iii t i{ t _� ,� L v,�r. t'!9 yi �kf' ! ... i . , p �{ f t s P 3#{i'. 11# 5 r t k t4 wb. ; i4t.'i - t ,� i Y q g�f} t) S' l v P (' + 6 LF. 0 r 11�& I Jt t.,ya .. r ..0 d` ., ;G �,f4 ,. G r TP i I° V}.( Jap. I t._. 1 # , j %SAM,- -i 1 rti at r e r Y' % - 4t51 1 1 4' L ' 9 i '� j -" �t 9 .x �3<J`tz Tf' Wf % 7Ja� ,S b '� t t 4 y I. 5 rftt s 1 Y "! -. i' t a t v •alr? ts d 1a t ' J'r t y t .. .`a,cr'> t. 4 , 11 , + Y 1'D- .. 1 t vatV_ R- t tri"Y a . .. M1 4y ` i I t . ,f S Y F BUTTE COUNTY RECEIPT 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Receipt Number: B1315 Permit Number: B06-2893 Job Address: 520 BLACK BART RD Contractor: MAJESTIC HOME AND LANDWORKS P O BOX 361 BERRY CREEK, CA 95916 Printed: 12/28/2006 8:46 am Fee Description Account Number Fee Amount Mobile Home 0010-440001-4210500-1010 $329.94 Mobile Home Plan Check 001.04400014210500-1010 $219.96 Total Fees Paid: $549.90 Date Paid: 12/28/2006 Paid By: MAJESTIC HOME AND LANDWORKS Pay Method: Check 2855 Received By: TMP i r:1. Xi2-Foundation} System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Concrete System w(v-2 ,% q2 BUTTE COUNTY BUILDING' DIVISg0N PRO Engineer Approval State Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM IMALTH AND SAFETY CODE. SECTION 18531 APPROVED SUM= TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY 04ISSMS OR DEVIATION FROM REQUIREMENTS OF APPIXABLB STATE LAWS AND REGULATIONS State of Califom{a bwatltow atHoaas g -4 Cnmmaaity Datum d AND STANDARDS rota GA, 30336 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathring shall have at resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 ABNOW 0 LO 0 0 0 r n 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) r-nd o f Nome Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. A_k' L 1 /i /6-5- 61 ING .5 LO 0 0 O J -Bolt Nut & Washer „ Tube Strut Lateral Struts . (flag end) 1-vz,Tube 4-#12x1" _ 7ek Screws 1 -Beam 1 Figure 2 _ UI U -Bolt & mounting Figure 1 Bracket r-nd o f Nome Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. A_k' L 1 /i /6-5- 61 ING .5 LO 0 0 O Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad. & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut . Pier Height No. Length Up To: 59330-44 44" . 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems L. Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems F S li 2- /1/,) S Page 4 of 8 m 0 LO 0 0 - o 3r 9 r I Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart' provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as, a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough. room .for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a-9/1.6", socket wrench, tighten wedge/anchor bolt, securing 4 bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over. the top of the I-beam with the nut & washer provided. (Fieure 1- next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes .. provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on 1 -beam on the inside of block pier: 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite en . ete brack t: 10. Pull the frame bracket clamp with fastened strut 'outward to remove any slac f 11. Tighten all nuts and bolts on system. Page 5 of 8 . m TIE DOWN I1. Wheaton I - Atlanta GA I o O www.tiedown.com I 344-0000 1349-04011 O f Q Xi2 Lateral Concrete Systems Part#59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & Washer Figure 1 Beam Clamp Bracket J -Bolt �" Lone Xi2 Installation Placement Beam Longitudinal Strut Concrete Longitudinal - Hardware Kit a o f Nome >✓ n M.—ce), OF ..g• . of 8 f ETIEOWN ENGINEERING • 5901 Wheaton Drive • Atlanta GA, 30336 ; %/E www.tiedown.com • (404) 344.0000 • FAX (404) 349-0401 om° Longitudinal Strut Concrete Longitudinal - Hardware Kit a o f Nome >✓ n M.—ce), OF ..g• . of 8 f ETIEOWN ENGINEERING • 5901 Wheaton Drive • Atlanta GA, 30336 ; %/E www.tiedown.com • (404) 344.0000 • FAX (404) 349-0401 Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Hardware -Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x-1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 ' Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x'3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 ' Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc y 90=7162/3222 12 5 2 MARTIN J.' PATRON.: r 1963761016 JEANETTE ELLEN TOMASINI PATRON 520 BLACK BART RD. 530-589-4917 a OROVILLE, CA 95966-8529 -' PAY TO THE_-,,,+ ...•���- l/ - -- /�/,�,-(�/ ORDER OF �• - .$U v \.O w<D• - r • 1� DOLLARS wur F`....,... Q0 Washington Mutual Washington MutualBank, FA San Jose -East Foothills Financial Center 747 ' 2791 Story Road 1-800-788.7000 San Jose, CA 995512 5—f1.21 24 hoer CUM— SerACe C.+ e: 3 2 212 7 IG `2 7 is L 9 8 3 7'6 10- FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B06-2893 Address or location of unit: 520 BLACK BART RD OROVILLE CA 95966 Legal Description of Real Property: 072-340-017 SEE ATTACHED (x) Mobilehome/Manufactured Home O 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: PATRON, JEANETTE E TOMASINI & MARTIN J. Owner's address:520 BLACK BART RD. OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: CAL 173922/3 SERIAL NUMBER OR V.I.N.: 04750430AN/BN MANUFACTURER'S NAME: N/A YEAR: 1979 OFFICIAL APPROVING INSTALLATION &,�� DATE: 2 �� PHONE: (530) 538-7541 H.C.D. 513 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Gover DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 0 )SING,9 Division of Codes and Standards p Go w z 3 h all W Title Search 3�� DEv�.0. . Date Printed : 12/08/2006 Decal #: LAU9776 Use Code: SFD Manufacturer: Original Price Code: ADR, Tradename: BUDDY Rating Year: Model: Tax Type: LPT Manufactured Date: 00/00/1960 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 00/00/1979 ILT Exemption: NONE "Serial Number HUD Label / Insigni Length Width 04750430AN CAL'173922 40' 12' 04750430i3N CAL173923 40' 12' Record Conditions: PPF Exempt Voluntary Conversion to LPT Registered Owner: JEANETTE E TOMASINI-PATRON MARTIN J PATRON (Joint Tenants with Right of Survivorship) 520 BLACK BART ROAD { OROVILLE, CA 95966 Last Title Date: 06/11/2001 Last Reg Card: 06/11/2001 ' Sale/Transfer Info: Price $47,500.00 Transferred on 05/18/2001 Situs Address: J 520 BLACK BART RD OROVILLE, CA 95966 Situs County: BUTTE r Legal Owner: WELLS FARGO HOME MORTGAGE, INC 2865 SUNRISE BLVD, SUITE 101 RANCHO CORDOVA, CA 95742 —Last.Title Date:_ _ 06/11/2001 r Lien Perfected On: 06/07/2001 14:00:55 Inactive Decal/DMV: DECAL ABB8385, DMV SS4294 * * * END OF TITLE SEARCH I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r r COUNTY CLN-TER-DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 1L�6_29 for the following location: Owner T- n Owner's Address e,0 nX '� �' �a • - Mobilehome Mfg.Model _- / Year Insignia No. dA L- /2,17-- •-3 " 12:Z7 9 ? Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Directoc,of Public Works Date 11-30 - 17;1 By �;I �,l% .j f • ' Y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 1PERMIT NO. _ -T?.- PERMIT ,PERMIT EXPIRES OWNER ftcha T ereswe-H jP e 0 :-CONTR. owner LOCATION (A.P. 72-34-17 ) ai E/S Black Bart Rd.,app.l 3/4 mi.NE of Forbestown. Rd. , Oroville ij "a Y 1 I Temp. Poor Pole Cafled PG&E Te p. Elea Serv. #Called PG&E i (YC�AlZa mp. Gas Serv. g$ J� r I l ed flBr$E SOB • F A L E D ///30/ � I N (Date)z Z, We /Y (Signature) f r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING ll,BUILDING (Cont'd) PLUMBING etoacK IVewall S Piping F rms Pa ets 1 t Floor in Bldg. Rest om Finish 2n Floor ootin s Windovx 3rd kloor S mwail Siding To out Sla Roof SheahtNng Water PI Pierk Roofing Sewer Garage Fdn. Vents Fixtures Footin9k Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab V Final Sanitation Patio A F EPL CE Final Footin s Footing E CTR IkA L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea AIRE SPRINKLEBA Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Gird. Fogit Prot. Scr ch HeatI4 Servi BA Coo'A g Tomo. Pole I erior Lath ntilation Permanent oor Closer anal NVFinal MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal •spa, C� Water Piping — Sewer Gas Piping BILE OME INSTALLATION Support Elec. Continuity Water Piping 30— -2` c _ Drainage Gas Piping DATE ` 7 REMARKS OR CORRECTIONS C.i��- �6 5'cL_f* AA, COW.,e A 17-12 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 t Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. X C ®" 500- l -A-eL R C!4 1( 406- 160 6- 6 6�S F.W. , - I V T V 064 — WE Z)o COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner�/�/ e �. o J o N .�/ BUILDING SQ. FT. OCC. BUILDIN VALU I N Mailing Address Telephone No. L Contractor 0,4r Mailing Address Fireplace Total Valuation C/) 2 6 T eph one No. f. 1/ Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE /S �� 3� i. N F O F PERMIT FILING FEE $3.00 Each Trap 1.50 (etc% d Repair drainage or vent piping 1.50 A. P. No. 7A —3 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F%e!( W"6 I Sala tatt6n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvement Each additional outlet .30 Building sewer 5.00 Bldg. PlaLn R c'd Parcelroyal Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ 13 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 0ov OR LESS 5.00 1 S 100 AMP OR LES Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW T ACCLBLDGS.LING CCUP. Y) 2�sgft 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 ofJ '� Z/ tC 6� //0% 10�J i t//�_ i�/?i/� T NEW CONSTR BRANCH CIRCUITS NON-RESID 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES g L@; Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 2s,/0 Sse14Na,6/r cow, �C a T Mobile Home Facilities 15.00 License No. Classification e 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. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for�whichlth•is 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 P $ $ Oi I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby. Land Development Fee $ TOTAL PERMIT FEE $ O GU111U11 LC 1VVICJCIIIOIIVCS UI UIC UUU[Ity UI DUILC [U CnICI UNUn the above-mentioned property for inspection purposes. 9, X Date Signature of Permitee or Went Receipt No. 3K632 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 above7which fees have been paid. C!°f 'OF.P ELIC WORKS B Date Building permit expires Date i t 1BdS�������Z���ii���6�8�� note dr1a d9 1d8® r. r MOBILEHOME INSTALLATION INSPECT%QN CHECK I M 1.'. Is the mobilehome located with 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.5085) Yes —10 3. Are footings and supports properly sized, spaced, and braced as p approved plans? (Note possible variation at spring shackles.) (Sec. 5 82 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes ( No 5. If morhan a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexi a connector of adequate size and properly installed (1/2" ID mtn.)? (Sec. 5566) Yes::Z B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yas No FffBackflow - If coach is not State of California approved, does station have backflow devils and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40'DWV and have flex connectors at each and? Yes L --."No B. Does it have minimum k" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 allons of water through s4ch fixture including washing machine standpipe? Yes N coach is not State of California approved, does station have required trap and vent? �Yes— No 8. Gas Piping and Gas Vents f , A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" mt11. mobilehome connector not more than 6 ft, long? Note: All piping -is to --141. �t lw! as t large as the M'o'gas line iril6t without reductions other than the n6kuwi rs i connector. Yes= B. Test OK as per following procedure? Yes y No_ rl!' Open all appliance connector valves. �% Shut off appliance burner and pilot valves. 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. 4r, -.Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes 'No J 9. Electrical'.r. • A. Is service large enough to,prov$de adequate amperage -to mobileadme (must equal retia: of mobilehome with a minimum of Inip) and other facilities on lot, i.e., water pupa, garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes —__No D. Is continuity test satisfactory as per the following procedure? Yes __—N`6-' I e -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. ,a -.`Switch all breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the,mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. �-pon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of 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 everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namesctyle Length 41-4 Width I Vehicle Serial No. c, State Identification No, il f7 �-� % 3 / ;9 Additional Information or Comments: MOBILEHOME SUPPORT DATA If other than single wide, r/ Mdbilehome Mfr..C9,V 1.,. ^- r furnish Setup Model No. a D Year Width (ft.) Box Lengt(ft:).. Tagalong or Expando Size ft. x' ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of", :M ` mobilehome unless otherwise specified. L40-1% Footings (check one) Single 1. Wood either A.pressure treated or foundation grade. (ft.)(in:) (in.) (in.)' 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) �'" Concrete block. J `ix :r 2� Other (specify) (ft.)(in.) (in.) (in.) (ft.) (in.) k. \ (in.) (in.) ragalpng or Expando,' Show support details. r A x,3 -- Typical Support .� (in.) (in.) Footing Size (ft..)(in.) (in.) (in.) S' �,�/�� -- Max. Pier Spacing x, (ft.)(in.) Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) 6UTTE COUNTY BUILDING DEPARTMENT APPROVED *f Tenter piers are other than drawn above, -76 / �Gf draw in -locations. -spacing. and dimensions. / BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name : -� 0 /i/ N Q AJU L V p iE -60J.: 2. Installer's name: ~19 '4 i/prs- w fi3it 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR OP ��—,,�c( 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 ) 8. Is there any other electric load to be served by the mobilehome siteservice? ---------------- ---------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) as P. size. g P ? -------------------- ` .i What is the mobilehome site pipe -- x.10. What is the type of gas service? ----------------------------- Natural / / LPG y 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) ,A 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas, or less than 50 ft. on LPG.) 5. What is the mobilehome electrical rating? ----------------------- /0 0 Amps �y.6. c What is the mobilehome site service rating? --------------------- , Amps j 7. What is the mobilehome site circuit breaker rating? ------------- O l% Amps 8. Is there any other electric load to be served by the mobilehome siteservice? ---------------- ---------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) as P. size. g P ? -------------------- ` .i What is the mobilehome site pipe -- x.10. What is the type of gas service? ----------------------------- Natural / / LPG y 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) ,A 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas, or less than 50 ft. on LPG.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 . 61F*��� APPLICATION AND PERMIT aua IVII&C lavivoulltat IvGJ UI uIC -'UUnly UI CULL_ tU VIRUt upun the above-mentioned property for inspection purposes. ,! .klL 9_1� Date Signature of Permit rr Ageqc Receipt White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. WECTOP, OF PUBLIC WORKS Ice7.Dab , / = / 910 . ' ��, Ai Date, BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing dress V Tele) 9r �Jg - Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ` Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00. Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. a ��� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F4F46 --i tm'C. ' S Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI g. ans ec Parcel ApprovaI Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ _ $ } ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home Others ❑ ❑ Main service EA. ADD100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( DWELLING OC cup- Y OR ADDNS. ACC, BLOGS. 2�sgft 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: y NEW CONSTR ( BRANCT 1.OUTL T NON-RES,.,MUL CIRCUITS) 2.50ea �. ' t, NEW CONSTR POWER APPARATUS 8 NON-RESID• �SINGLEDIME CIR. 502�iQ EX. QCcuo(OUTLETS OR FIXT11RES) BAL@;1 Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 - hpr 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. gj 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 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ aua IVII&C lavivoulltat IvGJ UI uIC -'UUnly UI CULL_ tU VIRUt upun the above-mentioned property for inspection purposes. ,! .klL 9_1� Date Signature of Permit rr Ageqc Receipt White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. WECTOP, OF PUBLIC WORKS Ice7.Dab , / = / 910 . ' ��, Ai Date, $ ® z � .. \ ° \ \ � � � \ v PL � : / . | � 04 CT) cy, | IN | --COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1 M a 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 4 APPLICATION AND PERMIT ay v� vua— w —1-1 uNvn UIG ve abo-mentioned property for inspection urposes. c:Z 0 6 X XR Date 3A Signature of P lerermittee or Agent % Receipt No. (I` ✓5 6 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. /I QJREGAZ OF PUBLIC WORKS Building permit expires Date BUILDING Owner ' d �� / SQ. FT. OCC. BUILDING VALUATION Mailing Address G £ k&hone No Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address F P I an Checki ng Fee &/or Penalty Permit Fee A.1 l PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 QO Each Trap 1.50 ,99Qing Verificafian Onl Repair drainage or vent piping 1.50 A. P. N Z -' --� �j_ Zon Water piping Q Each gas water heater or vent 1.50 F tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 9.56 EQA Parking Plans Parcel eclaration Parcel Ma 60' R/W Improvements Each additional outlet .30 Building sewer -6.98 Q 9_flans Recd E. Parce A roval PI pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 0 $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR LESS 100 Less 5.00 .Si 00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD -L loo AMP 2.50 + MINI MINIMUM riog Mont$ Main service OVER VEAMP oR LEss 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DWELLING OCCUP. I S. •Z0Sq ft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID, RANCH CIRCUITS) NON.CONS � BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETs OR FIXTIIRES 6 L@; Ex. QCCU / FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Vid/ , 10- 541 am exempt from the Contractors License Laws of the State of Califomla. Permit'Fee $ s'7j $ 46 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. ❑WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. N"�' I certify that in the performance of the work for which this ermit 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 @ FEEPERMIT 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 Land Development Fee $ Q TOTAL PERMIT FEE $ ` 1 ay v� vua— w —1-1 uNvn UIG ve abo-mentioned property for inspection urposes. c:Z 0 6 X XR Date 3A Signature of P lerermittee or Agent % Receipt No. (I` ✓5 6 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. /I QJREGAZ OF PUBLIC WORKS Building permit expires Date S tt PERMIT NO. 2640-81B PERMIT EXPIRES 1 OWNER John DeLong r" CONTR. owner x ASSESSOR PARCEL 72-34-17 LOCATION E/S Black Bart Rd.,app.l 3/4 mi. NE of Forbestown Rd., Oroville :t a �i Temp. Power Pole { Called PG&E Temp. Elec. Service • i Called PG&E iF Temp. Gas Service/ ! Called PG&E t JOB FloED (Date) �' Signature ..-� J = OK ' 0 =, Not OK — = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS VERS, CARPORTS, ETC. (P s) OK except #'s 1. Zoning Requirements—Setbacks—Easements 1, oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete - ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) rood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete olumns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ _ /"Nal.or/ /"L"ft./ /"LPG s [a�;_w ^dows—Doors 7. Utility Clearance Card -BI Date Card -BI Date C BI Date Card -BI Date Card -BI Date Card -BI Date d -BI ".Date;?— Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1, Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GF] 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date .t • .I r t i f = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vdnts-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E3 Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral C,Yes [I No 75. Following instld.: Drive C] Yes ❑ No; Walks [I Yes ❑ No; Planters ❑Yes ' El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; -Access -Comb. -Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic --- Card -BI Date Card -BI Date Card -BI _ Date _-_ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. _40. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist- Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE - DEPAR-TMENT OF PUBLIC WORKS PERM T N0. al 7 County Center Drive - Oroville, California�5965 -'Telephone 916/53 541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER '%Z_34L-17 zON NG BUILDING PERMIT OWNER OWNER D�La TELEPH 5g9� SQ. FT. OCC. BUILDING V LUAI-ION - 00 OWNP'S MAILING0- F-10)(ES/��� ' /��� CONTRACTOR'S NAME - /r' O4/YG� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LE NDE UNKNOWN Q Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ p a ARCHITECT OR ER ENG( �Y�^�j. LICENSE NO. Plan Checking Fee $ ® p 0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Oa BUILD/NG ADD ESS 2Z>. PLUMBING PERMIT Filing Fee t0.o0 /�� C /L�$ ' " G �/v e6�]� Each Trap 2.00 Repair drainage or vent piping 5.00 a�p�! Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 ,,---,,�� TYPE OF WORK New F1Ly Addition ' RRemodeI ❑ Uti IIties ❑ Installation ❑ Other ❑ Describe work: G10V 1��Gr� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,5'50 NEW CONSDWELING OR ADDNST (ACCLBLDGSCCi.1P.pl� 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CO ID R. BRANCH CIRCTITS 2.50 ea NEw CONSTR. ( POWER APPARATUS e) NON-RESID. (SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES s �@1 IXED APPLNS. OR Ex. Occup.(oUTLETS (RESID.! EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation 1+ 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai sa' County i nsequ a of the granting of this permit. X I Date Si Lure of Applicant — Owner ❑ C tractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GRO1IPJ TYPE of CONST. �— PARCEL PD H ssuE ✓ his permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PE EXPIRES Date -7-/,6 the applicable provi- resolutions to do fees have been paid. WORKS Date -LTL_ Receipt No. f/ WHITE-D.P.W., YELLOW-ASSl990R, PINK -INSPECTOR, GOLDENROD -APPLICANT CONTY `OF BUTTE f.., DEPARTMENT OF 'PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner 7 ,^ Mailing Address - Contractor Mailing Address BLDG. Address e '' i� �� .. / , "� r- % %/i .a.- ✓ A. P. No. - Fire Zone Zoning Sanitation Planning Plans , Fees W.C. NEW ADDITION 0 REPAIRS O OTHER 0 Others Single Multi USE OF STRUCTURE Family L*o Duplex 0 Dwelling 0 Others F O U N D A T I O N MATERIAL EXTERIOR PIERS Width at Top Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders oists - 1st Floor Joists- 2nd Floor . - Fireplace r. �,: - iI c r J `r ✓ J of st s - 'Ceiling ,d Total Valuation j " 17 Exterior Stdds Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee /� Bearing Walls CONTRACTORS LICENSE LAIN A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter_ 9, Div. 3, of the State of California Business & Professions Code under the name styleof ........................ _...................................................................................................................................................................................................................... License No . ...............•........... Classification .............................................. . and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). Q, I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis,. if any, for other statutory exemption ............................... :................................................................................................................................... ..................................... ................................................................................................................................................................................................................................ WORKMEN'S COMPENSATION INSURANCE I am, aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3900. . 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. X.............................................................................. Date ................................ SIGNATURE OF PERMITTEE OR AGENT ReceiptNo........................................................................................................ This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................h Date ................................ .................................................. Permit Expires Date .................................. .• .; ��� �. g � � � �� � °�� wP-�-� � � ,�u..� � � � � �. �w �� �P �� � � V 4aJ. 4'lw., a. .. `s~ CdUNTY" OF BUTTE - �„%� DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND PLUMBING P E R M I T Permittee Owner �wea A.P. No. Mailing Address Contractor / '] Mailing Address .4'; BLDG. Address �Di—SCR IPTION I OF{WORK A - 1Nol;;, @. Fee NEW 'ADDITION F�j'- -r' REPAIRS`Ef '' �-`PERMIT`FILING-FEEL' '� -^$3:00 Each fixture or trap or set of s, fixtures on one trap 1.50 iu OTHERS: Repair of afterac ondrainage� ► ),� ! y, - 1 or vent piping s "' G1.50 Remarks: may, t_'r. _ 1, , , ; r �+ �.r:e'w�_53.� s I L J ��' l Installation or repair i f „-�.� water piping U- 1.50 / Each gas water heater or ` USE OF STRUCTURE gas heater vent t J t' 1.50 3 Gas piping system 1 - 5 outlets 1.50 Single': , Multi! -� 1 RESIDENTIAL Family Dsipleic t.. Dwelling E Gas piping 6 or more - Each .30 House Sewer 5.00 OTHERS: Lawn Sprinkler system 2.00 Remarks: TOTAL FEE E CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: ; I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................. , License No,,,,,,,,,,,,,,,_,,,,,,,,,,,,, Classification........................,,,,,,,,,,,,,,,.,.,.,., and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): _ I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). ®" I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption.................................................................................................................................................................: WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-. icy for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption . ,,.�.,�.. — ca,..,,,., zann 1 certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte enter upon the above mentioned property for inspection purposes. ,�(�) X/(1 �E�-Wl_ .moi CLh @ �-. on • oC - Date �y SIGNATURE OF PERMITTEE OR AGENT Receipt No. ....... ..9,- c�..... .............................. i This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY..... ;/ 1 /�':% e . rAi f ..................... Date � �> !) /7, . ..... . ....... . . oo,w.:.e :, ��. � tQe I P COUNTY OF BUTTE DEPAOTMENI` OF PUBLIC WORKS 7 County Center Drive - OroviIle, California 95965 PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT J Permittee Owner ,-,4r,.► (/�C�-�+-- �-a� A_ P_ lV„_ / / -4`1 Mailing Address Contractor Mailing Address BLDG. Address r r �✓ / ,. DESCRIPTION OF WORK PERMIT FILING FEE NEW � ADDITION F__j METER SERVICE 0 Supplementary Filing Fee Main Service OTHERS: Sub -Panel (12 or (more than. less) 12) Remarks: • `-. (RangkDryerJoi Water Heater USE OF STRUCTURE Single Muld Family FK� Duplex Q Dwelling Q I OTHERS: Remarks: Oven, Cook -Top or Space Heater Light Fixtures f 3 Receptacles„ Swicc6 s & Fixture,Oudets Hid, Exhaust Fan or F.A. Furor Motor Evap. Cooler, Gar. Disp.'or Dishwasher Air Conditioner or Heat Pump Water Pump / j Misc. Wirine r No. 0 M ,3 TOTAL FEE 01 Fee $2.00 _1 1.00 Each Each L00 Each ...50 First 20 Each Additional .20 .10 First 20 Each Additional .20 .10 Each .50 Each .50 0 �� l CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business tit Professions Code under the name styleof ................... .......................................................... ....................................................................................................................................................... ....__ . License No Classification,,,,,,,,,,,,,,, , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check ones Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors, ( Sec. 7044). Fxj, I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, foLother statutory exemption....................................................................................................._.._...._............_ ........._.. ...... .. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. ri DIRECTOR OF PUBLIC WORKS X .......... ......... ... ...... .......... Date .......................... .......... ...... ...... ..... ..... ........ SIGNATURE OF'PERMITTEE OR AGENT By.......................................................................... Date ...................... .,..... .... • r Receipt No. ` - I 4 1 tr PERMIT NUMBER - B 147-72B P 113-72P l a . E 116-72E PERMIT EXPIRES yg 7.3 .t.v' OWNER GoMen Asklund P CONTR.' --k-1,LOCATION (A.P. 37-78-45 . t, �e/s Black Bart Rd. approx. 1 3/10 mile E. of i Forbestown Rd. ; I In- q � F 1 r' t ' COUNTY OF BUTTE r y Department of- Public Works BUILDING INSPECTION RECORD Zoning 3 Setback Forms, Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wfr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS SITE PLAN ................... :......; .. ........... i.... ................... ....... .......... .. .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •..........................................:.............:.....:...................r.............:.....:...................:...................;......:......:............:..... ' ;......: j ........................ ... .. .. .. .. ... _ .. _ .. .. ... .. `... .. .. .. .. .. .. .. ............ .. .. .. .. .. .. .. .. •• .. .. .- .. .. .. .. -- .. .. .. -. .. .. .. ....:. ..1.....• .......... .. ....:...... [•.•...:•• .. .. .. .. .. .. .3.... ..• • .. .. .. .. .. .. fr- r es ern` ::::::.....:::...:::::::::.::::::::::::::::::::::::- ::::-::.. _..::::-::::::::: :::.: :::::: :.:::.. .. .. ...... .. .. ... _ _ .. .. .. .. .. ... .. .,.. .{.. .j.. .. .. .j.. .t.. .j.. .j.. 1• - - }. t• N..l.. .. .. ................... .. .. ... .. .............. .. _ ............ .. .. . .. .. .. ... . .. .. .... �. ..,. .. .. .. .. .. .. .. ... .. .. .. .. .. .. ... .. �...... .. ................... ......................... .. ti _ 1^ .. i s . . . . . . : : : . : . . . : . .. Awi j- _ .. .. .. .. .. .. .. ............. .. .. .. .. .. i.. . .. ...... V �.. .. .............. .. .. .. .. .. ............ ............. .. .. ... ...... ............. ... ................... ............. .. .. .. .. .. .. .. .. . .. .. .. ... ............................. ........... .. �:y....:•r ,r•m•.c... .............. .. .. .. .. .. .. .. ~``. 4 .. ............ :. .: .. .. .. .. .. L5(o-� . . . . . . . . . . . : : : : .:....:....:. .: . . . . . . . . . . . . . . : : : : : ....:...... : : : : .. ..:....:... :.. ,... ! _ ! ! .BU TECO -NTY ..................... .. .. ............ .. .. - _ IVIS `. .U�' O .......:........:.. . .............. . . . . . . . . . . . . . . . . . . . . . . ......:......;...........j......�....•--...j.................j.................'... ................................................................_....._............ -...._............_............_....._............._....._..................._............._....._............._....._............._.................... --....... _....._.... •.:....._..._... Assessor's Parcel Number. U 0 tl — UE Owner Name % ` I Address / Phone No. S ��-- Site Location Contact: Name 0 — © 0 DI Scale: 1` = r Phone MEN spa odabw.A 2003 FOR OFFICE USE ONLY 1 PROVIDE FOR ALL ADJACENT PARCELS Zoning: SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAN: 4.0(r USES: