HomeMy WebLinkAbout079-290-050GERA ILLER
290 Mt. Rd, ORoville GI D (� -
ContR: Haro latz �y ( ��....� r_
Permit#1181-89P til, �2 / i
( MH) �•°
ELEC.-
GAS �/ Per.mit#93-147A(Agricultural Bldg `
SUPPORT STRUCTURE / Exemp.(stg of h9yj-
Contr
360
J' Fields
PErmi 227_88
Is ed
`- 3330-89B,E
MILLER, Gerald .J
290 Mt. Ida Rd, Oroville
(new detached garage)
• �Y ii
1308-0732
i �,.�079 290 050:,+
RESIDENTIAL `SFD Mobrile Home,RET'ti
EX MI I ON,PERM FND'"
1290 MI IDA
9
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i
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BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 2
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B08-0732 Issued: 04/21/2008
Address: 290 MT IDA RD
Area: OROVILLE
Owner: MILLER, GERALD
Applicant: SIERRA MOBILE SERVICE & SUPPLY
Permit Type: SFD-Mobile Home RET APN: 079-290-050
Description: EX MH ON PERM FND
Flood Zone: None SRA Area: Yes
Front: Ultimate R/W from CL:
Rear: SRA:
Side: AG:
Other:
Total Setback from Centerline of Road:+
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
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 House
404
Gas Test Yard
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
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses 129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Inspection Type 1
IVR I INSP I DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundaqop,gystem
611 Z
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Finals
Public Works=
538-7681
Fire Department/CDF
538-6226
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801 Z o
-rrolecr anal is a ueruncare of occupancy ror (xesiaennai umy)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
or
IN
1
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: 290 MT IDA RD
Owner:
Permit NO: B08-0732
APN: 079-290-050
MILLER,
GERALD
Issued Date: 04/21/2008 By AAM
Permit type: RESIDENTIAL
26 TARN CIR
Subtype: SFD-Mobile Home RET
OROVILLE,
CA 95966
Expiration Date: 04/21/2009
Description: EX MH ON PERM FND
Occupancy: Zoning: AR5
Contractor
Applicant:
Square Footage:
SIERRA MOBILE SERVICE & SUPPLY
SIERRA MOBILE SERVICE &
Building Garage Remdl/Addn
466 CIRCLE DRIVE
466 CIRCLE DRIVE
OROVILLE, CA 95966
OROVILLE, CA 95966
(530)534-0599
(530)534-0599
Other Porch/Patio Total
FEE INFORMATION'
DBF MH Plan Check $241.16
DBMSC Mobile Home Permit Fee. $361.74
Total Charged: $602.90 Fees Paid: $602.90
Balance Due: $0.00 Receipt No: B7082
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
SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009
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 70050f 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 of not more than five hundred dollars
04/21/2008
penalty [$500];
Please check one of the following:
Contractors 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 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:
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
❑I AND WILL 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.).
HAVE
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions 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 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
Carrier. State Fund policy Number 046-0004257 Exp. Date:01/01/2009
Contractor's License Law.).
(This section nee not a competed if the permit is or one un re dollars ($100) or less.
❑ 1 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 04/21/2008
compensationisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions.
X 04/21/2008
11
1 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 personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, 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 thatt is issuance of this pea rmit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized t ct on the props comers behalf.
CONSTRUCTION LENDING AGENCY
E[0 04/21/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
i
❑ Owner Contractor OR;Agent for Owner Agent for Contractor
FILE COPY
Lenders Address City Stat ezip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION*
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
PERMIT
NO.
Dn-0137-
BIN N
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Name i E7 R
First NameCfey I` P
I
Mailing Address �9D /titT SpA
City O,Qti v a E
State CA
Zip g�96
Phone
Fax
E-mail
CONTRACTOR
Name iE le%QA Ako6(N.E Et2vtCE
Address YG G C LIZCt-E
P i? t v E
City O 0U r 4 11L EI
State CA
Zip 996 6
Phone 53o53510599
Fax Sao Say o709
E-mail
Phone
Lic. # Z/ 86
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City 0916 vi �� t
Address
Zip I s16 `
City
Fax $7, , S3 Y o 7 0.7
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name elkl 44E (0
Address y<6 /' Il2c �E vRt ✓E
City 0916 vi �� t
State 4
Zip I s16 `
Phone 530 5.3,1 p S9 i
Fax $7, , S3 Y o 7 0.7
E-mail
APPLICANT SIGNATURE
x 41- v
PROJECT LOCATION
AP# p; y a 9® C9 so
Property Address q 9 0 M r L 0,4
City p/2ovl��E lA 9s9G�
WORKER'S COMPENSATION
Policy Number
3ooY�3�-1 — �ocis
Carrier
Sr/;TE �c�cP, /NS, i�'vP
If hiring anyone other than licensed 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:
/NSTgI.� /CETEO FIT
�v u NDA 7-1 - AJ
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
0228/2008 12:23 FIDELITY TITLE ORWILLE -3 53.40709
$TAT$ OF CALIFORNIA • BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWAREENEGGER, Gm
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT V51NG,
OIYiB)*M O4 Codas Via Etandmrds
bY1k�Y '
Registered Owner;
GERALD L MILLER
200 MT ILA RD -
OROVILLE, CA 95965
Lak Title Dere: Oa/05/1989
Last Reg Card: 06!05/1989
SelelTransfer Info: Price S24,650.00 Transferred on 05/05%1989
Situs .Address:
290 MT IDA RD
OROVILLE, CA 95965
Situs County: BUTTE
Title Searches:
Fi'OELITY NATIONAL TITLE
455 ORO DAM BLVD surm, A
OROVILLE, CA 95965
Title rile NO: \Tone
*� END OF TITLE SEARCH �»»
M
NO. 029- D02
Title Search
Date Printed : 02/27/2008
Decal 9-: LAN5809
L7se"Cods:
SFD
Manufacturer: 09534 TLEETWOOD NM INC Original Price Cade:
,AFR
Tradename: SUNPOINTE Rating Year:
Model: - 344313
Tac Type:
LPT
Matlufactured Date: 04/17/1969
Last'ILT Amount.
Registration Exp:
Date ILT Fee Paid:
First Sold On: 05/0$/1989
ILT Exemption:
NONE
Serial Number,
IiUD Lab -.1 / Insignia Length
Width
CAFUI7810260Sr
RAD -1+86S62 44'
12'
CAFLl17AJ 028, 0ST
RAD48A61 44'
12'
Registered Owner;
GERALD L MILLER
200 MT ILA RD -
OROVILLE, CA 95965
Lak Title Dere: Oa/05/1989
Last Reg Card: 06!05/1989
SelelTransfer Info: Price S24,650.00 Transferred on 05/05%1989
Situs .Address:
290 MT IDA RD
OROVILLE, CA 95965
Situs County: BUTTE
Title Searches:
Fi'OELITY NATIONAL TITLE
455 ORO DAM BLVD surm, A
OROVILLE, CA 95965
Title rile NO: \Tone
*� END OF TITLE SEARCH �»»
M
NO. 029- D02
Recorded 'at the loquest of
+
liar tbweatern..Title..GaapaayOFFICIAL REQORDS
»•••••••••«••• rOOTTE Co" y.CpUF. n
ROROS REQUEST
Return to GsC/jAID flip,
Md 1u Thhstld TIC k
..Gerald..—Hillu..................................... 3910 11N 1919
CLAOX A.
.... CLERK-REC � ��""�
QC9..U.;Ra..0..954.65 EE J^ .............................. I 3 ItCf F
Escrow No. ...... 11.1.49aQ........
.n
Quit Claim Deed
GOLDIE E. HILLER, wife of the Veetee herein
do as quit claim unto GERALD L. HILLER
all that real property situate In the enincorpo:ated area in the County of Butte
State of California, described as follows:
SEE EIVIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF*
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u
poawnaAsr iWat1! TAt S. .Lug
cowults ON lull VAIUt or rtorttfl COME.
• at COM -U110 at$ ru" IHWt 11113 11M AND
ENWWWK[! ti"ININ%O At fIA1 Of
AMU.
A9..1 ANMI.Ms at, lbw
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Dated.....1?RY.elgb5;..9.............................. 19«2$....
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......................................................................» ... Lam/..........�.C.. ....v«.....' _...»»...�........«.
14 ;
Goldie E. Hiller
.
.......................................»................................... .. ........... ....«......_. « «».
'� t
STATE OF CALIFORNIA )j
............ »........ ........ County of ..._ utte..................
on._..Nav=bez•.._1Q...._................. _.w._ .. to.78. ,!»ta.In.. _. `Mande.L. Sutler__ ...._- . u Notary NIbae.
....,
In and for mid County and Stat.. ptrtotially oppeatd ..........Goltlie..E.•.Mi.lies......_........_.._.............._.d.»_._..... ....r.
'� !1¢�.`.,�r
__.... _ ............. ..... ...... ___..................... .
known to rm to be 1M within hntntrntnt, and ackmwltdlod to m. that ../,.M...... exsMd this tollle.
A.'
nml.nFFIA L. BUTLERCIAI. <F.AL
WAND
My ce..lon .spin.1 . _.. � ••M..w.•...m •.....r..r.nlfNU..._...... ...... Notary
COUNry O• suTTe - tMhry ►uElk
L {f
it. IMI
Northwestern tt a ompany of Butte County
.._ • . .. ,� t ti + ' • . .q. „ --I. ,...... ��.,�•4..:•;y R , :_� •$+ ;�► -tip• C
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DESCRIPTION EXHIBIT "A" ORDER N0. 17149-0
!Y
All that certain real property oituato in the County of Butte, State of
California, described as follower
PARCEL ONE
J
A portion of Lot 109, as shown on that certain )dap entitled, "OFFICIAL
MAP OF OROVILLE MNDOTTE FRUIT LANDS UNIT NO. 4", which Map was filed
in the office of the Recorder of the County of Butte, State of Calif-
ornia, on December 17, 1927 in Book 11 of Maps, at pages 27, 28, 29,
30 and 31, described no follows:
COMMENOING at the Southeasterly corner of said Lot 109, being a point
in the center line of Mt. Ida Road; thence South 37' 441 hest, along
the center line of said Mt. Ida Road and the Southerly line of said Lot
109, a Aistahco of 17.07 foot; 'thence continuing along the center Lina
of said Mt. Ida Road, along a, curve concave to the Northwest, having a
radlue of 1,000 feet, an aro distance of 156.93 feet to the Southwest
corner of that parcel of land'deecribed in Deed from Karol 0. Stevonson,
at ux, to Leon Parsons, at ux, recorded in Book 1555 of Official Records'
of Butte County, at page 63601on Fobruary 26, 1969 and the true point of
beginning for the herein described parcel of land; thence from said true
Point of beginning, continuing along said curve and the center line of
said Mt. Ida Road, an arc distance of 257.88 feet to the and of said
curve, as shown on said Official Map; thence leaving said center line
North 28' 26' West, 11272.30 feet to the North line of said Lot 109;
thence North 88' 45' East, along the North line of said Lot 109, 286.65
feet to tho Northwest corner Of said Parsons, at ux, parcel; thence
South 28' 261 East, along the Meat:line of said Parsons, at uz, parcol,
1,107.99 feet to the true point of beginning.
.r PARCEL TWO
Lot 109, as shown on that certain Map entitled, "OFFICIAL MAP OF OROVILLE
WYANDOTTE FRUIT LANDS UNIT NO. 4", which Map was filed in the office of
the Recorder of the County of Butte State ofrCelif
I
V
1927 in Book 11 of Mn a at 0 0�8► On December 17,
P r pages 27, 28 ,29, 30 and 31.
EXCEPTING TFD;REFROM the following two parcele,of land:.
' o
o.
fs�
�1)
N
' ►is
DESCRIPTION
ONE '
EXHIBIT "A"
ORDER NO. 17149-0
A portion of Lot 109, as shown on that certain Map entitled, "OFFICIAL MAP
OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO. 4", which Map was filed in the
office of the Recorder of the County of Butto, State of California, on
December 17, 1927 in Book 11 of :laps, at pages 27, 28, 29, 30 and 31, de-
scribed ee follows:
BEGINNING at the Southeasterly corner of said Lot 109, being a point 1n
the center line of Mt. Ida Road;. thence South 37' 44' West, along the
center line of said Mt. Ida Road and the Southerly line of said Lot 109,
a distance of 17.07 feet; thence continuing along the center line of said
Mt. Ida Road, on a c rve concave to the Northwest, having a radius of 1,000
feet, an are distanco of 156.93 feet; th.nce leaving said road center line
North 28. 26' West, a distance of 1,110 feet, more or le3e, to a point on
the North line of said Lot 109; thence North 88' 451 East, along the North
line of said Lot 109 to the Northeast corner of said Lot 109; thence South
28' 26' West, along the Easterly line of said Lot 109, a distance of 965.19
feet to the point of beginning.
TWO
A portion of Lot 109, as shown on that certain Map entitled, "OFFICIAL
MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO. 4", which Map was filed
in the office of the Recorder of the County of Butte, State of Calif-
ornia, on December 17, 1927 in Book 11 of Maps, at pages 27, 28, 29,
30 and 31, described as follows:
COMMICING at the Southeasterly corner of said Lot 109, being a point
In the center line or Mt. Ida Road; thence South 37' 44' West, along
the center line of said Mt. Ida Road and the Southerly line of said Lot
109, a distance of 17.07 feet; thence continuing along the center line
Of said Mt. Ida Road, along a curve concave to the Northwest, having a
radius of 1,000 feet, an arc distance of 156.93 feet to the Southwest
corner of that parcel of land described in Deed from Karol 0. Stevenson,
et ux, to Leon Parsons, ct ux, recorded in Book 1555 of Official Records
of Butte County, at Pago 636, on February 26, 1969 and the true point of
beginning for the herein described parcel of land; thence from said
true point of beginning, continuing along said curve and the center line
of said Mt. Ida Road, an are distance of 257.88 feet to the end of said
curve, as shown on said Official Map; thence leaving said center line
North 28' 26' West, 1,272.30 feet to the North line of said Lot 1G9;
thence North 88' 45' Fast, along the North line of said Lot 109, 286.65
feet to the Northwest cornerof 031A Parsono, et ux, parcel; thence
South 28° 26' East, along the W00% 'ns of said Parsons, et ux, parcel,
1,107.99 fact to the true point of 'oeginning.
(2) F.
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BUTTE COUNTY
�1'IL®ING DIVISION
5
a X12 Engineered Tie Down 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
BUTTE COUNTY
8UIL®ING DIVISION
FESS/
.� fir.•
DO'
r2,r--)v j
r;
MAR 3 12008
Engineer Approval.
State Approval
ENGINEE`M."D 'IIEDOWN SYSTEM
APPROVED
SUBJECT TO CORRECTIONS NOTED
Approval does not authorize or approve any omission or
deviation from requirements of applicable State laws and
regulations.
State of California
Department of Housing and Community Development
DI SION OF CODES AND STANDARDS j�%Q
BYData .��Z1�7r 7
Ibignaturej
SPA NO �� 11C4—a-
This Plan Approval Expires -7Z2—( 4,2..
Page 1 of 8
J
Xi2 Engineered Tie Down 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 3280.3068 "Anchoring equipment exposed to weathering shall have a
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
O -S 114-z- A�"C- V�
N
co
0
Li
0
0
0
w�
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 42 Systems
Xi2 Pier Placement
Double Section Home
0 -62' 3 Xi2 Systems'
63' - 80' 4 42 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
Page 7 of 8
LrR :I aT, tl q -Z
VL
'DOWN;
ENGINEERING
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 10631 Z
J Bolt 1/2 x 5-1/2 grade 5 zinc
2 10640
Push Nut 1/2
1 12107
Flat Washer 1 x2" 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 3
full thread
Full Thread
10
10646Y
Hex Nut 1/2-13 grade 5 zinc
2
10801
Carriage Bolt 1/2-12 x 2-1/2
U -Bolt 1/2-13 x 2.63 x 2.19 Thread
6 10646Y
Grade 5
2
84533Z
U -Bolt 1/2-13 x 2.63 x 2.19 thread
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
Carriage Bolt 1/2-12 x 3
full thread
5 10646Y
Hex Nut 1/2-13 Grade 5 zinc
1 10801
Carriage Bolt 1/2-12 x 2-1/2
4
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 10631 Z
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
Beam Clamp Top Flange
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
2 59272-2
Beam Clamp Top Flange
Full Thread zinc
12
10646Y
Hex Nut 1/2-13 Grade 5 zinc
4
10801
Carriage Bolt 1/2-13 x 2-1/2
Grade 5 zinc
6 10646Y
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
Page 8 of 8
A
Installation of A2 Ground 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. Clear all organic matter and debris from the pad site.
r 4. Place U -bolts through holes in pan provided.
5. Place pad centered under beam with the lateral strut bracket towards the inside of the home.
6. Press or drive pan into ground until level and flush with prepared surface.
J. Build pier according to State, Local or Home Manufacturers guidelines. (Fie ure 1)
8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided
9. 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)
10. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral stmt so that the two
tubes are connected together. (Figure 1)
1-3/4" Tube
Lateral Struts
V .0". 1-1/2" Tube
4 - #12 x
Tek Screws
Figure 1
Nose
end °f
U -Bolt & mounting
Bracket
A
J -Bolt Nut & Washer
(s - Ig)
1 -Beam
Figure 2
end)
11. Install frame bracket clamps to I-beam on in
side of block/pier. Do not tighten nuts at this time.
12. Attach longitudinal strut to U -bolt in pan using
nuts provided.
13. Insert strut in the frame bracket clamp, attach with nut
and bolt. Do not tighten at this time.
14. Pull the frame bracket clamp with the fastened
strut outward to remove any slack.
15. Tighten all nuts and bolts on the struts and beam clamps.
Page 3 of 8
rlE
DOWN:
ENGINEERING
N'
c.
a.
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
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
TIE DOWN ENGINEERING - 5901 Wheaton Drive- Atlanta GA, 30336 TIE
www.tiedown.com - (404) 344-0000 - FAX (404) 349-0401 DOWN
ENGINEERING
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 & V1lasher
Figure 1 '� BeamClamp
Bracket
J -Boit
Lateral
Longitudinal
— — I -Beam
Longitudinal
Strut
Ff7
of t4otre
P t F d
all i
oa o�
Concrete Longitudinal
Hardware Kit
Xi2 Installation Placement
Page 6 of 8
TIE
GOWN
ENGINEERING
Installation of Xi2 Concrete Systems
i . iaentity the numner 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 9/16" socket wrench, tighten wedge/anchor bolt, securing 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. (Figure 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 I-beam on the inside of block/pier.
9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket.
10. Pull the frame bracket clamp with fastened strut outward to remove any slack.
11. Tighten all nuts and bolts on system.
Page 5 of 8
FIE
DOWN
ENGINEERING
R
LD
O.
O.
36-13-100 i=8i-89PIE�
MILLER, Gerald L. '7- �9
290 Mt. Ida Rd, Oroville
Contr: Harold Blatz
(util, MH)
PEI
PERMIT EXPIRES
OWNER
CONTR.
' ASSESSOR PARCEL
LOCATION
Temp. Power Pole
Celled PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
i
JOB FINALED (Date)
Signature
= OK
0 = Not OK
= Not Readyiable
MOIBILE HOMES
i
Date MO CE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements-Setbacks-Easemer
So'Is; Special MH Support -Sketch
mower; Location -Test -Fall -C/O -Concrete
Water; Location -Test -Easement Needed
Electricity; Location-Clearances-Grnd.::4-
Gas; Location -Test -Wrap -.j P1 ft.
/ /"Nat. orL2C/"L"ft./ /"LPG
Utility Clearance
Card -131 DatelLoZ�-O( Card -61 Date
Card -131 Date Card -81 Date
Date MOB HOME INSTALLATION (Plans) OK except #'s
g Requirements -Setbacks -Easements
Fo ' gs; Size -Spacing -Marriage Line
Z-ta_%�,MH Test -Demand -Valve -Connector
ec rcity; MH Test -Crossovers -Breakers -Clearances
r ifi; MH Test -Fall -Flex Connector
Wa f MH Test -Regulator -Connector
r and Sewer Connected -C/O to Grade -HD Approval
and Electricity Tagged
E ' ; Insp.-Sketch
1 . Cert. of Occupancy r
Card-131,e�Dat$14! — Card -B1 Date
Card -Btu Date Card -61 Date
MISCELLANEOUS • ,k
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -B1 Date Card -131 Date
Card -131 Date Card -61 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -131 Date
Card -81 Date Card -131 Date
= uK
0 = Not OK
- = Not Applicable
w Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1
Date Card -61 Date
Card -B1
Date Card -81 Date
Card -Bt
Date Card -131 Date
Card -131
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
-19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
85. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
67. Stairs & Rails
Card -B1
Date Card -B1 Date
68. Fireplace or Stove; Clearances -Hearth
Date
ELECTRICAL (Permit) OK except #'s
69. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71, Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
72. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
74• Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; G.F.I. Romex Protec.
P 9 (G.F.I.)-Romex
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors &Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
33. Smoke Detector
81. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -B1 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -131 Date
92. Roofing Certificate
Card -B1
Date Card -B1 Date
Card -B1
Date Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -131
Date Card -131 Date
39. Sills, Proper Material & Anchors
Card -131
Date Card -131 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit iob site)
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
.DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
I
Address or location
Owner's name i
`Y
.� Owner's address
� Insignia or hud numt
s Manufacturer's name
y��
PERMIT NO.- 12,2 %
%2
of mobilehome RT
Jv4 191- c,6.11 �
Serial number of V.I.N. �U�• % j% Year of manufacture
r
(Official AppioJing Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION -SYSTEM.
5138 White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
/.202
RMIT 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.
Inspecto Date
J _
'� '� 'Yf-"'•,"`�'�^�.-,y. ,r 70"0"' "�91I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-27,51
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
I � /4
PERMIT
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 `4
matter, or need additional explanation, please contact this office immediately. Y�
02f esti '
Inspector /'�� // Date ��
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PA L NUMBER ZO N
— —
BUILDING PERM'
ow e R
TELEPHONE
SQ. FT. OCC. BUILDING
VALUATION
O ER'S MAIL' ,WRM
d.(r^`J���� ))�
V tCIV�
ON Cis
O
S
TELEP
RAC 'S M I 0 NT NG RESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS �q
U �
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome)!�.Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home G
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities rt7lN Installation[] Other ❑
Describe work: l _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
✓V�
i l
Main service a0v OR
100OR L0 AMP OR LESS
10.0
Main service EA, ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
F -1I 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-
ontract-
ors.
ors.(Sec. 7044)
❑. I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.aJ ,
OR ADONIS. ( ACC• BLDGS. 20sgft
NEWC
CONSTR '.OUTLET
NON-RESID _BRA C CIRCUITS2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES 20090t
SALO 30
FIXED
EX. Occup. OUT ETS PIRESI0.) )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I d cfare 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.
NA I shall not employ any person in any manner so as to become subject
A,
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all Ifab'Ifties, judgments, costs, and expenses which may in any way accrue
n said County in conseq ence of th g anting of this permit. GQ
%� Date c�D 0 1
'
Si tura of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
occuP.
CONST.TYPE SCHOOL
I PLO
PARC
PD ND
s u
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated abov for hich
EC UBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
r
Date _'�
Receipt No.
WHITE-D.P.W.. YELLOW-ASOC330R. PI -INSPECTOR. GOLDENROD -APPLICANT
a
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
OWNER
a_ 7 COUNTY CENTER DRIVE - OROVILLE, GALIFORN,IA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
E10
Permit No.
9191 _7
Proposed Building Use ( -4-f �`� o 1 Building Inspector `o%f/1 Date
At time of permit application, I was advised the following data must be submitted prior to permit processing acid/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17 Improvements may be required.
8. Driveway permit (construction approval required prior to occupancy) ...
9. Pre -Inspection for required Pre-Insperi re est to
p q ' • • • � Building Inspect r Date)
20. Contractor's license information (No., Name Style, Classification) ....... Z%
21. Certificate of Workmans Compensation Insurance .................... ,/
�2. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..
3. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When youissue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone S 4- %. � and hold for pickup at _office. Deliver w/inspector.
ther
17 It v 2-
-3-)-71
-
-3_)-7 Applicant ° Z .-Z 2 Date Z/
Copy of plans sent Health Dept., Fire Dept., Other Date
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 --naII—counter,py' date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by-9-16Date ✓ZS� Plans approved by T�' Date `� as ��
Sets of plans on hold in File cabinet AP folder
Copy—DPW
a
TO Buildind Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
_.. � P gra I � � t 11,P• r �T� .�c�� �' � .� � - /��� - / o�
Amer Location. AP#
Plan Approved for:
Hold final for:
Sewage Disposal _ Water Supply d
Water Supply
Final clearance O.K. for.: Water Supply
Clearance for bedroom it home. Other
NOM 3
.. - Date
Sanitarian
Return w DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDFNTIAL DI-WEI.OPMF,NT
Section 26-8.1- of" Lhe Butte County Cede
requires this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein is adjacent
Lo .land or included within an area zoned
for agricultural purposes, and residents
of this property may be subject to incon-
veniences or -discomfort arising from the
use of agricultural chemicals, including,
but not limited .to herbicides, pesticides,
and fertilizers; and from the pursuit
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
NOT (-OMFARED VA4TH
011®INAL DOCUMENT
APR 2 4 l:%�PSJ
89-014835
occasionally generate dust, smoke, noise, and odor. Butte County has established :Igr•irnI
Lural zones which have as a priority use for productive agricultural purposes, and rvsideni.;
within sa i.d zones and on adjacent property should be prepared to accept Such i nconvrn i ent-v
or disconfor.m from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described :is
follows:
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY`'~SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
A PORTION OF LOT 109, AS SHOWN ON THAT CERTAIN MAP ENTITLED,
"OFFICIAL MAP OF OROVILLE WYANDOTTE FRUIT LANDS UNIT NO. 4111
WHICH MAP 'WAS RECORDED' IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 17, 1927, IN
BOOK 11 OF MAPS, AT PAGE(S) 27, 28, 29, 30 AND 31, DESCRIBED AS
FOLLOWS:
COMMENCING AT THE SOUTHEASTERLY CORNER OF SAID LOT 109, BEING A
POINT IN THE CENTERLINE OF MT. IDA ROAD;- THENCE SOUTH 37 DEG.
44' WEST ALONG THE CENTERLINE OF SAID MT. IDA ROAD AND THE
SOUTHERLY LINE OF SAID LOT 109, A DISTANCE OF 17.07 FEET; THENCE
CONTINUING ALONG THE CENTERLINE OF SAID MT. IDA ROAD, ALONG A
CURVE CONCAVE TO THE NORTHWEST, HAVING A RADIUS OF 1,000 FEET, AN
ARC DISTANCE OF 156.93 FEET TO THE SOUTHWEST CORNER OF THAT
PARCEL OF LAND DESCRIBED IN DEED FROM KAROL G. STEVENSON, ET UX,
TO LEON PARSONS,. ET UX, RECORDED IN BOOK 1555, PAGE 636, OFFICIAL
RECORDS, ON FEBRUARY 26, 1969 AND THE TRUE POINT OF.BEGINNING FOR
THE HEREIN DESCRIBED PARCEL OF LAND; THENCE FROM SAID TRUE POINT
OF BEGINNING, CONTINUING ALONG SAID CURVE AND THE CENTERLINE OF
SAID MT. IDA, ROAD, AN ARC DISTANCE OF 257.88 FEET TO THE END OF
SAID CURVE; AS SHOWN ON SAID OFFICIAL MAP; THENCE LEAVING SAID
CENTERLINE NORTH 28 DEG. 26' WEST, 1,272.30 FEET TO THE NORTH
LINE OF SAID LOT -109; THENCE NORTH 88 DEG. 45' EAST, ALONG THE
NORTH LINE OF SAID LOT 109, 286.65 FEET TO THE NORTHWEST CORNER
OF SAID PARSONS, ET UX, PARCEL; THENCE SOUTH 28 DEG. 26' EAST,
ALONG THE WEST LINE OF SAID PARSONS, ET UX, PARCEL, 1,107.99 FEET
TO THE TRUE POINT OF BEGINNING.
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
,jPf, l0 Z . AllP�
owner
,_ _ r
location AP #
_ --'-------Driveway--permit-.__ --I- LI �- _«.
' �- has -been.-issued--for the above -property.- - --
si ature date
Date:
K k. _'
PROPF TY OWNERS:
STATE OF CALIFORNIA ;ss.
COUNTY OF BUTTE
On APRIL 24, 1989 ,before me, the undersigned, a Notary Public in and for
said State, personally appeared GERALD L. MILLER
PersonallU.y known to me)¢NX0X0VX*XJ¢f,Vi tX0M*% A00-
m )tah`t1�tKMXiXXto be the person(sXwhose nameX is/aYe sub-
scribed to the within instrument and acknowledged to me that
C he/XXMX*xecuted the same.
WITNESS myhand and official seal.
c
0
Signature _
i � �/ 2
Present A. P. No. c,
_, before me,
e■■■■■■■■■■■■among mass ■■■l& b-Isi5
■ � encs.
■ SANDY A. STACK
■ NOTARY PUBLIC
-CALIFORNIA d tha t
Butte County ■ —
■ MyCOrnmisssion Expires Nov. 3,19N 0 tett . I N WITNESS
■■■■■■■■■■■■■■■■■■s■■■arra j
(This area for official notarial seal)
Notary Public
i
AP --3 -1-3 �Ol/
a
OWNER��
PERMIT
Mli UT IL . CLEARANCE DATE =Z /
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test Re .
Service
Size
Other
Load
Type
Pipe
Size
Length
YES NO
YES NO_
oZ4l/
%
.2e
,
' w COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
1
PERMIT NO.
�3
ASSESSOR PARCEL NUMBER
�/, -- !?e".) -- M)o
ZONI G
BUILDING PERMIT
owN
�r
T L PH E
E
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
,v9a l'a'ir
CO rJ14 ACTOR'S N -o"
TELEPHONE
�E
CS�tSSU R'SLING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDINGADDRESS,��
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Water piping
55,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF [:1 Duplex❑ Mobilehomeff Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installationa Other ❑
i
Describe work: _i
-�"-`
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code /and my license Is In full or a and effect.
License No. ��/�V r� Classification a
❑Ex.
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.aJ
OR ADDNS. ACC. BLDGS.
, /22sq ft
NEW CONSTR U TI -OUTLET
NON-RESIC. .BRANCR
C CIRC ITS
2.50 ea
POWER APPARATUS tr\\
SINGLE OUTLET CIR. /
Ex. OCCUp(OUTLETS OR FIXTURES
.20@090
FIXED APPLNS
Occup. OUTLETS ((RESID )REA.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
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.
❑ 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against d County in conse�uen e f the granting of this permit.
X R� G��/
Date /
Sigrdure of Applicant — Owner ❑ Contractor P? Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
OCCUP.
CONST.TYPC
I S CZ Loo ARc
PD ND 1 UE
r—
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT R OF PUBLIC
P 4w,T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 14;;=
Imo/ V
Receipt No.By
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROD-APPL I CANT
a r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,,,CALIFORNIA 95965 - TELEPHONE: 916/536-7541
PERMIT APPLICATION DATA SHEET
6Permit No. �-
OWNER C ✓ //� Y A. P. No. L�-
Proposed Building Use ��Building Inspector v Date L
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
/11. Park fees paid .......................................
� i���mti; l�r School District fees paid .................
13' Sanitation approval from Health Department .. .
14. City of Chico plumbing. permit ..................................... .
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.'
18. Driveway permit (construction approval required prior to occupancy) ... '
19. Pre -Inspection for required ...... B� ld"ing Inspectort to x (Date)
20. Contractor's license information (No., Name Style, Classification) ....... N
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
4. Letter of sign//a ure aut Orization .
25. .. .
%6��1i(✓1('.�.............................
26.
When you issue the permit roc ss as follows: Mail to owner. Mail to contractor.
Telephone '� and hold for pickup atoffice. Deliver w/inspector.
Other
Applicant Date.%
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to. .t is u ce: (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 of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
BUTTE COUNTY SCHOOLS. DEVELOPMENT FEE CERTIFICATION FORM
,.(One Form per Building)
A.P. Number �(�>"°`k""' f� Building Department No.
School Distric� � ,(� n� City County Q Jurisdiction
Property Owner Ue r'o I f_.I k- • /f/1) /!L"
Project Location/Address i90. 47 d/a iO (J/ //e -
Subdivision Lot Number
Residential Development:
F a F Sq. Footage
# of Living MHI Addition (Group R')
Units
Commercial/Industrial:
"New.
Sq. Footage
Addition (Including Exterior
Roofed Areas)
�//J �t4�
Date
(Floor Plans reviewed by School District Personnel)
District Ind No. 12/
�Y(�lht�a�r School District certifies that
(Applicant Name) (Phone Number)
d 9 4 L/ -'I/ _Dia .eaa_c(
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. Al/�-
oJ
by the p4yment of $ /.5.5/ representing square feet.
'//.- 2 7/F 7
School D1r; ict Representative Date
PAID BY CHECK NO.,,, -?
BANK NO
REMARKS:
PAID BY CASH
white -applicant,. yellow -building department, pink -school district
SCHOOL.FEE (8/88)
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BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
1. Owner's Name:
2. Installer's Name:
3. Is the site currently under permit? Yes No F-1
(If yes, furnish permit number/r��� / ) OR
Is the site an existing site? Yes F] No FS�j
(If yes, furnish two 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
9. What is the mobilehome site gas -pipe size? --------------
(in.)
type g ? -------------------
10. What is the t e of as service. Natural � LPG F-1
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- J , (ft.)
* 12. What is the mobilehome gas demand? ----------------------
(BTU)
•.T
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.) nM
NVVo 'Cl
Q ��
(If no, clarify
5.
What is the mobilehome electrical
rating? ---------------
Z P d
Amps
6.
What is the mobilehome site
service rating? -------------
"Poel
Amps
7.
What is the mobilehome site
circuit breaker rating?
----- f10-0
Amps
8.
Is there any other electric
load to be served by the
Yes No
mobilehome site service? --------------------------------
(If yes, identify the
load and size:
(Load)
(Amps)
9. What is the mobilehome site gas -pipe size? --------------
(in.)
type g ? -------------------
10. What is the t e of as service. Natural � LPG F-1
11. What is the gas pipe length from meter or tank to the
mobilehome?--------------------------------------------- J , (ft.)
* 12. What is the mobilehome gas demand? ----------------------
(BTU)
•.T
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.) nM
NVVo 'Cl
Q ��
MOBILEHOME SUPPORT DATA
D
If other 'than single wide,
Mobilehome Mfr.f'����!/oOIY J�9iI� furnish Setup Model No. Yea'r'.'
Width (ft.) Box Length(ft.) Tagalong or Expando Size ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one)FT1. Wood -pressure treated or foundation grade. 2. Other (specify)
SUPPORTS (check one)21. Concrete block. F�2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE
Main Beams
Line 2 ` — _ _ _ _ _ _ — _ — _ _ _ _ „ in
— — — — — Main Beams — — — —
� tine 2
_ ______ . .Line 4
'rag or Triple
— — — I1ne 4
Line 1
Line 1 Piers: Line 1 Openings:
Size -Min. ------------Size-Min.------------------
k ..x
Spacing -Max. --------- _ Each Side of Openings
From Enda-Max-------- With Width Over ---------
Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only)
Size -Min. ------------ �. Size -Min -------------------
Spacing-Max ----------
------------------
Spacing-Max.--------- Spacing -Max._ --------------
From Ends -Max.------- '- From Ends -Max ---------------
Line 3 Roof Loads:
Size -Min.------------ I� x ..x -x k
Location (From Front) '� Q '_� " - -
Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only)
Size-Min.------------Size-Min.------------------
,k x
Spacing -Max.--------- Spacing -Max ----------------
From Ends -Max.------- From Enda-Max.------------- "
Line 5 Roof loads:
Size -Min. ------------
Location (From Front)
M
F
DOUBLE WIC TERING WORKSHEET
MODEL: 7 EA4 - se
— y __ PSF ROOF LOAD PLANT#_j_Z_
4:
SEE NOTE' SEE PERIMETER PIERING
REQUIREMENTS TABLE
<
SEE MATING -LINE PIERING TABLE
-0
FRONT OF
-UNIT
SEE PERIMETER
PIERING REQUIREMENTS TABLE
NOTE: SEE PIERING PLAN DRAWING IN INSTALLATION MANUAL FOR REQUIREMENTS OF MAIN RAIL SUPPORT
CAPACITY AND FOOTING SIZE.
MATING LINE PIERING TABLE*
RIDGE BEAM
POST LOCATIONS
INITIAL POST
AT FRONT
1ST INTERIOR
POST
2ND INTERIOR
POST
3RD INTERIOR
4TH INTERIOR
STH INTERIOR
REAR WALL
POST
POST
POST
POST
PIER LOAD
CAPACITY IN LBS.
MINIMUM
FOOTING SIZE
119 .
24 -14 0
YZ4
Z4' 994
Z41$
0 KTAV49
am1% row,
0't
44%--d
NOTE: Footing sizes based on 1 OOOPSF soil bearing value. If soil conditions differ seethe plaring plan drawing
or the Home Technical Installation Manual for method Of calculation.
..PERIMETER PIERING REQUIREMENTS TABLE
PIERS REQUIRED
DOORSIDE WALL*
ROADSIDE WALL"
JAMB STUDS AT
DOOR OPENINGS
OVER 24"
C)
sb,- 6%
MASONRY FACED
FIREPLACES IN
OVERHANG OF FLOOR
PORCH POSTS AT RE-
CESSED S/WALL WHEN
POSTS EXCEED 42"
aunt COUR
DRAW"
HEAVY APPLIANCES
IN OVERHANG
ROY
OF -FLOOR
AP P
DIMENSIONS ARE FROM FRONT OF UNIT.
o?
X -S-129 1/86
BUILDING DIVISION
COUNTY OF BUTTE --DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 –TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PI _ NO. Z/Z/ �
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO.
ZONING
OWNER
PHONE NO.
53Y- /s3 j
OWNER'S ADDRESS
910
LOCATION OF BUILDING
USE OF BUILDING
f_ /
SIZE OF STRUCTURE
Z D
X SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME :X= STEEL CONCRETE OTHER(Specify)
TYPE OF SIDINGA n )�
k /V
ROOF COVERINGFLOOR
�
TYPE /2 1
ESTIMATED COST OF CONSTRUCTION
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows:
FRONT �� � SIDES 11) l
ld
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a .
mobilehome, and.23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, ins ctions, and approvals to comply with the requirements in effect at that time and before
occupancy. � a
Date "—' 3 Signature of Owner
1
Permit Fee ---$60 .00 The above described AG Building is exempt f m a building permit.
I nCC 1777
P.D ROOFING ISSUReceipt No. 1 1/
Manager Building Di 'sion —�
By Date V 9r
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant `/
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3
COUNTYOF BUTTE - DEPARTMENT OF DEVELOPF4EN,T.SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
/� PERMIT APPLICATION DATA SHEET
OWNER 6CLPlrA d 41, I/C(4 j1AAP. No. D56-(30- 10o
Proposed Building Use Building Inspector i?o Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
�1 All items have been submitted
DATE RECEIVED BY
2. Plof`plans, 3/4 -sets -signed -by preparer of plans . ..........................
3, Complete,plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and- calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for required. .. o s�ild �9 �spe�
(Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _ ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33 4
-34.
12A
issue the permit, process as follows: Mail to owner. Mail to contractor.
lepho and hold for pi up -at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant .��'�f s'`-�--� Date 7
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT N0.
SP APPLICAT-1ON AND 'PERMIT
ASSEssoR PARC NUMBED � /7 O ,
�C•l1 �Q
ZON1�y1
BUILDING PERMIT
OWN t^
TELEEPMNE
SQ. FT. OCC. BUILDING VALUATION
�
DWN D"ilt`� M � a ' 6 1"� � >n v � � e. 9
71
9 (
/
Ah Isn
TLEPHECON
i 05Y
CORt ML
tJ a
Fireplace
CONSTR C ON LENDER
UNKNOWN
Total VeIUeUOn $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee S
3
ARCHIJEO OR ENG EER
11
�O'�E "G•
$
Plan Checking Fee.lyn
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILOD R t Q
PERMR FEE $ f C�
PLUMBING PERMIT Filing
Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex O Mobilehome O Other r O
sPECIFr
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI G W
@20.00
TYPE OF WORK
New Addition 0 Remodel O Utilities 0 Installation 0 Other O
Describe Work:
PERMIT FEE g
Contractor
ELECTRICAL PERMIT Fling Fee 20.00
Main Service ( 600VOR LESS )
200AOR LESS 23.00
200A
Main Service ( 200A TO 1000A )
46.00
•
NEW CONST. DWELLING OCCUP.
OR ADONIS. ( 8 ACC. OLDS. )
SD
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
.NON•RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. @ .50
Ex. Occup.FIXED (REST .) E
( OUTLETS IRESIO.1 EA. )
5.00
Temporary Service
ry
23.00
Mobile Home Facilities
20,00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
1 certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes. ,
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X t Date
Signature of Applicant - O Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
coNsr. rrPE
TOTAL FEE $ j 9S)
HAZ•
1 0. FEES
I IMP I 1O0 I
CDFPARCEL
PD
I HO
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES ON
/Date/
Receipt No.
WHIT E•D.D. S. -8.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
COUNTYOF BUTTE - DEPARTMENTgF.Q VEL0.PMENTSERVICES - BUILDING DIVISION
7 COUNTYCENTER DRIVE - ORQVILLE„CALIFORNIA 95965 -TELEPHONE (916) 538-7541 +�- -1.
PERMIT APPLICATION DATASHEET
OWNER E' f XJler A. P. No. 036 -1-30-100
Proposed Building Use Building Inspector Date &ZC2 Z Z 9,3
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items ha a been submitted. .........................................
2. Plot plans 4 sets, signed by preparer of plans . ..........................
3.. Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................. .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ . .......... ; ............................. .
11. Impact fees as shown on attached schedule. ....................::::: : :::
12. California Department of Forestry plan approval/fees. . .
13. Flood elevation letter (100 year floo ) by Ca ifornia Engineer. . .
11- 14. Sanitation and plot plan approval 1Y`Ovi I �Q---Health Department . ............
15. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). ...Pre-!AspecdoA reqs -
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information: (No., Name Style, Classification) . ............. .
22. Certificate of Workmans Compensation Insurance . ................. ......l.. .
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization. ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF. BUTTE - DEPARIMT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 -.TELEPHONE (916) 538=7541
OWNER je Y' f` /' �< <!C� A.P. # O36 '13 '
y � IOD
PROPOSED BUILDING USE Ca V, 0 r DATE
REC. # DATE REC
1. SCHOOL DISTRICT FEES
(paid at District Office)............. .. ......
2. SHERIFF FEES
(paid at Building Department)
,
Residential..... x -$
unit amt.
Commercial (sqft) x =$
sq.ft. amt.
3. URBAN AREA FEES
(paid at Building'Department) .
Residential (per unit) x _$
-F-units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office) ...................
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00......
(paid at Building Department`
7. OTHER
8. "OTHER
At time of permit application, I was advised the above fees are required to be paid
prior -to issuance of the permit.
APPLICANT DATE
36-13-100 3330-89B,E
. 1
MILLER, Gerald
290 Mt. Ida Rd, Oroville
(new detached garage)
!
PERMIT EXPIRES
OWNER
i CONTR.
ASSESSOR PARCEL
t LOCATION
4
t
Temp. Power Pole
Called PG&E
Temp. Elec. Service
j Called PG&E
Temp. Gas Service
Called I
JOB FINALED (Date)
i
! Signature
tY
36-13-100 3330-89B,E
. 1
MILLER, Gerald
290 Mt. Ida Rd, Oroville
(new detached garage)
!
PERMIT EXPIRES
OWNER
i CONTR.
ASSESSOR PARCEL
t LOCATION
4
t
Temp. Power Pole
Called PG&E
Temp. Elec. Service
j Called PG&E
Temp. Gas Service
Called I
JOB FINALED (Date)
i
! Signature
= OK
0 = Not OK
= Not Readyiable
MOBILE (COMES � MISCELLANEOUS
u
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DEC",-COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
oni equirements-Setbacks-Easements
2. Soils; Special MH Support -Sketch
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
ne-Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
-4—W.00d Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
_fin• Awn.; Columns -Connections -Splice -Decal -Enclosures
6 ('arports; Windows -Doors
7. Utility Clearance
. EIac.
P/Frmg; Sills-Anchors-Studs-Rftrs-Trusses
Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Datel..
Roof; Shthg-Roofing
Card -131
Date Card -B1 Date
Y. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
If
1. Zoning Requirements -Setbacks -Easements
Card -B
Date—/_j_`jard-B1 Date
2. Footings; Size -Spacing -Marriage Line
Card-B1A(eo,
Date3--iz-f and -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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
Card -81 Date Card -B1 Date
Card -131
Date Card -B1 - Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -131
Date Card -131 Date
0
= uK
0 =NotOK
RESIDENTIAL`(Singte and Duplex)'
- =Not Applicable
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45..Hangers-Post Caps -Anchors -Connectors
2. Ftg', Main; Soils-Steel-Elec. Grnd.-/ - •/" Ftg. Depth
46. Ging. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3.,Ftg., Garage; Soils -Steel-/ P' Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48, Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Material -Su pprt-Ins.
.•57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1
Date Card -131 Date
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Card -B1
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -81 Date
67. Stairs & Rails
Card -131
Date Card -61 Date
68. Fireplace or Stove; Clearances -Hearth
Date
ELECTRICAL (Permit) OK except #'s
69. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
72• Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75 Plb., Elec. &Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76 Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
33. Smoke Detector
81. Stucco; Brown -Finish
Card -81
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -131 Date
92. Roofing Certificate
Card -B1
Date Card -B1 Date
Card -131
Date Card -81 Date
Date
FRAMING (Plans) OK except #'s
Card -61
Date Card -131 Date
39. Sills, Proper Material & Anchors
Card -61
Date Card -131 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time You visit iob site)
r;
COUNTY OF BUTTE
4DEPARTMENT OF PUBLIC WORKS
196 -Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-8307
CORRECTION NOTICE
I
ERMI 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.
v ;r;
r
ys� fotJrC�c. �ST�GE7s ra.0 .�i'i� �ooy e-�C: %�
f -
r
Inspector Date [/
CQUNTY OF BUTTE-,DEPAR.7MENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
1
PERMIT NO.
cJ O
,^N
ASSESSO§ PARCEL NUMBER_
3
Z NING— ._
BUILDING PERMIT
OWNERC9
TELEPHONE
SQ. FT. OCC, BUILDING VALU TION
r
OWNER'S MUq ADDRESS (\ ,
CONTRACTOR'S NAME
TELEPHONE
1
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
CONSTRUCTION LENDER 7
UNKNOWN
Total Valuation $
•
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ' S
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
` 0
Each Trap
2.00
Solar or heat pump water hea r
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5.00
Each qas water heater vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehomefg Other„ /X`
SPECIFY
Gas piping system 1 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e .
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: _
Permit Fe
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 OR LESS
100 OROR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
)
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.d+
OR ACDNS. ACC. BLDGS.
, O
/zQsgft
NEW CONSTR. MULTI -OUTLET LET
NO N.RESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occu p OUTLETS OR FIXTURES
zD @30
eAL
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.1 EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. bVirin 9
15.00
Permit Fee
$ t
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.` 1 agree to comply to all County Ordinances and State Laws *relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains said County in consequence of t e granting of this permit.
'
X _ _ Date ��"3—"
Signature of Applicant — OwnerK Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IRE
n of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
o c
CONST
/
PE
TOTAL FEE $ 3
1-
CUA , PARK
SCHL
FLO
PAR
PD
D I su
This permit is hereby issued under
sions or the Butte County.Code and/or
work indicated above for which fees
OR gF PUBLIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date r�NITE-D.P.W.,
LeceiptNo. 41%(Q/By
YELLOW -ASSESSOR. PINK-INSPEC OR, GOLDENROD -APPLICANT
COUNTY. OF BUTTE - DEPARTME>, T'0t:b1PUBLIC WORKS - BU,ILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE„CALIFORNIA 95965 - TELEPHONE: 916/538-7541 -_ _
r
PERMIT APPLICATION DATA SHEET '`
Permit No: •
OWNER - - - -` '` A. P, No. '� O
Proposed Building Use fast .4-j Building Inspector Date /n
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC. Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid .....................................................
13. School District fees paid ..............
14. Sanitation approval from M /'U Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..........
23. Owner -Builder Verification (Given to owner P'Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
_ Telephone—:S3V-P� and hold for pickup at joifelbs office. Deliver w/inspector.
Other
Applicant Date
Copy of plans sent Health Dept., Fire -Dept., Other Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone _mail—counter by # date
Plans checked by -Date Plans approved by Date
Sets of plans on hold'`in .File cabinet "'AP folder
Copy—DPW
To Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
4 LL_ -3 r, - 12o -
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final. for: Water Supply
Final clearance O.K. for: Water Supply
Clearance fo= Other
NOTE *10
unitarian Date
.COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Orovilie, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) S
2. I (have/have not) 41.* V E 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 I Address . ,J Phone Type of Work
Signed:
Property Owner
Social Security Number . /
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.