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028-230-045
Cont: OWNER AG BUILDING 028-230-045 GRA1B CLETUS ?/O ROLLING OAKS LN, BANGOR CONT: OWNER NEW MH PERM IND NEW SIT'-. 3-M canny nab II •�p..�z� . „ /% NOTES Y RESIDENTIAL PERMIT NO. _ GRABER, CLETUS - 04-3 338 26 S ROLLING OAKS LN, BANGOR y � CONT:OWNER i NEW MH PERM FND NEW SITE r ;i THE HCD FORM 433A FOR THIS MH CANNOT BE i RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW „ MH'Sa,; ; S; INSPECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL CONDITIONS CHECKED BY _ SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER AAJ JOB FINALED (Date) Signature 6. pIW 02 J=OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBI -HOME UTILITIES (Plans) OK except #'s oning Requirements.. Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. E ectricity; Location-Clearances-Grnd-/ /Amp -Concrete Tie Downs -Type -Installation Cert. Gas; Location -Test-Wrap;-/ ' P' L'ft. / /'Nat. or/ �N L "ft./ - , 7. Well Clearance 8rDisconnect 8. Utility Clearance = 10. 11. Cert. of Occupancy. 11. Date Card B-1 Date Card B-1 Date Card V Date Card B-1 Date MOBI H 1111E INSTALLATION (Plans) OK except #'s 4,.A5Lf6g .+ Requirements -Setbacks -Easements ootings; Size- acing -Marriage Line mss; MH T'� -Demand-Valve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector i MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s j 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel j 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 6. Water; MH Test -Regulator -Connector 5. 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. 8. Gas and Electricity Tagged 7. Electric 9. Tie Downs -Type -Installation Cert. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 10. Exits; Insp.-Sketch (' 10. 11. Cert. of Occupancy. 11. Ext.; Steps -Doors -Landings ' 12. Braced Wall Panels Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) i. 2. 1. Zofiing Requirements -Setbacks -Easements 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Footings; Size -Spacing -Marriage Line Elec.; Receptacles and Lighting, Distance-GFI 4 '3. BI ing - t 6. 4 as; MH Test -Demand -Valve 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 5. Electricity; MH Test Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 1 6. Water; MH Test 10. 7. Water and Sewer Connected 11. Light Niche 8. Gas and Electricity Tagged Enclosure; Fencing -Alarms 9. Exits Date 10. License Decals Card B-1 Date Card B-1 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s j 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel j 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures i 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh (' 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings ' 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1 1. Setbacks -Easements i. 2. Soils; Compaction -Structure Stability ), 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 4 5. Elec.; Pool Lighting; 15 Volts-GFI t 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ! 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 1 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test r 11. Light Niche 1 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 'Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No Clearance Looked under Floor 0 Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing e Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Inspection Type Insp. Date Ground work / Setbacks Foundation/Footings v Piers Grade Beams Eufer Ground Hold downs Stemwalls Do Not Pour Concrete Until Above Signed Slab - Slab -Garage Gas Test Yard Pipe Blocks CMU/Logs 1° Lift 2ndLift Td Lift Final Lift Under Floor/Slab Framing Shear Transfer Plumbing Mechanical Gas Piping Do Not Install Floor Sheathing or Slab Until Above Signed Butte County Department of Development Services Inspection Card 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX #: (530)538-2140 Visit our website at: www.buttecounty.net/dds ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type Insp. Date —Framing Rough Framing Rough Plumbing Rough Mechanical Rough Electrical Rough Gas Roof Sheathing Straps Shear Transfer Shower Pan Rough Sprinkler Do Not Insulate Until Above Signed Insulation Wall Insulation Ceiling Insulation Do Not Cover Until Above Signed Shear Interior Shear Exterior Shear Braced Wall Wall covering T -Bar Ceiling/RC Sheet Rock -1s' layer Sheet Rock -2nd layer Separation/Location Framing/Openings Gas Test House Pipe Stucco Lath Scratch + Brown Finish Inspection Type Insp. Date Final e4 y. P11 , umbing Final Mechanical Final UmOm Electrical Final Insulation Certificate Final Sprinkler D.~Wa Swimming Pool Setbacks U) Z Pool Steel/Pre-Gunite a� Z Electrical Bonding Enclosures & Alarms l Plumbing W Electrical Gas Test Light Nitch Other Agencies Insp. Date Public Works Sewer S ec Ins ection <> L) Fire Department Underground Final Sprinkler Fire Final Temp Elect Auth Wi Elect Authorization Gas Authorization Permit Finaled CL x NOTES Insp. Date e4 y. L U1� c.j�. UmOm D.~Wa i U) Z a� Z W l Z W Z LU� _j PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OF STATE LAWS A B. C. Insp. Cana 02-17-04 pg 2 Z O ZW UmOm D.~Wa U) Z a� Z W OO Z W Z LU� _j C0 Z :3W0W U O <> L) 0nM 0) - Wi OixQa�W Woo`�al) m CL x ()}'VQW C3 Z SMQO(uo W CO W O. LL W W m _jZmQO Q � W J Z J . m F=— ; Q O A B. C. Insp. Cana 02-17-04 pg 2 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 PERMIT PO. BP043038 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/24/2004 APN• 028-230-045-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 208 ROLLING OAKS LN BAN Date: Contractor. Ma P Index: Description: MH ON PERM FND(1848) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CLETUS AND DOROTHY GRABER 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 pursuant to the provisions of PO BOX 373 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or BANGOR CA , she is exempt therefrom and the basis for the alleged exemption. Any 95914 violation of Section 7031.5 by any applicant for a permit subjects the 530-589-3238 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CLETUS AND DOROTHY GRABER pP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I a/ under Article 3 of the Business and Professions Code /m'Exempt Date: 2 �' Owner: e WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #• workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance. as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and p6licy number are: Carrier: Policy#: Total Square Ft: 1848 S. F. I certify that in the performance of the work for which this permit is Valuation: $120,120.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. T/ Date: // ' 2�-'G'� /✓/ q/2 / T Applicant: �^/ � �7 ��U 37 L/ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Belle County CodA ?nNer I hereby affirm that there is a construction lending agency for the Resolutndicated ab for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) V Name: BY Date: 2�q/j PERMIT EXPIRES ON: e Address: p ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly auttiorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 5 (q ,a 6 e !� Signature: Date: 9 -Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION At: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP043038 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/24/2004 APN: 028-230-045-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 208 ROLLING OAKS LN BAN Date: Contractor. Ma P Index: Description: MH ON PERM FND(1848) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CLETUS AND DOROTHY GRABER 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 pursuant to the provisions of PO BOX 373 the Contractor's State License Law (Chapter 9 commencing with Section BANGOR, 7000) of Division 3 of the Business and Professions Code) or that he or CA she is exempt therefrom and the basis for the alleged exemption. Any 95914 violation of Section 7031.5 by any applicant for a permit subjects the 530-589-3238 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CLETUS AND DOROTHY GRABER PP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date:{. .'�L�L Owner: WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 1848 S.F. Policy #: VI certify that in the performance of the work for which this permit is Valuation: $120,120.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:— -2-, C -41 f/ �}�d 516 / % �Z / Applicant: /J =��/U� WARNING: Failure to secure workers' compensation coverage is-tt unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as -provided forinSection 3706 of the Labor. »--- ---� - --- - _ - — -- - code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR anrvor I hereby affirm that there is a construction lending agency for the Resolutions work indicated abo for which fees have been paid. performance of the %vork for which this permit is issued (Sec 3097 Civ.) a Name: BY Date: PERMIT EXPIRES ON: t� D Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: (-f le 4 a S �x VA 6 e k- Signature: Date: /Owner 13 Contractor 13 Agent for Owner ❑ Agent for Contractor COUNTY OF BUTTE ! �� DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USE 1. BUILDING PERMIT FEES --- Balance Due ..................... A.P. # DQ p 'a�U �.0 DATE 6 RECEIPT # DATE REC. lel 667 it 2� 6`I -; - Additional Fees Due........... $ - - Revised Plan Checking Fee.... $ j . SCHOOL DISTRICT FEES U (paid qt School P� strict off (fo vailable P n C 3. RRIWtFEES (paid at Building Division) Residential............ X $360.00 =$ tlr I Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES Residential (per unit). (paid at Building Division) X =$ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE --W.W(paid at Building Division) p f)q 9V, 8. WATER TENDER FEES BATTALION# $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ 140-0ted Sq. Fig.l Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) -..�-.._ - � . ..-.-.�• �, r ��.fw'1�X-V.ei,fp�p ' :tii7;�('� t�.i'�%�•i; �`:. - .-res' ,�:�� titi.�. �_' -` ... +... COUNTY OF BUTTE-DEPARTMENT;OF DEVELOP,MENT,SERVICES-BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: r=7 r2 A 3 E 2 ASSESSOR IPARCEL NUMBER B D 3 0• 0 a S (t -%►t,/ Proposed Building Use: )JEW M N d w SHE , pFa,",0 Counter Technician: �i' Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order td apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non-Resideoal Buildings. ❑ 8. Manufactured homes: jV_Data sheets and installation insf, _ Marriage line info, (.),Floor Plan, ( Tie down or fnd plans, all in a* duplicate. !' � - ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 1Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other 1. A ,4 .r i ` „,,:;i; Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers ............... .....................::................................................. ... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent bye ❑ 19. Soils Report and/or Engineered Foundation required .......................................... ........ onion Control Plan Required.....: EV es as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit............:........................................................... - . 23. California Department of Forestry plan approval 9paid. Sent by: .......... iprt ro •s .� 24. Planning approval (A) Use: 6tC- (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... eff-1 26. NPDES Form ......... ..:............................................................................ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 32. Letter of. Signature authorization .......................................... ..... ..... ................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or 'xpired permits ..................... ............................... 036. Deed Restriction...................................................................................... 37. Grant Deed, c Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone S / and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:- 4 . ,, Date: 49 _ i -� 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designerGivwas advised of the above data by B -phone, ❑ mail, ❑ counter, by i 1.23 Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: QB Date: #11- z ' 404 - Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division .•. r. ai �3 j E.H. us E ONLY Pot Plan Attachadd Floor Man Attachad Sant to ®.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 10 C 67d°J4 6 Z koc-e-,eA-L� 65,74,0r,,6 ZA1, 04J -.Z.3 0 -.0 Owner ocation AP# Plan Approved for: Sewage. Disposal ' �Water Supply: Public Private Well Clearance for ✓dwelling. Other�'15j Hold final for: Final clear c NOTE: O.K. for: Environmental He 8/96 list 44 h Jost -r— �a t E 2X Z Date SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN /NIG ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! El2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). _/`0 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a pen -nit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can oniy be made upon written request by the person who paid the fee. The request must be made within two Years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:\ ORMSMILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY* OWNER Last Name irst Nye Address City I P Stat Zp 59,& 6 Phone 57. E Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name s b-eti Address F - City � State Zip Phone Zip9�g Fax E-mail Fax Lic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name s b-eti Address F - City � State Zip Phone Zip9�g Fax E-mail Fax State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name s b-eti Address F - No � City© ve) Li " / / State Zip9�g Phone z3� Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Q Flood Zone Ci SRA No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT B� 365 BIN # LOCATION AP# P P,t rty Address UQ I_ Ci Cross Street P WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address / Description or Scope of Work: :b Sq. Foota ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS L, KAFORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Receipt #: qoq06 Date:, b Amount W- 9 �5Bldg t� SRA Sheriff SMTP Total REV 7-27-04 O.B.- I »>::>:::: ... 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 : YESK ] NO[ ]. *2. I HAVE[ ] HAVE NOT[K ] signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS • CITY: 'PHONE: CONTRACTOR'S LICENSE NO. '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: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: *-PROPERTY OWNER: -*DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are -permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number. on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federalsocial security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration).- For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are -not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form soiliat we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 School District A.P. Number Property Owner Property Location/Address Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 0 (One form per Building). rJ- Jurisdiction: Building Department No. N I lCounty Identification No. 05014 0' School District certifies that I has complied with the requirements of Resolution No. represe7ting4 square feet. -1 School District Representative Paid by Check # - Remarks: (Applicant) (Phone Number) state) (Zip Code) by payment of 2926, $ FULL MMGATION $ O2iD4-Date �, Notice: You may protest the lmposlitlon of the fen Wentilled above by submitting a written protest to the District, In compliance with Government: Code Section 66020(a), within 90 days from the date fen are paid. Fallure to submit a timely written protest will'prohlbit you from challenging the Imposition of the fees In any court action. If, sub"quent to the School Disbict Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is rrotifled by the applicable Local Planning Agency that this~ Is balr4 rev ed under the Calftmls Environmental Quality Act (CIEQA� this project may be subject to additional school fen to fully mulgate. ft Impact an the school districils schools. White (applicant), Yellow (building department), Pink (school district.) faeform.)ft (10/03)dm.m AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 02 -Nov -2004 2004-0067197 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort 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 occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ?co- cel I ?arcel 15 , as Showh on -thcA eer4a1n po.rcel Mc p , i;led in the off l-ce. c. the �eearder OX the Couniy off' du.ite, 5-faie- of on July 27, 1188 n booK it( o -P /Flaps, at po.ges t�areei 1TKnown as Rolling 041K5Lane, A nor - eicelusiuc right o� woy and yup led tintheo t 4f�'i'ceothe t t�ecorcler o{ the County QS shown on thai Certain parcel Ao-p of (3u�i-e, Sfia+e, o -r Cali-fornia, on July 2,7, 1968 in Boo III d Maps, a{ ayes 7q thru 79. Date // Z- ZOO y PROPERTY OWNERS: ara6er State of California ) Countyof /3L -44c, ) On Voce o, be.r 1,, before me, T . . personally appeared a ; i-wr a ud C le,-} u s G r1, h u- _...up Sall kna=Aa m (or proved to me on de basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that heiAwJthey executed the same in hiefher/their authorized capacity(ies), and that by Medlar/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my h d and offi ial seal. i Signature -1'--</,41.--h— Seal: JAMES LAMAR KINSER COMM. #1377185 0m NOTARY PUBLIC . CALIFORNIA A P Q — L3 O '� • BUTTE COUNTY a My Comm. Expires Sept. 28.2006 REQUEST FOR ADDRESS VERIFICATION DATE: ! 23 04- AP# OWNER'S NAME G AA8ef OWNER'S PHONE # S69-3-1:36 OWNER'S MAILING ADDRESS ��f�V1 LI,,E Ci sem! !o Y PRESENT ADDRESS OF BUILDING(S) 4." ASSIGNED ADDRESS(S) 408 Pott -tai& ®A -e -s L_,4 2. 3. 4. 2 3. 4." ASSIGNED ADDRESS(S) 408 Pott -tai& ®A -e -s L_,4 2. 3. 4. �V PRTMF-NT o o�Department. of Public Works _O C o u n t y o f B u t t e O \ ° J. Michael Crump, Director LAND DEVELOPMENT DIVISION O / Storm Water Management Program 7 County Center Drive O 'll CA 95965 �5 rove e. (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: 594 , Project Location and/or Parcel Number: ®-� - —/Z- 30 — 04 5' By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: 412f Title: lX/ros _Ix_ r/ Date: /0 -1 Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 All signatures must be made with Pen and Ink. 4. ;% _ Signatures for organizations must Include the Organization Name and the Name ^ and Title of the penton authorized to sign for that organization. X(/�) / ° T DATE The undersigned OWNERS of the structure described on the face of this Certificate have x' if h �y- �4 —/ �j ' 1, -/ transferred tolhe undersigned PURCHASERwith the consent of the LIENHOLDER as evidenced SIGNATURE DATE by signature on Line 2, Interest thereln and PURCHASER has accepted transfer NOTE: If a box Is not selected, the new certificate will be made to show (or). and hereby makes application to the Nevada State Manufactured Housing Division for transfer of ownership of said structure. ; / // // Q AND • I�(/, NAM'tr'LEA YNrNt.R TYPE) ❑ ON(BORONLYE) 1.^��-1 ",i C./ r ^(� 1 -1 E� I' • ❑ JTWROS (\ \� 1 -� G� AME (PL E PRINT 0,11-1 PHYSICAL / / % SIGNATURE - DATE LOCATION: / I—�--�rcr jLy (i ,l SIGNATURE �K - n' DATE /�� 4--14 - 1 /� r-'FFF 111 66 Subscribed and swurn to before me on thisCITY COUNTY _ dpy of (� �(.( ,� T- 70 2 •7 ./ Q—� T TE Zip .7 -j by�r/,._._...�- r c?'x / •i�Ci,Y� ol"- r and :RAIL ADDRESS CITY STATE ZIP CODE W. J. , �` Subscribed and sworn to before me on this __13 say or sr 9N✓� a%Y C f Notm PuUicq,,,���St3tte of Ne+rr�le .� 5TAel I. V K Rowlt) �.ppi-rnlrrllj(t #14o. C2 - 76W- B Notary Pubtl by sntl Jun 20, 2006 L J �"•"rni % �� Above signatures of the OWNERS as designated on the face of this Certificate releases the OWNER'S interest in the described structure.2.y .. y, w caw COMPANY NAME L By: . — SIGNATURE DATE - S. Above signature of the LIENHOLDER as designated on the face of this Certificate releases the LIENHOLDER'S Interest in the described structure. NAME(PLEASE PRINT OR TYPE) e 3. . ADDRESS CITY STATE ZIP CODE SIGNATURE DATE Immediately after all required signatures are made to release interest and change ownership DEALER NAME (PLEASE PRINT OR TYPE) LIC. NUMBER (except Sale to Dealer) this Certificate must be presented to the Nevada State Manufactured Housing for transfer. The Intended transfer Is Incomplete until new Certificate has been issued. ADDRESS CITY ZIPCODE B-243591 WARNING There may be outstanding liens against this struUure which do trot appear on the Ecce gf the certificate, Imerested person(51 should conkxt the Dlvm�on. OWNERS JACK, PA IT <► 4 Certificate of Ownership ORtGtNAI_ _ ISSUE DATE 01,31j T�i15 CERTIFICATE 15 EVIDENCE OF LEGAL OW' .ERSITYP OF THE STRUCTURE IT DESCRIBES THIS ERTIFICA. E OF TITLE REMAINS IN FGR,CE AND EFI`ECT UNTIL ITS �:ANCELIATION_ WARNING ENDORSEMENT REQUIRED BY COUNTY ASSESSOR"WHERE MOBILE HOME IS . 1 SI,TUATEDt THAT -ALL TAXES"HAVE BEEN b BEFORE Tff SAN BE TRAfySE RREr} i��7�L:.�1R. '}tV� ��"Yt ,any .-,.rte „•;.t , { � ,' � - >. r. n �•-.- „� _ yx����y *#V4ASSESSQRI !�► A> 13 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING November 2, 2004 Cletus Graber P.O. Box .373 Bangor, CA 95966' Subject: APN — 028-230-045 Dear Mr. Graber: The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-3038, and has found your application in compliance with the established planning criteria. The site plan you submitted meets the setback requirements for your zone as well as applicable map or use permit conditions. The Permit Application has now been forwarded to the Building Division for their consideration and action. If attached, please find a copy of any use permits, map notes and conditions for you property. We are providing this for you information and future reference. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. SinCbrely, L Chris Tolley Assistant Planner AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 IIII III III I illi I III 2004-0067 I ill Illi illi I Il 1 97 Recorded I REC FEE 7.00 Official Records I CONFORM 1.00 County Of I BUT I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Jason 11:00AM 02 -Nov -2004 I Page 1 of i AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT I FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building S permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort 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 occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Po.r c e I I }?creel 15 as .Shown on -fha4 e-er4a0n Po.reei Map , �;Iec in -the of-Fice. o -F -the geeorder ©-f the Counfy off' Bcxlte. Sfate- cf California, on July a7, 1988 ;n booK I1f o -P Maps, at pages 74/ +hru 79 poircef TT Known as R611in9 OaKs Lane, A noY1-e,cefusivc right of way and pu6L'c ut"liiy egsemenf 0(5 shown oh that' eertaih Parcel Amp-l'i4ed to -the o-Wi*ce OT the Recorder of fhe County of (3,-t+e, Sfa+e o� dalif'ornia, on July 27, 1488 in SooK 111 d Maps' of pages 7q thru 79. Date // 2- ZOO y PROPERTY OWNERS: oro State of California ) County of 13L -44c, ) On .00Ue w, logs 2,0 2©Q --I before me, personally appeared " . 6.ZtoPr o,,! C -4u s ra H: -r- _..persef�a y kn=Ao-me (or proved to me on tl a basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that hefshe/they executed the same in hisflrer/their authorized capacity(ies), and that by hWher/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my h d and offi ial seal. Signature Seal: JAMES LAMAR KINSER COMM. #1377185 _ NOTARY PUBLIC - CALIFORNIA A.P. # O2-�S 2-30 d 01My BUTTE COUNTY Comm. Expires Sept.'28, 2006 E* . [: cvv, . 0 . LN4q Ulm �..fkflr�at, t�"6►�is' �. 4. IEAI C� acre -Lo R... tia,:�c Ef LALWA1.q 7�b 4DA J641L t bAcr,- lA6)' R 0. ISI0.S,-w Azx' j✓ � j -17 x ► i yz ij i&I /b D1�oz f . 3G of ► `f Q au C,&flj �o 2"4-1F o -, �t.�- s, 7 dl z u- . gx-'tom' D e lcr�uDjy--:g(G �j► l0i°1 o CJ II T dg A) � j A N Bli1TE COOw"�. RMiD1NG SDEPARiMk'i A.P.P.ROVEID, q;q Alive �3 Sent By: CHAMPION HOMES SERVICE DEPT.; 559 562 9502; Nov -23-04 3:37PM; Page 1/1 a :bl R .til ti .. ' : � • n,.ta rt a ' Li ' z V m IT...I. I' ! .I i•'• ..b '.... 1( I....a•�..�' g ai •� �I lel le 1 I lel lel 1 '�• I ,pr, 11, 1 ,Cry; ,r;I' . 9Q121 .. .. I .. ( .. .,. �. j ' • I. ray.... I I 1 I • .t�J 11,a� i J I and { Q 1 p .l,J I liJ .l•'�J .I .. .. 1 1 .. 1... ri ail /-, • {' 1 ` a 1 Vector Dynamics .Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/212003 ;SECTION TM INTRODUCTION s: GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS SET-UP INSTRUCTIONS FOOTER SIZES WIND ZONE I I WIND ZONE II INDEX PAGE RELEASE Approval 1WWAMMEDROMMOMMKOUS NUMBER DATE FOUNDATION 8YMM 11 9/2/03 =A= sA M CODA, Scram IMI APPROVED 2 9/2/03 - SINGLE 13 .9/2/03 ro rs� rte► 3 9/2/03 - TRIPLE 15 9/2/03 A!l�M1IALDOBS NO'f AViRORiZB dllAB A] 4 & 5 9/2/03 OMMONS OR DEVIATION FROM RSO AMJCAM STATE LAWS AND RBOUI ATIM 6 9/2/03 etcadxrfinft d-Fswe 7 9/2/03 cArmsrANDA� 8 9/2/03 s�csn...._.....__.._ jrf 9' - SINGLE 9 9/2/03 - DOUBLE .10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 - SINGLE 13 .9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST a kg' w(m, M n co co O N O O O 1z Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. 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, end frame ties and rim plates. Page 2 California 9/2/03 - GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square `feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. - ''r`' LUMBER/MOISTURE - TERMITE SHIELD Torcut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 Vector Dynamics Foundation Systems Lateral Component Parts List Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete . # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ft. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. Page 4 California 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List F F=. Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) .1< -7"- UL Page 5 California 9/2/03 C c Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector . Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The+ number of LSD required is shown on pages 10-13. LSD 1. Longitudinal Foundation Pad .2. Beam Clamp (2 per system). 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts =1 L.S.D. system. Can be used on one pad or slipt on opposite ends of the home. Examples of Possible placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone Single Section I I I I I I I I I I I I I I I I I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Wind Zone I Triple Section [MIN] -- LIQ] -- LL1 -- GL1 I.Ia I.I.1 I 48 Ft. Max. Wind Zone I Tag Section California 9/2/03 M I 50 in max. -t Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main. rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it max. Unequal Pier Heights Maximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". \ <Kim Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten; strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. (( LM Page 8 Calffornia 9/2/03 WIND ZONE I \2 sq. ft. pad/ Home Length Vector Systems Required Anchors Required Per Side or 24 Pier 24+" Piers L.S.D. O to 72' 3 2 0. 2 73' to 90' 4 3 4 2 49* WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Single Section Homes (Materials Required) I se�tionh°me — of ail `erii3ilj , , v ♦ 1 � '� � � �� � s E is `-�.�" _ � � _ .1 _ tc t ,w f% T1 P CD r f tt k.x o.CNIP r mO. 34 Note: L.S.D.= Longitudinal NOTE: Vector Systems should be spaced as Stabilization Device symmetrically as possible along the length See Page 6. of the home. Pier spacing must be consistent with home manufacturers' o Soil Classifications: 2, 3, 4A, & 46 instructions and/or state requirements. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties WIND ZONE I \2 sq. ft. pad/ Home Length Vector Systems Required Anchors Required Per Side or 24 Pier 24+" Piers L.S.D. O to 72' 3 2 3 2 73' to 90' 4 3 4 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum —� Anchors Required`: None (*Marriage wall anchors may be required by home manufacturer) No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad . Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 WIND ZONE I, SEISMIC ZONE 4 3 0 3 67' to 84' L- • , 85' to 90' 5 0 4 Vector Dynamics Systems Required for Double Section Homes \ ` ' - ' " " - - e 'home I . I (Materials Required) _ - - " _ - ctip - _ ,, 3b\e sedoOL01 NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum —� Anchors Required`: None (*Marriage wall anchors may be required by home manufacturer) No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad . Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' 5 0 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable':steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. co NOTE: co When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home n manufacturers' instructions and/or state requirements. 0 Tag or----," full triple 0 CA) N I N 1 2 sq. ft. pad 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: None (*Marriage wall anchors may be required by home manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2onTag 0 2 1 49'to71' 3+2onTag 0 2 1 72'to84' 4+2onTag 0 2 2 WIND ZONE I, SEISMIC ZONE 4 _".--���,--- "ect�orh°foe 0 2T Vector Dynamics Systems Required for , _ , - ysems -_ . - ' ro fit MIJO slot \Ject° _ `°{ I ♦ \ \ Triple Section Homes ' " a era\ sPa°�n9 _ _ , - - - fie ti F�f (Materials Required) ' - - -K amP s jet, n sh°w strat`o co NOTE: co When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home n manufacturers' instructions and/or state requirements. 0 Tag or----," full triple 0 CA) N I N 1 2 sq. ft. pad 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: None (*Marriage wall anchors may be required by home manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2onTag 0 2 1 49'to71' 3+2onTag 0 2 1 72'to84' 4+2onTag 0 2 2 85'to90' 5+2onTag 0 2T 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) co to CD N WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) Vector Dynamics Systems Required for Y Y 9 Double Section Homes (High Pier Sets with Diagonal Ties) home NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. double SeCt1oe)tamoe 01 n s WIND ZONE I Max. Height Unit Width See Page 7 co L01O I -Beam W Spacing sq. ft. 0 to 48' 2 2 2 49' to 71' 3 3 3 72' to 84' 4 4 4 85' to 90' 1 5 5 4 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector 45' Min. Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, L Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE II, SEISMIC ZONE 4. (Hurricane) Vector Dynamics Systems Required for - Single Section Homes (High Pier Sets with Diagonal Ties) Sect\o to -.- "---- -' --- a72fit Spgin9e-�Sa\\vo �`a- EXatnPsh ,N s 9musi oe to h°m \\\ dJs atndsPao`n9 -,- ;-"'" �•�� �. dlaOn o- - 1 ' I' ' '.'=< w cn 24" w I WIND ZONE II (not to scale) Soil Classifications: Soil Bearing Capacity: Anchors Required": 2,3, 4A & 4B 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Equired per side LSD 0to48' 3 5 2 49' to 60' 5 6 2 61" to 72' 6 7 2 73' to 84' 7 8 2 85' to 90' 8 9 2 P. 2 Ma% I NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Each Vector System requires one of the following: �2 sq. ft. pad 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) co CD n 0 Q 0 W WIND ZONE II, SEISMIC ZONE 4 --_- ; Vector Dynamics Systems Required for ' " n home s I • \\nes• ` _� =� se�t\o or sYste Ia1 Double Section Homes - - _ _ - - ' 2 fit do a - io sta \anon maong n \e oi. a ',e"L\ sp home\n EXamp Shows'lost be t° ; ; ` ♦. \\\ust 0L n acln9 mOLIn on padsoor\ dat\ - I ♦ I ♦ " _ - ' € sem: ��r� ♦ I �♦ I NOTE: Vector Systems should be spaced as symmetrically as possible along the length i home. Pier spacing must be consistent with manufacturers' instructions and/or state req Maximum allowable working drag load for It System with steel compression strut is 4,001 the K2 Engineering test report. soil Bearing Capacity: Anchors Required*: 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Anchors Equired per side Vector Systems Required LSD 0 to 48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 3 73' to 84' 7 7 4 85' to 90' 8 8 . 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) >v co CD Cn n w K 0 0 NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Soil Classifications: Soil Bearing Capacity: Anchors Required": Tag or 2, 3, 4A, & 4B full triple 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG WIND ZONE II, SEISMIC ZONE 4 3+2 on Tag 4 2 Vector Dynamics Systems Required for e 4+2 on Tag 6 Triple Section Homes �`. - - - - - ect%on 10 iems• SJ _ -I 4+ 3 on Tag (Materials Required) , " " - ' _ - . 6 tt ma�tn9 io, Vecto - - 2 ' ♦ ` 5+ 3 on Tag 8 3 2 A{ 3 ��s , ` \ � — �' � •� '°� �3,`. � p � � � -� 1 � — � \ ' a�. ,�i� y ;yam` i eetor L� 3�3 ': ��5'�F�iFf})� ` hS �H = 4`t . ♦ ` \ I �Q�/.CSg 3 - t i w� >v co CD Cn n w K 0 0 NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Soil Classifications: Soil Bearing Capacity: Anchors Required": Tag or 2, 3, 4A, & 4B full triple 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 3+2 on Tag 4 2 1 49'to71' 4+2 on Tag 6 3 2 72' to 84' 4+ 3 on Tag 7 3 2 85' to 90' 5+ 3 on Tag 8 3 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 2 sq. ft. pad 2 sq. ft. pad Vector Dynamics Metal Pier & V -Di METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered. in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the - Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16".Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. . Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same,'.the pre-cut boards will also be the same length in each Vector set-up. V -Drive for rocky soil V -Drive anchors are used on/v in single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4.board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately, 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. Page 16 California 2/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) - - _ = .6 20x20 = 400 sq. in. D2586) Torque Value (2) 1 Sound hard rock...... NA NA _- Very dense and/or 40 -up More than 550 lbs - in. -- - - = - cemented sands, coarse 2 gravel and cobbles, --" ' 1 -Vector Pad # 59271 "- - - preloaded silts, clays, 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 and corals Vector Pad(s) exceed the surface area required when used as the equivalent listed above. *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Enineer miliar with site conditons Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load`by, means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. - - _ = .6 20x20 = 400 sq. in. or 16x1.8 = 288 sq. in. - - �_ or 17x25=425 sq. in. EQUALS -- - - = - EQUALS2-Vector Pads # 59275 --" ' 1 -Vector Pad # 59271 "- - - 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent listed above. *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Enineer miliar with site conditons Page 17 California 9/2/03 Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum- of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. } 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pa for concretc footer Page 18 California Wood Cap and wedge Outside Tension Bracket° Wedge Bolt 9/2/03 Vector Dynamics System for Concrete Applications Instructions y 9.. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the _concrete. 10. Using a hammer, tap. the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 1t Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14.. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with R end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least. five,turns on the slotted bolts. Illustration Ti Inside Tie Bracket Compressic boards or PVC Pipe U -bolt Page 19 California Vector pad for concrete Concrete footer *a:1 9/2/03 CDF FIRE SAFE REQUIREMENTS 028-230-045 BP -04-3038 Graber AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space.. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail -ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and otherappurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 2. the length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. 1 CDF FIRE SAFE REQUIREMENTS 028-230-045 BP-04-3038 Graber AP# PERMIT # NAME Fuel Modification 1276.01 Setback for Structure Defensible Space [X] 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, ' burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet — Class A or B roof with enclosed Eaves and: Choose any 2 of the following: Metal or no doors on side toward property line with insufficient setback Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi-Board or Plank Masonry Masonry Veneer Metal Other Butte county Fire Department approved materials [I 10/27/2004 Date Darren Read Signature 2 /.26/2004_99:19 5305330125 Aut. 25. 2004 3.5'?h? a.� I ATEGRITY F'aE5 PAGE 02 '0.1383 F. 2 ICANA oMEs*db, AMERICA www.ctd., viol efres.net opt Mester Bath awymm" APPROVED tte Co 7no Enviro mentaarth "if8ft —o z yell ate ignature ' Model : 424 ov", Dimensions; 28'-e" x W-0- Square Feet :1,800 Bedrooms : 4 + Retreat Bathrooms : 2 BWIt Sy Champion home BuDders Co. of Lindsay. CaHOMW FILEC OPY ' 08-/26/'41004 09:19 5305330125' ' '� ENVIR 2004 3 : 51 PM pN MENTAL H EALN INTEGRITY HOMES PAGE 03 No. 7383 P. 3 AUG 272004.., 7COUNrv�, 101 . Ole Y LtD Q '1 Glr `e �Nt IAC . 4DA 1644. t bAcE.-- * C n &UA ex, dX l#-jvj '4dems- � v .3�'' Aa4 41OL130 F e �F1SrED �td '17 X n 4EI X5 -i �'. 3G dare ►�J/� amort, Q g6A C.1�r. r, -;g Ai 7� t Jek laud, )K&Atll AV& FILE C0P',,-.,Y gZ' (Q L,'.l d 1,44A 'a J. �(. .�El6c<•-fix �efl �a� ,�' X140 Abd I/464J dl;&J hoe' 3 FILE C0P',,-.,Y SITE LAN REVIEW APPLICATION Date: -j- d AP# Oo2Uj • o? 3 Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: ,1—O 9C Owners Name: (- Le � 0 S Owners Address: Telephone No.: Situs Address: Proposed Use: SS -R -3z X73 /3,Y.j Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Mobile Home P-4- Residential Residential Access r ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): �Remo�e ❑ Commercial Remodel ❑ Industrial Remodel DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site .Plan Stamped Approved • Bya✓ 00"" 1 Date l 0 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ---------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 1" . � P Applicable Building Setbacks: Front Zoning Code 0 Streets & Highways Fire Prevention Subdivision Map Side 06-1 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area Road ❑ Thermalito Impact ❑ Other ------------------------------- ------------------------------------------------ Subdivision Map Special -Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By - '❑ Deeds: Date of Creation: Legal Access Provided: ElNo Deed of Reference: Legal Access Required No ❑ Yes El El Yes Parcel Frontage on Publicly Maintained Road: El NOE] Yes, Complies with County Standards for Deed Creation: El No El Yes Road Name: Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements MR Subdivision Map/Parcel Map: Map Date of Recording: -, L 7 Lot: Book: P g6: g ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa EJ 70 !M■ ti ❑ u Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAL.arrys\Building Permit Site Pian Reviewl.doc a$p�:ea � H Y€ Y Z � �1 H 2 no t lb "Q N, hN nR e�y Q a c �aeFaa3n 4 " N qh �8 +$t,=, y R z oa d ° V X 4 p a3 cz o ^4 F -- hN 1 : n� � &S o;Ky M 3 & 9 kt roafiw' ` �. �•a � la FEA/lF UNE ON4 P.fVPEA7Y � UA/F -ee /A7 Om000®006 p C V s ��S3c,�gA UNaa 3 Niity� �Cj la 4 a '\V qa *'te' Q a 1ml, p 4 " N qh -T $ '\Z � S �."� � 1 : n� � &S o;Ky M 3 & 9 kt roafiw' ` �. �•a � la FEA/lF UNE ON4 P.fVPEA7Y � UA/F -ee /A7 Om000®006 p C V s ��S3c,�gA UNaa 3 Niity� �Cj la 4 a '\V qa *'te' Q a 1ml, p 4 . N qh -T 1 : n� � &S o;Ky M 3 & 9 kt roafiw' ` �. �•a � la FEA/lF UNE ON4 P.fVPEA7Y � UA/F -ee /A7 Om000®006 p C V s ��S3c,�gA UNaa 3 Niity� �Cj la 4 a '\V qa Q a 1ml, . ais vo • oo• 2' P65./0 0®aaialloik. ��1�tgpIs sia� a Q WR 4 �e 0®aaialloik. ��1�tgpIs sia� a • a / �(ip'OB Pi�Y✓ _ �Op•JS •99 E 16oD.O0' O/' ?2T. 09' T96. 47' 6/B.z9' M I N m p a go Y r c o •0 4 � Nas � Y a e an 8 �� g a^�► o � n N _I • m \ N .Nj � 1 A N /� s9r.BI' jBRRr' � a' xtic al' 1 J/62. S1' 7b A/pp)N Sf. 1G,9,(/E�p OWS..3f 7v G[R9 ✓ER//ELES 00 vy y5yyyaa�,5 a rj:o; fb w § �1 1111111/ ti 1 BUILDING DIVISION '- -` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 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. ®� ��D... /j � (� ZONING � �-'(J 'OWNER PHONE NO. Gt S - —227-2.1 iio OWNER'S ADDRESS OSS LOCATION OF BUILDING USE OF BUILDING ! , Fa I -W 4Qi SI�CC O F SIZE OF STRUCT RE / —'X�(��'_ �bQ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION d v� - > X 1 J 7rj 52yq `� - 5ag $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: tt `5 FRONTS ��� i V SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. declare under penalty of perjury that the building will be used as stated about, 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, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Signature of Owner Permit Fee - $*109, gF -The above described AG Building is exempt from a buil�ermit.00 N`J&'�ffl r White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant RECORDINQ REQUITED BY: MID VALLEY TITLE RECORDING REQUESTED BY First American Title Company AND WHEN RECORDED MAIL TO: Cletus Graber and Dorothy Graber 15698 Highway B Richmond, MO 64085 C -A I (T - ZL? 00373\1 A.P.N.: 028-230-045-0 GRANT DEED 2 10-4—Ojo 1 8348 Recorded Official Records CoBUTyyfEUf CANDACE J. GRUBBS Recorder ROSENARY DICKSON Assistant 09: NAM 02 -Apr -2084 REC FEE 13.00 Kathyh Page 1 of 3 Above This tine for Recorder's Use Only 3 File No.: 5102-1367143 (AC) f/IV �- The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $110.00; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ XX ] computed on the consideration or full value of property conveyed, OR I computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, XX 1 unincorporated area; ( 1 Qty of Bangor, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Armando R. Delos Santos and Kelly A. Delos Santos, husband and wife hereby GRANTS to Cletus Graber and Dorothy Graber, husband and wife as' joint tenants the following described property in -the Unincorporated Area of Bangor, County of Butte, State of Callfornia: OARCEL Parcel 15, as shown on that certain Parcel Map1heing a peiation of. SeeNe,hop filed In the office of the Recorder of the County of Butte, State of California, on July 27, 1988 in Book 111 of Maps, at pages 74 thru 79. GeFtifleate of Map Gerfeetien reearded August 16, 1:994 under Reeardep's Serial No, 94 - , records of -Butte Geunty� Gallifefflia.0 PARCEL A non-exclusive right of way and public utility easement known as Rolling Oaks Lane, as shown on that certain Parcel Map filed in the office of the Recorder of the County of Butte, State of California, on July 27, 1988 in Book 111 of Maps, at pages 74 thru 79. Dated: _ 03/23/2004 Armbirldo R. Delos Santos Mail Tax Statements To: SAME AS ABOVE r CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California �! 1Tr A ,. [,, ss. County .of � �l On personally appeared nametet m s�nor(e) ❑ personally known to me % proved to me on the basis of satisfactory evidence to be the person(o whose nameW isfare subscribed to the within instrument and acknowledged to me that he/s ieHhey executed the same in his/!;I N r authorized OFFICIAL SEAL • 1317697 capacityo"), and that by his/be;Ahei1; LISA DAVIS z signature( on the instrument the person( , or NOTARY PUBLIC •CALIF n the entity upon behalf of which the persor4s) v acted, execute the instrum Z � � COUNTY OF A9ARIN � I My Comm. Exp. Aug 12, 2005j 4. WITNE h d I 01$*'%*.dky Pe OPTIONAL Though iWinfomietiori below Is not required by law, !t may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document y Title or Type of Document: iraILEga Document Date: , VAOY Number of Pages: Signer(s) Other Than Named Above: 6d 1,,L��o qOS STH' Capacity(les) Claimed by Signer Signer's Name: ❑ Individual Tim ml,mb Here ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attomey-in-Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: V I VW rvMMM rmmr7 AeMalloe - 9350 Oe Soto Ave.. P.O. Box 2402 - Chelsworth, CA 91313.2402 - wwwnalawkotmorg Prod No. 5907 Reorder. Cetl T*Froe 1.BM764W ' A, X: 028-230-045-0 Grant Deed - continued File No.:5102-1367143 (AQ Date: 03/-23/2004 STATE OF } )ss. COUNTY OF Cotte } On before me, ��c.�ow� �1�-cZ�tcwt 1.r ,c personally appeared-�.L� nt✓o� Ss,z,s roved to me on the basis of satisfactory evidence) to be the person(o) whose name(,sryis/are-subscribed to the within instrument and acknowledged to me that he/tSey executed th same in his/her/their. authorized capacitylies)-and that-his/her/tbeir, signatures) on the instrument the person(9) the entity upon behalf of which the person(g) acted, executed the instrument. WITNESS my hand and official seal. This area for ofclai notarial seal Signature My Commission Expires: !%e2s - 020 d t- Page 2 of 2 CWW*gM# 1485 i tP1Aft"CZfflanio MyQpll�rbl WNAZW Assessor's Parcel Number Owner Name Address J Phor Site Location Contact Name (� l r b e Phone ®®— ©0 — © Scale: 1" = 1oo' -�i�jriA- E WA P -a FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres a.0(r ' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: ' SITE PLAN 4 _ Q �1......_.._.. ......-... .. .. .. .. .. ................. ............ .. ............ .. .. ......_......................... ... .. .. -.. .. .. .... .. .. .. .. .. ... .. .. ...• .• .. -- •. .. .• .. . .. .. •.. .• .................. •••.:. .-.................................................. .. • • .. •.................. •• .. .............. .. • ........................... •....`C ........ .. .. .. .. .. 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