HomeMy WebLinkAbout028-370-026O _ 1
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28-37-26
GEORGE & WILMA RICE'
App 200' off N/S' Swedes Flat Rd, app 'r'f
1800' E Spring Creek Rd, Orovi_lle
ermifIA2132-84P,E(util , MH)
ELEC �d
GAS
SUPPORT STRUCTURE REQ®�A�G
COMPACTION TEST REQ Q� Y
028-370-026 PERMIT#96-0087
RICE, Irene'
53*Chinese Wall Rd., Orogille
Cont; Schiedeck Consj
Mobilehome Utilities _v
ELECTRIC A'YV-P
GAS LINEL-
COMPACTION TEST RE t
A
SUPPORT STRUCT REQ O
028-370-026 PERMIT#967-0068
RICE, George waft-/
.5-2, 53 _'_- _ irri, , Oroville
Cont: Al
Mobilehome Installation .
!flim
[EX
-370-026 04-2552
RPENTER/GOZAR
CHINESE WALL, OROVILLE
t: SIERRA MHS
MH PERM FND ��� ti
y � os
028-370-026
04-' , 380
CARPENTER, VERONICA
53 CIllNLSE WALL Rn, OROVI:,'_[_]
Cont: OWNER
NEW DECK
L,-,
m
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
Recorded
Official Records
CoBnUiTt Of
CANDACE J. GRUBBS
Recorder
ROS'E14ARY DICKSON
Assistant
12:21PM 11—Apr-2005
REC FEE 10.00
CONFORM 1.00
Andrew
Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
GEORGE W. AND VERONICA G. CARPENTER AND
OSCAR N. AND SOCORRO V. GOZAR
REAL PROPERTY OWNEPULESSOR
53 CHINESE WALL RD.
MAILING ADDRESS
OROVILLE BUTTE CA. 95966
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
03TS
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
04-2552 530 538-7541
BUIL N PERMIT N0. / TELEPH27
3&ATURE OF LOCAL AGENITOFFrC1AL / / DATE
NONE l/�Y
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
CHAMPION HOME BLDRS. 1996 WOODLAKE
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
09967416606A/B 66'X 26' TRA290099/ 100
SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
028-370-026
ASSESSOR'S PARCEL NUMBER
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept.
Order No. 00201275-003
EXMIT A
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
ALL THAT PORTION OF THE NORTHWEST QUARTER OF THE SOUTHEAST QUARTER,
AND ALL THAT PORTION OF THE NORTHEAST QUARTER OF THE SOUTHWEST
QUARTER IN SECTION 4, TOWNSHIP 18 NORTH, RANGE 5 EAST, M. D. B. & M., LYING
NORTHERLY OF THE CENTERLINE OF THE SWEDES FLAT ROAD.
-EXCEP` iG'�*R0X., W..CERTAUU 6, 50 X 26 WOODLAKE.HOME, SERIAL
NUMBER 0967416606. -- - -- - _
AP NO. 028.;370-026
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
IC:IIIIPY of Document Recorded
11 -Apr -2005 2005-0020097
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
GEORGE W. AND VERONICA G. CARPENTER AND
OSCAR N. AND SOCORRO V. GOZAR
REAL PROPERTY OWNER/LESSOR
53 CHINESE WALL RD.
MAILING ADDRESS
OROVILLE BUTTE CA. 95966
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
04-2552 530
538-7541
BUIL PEWIT N0. TELEPHO R _
i
GNATURE OF LOCAL AGEN FFfCIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO
CHAMPION HOME BLDRS. 1996 WOODLAKE
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER
09967416606A/B 66'X 26' TRA290099/100
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER
028-370-026
H.C.D.
ATTACH CHECK
:
7
NAME: C���h
DATE:
.FOUNDATION SYSTEM ;
r
CERTIFICATE` OFy OCCi7P:ANCY ^
,
BUILDING PERMIT NUMBER: 04-2552
Address or location of unit: 53 CHINESE WALL RD. OROVILLE, CA. 95966
Legal Description of Real Property: AP#: 028-370-026
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: GEORGE W. CARPENTER & VERONICA G. CARPENTER &
OSCAR N. GOZAR & SOCORRO V. GOZAR
Owner's address: 53 CHINESE WALL RD. OROVILLE, CA. 95966
INSIGNIA OR HUD NUMBER: TRA290099/100.
SERIAL NUMBER OR V.I.N.: 09967416606AB
MANUFACTURER'S NAME: CHAMPION HOAIE BLDRS. YE : 1996
OFFICIAL APPROVING INSTALLATION:
DATE: U
PHONE: (530) 538-7541
H.C.D. 513C
0
STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
REGISTRATION CARD
Manufachued Home Decal No: LAV9533
Memrbe0eer UNName
9W88CNAMP10NW8u1LDERs
Trade Name Nodal
WOODIAKE 'S1Ma12
Dom —
01/0911880
DFS
01/!211990
RY
Exp. Dab
34RUINwaWr
Lebo9pnlgrdsNumber
Welgbt
4nsb
van
sPcSCC
GEORGE W CARPENTER
Emmpt
We Type
09907410808A
TRA280098
20,710
00'
19'
Joint Tenants with Right of Survivorship
pe
53 CHINESE WALL RD
SFO LPT
'099674188006
TRA290100
20.100
88'
19' '
OROVILLE, CA 95966
ktuad
TOW Fees Paw
'
Sep 04, 2002
$107.00
Addresses
•
GEORGE W CARPENTER
53 CHINESE WALL
OROVILLE, CA 9596866
�0
D
Registered'Ov hir s
GEORGE W CARPENTER
VERONICA G CARPENTER
OSCAR N GOZAR.
SOCORRO V GOZAR
Joint Tenants with Right of Survivorship
53 CHINESE WALL RD
'OROVILLE, CA 95966
Situs Address
53 CHINESE WALL RD
OROVILLE, CA 95966
1
AVIPORTANT
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
DTN: 2623232 09062002- 391
a -
RECORDING REQUESTED BY
Bidwell Tltle & Escrow Company
AND WHEN RECORDED MAIL TO
Mat George W. Carpenter et al
swd
Add— 53 Chirme Wall
� " Orov lle, Ca. 95966
om. N. 00201275-003
IIIIIIIIIIIINIIIiIIIIIIIHNNIII
20.02-0040699
Recorded 1REC FEE 13.88
icial Records I TAX 198.88
CougLof I NONLR EJ4 18.88
es
eIof3
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Pam) No. 029-370-026 GRANT DEED 3
.. THIS FORM FURNISHED BY BIDWELL TITLE R ESCROW COMPANY
The Undersigned Gniubn(s) Dedare(s) Documentary Transfer Tax is $198.00 1
O City/Jywn of. ' 0, eonw d ondulrvglae of intcmct or property conveyed. or
_ _
®UeinwrporAted Area ❑ - Adl vaIud ess value of Hine or etieuc�rmces'tecludling W' ..... .. --_. ..
the ume of sale
® Monument Fee of $10.00
FOR A VALUABLE CONSIDERATION, receipt of which.is hereby admowlodged, '
George R. Rice and Wilma J. Rice, Husband and Wife as Joint Tenants
hereby GRANT(s) to
George W. carpenter and Veronica G. carpenter, husband and Wife
and Oscar N. Gozar and Socorro V. Gozar, husband and Wife, al1.as joint tetmts
the following real property in the D City of ® Unincorporated Area
County of Bette, State of California
SEE EXHIBIT A4TTACHED HERETO AND MADE A PART HEREOF FOR TSM AND.
Dated: July 19,1002 SFE EXIT B AT1�C M FOR CML�P
L:tl-4/ q-
Ocorge R Rkj Wilma L Rice
STATE OCAN
F
)F R i S
COUNTY J
On 3Q — b before me, the undersigned, a Notary Public in and for
said Cdunty and State, personally appeared
George R. Rice and Wilma J. Rice
L
(or proved to me ontthe basis FOR NOTARY SEAL OR STA14P
of satisfactory evidence) to be the person(s) whose
name(s) ie/are -subscribed. to a/the ex instrument and ]�OWrrrereAMM
ac wledged'to tce that' he/she/they executedtthe same I Rte= il[1
in h /her/their authorized capacity(Ses), and that by t/018L*1251912
his/h r/their signature(s1 on"ithe instrument the PPoterypufc • caftffft
perso I ), or the entity upo of 'which the g1WTACl/(M(blltily
person I steed, executed t n.t.. t. Mlyfkrrm�6 sA249M
wITNEa y hand and of tial seal.
Signa re
MIAIL TAX STATEMENTS TO: Same as Atwve
BtEGeremdee
0
• STATE OF CALIFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY �';'y'
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
STANDARDS- ' :
DIVISION OF CODES AND , ,r
REGISTRATION AND TITLING PROGRAM
STATEMENT OF FACTS
This unit is;a: ❑ Mobilehome ❑ Commercial Coach ❑ boating Home ❑ Truck Camper
Decal (License) No.(s)
1. V s33
Trade Name Serial No.(s)
�mmD��KE c;c1gd 7`I166OC-A
b g9�70(C-066
I/We, the undersigned, hereby state:
P-o.� #. t A V 9 S'3 3 -t.
I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State
of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
1/We certify under penalty of perjury that the foregoing is true and correct.
Executed on 913110,( at
(Date) (City) (State)
Signature(s)
/6--w
Address �'&/ G Cie l)�A
Printed name(s)
City L'4- , State
14M 476.E (REV 9/91)
NOTES
i ,-
RESIDENTIAL
PERMIT N0. -- 04-2552
023-370-026
CARPENTER/GOZAR
53 CHINESE WALL, OROVILLE d
Cont: SIERRA MHS
EX MH PERM FND
THE HCD FORM 433A FOR THIS MH CANNOT BE
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' S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
51 Eh
��a�ooaq
JOB FINALED (Date)
Signature U
5
J=OK
0 = Not OK
. = NotReadyable
MISCELLANEOUS
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Elec.; Pool Lighting; 15 Volts-GFI
1.
Zoning Requirements -Setbacks -Easements
i
2.
Soils; Special MH Support Sketch
5.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
6.
4.
Water; Location -Test -Easement Needed (Sketch)
7.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
8.
6. Gas; Location -Test-Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
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
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/0 to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PE5N!�NENT END SYSTEM (ONLY)
Zai Requirements -Setbacks -Easements
Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas• MH Test -Demand -Valve
ectricity; MH Test
ater; MH Test
7.
Wate n5t•Sewer Connected
a d Electricity Tagged
xits
10.
Lic ecals
1
erify #'s with Office
Date _ _
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
_?_ 9 0 0 ?f/
?Date
MISCELLANEOUS
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
4.
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
Elec.; Pool Lighting; 15 Volts-GFI
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
i
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
8.
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
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.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
q Pnnl RTrnrfi iro• _qf ol_(:nnncrfinnc-Thirlrnccc
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = 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.-/ P' Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel- Bloc kouts-Wrapped
6.
Stemwalls, Garage; Steel- Bloc kouts-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
60. Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Card B-1 Date Card B-1
Date
Date
Date
Card B-1 Date Card B-1
Date
64.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Smoke Detector
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
18.
Water Pipe; Test & Anchor -Nail Protection
Bedroom Exiting
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
G.F.I. & Bath Fixtures & Tub Access -Spa
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
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
Date
74.
Card B-1 Date Card B-1
Date
75.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
A.C. Duct in Garage -Damper
24.
Fixture & Transformer Clearance -Ins. Protection
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Size Boxes & No. of Conductors Stapled
27.
Romex Installed Close to Edge of Studs & C.J.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
_
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes O No
84. Stucco Brown -Finish
32.
Service -Riser Conductors & Ground Main Disconnect
A.C. Unit Disconnect, Electrical -Plumbing
33.
Equip. Clearances Panels-Motors-Mech. Equip.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
34.
Clothes Closet Light -Shower Light -Spa Light
Water Well, Disconnect, Electrical, Plumbing
35.
Smoke Detector
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
92.
36.
A.C. Ducts Insulation & Support
93.
37.
Vent Fan, Exhaust above insulation
94.
38.
Condensate Drain & Overflow, Size & Grade
95.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
96.
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Comments at Final:
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_
83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP042552
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' 09/10/2004 APN' 028-370-026-000
the Business and Professions Code, and my license is in full force and
effect. 6q70 -3,f6
License Class: License Numb
Site Address:
• 53 CHINESE WALL RD BAN
11,
76 G -Contractor.
Map Index:
Date:
Description: EX MH PERM FND(1716)
OWNER43UILDER 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: CARPENTER GEORGE W VERONICA G
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
ETAL
signed statement that he or she is licensed pursuant to the provisions of
53 CHINESE WALL RD
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
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95966-8219
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
O 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: CARPENTER GEORGE W 8r VERONICA G
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
ETAL
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: SIERRA MOBILE SERVICE
O 1 am Exempt under Article 3 of the Business and Professions Code
BILL REID
466 CIRCLE DRIVE
Date: Owner:
OROVILLE, CA 95966
530-534-0599
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 #• 470386
'
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:
541 --PC 61--Z
Cartier:
Policy#: �1,g S%
Total Square Ft: 0 S. F.
❑ 1 certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, 1 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
�/-`�/►(// I
forthwith comply with thoseprovisions.
J\
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
This°permit is hereby issued under the applicable provisions of the Butte County C dR an r —
Resoluti n o dp work in ' ted a for hich fees have been,paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
O
Name:
P MIT EXPIRES ON: W
Address:
e
❑ 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. 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 representative f Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: Signature:
Date:
0 Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor
_ I .,
,.4 �>✓ tnsp S�n
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"
APPLICANT SIGNATURE
X
For office use only:
OWNER
Last Name �k� // ' N Pee
/i_ � �Ak
first Name
Address .S-3 C / '
Gw+Stated
w �
City
State
Zip
ZP 95966
Phone
Fax
Fax
E-mail
Lic. # y76386
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name
to__
Address
y6.1 a--. "-
city O_Ae_-P
feu
State
Zip
Phone S.I y
DS9 9
Fax
E-mail
Planner
Lic. # y76386
Class ks
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
Address
City
feu
State
Zip
Phone
State
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT NAME
Name
Flood Zone
Cross Street5�1d��
Address
y66
feu
City C-
Type Const
Subdivision Name Map
State
Zp 9s y6�
Phone
Planner
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Property Address
Flood Zone
Cross Street5�1d��
SRA
WORKER'S COMPENSATION
No
Occ.
Type Const
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
04 -25
BP
BIN #
LOCATION
AP# 0X F 370 02C
Property Address
City
Cross Street5�1d��
WORKER'S COMPENSATION
Policy Number Yzs 7
Carrier
y1_4 ".
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
Desc iption or Scope of Work:
v
No-�-
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
pemut and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: -P- Amount: Bldg
SRA
Receipt #: ���5- Sheriff
CAW- lg6,Iq SMIP
Other
�O Total
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: �C��A '�1Tf'G/C76aar ASSESSOR PARCEL NUMBER (J� f /t/ " -)
Proposed Building Use: �� %j'l. • �e(M fY)('j Counter Technician: ti' V J Date: / ''Y
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
ItF 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.
Cl 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, LF).Tie down or fell in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ 20. Erosion Control Plan Required........................................................................
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
0A 23. California Department of Forestry plan approval ❑ paid. Sent by: .............
AA 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:
❑, 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway fro • the Pub'c Works Dept ...........................
28. Pre -Inspection for eu M %{ l / Z4 • required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization......................................:.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ -35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ] Grant Deed, Ll-M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:_
When issued Telephone ,3 / ' J (,o and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: /&imm Date:
1. Index permit application for the above items numbered:
VI items required
designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, bZA
designer, owner, was advised of the ov data by ❑ phone, ❑ mail, ❑ counter, by _
Plans reviewed by: i�.Ci Date: Plans approved by:
Structural reviewed by: Date: Structural approved by:
Note transfer by: Date:
Yellow: Building Division
9///y
Plan Check Letter
Date: �/�L�
Date:
Date
Date:
ore
0
.0.
0
O
0
C
Department
C o u n t 1
Michael Crump, Director
r y
NjpP'�
Public
f B u t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville, CA 95965
(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:
Project Location and/or Parcel Number: /*V 6,P, D `O -r U
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.
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:
Title:
Date:
Less than I Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/12/04
N
.&
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHI(;O)
OFFICE #: (530) 538-7541
PERMIT NO.
BP043380
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.
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: 03/16/2005 APN: 028-370-026-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 53 CHINESE WALL RD BAN
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: 2 NEW DECKS 4X10 & 10 X24
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: CARPENTER GEORGE W & VERONICA G
to its issuance, also requires the applicant for such permit to file a
ETAL
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
53 CHINESE WALL RD
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95966-8219
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
Ic 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
owner of property who builds or improves thereon, and who does
Applicant: CARPENTER GEORGE W & VERONICA G
such work himself or herself or through his or her own employees,
ETAL
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
53 CHINESE WALL RD
year of completion, the owner -builder will have the burden of
OROVILLE, CA
proving that he or she did not build or improve for the purpose of
sale.).
95966-8219
❑ 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:
❑ I aim under Article 3 of the Business and Professions Code
�E�x�e�mppt
Date: Owner:
�''_--
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
O 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
License #:
Labor Code, for the performance of the work for which this permit
is issued.
O 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:
Policy #:
otal Square Ft: 0 S.F.
I certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
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: �� �lL—✓/
�KJ
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
Q� / /� / ^ G U
,5O
CONSTRUCTION LENDING AGENCY
This permit' s h reby issued under the able provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions t o work indicated abov for hich fees have been paid.
/
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date:
Name:
By:
PERMIT EXPIRES ON:
Address:
Date
❑ 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 authorized 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 subst rice of any official form or document of Butte County. I hereby
authorize representatives of Butte County two enter upon the above mentioned property for inspection r oses.
(0
Print Name: Ut) ILCA � 1244-l�C.'�'t' L � "— Signature: &4
`W
Date:
`,Owner O Contractor ❑ Agent for Owner ❑ Agent for Contractor
e. C. tsuuainq Permn 01- io-04 vu
I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVI ES M
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 OFAPPLICA TION
"PLEASE PRINT CLEARLY"
OWNER
Last Nam iavkps I
first alb e C6�
Address 53 co- ��l
City 0 40
CA
Zi s b
Phone3L)Fax
State
E-mail
pnipu2nm wd— I —
For office use only:
CONTRACTOR
Name
City
1WrV1
Address
State Zip
City
of
State
Zip
Phone
Page
Fax
E-mail
Date Approved:
Lic. #
Class
pnipu2nm wd— I —
For office use only:
ARCHITECT/ENGINEER
Name
City
1WrV1
Address
State Zip
City
of
State
Zip
Phone
Page
Fax
E-mail
Date Approved:
State License Number
pnipu2nm wd— I —
For office use only:
APPLICANT NAME
Name
City
1WrV1
Address
City
State Zip
Phone9q,*0(VC1
of
Fax
E-mail
Book
pnipu2nm wd— I —
For office use only:
Zoning
Flood Zone
City
1WrV1
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
7.d
I' 1 '
' .�.��:'
13 1 M;l
LOCA TI N
A 02CB--v2�
Property dress
513 lut? &i�,;_ L—At c1 0-8
City
1WrV1
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
OVER FOR SUBMITTAL REQUIREMENTS LL
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Description or Scope of Work:
eykq &,-I
Sq. Footag 29 o
Structure Builtwithoull Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: S Amount: I 5Z? Bldg
C �j enf��►'t2 SRA
Receipt /gyp Sheriff
SMIP
Date:
Other
Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit.
INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑
1.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑
2.
Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑
3.
Engineered truss details and layouts in duplicate (if required). No faxes!
❑
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 AIC 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 bidgs: (A) Metal Bldg Plans, (B) Fnd plans and caics 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).
❑
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 permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: OApL-"TeZ l/L'�D/V/C�} ASSESSOR PARCEL NUMBER OZ9-' g23;_7e)2-6
Proposed Building Use: - ��L- �S J Counter Technician: Date: 1-1112 O t/
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1 ZJ 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 -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
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 en iq neer.
❑ 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
1❑ 14. Hazardous Material Form
r®/ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ 20. Erosion Control Plan Required........................................................................ ........
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
❑ 23. California Department of Fore s r plan approval ❑ paid. Sent by:
24. Planning approval (A) Use: v (B)Parking: (C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
a7Worker's Compensation Carrier and Policy Number ..........................................
Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
i.Letter of Signature authorization......................................:.............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other:
When issued Telephone and hold f�ickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: I)111 Ah A A 1 i A Date:
1. Index permit app/ cation for thea o` item umbered: Bf�.! / f�''N �i Plan Check Letter
2. Additional items reoLdmcL
Contractor, design as a vised of the above data by phone, ❑ mail, ❑ counter, bF10b, Date: 1 05� n
Contractor, desig , r a advised of the & tab ❑ phone, ❑ mail, ❑ counter, ,y Date:
Plans reviewed by: Date: b Plans approved by: Date : (�
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
[Y w: Buildin
� :1
s{
J'
:r
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.F4. USE ONLY
Piot Plan attached ✓
Root Plan Antschod
sent to G.D. !
le
C,064e#0/=-AJ Tig
CIA 41e-5 C 44, 4` . 2��
Off" 370 'OLIO
Owner
Location
AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well ✓
Clearance for dwelling. Other o2 O x ./5r�OP.�.y d�e,� �k/O " rO PES
/O �2ocJ T Co✓ Ge P4 ,B c�< .
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Hea
8/96
FA
Butte County Department of Development Services
ADMINISTRATION t BUILDING' GIS'' PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538.2140 Facsimile
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible parry 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 your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through 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 "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Micyael C. Vieirq, C.B.O.
M ager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
o -;NN � o �R�BT�II��.3E12 ���CA,'�IO�T;
all
iS=.:.SJ�.. ..�<"i.. ..•:'i•:. ... l.x n:;'L..,..._... ...SC a..t,:' :lr},. :a)'
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 ma'or labor and material for construction of this proposed
property improvement: YES NO [ ].
2. I HAVE�HAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
DATE: '� - k u -07
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.
Revd 11/4/2004
o� Department of Public Works
0
C o u n t y o f B u t t e
0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION
0 / Storm Water Management Program
7 County Center Drive
Oroville CA 95965
A�@cic WOFt�`' (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 ACREI
Project Description: 21 naT_.1,,, S 327WU Z ( �E
Project Location and/or Parcel Number: 6 2g -O_�-4 — n 2Z1n
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:
Title
Date:
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
r
4
SITE PLAN REVIEW APPLICATION
Date: �G. 2,oOt.( AP# - -029 _ �-71) - 6-216
Permit Number (if applicable) &* K 3�00 Bin Number
APPLICANT INFORMATION Parcel Size:
Owners Name: 6,,Wp
Owners Address:
Telephone No.:
Situs Address:
Proposed Use:
Residential
❑ New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary. Travel- Trailer.
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
Other
F1Septic Well
❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A
Other: Jfz k
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved '❑ Resolve Problems Prior to Approval
Site an Stamped Approved
By Date
Page 1 of 5
n
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: X
• Flood Panel No.: to2 5 ® Index Date: t-(, ' 1,e�:ro
❑ 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)
bei req eco mNr
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: A-5-
-5- Cvk)
Applicable Building Setbacks:
❑ Setbacks drawnon site Plan. * CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
4
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
26
Side
Side Street
Rear
5
i
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawnon site Plan. * CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
4
r�
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ 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: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: .
Complies with County Standards for Deed Creation:❑ No ❑ Yes /&�/ Comments: �5a, � d8e�..,J
❑ 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: —F1 Meet Parcel size required by zone
FJMeet current Environmental Health Department requirements
Page 3 of 5
n
❑ Subdivision ME/Parcel Map:
Map Date of Recording:
Lot: Book:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Page:
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 road maintenance, and stop sign maintenance.
u
Page 4 of 5
f�
is
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.
CALarrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
Butte County Department of Development Services o�UTrF0
7 County Center Drive 0 0
Oroville, CA 95965 0 0
0.
(530) 538.7601 Telephone 0 =}a 0
(530) 538.7785 Facsimile cOUNty
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building permit application through the plans
examination process WITHOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
'•y
I hereby acknowledge:
• I need to submit applications for septic and/or well to Butte County Environmental Health
immediately.
• I am required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained.
• I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrange for disposition of plans.
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities that could prohibit issuance of the building_ permit or require
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
Typically other required permits/clearances include, but are not limited to, verification the parcel was
legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print:
Applicant Name:
Building site address:
APN:
Permit No.:
I have read, understood and accept the terms and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below:
SIGNATURE OF APPLICANT
DATE
Copy to Applicant/Eli/File K:Forms/BldgPermitwithoutClearances 020705
HEADERS ARBORIAWNING FRAMEWORK
8' oc .
4796
HEADERS 2x6 RAFTERS
92" W.
2XA TpPRAI L
40"
BRACKET
HUC48--, pq 4JC8
CBOA5117 T
BRACKET
*CB346 28"
NER-422
8' OC
2x6 RAFTERS '
4)06 HEADE RS
CARPENTER,GEORGE&VERONICA
PARCEL#: 028-370-026
SITE: 53 CHINESE WALL RD, 95966'
PHONE:
5966-
PHONE: 530-589-0699
DECK PLAN WICANTILEVERED POST
TOP VIEW
27116 DECKING
SIDE VIEW AW-
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BRACKET pc6e
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6.5
May 1995
PRE -INSPECTION. REPORT
•_ I� iii •A
CONTRACTOR: let (a. s_�vvc e_ ZONING:
REASON FOR PRE -INSPECTION 1:� "x rn 'te(n'1 4-nr1' C`.'X :,j t p
DATE TO INSPECTOR: - PERMIT HISTORY ( ) NONE (L44EE ATTACHED
BUILDING INSPECTOR'S REPORT
Building Description:
Commercial/Usage:
Residential # of Units:
Currently Occupied ( es () No
Abandoned/Vacant:
Electric:
Electric Currently ( n (.) Off
Condition of Electric
Gas: ,�
Currently ( (, ) Off
Condition
Sanitation:
Plumbing Worldng (,Ile's
Obvious Sewage Problems ( ) Yes
ACTION RECOMMENDED: ISSUE
Hold for permits or verify: '
30 g rA N
Inspector•
() No
Mobile home # of Units:
( ) Yes ( ) No
Date: F`z�
crT7TT4"T1r "YTTT T1T1'&T1-AC1 11AT "WXT1r.1"01M A ATT T1kTr%1r1" A TT T 11/" A TTfIAT lIAT T1Tl1T)TTTTT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
C-4(zpz:)Ij
OWNER
CORRECTION NOTICE
0 P* k,
tl 4/ 3 76 o ZAf
--peftatrrNO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please ontact this office immediately.
q
L/ CIAS
REV 10/92
COUNTY OF BUTTE.
BUILDING DIVISION r' -
DEPARTMENT OF DEVELOPMENT SERVICES
4,11 Main Street - Chico, CA -,,(530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
4 CORRECTION NOTICE
C� 2p`>„b ZC-.376 6
OWNER _ �. e PE-RMI'T'NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. It you have any questions pertaining to this matter'or need additional explanation,
please contact this office immediately. `
y 0 CA 0 A31,111"
--0 E L /C T A Co v C- a-S-
Date
L
REV 10/92
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"
APPLICANT SIGNATURE
X 16-1
For office use only:
OWNER
Last Name e4/,,EN DCS
o
rst Name
Address
�v►
City 0�
City 6L"C"�p�
State
Stated
ZP 95966
Phone
Fax
Fax
E-mail
Lic. # y76596
APPLICANT SIGNATURE
X 16-1
For office use only:
CONTRACTOR
Name
�-^-�-
Address
y66 6A,_i2_- Rye
City 0�
Occ.
State
Zip 9S9E�
Phone 5-311
oS9 9
Fax
E-mail
S-3 q 0S6 6
Lic. # y76596
Class
APPLICANT SIGNATURE
X 16-1
For office use only:
ARCHITECT/ENGINEER
Name
4'�Q
Address
Address
City
Occ.
State
Zip
Phone
State
Fax
E-mail
S-3 q 0S6 6
State License Number
APPLICANT SIGNATURE
X 16-1
For office use only:
APPLICANT NAME
Name
4'�Q
4�
Address
No
Occ.
City
Subdivision Name Map
Book Page Lot #
State
Zp 9S%66
Phone
S-3 q 0S6 6
Fax
E-mail
APPLICANT SIGNATURE
X 16-1
For office use only:
Zoning
Flood Zone
CityG���
SRA
No
Occ.
Type Cons
Subdivision Name Map
Book Page Lot #
Planner
Date Approved:
n%irr% rr%M ell lr%1Rwr'T-TAI Mr-,r%l llr'%r-KAr\ITf1
PERMIT
N0.
04(- 25
BP
BIN #
LOCATION
AP# O.Z5l 370 026
Property Address .,-, C,�.� G��QO
CityG���
Cross Street
WORKER'S COMPENSATION
Policy Number
Yzs7
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:
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refimdable.
Received by:` p Amount +7 • 112d Bldg
SRA
Receipt #: q l Zl5s Sheriff
CO- 1,362 SMIP
Other
DaterDate:
Tota
I ,
28-37-26
?, f, GEORGE & WILMA RICE
-:' App 200' off NIS Swedes Flat Rd, app
1800' E Spring Creek Rd, Oroville
Permit#2132-84P,E(util MH)
ELEC
GAS
SUPPORT STRUCTURE REQ
COMPACTION TEST REQ
t }•
028-370-026 PERMIT#96-0087
RICE, Irene
53 Chinese Wall Rd.,Oroyille
Cont; Schiedeck Const
Mobilehome Utilities,
ELECTRIC Zoo &Ap
GAS3
LINE
COMPACTION TEST REQ_/,.. ~_:...
SUPPORT STRUCT REQ �V O
028-370-026 PERMIT#96-0068
RICE, Georgeyw,Z/i
r Sw Oroville
Cont: Al'Carl
1i�h�^N
Mobilehome Installation
7v �
+C� '4A.,s.�.1.7p iE'ycr- i+'R.� i C' �x ,4 S 5 :� Y�Y•�f #d,�
i` 7 �} �„A. "Sv�•s.t'aTF�t + < ,•fes7_ �. ✓r vt,.,;
4 . � PTw+fs1-�.
y ...
�3' 1t
ty/„•1_`''�}z
- 'c 1 0 c� ,y .
n'�S
P<v�'
i..a,
N
r�
i
AP fir` / Q
OWNER , t-2—
PERMIT" % ` 0 0,9 7
M UTIL.CLEARANCE DATE �S
INSPECTOR
ELECTRIC
GAS
Support Compaction
Struc. Test Re .
Service
Size
2-0
Other
/Load
T e
LPG
Pipe
Size
3/
Length
��
YES NO
YES NO
- - -- - - - 1--- ---
ear
E
Building Permit Number: Dq -d256�Z
Owner Name: CGrp",mit.
Residential Construction Requirements
DIPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 2001 California Building Code
(2001 URC), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California
Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required.
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
4p. elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Page 2of 2
Building Permit Number: 0 a.SS Z
Owner Name: C6_ ' 1�
mi Parcel lies within -the State Responsibility Area (SRA). Comply with attached
requirements.
Fire sprinklers are required in this structure.
The following parcel map requirements shall be met:
=3_ All structures and equipment including overhangs shall be clear of all easements.
A setback ofmOOTeet from the side anddo'-het from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect..
1. Owner's Name: e z- .e R1 G
2. Assessor's Parcel Number: ' 3 %
3. Installer's Name:
4. Is the site currently under permit? Yes[ ] No[ dj Permit No.
5. Is the site an existing site? Yes[ ] No[c'] (If yes, furnish two plot plans).
6.- What is the electrical rating of the. mobilehome? /,(,0 Amperes.
7. What is the mobilehome site circuit breaker rating? / a a Amperes.
8. What is the electrical rating of the mobilehome site? b Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] No[M If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes ] No[ ] If yes, please identify the load and size:
a) The mobile home site:
Load- WY �� Amperes- 7,0
b) The main service:
Load- Amperes -
11. Type of gas service at mobilehome site: Natural[ ] PropaneM None[ ]
12. Size ofas pipe at the mobilehome site from the meter or
tank: 3inches.
13. What is the gas pipe length from the meter or tank to the mobilehome?/,6 (ft.).
14. What is the mobilehome gas demand? B.T.U.* .
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST. BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
May 1995 8.5
Mobilehome Manufacturer: j�W /e N Manufacture Year: �
If other than single wide, furnish Setup M del Number: 7 Y/
Width: 2 4 (ft.) Length:y(ft.) Tagalong or Expando Size (ft.) x �- (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation gradeV] Other:
SUPPORTS: Concrete block'] Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1
jUine
Line 2 ne 2
........................................................................................Main Beams.........................................................................................e 2
Line 2Line 1 3
ne 2
.........................................................................................Main Beams
ne 2
ne 1
............................................ 'Line S
Tag or Triple e 4
ine 1
Line 1 Piers:
Size minimum: x 30 .
Spacing maximum:
From ends -maximum: `
Line 2 Piers:
Size minimum: V .Z] x I.
Spacing maximum: `
From ends -maximum. `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
Line 1 Openings /;1-.. 3 b -
Size minimum: [ *FIX 10 ].
Each side of openings
with width over: (, 10
Line 4 Piers:
Size minimum: [ ] x [ ].
Spacing maximum: `
From ends -maximum: `
N102V'e.to iZzto X21. 2VX33! o P-2-voly.�r p 5 -V ?1 1 1 +
OVER
as est, 2..,��;5. l%•�.
Vector Dynamics
Foundation System
INSTALLATION INSTRUCTIONS
for the State of California
Version 9/212003
SECTION
INTRODUCTION
GENERAL INSTALLATION
PARTS LIST
LONGITUDINAL DEVICES
PIER HEIGHTS
SET-UP INSTRUCTIONS
INDEX
PAGE
NUMBER
2
3
4&5
6
7
8
RELEASE
DATE
9/2/03
9/2/03
9/2/03
9/2/03
9/2/03
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
Approval
MANUFACTURED HOME/MOBILB HOME
FOUNDATION SYSTEM
RMTH AND SAFETY CODE,.SECTION 18551
APPROVED
SUBJECT TO CORRECTIONS NOTED
PRO•VAL DOES NOT AUTHORIZE OR APPROVE ANY
QSSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
�State of Californle
t f1 outin end Community Development
�
�N. ES AND STANDARDS
r
DATB O 3
QKOfES$/ONS
c cE M•
BUTTE COUN I 1
APPROV r,
t --
co
Lq
M
O
N
O
O
0
STA
FOOTER SIZES
We
.WIND ZONE I - SINGLE
9
9/2/03
- DOUBLE
10
9/2/03 ,
- TRIPLE
11
9/2/03 .
- HIGH PIER
12
9/2/03
WIND ZONE II - 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
Approval
MANUFACTURED HOME/MOBILB HOME
FOUNDATION SYSTEM
RMTH AND SAFETY CODE,.SECTION 18551
APPROVED
SUBJECT TO CORRECTIONS NOTED
PRO•VAL DOES NOT AUTHORIZE OR APPROVE ANY
QSSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
�State of Californle
t f1 outin end Community Development
�
�N. ES AND STANDARDS
r
DATB O 3
QKOfES$/ONS
c cE M•
BUTTE COUN I 1
APPROV r,
t --
co
Lq
M
O
N
O
O
0
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/Q_yPc
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.
LUMBER/MOISTURE -TERMITE SHIELD
To cut PVC or lumber (2 - 2x4's,1 - 4x4 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.
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 rvi+h 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 Combine Vector Dynamics
& LSD
C2
1. Longitudinal Foundation Pad
2. Beam Clamp (2 per system)
3. Longitudinal Strut (2 Per eystcm)
4. Tle Bracket (2 per system)
Note: Two struts =1 L.S.D.
Can be used on one Pad or 1
opposite ends of the home.
Examples of Possible Placement:
(Contact TIE DOWN for plactnent in other Wind Zones)
Wind Zone
I
5ingle Section
I
I
.I
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 5ection design.
Page 6
Wind Zone
I
Triple Section
Wind Zone
I
Tag 5ection
48 Ft. Max.
California
1
I
1
1
I
1 ; .
9/2/03
1
1 I
1 1
1
1
I 1
Wind Zone
I
Tag 5ection
48 Ft. Max.
California
1
I
1
1
I
1 ; .
9/2/03
50 -in
Max,
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 1, 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
4aximum
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".
1( H �.;.
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.
Page 8
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.
Califor
9/2/03
W
CD
u
n
0
W
L ' L
WIND ZONE I, SEISMIC ZONE 4
Vector Dynamics Systems Required for
Double Section Homes
(Materials Required)
me
e ct`On ho1
_, \I
_---"" ""-�2, double S -
-
. Y.._^ _*� itis"+Y�y� , .. _�•y. �. ���.`^. `G-� _ _
_ cf
- \ t`.�'i'�;"^ht A: d1-ci'IB� ter: - - .... - "-:�f� 'v' f> �.'�. '& . - - - -.� tV _- - ...�...._'E4s: ♦
NOTE: Vector Systems should be spaced as
symmetrically as possible along the length of
home. Pier spacing must be consistent with I
manufaclurers' instructions and/or state requirements.
No anchors required. For
pier heights up to 46" for
28'-36' wide,
38"for24' wide.
See Pg 12 for high pier
instructions.
WIND ZONE I
Soil Classifications: 2, 3, 4A, & 4B
Soil Bearing Capacity: 1,000 PSF minimum
Anchors ReauirPri*- klnn= 1*hA—;-- ,.,_II
Home Length
Vector Systems'
Required
,,,Qy uc Icyunea
Anchors Required
Per Side
L)y nome
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
`-yckIwr oystem .requires one of the following:
1--, 14x4 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
manufacturer)
Note: L.S.D.-
Longitudinal
Stabilization
Device
See Page 6.
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
D2586)
1 Sound hard rock...... NA
Very dense and/or
cemented sands, coarse
2 gravel and cobbles,
preloaded silts, clays,
and corals
Medium -dense coarse
3 sands, sandy gravels, very
stiff silts and clays
4A Loose to medium dense
sands, firm to staff clays
4B and silts., alluvian fill
40 -up
24-39
14-23
Soil Test Probe (1)
Torque Value (2)
NA
More than 550 lbs - in.
350-549 lbs - in.
275-349 lbs - in.
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: _
1 6x1 6 = 256 s in. - - _' ' = - -
q� _ � ���° 20x20 400 sq. in.
or 16x18 = 288 sq. in. or 17x25=425 sq. in. - -
- - -
EQUALS _ EQUALS ' _ _ -}
2 -Vector Pads # 59275 M�. �'.,,� 1 -Vector Pad # 59271 - -
28.8 sq. in. or 432 sq. in.
1 Vector Pad # 59130 -
Vector Pad(s) exceed the surface area required when used as the equivalent liste bove.
"Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in tar with site
conditons
Page 17 California 9/2/03
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. Q.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
59.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location +
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic El Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails &Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes El No
Service -Riser Conductors & Ground -Main Disconnect
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76.
77,
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
29. Equip. Clearances; Panels-Motors-Mech. Equip.
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except p'S
83.
84.
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
34.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
86,
Energy Compliance Certificate -Other Certificates
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except q's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit jobsite)
J = OK
J = Not OK
= Not Applicable MOBILEHOMES
K = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except q's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
2132-84P,E(NH)
PERMIT NO.
PERMIT EXPIRES
OWNER GEORGE RICE
CONTR.. owner
{ ASSESSOR PARCEL 28-37-26
LOCATION 200' off N/S.Swedes Flat Rd, 1800'
F
E Spring Creek Rd, Oroville
is r rd
��< ,
Temp. Power Pole
I
Called PG&E
P
!' Temp. Elec. Service`
Called PG&E
Temp. Gas Service
f Ca11edPG&E
JOB FINALED (Date)
it
Signature'
• F
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 _
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
zo NG r
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC, BUILDING VALUAT N
OWNER'S MAILING DR SS
S - S
CONTRACTOR'S NAME �A
1� 1
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ O
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS I (� S
—C
PLUMBING PERMIT
Filing Fee 10.00
n D
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. "B.IION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
1 5.00
USEOUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer 45.00
Mobile Home
10.00E .99,00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities Instal lation ❑ Other ❑
Describe work: —
i t
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 00V OR
100 AMP LESS
10.00 (),0D
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
220sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
(� I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
NEW CONSTR. ( POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR. /
Ex. Occu / OR FIXTURES
P\o
20®50m
BAL®30
FIXED APP LNS. OR
FIXED A
Ex. Occup. OUTLETS (RESID.) EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
-0
Permit Fee
$ A Cf,SD
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
J4 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities -.),judgments, costs, xpenses which may in any way accrue
against said C unt in conseque e f he granting of this permit.
X Date S - ��
Signature of Applicant — 0 er Contractor ❑ Agent ❑
An OSHA permit is required or excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.PARC
r4
PD HD ISSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT F PUBLIC
By
PEP66 EXPIRES Date7—/�lA
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date? //(a—�%DaY
(J
Receipt No. <1] L97
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW
OI+FICiAL P.ECOnD, E
SUTTE CCiLINTY-GAi.t:.
"• r
JUL 9 3 54 P !9F{I
�L.kRK - I.ripC'fLj(_R
s`�s24t449 FEE
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
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 arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the Codnty of Butte, State of California, described
as follows:
Date: July 6, 1984
NOT COMPARED WITH
ORIGINAL DOCUMENT
PROPERTY OWNERS:
Wilma J.
State of Calif. ) On this the 6th day of July , 19' 84 , before
SS. me, the undersigned Notary Public, personally appeared
County of Butte )
-----------.Wilma J. Rice -----------------------------------
/ / Personally known to me. Proved to me on the basis
""i1111101""" OFFICIAL SEA 11°011 of satisfactory evidence-.
OFFICIAL SEAL ., y
LeANNE M. Kl90DEAU?( to be the pe (s) whose iiame(s) is subscribed to'
:- NOTARY COUNTY `OF BUTTEIC R NIA = .the within instrument and acknowledged that she
MyCommission ExpirmJuly 13.lees =executed the same for the purposes therein contained.
w IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary Public
�IZ �3 �� /� LeAnne M. Kibodeaux
Present A.P. No. �b
r\ + N
All that portion of the Morthaest quarter of the Southeast quarter,
and all that portion of the Northeast quarter of the Southwa t
quarter In Section 4, Zbeoship 18 North, Reno S Bast, M.D.B. 6s M. ,
lying Northerly of the centerline of the Swedes Flat Bmd. E
RESERVING TBEREFhOl1 a 60 foot right of way for road and public utilities lytft
30 feet on each side of the following described centerline:
BEGINNING at a point in the centerline of the existing Swede's Flat Road. frog which
point the Southeast corner of Section 4,. Township 18 North. Range S East. M.D.S. S li..
bears South 370 46' 49" vast, 2314.39 Leet, said point being the true point of beginning
for'the herein described centerline; thence along said centerline- Worth 130 15' 07" East.
"Al feet to the beginning of a curve to the left having a radius of 100 feett-and a '�-
central angle of Soo 45' 37"; thence along the arc of said curve, 95.57 feet to the end
of curve; thence Nntth 410 30' 30" West. 157.83 feet to the beginning of a curve to the
right having a radius of 225 feet and a central angle of 160 04' 53";. thence along the
are of said curve, 298.77 feet to the end of cum; thence forth 340'34' 23" East.
35.27 feet to the beginning of a curve to the left having a radius of 250 feet and.a
central angle of 270 15' 00"; thence along the are of said curve. 118.90 feet to the
end of curve; thence North 070 19' 23" East. 344.93 feet to the beginning of a curve
to the left having a radius of 200 feet and a central angle of 180 26' S2"; theme
along the arc of said curve. 64.39 feet to the end of curve and the end of said eeoter=
line.
ALSO TOGETHER KITH AND RESERVING THEREFRO3 a 60 foot right of way for road and public
utilities lying 30 feet on each side of the following described centerline:
BECINNINC at a point in the centerline of the Swede's Flat -load. from which point the
Southeast corner of Section 4.. Township 18 North. Range S East, M.D.B. b K.. bears
South 580 24' 26" East. 3545.86 feet. said point being the true point of beginning for
the herein described centerline; thence North 360 58. 49" East, $11.13 feet to the
beginning of a curve to the left having a radius of 250 feet and a central angle of
440 56' 38"; thence along the are of said curve a distance of 196.1b feet to the and
of curve; thence North 070 $71 49" West-, 336.85 feet.to the beginning of a cove to '
the right having a radius of 1000 feet and a central anile of 100 $21 02"; thenee'aloag
the arc of said curve. '189.67 feet to the end of curve; thence Korth 020 54' 13" East
a distance of 74.60 feet to the beginning of a curve to the right having a radius of
650 feet and a central angle of 320 29' 58"; thence along said curve an arc distance
of 368.69 feet to the end of curve; thence North 3S0 24' 11" East. a distance of 49.05
feet to the beptnning of a carve to the left having a radius of 175 feet and a central
angle of 99" 32' 12"; thence along said curve, an are distance of 304.02 feet to the
end of curve; thence North 640 98' 01" West to a point in the North-South centerline
of said Section 4. end of description.
2-� -�
�0. FT: MINI
FOR?
� permif will 6e required for -
installation of i -he Loi a om
F L � ONE)
Y/ A setback of 5 ft. from the.
property lines and a setback
of 50f
t. tom the road This set of plans and specifications MUST be
Utility connections shall be within centerline shalt he clear of This
on the iob at ail times and it is unlawful to
4 ft. of the mobilehome, either structures or equipment exceP•, mry'°, nny changes or aitarations on same without
directly ,behind or within the rear ':ter 2 ft. eav,_ overhann. written permission from the Depa vrenf of Public
half of the roadside (left) of the Works. County of Butte.
mobilehome.
i�OTE:—AII Materials & Woy kmanship Shall Be bee
Accordance wish Reco�mized Good Practices and
of a quality prescribrrl for 'she Soccified use in tho
Uniform Building. Plumbirg � lvtc�=lianica! Codes a, -.,j
slae National Electrical Code.
o;_
r� �66 SQ. F T. NII NIMU M
A setback of 5 ft. from fh
Property lines and a setback
Qf -50ft, from the road
011tOrllmet shall by clear of
Utility connections shall be v- jthjnAt?Y fUMo or equipmentw
4 ft. of the mobilehome, either %,#A ft.oeve over¢w► -
directly behind or within the rear
half of the roadside (left) of the
mobilehome.
N
Ai
�► permit wil! be requ=rer� -for
installation of ilhe mo'oilehome.
This set of plans and specificati'ns MUST be
kept an thQ iota at.all +imes and it is unlawful to
multo any changes or alterations on same without
written permission from the Department of Pub!'Ec
Works. County of Butte.
MOM.—All Raterials & Workmanship Shall ge in
Accordance with Recognized Good Prac+ices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Machanica! Codes mad
the National Electrical Code.
/3
T� Btr��eourm
BUILDING ®EPARTNIEN a
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION --7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN:
PERMIT NO.:
`� -- Doff%
0
0
Owners:
Name:
Ci...�
� ew ca. { �
Owners:
Address:
C Al /? P1
L L
Mobilehomey�
� � + �f l�0 A)
Yearof
1
Manufacturer
J4
Manufacture:
Serial number
I C� 74/ -�6 0(o
Insignia or r
g ��vU�9
or V.I.N. �
-
HUD number: r:
Official approving �stallation:
Date:
If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall
not be used when the mobilehome is installed on a foundation system.
513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville,,i-C& iforrtiia'95965 - Telephone (916) 538-7541 PER T 0.
APPLICA'hON AND PERMIT Q
ASSESSOR PARCEL NUMBER 28-37-26
A-5 ZONING
BUILDING PERMIT
OWNER GEORGE RICE
TELEPHONE
S0, FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 1564 FITZGERALD DR #139 PINOLE, 94564
CONTRACTOR'S NAME
AL CARL
TELEPHONE
589-0758
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
23.00
Energy Plan Che king Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty J $
BUILDINGADDRESSe
0- B U / j] ,avv��� /'. CT. EEE nT n m , D
3 CA � •
PERMITFEE $
43.00
14
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBON510N'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑X Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EX Other ❑
Describe Work: 3 $i,EDR0914 2 BATA 26 X 66
Mobile Home S G W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service OOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
06.00
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.
License Class C y % Lic. No. 11fG qVj
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensa on 'nsu ance ca r and Iicy number are:
Carrier 4 f C 1/
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a Acc. S. )
3.5¢ FTSD..
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( a POWER APPARATUS )
SINGLE OUTLET CIA.
Ex. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
BAL
FIXED APPWS. OR
Ex. Occup. ( OUTLETS (RESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
•e
MECHANICAL PERMIT
Filing F
g �. 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number 1,0 92,4,5_--J — 9
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with.JXogp,provisions.
X Date
—— -----
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $100.00
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 143.00I
HAZ.
V
D FE
IMP FLOOD
CDF PARCEL PD HD
r
ISSUE
This permit is h y issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
in
indicated above for which fees have been paid.
2
BY ate �y
PERMITEXPIRESON
I I (Data)
Receipt No. 190735
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
-COUNJYOF BUTTE = DEPARTMENTO,F-1
7 COUNTY CENTER DRIVE - OROVILLIf.
OWNER GeD r
a- r
:)PMENTSERVICES - BUILDING DIVISION /
RNIA 95965 -TELEPHONE (916) 538-7541
PE RIM IT.AP P LI CATION DATA SHEET
I<<�
,Proposed Building Use M
Building Inspector Date`
At time of permit application, I was advised the folloing-1data must be submitted prior to permit processing and/or issuance:
r DATE RECEIVED BY
1. All items have been submitted. .:.`..................................... t
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . .......................
4.`\Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. ......................... ..........
6.' Energy Design Compliance and supporting documentation. '
7. Statement of Intent for Non -Heated and A/C Buildings. ... .........
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
r3 9.. Mobilehome data and manufacturer's installation instructions, 2 sets. ....,r`..... .
AL10. Fees of $.........................................
Impact fees -as shown on attached schedule . ...............................
California Department of Forestry plan approval/fees..................
'13. Flood elevation letter (100 year flood) by California Engineer... ............ .
14. Sanitation and plot plan approval Health -Department . ........... .
15. City of Chico plumbing permit. ................'...........-': ...............
> 16. Plot plan and business license approval from City of Biggs/Gridley.
17. Planning approval for (A) Use: (B) Parking":
18. Contact Lard Development about (A) Improvements (B) Drainage. .
19. Driveway permit (construction approval required prior to occupancy). ..
20. Pre -inspection for *Pr n*,°e`�.A r6g6et
p required. . . to Building Inspector (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23.
Owner -Builder Verification (Given to owner , Mail to owner ............
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ........................................ .
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. ......
27.
Letter of intent on building use. . .
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ..................... :..... ..............
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . .......................................
32.
Plan check list . ................... ......................
33.
34.
Whep -0u issue th0"'.
� r�rocess as follows: Mail to owRej. Mail to contractor.
Telephone S8' and hold for pickup at U( -D 0 (1 (� office. -Deliver with inspector.
Other
Parcel Creation
Acreage Applicant G
Copy of Haz-Mat form sent Health Dept. Fire Dept. _
Copy of plans sent Health Dept. Fire Dept. Other
The following data must be submitt
1. Index permit for above items No.
2. Additional items required:
Air Pollution Date
Date
it issuance: (Circle new item not checked above).
Date -r-- r" " ?W
a
Contractor, designer, owner, was advised of above required data by_ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data,by _ phone _ mail Co to _Date
Plans checked by Date .(Plans approved by Date d�
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works �'
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
OWNER A.P. #
PROPOSED BUILDING USE ZJ j /� DATE
�y REC. # DATE REC
v�� ` O 1 � �
1. SCHOOL DISTRICT FEES D U �
(paid at District Office)
2. SHERIFF FEES (paid at Building Division)
Residential...... x -=s 3b
unit amt.
Commercial (sq.ft.). x =$
3. URBAN AREA FEES
(paid at Building Division)
Residential (per unit). x =$
#units amt.
Commercial (sq.ft.).. x =$
sq. ft. amt.
4.
5.
RECREATION DISTRICT FEES
(paid at District Office)
THERMALITO DRAINAGE DISTRICT FEES
$400.00 (paid at Building Division)
SRA FIRE INSPECTION AND -PLAN CHECK
$89.00 (paid at Building Division)
7. WATER TENDER FEES
(BATTALION # )
$200.00 (paid at Building Division)
8. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
9. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
permit.
APPLICANT Z�/ DATE r,, , ?e
Cn
M
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-n
"Anis set of plans and specifications MUST 6�
kept on the job of all times anis it is unlawful u
make any chcnges or alterations on some without
G)
written permission front; the Department of Pub&
WoA4, County, of fluffa,
C',
0
OVERHANGS SHALL BE CLEAR Cr- ,,'NLL EASEMENTS.
NOTE -:—All K/Idi-eHals
ic!
Accovdc-mc.e u), j-1 I h, 1:
Kvcce
con C-1)
'J,
FTI. FROP',11 THE ROAD GENT'ILINE q' -iALL BE
CLEAR OF STI RUCTURE-S AND EQUIPMEENT EXCEPT
G)
ALL MWWRES AND EQUIPW7NT INcLUDING
C',
0
OVERHANGS SHALL BE CLEAR Cr- ,,'NLL EASEMENTS.
A -SET SACK or- r FrIC&I S'I'DE AND
Fr. FROM THE REA"I LINES AND
con C-1)
FTI. FROP',11 THE ROAD GENT'ILINE q' -iALL BE
CLEAR OF STI RUCTURE-S AND EQUIPMEENT EXCEPT
FOR A 2 F'7. EAVE OVERHANG.
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1 BUTTE COUNTIP-,---,
BUILD-ING DE
PARTMENT
Hl
PROVE®
Butt- T'., f
Envi,ronmsrrhl
Date
la
ZIlrYS7 Signature -
-'^.__(t'• :7� .�� �.I,:I ji,tt;:t it r�. ��'t1�F�.�.�'� ._.' .�...
:!3
1. Owner's Name: Ri G 'e-
2.
2. Assessor's Parcel Number: 3 7
3. Installer's Name:
4. Is the site currently under permit? Yes[ ] No[ vj Permit No.
5. Is the site an existing site? Yes[ ] No[0f] (If yes, furnish two plot plans).
6.- What is the electrical rating of the. mobilehorne? / 0 Amperes.
.7. What is the mobilehome site circuit breaker rating? / G a Amperes.
8. What is the electrical rating of the mobilehome site? r% Amperes.
.9. Is the main service remote from the mobilehome site? Yes[ ] No[A If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service c
(i.e. well, garage etc.)? YesV ] No[ ] If yes, please identify the load and size:
a) The mobile home site:
Load- /�J� .�� Amperes- 710
b) The main service:
Load- Amperes -
11. Type of gas service at mobilehome site: Natural[ ] Propanem None[ ]
12. Size of gas pipe at the mobilehome site from the meter or
tank: 3/y inches.
13. What is the gas pipe length from the meter or tank to the mobilehome?/6 (ft.).
14. What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN' ORDER TO
PROCESS THIS PERMIT APPLICATION
May 1995 8.5
Mobilehome Manufacturer: �'/� /d N Manufacture Year:
If other than single wide, furnish Setup M del Number: %
Width: Z 4 (ft.) Length:�(ft.) Tagalong or Expando Size
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation gradeDe] Other:
SUPPORTS: Concrete blocky] Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 TL'e
Line 2 ne 2
................................:........................................................Main BeamsLine 2.........................................................................................e2Line 1 ne 3
ne 2
.........................................................................................Main Beams
.........................................................................................ne 2
n 1
............................................ ine 5
Tag or Triple e 4
ine 1
Line 1 Piers:
Size minimum: x..30 I.
Spacing maximum:'--il
From ends -maximum:
Line 2 Piers:
Size minimum: [/ 2] x
Spacing maximum: `
From ends -maximum: `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
Line 1 Openings y, 3 0
Size minimum: [] x [,� ]• Ov/ Si
Each side of openings
with width over: I ' D 0,0
Line 4 Piers:
Size minimum: [ J x [ ].
Spacing maximum: `
From ends -maximum: `
'.Zx 3D Z *.z c 12 I( 3 0 I.Z,elm 2 VX3
OVER
j3UttQING DEPAF4TMENn
APPR
OVED
BECROOM 14'OPT-
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LITFI-.RfTURE
TRI STATE TESTING - MEMPHIS, TENNESSEE
A CALIFORNIA APPROVED LISTING AGENCY . TIE -DOWN ENGINEERING
CALIFORNIA APPROVED ANCHORING PRODUCTS
any: MANUFACTURED HOUSING AND COMMERCIAL CO�
ZZ
V Y.INCLUDES SCHEDULES, DIAGRAMS FOR %
SINGLE/DOUBLE/TRIPLE/QUADRUPLE WIDE UNITS
„ 1. PRODUCTS DESIGNED FOR
A. SOIL ---1,000-4,000 AND UP PSF SOILS
(CLASSES 1-4, 200-550 INCH POUNDS AND UP TORQUE VALVE
(CLASSES. 1-5, UBC -CALIFORNIA) SOIL CLASSIFICATIONP
GENERAL DESCRIPTION OF SOILS
ALLOWABLE PRESSURE
Types of Soil
(Pounds Per Square Foot)
SOIL TYPE
No allowance made for overburden
based on the unified
pressure, embedment depth, water
classification system
table height or settlement problems
rock or hard oan
4.000 and u
Sandy Gravel or Gravel
2.000
Sand. Silly Sand, Clayey Sand,
Silty Gravel, or Clayey Gravel
1,500
Clay, Sandy Clay, Silly Clay, or
more then
Clayey sin
1,000
Uncommitted Fill
Special analysis is required.
Peat or Oraan a Clays
Soecial analysis is recuired.
B. WIND—ZONE 1, 85 MPH EXPOSURE 'C'
- ,v,OV IZXIZW T%gf40W 1 SYo,,xW
APPROVED
SU3JECT TO CORP.ECTIONS NOTED
Approvnl does not V;Ahorize or approve any omission of
de.iation from requirements of an Shote lows and
•equloficns.
State of California
Department o! Housing and Community Develepment
DIV:sfo41 CODES AND STANDARDS
Date_�t>�1�
isi3reature) %�
.SPA
phis Plan Approwd Expires_ 2
C. SEISMIC—ZONE 4
. Comets slab
Tens" devkes lar we in oanaste p4 runner. ate, shat be tested (same n
' anchwil and spedikedom ss to Pea and tae Mw of cmxwc rehin er —c Stu, and
dtiinets of cmaetc size and Gydt of boh hok type aril kW of dhleld 0 perhassRAL
16W*nu.-o dutmre u which undw q dwks mn be Installed ham edge or end of skb.
pe& runner. ere, shr8 be rpedW— kuvucaoeu shipped Wilt each is uionvrg device
sW kKU. the above.
(a) The test probe is a de*e Its awesurtrV the tore. value of wds to asses in avakwhg
the hoUarg t �of dr twL h .hich the end. b $me& The tm probe !m a
has on It. {ergth of Ink hekal section Is 10.75 hdrs: the maim C11"er
Is 125 Inches; the mhor dknwer Is 091 hdrs: dw pitch 1.75 hdhm Thr shaft reser
be of wbable le.0 for end- dais .
(b) A measure synortymoaa .We
s ahwou of a bm4 vdwhm
n illub W ecd the shah of
she test prober
Ind Below time vakw, a Prolessional tnOx should be consulted or adddand ardxes
added
Design Wind -load Zones:.
Standard Wind Zone
Hurricane Zone II
Hurricane Zone III
Note –
psf: pounds per square foot
15 psf Horizontal 9 psf uplift'
_39 psi Horizontal 27 psf uplift
c47 psf Horizontal 32 psf uplift
e net uplift
Reference – Manufactured Home Construction and
Safety Standards (MHCSS) 24 CFR 3260.305(c)(2), latest edition
2. CAPACITY OF ANCHORS - EACH GROUND ANCHOR, WHEN INSTALLED, SHALLBE&CAVIOF RESISTING AN ALLOWABLE WORKING LOAD AT LEASE EQUAL.TO� t
A 50 PERCENT OVERLOAD (4,725 POUNDS TOTAL) WITHOUT FAILU
3'. CAPACITY OF STRAPPING - TIE DOWN ENGINEERING
GALVANIstel ��
e 1 TEhI� ME S
OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -D 3953-91 SP G O
1-1/4"X.035 (MIN.) TYPE 1, FINISH B, GRADE HOT DIPPED GALVANIZED S Rve7
CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF THE CALIFORNIA CODE OF
REGULATION TITLE 25, 18613.4 OF THE HEALTH AND SAFETY CODE. PAGE 1
Types of Soil
Blow Count
Test Probe I
(ASTM D1586)
Toraue Value 2
1 Herd rock
NA
NA
21ah Veydenre andlor
eemm:ed rends, ooe.•se
gavd and cobbles.
more then
Preioeded sets. and days
40vp
550 lbs. Inch
mors than
(b) Cords
40up
550 lb.. Inch
3 Fkdum•dmse coarse
rands. sandy Bawls. wry•
350 to
still sets & days
23.39
549 @s. Inch
4 Loose to medaan dense
sands. fire to still days &
20D to
silts. aCuvlerm 88
1423
349 lbs. hilt
. Comets slab
Tens" devkes lar we in oanaste p4 runner. ate, shat be tested (same n
' anchwil and spedikedom ss to Pea and tae Mw of cmxwc rehin er —c Stu, and
dtiinets of cmaetc size and Gydt of boh hok type aril kW of dhleld 0 perhassRAL
16W*nu.-o dutmre u which undw q dwks mn be Installed ham edge or end of skb.
pe& runner. ere, shr8 be rpedW— kuvucaoeu shipped Wilt each is uionvrg device
sW kKU. the above.
(a) The test probe is a de*e Its awesurtrV the tore. value of wds to asses in avakwhg
the hoUarg t �of dr twL h .hich the end. b $me& The tm probe !m a
has on It. {ergth of Ink hekal section Is 10.75 hdrs: the maim C11"er
Is 125 Inches; the mhor dknwer Is 091 hdrs: dw pitch 1.75 hdhm Thr shaft reser
be of wbable le.0 for end- dais .
(b) A measure synortymoaa .We
s ahwou of a bm4 vdwhm
n illub W ecd the shah of
she test prober
Ind Below time vakw, a Prolessional tnOx should be consulted or adddand ardxes
added
Design Wind -load Zones:.
Standard Wind Zone
Hurricane Zone II
Hurricane Zone III
Note –
psf: pounds per square foot
15 psf Horizontal 9 psf uplift'
_39 psi Horizontal 27 psf uplift
c47 psf Horizontal 32 psf uplift
e net uplift
Reference – Manufactured Home Construction and
Safety Standards (MHCSS) 24 CFR 3260.305(c)(2), latest edition
2. CAPACITY OF ANCHORS - EACH GROUND ANCHOR, WHEN INSTALLED, SHALLBE&CAVIOF RESISTING AN ALLOWABLE WORKING LOAD AT LEASE EQUAL.TO� t
A 50 PERCENT OVERLOAD (4,725 POUNDS TOTAL) WITHOUT FAILU
3'. CAPACITY OF STRAPPING - TIE DOWN ENGINEERING
GALVANIstel ��
e 1 TEhI� ME S
OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -D 3953-91 SP G O
1-1/4"X.035 (MIN.) TYPE 1, FINISH B, GRADE HOT DIPPED GALVANIZED S Rve7
CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF THE CALIFORNIA CODE OF
REGULATION TITLE 25, 18613.4 OF THE HEALTH AND SAFETY CODE. PAGE 1
Side Frame Ties Must
Be No More Than 2'
From Each End Of Unit,
.O=ther Ties Spaced Side Ties
.Evenly Thoughout
„ The Length Of. Unit. -�-2' Max. -I I-2' Max.
I L Frnmo I _ End Ties
Single Wide Unit
Wind - Zone I
(85 MPH - Exposure "Ca)
Seismic - Zone 4
.Re uired Number Of Tiedowns For Each Side And Each End
Unit Length 20' 30 40'' 50' 56'
60' 62'
66' 70'
.Tledown LocationsSlde
End Side
End Side
End Stde
End Side
End
Side
End Side
End
Side
End Side
End
Single Wide 4
1 2 4
2 5
2 6
2 7
2
7
1 2 8
2
B
2 8
2
Total Nunber oP 12 12 14 16 18
18 20
20 20 '
x
Side Frame
Ties Must
Be No More
Than 2'
From Each
End Of Unit.
Other Ties
Spaced
Evenly Thoughout
The Length
Of Unit.
Wind - Zone I
(85 MPH - Exposure "C')
Side rtes Seismic - Zone 4
—I I— 2' Max. —I I— 2' Max.
Double Wide Unit
End Ties
Required Number Of Tiedowns For Each Side And Each End
Unit Length 20' 30' 40' 50' 56' 60' 62' 66' 70'
Tiedown Locations Side
End Side
End Side
End Side
End Side
Endj Side
End Side
End Side I End Side End
Single Wide 4
olnl Nun6nr nc
4 4
4 5
4 6
4 7
4 7
4 8
4 ,�8� 4"; 8 4
I Tledowns I ►o lb i US I eu I Z2 22 24 2 r,24�.� 24
D
M
w
Side Frame Ties Must Wind - "Zone I
Be No More. Than 2' (85 MPH - Exposure "C")
From Each End Of Unit. Side Ties Seismic - Zone 4
Other Ties Spaced _I (_ 2' Max. -I I- 2' Max.
Evenly Thoughout
The Length Of Unit.
Triple Wide Unit
End Ties
Required Number Of Tiedowns For Each Side And Each End
Unit Length 20' 30' ' 40' 50' 56' 60' 62' 66' 70'
Side End . Side End Side End Side End Side End Side End Side End Side End Side End
Tle.down Locations
Single Wide. 4 6 1 6 5 6 6 16 7 6 7 6 8 6 8 6 8 1 6
Total Number OF 20 20 22 24 26 26 2B 28 28
't7'
W
Q
CL
Side Frame
Ties Must
Be No More
Than 2'
From Each
End Of Unit,
Other Ties
Spaced
Evenly Thoughout
The Length
Of Unit,
Wind - Zone I
(85 MPH' - Exposure "C")
Side Ties Seismic — Zone 4
—I I— 2' Max. —) I— 2' Max.
Quadruple. Wide Unit
End Ties
Required Number Of Tiedowns For Each Side And Each End �•
Unit Length
20'
30' 40'
50
56'
60'
62'
66'
70'
Tledown Locations
Side
End
Side
End Side
I End
Side
I End,'
Side
End
Side
End
Side
End
Side
End
Side End
Single Vide4
8
4
8 5
8
6
-8
' 7
8
7
8'
8
8
8
B
8 8
otnl Nunber of
tedo.ns
24
24 �6
28 .
30
30
32
32
— 32
Engineering Calculations
85 MPH Wind EXP AC 85 MPH Wind EXP "C" Vs. Seismic Zone 4
P LAT=(1.06)(1.3)(17)(1)=25.6 PSF 333 PLF=0.186 1(32.5)( ,Or )+1601
th
W LAT=(25.6 PSF)(13')=333 PLFLen=50.8'=D 51'
Seismic Zone 4
V=0.186(DL)
V=0.186 C(10 PSF)( Width')+(-; +10 Psf)(�',Ch. )+(2 WALLS)(8')(10 PSF)J
Wind - Zone 1 (85 MPH - Exposure "C") Seismic - Zone 4
Width
Length
Load /Load
Trans Trans
Total Load
(Trans)
Total Load
(Long)
a Trans T.D.
Side Ties
It Long T.D.
End Ties
Single
Wide
To 14'
40
FT.
333/333
13,320
LBS.
4,662
LBS.
5
2
50 FT. 333/333 16,650 LBS. 4,662 LBS. 6
2
60 FT. 333/392 19,980 Lbs. 5,488 LBS. 7
2
70 FT. 333/453 23,310 LBS. 6,342 LBS, 8
2
Double
Wide
TO 28'
40
FT.
333/333
13,320
LBS.
9,324
LBS.
5
4
50 FT. 333/333 16,650 LBS. 9,324 LBS. 6
4
60 FT, 333/392 19,980 Lbs. 10,976 LBS. 7
4
70 FT, 333/453 23,310 LBS. 12,684 LBS.
Triple
Wide
To 42'
40
FT.
333/333
13,320
LBS.
13,986
LBS.
5
6 `"
50 FT. 333/333 16,650 LBS. 13,986 LBS. 6
6
60 FT, 333/392 19,980 Lbs. 16,464 LBS. 7
6
70 FT. 333/453 23,310 LBS. 19,026 LBS. 8
6
Quad
Wide
To 50'
40
FT.
333/333
13,320 LBS.
16,650
LBS,
5
8
50 FT. 333/333 16,650: LBS. 16,650 LBS. 6
8
60 FT. 333/392 19,980 Lbs. 19,600 LBS. 7
8
70 FT. 333/453 23,310 LBS. 22,650 LBS. 8
8
CD
w
C7
TIE DOWN. ENGINEERING
INDEPENDENT TESTING RESULTS
TIE DOWN ENGINEERING
5901 WHEATON DRIVE
ATLANTA, GEORGIA 30336
PAGE 7
ULTIMATE
MODEL NO. DESCRIPTION OF TEST
STRENGTH
TEST DATE
MI2H
—.VERTICAL PULL—OUT IN MOIST SILTY CLAY.
6,133#
9/15/92
(5/8"&3/4")
TEST PROBE TORQUE VALUE BETWEEN
(AVG.)
200-349 INCH POUNDS-
MI22
VERTICAL PULL—OUT IN SILTY SAND AND GRAVEL
. 5,733#
9/15/92
(5/8"&3/4")
TEST PROBE TORQUE VALUE 550 INCH POUNDS
(AVG.)
AND MORE -1-7
MRA .
VERTICAL PULL—OUTIN LABORATORY FIXTURES
5,567#
3/2/93
FOR SIMULATION. UNCONFIRMED ROCK WAS NOT
AVAILABLE.
MICS2
VERTICAL PULL—OUT IN 2500 PSI CURED
5,200#
3/24/94 .
CONCRETE. TEST STOPPED AT 5,200 POUNDS. ,
MIJ2
VERTICAL PULL—OUT IN 2500 PSI CURED
5,200#
3/30/94
CONCRETE. TEST STOPPED 'AT 5,200 POUNDS.
MIT2
VERTICAL PULL—OUT IN 2,500 PSI CURED
5,200#
3/30/94
CONCRETE. TEST STOPPED AT 5,200 POUNDS.
MI21164
VERTICAL PULL—OUT IN SILTY CLAY. TEST PROBE
5,200#
10/6/93
(59250)
TORQUE VALUE BETWEEN 200-340 INCH POUNDS
ML
45 DEGREE PULL ON -STABILIZER PLATE IN SILTY
6,067#
8/5/92
(59292)
CLAY. TEST PROBE TORQUE VALUE BETWEEN
(AVG.)
200-349 INCH POUNDS-
s
NOTE:
PRODUCT TESTING,
ALL ABOVE TESTS WERE CONDUCTED BY ATEC ASSOCIATES,
INC: AND GALLET & ASSOCIATES. THE INDIVIDUAL TEST
RESULTS WILL BE
MADE AVAILABLE UPON REQUEST. PLEASE FORWARD YOUR REQUEST
FOR. THIS
INFORMATION TO:
TIE DOWN ENGINEERING
5901 WHEATON DRIVE
ATLANTA, GEORGIA 30336
PAGE 7
TIE DOWN ENGINEERING
ANCHORING SYSTEM
MI2H (5/8"7-3/4")
48' LONG ANCHOR
. o0
00
Iv Zma".
NERAL STABILIZER PLATE BUCKLE/W STRAP
(SIDE FRAME TIE)
MI22 (5/8"-3/4")
30" LONG ANCHOR
as to so'
V.
SIDE FRAME TIE
(MBU)
x
J
a
J
n PAGE 8
'Il��lllll�`"
STRAP BOLT & NUT
MRA (ROCK ANCHOR) MUT
(END FRAME TIE)
WARNING
BEFORE BEGINNING GROUND ANCHOR INSTALLATION, MAKE SURE THE
ANCHOR LOCATIONS WALL NOT BE' CLOSE . TO ANY UNDERGROUND
ELECTRICAL CABLES, WATER LINES, SEWER LINES OR GAS LINES.
FAILURE• T'O DETERMINE THE LOCATION OF ELECTRICAL CABLES OR GAS
LINES MAY RESULT IN SERIOUS INJURY OR DEATH.
1. PARTIALLY INSTALL APPROPRIATE GROUND ANCHOR ALLOWING TENSION HEAD -TO
MAINTAIN APPROXIMATELY 14' TO 16' MINIMUM GROUND CLEARANCE:
2. USING OVERSIZED HAMMER, VERTICALLY INSTALL STABILIZER PLATE BETWEEN FRAME
AND ANCHOR. THE TOP SECTION OF THE STABILIZER PLATE MUST BE DRIVEN FLUSH
WITH THE GROUND TO INSURE SURFACE SOIL COMPACTION.
3. FULLY INSTALL GROUND ANCHOR UNTIL TENSION HEAD BOTTOMS OUT AGAINST
STABILIZER PLATE.
r INSTALLER/CONTRACTOR CERTIFICATION
3)
I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING
SYSTEM AS PER TIE DOWN'S INSTALLATION INSTRUCTIONS AND THAT NO
MODIFICATIONS HAVE*BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING
STRUCTURE.
COMPANY NAME:
Vt
DATE:
CONTRACTORS LICENSE #
SIGNATURE
l
r
y
PAGE.9
r. -
_—
TEST G SERVICES,INC.
September 28, 1994
Mr. Locke M. Jones
Tie Down Engineering
5901 Wheaton Drive
Atlanta, GA 30336
Dear Mr. Jones:
LISTING NUMBER: TIE -942609
Having completed the in-house audit of quality control, quality assurance, procurement, welding
procedures, etc., Tri-State Testing Services in compliance with the rules and regulations of the
Department of Housing of California lists the following products:
MODEL NUMBER
PART NUMBER
DESCRIPTION
M121-15/8.
59080
5/8" X 58" DOUBLE HEAD ANCHOR W/6" AUGER
M121-13/4
$9085
3/4".X 48" DOUBLE HEAD ANCHOR W/6" AUGER
M1225/8
59090
5/8" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS
M1223/4
59095
3/4" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS
MIT2
59115
3/4" X 8" DOUBLE HEAD THREADED ROD PATIO ANCHOR
MIJ2
59120
5/8" X 12" DOUBLE HEAD J-ROb SLAB ANCHOR
MICS2
59125
PATIO ANCHOR W/EXPANSION BOLT
59250
59250
3/4" X 36" DOUBLE HEAD ANCHOR W/6" & 4`' AUGER
MR
59110
CROSS DRIVE ROCK ANCHOR 3/4" X 30" ROD
MIC2
59096
5/8" X 30" CORAL ANCHOR
59292
59292
LATERAL STABILIZER PLATE
MGRB
59145
GALVANIZED ROOF BRACKET
MIDH
59100
DOUBLE HEAD ONLY
MIS2
59105
SWIVEL ADAPTER HEAD
6756 BUCKLES CovE MEMPHIS, TN 38 1 33 90 1-385-1 1 99 FAx 901-386-66 1 4
.PAGE 10
Tie Down Engineering } '
Page 2
September. 28, 1994
BCS
59175
CRIMPING SEAL FOR 1-1/4" STRAP
MBU
59140
GALVANIZED STRAP BUCKLE
MBUS
59139
SPECIAL GALVANIZED STRAP BUCKLE
BISB
59135
SLOTTED BOLT AND NUT
MS33
59149
1-1/4" X 33' GALVANIZED STRAP
MS35
59150
1-1/4" X 35' GALVANIZED STRAP
MS37
59155
1-1/4" X 37' GALVANIZED STRAP
MS42
59160
1-1/4" X 42' GALVANIZED STRAP
MS60
59165
1-1/4" X 60' GALVANIZED STRAP
MS600
59170
1-1/4" X 600 GALVANIZED STRAP
MHT6
59185
1-1/4" X 6' FRAME TIE W/HOOK
MHT7
59190
1-1/4" X 7' FRAME TIE W/HOOK
MHT8
59195
1-1/4" X 8' FRAME TIE W/HOOK
MHT10
59210
1-1/4" X 10' FRAME TIE W/HOOK
MHT12
59211
1-1/4" X 12' FRAME TIE W/HOOK
MHT15
59050
1-1/4" X 15'.FRAME TIE W/HOOK
MBU6
59137
1-1/4" X 6' FRAME TIE W/BUCKLE
MBU7
59141
1-1/4" X 7' FRAME TIE W/BUCKLE
MBU8
59142
1-1/4" X 8' FRAME TIE W/BUCKLE
MBU10
59138
1-1/4" X 10' FRAME TIE W/BUCKLE
MBU12
591.44,
1-1/4" X 12' FRAME TIE W/BUCKLE
MBU15
59143
1-1/4" X 15' FRAME TIE W/BUCKLE
If you have any questions or if we may be of further help, please call us.
Sincerely,
TRI-STATE TESTING SERVICES, INC.
William E. Jac son
Manager
TRI-STAM TESTING SERVICES, II
PAGE 11
.1 A •y
STATE OF CALIFORNIA - BUSINESS TRANSPORTATION AND HOUSING AGENCY PETE WILSON, Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ...�'.
DIVISION OF CODES AND STANDARDS ® -
1800 THIRD STREET, Suite 260 P.O. Box 1407 ` �s
SACRAMENTO, CA 95812-1407a
(916) 445-9471 FAX (916) 327-4712
TDD 800-735-2929
September 29, 1994
William E. Jackson, Manager
Tri-State Testing Services, Inc.
6756 Buckles Cove
Memphis, TN 38133
Dear Mr. Jackson:
r 79
OCT
L05 1994 I
I'
This is to confirm that the. California Department of Housing and Community Development
has approved your firms application to become an approved testing and listing agency for
load bearing supports and structural components used with manufactured homes,
mobilehomes'arid commercial coaches. This approval is for the listing and labelling of
structural components used in the manufactured housing industry in accordance with the
standard established byyour- firm.
Please note the Depart meritwmay require design calculations and test data be submitted to
substantiate a design whene listed system or component does not appear to conform to
your approved standard. � We"may also;request this information for the purpose of routine
monitoring or. complaint investigation. Revisions to your approved standard as well as
listed designs may be necessary. in -the future as. a result ,of amendments to current statutes
and/or regulations.
Thank you for choosing to become an appioved listing and testing agency. If in the future
you have any questions -or need to discuss,a particular issue, you may contact either myself
at- (916) 445-9471 or Mike Rosenberg at (916) 255-2501.
Sincerely,
Chris L. Anderson
Mobilehome Parks Program Manager
cc: Mike Rosenberg
�4 �G
PAGE 12 �:.:
i'yl,�'1,{•i�.�'(C1-�...�.!?r�'ti+'���dt�r. '.�'. "'•s'..�„w�...n.. �-.F�:�vMy�'7,�p.r•. �;��„ ,.r.-�a,.�r��---•+�.'ra^i. � .i t�
' F
1
BUTTE COUNTY SCHOOLS 4MPACT FEE.CERTIFICATION FORM
(One Form"Per Building)
School District O(D V i e- rl Building Department No.
A. P. Number JS 3�" �•� Jurisdiction: City [ County
Property Owner � ,e d r -4e- a
Property Location/Address 53 CH ; m t 15 .-- LA)a < ( 2 Oro U" (( 1-01
Subdivison Lot No.
Residential Development
No. of Living'
Units
Commercial/Industrial
Z 0 Sq. Footage 17 l ro
MHI Addition (Group R)
a
New
Sq. Footage
Addition Y- " " (Including Exterior
Roofed Areas)
(Floor Plans reviewed by School District Personnel)
- 1-7-9
Date
District Identification No. c�011
n 0; j it Ele/neSchool District certifies that Q-A �� ��-C e__
(Applicant)
;,ese
(Street Address) (Phone Number)
art) u,- 1 e CEL 9(0l
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $ .2
representing square feet. As 2926 $
FULL MITIGATION $
School District Representative Date
Paid by Check # 0 66 Remarks:
Bank Number 90-3Sb/
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform�wkl (11/94
CERTtFtC TE OF ANCHOR INSTALLATION
Title 25 CCR Moblehome Parks Act Section 1326 (bX3)
I certify those portions of the tiedown system installed below grade were not damaged prion to or as a
result of the installation, were not modified prior to or -during the installation,'and were installed in
accordance with the manufacturer's installation instructions, plans and specifications of the engineered,
tiedown system referenced on this certificate.
Tiedown' System:
Manufacturer. (' .Gi#M /y)i 0 rl l
v ` yxy
Model: /
Installed. by: ,! to'ZLIO Date:
v r
ContrAwner. ) 4,40 License No.: oirIV
r 61111 W r•
TRI STATE TZSTING - MEMPHIS, TENNESSEE
A CALIFORNIA APPROVED LISTING AGENCY JU DOWN ENGINEERING
•`` "�`'�:� _-• �' CALIFORNIA APPROVED ANCHORING PRODUCTS
MANUFACTURED HOUSING AND COMMERCIAL COA
(CLASSES_ 1-5, UBC -CALIFORNIA) SOIL CLASSIFICAT,ON �� �.
GENERAL DESCRIPTION OF SOILS
ALLOWABLE PRESSURE
C- J'"
(Pounds Per Square Foot)
f /
No allowance made for overburden
based on the unified
INCLUDES SCHEDULES DIAGRAMS
RAMS FOR
Classification system
table height or settlement problems
mClc or hard Dan
SINGLE/DOUBLE/TRIPLE/QUADRUPLE WIDEUNITS
�
2,000
Sand, Silly Sand, Clayey Sand,
53.1
asp. `•-,. f..
..•.
Clay, Sandy Clay, Silty Gay, or
mat than
Clayey sin
1.
PRODUCTS DESIGNED FOR
Special analysis is required.
Peat or Organic Clays
Special analysis is required.
A. SOIL ---1,000-4,000 AND UP PSF SOILS
r:'�'` - • - "
550 lbs, Itch
3 h di—dense coarw
(CLASSES 1-4 200-550 INCH POUNDS AND UP TORQUE VALVE
(CLASSES_ 1-5, UBC -CALIFORNIA) SOIL CLASSIFICAT,ON �� �.
GENERAL DESCRIPTION OF SOILS
ALLOWABLE PRESSURE
Types of Soil
(Pounds Per Square Foot)
SOIL TYPE
No allowance made for overburden
based on the unified
pressure, embedment depth, water
Classification system
table height or settlement problems
mClc or hard Dan
4,000 and u
Sandy Gravel or Gravel
2,000
Sand, Silly Sand, Clayey Sand,
,
Silty Gravel, or Clayey Gravel -
Sf>D
Clay, Sandy Clay, Silty Gay, or
mat than
Clayey sin
000
Uncommitted Fill
Special analysis is required.
Peat or Organic Clays
Special analysis is required.
B. WIND—ZONE 1, 85 MPH EXPOSURE 'C"
7-�EooWAI SYsr,Eio
APPROVED
SUSJECT TO CORRECTIONS NOTED
Approval dor.:s not c•uthorize or approve any omission on
dev7rtion from requirements of applicable State lows and
•e luloticns.
State of California
Oepertmeot o`• Housing and Community Develepmeni
DIV:SIO r CODES AI`tD STANDARDS
Date_��1/77
(sigreatu: e)
SQA ,10.- ---- G._r - U
7�es Flan Apfaravct! Expil es_ 2
Z/"/1_
C. SEISMIC—ZONE 4
Concrete slab
Tensionug dc*es for we in do its tit pad. turner. etc. shall be toted (same n
me horil and spea[katims as to pd,.l and ape 0. of ca cies. req fo cerin c des. ted
dedut ss of concrete. also and drh of bolt hole, type and kind of shield t pmuss3ie.
htitltm.•n distance at which tauknig device can be installed from edge or end of slab.
pad. runner. etc-. shall be tDedW. knsmxzonu shipped with each teru mning device
.hal include the above.
(a) The.test Pmbe b a dean for assuring the roan- vdhx of sold to.slat h a,ahWbV
the hold4te cati"ty of the sods h which the and" b placed TM tin pn06e hm e
halls on It. The omd length of t e he9ral sstlan is 10.75 inches: the major dxmeta
b 125 mixt; the "dim disaster Is o.81 Itches; the Pitch 1.75 khdxa. The shaft must
be of adtab4 legth for ardv tiny& .
(bl A nicasue sync%,rnous withanwtou of a kites xn vdi0subaed an -d the shah of
the test probe .
(d Below these value, a professional eVeer should be consulted ar addlticnd aides
atha.
Design Wind -load Zones:.
Standard Wind Zone 1 15 psf Horizontal 9 psf uplift'
Hurricane Zone II _39 psf Horizontal 27 psf uplift
Hurricane Zone III =47 psf Horizontal 32 psf uplift
Note —
"net uplift
psf: pounds per square foot
Reference — Manufactured Home Construction and
Safety Standards (MHCSS) 24 CFR 3280.305(c)(2), latest edition
2. CAPACITY OF ANCHORS
-EACH GRA' < <.' O ,�NYSTALLED
Al� S
HALL BE CAPABLE
OF RESISTING AN ALLOWABLE WORKING LOAD TI g t IJ
,y ,�; TO 3,150 POUNDS PLUS
A50 PERCENT OVERLOAD (4,725P OS
3. CAPACITY OF S
TRAPPING -TIE DOWN ENGINEERING GAF.�'�tIZED STEEL STRAP MEETS
OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -130953-91 SPECIFICATIONS FOR
1-1/4"X.035 (MIN.) TYPE 1, FINISH B, GRADE HOT DIPPED GALVANIZED STRAPPING.
CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF THE CALIFORNIA CODE OF
REGULATION TITLE 25, 18613.4 OF THE HEALTH AND SAFETY CODE.
PAGE'l
Types of Soil
810,0 Count
Test Probe I
(ASTM 131586)
Torque Value 2
1 Hard rock
NA
NA
21a1 Veydense and'or
-
cer,xn:ed sand, caar se
gaud and cobbles.
mat than
preioedsd sffts. and day.
401p
550 Bs, mdh
inane then
@I Corals
40vp
550 lbs, Itch
3 h di—dense coarw
sands. sandy gravels, very.
350 to
stiff us & days
2439
$49 lbs, kid,
4 Loose to me — dente
sands. firm to still days &
200 a
sfhs, afiuvtam fill
1423
309 Is. Inch
Concrete slab
Tensionug dc*es for we in do its tit pad. turner. etc. shall be toted (same n
me horil and spea[katims as to pd,.l and ape 0. of ca cies. req fo cerin c des. ted
dedut ss of concrete. also and drh of bolt hole, type and kind of shield t pmuss3ie.
htitltm.•n distance at which tauknig device can be installed from edge or end of slab.
pad. runner. etc-. shall be tDedW. knsmxzonu shipped with each teru mning device
.hal include the above.
(a) The.test Pmbe b a dean for assuring the roan- vdhx of sold to.slat h a,ahWbV
the hold4te cati"ty of the sods h which the and" b placed TM tin pn06e hm e
halls on It. The omd length of t e he9ral sstlan is 10.75 inches: the major dxmeta
b 125 mixt; the "dim disaster Is o.81 Itches; the Pitch 1.75 khdxa. The shaft must
be of adtab4 legth for ardv tiny& .
(bl A nicasue sync%,rnous withanwtou of a kites xn vdi0subaed an -d the shah of
the test probe .
(d Below these value, a professional eVeer should be consulted ar addlticnd aides
atha.
Design Wind -load Zones:.
Standard Wind Zone 1 15 psf Horizontal 9 psf uplift'
Hurricane Zone II _39 psf Horizontal 27 psf uplift
Hurricane Zone III =47 psf Horizontal 32 psf uplift
Note —
"net uplift
psf: pounds per square foot
Reference — Manufactured Home Construction and
Safety Standards (MHCSS) 24 CFR 3280.305(c)(2), latest edition
2. CAPACITY OF ANCHORS
-EACH GRA' < <.' O ,�NYSTALLED
Al� S
HALL BE CAPABLE
OF RESISTING AN ALLOWABLE WORKING LOAD TI g t IJ
,y ,�; TO 3,150 POUNDS PLUS
A50 PERCENT OVERLOAD (4,725P OS
3. CAPACITY OF S
TRAPPING -TIE DOWN ENGINEERING GAF.�'�tIZED STEEL STRAP MEETS
OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -130953-91 SPECIFICATIONS FOR
1-1/4"X.035 (MIN.) TYPE 1, FINISH B, GRADE HOT DIPPED GALVANIZED STRAPPING.
CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF THE CALIFORNIA CODE OF
REGULATION TITLE 25, 18613.4 OF THE HEALTH AND SAFETY CODE.
PAGE'l
Side Frame Ties Must
Be No More Than 2'
From Each End Of Unit,
Other Ties Spaced Side Ties
Evenly Thoughout
2' Max.
The Length Of. Unit, -I I--2' Max. —I I—
Frame End Ties
Single Wide Unit
Wind - Zone I
(85 MPH Exposure "C°)
Seismic - Zone 4 '
.Re ulrea Number Of Tiedowns For Each Side And Each End
Unit Length 20' 30' 401' 50' 56'
60' 62'
66' 70'
Tledown Locations Side
End Side
End Side
End Side
End Side End
Side
End Side
End
Side End Side
End
SingCe• Wide 4
1 2 4
1 2 5
1 2 6
2 7 2
7
2 8
2
8 1 2 8
1 2
ole•ns tnl Number [IP 12 12 14 16 18
18 20
20 1 20
e,
r�
Tie Down Engineering
Page 2
September. 28, 1994
BCS
59175
CRIMPING SEAL FOR 1-1/4" STRAP
MBU
59140
GALVANIZED STRAP BUCKLE
MBUS
59139
SPECIAL GALVANIZED STRAP BUCKLE
BISB
59135
SLOTTED BOLT AND NUT
MS33
59149
1-1/4" X 33' GALVANIZED STRAP
MS35
59150
1-1/4" X 35' GALVANIZED STRAP
MS37
59155
1-1/4" X 37' GALVANIZED STRAP
MS42
59160
1-1/4" X 42' GALVANIZED STRAP
MS60
59165
1-1/4" X 60' GALVANIZED STRAP
MS600
59170
1-1/4" X 600 GALVANIZED STRAP
MHT6
59185
1-1/4".X 6' FRAME TIE W/HOOK
MHT7
59190
1-1/4" X 7' FRAME TIE W/HOOK
MHTB
59195
1-1/4" X 8' FRAME TIE W/HOOK .
MHT10
59210
1-1/4" X 10' FRAME TIE W/HOOK
MHT12
59211
1-1/4" X 12' FRAME TIE W/HOOK
MHT15
. 59050
1-1/4" X 15' FRAME TIE W/HOOK
MBU6
59137
1-1/4" X 6' FRAME TIE W/BUCKLE
MBU7
59141
1-1/4" X 7' FRAME TIE W/BUCKLE
MBU8
59142
1-1/4" X 8' FRAME TIE W/BUCKLE
MBU10
59138
1-1/4" X 10' FRAME TIE W/BUCKLE
MBU.12
59.1,441
1-1/4" X 12' FRAME TIE W/BUCKLE
MBU15
59143
1-1/4" X 15' FRAME TIE W/BUCKLE
If you have any questions or if we may be of further help, please call us.
Sincerely,
TRI-STATE TESTING SERVICES, INC.
William E. Jac son
Manager
TRI -STA flW TESTING SERVICES,. Ir
PAGE 11
- BUSINESS, TRANSPORTATIONtAND 146USING
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �`""T°f'��
o'` \`fc
DIVISION OF CODES AND STANDARDS -
1800 THIRD STREET, Suite 260 P.O. BOX 1407 �s
SACRAMENTO, CA 95812-1407a
(916) 445-9471 FAX (916) 327-4712
TDD 800-735-2929
September 29, 1994 nn
' OCT 05 1994
William E. Jackson, Manager
Tri-State Testing Services, Inc.
6756 Buckles Cove
Memphis, TN 38133 ,
Dear Mr. Jackson:
This is to confirm that the. California Department of Housing and Community Development
has approved your firms application to become an approved testing and listing agency for
load bearing supports.. and structural components used with manufactured homes,
mobilehomes and commercial coaches. This approval is for the listing and labelling of
structural components used in the manufactured housing industry in accordance with the
standard established by -your -firm.
Please note -the Department may require design. calculations and test data be submitted to
substantiate a design when the listed system or component does not appear to conform to
your approved standard.. 'We may also request this information for the purpose of routine
monitoring or. -complaint investigation. Revisions to your approved standard as well as
listed designs may be necessary' in -the future as a result --of amendments to current statutes
and/or regulations.
. F
Thank you for choosing to become an approved listing and testing agency. If in the future
you have any questions -or need to discuss a particular 'issue, you may contact either myself
at (916) 445-9471 or Mike Rosenberg at (916) 255-2501.
Sincerely,
Chris L. Anderson
Mobilehome Parks Program Manager
cc: Mike Rosenberg
PAGE 12 �,:•.
RESIDENTIAL
028-370-026 PERMIT#96-0087
" RICE; Irene
53 Chinese Wall Rd., Oroville..
Cont; Schiedeck Const. r►
Mobilehome Utilities
{
s
1
I OFFICE COPY
Address
GAS
DateL3211
Meter By
ig
j ELECTRIC Date
Meter By
JOB FINALED (Da e)
Signature
V=OK
0 = Not OK
Not Ready 'e -MOBILE HOMES 1
Date MOBILPHOME UTILITIES(Plans) OK except #'s
nin equirements - Setbacks - Easements
pecial MH Support Sketch
S tion -Test -Fall -C/0 -Concrete
ater; Location -Test -Easement Needed (Sketch)
5. Electricity; Location -Clearances -Gm Amp -Concrete
6. Gas; Location-Testp; / NL'ft.
/ Nat. 6?U IPG
Clearance 8 bisdonnect
Utility Clearance
Date' Z Card B- Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION Plans OK except #'s
Zo 'ng Requirements- Setbacks Easements
Footings; Size -Spacing -Marriage Line
Gas; MH Test -Demand Valle -Connector
lectricity; MH Test -Crossovers -Breakers -Clearances
ain; MH Test -Fall -Flex Connector
ater; MH Test -Regulator -Connector
,_2—Wertirr a0 Sewer Connected -C/O to Grade -HD Approval
8 s an -Electricity Tagged
owns-Type-lnstallation Cert.
10. s ch
(ZLL,09fFof Occupancy
Date — Card B-1' Date Card B-1
Date ` Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
r
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR (Plans) OK except n'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 -Bloc kouts-Wra pped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation -
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
-- --------------------------------------------------------------
17. Water Pipe: Test & Anchor -Nail Protection
-------- -------- --------------------------------------------
- - 18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower. Pan: Test. First Floor -Tub Access
---- -- ----------------------------- --------------------------
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe Size & Anchors
------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
------------ ------------ ---- ---------------------------------
Date
-----------------Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except n's
22. Fixture & Transformer Clearance -Ins. Protection
--------------------------------------------
Elec. Receptacles Spacing -Lights & Switches at Doors
----- --- --- ------ - - ---------------------------------- ------------
24. Size Boxes & No. of Conductors -Stapled
----------------------------------------------------------- -- - - --
25. Romex Installed Close to Edge of Studs & C.J.
-- --- --... ------------------------------. --- - ------- --
26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water
------- -------------- ----------------------- - ----- - ------------- --
27. 2 Appliance Circuts in Kitchen & Conductor S ze,GFI
-------------------- ------ - --- - --------....... --- --
22. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ga.
Cu or At
----------------------------------------- ---- ------------------- ------- --
29. Range Circ. r ' ga. Cu or AI -Oven Circ. r r ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
-------- --- --------------------------- ------------- ..
30. Service -Riser Conductors & Ground -Main Disconnect
-----......I ------------ .. ....... ....... ..
31. Equip Clearances Panels-Motors-Mech. Equip.
-
--- - --- - ------------ ------- - - --- ....... ....... ..
32. Clothes Closet Light -Shower Light -Spa Light
-------------..----------- ------ ---- ----
33. Smoke Detector
............................... ........................ ....... ....... .. .... ..
-Date-- Card B-1 Date Card B-1
.
- --- .... ............ ... ... ... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL.(Permit) OK except n's
34. A.C. Ducts Insulation & Support
----------------_...-_ ...-----........................... .... ...
35. Vent Fan; Exhaust above insulation
-----------------------------_......... ..
36. Condensate Drain & Overflow: Size & Grade
. ....... ........ ...
37. Furnance-Vent: Access -Comb. Au -Return Air Vent -t 15 outlet
---- - ----- ... ....... ... .......... ... ... ..
38 Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a s
39. Sils. Proper Material & Anchors
...... ... .. ... ... . . ... ....... ... ... ... ..
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
...... ... ... .. .... ........... ... ...... .
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
...... . . .. ... ... ........ ..... ....
43. Fire Stops: Furred Ceilings -Stags -Chases -Tub
44. Headers & Beam -Size & Bearing
jingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors _
46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
------------------ -- --
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill H t. & Dimensions
50. Garage Fire Protection Framing
--------------
51. Property Line Firewall & Openings
-----------------
52. Ext. Doors -One 3=Check Garage -3rd Story, 2 Exits
53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
--------------------------------------- -
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailin Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
---------------------------------------------
Date
-----------------.-----------------------Date Card B-1 Date Card B-1
- ---------- -----------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except a's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
-------------- ------------------------------ - -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
....-------- --------------------------
64. Bedroom Exiting
----------------------------------
65.
..---- --------- ---65. G.F.I.& Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
.-- ---- -- - ---- -------- --------
67. Stairs & Rails
----------------------
68. Fireplace or Stove: Clearances -Hearth
.....---------------------------------- -
69 Elec. Outlets at Wood Panel. Int. & Ext.
., ..------------------------ -- ----------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
...... _....------------------------------------ --
71. Elec. Outlets & Receptacles at Kit. Counter
...... ... ... ......- - - --------------- ----------
72. Garage Fire Door: Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
._.... ...----- ----------------------------- ------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
..... -----------------------------------------
75.
---------------4-P---------- -----
75. Plb., Elec_ & Mech. Equip. Listed for Location
-------------------------------- -
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
- -----------------------------------------
7;. Insulation -Foam -Looked in Attic Cl Yes
.....---- -- ----------------------------------------------------
78. Guard Rails & Deck Construction -Post Caps
--- ----------------------------------------------
79.
------------------------------------------79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
--------------------------------------
80. Following insild.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
- - - -- - - - - - -- --------- - -- -----------------------------
81. Stucco: Brown -Finish
.. ....... ......._.._...--------------------------- ---------
82. A C. Unit: D Disconnect. Electrical, Plumbing
... ... ... ... ... .....---....-----------------------------------
--
83. Vents Above Roof: PIbg.-Appliance-Fireplace.-Clearance to
Openings
. . . .. ....... ..... _.._.._....--- - ----------------------------
d4 Water Well: Disconnect. Electrical. Plumbing
. .. .. .. ... ..... .... - - - -------------- --------- -----
d5 Exterior Elec. Trim: G.F.I. Receptacle -Underground
----- -------------------------------
86 Ventilation Throughout House
-- - - - ---------------------
87 Glass Protection
----- - --------------------------
----
88. Corrections from Previous Inspections
- -- -- - -----------------
89 Gas Test -Meters Tagged: Gas -Electric
--------------------------------------
90. Water & Sewer Connected-CrO to Grade -HD Approval
.._.._....------------------------------
91. Energy Compliance Certificate -Other Certificates
--- -- - -------------
Date Card B-1Date Card B-1
. ----- .-- ---- ---------------------------
Date Card B-1 Date Card B-1
---------------
Date Card B-1 Date Card B-1
Comments. at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County CenterDrive - Oroville, California- 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 9�-/)=
ASSESSOR PARCEL NUMBER 028-370-026
A5 ZONING
BUILDING PERMIT
OWNER
IRENE RICE (510
TELEPHONE
222-8313
S0. FT. OCC. - BUILDING VALUATy 0
OWNERS MAILING ADDRESS
4259 SAN PABLO DAM RD #7 ELSOBRANTE 94803
CONTRACTOR'S NAME
SCHIEDECZ CONSTR.
TELEPHONE
679-2781
CONTRACTORS MAIUNG ADDRESS
PO BOY 105 BANGOR 95914
Fireplace
CONSTRUCTION LENDER
UNXNOWN
Total Valuation Is
Filing Fee $ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee $ 23.00
Energy Plan Checking Fee $ .
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Penalty $
BUILDINGADDRESS
53 CHIP'IESE WALL RD
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
OROVILLE
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Gf Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities 1); Installation ❑ Other ❑
Describe Work: _ 3 BEDROOM
Mobile Home Wfl 11@20.00
PERMITFEE $
80.00
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main ServiceE00v OR LESS
( 200A OR LESS / 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.
License ClassLic. No. �� �� 2q
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW S. CONST. DWELLING OCCUR s0ACC.
OR ADON BUDS. ) 3.5¢ FT.
aT.
NEW CONSS MULTI-LTI- OUTLET
NON-RESID. BRANCH CIRCUITS ) @7.50
/ POWER APPARATUS
a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES BAS Q 1.550
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00 0.00
Misc. Wiring 23.00
PERMITFEE $ 63.00
Contractor
WORKERS' COMPENSATION DECLARATION
" I hereby affirm under penalty of perjury one of the following declarations:
'❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
g
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
/W I certify that in the performance of the work for which this permit is issued, 1 shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' 0mpensation provisions of section 3700 of the Labor Code, I shall
forthw omply with those provisions.
i `
X _ _ `IE_ __ Date JI�ICJ �() _
i re of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in//height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ /4 0A
HAZ.
I D. FEES
I IMP I FLOOD
CDF PARCEL PD HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indi a above for whi fees h ve been paid.
By —Rate
PERMITE PIRESON
(Date)
Receipt No. / 'C ,576
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
VA
COUNTYOF BUTTE - DEPARTMENTOF QEV�ELOPMENTSERVICES -BUILDING DIVISION
° '7 COUNTYCENTER DRIVE - OFtOVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
V/
PERMIT APPLICATION DATA SHEET
OWNER I`C�,.� A. P. No.Da$-37Q - (P
Proposed Building Use Building Inspector Date /0
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
I 1�1. DATE RECEIVED BY
1. All items have been submitted . .................. .................... -rte
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......... :............
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............'
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
49. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of.$ ............
11. Impact fees as shown on attached schedule. .... .
UN 12. California Department of Forestry plan approv /fees .. . ���/./�� ........
13. Flood elevation letter (100 year flood) by California Engineer ...................
14. Sanitation and plot plan approval Health Department . ............ . 9
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. ............ .
17. Planning approval for (A) Use: (B) Parking:
' 18. Contact Land Development about (A) Improvements (B) Drainage. ......... .
19. Driveway permit (construction approval required prior to occupancy)... . .
20. Pre -inspection for ,to Building
Ins �q0�
p required. .. to Bui�dirty inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner _)............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................ .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . ..................................................... '
33.
34.
Wher�.you issue the per itoce s as follows: Ma' o own�r. Mail to contractor..?
✓ Telephone /b and hold for pickup at (Z'�V� office. Deliver with inspector.
Other1-5117
Parcel Creation // ���
/0
Acreage Applica Date"96
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By }'
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. -✓ `
2. Additional items required:`3
r
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone_ maL�17
_Date
Plans checked by Date Plans approved byDate
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
Eji -USB ONLY
Plot Plan Attached T
Fb" Pim Attached �C
Sent to B.D. /
TO: BRilding Depirtment
FROM: Environmental Health
SUBJECT: Sanitation Clearance
ujai
Owner Location AP#
Plan Approved for: Sewage Dis _os Water Supply: Public Private Well_
Clearance for bedroo bile home. cher
Hold final for:
Final clearance O.K. for:
NOTE:
Pn I (C)9
Environmental Health pecialist Date
}' COUNTY OF BUTTE
I ' BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
K." ..
CORRECTION NOTICE
�F*7
PERMIT N0.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediatelv.
REQ' 10/92
3�+
100'
W LL
\\ 85'
100, \
60'
100' 1 /
1
1
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. W
V);�
LU,
LU :Ktoto
\ \
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BiOR'� A2N!URANCH RD. \ \
. -, —,.
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\
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o'_ SEPTIC
55'
SYSTEM
/ /`
'C
8`91'
m
�g3Z.
25'
180'
3 ' s
F:
W
PROPOSED
10
r
•
0._ E
E
10'
BED.
OL•
'�
HOME
295'
+ Esc
L,y t3
s C oc
i'
aCL
►CY
Lo
0 1
�-
bM
'�•E
J.cr
A^ O o
a L
uw-?sat
MR: GEORGE RICE
APN 28-37-26
SWEDES FLAT RD.
60'
100' 1 /
1
1
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. W
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LU,
LU :Ktoto
\ \
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BiOR'� A2N!URANCH RD. \ \
. -, —,.
<ou \ \
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2689'
250'
/ /`
'C
8`91'
180'
/
e
ki Lc
PROPOSED
// /
26'x66'
3
CL
BED.
HOME
295'
60'
100' 1 /
1
1
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. W
V);�
LU,
LU :Ktoto
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*5
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BiOR'� A2N!URANCH RD. \ \
. -, —,.
<ou \ \
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10N� ,®Ul
\
0 0 ���
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j,6' i
rs -
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1 a i Z
n 13o f
Butte co., t
Environmanfai
Date
op-
±�rv5J Signature
ALL STRUCTURES AND EQUIPMENT INCLUDING
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
'A SET BACK OF 3c) FT. FROM THE SIDE AND
-30 r s . F:130 +4+ THE REAR PROPERTY LINES AND
S -D r --T. �'7"',OON", THE ROAD CENTERL M S; ALL SE
CLEAR OF f TRUICTURES AND E-QUlF- - -f--NT E:
CDF FIRE SAFE REQUIREMENTS
a8-3 7 - 2 o Y4 Oo? 7 4c�.
AP# PERMIT # AME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[!>Q 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
NA 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other app-irtezant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds..
[�] 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
[ 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
2. The length of curves in roadways exclusive
ff of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
] 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
1270.10 Width. All driveways shall provide a minimum 10 foot
I traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of : 3 -,
2-e- 3 7 - " n, - oo ? 7 /`l G6 /kc--, � �_
AP # PERMIT # NAME
b(] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[� 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[� 1. Gate entrances shall be 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 that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[X] 1. All parcels 1 acre aiid larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from 411 property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation .and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction or fi_ial inspection of a building
permit.
Page 2 of 3
y
7 le��1E_I2.��-
AP # PERMIT # NAME
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
Choose any 3 of the following:
-*Metal or no doors on toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 10% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of 3
i
LAND DEVELOPMENT
BUILDING /ENVIRONMENTAL` HEALTH'- PERMIT CLEARANCE Building Permit No.
OWNERS A.P.
NAME: NUMBER: Oaf 326 -C� 6
PRINT LAST NAME FIRST
COUNTY ZONING
DESIGNATION: FLOOD ZONE: iC FLOOD MAP: 500 Q
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: .
PARCEL CREATION BY DEEDS '/ OR MAP
DEED INFORMATION:
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO
COMMENTS/CONDITIONS: 4 y • 0"' " � /V/'- 'Azl -
MAP INFORMATION:
DATE OF RECORDING LOT
BOOK PAGE
COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS
PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVIS/ON UNLESS OTHERWISE NOTED.
1"1 Maintain a 50 ft. building setback from centerline of road.
_ 2. Maintain a ft.building setback from.right-of-way/centerline of
3. Maintain a 100 ft. leachfield setback from all existing wells.
4. Maintain a ft. leachfield setback from
_ 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
_)5 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
_ 7. Connect to a public water supply.
_ 8. Connect to a public sewer system.
_ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the 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 Fire Department
specifications, serves the parcel.
10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
_ 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
_ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation Fee Agreement. pay~ to be made to the Pfamiag Diwskn.
_ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
_ 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 16. Pay school impact mitigation fees.
X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 18. 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.
19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
20.
21.
2.
23.
24.
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