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Home My WebLink About028-400-024- , 28740-2461 'B'a Trail Dr, Bangor Contr: Va rd Const ELE GASSUPPORT STRUCTURE RE � COMPACTION TEST R RED �^ - �28:-40-724- I ed '028 406- 024 MH PERM FND EX SITE �4XW a t* - w RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 4 -Sep -2007 2007-0041623 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. WILLIAMS FAMILY TRUS, BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY P 0 BOX 103 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS BANGOR BUTTE CA 95914 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 61 BANGOR TR B07-1806 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER •� BANGOR BUTTE CA 95914 8/31/2007 CITY COUNTY STATE ZIP SIGNA RE OF LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION FUQUA HOMES INC/09755 1987 FUQUA 840 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 9726U/X 60'X 28' OR158081/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: ASSESSOR'S PARCEL NUMBER: 028-400-024 SEE ATTACHED HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. 97-0079991 Rec Fee RECORDING REQUESTED BY: I Check Michael Burstein, Esq. Recorded I WHEN RECORDED, MAIT TO: Official Records I RAYMOND J. WILLIAMS AND LETHA R. WILLIAMS County of 1 61 BANGOR TRAIL, Butte I BANGOR, CA 95914 Candace J. Grubbs I Recorder I 12133pm 4 -Har -97 I PUBL APN X �R y _you—v,�f/-6oa QUITCLAIM DEED XX The unde signed grantors) declare(s): Tois conveyance transfers the grantor's interest into a Revocable Living Trust R & T 11911. There is no consideration for this transfer and is excluded from reappraisal under Proposition 13, 1. E., California Const. 13 A. Section 1 (Documentary Transfer Tax -0-) RAYMOND J. WILLIAMS AND LETHA R. WILLIAMS, Husband and Wife/Community Property 6.00 t 6. 00 et, seq. hereby RF-MISFS, RELEASES and QUITCI AIMS to: RAYMOND J. WILLIAMS AND LETHA R. WILLIAMS Trustee(s) of THE WILLIAMS FAMILY TRUST DATED .9/I./F' the following described real property in the City of, BANGOR County of, BUTTE State of CALIFORNIA ALL THAT CERTAIN PEAL PROPERTY SITUATED IN THE STATE OF CALIFORNIA COUNTY OF BUTTE DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN MAP ENTITLED "WOODHILL RANCH SUBDIVISION," WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 2, 1983, IN BOOK 91 OF MAPS, AG PAGE 54 AND 55. NON EXCLUSIVE EASEMENTS FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER DIABLO VIEW DRIVE AND BANGOR TRAIL, AS SHOWN ON THAT CERTAIN MAP ENTITLED WOODHILL RANCH SUBDIVISION, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY Or BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 2, 1983, IN BOOK 91 OF MAPS, AG PAGES 54 AND 55. More commonly known as: 61 BANGOR TRAIL, BANGOR, CA 95914 DATED: J�a ,/,OP'/�f 7 STATE OF CALIFORNIA )ss. :ounty of _ ) R&*'N4OND . WILL AMS ��d�i2�i 1. THA R. 'A'ILLIAMS On. 2LL Ze // 7 before me personally appeared. �eG..ols��.(1 �/dsYs>• ,d�"`i� . Ii %/w, , known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) islare subscribed to within instrument and acknowledged to me that he/shehhey executed the same in his/her/their authorized capacity(ies),and that by his/'ter/their signatures) on this instrument the person(s) or the entity upon behalf of which person(s) acted• executed the instrument. WITNESS my hand and official seal (THIS AREA FOR OFFICIAL NOTARY STAMP) KENNETH WADE kOG'Jty PUPUC fAUFORNIA S1gnalurC 2 q COMMISSION 11990121 �,{� "' 3''• SACRAMENTO COUNTY My Comm. Exp. April 1.1997 Nail Tax Statements to: 2AYMOND J. WILLIAMS AND LETHA R. WILLIAMS, 61 BANGOR TRAIL, BANGOR, CA 95914 FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B07-1806 Address or location of unit: 61 BANGOR TR BANGOR CA 95914 Legal Description of Real Property: 028-400-024 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: WILLIAMS FAMILY TRUS, Owner's address: P O BOX 103 BANGOR CA 95914 INSIGNIA OR HUD NUMBER: OR158081/2 SERIAL NUMBER OR V.I.N.: 9726U/X MANUFACTURER'S NAME: FUQUA HOMES INC/09755 YEAR: 1987 OFFICIAL APPROVING INSTALLATION: DATE: 8-31-2007 PHONE: (530) 538-7541 H.C.D. 513 EXPLANATION AMOUNT SIERRA MOBILE SERVICE SIERRA FOUNDATION NO 470386 466 CIRCLE599 ROVILLLE, CA 95966. ��%U MEDICARE AMOUNTPAY •^" �. Safi "I �`"' GROSS INC. TAX SOC. SEC. ST. TAX TAX OF O THE ORDER OF I I DATE DESCRIPTION 90-2267/1211 3827 20001 H16B 8 =eamamma s Dames as ma. $ F7 -)— DFOO90fvp W .bti A AUTHORIZED SIGNATURE US BANK pLu■ :L2LL22676i: L5340LLa0392SIll u■ 0 200 STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DClT CTDIITTn\I nnT MANUFACTURER NAME/ID v TRADE NAME l `y MODEL DOM DOT DFS V v `SPC EXPIRATION FUQUA HOMES INC/09755 FUQUA 840 11/20/87 11/20/87 12/29/87 19726U SERIAL NUMBER OR1�ti0t3INSIGNIA NUMBER N2 UMBER m00 ODU�ZO 00168 0OW90 VC EXEMPT SF OR158082 025200 000720 000168 DSE LTY�E tP' TOTAL 3 4 FEES 5 PAID: 6 $28.00 A D D R E S S E R E G M I A S I T L E R E D O S w I N T E U R S L E G A L O w N E R J U F N I I R O S R T L I E N S H E O C L O D N E D R WILLIAMS RAYMOND/ LETHA JTRS 61 BANGOR TRL BANGOR CA 95914 UF WILLIAMS RAYMOND/�t_FTiAA -�T<u x a t o &a 61 BANGOR TRL '+a BANGOR r�C A 95914 A �.,` 61 BANGOR TRL4� w BANGOR>?, FST INTERSTATE BK PO BX 2690 85' SACRAMENTO'°` DATE: 01/16,490 1 ,o li. ^ IMPORTANT 03-024-02118 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.. i THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0301213 o� &"or -Par k Q - BUTTE COUNTY AREA DEPARTMENT OF DEVfELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-x:140 Website:www.buttecounty.net/dds Permit No: B07-1806 Issued: 08/23/2007 Address: 61 BANGOR TR Area: BANGOR Owner: WILLIAMS FAMILY TRUS, Applicant: SIERRA MOBILE SERVICE & SUPPLY Permit Type: SFD-Mobile Home RET APN: 028-400-024 Description: MH PERM FND EX SITE 24X60 Flood Zone: None SRA Area: Yes SETBACKS for Zonine. AG. SRA. PW Front: Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+ ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile H Final 802 Inspection Type I '� ;•'� ° a ,�;Finals ,• +� IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 1 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 1 602 1 Skirting/Steps/Landings 6101 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: 0 Kt 155-oft5q 05c -'T- Fire 77 7 1, �-�-�---�"_'. 7 dart 169 0 1 e ome ma "PROJECT FINAL 1 801 fie- 1'-;1 roject'Mal is a Certificate of Occupancyfor (Residential Only) PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 7 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING' PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT_ INFORMATION Site Address: 61 BANGOR TR Owner: Permit No: B07-1806 APN: 028-400-024 WILLIAMS FAMILY TRUS, Issued Date: 08/23/2007 By TMP Permit type: RESIDENTIAL P O BOX 103 , Subtype: SFD-Mobile Home RET BANGOR, CA 95914 Expiration Date: 08/22/2008 Description: MH PERM FND EX SITE 24X60 Occupancy: Zoning: A5 0( Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE & SUPPLY SIERRA MOBILE SERVICE & Building Garage Remdl/Addn 466 CIRCLE DRIVE 466 CIRCLE DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 Other Porch/Patio Total (530)534-0599 (530)534-0599 FEE INFORMATION DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 Total Charged: $583.90 Fees Paid: $583.90 Balance Due: $0.00 Receipt No: B4355 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 08/23/2007 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). SAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: ,71 t --r Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 046-0004257 01/01/2008 Carrier: Policy Number:046_00 Date: Contractors License Law.). (This section need not be competed if the permit is for once hun red dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if 1 should become subject to the workers' X 08/23/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 6J 08/23/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE a injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. 1 hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act the property owners behalf. F—, Q 08/23/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner 0 Eontractor OR; 0Agent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTIMENT 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 fV1XL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** 0 WNE R Last NameFirst IJt L� IAN -S Name L erHA Address 0 6ANC o9 rR A t L City Stale Cj4 zip 4z-/ I V Phone , Fax E-mail APPLICANT SIGNATURE X For office use only: CONTRACTOR Name Flood Zone Address Address City No State u, Zip Phone Shy DS9 9 Fax E-mail S 3 q OS-ql Lic. # y765'Y,Class ,5S APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Flood Zone Address Address City No Slate PF- Phone State ?� Fax E-mail S 3 q OS-ql State License Number APPLICANT SIGNATURE X For office use only: APPLI CANT NAME Name Flood Zone ,, , Address Yes No City C A Subdivision Name Iviap State ?� Zip Phone S 3 q OS-ql Date Approved: Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address C,�( eNrOO-oR 1-AA#1 Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Iviap Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT G7 - BP BIN # LOCATION AP# (5;L00 y o o 0;.c/ Property Address C,�( eNrOO-oR 1-AA#1 City 6ANGo2.. 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 Description or Scope of Work: C/d�a•a-C- Sq. Footage r ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): E)&IRA.TION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount q Bldg 5 Receipt #: SRA3� Sheriff SMTP Date: Other ?;/�3 Total cK 0 J z � � a a 0 Jl T 2 0 c, a � a � o cK 0 J z Xi2 Foundation -System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering BUTTE COUNTY BUILDING DEPARTMENT APPROVED Xi2 Ground System Xi2 Concrete System Engineer Approval Approval MANUFACTURED HOME/MOSILB HOME FOUNDATION SYSTEM AEALTB AND SAFETY CODE, SECTION 18451 APPROVED weacT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS Of APPUCABLB STATE LAWS AND REGULATIONS Stw of C211fomts DwMma t of nd CommndlT bnldcp ' ISI�ES AND =TS M.. � SPAIiQ. ar- `.' T&FInApprovnlftirn ag o Ln• li DOWN ENGINEERING • 5901 Wheaton Drive • Atlanta GA, 30336 TIE • Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. "Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral stmt so that the two tubes are connected together. (Figure 1) Figure 1 Fad °f No'�e - 1-3/4" Tube J -Bolt Nut & Washer Lateral Struts Strut (flag end) j° ° ° 1-1/2" Tube 4-#12x1" Tek Screws 1 -Beam Figure 2 U -Bok & mounting V Bracket 0 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. Page 3 of 8 TIE DOWN ENGINEERING Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nluts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam bradaeis & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Loneitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 A2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 TIE DOWN ENGINEERING Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using -3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into. hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted.on the pad, using.the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes - provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. - 11. Tighten all nuts and bolts on system. s /zr-FAe- A, 30336 TSE 49-0401 DOWN _. ... ENGINEERING • Xi2 Lateral Concrete Systems C Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 . with all nuts and bolt. Longitudinal Struts for "Concrete Systems" -q . Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks ,Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with -all nuts and bolts. Nut & V1�sher Figure 1 BeamClamp Bracket J -Bolt , y Xi2 Installation Placement -Beam XM� _ 9 Y Longitudinal Strut _ Concrete Longitudinal Hardware Kit End °f H�►ne , Page 6 of • TIE DOWN • ENGINEERING • Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length.of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62' 3 42 Systems' 63' - 80' 4 xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 E�, i 121 _r. FTIE WNDGEN Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 59329-1 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631 Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 Grade 5 zinc 59272-2 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631 Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/20 3 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 Wedge Anchor 3/8 x 3.50 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Beam Clamp Base Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 TIE DOWN ENGINEERING 0 0 0 0 z 4 Q o e D 0 to D T � � 6 � r D M . Ll BUTTE COUNTY BUILDING DEPARTMENT PPROVED MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name Owner's address Insignia or hud number a _ Manufacturer's name_ F' Serial number of V.I.N. ''` Year of manufacture (Official Approving Installation) (Dote) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPT ANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. •, 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT N( A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date A21 ` '4 %� d i 41 PERMIT NO. .y PERMIT EXPIRES ` OWNER .TACK THFNO CONTR. Vangard Const_ ASSESSOR PARCEL 98-40-94 LOCATION 61 RanRnr Trai l Dr,RangorTrai I Dr, Bangor + OFFICE COPY r + Temp: Po j Address Called) Temp. Ele! M Y Date ` ELECTRIC Called Meter By Temp. Gas Service Called PG&E JOB FINALED (Date) oo�� , Signature :.b , . .,; -Y; "', 1.: - . '. = OK O= Not OK Not = Not Readyiable MOBILE HOMES ° MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Vf: Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel So' s; Special MH Support -Sketch S er; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing Electricity; Location-Clearances-Grn mp-Concrete —Wrap: / /"L"ft. /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date - Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date O LEHOME INSTALLATION Plans OK except #'s _. �ng Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 12�Footings; Size -Spacing -Marriage Line Card -131 Date Card -81 Date MH Test -Demand -Valve -Connector . ELettricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s Win; MH Test -Fall -Flex Connector 1. Setbacks -Easements . W r; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability er and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining G and Electricity Tagged E ' ; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards -Ins. to Main in Conduit Card-BDat - : and -131 Date Card-Bf Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -61 Date Card -131 Date Card -131 Date = OK = NotOK RESIDENTIAL,(Single and Duplex) = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s - Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 1b 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ' . 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -61 Date Card -B1 Date Card -131 Date Card -131 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date 66. Stairs & Rails Card -B1 Date Card -81 Date 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance Ins. Protection 70. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 72. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic o Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Following instld.; Drive o Yes O No; Walks O Yes O No - Planters 17 Yes 0 No 32. Clothes Closet Light -Shower Light -Spa Light 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; PIbg.-Appliance-Firep I. -Cl earance to Openings. Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -91 Date 38. Sills, Proper Material & Anchors Comments at Final: 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rht proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) Y • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillep:California,95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 1-16 P - Ki9 v ASSESSOR PAL NUMBER—, 'P el ZO Gt J BUILDING PERMIT OWNER a ® E^EpHo,Ny ! (OfT SQ. FT. OCC. BUILDING V LUATION OWNER'S,y/LING AD RESS C0NTRAC OR' NAME TELEPHO E X30 CTR TOR' AILIN AppRESS / � GTR rd U1 Fireplace CONSTRUVTION LENDER UNKNOWN Total Valuation $ Filing Fee $ -}e,00 LENDER'S MAILING AD SS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ l 6�U(_) Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME PARL MAP ll � Q o h� i 24 �✓� ] Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehom-'CJ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G rW 10.00 ea W. TYPE OF WORK New❑ Addition Remodel[:] Utilities Installation[] Other ❑ Describe work:., Q. JV9014 (Soo PermltFee $ Contractor ELECTRICAL PERMIT FilirigFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): OCI I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ T� and Professions ode and. my license is in full force and effect. License No. 2 Classification A ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.51) OR ADDNS. ACC. BLDG -S. /20$gftNEW CONSTR. U TI.OUTLET . NON.RESID BRANCH CIRCTSPOWER 2,50 ea APPARATUS 6\ SINGLE OUTLET CIR. / EX. OCCUp(OUTLET3 OR FIXTURES 6000 30 SALO 30 Ex. Occup. OUTLFIXEETS P(RESID IAPLNS RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Q Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agreetp save, in emnify and keep harmless the County of Butte against all liabilit' judgm s, cos , and expenses which may in any way accrue against s d Count cons re of the granting of this permit. ^� X Date Signature of A plicant — Owner ❑ Contractor1K Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heeeiight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occu P. CONST. -TYPE SCHOOL PLoo ARc PD ND SS This permit is hereby issued under sions of the Butte County Code and/or work ) d Gated ab ve for which R TOFi OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �%/ 7411 C2 Receipt No. 0 WHIT!-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner tion AP# Plan Approved for: Sewage Disposal Water Supply &1.90 Hold final for: Water Supply Final clearance O.K. for: Clearance for bedroom mo ile ome. Other NOTE * * * Sanitarian Water Supply Date COUNTY OF BUTTE - DEPARTMENT OF..PUBLIC WORKS - BUILDING DIVISION 7 r $ 7 COUNTY CENTER DRIVE - OROVIL�E"rC46PbRINIA 95965 - TELEPHONE: 916/538-7541 r PERMIT APPLICATION DATA SHEET Permit No.� OWNER of A. P. No.� Proposed'Building Use may%/q6e Building Inspector Ix� Date //_ At time of permit application, I was advised the following data must be submitted prior to permit processing and/Of%ssuance: DATE RECEIVED APPROVED v/ 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization .. . . . . -�0. Sanitation approval from Health De pt.u)-Wf'tD!'113 / 11'. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner El, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for _____ - ___._- _ Required. Building Inspector 8. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. —. 20. Plot plan approval from city of _ 21. _ - - 22. — — -- When, you issue the permit Telephone Other process as follows: —Mail to owner, to contractor_ and hold for pickup at , office, Deliver w/inspector. Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted pri 1. Index permit for above items No. 2. Additional items required: permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by date Contractor, designer, owner, was advised ci above required data by—phone —mai I—counter by date / Plans checked by Date Plans approved by OC(i Date Sets of plans on hold in File cabinet AP folder Copy -DPW 1•IpT COMPARED WITH ORIGINAL DOCUMENT - RECaRDEp BUTTE COUNTY Retur� �, PW AGRICULTURAL STATEMENT OV ACKNOWJ.EMEHEM . OFFIICIAL RECORDS BY FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 8'7-40831 1587 OCT 30 Ali 8: 33 The property described herein is adjacent to land or included CANDACE J.GRUBBS within an area zoned for agricultural purposes, and residents of this CLERK -RECORDER FEE....' 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.•ol 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. ,f All that real property situate.in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION r State of C a ) On this the 23 day 'of O _tnhar , 19_&_, before SS. me, the undersigned Notary Public, personally appeared County of Rr,t-ta ) JOHN W. Ll Personally known to me. f Proved to me on the basis - of satisfactory evidence. ■ to be the persons) whose name(s) is subscribed to ■ ; ANGIELA D. MASTELOTTO i the within instrument and acknowledged that he ■ ■ ,�� NOTARY PUBLIC.CALIFORNIA n executed the same for the purposes therein - contained. ■ .. Buttq County ■ MycommissionExpiresSept.7,1990 ■ IN WITNESS WHEREOF, I hereunto set my hand and official seql. ■ Notary Public Present A.P. No. _ztf- yZ0 - Angela D.' astelotto , 4 DQSCRIPTIOMt 87-05306 All that certain real property situate in the County of Butte, state of California, described as followst PARCEL 11 Parcel 2, as shown on that certain is the titled o WDRI L MR" SUBDIVISION', which Map was filed ocder of the County Of Butte, State of California, on September 2, 1983, in Book 91 of Maps, at Pages 54 and SS. RESERVING THEREFROM non-exclusive easements for ingress and egress and for public utilities over that portion lying within Bangor Trail, as shown on the above described Map. PARCEL 114 Non-exclusive easements for ingress and egress.and for pubic utilities over Woodhill Drive, Diablo View Drive and -Bangor Trail, as shown on that certain Map entitled, 'WOODHILL MAKI SUBDIVISION', which Map. was f sled in the Off ice of the Recorder of the County of Butte, State of California, on Septeaber°.2, 1983, in Book of of Maps, at Pages 54 and SS. EXCEPTING THEREFROM all that certain property lying within the bounds of Parcel I, above. AP # OWNER JZX . TA e.1 a PERMIT 4k MH UT IL . CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Req. Service Other Pipe YESI NO YESI NO Size Load Type Size Len th 1 Sar %i Cox COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIle, California 95965 - Telephone: 916/538-7541 APPLICATION'AND PERMIT ASSESSOR PARCEL NUMBER i2e_ 'fa _ 2�- ZONI �. BUILDING PERMIT OWNER TIfLePWONE 170 C k 7N C A10 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAMETELEPH?Ni P. t-144fed V4� 7-nveRa /1 �4v/ S-7 GG/O CONTRACTOR'S MAILING ADDRESS E'(- 3.0 r J 0 R- L Gk ii 1.5-e Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ , .^ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT O. SUBDIV SION AME PA C L MA(P'''� 1 SJ Water piping 5.00 i� Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehorri Other Building sewer 5.00 SPECIFY Mobile Home S FGTiT 10.00 ea TYPE OF WORK New ❑ Addition ❑ Re o el ❑ Utilitigs El Ins Ilatio Other ❑ Permit Fee $ Describe work: h(�'S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. ! DWELLING OCCU!i \ �/2 QSgft I declare under penalty of perjury (check one): OR ADDNS. ACC. BLDGS. NEW CONSTR MULTI—OUTLET 2,50 ea �I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID .BRA CH CIRC ITS POWER APPARATUS e) and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. E,r[_, A �7 -78 Classification �� License No. .3714-78 Ex. OCCUp OUTLETS OR FIXTURES zoseos .200030 Fl 1, as the owner, or my employees with wages as their sole compen- FIXED \ Ex. Occup. OUTLETS P(RESID )RE A./ 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) g ❑ I am exempt under Sec. , Business and Professions Code for this reason Penult Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. Cooling p I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,should you become subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 411 ly/ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agree to save, indemnify and keep harmless the County of Butte against 0CCUP. PD UE all liabilities, judgments, costs, and expenses which may in any way accrue J.CONST*TYPEJ ISCHOOLIFLOODIPARCE1.1 I against ' Co my in consequence of the granti g of this permit. X�'- %2--f 7 -9% This permit is hereby Issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do Signature of Applicant- Owner ❑ Contractor Q' Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR PUBLIC WORKS ion of structures over 3 stories in height. BY � Date/2�� Receipt No. WHITE-0.11iYELLOW-A3eISSON. PINK -INSPECTOR, GOLDENROD -APPLICANT PE T EXPIRES Date %Z_Z// �� COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS - BUILDING DIVISION ,. 7 COUNTY CENTER DRIVE - 0 ROVIL4.1 �A01FORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER Proposed Building Use P. No. ,2 a Building Inspector�//_e Date At time o permit application, I was advised the following data must be submitted prior to permit processing and/o ssuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans, , 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans, 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid'' Stamp on Floor Plan. — 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) -14. Owner -Builder Verification (Given to owner❑, Mail to ownerE]) ___.._._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.'request to 'Date) 17. Pre -Inspection for ..__ _. _. _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. - - - - 22. -- cern you issue the permit, process as follows: Mail to owner; Mail to contractor. Telephone Q-77-6 ?8 and hold for pickup boffice, Deliver.w/inspector. Other Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. --_ 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---naiI—counter by date Contractor, designer, owner, was advised c? above required data by—phone —mai l—counter by date Plans checked by Date Plans approved by IV Date Sets of plans on hold in File cabinet AP folder Copy—DPW -ihis�set of plans ind speci �ications MUST bei kept on the job at a I times a d it is unlawful tca atbns on same Wit?#- make any changes r alter he De artmer►4af9-��/ out written permis on tfrom p Public Works, Cou y of Bu �I TJ 2 O �I ok ,� se�tbe�k -of 5 nd a setbadC roperty lines of 50 t• fr shall be clear othe road f centline ores or equipment a icepl for 1 2 ftn• eavu °verliana �1 ed -se tit lis xn3- FT. DM '0140 Sn� tions sh e, either ar yob` k\0n �r the re ��th the �naas`de ro NOTE.—All Materials VIVO manship Shall Be it' 'Accordance with Recocinizei S°edfr use in the actices Of 8 quality prescribed for flie p Unifornn'Building, plumbin 1 & Mechanical Codo snd the National Electrical C ide- - r",w I.. - p q1 ss � 0 � N NOTE.—All Materials VIVO manship Shall Be it' 'Accordance with Recocinizei S°edfr use in the actices Of 8 quality prescribed for flie p Unifornn'Building, plumbin 1 & Mechanical Codo snd the National Electrical C ide- - r",w I.. - p q1 ss BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: v �;,�^.w% LIU, 3. Is the site currently under permit? Yes No (If yes, furnish permit number 3 6 3 7 — 7 ) OR Is the site an existing site? - Yes ❑ No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- �0 Amps 6. What is the mobilehome site service rating? ------------- z O O Amps 7. What is the mobilehome site circuit breaker rating? ----- '-7 C>45> Amps 8 I there an other electric load to be served by the s y -------------------------------- . Eq -No mobilehome site service? Yes (If yes, identify the load and size: 02 (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural 4A--LPG-B- 11. What is the gas pipe length from meter or tank to the mobilehome?=-------------------------------------------- t.) 12. What is the mobilehome gas demand? ---------------------- BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA �^ If other than single wide, Mobilehome Mfr. furnish Setup Model No. 0 Yearliz? 7 - Width oZ a (ft.) Box Length__4p a(ft.) Tagalong or Expando Size ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)f. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)B1. Concrete block. 1:12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Linc 2 — — — � Main Beams — — — — — — — — — — — — — — —• . — — ..._Line Tag or Triple —' — — -- --- --- Line 4 Line 1 Line 1 Piers: Sizc-Min. ------------ Spacing-Max - --------- Fran Ends -Max -------- Line -------Line 2 11i ere: Size -Mill. ------------ Spacing -Max.--------- From Ends -Max .------- " Line_ 1 Kasai loads: Size -Min. ------------ ..x lO.r r.x Location (From Front) p O ��'_D Line 4 PLe_rss: Sizo-Min.------------ „x Spdtjog-Max.--------- . ,. From Ends -Max .------- Linc 5 ((Of loads: Slze-Mio.------------ F ,x Location (From Front) Line 1 Openings: Size-Min.------------------� "x Each Side of Openings With Width Over ------"-- " Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ .,x Spacing -Max ---------------- From Ends -Max .------------- Ct d &Adurn Y"x n.t rrx —J" Line 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ "x Spacing -Max.--------------- r n From Ends -Max.------------- " PQQ�O FU1 UA H®MES INC. • COLUMN SUPPORTSPEC. SHEET" APPROVAL MODEL ROOF LIVE LOAD 30t ROOF DEAD LOAD LENGTH [p 0 - O WIDTH 12=0'' c 5 �✓ 4 'r 3 +2- 8 01 -- _ �G , F .E 4V -d' 30=g" 12_0^ 'x= HAL.F�1 f f COL. OWNWA .D LOAD(LBS. :SPECIAL INSTRUCTIONS OL DOWNWARD LOAD BS. SPECIAL INSTRUCTI.ONS. 1 3 4' 9 ' 2 r7 9 3L- 3 6 2- 11 4 $ 5 (n'r 1.2 ' 5 �4 " 13 6 14 -- 7 15 Fi 6 Footing or pad size must be determined -by dividing the soil bearing capacity into the downward load. Ex: Soil bearing capacity - 1500 PS F. downward load 3200 LBS. Fooling size = 3200 LBS _ 2 13 SO. FT. 1500