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RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
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.
BOBBY GWYNN
REAL PROPERTY OWNER/LESSOR
MAILING ADDRESS
GRIDLEY BUTTE CA 95948
CITY COUNTY STATE ' ZIP
1254 FRENCH AVE.
INSTALLATION MAILING ADDRESS, IF DIFFERENT
GRIDLEY BUTTE CA 95948
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (ifalso 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
05-0979 (530) 538-7541
BUILDING PERMIT NO. TELEPHONE NUMBER
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
t
DEALER NAME (if not a dealer sale, write "NONE")
DEALER LICENSE NO.
FLEETWOOD
2005
BEACON HILL 4563B
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMFJNUMBER
564" X 268"
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 021-132-029
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
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{ ;CERT�IFIC' T- 0,F OCCUPANCY_ k
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BUILDING PERMIT NUMBER: 05-0979
Address or.location of -unit: 1254 FRENCH AVE., GRIDL'EY CA 95948
Legal Description of Real Property: -AP#: 021-132-029 t
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach.^ `
Has been affixed to the real property abovejby installation on a foundation system
pursuant to Health and Safety Code -Section 18551. '
S - e
Owner's name: BOBBY GWYNN
Owner's address: PO BOX 1098, GRIDLEY CA 95948
• F
INSIGNIA OR HUD NUMBER:,
SERIAL NUMBER OR V.I.N.:
MANUFACTURER'S NAME: 'FLEETWOOD' YEAR: 2005
OFFICIAL APPROVING INSTALLATION:
DATE:
PHONE:, (530) 538-7541
H.C.D. 513C
x
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{ ;CERT�IFIC' T- 0,F OCCUPANCY_ k
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BUILDING PERMIT NUMBER: 05-0979
Address or.location of -unit: 1254 FRENCH AVE., GRIDL'EY CA 95948
Legal Description of Real Property: -AP#: 021-132-029 t
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach.^ `
Has been affixed to the real property abovejby installation on a foundation system
pursuant to Health and Safety Code -Section 18551. '
S - e
Owner's name: BOBBY GWYNN
Owner's address: PO BOX 1098, GRIDLEY CA 95948
• F
INSIGNIA OR HUD NUMBER:,
SERIAL NUMBER OR V.I.N.:
MANUFACTURER'S NAME: 'FLEETWOOD' YEAR: 2005
OFFICIAL APPROVING INSTALLATION:
DATE:
PHONE:, (530) 538-7541
H.C.D. 513C
X
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP050979
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
Issued Date: 06/02/2005 APN: 021•-132-029-000
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
Site Address: 1254 FRENCH AVE QRI
:
License Class License Number:
Map Index:
Date: – Contractor:
Description: NEW MH PERM FND(1493)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: BOBBY GWYNN
permit to construct, alter, improve, demolish, or repair any structure, prior
P.O. BOX 1098
to its issuance, also requires the applicant for .such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
GRIDLEY CA
the Contractor's State License Law (Chapter 9 commencing with Section
95948
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
(530) 846-5601
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 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 (Sec. 7044, Business and Professions
Applicant: BOBBY GWYNN
Code: The Contractors' Stale License Law does not apply to an
P.O. BOX 1098
owner of property who builds or -improves thereon, and who does
GRIDLEY CA
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
95948
sale. If however, the building or improvements are sold within one
(530) 846-5601
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
Contractor: FLEETWOOD HOMES
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
2243 FEATHER RIVER BLVD.
pursuant to the Contraictors' State License Law.).
OROVILLE, CA 95965
O I am Exempt under Article 3 of the B sI ess and Professions Code
530-532-3301
Date:t� �_O Owner:
License #: 785185
WORKERS' COMPENSA ECLARATION
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
workers' compensation, as provided for by Section 3700 of the
Architect:
Labor Code, for the performance of the work for which this permit
is issued.
Engineer:
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 1493 S.F.
Valuation: $97,045.00 ll//
Policy#:
I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith those
S
comply with provisions.
1 i
Date:
Applicant:2_41
Is
WARNING: Failure to secure workers' compensation coverage
an employer to criminal penalties and one
LD
unlawful, and shall subject
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor/'
fees.
rL�,ph 1403 �6 2
code, interest, and attorney's
l
CONSTRUCTION LENDING AGENCY
This permit iskfreby issued ride the appli able provisions of the Butte County Code and/or
hihave been
I hereby affirm that there is a construction lending agency for the
for this is issued (Sec 3097 Clv.)
Resolutlo to do work in ILl above for ch es paid.
G r ^�
performance of the work which permit
By: Date:
Name:
PERMIT EXPIRES ON:
Address:
Date
❑ 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 18827.5 of California Health & Safely 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 stale 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
2uthorize representativesofButte County to enter upon the above mentioned property for Inspection purposes.
Print Name: 32 ;Z Signature:
Date: —2,/
• lYOwner 0 Contractor ❑ Agent for Owner ❑ Agent for Contractor
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 APPLICA TION
Website: www.buttecounty.net1dds
"PLEASE PRINT CLEARLY"
OWNER
Lasg me
i t Name
AddressPo • O Q
Cit'&RIDL
State�
Z'p95948
Phone
Fax
E-mail AQ.Nymae Ater
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name Le
uiQct—I
Address
j
CitY�.1J
Map Book
StA,
Z (?_
Phone
Date Approved:
Fax
E-mail
Lic. #
I L I nblS15
Class
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
&W
Address
Tye Const.
City
Map Book
State
Zip
Phone
Date Approved:
Fax
E-mail
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT NAME
Name
&W
Address P O
Tye Const.
Cit
y�R10
Map Book
State
Zip9
Phone7e) — 8
Date Approved:
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning L&5
I Flood Zone SRA I Yes
RI�Le
Occ• C,
Tye Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMSIBUILDING FOR1v1S161dgApp1SubRgmts.doc
Page 1 of 2
PERMIT
05- 6?
6
BP
BIN
LOCATION
AP#0.21-13A— p
Property AddressCity
RI�Le
ICross Street
FReNC,44VE-A—SoCIAL 4W4-
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
D
Address
Descri tion or Sc a of Work:
e
41N ZZE LvT wig ALL
Sq. Footage 93
Structure Built without Permits
0 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.
_P CA =
Received by: Amount: 91 q. "l c0 Bldg
�f / SRA
Receipt #:4- D 2 �a � Sheriff
SMIP
DaL'Other
!�"—Total
G%
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
n
OWNER: ASSESSOR PARCEL NUMBER
Building Proposed /
p '; Use: �/iJ �� �� �, Permit Technician: /.' Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
Tr 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: (,Installation manual, jcluding marriage line info, (Floor Plan, (r)Tie downr fnd I�ans, II 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. Letter of intent for non-residential buildings
J❑ 12: Hazardous Material Form
i 13s. Acknowledgement of building permit application without required clearances.
❑ 14. Other
Remai ing items needed to issue the permit. (May require additional plan review upon receipt of the ollowing items.)
.15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico f�roville, as applicable a
/Ci*
❑ 16. Fire Sprinklers............................................................................................
❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ...........................................
❑ _,,� 19. Erosion Control Plan Required........................................................................
("2T Fees as shown on the attached Schedule of Fees Due Sheet ..............................
O . City of Chico Plumbing permit........................................................................
❑ 22. Site plan and business license approval from the City of Biggs ..............................
❑
?'�#Contact
alifornia Department of Forestry plan approval ❑ paid. Sent by:�lanning approval for (A) Use: (B)Parking: (C) Parcel Check:...........
Land Development about _ Improvements, _ Drainage ........................
NPDESForm.............................................................................................
I Encroachment Permit for driveway from the Public Works Dept ...........................
Contractor's license information. (Number, Name Style, Classification) ...................
29. orker's Compensation Carrier and Policy Number ..........................................
❑ 0. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
?432)iecorded
etter of Signature authorization....................................................................
copy of Agricultural Acknowledgment Statement .................................
Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
El 36. Other:
Other: /n -rla
IL
When issued Telephone and hold for pickup.
I have been informed of the above itemshand requirements for obtaining a building permit.
1. Index permit applica' •r- a above items numbered: �
Crn11 Check Letter
2. Additional items requir
Contractor, designer owne was advised of the above data by phone, ❑ mail, ❑ counter, by QPj Date:
Contractor, designer, er, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by phone, ❑ mail,❑ counter, Date:
Plans reviewed by: _Date:. Plans approved by: Date: 44---
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
_ E.H. USE ONLY
Plot Plan Attached
Roar Plan Attachad
""'• Sant to S.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner location AP#
Plan Approved for: Sewage Disposa Water Supply: Public Private Well
Clearance for dwelling. OtherL v►.
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
aPAC5-0q'7q
{ - COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140
SCHEDULE OF RECEIPT OF FEES
Website: www.buttecounty.net/dds
OWNER hc4 A.P. # r lam( A�q
PROPROSED BUILDING USE d DATE
RECEIPT # DATE REC.
. BUILDING PERMIT FEES
- Balance Due ..................... $
--- FEMA Flood elevation review ... $
(�,--- Additional plan checking Fee.... $
_"T'
/��J2. SCHOOL DISTRICT FEES Qf
(paid at School District Office) fforma-vailatVir Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq. Ftg.
4. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
5. RESIDENTIAL DEVELOPMENT IMPACT FEE
COUNTY WIDE (per dwelling) $ Z-
CHICO URBAN AREA.(per dwelling) $
EL MEDIO FIRE DISTRICT (per dwelling) $
NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning
6. SRA FIRE INSPECTION AND PLAN CHECK FEE
$204.98 (paid at Building Division)
7. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
JRQ8. SMTP (-$ q . '7 n
9. OTHER
10. OTHER
11. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05)
4 q5OL
T__
Q�?WTMEN-r O�
✓�i 6uTTc�
I 0 o0
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OU 141
V@LIC WC¢�
Department
.0 o u n t
J. Michael Crump, Director
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
- e
National Pollutant Discharge Elimination System (NPDES) Phase 11
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement [LESS THAN 9 ACRE]
c
Project Description: C7 p—ti— (115-0 971? ?. `
Project Location and/or Parcel Number: 6a1— 13.2-
By
.32
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:
4&A 0 --A- I.0 -
Title: DW
Date: -5—
Less than l Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
+: � �. IIII III III I Iill I III
III III II I III III
AND WHEN RECORDED MAIL TO: 4a 10 �022404S
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE Recorded
I REC FEE 10.00
OROVILLE, CA 95965 Official Records
Cou_ntyE f
I CONFORM 1.00
I COPIES 4.50
CANDACE J. ORUBBS
I
Recorder
ROSEMARY DICKSON
I
Assistant
I Shawnya
10:39AM 20-APr-2005
I Page i of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date �D PROPERTY OWNERS:
/� �� J • Gu/'fN/V
Ld 1s L. OL<20 try
State of Cali�fforni )
County of 11L+16 )
On before me,
personally appeared /3oblov S. q Pd Gots A. 6Lvy Al ll
Y
k»ew*4@-ane (or proved to rdeon the basis of satisfactory evidence) to bet a person(s) whose name(s)*/are subscribed
to the within instrument and acknowledged to me that hrishe/they executed the same in his/her/their authorized
capacity(ies), and that by hWher/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my han nd offric' 1 seal.
Si nature `�`�*�-- Seal:
g ..a JAMES LAMAR KINSER
COMM. #1377185 -�
~ NOTARY PUBLIC- CALIFORNIA
A.P. # 0 l !- 3 Z - UZc( ° BUTTE COUNTY
MYComm. Expires Sept. 28, 2006
All interest in that certami real property situated in the County of Butte, State of California, described
as follows:
Lot 23; according to that certain Map entitled, "Map of Gridley Colony No. 4, near Gridley,
County of Butte, Cal.", which Map was recorded in the office of the Recorder of the County
of Butte, State of California, February 5, 1907 in Book 6 of Maps, at page "o.
EXCEPTING THEREFROM the North 462 feet.
ALSO EXCEPTING THEREFROM the East 550 feet.
ALSO EXCEPTING THEREFROM the South 10 feet.
ALSO EXCEPTING THEREFROM that portion lying within any public road.
Located on Social Hall Road
APN: 021-132-029
School District r—)'
A.P. Number ( -I�el -
Property Owner
Property Location/Address
Subdivision
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
�uriscliction: city
C1
Jurisdiction:
Residential Development- [j]—
No of Living Mobile Home
Units Installation
P
Commercial/Industrial
J
Department Representative
I r-ri P
Building Department too.
County
Lot No.
................................................ i ... . ..................................
Sq. Footage
Addition/ *Supplemental to (Group R)
Conversion Permit #
*(No foundation InspectIon)
....................................................................... ! .......... ........... ......
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(including Exterior
Roofed Areas)
Date
Identification No.
w AIAr_\i IS'IIA School District certifies that
aIA) IA fly\
(Applikanti)
(Street Address
(Phone Number)
(City)"
(State)
(Zip Code)
has complied with the requirements of Resolution No.
by payment of $
representing squafe feet.
IAB 2926
$
UFULL MMGATION
n, k
School District RepresentatiVI4.
Date
Paid by Check # Remarks:
Node: You may protest the imposition of the fees identified above by submitting a written protest to the District, In compliance with
Government Code Sectlion 66020(a), within 90 days from the date fen are paid. Failure to submit a timely wrkte; protest will'prohlbit
you from chel"Ing the Imposition of the fen In any court action.
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 Environniental Quality Act (CEQA),
V& project may be subject to additional school fen to fully mlitigate. Its Impact on the school dhftkft schools.
White (applicant), Yellow (building department), Pink (school district) COUNTY fteform.49 I10/031dmm
APR 2 0 2005
DEVELOPMENT
SERVICES
Date:
To:
From:
Subject:
Department of Development Services
Building Division
7 County Center Drive
OrovMe, CA 95965
(530) 538-7541 (530) 538-2140 FAX
FACSIMILE COVER SHEET
G s �C=rte l If sem _
Number;of pages' (including this cover sheet):
Fax.Number• e Yy 6n/
If you do not receive all of the pages, please call (530) 538-7541 as soon as possible.
Special instructions:
Review and respond',accordingly.
For your information only.
pl foyv c--- /f w L�
C vev2
` z=n /T x2- 4 L6 r - D 7 7-?-e--s '/"-0 °n+7c
Sincerely,
010S
this facsimile is confidential and m
CONFIDENTZ19. = NOTE: Th infonnahon cont din f ay
also contain privileged information. The information is intended only for the use of the
individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby
notified that any use, dissemination, distribution, of copying of this communications is strictly
e ..i
IIIIii{Iliiillillillil1111111iilli
go ca E5 10 GD IL ts Ca GD IE3
COMPLETE THIS INFORMATION: Recorded I REC FEE 13.00
Official Records I COPIES 2.00
Requested b County Of I
Recording 9 y� aurrE I
CANDACE J. GRUBBS I
Z0 1.5 Cc.J yNN ROSEMARYrder DICKSON I
Assistant 1 Kathy
M27AN 22-Mar-2005 I Page .1 of 3
AND WHEN RECORDED MAIL TO:
Lo Is
P. o. 13bK /o 98
GR�! rA . 95-9z13 THIS SPACE FOR RECORDERS USE ONLY
uj7c641-r7 WD
Document Title
DOCUMENTARY TRANSFER TAX: $
Computed on the consideration of
property conveyed; OR
Computed on the consideration or
value less liens or encumbrances
Unincorporated area
Town or City of
Signature. of Declarant or Agent Determining Tax -Firm Name
MAIL TAX STATEMENTS TO: /3036 y -57• op- '-D ' s L • �W y^'^�
Box/O�F
THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION
(Additional Recording Fee Applies)
Recording requested by:
QUITCLAIM DEED
The undersigned grantor(s) declare(s): Paula Mathews, Lois Gwynn
This transfer is exempt from the documentary transfer tax
The documentary transfer tax is $0.00 and is computed on:
the full value of the interest in the property conveyed to my mother Lois Gwynn
ig at .� .
The property is located in :the city of GRIDLEY unincorporated area.
APN: 021-132-029
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
7 Paula Mathews, hereby REMISE(S), RELEASE(S), AND FOREVER QUITCLAIM(S) to
s �; ;.Jthe following real property in the City of GRIDLEY , County of Butte, State of
California with the following legal description: .39 acre located at the North East comer of Social
Hall Road and French Ave. SOO 4-706qeJ9 PeC.
APN: 021-132-029
Date: 3
:
I
IF,)
Date '— l
�.U-a )"'I At Mews
State of California )
County of M�To ) ss
OnMARGt� �� �2G�efore me,�1t�R1A CA�t% CN-rA��� �u3L1 C�
(name and ti le of the officer), ersonally apppeared
LD 15 WV N t� �AVLA AAA"T HeN's
hey xecuted the same in
signatu on the instrument the
acted, executed the instrument.
WITNESS my hand and official seal.
to me on the basis of satisfactory evidenc 'to be the
.ri e o the witRin instrument and ac owledged to me that
49kLpeiF,--Abthorized capacityI ss and that by-*►f�their
sorY(s� or the entity upon beh-af of which the perso s
' U
Signature ( Seal
)
WANDRIA
ANEZ
# uaTTMy PuBUC.G4Liopm
RAMEfvro couKrY n
M. FRCP. MAY 4, 2008'"
An interest in that certain real property situated in the County of Butte, State of California, described
as follows:
Lot 23; according to that certain Map entitled, "Map of Gridley Colony No. 4, near Gridley,
County of Butte, Cal.",which Map was recorded in the office of the Recorder of the County
of Butte, State of California, February 5, 1907 in Book 6 of Maps, at page S...
EXCEPTING THEREFROM the North 462 feet.
ALSO EXCEPTING THEREFROM the East 550 feet.
ALSO EXCEPTING THEREFROM the South 10 feet.
ALSO EXCEPTING THEREFROM that portion lying within any public road.
Located on Social Hall Road
APN:' .021-132-029
Ami'\
•; w
f•
I
Recorded at the request of
�aa�z%t�. iso..comic.......... ........... ........
Return to
John Main
'Q.....1 ..........:...............
y !�'I � •_•(.ry 1�4�yr�•}/$`/y. wl ..t t xn'-.fa.-.f.
OROVUE. TTRLE cumpAN
Vogl-•J�-/•�G 0�40�
CWr-tC1AL RECORDS OF
BUTTE COUNTY, CALIFORNIA
IN. 6 � � to.d0�
B►
w L � Rt [fiTftD
e t 7 1 �w S er
2%
j t GRANT DEED (Joint Tenancy)
ij For value mcelved JAPM CCAICH, JR.
GRANT ... S...._to JOHN MAM and AMR MAIN, his wife,
as JOINT TENANTS all that reel property aituato in the
County of Bntte , State of COW, 1s, described as follows
Int 23, according to that certain Map entitled, °Kap of Gridley Colony
No. L, near Gridley, County of Butte, Cal", which Map uas recorded in
the office of the Recorder of the County af-Butte, State of California,
February 5, 1907 in Book 6 of Mape,.st page 8.
EXCEPTING THSSSFR(M the North W feet.
ALSO FdCUTINO TH?RFFSOH the Eaet 550 feet.
AIM EXCEPTING THEREFROM tho South 10 feet.
A1SO RXCEPTING THIIYrMM that portion lying within any public road.
Send ala tax statements trot
,joha main.
pe 0. Boat 184
Oridley, Cs>lifomita
LINDA 1. 1AVOVE
nasi! avauc
stmt cauwrr,
roIItt
Dated........ 4ag.� 40...9th Ctulsa
t t: _
........... ......................................... ,.. ``. �... `.........i..... .,............... ...._................
STATE OF CAMFORNtA
_........... _..... _.._ ......-Q_._._.__...rPla�a.nredme lyi7a
IV
h and for said Cow+ty end State, renal!
.._................_........_....... _..... ............. ,_._.................. _•._._.._.__..__._v.._.._ Raoura to Me to bo tNe
Im+scn__whwe "rvne44'._mtDa+:bed co tA® U41AI t tnatrnmert, and ac d to me that _,As � eseftud jU tyre
my commisticu civime- - 1. 61.» __
OROVII.LS TITLE OOMPAN
wip,
r`.
.t
t
1 1�:
i
t++y
R
6
8
GRANT ... S...._to JOHN MAM and AMR MAIN, his wife,
as JOINT TENANTS all that reel property aituato in the
County of Bntte , State of COW, 1s, described as follows
Int 23, according to that certain Map entitled, °Kap of Gridley Colony
No. L, near Gridley, County of Butte, Cal", which Map uas recorded in
the office of the Recorder of the County af-Butte, State of California,
February 5, 1907 in Book 6 of Mape,.st page 8.
EXCEPTING THSSSFR(M the North W feet.
ALSO FdCUTINO TH?RFFSOH the Eaet 550 feet.
AIM EXCEPTING THEREFROM tho South 10 feet.
A1SO RXCEPTING THIIYrMM that portion lying within any public road.
Send ala tax statements trot
,joha main.
pe 0. Boat 184
Oridley, Cs>lifomita
LINDA 1. 1AVOVE
nasi! avauc
stmt cauwrr,
roIItt
Dated........ 4ag.� 40...9th Ctulsa
t t: _
........... ......................................... ,.. ``. �... `.........i..... .,............... ...._................
STATE OF CAMFORNtA
_........... _..... _.._ ......-Q_._._.__...rPla�a.nredme lyi7a
IV
h and for said Cow+ty end State, renal!
.._................_........_....... _..... ............. ,_._.................. _•._._.._.__..__._v.._.._ Raoura to Me to bo tNe
Im+scn__whwe "rvne44'._mtDa+:bed co tA® U41AI t tnatrnmert, and ac d to me that _,As � eseftud jU tyre
my commisticu civime- - 1. 61.» __
OROVII.LS TITLE OOMPAN
wip,
r`.
.t
t
1 1�:
RECORDING REQUESTED BY
Bobby J. and Lois L. Gwynn
WHEN RECORDED MAIL TO: Bobby J. or Lois L. Gwynn
AND MAIL TAX STATEMENTS TO:
NAME Bobby J. or Lois L. Gwynn
ADDRESS P.O.Box 1098
CITY Gridley
STATE & ZIP California 95948
WARRANTY DEET)
TITLE ORDER NO.
111191111111111111111111111
�toQ51
IN III
10cb224 �►7
.Recorded
I REC FEE 10.00
Official Records
I
County Of
I
BUTTE
I
CANDACE J. GRUBBS
I
Recorder
I
ROSEt4ARY DICKSON
I
Assistant
I Shawn a
10:39AM 20 -Apr -n05
I Page 1 of 2
THE UNDERSIGNED GRANTOR(s) DECLARE(s)
DOCUMENTARY TRANSFER TAX is $ �. ; CITY TAX is 0.00
_computed on full value of property conveyed, or
_computed on full value less value of liens or encumbrances remaining at time of sale,
Unincorporated area; _City of Gridley, County of Butte, California.
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Lois Louise
Gwynn, married, of P.O. Box 1098 Gridley, California 95948, (the "Grantor"), hereby grants with
warranty covenants to Bobby Joe Gwynn, married, of P.O. Box 1098 Gridley, California 95948, (the
"Grantee"), the following described real property in the County of Butte, State of California (the
"Land"), subject to all easements, covenants, conditions, restrictions and encumbrances of record:
Lot 23,according to that certian Map entitled, "Map of Gridley Colony N0.4,near Gridley,County of
Butte,Cal.",which Map was recorded in the office of the Recorder of the County of Butte,State of
Califomia,February 5,1907 in Book 6 of Maps,at page 8.
EXCEPTING THEREFROM the North 462 feet.
ALSO EXCEPTING THEREFORE the East 550 feet.
ALSO EXCEPTING THEREFORE the South 10 feet.
ALSO EXCEPTING THEREFORE that portion lying within any public road.
APN: 021-132-029..
Previously referenced as follows: Book (� , Page 8 , Document No.
of the recorder of Butte county.
In Witness Whereof, the said Grantor has caused its name to be axed hereto and this instrument to
be executed by the authorized agents of the Grantor, thereunto duly authorized.
BUTTE
COUNTY
APR 2 0 2005
1 of 2
DE VELOPMXNT
SERVICES
Dated April 15, 2005.
Lois Louise Gwynn
Grantor Acknowledgment
STATE OF CALIFORNIA
COUNTY OF 8"4
On 4p ^t l . 2(o, wo5; before mea,, G+u�. -r kl,.j—T
—eeer�, personally appeared Lois Louise Gwynn, married, of P.O. Box 1098 Gridley, California
95948, personally known to me (or proved to me on the basis of satisfactory evidence) to be the
person whose name is subscribed to the within instrument and acknowledged to me that executed the
same in his/her authorized capacity, and that by his/her signature on the instrument the person, or the
entity upon behalf of which the person acted, executed the instrument.
WITNESS my hand and official seal.
Signature ,,«
Office
My commission expires: S C 2 i,
Seal:
2 of 2
JAMES LAMAR KINSER
COMM. #1377185
f�NOTARY PUBLIC • CALIFORNIA
pw
. BUTTE COUNTY
Comm. Expires Sept. 28, 2006
AND WHEN RECORDED MAIL TO:
a BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
20 -Apr -2005 2005-0022408
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
PROPERTY OWNERS:
State of California
County ofe
On Ll- Is 0 before me,
7cArtite,S �.c•.u_.-.r 1��nl�;eP'
personally appeared_ 30bio•e �`, &LoV,9vN r" #jj 4015 A. (")&LV '1 persamlly
hnewn-te-me (or proved to rife on the basis of satisfactory evidence) to bet a person(s) whose name(s)is/are subscribed
to the within instrument and acknowledged to me that hefshe/they executed the same in hisftr/their authorized
capacity(ies), and that by hisser/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my han ndoff�ic' 1 seal.
Signature 7, � w � Seal:
JAMES LAMAR KINSER
COMM. #1377185
BUTTE - o NOTARY PUBLIC . CALIFORNIA
A.P. # `y. l 13 'L `" U��Y ~COUNTY
BUT
COUNTY
F w My Comm. Expires Sept. 28, 2006
APR 2 0 2005
DEVELOPMENT
SERVICES
All interest in that certain real property situated in the
as follows: County of Butte, State of California, described
Lot 23; according to that certain Map entitled, "Map of Gridley Colony No. 4, near Gridley,
County of Butte, Cal.", which Map was recorded in the office of the Recorder of the County
of Butte, State of California, February 5, 1907 in Book 6 of Maps, at page "o.
EXCEPTING THEREFROM the North 462 feet.
ALSO EXCEPTING THEREFROM the East 550 feet.
ALSO EXCEPTING THEREFROM the South 10 feet.
ALSO EXCEPTING THEREFROM that portion lying within any public road.
Located on Social Hall Road
APN: 021-132-029
Butte County Department of DeveloprielitServices
�uT r�
° °
7 County Center Drive
i,
Oroville CA 95965
°
(530) 538-7601 Telephone
°
(530) 538-7785 Facsimile
c�UN'�y
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.
I hereby acknowledge:
0 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
a 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: n
Applicant Name: f� & Beg '�, GL.-O!g� APN: 40a 9
Building site address: W SF Permit No.: s /o^- of n
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:
0 y I5 =ds
SIGNA OF A—PPLWIMT DATE
Copy to Applicant/EH/File K:Forms/BldgPermitwithoutClearances 020705
Apt -25-2005 1?:000 Frum-FLEETWOOD 951 351 3090
AC , CERTIFICATE OF LIABILITV'l.NSURANCE
MAKS" RISK & INSURANCE SERVICES
4695 MACARTHUR CT 9700
NEWPORT BEACH, CA 02GGO-1852
INSURED FLF-E'rVV00D RETAIL CORP
ODA EXPRESSION HOMES
215o w 1g'i I.1 sr, STC; 70o
HOUSI ON, TX 77006
THE POLICIES OF INSURANCE
ANY REOUIRL-MENT, TERM OR
MAY PERTAIN: THE INSURANCE
T-310 P•DDI/Q01 f -i81
;ATF. (mmoc m
T HIS CE.RTIFICATE OAFS
R
k INSURERS AFFORDING COVERAGE
-
kA �AMERtCi'�N INTERNATIONAL SPECfALTYLINES INSIIIiANCE
IHSIIR6,R B; INSURANCE COMPANY OF THE ST14TE OF PEIUNSYLVANUi'
11,41X16R.C. . _....... ... .- _
ELOW HAVE 85SN ISSu11,O TO TI fr. INSUREID NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING
ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
DEN OY THE POLICIES DESCRIBED HEREON is sU8.1ECT TORI 1. T1417 TERMS. EXCLUSIONS AND CONDITIONS OF SUr;H
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
- I PDIJC�—eCFEt11m 'ionllev evoo'.��.:,:T" •. -.�..• ..... .. ._ ..
Olt DPeRAT10NSILOCATIOWNt!ta E fO ZION:, AUUMgT ENDORSEMENWSPECIAI.I!AtlUL;IDN3 �--
ATE ISSUED ON BEHALF OF f•I FFTWOOD RETAIL CORP OF CALIFORNIA
TE HOLDER ADDITIONAL INSUACO;IN:RIII RLETTER CANCELLATION
CONTRACTORS STATE LICENSE BOARD 3H0 W,D ANY 06 TWC AOOVE OESCR16E0 f OUGI+v IIF; CANCELLED BEFORE INC LXreLATION
9A21 BUSINESS PARK 0R(V - OATL• n iLNEDF, INC ISSUING INMIRER WILL ENDEAVOR TO MAIL _30 DAYS WRITTEN
SACRAMENTO. CA 95R?7 NOTICP TO THE CER71FCATI: HOLDER NAMED TO THE LEFT, OUT r'Nt URI. ID DD 80 SHALL
WWI: NO 0Q ATION OR LIAUa.ITT Or ANY KIND UPON TMe IHmJrcm na; nC�H.c: OR
REPRESLTlI ES.
ALITHO F ESE.NTATIVE
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3119207
1111104
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$ 6001000
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8 — .-.. 50_,000
------
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ATE ISSUED ON BEHALF OF f•I FFTWOOD RETAIL CORP OF CALIFORNIA
TE HOLDER ADDITIONAL INSUACO;IN:RIII RLETTER CANCELLATION
CONTRACTORS STATE LICENSE BOARD 3H0 W,D ANY 06 TWC AOOVE OESCR16E0 f OUGI+v IIF; CANCELLED BEFORE INC LXreLATION
9A21 BUSINESS PARK 0R(V - OATL• n iLNEDF, INC ISSUING INMIRER WILL ENDEAVOR TO MAIL _30 DAYS WRITTEN
SACRAMENTO. CA 95R?7 NOTICP TO THE CER71FCATI: HOLDER NAMED TO THE LEFT, OUT r'Nt URI. ID DD 80 SHALL
WWI: NO 0Q ATION OR LIAUa.ITT Or ANY KIND UPON TMe IHmJrcm na; nC�H.c: OR
REPRESLTlI ES.
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DO NOT WRITE BELOW THIS LINE
❑ Conditionally Approved
❑ Resolve Pro
c)r to Approval
SITE PLAN REVIEW APPLICATION
). _' L%
AN call
Date:
Permit Number (if applicable)
APPLICANT INFORMATION
Parcel Size:
Owners Name:
Owners Address: Q -
�l s
-P6�� y�
Telephone No.:
Situs Address:
Proposed Use:
Residential
❑ New Single Family Residential
❑ Single Family Addition
❑ Single Family Remodel
IM Mobile Home - e-1
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Nfimue)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
El New Commercial
a
❑ Commercial Addition
❑ Commercial Remodel
❑ New Industrial
❑ Industrial Addition
❑ Industrial Remodel
Other
Septic
Well
Agricultural Exempt Building
❑ Other.
Brief Explanation ('if necessary):
DO NOT WRITE BELOW THIS LINE
❑ Conditionally Approved
❑ Resolve Pro
c)r to Approval
ALL ITEMS C23ECKED APPLY TO THE PROPERTY
Parcel Is In:
L
❑ Snow Load Area:
❑ Land Conservation Act Nfmimurn 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)
❑ I00 -Year Flood Plain: (See attached)
• Flood Zone:
• Flood Panel No.: Index Date:
0S
acramento, River Reclamation District (Approvalmust be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit
❑ I�nor Variance El variance
El Administrative Permit
❑ Detached Building Use Form ❑ Encroachment -Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: �--'S Cj� l
Applicable Building Setbacks:
Zoning Code Streets & I-�ghways Fire Prevention
Front
Side
Rear 5
Height
Waterway MA fE MA N/A
Subdivision Map
❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks.
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
Subdivision Map Special Fees
❑ Water Tender
❑ Road Improvement
❑ North Oroville Area
❑ Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit,
Parcel Created By
'ga;R
Data of Creation: ILegal Access Provided: ❑ No ❑ Yes
Deed of Reference: ��t{ Z- 5�� Legal Access Required ❑ No ElYes
Parcel Frontage on Publicly Maintained Road: ❑ No 11 Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
❑ Subdivision Map/Parcel Map:
Map Date of Recording:
Lot:
❑ Use Permi.t/Minor Use Permit
Permit Number:
Book: Page;
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and PRC. 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
trust 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
ivision,"Engineered foundations are required:
❑ Class A roofs are required.
❑ Property owners responsible for roa
El
D
UP, agW *!s I►,tmad QUISPU sAlln=3
*CM a 'matnas3o
RS P a [gET��E isaq aq� uo puE uop oJac U04 - dd� OT UO paszq sr ,Cieoimns srql ut pap!nosd uopQ¢uo Ru
:s�uama.nnba� aUiaadS;o AxummuS
x
a
COU
BUTTE COUNTY Received
pPR 21 2005
AGRICULTURAL BUFFER NOTIFICATION AND/OR �Q
UNUSUAL CIRCUMSTANCES REQUEST �9i�ULTUR�°
Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This
dimension is based on environmental assessments. and studies. The Agricultural Commissioner may identify
unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not
available for lots being created, divided or subdivided.
Owner or Authorized Agent must complete the following and return with the required site plan to:
Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601
Name: Phone: ff./, � o �l- �7`� e4�
Mailing Address: 11?aex/D%? 1? /7
E -Mail address d
Assessor's Parcel Number: - 3 Z _ 2 1
Reason you believe you qualify for the unusual circumstances exception:
Owner or Authorized Agent's signature/,7
ignatureDate y�
l�
UNUSUAL CIRCUMSTANCES DEFINITION:
An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement
(well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone.
SITE PLAN REQUIREMENT: submit 4 copies with this form
Refer to the Site Plan Submittal handout for specific requirements
...................................................................................................................................................
Internal Dept. Contact Info:
❑ Env. Health ❑ Planning ❑ Building 00ther
Contact Person: Phone:
.........................................................................................................................................................................................
For Agricultural Commissioner office use only: (to be completed after submittal)
DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building)
❑ Exception Recommended Exception Granted with the
❑ Exception NOT Recommended following conditions:
Reason/Conditions/Specific setbacks from adjacent agricultural operations: _Pare -al SLS r..w.Ll uio%
rT 2 ehn,6rA_3wR lo &. rn G QSt-Z o.,,'t "( QCOLLeoeJ 'n "4"!u 64
Agricultural Department Signature: l Date: 21 t15"'Qii YMC 7/1/03
M
•
FRC
2�
Great 4th
OPTIONAL
BEDROOM p
11'J"X 12'4'
BEDROOM92
19'•1 lrxI z -w
BATH2
O
d C`
Butte
environmental Health P60 C7
ate --_
4 h
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aj x
W
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Slgr�ature _ _� yts' •�•'
W
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a
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l �� �)iZtfrt&A44 GLAMOUR BATH OPTION cn rn
Std. N
..
VANlT
DESK Garden a
-
t- Tub
.
8ATH2... _ . .. .. '(C
__ _ - - -- -• b - - - - -- - - - - - _... O
... .. ....KITCHEN -... .Ma�e/`r
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-- KtN- --- - CAR M
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or "amO o
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_ BE n
1471129 tt x1 D
(5)
Plant Shelf Adds Comfortable Living
Visual Impact with Separate
Beacon Hill 45631, Family Area.
ENVIRONMENTAL HEALTH
APR z S s m: FLEE
7 COUNTY CENTER DRIVE
,
:)PTI)NAS. DOOR EQUIVALENT GLAZFNG AREA
1v
e .'
'OESIGII,.
•'•" - ..
ICATL7H S ECONOMY TIMPERATURF.R
-
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-
---- 2x EXT. 'AILS
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11D
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x 9 BLANX-1BSWING
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!1 0.38 PHILIPS VINYL LOW -E
UNINSUI. PA55 .31 144.77
1 PHILIPS VIOL LOt4-E-
IPS `/1NTL LOH-"n 2 x 5 CGTTAG"e-i NSVIING
LT1
CA CLEC 1 ELECTRIC TURN- LADE i TONS W 0 W)0. - i J
22 1
2 1
11 O.7B PHILIYS VINYL LCW-U
INSULATED PASS . 4 2
PH?
11 PH!LI?S `/TNYL LOW -E x ,9 BLANK-THSWING
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-
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11 0.781 PHILIPS `/IHYL LOW -G
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11
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10.7
1~
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11 O.i9 PNXiL1�Ns Y1HYL lAW-L' '-'
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INSULATED 4/A 1-4. 8 - 4.
11 PNILI PS VIItYL !AW -E 6/0 x. 6/e P.IRIUH - SPPET'1 21.69
-SAFETY
?�
4v ;LEC 1 23 KW ELECTRIC FURH-A C READY 7048 N D DOOR
- - -4
1l'
11 0.78 PHTLIPS V7HYL lAW-S
UN111GULATED JI/A 126.99 -720
11 PNILI?S VINYL LO'A-E o/0 x'6 9 SGD - 97.30
NV GAS 1 56K STUN 801 AFUE AUTO GA5 ?11RN
•d -21 2
7 77
3 ) `ll
11 0.78 PHILIPS 4FSTL LO'A-L
I115ULATED PASS 208-96 49.2
.
_
tN GAS 1 70K SIUH 80T AFUS AUTD GAS ?URN
'URN -A/C READY J TONS W/0 Ci)]R
-4 -SO -!4
d --SO -lA
SU9gRACT ? S.S. OF GLALFNG F00. SACH G.T. ]P SXYLIG!IT RREA
•
OR CLEC 1 KW ELECTRIC
OR LLSC 1 27 7W ELECTRIC FURN-A C READY J 40N5 W/O CWA
A 21 -41
GR AS 1 )6:4 STUN 4 AFUE AUTO GAS MY
GA1 10K STUN 801 AFUE AUTO GAS 9,11 -
- -11
g H E R 4 A L
C A L C U L R T 1 0 H R. S G U L.7 5
---- 2x5 6X4. WALLa
!iAX N0N AVPIL.
_
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UT EL-aC 1• 1 XW ELECTRIC PUP.N-A/C A'eP.07 4 TONS H/0 DO)R
0 -e •14
ITE CS IL WALL FLOOR U OESCRIPTION
00ft TOPE RESULT
UNINSULATED ?ASI 400.08 2d1. 4
- - -
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UT' ELEC ] 27 KY ELECTRIC PUP•4-A C READY 4 70:13 W/0 DO)R
0 -95 -d
.1
? 32 19
11 0,38 PHILIPS VINYL LOW -6
INSULATED PASS 414.74 735.70
P•-•_'
IIT GAS 1 X STUN 801 AFUE AUTO GAS EURN
4
: ? 22 19
11 0.78 PHILIPS VINYL LOW -E
IN504ATED PASS 669.79 510.75
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WA ,TEC 1 ELLL79IC FORD -A C READY ! T04S W 0 0031
- 0 -.4
7 -?
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-
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NA ;LEC I %1J CLEC7RIC PURR -A C READY 4 TONS H 0 D0].
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_2 1
I 0,78 PNLLI PS VIXYL LOW -G .. -
INSULATED PASS i)4.52 275.5
WA 60.5 1 56X 3TUH 1 AFUE PU70 DAS T1RR
- 2
31 73 13
0.78 PHILIPS VINYL LvN•6
WA G0.5 70K 3TUH L AF0' AUTO b S FORu
iU74RACT S.F. OP GIA2ING FON EACX S.F. 3F SKYLIGHT ANUA
•
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_
SI!C O SC P7I39 TYPe
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21.98 43. 0.190
AE[OHN'.NDLu C S E5
_ x d N. SL?Dc N B• .4'r
EGL HUNG•STU WINDON 1 .50 .4 -
STATE 'DESIGN TS4P NE
0 [
11
HUNG -a U t
X !9.
CA 8 - 84. .0.SGL
CA 45- B9 _.3
!10T V3140OVI AREA :
4
_
r
!iEE THERal CHART FOR WINDOW `AL 1E5
SA V -104
`
CA 105-]09
[IV 80- ?.S
NV 95- 96 3.0
a
N`/ . 31-106 .0
..
C
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OP. ALL
WOODLAND
JT ALL 5.0
_
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WA 88- 962.S
-
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. -'•.�' J'�..c v'L'P`B:!`:'f�w; �• !•Y�..r P.f •:�. ".:. `S`: :'""�- �_'•,."'. ,:�' �.-�y'�,��:. "�d.�c.'ni
,.�. .:�: �!r: -Y.� .:-i.....-�• °�a yL.., tY=:L–���'.iLrar �..,.,'7�„-?f _-S�'..�•.tv -.t9p��P�;.•_ :�u
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.r:
L
CHASSIS INFO
A. SPACING 99 1/2"
1'RIB
**
I—BEAM SIZE1G”R
P IV -11 3/ 9"
;9a
URAWSAR LENGl'H
39"
LAGS
32'-0"
DRAWBAR ANGLE
60RM
34'-8"
16 O.C. YRAMING.
LOOR INFO
,VE
-
E
2x6
ERIAL
ojoOSTS
SPF
CING
16
WALL INFO
ATH
SIDEWALL HGT.
JOW
EXT WALL SIZE
2x4
hXT SIDING MATL /16
4X8 HAIWI
's * TRIB **
26 a STRAP
24'-2"
CEILING/ROOF
INFO
ISIS 2 LAGS
32'-0"
34'-8"
RAFTER CODE ICAtH) LC7-160-3A(17
26 �a STRAP
AA 16 O.G. FRAMING
KAY"1'Ek SPACING
24"
OVE
CEILING THICKNESS
1/2"
-
CEILING MATERIAL
(TS GYP
�'1tJNT SAVE O HANG
6"
•
REAR EAVE O'EMG
6"
(ry^ pp /�
GAjjL ls D 1 RG
6"
'
REAR GABLE.O'HG
6"
.rinnm E+9Z /s0/t0
/
. /
2
/
2.
\
V
15-0 1/2 PANEL SON
2D -i1
. SEE I GAS !NLi r . ( 1�1'S lid*
INSTALLATION 38 1114' I tD-6 3/4
MANUAL -R INLET <
••
---- ❑_---__ ❑—___—__�—_ I
EJ
I
m 26-0
L
DRAIN
' ®OUTLET 3-0 3/4
I
INS TA Eo TIO SLEX DUCT
MANUAL ~�C0:4N ECT T_ON� A -UNIT ..
r_
----------- �-------�--------------
I
/ r I
I
I ... I
�Cl-------------=------=-----D---EL f ---- U-------�'
Do va•
' CCCtt 15r-0 )IA'
cHrI5525 2TTc0
M.R. SY.4C!NG 95
I-DEX1-1 SIZE
rn
L E G E N 0
r 0
FLEXDUCT
ElSTANDARD
FOOTING
5:.
LT"
)TES:
CONNECT--JN
B -UNIT
ON WITH THE WS -
ILLATION MANUAL AND
S SUPPLEMENTS.
.,
m
28-8
DREXA,MPLEONLY.
IT'1
UANTITY AND SPACING
AY VARY WSO ON PAC
'r`=
YPE, SOIL CONDITIONS,
I '
.E.
I
I ... I
�Cl-------------=------=-----D---EL f ---- U-------�'
Do va•
' CCCtt 15r-0 )IA'
cHrI5525 2TTc0
M.R. SY.4C!NG 95
I-DEX1-1 SIZE
WOODLAND r
17.1
rn OUCT ruana f
I
BEACON HU.
woca
4563B
rxlAY+xc nr_ I
piEA LAYOUT �
309 ROOF LOAD
JENNIFER L.
DATE 10126104
ILL im;
)4 SPAEA
_ P.N
rn
L E G E N 0
gin.
ElSTANDARD
FOOTING
5:.
LT"
)TES:
THIS DRAWING IS TO
USED W CONJUNG
ON WITH THE WS -
ILLATION MANUAL AND
S SUPPLEMENTS.
.,
FOOTINGS ARE SHOWN
rT1
DREXA,MPLEONLY.
IT'1
UANTITY AND SPACING
AY VARY WSO ON PAC
'r`=
YPE, SOIL CONDITIONS,
I '
.E.
WOODLAND r
17.1
rn OUCT ruana f
I
BEACON HU.
woca
4563B
rxlAY+xc nr_ I
piEA LAYOUT �
309 ROOF LOAD
JENNIFER L.
DATE 10126104
ILL im;
)4 SPAEA
_ P.N
3'4 314' 4'-11 314'
- 10'•0 710" 10.10' '
15'-2110' 4'-9 712' HEAT TAPE REL^PT OI!
UNDERSIDE Oi EICOR
410,irdOR
- /C71
® 150S95H OP, ams OPT. OP1 + DRY I +
mo;9sHy76�sH
GN I PATH I
BA?H 7 OTT , } OR 11 @1.O
I - 5t..m1ELN65E
_ In ilJfc p¢II Oft WE M
y y
OEN �' ` XRCHEN - - UTILRT m a I
IBTigI � 1 y \
war
b , I s,wro
• - GR �-a OPI
_
1 i7O 6 0 S
zRI
d sT G1
U 11' l j
WALLS ORV A
COM8WE0
1 . U4.
• �E ,a �2I i 1 al'RIGN (i y s
®i 1 to a sit' Q Q
6 y a Q `l 1 GPf00i.N ER
dT- CPTH y I •�` I 1 iLl.•DPI
•_.0�.: - WHO ROOM \ 1^7 Eg
BEDROOM BEOROOM3 I \
E3 T
i ' I
`AOS96H VLSSSSH 4L6S39H t®:3
V1Ei96H
(Gus !4' 0'
20'-D'
�
I V-3 716' 10'•0 IIB- e' 5e••r _
n0in' sH°An P.nEL
110161 4 7 LAOS
NOTES:
1. TRAVEL DISTA14CE FROM FARTHEST BEDROOM TO ENTRY = 35.0 LF.
2. THIS FLOOR PLAN MAY BE BUILT IN AN EXACT MIRROR IMAGE
ABOUT ITS LENGTH (SIDE TO SIDE) ANDIOR INIOTH (END TO ENO)
TAXS.OI
IBE SOST TART EDATLIC E RAN GE 7HE REAR 0FI)ARE
EN MIRROR IMAGES-
THIS
1
ITHIS FLOOR PLAN AND ATTACHED OPTIOM DETAILS (IF APPLICABLE)
IS DESIGNEDTO MEET THE FOLLOWING STRUCTURAL REQUIREMENTS:
ROOF LOADS oD L8°' P_.— -T; TER .PI✓R.ING FCR¢UIREG hEII ROOF LIT-- L?AD ' 20 ?'r
1 )----.-------- K_N�
HIND 2GNE(S)_--___--- -
O
L c G E A
tJ
u
,�STAT
7CRECEPTACLE
5140RE ALARM
9V 9.101(E ADAM
®.0 WI nVSn'eu 110M
rn
-
A' LIGHT FIXTURE
EXNAUSTFAA
VDCPVIDEODIG"AL
(pi
CABLE PANEL BOX
VIDEO DIGITAL
TI
X CABLE OUTLET
S1
IQ
V'
L
i•.l
FAN FANVv) LIGH7
CTI
PANEL BOX
RAG REJURNAIR
= GRILLE
O 0 FLOOR
= RE0151Et
CROS&WER
o ' ' LOCATION I
AIR SUPPLY
C\ SUPPORT POST
i� SHEAR'OALL
18o z 56'•0'
V 160 x 56'-0°
(::C) y
WOODLAND
17
FRCJUCTnwE
I
BEACON HILL .
NOOEL 40.
4563®
,,l HG1,LE
FLOOR ?LAN
�.
Bl'JENNIFER L.
o"TE: 101? 7104
sEv
7
FP -1 I
— i LL E G E 11 D
bRECEPTACLE
15•-2 710' 4'-9 112• 10'•0 718' 10'10' S'-3 114' 3'-7 314' 4'-11 314' sWrrCH
BEAT TAPE WEPT OU THERMOSTAT
am,Era -- UNDEPSIDEOiiLCOR T
_ 7CPr GF, ® SmORE MAMA I
NOi95H 4)kBSN YS659SR �
opt NOISHS OPT. cPT ° rrar s 1 SMOKE ALARM
� - wl auto aun Oa
,) I s a Ex I— a f+ + f LIGHT FIX TUBE t
L YI
E�D
+ OFl + %GTI s �.. OR s GA 1 O� flATN 1 �% '
••?i,YN "iYiiE Nun 1� EXHAUST FAts
--- ° _� rr, alla:. „ an VDC VIDEODIGITAL
OIRBIG flA1 flW4wl vyll \ r
/� ��(�s) CABLE PANEL BOXI
19OEN I { HRCHEN Y s O _
CARL D,!"LB,017AL
—3 7�1UT"ll gI � \ CABLE Ol6T
1 �
F-,Gll z IA 1 LJv \ s 1 M®
1 +I `e O6I D — I M°� FAN FAN WILIG HTI
T I 1 LA v i
11 JTeae
Hul � Na
91' HI ,( PANEL BOX
wALLs / `+d fl + 'RAG RETURNAIR
E D ��` – s P.Jrtn, \ OR A GRILLE
�a a CON8WE0 1 .h W s O t, FLOOR
/I� il'RIGN 7 is 'At m l.I REGISTER
// I 1�llr sw-v a=—a I _ O CROSSOVER
LOCATION!
I '•, AIRSUPPLY
SUPPORT POST
CD 0 p 1Y .T�;.• 0 0
_ S ;�caacaeLEOWN ER
sHFARv4aLl
$ OT;•_ s ;I, • a a 180 z Sfi.D"
4
,BEDROOM 2 ®ROp.lt •oPT"• ° --I = --` ~ I �� 08 160.x 56'-0°
9EOft00M) LPANG ROOM I \ •�
Ilsa sat I IB/:7 sai r� x
/_7C,
�$
1 (s I , •+ ij�P i
N9S96H NOS95H V6695H `1G995H "'°Y `AO!9SH NBs9sl WOODLAND
T n a® c 17
PRC'XGT NAPE
11'J 718' I. 101•0 IIB' I 2O'•O' ,q•.B•
` �A. BEACON HILL
\, a _;
t a•o U noOELHo.
++a
If? SHEILA o.IIEL
+1p5i s 1LAas J.563 IS
- naW !IG T,LE
NOTES
1
1. TRAVEL DISTANCEFROM FARTHEST BEDROOM 70 ENTRY = 35.01F. FLOOR PLAN
I
,
2. THIS FLOOR PLAN MAY BE BUILT IN AN EXACT MIRROR. IMAGE ..—j
ABOUT ITS LENGTH (SIDE TO SIDE)ANDIOR WIDTH (END TO ENO) ORAV er: ,ENP:IFER L.
AXIS. POST AND SPLICE RANGE DIMENSIONS (FROM THE CHARTS) ARE
TO BE STARTED AT THE REAR OF ENO -TO -END MIRROR IMAGES.'
D.r' 10127104
THIS FLOOR PLAN AND ATTACHED OPTION DETAILS (IF APPUCAOLE)
IS DESIGNED TO MEET THE FOLLOWING STRUCTURAL REQUIREMENTS: FP.1 1
:HIND ZONE(S)? __--- ROOF LOAD(S)—_-3D LBS_--- ✓: E,. T
'r iiI:l�fER ?IEF.ING ?EQL'IRED 6:Y.EH ROOF L_I!Z Li -)AD � 20 p3;
r�
2'x 2"x 3/16
m STEEL ANGLE
C)
E
H
O
U
U)
w
m
Q
N
lf1
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N
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-DETAIL "A"
CHASSIS FRAME
1/4" GRIPPER PLATE
(2) REQUIRED
1/4" GRIPPER BASE
1/2-13UNC-A307 x 4"
BOLT WITH NUTS
(4) REQUIRED
of 1/2" SCH 40 PIPE RISER WITH
01/2" ADJUSTER HOLES AND 3/8'
THICK TOP PLATE
02" SCH 40 PIPE STAND WITH TWO
01/2" ADJUSTER HOLES
A8ESCO 0.6S PAD 1,903
STEEL FP.AME_
:/8" :CAD PLATED BOLT, NUT d WASHER COACH "C' FRAME
COUNTER BORED FLUSH WITH BOTTOM 2" CHARNEL
AT 8' O:C. (8) REQUIRED 1/4' GRIPPER
PLATE
1/4" STAND BASE TEK STS
('e) REQUIRED
,--AEESCO A95 PAD Q503
/ 36" MAX
TO BOTTOM
OF PAO
01/2'x 3" C.R.
LOCK PIN WITH
04/8" BRIDGE
PIN
J
37•
1/4" GRIPPER--'
.BASE
1/2' A307 BOLT
(2) REQUIRED
3/8"x 6"x 6"
STEEL PLATE
1/2" A307 BJLT—/ !g BEAM
(2) REQUIRED ATTACHMENT
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STAND BASE
TOP VIEW
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17918
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OF 0116
TUF-1 P-ERRA ENT
FOUNDATION SYSTEM
ABESCO-GUS GUARD COMPANY
5951 FLOHN - PERKWS ROAD
SACRAME 4.M. CA 9582?
PH: (800) 382-8831
FAX: (916) 383-5207
COACH "J" FRAME
1 /4"xl-1/4"
TEK STS
(4) REQUIRED
/4' GRIPPER
BASE
1/2" A307 BOLT
(4) RECUIREO
J—BEAM
ATTACHMENT
g" 1/2" DIA. HOLE (8) PLACES
+ + $
_ 30
STEEL FRAME
TOP VIEW
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GENERAL NOTES GUS GUARD TUR—L
I. OBSIGN LOADS: UVE LOAD — 30 L.B.
FLOOR UVE LOAD - 40 PSF
WIND LOAD - 80 MPH EXPOSURE `C"
SEISNIC ZONE "4"
31• SN3W LOAD 100 PSF (S --E NOTE 015)
2. TFIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON
A FAIRLY BEVEL 'STE WITH NO EXISTING SOIL PRCBLEMS.
3. CPASSIS BEAM SUPPORTS SHALL BE LOCATED AND SUED FOR THE LOADS
AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS'.
4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR,
MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4",
OPd WHEN IT WILL ADVERSELY AFFECT MOEILE HONE UNIT.
5. CORY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS
APE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND
SHALL BE COMPAT18LE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND
M&T BE USED TO TILL LOCAL VOIDS UNDER PADS.
6. STRUCTURAL STEEL: FABRICATED ACCORDING AO AISC SPECIFICATION.
WELD ACCCROING TO AWS SPECIFICATIOXS. ELECTRODES -370 HIATES-ASTIR
A36 BOLTS -SAE GR S=ASTM A449=ASTM A3725.
7. WE GUS CUARO ASSEMBLIES SHOWN ON THIS PACE SHALL BE OSTEO AND
LABELED BY BSX AND ASSOCIATES FOP. THE FOLLOWING LOADS:
ALLOWABLE (AADS: HORIZONTAL %TRRTECAL
GUS GUARD TUF-1 2:000 6300$
GUS GUARD MCP PAD 22000 63000
GUS GUARD E -Z TIE PAD 2200/ 60000
e. DURING PRELIMINARY INSPECTION, THE ESTNATOR SHALL ENSURE THAT
Ma81LE HOME CHASSIS BELMS ARE 'OF STANDARD SECTION.
9. EXISTING COACHES MAY BE RETROFMEO TO RESIST SEISMIC FORCES BY
INSTALLING GUS GUARD TUF-1 UNITS AS SHD'BN ON TIIS PAGE OF TYPICAL
FOUNDATION PLATS.
10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATICH IN FLOOD
PJUH AREAS WHEPE DEPTH OF FLOODING ODES NOT EXCEED THE HEIGHT
OF THREE FELT.
11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE : ROVIGED
THE NUMBER OF TUF—1 UNITS UNDER EACH UNIT IS
THE SAME AS SHOWN REQUIRED PER EACH UNIT.
12. SINGLE -WOE UNITS REQUIRE ADIMnCHAL RESTRAINT. ' (SEE SHEET
13. Al METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED.
14 WHEN CONCRETE SLAB IS IN EXISTANCE PAD IS NOT
16. FOUNOATIOIF BLDCKS 16"x 16x12" POURED IN PLACE AT GROUND LEVEL RAY
BE USED A" INSTALLERS DISCRETION AUERNATIVE TO PADS.
SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES
E= 2' MIN. / 8' MAX. E= 2' MIN. / I I' MAX.
S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX.
VARIES 10'-70' (SEE TABLE ON SHEET X13)
£ mml�----5 ; —S. --_^'_' S E -may
IJ U u ❑ ❑
Q
RIDG: BEAM SUPPOP.T AS
REQUIRED R'. MANUFACTURER
C-1(TYPICAL) Q ❑ ❑ Q
B' NOM.
2' NOM. 11
PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION
ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES.
OFFSET TO O"HER SIDE TO THE MANUFACTURER OR THE SUPPORT
AVOID CLEARRNCE PROBLEMS, ENGINEER. T(PICAL THROUGHOUT PAD (TTP)
1E1
49
EXI
L ups,
OF CWki
REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1. PERMANENT
FOUR (4) 1/2'x 3 1/2' EXPAHSiON ANCHORS. FOUNDATION SYSTEM
15. CUS GUARD TUF-I FOUNDATION SYSTEM PROVIDES
AL.LOYIABLE SNOW LOAD TC 100 PSF WHEN INSTALLED ABESCO-GUS GUARD COMPANY
WITH EXISTING STANDARDS REQUIRED BY COACH 5$51 FLORIN-PERKINS ROAD _
MANUFACTURER OR REPLACE THEM ON A ONE 10 SACRAMENTO. CA95923
014E BASIS. PH: (800) 382-8631
FAX: ;916) 383-5207
STATE APPROVAL
MAMIFACTTTRFA ROMP oms ma
FOUNDATION SYSTT9I
IREALTR AxD SAFETY CODS. firm ffi 11m
APPROVED
8T3'BTFCTTO OORB.ECTlO?RiiTRd4�
APPROVAL DOSS NoT AUjROR12X 010. AT'4'E01T'B AXV
01411SSIONS OR DEVIATTONFROM AEOUMMEM OU
APPLICABLE STATE LAWSAIM 11J GWA7gW
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DepLIOU61 of HmsimN =d Cau=uft bndupald
CODES AND STAT / /_
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WAYNE T. POLVADO. PE—LISTING N0. F94249 -SHEET 2 oV 3
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1/2"x 3 1/2" — 1/2"x 8" LONG
EXPANSION ANCHOR AKCHOR EOLT
(4) REOURED (4) REQUIRED
3% rip 1pd,i I
CONCRETE PAD INSTALLATION
CHASSIS FRAME
1/4" GRIPPER PLATE
(2) REQUIRED
1/4" GRIPPER BASE
152-13UNC-A307 x 4"
BOLT WITH NUTS
(4) REQUIRED
01 1/2" SCH 40 PIPE RISER WITH
01/2" ADJUSTER HOLES AND 3/8"
THICF: TOP PLATE
02" SCH 40 PIPE STAND WITH TWO
01/2` ADJUSTER HOLES
ABLSCO AES PAD #503 -�
ST ---EL FRAME
18 11/2
E -Z TIE PAD
3/4" DIA_ x 18' LG.
(4) iEOUIRED
3/8- CAD PLATED BOLT, NUL & WASHER
COUNTER BORED FLUSH WITH BOTTOV
AT 8" O.C. \ (8',• REQUIRED
POURED IN PLACE 16xl6xl2 CONCRETE
FOUNDATION INSTALLATION
36" MAX
TO EOTTOM
OF PAD
I
41/2"x 3" C.R.i
LOCK PIN WITH
41/8" BRIDGE
PIN
/ I
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1 y
LIGHT HEAVY -WEIGHT
PLASTIC PAD INSTALLATION
umn-WIDE Qiils
LEN GYII OF
H011E
24
VADTH'OF HOME
26 i 28 44
UP TO 44' 1
- B
1 8
8 12
k'-1' to sel12
8
12
12 f 8
596'-1" M
20
20
20 24
SINCIZ WIDE UNITS
LENGTH OF
HONE
10
WIDTH OF HONE
1 12, 1 14 16
UP TSD 44' 1
6
6APT
44'-1' to ®S'
8
868'-I'
to 80
10
10
HUI4UtK Or IFUF-1 REQUIRED NUMBDR OF 7lUF-1 REQUIRED
KM- SINGLE W10E UNITS RECORE (4) E -Z TIE PADS. G41S CUAw TUF-1 PIERS ARE
TO BE PLACED AT APPRO)WATELY•EWIAL INTERVALS ALONG EACH FRAME RAIL
o0t
37" TUF-1 PERMANENT
FOUNDATION SYSTEM
STATE APPROVAL
FOUNDATION SYSTEM
7111 AND SAFETY CODB, SEMON 18551
APPROVED
179116 , ! =I MUD= 7U CORRBMONB W07RD
ATPROVALDOES NOT ADTROR)Z6 OR APPROVE ANY
ONISSIONS OR DEVIATION PROM RBQUIREMIDM OF
APPLICABLIS STATE LAW5 ANDRBOULATIONS
S'Jft of Caltforaix
D f H and C�cmV3 aot
IES AND IS,
61
- to r
8PA110.
Thla P1n Approval Expfrec
4rC.1 L_I Ad i
WAYNE T. POLVADO, 'E -LISTING NO. F94249 SHEET 3 of 3
0
Lg.j o () J.
DEE L I TY NATION A ' L TITLE COMP • ANN
MAJORACCOUNTS
2 180.
T
91 9 2 3 -
F.AX# 9 16-9.23-3984
FACSIMILE TRANSMITTAL SHEET
TO: FROM:
COMPANY: DATE:
FAX NU*BF: R: TOTAL NO. OF PAGES INCLUDE - NG COVEIL.
'F40TFS/COMMEt,75; pe
WIR-TNu' INSTRUCTIONS:
CO M,-EFIr,-',A BANK
9777 WILSHIREBLVD. 4T" Ft
BEVERLY HILLS, CA .90212
ROUTING NUN,4,BlPl? 12-11375.442-1
I`--FLJMBER 1891612945
AccotJ
AMO IST TL OF )vwqM- s
IU -F ESCROW IVUM.BER-- 3457 - MA
CUSTOMER NAME
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