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HomeMy WebLinkAbout021-132-053I p =LVIN STEWART -3 Y / 2 250' off n-- 6.00' E.` -.of Fi7en-ch Rd, Gridl Permit#'�'4420-7-4-,,-Logue­ 21-132-53 -EW OWNER:' HELEN Y. SHELTON ,-1219 Fredonia -Ln., Gridley / /�-7 Cont:'Superior Mobile homes ISSUED e IMH 4,BO -21203" �F RESIDENTIAL fj,SFD-Mobile.H0rfie RET, PERM FNDtRETRO ,`1,219FRE156Nf4',L'AN NBEEK ROBERT W &Tt- z 4v j_ G 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 FEE INFORMATION _ DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires ON THE LEVEL 521400 / B C47 / 06/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is irLfijll force and effect. — 10/11/2007 Signature Date WORKERS' COMPENSATION_ DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 229,0007693 Exp. Date:01/0112008 (This section need not be competed if the permit is or one hundred dollars ($100) or less. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those 10/11/2007 Sig tat jre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 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 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this IX 10/11/2007 Owner's Signature Date 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 construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Property owner or am authorized to act on the property ownefs behalf. 1/1 /A fn A A A .0 d P n X' C^ 10/11/2007 ❑ Owner ❑ Contractor OR. E]Agent for Owner ElAgent for Contractor FILE COPY PROJECT INFORMATION Site Address: 1219 FREDONIA LANE Owner: Permit No: B07-2120 APN:- 021-132-053 VANBEEK ROBERT W & F, Permit type: RESIDENTIAL 1219 FREDONIA LN Issued Date: 10/11/2007 By TMP Subtype: SFD-Mobile Home RET GRIDLEY, CA 95948 Expiration Date: 10/10/2008 Description: EX M.H. PERM FND RETRO FIT (530) 846-6781 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: ON THE LEVEL SHANNON ARENDSEN Building Garage RemdUAddn 2982 ORA AVO TERRACE 2982 ORA AVO TERRACE VISTA, CA 92084 VISTA, CA 92084 Other Porch/Patio Total (760)415-1982 (760)415-1923 FEE INFORMATION _ DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires ON THE LEVEL 521400 / B C47 / 06/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is irLfijll force and effect. — 10/11/2007 Signature Date WORKERS' COMPENSATION_ DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: State Fund Policy Number: 229,0007693 Exp. Date:01/0112008 (This section need not be competed if the permit is or one hundred dollars ($100) or less. ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those 10/11/2007 Sig tat jre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License 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 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 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this IX 10/11/2007 Owner's Signature Date 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 construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Property owner or am authorized to act on the property ownefs behalf. 1/1 /A fn A A A .0 d P n X' C^ 10/11/2007 ❑ Owner ❑ Contractor OR. E]Agent for Owner ElAgent for Contractor FILE COPY BUTTE COUNTY OCT ? 1 2007 DEVELOPMENT SERVICES ON THE LEVEL June 15, 2007 To nom It May Concern:: All officers of the corporation which include: Janis Arendsen Janeene Arendsen Shannon Arendsen Scott Arendsen 2982 ORA AVO TERRACE VISTA, CA 92084 760.727.7842 760.727.6879 FAX onthelevel@mac.com www.onthe.levelcontractors.com are authorized to pull permits on the behalf of On The Level in all licensing jurisidictions in the State of Calfiornia. This authorization is valid from June 15, 2007 through December 31, 2007.. In addition, our employee, RANDY SEVILLA, has our permission to pull permits on behalf of the company. Worker's Compensation: State Fund 229-007693 Expiration 12/31/07 Contractor's License: 521400 6/30/08 Classification C-47 Sincerely, 2ig F(edrn ca, ka,l) e Ov)-7he- Aeve% &yid/ / (,& - �o Vi5-19-L3 C � APff 0SI-iia-0�;3 i j3D7-z 126 BUTTE COUNTY j BUILDING DEPARTMENT - APPROVED Z � t4Gcne c1P. s d EursTIN& � I I_ l b _{ u ►z. WS ;tl Y :� ` 2'x 2"x 3/16" 3/8" CAD PLATED BOLT, NUT & WASHER COACH "C" FRAME STEEL ANGLE COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 2" CHANNEL 1/4" STAND BASE 1/4"xi-1/4"- TEK STS _ — ABESCO ABS PAD #503 (2) REQUIRED 1/4" GRIPPER rl 1, BASE DETAIL "A" 1/2" A307 BOLT (2) REQUIRED BUTTE CO. NTY 3/8"x 6"x 6" CHASSIS FRAME �p� STEEL PLATE BUILDING RTMENTI/2" A307 BOLT 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH m 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE m 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD tE 503 STEEL FRAME SEE DETAIL "A R ® V E (2) REQUIRED 10 36" MAX 10.00 TO BOTTOM OF PAD 0 0 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN I/ 37" 18 1/2" 10.00 O o 09/16 HOLE (TYP). STAND BASE TOP VIEW 21 Kris 17' -Da a TUF-1 PERMANENT FOUNDATION SYSTEM 114" GRIPPES PLATE C—BEAM ATTACHMENT ­" "J" FRAME 1-1/4.^ STS QUIRED J—BEAM ATTACHMENT 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED 8 1/2" DIA. HOLE (8) PLACES 30" STEEL FRAME TOP VIEW STATE APPROVAL MANUFACTURED IiOME/A40BJLB HOA7B FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAI, DOLS NOT AUTHORIZE, OR APPROVE ANY OMISSIONS OIZ DI-VIATION FROM REQUIREMENTS OF Al'I'LICABLE STATE" LAWS AND REGULATIONS Stale of California Dcpartmcnt of Housing and Community Development 1'VJSt NOF CODES AND STANDARDS BY_�!Lt DATE 1. Sl:♦NO..._._. SIL This Plan ApprovaLI xpires WAYNE T. POLVADO, PE—LISTING N0, F94249 SHEET 1 of 3 GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2, THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED 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", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF=1 2200# 6000# GUS GUARD MGP PAD 2200# 6000# GUS GUARD E—Z TIE PAD 2200# 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF—t SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. !! t 1. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDEI? THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12.'"SINGLE—WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. ' (SEE SHEET #3) ' 13;`'ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH FOUR (4) 1/2% 3 1/2" EXPANSION ANCHORS. 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. 16.FOUNDATION BLOCKS 16"x 16"x12" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2'MIN. / 8' MAX. E= 2' MIN. / 1 1 � MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22 MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) E �+--- S SS E F 0 RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑ El (TYPICAL) El E ^ El o u E3 -T- oa_fla 8' NOM. 2' NOM. D PADS IN ANY PAIR MAY BE STANDARD ROTATED 90 DEGREES OR PIERS AS M.H. FOUNDATION RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT SUPPORT PAD (TYP) ®SSI q ca QV_®4.v OF a TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO . . 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Housing and Community Development D 4Sl OF DES STANDARDS. BY % ` , . DATB ' "a (signature) SPANO. TLis Plan Approval. Expires WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 I r r " O 11/160 1/2- C CL. RODSw/ ARE OFFSET 80' 6" HOLES 1/2" x 3 1/2" 1/2"x 8 LONG EXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT do WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM t ,. AT 8" O.C. (e) REQUIRED CONCRETE PAD INSTALLATION POURED IN PLACE 160 60 2 CONCRETE FOUNDATION INSTALLATION CHASSIS FRAME LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION m / 36" MAX UNITS 1/4- GRIPPER PLATE a TO BOTTOM MULTI—AIDE UNITE SDiGLE WIDE (2) REQUIRED OF PAD LENGTH OF WIDTH OF HOME LENGTH OF I WIDTH OF HOME o HOME 24 28 28 44 HOME 1 10 12 14 16 1/4" GRIPPER BASE IUP TO 44' 8 8 8 12 UP TO 44' 8 6 8 6 M1/2"z 3" C.R. 44'-1' io 86' 12 12 12 18 44-1' to 88 8 8 8 8 1 /2-13UNC—A3O7 x 4" LOCK PIN WITH 01/8" BRIDGE ee'-1" to eo 20 20 20 24 66'-1" to bo 10 1 O 10 10 NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED BOLT WITH NUTS (4) REQUIRED PIN NOTE: SINGLE. WIDE UNITS REQUIRE (4) E—Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL. 01 1 �2" SCH 40 PIPE RISER WITH 01/2 ADJUSTER HOLES AND 3/8" THICK TOP PLATE STATE APPROVAL 02" SCH 40 PIPE STAND WITH TWOJ 01/2" ADJUSTER HOLES / Q NIANLFACiURfl[11i0MP/A4(?ttiLi3NCJMB , ®® FOUNDATIONSYS'PfiM ABESCO ABS PAD #903 R1;ACTH AND SAFETY CODE, 98CT1ON 18551 a APPROVED STEEL FRAME -.. 18 1 WAR �a J ILI =m2 SURdTiOT TO C`:ORRI10TIONS NOTED APPROVAL- f1OF.S NOT AUTHORTRP OR APPROVP. ANY 01,11SSIONW (IR T%VIATION FROM RRQUIRIMENTS OF APPL1C7AALK iTA`f6'UANV8 AND RFOULAT.IONS Broil. of 0ilil`om10 Depokilienl of Flotusing and C•ommmuiity Development 'Iv filo 01: ('011MPANT) STANDAR9S Blr __.�='� L� C 1.__.._. _... DATE __5��) SPA 1\10, This fon Approval WAYNE T. POLVADO. PE—LISTING NO. F94249 SHEET 3 of 3 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF A PPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name n F� m Mailing Address 1 City ' Sta Zipgs Gil -I Phone Z>6 q Y Fax E-mail CONTRACTOR Name b rrl Address AT-2,Oraiv0 _T4 City yl! Stag Zip Phoneels Fax E-mail �n`fGl2 �Z o , U yi Lic. # �2 t � � � Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City `s Statee4q U��" Address Phone%0 Fax �l City Occ. State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address v% 2 V p� m City `s Statee4q U��" Zip � Phone%0 Fax �l E-mail APPLICANT SIGNATURE r PERMIT NO. ,50`7 , PROJECT LOCATION AP# 02 - 3 - os -3 or Property Address City BIN ti WORKER'S COMPENSATION Policy Number ;�M.06-�c 3 _b 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: iz2�vo l _FeZcn AR, 3 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use onl : Zoning S Flood Zone SRA Yes I No Occ. Type Const. �'Aq�L I- 0 BIDNr.LL TITLE AND ES%:RLIW .-- iE NDL OHOS01 �A •4-148378 I Al® ttx01 nceolm n" TO rMR. 6 NRS. ROBERT W. VAN R RR.. 1219 Fredonia Lane Gridlev. Ca., 95948 L J "'FAX 81AT911M r �I 90-18505 90-018905. RooFee 5.00 DOC 17.60 Recorded Total 22.60 Official Records County of *am Butte 8.. Same as above Candace J. Grubbs AOfo Recorder oar I er00ato 8-11ay-80 BG 1 fur 1. SPACE ABOVE THIS UNE FOR RECORDER'S USE 0. 021-132-053 Individual Grant Deed I" roan rvRRISM B. tsWWW Tme a ON" eolma y TThr undmegnrd Vantor(s) declare(s) Documentary transfer tax is f 17.60 ( ) computed on toll Talar Iru safue of hens and encumbnulces rematomg at blas of ale. CC 1 Pnintorporat(J arta ( )Let) of , and FOR A VALUABLE CONSIDERATION, teeapi of which n herebyacknow•kdged. HELEN .T. KECK. who acquired title as HELEN J. SHELTON, and CHARLES H. BECK, her husband hereby GRAPMS) to ROBERT H. VAN BEER and FERN N. VAN BEER, husband and wife, as Joint Tenants the foltowingde uribcd real pipperty in thr County of Butte State of camomta: Parcel B, as shown on that certain Parcel Mao. being a portion of Lot 26, Gridley Colony 14, M.D.B. A M., filed in the office of the Recorder, County of Butte, State of California, on August 3. 1973, in Book 46 of Parcel !laps, at page 714. Non exclusive easement for road and utility purposes, 40 feet in width over the Easterly 40 feet of Parcels A. B and C as shown upon that certain Parcel flap filed in the Office of the Recorder, County of Butte, State of California, on August 3, 1973 in Book 46 of Parcel Naps, at page 74. Dated _ April 30. 1990 _ STATE OF CAI IFORNIA COUN" Oi Butte 1t On April 30, 1990 WIM mr. the ua mvtd. a hotaq Public to end tot laid Suit. penonallpappwed Charles H. Keck and Helen J. Kec ptnane0y IuwMn to me or Pte.ed to ar ep the bam of m• aAatrory tmdraR to bt the penoolLvlow R&MA _ aabxr& d to the .nhm wtrumtei Uid aei,aa.00 that they teemed thr wme WITNESS my heed and oMnat teal C rSU , t es H. Keck Helen J. IVcx . • OFFICiALSEAL .-- iE NDL OHOS01 lA �O>Rnteptnha.1.1991 1T�aatarataRatqunre row,.eaaoro—j"'"`~'� '" �j���jATEMEh1,T$ /1$ bIRECTjC.AQOV,� i I Exhibit A DESCRIPTION: THE FOLLOWING DESCRIBED REAL PROPERTY IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA: PARCEL B, AS SI40WN ON THAT CERTAIN PARCEL MAP,BEING A PORTION OF LOT "26,' GRIDLEY COLONY #4, M.D.B. & M., FILED IN THE OFFICE OF THE RECORDER, COUNTY BUTTE, STATE OF CALIFORNIA, ON AUGUST 3, 1973, IN BOOK 46 OF PARCEL MAPS, AT PAGE 74. NON EXCLUSIVE EASEMENT FOR ROAD AND UTILITY PURPOSES, 40 FEET IN WIDTH OVER THE EASTERLY 40 FEET OF PARCEL A, B AND C AS SHOWN UPON THAT CERTAIN PARCEL MAP FILED IN THE OFFICE OF THE RECORDER, COUNTY BUTTE, STATE OF CALIFORNIA, ON AUGUST 3, 1973 IN BOOK 46 OF PARCEL MAPS, AT PAGE 74. APN: 910-000-000 tax_pmlim Icndcrs_choicadoc mv.8/3/2007 Pagc5of 13 BUILDING PERMIT NUMBER: B07-2120 Address or location of unit: 1219 FREDONIA LANE GRIDLEY CA 95948 Legal Description of Real Property:. 021-132-053 SEE ATTACHED + (x) Mobilehome/Manufactured Home O 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: ROBERT W. & FERN M. VANBEEK a Owner's address: 1219 FREDONIA LN GRIDLEY CA 95948 INSIGNIA OR HUD NUMBER:CAL352910/11 _ SERIAL NUMBER OR V.I.N.: 06700103A/BY MANUFACTURER'S NAME: 90002 SKYLINE HM INC YEAR: 1988 OFFICIAL APPROVING INSTALLATION: lima DATE: PHONE: (530) 538-7541 r , H.C.D. 513 PERMIT NO. f 1569-88MH ex.site 'PERMIT EXPIRES OWNER HELEN J. SHELFON CONTR. SUPERIOR MOBILE HOMES ASSES I SOR PARCEL 21-132-53 LOCATION 1219 Fredonia Ln., Gridley Temp. Pow Called Temp. Elec Called Temp. Gas Called JOB FINAL Signatu e IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION !• ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White -Owner, Yellow - Installer, Pink - D.P.W. t� ._ .. _ �, _. MOBILEHOME INSTALLATION ACCEPTANCE 'a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE a OROVILLE, CALIFORNIA — 534-4541 PERM IT NO.// Address location '(��r �%�-+' '� �`i •' or of mobilehome / �%�i� Owner's name H--we�xlj h. .�C X2:711 Owner's address 5 1 // 1 Insignia or hud number fes.//, Manufacturer's name A. �f-!� / U;✓ "� �-� ' Serial V.I.N. number of Year of manufacture r (Official Approving Installation) (Date) " e IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION !• ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White -Owner, Yellow - Installer, Pink - D.P.W. t� ._ .. _ �, _. 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 s4z�� OWNE 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. = OK 0 = Not OK NotRaable= Ready MOBILE HOMES MISCELLANEOUS Date Mg)PM HOME UTILITIES (Plans) OK except #'s g Requirements -Setbacks -Easements Special MH Support -Sketch Location -Test -Fall -C/O -Concrete Pbvwr—; Location -Test -Easement Needed (Sketch) ricity; Location-Clearances-Grnd.-/ / Amp -Concrete as; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG ` Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MO HOME INSTALLATION (Plans) OK except #'s Zo ' ' Requirements -Setbacks -Easements Card -131 Date Card -131 Date Ings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date Aolta,%t-OH,,Test-Demand-Valve-Connector leicity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s r ' ; MH Test -Fall -Flex Connector 1. Setbacks -Easements a H Test -Regulator -Connector 2. Soils; Compaction -Structure Stability rad ewer Connected C/O to Grade -HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining a,Electricity Tagged s; 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.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enc losures-Panel boards- Ins. to Main in Conduit Card-131Date and -B1 Date Card -B1 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 -B1 Date I' = OK 0 = NotOK pp'IPcatSle - =Not ApRESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material-Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Cig. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67. Stairs &Rails Card -81 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights &Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -61 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firep I. -Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 96. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card -61 Date 92• Roofing Certificate Card -61 Date Card -B1 Date Card -131 Date Card -131 Date Card -61 Date Card -81 Date Date FRAMING (Plans) OK except#'s 39. Sills, Proper Material & Anchors Card -81 Date Card -131 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive - Oroviller Califoroia 95965 - Telephone: 916/538-75r 1. APPLICATION AND PERMIT ASS SOR PA EL NU BER —I ZONI � - BUILDING PERMIT O N E R ShLI �r / 0 TEL PHo SQ. FT. OCC. BUILDING VALUA ION �IE MAI A DRESS �O_Q ` C- L V CO TRACTOR'S NAME ov- ' TELEPH E CO T ACTOR'S AI G ADDR /1 Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Fria do n n Permit fee $ 00 1 PLUMBING PERMIT FIIingFee 10.00 Each Trap 2.00 1, 7 % Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME IPARCEL MA Water piping 5.00. Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G JW 1 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti it ❑ installationOther ❑ c Describe work: L4 a I 61`00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ' I declare under penalty perjury (check : p Y of p 1 Y(econe): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 1, 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 ADONS. ( ACC. BLDGS. / �20sgft NEW CONSTR. MU '.OUTLET2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES eA 090 Ex. Occup. OUED P TLETS (RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiriri 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate p of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XDate �-0�0 — Signature of Applic n — Owner,l Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �® occuP. CON ST.T7 S Pio PARCEL lPD N 139 This permit is hereby issued undet'the sions of the Butte County Code and/or work indicated above for which DIR C R OF PUBLIC BY PERMIT EXPIRES Date--- applicable provi- resolutions to do fees have been paid. WORKS Date to �0 / D Receipt No. / ()O WNITE-O.P.W., YELLOW -ASB ESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT :y OWNER t. .�.r"k+:.-�:-t-+.nv.�..w. �r.,s.�+`fTl=iry�;`lRs^ '^'.r, S.{ �?.if .�7 v �,. -s ar•4z'h ,. .. •0.�:. r.a'iy:'�7 3,r[ ., rf` _._. COUNTY OF BUTTE - DEPAR7ME50.4—PUBLIC WORKS - BUILDING ,DIVIISION 7 COUNTY CENTER DRIVE- OROVILLE;.CALIFORNIA 95965- TELEPHONE: 916/538-7541/ PERMIT,' APPLICATION DATA SHEET % Permit No. ,. #0 Ir? A 0. Proposed Building Use PX/`D I j1 �8,},ilding Inspector Date 0 'Cl( 'C At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been-.s.ubmitted. Plot plans in p icatd/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. Plass wit 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 $ , , , , , , . 4Letter of signature authoriza ' n. Q, Sanitation approval from r1D t/ I / Health Dept. • �S ��� ��� 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 owner ❑.) 1 ! Improvements may be required. . • .• • , . Mobi lehome Installation Data. . . . . . . . Pre-Insp reques 17. Pre -Inspection for Required. Building uildie ngc. lnspector to (Date) ^ 8. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20: Plot plan approval from city of 1. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: _ Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Applicant /- lUIMI ate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit is ce ircle .ew item not checked above). 1. Index permit for above items No. 2. Additional items required: �r Contractor, designer, owner, was advised of above required data by—phone---Mail Contractor, designer, owner, was advised of above required data by—phone—mall Plans checked by _Date 'a Plans approved by, Copy—DPW Sets of plans on hold in File cabinet AP folder counter by counter by — date — date Date TO Buildinq Department FROM: Environmental Health f` SUBJECT: Sanitation Clearance Alt----ZC--,k( llcqt . 10 Owner Location �,, AP# Plan. Approved for. Sewage Disposaly—Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for 7�3 bedroom mobile home. Other NOTE ani -Ya- r i an Date -h t ` ' «•� $711 $8 016711 ' 65-016711 -98=416711 1 Rec Fee S.OG ` r Check 5.00 t R Reclorcied t7f f i6iai Records County:of ' '.O But'te Candace J . r Grubbs : Iyk Recorder I JJ 1, �12:40pm 26-May- ��Y+ `. . Ar i ' Return Lo DPW ACRICULTURAI, STA'fI;MI;NT OF ACKNOWLCDCI;MI?NT FOR RESIDEATIAL °DLVL�L01'MI N'r Section 26-8.1. of the Butte County Code r.equi.res this acknowledgemercL be recorded prior to .issuance of a building permit. The properly described herein is adjacent Lo land or included within an area zoned for agricultural purposes, and residents of' Lh.i s property may be subject to incon- veniences or discomfort anis-i.ng from the use of agricultural chemicals, including, but not l,imi.ted to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not li.nrited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte CounLy has esLab.l.ishc d ;It;r i c Li I Lural zones which have as a priority use for product_i.ve agricultural purposes, and residonl w-ithin said zones and on adjacent property should be prepared to accept such i.nconvcii i enc e or disconform from normal, necessary .farm operations. A.L.I. that real property situate in the County of Butte, State of Cal.iforn i.a, do scr i bed ;i�; loll.ows: Qov,� Nil Parcel B, as shown on that certain Parcel Flap, being aTportion of Lot } 26, Gridley Colony A. M. D. B. & M.$ filed in the office of the Recorder County of -Butte., State of -California; on August 3, 1973 in Book 46 of Parcel Maps, at page Date: PROPERTY OWNERS: Slate of C4t_rrb-&1P4-) On this the t?y day of /y,4y 19 8�r before mc, SS. the undersigned Notary Public, personally appeared County of 6oT1--,L- ) Personally known to me. 0 Proved to me on the batt i of satisfactory evidence. OTGARY EAL o be the person(s) whose name(s) /S �^ FE ubscr. i.bed to the within instrument and acknowledged Lhat 7,9C� _ m NOTARALIFORNIA - xecuted the same for the purposes therein contained. I. N W I'I'NI,;�S TY HEREOF, I hereunto set my hand and official sea] . My comm. expires MAR 20, 1989 Present A.P. No. �� d Lary Pub I/ I Gridley Union High School District #2 East Gridley Road, Suite B Gridley, California 95948 CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES PART I TO BE COMPLETED BY APPLICANT Property Owner's Name Owner's Address LSC, Project Address Parcel No. Lot. No. City County. TYPE OF CONSTRUCTION Please Check Please Check Residential Construction Single Family Residential Reconstruction'` Multiple Family Commercial/Indust. Constrn. No. of Units Commercial'/Indust.-Reconst.'. Mobile/Mfg. Home ": _. ;s • "Aunt Minnie" TOTAL NUMBER. OF SQUARE FEET. THIS,CERTIFICATION COVERS ONLY THE AMOUNT•OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDITIONS AND/OR CORRECTIONS'T0�•THE° SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE.AN•AMENDMENT TO THE CERTIFICATION OF„COMPLIANCE.' FALSIFICATION OF THE SQUARE FOOTAGE IS CAUSE FOR REVOCATION -OF THEICERTIFICATION OF COMPLIANCE. Applicant's Name en Ll� Date Applicants. Signature PART II -TO BE COMPLETED BY SCHOOL DISTRICT Certification of Compliance No. (Receipt No.) Fees Collected Residential # sq. ft. x $1.50 = $ Commercial/Indust. # sq. ft. x $0.25 = $ Exempt from Fees Reason AS THE AUTHORIZED.SCHOOL DISTRICT OFFICIAL, I HEREBY CERTIFY THAT THE REQUIRE- MENTS OF GOVERNMENT CODE SECTION 65995 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT. Signature Title Date S Original_- School District Copy - Applicant Copy Building Department ^-�!t11�•�'y).^IY+R}hWO�'..AMt'-rat.v.Je..u.,v._-.,..:..a.. :.. ._ .... CERTIFICATION OF COMPLIANCE WITH GRIDLE'Y UNICK,. SCHOOL DISTRICT RESOLUTION NO. 17- i;%ir Gridley'Jnio H gh School District certifiesthat (name of permit ap licant) (phone no.) (street , dres. (c. Y) (state) (Zip) has complied with th ments of Resolution No. 17-8687 regarding P ' ,'al or commercial/industrial unit(s) on Assessor Parcel No. _ by the �ayr eat of fees of $ �`� representing ��``JJ /6 square feet. (date) (GUHSD representative) 1. Owner's Name: — 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541- MOBILEHOME INSTALLATION SHEET r A 3. Is the site currently under permit? Yes No " %Oct (If.yes, furnish permit number ) OR mobilehome site service rating? ----------.--- Amps 7. Is the site an existing site? Yes No F ----- 8 O (If yes, furnish two plot plans.) 8. Is there any other electric load to be served by the 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach a No fields and clear of all setbacks and easements? Yes mobilehome site service? -_----__------------------------- (If no, clarify Yes (If yes, identify the load and size: (Load) (Amps)' 5. What is the mobilehome electrical rating? --------------- %Oct Amps 6. What is the mobilehome site service rating? ----------.--- Amps 7. What is the mobilehome site circuit breaker rating? ----- 8 O Amps 8. Is there any other electric load to be served by the a No �. mobilehome site service? -_----__------------------------- Yes (If yes, identify the load and size: (Load) (Amps)' 9.' What is the mobilehome site gas pipe size? --------,------ (in.) Natural LPG F] 10. What is the type of gas service? ----------=-------- 11. What is the gas pipe length from meter or tank to the t PciS b (ft.). mobilehome? --------------------------------------------- 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-.) 1 ' I _--.- - -i_ MOBILEHOME SUPPdRT' DATA If other than single wide, C Mobilehome Mfr. S furnish Setup Model No. Width d (ft.) Qox Length (ft.) Tagalong or Expando Size Year ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation lndnual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block. El 2. Other (specify) '— Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Lln� e 1 Line 1 11ne 2 _ _ _ _ _ _ _ Main Beams Line 2 - — — — -- — Main Beams — — — — — — — — — — ...r -Line 4 Tag or Triple r Line 1 Line I Piers: Size -Min. ------------ x Spacing -Mux. --------- , Frvau Enda-Mex.------- Liuc 'L l'iere: Sl,e-Min.------------ Spacing -Max. --------- /� '_OL►„ From Ends -Max. ------- I.fne . Roof loads: A Slze-Min.------------ab/'x]0 0„ 2-V',.3 C" Location (From FronL) I,1.ne. 4 Piere : ' Siz.•-Min. ---------- Spa, jog -Max ---------- From Ends -Max.------- Linc 5 Koof mads: Slze-Mlu.--•'---------� "x "x locaLion (Frum Front) Line 1 Openings: Size -Min. ------------------ nx u Each Side of Openings With Width Over--------- E= Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- 'Spacing-Max ---------------- From ------------------ 'Spacing-Max.--------------- From Enda-Max.------------- I •• '-xnl ..X .r , Line 5 Piers: (Under Bearing Walls Only) • — Size -Min ------------------- .'x Spacing -Max .--------------- From Ends -Max.------------- 011-1 t��? IWO Cep �Ldji�� SPECIAL INSTRUCTIONS FOR DOUBLE WIRE SET-UP (Cont'd) 7. Level home and install piers following the proce'- i dure outlined for single wide homes. Tables 3, 4 and 5 are to be used to determine pier and footing capacities for the selected spacing and loads. 8. Place additional supports at the centerline of each end wall, each end of the hall wall, sidewall openings greater than 4'-0" and beam support columns at locations marked with indicator strap or paint (See Figs. 8 and 9 and Table 5). TABLE 5 LOCATION OF CONCENTRATED LOADS HOME WIDTH DESIGN ROOF TOTAL PIER LIVE LOAD LOAD POUNDS Piers at Endwall Centerline: Desig- nated on Fig. 8 4•� 20' Wide 20 P.S.F. 3200 30 P.S.F. 4380 24' Wide 20 P.S.F. 3820 30 P.S.F. 5240 26'& 28' Wides 20 P.S.F. 4290 30 P.S.F. 5890 Interior Piers at Home Centerline: Designated ® on Fig. 8 20' Wide 20 P.S.F. 6400 30 P.S.F. 8760 24' Wide 20 P.S.F. 7640 30 P.S.F. 10490 26' & 28' Wides 20 P.S.F. 8580 30 P.S.F. 11780 NOTES: FOR TABLE 5 1. Footings and piers must be designed to support the concentrated loads (right hand column) under the applicable conditions, and 24' of tributary load. For piers with less than 24' of tributary load the footing and pier capacities may be reduced proportionately. 2. Concentrated loads consist only of roof loads. 3. Maximum distance to first interior pier is 24'-0". 4. Maximum distance between interior piers is 24'-0". 5. Pier locations at thw marria�u l;nP are marked with oaintn�etall indicator straps r 6. May use more than 1 pier, i.e. side by side, to obtain required load capacity (See Fig. 9). 7. Add additional piers at each side of a single sidewall opening and between multiple openings (window and door) larger than 4'0" The required pier capacity equals 100 lbs. (125 lbs. @ 26' & 28' wide) x opening size (ft.). TIE DOWN PROCEDURE THE HOME MUST BE IN ITS FINAL LEVEL POSITION PRIOR TO INSTALLING AND TENSIONING TIE -DOWN STRAPS. DO NOT JACK THE HOME AGAINST TEN- SIONED TIE -DOWNS. The frame tie -down straps should be installed on each outside main "I" -beam. The materials, equipment and procedures are the same as for single wide homes (See pages 7 & 8). Over -the -roof straps, if provided, are to be connected to ground anchors in the same manner as single wide homes (See page 9, and Fig. 11). DOUBLE WIDE EXTERIOR CLOSURE PRIOR TO THE INSTALLATION OF THE CLOSURE METAL OR MASONITE ON THE ENDWALLS, THE ELECTRICAL CROSSOVER MUST BE COMPLETE. VERTICAL ALUMINUM SIDING: 1. Install bottom starter. 2. Install end wall metal by snapping both sides into "S" -lock; attach with provided metal screws (See Fig. 12). 13 3. Attach closure metal to front and rear hoods. 4. Install interior trim, moldings, carpet, etc., as required. ROOF CAP SCREWS AT 4" VERTICAL ALUM. SIDING CLOSURE— SCREWS AT 8" TO 10" O.C. AT BELT RAILS FIG. 12 "PERMIT NO. 4420-74B P E M 1 --' MH UTIL. PERMIT NO. PERMIT EXPIRES �O 7- OWNER Alvin Stewart' CONTR. ~'LOCATION (A.P. 21—`132-53 ) 250off n/s of W.Liberty Rd, 600' E. of French Rd, Gridley Temp. Power Pole Called/PG&E Temp. lec. Serv. Iled PG&E T p. Gas Serv. Called PG&E t JOB 1 FINALED / ? (Date) (Signature) i "s COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING J BUILDING (Cont'd) ` PLUMBING Setback v2 d Firewall Soil Pi ing Forms Parapets 1st F or Main Bldg. Restroom Finish' 2nd F16 Footings Windows 3rd Flo r Stemwall Siding To out Slab Roof Sheathing Water Pipi Piers Roofing oZ /" Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings y Conformance of ex. structure Gas Piping & T t Temp. Gas Slab A Final ! Sanitation Patio FIREPLACE Final Footin ds Footing L CTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SP I KLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEC A ICAL Grd. Fault Pr t. Scratch Heating Service Brown Cooling Temp. Pot Finish Ducts Under rou Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 7 S� *,OUNTY OF BUTTE - DEPARTMENT OF PU I 7 County Center Drive—`-Droville, Californl 9 Telephone: 534-4541 APPLICATION AND PERMIT Q -- authorce representatives of the County of Butte to enter upon the above-mentioned property forinspe tion purposes. X Date � �i Signature of mitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. r, DIRECTOR OF PUBLIC WORKS By Date % d/ilding permit expires Date..............C�. ".'.°.'..�0 BUILDING ` Owner I L4 SO. FT. OCC. BUILDING VAL ,A4101\1 Mailing Address + Tel h ne No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. FEE PERMIT FILING FEE $2.. 00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. r. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 $ Each additional outlet .30 FCe S i FireDept. Fire Zone Use Permit Building sewer 5.00 EOA Par' i arcel Plans Declaration ParceLA+ap 60' R/W I Improvements Lawn sprinkler system 2.00 Permit Fee $ Bldg. PI s Recd Parcel Approval Plans Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 de-ld-p- 4Cr-20 CJ OLms,-Main service incl. 1 meter -Sub-panel Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures_+ 2 ba1(610 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of. Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of Cal i Porn i a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 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 TOTAL PERMIT FEE $ authorce representatives of the County of Butte to enter upon the above-mentioned property forinspe tion purposes. X Date � �i Signature of mitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. r, DIRECTOR OF PUBLIC WORKS By Date % d/ilding permit expires Date..............C�. ".'.°.'..�0 Al% .r"Ii 7F,"ek is ♦ ;_ r" , "d: E `'�r4'�c! b • + � , I { 19y , +�',' sJ.,, � �I '—'t` 1 •"�- � _A`'f td• !S � >;L {4}u��. f}�rr •, A� _i kc'. < �, Q. /� Q) �• U Loy, L r•j , U- ><S , rl) tf vi' N«n ^` �' I as. r•Q r. #, G :• (� "� - . Ot '�- C, r, 3 L '_,! • i - 'E /yt� �}•" " 4f ' ,.a � O A� �, • V t C1 L Q, � 1 � P (� i'j:+ '(M1+ .y � c; :� , �. 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