HomeMy WebLinkAbout021-320-014VA
AIM
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0 -320,014 02 2jjj
21
SCROGIN, RICHARD
ml
NOTES
RESIDENTIAL
PERMIT NO. 021-320-014 02-2650
SCROGIN; RICHARD - --
1122 FRENCH AVE., GRIDLEY
CONT: SIERRA MkS
EX MHTERM FND EX SITE
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON NEW
MH'S).
-INSPECTOR TO VERIFY SERIAL & LABEL #'S.
ig
1=
11 SPECIAL CONDIMONS 11
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Dat 6.7-y f- -t5 -z-
Signatu
4 = OK
0 = Not OK
NotApplicable
Not Ready
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Req ui rements-Setbacks- Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/0 -Concrete
4.
Water; Location -Test- Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ - P Nat. or/ /" L "ft./ PLPG
7.
Well Clearance & Disconnect
8. Utility Clearance
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #s
1
. Zoning Req u irements-Setbacks- Easements
2.
Footings; Size -Spacing- Marriage Line
POOLS (Plans) OK except #'s
3.
Gas; MH Test -Demand -Valve -Connector
Setbac ks- Easements
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test- Regu lator-Connector
7.
Water and Sewer Connected -C/O to Grade -H D Approval
8.
Gas and Electricity Tagged . .
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERM5KNT END SYSTEM,(ONLY)
1
�g Requ irements-Setbacks- Easements
2
-Footings; Size -Spacing- Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
.9.
Exits.
10.
License Decals
11.
Verifv #s with Office
Date Card B-1 Date Card B-1
Date Card 8�1 Date Card B-1
pm. Y FF5. -Z 0 /��
FAf L_
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1 .
Zoning Req uirements-Setbac ks- Easements
2.
Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3.
Decks, Girders and/or Joists- Decki ng- Braci ng -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg- Frg- Bracing
5.
Alum. Awn.; Colum ns -Con nections-Spl ice- Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps- Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbac ks- Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GH
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- Enclosu res- Panelboards-I ns. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date -Card B-1
Date Card B-1 Date Card B-1
40%
4 = OK
0 = Nol OK
- = NolApplicable
. = Nol Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1 . Zon i ng -Setbacks- Easements- Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel- Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors- Reg ulator-Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance- Material -Support- Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
72. Elec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches -at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels- Motors- Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
87. Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41. Sills Proper Materials & Anchors
Comments at Final:
42. Walls Studs -Nailing Spacing & Braces- Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)I
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Y -
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purl in-Roff Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
55. Stairs; Width- Headroom -Rise- Run -Landing- Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration-Walls-Winclows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Elearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P. RY
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (FFI.)-Romex Protection
80. Insulation -Foam- Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fc1n. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following InstId./Drive Q Yes 0 No/Walks 0 Yes 0 No/Planters El Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/0 to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9- Oroville, California 95965 9 Telephone (530) 538-7541 a _7PJ=-RMLT NQ.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
021-320-014
ZONING
BUILDINGPERMIT
OWNER SCR T RICHARD
TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
OWNEWS MAILING ADDI.
1122 FRENCH AVE qTMEV CA 95948
1560 R 84.240-00
.
CONTRACTOR'S NAME
SIERRA MHS
TELEPHONE
124-0599
CONTRACTORS MAILING ADDRESS
466 CTRCLE DR-, ORMILE, CA 95966
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 84,240.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee 572.00-2=
s 286. W
ARCHITECT OR ENGINEMS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
1199 FRENCH AVE.,
Energy Plan Checking Fee
$
$
PERMIT FEE
$329.00
LOT NO.
SUBDIVISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.0015.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 13 Installation 0 Other 0
Describe Work: EX ML4 PERM RM EX SITE
Gas piping system 1 - 5 outlets
15.0015.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
600V OR LE:S
Main Service .A OR LE
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No. 6
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
13 1, as owner of theproperty, or my employees with wages as their sole compensation,
. will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
El 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
erformance of the work for which this permit is issued.
13-11ph 've and will maintain workers' compensation insurance, as required by Section
3700 ofthe Labor Code, for the performance of work for which this permitisissued.
My workers' compensation insura ce carrier and policy number are:
Carrier
Policy Number -X -S
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date 7/2
Signature of Appli6ant - 0 Owner 0 Contractor 0 Agent I
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main S�rvice 200A TO 1000A
46.00
NEW CONST. DVY�E.LUNI.l .0CCUP. so
OR ADDNS. C S. 3.50FT..
NEW COW7 MULT.1-0
_R.,D. C 1. @7.50
—NON
0 IERAP=US
PSINW CIR.
. 0
20 @ 1.00
Ex. Occup. OUTLET OR FXTURIES BAL @ .50
O.FIXED A - OR
Occup. P(PRM.) E.A. 5.00
—Ex.
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
F2 INSP
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ ZiL-I&S 379.0
CDF
PARCEL I PO
This permit is hereby issued under
of bthee Bouftue County Code and/or
0 L 'Ch fees have
1 4 fo/
indii 0 for
By
PERMIT EXPIRES ON
I
the applicable provisioAs
Resolutions to do work
been paid.
Datey
43
'Pate)
ReceiptNo. 363761 $-37c)- on
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPCICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 * Telephone (530) 538 -7541; -
Rev. 12�96) APPLICATION AND PERMIT
ASSUSOR PARCEL NU&MM 3 �J,) 1,+ ZOMM BUILDING PERMIT
T::LZHONE Okc. BAPIVCj-,V�WATION
ez A k-
L#'V -aw m m v wApaqA214iiii /I / AAA j A W.4 . 1,12 1 L,
CONSTRUCTIONLENDEFt
1+4 LENDOM WAPM ADORE88
ARCHITECT OR ENWNEER
AACHMECT OR 04"EER"S MAJUNG1 ADDRESS
SULDINGADORESS
LOT NO. SUBDIMI(M-SWAIIE
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
TYPE OF WORK
New 0 Addition 0 Remodel 0 LYd 0
Describa Work: ALWX�rMir'A
W
Total Valuation $ Y L)p 4/1 Ylu
Filing F
$
2 OT
Permit Fee -7---
$
1,WtP ---
Plan Checking Feel
$
20" TO IOWA
Energy Plan Checking Fee
S
DWR I OCC P.
A Afy- 0 Mu
so
3.5orr
$
PERMIT FEE
$
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
War or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system I - S outlets
15.00
Building sewer
15.00
Wbile Home I S I G F—W
Q20.00
t A'i' 6iiiiii,5R. I I
Ex. Occup. ( OVTLET OR FIXTIURES ) 20 (01.00
&4kL 95L .50
Ex. Occup. ( O%,T- M--6J*E- ) -00
Temporary Service 23.00
PEP -MIT FEE PAID $ QMobile Home Flacilities 20.00
Am. Virin 23.001
A
PERMIT FFF
SRA MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
SHERIFF Jr Hood 6.50 —
Ventilation
PERMIT FEIE S
OTHER Mobile Home Installation Fee
Energy Inspection Fee
OCC CONST.
-P'-ITOTAL FEE $
7 61,
T 0. coo, I PARCEL
— I R2!q --t- ---I
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resollutlions to do work
Indicated above for which fees have bow paid.
AMOVNT, RECEIVED $ a
-.4 By Date
PERMIT EMRES ON
RECErPT- # -
PERMIT FEE
S U—
ELECTRICAL PERMIT
Filing Feel 20.00
Main Service
OR L.E.SS.
23.00
Main Service
20" TO IOWA
46.00
NEW CONST.
OR ADONS-
DWR I OCC P.
A Afy- 0 Mu
so
3.5orr
t A'i' 6iiiiii,5R. I I
Ex. Occup. ( OVTLET OR FIXTIURES ) 20 (01.00
&4kL 95L .50
Ex. Occup. ( O%,T- M--6J*E- ) -00
Temporary Service 23.00
PEP -MIT FEE PAID $ QMobile Home Flacilities 20.00
Am. Virin 23.001
A
PERMIT FFF
SRA MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
SHERIFF Jr Hood 6.50 —
Ventilation
PERMIT FEIE S
OTHER Mobile Home Installation Fee
Energy Inspection Fee
OCC CONST.
-P'-ITOTAL FEE $
7 61,
T 0. coo, I PARCEL
— I R2!q --t- ---I
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resollutlions to do work
Indicated above for which fees have bow paid.
AMOVNT, RECEIVED $ a
-.4 By Date
PERMIT EMRES ON
RECErPT- # -
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center I)rive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER:
ASSEISOR PARCEL NU R 4 ::Z?
R
I
n - k
'3 m q.,7 ).,-oz
Proposed Building Use: JAC rk A Gounter Technician: Date:
Items required in order to apply for permie 'kil oxes N41 ST be checked R marked NA in order to apply.
�Vlot plans, 3 or 4 sets, signed,�y the preparer of the plans.
complete plans, 3 or 4 sets, signed by the 1preparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxes!
0 5. Energ � compliance design and supporting documentation in duplicate.
y
06. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
0 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
0 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
0 9. Plot plan and business license approval from the City of Biggs ....................................
0 10. Letter of intent for non-residential buildings , * . * ........
0 11. Detached Accessory Building Form filled out by the owner .....................................
0 12. Hazardous Material Form ...............................................................................
0 13. Other ....
�..Xiiiiaihing items needed to issue the permit..(May require additional plan review upon receipt of the followinj items.)
0 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
0 15. Statement of Intent for Non -heated and A/C Buildings .............................................
0 16. Sanitation and plot plan approval from the Environmental Health Department in
0-17. City of Chico Plumbing permit ..........................................................................
0 18. California Department of Forestry plan approval 0 paid. Sent. -by: . ......................
0 19. Planning approval for (A) Use: _(B) arking: __P, (C) Parcel Check:
0 20. Contact Land Development about 0 Improv ents, 05 Dr nage..
0 1. Encroachment Petmi or rivp
ay om t r t nstruction approval prior to occupancy).
22. Pre -Inspection required ........ ........
0 23. Contractor's license infdrmaiion-' (Numb*, Name'Style, bassTCication) ......................
0 24. Worker's Compensation Carrier and Poli�y Number ............... * ..............................
0 25. Owner -Builder Verification (0 Given to owner, 0 Mailed to owner) .....................
0 26. Letter of Signature authorization....
0 27. Recorded copy of Agricultural Acknowledgment Statement ............................ .......
0 28. Manufactured home utility clearance .................................................. ..... . : ....
0 29. & ting viola n or expired pen -nits ............................................ . . . ...... -Z -7
3 ant Dee Title/Statement of Facts, 0 Letter from Legal Owner, ck to H.C.D. $
4
1. Other: ,-A. 14, Qtt f r- PAJ ,-,e %f
When issued Telephone' I and hold for pickup.
I
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date: �17_ �� /0
1. Index permit application for the above items numbered: -2 7— fe.. Ian Check Letter
n
,I -Ad �itional items required f
QC �trac �, designer, owner, was advised cf the above data by 0 phone, 0 mail r7l'--ou by Y)4& Date: �V7 -71
Contractor, designer, owner, was advised of the abo dat by 0 phone, 0 mail_ 0 counter, by _Da.te-. 'I �1
q -7 -92,16
"2 1402
Plans reviewed by: Date: -7 Plans approved by: Pate:
Structural reviewed by: —Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
R EQUEST
7
Location: —,
0
Owner: - C9 I Contractor:
Comment:
BLDG.
PLUMB/MECH
ELECTRIC
M.H.I./M.H.U.
PRE -
INSPECTION
Form
Rough
Rough
Fnd/Ftg
Frame/Underfloor
Top Out
Temp. Service
Job Status
Stucco Lath
Gas Piping/Test
Main Service
Corrections
Permit Renewal
Stucco Brown
Temp. Gas
Underground
Final
Verify Utilities
Woodstov6
Sewer Piping
Well Circuit
Ex Mobile Site
Brace Panel
Water Piping
POOL
Insulation
ShowerPan
Nailing
Gunite
Demo
Bonding
Light Niche
Corrections
Corrections
Corrections
Final
Final
Final
Corrections
Ready for
llnspec.on:
I
I Final
Date: I Call Lj Phone:
OWNER -
LOCATION:
PRE -INSPECTION REPORT
CONTRACTOR:
PRE-INSPETION
DATE TO INSPECTOR:
BUILDING INSPECrOR'S REPORT
Buflding Desesiption:
c4mmerd"Mr:
ResidcntiaW of Units:
Currently Occupied
AbandonedNacant
Electric:
yes No Electric currently On Off
—.6/
Condition of Electric
Gas:
Natwal__,ZProPanc None Currently On Off
Obvious Problems:
SanItAtIon:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems
ACTION RECOMMENDED: LSSUE: HOLD FOR
—7
4,77,
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Inspecto Date
Sketch buildings on reverse and indicate location on Propert
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9 oroville, California 95965 * Telephone (530) 538-754
lev. 12/96) APPLICATION AND PERMIT
t3EnOAPAACELNUW6M '-�7,0 -0 14—
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Energy Plan Checking Fee
PERMIT FEE
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PLUMBING PERMIT
Filing Fee 207-0
USEOFSTRUCTURE
SF 0 Duplex 0 Nbbilehome 0 Other
SPECIFY
Trap
7.00
—Each
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
Now 0 Addition 13 Remodel 0 L)d 0 Otfih
Describe, Work: A" &�rp)M rh
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
t&bile Home I S I G I W
@?20.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20-00
( = OR UMS
Main Service . LES.
23.00
PERMIT FEE PAIb $�i �ll,,_Mobile
SRA
SHERIFF
OTHER
AMOUNT, RECEIVEb..
RECEIPT-
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Home Racilities 20.00
444. Viring jr - A /-N 23.00
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PEIIMIT FEE
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Heating
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This permit in hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have bow paid.
By Date .....
PERMIT EMRES ON &UM)
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MISGELLANEOUS BUILDING RECORD PARCEL
SHEET.-:,-' OF _::� SHEETS
DESCRIPTION OF BUILDINGS
91dg. Structure
No.
Size
Foun d.
Wall 8 Exterior
Roof
Floor 8 Interior Detail
Second Story
or Loft
Year ;Est,
Built
Tot *
LifeYrs
Typ e
Cover
Cost
1 6 �ol_o d
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19
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Unit Cost R. C. N 1
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(_TC - 3 5-115- 1 9,j6
19
Bldg. Area
No.
Unit
Cost
Cost
C. N.
L. N. 0.
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RESIDE_NTIA ROIERTY APPRAISAL RECORD
NAME OF PROPERTY_/_--�
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CHARACTER OF SUBJECT PROPERTY
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CHARACTER OF NEIGHBORHOOD
USE —TOPOGRAPHY.
19 7/
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USE
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Double
Improvement Value
Motel
Level
Low
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single
Commercial
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SUMMARY
/9 7,5- /9-716 19 19 ..19
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Total Property Value
Land Value __L
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161 W- A,- C.J,--
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163 P.I.I. 19
164
165 Z".;.g co'.I.—ty: Y_ F-1- N.
166 U- Cf._;'y Y_ �-j N. 1:1
167 Bldg. CI." /,-" 'z/
168 BR! I I ] 2 11] 3 L—j A Lj 5 0
169 1 1"j 7 .3 0 '7 Lj �' 0
170 1 [1.— yv"'
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ASSESSED VALUES
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Ir.-iprovements 173 Gq� y"
174 p..I ye, El No D�-
Total Property
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11-15 , I.
VECTOR DYNAMICS
FOUNDATION SYSTEM
WIND ZONE I & 2
INSTALLATION INSTRUCTIONS
For the State of California
INDEX
SECTION
INTRODUCTION
PIER HEIGHTS
GENERAL INSTALLATION
SET-UP INSTRUCTIONS
METAL PIER & V -DRIVE
PARTS LIST
CONCRETE INSTALLATION
SCHEMATICS
PAGE
NUMBER
2
3
4
5 & 5a
6
7, 7A, 7B & 7C
8 & 9
WIND ZONE I - SINGLE SECTION
10
- SINGLE V -DRIVE
11
- METAL PIER
12
ArADQ_WB LE."SEG4TKW�11
"t"T _R FP 'LE 9 E C T 10 N
14
WIND ZONE 11 - SINGLE SECTION
15
- DOUBLE SECTION
16
- TRIPLE SECTION
17
SOIL CLASSIFICATION
18
COMPONENT PARTS AVAILABLE UPON REQUEST
Foundation System
Release Date 8/13/2001
Engineer Approval
1 0
% E -x to
"Vill
4
L
IW-4LIH Vife"AWOM ""' I
SUBJECT TO COR' EC TIOINTS NOTED
APPROVAL DOES NOT AUTHORM, ORAPPROVE ANY
OMISSIONS OR DEVIATION FROM REQUIREMbNTS OF
APPUCABLE STATE LAWS AND REGULAT!*:).,*S
State of CaUfbmia
Depaitment of Housing wd Community Devcicpr!ent
D STANDARDS
I '�?-/0-0/
Date
NO. CLZ 1 —
Plan Approval Expires -c? - I - 0 - g__3
For Further Information
TjE DOWN ENGIMEERIMG
5901 Wheaton Drive
Atlanta, GA 30336
404-344-0000
FAX 404-349-0401 ff
www.tiedown.com
rie Dowm Engineering, Inc.
VECTOR DYNAMICS INSTALLATION INSTRUCTIONS
Introducbon of the Vector Dynamics Foundation system in Wind Zones 1 & 2. Additional
These instructions describe the proper use Engineering, titled, Vector Dynamics Installation
installation instruction is available in VHS video, from manufactured housing distributors or from Tie Down
Video.
The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone. I & 11 &
III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec-
tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & 11), are available through local distributors of Vector Dynamics or directlyfrom
Tie Down Engineering.
General
The Vector Dynamics Foundation System provides the support to resist lateral and over-tuming movement of the home as required by the Federal
Manufactured Home Construction and Safety Standards in Wind Zones I & 11 when the system is used as de9cribed in these instructions. SuinallufaCt
Las Home Installation Manual,for other pier & anchorinEriwLrumn-tS, The following characteristics apply to both single and multi section homes:
• Main rail minimum spacing of 86 inches or greater.
• Nominal 8 foot or less top plate height at side walls.
• Main rail depth of 12 inches or less.
• Maximum roof slope of 20 degrees (4.4 in. in 12 in.)
• Maximum pier height under main rail of 56 inches (see page 3).
WIND ZONE I
Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
WIND ZONE 11
Maximum single section home width is 15 ft. including eaves, maximum eave width is 6" per side.
Maximum single section home width of 16 ft. including eaves must use two additional vertical ties/
anchors/stabilizer plates (one per side) as listed in the charts on page 15.
Maximum double section home width including eaves 32 ft., maximum 12" eaves per side
Maximum triple section home width including eaves 48 ft., maximum 12" eaves per side
The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support sYstem considering that each set of Vector Dynamic
pad (s) has two (2) or three (3) square feet bearing area. Piers not used as part of the Vector system shall be located and constructed in accordance with
the home installation instructions and/or state standards.
To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than
56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806.
The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See
page 3. Note that a ground anchor is used at each Vector system location in Wind Zones 11 & 111. The use of interlocked double stacks of concrete blocks
may be required by the home manufacturer or the state. Check with the most recent regulations in California.
The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located within 1500
feet of the coastline.
Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations include shear walls, mar-
riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to
resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must
be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie
Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the perimeter joist or specified as a location for
vertical ties.
Page 2 California '��/2001
56 i
ma
Figure
Maximum Pier -Height (Wind Zones I U. only)
The ' Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches
under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location
in Wind Zone 11, and where the pier heights exceed 24 inches on a single section home in Wind Zone 1. Piers
must be constructed in accordance with the manufacturer's installation instructions and/or state requirements.
The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check
with the most recent regulations in your state.
56 h
Ma)
I
Unequal Pier Heights (Wind Zones I & 11 only)
6 in.
nax.
Vector Dynamics may be used on homes with unequal pier heights of 56" or less 'under one or both main rails.
The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be
used at each side of a Vector system installation in Wind Zope I and where either of the pier heights in that location
exceeds 24 inches on a single section home in Wind Zone 1. Only concrete blocks and pressure treated lumber
compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed
in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked
double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent
regulations in your state. Pag6 3 califomia`,�/2001
GENERAL INSTALLATION INSTRUCTIONS
SITE PREPARATION
It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or
flowing beneath the home. See manufacturer's home installation manual and state requirements for grading
and other site preparation.
FOOTINGS AND FROST LINES
The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose
vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See
pages 8 & 9.
FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS
Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each
(set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be
spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end
of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended
by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must
follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe
or TIDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level
ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva-
nized steel compression strut, #59043, is attached to each inside pad with a 112" X 2-1/2" grade 5 carriage bolt
and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and
the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the
vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust-
ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pa ' d size
and pier spacing must be consistent with home manufacturers' instructions and/or state requirements.
LUMBER/MOISTURE - TERMITE SHIELD
To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con-
crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL
PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC
pipe meeting ASTM D 1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber
as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281
must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter
bracket is used on top of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture
Termite Shield may be required between the lumber and ground.
ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED.
Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing- ff frame widths
are the same, the pre-cut boards will also be the same length in each Vector set-up.
STRAP TENSION
All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight-
ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined
as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight-
ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven-
tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation
system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con-
nectors with welds.
_L_
Page 4 California No 0 1
Set -Up instructions for the
Vector Dynamics Foundation System
#59007(Kit #59007 is interchangeable with Kit #590 18)
i. SET VECTOR FOUNDATION PADS Long Short
Short U -bolt U -bolt
Clear all loose vegetation from the immediate U -bolt
area where your Vector foundation pads will
rest. Press or hammer pads into the ground.
Tip: Place a 318" nut on each U -bolt to keep it
in place while you position the Vector pads.
rM-1-211111-02 2:
2. SET BLOCKS (OR PIERS) ON
VECTOR FOUNDATION PADS
Center the foundation blocks over
the Vector pads. Place the pre-cut
4x4, 2x4's (side by side), Schedule
40 PVC (w/PVC adapter plate, part
#59281) or 1 adjustable TDE steel
compression member, (part
#59043) tightly between the blocks,
with ends resting on the Vector
pads, and centered on each
U -bolt.
Own_ -
3. OUTSIDE TENSION BRACKETS
Attach an Outside Tension Bracket
to the U -bolts on the outside of the
foundation blocks and Vector pads.
Place one of the short 6"- 2x4's
between the bracket and Vector
pad. Adjust the short 2x4 so that it
pushes against the foundation
blocks, removing any space
between the piers and . center
compression section. Tighten the
3/8" bolts.
2 square foot
pad placement
or (1) 3 square
foot pad
4. INSIDE BRACKETS AND
STRAPS
Attach the Inside Tie Brackets to the
U -bolts over the pre-cut boards or
PVC. Attach a strap with hook to
each inside tie bracket. Tighten
bracket. When using looped strap and
a crimp seal, in place of the hook,
place a 3" long section of strap,
folded in half and inserted between
the strap and inside tie bracket. Place
other end of strap over the opposite I-
beam and continue down to outside
of the foundation blocks. Attach the
strap to the Outside Tension brackets
using the slotted bolt and nut
provided. Wind strap a minimum of
five times around the bolt. Continue
fightening the slotted bolt until all
slack has been removed and the
strap is fight.
5. SET ANCHORS
Refer to section home drawings for anchor installation information. Stabilizer plates are required for
diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is
tight, For single section homes in rocky soil conditions in Wind Zone I only (Soil Classifications 2 & 3
only), . use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement. 4��001
Page 5 California
Set -Up Instructions for
Vector System #59018
(Kit #59018 is interchangeable with Kit #59007)
A
45P
Long U-13
C
1. Set Vector Pads
Clear all vegetation where pads will rest. Place
a long U -bolt in pad as shown. Press or ham-
mer pad into the ground.
2. Set Block or piers on pads.
Center foundation blocks or piers on pads.
Place pre-cut center compression member
between blocks, resting on pads, centers
between U -bolts as shown.
3. Outside Tension Bracket
Attach outside tension bracket as shown to out-
side of pads.
4. Inside brackets & straps
Attach the inside tie brackets to the U -bolts over
the compression member. Attach a strap
w/hook or swivel strap w/nut/washer & bolt
(washers are required). Place other end of the
strap over opposite I-beam & down to outside
tension bracket. Cut strap 12 - 15 inches past
bracket. Attach strap & slofted bolt in bracket.
Tighten strap until tight with 4-5 wraps around
bolt. Repeat with opposite strap.
Page 5a
California N/2001
WIND ZONE I \Ocoe
k 5 . d4oes
er '�k
Vector Dynamics Systems Required t'ofl ,ste%
jbke s \jecv mv
for Double Section Homes it do ac.\()g 19, ,,,\�atkon
I - - - 013 elak SIP me
(Materials Require 'af�\oe S vo kbetor�o
SV\O\N MJJS
p3d, a0d
q
CD
44 tt MOVA
0
Maximum allowable working drag load
for the Vector System with the steel
compression strut is 3,150 pounds per
the K2 Engineering test report.
2 sq. ft. pad
NOTE: Vector Systems should be spaced as evenly as
is practicable along the length of the home. Pier
must be consistent with home mamdachwers' irtstat:1
instructions andfor state requirements.
Soil Classifications:
Soil Bearing Capacity:
Anchors Required:
2. 3, 4A, & 4B
1,000 PSF minimum
None (marriage wall anchors may be required by home manufacturer)
Home Length
Vector Systems
Required
0 to 48'
2
48' to 71'
3
72' to 89'
4
Each Vector Foundation System requires
One Vector Kit, 2 slotted bolts
2 ea. 1-1/4 in. ties, length will vary with pier height
(4725 lb. min. break),
I ea. 4 x 4 pressure treated wood
compression member
or 2 ea. 2 x 4 Pressure treated wood
compression member
or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC
pipe compression member
or I TDE adjustable steel strut
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified
as Class 4A 413, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class
5 conditions (above 50 in. lbs.), contact Tie Down Engineering.
SOIL CLASSIFICATIONS
Soil Class
Types of Soils
Blow Count (ASTM
Soil Test Probe (1)
D1586)
Torque Value (2)
1
Sound hard rock ......
NA
NA
Very dense and/or
40 -up
More than 550 in. lbs.
cemented sands, coarse
2
gravel and cobbles,
preloaded silts, clays,
and corals
Medium -dense coarse
24-39
350-549 in. lbs.
3
sands, sandy gravels, very
stiff silts and clays
4A
Loose to medium dense
14-23
275-349 in. lbs
sands, firm to stiff clays
413
and silts, alluvian fill
175-275 in. lbs
Peat, organic silts,
0-14
175 in. lbs
5
inundated silts, loose fine
and lower
sand, alluvium, loess,
varied clays, fill, fly ash.
(1) The . purpose of the soil test probe is to gage the strength of the soil below the surface
and near the anchor's helical plate. The strength of the soil is estimated in terms of its'
resistance to penetration (flow) under load by means of the torque probe and is measured in
inch lbs. The test probe has a helix on it. The overall length of the helical section is 10.75 in.;
the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft
must be of suitable length for anchor depth.
(2) A measure synonymous with moment of a force when distributed around the shaft of the test
probe.
Information about geographical areas of termite infestations which might require the optional terrnite
and moisture shield when a wood compression member is used may be obtained from the local
building official or may be found in the 1995 edition of the One and Two Family Dwelling Q_Qde-
Page 18 Califomia 8/2001
Iffbod
13
IA MOBILE SERVICE
IERRA FOUNDATION
LIC NO 470386
IRCLE DR 530-534-0599
,ROVILLE, CA 95966
US BANK
EXPLANATION AMOUNT
GROSS INC. TAX SOC. SEC. ST. TAX
17801
CHECK
90-2267/1211 3827
H16B
bck.
CHECK
AMOUNT
$ 9, -), P'-,
NIP
fix 000 1 ?IBO 111- 1: 12 11, 2 2 C3 761: 3tO 140 3 ci 2 Sii- AUTHORIZED SIGNATURE
----------------
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
C09:�Y of Document Recorded
21 -Oct -2002 2002-0055539
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (N1OBILEHOME) 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
1855 1. 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.
RICHARD B. SCROGIN
REAL PROPERTY OWNER/L.ESSOR
1122 FRENCH AVE.
MAILING ADDRESS
GRIDLEY BUTTE CA 95948
C1TY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNrr OWNER (if also property owner, write "SAM[E")
SANIE
MAILING ADDRESS
crry COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERM[rr and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVELLE, BUTTE, CA 95965
crry COUNTY STATE . ZIP
02-2650 J (530)538-7541
BUJrG�PELI&T TELEPHONE NUMBER
7)1 10-18-02
SiGNKTURE OF LOCAL AGENtVFIIAL DATE
NONE
DEALER NAM (ifnot a dealer We, write "NONE")
NONE
DEALER LICENSE NO.
FAR WEST
1973
UNKNOWN
MANUFACTURER S NAME
DATE OF NiANUFACTURE
MODEL NANEE/NUMBER
S500XKfU
65 X 24
MH88919/20
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DES ASSESSOR'S PARCEL NUMBER A.P. # 021-320-014
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY-HCD PINK -Applicant GOLDENROD -Building DepL
FOUNDATION SYSTEM,
CERTIFICATE OF OCCUP
ANCY
BUILDING PERMIT NUMBER: 02-2650
Address or location of unit: 1122 FRENCH AVE., GRIDLEY, CA. 95948
Legal Description of Real Property: A.P.# 021-320-014
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: RICHARD B. SCROGIN
Owner's address: 1122 FRENCH AVE., GRIDLEY, CA. 95948
INSIGNIA OR HUD NUMBER: ME88919/20
SERIAL NUMBER OR V.I.N.: S50OXX/TJ
MANUFACTURER'S NAME: FAR WEST YEAR: 1973
OFFICIAL APPROVING INSTALLATION(.� U-"
DATE: 10-18-02
PHONE:
H.C.D. 513C
(530) 538-7541
LEGAL DESCRIPTION
A.P. # 021-320-014
All that certain real property situate in the County of Butte, State of California, described as follows:
THE NORTHERLY 135 FEET OF THE SOUTH HALF OF LOT 38 OF GRIDLEY
COLONY NUMBER 4, ACCORDING TO TEE OFFICIAL MAP THEREOF, FILED IN
THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, FEBRUARY 5,1907, IN MAP BOOK 6, AT PAGE 8.
TOGETHER WITH A RIGHT OF WAY FOR IRRIGATION PURPOSES OVER THE
EASTERLY 10 FEET OF THE WESTERLY 30 FEET OF THE SOUTH HALF OF LOT 38,
OF GRIDLEY COLONY NUM13ER 4, ACCORDING TO THE OFFICIAL MAP THEREOF,
FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, FEBRUARY 5,1907 IN MAP BOOK 6, AT PAGE 8.
EXCEPTING THEREFROM THAT PORTION THEREOF HERETOFORE CONVEYED
TO RECLAMATION DISTRICT NO. 2056� BY DEED DATED FEBRUARY 9,1923 AND
RECORDED JULY 25,1923 IN BOOK 190 OF DEEDS, AT PAGE 403, RECORDS OF
BUTTE COUNTY, CALIFORNIA.
7.
Buttvic
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g9me -t
'1655.
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.P tax i V 3
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5IEMA
il)LEY 530677b;=' --
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1-10- 231 901
LLE.
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bir's . on St..
71-26A. Sk . YwdY
56.0 Kentucky
PIO Box. 4'90'
po Box 949
,CA:95965
Paradise, CA 9.5967 -
Gridley, CA -95948
1-24,14
(5,36).,97.7-6262. .-
(530) 846-4QO5
0) 553-1589
TAX (.530) 8 7 2.5129
F.AX (530) S46-0584
le�
-formerly BFinl� pf America thm flwabove referenced
I'noli 9
OBOA:949
(i-4('I()S PaX.: �.510 * ItI46-0584:
1"Ih'M ("0. 117117NO'..
STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY
GRAY DAVIS, Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
a )SING
Division of Codes apd Standards
0
0 Z
�,88 - I �Im
r1i oil W
Title Search
0
DEVV
Date Printed: 09/19/2002
Decal #: AAH1279
Use Code:
SFD
Manufacturer: FAR WEST
Original Price Code:
ACZ
Tradename: FAR WEST
Rating Year:
1973
Model:
Tax Type: -
ILT
Manufactured Date: 00/00/1973
Last ILT Amount:
$12.00
Registration Exp: 05/31/2003
Date ILT Fee Paid:
04/26/2002
First Sold On: 02/20/1973
ILT Exemption:
NONE
Serial Number
HUD Label Insignia Length Width
S50OXX
MH88919 65'
121
S50OXXU
MH88920 65'
12'
Record Conditions:
Registered Owner:
PPF Exempt
Unclaimed Item Held in File
RICHARD B SCROGIN
PO BOX 61
LIVE OAK, CA 95953
Last Title Date: 07/03/1999
Last Reg Card: 04/30/2002
Sale/Transfer Info: Price $750.00 Transferred on 02/20/1996
Situs Address:
1122 FRENCH AVE
GRIDLEY, CA 95948
Situs County: BLJTTE
Legal Owner:
BANK OF AMERICA
10 174 OLD GROVE RD
SAN DIEGO, CA 92131
Lien Perfected On: 09/10/1998 08:53:27
Inactive Decal/DMV:
DMV JM4585, DMV JM4586
I *** END OF TITLE SEARCH
01 6-06 174
SCHEEum ( -
The land referred to herein is described an
All that Certain real Pooperty situc,�(2 (it I't"I j
California, described as follows: of.
The Norther]y 135 feet Of the South half "t Lit I" ot Grill,, ylu"y
Number 4. according to the official M,, thereni, rij,a in thn uEfice f
the Recorder of the County of sutt, StdVO of (41itorvla, "obruary 5,
1907, in Map Book 6, at paqe 0.
TOGETHER WITH a right of way tar Uriquion Im1pono, ,,, rhu Easterly jo
feet of the Westerly 3o Ret of the South half of Lot 38, of Gridley
Colony Number 4, according to the official Map Lhorpof, filed in the
Office of the Recorder of the County of Butte,
February 5, 1907 in Map Back 6, UL page 8. Statc ot California,
EXCEPTING THEREFROM that POULon thereof horeLature convoynd to
Reclamation District- No. 2056, by Deed dated Febr"ary 9, 1923 and
rocardod July 25, 1923 '" POck J90 of Deedn, U Pagc 403, recarda of
Butte County, Californba.
AP No, 021-320-01e,
C) F W CA; M EN I
Ih,.' following rcal pwptcrly in the TIN F-W.01MORATFD Comy (if nil t h,
Siate of C::Ii fornia:
HERT-70 AND MAPIP A TIART IIF.RFOF
F(.T,rij;ivv C) I (it!(,
;tiWN Of t-*.�Ie'�-;:7--�.-.
I)"' 101V IIW. tile ttll(!L V!;i VIM]. a Not iiry I'tthi it- lit ;mtl (til. j�ljtl �:.l ;,I(.
-ca
Al
Iolo-ji In io!: (or pivcd It) tile I)II lite 171:11i"' Of Salkf&'Itll�'
il�l(IVIt�',:)tt;t)t.111�-I,v.)..t)!If!;)wl-,,.),�Cli�,l11---(!;)i!4!le,;Iit":ic:lilv.(Iltlolcwi(i�i"
ll.. -h IrMiry CXLCII1v(I the S:IIIIT" i;'l
I:iat 11 ' N,
ih.-- jxlf�olli!') (11' 111-, cillitl vIllm lit-liall, (it' !11('
.."W") �wft:(! CN." It!!:i.: lite
!rtlld
.7
V7.q,�,1777
LAEAWAGINER11-1.
COMM. G 107205
COMW OF BUTTE (i
ly G
CPIDOW, CA 9T).40
!'IEGGRDING 1111 -GUESTED BY
;-C?06.1 74
W E
13. 00
I DOC
'Z-2. 80
Roco rd ed C c-- s h
G 1 0
Recordiz; I
-N 9E-:COql)C'D MA!L TO County of I
B u i. L I-, I
Richard Scrogim Candace J. Grubbs I
1122 FYonch .1,vorluc- Recorder
Gridley, CA. 95948 20 -Feb -SIC, I PUDL
MA 2
SPACE ABOVE THIS LINE FOR RFCORDER'S USE
APII 021-320-014 Grant Deed
THIS FORM FURNISHED BY BMWELI. TITLE & ESCROW COMPANY
'I'lic tipitlersignet! L.,r;intor(.-;) dlecl.nre(s):
47�').80
computed on fLill valite cf property Corveytd. or
COWTIMed oil full value of liens and encumbrinces remaining at time ofsale.
.1d Unincorporated aren: 'and
FOR A VALUABLE CONS H DFRATION, I-I-ceil. of which is here�y icknovilcd 17 71 N?' f,'
ged. 4 ' MET-ONA2 '
'MTI�RTFF)0&
MF Ti)M.At10VT('II F.9TA1111TITMM) MARCH
24, 19()q
S
G',A1q'IS) to P.-Irlin-Tzi) R. �ff%M MAN
Ih,.' following rcal pwptcrly in the TIN F-W.01MORATFD Comy (if nil t h,
Siate of C::Ii fornia:
HERT-70 AND MAPIP A TIART IIF.RFOF
F(.T,rij;ivv C) I (it!(,
;tiWN Of t-*.�Ie'�-;:7--�.-.
I)"' 101V IIW. tile ttll(!L V!;i VIM]. a Not iiry I'tthi it- lit ;mtl (til. j�ljtl �:.l ;,I(.
-ca
Al
Iolo-ji In io!: (or pivcd It) tile I)II lite 171:11i"' Of Salkf&'Itll�'
il�l(IVIt�',:)tt;t)t.111�-I,v.)..t)!If!;)wl-,,.),�Cli�,l11---(!;)i!4!le,;Iit":ic:lilv.(Iltlolcwi(i�i"
ll.. -h IrMiry CXLCII1v(I the S:IIIIT" i;'l
I:iat 11 ' N,
ih.-- jxlf�olli!') (11' 111-, cillitl vIllm lit-liall, (it' !11('
.."W") �wft:(! CN." It!!:i.: lite
!rtlld
.7
V7.q,�,1777
LAEAWAGINER11-1.
COMM. G 107205
COMW OF BUTTE (i
ly G
CPIDOW, CA 9T).40