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022-203-003
A.P. 22-203-3 �®��w'� Jr M. Nelson STs Has s L aPP. , i mi. ea' , _ RR at ' irri ditch; B /NELSON, C.J,Permit 1835-7til, for MH) Q I 1962B ✓i *VON� �.�if/76 2 2- -3 -------_-- �1519P ]?ermit #6743=76P (repla'c\ natural gas) existing site) t s/s Hast'ngs Ave. 3/4 mi. west of 99E Bi Anwar x.Prt� 22-203=3 ! , gbs Nina Owen_ � M.�� s-'. Je' r " `----1.95 Hastings Ave�,�$ggs Permit #2579-8'l'P E(�dl. ELEC. . GAS I �,.SS PORT STRUCTURE REQ CGPACTION TIBC REQ. . r 22-20 -3 - 022-203-003 03AGO99 155 Hastings, Bipps Q d ROMO, RAYMUNDO /C �!1d�, /��6 183 HASTINGS, BIGGS Permit#572-88P(replace g s ine)MH `AG. BLDG (48'X 27748X54'. 022-203-003 04:2600 y .ROMA, RAYMUNDO .155 HASTINGS AVL, BIGGS Cont: JERRY'S MHS MHI-EX SITE . t r 1 I. A.P. 22-203-3 �®��w'� Jr M. Nelson STs Has s L aPP. , i mi. ea' , _ RR at ' irri ditch; B /NELSON, C.J,Permit 1835-7til, for MH) Q I 1962B ✓i *VON� �.�if/76 2 2- -3 -------_-- �1519P ]?ermit #6743=76P (repla'c\ natural gas) existing site) t s/s Hast'ngs Ave. 3/4 mi. west of 99E Bi Anwar x.Prt� 22-203=3 ! , gbs Nina Owen_ � M.�� s-'. Je' r " `----1.95 Hastings Ave�,�$ggs Permit #2579-8'l'P E(�dl. ELEC. . GAS I �,.SS PORT STRUCTURE REQ CGPACTION TIBC REQ. . r 22-20 -3 - 022-203-003 03AGO99 155 Hastings, Bipps Q d ROMO, RAYMUNDO /C �!1d�, /��6 183 HASTINGS, BIGGS Permit#572-88P(replace g s ine)MH `AG. BLDG (48'X 27748X54'. 022-203-003 04:2600 y .ROMA, RAYMUNDO .155 HASTINGS AVL, BIGGS Cont: JERRY'S MHS MHI-EX SITE . t r 1 a COMPUTATION ' /97,2/\ 77��� Date Area Unit Cost % I R. C, W1 fUnit R. C. N. t fC�o s �t 00 d DESCRIPTION OF BUILDINGSRoof Exterior a Interior Detail Second Story or Loft Year Est T01.Floor Built L ife YrsFoun d. Wall -5 Cover COMPUTATION ' /97,2/\ 77��� Date Area Unit Cost % I R. C, W1 fUnit R. C. N. t fC�o s �t 00 d Appraiser- Dote Bldg. Area Un;t ep 19 Un t Cost 43 19 Cost 19 R. C. N. Cost --- er r2 Tntal All nm^'"^ ' 7*1 Matthew Robert McKisson, Architect 1490 Highway 99, Suite B, Gridley, CA 95948 TEL 530-846-6376 FAX 530-846-6358 FAX TRANSMITTAL COVER SHEET TO: COMPANY: FAX NUMBER: FROM: MACIj' DATE: IrA-4Z a�- TIME: # OF PAGES (including cover sheet) &12 FOR COMMENTS: :Vn ttzigp _ Y If you have any problems receiving this fax transmittal, please call 530-846-6376. '.7 School -District A.P. Nuinber,,. Property Owner Property Location/Address BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. Jurisdiction: city County A Subdivision (State) (Zip Code) Lot No. Residential Development CD by payment of $ .............. Sq. Footage —Zz;, , No of Living Mobile Home Addition/ *Supplemental to (Group R) Unid Installation Conversion Permit # ........................................................................ *(No foundation Inspection) ! ....................... . ... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/industrial Q Q 4 Sq. Footage Building Department Representative (Incl Ing Exterior Roofed Areas) 0% Date District Identification, No. 0 School District certifies that (Applicant) NP (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. CD by payment of $ square feet. representing School District Paid by Check # Remarks: nn4- JAB 2926 HFULL MITIGATION Date Mode-: You may protest the Imposition of the fees Identified above by submitting a written protest to the District. In compliance with Govrmrnsnt Code Section 66020(a), within 90 days from the date fen are 0M. Failure to submit a timely written protest wIII'prohIbIt you from challenging the Imposition of the fees In any cowl action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the appilleable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQAh I oft project may be subject to additional school fen to fully milloste. Its Impact on the school distrieft schools. White (applicant), Yellow (building department), Pink (school district) feeform.)ds (10/03)dm!'n" BUTTE COUNTY DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CERTIFICATION OF EXISTING SQUARE FOOTAGE School District ( AP # Dam - a o3 003 Owner's Name YY1 Property Location/Address Square Footage Demo permit issued (Date issued ❑ Verified by Building Department Records ❑ Verified by Assessor Department Records Building Department Representative Residential. — Commercial Mobile home replaced Date v,• AMk 11mvp silvercre-st,,..Disc '. 4. FN�NoN <-"g overt': 5443R ENt sR • UTILITY- ?TZ_9 ,qo Do[ Aactx flFDROO42- 7 K' BATH . . . . . . KITCHEN wh IxARF DINING ----------- H -0 -3, --H LIVING ROOM MASTER BEDROOM Q*-O-vI V-2' EMIL' . ��;�`e� Nea�th \ Silvercrest Disgovery.5443R O\Na 3 bedrooms, 2 baths J 23--4" X 44'-011 Approx. ON SQ. IT. am dimensions are approximate and subject to change. 3/10/03 —k o Department of. -Public, Works ° C o u n -t y o f B u t t e J. Michael Crump; Director LAND DEVELOPMENT DIVISION p Storm Water Management Program 7 County Center Drive L5 Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: // ` o ✓ r [ /i �"^ Project Location and/or Parcel Number: / .5 ✓t -S v e-- o� 3 0 0� By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other I i • sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 \ . BUTTE -.. ��� COUNT` ` •COUNTY N . - �J Received o�UTTFo �BUTTE COUNTY SEP 15 2004 s p g 2004 0 0 0 0 DEVELOPMENT o- � _�� '. o AGRICULTURAL BUFFER NOTi-rTXT ON AND/OR G9�cUL71,Qs - y oc==°'''- yo UNUSUAL CIRCUMSTANCES REQUEST DUNt Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required.site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601' Name: oo - 61)4eZ OC O M Z:> ` Phone: Mailing Address: % �� �y3 �� -5 1 E-mail address Assessor's Parcel Number: _ %% Reason you believe you qualify for the unusual circumstances exception. t� 2 v1 wr�eor Authorized Agent's signature - Date -UNUSUAL CIRCUMSTANCES DEFINITION: ' An'exceptional'or extraordinary condition where the,existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for,the standard condition of a 300-f6ot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plari-Submittal handout for specific requirements ......................................:..............:....................................................... Internal Dept. Contact Info: «-�-- ❑ Env. Health ' ❑ Planning .. Building ❑ Other Contact Person: Phone: I .............:...................................................................................:.................. ..... .... ............. .. .. For Agricultural commissioner office use only: (to be completed after submittal) 4 DISCRETIONARY PERMITS (Planning) ' MINISTERIAL PERMITS Buildin - ❑ Exception Recommended Exception Granted with the Q Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: &st--e Agricultural Department Signature: a. -a Date: 0 C t� YMC 7/1/03 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICA TION "PLEASE PRINT CLEARLY" APPLICANT NAME CONTRACTOR Name ce_ Address 4-7a Zip City A-0 Statelb Zip Phone Fax E-mail 9 61 lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning S� Flood Zone Cross Street SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: i PERMIT NO. BIN # LOCATION AP# �12 o3 - ©D3 Property Address 4��XP-- City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS 11 K TORMSWILDING FORMS1BldgApplSubRgmts.doc Page 1 of 2 Descriptio or Scope of Work: Sq. Footage ❑ Structure Built %Mthout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount Bldg SRA Receipt #: Sheriff SMIP Other ther Total REV 7-27-04 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING _ OWNER PHONE NO. 9 G . S� OWNER'S ADD SS C, � / b / 1-d.'14"' LOCATION OF BUILDING �.v✓� �. 2.5 21ove, USE OF BUILDING SIZE OF STRUCTURE )CA7RTSQ. X = FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING . R F VERING ir FLOOR TY E ESTIMATED S CTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: t; i �- C �✓ nom— z0 2 0 FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located'a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date ��vv Permit Fee - $60.00 Receipt No. �;�;((U(/ Abo� Signature of Owner- 42/ _ The above descnb AG Building is exempj from a building permit. Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant D I P71L P.D ROOF ISSUE Date �� w COUNTY OF BUTTE - DEPAR _. OF PUBLIC WORKS f 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 — -� �- APPLICATION AND PERMIT PERMIT NO. y / ASSESSOR PARCEL ER 2 22 J 20N� BUILDING PERMIT HOgrr Ls7 SQ. FT. OCC. BUILDING VALUATION DVyN�R:S�AILI�J Gni V%1555 PND �RiD�Y CONTRACTOR'S N AM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LE DER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A71 -67/j(� S 14VEI - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 3/47 s Water piping 101.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets .00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[��Other SPECIFY Building sewer COQ Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition Remodel Utilities Installation❑ Other ❑ Describe work: Permit Fee $ 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 5.00 67,00 Main Service EA. ADD'L 100 AMP 2.50 , 5D NEW CONST. DWELLING OCCUP.5i OR ADDNS. ACC. BLOGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penaltyperjury of p f y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification (� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS NON.RESID NEWCONSTR SINGLE OUTLET CIR,6� Ex. Occup OUTLETS OR FIXTURES e , OT IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 16� 00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. '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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 agai st said Pounty in consequenc of the granting of this permit. ® X���A Date Signature of Applicant — Owner ❑ 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 $ TOTAL PERMIT FEE $ 8 s� OCCuP. GROUP I TYPE OF CONST. I IPAYILII ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date S O es Receipt No. o WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT This set of plans and speci$icatinns MUST .be kept on the job at all tirics rmd it is unlawful to make any changes or alfF:r +I^ns on same without written permission from the Department of Public Works, of Butte. NOTE:—All Materials & Workmanshin Shall Be ir, Accordai nce, with .Recognized Goad P, .+ices and of a quality p rescribed "for the Sne:ified use in the ...r' q Uniform Building, Plumbing & Machanical Codes and ..z, a he National Electrical Code. �. Utility connections shall be witlnin . uIF obilehome, either directly beh nd or within the rear ' half of the r adside (left) of the F mobilehom . T permit will be 'FeM required for the insfalla�fion of the mobilehorn, H 150 4 ye 1r A setback o fro property lines and a setback �5 �,g" of 50ft. from the road BUTTE COUNTY centerline shall be clear of t ��;� BUILDING DEPARTMEN? structures or equipment except P P R O V E �Z for a 2 ft. eave overhang. r U ns MUST ona s9ecilcotlo 10,WjUj to Ibis set 01 0c,"S I ,-,,S rand it is be un Without . b cit ci� Me W% the10 or olj,�ercjtDeOs On so t of PubUc kept On hCsnqcs tlae gorimen Moke Ony c - . n from ermissio written P "Ounty 01 Butte.' Works, e onsvip e OTV .1 ?TCI sec;v, e ' s g, e 00 0}he INA ?,er-, for tAol o`uc\vjk ov\re ,`esr-"'-1 b'%nC3 pcoo �?WO GoAe- Ok \3 form e -be w, M nv Utility connections shall k\-%eNa}io--4,ft— -th either _of emobilehome, directly behind or within the rear half of thefroadside (left) of the mobilehorr e. ureCX OT O\ij e soe ,p, peTM1. oi i\Ae A setback of5 fit: from - roperty line 7 s and a setback 2S p of 50ft. from the road = BUTTE COUNTY centerline shall be clear of structures or equipment except BUILDING DEPARTMENT 4t. ov��rhann, APPPnVFD This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or olfarwtions on some without written permission from the Department of Public Works, County of Butte. l NOTE.—All Materials -& Work mrnshi ppm' ,-I! Be nd Accordance with RArnoni'ed Gold —of a duality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and t the National Electrical Code. .660 60r /N A setback of 5 ft. from the property lines and a setback . of 50ft. from the ,road < centerline.shall be clear of structures or equipment exCOPt ;—. a ) ft. eave overhang. Peo poste .��hPP- r 501 lahk I OvioSilvercrest Discovery: 5443R' F. C_ BEDROOMV r'-) -5'4 Y. BATH 1 HALL M N 9 -d ■8'-7' fMlll'1 _,LIVING ROOM W-o"o 1'-2' Silvercrest Discovery 5443R 3 bedrooms, 2 baths 23-21" X 441-0" Approx. 1026 SQ. Fr. All room dimensions are approximate and subject to change. 3/10/03 t1USC1 �- O�I ■ro-ri acrAl Im MASTER BEDROOM 0*4_0 1.-2• e 1.- Owner's Name: 2. Assessor's Parcel Number: 3. Installer's Name: Jerry f,(aj,%son, 4. Is the site currently under permit? Yes[ .�-,rNo[ ] Permit No. 5. Is the site -an- existing site? Yes[✓] No[ ] (If yes, f imish two plot plans). `V/ 6. What is the,electrical rating of the mobilehome? aAmperes. 7. What is the mobilehome site circuit breaker rating? i Amperes. 8. What is,the electrical rating of the mobilehome site? a. O (� Amperes. 9. Is the main service remote from the mobilehome site? Yes[, ] No[ V/fIf it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i. e. well, garage etc.)? Yes [/I No ] If yes, please identify the load and size: a) The mobile home site: Load- We,# Amperes - b) The main servicer Load- Amperes - 11. Type of gas service at mobilehome site: Natural[4] Propane[ ] None[ ] 12. Size of ` gas pipe at the mobilehome . site from the meter or tank: inches. �O 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? f • " " B.T.U. * *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). 4 Fro May 1995 8.5 Mobilehome Manufacturer: �/�J•�✓�%fin Manufacture Year: a4� If other than single wide, furnish Setup Model Number: S y y3 Width:AAJ_(ft.) Length:-Y(ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure trqAted or foundation grade[ 4 Other: SUPPORTS: Concrete block[/1 Other: Provide Tie Down Specifications for all Mobileh'omes: Pier Footings Sizes and Location SINGLE WIDE MIILTI-WIDE Line 1 Line 1 Line 2 Line 2 ...................................................................... r •. Main Beams ............................................................................................... ine 2 Line 2 Line 1 Line 3. Line 2 ................................................................................................ Main Beams ............................................................................... Line 2 Line 1 b .................................................ine S Tag or Triple ine 4 rine 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: I C` From ends -maximum] ` Line 2"Piers: All Size minimum: ] x [ -361. Spacing maximum: 0 ` From ends -maximum] 1Zq ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 hoof Loads: Size minimum: Location (from front): May 1995 Line 1 Openings Size minimum: (L2.] x 130 ]. Each side of openings with width over: I C 0` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` 8.4 E.D ARLy/A MtF, WATER MILT �\ �`.• ,� . ^ 17'- 4" L_g'_1• i1 r ""THEW WKJSSON �own� amn C-19423 ; T_20'-8" „A" UNIT ' s(P. S 00 1_l , 70 13,100 L�nLrr�rx 5800 " `---,--------------------r------------ o "B" B UNIT I- l NOTES: 1. THIS PRINT IS TO BE USED FOR LOCATION OF MATING UNE PIER BLOCKING AND UTILITIES AND IS SUBJECT TO CHANGE. 2. SEE THE REDMAN INSTALLATION MANUAL FOR SITE AND SET-UP REOUIREMENTS. 3. BASEMENT MUST BE DESIGNED BY A REGISTERED ENGINEER. I —1 FRANE RAIL LOCATIONS ammumS WAY VARY HAIIP10 SILVERTON - 118 SHT t ® 16' O.L FLOOR JSTS PIER/DROP LOCATIONS OF 30 ROOF HEAT DUCT CROSSOVER PIER BLOCKING SMAL NUUMR. DRAWN ft. AG DATE 3/10/03 DISCOVERY R:E. REV scaE NTS 5443¢ R . E—Z TIE DOWN _SYSTEM DESIGN LDADS; *WIND LOAD--- 15 PSF I. THIS TIE DOWN SYSTEM IS DESIGNED •10 DE CONSTRUCTED ON A FAIRLY LEVEL. SITE WITH NO EXISTING SOIL PROEILEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL HEARING CAPACITY OF 1000 PSF. 2. .CHASSIS .BEAM SUPPORTS SHALL 8E LOCATED AND SIZED FOR THE LOADS AS 5110WN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, ' MANUFACTURED ROME SHALL BE READJUSTED WHEN OS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MDBILE HOME UNIT. 4. THIS PLAN IS INTENDED TO BE USED FOR MAHUFACTUP,ED HOMES UP TO (3) SECTIONS IN WIDTH. CONTACT TH7 DESIGN ENGINEER _ FOR. DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL STEEL -FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPEC I FICATQNS. ELECTRODES -370 PLATED -ASTM A36. BOLTS=ASTM A307. G. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING. LOADS: T HEIGHT ' HORIZONTAL ' V RT CAL UPLIFT ='°°• 1 B'• 2010 (Ib) 6000 (Ib) 21" " 1325 '891 Ib '' �lb� Q11jQ�E$SiQnr jib) 6000 (lb) 25" 1510 Ib 6000 (Ib) 801 664 .11b) OF HOME rn 28" 1419 Ib 6000 Z5" FTT 629 rlb) •• 36" B67 Ib 6000 �Ib) lb) 385 ;lb) �r `: , 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PRO- Til/ �� COATED. 4 _ 4 4 4— �h 8. ' WHERE STAND 1S PLACED ONA CONCRETE SLAB, LSE 1 / 2' CONCRET �•9r �'I I�`,L EXPAWON ANCHORS TO SECURE THE STEEL FRAX , 0 THE SLAB Lv� THE PLASTIC BASE PADS ARE NOT REQUIRED.'= A 8 70' 4 --- 6 9. AIT:1CI[AIEN.T METHODS FOR —C" & "J" BEAMS SHOWN ON SRT. j2. 10. THE LONG DIRECTION OF THE E—Z TIE PAD (37') MUST' Bl. INSTAI.LFD PERPENDICULAR TO THE CHASSIS BEAM. ABESCO-GUS GUARD COtv>pAA 1 ' � •,w. B51 FLORIN - PERKINS ROAD �^ •;� %. ('RAMFNrn rA eco -1 SINGLE WIDE COACHES DOUOEE./MULT:IILE COACHES E= 2' MIN. / 8' MA). E- Z' MIN- / 11' MAX. VARIES 10'-70' EVENLY SPACED OCIWCEN ___i i /RIDGE REAM SUPPORT AS REOUIRED 0Y MANUT'ACTUHER l7 (TYPICAL) U L1 • p0 11D • [7 / E -Z TIE SUPPORT PAD - (T _, YPICAL) n n - CHASSIS BEAM SUPPORT PIERS SIZE AN) SPAC NG AS REQUIRED BY TfF NONE MANUFACTURE -R. LENGTH NUM_D_ER OF E -Z TIES_ OF HOME I b" FIT 21 " HT Z5" FTT 28'• H T 36" HT 50 — 4 _ 4 4 4— — 6 -- 60' 4 4 4 6 A 8 70' 4 --- 6 -- — 6 6 10 AP?ROVED r. SUBJECT TO EOFRECT .4.5 NOTED Y` Approval does nit authorize or aprro•;q any omission or deriatioa from requirements of zrpFcable regulations. St�;e lams and �P State 01a!;1nIni3 Departmen ousing a0 Ccrnmur,6- Develcpment SI COPI S TD STANDARDS Dal:, .vQr.Jlu-1 / SI'.1 NC (�1� �, Z c This Plan Approval Expires ° `7Z D 7 3p e1 THIS TIE OO WN gYSTEM M[rT3 THE RE6111-REMENTS OF, SECTION 1336.3 SUBSECTION (o). WAYNE T. POLVADO, PE -LISTING NO. 99001 SIIEET -u n m 9 2"u2"c3/16" STL. ANGLE I/Y DIA. HOLE (8) PLACES i — 5,f8" CAD PLATEO BOLT, NUT & WASHEi COUNTER BORED FLUSH NITI4 BOTTOM (8) REQUIRED 1/4" STAND DASE --¢--- j IC.SD ADESCO ADS PAD 1503 _�--- _ ---%% 18.75 C 3/4" DIA. x 18" LG.- l z - - ') (4) RF.OUIRF.D L_._ CHASSIS FRAAIC 1/4" GRIPPER PLATE - -. (2) P.EOUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT Willi NUTS .(4) R=OUIRED - .. .STEEL FRAME TOP VIEW I 1/2"x (4) P.000IRLp 312" T.S. (43 P(C3 36" MAX \ TO BOTTOM — -- -__-- OF PAD SIDE VIEW 01 1/2" SCN 40 P1FE RISER WITH - 01/2' ADJUSTER HOLES AND 3/8" THICK TOP PLATE a 02' SC14 40 FIPE STAND WITH TWO 01/2" ADJUSTER HOLES Q � o ABESCO ABS PAD 8503 STEEL FRAME - 01/2'x 3" C.R. LOCK PIN WITH 01/8' BRIDGE PIN rr 1 I'. �---- 1 0.00 t� 09/16 HOLE (TTP) STAN— D BASE TOP VIEW 1/4"3111-1/4" TEK STS (2) REQUIRED 1/4' GRIPPER - BASE 1/2' A307 BOLT (4) REQUIRED 5851 FLORIN -PERKINS ROAD SACRAMENTO, CA 95823 ' PH: (800) 382-8831 FAX: 016) 383-52.07 C=BEAM ATTACHMENT .H --C- FRAME' :RIPPER ATE IN14EL-- 1 COACH "J" FPAME `r I/4"3111 -I/4" TCK STS ' (4) REOUIREO 1/2" A307 BOLT (2; REQUIRED -.1/4- GRIPPER ,,.{ EASE 112- A307 BOLT (.) IIEOUIRED .)--BEAM ATTACHMENT E -Z TIE. DOWN_ -SYSTEM WAYNE T. POLVADO, PE—LISTING NO. 99c.01 C SHEET 2 ,oT 3 toAp r i m m N INSTALLATION INSTRUCTIONS Z -Z TIE DOWN SYSTEM I: PIERS MUST B.= PLACED ON BEAM %VITIIIII '24" OF AN OUTR!GCER OR CROSS MEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACEWHERE TIE PAD WILL SET. DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW TII_ CHASSIS DEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM FF -E STUD- BOLTS IN THE PAD ANC PLAC= THE PIER. THE HOLES IN TI -0E MASE PLA WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHLIiS AND TIGIiTEN DOWN. � T� -....�-BEAM .......- - - - 5. REMOVE THE TWO (2) CRIPP=R PLATES 011 THE TOP OF THE PIER. START THE PEIGHT ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT PINS. PIERS CAN THEN TELESCOPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE 15 AS CLOSE TO THE BOT10M POSSIBL PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER PIN. OF THE CHASS,S REAM AS 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHASSIS 7. PLACE THE GRIPPER ?LATES OVER THE FLANGE OF THE BEAM'AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTS. BEAM. C-BEA�AJ,ID J-BEAIAS 8. HEAD OF PIERS REQUIRES . THAT TWO (2) TEK SCREWS BE PLACED THRU THE SIDE OF THE BEAM IN ADRTION TO ONE GRIPPER P 9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THRU GUIDES INTO 50'L UNTIL STOPS ARE FLUSH WITH THE GUIDE_ LATE ALTERNATIVE: (2) #12 S.M.S. OR VVELD ;2) #12 S.M.S. s ANGLE IRON - ih A 11/1 'M 3/15 NOTE: USE STIFFNER IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEH S'PIFFENER DETAII. ABESCO-GUS GUARD CoA9Pa�r 'fl51 FLORIN - FEIkMS ROAD SACRAMENTO, CA 95823 - PH: (800) 382-8831 WAYNE T. P-Ol_VADO. PE-1-ISTING NO. 99001 FAX: (916) 383-5201 SHEET 3'0/ 3 i r r c c c �S J OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Walter & Nina Owen ADDRESS: 410 Randolph CITY & STATE: Gridley, CA 95948 IMPORTANT: March 1, 1988 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Building application taken due to clerical error. Bldg Permit ADDln. #572-88P Receipt #08797, dated 2/25/88, A.P. #22-203-3). Total plumbing permit fees paid -------------- $25.00 Refund due ----------------------------------------------- TOTAL $25.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this Z ............................ day of \•F.K.t4�.�i/. 19 .at 1:.G'.iikY..Y(�c�1......., JCe1iL ..`••%•H•s/Z.Kl/...'. :4.............................'" — Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de— livered and that there is a Budget Appropriation O or Specific Board Approval a (Check one) for e s m 88 Dated this..................7th .................. day of ... March.......................... 19......, et ...Oroville ........................... .Cell[. ........ ................................;. partment Head or Authorized De n Dept. Exp. Code........4 z ................ Code ........21O5.00 ................... PAYABLE FROM .........COR...... ...Permits.......................................... FUND "1\1 DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P9RMIT NO/ A5 3,R P R EL �� Zo":"GPt BUILDING PERMIT ow E 1 ma we--ki PHON% - SO. FT. OCC. BUILDING VAL ATION OVIN MAI LIN DDRE r - C CO RAC OR•5 NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDE 'S MAILING ADDRESS Permit Fee $ ARCH TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $$ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA P Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome2f Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S 0.00 ea TYPE OF WORK New ❑ Addition ❑ Rem%del E]Ut%' ' ies ❑ nstallation ❑ Other g Describe work: Ei1�! n, r, c9ets I nfa + /V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID 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 ���77yIIFIXED 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 OCCUP.a\/z2sgft NEW CONST. DWELLING OR ADONS. ACC. BLDGS. I NEW CONSTR.MULTI-OUTLET 2.50 ea, .BRA C CIRC S POWER APPARATUS e (SINGLE OUTLET CIR. / z oesoe Ex. OCCUp OUTLETS OR FIXTURES SALO 30 APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIIng Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 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 agai st said. County in conseq of the granting of this permit. c��-�_, X Date _<.{ Signature of Applicant — Owner❑ 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 $ occu P. CONST.TTP! SCHOOL FLOOD PARCEL PD ND 39UE This permit is hereby issued under sions of the Butte Count Code and/or work Indic bOv@ for which D ECT PUB BY PERM T EXPIRES Date the applicable provi- resolutions to do fees have been paid. V, ORKS Date Receipt No. WHIT!-D.P.W.. YELLOW-A9e L3e011, PINx-IN9Pl CTa R, GOLDENROD -APPLICANT 1 Z COUNTY OF BUTTE -,Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916 -538 -7541 - OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has-been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) r 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors.License No. 5. I.will provide some of the work but I have contracted (hired) the following persons,to provide the work indicated: Name Address Phone Type of Work Signed: _ Property.Owner Social Securit Date NOTE: This Owner -Builder Verification is sent to you as required by.Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to,our office before we'are per- mitted to issue the permit. I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. AS SS R PAR EL UM _ r -- ZONING , BUILDING PERMIT w E "MA Y_ / (')6Oeji PHONE SO. FT. OCC. BUILDING VALUATION O NMAILIN DDRES 2c v -RdY, CO RAC OR'S NAME W vie r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON T'RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 I Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME IPA P Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[g Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S JG O.00ea /0,1)0 TYPE OF WORK New ❑ Addition ❑ Re el ' Ut ies ❑ InstallationEl Other X Describe work: — — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENS W I declare under pen erlUry (Chef ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6I\ +h¢sgft OR ADDNS. ACC. BLDGS. / NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH IRC ITS POWER APPARATUS S) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES eAL0330 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA,7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. gI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 agai st said County in conseq of the granting of this permit. ��� ,t V , r N— Xr Date j_�x' [� o Signature of Applicant - Owner [I 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. cows' -pr I l scllooL Pu)oo PARtCL PO 110 59UE This permit is hereby issued under sions of the Butte Count Code and/or sions work indicated above for which 7 D AECT,O f~+ PUBLiC �� ByDtate PFglU T FXPPaFC ni-ta the applicable provi- resolutions to do fees have been paid. ORKS "/`� -/ - I -T . `C V Receipt No. / r _ �P ERMIT NO. P E M :MH UTIL. 1 PERMIT NO. d PERMIT EXPIRES OWNER James M. Nelson a CONTR. -22X O oy�aer ( -22-203-3 LOCATION A.P.. ) s/s,Hastings Ave. app. 2 mi, east of -RR at irrigation ditch, Biggs Temp. Power Pole i Called,PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB / (� FINALED [LL (Date) A / r �V (Signature) a Footings COUNTY, OF BUTTE — DEPARTMENT bF PUBLIC WORKS BUILDING INSPECTION RECORD - Temp Gas BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Form Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Conformance of ex. Gas Piping & Tes Footings structure Temp Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Servic Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE S� REMARKS OR CORRECTIONS � g 0 ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR If3 �_�7 County Center Drive — Orgville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dates~ Signature of Permitee 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. DIRECTOR OF,RUBLIC WORKS By — Date B ding permit expires Date...............6. `.°.. ' BUILDING Owner m�SAA m E37c's- P SQ. FT. OCC. BUILDING VALUATION Mailing Address �e S �le ho��o/ Fireplace ,E�cre�62 _ 0. Yklae� Total Valuation Mailing ddress_R kW ✓� f� Permit Fee Plan Checking Fee&/or Penalty ephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 if 60 .I,5 141�15-7/Al6J �C.� % � � Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 �f %�/y • Each gas water heater or vent 1.50 A. P. No. �`Z •- 'Z�'-- r 3 /4 —Z Zoni g pla' Gas piping system 1 - 5 outlets 1.50E Each additional outlet .30 F r Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Im roveme s P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parc Approval Plans pprovol Permit Fee $ $ Q NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3.60 Main service incl. 1 meter 3.0-0 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 21) _bai� io Q. Receps., switches & fix outlets 2 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. lisp. 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 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 California. 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 $� 7 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dates~ Signature of Permitee 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. DIRECTOR OF,RUBLIC WORKS By — Date B ding permit expires Date...............6. `.°.. ' S a a . dwfCory oh see try; V. 4 ect. Of the siQre rt7 btry r be � Of ;/e h ed, "YJi O :t he'0/) ee , Septic SYst i. .94itte COLO ents my, yealth be as ®ept• . Per try fide ethaek > 6 c6/7t, pr opertb y ShO f X `� rll�e the and S� �t frim rood".. f fir. t �i r cf r I t - .SA .. __ _... .. .r.=_ .s ___._ .'... .-i. _ '. r.crr .-:•}'--.:c _.... --.a-i'�_.. __�=•?' _ _... .. _�.. ._ 4 %. .. +,-; r:s: '. ^•r:� �'.� .. _c uy: . t r s.�, T-s�-�r-1-..�-----•--.r.� 4 �� K.m. '�'"iCo• ,. . ��,�� �' r �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. — 14oville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT I .c F. v a of, t u U VG J UI UIC VUU[Ity UI oullc W CIIICI UPUII ule above-mentioned property for inspection purposes. a X Date, Signature of Permitee 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner �, ` ;� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone 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 $3.00 Each Trap 1.50 f , Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 A 5 outlets 1.50 Each additional outlet .30 Fees b Sanitation I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR1 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600 V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service/ EA. ADD'L 100 AMP 1.00 j NEW CONST. DWELBL GS.LING CCUP. &) 2¢Sgft OR ADDNS. \ ACC NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea ` - NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 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 St le of: y Ex. Occup(OUTLETS OR FIXTURES) BAL@109 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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 California. 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 $ .c F. v a of, t u U VG J UI UIC VUU[Ity UI oullc W CIIICI UPUII ule above-mentioned property for inspection purposes. a X Date, Signature of Permitee 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drives — • fJttiville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 4 p Dated �� f Signatureof Permitee or Agg/ent eceipt //�7�, No. �A_L� ! 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. DIR OR QEP LIC WORKS/ By Date /O'er��77 x;2_146 ;4!6 gamewww permit expires Date BUILDING Owner 0 SQ. FT. OCC. BUILDING VALUATION Mailing Address t Telephone 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 $3.00 (� Each Trap 1.50 1� Repair drainage or vent piping 1.50 Water piping 1.50 �. / Each gas water heater or vent 50 A. P. No. Q r Zoning & Planning Gas piping system 1 - 5 outlets T110 C! ` Each additional outlet .30 Fe raffrtat7on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 BI ns ec — Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE r PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 e t /', t 6 d(/ / NEW OR ADDNST ( ACCLBLDGS.LING CCUP. &) 22 sq ft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea C I NEW CONSTR. POWER APPARATUS & NON•RESID. (SINGLE OUTLET CIR. COP17144CWORS 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: Ex. Occup(OUTLETS OR FIXTURES)BAL@LL@1 1 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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. ❑1 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 California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ 1 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 4 p Dated �� f Signatureof Permitee or Agg/ent eceipt //�7�, No. �A_L� ! 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. DIR OR QEP LIC WORKS/ By Date /O'er��77 x;2_146 ;4!6 gamewww permit expires Date 1� Building Permit Number: 0�- 2Co00 Owner Name: t2'omo Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, " H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required . Note: we will,.normally accept the following as compliance with the flood elevation requirements:. 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 104 -year flood elevation..(Plate height less than 24" above grade, or engineered design required). I. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. MIJ Page 2of 2 Building Permit Number: 04 Z (o C0 Owner Name: Pomo Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 kms` Fire sprinklers are required in this structure. MThe following parcel map requirements shall be met: All structuresA=m .ent including overhangs shall be clear of all easements. A setback of the side and .7feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right.of.way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. VO *d lUiOi 13110 iDiscovery: 5443R • I [NI 1 � 9�CU r -.J nw,n-- Y UfIUTY c --t dI N.cu�[ W q !T 81DR00412. C j KITCHEN - "'Z. 7" BATH 1� r;.,ru ��I� f1� BATH ti —DINING ARFA 0,96 MAI HALL _ M N LIVING ROOM MASTER BEDROOM fMltt+' r Silvercrest Discovery 5443R 3 bedrooms, 2 baths ---- ' 23* --4" X 44'-0" Approx. 1026 -SQ. FT. All room dimensions are approximate and subject to change. 3/10/03 1. Owner's Name:. 2. Assessor's Parcel Number: � � 'r�� 19 3. Installer's Name: Je_ry �/ W1L1TVrL__ 4. Is the site currently under permit? Yes[ -/]'No[ J Permit No. 5. Is the site an existing site? Yes[4 No[ ] . (Ifyes, furnish two plot plans). 6. What is the electrical ratingof the mobilehome? ;tDo Amperes. 7. What is the mobilehome site circuit breaker rating? % P Amperes. . 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ J No[VfIf itis, what is the rating? Amperes. 10. Is there any other electric load, to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[PI No[ ] If yes, please identify the load and size: a) The mobile home site: Load- . We,1/ Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ Propane[ ] None[ J 12.' Size of / gas pipeat the mobilehome site from. the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 14. What is the mobilehome gas demand? I - B.T.U. * *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION EL.ECTRICAL, MECHANICAL; AN MUKONG CHECKED G CONSTRUCTION ( NOT PLA SMAi.LCoMpLY. WIITTD CURRENT' EDIT OF NEC, U1edIC May 1995 8.5 Mobilehome Manufacturer: Manufacture Year: if other than single wide, furnish Setup Model Number: -3 Width:A-4 (ft.) Length:-YAj_(ft.) Tagalong or Expando Size (ft.) x (ft-) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure tre ed or foundation grade[ Vj Other: SUPPORTS: Concrete block[ Other: Provide Tie Down Specifications for all Mobilehomes: cg'4ia Line 1 Piers: Size minimum: r 1 x Spacing ma: imum: ` From ends -maximum: ` Line 2 Piers: Size minimum: r24i x [-361. Spacing maximum: (0 L0 ` From ends -maximum: 2 ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 Line 1 Openings Size minimum: [ LZ .] x [30 ]• Each side of openings with width over: r 41o ` Line 4 Piers: Size minimum: [ ] x [ ]• Spacing maximum: I` From ends -maximum: I` a e 8.4 Pier Footings Sizes and SINGLE WIDE Location MULTI -WIDE e1 Line 1 Line 2 Line 2 Main Beams Line 2 Line 3 Line 1 Line 2 ................................................................................................ Main Beams Line 2 ........................... .......•••.............•••••••.-............_...._..._..._....._.... Line i u ............................................Pinel ine S Tag or Triple ine 4 Line 1 Piers: Size minimum: r 1 x Spacing ma: imum: ` From ends -maximum: ` Line 2 Piers: Size minimum: r24i x [-361. Spacing maximum: (0 L0 ` From ends -maximum: 2 ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 Line 1 Openings Size minimum: [ LZ .] x [30 ]• Each side of openings with width over: r 41o ` Line 4 Piers: Size minimum: [ ] x [ ]• Spacing maximum: I` From ends -maximum: I` a e 8.4 W ' NCX w ct� C�c ZCkf M Lo C W v� .p an Zoo V 0 M J W ai p• a O O U U F, N N K � 1'r � CD C> � l O YTV CK) 1 � 1 1 O 1 •I I 1 1 �p 1 � 1 1 v W S O J .foz. I 1 1� 1 d Z N 1 jl Z a O u n �h J rl i` m 1 � .9l 1 1 b 1 1 I 1 . 1 .L� 1 1 1 1 1 ir .L9 1 1 1 1 so C5 1.-Q C. Z /v e..� N h O 1 0171 V W CKC> ,Y,YCC�� WW W j W J N 9 �' � IV Z •XVI 1 \v 1 1 � ._ . •.. BUT n ... .. . 1' .• - I< A'IL®If Y o 0 1 W ' NCX w ct� C�c ZCkf M Lo C W v� .p an Zoo V 0 M J W ai p• a O O U U F, N N K � 1'r � v W W_ 1 d Z N Z u CD O Z O Z � W Q N EPA TMf so C5 1.-Q C. Z /v e..� g, ,,.eN V W CKC> ,Y,YCC�� WW W j W J N 9 c -4M 0 Z BUTTE COUNTY BUILDING DIVISION APPROVE Matthew R. McKisson, Architect 1490 Highway 99, Suite B Gridley, CA 95948 (530) 846-6376 - Phone (530) 846-6358 - Fax M4TTHEW MMSSON ' C-19423 _s up EXP �- <MZ 'n -� -4:5 -nes �A 1 4,4) *Z� pro�s L BUTTE COUNTY SU14DING DIVISION _ APPROVE,) no c, Matthew R. McKisson, Architect 1490 Highway 99, Suite B Gridley, CA 95948 (530) 846-6376 - Phone (530) 846-6358 - Fax "°M E11 r j i WA re v I K)Tr-r r ATN 0 -CD3 -0: a _ F—Z TIE. DOWN SYSTEM SINGLE WIDE COACHES 000n1E./MULT:1'L( llEs caa -- - - E= 2' 141N. / 8' MA). E- 2' WIN. / 1 1' MAX. C VARIES 10'-70' DESJGN LOADS: [v[NLr srnccn 0[TwEEN I ,*WIND LOAD-- 15 PSF _E --J I. THIS TIE DOWN SYSTEM_ IS DESIGNED TO DE CONSTRUCTED ON A 1- I I 13 I I �.• FAIRLY LEVEL SITE -WITH NO EXISTING SOIL PROBLEMS. RIDGE nCAM SUPPORT As 'MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM [REQUIRED ETT MANUfACTURCR SOIL BEARING CAPACITY OF. 1000 PSF. U (_] (TYPICAL) [] L1 :— .. _ _ f? 2. CHASSIS ,BEAM SUPPORTS SHALL BE LOCATED AND SIZED- fdR THE LbADS. ❑ AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". F -Z TIE SUPPORT PAD - '3. IN AREAS WIIERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, (TYPICAL) MANUFACTURED HOME SHALL BE READJUSTED WHEN OS EXCEEDS 1/4", �_� ) n OR WHEN TT WILL ADVERSELY AFFECT MDBILE HOME UNIT. -CHASSIS BEAM SUPPORT PIERS SIZE ATI) SPACING 4. THIS 'PLAN IS INTENDED TO BE USED FOR MA14UFACTUP.ED HOMES AS REOUIRED BY TiF HONE MANE:FACTUR:R. UP- TO (3) SECTIONS IN WIDTH. CONTACT THE DESIGN ENGINEER LENGTH N U m 0TIES FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. ---- - --- — __ OF NOME 16"11 21 " H_ T 25" I_fTJL6" HT 5. STRUCTURAL" STEEL- FABRICATED ACCORDING TO AISC SPECIFICATION. _ 40 4 _ _4 _ 4 6 WELD ACCORDING 10 AWS SPECIFICATONS. ELECTRODES -370 PLATED -ASTM- 50' q 4 4 A36. -BOLTS=ASTM A307. -- -- 4 6— 60 4 4 4 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE•OF THE FOLLOWINGLOADS: =6 4 4 4 • 8 H IGHT HORIZONTAL V RTICAL UPLIFT -°': 70' 4 6 6 2010 (Ib) 6000 (Ib) 891 Ib �Q��SS1Q1021 " 1325 Ib) 6000 (Ib) 801 �lbpp - 28- 1510 Id 6000 (Ib) - 664 IIb) :-,4� P. ! _ €� ; Y� 28" 1419 Ib 6000 �Ib) 629 1Ib) -• 36" 867 Ib}}}} 6000 lb) 385 0b) rf ��A fa A P? R O V E D 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL. BE PRO' Lu P" ^ s99B ' 7 r. SUDIECT TO CORRECTtou TIOIEp Y COATED. J Approval does nit oulhorite or aprro-ie my Omission or deriatio-i frorn requiremrnts of ?.ppfcahlz StWe laws and WHERE STAND IS PLACED ONA CONCRETE SLAB, LSE 1f 2' CONCRET �� ' l \-M-. regulations. Ste. EXPANSION ANCHORS TO SECURE THE STEEL FRAW TO TIME SLAB '�TF OF r p1`State.of q2li1c1ni3- GAHE PLASTIC BASE PADS ARE NOT REQUIRED. DepaTlmen ousing 30 Canmmily D6elcrment __ SI COPS fD STANDARDS, , TIA-11MENT METHODS FOR '7C" R "J' BEAMS SHOWN ON SLIT. vertJlu_t / Q�JT'!fE LONG. DIRECTION OF THE E -Z .THE PAD (37") MUST B[: INSTALL FD �I.,� N SII RPENDICULAR TO THE CHASSIS BEAM. C rrThis Plan P.pprwal Expires e i `'• -,� - �'FN,AEESCO-GUSGUARDCoWANy THIS TIE DOWN 9Y STEM MEETS THE RF 85J FLORIN OF SECTION 1336:3 SUBSECTION (o) REQUIREMENTS ERKINS ROAD _,' L .- �\ CRAMEN TO, CA 95813 t.- rt". r-7 .� `t `s FH:. (800) 382-8831 WAYNE T. POLVADO, PE -LISTING NO. 99001 FAX: (916) 383-5207 y SIIEET of 3 a oe ,a � Y7 til U, -1 -11 n m 9 CHASSIS FRAME -� 2"x2"r3/I6" STL. ANGLE 1/2" DIA. HOLE (8) PLACES 3; 8" CAD PLATED BOLT. NUE h WASII£T COUNTER BORED FLUSH NIT14 BOTTOM (8) REOUIRED — - - .1/4" STAND 13ASE -- --- d -Q- - AOESCO ADS PAD 1503 16.50 _ 18.75 3/4" DIA. x 18" LC. + b a} DETAIL "A" 30.00 1/4" GRIPPER PLATE (2) P.EOUIRED 1/4' GRIPPER RASE• 1/2-13UNC-A307 x 4" BOLT YR111 NUTS (4) R:OUIRED 01 1/2" SCH 40 P1FE RISER WITH 01/2" ADJUSTER HOLES" AND 3/8" THICK TOP PLATE 07' SCH 40 FIPE STAND WITH TWO 01/2" ADJUSTER IIOLLS ABCSCO ABS PAD 9503 STEEL FRAME- - STEEL FRAME TOP VIEW - / 1 1/1"x(4) REQUIRED x2" T. S. ?(4) PICS 36" MAX \ TO BOTTOM OF PAD SIDE VIEW 01/2'x 3" C.R. LOCK PIN WITII 01/8' BRIDGE rr PIN I' J �b �1 .I . 'ice ' • • ��� �: Imo\ � I---10.00 --{ ff D a 1- 10.00 x tI o 04/16 IIOLE (TYP) - STAN— D BASE TOP VIEW 1/4"x1-1/4" TEK STS (2) REQUIRED 1/4' GRIPP[R- BASL 1 j 2' A307 BOI.T (4) RCOUIRED 5H51 FLORIN -PERKINS ROAD SACRAMENTO. CA 95823 PH: (800) 382-8831 FAX: (916) 183-5,107 C=DEAN ATTACHMENT M L FRAME :RIPPER ATE ,NNEL-- COACH "J" (FAME I/4"xl-1/4" TEK STS (4) REQUIRED _- `! /2 A30? BOLT (2, REQUIRED - 1 /4" GRIPPER EASE 111" A307 DOLT (:) HF.OLIIRED .I --BEAM ATTACHMENT E-Z_TIE DOWN_ SYSTEM WAYNE T. POLVADO, PE -LISTING Nb, 99G01 SHEET 2 of 3 m N :I m 0 0C z IINSTALLATION INSTRUCTIONS E= -Z TIE DOWN SYSTEM I. PIERS MUST B,= PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM. L MAKE LEVEL THE PLACE WHERE TAE PAD WILL SET, DOWN TO UNDISTURBED SOIL. 3. THE PAD MUST BE CENTERED BELOW TH= CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FFOM TF -E STUD B01.1S IN THE PAD ANC PLAC= THE PIER. TIIE HOLES IN THE WILL LINE UP WITH IIIE STUD BOLTS. REPLACE THE NUTS AND WASHEFS AND TIGHTEN DOWN. ITASE. PLAT 5. REMOVE THE TWO (2) CRIPP-_R PLATES 011 THE TOP OF' THE PIER. START THE FEIGHT ADJUSTME?IT BY REPROVING THE COTTER AND ADJUSTMENTPINS, PIERS CAN THEN TELESCOPE. RAISE THE TOP JF THE PIER UNTIL THE PLATE 15 AS CLOSE TO THE BOTTOM OF THE CHASS.S REAM AS POSSIBL:. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE WITH THE COTTER PIN. 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT AGAINST THE BOTTOM OF THE CHAS 7. PLACE THE GRIPPER ?LATES OVER THE FLANGE OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP NUTSSIS BEAM.. C -BEAMS AND J-BEAIAS 8. HEAD OF PIERS REQUIRES THAT TWO (7) TEK SCREWS BE PLACED THRU THE SIDE OF THE BEAM 14 ADDITION TO ON 9. FOUR (4) STEEL STAF:ES (SUPPUE)) ARE TO BE DRIVEN THRU GUIDES INTO SO -L UNTIL STOPS ARE FLUSH WITH THE GU p1E PER PLATE ALTERNATIVE: (2) fl12 S.M-S- OR WELD ;2) X112 S.M.S_ d ANGLE IRON----" Vi x I'h': j/i 5 " NOTE: USE STIFFNER IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEE STIFFENFIZ DETAII. ABESCO-Gu3 GUARD COMpa�y 51151 FLORIN - FERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 WAYNE T. POLVADO. PE-1_ISTING NO. 99001' FAX: (916) 383-5207 SKEET 3 of J I,cQ� i 1.13 iM PLAN REVISION Owner's Name:Q(�1 BP#: Date: Received By: Time: 8: 's q Contact Person & Phone Number: 'CK -4v PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item ❑ *Engineering ❑ *Plan Revision ❑ *Requested by Building Inspector's Correction Notice — Inspector's Name: ❑ Requested by Plan's Examiner — Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call and hold for pick-up. ❑ Deliver with next inspection. Minimum revised plan check fee -:to be collected at time of submission of revision, plans € 4eLes are needed: �I Minimum $54.99 Receipt ee not required for revisions req ❑ Additional Fee Amount: L examiner xaminer prior to issuance of permit. Receipt #: Revised 2/04 1. Owner's Name: - 2. Assessor's Parcel Number: 3. Installer's Name: (f r G � � 4. Is the site currently under permit? Yes[v] No[ ] Permit No. - t 5. Is the site an existing site? Yes[ All/ No[ ] (If yes, furnish two plot plans). , 6. What is the electrical rating of the mobilehome? :2 -MCA veres. 7. What is the mobilehome site circuit breaker rating? jo— n eres. " S. What is the electrical rating of the mobilehome site? �� Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is . the rating? i Amperes. :z 10. Is*there any other electric loa to be served by the mobilehome site electric service ` e. well, garage etc.)? Yes [L No[ ] If yes, please identify the load and size: a) The mobile homete: —A -re— e— 1 i Amperes- b) mperes b) The main service: Load- Amperes= 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ ] 12. Size of gas pipe at the mobilehome site from the meter". or tank. inches. .13. What is the gas pipe length from the meter or tank to the mobilehome? 10 M). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). ru1k nrraru crrp nR TTc Pn"RM MTT..RT RR f' 0MPTXTi RD TAT ORDWR TO.. 0 i/ Mobilehome Manufacturer: C� mplG11 Manufacture_ Year: > If other than single wide, furnish etup Model Number: 572/ Width: (ft.) Length: (ft.) Tagalong or Expando Size • . (fi.) On, all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure tree or foundation grade[ vJ Other: SUPPORTS: Concrete block[j4 Other: - Provide Tie Down Specifications for aU Mobilehomes: Pier-Fobtings Sizes and Location SINGLE WIDE KMT% -WIDE Line 1 el Line 2` Line 2 ` ................ ...... ............... :........................................................... Main Beams Lane 2............................................................................. .............e 2 Line 1 Line 3 L•me 2 .................................................................:.............................. Main Beams ............................................................................................ Ume 2 _ Line 1 ... CS Tag or Triple e4' • el Line 1 Piers:'. Size minimum: r 1 x Spacing maximum: 1 9` From ends -maximum ` Line 2 Piers: Size minimum: [ %2- ] x Spacing maximum: CJ ` From ends-maximum Lime 3 Roof Loads: Size minimum Location (from front): Fine 5 Roof Loads: Size minimum: Location (from front): Line '1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over. C` r Line 4 Piers: Size minimum: [ ] x [ ]• Spacing maximum: C` From ends -maximum ` ri1VC-51-7 u 97381-1199 503.873.6381 a . i . cHamPlon HOMES OF OREGON October 29, 2004 - Jerry's Mobile Home Services 479 Boquest Blvd. Paradise, CA. 95969 Pier / Drop Location Print To Whom It May Concern: Champion Homes of Oregon has recently changed model designations on several of the product lines`,produced in Silverton. Some of.the original prints and literature containing the old, model designations are still in circulation. Please note that the attached drawing for the pier and drop locations bearing the model designation, "Discovery R.E. 5443C" has been changed to read "Silvercrest Discovery 5443R'. The model designation change does not affect any critical information on the print. If you have any questions regarding the prints, please feel free to give me a call. Regards, Steve Matus Champion Homes of Oregon .j (503)873-6381 cc: Michelle Bigsby, Craig Gilbert 6U T -TE OOUN i .$ gUILDING DEPARTMEN. . .. 1 fi� ill C q. •.°� ' :...�r�i{ . _ L. KEE x WAS ow _ --17'-4" �9.-I '�aw+ GURU s'-0" ...t3300 8700 9800 �oPCtt 4400 I ----------------- ----------- - -------.-------- - -------------- cr L_ 32'-71- L 13'-4" t ,F T- IB' -4' 44'-0" "A UNIT "B" UNIT --T BME COUNPt nm UL p P R V - NOTES: HAMPAa SLWON -118 SHT 1 I. THIS PRINT IS TO BE USED FOR LOCATION OF MATING UNE PIER Qr PIER/DROP LOCATIONS OF 1. BLOCKING AND UTI UTIES AND 15 SUBJECT TO CHANGE. •® ® 1� mno m'20J ROOF I. SEE THE REDMAN INSTALLATION MANUAL FOR SITE AND SET-UP REQUIREMENTS. HEAT DUCT CROSSOVER PIER BLOCKING SOW NWAXk BY: AG SILVERCREST REV. f. BASUOT MUST BE DESIGNED BY A REGISTERED ENGINEER. DATE; 3/10/03 DISCOVERY SCALY. NTS 5443R 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 PERMIT NO. BP042600 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/06/2004 APN: 022203-003-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 155 HASTINGS AVE BIG Date: Contractor. Map Index: Description: MHI EX SITE DOWN TOWNS OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ROMO RAYMUNDO permit to construct, alter, improve, demolish, or repair any structure, prior , to its issuance, also requires the applicant for such permit to file a 183 HASTINGS AVE signed statement that he or she is licensed pursuant to the provisions of BIGGS, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95917 she is exempt therefrom and the basis for the alleged exemption. Any 530-868-1250 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).): 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 Applicant: ROMO, RAYMUNDO Code: The Contractors' State License Law does not apply to an 183 HASTINGS AVE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, BIGGS, CA provided that such improvements are not intended or offered for 95917 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-868-1250 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: JERRY'S MOBILE HOME SERVICE not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 479 BOQUEST BLVD O PARADISE, CA 95969 Date: e"Owner: 530-876-0369 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 696262 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 certify that in the performance of the work for which this permit is Census Code: issued, 1 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 provisions. Date: , go Applicant: �'Lv �d( WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda anNor I hereby affirm that there is a construction lending agency for the Resoluti ns do work indicat d abo or w h fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: B . Date: V PERMIT EXPIRES ON: D Address: ate ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. rint Name: 2 Signature: Date: ❑ Owner 13 Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" Will CONTRACTOR Name LAg M fl �V`` C.2._ Address 4-7q &d. City ; State Zip Phone APPLICANT NAME CONTRACTOR Name LAg M fl �V`` C.2._ Address 4-7q &d. City ; State Zip Phone Fax E-maila Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Type Const Fax E-mail Map Book State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail I APPLICANT SIGNATURE I X yr office use only: AP# o �2 o3 — c o3 oning I Ac 5 1 Flood Zone I SRA Yes No Occ. LENDING AGENCY Type Const bdivision Name Map Book Page Lot # Plann Date Approved: PERMIT NO. BP BIN # LOCATION AP# o �2 o3 — c o3 Property Address ls-s— fi&J4\62f7 1 Le City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certir►cate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descriptioll or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. II Received b Amount: J Bldg I I OVER FOR�WT-TAL REQUIREMENTS 11 KAFORMSOUILDING FORMSadgApplSubRgmts.doc Page 1 of 2 #: qla-3s-y Date: 91316 a SRA Sheriff SMIP REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The.following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED, ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site, plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ' ' ' ' I . - ❑ 5. Statement of Intent for Non-heated,and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. - ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (14ay require additional plan review upon receipt of the following items.) - ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS merunos can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for, permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSIBUILDING F0RMS01dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 ---COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET ���vat-�o3-Oo3 OWNER: [,� /� AS ESSOR PARCEL NUMBER Proposed Building Use: ! ' r r / S� �D '7`/ f ;Counter Technician:WTA Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. J- 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down-or-ftad•pla;v% all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, induplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form � 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico E�Oroville, as applicable. i ❑ 16. Other P Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑.,, 17. Fire Sprinklers............................................................................................ JVFT 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ 20. Erosion Control Plan Required................................................................................ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. .0 ., ;: ; ,F '22. City of Chico Plumbing permit........................................................................ orl", ❑23. California Department of For stry plan approval ❑ paid. Sent by:24. Planning approval (A) Use: (B)Parking: (C) Parcel Check:K ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required...... ❑ 29. Contractor's license information. (Number, Name Style, Classification)................I... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................;............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction................................................................................I........ ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Le a�Il wner, ❑ Check to H.C.D. $ 38. Other.()11JYt�f i1QS iJ her o 514 2 s _+s 2cl S 0n , ❑ 39. Other: _ When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. GG Applicant: �'�� Date: 1. Index permit pplication for the above items numbered: Plan Check Letter 2. Additio�nat terns rewd- A. � .D� lo, OCT Contractor, designer, ow r as advised of the above data by ,�pphone, ❑ mail, C3 counter, by Date: `+ Contractor, designe , o ner as advised of the ve data by Zphone, ❑ mail, ❑ coun0,�KDate: Date: 0 U Plans reviewed by: Date: -d Plans approved by: J ' Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H ` SE ONLY R Piot Plan Anachod 2z Floor Plan Attachad Sant to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner LocaU n AP# Plan Approved for: Sewage Disposal Water Supply: Public_ Private \Veli Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 1 IN 6�1 �e-- .tea 4 ate COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USE bT 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form avii-afler Plan Check) &SHER441VEF4984paid at Building Division) 1........... X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. A.P. # 0a,— DATE at,DATE bloy RECEIPT # DATE REC. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ #Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER W.10 / I ' At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to GovernWnt Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in, your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is.received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 0 NO qI HAVE M*'HAVE NOT El signed an application for a building permit for the proposed work. 2. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME PROPERTYOWNER: DATE: RESS ^ PHONE - TYPE OF WORK NOTE. This Owner -Builder Verification is required by .Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we'are permitted to issue the permit. O.B.- l I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible > . liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Govemments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under.limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "'owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4Nfic ly, C. Vi ira, C.B.O.r, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER / SITE PLAN REVIEW APPLICATION Date: ! G� 2DD � AP# e) 0,12 ' 00 3— 00 Permit Number (if applicable) O C"(" Z66& Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential F-1SingleFamily Addition ® Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Parcel Size:. ❑ Single Family Remodel Q Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ -N/A 'E planation (if necessary): 140 7,v,.e clo er `� n 16 4r. -- L,6, L e , 9,1" �L,v 6%j DO NOT WRITE BELOW THIS LINE' DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site lan Stam d Approved By J T Date Page 1 of 5 j ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verifiedp oper foundation design required) F] SRA - (CDF to determine specific requirements) L, ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: Y • Flood Panel No.: �C Index Date: (CH6 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=--------------=---------------------------------------------------------------------------------------- ❑ Detached Building Use Form° ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A H C--17= Q FC Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check.with.school.district.to verify actual fee. if pre -application review._..A-final determination. will be made.at_the.time. of. the building permit. Parcel Created By a.eeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[—] No ❑ Yes Comments: ❑ .Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger . ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements 0 Page 3 of 5 ❑ Subdivision ME/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988; as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 0 Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time. of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 - SITE PLAN 1 ............. -•.......... .. .. .. .. .. .. ........... .. .. .. .. . ............ ......................__.................................................. t NG .. 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