HomeMy WebLinkAbout024-100-021024-100-021PERMIT#97-2218
MELTON, Naomi r-keAd 2-.�1 �7
1095 River Ave., Gridley
Cont: Jack's Mobile Home
MH Utilities -2nd Dwelling
ELECTRIC
GAS L Pr Y/j If 13
COMPACTION TEST N 0
SUPPORT STRUCTURE, h(_
024-100..021 Pi nail IZ-V?R-'IIT#97-2219 .
MELTON, Naomi
1095'River Ave.', Gridley
j Con;t'.'Jack's Mobile"'Home''
MH Installation -2nd Dwelling
0
RESIDENTIAL
024-100-021 PERMIT#97-2'18`
MELTON, Naomi
1095 River Ave., Gridley
PERMIT NO.
Cont: Jack's Mobile Home
,PERMIT EXP,- MH Utilities -2nd Dwelling
OWNER �� 0
30
'CONTR.
�ASSESSOR PARCEL
,LOCATION
OFFICE COPY
Address ----
GAS Da
Meter By
ELECTRIC
Y
I Meter By
Temp. Powe0-PdW--------
Called PG&E
h
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (IDate) AZ1417-
1: Signature
V=OK
O = Not OK
Not =
NotReady
Applicable MOBILE HOMES
Lool. Zoning Requirements - Setbacks - Easements
I ,Soils; Special MH Support Sketch
Gas; Location-Test•WrapjjjLYt
/ / or/ /°L'ftj/OG
7 ell Clearance & Disconnect
8. Utility Clearance
Date lf7Ci—t fCard B- Date Card B-1
Datil Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION(Plans) OK except Vs
1,75oning Requirements- Setbacks Easements
. Footings; Siwe -Spacing -Marriage Line
3e! Gas; MH Test-DernarKWake-Connector
5ElectAcity; MH Test -Crossovers -Breakers -Clearances
j 5. Drain; MH Test -Fall -Flex Connector
jX. Water, MH Test -Regulator -Connector
Water and Sewer Connected -C/O to,Gtade-HD Approval
8. Gas and Electricity Tagged
Tie Downs -Type -Installation Cert
10. Exits; Insp.Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
Date _ Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
d
MISCELLANEOUS
_Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Fa
1. Zoning Requirements -Setbacks -Easements
i2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel
3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
i
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-ConnectionsSplice-0ecal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-RttrsTrusses
9. Siding; Nailing-VeneerStucco•Mesh
10. Roof; Shing -Roofing
11. Ext; Steps-Doore-Landings
12. Braced Wa1LPanels
Date
Card B-1 Date Card B-1
Date
Card 8-1 Date Card B-1
Date
POOLS(Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Eke;.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -listed
7. Elec.; Bonding; Metal WN -Circulating Equip.+ieater
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. TestWater Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
O = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except ft
1. ZoningSetbacks-Easments-FloodSlope
2. Fig., Main; Soils-Elec. Gmd.-/ P Fig. Depth
3. Fig. Garage; Soils-Steel-Elec. Gmd/ P Fig. Depth
4. Ftq. Porches & Decks; SoilsSteel-/ /Fig. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test-Anchors-RegulatorService Test
12. Electric Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
46. Hangers -Post Caps -Anchors -Connectors
Card B-1 Date Card B-1
Date
Cling. Joist Rttr Ties-Purlin-roff Brac: Truss-Shting: Rfng.
PLUMBING (Permit) OK except ft
48.
17. Water Htr; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sae & Anchors
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Date
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Card B-1 Date Card B-1
Date
Siding -Nailing Veneer
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #t
Glazing Area -Glass Protection -Skylights -Plastic
23.
Fixture & Transformer Clearance -Ins. Protection
Shear Walls; Nailing -Bolts
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26. Romex Installed Close to Edge of Studs & C.J.
Infiltration -Walls -Windows
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
Card B-1 Date Card B-1
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or AI
30.
Range Circ. / / ga Cu or AI -Oven Circ. / "/ ga Cu or AI
Insulated Neutral 0 Yes 0 No
31.
Service -Riser Conductors & Ground -Main Disconect
63.
32. Equip. Clearances Panels -Motors -Meth. Epuip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
66.
Bedroom Exiting
Date
67. G.F.I. & Bath Fixtures & Tub Access -Spa
Card B-1 Date Card B-1
Date
Elec. Trim & Subpanel, Breaker Sizes & Labels
Card B-1 Date Card B-1
Date
Stairs & Rails
MECHANICAL (Permit) OK except #s
70.
35.
A.C. Ducts Insulation & Support
71,
36.
Vent Fan, Exhaust above insulation
72.
37.
Condensate Drain & Overflow, Size & Grade
73.
38.
Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
74.
39.
Attic Access & Platform if Furnace in Attic
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except ft
Guard rails & Deck Construction -Post Caps
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
84.
43. Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist Rttr Ties-Purlin-roff Brac: Truss-Shting: Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meth. Protection
66.
Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71,
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
77. Plb., Elec. & Mach. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83. Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90. Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION -7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN: j o � � �
PERMIT NO.: 77-99-17 „'7
Owners:
Address:
Mobilehome y�
Year of
��
Manufacturer 1 k- w QQ�.!
Manufacture: T
Serial number O
:]HUD
Insignia or � W
3
or V.I.N.
number: ✓
Official approvin ' stallation: !
Date:
If the mobilehome is moved a r relocated, the mobilehome installation acceptance shall become invalid. This form shall
not be used when the mobilehome is installed on a foundation system.
513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor
SAC INDUSTRIES
TIE DOWNS
ENGINEERED TIE DOWN SYSTEM
GENERAL NOTES
DESIGN LOADS:
* WIND — — — — — — — — — — — — — — — — 15psf (70 MPH EXPOSURE "C")
* WIND — — — — — — — — — — — — — — — — 25psf (85 MPH EXPOSURE "C")
* SEISMIC ZONE — — — — — — — — — — 4
�k SOIL BEARING — — — — — — — — — — 1000 psf NOTE: MAXIMUM SOIL PRESSURE
IS 1000 psf WITHOUT A SOIL REPORT.
�k EARTH AUGERS --------- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
* STABIL—X DRIVE ANCHORS-- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
*CONCRETE SLAB ANCHORS- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
*TIE DOWN STRAPS ------- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
TIE DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ—S-781 H FOR TYPE 1, CLASS B,
GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED.
1. THE CHARTS SHOW THE REQUIRED NUMBER OF TIE DOWNS ON THE SIDES AND
ENDS OF THE MANUFACTURED HOME.
2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED.
3. FOR ALL TIE DOWN INSTALLATIONS, HE MANUFACTURED HOME CHASSIS MEMBERS
ARE SHOWN AS'T BEAMS. (FOR I JSTRATION PURPOSE ONLY) CHASSIS BEAMS
CAN ALSO BE "C" SHAPED OR "RFC".. SHAPED.
4. SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE
DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE
MANUFACTURED HOME.
5. END TIE DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM
AXIS.
6. THE SIZES, TYPES, LENGTHS, ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM.
LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY
BE USED AT THE SAME SPACING AND LOCATIONS SHOWN.
7. ALL PARTS ARE COATED WITH RUST RESISTANT INDUSTRIAL SHOP PRIMER.
�8. THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUB—
SECTION (a).
STATE APPROVAL
O T/h4' ew,V Sym
APPROVED
SUBJECT TO CORRECTIONS NOTED
AFProvo! does not authorize or approve any omission o,
i—intion from requirement; of applicable State laws and
req:iaHons.
State f Co:ifornia
n! of Hous-- anr! Community Development
CODES AND SIANDARCI S .�
F yate7 2T
/ _�
f ;s.gnafure.)y�
Plan AQproval Expires._4
SAC INDUSTRIES, INC.
3236—C FITZGERALD RD.
RANCHO CORDO 5742
PH: (800) _
IW
w
i � I
14176
FS;S/ONAL
� ;
v ;t�1
• 1/
SAC IND. STABIL-X DRIVE TIE DOWN ANCHORS
#6013
#7000 or #7002
7' STEEL STRAP
0
/#6002
SEE NOTE #7
AND NOTE #8
1.
2.
3.
4.
5.
6
7.
8
#6005
#6005 SPLIT
BOLT & NUT
#6013 STABILE
DRIVE ANCHOR -
GROUND LINE—
#7000 #7001 #7002
CHASSIS
i
#4002 PIER '
BOLT -ON TOP '
�i
7' STOEEL ' #7000 7' STEEL
STRAP STRAP W/BUCKLE
W/HOLE
1 Sa_ �aJa BOLT05PLIT
&SNUT
mm INSTALLATION INSTRUCTIONS
CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
DRIVE STABILIZER PLATE INTO GROUND.
DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN.
ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
IF ANGLE OF SIDE STRAP IS GREATER THEN 60', STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
#6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE
GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, USE STABIL—X
ANCHOR OR ENCASE ANCHOR WITH 12"x12"x12" CUBE OF CONCRETE.
WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS
MUST BE USED AT THAT LOCATION.
WIND= 15 PSF — 70 MPH EXP. "C" — SEISMIC ZONE 4
REQUIRED NUMBER OF COMBINED ANCHORS FOR
EACH
SIDE AND
END OF MANUFACTURED HOME
WIDTH
LENGTH
No. OF SIDE I No. OF END TOTAL No. OF
TIE DOWNS TIE DOWNS TIE DOWNS
SINGLE
WIDE
0'-78'
1 4 2 1 12
TO 16'
DOUBLE
WIDE
0'-78'
4 4 16
TO 28'
TRIPLE
WIDE
0'-78'
4 6 20
1
TO 42'1
WIND=25 PSF — 85 MPH EXP. "C" — SEISMIC ZONE 4
REQUIRED NUMBER OF COMBINED ANCHORS FOR
EACH
SIDE AND
END OF MANUFACTURED HOME
WIDTH
LENGTH
No. OF SIDE No. OF END TOTAL No. OF
TIE DOWNS TIE DOWNS TIE DOWNS
SINGLE
WIDE1
0'-78'
1 8 2 20
TO 16'
DOUBLE
WIDE
0'-78'
8 4 24
TO 28'
TRIPLE
WIDE0'-78'
8 6 28
TO 42'
SAC IND. EARTH AUGER TI1 . DOWN ANCHORS
#6001 #6000
9
#7000 #7001 #7002
#4002 PIER
BOLT -ON TOP
#7002
7'STEEL
STRAP
W/HOLE -�
#4002
CHASSIS
i
#7000 7' STEEL
STRAP W/BUCKLE
005 SPLIT
LT & NUT
#6006
iTABILIZER
PLATE
#6000 SERIES
EARTH AUGER
(TYPICAL)
VERTICAL, OR ANGULAR INSTALLATION IS OPTIONAL
AUGER TIE -DOWN
INSTALLATION INSTRUCTIONS
1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
2. INSTALL GROUND ANCHOR INTO ,GROUND LEAVING 12"-14" OF SHAFT EXPOSED.
3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS
BEAM, AND DRIVE INTO GROUND.
4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD
PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FL���T�®����
STABILIZER PLATE.
5.
ACH
IS BEAM IN
6. IF TANGLE OF STRAPSTO
STRAP SIS GREATER THAN E 0'S SOTRAP CONN�iC'A� 8 8�
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. ®�
7. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP ANA TEp
Eli
BOLT UNTIL STRAP IS SNUG.
END TIE DOWN END TIE DOWN END TIE DOWN
ti
TRIPLE WIDE
SAC IND. CONCRETE TIE DOWN ANCHORS
s-.- IC,,/
#7000`. #7001
QI'
#4002
#7002
#6005
#4002 PIER
BOLT—ON TOP —
#7002
7' STEEL STRAP
WITH HOLE
#6005 SPLIT
BOLT & NUT-
CHASSIS �\
>
i
1
#7000 7' STEEL
STRAP W/BUCKLE
#6004
i
.. i
CONCRETE TIE—DOWN
INSTALLATION INSTRUCTIONS
NEW CONCRETE — 96004
1. PLACE CONCRETE ANCHOR INTO WET CONCRETE, AND ALLOW TO PROPERLY CURE.
2. ALTERNATE CONNECTION REQUIRES #5 REBAR PROPERLY EMBEDDED IN CONCRETE.
EXISTING CONCRETE — #6003
1. CONCRETE MUST BE A MINIMUM 3 1/2" THICK AND IN GOOD CONDITION.
2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET.
3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY SIDE.
4. EXPANSION BOLT IS 5/8" x 3 1/2" WITH MINIMUM 2 3/4" EMBEDMENT AND
6,180 POUND PULL OUT, 7,160 POUND SHEAR.
CHASSIS CONNECTION
1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
2. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
'3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
NOTE: SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS.
END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION
OF THE MANUFACTURED HOME.
NOTE: A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE USED.
14.1
0
SIDE VIEW END VIEW
END TIE DOWN
NOTE: END TIE DOWNS? -CAN BE
LOCATED WITHIN 18" OF EITHER
SIDE OF CHASSIS . BEAM AXIS.
DRILL 9/16' HOLE AT MID _ HEIGHT
OF BEAM AND INSTALL
1/2" A307 BOLT II
(TYPICAL) i
4 4
FIS
SIDE VIEW. SIDE VIEW
HE .M C SSIS "RFC" BEAM CHASSIS
SEE GENERAL HATE #3 SEE GENERAL NOTE #3
CONTRACTORS CERTIFICATION
I CERTIFY THAT I HAVE IN§TALLED THE SAC IND., INC. ANCHORING SYSTEM AS
PER THE INSTALLATION INSTRUCTIONS. 1 -HAVE MADE NO MODIFICATIONS TO THE A.
ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. n `
COMPANY NAME. 9%09/1 E CONTRACTORS LIC.# ' ' �'
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
`> 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541, PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT w/�
ASSESSOR PARCEL NUMBER 024-100-021
A 10 ZONING
BUILDING PERMIT
OWNER NAOMI MELTON
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1099 RIVER V
CONTRACTOR'S NAME CE
JACK'S MOBILE HOME SERVI-6656
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
13 FERTGHT IN CHIC0, 95926
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHRECT OR ENGINEER
LICENSE NO.
Filing Fee $ n�•'8f)
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 23.00
BUILDING ADDRESS
Energy Plan Checking Fee $
S
$
PERMIT FEE $
L.OTNO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome M Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities R7 Installation ❑ Other ❑
Describe Work: 2ND DWELLING
(SEE ADM 98-04) 2 BEDROOM
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home @20.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
Main Service °00Y OR LES3
2ooA oR Less 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in fu force and effect. /
License Class Lic. No. Sp `�
OWNER -BUILDER DEG ARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
6-15as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service zooA To ,000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( 8 ACC. BLD.. 3.5¢FT.
NEW
NON-RESIDT MULTI.O 11 RCUI 97.50
TS
POWER APPARATUS
SINGLE OUTLET CIS.
Ex. Occup. OUTLET OR FIXT 20100
BAL @ .50
Ex. OCCU • O�ESPRtESSI ORS 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Q-1haveand will maintain workers' compensation insurance, as required by Section
13700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' omp nsation insurance carrier and policy number are:
Carrier _
Policy Number —00
(The above sections need not be completed if -the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date ���_92
Sig af9re76f licant - ❑ er ❑Contractor ❑Agent
An OSHA per it is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL F96/16f,.00
HAZ.
D. FEES IMP
._
FLO
COF
PARC
PD
7
6SU
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.
/ y Q�
By to/L!
PERMIT EXPIRES ON Gl 2 z 4
Dela
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
"►v} �„,�r/:�t'� .n. 1.„a....•i+:t� ., „r ..4 '� A..T`4 *0_', �I'Y�fr..r.- .rr7't`.^rra.ic.�,.n. :"�v�';? .4:i..swq r SA►�}.�1�v'r;.w-. ... t.' ..w , ..w+^�y �.-,:..I
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
• `^ T COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: W, ” D�GXPI
Proposed Building Use: Building Inspector: Date:
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1..All items have' been submitted.-------------------------------------------------------------------------------------
112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03.
-----------------------------------------------------------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
116. Energy Design Compliance and supporting documentation. ----------------------------------------------------
C1 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $ -------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------------------------
13 . ,Flood elevation certificate.------------------------------------------------------------------------------------
Sanitation and plot plan approval ealth Department.-------------------------------------------'vL
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
. Encroachment Permit for driveway construction approval prior to occupancy)
----------------------------
0 20. Pre -inspection for required. Request to Building Inspector on (Date)
1321. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
2. Workers' Compensation carrier and policy number. -----------------------------------------------------------
C] 3. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization.----------
V11�5. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
026. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits.---------------------------------------------------------------------
1129. 0433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
E130.
--------------
❑30. Other: -------
When you issue th pertnit, pry as follows 11 Mail to owner, []Mail to tractor.
Telephone �j S and hold for pickup at 1�V i office. ❑ Deliver with inspector.
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio Date: V By:
Copy of plans sent ❑Health Department, ❑Fire Department, ❑ther: Date: By:
1. Index permit application for the above items numbered: o? ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: p�� Date: IV Y
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
E.H. USE ONLY
� a
Plot Plan Attached ✓
�i. Floor Plan Attached
Sent to B.D. 15--; g I
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
.� (Aowyl) fitcI--';rj /0 q 61 2 oul,7,q^l60- 0Zl
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply:blic Private Well X
Clearance for dwelling. Other f gM»�n 2y "bl & ZtM -
Hold final for:
Final clearance O.K. for:
NOTE:
/ -IV --e,- -4
Environmental Health Specialist Date
8/96
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
.7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER A
d1
ZONING /,9/0
BUILDING PERMIT
141 Al OWNER �/ c
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNERS ADORE
Ire r t/a 0 C%y! e8—
CONTRA 'S E ' • - /�� r V 1 C,C TELEPHO E
N '
' \V' -�G
co TORS�.IAIUNO TRESS a
1�5- Ili
CONSTRUCTION UENDEtf
LENDER'SMAILING ADDRESS
Fire I -:.:E
Total Valuation b
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit Fee $
Plan CheckingFee S
MAQ
BUILDING ADDRESS
V'E r' e
Energy Plan Checking Fee $
a
PERMIT FEE i
LOT No. 9UBDNsaNS NAME PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome X Other
SPECIFIC
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti1" s kin tion ❑ er ❑
Describe Work:' e- �` n
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home CLY14W
(9320.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Feel 20.00
Main Service zaoow OR mss
23.00 3
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P nY P 1 rY P
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ �+certi that -in the erfomTance-oHhe-work• for which this permit is issued, I shall
--- -- _-y _ P_ P
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _ _ Date _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO I000A
48.00
NEW CONST.pyy�rq pC�p, SO
OR ADONS. ( a , OCs. 3.52Fr:
NEW CONST. MULTI -OUTLET @7,50
NON•RESID.
FOwER APPARATIs
a swaLE ovnEr as
Ex. Occup. OUTLET ORFDrrURES aA2L®'.b
Ex. Occup. MD Appy' °R
ounErs ESID. EA 5.00
Temporary Service 23.00
oe 0
—Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE S01
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
coNsT. TYPE
TOTAL FEES
1111Z.
D FEES IMP
FLAOD
COF
PARCEL
PO
ND
ssuE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
/e
ReceiptNo. 7177047
WHITE-D.D.S.-B.D. CA ARV -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DMSION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
97-0447391 Rec Fee
I IHF
Recorded I COP
Official Records I Cash
County of I
Butte I
Candace J. Grubbs I
Recorder I
1:42pm 24 -Nov -97 I PUBL
XX
t
5. 00
2.00
2.00
9.00
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited
to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has
established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such
;r-=venience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
The Easterly 2 acres of the South half of Lot 21 and the Easterly 4 acres of Lot 22,
according to that certain map entitled, Map of. Gridley Colony No. 5 near Gridley,
Butte Co.,. Cal"., which map was filed in the office of the Recorder of the County
um
of Butte, State of California, April 12, 1906 in Vole 5 of Maps, -at page
024-100-021-000
Date: I () -- 16 " / 5-11 PROPERTY OWNERS:
Naomi S. Melton
State of California) T LYNETTE GARTON
'
County of Butte ) _ COMM. *1023342 L
Q NOTARY PUBLIC • CALIFORN�
SUTTER COUNN
On 11/24/97 before me, i 'a Comm. Ex 'res APR. 17 1998 1
Lynette Garton
personally appeared Naomi S. Melton personally
(mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Is/am subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the persons) acted,
executed- the- instrument.---- - -
WITNESS my hand and official seal.
Signatu
A.P.#
ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME
TO: Naomi Melton
FROM: Tom Parilo, Director Development Services
DATE: September 9, 1997 FILE: ADM 98-04
PURPOSE: Administrative Permit on AP3 024-100-021 for a temporary second dwelling to be
located at 1099 River Avenue, Gridley, in the A-10 (Agricultural, 10 acre minimum)
zone.
PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following
requirements.
1. A mobile home certified under the 1974 National Mobile Home Construction and Safety
Standards Act. Occupancy of the mobile home shall be limited to Naomi S. Melton. An
affidavit attesting to the relationship of the involved parties was submitted with the permit
application.
2. No rent is to be charged to the occupant of the mobile home.
3. The temporary mobile must meet the requirements of the Butte County Environmental Health
Department for domestic water supply and sewage disposal. The granting of this permit does
not remove the requirement of obtaining the appropriate permits from other Divisions,
Departments or Districts.
4. The siting of the mobile home shall be exempt from the site requirements of the residential
zoning district, except as required by this Section, and the Butte County Code Chapter 28A.
5. The mobile home is declared to be a temporary use on the property, accessory to the primary
unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile
home shall not be permitted on a lot or parcel where there is an approved Second Unit.
6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not
exceeding one year for each extension, may be granted if the application for the extension is
filed, with the Planning Division, within 60 calendar days prior to the date of expiration.
7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed
within one hundred twenty (120) days after expiration of the Permit. If it is not removed within
one hundred twenty (120) days, the County shall remove said mobile home and store it at the
owner's expense.
8. The Permit may be revoked if any of the terms or conditions of the Permit are violated or if any
acts or omissions of; the permittee in connection with the use authorized by said Permit
constitute a public nuisance.
9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide
mobile home or $2,000 for a double -wide mobile home.
or
Permittee Signature Date Craig Sande s, Senior Planner Date
Planning Division
SEP 0 4 1997;
LA e N
W
E
Oroville, falifornia
MAIN
Zl�
i.
5E Pri c TA
4�)
4
4i
. 7n
ANA
T
Av,
2 CA
MAIN
1
AP �r
OWNER ,=�/b�+ IN' l �i,�� (D N
PERMIT'#
NEi i UT IL . CLEARANCE DATE ;
INSPECTOR
ELECTRIC
GAS
"Support
Struc. 11
Compactio
Test Re .
Service
Site
Other
LoadT
e
Pipe
Si7,e
Len th,
YES NO
YES NC
d�
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75Al d,r Q�R�1,T NO
(Rev.12/96) APPLICATION AND PERMIT `'✓I' `�-
ASSESSOR PARCEL NUMBER 024-100-021
ZONING A 10
BUILDING PERMIT
OWNER NAOMI MELTON
TELEPHONE
SQ. FT. OCC. BUILDING
VAI UATION
OWNER'S MAILING ADDRESS 1099 RIVER AVE GRIDLEY, 95948
CONTRACTOR'S NAME JACK'S MOBILE HOME SERVICE
TEIPjiQNE6656
IM
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
23 .00
BUILDING ADDRESS
RIVER AVE
Energy Plan Checking Fee $
GRIDLEY, 95948
$
PERMIT FEE $
43.00
LOT NO.SUBDNIS
ION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome A Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Lltilities ❑ Installation Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W F
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
RLE
Main Service 200, OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
`i
9 (commencing wth Section 7000) of Division 3 of the Business and Professions Code,
and my license is in II force and effect.POWER
License Class Lic. No. 6 <3 3 9 Z"2
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
Q-'1"as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( To
46.00
CCU000A
NEW CONST. DWELLING OCCUP.
DWE200ALLING
OR ADDNS. ( & ACC. BUDS.
SO
.50so
3.5Q FT.
NEW CONST. MULTI -OUTLET
NON-RESID. AN LI
97.50
APPARATUS
d SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
BAS �'; 0
Ex. Occup. oFIxLITELE°�" a ooRA,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Lave and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier 6•
Policy Number - C>6
(The above sections need not a completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X 4-z / Date 24;Z
� ��=
Signature of #Alicant - 0 50' 'r ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $ 100.0
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 143.00
HAZ.
_
p. FEp IMP
FLOOD
_
COF
PARC0.
pp
HD SUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By D
PERMIT EXPIRES ON
Ife
provisions
to do work
paid.
to
Receipt No. 224862
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
a
W a.: •`++y. -' �� .Qh a '-'.+. i:fiy• r � r'A' k^'til� r vT+y;. x....,.,;ititi-:., r _ .
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 r
PERMIT APPLICATION DATA SHEET t'
OWNER: M Inr_ htn 1, n ASSESSOR PARCEL NUMBER:
Proposed Building Use: Building Inspector: A Date:
At time of permit application, I was a`ivised the following data must be subigiWd prior to permit proce ing an or issuance:
Date Received By
❑ 1. All items have been submitted.-------------------------------------------------------------------------------------
❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
❑3 . Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------
❑ 8. Hazardous Material Form. -------------------- ----------------------------------
Manufactured Home data and mstalation instructions including Ti .------------------
❑ 10. Fees of $ -------------------------------------------------------------------------------------
9 ` . Impact fees as shown on the attacied schedule.------------------------------------------------------------------,a16119
,u
i r
❑ 12. California Department of Forestry plan approval/fees.---------------------------------------------------------
❑ 13. Flood elevation certificate. ----------------------------------------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 19. Encroachment Permit for drivewy. (construction approval prior to occupancy). ----------------------------
0 20. Pre -inspection for required. Request to Building Inspector on (Date)
021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
022. Workers' Compensation carrier and policy number. -----------------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization. --------------------------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------------------------
❑ 26. Letter of intent on building use. -----------------------------------------------------------------------------------
(Vi ` . Manufactured Home utility clearance.--------------------------------------------------------------------------- S f
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H_ Title, ❑ Check to H.C.D $ . ---------------
030. Other: -------
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
Telephone �'j 6Z - 65-6 and hold for pickup at office. ❑ Deliver with inspector.
/` Applicant: Date: 149
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio Date:_ By:
Copy of plans sent ❑Health Department, ❑Fire Department, ❑ Other: a Date: By:
1. Index permit application for the above iems numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di sion counter, by Date:
Contractor, designer, owner, was advised Athe above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised :)f the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised :)f the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE' (916) 538-7541
11
SCHEDULE OF FEES DUE
OWNER ���>; � I�� �7 0 ✓i
PROPOSED BUILDING USE
1. BUILDING PERMIT FEES
-- Balance Due ................ $
-- Additional Fees :Due ........... $
ti
-- Additional Fees Due ........... $
(/ -- Revised Plan Checking Fee ....... $
2. SCHOOL DISTRICT FEES
i District Office)
(paid at D str ct O f ce)
3. SHERIFF FEES (paid at Building Division)
Residential ........ _ I x $360.00 = $,
ri1tS
Commercial (sq.ft.)... x $0.03 = $
Sq. Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $
#Units Amt.
Commercial (sq.ft,) .. x =$
Sq. Ft. Amt.
5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$425.00 (paid at Building Division)
—A-LIA7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
A.P. #
DATE 47 f2
REC # DATE REC'
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the,
building permit. These fees may be changed during the plan checking process.
APPLICANT DATE Ze-
Original -Owner Copy -Build Div. (Rev. 12/96)
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
. 7 ,County Center Drive - Oroville, California 95,965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) 1 APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
_ oo .-aa
Z°NINO
BUILDING PERMIT
OWNER
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
OWNERS MAIUNji 711ESS
CIjr` ✓t y- A ve ✓' 9.5�l�%�"
CONTRACTOR'S NA E TELEP N
�65_
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LFireace
LENDER'S MAILING ADDRESS
Total Valuation S
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
ARCHITECT OR ENGINEER'S INKING ADDRESS
auwoiNGADDREss P
Permit Fee $
Plan CheckingFee $
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO. _, SUBDIVISIONS NAME PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome XOther
sPEc�v
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ lnstalation Other ❑
Describe Work:'
Each as water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G1 W
(920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Feel 20.00
Main Service 22000AORRUEss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P hY P 1 ry P
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
13 4 -certify that -in the -performance -of -the -work -for which this permit is issued. I shall
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _ _Date _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0' deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO IOOOA 46.00
NEW CONST. py,IELLM OCCUP. SO
OR ADONS. a Acc. gLDS. 3.5QFT:
NEa1 °O N°N•RESNST.IO. MUITFOtmEr (97,50
Po,�s
a 0M 1, TNa0.
Ex. Occup. OUnET OR FIXTURES sw ® 1.00
50
Ex. Occup. �DAPP�' °R
OUTLETS ESID.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee $ /,90,60
Energy Inspection Fee$
°C°
CONST. TYPE TOTAL FEE $ 1IKY. QD
HAZ.
D. FEES IMP
FLAOD
I COF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
to
Receipt No. -
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
k/
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APPROVED
Butte Cou
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--------- USE PERMIT./- LVAD
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-A.
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-partmen
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APPROVED
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nty '-
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--------- USE PERMIT./- LVAD
MINOR U.P. 4w,..,.MK
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SAC INDUSTRIES
TIE DOWNS
ENGINEERED TIE DOWN SYSTEM
1. THE CHARTS SHOW THE REQUIRED NUMBER OF TIE DOWNS ON THE SIDES AND
ENDS OF THE MANUFACTURED HOME.
2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED.
3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS
ARE SHOWN AS'T BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS
CAN ALSO BE "C" SHAPED OR "RFC" SHAPED.
4. SIDE TIE `DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE
DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE
MANUFACTURED HOME.
5. END TIE DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM
AXIS.
6. THE SIZES, TYPES, LENGTHS, ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM.
LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY
BE USED AT THE SAME SPACING AND LOCATIONS SHOWN.
7. ALL PARTS ARE COATED WITH RUST RESISTANT INDUSTRIAL SHOP PRIMER.
8. THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUB—
SECTION (a).
STATE APPROVAL
SAC INDUSTRIES, INC.
3236-C FITZGERALD RD.
APPROVED RANCHO CORDON 5742
PH: (Soo)
SU°1`CT TO CORRECTIONS NOTED
Arwn,a! does not authorize or appro.e any omission o,
io-intion from re4viremer.ts of a c
•eooiati pp tote Inws and
_ ons. _ f•' .� Q
State ,f Ca`?ornia
. 1 9.8
r•rrman! or Housing and Community Development
Ci•10`! T
__ COD.ES AND $1ANDARi S a Jr Exp
• J G
\ tr C `
Fy
ote.%7f� Z qlE [ 1w�<
;s:)nCturel�` / \ Or CPQ
-)PA NO.....- /. ✓ ���CO - PACIFIC CONSULTING ENGINEERS
--------------------
2150 BELL AVE. SUITE 145
7y SACRAMENTO, CA. 95838
fits Plan Approval Expires..-____-- PH: (916) 564-6028
yY
.G 14176 t
,�FGISITKV�I
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11
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GENERAL NOTES
DESIGN LOADS:
* WIND — — — — — — — — — — — — — — — — 15psf
(70 MPH EXPOSURE "C")
* WIND — — — — — — — — — — — — — — — — 25psf
(85 MPH EXPOSURE "C")
* SEISMIC ZONE — — — — — — — — — — 4
* SOIL BEARING — — — — — — — — — — 1000 psf NOTE: MAXIMUM SOIL PRESSURE
IS 1000 psf WITHOUT A SOIL REPORT.
*EARTH AUGERS --------- 4750#
MIN. TOTAL LOAD CAPACITY
3150#
WORKING LOAD CAPACITY
* STABIL—X DRIVE ANCHORS-- 4750#
MIN. TOTAL LOAD CAPACITY
3150#
WORKING LOAD CAPACITY
*CONCRETE SLAB ANCHORS- 4750#
MIN. TOTAL LOAD CAPACITY
3150#
WORKING LOAD CAPACITY
*TIE DOWN STRAPS •------- 4750#
MIN. TOTAL LOAD CAPACITY
3150#
WORKING LOAD CAPACITY
TIE DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ—S-781 H FOR TYPE 1, CLASS B,
GRADE 1 STRAPPING AND BE AT LEAST
1 1/4!' x .035 ZINC PLATED.
1. THE CHARTS SHOW THE REQUIRED NUMBER OF TIE DOWNS ON THE SIDES AND
ENDS OF THE MANUFACTURED HOME.
2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED.
3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS
ARE SHOWN AS'T BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS
CAN ALSO BE "C" SHAPED OR "RFC" SHAPED.
4. SIDE TIE `DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE
DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE
MANUFACTURED HOME.
5. END TIE DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM
AXIS.
6. THE SIZES, TYPES, LENGTHS, ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM.
LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY
BE USED AT THE SAME SPACING AND LOCATIONS SHOWN.
7. ALL PARTS ARE COATED WITH RUST RESISTANT INDUSTRIAL SHOP PRIMER.
8. THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUB—
SECTION (a).
STATE APPROVAL
SAC INDUSTRIES, INC.
3236-C FITZGERALD RD.
APPROVED RANCHO CORDON 5742
PH: (Soo)
SU°1`CT TO CORRECTIONS NOTED
Arwn,a! does not authorize or appro.e any omission o,
io-intion from re4viremer.ts of a c
•eooiati pp tote Inws and
_ ons. _ f•' .� Q
State ,f Ca`?ornia
. 1 9.8
r•rrman! or Housing and Community Development
Ci•10`! T
__ COD.ES AND $1ANDARi S a Jr Exp
• J G
\ tr C `
Fy
ote.%7f� Z qlE [ 1w�<
;s:)nCturel�` / \ Or CPQ
-)PA NO.....- /. ✓ ���CO - PACIFIC CONSULTING ENGINEERS
--------------------
2150 BELL AVE. SUITE 145
7y SACRAMENTO, CA. 95838
fits Plan Approval Expires..-____-- PH: (916) 564-6028
yY
.G 14176 t
,�FGISITKV�I
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!! G-HMEN
Sk CIVIL
_ 0 3025r7�7',-
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Sk CIVIL
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SAC IND. STABIL-X -DRIVE TIE DOWN ANCHORS
#6013
#6005
#7000 or #7002
y 7' STEEL STRAP
#6005 SPLIT
BOLT & NUT
#6013 STABILE "X
DRIVE ANCHOR -
GROUND LINE-
17vvv_
SEE NOTE #7
AND NOTE #8
#7000 #7001 #7002
CHASSIS
#4002
i
#4002 PIER i
BOLT–ON TOP
i
#7000 7' STEEL
7'' STEEL
STRAP STRAP W/BUCKLE
W/HOLE �
6"00BIT
BOLT
& NUT
INSTALLATION INSTRUCTIONS
REQUIRED NUMBER OF COMBINED ANCHORS FOR
EACH
1.
CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
2.
DRIVE STABILIZER PLATE INTO GROUND.
3.
DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN.
4.
ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
5.
IF ANGLE OF SIDE STRAP IS GREATER THEN 60', STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
6.
INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
TO 16'
BOLT UNTIL STRAP IS SNUG.
7.
#6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE
GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, USE STABIL—X
WIDE
ANCHOR OR ENCASE ANCHOR WITH 12"02"02" CUBE OF CONCRETE.
8.
WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS
MUST BE USED AT THAT LOCATION.
WIND=15 PSF —
70 MPH EXP. "C" — SEISMIC ZONE 4 WIND=25 PSF — 85 MPH EXP. "C" — SEISMIC ZONE 4
REQUIRED NUMBER OF COMBINED ANCHORS FOR
EACH
SIDE AND
END OF MANUFACTURED HOME
WIDTH
LENGTH
No. OF SIDE No. OF END TOTAL No. OF
TIE DOWNS TIE DOWNS TIE DOWNS
SINGLE
1
WIDE
0'-78'
4 1 2 1 12
TO 16'
'
DOUBLE
WIDE
0'-78'
4 1 4 4 16
TO 28'
TRIPLE
WIDE
0'— 78'
4 6 20
TO
N .-
REQUIRED NUMBER OF COMBINED ANCHORS FOR
EACH
SIDE AND
END OF MANUFACTURED HOME
WIDTH
LENGTH
No. OF SIDE No. OF END TOTAL No. OF
TIE DOWNS TIE DOWNS TIE DOWNS
SINGL
1
WIDE'
0'-78'
8 2 20
TO 16'
'
DOUBLE
WIDE
0'-78'
8 1 4 1 24
TO 28'
TRIPLE
WIDE
0'-78'
1 8 1 6 1 28
TO 42'
• SAC IND. EARTH AUGER TIE . DOWN ANCHORS
y!
Val
#6001 #6000
#7000 #7001 #7002
NOTE 4
,__
CHASSIS
#4002 PIER
BOLT -ON TOP
#7002
7' STEEL #7000 7' STEEL
STRAP STRAP W/BUCKLE
W/HOLE
ora#6005 SPLIT
Asa BOLT & NUT
4�_#6006
STABILIZER
PLATE
#6000 SERIES
EARTH AUGER
(TYPICAL)
VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL
AUGER TIE -DOWN
INSTALLATION INSTRUCTIONS
1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 12"-14" OF SHAFT EXPOSED.
3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS
BEAM, AND DRIVE INTO GROUND.
4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD
PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH
STABILIZER PLATE.
S. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
6. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
7. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF, EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
END TIE DOWN END TIE DOWN END TIE DOWN
SFF CHART —, r�.—
N
W
~ 6
N
Q „
Z
U �
W W
W
Vf i
.>
Z „
S
3 W
u
O it
W
� �
J
W U
W
�
i
N
.T.RIPLE WIDE
_a�1►�
SAC IND. CONCRETE TIE DOWN ANCHORS
#7000 #7001
#7002
#6005
#4002 PIER
BOLT—ON TOP
#7002
7' STEEL STRAP
WITH HOLE —\
#6005 SPLIT
BOLT & NUT—
CHASSIS
s
� o
#7000 7' STEEL
STRAP W/BUCKLE
#6004
CONCRETE TIE -DOWN
INSTALLATION INSTRUCTIONS
NEW CONCRETE — #6004
1. PLACE CONCRETE ANCHOR INTO WET CONCRETE, AND ALLOW TO PROPERLY CURE.
2. ALTERNATE CONNECTION REQUIRES #5 REBAR PROPERLY EMBEDDED IN,._,CONCRETE.
EXISTING CONCRETE — 16003
1. CONCRETE MUST BE A MINIMUM 3 1/27 THICK AND IN GOOD CONDITION.
2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET.
3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY SIDE.
4. EXPANSION BOLT IS 5/8" x 3 1/2" WITH MINIMUM 2 3/4" EMBEDMENT AND
6,180 POUND PULL OUT, 7,160 POUND SHEAR.
CHASSIS CONNECTION
1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
t 2. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS * STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
NOTE: SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS.
END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION
OF THE MANUFACTURED HOME.
NOTE: A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE USED.
p I
SIDE VIEW
BEAM CHASSIS_
SEE,GENERAL NOTE #3
DRILL 9/16" HOLE AT MID HEIGHT
OF BEAM AND INSTALL
1/2" A307 BOLT II
(TYPICAL) �I
I
SIDE VIEW
"RFC" BEAM C� �AsSIS .
SEE GENERAL NOl
#6003
o
-SlbE VIEW END VIEW
END TIE DOWN
NOTE: END TIE DOWNS CAN BE
LOCATED WITHIN 18" OF EITHER
SIDE OF CHASSIS BEAM AXIS.
I CERTIFY
THAT I -HAVE
i
SAC IND.;' INCA. ANCHORING SYSTEM AS
o
-SlbE VIEW END VIEW
END TIE DOWN
NOTE: END TIE DOWNS CAN BE
LOCATED WITHIN 18" OF EITHER
SIDE OF CHASSIS BEAM AXIS.
I CERTIFY
THAT I -HAVE
INSTALLED THE
SAC IND.;' INCA. ANCHORING SYSTEM AS
PER THE
INSTALLATION INSTRUCTIONS. I
HAVE MADE N(: MODIFICATIONS JO THE
ANCHORING
SYSTEM OR
TO THE BUILDING
STRUCTURE.
NAME:,
CONTRACTORS LIC.#
,COMPANY
ONE
MEN
mom
■
SIMONE
Elm
NOOSE
�
1
ONE
MEN
mom
1.
Mobilehome Manufacturer: IBJ P �� Ly'oCo Manufacture Year:
If other than single wide, furnish Setup Model Number:
Width: _(ft.) Length: rO _(ft.) Tagalong or Expando Size �(ft.) x f (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manu acturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade[ Other:
SUPPORTS: Concrete block'[ Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE "
Line 1 Line 1
Line 2 Line 2
................................................................................. ...............
Main Beams
...............................................................................................
Line 2 e2
Line 1 Line 3
Line 2"
................................................................................................
Main Beams
Line 2
Line 1
.................................................. ine 5
Tag or Triple e4
ine 1
Line 1 Piers: Line 1 Openings
Size minimum: x d . Size minimum: [ r Z ] x [ 36 ].
Spacing maximum: Each side of openings
From ends -maximum: with width over: y G `
Line 2 Piers: Line 4 Piers:.
Size minimum: [ ;`] x r3ci. Size minimum: [ ] Z x 3 0
Spacing maximum: / Spacing maximum: y
From ends -maximum: ` �j From ends -maximum: a� 0 a
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
1. Owner's Name: f D m1i �.
2. Assessor's Parcel Number:
3. Installer's Name: ayL M4 i2
4. Is the site currently under permit? Yes[ ] NoV4 Permit No.
5. Is the site an existing site? YesK] - No[ ] (If yes, furnish two plot plans).
6.. What is the electrical rating of the. mobilehome? Amperes.
7. What is the mobilehome site circuit breaker rating? .9Amperes.
8. What is the electrical rating of the mobilehome site?— -�Z o Amperes.
9. Is the main servi 'e remote from the mobilehome site? Yes[No[ ] If 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[ ] No(* --4 If yes, please identify the load and size:
a) 'The mobile home site. ((
Load -
b) The main
Load -
Amperes-
Amperes -
11. Type of gas s rvice at mobilehome site: Natural[ ] Propane[]' None[ ]
12. Size of g is pipe at the mobilehome '`site from the meter or
tank: lVa inches.
.131. What is the gas pipe length from the meter or tank_to the mobilehome? 30 (ft.).
s 14.What�is the',Mobilehome gas demand? IOUtl B.T.U.*
*(This information is uired if the pipe length is less .than 6 feet on natural gas or
less than 50 feet n n ooane).
PROCESS THIS PERMTf APPLICATION
May 1995 8.5
4
12/01/1997 11:39 9168467229 ED MELTON
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District
A.P. Number
Property Owner
PAGE 01
Irk t4 L V Building Department No.
Jurisdiction: F7 City County
Property Location/A
Subdivision
School District certifies that %V�Q/jp / Me -17 /)
Lot No.
Residential Development
I � qq v
�v� _ S4-6 ,
No of Living
Mobile Home
Addition
Units
Installation
IState) (Zip Code)
Commercial/Industrial
Building Department Representative
moor Pians rewewea av ,Cho01 uunrict Personnen
Distrix; Identification No.
Sq. Footage �)
/' (Grgyp R)
CL e!1 � f/(/f Yi
Sq. Footage
(Including Exterior
Roofed Areas)
Date I
has complied with the requirements of Resolution No.
representing square feat.
District
Paid by Check 0 Remarks:
by payment of $ $'
B 2926 b
MIT[GA TION E
Date
Notice: You may protest the imposltlon of the fees Identified above by submitting a written protest to the District, in compliance with
Government Code Section OW201a), within 80 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certmeation Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quefity Act (CEQA).
this project may be subject to additional school fees to fully mitigate its Impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/9711mm
School District certifies that %V�Q/jp / Me -17 /)
(Applicant)
I � qq v
�v� _ S4-6 ,
(Street Address)
(Phone Number)
lCity)
IState) (Zip Code)
has complied with the requirements of Resolution No.
representing square feat.
District
Paid by Check 0 Remarks:
by payment of $ $'
B 2926 b
MIT[GA TION E
Date
Notice: You may protest the imposltlon of the fees Identified above by submitting a written protest to the District, in compliance with
Government Code Section OW201a), within 80 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certmeation Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quefity Act (CEQA).
this project may be subject to additional school fees to fully mitigate its Impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/9711mm
12/01/1997 11:39 9168467229
ED MELTON
PAGE 02
STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
REGISTRATION CORE MnRTiFWnMF fte— - AA111zne
MANUFACTURER NAME/ID
TRADE NAME
MODEL
DDM
DOT
DFS
SPC
EXPIRATION
E
FLEETWOOD
R
00/00/76
E
0818/76
ACP
08/31/98
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SA
TI
Fly -76
GRIDLEY
R
U SERIAL NUMBER
1 9120
LABEL/INSIGNIA NUMBER
WEIGHT
LENGTH
WIDTH
ISSUEDSCC
1099 RIVER ffi
EXEMPT USE
TYPE
N T
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MH238658
000000
000768
000144
08/25/97
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TOTAL
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6
PAID:
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A MELTON NAOMI S
D 1099 RIVER AVE
0 GRIDLEY CA 95948-0000
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THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT
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CUUTY EPCFRMENST UOTRi THE CRRENT TTITLESTTUSOFTHE NIT MAYBEONIDTHROGHHEDEPARTMENT.
0300411