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HomeMy WebLinkAbout025-220-021BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7635 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds Permit No: B08-0454 Issued: 04/23/2008 Address: 228 STIMPSON RD Area: OROVILLE Owner: ALEJANDRE, PETE CORTEZ & MARTH Applicant: FORRESTER, SAM Permit Type: SFD-Mobile Home PFS APN: 025-220-021 Description: NEW MH EX SITE PERM FNDN (1440) i j ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Stee l/Ho l downs 122 Do Not'Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam r 119 Underfloor Framing _ - 149 , Underfloor Ducts ,� 319 Shear Transfer f ,_136 t Under Floor Plumbing V-412 Under Slab Plumbing 411: -'- Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 ti I- ` ' Inspection T pe IVR INSP DA' Electrical Final OFFICE COPY Bldg Permit: Address: Wall Insul Ceiling Ins Plumbing Final T -Bar Ceil Stucco Lat"c +� GAS By: W 1 Date - % - �+ Electric By: 1, -Y= --Date r Stucco Scr Stucco Bro Setbacks Pool Plumbing Test 504, Gas Test 404: Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 rI Pool Fencing/Alarms/Barriers 503 Num 1xV; Finals - Building F __�.__ Building Fina 802 Electrical Final Blocking/Underpining 612 Mechanical Final Tiedown/Foundation System - 611 VV Plumbing Final Site Utilities/Trench Insp..- 137 Pool ma Final Gas Test Yard 404 M Manometer Test 605 Continuity Test 602 Skirtng/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: — Num 1xV; Finals - Building F __�.__ Building Fina 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool ma Final 802 M � , . M00- Public Works Fina 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final � , . � obile Home Final 802 **PROJECT FINAL 801 'Project Final is a Certificate of Occupancy or esu enha PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS P ;AOR TO EXPIRATION Inspeci:ur Copy t� STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CERTIFICATE OF TITLE Manufactured Home Decal No: LAC1062 Manufacturer ID/Name BAYSHORE Trade Name BAYSHORE Model STATE DOM DFS 01/26/1981 RY Exp. Date Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type RE1950A 192455 60' 12' 04 SFD LPT RE1950B 192456 60' 12' Issued Total Fees Paid Mar 17, 2008 $240.00 Addressee SAMUEL B FORRESTER 7079 IRWIN AVE PALERMO, CA 95968 Registered SAMUEL B 7079 IRWt� Situs 1730 Tress A LN, E, CA 025 -moo-azo �✓Ni L IMPORTANT 7 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE _DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 5262185 03172008- 165 i SECTION A'= SMOKE DETECTOR CERTIFICATION., '' *• A ,�� �� I ;y'> „�► - •, The California Health and Safety Code requites that all used manufactured homes and used mobilehomes be equipped with a smoke detector which is in proper working order on the date of transfer. A declaration may be signed within 45 days prior to the date of sale stating that the smoke detector was operable on the date the declaration was signed. I/We further agree to indemnify and save harmless the Director of the State of California, Department of Housing and Community Development, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the unit in California, or from, issuance of a California Certificate of Title covering the same. I/We certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed OA I `C e} at Pat -V4,01 O ln� n -r ; -./ 11.1 ;?'m a i' 1:) fd 0 - Signature Signature Printed Name SECTIO R-v.:RELEAS SIG SIGNATURES • _ 1, _ :t; ;, la. Date of Release 2" µ Releasing Signature of Registered Owner lb. Date of Release Releasing Signature of Registered Owner 2. ❑ Release ❑ Retain ' * ❑ Assign Interest Legal Owner of Record (if any) sign and check appropriate box (- If Assign Interest is checked - Complete New Legal owner Below) SECTION C = NEW OWNER -INFORMATION, rt f:;, �.',t `T,•�M, i _ *._. NEW. REGISTERED OWNER - Please Print or Type Clearly A, 3a. ri a, -r o o 3c. New Registered Owners Name New Registered Owners Name T _c 3b. M A4 r,,t- da vf c�) t7 F7 3d. New Registered Owners Name New Registered Owners Name If more than one New Owner going onto title, please check the appropriate Co-owner term box: JR Joint Tenants with Right of Survivorship ❑ Tenants In Common OR *❑ Trust/Trustee(s) (- If this box is checked -Complete HCD 476.68) ❑ Tenants In Common AND ❑ Community Property ❑ Community Property with Right of Survivorship Mailing Address of New Registered Owner City/State .. 52 F, 5 --r t M 9 .1Sy-1,k I !I' itO Actual Location Address of Unit City/Sta 6. tet .mac- `r �� ' -?� c,2 K"— h e Price o heck box if Gift -13 Purchase Date or Transfer Date 7a. 7c. Signature of New Regis a Owners Signature of New Registered Owners 71b. R,!Mg6 ;1 iJent 7d. Signature Rf New R tered Owners , _ Signature of New Registered Owners .,_..NEW LEGAL OWNER -Please Print or Type Clearly _`l59615 Zip Code `3 9 &R Zip Code 8a. 8b. New Legal Owners Name New Legal Owners Name If more than one New tender going onto title, please check the appropriate Co-owner term box below. ❑ Joint Tenants with Right of Survivorship ❑ Tenants In Common OR *❑ TrusUTrustee(s) (- If this box is checked -Complete HCD 476.6B) ❑ Tenants In Common AND ❑ Community Property ❑ Community Property with Right of Survivorship 9 Mailing Address of New Legal Owner _ Cit /State - _ Zip Code NEW JUNIOR LIENHOLIDER - Please Print or Type Clearly 10a. IOb. New Junior Lienholder Name New Junior Lienholder Name Mailing Address of New Junior Lienholder Cit /State Zip Code SECTION:D� .REL,EASE OF.DEALERS; 12. Signature of Selling Dealer Print Dealers Name and Dealer Number OSP 06 94590 QD 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 PROJECT INFORMATION Site Address: 228 STIMPSON RD Owner: Permit No: B08-0454 APN: 025-220-021 ALEJANDRE, PETE CORTEZ & Issued Date: 04/23/2008 By KCG Permit type: RESIDENTIAL PO BOX 242 Subtype: SFD-Mobile Home PFS PALERMO, CA 95968 Expiration Date: 04/23/2009 Description: NEW MH EX SITE PERM FNDN (14 (530) 538-0545 Occupancy: R-3 Zoning: A5 Contractor Applicant: Square Footage: OWNER FORRESTER, SAM Building Garage RemdUAddn 7079 IRWIN AVE 1,440 PALERMO, CA 95968 Other Porch/Patio Total (530) 990-4870 1,440 FEE INFORMATION DBEH Building Review Fee $78.90 DBF MH Plan Check $241.02 DBF MH Plan Check $0.14 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Mobile Home Permit Fee. $361.74 DBOMSCF FEMA Flood Zone Review $118.98 DBSMIP Residential $9.36 Total Charged: $1,024.14 Fees Paid: $1,024.14 Balance Due: $0.00 Receipt No: B6702 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License OWNER / / Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 04/23/2008 penalty ($500]; Please check one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND the work himself or herself or through his or her own employees, provided that such improvements WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section 3700 I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a competed if the permit is or one hundred dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X— 04/23/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those �rovisio wner's Signature Date P X04/23/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, relating construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the is of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. CouP to enter the above mentioned property for inspection purposes. I hereby certify that I am the Pro erty weer or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY .� --C vi, Z4=� sz:�z << 04/23/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of ermittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR; ©Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State zip I Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B08-0454 Location: 228 STIMPSON RD Parcel Number: 025-220-021 Owner Name: ALEJANDRE, PETE CORTEZ & MARTH Description: NEW MH EX SITE PERM FNDN (1440) Date: 03/14/2008 By: KEJ Sub Type: SFD-Mobile Home PI Phone: (530)538-0545 The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ E] Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 r / El Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ri n Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 1:1 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 F1 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 1:1 E3 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs C 95917 - 530) 868-5447 a `A � Other: is 1 �. 5 Y� ` G S Other: <7G G ap(' - gw�n4 **When filed, this applicatidn a�all supporting material become6,Jss bject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. 9 Signature of Applicant: �,zV�� Date: 03/14/2008 FILE BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION" NO. OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 ' 6 �K_ 6 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds BIN N PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last fAme L'c *-i0C4 Cb�.T�,I I First -Name r�_l� Mailing Address b 2,4 Z City pa t.�2 State ,A Zip 5 S� I Phone,-- _ 2,2-0 9 Fax — E-mail CONTRACTOR N Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City / rye L>✓'2M 0Phoned Address• Zp 9 $ City S 3 3 �( S State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name , P) �� dt41P, S T i�,42 Address ..7 0 ? :J:' 2-W City / rye L>✓'2M 0Phoned tate Zp 9 $ 90 , c/ GO 7 :,JFax S 3 3 �( S E-mail APPLICAN SIGNATURE P 021 X - . '15e�� PROJECT LOCATION AP# 2S 22_o oZl Property Address Z S City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: �d-a5TAL-C oblcE POr"G eoL.✓-aCIr-e C� .>2 -ED 14005C j �Ovr-eD4_ 10 f`{ Sq FT- Living rage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office u e only: .ZoningFlood ZoneSRA VU�4 Yes No Occ. Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required..Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process, the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municinalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0454 Date: 03/14/2008 Location: 228 STIMPSON RD Parcel Number: 025-220-021 Owner Name: ALEJANDRE, PETE CORTEZ & MARTH Phone: (530) 538-0545 Description: NEW MH EX SITE PERM FNDN (1440) Signature of Applicant: Date: 03/14/2008 APPLICANT ButtO County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buffecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. . Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municit)alcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-0454 Location: 228 STIMPSON RD Parcel Number: 025-220-021 Date: 03/14/2008 Owner Name: ALEJANDRE, PETE CORTEZ & MARTH Phone: (530) 538-0545 Description: NEW MH EX SITE PERM FNDN (1440) Signature of Applicant: J_�)A A Date: 03/14/2008 FILE �s my ryl c S S ©gyp t jam = a2 PffpZml—(� P 0 rl ry °' � � q I U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28, 2009 National Flood Insurance Program Important: Read the Instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For.lnsurance Company Use: Al. Building Owner's Name Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company; NAIC Number v. f302C Z42 - city PAG M O State ZIP Codeq 5� �V A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, ettc.)) lL !-IPA/ orc4,— ZZO— 40Z- A4. L A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) YES A5. Latitude/Longitude: Lat. J Z I v 31o' I --C Long. :3 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number T/ Horizontal Datum: ® NAD 1927 U NAD 1983 A8. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide: a) Square footage of crawl space orenclosure(s) sq ft a) Square footage of attached garage J± sq ft b) No. of permanent flood openings In the crawl space or b) No. of permanent flood openings In the attached rage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade N c) Total net area of flood openings In A8.b sq In c) Total net area of flood openings In A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name 8 Community Number B2. County Name B3. State ONca�� `00017 AUT Lv �%L/r B4. Map/Panel Number B5..Sufflx B6. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.2 -g below according to the building diagram specified in Item A7. ` �1 ri Benchmark Utilized F 0 TTL- l , t4a 17 % Vertical Datum iv /Ti�%� sed oats zone AO, use base ptn> Check the measurement used. 64o 6017- 1) o C 4 z ole o 4/8/19 c) Bottom of the lowest horizontal structural member (V Zones only) _❑ d) Attached (top of slab) �._❑ feet 30 garage 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In tem B9. ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE In item 139: �NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located In a Coa�sol Barrier Re ources System (CBRS) area or area Protected Area (OPA)? EJ Yes No Designation Date U/UK NOW AJ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ErConstruction Drawings' ❑ Building Under Construction' ❑ Finished Construction -A new Elevation Certificate will be q red when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.2 -g below according to the building diagram specified in Item A7. ` �1 ri Benchmark Utilized F 0 TTL- l , t4a 17 % Vertical Datum iv /Ti�%� % Z Conversion/Comments Check the measurement used. a) Top of bottom floor (Including basement, crawl space, or enclosure floor) _❑ feet b) of the next higher floor ❑feet ❑ meters -,(Puerto Ricro_onI .)a ❑ met ra (Puerto Rico on9Q U NT ,Top N feet T ❑ Rico c) Bottom of the lowest horizontal structural member (V Zones only) _❑ d) Attached (top of slab) �._❑ feet meters (Puerto o*) f ❑ meters (Puerto'Rlco )DiA� garage e) Lowest elevation of machinery or equipment servicing the building _❑ feet (Describe type of equipment In Comments) ❑ meters(Prto�jica o ��' V O / 0 Lowest adjacent (finished) grade (LAG) ` 6 feet 10. ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 6 _.� feet ❑ meters (Puerto Rico only) SECTION D : SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify ele, information. I certify that the Information on this Certificate represents my best efforts to Interpret the data available. I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Sect/on 1.001 ❑ Check here If comments are provided on back of fond. Title (!�. A�49-01-- J L License Nuryper EST Y,--) (Z Zyw� n/se, StateC�/� ZIP�od6 t le 530 1e /op,91-7—Z. Z S3 HEFT *:. No. 2 7 `s��9T.. • CI 1\-. FEMA Form 81-31, February 2806 " See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use: Building Street Address (mcludina Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number city State /F ZIP Code Company NAIC Number i�A-�C2Mo 9S9(�8 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community oRicial, (2) Insurance agent/company, and (3) building owner. �u,,,,,,tmttio/J S) *T- - l3GrUc M N(r¢t2 k: :SPIKE /,,J Z 4'FFowoO O (D 06,+n e/zl) Signature Date 3 Z ¢ � f ❑ Check here If attachments SECTION E - BUILDING 1:1 EVATION INFO TION (SURVEY NOT REQUIRED) FOR IONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete items E1 -E5. If the Certificate Is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information br the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) Is _ ❑ feet ❑ meters ❑above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is _ ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided In SectlqrLA Items 8 /or 9 (seee 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building Is . _ [] feet LJ meters a above or below the HAG. E3. Attached garage (top of slab) Is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number Is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ unknown. The local official must certify this information In Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -Issued or community -issued BFE) or Zone AO must sign here. The statements In Sectlons A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplaln management ordinance can complete Sections A, E. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G 1. ❑ The information In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data In the Comments area below.) G2. ❑ A community official completed Section E for a building located In Zone A (without a FEMA-lssued or community -issued BFE) or Zone A0. G3. ❑ The following Infomlation (Items G4. -G9.) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (Including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments 171-1 ttachm nt FEMA Form 81-31, February 2006 Replaces all previous editions Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: �3 M,, FO2Q—S --e5t A.P.#DMZ 2,0 0 2-1 Home Manufacturer: j9A-1 S,4 o,eS Manufacture Year: 8 Iv Model Number/ Name:15ra-15" orz.6, 6024A Width:__2_LL_(ft.) Length: & U (ft.) FOOTINGS: Wood - pressure treated or foundation gradeK Other:[ j SUPPORTS: Concrete block Pq Other:[ Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Pier Footing Sizes and Locations SINGLE WIDE Line 1 -- -----______ MULTI -WIDE Line 2 Section 1 Line 1 Line 2 Line 1 Line 3 Section 2 --------- _ Line 2 - '� -- "—'�----- Line 4 (triple wide only) Section 3 Line 2 Line 1 Piers: Minimum size piers: 12 X [.3o I Snow Load: _ o psf Snow Load requirements may be obtained at lhftp:/Avww.upstate-ca.com/bufte/buffe_county/ Spacing maximum: From ends maximum: �� Insert AP #, view snow load in lower right comer. Line 2 Piers: ,Minimum size piers: Spacing /Z ) X [ 30 ] Line 1 Openings: Minimum size pier: [ /Z ) X [ 3p_)- maximum: n Required at each side of openings' er} ' " • From ends maximum: „ ,. wide. ; . l DMI Line 3 Rooft Loads: /rrL� ��"/�/f�,�c ���[ F..�i� C)�'�`� R �,,�, �� %/ : Minimum size piers: Location (from front): / ' " �z.v 3.0 Minimum size piers: I i a y "2 Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): LLI tl TI ;j 'Ti �j 0 0 C-) Please contact me with any questions or concerns. ies, Inc. BUTTE amu. APP, P0, V :` RAS( TUCKER. P.E. Consulting Professional Engineer 2117 W. 25`° Street 91 San Pedro. CA 90732 ` (310) 809-2544 { FAX (310) 521-9400 Tuck-ay@cox.net 4 December 12, 2007 Mr. Gil Fleming Oakwood Homes 655 E. Dupont Highway Millsboro, DE 19966 i Re: Flood Plain Installation Oliver Technologies Foundation System Ref: International Building Code -2003 (IBC) International Residential Code -2003 (IRC) ASCE Standard 24, Flood Resistant Design and Construction FEMA 85, Manufactured Homes in Flood Hazard Areas (July 2007 Draft) Dear Mr. Flemming: This letter is written at the request of Oliver Technologies, Inc. (OTI) to address the installation ofa manufactured home in a designated flood plain using the OTI Model 1100 ICV foundation system. It is my understanding that the home is to be situated in Sussex County, Delaware, in an A-E Zone flood plain,: (riverine or inland flood area) with a base flood elevation of 22 inches. C fL ,y� s� s ✓ J Y' ' o ' 'T-- , i r 2 Z i—kC- a 'j The OTI Model I IOOICV Foundation Systems will meet the requirements of the referenced standards fol installation in the described flood zone provided that i. A minimum of four complete systems (transverse and longitudinal) are installed for homes up to 56 feet long, and six complete systems are installed for homes over 56 feet long.. 2• The systems are installed in accordance with the approved OTI installation instructions. 3. The footing for each system is a minimum of 24 inch x 24 inch x 12 inch deep reinforced concrete, 3000 psi. 4. The bottom of the manufactured home main beams is a minimum of 24 inches above natural grade. 5. All other special anchors are to be installed per the home manufacturer's installation instructions.. Please contact me with any questions or concerns. ies, Inc. BUTTE amu. APP, P0, V :` INTRODUCTION a) If eave length exceeds 17' to 24': Use one additional Transverse System (noted on drawing by T) b) Exposure C in windzones 75 & 80: Use two (2) additional full systems (from 80 Mph table) TABLE 1 i NUMBER OF FOUNDATION BRACE SYSTEMS The All Steel Foundation 1100 'V' series is designed for both dirt and concrete foundation applications. Where noted the 'ICVindi- cages concrete wet or dry transverse (D) and longitudinal brackets 'IV QALL OUT " NO. (J,) and the refers to the steel pan dirt setThese drawings show foundations details which are applicable to HUD code houses and California HCD code manufactured homes homes B C GGROUND PAN CONCRETE BASE 1100-IXG or mobile only. The foundation plan shown is general and is to be adjusted to meet the specific house being installed.These design drawings are supplemental to the home installation manual. Refer to, D GROUND PAN TRANSVERSE CONNECTOR U BRACKET CONCRETE 1100-3-G the installation manual for mating line and main rail pier locations and for specific support and anchoring requirements for special architectural features. Pier spacings shall be based on soil conditions D(WJ D(D) CONCRETE WET SET TRANSVERSE ANCHOR U BRACKET CONCRETE DRY SET TRANSVERSE CONNECTOR U BRACKET 1100-W-TACA 1100-D and roof loads for the site. This system meets the requi2fhencs d California Code of Regulations, Titin 25, Chapter 2, Article 7, Section 1336.3(a) and California Health and Safety Code ` 6613A. E TACH 'V' BRACE 1 1/2' SQ. TUBE 20' LONG -1.50-2G-P "V' BRACE GENERAL NOTES installed on runners or full slab, and adjoining piers are permanently fixed, no diagonal frame anchors are needed on single section homes. If the 1100 1 1/7 SO. TUBE 28' LONG 'V' BRACE 1 1/2' SQ. TUBE 39' LONG 1.50-28 P 1All work shall conform to the requirements of this design and of the building code adopted by the agency having jurisdiction. 2The "V" brace of the All Steel Foundation System has an approved design LONGITUDINAL When u�ne the 1100 we+ <ar u1M bracket, Simply Install the bracket in fUnnerffooter OR When installing In cured corscrete use the 1100 dry "V' BRACE 1 1/2' SQ. TUBE 44".LONG .V` BRACE 1 1/2 SQ. TUBE 54" LONG 1.50-39-P 1.50-44-P load as a pier of 4000 lbs. Support tars other than the "V" brace shall be in accordance with the home manufacturer's installation instructions and shall be approved designs of CMU F H I -BEAM 01/2' 1.50-54-P or steel support stands. ening huts. needs or below a too of concrete Complete by light- . g TELES TRANSVERSE ARM 10E SQ. TUBE 6d LONG 1.50-60-P _ 3. Design Criteria: - Wind Pressures - 70 Mph(15psf) and BO Mph (20 psf) Exposure B and 70 Mph Exposure C Rod Live Loads TELES. TRANSVERSE ARM 1 1/2" SQ. TUBE 7'a' LONG TELES. TRANSVERSE ARM 1 1l4" SQ. TUBE 60' LONG 1.50-72-P - 20 list min. per house design ► Seismic Zone- 4 TELES. TRANSVERSE ARM 1 1/4' SQ- TUBE 7c LONG 1.25-60-P 1.25-72-P u Rod Pitch -6:12 Max. I J TRANSVERSE ARM I -BEAM CONNECTOR 2 PIECES 'V' PAN BRACKET 1100-9-P SldeWall Height- 102' Max. 4.Determine the appropriate design wind pressure for this she (70 Mph or 80 Mph). Enter the J(W) J(D) CONCRETE WET -V- ANCHOR BRACKET CONCRETE DRY 'V' CONNECTOR 1100-11-G 1100-W CPCA applicable section of Table 1 or Table 2 (page 2) to determine the number of All Steel Foundation Brace S BRACKET 1100•0CPCAst y ems required. SPECIAL CIRCUMSTANCES: a) If eave length exceeds 17' to 24': Use one additional Transverse System (noted on drawing by T) b) Exposure C in windzones 75 & 80: Use two (2) additional full systems (from 80 Mph table) TABLE 1 i NUMBER OF FOUNDATION BRACE SYSTEMS noted on drawing by E, and additional two (2) anchors per side on ALTER- NATE FOOTER single section homes. REQUIRED WIND & SEISMIC ZONE 4 s' If the following conditions occur - STOP/ Contact Oliver Technologies at -1-800.284-7437 for further instruction: a) System height exceeds 48" (System height can not 70 B WIND AREAS exceed 36' on I-beam widths less than 86') b) Roof eaves exceed 24' c) Side height ecceed 102 d) Roof Pitch greatert hen 6%12 FOUNDATION BRACE MODEL 11001 C"V" or 1100 IV' e) Lorton is within 1500 feet d ooast ire I) Footing to surface area exceeds 3 square feet g) Sal oondt6arLs fess than 4B 0 main rail spacing exceeds 102' 2 9RACESIAj 3 BRACES(B) 4 BRACES(C) WIDTH HOUSE LENGTH INSTALLATION OF GROUND PAN f'N') IT UP TO 56' 57' TO 76' 14' UP TO 56' 57' TO 76' 1. Remove weeds and debris in an approximate three foot square to expose firth, level undisturbed sail or controlled fill for each round p 9 par (B)28' 16' UP TO 54' S4' TO 76' 24' 2. Place ground pan (B) centered directly below chassis I-beam. Press or drive pan firmly into soil until flush with or below soil surface INSTALLATION USING CONCRETE UP TO 50' S1' TO 76' UP TO 50' 51' TO 74' 73' TO 76' 32' UP TO 48' 49' TO 72' RU NNER I FOOTER ( ICV 1 The concrete footer, runner or slab may be any shape that has the minimum of 2900 cu.in. with a minimum depth of 3 1/2 (dry set) 6' 73' TO 76' 33'TO 48' - UP TO 62' 63' TO 76' or (wet set), at the system location, and the surface at the footing must be large enough to support the pier load and allow at least 4" hum the concrete bolt to the edge of the concrete (example:.22' 80 B & 70 C WIND AREAS X 22' X 6'. The concrete shall be minimum 2500 psi mix (pre -blended sacked concrete mix is acceptable) . Special inspection of the anchor installations is not required. When FOUNDATION BRACE MODEL 1100 1 C"V" or 1100 IV 2 BRACES(A)f(B) installed on runners or full slab, and adjoining piers are permanently fixed, no diagonal frame anchors are needed on single section homes. If the 1100 4 BRACES Cl 5 BRgC€(D) WIDTH HOUSE LENGTH ITC transverse system, (D bracket only) is to be installed without using the .1100 ILC longitudinal system (J bracket.) 8 MUST be installed within 18' d a pier. 12 UP TO 42' 43' To 64' 65' TO 76' LONGITUDINAL When u�ne the 1100 we+ <ar u1M bracket, Simply Install the bracket in fUnnerffooter OR When installing In cured corscrete use the 1100 dry 14' UP TO 42' 43' TO 62' 63'710 76' 16' UP TO 40' 41' TO 62' 63' TO 76' set fDt bracket, The 1100 dry set J(D) bracket is attached to the concrete using (2) 1/2 x 3' concrete wed a Doris. Place the bracket in desired location. Mark bolt hole locations, then usinga 1/2 diam, mason bit, drill hole 24' UP TO 38' 39' TO 56' S6' TO 78' 28' UP TO 36' 37' TO 56' S6' TO 74' 75' & 70' a tc a minimum depth of 3'. Make sure all dust and concrete is blown out of the holes. Place wede bolts into drilled how, then place 1100 ami track- et onto wedge bolts and start wedge bolt Take 33 TO 48' UP TO 36' 37' TO 54' 55' TO 72' 73' TO 76' UP nuts. a hammer and lightly drive the wedge bolts down by hitting the nut (making sure not hill the top of threads on Doti)- The sleeve d concrete wedge bolt to beat TO 64' 73' TO 76' ening huts. needs or below a too of concrete Complete by light- . g MATERIA ASTM #A36 ASTM #A36 ASTM #A-36 ASTM #A-36 ASTM #A513 ASTM #A513 ASTM #A513 ASTM #A513 ASTM #A513 ASTM #A36 ASTM #A513 ASTM #A513 ASTM #A513 ASTM #A513 ASTM #A36 ASTM #A36 ASTM #A-36 ASTM #A-36 ALL CONCRETE FOOTERS OR RUNNERS System Placement: A) Second pier from end at opposite opposing sides. B) Same as 'A', add third system placed at center pier, outside rail, either side. C) Second pier from end, all four sides. D) Repeat'C, place 5th system at center pier, outside rail, either side. SEE TABLE 2 FOR FOOTERS OF ALTERNATE MATERIALS LATERAL- (a) For wet set installation set the transverse anchor bracket D PIER ON CONCRETE FOOTER @ 5'6* O.C. MAX (W) into rvnnedge bots. Mark loft hole locations, For dry set instate lotion the dry set bracket D(D) is attached to the concrete using (2) 1/2' x 3" concrete wedge bolts. Mark bolt hole locations, then using a 1/2' diam. masonry bit, drill holes to a minimum depth d 3'. Make sure all dust and concrete is blown out d the holes. Place wedge 2' MAX TYP balls into drilled holes Attach transverse connector bracket DID). If needed, take a hammer and lightly drive the wedge bolts down by OPTIONAL SKIRTING & BASE hitting the nut (making sure not to fit the lop of threads on bolt.) Complete by tightening nuts. SPECIAL NOTE: The longftudinal "V' brace system serves as a pier under the home and should be loaded as any other pier. It is reg- i C, E,D B,D - A,B,C, D,E ommendedthatafterlevelingpiers,anion--------------_-__ _______ items 1 through 5 below, a quarter (1l4') taone-half inch (1/Y) before home is lowered completely on to piers, com- plete E -- "------ - INSTALLA710N OF LO Gilru[1111,11111 v^ BRACE SYSTEM 1. Select the correct square tube brace (E) length for set - up (pier) height at support location. !. TYP. PIER 8 FOOTER PIER HEIGHT 1.50' (Approx. 40 - 60 degrees Max.) Tube Length co 14`l0 19' [b) OTE: ! E T Pier Heigh = • 20" Installation of the longitudinal system eliminates the need for Ion- -f- 1 B` to 25' 28' udinal anchors. --------------__ the dimension from the I ------ -_ _ fop d panffoundation to 24' to 35' 39- Instasafion of the transverse system eliminates the need for diag- A,B,C,D,EC,E,D the bottom of I-beam30' to 40' al frame hes, and stabil¢er pFales.�-An ether home manufacturer's instructions for installation of 2. Install both of the 1.50 " 36' to 48' 54` stabilizing devices must be followed. including installation of sidewall vertical fie -down anchors, shear wan or center -fine fie -down anchors. 76' MAX square tubes (E) into the "U` bracket (J), insert carriage bolt and leave nutLble, he home manufacturers installation instructions are not oval loose for final adjustment. the home must be installed in accordance with any state prom - 3. Place I-beam connector (F) loosely on the bottom flange d the I-beam. d rules, or as required by the authority having judsi ictn. WHEN REQUIRED BY TABLE 1 4. Attach the selected 1.5, tubes (E) to the I-beam connectors (F) and fasten - ® loosely with bolls and nuts. Note: The footer must be level in both directions to ;ALL STEEL FOUNDATION BRACE MODEL 7100 IC "V' ensure the angle markings on the centerpoint connector are correct from the horbbr ital plane of the footer. The angle is not to exceed 60 degrees " and not less than 40 degrees. The V bracket (J) is stamped with the angles to verify correct degree. Use proper length tube or cul and drill tube PIER ON CONCRETE FOOTER (rat 5' 6. O.C. MAX to achieve proper length. (The tube may be cut using any appropriate steel cutting method such as steel saw. cutting torch, etc. New holes must be drilled to the distension, and at the location as shown for part E.) T MAX TYP. 5. Using standard hand tools, tighten all nuts and bolts. When connecting the brace tube to the I-beam connector bracket (F) tighten at I I A,B,C,D,E least one and a half -to two fun turns past hand tight. C, E, D TYP. PIER & FOOTER B' D OPTIONAL SKIRTING & BASE INVVSTALL.!T OF LATERAL TELESCOPING TRANSVERSE ARM SYSTEM 6. Select the correctsquare tube brace (H) length for set-up lateral transverse at support 1.50' tube as the bottom tube, and the 1.25" lube as the inserted tube.) The 72' tus used on extended frame widths greater tharr E @- 99.5' 7. Install the 1.50 transverse brace (H) to the footer/ground pan connector (D) with bolt and nut. B. Slide 1.25" transverse brace into the 1.50" brace and attach to adjacent I-beam connector ( I ) with bolt and nut. 9. Secure 1.50' transverse arm to 1.25" transverse arm using four (4) 1/4' - 14 x 3/4' self -tapping screws in pre -drilled pilot holes. ---_-- (3 WRNG UNE KERS PER HOUSEMNUFACiURER MST.d1'AngN Mr:iwroir;13 E3 FloorJoistl c>u r @y MAIN RAILS 2' Max. m .---s- - --• •-- Approved pier.stand or -1O E T " Weld 9011 or 8'x16' CMU pier Clamp Far to� - m A B O D E Main Beam Clamp or anchor pier to O c 3 . ' c m footer. Typ_ t I E. E 76' MAX top of surrounding soil 6' min conaete� .l.-'-_ - - tooting, or 3.5' ► :;.'v' I min far runnerI - zz x zz min. Concrete Fooling Approved pier stand or B'xl6' CMU pler C,E,D FINISH ASTM A123 -89A OR A929/A929M-96 ASTM A123 -89A OR A929/A929M-96 RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT ASTM A123 -69A OR A929/A929M-96 RUST RESISTANT BLACK PAINT RUST RESISTANT BLACK PAINT I - Transverse arts I-beam connector :'V' brace 1 -beam connectors CIO 5070 r 7nnR l CIV0, MULTI'sECnoN 33' TO 4e' y n cu..ce o j MOLL= [Lim U i LU I -0 i i t L o U U 3 � i Q � z a 0 cc LU i r w l w O a U v, 6 I w I j " .. `' � Com.•, � � � - f NO, DIV! - Transverse arts Top (1.25') bottom (1,5-) C - Concrete B B- Ground Pan COMMENT SEE INSTALLATION USING CONCRETE RUNNER ETC. CARRIAGE BOLT & HEX NUT, GRADE 2, 1 REQUIRED CARRIAGE BOLT & HEX NUT, GRADE 2, 1 REQUIRED CARRIAGE BOLT & HEX NUT, GRADE 2, 1 REQUIRED CARRIAGE BOLT & HEX NUT, GRADE 2, 1 REQUIRED SELF TAPPING SCREWS, 1/4'-#14x3/4', 4 REQUIRED SELF TAPPING SCREWS, 1/4'-#14x3/4', 4 REQUIRED CARRIAGE BOLT & HEX NUT, GRADE 2, 2 REQUIRED CARRIAGE BOLT & HEX NUT, GRADE 2.2 REQUIRED CARRIAGE BOLT & HEX NUT, GRADE 2, 1 REQUIRED CARRIAGE BOLT & HEX NUT, GRADE 2, 1 REQUIRED D -Pan transverse connector or D(W) OR DID) concrete traryvlerse connector J - Pan V bracket or J(W) or J(D) - E -'V' Brace Concrete V Bracket Tube (1.57 OLIVER TECHNOLOGIES, INC. 1-800-284-7437 fax: 931-796-8811 www.olivertechnol*ogies.com CA -3 ALL STEEL FOUNDATION SYSTEM MODEL 1100 ICV 8k 1100 IV M.H. PERMANENT FOUNDA- TION SYSTEM 11 Date: November 12, 2003 - Scale: None Page -Sheet: 112 - Rev. 1 Dated February 7, 2007 MANUFACTURED AOMS/MOMB ROMB FOUNDATION SYSTEM REALTR AND SAFETY CODE. SECTION JUS1 APPROVED 8UBJ8CT TO CORAWnONS.NOTBD OMISS10N3 OR DEVIATION FROM REQUIREMENTS OP APPLICABLE STATE LAWS AND REGULATIONS Shote Of Califomis Depattmmt of Housing cad Caamnmity Development OF CODIM AND is ga lig No L__4!� Plan Approval Expires N& FOOTERS OF ALTE:RNATE MATERIALS 13UTTE C1jimly ALL STEEL FOUNDATION SYSTEM 1100 IV (PAN) AND 1100 ICV CONCRET 3UILDiNG DIVISIONINSTALLATION WITH APPROVE ( E) SEE GENERAL NOTES, SHEET 1 OF 2 FOR INDABS OR TREATD W EOOD. FOOTERS GENERAL NOTES CONTINUED: TALLATION OF ALL STEEL FOUNDATION BRACE SYSTEMS See General Notes, Sheet 1 of 2, for installation of the All Steel Foundation Brace Systems. of 4725 lbs. ; c instructions. umuzea. Strap and anchor shall have a world load ca "' `U�' �" " "neva ern wne B or meet ASTM D3953-91. Strap and anchor shiii be installed inla.cordance with equipment maultimat u acture- • Floor Joist _71"\ MAIN BEAM t—�Y Max ~ Weld Bolt or' -'-%roved -- Clamp Pier to T`ti x16' CMU pier Main Beam m E E r m 1 top of su>pding soil Approved AB5 Footer or treated wood. !ABLE 2 NUMBER OF FOUNDATION BRACE SYSTEMS AND/OR TIEDOWNS REQUIRED WIND & SEISMIC ZONE 4 70B WIND AREAS (15PSF) FOUNDATION BRACE MODEL 1100 1 "V" or IC 'V' TIEDOWN/ANCHOR REQUIRED PER SIDE OF HOUSE .2 BRACES[A) 3 BRACMB)• 4 BRACES(CJ 3 ANCHORS 4 ANCHORS WIDTH HOUSE LENGTH HOUSE LENGTH 12' UP TO 56' 57' TO 76' - 14' UP TO 56' 67' TO 76' _ UP TO 72' 73' TO 76' 16' UP TO 54' 54' TO 76' _ UP TO 76' _ 24' UP TO 50' 51' TO 76' - UP TO 76' 28' UP TO 50' 51' TO 74' 73' TO 76' NONE REQ. NONE REQ. 32'UP TO 48' 4g' 10 72' 73' TO 76' NONE REQ. NONE REQ. 33'7048' UP TO 62' 63' TO 76' NONE REQ. NONE REQ. 80 B & 70 C WIND AREAS (20PSF) NONE REQ. NONE REQ.' FOUNDATION BRACE MODEL 1100 I W" or IC 'V' 11EDOWN/ANCHOR 2 BRACES(A) IgRACES(B) 4 BRACESfC) 5 BRACES(D) ED PER SIDE OF HOUSE 4pREQUIRED 5 ANCHORS WIDTH HOUSE LENGTH 12' UP TO 42' 43' TO 64' 66' TO 76' HOUSE LENGTH 14' UP TO 42' 43' TO 62' 63' TO 76' UP TO 66' 67' TO 76' 16' UP TO 40' 41' TO 62' 63' TO 76' UP TO 66' 67' TO 76' 24' UP TO 38' 39' TO 58' 58' TO 76' UP TO 68' 69' TO 76' NONE REQ. NONE REQ. 28' UP TO 36' 37' TO 56' S6' TO 74' 75' & 76' 32' UP TO 36' 37' TO 54' 55' TO 72' 73' TO 76' NONE REQ. NONE REQ. 337048'NONE REQ. NONE REQ. UP TO 64' 73-170 76' NONE REQ. NONE REQ. When Tie Downs are required, placement is as follows: Single Wide homes require a minimum. of 3 anchors per side, two (2) of those anchors located not more than 2 feet from each end. Any additional anchors (as specified by Table 2) are to be spaced evenly along each side. PIER ON FOOTER PER HOUSE MANUFACTURER INSTALLATION INSTRUCTIONS 8' O.C. MAX f 7 MAX TYR t:.... C E D OPTIONAL SKIRTING & BASE BID E .p . Cal -' - - - - -- E tl T ABODE 76' MAX Q -STRAP & ANCHOR TIE -DOWN TYPICAL (TYP). WHEN REQUIRED SY TABLE 2 ALL STEEL FOUNDATION BRACE MODEL 1100 1 'V or 1100 IC Ar 4 I I�I , TYR PIER & FOOTER I ! I II Z Q'I PIER ON FOOTER PER HOUSE MANUFACTURER INSTALLATION INSTRUCTIONS 8' O.C. MAX Z MAX TYP. C, E,D TYP. PIER 8 FOOTER BID A,B,C,D,E t E OPTIONAL SKIRTING & BASE . ------ 0 MATING LINE PIERS PER HOUSE MANUFACTURER INSTALLATION INSTRUCTIONS .©__ A,B,C,D,E - E T - 76' MAX T C,E,D ��F ESQ/p M 50%0 AR 3 12008 �F CAIN y�/ T MAX TVP I C,E,D BID A,B,C,D,E at Lo --�--rte=Nr KL5 A,B,C,D,E C,E,D rc MAX MATING LINE PIERS PER HOUSE MANUFACTURER INSTALLATION INSTRUCTION OLIVER TECHNOLOGIES, INC. - 1 -800-284-7437 fax: 931-796-8811 www.olivertechnologies.com CA -3 ALL STEEL FOUNDATION SYSTEM MODEL 1100 ICV M.H. PERMANENT FOU14n4TION SYSTEM Date: November 12, 2003 - Scale: None Page -Sheet: 212 - Rev. 1 Dated February 7. 2007 b!ANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 1S55I APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Department of Housing and Commturity DmelopmeM �1Vf$ION�F CODA AND STANDARDS Plan Appraral FUTURE OCCUPANCY CHANGES WILL THE 2007 CBC, CMC, CPC, BE REQUIRED TO MEET FEMA SITE ��� CEC, AND 2005 CALIFORNIA APPROVED PLANS AND REGULATIONS REQUIRED AT THE I ENERGY STANDARDS AS PERMIT SHALL BE ON SITE TIME OF PERMIT APPLICATION FOR A AMENDED BY THE JURISDICTION FOR ALL INPECTIONS NEW OCCUPANCY CHANGE OR ; ; ; ""'""' "'""................... ................... "' APPLY TO THIS PROJECT. TENANT IMPROVEMENT ,•••••..•i••.-.••••.•-••--- - - - _ -7 5 I _ .................. ._ .. .. .. ............. INSTALL ALL EL . .. .. .. ... ._......ECTRICAL o ::. .....:........:.......:.....:.......::......:_.....::._.__.:;.....:.....:......:....._._. EQUIPMENT AT OR ABOVE THE ............:......:------ :........... _......._. .... .. .. ....... .............................-•� �CIDELEVATION ... ...... :............ :............ CERTIFICATE STATED ON THE EM .. ... r.................... ...........: ... .. ELEVATION - FLOOD ELEVATION CERTIFICATE .... -- -=�---- — .. ... I1NFORMATION NOTE :_..................:......:.. .............SITE CONDITIONS ?N- ..............................:......:.....:.... .. .. _ - REQUIRED IF ANY OF THE FOLLOWING SITE ""' " "'" ��� -- -•.................................................... rLNIVIV IVly'g ENGINEERING MAY BE . . . . . . _ _ CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED se: APR At PLANS: _....: te: .U.. ... ._ .. ... - • EXCESSIVE SLOPES : : Fjarkir3g EXPANSIVE SOILS aplrag: . _. I EXCESSIVE CUTS OR FILLS _ _ _ ,,.nclsc Qher< ALTERATIONS TO NATURAL DRAINAGE T ?.N UAL SOIL OR GEOGRAPHICAL >.....c ........... .....:.....•: .. S J: b� OTHER UNUSUAL .. ... . .. .. �^ 9�natLre: i. ... .. CONDITIONS _ ... _ ... _ •I• ................;_........... ...... .... .. .. .. .. ... ... ... ,.. ..:.....:.... . . . . ..:.. ..: ... .. .. _y .............................. ... ................. .. .. .. .. .. .. .. ......... .. .. .. ....... .. .. ... .. .. .. .. .. _. _ .. .. .. ... ................... .. ... __: .... .. ... 1 ... .. .. .. .. .. .. .. ........................ .. .. ... .. ... .. .. .. .. .. ... .. .. ... .. .. __ .. • : .. .. ... .. ... ._ ... ._ ... .. ... ......:.........: ;LANDINGS AT DOORS ...................:...................:....... ...... �............. ....... _� ....... ....... .__...:.....:_...........;......,.....:.............,.....:............. .. ..... .. .. SHALL COMPLY ''• """" "G"� y�' �' ' WITH ........... : ... ..........................,............_...._......ONS ................._._........_ ... 1 OOB. 1 5, 11 0091.4 & 4 � 2007 OBC .. f a BUILDING I .. .. i... 1 O 1 0.6 .. ... _ ..... ......;........ I•: : E�I,sr w - -- - - PERMIT # 00- OYS-Y .................................:............;.. .. ... ........................• •.. .......... ..ASSESSOR'S ARCEL#: : : : is .. ............................. .. ............ .. .. .. .. ._ .......... ... .. .. .. - e E2c. i.. _moa $ .�^ _ -r : Ia G • 4 A -•i .. ..�'.i. 'cam w"" "iq' £ - . �o ?` ..:....:. ..:.. 9 t lot. 0ING I, .. .. ?1.... 4 `....�..... .. .. .. .. �rd. .. .. • iN OTE: I OVA .. .. .. .. ... .. .. .. ... O or�ocory r�.wi w�co �c occ or�w�c�o� c cr•�o � � : � : : : : "" •" "" "" "" ............ "' •' " "/lJ.. 1._..........'...........:..................................... ... I } ' . .�. ... .. .— ,.... DETERMINING LOCATIONS OF PROPERTY LINES ............. .. .. .. ............. .. .. 1 FAGFMFNTFS ANr) MAINTAININI; RFn. I1IRF17 _ ALL ANn......................... ALL .. .. .. .. .. .. .. .... COVERED DECKS AND SETBACKS FROM PROPERTY LINES AND I /` ! OPEN DECKS EXCEEDING 36 ...................... ........... _............ ....... ......_...... .....................:................... ...... ..................... Q AR WILL E • _ FEET IN DETERMINED NECESSARY BY THE BUILDING ;...........:.....;...:. ....... :..... :............ ... R ' 1-,• .. ... .. REQUIRE A BUILDING PERMIT -- .f.. .. .. ....................................A_ .. .. .. ... .. .. ... .. .. I .... ...... . ... .. ... s i .y ;.. CALIFORNIA CODE OF ...... :...... :..... :. �...:..... REGULATIONS TITLE 25 .....:......:...... . .. ... .. ... of REQUIREMENTS AS AMENDED :.....;...... ; ......i ............ . ......:.....:. ...........:............ }.....;......;... . . . . ... .. ..................... .. ............... • �'-BY THE JURISDICTION APPLY : : : .........................._ ..........._. ....... ........_....... TO THIS PROJECT � R n �� rl �'� ��-- .�m•-� `�- � 8 ! 5 ' S -r I �►', � s o .,a I� � .Y .. a f COMPLY WITH CDF/ CAL FIRE PROVIDE FOR ALL Assessors Parcel Number: ❑O a © ❑Z FRI El El Ul Scale: 1u OevT FO REQUIREMENTS PRIOR'TO AD.IACENT_PARCELS n O O BUILDING DIVISION FINAL. \ Owner Name ?�T� OOTCZ �l L� ? Dt2F O O ZOnI 9 CONTACT CDF/ CAL FIRE Address / Phone No. t?. D - Zd� 214 2- ?A� IEAfA0 C'� 959` S s 3r, 3 1 2 2 y9 I o o Gen O O FOR INFORMATION FILE COPY Site Location '1 2 6 S T -I M p s o" � n R o L C �0 1� N �-t Size, f Contact: Name S A r, � ba -kc s 7 :: � Phone S-3 o ji 90 y s 2o�s 3 3 - L► s'. 7�a;�, - RLE COPY OWNER -AL -C..) �DRE 0- APN• aZ,E3P#0-0 BUTTE COUNTY io �6EPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT'NO. BP061204 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/22/2006 APN: 025-220-021-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 228 STIMPSON RD PAL Dale: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). r ❑ 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 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.). ❑ 1 am Exempt under Article 3 of a ssions C de Date: 5 21_4!wner: WORKERS' COMPENSATION DECLARATION V I hereby affirm under penally 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 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: �Polllicy #: X�q I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: -5 —,_2 L� r WARNING: Failure to secure workers' cfc pensation 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: Map Index: Description: DEMO SF Owner: ALEJANDRE PETE CORTEZ & MARTHA 0 228 STIMPSON RD OROVILLE, CA 95965 Applicant: ALEJANDRE PETE CORTEZ & MARTHA 0 228 STIMPSON RD OROVILLE, CA 95965 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This pe it is here y Issued under the p i able provisions of the Butte County Code and/or- Resol ions to do ork indicated abov for hich fees have been paid. By. l� % Dale: 15 -IU -6610 PERMITE PIRES ON: (5— Z Z _G 2 ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & 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 )'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 ouilding construction. I acknowledge it is unlawful to alter the substance of any o ficial fo r document of Butte County. I hereby authorize repre`sseeptatives of Butte County to enter upon the above mentioned property for inspection purpose . Print Name: T l /'S U10 Al. � � Signature: 42122:1,� Date:_([ 7 ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor n ;.� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Namefirst fi Name % Address i '7 Cf v 7 D City L ttateCft zip?- Phon d� Fax E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Map Book _ Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book _ Fax E-mail Planner State License Number APPLICANT INFORMATION Name _ Cc "_"e9 Q /� Address -7cf City Stat __T Zip Pho e�� Fax E-mail ME % d / OR ii _T For office use only: Zoning Property Address Flood Zone I I SRA I Yes I No Occ. Type Const. Subdivision Name Map Book _ Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT �NO. BP BIN # PROJECT /LOCATION AP#� Property Address 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 Page 1 of 2 Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ 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. Received by: Amount: c�' Bldg SRA Receipt #: Sheriff SMIP /` Date:Other ,�?1_06 S� GO V Total_ REV 8-12-05 /'S - '-& 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 paper! ❑ 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 faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (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. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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 Refunds 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 .1 •^: / / �`. ` ` I.a 1 I►LJI✓Llvr IP1L 1 �p� �� � ( R '9 .- ! !1• /' P ADDRESS_: 1.7vI6�✓rrV�7 ^ . r►LVVr�✓ 6, fV /I'M I riUcu SHEET �« :ems �,•i . OF --tom-SHEETS DESCRIPTION OF 8 ILDING R.C.L.N.D. e I _ •' �r'f o',3 ;l " 1 CLASSdSHAPE CONSTRUCTION STRUCTURAL EXTERIOR ROOF LIGHTING AIR CONDITION ROOM AND FINISH DETAIL t Light" Sub -standard ' Frome''Y= -;.r stucco on el; �l'er Foot / Pitch Goble /I Wiring X.T. • I Conduit jH,,tinq IX lCoolingROOMS Forced I CleahvB FLOORS IFLOOR / 2 I FINISH TRIM INTERIOR FINISH Moterio/ I &rode Wafts Ceilings -J/ ARCHITECTURE r Standard Sheathing Siding Nip /q ( B X. Coble 6rovity Humid. A// 6 /.9 7,1 yfi Above-Stondord . ConcreA? A?ock Y Fixtures Wo// Unit i t Stories Specio/ BBB. Ira G. 7 Cut Up Few Cheap O Ent. Ho// �• >. USE TYPE Brick Shfnq/es Dormers �( Avg. �( Medium Floor Unit Living a single FOUNDATION Adobe Shokes Many I ISpeciol lZonellnit I Dining Doub/eConcrete F/oor.Joist: 16.88. T. 4G. Gutters Centrol•• y Reinforced / /sr )- "X - PLUMBINGBed I Aporlmenl Brick "X - Brick Shingle 1poor 1 16000' Bed / Flat Wood Sub Floor Stone Shake Oi/Burner Court ' Piers WINDOWS Tile Fixtures Mole/D.H. _ Cgsemeni Ti/e Trim ftlerHeoler Insulated Ceilin s Slee/ Josh' It,11.5qreens omposition` Automatic FireP/ace Kitchen I /rll D % 1 Units` Li hf I lReavy I I Insuloled Walls Compo. Shin' le Gos Elect. DroinBd. Moleriall, G,rjc:¢. Lgth: Q Ft Splash: CONSTRUCTION RECORD EFFEc, APPR. NORMAL % 0000 RATING (E, G, A, F, P) Permit YEAR YEAR Reinoln9 Toole /o Arch. Func. Con- Stora eSpoce Wore- FI. No. No. For. Amount Dole Aqe Life CO''d Attr. Plan form. upbtrCloset nshiP BATH 'DETAIL' FINISH FIXTURES . SHOWER Floors Wo//s Wc. Lo. ub T pe Grode t. T. .D. 'Finish • - / l •,�O 4 , SPECIAL FEATURES BookCoses Built -fn Beds ItenefianBlinds ' Smilers ' COMPUTATION , 11 '. ' I �J= Appraiser & Dotes ii1 #��4� J i+� I ,I1�1ili1s;4�tiu j, 14 "iI1 a y �';��.,+ � r• rr"'W3�NUnsi/Uni> n/1 Cost Unit oCost Unit Area Cos! Cost Cost � Cost Cost osCost l r r „� fJ~9c7 j-.2.;•-cf' �e4�� ..e"e �a �/€,��'.C�y�;4�.� I�r�lt/ij� S •�` t r••.•�1'�,�. r..r za o • K r"' ai V� K lbvvvli-1, :� Ell 4.--1c_nC TOTALQ hila �' r� n 5►-► 09 h� -7 o... a NORMAL % GOOD./ R.C.L.N.D. e I _ •' �r'f o',3 ;l " 1 :7 I �% 3 S 14 6t 9 AU �i/1_A !t1_'d% r.naric,.a c r / t n /i �; : i •7 .' .^•,fir r� a ,.aa" //�$%„ Y,'•,..... •`�1 =f ii_=.... J' 0nn Fl,..f j f COMPUTATIONS' - i ; �.._ Al �- �'/ice - - - _1= �_��` _ _ ----�- -I �,� - J>".-;�-•��+-�� �=t v Ll _ ,_ _ Com._._ r- I- l—.. i 1 - +-t- _ ; Remarks: 1;1,1 ,- Ij_��.�,_� _�_I '-y-. _j--1 i-1 _ Li .�_-I-+ ���.} 1=�I..4 �/r!-a�'�i' JL�P-��/!,.. fro ( �J L✓ �1 �,��' - 1- --I--I- � - 4 + --�'-,� r- e-901- +• .'.' -t-,--,- ILE- Hr. + — —'— f 4— }—t i 17- c S771-" OF BUTTE COUNTY PROPERTY RECORD NAME. fiA�li- /^ NAME SITUS ZONING City ❑ County ❑ Assessment Year 'UTILITIES -SITE IMPS. Date Electricity: Yes ❑ Telephone - ❑ Appraiser Gas: Public ❑ LPG ❑ None ❑ Use Code Sanitary Swr: Public ❑ Indiv. ❑ Dwelling Units Street: Conc. ❑Asph. ❑ Dirt ❑ Gravel ❑ Building Class Street Lights: Yes ❑ No ❑ Bedrooms C & G: Yes ❑ No [3_ Baths Sidewalks: Yes ❑ No ❑ Effective Year SITE TOPOGRAPHY Area of Residence Level ❑ Rolling ❑ Other ❑ Car Shelter Slopes: Up ❑ Down S -S [3 Misc. Buildings At: . ❑ Above Below 03rade Pool View: ❑ Of: Phy. Char. WATER GPM: Depth: Comparable 1 Public ❑ Well ❑ Ditch ❑ Comparable 2 Supplier Comparable 3 Aerial Photo Year Sale Date/Price Topo Map Year Cnil hinmc Inrlcv I Arrcc I Rncc Vcnr Assessment Fee Number I Book Page/Block Parcel Yes No ® Yes Q No Yes I❑ No E] Yes ❑ No ❑ Yes ❑ No Yes ❑ No Yes ❑ No I❑ Yes 0 No ❑ Yes ❑ No ❑ Yes 0 No ;hecked ❑ Checked I= Checked 0 Checked ❑ Checked MARKET DATA PRIMARY BASE SECTION Avg. Soil Rating SECONDARY BASE SECTION LAND REMARKS: I Base Year Size: Desc Yes ❑ No ❑ Yes ❑ No 0 Checked ❑ . A S0200=093: Maga P hysi ca I Characteristics Feb 20, 2008 02:35 prr File Edit Images View Options System Help Asmk 1 j25.220-021.000 Status Fee Parcel 025-220.021-000 Land Use Cat RESIDENT IAL Owner I CORTEZ FAMILY TRUST Image Viewer Structure # 1 Exterior Code E General Flooring Code Building Type Code Y Floor Structure ( Code ' Year Built 1900 Frame Code - B uilding Size 906 Patio Code Sq Ft Garage 0 D ecks Code Number of Residential Units 0 Heating Type Code Conf Use ❑ Heating Source Code Commercial Properties Structural Cooling Type Cooling Source Code Code El Roof Cover Code Wiring Type Code Roof Style Code Plumbing Condition Code Roof Pitch Code Joists Code Roof Structure Code Foundation Code rr- Find, , , .[ iq A FIRE DAMAGE REPORT OR: pt.& � Ina, 6 e,Al� LOCATION: 2 Z �S S rn ISS D !� %� t7• CONTRACTOR: DATE TO INSPECTOR: S- ~ 13-0 5 PERM HISTORY:X NONE Building Description: CommerciallUsage: Residential/# of Units: Currently Occupied Abandoned/Vacant Electric: Gas: , *IAI JS 4 DATE: 5 --1 Z —6s o A.P. # 0 Z S- Z Zo —('Z / V ZONING: 14- 5 ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric I Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Obvious SewageProblems Description of Damaged Area: Estimate Valuation of Damaged Area: Condition of Foundation: Mobile Home: Condition of Utilities: Potable Water. Inspector. Date Sketch building on reverse and indicate area of damage. - 06 ...................... . DATE 4/15/2005 REPORT TIM 15:36 D ZS -7,7-0 -dZi INCIDENT NUMBER EVENT NUMBE LOCAL FIRE NUMBE STATE FIRE NUMBER CASE NUMBER LOCATION 1228 STIMPSON RD RP UNKNOWN I PHONE NUMBER WILDLAND FIRES ❑ ESTIMATED ACRES STRUCTURE FIRE I RESIDENTIAL OTHER FIRE MEDICAL AIDS PSA/OTHER HAZ MAT Billable Incident ❑ COMMENTS FULLY INVOLVED AT ARRIVAL EMD ❑ OES ❑ 3957) 3981 LOGGED B JAMC 10261 I apf I nraLFire RO DAMON I aaf Srara Fira (1Ffrnrc BI ............................................... ............................... �- Ia�rraRart MEDICS PRA Y5 I ECC ❑ I REPORT METHO i SEVEN DIGIT EM M FIRE INFORMATION FIRE INFO SENT HO E-MAIL BYJAMC TO STA72 7 -DAY LOGGED INITIALS INCIDENT NAM STIMPSON START DATE 4115/2005 START TIME 15:34 DIAMOND # 5.0 CAUSEUNDETERMINED LAND USE ;DOMESTIC �� --.. . ACRES t TYPE OF ACRE DIAMOND 5 ONLY $ DAMAGE TYP ALL OTHER DOLLAR DAMAGE f , SAVE 0.00 INJURIES/FATALITIE ❑ # CIVILIAN INJURIES 01 # CIVILIAN FATALITIES 0 # FF INJURIE 01 # FF FATALITIES 01; FC -40 INFORMATION �{ ♦ New Incident FC -40 11DATE OF FC -40 INC.. ....................... P�f ; AGENCY INC # INC P# FC -40 COMP DATE ( FC -40 COMP BY � County Notifications F/-] EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑