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026-050-050
oFF s7AUCCY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES {. INSPECTI(0)N CARD 24 Hour Inspection Line: (530) 538-763) (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds r Permit No: 06-2138 Issued: 09/28/2006 Address: 6735 ROCK HAVEN CT PAL6R4n-o APN: 026-050-050 Permit Subtype: Private Garag Owner: SID CHANDEN Applicant: JERRY MITCHELL EM/1VC{ Description: GARAGE(DET) C 4� MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 /B Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 0,c- io-3o,oro Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 0-30-04, Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 11 A -O& U PERMITS BECOME NULL AND VOID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy AN AM Arm • `AMA .=FAF .Certificate ®f -Conformance Certificate 05,4074 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 -- Manufacturing -- Standard Specificaftns For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant. QA program with adequate sampling to verify conformance to industry standards'for lumber grade and glueline bond quality. f - . ,,opa�oeiligA �� by Thomas G. Williamson Executive Vice President ENGINE AED WOOD SYSTEMS is a related corporation of APA — THE ENGINEERED WOOD ASSOCIATION 7011 Svuth 191h Slrem - P.O. Box 11700 • Tacoma, WA 98411.0700 Telephone: (253) 565-6900 - Pax Number: (233) 55. -TZ65 Tn . ':nt1,4' ')NT SQOOM NH31S3M 1098PG89£5T £5:80 900Z/80/£0 BUTTE COUNTY . . DEPARTMENT OF DEVELOPMENT SERVICES BUILDINGPERMIT 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: 6735 ROCK HAVEN CT Owner: Permit No: 06-213H APN: 026-050-050 SID CHANDEN Issued Date: 09/28/2006 By KCG Permit type: MISCELLANEOUS 6735 ROCK HAVEN COURT Subtype: Private Garage/Shop OROVILLE, CA 95965 Expiration Date: 09/23/2007 Description: GARAGE(DET) (530) 532-6340 Occupancy: Zoning: Contractor Applicant: Square Footage: HYSMITH CONSTRUCTION JERRY MITCHELL Building Garage RemdUAddn 5190 PENNINGTON ROAD 195 WASHINGTON ST 560 LIVE OAK, CA 95953 GRIDLEY, CA 95948 Other Porch/Patio Total (530) 695-8784 (530) 846-4409 560 FEE INFORMATION Fund 10 BLDG $219.96 Garage - Wood Frame $329.94 SMIP - Residential $1.34 Total Charged: $551.24 Fees Paid: $551.24 Balance Due: $0.00 Receipt No: B323 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 HYSMITH CONSTRUCTION CSLB-791117 / / 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 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 09/28/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors 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: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND 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 ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: State Fund policy Number: 1645113-0OS Exp. Date: Contractor's License Law.). (This section need not be competed if The permit is or on red dollars ($100) or less. ne hu ElI 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 09/28/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 09/28/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte Coun 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 HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) di a injury, including death, and property damage caused t is arising out of, a in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 09/28/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [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 INSPECTOR COPY Lenders Address City state Zip 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: 6735 ROCK HAVEN CT Owner: Permit No: 06-2138 APN: 026-050-050 SID CHANDEN Issued Date: 09/28/2006 By KCG Permit type: MISCELLANEOUS 6735 ROCK HAVEN COURT Subtype: . Private Garage/Shop OROVILLE, CA 95965 Expiration Date: 09/23/2007 Description: GARAGE(DET) (530) 532-6340 Occupancy: Zoning: Contractor Applicant: Square Footage: HYSMITH CONSTRUCTION JERRY MITCHELL Building Garage Remdl/Addn 5190 PENNINGTON ROAD 195 WASHINGTON ST 560 LIVE OAK, CA 95953 GRIDLEY, CA 95948 Other Porch/Patio Total (530)695-8784 (530)846-4409 560 FEE INFORMATION Fund 10 BLDG $219.96 Garage - Wood Frame $329.94 SMIP - Residential $1.34 Total Charged: $551.24 Fees Paid: $551.24 Balance Due: $0.00 Receipt No: B323 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 HYSMITH CONSTRUCTION CSLB-791117 / / rZ 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 the Bus; ess and Professions Code, and my license Pursuant to the provisions of the Contractofs License Law [Chapter 9 (commencing with SeIXion 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the Z!=;��Professions basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 09/28/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Cont r ct6r•s S. ature 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 Y0bRKERS'CO PENSATION DECLARATION 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND 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.). AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law down not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 1645113-0OS Carrier. Policy Number: Exp. Date: Contractor's License Law.). (This section need not be completed if the permit is or one hundred ollars ($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' Compens ' laws of California, and agree that if I should become subject to the workers' X 09/28/2006 comp sation rovisions of Section 3700 of the Labor Code, I shall forthw' mply with those Owner's Signature Date proBions. X 09/28/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signatu Date WAR G At RE TO SECURE W R RS' COMPENSATION COVERAGE IS UNLAWFUL, AND H L SUBJECT AN EMPLOYE O CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 HU D D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DA AGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Count enter the above mentioned property for inspection purposes. I hereby certify that I am the Pr arty caner or am author' a o. o� eproperty owner's behalf. .e OS/ce28/2006 /�71 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N me of tee [SIGN] Printf Date the performance of the work for which this permit is issued. (3097 civ. code) ,;--,� Owner Contractor OR. Agent for Owner•I�Ty A ent for Contractor FILE COPY \ Lender's Address City State Zip I .3 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.buftecounty.net/dds </-/cl, �?T "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Na irst Name Address city 45:�P/I'o GCS st zi _- Phone �L�L �� Fax E-mail APPLICANT INFORMATION Address city Phone���1 Fax Fordf ' re only: ARCHITEC /ENGIN E Warne L41Y I Address 1.Yes City Occ.Tye State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Address city Phone���1 Fax Fordf ' re only: Ing Flood Zone L41Y I SRA 1.Yes N Occ.Tye Const. V Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT ,��- loe BP r Page 1 of 2 Description ot Sco Work: Sq FT- Living Garage D 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 required. 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: 71 ' RALF2` Bldg SRA Receipt #: �t� t "7 Sheriff SMTP Date: Other ' ' Total REV 5-12-05 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 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 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS16N 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax •(530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: r lUl dm416g4AJ 16�, ASSESSOR PARCEL NUMBER 6 &_ C/50Z__)Sr� Proposed Building Use:(a Permit Technician: 7P Date: Items required in order to apply for a permit. (All boxes MUST be checked OR marked NA in order to apply. JE -1 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. In 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. P 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. p 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form TD' 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Regaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) o15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ 0 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... - 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry plan approval ❑ paid. Sent by:/ 24. Planning approval for (A) Use: �(B)Parking: (C) Parcel Check:..,/ ............ f 0 ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: pr / / yy When issued Telephony 0 �(/-1,�(���rlvl-� and old for pickup. if I have been inf ro med the above items and requirements for obtaining a building permit. Applicant: Date:' 1. Index permit application f the ov' em rim bered: 2. Additional items r�quire Plan Check Letter Contractor, de's er, owner, w advised of the above data by phone, ❑ mail, ❑ counter, b Date: 0(0 Contractor, designer, diner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ c unter, by Date: Plans reviewed by: Date: Z z - oc, Plans approved by: L Date: 6 Structural reviewed by: Date: Structural approved by. Date: Note transfer by: Date: Yellow: Building Division o � c m �0< (D� 0 E.H. USE ONLY Flat Plan Attached Ftooy Plan Atuchad Sant to S.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance " y Owner Location AP# Plan Approved for: Sewage Disposal'afar SupplZPrivate Publ'c W ` l L, Clearance for dwelling. Other A4 Hold final for: in . . for: NOTE: Environmental ealfh "Specialist Date 8196 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner CHANDEN, SIDNEY APN No: 026-050-050 Permit Type: T,, Subtype: App Date: 9/6/2006 Permit No: BP 06-2138 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 Plan Check portion of Permit Fee $219.96 $329.94 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 (State Responsibility Area) Building Inspection $109.98 0 1 - $204.98 NUN -REFUNDABLE portion of tees due at application $219.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $219.96 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $331.28 $329.94 EMS— $1.34 $1.34 RECEIPT DATE Tech/Asst 461214 9/6/06 Tammie 4 Balance of Building Permit Fees (from No. 1 above) $200.00 771 Comanche Creek 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) $6,776 774 Lindo Channel 7 Other*: $7,211 776 Mud -Sycamore Creek 7a Other*: $8,893 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling JPer Dwellinc Applications After 04/15/06 MFD MH County 4249.11 3183.54 3238 Chico Urban Area 6146.23 4538.82 5648 EI Medio Fire District 3249.97 2385.76 2422 9 10 10a 11 11a A SR -1, SR -3, SR-1/PD 8801.091 7395 R-1 8897.09 7491 foo R-2 8390.09 6984 R-3 7604.09 6198 Processing Fee is automatically added to impact fee total WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# DRAINAGE FEES* 7289.40 0 $100.00 RECEIPT DATE Tech/Asst • $200.00 CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,997 771 Comanche Creek $8,341 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $9,088 773 Big Chico Creek $6,776 774 Lindo Channel $8,267775 SUDAD Ditch $7,211 776 Mud -Sycamore Creek $6,275 777 PV Ditch $8,893 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUAI is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* RECEIPT DATE Tech/Asst 0 OF PERMIT. Forms will be prepared after plan check At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. 1____) Applican: Date: ry� Pursuant to Gove ent tode S 1 0 eby notified th se Items followed by an " " may have been imp ed on your project. You have 90 days from the date of app 6v 1 of I porject or r e impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Gover a Cod ection 660 OS K:/Building/Forms/Schedule of Receipt Fees Residential 041506 C'Ountyl�eparanent O1`1?eVeIOp171e11t �el T/ICeS .�I..ltte °guTTF° 7 County Center Drive '' ° 'Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERIVIIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 0 I• need to submit applications for septic and/or well to Butte County Environmental Health immediately. I an: required to bring the approved Environmental Health site plait and approved sanitation 'clearance to the Building Division as soon as clearance is obtained 0 I am responsible for notifying Development Services, in writing, to stop processing of the `application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or reduire submission of amended building plans to the Building Division. Once the plans examination process begins,' there will be no refund of plans examination fees.' Any changes requiring submission of amended plans to the Building Division will incur additional fees. r • Within one year from the.date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence t6. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable 'set -backs and environmental issues (fire, agriculture buffer'zones, and habitat/species). Please print: IS Applicant Nam �C G UN:���� ��" i Building site -address: 6?�s � 4 c � Permit No.: CJ� I have read, understood and accept the terms and conditions as expressed herein as indicated by my submissierrDf,the above -referenced building permit application and my, signature below: SIG (SF APP CANT E TTFo�\ Department of Public •Works w ���� o �` o f B u t t e ffid � � =; � C o u m y . �. Micha, LAND DEVELOPMENT DIVISION r� el CrumpStorm Water Management Program Director 7 County Center Drive (f N Oroville. CA 95965 A�etic WOP,�9 (530) 538-7266 + (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention. Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: 4 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Peiinit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil°will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I' am aware that submitting false and/or inaccurate, information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of.land may result in revocation of grading and/or other permits or other Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program OZ.S 0 X0-1050 0 RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Department of Development Services , Building Division 7 County Center Drive Oroville, CA 95965 2006-0000582 Recorded I RRC FEE 13.00 Official Records I County of I CONFORMED COPY 1.00 Butte I CMCE J. GRUBB5 I County Clerk—Recorderl I I DD 03:57PM 05—Jan-2006 I Page 1 of 3 IIII'IIIII'lll'�I��I'III'�IIIIIIII NOTICE OF MANUFACTURED HOME (MOBILEHOME OR COMMERCIAL COACH:, INSTALLATION ON A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR IN THE .'UNIT THE DATE OF MANUFACTURE ON THE NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM, RECORDED ON ;DECEMBER 27, 2005 UNDER SERIAL NUMBER 2005- .0078040 THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. RECORDING REQUESTED BY: �JJ AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROV[L.LE CA 95965. ' SPACE ABOVE THIS EINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (i\IOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that Such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SYDNEY M. AND CHARLENE L. CHADE\T REAL PROPERTY OWNER/LESSOR 8855 PASS ROAD MAILING ADDRESS SUTTER SUTTER CA 95982 CITY COUNTY STATE "LIP 6735 ROCK HAVEN COURT STATE; INS'fALLA'1-I0N tbIAI:LING ADDRESS. IP DIFFERrNI' 05-2161 530 PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER.(ifalso propenyowner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE= OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE; ZIP 05-2161 530 538-7541 LBUI,PERM ' N TELEPHONE NUMBER /- G --b S E OF LOCAL_ J%M7CV OFFICIAL DATE NONE DEALER NAME (if nol a dealer sale, write "NONE-") NONE • DEALER LICENSE NO. CHAMPION HOMES INC 2003 37684T MANUFACTURER'S NAME - DATE OF MANUFACTURE MODEL NAME/NUiNIBER 11829746A/B/C 68'x 399" ORE449522/3/4 SERIAL NUMBER(S) LENGTH S. WIDTH INSIGNIA/LABEL NUMBER(S) :REAL PROPERTY LEGAL OCSCRIPTION SEE ATTACHED . ASSESSOR'S PARCEL NUMBER 026-050-050 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - I -ICD PINK -Applicant GOLDENROD- Building Dept. Es,.t: w go.: 05-107717-T a NO.: CVWFD958-095"001-0000107717 . 71 do 6o.: 05 -107717 -BD EXHIBrT ""A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: PARCEL A: Parcel 4, as shown on that certain Parcel Map of a portion of the Southwest quarter of Northeast quarter of Section 5, Township 18 North, Range 4 East, M.D.B.&M., which Map was filed in the Office of the Recorder of the County of Butte, State of California, November 12, 1980 in Book 79 of Parcel Maps, at Page 76. PARCEL B: An easement for road and public utility purposes over the, roads shown on that certain Parcel Map of a portion of the Southwest quarter of Northeast quarter of Section 5, Township 18 North, Range 4 East, M.D.B.&M., which Map was filed in the Office of the Recorder of the County of Butte, State of California, November 12, 1980 in Book 79 of Parcel Maps, at Page 76. PARCEL C: A right of way for road purposes 60 feet in width acilm a portion of the Southeast quarter of the Northwest quarter of Section 5, Township 18 North,.Range 4 East, M.D.M., tying Northerly of and adjacent to the following described line: Beginning at a point in the North-South centerline of said Section 5, distant North 00 40' West 1150.68 feet from the center of said Section 5; thence South 530 55' West 490.22 feet; thence South 440 06' West, 239.10 feet; thence South 880 34' West 70.92 feet to a,point in the East line of Lincoln Road. Initials: REC,O'RDING D BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 (D?_�- 05U-6SO 8005-0078040 Recorded I REC FEE 10.60 Official yRecords 'I Countteof i CMROED COPY 1.N CRMM J. 6RUBBS 1 County Clerk—Recorderl I I LU 011:39AN 27—Dec-2005 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SYDNEY M. AND CHARLENE L. CHADEN REAL PROPERTY OWNER/LESSOR 8855 PASS ROAD MAILINGADDRESS ' SUTTER SUTTER CA 95982 CITY COUNTY STATE ZIP 6735 ROCK HAVEN COURT INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2161 (530) 538-7541 BLYTNG PERMIT NO. TELEPHONE NUMBER Loj SIG ATURE OF LOCAL j7NCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE') NONE DEALER LICENSE NO. CHAMPION HOMES INC' 2005 7684T MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAM F/NUMBER 11829746A/B/C 68'x 399" ORE449522/3/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 026-050-050 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. y ��.row pito: Wcolte No.: 58.0001-0000107717 3 71de0o.:05, EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: PARCEL A Parcel 4, as shown on that certain Parcel Map of a portion of the Southwest quarter of Northeast quarter of Section 5, Township 18 North, Range 4 East, M.D.B.&M., which Map was filed in the Office of the Recorder of the County of Butte, State of California, November 12, 1980 in Book 79 of Parcel Maps, at Page 76. PARCEL B. An easement for road and public utility purposes over the roads shown on that certain Parcel Map of a portion of the Southwest quarter of Northeast quarter of Section 5, Township 18 North, Range 4 East, M.D.B.&M., which Map was filed in the Office of the Recorder of the County of Butte, State of California, November 12, 1980 in Book 79 of Parcel Maps, at Page 76. PARCEL C: A right of way for road purposes 60 feet in width across a portion of the Southeast quarter of the Northwest quarter of Section 5, Township 18 North, Range 4 East, M.D.M., lying Northerly of and adjacent to the following described line: Beginning at a point in the North-South centerline of said Section 5, distant North 00 40' West 1150.68 feet from the center of said Section 5; thence South 530 55' West 490.22 feet; thence South 440 06 West, 239.10 feet; thence South 880 34' West 70.92 feet to a point in the East line of Lincoln Road. • y " t .y • r r 1 COPY of Document Recorded 27 -Dec -2005 2005-0078040 ,RECORDING REQUESTED BY: Has not been compared with r original BUTTE COUNTY COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the. county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SYDNEY M. AND CHARLENE L. CHADEN REAL PROPERTY OWNEWLESSOR 7 COUNTY CENTER DRIVE 8855 PASS ROAD - MAILING ADDRESS CITY COUNTY STATE - SUTTER SUTTER CA 95982 CITY COUNTY STATE ZIP 6735 ROCK HAVEN COURT NONE INSTALLATION MAILING ADDRESS, IF DIFFERENT DEALER NAME (if not a dealer sale, write "NONE") ' PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME"). SAME, MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2161 (530) 538-7541 KPI -PING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL VENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") ' NONE DEALER LICENSE NO. CHAMPION HOMES INC 2005 7684T .MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 11829746A/B/C 68'x 399" ORE449522/3/4 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBERO26'05-0=050..,,, SEE ATTACHED HCD FORM 433(A) REV. 8/91 a Escrow t4o.: 05 -107717 -TG Loc4a Pio.: CARM958-095&0001-0000107717 t intle0o.: 05 -107717 -BD EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: PARCEL A: Parcel 4, as shown on that certain Parcel Map of a portion of the Southwest quarter of Northeast quarter of Section 5, Township 18 North, Range 4 East, M.D.B.&M., which Map was filed in the Office of the Recorder of the County of Butte, State of California, November 12, 1980 in Book 79 of Parcel Maps, at Page 76. PARCEL B: An easement for road and public utility purposes over the roads shown on that certain Parcel Map of a portion of the Southwest quarter of Northeast quarter of Section 5, Township 18 North, Range 4 East, M.D.B.&M., which Map was filed in the Office of the Recorder of the County of Butte, State of California, November 12, 1980 in Book 79 of Parcel Maps, at Page 76. PARCEL C: A right of way for road purposes 60 feet in width across a portion of the Southeast quarter of the Northwest quarter of Section 5, Township 18 North, Range 4 East, M.D.M., tying Northerly of and adjacent to the following described line: Beginning at a point in the North-South centerline of said Section 5, distant North 00 40' West 1150.68 feet from the center of said Section 5; thence South 53° 55' West 490.22 Beet; thence South 440 06' West, 239.10 feet; thence South 88° 34' West 70.92 feet to a point in the East line of Lincoln Road. 1i Initials: 3soa cs •Y 1� i� �1�v2" Rate4-- 3 'y`ene so - tPta ' "7p) �I r x'f w5555Pa33 O t. + is '� butter GA Q5G82 r F . ' ^ 7 r' ;i :1 ' r 3 7+•: C ,F{U: "Z /f//��� ,yFS '��Yr xt�Fy 1.. IO W T{ ' i} � j . ., "./F 4 4+ l X12 V PAYto F VaM. ,x ask' �.5 4 " wRra3 �k ti'+- i;a .dl.'.. t' yid ,e ".ry'.N a ^�i�.. �' ttie;oider of+ ��, z e r �(% ° '�€ ARS 7 _ �" ,. t �- • +�F .r .a,,.)"..e! e+ ii=-•.5� F ;�� , TRI COUNTIES BANK?a ; *1we al►��erve all, � "" ve!Ohurt never % c CHICO°+CA 95926 ,r YL *y q * btz" i y:-1-800-922 87,42 y 4 -:^' ^,F..'i ' _ 'i: L 2A 1n3 504 51: L'k24 3 L0•Z0�4.,28811' rt' RECORllfNG REQLJESTED BY: WLfEN RECO R -DED MALE L. TO: Butte County Department of Development Services Building Division :7 County Center Drive ,Oroville, CA 95965 COPY of Document Recorded 5 -Jan -2006 2006-0000582 Has not been compared vith original BUTTE COUNTY RECORDER NOTICE OF MANUFACTURED HOME (MOBILEHOME OR COMMERCIAL -COACH, INSTALLATION ON A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR LN THE UNIT THE DATE OF MANUFACTURE ON THE NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM, RECORDED ON DECEMBER 27, 2005 UNDER SERIAL NUMBER 2005- 0078040 THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. A r RECORDING REQUESTED BY: AND W14EN RECORDED MAIL TO: BLJT"f E COUNTY BUILDING DIVISION 7 COUNTY CENTER. DRIVE OROViLLE CA 95965 .- SPACE A130V17TRIS LING FOR RECORDER USE ON'LN' NOTICE OF MANUFACTURED FIOM.E (MOBILEHOME) OR COMM.ERCI.AL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of tli.is document at the request of the local agency indicated is in accordance with California Health. and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the Unit. described hereon, upon .the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SYDNEY M. AND CHARLENE L. CHADEN BUTTE COUNTY BUILDING DIVISION RRAL PROPERTY OWNER:LESSOR. 7 COUNTY CENTER DRIVE 8855 PASS ROAD OROVILLE BUTTE CA :MAILING ADDRESS CITY COUNTY STATE ZIP SUTTER SUTTER. CA 95982 CITY COUNTY STATE_ ZIP 6735 ROCK HAVEN COURT DEALER NAME. (Knot a dealer sale. write "NONE") INSTALI_A'TION MAILING ADDRESS. II' DIFFERENT NONE PALERMO BUTTE CA 95968 CITY COUNT)' STATE, ZIP SAME. ' I!NI'r O\\'NER (iralso propene owner. write "SAME") SAME MAILING ADDRESS - SAME C'1T1' COUNTY STATE ZIP UNIT DESCRIPTION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-2161 530 538-7541 BU i G PERMIA TELEPHONE NUMBER G -6S 'ICS RE OF LOCAL 7 : ' OFFICIAL. DATE NONE DEALER NAME. (Knot a dealer sale. write "NONE") NONE DEALER LICENSE NO. CHAMPION HOMES INC 2003 37684T MAN) IFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 11829746A/B/C 68'x 39'9" ORE449522/3/4 SERIAL NUMBER(S) LENGTH N WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTYLEGAL DESCRIPTION ft SEE ATTACHED ASSESSOR:SPARC'ELNUMBER 026-050-050 HHC'D FORM 433(A) REV. 8/91 ,.„�„�� .-_.......n.._._..i.... reni..uv urn. oiau•_e,.�.i4,�� r:!)IIIFNft(lh_Ruilrlinnl)ent Ekmw No.: 05"107717 TG 'QZA- fio,: T1t1r60-'- 05-107717-500 EXHIBIT ""A" THE LAND REFERRED. TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED ARF -A, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: PARCEL A: Parcel 4, as shown on that certain Parcel Map of a portion of the Southwest quarter of Northeast quarter of Section 5, Township 18 North, Range 4 East, M.D.B.&M., which Map was filed In the Office of the Recorder of the County of Butte, -State of Calffbmia,. November 12, 1980 in Book 79 of Parcel Maps, at Page 76. PARCEL B: An easement for road and public Utility purposes over the roads shown on that certain Parcel Map of a portion of the Southwest quarter of Northeast quarter of Section 5, Township 18 North, Range 4 East, M.D.B.&M., which . Map was filed in the Office of the Recorder of the County of Butte, State Of California, November 12, 1980 in Book 79 of Parcel Maps, at Page 76. PARCEL C: A right of way for road purposes 60 feet in width across a portion of the Southeast quarter of the Northwest quarter of Section 5, Township 18 North,.Range 4 East, M.D.M., lying Northerly of and adjacent to the following described line. Beginning at a point in the North-South centerline of said Section 5, distant North 01401 West 1150.68 feet from the center of said Section 5; thence South 530 55' West 490,22 feet; thence South 440 0V West, 239.10 feet, thence South 880 X West 70.92 feet to a point in the East line of Lincoln Road. Initials: COPY of Document Recorded 27 -Dec -2005 2005-0078040 '12i'•.CORI ING REQUESTED BY: Has not been compared Leith original BUTTE COUNTY COUNTY RECORDER AND WHEN RECORDED MAIL TO: ICU'rTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOI ME (MOBILF.,H'OME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SYDNEY M. AND CHARLENE L. CHA.D.EN KEAL PROPERTY OWNFRII.ESSOR 8855 PASS ROAD MAILING ADDRESS SUTTER SUTTER CA 95982 CITY COUNTY STATE ZIP 6735 ROCK. HAVEN COURT CITY COUNTY STATE INSTALLATION N1AII.rNG ADDR.F.SS, IF DIFFERENT 05-21.61 (530)538-7541 PALERMO BUTTE CA 95968 CITY COUNTY STATE 71P SAME DEALER NAME (if not a dealt; sates write ^NONE') UNIT OWNER iif also pmpen� em;�cr. write `SAME") DEALER LICENSE NO. SAME - MAILING ADDRESS SAME CITY C.OL°NTY STATE ZIP UNIT DESCRIPTION CHAMPION HOMES INC NAME �,gI�ROPERTI' LEG.34 DESCRIPTION SEE ATTACHED BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILL:E BUTTE CA 95965 CITY COUNTY STATE ZIP 05-21.61 (530)538-7541 B ` L rNG PERMIT N0. TELEPHONE NUMBER ff SIGNATURE OF LOCAL CY OFFICIAL DATE NONE DEALER NAME (if not a dealt; sates write ^NONE') NONE DEALER LICENSE NO. W(L&G,�L�Y Y� ASSESSOR'S PARCEL NUMBER 026-050-050 HCD FORIM 433(A) REV. 8191 7684T NAMElNUMBER AILABEL NUMBERS) t . Er! -"w go.: 05 -107717 -TG Loma No.: CARii`095&0956-0001-0000107717 -n bio.:05-10771.7-BD EXHIBIT "'A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: PARCEL A: Parcel 4, as shown on that certain Parcel Map of a portion of the Southwest quarter of Northeast quarter of Section 5, Township 18 North, Range 4 East, M.D.B.&M., which Map was filed in the Office of the Recorder of the County of Butte, State of California, November 12, 1980 In Book 79 of Parcel Maps, at Page 76. An easement for road and public utility purposes over the roads shown on that certain Parcel Map of a portion of the Southwest quarter of Northeast quarter of Section 5, Township 18 North, Range 4 East, M.D.B.&M., which Map was filed in the Office of the Recorder of the County of Butte, State of California, November 12, 1980 in Book 79 of Parcel Maps, at Page 76. PARCEL C: A right of way for road purposes 60 feet in width across a portion of the Southeast quarter of the Northwest quarter of Section 5, Township 18 North, Range 4 East, M.D.M., tying Northerly of and adjacent to the following described line: Beginning at a point in the North-South centerline of said Section 5, distant North 0040' West 1150.68 feet from the center of said Section 5; thence South 530 55' West 490.22 feet; thence South 440 06' West, 239.10 feet; thence South 880 34' West 70.92 feet to a point in the East line of Lincoln Road. Initials: FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 05-2161 Address or location of unit:6735 ROCK HAVEN COURT, PALERMO .Legal Description of Real Property: 026-050-050 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: SYDNEY M. AND CHARLENE L. CHADEN Owner's address: 8855 PASS ROAD, SUTTER CA 95982 INSIGNIA OR HUD NUMBER: ORE449522/3/4 SERIAL NUMBER OR V.I.N.: 11829746A/B/C MANUFACTURER'S NAME: CHAMPION HOMES INC YEAR: 2003 i. OFFICIAL APPROVING INSTALLATION: AJA DATE: 12-10 -0 PHONE: (530) 538-7541 '. H.C.D. 513C o���VrNTOFy�Gc i1 STATE OF CALIFORNIA NUMBER: BUSINESS, TRANSPORTATION AND HOUSING AGENCY A DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 86349 }6 DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM TrDfMANUFACTURER CERTIFICATE OF ORIGIN DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNITJO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING NUMBER OF TRANSPORTABLE SECTIONS COMMERCIAL COACH: . OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: E MAN j+OME5 cl'ba AHPioN `mEs or OKEC'00 16041 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: IZOW MlLt- SIr ERTMiid Y3�RI �� 1 Street (City) (State) (zip) / MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: C RA H PI 0A) 40 MES 0 I ORES,,o/.) SILVFRCREsr C[,4SS )L' X41 r off - !lo -'o'-4) NAME OF DEALER-OR'TRANSFEREE'(OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: TRANSFEREE DESIGNATION: DEALER OR TRANSFEREE ADDRESS: ' Si�,Nr.4 0Sf! (Street)?�� �DJ`dU2SE LV .3 5 i F (Ci (State) (Zip) INVENTORY CREDITOR NAME: X7"r�oi Y/A)A!)QIAL !�A; NVENTORY CREDITOR OR ADBDR/EE�SS: �IT #/.j )L,'I N AU'r. 5 C 00 dZr A� Q5' (StG b (Citys% (State) U (zip) SECTION 1.6) MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD (ABEL NUMBER LENGTH (INCHES) WIDTH (INCHES) WEIGHT (POUNDS) 1 4 oR 11, 1-11q,7527- / 610 z/, J00 Z ORE'-/-YqS ZZ3 TRANSPORTER NAME: 5 i e(L E A gP ij5 TRANSPORTER ADDRESS: / (Street)�Q �(o i 1 � C 0� (State) f (Zip) _ DESTINATION W NAATII'ONN\ FOR UNIT DESCRIBED ABOVE: 7TV C' AS � f �i1 � � fT �+ t7L UE(C' // � l ii S�3-�S ) / (Stale) (zip) ` , I certify under penalty of perjury under the laws of the State of California that the above facts are true and correct., Executed on 6 9 —i - �3 at S f Ly E < r d1J /moi '�l k 10 (Date) (City) (County) (State) ti SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNITJO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) 1 NOTES I RESIDENTIAL PERMIT NO.=-� 026-050-050 05-2161 SYD HANDEN O CONT: SRM CONTRACTING �M/H PERM FND (NEW) OFFICE COPY • Address�� GAS \' . M Meter By v 1 Date 1 ELECTRIC Meter By Date - tLtl� I MI.V Meter By ✓� Date F i a �l SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS = SUB -STANDARD HOUSING LETTER _ Q -( 6-w3 R(J-b O RFf y g 9 5-2 Z ;. 23 aq 77-14(0-9 2y. � r JOB FINALED (Date) 2 5 Signature. l/ L2 -Q p p l.o - OK =Not OK = Not Applicable MOBILE HOMES = Not Readyeady Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date MOBILEACIVE INSTALLATION (Plans) OK except #'s 4YElectricity; MH Test-Cross®vel•s-Breakers-Ctaances Drain; MH Test -Fall -Flex Connector . Water, MH Test-Regulat r -Connector . Water and Sewer nected-C/0 to Grade -HD Approval 8. Gas and Electrif5ty Tamed 9. TieDoWn-s-Type-Ingallafidn- Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements-Setbac -Easements 2.. 6eatl,%s, Size-Spaci arriage Line 3 king / . 4. Gas; MH Test -De " d -Valve 5. Electricity; MH Test 6. Water, MH Test Date Card B-1 Date Card B-1 12- r s- o6 of rea cty u Lal'o l MISCELLANEOUS i Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Voles-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not AppfiraWe = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd. / r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg: Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edae of Studs & C.J. Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InsUdJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C,10 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 28. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meeh. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Duds Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform 'rf Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44, Draft Stop in Walls (rat proof) 45. Fire Stops. Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InsUdJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C,10 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: '(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052161 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 09/12/2005 APN: 026-050-050-000 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. 7 Site Address: 6735 ROCK HAVEN CT PAL License Cl ss : Licens C� Map Index: Date: z Contractor: Description: NEW MH ON PERM FND, NEW SITE (2398) OWNER -BUILDER DECLARATI9 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 CHADEN, SYDNEY M. & CHARLENE L. Business and Professions Code: Any city or county which requires a Owner: permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 8855 PASS RD signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section SUTTER, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95982 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 Applicant: SRM CONTRACTING 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 61 LUMBERJACK LANE sale. If however, the building or improvements are sold within one OROVILLE, CA 95965 year of completion, the owner -builder will have the burden of 530-533-2144 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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, Contractor: SRM CONTRACTING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 61 LUMBER JACK LANE O I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95965 530-533-2144 Date: Owner: License #: 534976 WORKERS' COMPENSATION DECLARATION I 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: a 0, Carrier: Total Square Ft: 2398 S.F. Policy#: Valuation: $155,870.00 t/ 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 Census Code: j D become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' ✓✓✓/ / 11D ` [D compensation prow ions of Se tion 3700 of the Labor Code, I shall forthwith comply h those pr isions. J� bi fVl , Date: Applicant: WARNING: Failure to se re ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This per is hereby issu nd the applic a provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu • ns to do k Indicated bove for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By Date: 9 / L Name: PERMIT EXPIRES ON: �^ 4 Address: Date ❑; 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 I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an a mor doGument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned roperty for inspection purpos Signature: Print Name: ! Date: 0 Owner contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Name � City First me Address � GI SS City _ State �'� State& Zip Phone Fax Fax E-mail Lic. # APPLICANT NAME CONTRACTOR Name City Address�� Zip City ! " State �'� Zip Pho e�✓��— Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail WWgwjI ' 0 /// For office use only: Zoning R_ Flood Zone A SRA 1. Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPO BIN # LOCATION AP# 026-1 0Property ddress City Qh Cross Street -AJCl.' 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 Description r Scope of Work: S� -e_ Q /\l Ahlv_ as al rn na � s Sq. Footage Z8 g ❑ 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: �/ G Amount: 2 ( q oQ l� Bldg SRA Receipt #..1351 I 0 Sheriff SMIP h (oq.q,A SEM/&\ Date:'p2- V Other 3.2-91 • -I Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 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 inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 ,.�i-.�'t'V�.�w ti.,a�-., ^.�,r..'.. v.. `{..r++."'7wf.°;";�..Jr-r� '^ .q,�,7"t�, ;+--,..-evnr,l�^..^,'-n - .., ..•. .......�,.,�:w. f�, r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax'(530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:Chadd 1- ASSESSOR PARCEL NUMBER ©2(*' -050--60 Proposed Building User M N M Pom TND, Nei Permit Technician: K.G. Date: Itejj��s required in order to apply for a permit. AII'boxes MUST be checked OR marked NA in order to apply. \?2j( 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed'by the preparer of the plans. ❑ 1 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for �eated and A/C for Non -Residential Buildings. � N 8. Manufactured homes: ( tallation manual, including marriage line info, (C) I®or-Flan, (D) Tie down or fnd plans, all in, duplicate. ❑ 9. Metal bidgs: (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. V/L,V 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. Cl 11. Letter of intent for non-residential buildings _ ❑ 12. Hazardous Material Form v 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other . T' Remaining items needed to issue the permit. (May require additional plan rEview upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ .b , 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑, 19. Erosion Control Plan Required........................................................................ jl 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit ........................................ ......'. ...................... ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ tj 23. California Department of Forestry plan approval ❑ paid. Sent by: r' 24. Planning approval for (A) Use: QL-(B)Parking: (C) Parcel Check:...... ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ sv� ; 26. NPDES Form............................................................................................... ❑ , 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ + 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... , 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. 'Existing violations and/or expired permits......................................................... ❑ 34. De dNRestriction......................................................................................... 35. egal description, A.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 71 air d'fibld f�ickup. I have been informe of -t e a ove items a d requirements for ob aining a building permit. Applicant: r O Date: Z 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by . phone, _ 0 mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, 0 mail, ❑ counter, by Dale: Contractor, designer, owner, was advised of the above data by ❑ phone, ' ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: ructural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION ' TCOUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2A40 . SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER � ho &n A.P. # C)2 -f PROPROSED BUILDING USEyil', Mn O(1 RPM C P y"I S) � DATE %– I205 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ i 2. SCHOOL DISTRICT FEES DMS I 1 (paid at School District Office) (form available after Flan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. (2,b AV4. RECREATION DISTRICT FEES V jVF',t--Git1QR T(2)05 (paid at Recreation District Office) (form available after Plan Check) [ ) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ 3 i 17, LA'2 _ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning $ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP4' 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was dvised the above fees are require to be paid prior to issuance of the permit. These fees may be changed durin a ng pro 'ss.. APPLICANT DATE —0, v Pursuant to Government Code Section 66020, you are hereby notiPe�at items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) Butte Counly Department of Development Services ° 0,T rF° .7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone c y UUt4l (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: ,I deed to submit applications for septic and/or well to Butte County Environmental Health immediately. I ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained ® I am responsible for notifying Development Services, in. writing, to stop processing' of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the:permit to be issued. Failure - to obtain these. permits/clearances will void the application. Typically other required pernuts/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please .print: C Applicant Name: v�-- APN: 4Pi1nGt Permit No.: 0 5 216 1 Building site address: 0 2-,6 --0_S 0 -- 0s0 I have read, understood and accep the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE E.H. USE GAILY Piot Pion Attached ' Floor Plan Attscftod 1 Sent to B.D. TO: Building Department FROM: Environmental Health r SUBJECT: Sanitation Clearance l_ & Owner Ltocation AP# Plan Approved for: Sewage Disposal Tater SuppI Pubfc Private We� Clearance for dwelling. Other 1, L 4 Hold final for: Final clearance O.K. for: NOTE: J r- Environmental irealth Specialist Date 8/96 FF ....... ............................................................................................. ......... / !' ................................... .. _ .. . . . . . . . . . . : .. . .. a ...... .. . ............. .. :....:............ ...... :...:.. Q ,� A' M CIF •. ..•: ..1. .. •. •• •• •. ....................... ... �•T :T Y 1 . :, , ( -"` f •r V' y K -. s r 'V 1 -1 i _ ••• _ .. .. .. X�/�L .. .. .. .. .. .. .. .. j.,..... .. .. .. .. .. ... .. .. .. .. .. .. ... .. .. ... .. .. ... .. .. ... .. .. .. .. .. ... .. .. .. .. .. .. .. .7. 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I:.:: .. ............ ............ ...... ;. ;. ..... ................... ......* ...... ....... ....................... . ........... i•'i t. ... .. .. .. .. .. .. .. -. .. .. .. ... .. .. ... . . ... .. .... ... . .... ............. ...... ...... ...... ............ ................... ...... ............ ...... ............ ...... ...... . . . . .. . . . . . .. }......: �. .. :5 - - i .. .. .. ... .. .. .....t.a..;aaeoa'eb.�_r�tnw.;e.;.'�ieeai'em:�•u.�a .a. azc-.m-e.-."�:,7—z' .��yn, .. p �3 i �� Nn ................... ................ .. ................................:.. ' .. .. .. :_ .. .. .. .. .. ........................ .. F .. .. !•.. .. .. ... Y sr. • .. .. ... 0 r� :.................... ..... .. .... ....... .. ............ ..... ............ .. . . . . . . . . .: :: :.:. :.....:...........:......i........................ .. ....... .. .... .. .. .. :....... ...:......' ..:.....: .. .. �. ; ......:..................1.... , 1 *. . .. ........_... f ._. ..... ¢ 5 ' _..._............................................................... .. .... ._.....•........ 4 T FOR OFFICE USE ONLY PROVIDE FOR ALL 20" Aeas®es Parcel Number o _s.� A toy, owner Name Address / Pham No. � Site L®cag®n 9 Phone K SIZE (AC): General Flan Desig: ZONIN®G: Size, Acres Qi USES: .•.e.. -••M•.EIN p10ga✓r tiYrv,nr..yfwv�aQ./we•+Neu+eA.•'wl�..vN�l�'.�uw.•w�gr.vgnw: •.....-FMv'.-: :..�- _ m 3tsw4i�ee�r'��IYdJ 1 <�h;Do� �.� �� app � . •' pA. 0 OIA Z CS It rh tZ at'�k OfC jN� o^ v p O d/00'/9 0L E � Z� mch tj% ti ti RZ t 'v •' � �� •' ,. O� J nail. IM � l3G. gs 'A t _ \ g M x _h N. 4MA/LEY. DP F--AJOQ'19,04'-C 4.o Cdv 00 '0k m v� .. A Tp .o •A N1 th /1a0 -4t4 p . 1 C 27 .. y�n�`4 OZaan' .\tel \' • NOO Wl E (WO1S160 App••. as D� P ar�I e � of Public Works 11 C o• u n t y o f B u t t e UND DEVELOPMENT DIVISION 9 ]. Michael Crump, D1f2Cr0r SiorinWater Management P.o;ram i'•. `�a •� ® - 7 County Center Drive U �`� / Ocoville. CA 95965 g (530) 538-7266 �ALIC WO�� (FAX) 538-7171 National _Pollutant Discharge Elimination System (NPDES) Phase el Construction Storm Water Permit and Storm -Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 9 ACRE1 ' Project Description: Project Location andlor Parcel Number: lc J By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a. Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project..' that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: RECOROU40 REQUESTF.O BY: ) Fidelity Nadoral Title Company of Caiifbmia EscMW bo.: US -%07n7 -TG Louie No.: G.aMU9E4Q93B oaG! 0000107717 rtb av,: 0-1077010 When Recorded Mall Document and Tax 6tatement 70: Mr, ar,d Mrs. Chaden 8d:.5 Paas Rd Sutter, Car, 95982 BUTTE COL 14TY REL:ORDER SERIAL NQ a-4-- REC0Rt»i) Al me Rr4l%t'S't' OP pIDSI.irY NA11C)NALT fIPG0. D �T 'num; 9:67e;; ANhi _ o�fi-o5aoric -- - ;cACE A80Y! THis uw x* AfcotD`'.A-S La GRANT GEED The unddrsigned grantors) &ciare(s) OacamrUry transfer tax Is $63.60 ( carlputed on full value of property ccrveyed, or f ) computed on full value I -s v3lue of liens or ancumbrances remaining at time of sate, Unincorporated Area City of Orovdtea, FOR A VALUABLE CONSIDERATION, receipt of bwhieh Is hamby acknowledged, Roderick Williams J1.1. and Caro: S. Williams, his wife as joint tenants ;heralry GRANT(!,) to Sydney m. Chaden and Charlene Laalie-Chaden, husband and wife as .jolat tenants the following described real prop" in the City .Tf Omvllle, County of Butte, State of CjdWora4: SEE FXHl9ft' �`A' A7TACHEO HERETO AND MADE A PART HEREOF 011T.0' July 18, 2005 S -TA -,E OF CAUFSRNW Roderick William, Jr. COUNTY CIF ut Y ON ,--2..- before me, nal a r - tOctrlc �I�� R. tltd anal _S: vii iit,�a ,� �� ✓C/ Carol S, Williams personally known to me (or proved in me on the basjl of saUSF8 Lary evidence) m be the persons) whale name(s) S/ara subscribed to the 4%ghin instrument and acknowledged to me that h0hothey executed the samE: in hie/her/ltir auchoraed rat 0b/(les), and that by his/her/thelr si:Jnatuta!s) -)tl the instrument the pergcn(s), or the enticy uFon behalf of which the person(s) acted, executed the instru:-nent:. NMess Mi and and official seal. signature 1 TERM GEROY CoMmlactona1442021 N4tery Pudic • fr�ftW1101mal CXU My Comm Me 0. . Z4, 2007 MAIL TAX STATEMENTS AS DIRECTED ABOVE - FO -113 (t" 7/96) � GRANT Ott — (3raM(040E) SITE PLAN REVIEW APPLICATION Date: �� (� — AP# -Si 1 Permit Number (if applicable),Qn,(} �, Bin Number APPLICANT INFORMATION Parcel Size: Owners Name. �� ln�1 Di`� J\) Owners Address: S 5' r '�'�� )"' LT Telephone No.: 7[ 'p,, I- z ,A) x j36 Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home .❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family . Non-residential ❑ New Commercial ❑ Commercial Addition. ❑ New Industrial ❑ Industrial Addition O leer Septic ❑ Agricultural Exempt Building Other: Brief Explanation (if necessary):_ ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel �] Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date 91 �103 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and -requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) ched) • Flood Zone: • Flood Panel No.:W5 (� Index Date: � 2,4 e0 ❑ Sacramento River Reclamation District (Approval must be obtained from the alif rnia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit —� ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: _ Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. PaaP ? of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front �i v2^ Side �� r Side Street Rear f Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. PaaP ? of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area . ❑ Other ---------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of.Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference:. Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel. ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet_current Environmental Health Department requirements ----------------------------------------------------------------------------------------------------------------------------- Subdivision Map/Parcel Map: Map Date of Recording: � �7 / z Lot: 41 Book: / Page: 76 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan - must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa F, Summary of Specific Requirements: r • i This information provided in this summary is based on the application information and on the best available data at the time of review. C:\Lanys\Building Permit Site Plan Reviewl .doe El Summary of Specific Requirements: r • i This information provided in this summary is based on the application information and on the best available data at the time of review. C:\Lanys\Building Permit Site Plan Reviewl .doe SAVO OF /SEAR/NG _ TUE 304/4 Or 3EAR1A/6 FO? TU/4 5U?YEY /S TUE 40071/ L/NE OAC PO?CELS // 2, 300.-7/ OF MOP4 POLE 65, Ml'. -Al 05 N89d3C6•E gETWMAI FOUND M0NUMEA/T4 41; 51.10WA1 TNE6O'A/OA/•EXCLUBIYE PU9L1C SCALET /1 /00 E09EMENT4.CORING?E44 f ECRE44 N74.56%7"E(el?)225.60 OND FOAIPU9LIC Urli I Rbl ORE M ' BE RE4ERVED 1N OEE04, OND 14 NE?E• Go'/?/w (EP/4T/NC £ ?O) 13Y OF.CERED FO? DEDICO TION TD rsee R d2-5 'TWE COUNTY OF 9L/7TE. -U a /z dPd NBG 3508E(CIR)14078 (EX16RAIC f RD) 'S3'37 E (M070 /074.49 940.00 (Mf?) W v 66449/M R) _ NFB'S31fT—E Ic«1-w al¢ss _ Z-. oC 50'9.4.[. ��, s - I d i �^{ �• SEE DETAIL !)' 1 z/, Z•PB•E(� N�a)'Yd Z'[OP79.1.66 dCBf4 7/o'BOCBM 4!6?E I g PARCEC P xARCEL �'05 NTPIN LIOMMAE m 6, _ - �0� , LEGEND / X -2 a sD'B.x[�I I ti s3eret5�" / O 19.17'?E 1Y3OR L53615 ' ��• a ti 1I I ails? / " • FOUND !2"?E30? [54101 UNLE44 OTUERWI4E NOTED c`� > /LOCK I c OLD R/w da O CAC C111.0 T450 POINT ONLY /J4YEN C 4 ^ I PER(R),d84N00NED •' (M) ME04URED 0414 /pj j s T J `\ PL�o.R. aro lr. sar' o (R) 3U7A'7/OF M4P5 d7 PAGE 65 NBB'53'37"E /MI6/./9 LD.R. art (?U (R)COLCULOTED �o �wf[L 1 g Q $ �RA(12CEL 0C. ".00 330002 . 2.Q2 AC. 7 0 ti m OPPROY. LO[a/.D O \ / V I WELL T = T I \ \ T 4611F/CAREE ? /«4fPJIC d?Ed I 'I�s7i•o FREEOQEO I OBec- B / 17 <P [ 4 2900 P61.05(MlR) 307 //(Ml?) 00- /N CONCRETE BE/NG /1 RE4Ul3DIWl;/ON OF 0417CE4 / 2 NBBa3E6"E(M/mc) 57,?. 0`� �^� F/LEDIN /300K71 OFM4P54TP4GE 65 , t3. .0. 9. LY/NG IN .4 PORT/ON OF RJE SW !4 OF 74/E NE 3lo OF 9ECT/ON 5, T/BN, /,,d E, M•O. M., IN TIDE UN/NCO?12o174reo AREA OF (3UTTE RETAIL IL! COUNTY, C4LIF01?A114. N.T4. FOR EUGENE MILLER • NOIEJ dN 4FF/ROV/T OF OIVNE?SN/P /S ElE/:/G CON:(/??CNTLY RECORDED /N THE OFF/GE OF TNf BUTTE Ct]UNTy RECOPDE? UNDER SE?/dC NUM9ER.x 7y (0 2 SVRtAEYOR!v CEQT/F/CA7E COMM SIAMYOR'S CERMCICel PE RECOADERS C. _ eRT/}�/C/4TE �t TN/S MdP WOSAPEPO?EO '9Y ME OR (,ENDER MYD/?ECT/ON dNO TAUS MAPCONFORMS w/TN THE REOU/REMENTS W ME SOB• F/LEO TN/S.Fa_'IMdY W-P.--6•'i'9m- d71L3/ Am. p �EDQIS• ENG/NEER/NG /594 SEO UPoNOF/ELO SO?OEY/N CONFORMdNCE W/TN /NE REOu/?E• 0IwsloN MdP dCT dN0 10C4L ORO/NdNCE. / DOOK Of Md Pf d7 /ydOE �I/�. 4T TNF REOIIEST OF �®■Lw® SURVEYING MfN79 OF /NE MCDIV/f/ON M4P dC! ONO !0C O/NANCF d! !U( -YYLFP ,S RFOOffTOF EUGENE M/L[ER ON /980, /NFPF9Y luE 60'NONEXCL U4/YE E4SEMEN76 OFFERED Fa?Of0/COT/ON�" i-�' %I/$CO[L PLdNN/NG S/d/F lK4I/N/f M,iYIL MOP fUBt/4N /O/OIOPPRO✓!O ORE NOT OCC EPIEO 41 Tu/9 T/ME. SEROL MA,37SG 8 OR [ONO/!/ONO[[Y OPPROYfO !!N!O! CIdRK d. NFISON QNB V"oro ww- 1/1 PdTEO�Nc✓ /lac d [OUNTY ?ECOROER d z6r 4/IOAPg( !Y!!F gY (ON "I..'Na ao. cf- Gilder SSOC/.4TES K - CLdY CAff[EnEgRY' RCF IOPfd OFN(/TY WILLI4 GEDD/ c [43625 G4!/NTY fU?VEYOR 41EET / OF / SUEET 79'/ZZ ♦�� •tee _ AP 1[ -of asu� :..:...:....._......r- ...... c:.J ..................... ......................... . t . i .......... ...... ............'............i •� r� F .c:< .' �.' ............ :...... ...... :.....:......:.. . ... ... .. ............... . .. ... .................. .. ..... ..........:......:..... .....:.:....' ' .. l Gi :� I ....................... - __......................... _..._ - -.... .. ... ..... .... . : .................. ..... ....... ........ ...............:......c.... ... _ _ _ E _ �. -'.. � € .. r .. p- .. .. .. .. .................. - .. . ►� ...:... ...... . .. .. . . _�...........:.... ........: ........ ....................................... .................. .. .. �.... .. .. .. ... .. .. .. .. .. -.. .... ................. 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Site Lova i®n 1 Contact: Name ... .. �._ t .. .. .. F t 6 :. . ................. ..:......: E S.....: i ..... ....... ...... ...... ...... ............. ...... ....................................... ............ .. ... l 1 �.: .. .................................... ............ .. .. ... .. .. .. .. .. .. .. ... .. .. .. ._ .. ............. ............. .. .. .. .. .. ........................ h.. .. .. _ .. W v U E ��I /y St W.. •.1'rY• .. z'a.: �..,Y... ;s•.'.n Kia al'.FAsY�+dpDnv.. • A6yp .. E j .. ... .. .. ... .. .. ........... . o. . j: .. .!. ._ ._ .. .. .. .. .. .. ... __ .. ........................ _ vsrL. .. ... •' _ AT' .. .. ............ .. ... .. .. ... ... 4' 4 ` . :...... 5 phone % -- Q 73,9 FOR OFFICE USE ONLY Zoning: General Plan ®esig: Size, Ams TRA 092 007 BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION'F.ORM (One form per Building) Y School District J rw �! t r N i iihy. hen i Building Department No R N (� 5 cn 1 A.P. Number 02-G- Qm) `t71�() Jurisdiction: City V County Property Owner � an Svr ltv-M . Property Location/Address It \4 1)0. Pale-rmo Subdivision Lot No. Residential Development= Q Q Q Sq. Footage 23 qj No of Living Mobile Home Addition/ 'Supplemental to (Group. R) " = Units-- -=',' Installation_- Conversion Permit # , _ Commercial/Industrial •- Q Q . New Addition (No foundation I spmuon) ........................... - Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), .c Sq. Footage (including Exterior 4 Roofed Areas) Date District Identification No. .060056 �~ DV 1V\\ School District certifies that s y G'n Q y (Applicant) .6 -7 Sl 'g (Street Address) ` , (Phone.Number) (City) (State) (Zip Code) �. b 53`l I.1 a has complied with the requirements of Resol4tion No. y payment of $ c[ :. �, is • ,. - _ . _ - _ representing O square feet. ' B 2926 $ IVULL MITIGATION $ 4,, School District Representativ Date Paid by Check # Remarks: Notice: You may protest the Imposition of the fees Identified above by submitting a written protest.to the District, In compliance with Government Code Section 66020(a), within 90 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 School Impact Fee`CertMcation Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEt2A), this project may be subject to additional school fees to fully mid" Its impact on the school district's schools., feefonn.xls (3/05)di nm N ]BUTTEOUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT FRRPD ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) n2_(�-05Q - DrJr0 Building Permit Number {�PQ521Cp� Property Owner (s) C�l Q en Project Location /Address sir Calf ymo Subdivision Name Assessable Sq. Ftge 2 t Type of Residential Development (check one) New. Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling V/ Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: Building Department Representative �-12 b5 Date \ ❑ FRRPD 0 CARD 0 PRPD ' 0 DRPD certifies that: Appliggnt Name Phone Number s/ 041t Mailing Address City State Has„complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: i i Paid by Check No: ) Paid by Cash: Recreation and Park DistrictReoresentative KAFORMS\BUILDING FORMS\park-rec standard form rev Ldoc per unit for a total of $ S -;a Er CJ0 per sq foot for a total of $ Receipt No: /790--,-5 Zip J-2— Z WAND RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-0054351 Recorded I REC FEE its, ibis Official Records I County of i COPIES 2.59 Butte i l•ANDACE J. sGRUBBS 1 County Clerk -Recorder! I 1 SA 02.2IPM 12-5ep-208 i Pave I of 2 !!II 111111 I III! I II II 111 i llll III! 1! AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required 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 inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date 0/1'V, 'd,. Y State of California County of`,��� un � � •before me, �-e personally appeared �' , =s ;•` � � \ ._ J -a -- � '+ -- personally known to me (or proved to me n the basis o satisfactory evidence) to be the persons) whose names) is/are 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 person(s) acted, executed the instrument. ITNES _ my hand and ficial seal. \ Signa ure ,' l�, + A.P. # !�^ 0 C) �.•. �.✓31`11 I)Il. :Q {' is i:;z 3.;''�k .fY:} t `J Oi.'iF.n (..i."•i.i!ti1+ fit• a% 08/08,2005 09:4 FICF-LITt' -IT_E �4:_t° I_:.� br_�1�?a P+C.2'8 IP02 Escrow No.; 0S-1o77i7•Tq ✓ L00ft No.; CAWM956-0956-G001.000010771 7 . Thte No.: 04-107717-W EXHIBIT "A" THE LAND REFERRED TO HEPM%i BELOW IS SI7l;ATEO IN THE. UNINCORPORATED AREA, CoLINTY OF BUTTE, sTATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: PAROL A: Paral 4, as shown on that certain Parcel Map of a portion of the SouHtwESt quarte,• of Northeast quarter of Section 5, Township 16 North, Range 4 E.ist, M.D.B.&M., which Map was tied in ft Cfte of the ReCorder of the County of Butte, State of Cafifornia, N.wernber 12, 1980 in Book 79 of Parcel Maps, at Page 76. PARCEL B: , An easement fbr road and public utiiity purposes o'dy die roads shown on that certain Parcel Map of a portion of the 9iuthwest quarter cf Northeast quarter of Semon 5, Ynwrnship 18 North, Range 4 East, M.D.B.&M., which Map was W in the Office of the Recorder of the County of Butte, State of Caltbrnia, November 12, 1960 in Book 79 of Parcel Maps, at Page 76. A right of xray for road .purposes 60 feet in w dth across a portion of the Southeast quarter of dre Northwest quarter of Section 5, Township 16 North; Range 4 East, M.C.M., ?ging Northerly of and adjacent to the following oescribed line: Beginning at a paint In the North-South centeine of said Section 5, distant Nurth 0° V West 1150.611 feetfrom fire center Of Old Section 5; thence South 5311 55' West 490.22 fee;; thence South 44° 06, Wei 239.! Q feet; thence South 860 34' West 70.92 fees to a point In the EaA line of-Uncoln Road. Initials: _y . ...................................................................................................... .......... ................... .......... ......................................... .......... .................... .................... .................... .................... .................... * ...... ..... ............. .......... ...... ......................... ...... ......................... ..... ...... ......... 4 .............. . ................ ............ ...... ............ .. ............ .. ........... tz 5 ...... . .......... . . . . . . . . . . . . . . . . . . . ....... ...... ............ ............... ...... ...... ...... ................... . . . . . . ............. ...... . . . . . . . . ...... ..... ..... .... .... . 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O.C., . ..... ... 4e., 0 . Assessor's Parcel Number ®� A0 go TT rF Owner Name Addmss / Phone No. Site Location Contact: Name U Phone C-,- 2% =3 Zoning: Oeneral Plan Desig: Size, Acres i % g � . c" «. § . � � a m % 0o 00 O M C> V 0 I _o N N 1 1 A A00 AECESSiD ENTRY: ueVE ttt�- er�nrate�Ee ulr? ON - 8,-oU 11rVFR MEI N aEEIRrA (AS" Lor � at L VA34-q� „A" UNIT Y -BOR 8300 11,600 9900 8300 8300 9900�33or ----------------------------------0-----------_ a ----------------------------- CEO ---=---------------------___--------- I --47'-11j- -/0'-2' IS -'-274"-21 L - �36 2" 21'-111" ------------------- -- ---- - 7 ------ ---- - -------- 8300 300 I(,&00 1[,600 46'-41" 29'-7 1/4° I 54 1 19,-0 3/4" 651-C NOTES: 1, THIS PRINT 15 TO 8E USED FUR LOCATION OF 1/mm LINE PIER BLOCKRFC AND UTILITIES ANO 15 SUBJECT TO CHANGE 2. SEE THE REDMAN INSTALIATION MANUAL FOR SITE AND SET -IP REOUIREMET4T5 EB HEAT OlfCi CROSSOVER PIER 3. BAS WK MUST BE ETESIGNEO BY A REGISTERED ET NEEFL _ BLOCKING - rHAMP1014 MERTON - U8SifT 1 o in HEO OP LOCATIONS OF , BER: �� SILvERGRESTREv EVE: 5/23/03CLAftC T A ■ ONE ■■r. �■ ■. 1; ■■ lip ■1 -AWL o - - _ - - w A !'1Tw iP 01 • Ml ■ A-tTa 1?.11. C��I_ �=-■■rli s�^n ■ FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the instructions on paces 1- 7. O.M.B. No. 3067-0077 Expires December 31, 2005 SECTION A - PROPERTY OWNER INFORMATION For insurance Company Use: BUILDING OWNER'S NAME Policy Number Slid & Charlene Chander BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.I Company NAIC Number 8855 Pass Rd. CrTY STATE ZIP CODE Sutter CA 95982 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, 026450050 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc Use a Comments area, N necessary.) Residential LATITUDE&ONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( #f - #N - ##.Xf or ##.####IP) ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY MANE & COMMUNITY NUMBER B2 COUNTY NAMEI CBA STATE Butte Co, Unimrporated Area 060020 Butte B4. MAP AND PANEL 157. FIRM PANEL 89. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFD( B6. FIRM INDEX DATE EFFECTNE41EVISED DATE B8. FLOOD ZONE(S) (lane A0, use depth of tloodn9) 06007C0985 C June8, 98 June 8,98 A 176 B10. Indicate the source of the Base Flood Elevation (BRE) data or base flood depth entered in B9. ❑ AS Profile ® FIRM ❑ Community Determined ® Other (Describe): B11. Indicate the elevation datum used for the BRE in 139: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ® Construction Drawings' ❑ Building Under Construction* ❑ Finished Construction 'A new Elevation Certificate will be required when oonstitdon of the building is complete. C2. Building Diagram Number 6 (Select the building diagram most similar to the building fa which this certificate is being completed - see pages 6 and 7. If no dnagrarn accurately represents the building, provide a sketch or photograph.) C3. FJevations— Zones Al -A30, AE, AH, A (with BRE), VE, V1 430, V (with BFE), AR, ARIA, ARAE, ARIA1-AW, ARIAH, ARIAO Complete Items C3. -a4 below according to the building diagram speafied in Item C2. State the datum used. 9 the datum is di ferent from the dim used for the BRE in Section B, convert the datum to that used for the BRE. Shaw field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum oonversioh. Datum NGVD29 Co nversioNConments _ Elevation reference mark used 1229 Does the elevation ntererroe mark used appear on the FIRM? ❑ Yes ®No o a) Top of bottom floor (including basernent or enclosure) o b) Top of next higher floor o c) Bottom of bwest horizontal structural member (V zones only) o d) Attached garage (top of slab) o e) lowest elevation of machinery ardor equipment servicing the building (Describe in a Comments area) o f) lowest adjacent (finished) grade (LAG) 176. 50 ft(m) 2 179..50ft(m) E a wm 177.00 ft(m) 2 176.00 ft(m) z' is dCn o g) Highest adjacent (finished) grade (HAG) 177. 00 ft(m) I OF C AIT o h) No. of permanent openings (flood vents) within 1 ft above ac�acernt grade 21 l J o i) Total area of all permanent openings (flood vents) in C3.h 7,78 sq. in. (sq. an) 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 elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the date available. 1 understand that any false stater�t)neinil b} jr i(nprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME 4i u i LD I IG DEPAR.t.Ww.. LICENSE NUMBER TITLE * P P Ij() V F COMPANY NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE -3-0-S FEMA Form 81-31, January 20 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding infomration from Section A. For Insurance carpany Use.- BUILDING se:BUILDING STREET ADDRESS (Inddrg Apt, Unit, Suite, ardor Bklg. No.) OR P.O. ROUTE AND BOX NO. Policy Number No street address at the time this ceffmte was issued. CITY STATE ZIP CODE Company NAIC Nurnber 06& CA 95966 SECTION D - SURVEYOR, BMEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) oommunity dkial, (2) insurance agenUcompany, and (3) building owner. COMMENTS ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. ff the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number 6 (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. 9 no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft(m) ^in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, tf available). E3. For Building Diagrams 6.8 with openings (seepage 7), the nwd how floor or elevated floor (elevation b) of the building is _ ft(m) _in.(crn) above the higtrast adjacent grade. Complete items C3.h and C3.i on frond of form. E4. The top of the platbm of machinery ardor equipment servicing the building is _ ft(m) _in.(cm) ❑ above or ❑ below (check ane) the highest adjaoent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in a000danoe with the communitys floodplain management ordinanoe? ❑ Yes ❑ No ❑ Unknown. The local official must oertifv 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, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAassued or community - issued BFE) or Zane AO must sign here. The &Wwerrts in Sections A R G and E are oanect to the bed ofmy I vmWga PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME Syd & Charlene Chaden ADDRESS CITY STATE ZIP CODE 8855 Pass Rd. Sutter CA 95982 SIGNATURE DATE TELEPHONE 71dW 534673,5189 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 floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Come the applicable items) and sign below. G1. ❑ The infomnation in Section C was taken from ottner documentation that has been signed and embossed by a licensed surveyor, engineer, or ardfkd who is authorized by state kir local law to cer* elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community dfiael completed Section E for a building located in Zone A (without a FEMA4ssued or c oa munilyassued BFE) or Zane A0. G3. ❑ The following infamation (Items G4 -G9) is provided for community floodplain management purposes. G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: t(m) Datum: _ G9. BFE or (in Zone AO) depth of flooding at the building site is: _ _ it(m) Datum: _ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions Vector Dynamics Fourndation System INSTALLATION INSTRUCTIONS for the State of California Version 9/212003 FOOTER SIZES WIND ZONE I WIND ZONE II - SINGLE - DOUBLE - TRIPLE - HIGH PIER - SINGLE - DOUBLE - TRIPLE V -DRIVE & PIER SYSTEMS SOIL CLASSIFICATION CONCRETE INSTALLATION 9 10 11 12 13 14 15 16 17 18 & 19 COMPONENT PARTS AVAILABLE UPON REQUEST Approval RELEASE MANWACTURBDAOMMOM2 DATE FOUNDA nm sys'tm i 8A1. i AHD SAFM CODE. 5== ISM ,A»rvBD 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 3 wmscr Iro mow www AMMAL DSS war AvrAOMM tie d4MM" CUMMM OR MVIATM MOM REQUMEMENU1 11TPi MIS STA -M LAWS AND ItWU "W" S: ft orCa unit u,affiwwA6ftwft.=d Can>f ► t QRpFC•SSION�� ��. w1 No. 60245 F,cp. 30� lc \meq CIV1� \s j OF CASEo 9/2/0 osrm cmt4 i I �► P 03 00 L C0 N O O INDEX PAGE SECTION NUMBER INTRODUCTION 2 GENERAL INSTALLATION 3 PARTS LIST 4 & 5 LONGITUDINAL DEVICES 6 PIER HEIGHTS 7 SET-UP INSTRUCTIONS 8 FOOTER SIZES WIND ZONE I WIND ZONE II - SINGLE - DOUBLE - TRIPLE - HIGH PIER - SINGLE - DOUBLE - TRIPLE V -DRIVE & PIER SYSTEMS SOIL CLASSIFICATION CONCRETE INSTALLATION 9 10 11 12 13 14 15 16 17 18 & 19 COMPONENT PARTS AVAILABLE UPON REQUEST Approval RELEASE MANWACTURBDAOMMOM2 DATE FOUNDA nm sys'tm i 8A1. i AHD SAFM CODE. 5== ISM ,A»rvBD 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 3 wmscr Iro mow www AMMAL DSS war AvrAOMM tie d4MM" CUMMM OR MVIATM MOM REQUMEMENU1 11TPi MIS STA -M LAWS AND ItWU "W" S: ft orCa unit u,affiwwA6ftwft.=d Can>f ► t QRpFC•SSION�� ��. w1 No. 60245 F,cp. 30� lc \meq CIV1� \s j OF CASEo 9/2/0 osrm cmt4 i I �► P 03 00 L C0 N O O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System.resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of'20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE - TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame -ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 Vector Dynamics Foundation Systems Lateral Component Parts Last Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V -Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ft. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. Pae 4 California :'D.99/2/03 �a Vector Dynamics Foundation Systems Longitudinal Component Parts List x Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #69036 & 59049, longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part .No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 .53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) Page 5 California 9/2/03 1 ! C Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts =1 L.S.D. system. Can be used on one pad or slipt on opposite ends of the home. Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section 1 I I I I I I I I I I I I I I I I I I 1 I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Wind Zone I Triple Section I 48 Ft. Max. Wind Zone I Tag Section California 9/2/03 -- -- -- I 48 Ft. Max. Wind Zone I Tag Section California 9/2/03 IN 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it max. 4 Unequal Pier Heights rlaximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 Long U-8 _ rvj F'�it�yal3�. C 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. California 9/2/03 Iv (l2 CD z. C-) 0 W Note: L.S.D.= Longitudinal Stabilization Device See Page 6. %I to N 0 w 2 n. mac. 340" mo, 0.0 tyP' NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' Soil Classifications: 2, 3, 4A, & 4B Instructions and/or state requirements. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties Home Length Vector Systems Required Anchors Required Per Side or 24 Pier 24+" Piers L.S.D. 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Single Section Homes (Materials Required) bome • 4 � .. vy � 3 O k 1 , \ \ �� � SF1tiEY°. � ys,3-YL,�" Y F w Note: L.S.D.= Longitudinal Stabilization Device See Page 6. %I to N 0 w 2 n. mac. 340" mo, 0.0 tyP' NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' Soil Classifications: 2, 3, 4A, & 4B Instructions and/or state requirements. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties Home Length Vector Systems Required Anchors Required Per Side or 24 Pier 24+" Piers L.S.D. 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 Each Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Double Section* Homes NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to 46" for WIND ZONE 1 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier I instructions. 2 sq. ft. pad Soil Bearing Capacity: Anchors Required*: 1,000 PSF minimum None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' 5 0 4 Each Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. ri WIND ZONE I, SEISMIC ZONE 4 '-;,home- Vector Dynamics Systems Required for - ' _ _ - ' _ "inti sectic' f system Triple Section Homes - - o p _ - ' e � a ? eat s a°�n9 tO (Materials Required) - - - -K Examphows gen n(� _ c_v NOTE: CD When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. sv 0 Tag or full triple 2 sq. ft. pad 2 sq. ft. pad Soil Classifications:, 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: None (*Marriage wall anchors may be required by home manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2 on Tag 0 2 1 49'to71' 3+2 on Tag 0 2 1 72'to84' 4+2onTag 0 2 2 85' to 90' S+ 2 on Tag 0 2 2 Each Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) (Q CO N n w 0 WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) Vector Dynamics Systems Required for Double Section Homes (High Pier Sets with Diagonal Ties)h°me i`\` 72, d°able secOn e 01.8L , L eF `♦ :.. .. _ .. ..n3M 3rt3'}P `' ^`... two NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. ,i WIND ZONE I Max. Height Unit Width See Page 7 co N CI•Beam Spacing \2 sq. ft. pad 4s• Min. Home Length Vector Systems Required Anchors Required Per Side L.S.D 0 to 48' .2 2 2 49' to 71' 3 3 3 72' to 84' 4 4 4 85' to 90' 5 5 4 Soil Classifications: 2, 3, 4A, &4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) •3 WIND ZONE II, SEISMIC ZONE 4 (Hurricane) ' 1 Vector Dynamics Systems Required for I \ Single Section Homes (High Pier. Sets with Diagonal Ties) 1 1e seCtleO o sYs an al 9�idellnes' 1 ' _ of a �2 ra SPa°lnme Jns allation to ' EXamPSno'ns 9m,jst oe to "° lllustc atnd spacing _ \ adsME co W 96) WIND ZONE II (not to scale) Soil Classifications: Soil Bearing Capacity: Anchors Required*: 2,3, 4A & 4B 1,000 PSF minimum 30' with 4" helix anchor (59095), 1-1/4' vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Equired per side LSD 0to48' 3 5 2 49' to 60' S 6 2 61" to 72' 6 7 2 73' to 84' 7 8 2 85' to 90' 8 9 2 2� t10- P NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. ' Each Vector System requires one of the following: �2 sq. ft. pad 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE 11, SEISMIC ZONE 4 Vector Dynamics Systems Required for _ - - ' " home s. es l \ Double Section Homes _ _ _ - ' " ' " ' o�b1e s d Or%or s1stemmaoial gW�del\n - m 1e o{ sOL -12 9 n fi� S pac-m efinstallatio _ EXa p Shoal st be to " m - \ I �\\lust and spacIn9 MU I on pads at\ _ I �� }� Z � n,ax.tYP• ♦ I NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Soil Classifications: Soil Bearing Capacity: Anchors Required": 2,3,4A&Q 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Anchors Equired per side Vector Systems Required LSD 0 to 48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 3 73' to 84' 7 7 4 85' to 90' 8 8 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that CD approximate location. j NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. n w 0 co N 0 CAD Soil Classifications: Soil Bearing Capacity: Anchors Required*: 2, 3, 4A, & 4B 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (5909 w//4725 lbs. min. breaking strengtl Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' WIND ZONE II, SEISMIC ZONE 4 2 1 49'to71' 4+2onTag 6 3 2 72'to84' 4+3 on Tag 7 Vector Dynamics Systems Required for r85- to 90' 5+ 3 on Tag 8 3 Triple Section Homes h sry gems (Materials Required) ect%o� - - fovapa0\tn9 for v ectol - �'• ___--_F\-" f a 76 pWS ;r •\\ '�\`\ t%O -''fi t nEaao i �q 1. eve or �� h;%zgg �,.. c e 1 •, ,t�:.. . v � \ .. . .: ,nom ���� � _.... _.mss., � �. _.. � ;d,Y — - w _ ..: -- — z 5� I � o -� . \ , ♦.,.� _ NP _... NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that CD approximate location. j NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. n w 0 co N 0 CAD Soil Classifications: Soil Bearing Capacity: Anchors Required*: 2, 3, 4A, & 4B 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (5909 w//4725 lbs. min. breaking strengtl Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 3+2 on Tag 4 2 1 49'to71' 4+2onTag 6 3 2 72'to84' 4+3 on Tag 7 3 2 r85- to 90' 5+ 3 on Tag 8 3 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 7 cry ff n�r� Vector Dynamics Metal Pier & V -Drive Installation METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U- bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16". Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V -Drive for rocky soil V -Drive anchors are used on/v in single section homes. V -Drive anchors are used only in'Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight.<Kc:4 Page 16 California 2/03 • 'VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA I NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near -the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is. 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: 16x16 = 256 sq. in. or 16x18 = 288 sq. in. EQUALS 2 -Vector Pads # 59275 288 sq. in. or 1 Vector Pad # 59130 Footer Size: 20x20 = 400 sq. in. or 17x25=425 sq. in. EQUALS 1 -Vector Pad # 59271 432 sq. in. Vector Pad(s) exceed the surface area required when used as the equivalent listed above. *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En ineer familiar with site conditons Page 17 California 9/2/03 Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. S. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pa for concretc footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt 9/2/03 Z r, Vector Dynamics System for Concrete Applications Instructions 9. Put a washer. and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. -Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration Ti Inside Tie Bracket Compressi( boards of PVC Pipe U -bolt Page.19 California Vector pad for concrete Concrete footer 4 -rim, 9/2/03 .j 2005®0054351 AND WHEN RECORDED MAIL TO: Recorded I REC FEE 10.00 BUTTE COUNTY BUILDING DIVISION Official Records 1 7 COUNTY CENTMDRWE-- _ Count of I COPIES 2.50 OROVILLE, CA 9965 But I CANDACE J. 6RUBBS I County Clerk-Recorderl SA 02:21PM 12 -Sep -2005 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required 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 inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date D C:" 1„ State of California County of On before me, personally appeared \—A 'e personally known to me (or proved to meNon the basis of satisfactory evidence) to be the person(s) whose name(s) is/are 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 erson(s) acted, executed the instrument. ITNES , my hand and &kricial seal. Sign e S-0 ^ O Q ANGELP,D. MASTELOTTO A.P. #-� —' _0 U Commission #1381'124 a- Notary Public - Californiacn Butte County '� My Comm. Exp. OCT. 22, 2006 eerm 11& .' 05 -107717 -TG LOCaRe No.: CARfM958-0958-0001-0000107717 Ti tta k io.: 05-M7,7174 EXHIBIT "A" t THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: PARCEL A: Parcel 4, as shown on that certain Parcel Map of a portion of the Southwest quarter of Northeast quarter of Section 5, Township 18 North, Range 4 East, M.D.B.&M., which Map was filed In the Office of the Recorder of the County of Butte, State of Califomla, November 12, 1980 in Book 79 of Parcel Maps, at Page 76. i PARCELS: . An easement for road and public utility purposes over the roads shown on that certain Parcel Map of a portion of the Southwest quarter of Northeast quarter of Section 5, Township 18 North, Range 4 East, M.D.B.&M., which Map was filed in the Office of the Recorder of the County of Butte, State of Cal fomia, November 12, 1980 In Book 79 of Parcel Maps, at Page 76. PARCEL C: i A right of way for road purposes 60 feet in width across a portion of the Southeast quarter of the Northwest quarter of Section 5, Township 18 North, Range 4 EM M.D.M., lying Northerly of and adjacent to the following described line: Beginning at a point in the North-South centerline of said Section 5, distant North 0° 40' West 1150.68 feet from the center of said Section 5; thence South 530 55' West 490.22 feet; thence South 440 06t West, 239.10 feet; thence South 880 34' West 70.92 feet to a point In the East line of Lincoln Road. Initials: i _ a, I - i t i 1 Initials: i _ U.S, DEPARTMENT OF HOMELAND SECURITY ',Federal Emergency Management Agency National Flood Insurance Program • (F Important: Bead the instructions on pages 1-8. OMB No. 16600008 Expires February 28, 2009 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Syd and Charlene Chadden Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company MAIC Number PO Box 6 City Palermo State CA ZIP Code95966 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 026-050-050 A4. Building Use (e.g Residential, Non -Residential, Addition, Accessory, etc.) Non-Residential/Garage A5. Latitude/Longitude: Lat. N39.2694 Long. W121.3279 Horizontal Datum: El NAD 1927 0 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Numberl 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 or enclosure(s) sq it a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above: adjacent grade �T c) Total net area of flood openings in A&b sq in c) Total net area of flood openings in A9.b sq in SECTION B a FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B9. NFIP Community Name & Community Number B2. County Name 1 B3. State I Butte Co Unicorporated Area 060020 Butte CA B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9, Base Flood Elevation(s) (Zone 173. 0 feet Date Effective/Revised Date Zone(s) AO, use base flood depth) 06007CO985 c June 8, 1998 June 8,1998 A 176 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139. 0 FIS Profile 0 FIRM © Community Determined ❑ Other (Describe) .--_--- Bl 1. ' Indicate elevation datum used for BFE in Item 139: ® NGVD 1929 ® NAVD 1988 ® Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (6PA)? I1Yes ZNo Designation Date ® CBRS ❑ OPA SECTION C a BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl.Building elevations are based on: 0 Construction Drawings* ® Building Under Construction" Cl Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.8 -g below according to the building diagram specified in Item A7. Benchmark Utilized 1229 Butte County Vertical Datum NGVD 29 Conve(sion/Comments none Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) D Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) 178. Z feet 171 meters (Puerto Rico only) NA.__ 0 feet ® meters (Puerto Rico only) NA._ 0 feet n meters (Puerto Rico only) 178. 0 feet [I meters (Puerto Rico only) 173. 0 feet ❑ meters (Puerto Rico only) 176.5 ® feet [J meters (Puerto 177.5._ _ IJ feet 0 meters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Thi- certification is to be signed and sealed by a land surveyor, engineer, or architect authorized bylaw to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 13 U.S. Code, Section 1001. El Check here if comments are provided on back of form. Certifier's Name Jim Pursell License Number 60924 Title RCE Company Name Jim Pursell Engineering Ave. v Oroville 9/6/06 CA lob' u CIO UIN IMPORTANT: In these spaces, copy the corresponding information from Section A. For insurance Company Use? " Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number. 6735 Rock Haven Ct. City Oroville StateCAZIP Code 95965 Company NAiL Number SECTION 'D - SURVEYOR, ENGINEER, OR ARCHITECT CERTiFICATION (CONTINUED) Copy both aides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Signature Gate E7 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE 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. E1. Provide elevation information for 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 E7 meters El above or El below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is [] feet E7 meter 0 above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _, [:] feet C] meters E7 above or 0 below the FLAG. E3, Attached garage (top of slab) is E3 feet n meters E] above or E7 below the HAG, E4. Top of platform of machinery and/or equipment servicing the building is E1 feet Ea meters E7 above or E] 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? n Yes E1 No E7 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY Oi/UERTIFICATION 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 Sections A, B, and E are correct to the hest of my knowledge. Property Owner's or Owner's Authorized Representative's Name Jim Pursell Address 2360 Baldwin Ave. CityC)roville StateCA ZIP Code95966 Gate Telephone 530-533-2131 (;,,,I Check here it attacnment SECTION G - COMMUNITY INFORMATiON (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, 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. G1: 0 The information in Section G 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.) 02.0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4. -G9.) is provided for community floodplain management purposes. Permit Number G5. Gate Permit Issued G6. Gate Certificate Of Compliance/Occupancy Issued G7, This, permit has been issued for: C] New Construction E7 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _E7 feet E7 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: C] feet meters (PR) Datum Local Official's Name Title Community Name Telephone �`9� Signature Date U I 11, ,DIN/[ [ a P5 Comments ,�Vf- �� >'V x., l U I . 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I Add D P hoes, N _ Sit3GE Sate, Acress Sits) Location) PLAN— i� YS "✓ _ .... __ -. .... ,_.o : 5�.. -r —•� B1'��i 4`x`1--, � --_ _ _ NNI stlW. n.1',I,•IIN Y+iYt+.If �___ Joh Name: Model Homes 20'x 20' Truss ID: G1 Qty: 6 BRG X -LOC REACT SIZE REQ'D TC 2x4 DFL #1 Plating spec ANSI/TPI - 1995 UPLIFT REACTION(S) 1 0 1-12 948 3.50" 1.50" BC 2x4 DFL #1 THIS DESIGN IS THE COMPOSITE RESULT OF Support 1 -154 lb 2 19-10-4 948 3.50" 1.50" WEB 2x4 DFL STANDARD MULTIPLE LOAD CASES. Support 2 -154 lb BRG REQUIREMENTS shown are based ONLY PLATE VALUES PER ICBO RESEARCH REPORT #1607. IF HANGERS ARE INDICATED ON THIS DRAWING, This truss is designed using the on the truss material at each bearing Loaded for 10 PSF non -concurrent BCLL THEY ARE BASED ON 1.5"HANGER NAILS FOR UBC -97 Code. MAX DEFLECTION (span) PLATING BASED ON GREEN LUMBER VALUES. 1 -PLY AND 3" HANGER NAILS FOR MULTI -PLY Bldg Enclosed = Yes, Importance Factor = 1.00 L/999 IN MEM 6-7 (LIVE) GIRDERS. IF 2.5" GUN NAILS ARE USED, THE Truss Location= Not End Zone L= 0.09" D= -0.12" T= -0.22" CRITICAL MEMBER FORCES: - HANGERS MUST BE RE-EVALUATED (BY OTHERS). Hurricane/Ocean Line= No Ex}P� Categor = C TC COMP.<<<DUR.)/ TENS. ((((DUR.)))) CSI - Bldg Length =- 50.00 ft, Bid Wl 9 q dth = 20.00 ft Mean height 11:83 ft, _ 75 Y z =1590(1.15)/ zss(1.6o) 0.49 z 3 -123ot}1.155{/ us 1.60 0.38 root = mph UBC Standard Occupancy, Dead Load = 12.6 3 4 -1230 1.15 / 215 1.60 0.38 psf - 4-5 -1590 1.15 / 285 1.60 0.49 BBC COMP.(DUR.)/ TENS. (DUR.) CSI 6 7 -212 1.60 / 1462((1.15)) 0.56 78 2121.60 /14621.15 0.56 WB COMP. (DUR.)/ TENS. (DUR.) CSZ i Z 7 -423(1.15)/ 149(1.60) 0.11 3 7 -100((1.60))/ 675((1.15)) 0.30 4-7 -423 1.15 / 149 1.60 0.11 : Ali y� 7-0-0 i 3 0 O 1_0-07 07 7-0-0 10-0-0 13-0-0 20-0-0 ' 10-0-0 I 10-0-0 I 1 2 3 4 5 v 0 I ,Y 4.0 B A r) 1� 1 4-4, a s ', c, II� U Lijj I U.: ? = S 1.5-4 1.5-4 _ ��������� � 1E -E. z 3-7-13g 2 4-3-11 1 2.5-6 2.5-6 SHIP i = 0-3-13 fq 2.5-6 0-3-13 B1 B2 W:308 W:308 R:948 R:948 l U:-154 U:-154 t - 2 0 0 2u0-0 20-0-0 I ' f ly 1! VIP 1 6 7 10-00 10-0-0 20-0-0 M 7 rn Jul ,2 05 / 1 / Trusw8I stems la es are 20 Joint unless shown "18"(18 a.l, "H"q� a0 ovpeols ll jAIii 6/1712005 )qa. Rgaq�bg stud p atl es to �a with Per I Circled ptes an pp are posltlone as show iga 5ove. hl p(tails s(aple). 1 4/ ARNI9Y VRead all notes on this sheet and give a copy of it to the Erecting Contractor. Cust: Mitchell is Building Supply This design is for an individual building component not truss system. It has been based on specifications provided by the component manufacturer WO: Dri ve_T_1070605_L00005_100001 and done in accordance with the current versions of TPI and AFPA design standards.. No. responsibility is assumed for dimensional accuracy. Dsgn r BW #LC 16 WT: 100# Dimensionsare to be verified by the component manufacturer and/or building designer prior to fabrication. The building designer must ascertain that = TC Live 16.00 psf DurFacs L=1.15 P=1.15 /'�7 ®M�N �/►� ®®D the loads utilized on this design meet or exceed the loading imposed by the local building code and the particular application. The design. assumes that the top chord is laterally braced by the roof or Floor sheathing and the bottom chord is laterally braced by a rigid sheathing material directly I i N Bracing is TC Dead 14.00 Re p Mbr Bnd 1.15 TRUSS. attached, unless otherwise noted. shown for lateral support of components members only to reduce buckling length. This component shall not be placed in any environment that will cause the moisture content of the wood to exceed 19 % and/or cause connector plate corrosion. psf BC Ll Live O.00 psf Rep Mbr Comp 1.00 4445 Northpark Dr. Fabricate, handle, install and brace this truss in accordance with 'JOINT DETAILS' by Tmswal,'ANSI/TPI 1','WiCA 1' -Wood Truss Council Rep Mbr Tens 1.00 Colo Springs, CO 80907 ofAmericaStandard Design Responsibilities, 'HANDLING INSTALLING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES' BC Dead 7.00 psf O.C.Spacing 2- 0- 0 -(HIB-91) and'HIB-91 SUMMARY SHEET by TPI. The Truss Plate Institute (FPI) is located at D'Onofrio Dnve, Madison, Wisconsin 53719. Design Spec UBC -97 TRUS PLUS.. 6.0 VER: T6.4.2 e American Forest and Paper Association(AFPA) is located at 111119th Street, NW, Ste 800, Washington, DC20036. TOTAL. 37.00,.psf DEFL RATIO: L/240 TC: L/2 '. 1"I(Yibiill��9�1��1111 tilfltw+l a I !9� :Job Name: Model Homes 20'x 26" Truss l®, GG QV: 2 CRITICAL MEMBER FORCES: TC 2x4 DFL #1 Plating spec ANSI/TPI 1995 IS THE COMPOSITE RESULT OF This truss is designed using the UBC -97 Code. BC 2x4 DFL #1 THIS DESIGN MULTIPLE LOAD CASES. Bldg Enclosed = Yes, Importance Factor = 1.00 GBL BILK 2x4 DFL STANDARD PLATE VALUES PER ICBO RESEARCH REPORT #1607. IF HANGERS ARE INDICATED ON THIS DRAWING, BASED ON 1.5" HANGER NAILS FOR Truss Location = Not End Zone Hurricane/Ocean Line = No Exp Category = C Loaded for 10 PSF non -concurrent BCLL. THEY ARE 1 AND 3" HANGER NAILS FOR MULTI -PLY Bldg Length = SO.00 ft, Bft, Width = 20.00 ft May use adequate staples for gable blocks. VERIFY GABLE LOADS! -PLY GIRDERS. IF 2.5" GUN NAILS ARE USED, THE Mean roof hetght = 11.83 ft, mph = 75 Load 12.6 BUILDING DESIGNER MUST [+11 gable bracing required @ 58" intervals, HANGERS MUST BE RE-EVALUATED (BY OTHERS). UBC Standard Occupancy, Dead = psf " if exposed to wind load applied to face. PLATING BASED ON GREEN LUMBER VALUES. See "General Gable Details', C002065035. o o o 0 0 0 o o of o v co 0 4-0-0 6 to co 0 4-0-0 10-0-0 1000 9 1 2 3 4 5 6 7 8 9 10 11 12 13 4r 00 — 4 00 9 j" a d U1 - s... 3-7-13 - - 4-3-11 2.5-6 SHIP 2,5-6 —fli A t = 0-3 l 3 0-3-13 200 2-00 ( 91 r 20-0-0 14 15 660 �7o abo cb90 r$ di Bio v �3� 6340 4-0-0 25 L! L� 1� 4-0-� v co o cr o � v co --� Ju le , x 2 CES ! 4-0-0 1 4 1 o o- m — 20-0-0 7 TYPICAL PLATE: 1.5-4 OVER C NTINUOUS SUPPORT 7 V 9 �1� TTrusw I gg stems p tes are 20 a. unless shown "18"(tstc a.l, "H"(S6 a. or "N1X"(�UuMX 20 �a ) polsitione� per Joint p taails Report. 6/17/2005 Circleda pl�tes and iJa�se frame plates are posdlone as sho all33ove. tirt[ g�ble stud p ates to av Id over ap wit structural tes (or staple). WARNINGRead aii notes on this sheet and give a copy of it to the Erecting Contractor. Cust : Mitchell's Building Supply This design is for an individual building component not truss system. it has been based on specifications provided by the component manufacturer. WO: Dri Ve_T_1070605_L00005-100001 and done in accordance with the current versions of TPI and AFPA design. standards. No. responsibility is assumed for dimensional accuracy. Dsgn r: BW #LC = 16 WT' 119# Dimensionsare to be verified by the component manufacturer and/or building designer prior to fabrication. The building designer must ascertain that 9I-1,)/1!/��/q� �A/ the loads utilized on this design meet or exceed the loadingimposedby the local building code and the particular application. The design assumes TC Live 16.00 psf Du rFaes L=1.15 P=1.15 19 i!I "1 �YY ®®® that the top chord is laterally braced by the roof or floor sheathing and the bottom chord is laterally braced by a dgid sheathing material directly TC Dead 14, 00 psf Rep MbP Bnd 1' 15 attached, unless otherwise noted. Bracing shown is for lateral support of components members only to reduce buckling length. This component Rep Mbr Comp 1.00 TRUSS shall not be placed in any environment that will cause the moisture content of the wood to exceed 19% and/or cause connector plate corrosion. BC Live 0.00 psf Rep Mbr Tens 1.00 4445 Northpark R Fabricate, handle, install and brace this truss in accordance with 'JOINT DETAILS' by Truswal,'ANSIfTPI T,'WTCA T -Wood Truss Council BC Dead 7.00 psf O. C. Spacl ng 2— 0- 0 Colo Springs, CO 80907 ofAmedcaStandardDesignResponsibilities, HANDLING INSTALLING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES' Design Spec UBC -97 -(HIB-91)and'HI&91 SUMMARY SHEEP by TPI. The Truss Plate Institute(TPI)islocated atD'OnofrioDrive,Madison,Wisconsin53719. TOTAL 37.00 psf DesiEFL RATIO: L/240 TC: L/24 TRUSPLUS 6.0 VER: T6.4.2 e American Forest and Paper Association (AFPA) is located at 1111 19th Street, NW, Ste 800, Washington, DC 20036. �d,�z�t�all�lk'rltMllBldi�aF€1�4, ! Jf A PA Certiticate Certificate 054074 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products m Structural glued 4 Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITQ 117-93 -- Manufacturing a- Standard Specificalrons For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program- Routine audits include inspection of the manufacturing process and evaluation of the in-plant. QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. Q,P 0 R4� ����� ��-4a M� by f Thomas Q. Williamson Executive Vice President ENGINEERED VVOOD SYSTEMS is a related corporation of APA -- THE ENGINEERED WOOD ASSOCIATION 70115outh 191h 5lre0t ® P.o. Box 11700 a 7aQ ma, WA 98411.0700 Telephone: (�53) 5®5 ®000 Fatt Plumber: (293) 355-7265 SNISA 'arl'tir-I SQOO(n NdELS�M TIG398b68t�Z�Z g S� 999Z/89/�9