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026-114-013
NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. O.M.B. No. 3067-0077 Expires December 31, 2005 SECTION A- PROPERTY OWNER INFORMATION 1 For fnsuianeeS�odnjy use_ >':>'»>I BUILDING OWNER'S NAME POhcy Nati tber;;!I :. ....................................................... ....................................................... Andy and Toni Swafford BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Coirpty NRICNtniber>'. 2014 Es eranza Ave. ........... CITY STATE Palermo Ca ZIP CODE PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 026-114-013 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##° - ##'- ##.#N' or ##.#####' ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE Butte County 060017 Butte Ca B4. MAP AND PANEL 161...4 MA ft(m) B7. FIRM PANEL LAND B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVFJREMSED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 06007CO995 C 6&98 64-98 AE 160 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): Bl 1. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the buddng located in a Coastal Barrier 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 Constriction' ® Finished Construction •A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 8 (Select the budding diagram most similar to the budding for which this certificate's being completed - see pages 6 and 7. If no dagram accurately represents the budding, provide a sketch or photograph.) C3. Elevations - Zones Al AW, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, ARAE, ARIA1-A30, ARIAH, AR/AD Complete Items C3. -a -i below according to the budding diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show 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 conversion. Datum Conversion/Comments Elevation reference mark used TBM 6 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a) Top of bottom floor (nclucing basement or enclosure) ❑ b) Top of next higher floor 161...4 MA ft(m) m � LAND ❑ Bottom lowest horizontal . MA _fL(m) m QC1P;;. •Q L. G,9 to G� c) of structural member (V zones only) . _ft(m) 2,S �5�; •^ ❑ d) Attached garage (trop of slab) NL4 _ft(m) E w �� 2 � )�G • .� ❑ e) Lowest elevation of machinery andlor equipment m cc cc40 servicing the budding (Desabe in a Comments area) NA . —ft(m) E c P, a' �o. j ❑ 0 Lowest adacent (finished) grade (LAG) 158.2 ft(m) Z.0 * by ^3 a - �'• ��' �•9!►�......••'� ❑ g) Highest adjacent (finished) grade (FLAG) 158. .5 ft(m) ❑ h) No. of permanent openings (flood vents) within 1 ft above a4acent grade 12 OFC ❑ ) Total area of all permanent openings (flood vents) in C3.h 1170 s4 in. (s4 am) 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. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME Ronald L. Graves LICENSE NUMBER PLS 4085 , TITLE Professional Land Surveyor COMPANY NAME Ron Graves ADDRESS CITY STATE ZIP CODE 563 Nelson Ave. Oroville Ca 95965 5' TURE DATE TELEPHONE Y--V-e- 5-10.05 530.533-9201 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions I 0-7 AD) Il tD ca I analld tD qu- AUII ovfr a- -"W cw V� i v1� of n : Mair j Z II)o : - 4,� - ----- - -- T R Indudn t. Unit Sdite and�a Bldg. No. OR P.O. ROUTE AND BOX N0.<::<::>::>::>:«<:< BUILDING. E ADDRESS gAp, dg ):.::..;;;: 1936 _ Ave. CRY STATE ZIPCCDE ieN?N? Palermo Ca 95968 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Bevation Certificate for (1) community official, (2) insurance agenUcommpan y, 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. If 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 _(Select the building diagram most smear to the building for which this certificate is being completed - see pages 6 and 7. If 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, 9 available). E3. For Building Diagrams 6.8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the budding is _ ft.(m) _in.(am) above the highest a4acent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and(or equipment servicing the budding is _ ft(m) _in.(am) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is availade, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The kcal official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Iters C3.h and C3.i only), and E for Zone A (without a FEMA -issued or comrmunil - issued BFE) or Zone AO must sign here. The statements in Sermons A, 8, C, and E are correct to the best ofmy knoWedge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who's authorized by law or ordnance to administer the communitys floodplain management ordnance can canplete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A communily official completed Section E for a budding located in Zone A (without a FEMAassued or commurtity-issued BFE) or Zone A0. G3. ❑ The following information (Items G4139) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _. —ft(M) Datum: G9. BFE or (n Zone AO) depth of flooding at the building site's: _ _ ft(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 Jul 08 10 11:09a RONALD GRAVES 530-534-8094 DEEDS P2ERCERS L'q1Vdr SURVEYING LEGAL DESCRIPTIONS LGT LINE ADJUSTMENTS 7/8/10 To; Butte County Building Dept. Subject. Elevation Certificate- Esper-anza Ave- PalerTo 5653 MELS-ON-A-VEBU-k, GROVttar cP 9696S 1 PdYt�idE'S3aB- e3392:�� CELL 53® -Tal -4R&3' FAX 530-53449-q9'4 I hereby give my permission for you to give -a copy of the-ellewation• certificate -I prepared for the property in question on Esperanza Ave. to Ronald Solansaky. Sincerley, - e11 T, i Ronald L. Graves,. P.L.S. 4085 NPL LA./0 J� 5 .••O•L' � 9y 11 O Lj .cr Na: 4045-- C 5-- : 70 Expires C * = M30! z t plc'•-• ... •\Fp2�`� OF CFS E-PACIR, 40M. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING March 20, 2005 Att: Judy Shipman State of California Department of Housing and Community Development Division of Codes and Standards Registration and Titling Program 9342 Tech Center Drive Sacramento, CA 95826 RE: Decal #LAU8409, HUD #CAL170898, Serial #CAFL1X94567303 for Andy Swafford Dear Ms. Shipman: Butte County does not require that a permit be obtained to remove a mobile from a permanent foundation system prior to removal from the property. The above mentioned unit was installed on a foundation system and received final inspection October 28, 2003 and the 433A was recorded July 25, 2005. This unit (Decal #LAU8409) was removed prior to installation of a 2005 Fleetwood, HUD #PFS0894011/2, Serial #CAFL517A/B28254-EX12, which was finaled May 10, 2005. If you have any further questions concerning this matter, please contact this office at (530)538-7541. Thank you. Sincerely, Alice Mefford Supervisor, Permit Center Pagel of 2 Rutherford, Scott From: Rutherford, Scott Sent: Friday, February 25, 2005 4:57 PM To: Townsend, Joan Cc: Christopher, Yvonne Subject: FW: Modular Unit Installation - HOT ITEM Joan, Yvonne asked me to respond to you regarding this application. Since I am not sure how familiar you are with the regulation of flood hazard zone requirements, I will give you some general background. The Swaffords placed a mobile home on this property in 2003, and their original Flood Elevation Certificate was dated 5/14/03, so it is approximately 19 months old. The Department of Water Resources and FEMA perform a joint audit of Butte County's flood plain administration program every 2 years, and we are required to demonstrate strict compliance with FEMA requirements, and the County's flood plain ordinance. If we have made errors in our regulation, we are required to go back retroactively to individual homeowners, and require retrofit and compliance. We try to enforce the County ordinance very carefully. I reviewed the Swafford file and discussed the plan check with the individual that performed the plan check. We have been told by Dept. of Water Resources that each building on a property must have a curreit elevation cert. specific to that particular building, that each certificate must be up to date, and properly filled out. A flood elevation certificate based upon construction drawings is required, and when the mobile home installation is complete, a post construction elevation certificate is also required. In conclusion, if the new mobile home is to be. installed in the exact same location, we feel that we can use the existing elevation certificate. However, we will also need a po3t construction certificate after the home is installed. I will tell the plan checker we can issue with the existing certificate. We cannot final the home without the post construction cert. Thanks. Scott From: Townsend, Joan Sent: Thursday, February 24, 2005 1:08 PM To: Christopher, Yvonne Subject: RE: Modular Unit Installation Do we have any feed -back on this — this week. Ms. Swafford was here at the office and I didn't have an answer for her. Thanks again.. From: Christopher, Yvonne Sent: Thursday, February 03, 2005 5:40 PM To: Townsend, Joan Subject: RE: Modular Unit Installation FLF COPY 02/28/2005 C� Page 2 of 2 I will check. I believe this is a public works issue, but I will track it down and get back to you. Thanks, Yvonne From: Townsend, Joan Sent: Thursday, February 03, 2005 2:29 PM To: Christopher, Yvonne Subject: Modular Unit Installation Good Afternoon, Toni Swafford, at 2014 Esperanza in Palermo, Ca, states she was told she had to pay for a Flood Permit/Certificate even though she had purchased one just thirteen months ago. Ms. Swafford is replacing her modular on the same foundation. Would she be required to pay $500. for another survey permit? Thanks..... Joan C. Townsend, Administrative Aid To Bill Connelly, District One Butte County Supervisor 02/28/2005 NOTES RESIDENTIAL 026-114-013 1 =SW ORD"`AIVDy, RMIT NO..... 03-1479_ D ESPERANZA', PALERMO NEW MH PERM FND NEW SITE i -�•_ , r J4 1 t rl .`� THI HCD FORM 433A FOR THISjMH CANNOT BE REc,ORDED UNTIL. ONE OF THE FOLLOWING HAS "BEEN TURNED IN TO THE BUILDING DIVISION. ,(1) LICENSE PLATE(S) OR DECAL (THE'i, ., �—*—a INSPECTOR MUST RETREIVE). NT OF FACTS, ONNEW,,' , L 11• • (2) STATEMENT :-• i IN PECTO 4! t'' i 'OFFICEd P ter_ a I f r r L y Address FG AS ' Dat�e(�'— 'I Meter B;r.,P'� c ELECTRIC _mate _= -CKED e Meter By -- BY a_k.�L�OOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY f f I USE PERMIT CONDITIONS ! SUB-STANDARD HOUSING LETTER —Po 5 1�106d Cef+ A C4� OFFICE COPY i Address l I GAS Meter By ' Date Eeter By TRI Meter By F Dat JC �3JOB FIN-ALED (Date) . j Signature l ' J=OK , 0 = Not OK . = NotRdadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Electric 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test-Wrap; -/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect 12. 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PE$MANENT END SYSTEM (ONLY) ming Requirements -Setbacks -Easements of Fo tings; Size -Spacing -Marriage Line locking 4Aas; MH Test -Demand -Valve S.Alectricity; MH Test 7, . Water; MH Test -Vater and Sewer Conriected . 1 s and Electricity Tagged " E' icense Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date 'Card B-1 Date Card B-1 CAL l �� �to -. MISCELLANEOUS 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 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. . Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- 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 Applicable . = Not Ready RESIDENTIQ1 (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 50. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 51. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 52. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 53. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 54. 6a. Hold Downs and Special Anchors 55. 7. Slab, Steel -Wrapped 56. 8. Piers -Fireplace Ftg.-Steel 57. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 58. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 59. Glazing Area -Glass Protection -Skylights -Plastic 11. Water Pipe; Test -Anchors -Regulator -Service Test Shear Walls; Nailing -Bolts 12. Electric Underground Brace Interior/Exterior Wall Panels 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 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 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral 0 Yes O No Date 32. Service -Riser Conductors & Ground Main Disconnect Comments at Final: 33. Equip. Clearances Panels-Motors-Mech. 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. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 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 rA 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 A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 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 -Bolts 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 Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-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 Instld./Drive 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/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville', California , 95965 • Telephone (530) 538-7541 (Rev.12/96) APPLICAT ,ON AND PERMIT ASSESSOR PARCEL NUMBER 026-114-013 ZONING BUILDINGPERMIT OWNER S14AFFORD ANDY TELEPHONE - SO. FT. OCC. BUILDING VALUATION 7iJ R 38 880.00 OWNERS MAILING ADDRESS 1206 MORSE C L . lZS2E SACRAMENTO q5r,05 CONTRACTOR'S NAME 01 -NEER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 38 880.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 171.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-3.00 BUILDING ADDRESS 0014 ESP�tAi�1ZA PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ 214,05 LOT NO. SUBDIVISIONS NAME 9001-0052 PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 - USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00- TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Udlides ❑ Installation ❑ Other ❑ Describe Work: NEW ti9i PMN FND N --w SITE Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S 65.00 FTLO i : AE; 0985D ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200,,OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chester 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. ( ACC. ORNEYV s , 3.50FT. cDNS.ONS1& NON-RESID. @7.50 POWER APPARATUS a SINGLE OVILET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1'00 BAL Q .s0 Ex. Occup. oLITIEED pESIp.GEA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is iss.red. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with com ith those zrovisiQns. + X Date _ Si ature of A icant caner ❑Contractor ❑ Agent An OSHA permit is req ' e or excavations over 60" deep and demolition or constru :tion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TL FEE $ HAZ. p, FE IMP FLOOD CDF -- PARCEL PD H SSUE This permit is hereby issued under of the Butte County Code and/or indicat d above for which fees hav B ERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate O� D to Receipt No. 9,4 0. e O 0 41 3 k1 7 /0't0ae WHITE-D.D.S.-B.D. CANAR SESSOR PINK N PECTOR GOLDE D -APPLICANT ' GOUtf T Y OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUFLDiNG DMSIOFI .. 7 County Capter D?rrv_ • Oroville, Gaftfornia 95935 ► Telephone (530) s�a-1541 PPU APPLICATIONANb PERMIT .12196) 11:7 e ) BUILDING PDIT ' ct Za1S SQ. FT. OCC. TION � �fa"'9� ►v� �.. � r, ioL / , i �1 �a.,r.,o..,.�.r�/S(oQS i mow.t mcm �ansz caemmem otmv= ca eN0=: I Gaamr.�m»�s A A>—? i SlRWE � �TtB •S'n�(-sem ?�'a J -rDb =J b � U5E CESTr2UC i URc aF E] Duplex; E] Wb50Bbome O Ot er s hbo E] Adm 0 TYPE OF WORK A E--> CUq aSD 7cdw valuation Fsa 5 f B' mft FBB AM M=Wnm Fag 0 1 "-ne:gy P%n ChBcing Fee S - S pmum m S ?Lt3i�QS1iA�^a F=RiHIi EmA Trap So1sr or hast water he— Watt pi*g --h =a weiar heir or vent �/� 1 Id>3i1B m2b awca ( ami on r w � - ! Di ) ma --wAuu s . O�up. ! DrrRm oa n=) MEP APPOM OR Tern� SBW=a Wbbib H=e Fa"'imes Yt�ire, PcRBIBfT Fce MECHAIMAL FERUrT Hasftg 20.00 1;.Lff ma c% g ae 7.DD 2S.DD 15.DD 15.DD 15.DD 15.DD�'j �20.DD 29.DD 4i0D Fee 2D.DD 6.50 Nbbb Home hss'wlafrin Fee is i�►argy hrspM=bn Fee TO ,L FSE $ lir,L 1 7D CDF'1 e•� This parml is hareby b=eld under ela appir=51e prmv.snrs Of The Huhn County Code mncVor Re,-oiuinas b do work i :r=65Bd ebova fir W) A --h des have been paid 3y _ Dam NEPM7 rpt BS ON ` T ' COUNTY OF BUTTE -DEPARTMENT OP DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 ;.Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET . OWNER: =Mr t r+l An A—i ASSESSOR PARCEL NUMBER Proposed Building Use b a -o i'n {f ,�4 j Counter Technician: -tp Date: <7" Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. *1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. )❑ 2. Complete plans, 3 or 4 sets, signed by the p' reparer of the plans. C ]�JQ(jL 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. &6. gineered truss details and layouts in duplicate. No faxes! ergy compliance d� and supporting documentation in duplic te. anufactured homesata sheets an installation instruction ( )) , C) . agelicte_in£orntafio (C) loor Plan, (�D-dowrr undation ns, all i nolicate. ulldmes:'(A) Metal Building Plans, (B) F%oundation plans and calculations in trip icate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be xed and returned to the plan review line-up when required items are received. C + C- + t - K--. 1j' + `�rrc4� Date Received By ,:Flood Elevation Certificate, wet -stamped and signed Pffiggis.;D .............................. 9. Plot plan and business license approval from the City4o................................... 10. Letter of intent for non-residential buildings......................................................... ❑ 1 Detached Accessory Building Form filled out by the owner ..................................... Hazardous Material Form............................................................................... _ Other�� Re aining items needed to issue the permit. (May require additional plan review upon receipt of the Ilowing items.) 22 . 4. Fees as shown on the attached Schedule of Fees Due Sheet..................................� r..I IT Statement of Intent for Non -heated and A/C Buildings ................................... .. 6. Sanitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit.........................%.............................................: 8.' California Department of Forestry plan approval ❑ paid. Sent by: ................. J19. Planning approval for (A) Use: D >\ (B)Parking: %(C) Pa`rce Check: —0 Contact Land Development about ❑ Improvements, ❑ Drainage ............... ---1-... �Ericroachment Permit for driveway from the Public Works Dept. (construction approval-prio,occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractors license information. (Number, Name Style, Classification) ...................... 1,124. Worker's Compensation Carrier and Policy Number ....... .�.....:.............................. Fl 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 6. Letter of Signature authorization ................................................................. 0028.,�lanufactured 7. Recorded copy of Agricultural Acknowledgment Statement .................................... .. � 3 MS'S home utility clearance................................................*1*1 ...... fJ� ng�iola 'o d/or expired permits........, + ..........- .................. Grant Deed de/Statemegt of Facts, etter from Legal,�Iwneeck to1. Ofher: ._ �(tt>�l,L�ZU-1) /I AnV1A'a►1rz�.t�'�'f� When issued Te16ph e _:tI ' /<<j` -" l � GG 'r7YVf and hold'faUickup.' ` 10 C) pe ra4or �� rj&t i n 2 r a C C I have been informed ,tb above items an re rements for taining a building permit Applicant: r � �' � Date: Z/ 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by lb Contractor, designer, owner, was advised of the above data by , ❑ Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: 6.2.03 P-%, C_ Plan Check Letter I phone, ❑ mail, ❑ counter, by Date: _ phone, ❑ mail, ❑ counter by Date: Plans approved by: _Cj Date: Stru tura; a. pprpve� by: Date: Yellow' Buildine Divisinn �, E.H. USE ONLY Viol Viva Anschad Roar:•r%---''J-` I � oos Man A shod Seat to B.D. !t� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 0 -ner Location AP# Plan Approved for: Sewage Disposal -,,.—Water Supply: -"Public Private Wel Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date f 1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SgRVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due... AG(d.i '$ � d n 1C.. . Revised Plan Checking Fee p. 161-nCr tG. $ 2. SCHOOL DISTRICT FEESAt'clh (paid at District Office) (Available after Plan Check) Ck3. SHERIFF FEES (paid at Building Division) _ J Residential ...................... x $360.00 Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # - DATE Y" �aO \ RECEIPT # DATE REC. d2 ►�` 4 / At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during tie plan checking process. ,4, 9 DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) _06. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 1—i6q. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # - DATE Y" �aO \ RECEIPT # DATE REC. d2 ►�` 4 / At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during tie plan checking process. ,4, 9 DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) School District A;. P'.'Number �`` Property Owner BUTTE COUNTY SCHOOLS IMPACT FE CERTIFICATION FORM (One form per Building) Building Department No. �aC�D ►_/ ' �'� Jurisdiction: City, , County N rl�7�i� AijaA al . , bdivislon s Lot No. �r � M1v�• ................................. w................................................................................ ' Residential De elopm nt ,� ;; Sq. Footage f No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # " '(No foundation inspection): ......................................................................................................... } Commercial/Industrial Sq. Footage New. A•9dition , Building Department Representative =',(City) �? has complied with the requirements of Resolution, No. r4 representing 100 square feet. t~• ;f I r (Including Exterior Roofed Areas) Date I (Applicant) (Phone Number) (State) (Zip Code) by payment of $ s IFi2926 $ FULL MITIGATION $ co Date Paid by Check # ' Remarks: P1C, . 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 day-. 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. r ;r. `xo If, subsequent to the School District Representative: signing this Butte County Schools Impact Fee Certification Form, the School ,District is- notified snotified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department). Pink (school district) feeform.xls (10/98)dmm r� .District 040005 Identification No. $Ct001 District ICt certifes that (Street Address) =',(City) �? has complied with the requirements of Resolution, No. r4 representing 100 square feet. t~• ;f I r (Including Exterior Roofed Areas) Date I (Applicant) (Phone Number) (State) (Zip Code) by payment of $ s IFi2926 $ FULL MITIGATION $ co Date Paid by Check # ' Remarks: P1C, . 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 day-. 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. r ;r. `xo If, subsequent to the School District Representative: signing this Butte County Schools Impact Fee Certification Form, the School ,District is- notified snotified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department). Pink (school district) feeform.xls (10/98)dmm i r� r� AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 X003-0035491 Recorded Official Records Count yy Of Ai1rTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:5/PA 0c -Jun -2003 REC FEE 10.00 COPIES 2.50 Karen 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 fertilizes; 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 inconven:2ence or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of Cali=ornia, described as follows: SEE ATTACHED LEGAL DESCRIPTION AT EXHIBIT "A" Date M&Y 27, 2003 State of California County of BUTTE PROPERTY OWNERS: &ND-_ D. §W&FFORD On MAY 27, 2003 before me, GOLDIF. HONE&. NOTARY personally appeared 4,NDY D SW4LFFORD personally known to me (or proved to me on 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/sheAhey executed the same in his/her/their authorized capacity(ies), and that lax his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acte�ecud the instrument.WITNESS my aficial seal. Signature Seal: GOLDIE MO(VEA Commission +1351387c� Notary Public • Cafifomia. Butte Cour"ty A.P. #_ 02 6 - 1 14 - 0 13 My COMM. 0 . AUPn t4, 200 G 1 ; 11 w '', 11111111: Will hli 11111 WIN '-fl I jk4 ASam A Ikxm to 1 9W 1 EW-aut-'A ICVJ: I I A340H 310JOE) .4 RARCEL Il: LOTS, 13, 14, 15, 16, 17, 18 AND 19, BLOCK 13, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TOWN OF PALERMO', WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE. COUNTY OF BUTTE, STATE 09 CALIFORNIA, ON FEBRUARY ,17,1891, IN BOOK 5 OF MAPS, AT PAGE(S) 4. PARCEL HEREIN IS PURSUANT TO A MERGER APPROVED BY THE COUNTY OF BUTTE, RECORDED NOVEMBER 9, 2001, UNDER BUM WUNTY RECORDER'S SERIAL NO. 2001- 53636. APN 026-114-006-000 (PORTION) 4 National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally,. understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time,. site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BWs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BNIPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. - Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and. evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan National Pollutant Discharge Elimination System (NPDES) Phase II Construction Stormwater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or of er permits or other sanctio provides by law. Signed:. Title: Date: 7`—O National Pollutant Discharge Elimination System (NPDES) Phase II Construction Stormwater Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provides by law. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Butte County Stonn Water Management Plan Revised 5/22/03 t OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued ' until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO ❑ 2. I HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: - CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide . the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: r PROPERTYOWNER: SOCIAL SECURITY NUMBER DATE: S`/Z i NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER 1 11 OWNER BUILDER INFORMATION Dear Property Owner: O. Ben1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. . For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own wort, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, -erroneously implying that -the property owner is providing -his or her own -labor and material -personally: Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. .a: rely, Mic el C. Vi ira, C.B.O. er, Building Inspection NOTE. 771 is Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER }1 ' AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ,10103-10Qe35491 Recorded t)fficial Records. Count Of 86 r�rF CANDACE J. GRUAI S Recorder ROSEMARY DICKSON Assistant 11o57FN 0 -Jun -2003 REC: FEE 10.00 COPIES ?.50 Karen Pace 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: SEE ATTACHED LEGAL DESCRIPTION AT EXHIBIT "A" Date M 9Y 27, 2003 PROPERTY OWNERS: / t &NDY D. STI&FFORD State of California County of BUTTE On MAY 27 . 2003 before me, GOLDIF. —HONE 1-0- NOTARY personally appeared ANDY D SHA ORD personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed tote within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, a cu ed the instrument. WITNESS my an n _ ficial seal. SignatureSeal: GOLDIE HONEA Commission13513t117 - 0 NotaryoutteCaU Publid A.P. # 0 2 6 - 1 14 - 0 13 " My Comm. Co. AP t4, fxh�h-f�� PARCEL II: LOTS, 13, 14, 15, 16, 17, 18 AND 19, BLOCK 13: AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TOWN OF PALERMO", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE. COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 17, 1891, IN BOOK 5 OF MAPS, AT PAGE(S) 4. PARCEL HEREIN IS PURSUANT TO A MERGER APPROVED BY THE COUNTY OF BUTTE, RECORDED NOVEMBER 9, 2001, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2001- 53636. 00153636. APN 026-114-006-000 (PORTION) v r ti SITE PLAN REVIEW APPLICATION Date: -s AP# Permit Number (if applicable APPLICANT INFORMATION Parcel Size: �— Owners Name: Owners Address: ) 20 Lp O 1 S C.T' W( -_ST S R C_ G) S L015 Telephone No.: 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 Other a Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well 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 Page 1 of 5 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) • Flood Zone: A E • Flood Panel No.: —O S Index Date: L) ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------ ----------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A d2 — i Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front tr Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 I Applicable Development Fees: Standard Fees ❑ 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) Amount Formula * 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 0 Deeds: Date of Creation: —1 9—D 9 Legal Access Provided: ❑ No ® Yes Deed of Reference: 2.O ® J — 00 5 3 $ -',> 1p Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: [ No ® Yes, Road Name: Complies with County Standards for Deed Creation:[ No ❑ Yes AV6- Comments: M Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply. with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 II Subdivision Map/Parcel Map: Map Date of Recording: Book: Page: ❑ 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 road maintenance, and stop sign maintenance. EJ F07 Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 2"'x 2"x 3/16" STEEL ANGLE 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED DETAIL "Ay CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-l3UNC-AS07 x 4" BOLT WITH NUTS (4) REQUIRED 01 142" SCH 4D PIPE RISER WITH 1 41/2 ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES e ' ABESCO ABS PAD 1503 -� STEEL FRANE--� SEE DETAIL —"A" -7f ASO BASE ASESCO ABS PAD 0503 COACH 'C" FRAME 2' CHANNEL 1 /4"m I -1 /4"- TEK STS (2) REQUIRED 1/4- GRIPPER PLATE 1/4' GRIPPER--' BASE 1/2' A307 BOLT (2) REQUIRED 3/8"x 6'x 6' STEEL PLATE 1/2" A307 BOLT C—REAM (2) REOUIRED ATTACHMENT / 36" ' MAX 10.00 —+-I TO 90TTOM — I OF PAD 0 0 10.00 01/27x 3" C.R. LOCK PIN WITH ,01/19" BRIDGE o PIN 09/18 HOLE (Tl'P) r STAND BASE TOP VIEW .909 i pW SSIO# 1-7518 Is, t F ��j7F l" p3, TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO.GUS GUARD COLNPANY 5851 FLORIN - PERKM ROAD SACRAMENT CA 95823 PH: (800) 382-8831 FAX: (916) 363-5207 COACH "J" FRAME 1/4" GRIPPER BASE 1/2" A307 BOLT (4) REQUIRED J -BEAM ATTACHMENT TEK STS REOIIIRfD $ $ $ g' 1/2" DIA. HOLE (8) PLACES 30" !� STEEL FRAME TOP VIEW STATE APPROVAL � X z o a 6 o W ra 3: v r v) �o v m yA s•i " ; la i�T W V O p oq WAYNE T. POLVADO, PE -LISTING i � k�A {I,i Yi ■i 3 9 I GENERAL ]VOTES GUS GUARD TUF-1 1. DES[CN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE 'C' SEISMIC ZONE '4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2. TIUS FOUNDATION SYSTEM TS DESIGNED TO BE CONSFRUCXD ON A FAIRLY LEVEL SITE MTH NO E70SIING SOIL PROBLEMS. 3. CNIASSIS 8EAN SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS'. 4. IN AREAS WHERE DEFERENTIAL SETTLEMENT (O.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4'. OR WHEN If WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM. UNDISTURBED SOIL FOOTINGS ARE DESIGNED FOR 11.000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6_ STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION_ WELD ACCORDING TO AYES SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A35 BOLTS -SAE OR S=ASIM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN OR THIS PAGE SHALL BE LISTED AND LARLIED BY DSK AND ASSOCIATES FOR THE IOUDWING LOADS: ALLOWADIE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF-L 2200# 6000# GUS GUARD MGP PAO 22001 6000# CAIS GUARD E -Z TIE PAD 2200# 6000# 8. WRING PRELIMINARY INSPECTION. THE ESTIMATOR SHALL ENSURE THAT. MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION_ 9. EXISIING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUf-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 16. FOUNDATION BLOCKS 16% 16':12' POURED W PUCE AT GROUND LEVEL MAY BE USED AT INSTALLERS OISCRE110N ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= .2' MIN. / 1 t' MAX. S= 6' LIN. /16' MAX_ 5= 6' MIN. / 22' MAX. VARIES 10'-70' {SEE TABLE ON SHEET #3} — E S S S E ❑ ❑ RIDGE BEAN SUPPORT AS REQUIRED BY MANUFACTURER El O (TYPICAL) Q ❑ ❑ 8' NON_ FOR PADS IN ANY PAIR MAY BE f STANDARD M.H. FOUNDATION ` ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAO (TYP) e Fao-*, ,. IT. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED kx1s.� THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. `�,p�e� 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET /3) • �StC 9F CAN' 13. ALL METAL COMPONENTS AND ATTACHMEWS ITEMS SNAIL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE. PAD IS NOT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT 1" (4) 1/2"x 3 I/2' EXPANSION ANCHORS_ FOUNDATION SYSTEM 15. GUS GUARD TUE-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO.OUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5881 FLORIN - PERKINS ROAD MANUFACTURER OR REPLACE THEN ON A ONE TO SACRAII MTO. CA 95823 ONE BASIS. i.—% .oma —, STATE APPROVAL N A ° 'b aa0.'., Lpj � s c O 0 a' u; o 4 x��iS w ? 0° O Z = h_ WAYNE T. 'POLVADO, PE—LISTING NO_ F94249 SHEET 2 of 3 0 c r. 3/4' DIA. x 18' LG_ 1/2'x 3 1/2' 1/2'x 8' LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8' CAD PLATED BOLT, NUT & WASHER (4) REQUWED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM AT 0" O.C. (8) REQUIRED 1 � CONCRETE PAn INSTALLATION y "` POURED IN PLACE 161c16x12 CONCRETE FOUNDATION INSTALLATION CHASSIS FRAME 1/4" GRIPPER -PLATE (2) REQUIRED 1/4' GRIPPER BASE 1/2-13UNC—A307 x 4" DOLT WITH NUTS (4) REQUIRED 01 1/2' SCH 40 PIPE RISER WITH 01/2' ADJUSTER HOLES AND 3/8' THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ZA ABESCO ABS PAD #503 STEEL FRAME--% LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION 36' MAX TO BOTTOM OF PAD LENM Oi HOME 24 1LflDM OF u UPT044' 8 B 8 12 44-1' la 6� 12 12 12 18 a 20 20 20 LENGTH OF HOME 10 1MIIITH OF NOME 1 12 14 16 11p TO 44 6 6 6 4�'-1• a e a g 6C-1' b 10 10 /0 t0 - - 41/2'x 3" C.R. ss' -1' is s0 LOCK PIN M11TI1 "LAWR OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED F N 8' BRIDGE ' IMM- SINGLE WIDE UNITS REQUIRE (4) E—Z TIE PADS. CUSS GM UATUF-1 PIERS ARr N TO BE PLACED AT APPROXIMATELY EQUAL TERVALS ALONG EACH FRAME RAIL (I�yy�Ys ";.r' a� '�_ OF G TUF-1 PERMANENT FOUNDATION SYSTEM STATE APPROVAL .01 :51^J yk Z z A pa a i x3 ' .1 am .. r x c i s,AO god � z WAYNE T. POLVADO, PE -LISTING NO. F94249 sHEET 3 of 3 CCU �D z cr, m CJ C- f'rl m -1 T CO w J CS �n w' r. Z w J Cu , n <S rj m rl P-1) C Tt - R1 i� Westfield Series Model 26028 2 Bedrooms • 2 Baths • 799 Square Feet gx��k C f OGT Q VALK-ON C BAY r 7� 14" vhI1 vPAMroc t APPROVED Butte County 0 1� 0 I � �a o � �416 2005-0043113 RECORDING REQUESTED BY: Recorded I REC FEE 10.00 Official yyRecords I Court f i COPIES 2.50 CIWNCE J. GRIM 1 County Clerk-Recorderl AND WHEN RECORDED MAIL TO: 1 TB 09:18AN 25 -Jul -M I Page 1 of 2 BUTTE COUNTY BUILDING DIVISION +III ") III IIII IIII II I IIII' I ILII 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. ANDY SWAFFORD REAL PROPERTY OWNER/LESSOR 7 COUNTY CENTER DRIVE 1026 MORSE COURT MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA WEST SACRAMENTO SAC COUNTY CA 95605 CITY COUNTY STATE ZIP 2014 ESPERANZA BUILD PERMIT N0.nye TELEPHONE NUMBER INSTALLATION MAILING ADDRESS, IF DIFFERENT 10-28-03 PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAI LING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE SANDPOINTE MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CIT'. COUNTY STATE ZIP 03-1479 (530) 538-7541 BUILD PERMIT N0.nye TELEPHONE NUMBER /O� 10-28-03 SMr.A URE OF LO ALA ENCY 0FFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD 1980 SANDPOINTE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMMBER CAFLIX94567303 60'x12' CAL 170898 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 026-114-013 HCD FORM 433(A) REJ. 8/91 WHITE -County Recorder CANARY - HCD PINK - App'icant GOLDENROD -Building Dept. Order No. BU -208932-3 MAIM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOTS, 13, 14, 15, 16, 17,18 AND 19, BLOCK 13, AS SHOWN ON THAT CERTAIN MAP ENI rl LED, "TOWN OF PALERMO", WENCH MAP WAS RECORDED IN THE OFFICE OF, THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 17, 1891, IN BOOK 5 OF MAPS, AT PAGES) 4. PARCEL HEREIN IS PURSUANT TO A MERGER APPROVED BY THE COUNTY OF BUTTE, RECORDED NOVEMBER 9, 2007, UNDER BUT'T'E COUNTY RECORDER'S SERIAL NO. 2001- 53636. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR WATERLINE PURPOSES ACROSS THE NORTHERLY 5 FEET T jEREOF. APN 026-114-013-000 PARCEL II: A NON-EXCLUSIVE EASEMENT FOR WATERLINE PURPOSES ACROSS THE FOLLOWING DESCRIBED PROPERTY: A. THE SOUTHERLY 5 FEET OF LOTS 34 THROUGH 39, INCLUSIVE, BLOCK 13, AS SHOWN ON THAT CERTAIN MAP ENTITLED, '"TOWN OF PALERMO", WHICii MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 17, 1891, IN BOOK 5 OF MAPS, AT PAGE(S) 4. B. TM SONY 10 FEET OF LOTS 6 AND 40, BLOCK 13, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TOWN OF PALERMO", WHICH MAP WAS RECORDED fit THE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 17, 1891, 1N BOOK 5 OF MAPS, AT PAGE(S) 4. TOTRL P.04 BUILDING PERMIT NUMBER: 03-1479 Address or location of unit: 2014 ESPERANZA, PALERMO CA 95968 Legal Description of Real Property: AP # 026-114-013 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: ANDY SWAFFORD Owner's address: 1026 MORSE COURT, WEST SACRAMENTO CA 95605 INSIGNIA OR HUD NUMBER: CAL 170898 SERIAL NUMBER OR V.I.N:: CAFL1X94567303 MANUFACTURER'S NAME: FLEETWOOD YEAR: 1980 ' A OFFICIAL APPROVING INSTALLATION: DATE: 10-28-03 PHONE: (530) 538-7541 H.C.D. 513C y BUILDING PERMIT NUMBER: 03-1479 Address or location of unit: 2014 ESPERANZA, PALERMO CA 95968 Legal Description of Real Property: AP # 026-114-013 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: ANDY SWAFFORD Owner's address: 1026 MORSE COURT, WEST SACRAMENTO CA 95605 INSIGNIA OR HUD NUMBER: CAL 170898 SERIAL NUMBER OR V.I.N:: CAFL1X94567303 MANUFACTURER'S NAME: FLEETWOOD YEAR: 1980 ' A OFFICIAL APPROVING INSTALLATION: DATE: 10-28-03 PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY GRAY DAVIS, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT &)SING Division of Codes and Standards 01� O � � s Q©� n� 3G� J ' oaf Title Search Date Printed : 02/18/2003 DE Decal #: LAU8409 Manufacturer: FLEETWOOD Tradename: SANDPOINTE Model: Manufactured Date: 00/00/1980 Registration Exp: First Sold On: 00/00/1980 Serial Number CAFL 1 X945673703 Registered Owner: HUD Label / Insignia CAL170898 Use Code: SFD Original Price Code: ADR Rating Year: Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Length Width. 60' 12' ALICE SHELTON 2557 SELMA ST SACRAMENTO, CA 95815 Last Title Date: 08/01/1997 Last Reg Card: 08/01/1997 Sale/Transfer Info: Price $5,200.00 Transferred on 05/28/1997 Situs Address: 1101 EL CAMINO 61 SACRAMENTO, CA 95815 Situs County: SACRAMENTO Legal Owner: WILLIAMS S GILL 3401 MAUREEN DR SACRAMENTO, CA 95821 Lien Perfected On: 06/10/1997 10:25:00 Inactive Decal/DMV: DMV 8380YE *** END OF TITLE SEARCH *** f a.F _ 1199 EI Camino Avenue, Sacramento, CA 95515 SALES• SERVICE• PARTS• RENTALS Wednesday, April 23, 2003 BILL OF SALE Given to: Andy Swafford, 1206 Morse Ct., West Sacramento, CA, 95605 (916) 374-9295 1980 Fleetwood Sandpointe Mobile Home, SN # CAFLIX945673703 Legal title will be forwarded as soon as received from Sacramento Superior Court. Steve J. Cader, General Manager Corporate (916) 920-5255 Sales (916) 921-2222 a Service (916) 920-3553 a FAX (916) 920-5503 Building Permit Nmber: -3 Owner Name: Residential Construction Re uirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required -- - - - ----- Note: We will normally accept -the followingas compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). I Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. - 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 1 of 2 Building Permit Number: 3 — N7 9 Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structu-e. ❑ The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of � feet from the side and 45' feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from tke edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on thia site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. or Page 2 of 2 of boy l '76— =r s �ca z �o 0 z r CID K i v z �• G7 n i� 0 NOTE: ,See the attached R i 'e i I n ru n Reggaments 09 -cc i --oL5 . Pages ] e 14E (C) j �i � Ce�r4 � Ca -Food ��eu BUTTE COUNTY BUILDING DEPRT���TAPPROVED E,t�re.roc, , za. �"� e a.rsr_ .'FEDERAtt'm RNC,YWANAG MENT-AGENCY ..,c: f# r�.,.:, .•,�„ <,,, . -0 B. o: •306 V .' - �NATIONAL"FLX)OD` S.URANC�V.ROGRAM - a^�,f r'< -r . Expires July.3�.Op2; •----ELEVAT10N-C-ER .IFICATE - . .....Im octant: -Readthe Jnstnlctions on pages ;.).=?`SECTION.A'.PROP.ERTY.OWNERINFORMATION Fo isilraitoe` Ute; mp{arty . BUILDING OWNER'S NAME [:;7t,`•yi;r,;; r. Jr.i: Tb N 5 W !► _ - _ .. PWKiY'Number BUILDING STREET ADDRESS (Including Apt., ...... Idg. No.) OR P.O. ROUTE AND BOX NO. IiE V E • nY NAIG Number CITY... ZIP CODE Pry 1_ M o . CA a Fc�rz.l�l t 1� 959 6 APA aZb-. 113-otS BUILDING USE (e g Residential Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) R (r S I D C- N T -I At- .. LATITUDEILONGITUDE (OPTIOM ( W - ##' - ##.##' or ##.#####°) FIUKV-UN IAL DATUM: 1__I NAD 1927 L NAD 1983 J.__J USGS Quad Map 1I Other., SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER I B2. COUNTY NAME I B3. STATE KA "to) NUMBER DATE EFFECTIVE/REVISED DATE ZONES) (Zone AO, use depth of flooding) 0(p a o S' 310. Indicate the source of the Base Flood Odvitidn (BFE) data orb se flood depth entered in B9. 1_1 FIS Profile J_AFIRM I_J Community Determined Other (Describe): ill. Indicate the elevation datum used for the BFE in B9: I NGVD 1929 1_1 NAVD 1988 J_) Other (Describe): '12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? u Yes 1_1 No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION. (SURVEY REQUIRED) '1. Building elevations are based on: 1_AConstruction Drawings' 1_1Building Under Construction' 1_1Finished Construction 'A5new Elevation Certificate will be required when construction of the building is complete. 2. Building Diagram Number e (Select the building diagram most similar to the building for which this certificate is being completed - see pages G and 7. If no diagram accurately represents the building, provide a sketch or photograph.) _3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B. convert the datum to that used for the BFE. Show 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 conversion. Datum Conversion/Comments Elevation reference mark used T. Ih. rA . I4 (e Does the elevation reference mark used appear on the FIRM? LJ Yes g-1 No Ga""a) Top of bottom floor (including basement or enclosure) —f Lj_ . O ft. (RIP tYb) Top of next higher floor r4 J pr — ft. (W) a pNP� LANG s ❑ c) Bottom of lowest horizontal structural member (V zones only) Al iA _ ft.(m) o o ��'\ ' *,O L• G9 'G9 O d) Attached garage (top of slab) �1 ��. _ ft.(m) E ❑ e) Lowest elevation of machinery and/or equipment u a �0. N O !�servicing the building I Y� L�ft.(tn�E o a�Z"""`�-+� 0 Lowest adjacent grade (LAG) g ft Z No. 4085 lam) Highest adjacent grade (HAG) _ . ft.("+ N ��•'•., 06/30/04 Ih No. of permanent openings (flood vents) within 1 ft. above adjacent grade 9�F •'' 0 fB' i) Total area of all permanent openings (flood vents) in C3h 710e sq. nl J OFC ** SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION chis certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. ' certify that the information in Sections A, 8, and C on this certificate represents my best efforisto inteip"ret'the,data: available. r+ `U r9 #M ►i ��p understand that any false statement may be punishable by tine orimprisonment unde�h,8 U S Code Sectiony1001 ..ERTIFIER S NAME ✓,,Ycc�,cor�uvuocnev .—_ E =0r10 L. 0 I9,1_ N-, + ` �iss.o ;7MA Fnrm R1-31 A(Ir qq SFF RFVFRSF ,;inF FnR CONTINHATInN RFPI A( -FS Al I PRFVInt1S FinlTinNS 1n these spaces, opy thetOttesaondina rrmation`fli±om''Section'i4:-t�,rta�.r��` crv.'KUUrE AND BOX NO. ryurr�er-. .: D - SURVEYOR; ENGINEER; OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for 1 commun -- ""-"" -' "'- " " ' () ty�oft'iciA-(2)Tnsurance agent/company, and (3) building oininer: COMMEWIS------------- SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND O(WITHOUT BFE) NE A 4 Check here'if'atT 13FEJ — For Zone AO and Zone A (without BFE), complete Items E1 through E4. if the Elevation Certificate is Intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If 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 I_J_1 fL(m) 1_1_Jin.(cm) 1_1 above or (check one) the highest adjacent grade. I_I below E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is 1_I_I ft-(m)1_I_lin.(cm) above the highest adjacent grade. E-4. For 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? I—I Yes. 1_1 No 1_1 Unknown. The local official must certify this information in Section G SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners 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. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CIN STATE ZIP CODE SIGNATURE DATE TELEPHONE Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) tie 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. I_I The information in Section C was taken from other documentation that has been signed and.embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.): :2.1 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued. BFE)+or Zone AO.BumF' �C�a� 3. I_I The following information (Items 134-139) is provided for community floodplain management purposes. p py �+� .'pay —A DCDAAIT All IAAQCD — ... T� ..�.-. .._ .,-III tl'1ikir':. !) ■COL&IT �� I I ISSUED 7. This permit has been issued for: I—I New Construction I—I Substantial Improvement'" 3. Elevation of as -built lowest floor (including basement) of the building is: — ft.(m) Datum: 9. BFE or (in Zone AO) depth of flooding at the building site is: — ft. (m) Datum: -OCAL OFFICIAL'S NAME TITLE ,OMMUNITY NAME TELEPHONE SIGNATURE DATE .OMMENTS Check here if attachments -MA Fnrm R1-31 AUG A9 RFPI ACFS Al I PRFVIC)l1S FnITinNS 1. Owner's Name: �,D <- v� 2. Assessor's Parcel Number: 3. Installer's Name:4v✓\ 4. Is the site currently under permit? Yes[ ] No[A Permit No 5. Is the site, an existing site? Yeses] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?_� �E) Amperes. 7. What is the mobilehome site circuit breaker rating? X30 Amperes. 8. What is the electrical rating of the mobilehome site? t/tLv` k Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? t,( Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoMIf yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ I Propane[Pq None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: - c. inches. �( ) 13. -What is;the gas pipe length from the meter or tank to the mobilehome? ft. 0 14. ' What is the mobilehome gas demand? ;B. T. U. *(This information is not required if the pipe length is less than" -6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION. EUgonna TIE M NTY BUILDING DEpe TA#E NT May 1995 8.5 NI.H.L- 2 .. J GIL ► rt, Mobilehome Manufacturer: /'/PP ��� Manufacture ,ear: O If other than single wide, furnish Setup Model Number: Width: (ft.) Length: �(�? (ft.) Tagalong or Expando Size--.T—,(ft.) x (ft.) On all mobilehomes manufactured after October .7� 1973,urn�h manukturreerr'sJ installation manual and structural setup sheets. SE e -zxn, n �i FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS: Concrete block[ )q, Other: Provide Tie Down Specifications for all Mobilehomes: Au.ti.A 4"D 114 P/A1---v5 Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 �e 2 Main Beams Line2 ............................................................................................... ine 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beans Line 2 Line 1 .................................................ine 5 Tag or Triple ine 4 rl ine l Line 1 Piers: Size minimum: r 1 x Spacing maximum: 1 4` From ends -maximum: C` Line 2 Piers: Size minimum: [ 2 ] x [�]. Spacing maximum: ` From ends -maximum: 7 to,% ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: =` From ends -maximum: ` May 1995 8.4 LU u ci ® WeSffield Series Modae1 26028 � � • _ 2 Bedrooms • 2 Baths • 799 Square Feet MX CO nT . �a a• - cri T. Di ,: f - : DiN1LLJ NG� G 2 M.s T -t'lJTftfT�' e•x7a•-0' cn 8A7ii `, `iy LU %1 IaPASTFiC srtowv WWI J lJVitVG ROOM BEDROOMOFT DEPWOM T- 03 J - - WAex-111 i ` KtHN czcser i ' Co n - N ci now WALK IN C � U c t e m I 1 •r1 rte, r N m i vh„�rr�+n2 11!06/02 .WiGGpm P. 001 1 � � • � ` - On• `Ril nw - VECTOR DYNAMICS FOUNDATION SYSTEM! WIND ZONE 1 & 2 INSTALLATION INSTRUCTIONS For the State of California INDEX SECTION INTRODUCTION PIER HEIGHTS GENERAL INSTALLATION SET-UP INSTRUCTIONS METAL PIER & V DRIVE PARTS LIST CONCRETE INSTALLATION SCHEMATICS PAGE NUMBER 3 4 5 & 5a 6 7,7A. 7B & 7C 8&9 WIND ZONE I - SINGLE SECTION WIND ZONE it - SINGLE V -DRIVE - METAL PIER - DOUBLE SECTION - TRIPLE SECTION - SINGLE SECTION - DOUBLE SECTION TRIPLE SECTION SOIL CLASSIFICATION 10 11 12 13 14 15 16 17 COMPONENT PARTS AVAILABLE UPON REQUEST Release Date 811312001 Engineer Approval I cti 26070 �: i b211 iN- V; APPROVED SUBJECT TO CORR=0XS NOTIED APPROVAL DOES NOTAMOR122 OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIRE OiM OF A"UCAELE STATE LAWS AND MULATIONS Department of Hmz* rod Coffiumty Dadopmca dP CdDS At+1m STANDARDS ' DM �� D/ t col p SM NO. r7 Foundation System For Furth r mormation--,--- TIE DOWN ENGINEERING BUTTE COUNTY 5901 Wheaton Drive BUILDING D PA TMEINT Atlanta, X0000 FAX 404-349-0401 ,nr ' ww,.tiedpwn.casn nA,'Ar,,,-4-A We Dawn Enpfneeringt, Inc. VECTOR DYNAMICS INSTALLATION INSTRUCTIONS These Instructions dssclbe the proper use of the Vector Dynamics Foundation System in Wind Zones 1 & 2. Additional Installation Instruction Is available In VHS video, from manufactured housing distributors orlrom Tie Down Engineering, titled, Vector Dynamics installation Video. The Ventctr Dynemirs fnuntistirtn aystwm sugpnrt5 the hmmA by anrhnrino the twin Innginuliml main rails ThP system !s approved In Wind Zone I & II & ill areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for bath single and multi sec- tion homes. Instructions for Class 5, Sub Sof! Conditions, (Wind Zone I & Il), are available through local distributors of Vector Dynamics or directly from Tie Down Engineering. gami The Vector Dynamics Foundation System provides the support to resist !ateral and aver-turrdng movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in Wind Zones i & II when the system is need as described in these instruction& So manufac- The following characteristics apply to both single and muhl section homes: • Main rail minimum spacing of 86 Inches or greater, • Nominal 8 foot or less top plate height at side walls. • Main rail depth of 12 inches or less. • Maximum roof slope of 20 degrees (4.4 in. in 12;n.) • Maximum. pier height under main rail of 56 inches (see page WIND ZONE i IF Maximum single section home width Is 16 feet Including eaves; maximum eave width of 12 inches on each longitudinal side of home. IF Maximum double section: home width is 33 feet including eaves; maximum save width of 12 inches on each longitudinal side of home. IF Maximum triple titlAfiir n hump, with i5 4R fust inrludiro eftvel5; maximum ftxvm width of 1 P inrlhps on. sarh Innoihrriinal tdrle rd hnrm YY,IYY {,V•4 1/ • Maximum single section home width is 15 ft, including eaves, maximum save width, is 61 per side. • Maximum single section home width of 16 ft. Including eaves must use two additional vertical ties/ anchors/stabilizer plates (one per side) as listed In the charts or. page 15. • Maximum double section home width including eaves 32 ft., maximum 12" eaves per side • Max;mum triple section home width including eaves 48 ft., maximum 12" eaves per side The Vector Dynamics Foundation Systems may be used as a part ci the vertical or gravity support system considering that each set of Vector Dynamic pad (s) has -two (2) or three (3) square feet bearing area. Piers not used as pad of the Vector system shall be located and constructed In accordance with the home instMon instructlons and/or state standards. To Inquire about the use of the Vector Dynamics Foundation Systems with homes of four or mare sections or on homes requiring pier heights greater than 66 inches which are not Included in tinge Instructions, contact Tie Down Engineering, Inc. at 800.241.1806. The Vector Dynamics Foundation Systems may be used on homes which require pia; heights not to exceed 56 inches under one or both main rau(s). See page 3. Note that a ground anchor is used at each Vector system location In Wind Zones 11 & 111. The use of Interlocked double stacks of concrete blocks may be required by the home manufacturer or the state. Check with the most recent regulations In California The °factor Dynamics Foundation System has not been designed tar use on exposure "D" homes, Exposure "D", homes are homes boated Wthin 1500 - feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations include shear wails, mar- riage Hns ridge beam support posts, and frame lies and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to resist wind load on the end walls. 11 longitudinal tees are required by the home installation instructions or ether state standards, these tongftudinal ties must be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics witn Tie Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets tastoned onto the perimeter joist or specified as a location for vertical ties. Rage 2 California 812001 9 11/06/02 03i66pm F. 002 Figure 1 Maximum Pier Height (Wined Zones I & li only} The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location in Wind Zone II, and where the pier heights exceed 24 inches on a single section home in Wind Zone I_ Piers must be constructed in accordance with the manufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. 561 Ma: nyurc c Unequal Pier Heiaht�JViod Zones I & II one 3 in. lax. Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails. The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber compression members are permitted on unequal pier heights using the Vector system_ Piers must be constructed in accordance with themanufacturer's installation, instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with t4Nst recent regulations in your state. Page 3 Callfornia - 8/2001 11/06/02 03166pm P. 003 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be property Faded and sloped to prevent water and moisture from standing or flowing beneath the home. See manufacturer's home installation manual and state requirements for grading and other site preparation. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See pages 8 & 9. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each (set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must follow Instructions printed on page 3 of these instructions. Nominal 3.112 inch or 4 inch Schedule 40 PVC pipe or TDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva- nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-112" grade 5 carriage bolt and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the vector diagonal connector should be part #59279 not 059276. After tightening the end grade 5 bolts, adjust- ment bolt is installed through the two square steel compression struts to lock them in place.Foundation pad size and pier spacing must be consistent with home manufacturers' instructions and/or state requirements. LUMBER/MOISTURE - TERMITE SHIELD To cut lumber (2 - 2x4's or 1 - 44 per Vector system) for the center compression section, when using con- crete blocks for piers, measure center to center frame (l -beam) distance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". 3.112" or 4" nominal schedule 40 PVC pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281 must be used with PVC pipe simultaneously with the inside Tie Brackets, part number 59276. The pipe adapter bracket is used on top of the pipe and under the Inside Tie Bracket, In certain regions the optional Moisture Termite Shield may be required between the lumber and ground. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Trp: 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 TENSION All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight- ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight- ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven- tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con- nectors with welds. Page 4 California 8/2001 11106/02 03t56em P. 004 Set-up Instructions for the Vector Dynamics Foundation System #59007 (Kit #69007 is interchangeable with Kit #59018) 1. SET VECTOR FOUNDATION PADS L°"a short 51M u bou u.bac Clear all loose vegetation from the immediate u-Iai �^ area where your Vector foundation pads will rest, Press or hammer pads into the ground.` Trp,• place a 3l8" nut on each U-boR to keep it in place whlte you position the Vector pads. . . . . . . . . . . . . . W, 2. SET BLOCKS (OR PIERS) ON VECTOR FOUNDATION PADS Center the foundation blocks over the Vector pads. Place the pre-cut 4x4, 20's (side by side), Schedule 40 PVC (wIPVC adapter plate, part #59281) or 1 adjustable TDE steel compression member, (part #59043) tightly between the blocks, with ends resting on the Vector pads, and centered on each U -bolt 3. OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of the foundation blocks and Vector pads. Place one of the short 6% 20's between the bracket and Vector pad. Adjust the short 2x4 so that 4 pushes against the foundation blocks, removing any space between the piers and center compression section. Tighten the 3t8" bolts, 2 square foot pad placement or (1) 3 square foot pad 4. INSIDE BRACKETS AND STRAPS Attach the Inside Tie Brackets to the U -bolts over the pre-cut boards or PVC. Attach a strap with hook to each inside tie bracket. Tighten bracket. When using looped strap and a crimp seal, in place of the hook, place a 3" long section of strap, folded in half and inserted between the strap and inside be bracket. Place other end of strap over the opposite I- beam and continue down to outside of tt m foundation blocks. Attach the strap to the Outside Tension brackets using the slotted bolt and nut provided. Wind strap a minimum of five times around the bolt, Continue tightening the slotted bolt until all slack has been removed and the strap is tight. 5. SET ANCHORS Refer to section home drawings for anchor installation information. Stabilizer plates are required for diagonal ties only, Preload anchor against stabilizer plate, Make certain all slack is removed and strap is tight. For single section homes in rocky soil conditions"M Wind Zone 1 only (Soil Classifioations�� only), use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement. Page 5 California 812001 Set -Up Instructions for Vector System #59018 (Kit #59018 is interchangeable with Kit #59007) Long U -B 11106/02 Oalsepm P. OOE 1. Set Vector Pads 4. Inside brackets & straps Clear all vegetation where pads will rest- Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham- the compression member. Attach a strap mer pad into the ground. wlhook or swivel strap w/nuUwasher & bolt (washers are required). Place other end of the 2. Set Block or piers on pads. strap over opposite I-beam & down to outside . Center foundation blocks or piers on pads. tension bracket Cut strap 12 - 15 inches past Place pre -Cut center compression member bracket. Attach strap & slotted bolt in bracket between blocks, resting on pads, centers Tighten strap until tight with 4-5 wraps around between U -bolts as shown. bolt. Repeat with opposite strap. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 5a California 12001 Vector Dynamics Metal Pier Installation 11106/2 0286epm P. 006 For metal piers, place the piers In the center of the Vector pads. Set the single 04 or two 2x4's through the piers, centered in the U -bolts, so that the board(s) overhangs the Vector pads on each side by about 2". Outside Tension bnUketS aw the same. Inside tie brackets mount 'upside down' as shown in drawing. Metal piers using the Vector system can only be used on level gmtuW installations. Conventional pier adjusters must be placed under beam with upturned edge direcleC towards the outside of the home. Pier capao ty rating and spacing must be consistent with tome manufacturers' installation instructions and/or state equirements. When using METAL. PIER STANDS, out lumber (2 - 2x4's or 1 - 40 per Vector system) for the center compression section, by measuring center to center frame distance and adding 16". Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUSI BE PRESSURE TREATED, GROUND CONTACT RATED. Adjustable steel strut (439043) and PVC Schedule 40 pipe are rot permitted to be substldAed for lumber when using acetal pier stands. V -Drive System Installation° for rocky soil conditions U»Drive anchors are used only with Zorto 1, single motion homes. - Soil Class 1,2,& 3. V -Drive aRChors are used only In Wind Zone I, on single section homes in areas. -where rocky soil conditions do not allow a conventional helix style anchor to be installed, For solid rock, Sal Class 1, predrilNng of holes for the V-drve rods is recommended. Vector Systems are set following the general set up instructions provided. With thi V -Drive anchor, the short 2x4 boards used with the outside tension brn*ets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. Tnis 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 and of the longer board. Using a heavy hammer ler 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 he ttach a strap with hook, buckle or beam clamp to the frame and attach to the V -Drive head wrilh a slotted bolt. Cut the strap end about ten inch a anchor head to allow at least five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight Page 6 California 8/2001 Vector Dynamics Foundation Systems Component marts List Part fp's included: 59310, 59288, 59135, 10925, 59279, 83044z, 59232 & $9732 11/06122 osssepm P. 207 ec,..tvr Vector System 2000 Kit # 5901 B Single piece pads with straps and slotted bolts s Vector System . • Ute' s Kit # 59007 Ll• s Pari Ws included: 59275, 59282, 592.76, 830442 & 10999 1 40 concrete Vector System Kit # 59008 (for single stack blocks) o c �a G Part #'s included: 59277, 59282, 10530, 83044z, 59279 & 59232 L - Concrete Vector System !cit # 59006 (for double stack blocks) Id Part #'s included: 59273, 59282, 10530, 830442, 59232 & 59279 Page 7 California 8/2001 11/06/02 03i66Fm P. 002 Vector Dynamics Foundation Systems Component Parts List Vector 2000 3 Sq. lit. Pad Part # 59271 1 required with 59026 longitudinal System 2 required with 59024 lateral System a p ® Vector Lateral Hardware Kit ® � � Kit # 59024 (for use with 59271) 0q a Pan #'s included: 59281, 59286,10925, 59232 & 83044Z Part #'s included: 59269, 59113, 59282 & 10999 Adjustable Steel Cnthf at your local hardware store �,re t�atedl a€a2� ADQVGp`p� V -Drive Anchor Kit Kit # 59287 (for use with Kit#59007 only) A. Schedule 40 PVC pipe: 3-12' or 4° nominal schedule 40 polyvinyl chloride pipe or conduit made from type 1, grade 1, with cell classification 12454 as defined in ASTM D1754. Compound dimensions and tolerances in accordance to the requirements of ASTM D17850. Color can be gray or white. Outside diameter is 4 inches. B. Ground Contact Rated Wood: No. 2 yellow pine or equivalent, pressure treated to AWPACI-1990 mini- mum, stamped "Ground Contact Rated" on wood or on label attached to the wood when purchased. Page 7A California 812001 11106102 03o66pm P. 009 Vector Dynamics Individual Component Parts Detail Vector DynarnioS Single Block Pad Part # 59275 1 Sq, Ft. 12 gauge, used in pairs 16-3/16" X 9" x 2.9/16" Vector Dynamics 2000 Single Block Pod Part # 59310 2 Sq. Ft. 12 gauge 18.7190x15.625"x3" Vector Dynamics Single Stack Concrete Prod Part # 59277 12 gauge 17-1/4" x 11" x 5-5/16" Vector DynaMICS Double Stack Concrete Pad Part # 59273 12 gauge 18.75"x 18.625"x 5.188" Vector 2000 3 Sq. Ft. Pad Part # 59271 - 12 gauge 22.50x19.418"x3" Vector Dynamics Tension Link Part # 59282 6.25" x 2.52" x 3" Vector 2000 Tension Link Part # 59288 2.125"x2.375"x2.06" Concrete Wedge Anchor Part # 10530 3/8" X 3-1/2" Slotted Bolt Part # 59135 m 3" x 5/8" ® Long U -Bolt WI Nuts & Washers Part # 83044Z 3/8" x 4" (16 Threads Per Inch) ® Short U-golt w/guts & Washers Part # 10999 3/8"x 3" (16 Threads Per Inch) Page 7B California MI Protecto-Strap Part #59276 6.3" x 3.3" x 7/8" Strap Protectors Part 0 59232 PVC Adaptor 5 Part # 59281 7.25" x 4/56" x 1.42" 11%06102 O^oe6Bpm P. 010 r , Carriage Bolt w/Nut & Washer p Part # 10925 ® 1/2" X 2.1/2" Tie Down Marked ib Celled G120 y ' S"p w/swivel Connector Part # Length 59732 12' 4 59734 14' 59736 16' Earth Anchors 30" x 3/4" with 2.4" helix Black Paint: Part #59095 Galvanized: Part #59079 d -Drive Head Part #59269 Drive Rods Part #59113 protecto-Strop © Part # 59279 6.3" x 3.9" •x 7/8" ® Carriage Boli wpNut & Welsher Part # 10624 3/8"16 x 4.58 �1 Tie Down Menked & Cert *d CW Galvanized ShaAPin9 Model Pert # Length MS35 59150 35' MS37 59155 37' MS42 59160 42' . MS6059166 60' MSS59170 59170 604' Frame Tie w/Hook 8 f P/N 59195 10 ft. P/N 59210 12 ft, P/N 59211 Longer Lengths Available 0 .,y..:.:• : ".,':,M1^ti•.�Earth chor Vubllizer '.,i ii �•:;nN?o•', '.f'r.' 12" wide Black Paine Part #59292 i•gn,:;«,r',�,T' Galvanized: Part#59294 Page 7C California 11r0o102 oalsepm P. 011 Vector Dynamics System' for Concrete Applications Instructions for Vector Kit #59008 (for single stack blocks) or Vector Kit #59006 (for single or double stack blocks) Page 1 of 2 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" x 24" x 4"(for part #59006 or 59008) or 18" round X 12" deep (for part # 59008 only). The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be a minimum of 2500 PSI and 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 (gaiv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the enter 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 W's this length and place between the piers as shown. 4. Place a long u -bolt under the W'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 318" diameter holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the holes 3 inches deep. S. 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 Vector pa for concrete Concrete footer Page 8 Wood Cap and wedge Outside Tension Bracket Wed Bolt California 812001 11/06/02 021sepm P. 012 Vector Dynamics System for Concrete Applications Instructions for Vector Kit #59008 (for slr::gie stack blocks) if. • / l , 4r Vector Kit #59006 (ear single or double stack blocks) 77 Page 2 of 2 9. Put a washer and nut on one of the 318" x 3-3/4r wedge anchors provided. 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, gang 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 t.-iat 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 nook 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 a,-iy space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. 16. Wedge the pier set at this time. 17. Using a 9116" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 16. 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 Two Inside Tie Bracket Compression boards U -bolt Page 9 Vector pad for concrete Concrete fo er N'43 California 12001 WIN© ZONE I Vector O namics Systems Required for Single Section Homes �Materials Required) exio, 51S o� a i 2 f a C0 gm�ias�a%iaaon a %%U01 LO h WIND ZONE 1 iv (not to scale) p7 o �2 sq. it. padr NOTE: Vector Systems should be spaced as evenly as Is practicable along the length of the home. Pier spacing must be cons lstentwith home manufacturers' Installation Instructions andlor state requirements. Maximum allowable working drag load for the Vector System with the steel compression strut Is Soil Classiflceillons: 2, 3,4A. & 4B 3,150 pounds per K2 Engineering test report. Soil Bearing Capacity. 1,000 PSF mfnimurn Anchors Required': 30"with 4" helix anchor (59(y5)),12" slab ilizer plates (55292). 1-14' frame ties wi4725 lbs Tfri- breaking strength. Home Length Vector Systems Required A-rchorr. Required Par Side " 0to72' 3 2 73 to 90 4 3 * Anchor and stabilizer p We --orrlbination Each Vector Fouadallon System requires S One Wctor Kit, 2 slatted bolls V 2 ea. 1-114 In. lies• l xxA will very with pier height (4726 Ib. min breakj, 11 1 as. 4 x 4 pressure treated wood compression member V or 2 ea. 2 x 4 presaure treated wood compression member V or 1 ea. 3-112" or 4 nominal SCH 40 PVC pipecompression member V or tTDS adjustable steel strut 0' �2 sq. ft. pad/ N C> 01 V"Drive anchors o are used onl �in 1 WEND ZON I Per Side " WIND ZONE Y mace" anivo go mqftnmft 3 Vector Dynamics Systems Required r for lheVoator9yeUrn with the Gael • or 2 ea 2 X 4 pressure trealad woad cam pression euember • or 1 ea 3-1)2' or 4" nominal SCH 40 PVC pipe COO presalnn Single Section Homes g� Soil Classifications: r � Difficult Soil Conditions t-914" frame ties w14725 Ls. min. breaking streni111- sygs"Is - - �t SAO 9ti+3 �o� -4er. �� tor a -� t a 2 pa�oo ' 01011 0' �2 sq. ft. pad/ N C> 01 V"Drive anchors o are used onl �in 1 WEND ZON I Per Side " (not (0 scale) 0' �2 sq. ft. pad/ N C> 01 Home Length 3Aiiff%a' Anchors Required NOTE: Veior Systems should be spaced as evenly as 1 Is pracOceiie along tltetengtll oPtlee homy Plerspat4tg Per Side " mastbe'Awlit IleRle marlu<aL�re151'15�t81ig11 mace" anivo go mqftnmft 3 ma]Iteum alk] OW worklng dreg load for lheVoator9yeUrn with the Gael • or 2 ea 2 X 4 pressure trealad woad cam pression euember • or 1 ea 3-1)2' or 4" nominal SCH 40 PVC pipe COO presalnn "mpreadou altut is 3,150 pounds per the K2 Engineering testreport. Soil Classifications: 2.3. Soil Hearing Capacity. Anchors Required`: 1.000 PSF minimum "V' Drive Anchor, Part Number 59269 t-914" frame ties w14725 Ls. min. breaking streni111- When vak* IV' Dr ve Anchors Home Length Vector Systema Anchors Required EOnovY�o� all 2'l'rDrrlve eAnchoDow rrs d slotted bolls Regol red Per Side " • 2 ea 1-va in. tie, lenglh YAJ vary with pier hetgilt t4725lb. rrrin. break), • 1 ea 4 :a 4 pressure treated wood compression member 3 3 011077 • or 2 ea 2 X 4 pressure trealad woad cam pression euember • or 1 ea 3-1)2' or 4" nominal SCH 40 PVC pipe COO presalnn 73• to 90' 4 4 member (center compression member only) • or 1 TDS adjustable sloe] strut ' "V" Drive Anchor. Part Number 59269 •2 ea. 2x4 pressure treate0 wend for 'V' Drive Anchor oonnec6on. Note: PVC pipe cannot be substlluled Im wood on the `V" Drive Anchor vonnections- m M k „ D ni Metal Pier Sets ZONE I Vector Dynamics Systems Required for Single Section Homes Up to 72 md5tt Siria9t`iOen'$'ngtah sr tnea�s d-e'la®g_.(Materials Requ ced) o ocoimuat ati {adifvt$a 01 SL .31 11P 06061 Mew4cwts t11uss Opal" _ ` I ♦ � � r Soil Classilicatiorts: 2, 3, 4A, & 48 Soil Bearing Capacity: 1,000 PS>= minimum Anchors Required: 3/4' x 30" with 4" helix anchor (59095) 12" stabllizer.plates (55292), 4 ea. 1 1/4" frame ties btaterlats: Each Vector Foundation System requires one Vector Kit, 2 slotted. bolts 2 ea. 1.1/4 x 12 ft. ties (4725 Ib. min. break) 7 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member ZONE 4 ',5 �2 sq. ft. pad ,ic>.l Rel 3� Home Length Vector Systems Required Anchors Required Per Side " 0 to 72' 3 2 73' to 90' 4 3 ' Anchor and stabilizer plate combination NOTE: Vector Systems should be spaced as evenly as is practicable along the length of the home. WIND ZONE Y _ 16 Vector Dynamics Systems Required _ aoub�� ;o v Vac -lo! maw 19u1d��_ for Double Section Homes _ - " -12 it gvivi9 ;�g�$ _ _ _ , 5 (Materials RequirQdl - - ^ x8mv� n°v geu Lae _`"° r 1tltS rail d t3Pa�og - t atloo Qsds an - Found maltttrtum allowable srorking drag load for the Vector System with the ateel compression atrut is 3,45® pounds per the K2 Engineering 1051 leparl. -_)WIN© ZONE I _y (not to scale) 3 3► IM• J ^� r N 0 2 sq. ft. pad nWF-. Vector System should be spaced as evwtSY as " is praaioable atlong the IeAgth of the home. Pier spa" muatbecolvdii; rttwhbhomelnatrrf rart:IttlWhetioa hlattllrGIttttq aodror sf e� taqutreeltsitS. Soil Classifications: 2, 3, 4A. & 4B Soil Bearing Capacity: 1,000 PSF minlrnum Anchors Required: None (marriage wall anchors may be required by home In Home Length Vector Systems Required 0to48' 2 48'to 71' 3 72' to 89' 4 Each Vector rvundetton Syatere requires • One Vector Ia% 2 slotted bolls • 2 ea. 1-114 In. ties, length will very with pier height (47251b. min. break), 1 ee. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1f2" or 4' nominal SCH 40 PVC pipe compresston member • or t TOE adjuatable steel strut WIND ZONE 1 Vector Dynamics Systems Re{ for Muhl Section Homes (Materials Required) Soil Classitic Sell Bearing Home l.engin Haines up to 48 acmes over 48' up to 52' kicmes over 62' .tp la 76' 2. 3. 4A, 8.48 1.000 PSF ndnimum Vector Systeme Isequereo 2 Vector Foundalion Systems 3 Vector Foundation Systems 1 0 4 Vector Foundation Systems WIND ZONE 1 NATE: Shear wall, ra support Posts merrlage wail elra�&chors maY erequired by the hame manufacturer. Vector systems should be spaced as evenly as Is precttcabte alonthe length of the home. A two foot varspac�lN tnustbe conuistent with the home allowable at each In�ation manual. sq. ft. _ q . a L-0ti k..�� 161aAIMM allowable working drag toad lar fm Vector System with The Wei compression strut Is 3,150 pounds per the K2 Englneedog test report. Maler[als Each Vectorformdattensysa m requr-;W one Vector Wt 2 ea. 1-1i4 A ties (4726 lb. nun. brepv 1 ea. 4 x4 wood compression meml; i or 2 ea. 2 x 4 wood compression memisr or 3-112' or 4" nominal SCHa10 Frpa campreaeion member OF 1 TDF_ adjucabl e steel atnrt NE D0a'N q -0 th) U3 M CP 0 WIND ZONE II (not to scale) N 00IQ s` O i a 2 sq. h. pad 'NOTE: For single sectionhomes S e`er` Ly4 r, Anchors Required Eavas 6" or less with eaves that exceed 6 Incites 0 to 48' i ♦ In Zone 2, two additional frame WIND ZONE II (Hurricane) t tie anchors with stabilizer plates , Vector Dynamics Systems Required y (orae anchor and one plate per - = for Single Section Homes 73" to 84' 7 to the number of anchors tasted [Materials Required}-___ tt���`g'e �Tv a' a 'et guts m 85' to 90' In the chart below. 8 $Tat sPa��e 11(ts Maximum allovreble working drag load , ,Ns Ge t be \o compression sirst Is 3,150 pounds per Soft Classlticettors 2, 3, 4A, S 48 the K2 Engineeringteat report. Soil Bearing Capacity: Poo♦. Anchors Required": 30" w8h 4•' heilx anchor (59095), rte" 1-l"' vertical ties w14T25 lbs_ min. breaking strength. , - -' _ 0 WIND ZONE II (not to scale) N 00IQ s` O i a 2 sq. h. pad Horne Length 'NOTE: For single sectionhomes S e`er` Ly4 r, Anchors Required Eavas 6" or less with eaves that exceed 6 Incites 0 to 48' 4 In Zone 2, two additional frame 5 49' to 60" tie anchors with stabilizer plates 5 6 (orae anchor and one plate per - = 6 side) must be Installed in additon 73" to 84' 7 to the number of anchors tasted 8 85' to 90' In the chart below. 8 9 Maximum allovreble working drag load for 1heVector System Nftb the steel compression sirst Is 3,150 pounds per Soft Classlticettors 2, 3, 4A, S 48 the K2 Engineeringteat report. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": 30" w8h 4•' heilx anchor (59095), 1-l"' vertical ties w14T25 lbs_ min. breaking strength. Horne Length Vector systems Required Anchors Required Eavas 6" or less Eaves over 6" less than or actual to 12" 0 to 48' 4 4 5 49' to 60" 5 5 6 61' to 72' 6 6 7 73" to 84' 7 7 8 85' to 90' 6 8 9 Vector Systems should be spaced as evenly as Is practicable along the I"h of the home. Pier spacing mint be conalsfent with, home maMfae/nra re' histructions andler state requlrements. Each Vector Foundation System regldres One Vector Ilii, 2 slotted bolls • 2 as. 1-114 in. Ees, length will varf with pier height (47Z5 1b. min. break). • 1 ea. 4 x 4 pressure ,reeled wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • or 1 as. 3-112" or 4" nominal SCH 40 PVC pipe compression mambo r • or 1 TDE adjustable steel strut WIND ZONE II Vector Dynamics Systems Required _ nflcre e,a,:.i dor Double Section Homes _ - - - 0 J%6 sgs q�iot g mgruat [Materials Required) - ~ of a 72g al 4eow tlnstaNa6on po V m Maxtrnutn allowable working dreg load for the Vector System with the steel compression strut Is 3,159 pounds per the K2 Engineering test report. 0 0) 0 A, N N O 0 s �Xatt►P1on sW 13 9p Si 1 \ \ �5 an S IP ®uta r _ r \� ` _ 1 MOTE Vector Systems should be spaead as evenly as is prat the tengln of the home. Pler spacing must be conalete marturecturerw rnstrue(lons andler stale requirsmentl Soil Classifications: 2, 3, 4A, & 48 Soil Bearing Capacity: 1,000 PSF minimum Anchors Required`: 30" with 4" helix anchor (59095), 1-114" vertical lies w/4726 lbs, mm. breaking strength. diorite Length Vector Systems Required Anchors Required Per Side • Q to 48' 4 4 4W to 80" 5 61' to 72' 6 6 73" to 84' 7 7 85' to 90• 8 8 v' Each Vac for Foundation System requires • One Vector Kit. 2 dolled bolts • 2 ea. 1-114 In. ties, length will vary with pler helglil (4726 Ib_ min. break). • I on. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • cr t ea. 3412" or 4" nominal SCH 40 PVC pipe compression member • or i TOE adjustable steel Strut ff T Iv Lo m a v �9 Ca N 0 0 WIND ZONE 2 Vector Dynamics Systems Required 3 Section Homes (Materials Required) 61sx1mum allowable warft drag toad for the Vertor System with the steel comprestibn strut Is 3,150 pounds per the K2 Engineerbtg test report. t/VtND ZONE 2 NOTE: Longitudinal stabilization is required. Vector systems should be spaced as evenly as is practicable a rang the tongth at the home. Pier spacing nuns be conetatent with the home Installalton manual. sq. ft. pact a g �j 0'41 Soil Ctassincayens: Soil Beadna Capaclty: 2,3.4k & 46 ' IJ W PSF minimum Materlals- `Anchors Requlred: 3i4" x 30' anchor (59095 vriih venical straps Each Vector fwrncfWjorr system requires One Vector Kt 2 ea. 1-114 In. lies (47225 It) min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 woad compression metrkber or 3-412" or 4' nominal SC M0 Pipe compreWon nemberor 1 7DEadjustable steel strut s' 'Anors I:equtrad Home LA"th Vector Systems Required r Side Homes up to 48' 4 Vector Foundation Systems 4 Homeso%wilW 5 Vector Founds Ron p3plems 5 uptow Homes over 61' 8 Vector Foundation Systems 6 up to 7'C Homes over 73' 7 Vector Foundation Systeme 7 up to 84' Homes over 65' 8 Vector Foundation Systems 6 up to 9M Materlals- `Anchors Requlred: 3i4" x 30' anchor (59095 vriih venical straps Each Vector fwrncfWjorr system requires One Vector Kt 2 ea. 1-114 In. lies (47225 It) min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 woad compression metrkber or 3-412" or 4' nominal SC M0 Pipe compreWon nemberor 1 7DEadjustable steel strut s' 1T106/02 02:66pm P. 021 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS This Vector Dynamics Foundation system instruction.is applicable only on homes set on soils classified as Class 4A 48, 3 and 2 as described in the table below. For separate instructions for stab -soil, Class 5 conditions (above 50 in. lbs.), contact Tie Down Engineering. SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D1586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 in_ lbs. cemented sands, coarse 2 gravel and cobbles, preloaded sifts, clays, and corals Medium -dense coarse 24-39 350-549 in. lbs. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 in. lbs sands, firm to stiff clays 4B and silts, alluvian fill 175-275 in. lbs Peat, organic silts, 0-14 175 in. lbs 5 Inundated silts, loose fine and lower sand, alluvium, loess, varied Gays, fill, fly ash. (1) The purpose'of the soil test probe is to gage the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its' resistance to penetration (flow) under load by means of the torque probe and is measured in inch lbs. The test probe has a helix on it. The overall length of the helical section is 1 D.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 In. The shaft must be of suitable length for anchor depth. (2) A measure- synonymous with moment of a force when distributed around the shaft of the test probe: Information about geographical areas of termite infestations which might require the optional termite and moisture shield when a wood compression member is used may be obtained from the local building official or may be found in the 1995 edition of the One and Two FamilyDwelljino Code. Page 18 California 812001 Butte County Departrnent ofDeveiopment Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile February 11, 2004 Mr. Andy Swafford 2014 Esperanza Palermo CA 95968 RE: Request for HCD 433A (mobile home on a foundation system) Location: 2014 Esperanza, Palermo CA 95968 AP # 026-114-013 Dear Mr. Andy Swafford: The State of California requires the 433A document to be recorded with the County of Butte Recorder's office at the final of your permanent foundation being installed. Please come by Butte County Department of Development Services Building Division, 7 County Center Drive, Oroville to pick up your 433A which needs to be recorded. The recorded 433A and supporting documentation must be mailed prior to the State of California removing the mobile from state license rolls acid the Butte County Assessor treating the mobile as real property. Should you have any questions concerning this matter, please contact Alice Mefford or Tammie Powell at (530)538-7541. Thank you. Sincerely, Tammie Powell Plans Application Assistant BUTTE COUNTY DEPARTMENT 4-1 wl- sw OF DEVELOPMENT SERVICES 0. 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 JAN 14'0 4� ; 0.3 5 ? AS cn a 49K Ett CA 7�153.' P TAOE . REVUES I M BUTM COUNNTV 7� Mr. Andy Swafford �� JAN 2 7200 -4orse Court ��vE�®� JC West Sacrament,,rn-asrn5 tWENP_ ----S�;KVi�Es SWAF2O6 956052151 IC03 22 01/22/04 \ RETURN TO SENDER SWAFFORD 2014 ESPERANZA AVE PALERMO CA 95965-9754 �_•+ RETURN ETURN TO`i SENDERjjj jjj . - .�•1��j�f����yjjj'? iilit!l�t�r�t �ittl!!1lil�f!111!!':l�ii.tlli!IIt9�1.Ft1-114i.1J3E:13.}d�13.�.1.}�4.i.t 7��klt_,.._..; // 1/ t' Butte County DepartrnentoflelopmentServices ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile January 12, 2004 Mr. Andy Swafford 1026 Morse Court West Sacramento CA 95605 FILE 11-04 RE: Request for HCD 433A (mobile home on a foundation system) Location: 2014 Esperanza, Palermo CA 95968 AP # 026-114-013 Dear Mr. Andy Swafford: The State of California requires the 433A document to be recorded with the County of Butte Recorder's office at the final of your permanent foundation being installed. Please come by Butte County Department of Development Services Building Division, 7 County Center Drive, Oroville to pick up your 433A which needs to be recorded. a The recorded 433A and supporting documentation must be mailed prior to the State of California removing the mobile from state license rolls and the ;Butte County Assessor treating the mobile as real property. Should you have any questions concerning this matter, please contact Alice Mefford or Tammie Powell at (530)538-7541. Thank you. , Sincerely, (2 . . Tammie Powell Plans Application Assistant NOTES. RESIDENTIAL PERMIT NO. _( 2b '14013.*. _ - _._;. _ _ _ :-- 05-0219. -� SWAFFORD;WNDY 2014 ES:'L.iZA�'2A, j Cont: FLEE -[ANT GOD HOMES NEW MI -1 P:1-l1t\1 FND f 11 SPECIAL CONDITIONS CHECKED BY S FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER Lc_ a � t �O°� i nK�S yo� i JOB FINALED (Date) Signature J = OK 0 = Not OK . = NotReadyable 8. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Electric 1. Zoning Requirements-Setbacks-Easemenjs Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 2. Soils; Special MH Support Sketch • Card B-1 Date Card B-1 3. Sewer; Location -Test -Fall -C/O -Concrete Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. . Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG Date 7. Well Clearance & Disconnect MISCELLANEOUS 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 8. Utility Clearance 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Date 9. Card B-1 Date Card B-1 Date 10. Roof; Shthg-Roofing Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector 1. 6. Water; MH Test -Regulator -Connector 2. 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. 8. Gas and Electricity Tagged 4. 9. Tie Downs -Type -Installation Cert. . 5. 10. Exits; Insp.-Sketch 6. 11. Cert. of Occupancy 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 s Date Health Department Approval - Card B-1 Date Card B-1 Date Plumb.; Cir. Test -Water Supply Test Card By Date Card B-1 Date PERM ENT END SYSTEM (ONLY) 12. o,ping Requirements -Setbacks -Easements 0o ings; Size -Spacing -Marriage Line Date Blocking ; Date 14 Test- and -Valve Or -Electricity; M Test '6- Water; MH Test JiW ter and Sewer Connected , -8.- as and Electricity Tagged ..UY/ ff %% q Sid," 9/Exits 10. License Decals 11. Verify #'s with Office , Date -Y--Ar Card B-1 Date Card B-1 Date ' / Card B-1 Date Card B-1 MISCELLANEOUS 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 5-1 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 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit s 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 Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped 53. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 54. 6a. Hold Downs and Special Anchors 55. 7. Slab, Steel -Wrapped 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 8. Piers -Fireplace Ftg.-Steel Siding -Nailing Veneer 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 60. 11. Water Pipe; Test -Anchors -Regulator -Service Test 61. 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 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 87. Water Well, Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Date 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Date 32. Service -Riser Conductors & Ground Main Disconnect Comments at Final: 33. Equip. Clearances Panels-Motors-Mech. 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. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 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 A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 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-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67: Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-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 ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks 0 Yes ❑ No/Planters ❑ Yes O 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/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: I vv. .r— vv v.•. . DEPARTMENT OF DEVElf.OPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (630) 538-7541 BPO50219 0. %. is Uuo inp rennn v i- lv-vv PH 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and m license is' II force and effect. Issued Date: 03/02/2005 APN: 026-114-013-000 License Class: —v Date: Contractor: zeml Site Address: 2014 ESPERANZA AVE PAL , Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Description: NEW MH EX SITE PERM FND (RPLCMNT) Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a Owner- SWAFFORD ANDY signed statement that he or she Is licensed pursuant to the provisions of 2014 ESPERANZA AVE the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA. she is exempt therefrom and the basis for the alleged exemption. Any 95968-9754 violation of Section 7031.5 by any applicant for a permit subjects the to than five hundred dollars (530) 534-3508 applicant a civil penalty of not more ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: FLEETWOOD HOMES such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If however, the building or Improvements are sold within one 2243 FEATHER RIVER BLVD. year of completion, the owner -builder will have the burden of OROVILLE, CA 95965 proving that he or she did not build or Improve for the purpose of 530-532-3301 sale.). ❑ I, as' owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: FLEETWOOD HOMES pursuant to the Contractors' Stale License Law.). ❑ 1 am Exempt and ;-AAicle 3 of the Business and Professions Code 2243 FEATHER RIVER BLVD. � owner: OROVILLE, CA 95965 Date: 530-532-3301 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty or perjury one of the following declarations: License #: 785185 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. Architect: I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for'the performance of Engineer: the work for which this perm) Is issued. My workers' compensation Insurance carrier and olicy umb re: . Carrier: Gtr Total Square Ft: 1190 S.F. Policy #: Valuation: $77,350.00 I certify that in the performance of the work for which this permit Is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Seclton 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: s t, ' secure workers' criminal pen coverage is WARNING; shall. unlawful, and shall.subect an employer to criminal penalties and one o- l- / 7 / / / `� �� �9 a L�f/ / ► " �� . �� 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. (�at+p11 /the CONSTRUCTION LENDING AGENCY— - Tzic pe oil := hcrebyy Issued and abte provisions off Butte County Code and/or I hereby affirm that there Is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolution do work Indicat ab e f M'ch fees have been paid. -• �" performance permit _ By: Date: Name: PERMIT EXPIRES ON: c� Address: Dare ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely 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 f the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of an official form or docu t of Bu ounty. I hereby authorize repres nlatives of Butte County to enter upon the above mentioned property for inspection purpo Print Name: l'I Signature: Date: ©Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor 0. %. is Uuo inp rennn v i- lv-vv PH 1 UU I It UUUIV I Y HtKIVII 1 IVU. DEPARTMENT OF DEVELOPMENT SERVICES BUILDIN13 PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BPO50219 OFFICE M (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and m lice/nse is' II force and effect. / , �/b Issued Date: 03/02/2005 APN: 026-114-013-000 License Class: �Lice mer•1. Date: ;� � J Contractor: Site Address: 2014 ESPERANZA AVE PAL Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Description: NEW MH EX SITE PERM FND (RPLCMNT) Business and Professions Code: Any city or county which requires a permit to construct, alter. Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a Owner: SWAFFORD ANDY signed statement that he or she Is licensed pursuant to the provisions of 2014 ESPERANZA AVE the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95968-9754 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).): (530) 534-3508 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: FLEETWOOD HOMES such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one 2243 FEATHER RIVER BLVD. year of completion, the owner -builder will have the burden of OROVILLE, CA 95965 proving that he or she did not build or Improve for the purpose of 530-532-3301 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: FLEETWOOD HOMES pursuant to the Contractors' State License Law.). ❑ I am Exempt un de e 3 of the Business and Professions Code 2243 FEATHER RIVER BLVD. < Date: owner: OROVILLE, CA 95965 530-532-3301 WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: License #: 785185 ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. Architect: yy I have and will maintain workers' compensation Insurance, as 6 required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this perml Is issued. My workers' compensation insurance carrier and ollcy umb re: Carrier: Policy #:_ P1C% 6 21 Total Square Ft: 1190 S.F. Valuation: $77,350.00 I certify that in the performance of the work for which this permit Is Census Code: issued, 1 shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest, and attorney's fees. I Li CONSTRUCTION LENDING AGENCY This permitI hereby Issued and applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the the for which this is issued (Sec 3097 Civ.)' Resolution do work Indica ab e f tach fees have been paid. performance of work permit BY Date: Name: PERMIT EXPIRES ON: Address: Dale Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. O 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 f the owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge It Is unlawful to alter the substance of an oHicI I form or docu t of B ounty. I hereby authorize reprep nlalives ofButte County to enter upon the above mentioned property for inspection purpo Print Name: l'I Signature: Date: © Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor B. C. Buildinp Permit 01-16-04 pp 1 j_ BUTTE COUNTY PERMIT o DEPARTMENT OF DEVELOPMENT SERVICES NO. O BUILDING PERMIT APPLICATION O AND SUBMITTAL REQUIREMENTS O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BPA509 19 O OFFICE #: (530) 538-7541 BIN # A FEE WILL BE REO UIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds -- **PLEASE PRINT CLEARLY** LOCATION AN O�Co• I I+ ol3 Property Address Cites 2,0 14 Es P i A--t-- Cross Street ARCHITECT/ENGINEER Name Address City State Zip Phone Fax E-mail State License Number I -,,I APPLICANT SIGNATURE I X/ /' ]�F_ - For office use only: Zoning I Xsz I I Flood Zone I Af—= I SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner I Date Approved: LENDING AGENCY Name Address ++ Description or Scope of Work: N ew " M C—: X. I S r-1 at G S I T'E 'R:-1-2-1 V:;,i o - Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: L:::-,-, Amount: 2 I of .9(" Bldg OVER FOR SUBMITTAL REQUIREMENTS II a.. r.-.nnerni in r�ir,r �nOnnCDl.I..A.,nlG ingnmfe A— Paae i of 2 Receipt #: 4- t 1I 3.) 5 Date: I.3 t .:, SRA Sheriff SMIP Other x I q 9 Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph 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. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS 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 F0RMS01dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: w G Fo e-1 ASSESSOR PARCEL NUMBER 4, • t I A- • o 13 Proposed Building Use: 140W "14 C -x S t'TE �Ee. Counter Technician: Date: I 31 •,o5 Items required in order to apply for a permit. All boxes MUST be decked OR marked NA in order to apply. .P 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homesata.�,and installation inst, @Warriage line info, �r Plan, ([ f'e��gwra or plans, all in :D duplicate. ❑ 9. etalbldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these as ed and wet -signed b the en ineer. 10 lood Elevation tificate, wet -stamped and signed, in duplicate 11 -'Site p an an business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. anitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable..':* pplicable:: 1/4 S Other -r Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit........................................................................ 23.California Department of Forestry plan approval ❑ paid. Sent by: �Ch-� 24. nning approval (A) Use: (B)Parking: (C) Parcel eck:_5Cj 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑tt0 34. Manufactured home utility clearance........................................................ I...... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... E)37.�rant Deed, ❑ M.H. Title/Statement of Facts, El Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 5:3 n . 111_-�47 G / eA�, and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applican�r�; Date: 1. Index p plication for the abov ms nu tiered: Plan Check Letter 2. Additions items required O%� Con esigner, owner, was a vised Jf the above data by phone, ❑ mail, ❑ counter, by A Date: - 3 O Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ coun ry Date: Plans reviewed by: Date: Plans approved by: Date : 0 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: IeA Date: oS Yellow: Building Division COUNTY OF BUT'T'E DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 a c SCHEDULE OF RECEIPT OF FEES OWNER A.P. # O2d- • 1 14- • e!) ?, PROPROSED BUILDING USE l Bin/ M R fix. 51 TE ���� DATE 1 ' 3 I .,n!5 RECEIPT # DATE REC. 0 1. BUILDING PERMIT FEES --- Balance Due ..................... $ 2q • �- �J2� O -� C�7 --- Additional Fees Due.....:..... $ ` --- Revised Plan Checking Fee.... $ t/ 2. SCHOOL DISTRICT FEES Or"In 4 e� H (paid at School District Office) (form available after Plan Check) Pf gsi v e-1�4 -r-z::, �T 3. SHERIFF SHERIFF FEES (paid at Building Division) Residential ....:........ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ 4. URBAN AREA FEES Residential (per unit)..... Sq.Ftg. X # Units Amt: (paid at Building Division) Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) G t V er! -Tb GO?J_r. 6. THERMALITO DRAINAGE DISTRICT FEES 1 $510.00 (paid at Building Division) N Pr 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $. Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER S7m)*p 7 7 4- At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees maybe changed d the plan checking Vprocess APPLICANT DATE Pursuant to Gove ent Code Section Io. ,are hereby notified that items, 2, 3, 4, 5, 62 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) a AUC WOV�6 :' Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 J National Pollutant . Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN I ACREI Project Description: Project Location and/or Parcel Number: 0--.;? 60, — — a"--3 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: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department ofDevelopment Services ° %J T TF ° YVONNE CHRISTOPHER, DIRECTOR ° ° o ° 7 County Center Drive °=�::m�.' ° Oroville, CA 95965 0 ---- o (530) 538.7601 Telephone C0Uf4 (530) 538-7785 Facsimile Building Permit Application Acknowledgment I hereby acknowledge that I am voluntarily applying for a building permit without pre -approval from the Butte County Environmental Health Department. I acknowledge that I have submitted a septic and/or well. application to the Butte County Environmental Health Department. r. I have been informed that the County of Butte has made no _ - --determ'tnatioh of whether or not the property on which the proposed development is to be located is considered'to be a developable lot. Finally, I have been informed that no building permit will be . issued without the Environmental Health Department clearance, and understand that compliance with Environmental Health requirements -is required prior to clearance. i Permittee Name Address AP Number ®2 CIO, Permit Number I have read and understan the abo a acknowledgment: Signature of Permittee Date Acknowledgment form.doc (6/04) Acknowled meat Form Procedure THIS PROCESS IS FOR MOBILE HOMES AND SINGLE FAMILY DWELLINGS ONLY 1. The project must be proposed on a lot created by one of the following: a. A parcel map (TPM) after March 4, 1972. b. A subdivision map (TSM) after July 1, 1949. 2. The project must be fully engineered by a California -licensed architect or engineer (See Submittal Documents). 3. ALL applicable Submittal Documents must be completed and included in submission. 4. A separate, concurrent application for this project is made with the Department of Environmental Health (EH). Applicant is responsible for notifying Development Services in writing should EH subsequently deny clearance. EH WILL PROVIDE AN ENVIRONMENTAL HEALTH CLEARANCE WITH AN APPROVED SITE PLAN TO THE APPLICANT S:. Applicant -is equired to bring the approved EH site: plan to Dept: of'D:ev. Services.-, . School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Bulldiaijy 002- d> V I L_ L_ E P, 6 Building Department No. Jurisdiction: city County Property Location/Address .70 I SubdMslon I Lot No. o2 r., LyM r .................. ....... ............. ........... . ............................. .... Residential Development Q r-0-71 7- Sq. Footage No of Living Mobbe Home Addition/ *Supplemental to (Group R) Units i Inst3liation Conversion Permit # ......................................... *(No foundation Inspection) . ............................. ! ....................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/industrial V New Addition District Identification* No. 050231 rt)IL- L/tn(iii k 1:6A School District certifies that (City) I has complied with the requirements of Resolution No. representing Q square feet. &%94" School District Representative Paid by Check # Remarks: Sq. Footage (Including Exterior Roofed Areas) Date A LkQ)e� 600ican) — '4 (Phone Number) ,,,x (State) (Tip Code) LoO bypairteht6f $ Ail A 2926 $ FULL MMGATION U 0A Date 4o- o - V Nofte: You may protest the Imposition of the fen Identl[fled above by,subnftlrtg a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from tris date fen are paid. Failure to submit a timely written. WOOI( will'prohlbit you from challoVIng the Imposition of the fen rt In any court action. K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, tin School District Is wllAed by the applicable Local Planning Agency that this project Is being reviewed under the California EnvfnxwrAmW Quality Act (CEQA), this project may be subject to additional school fen to fitly mitigate. its Impact on the school dk*lcrs schools. White (applicant), Yellow (building department), Pink (school district) feeformAs I I 0/03)dmrn BUTTE C UNTY DEVELOPMENT FEE CERTIFICATION FORINT FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Building Permit Number DA I q Property Owner (s)w�c�o2� , Project Location /Address -2� 6+ P �� •J 2.a �4v>✓ , Subdivision Name Assessable Sq. Ftge I, ► 5) 0 Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) . Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: ildA2 Department Remekentative \ Date a a a araaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaacamaaaaaaaaai CYFRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: Applicant Name Phone Number Mailing Address city State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: Recreation and Park District Representative Paid by Cash: per unit for a total of $ per sq foot for a total of $ Receipt No: Distribution: White -applicant Yellow -Butte Co. Building Dept. Pink -Park and Recreation Office Goldenrod- City of Chico Building Dept (CARD ONLY) TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance USE EH PIoZ Plea Attached Floor Plan Atnechea*— Sent to B.D. ! caner Location AP# Plan, Approved for: Sewage Disposal Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Water Simply: Public--,-., Private Well Environmental Health Specialist Date 1 ' 8/96 - nl Fl16Expression Se 'ieS 4453A 3 Bedrooms • 2 Baths- • 1,190 Square Feet r V S t - 1 I UTILITY WE aumm ND DINING :KITCHEN. AREA 1 1 BATH BEDROOM M >4 "ra OBATH -7--- 1 o m 1:: CLOSET; 1 WC 00Cc� a" c *A4LMNOROOM BEDROOM OPT. DEN 9' IT 6'X13-0' iM1fO'X12 f0' tr-1vxw-f0' C ENTRY OPT. EN EFOED F)eEUood Homes reserves the right to charge colors, pdtes, spedfkatlau, models, dlmensbns and rtatmials wHhdud notice. Rendering and diagrams are meant to be represenfatt+e arid, In keephg with Fbetwtio&s poky of constant updating and linprovement may vary from the ac6al tattle. AN dimensbre are nominal and apprmdmated. Square footage Is measured from exterior wal to exterior wag; and Is approximate fgure. Length hdkated h floorplarm ;ie fbor length gnfy. The length of the hitch Is not hduded. (Add four feet to arrive at transp6rtable length.) Ask your retailer for'4wff1s. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WRHOIIF NOTICE OR OBLIGATION. i7Vt7/JUNM Y SITE PLAN REVIEW APPLICATION Date:_q4 AP# Permit Number (if applicable) APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition MMobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporwy Travel -Trailer. ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Bin Number Parcel Size: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A Brief Explanation (if necessary): M 4c N r, -vv S�rE DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) IN Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site P n Stampe Approved By Date�y Page 1 of 5 0 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) • Flood Zone: #- e • Flood Panel No.: �V ro Index Date: 20 — 7_n� ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------=------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form- ❑ Encroachment Permit- Agricultural ermitAgricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 4A- - i (K) Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 20/ Side t m r Side Street Rear �® s Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 J ' Applicable Development Fees: Standard Fees ❑ 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) Amount Formula a * 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: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: l�aIUQcas �� r„�� �. /e -i& ❑ Parcel Deemed to be legal Legal Access Provided: ❑ No Legal Access Required ❑ No ❑ No ❑ Yes, Road Name: ❑ No El/,Yes r� e ❑ Yes ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger 4 ❑ 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 Page 3 of 5 w ❑ Subdivision Map/Parcel Map: Map Date of Recording: l Lot: Book: Page: ❑ 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 road maintenance, and stop sign maintenance. Page 4 of 5 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 RECORDING REQUESTED BY: r c ' AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE t OROVILLE CA 95965 Recorded I REC FEE 10,0b Official Records I ,X . r County of i CGRFORPEEU.COPY 1.00 " Butte_ i CAHI)ACE • J. GRUBB5 1 r County Clerk-Recorderl r I KL 011:20AM 117May72005 I page 1 of 2 .11.11 -III N1111111I1i 111 II 111111 1111 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (1VIOBILEHOME) OR COMMERCIAL COACH, ' INSTALLATION ON A FOUNDATION SYSTEM �':ry 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 U occupancy for installation of the unit S' 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 �v its contents to.all persons thereafter dealing with the real property. , ANDY SWAFFORD BUTTE COUNTY BUILDING'DIVISION , REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY i 2014 ESPERANZA AVE. 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS PALERMO BUTTE CA 95968 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY (STATE ZIP SAME 05-0219 '(530) 538-7541 . INSTALLATION MAILING ADDRESS, IF DIFFERENT - BUILDIN PERMIT NO TELEPHONE NUMBER SAME CITY COUNTY STATE ZIP (GNAT RE OF LOCAL AGE OFFICIAL JDATE SAME NONE UNIT OWNER (if also property owner, write "SAME") DEALER NAME (if not a dealer sale, write "NONE") - SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION ' FLEETWOOD -2005 4453A/2005 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL517A/B28254-EX12 45'4"X13'4" / 44'X13'4" PFS0894011/2 SERIAL NUMBER(S) LENGTH X WIDTH .� INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION t '' ASSESSOR'S PARCEL NUMBER 026-114-013 { SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept... j ,F Order No. BV -208932-3 MAM Dmca*ion fTU Iced ref�envd to herein i® eituatcd in dw State of CaUf nk- County of 13=e, and is described as follows: LOTS, 13, 14, Is. 16, 17, 18 ANO 19, BLOCTG 13. AS SHCMM ON THAT CERTAIN MAP ENTrr=, "TOWN OF PALERMO", WHICH MAP WAS RECORDED IN TIM OFFICE OF -TBE RECORDER OF THIS COUNTY OF BUTTE. STATE OF CALIFORNJA, ON FEBRUARY 17, 1891, IN BOOK 3 OF MAPS, AT PAGE(S) 4. PARCEL H RMN IS PURSUANT TO A MBMORR APPROVED BY TAE COUNTY OF 11UTTTB, RECORDED NOVEMBER 9..200" UNDEt BUM COUNTY RECORDER'S SERIAL NO. 2001- 53636. MERVM T OM A NON-EXCLUSYVB BASFuEVT POR wATERLue PURPOSES ACRASS THE NORTHERLY 5 FEET TH]EIMF. ADN 026.114.013-000 PARCTI-TT- A NON-EXCLvsm EASE FOR WATFxuNE PURPOSES ACROSS THE FOLLOWING DESCRMED PROPEILTY. A. TBE SOITl'ti1 RLY 5 FJMT OP TATS 34 THROUGH 39, INCLUSIVE, BLACK 13. AS SHOWN Ori THAT CERTAIN MAP ENTITLED, 'TOWN OF PALERMO". WHICH MAP WAS RECORDED IN TEM OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA. ON FEBRUARY 17, 1891, IN BOOK 3 OF MAPS, AT PAGE(S) 4. D, TEM SOLMMRRLY 10 I= OP LOTS 6 AND 40. BLOCK 13, AS SSOWN ON TKAT CERTAIN MAP EurrnE% "TOWN OF PALZI MO", WMCH MAP WAS RECORDED IN THE OFFICE OF TIM RECORDBR 017 THE COUNTY OF BUT IE, STATE OF CAL FORNIA, ON P IRUARY 17. 1891, IN BOOK 5 OF MAPS, AT PAM(S) 4. Description: Butte,= Doc � nt-Year. Do CID Ord2003.28881 Pays: 2 0f 2 er: molly cc=eat: 09/23/04 THU 13:49 TOTAL P.04 [TX/RX NO 99971 Q006 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 11 -May -2005 2005-0026620 Has not been -compared with original BUTTE COUNTY COUNTY RECORDER 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. ANDY SWAFFORD REAL PROPERTY OWNER/LESSOR 2014 ESPERANZA AVE. MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME 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 05-0219 . (530) 538-7541 BUILDINQPERMIT NO TELEPHONE NUMBER &d:2-��5- IGNAT RE OF LOCAL AGE FF.ICIAL ATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO FLEETWOOD 2005 4453AJ2005 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEJNUMBER CAFL517A/B28254-EX12 45'4"X13'4" / 44'X13'4" PFS0894011/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 026-114-013 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. FOUNDATION SYSTEM CERTIFICATE'. Of OCCUPANCY BUILDING PERMIT NUMBER: 05-0219 Address or location of unit: 2014 ESPERANZA AVE., PALERMO, CA 95968 Legal Description of Real Property: AP#:. 026-114-013 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: ANDY SWAFFORD Owner's address: 2014 ESPERANZA AVE., PALERMO, CA 95968 INSIGNIA OR HUD NUMBER: PFS0894011/2 SERIAL NUMBER OR V.I.N.: CAFL517AIB28254-EX12 MANUFACTURER'S NAME:FLEETWOOD YEAR- 2005 OFFICIAL APPROVING INSTALLATION DATE: PHONE: (530) 538-7541 H.C.D. 513C • �aMW11Nf��fB�Y1n1�Q 88CORDINGMUZFMBY 2 MI3�l0�bZ'8$8D VALLEY TI'na & ESCROW CO. 1 AND WMCK RxMRDW bUM 7'm RW0rde4 I AM FEE 1@. ei! ANDY SWAFFoRD Official Records i TAX 15.40 . 1-p 1206 MORSE COURT County Of `t a WEST SACRANQMO, CA 95605 CAWM JT.T 6RUMW 1 Rerord¢r ORO -C ILPAM Y UZOWN I Assistant a•eAK-a-em pme I of E pace Above Thin telae Aor Recorder's Use Only A.P.N.: 026-Ii4-006, LOT 7, Order No.: 209932MAM E=ow No.: 208932MA14i GRANT DEED RHE VN c=pu N® GRANTOR(s) DECIARB(s) THAT DOCUMENTARY TRANSM TAXIS; COUNTY X5.40 + computed of p eyed property conveyed, or computed on fuII value on hill value less valve of licas or eacumbrm%= at time of sale, 1 unincorporated zft; I ] City of, and FOR A VALUABLE CONSIDERATION, Reocipt of which is hereby acknowledged, EMMY T. BUNGS,, SR' Md BONITA K =NGE, Husband and Wife hereby CRANT(S) to ANDY SWAP'B'ORD, M Uamanied Man the foUowiog described property in the 1kh"rpotated Area of the, Couaty of Butte Stade of California; SEE ATTACHED LEGAL DF.SCRUMON IMNRY TJRUNCiL, N1TA M. RUNGS HE Doanzomt Date: - Ap�� 3.2M x Itawk, SR. STATS OF CALVOUNIA ATTORNEY IN PACT COUNTY OFSC1TTk A8 On MAY 5, 2Q01 bc&mMo. MARY A._ TBOMPSON. NATbvv buy appftm HENRY T Rt1N��R QA _ Prior aUy (mown m me Cor proved 4 me Oa Me basis of saddamory avideaoe) a be the penpo(a) wtgae tInbc- mietu a°d WBed m nee that Wdb &tY executed ft same is bWbedMeir arrtla *A oomo(s) rs/are subactibod to the wain the iaanyprautt the petaoa(a) or fie en* "Mbehalf of which the petson(a) acted, e+tocwad the iro�ma �) and that by hb&a M e;r sigtmwe(9) on Wfr 4HW My hand sad oftWMeal. $iQaawte /7 Thin area for offWW noterWl, caul. !tu AARYXN ealon� t5 [otlpa AN L'bo. MsH Tax Statements to: SAME AS ABOVE or Address Noted Below Desariptloa: 8ntte,CA Do t—lYear.D0C1D 2003.28881 page: 1 of 2 Order: =0227 comment: 09/23/04 THU 13:49 1TX/R% NO 99971 Z005 r e •: e MjdlT OF STATE OF'CALIFORN11 - . NUMBER: BUSINESS, T"ASPORTATION AND HOUSINGAGENCY , DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT. 01 7 Vit' " DIVISION OF CODES AND STANDARDS 73 ^' �¢ MANUFACTURED HOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN f DISTRIBUTION: ORIGINAL (PINK) FORWARD TO THE INVENTORY CREDITOR, UNLESS THERE IS NONE. THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO TJIE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO TRE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE. RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. . MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING �g ❑ SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING NUMBER OF 2 TRANSPORTABLE SECTIONS COMMERCIAL COACH: — OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: FLEETWOOD HOMES OF CALIFORNIA, INC. 9534 98143FACMERROM . SUGGESTED RETAIL PRICE: PO BOX 1308 v WOODLAND CA 95776 (Street).` Ci State Zi MANUFACTURER TRADE NAME:. MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: ,soPLESSION 445:3A 2005 .02/09/2005 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: FLEETWOOD RETAIL CORPORATION OF .CALIFORNIA TRANSFEREE DESIGNATION: DBA: FLEETWOOD,$OMES OF OROVILLE 1061581 02/09/2005 DEALER OR TRANSFEREE ADDRESS: 2243 FEATHER RIVER 'OROVILLE CA 95965 (Street) Ci State Zi INVENTORY CREDITOR NAME: FLEETWOOD RETAIL CORP X"NIVFW C&EtXTWbWRESkSO DESK 2150 WEST 18TH ST SUITE 300 ,HOUSTON T% 77008 (Street) Ci State Zi SECTION MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT 16 INCHES INCHES POUNDS) 1 CAFL517A28254-E812 PFS0894011 544 160 6,800 2 CAFL517B28254-E812 PFS0894012 528 160 12,669 ,TRANSPORTER NAME: BENNETT TRUCK TRANSPORT, INC. iv6F'lH khL PARKWAY P.O. BOX 569 MCODNOUGH GA 30253 Street C' State Zi DESTINATION FOR UNIT DESCRIBED ABOVE: NAME Street C• State Zi 1 certify under penalty of pe4ury under the laws of tM State of Califomia Mat Me above facie aro Ince end correct. 02/09/2005 WOODLAND YOLO CA Executed on at (Date) _ (City)' (County) (State) SIGNATURE OF AUTHORIZED AGENT: f 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 TJIE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO TRE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE. RETAINED BY THE MANUFACTURER. HCD 483.0 - Side 1 - (7/97) ��-:�� IIIIIlIIIIlIIlIlIII!!IlIIININ�lI RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND Vai EN RECORDED MAIL TO: ANDY SWAFFORD 1206 MORSE COURT �° WEST SACRAMENTO, CA 95605 ORO -C A.P.N.: 026-114-006, LOT 2 Order No.: 208932MAM 2Q1t03— lop 102888 1 Recorded Official Records County BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 05 -May -2003 Above This Line for Recorder's Use Only GRANT DEED REC AX FEE15.40 Barbara Page i of 2 Escrow No.: 208932MAM THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $15.40 [] computed on full value of property conveyed, or xXJ computed on full value less value of liens or encumbrances remaining at time of sale, ] unincorporated area; I ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, HENRY T. RUNGE, SR and BONITA M. RUNGE, Husband and Wife hereby GRANT(S) to ANDY SWAFFORD, an Unmarried Man the following described property in the Unincorporated Area of the, County of Butte State of California; SEE ATTACHED LEGAL DESCRIPTION sH HENRY T RUNG , SFO M. RUNGE HE RY T RU S� Document Date: _ April 3. 2003 .4 `Y ATTORNEY IN FACT STATE OF CALIFORNIA As COUNTY OF BUTTE ) On MAY 5. 2003 before me. MARY A. THOMPSON, NOTARY personally appeared HENRY T. RUNGE, SR personally known to me (or proved to me on 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 person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature &2&4/ This area for official notarial seal. MC 9I 7MMPSON imm Notary o+lcCfrnapttt- ali County :My Comm. Exp. AP92 15, 2008 Mail Tax Statements to: SAME AS AB AVE or Address Noted Below Order No. BU -208932-3 MAM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOTS, 13, 14, 15, 16, 17, 18 AND 19, BLOCK 13, AS SHOWN ON THAT CERTAIN MAP ENTITLED, TL.ED, "TOWN OF PALERMO", WHICH MAP WAS RECORDED IN THE OFFICE OF' THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 17, 1891, TN BOOK 5 OF MAPS, AT PAGE(S) 4. PARCEL HEREIN IS PURSUANT TO A MERGER APPROVED BY THE COUNTY OF BUTTE, RECORDED NOVEMBER 9, 2001, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2001- 53636. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR WATERLINE PURPOSES ACROSS THE NORTHERLY 5 FEET THEREOF. APN 026-114-013-000 PARCEL U: A NON-EXCLUSNE EASEMENT FOR WATERLINE PURPOSES ACROSS THE FOLLOWING DESCRIBED PROPERTY: A. THE SOUTHERLY 5 FEET OF LOTS 34 THROUGH 39, INCLUSIVE, BLOCK 13, AS SHOWN ON THAT CERTAIN MAP ENTITLED, 'TOWN OF PALERMO", WINCH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 17, 1891, IN BOOK 5 OF MAPS, AT PAGE(S) 4. B. THE SOUTHERLY 10 FEET OF LOTS 6 AND 40, BLOCK 13, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TOWN OF PALERMO", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTT$, STATE OF CALIFORNIA, ON FEBRUARY 17, 1891, IN BOOK 5 OF MAPS, AT PAGE(S) 4. TOTAL P.e4 CLGte_�,� a,%v�xo,c.r RP �Dab- �,-.-4� °, • � • a �,� � � � 'v � � � - � t � * �.. 1 � \ a, ti S y ♦ 1 . � a'. STATE.OF CALIFORNIA,�`� BUSINESS, TRANSPORTATION AND HOUSING AGENCY _ DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 5s DIVISION OF CODES AND STANDARDS �'r++n REGISTRATION AND TITLING PROGRAM BILL OF SALE SECTION 1. DESCRIPTION OF UNIT This unit is a (check one): �SrManufactured Home/Mobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper The Decal (License) No.(s) of the unit is: CAL 1 —%ygcTg. The Trade Name. of the unit is: FLE-t TZ -0 c fflD 5 A r JLP0 ! K) TE The Serial No.(s) of the unit is: CA f --L I X9 T s�> % 3 � D 3 SECTION II. STATEMENT OF FACTS =or the sum of C>Q ;z dollars ($ ) and/or other valuable consideration in the )mount of , the receipt of which is hereby acknowledged, I/we did sell, transfer and deliver 0 (Buyer) m the z S i day of it Zc�b3 , my/our right title and interest in and o the above-described unit. ;ECTION III. SELLER'S CERTIFICATION /We certify under penalty of perjury under the laws of the State of California that the following is true and correct: (1) I/we are the awful owner(s) of the unit, and (2) I/we have the right to sell it, and (3) I/we guarantee and will defend the title to the unit against the :laims and demands of any and all persons arising prior to this date and (4) the unit is free of all liens and encumbrances, except or the lienholder shown below', whose lien presently exists and has not been paid. xecutedon Si2L ©3 at �� �N� C4 (Date) (City) (State) of Seller ;) nature ) L � � � !�j �� ' " I � � date signature of Seller Date SECTION IV. LIENHOLDER'S INFORMATION NOTE: The space below is NOT for liens created by the buyer in this transaction. 'lienholder addres Street Address or P.O. Box City State Zip Code 4CD 475 1 (797) N A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PAUL HOFF Aan.ry at L- 2717 Cru gc Way Sw 15 Szcra '., CA 95M (916) 971-9200 LAW OFFICE OF PAUL HOFF (S.B. #61520) Attorney at Law 2717 Cottage Way, Suite i5 Sacramento, CA 95825 (916) 971-9200 Attorney for Plaintiff FILED ENDO .QED AP9 203 I 8Y: A. MOCANU, DEPUTY CLERK SUPERIOR COURT OF CALIFORNIA, COUNTY OF SACRAMENTO SACRAMENTO TRAILER CITY, ) Case No: 03UD-02206 Petitioner, ) JUDGMENT OF ABANDONMENT vs. ) (Civ. Cod. 9798.61) ALICE SHELTON, WILLIAMS S GILL ) and Does 1 through 5 ) Respondent(s).. ) The respondent(s), ALICE SHELTON and WILLIAMS S. GILL, above-named having been served with a Notice of Belief of Abandonment and the Petition for Judgment of Abandonment and having failed to appear.within the time allowed by law, the Court, having considered the evidence orders the following Judgment: 1. The mobilehome described as a Sandpointe mobilehome, Serial Number CAFLIX 94567 3703, California decal/license number CALI 70898, located at 1101 El Camino Avenue, Space 61, Sacramento, California, is adjudged abandoned. 2. Petitioner shall be permitted to enter the said mobilehome to conduct an inventory of its contents, which inventory.shall thereafter be submitted to the Court. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PAUL HOFF Aa mcy at Law 2717 Cmvagc Way, Sic 15 SattAlnCnlo, CA 95825 (916) 971-9200 3. Petitioner shall have and recover the the sum of $2550.89 as follows: a) Damages in the amount of $1168.59 representing the utility, rent and storage charges due through 3-28-03. b) Attorney fees in sum of $1200.00; c) Cost of suit in sum of $182.30 4 Petitioner shall further have -the right of reimbursement from the proceeds of sale the storage charges accruing subsequent - to 3-28-03 at the rate of .$9.27 per day, together with petitioner's costs of sale. Dated: APR 2 4 i^v /JUDGE PRO TEM OF THE SUPERIOR COURT ENTERED ON MAY -.1 2003 BY k MOCOU DEPUTY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the instructions on aaaes 1- 7. O.M.B. No. 3067-0077 Expires December 31, 2005 SECTION A - PROPERTY OWNER INFORMATION For fnsHarxeCompanyll§e:>r:'j BUILDING OWNER'S NAME Andy and Toni Swafford BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. GompayNlCNurrtier 2014 Esoeranza Ave. - ........ CITY STATE ZIP CODE Palermo Ca 95968 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 026-114-013 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##° - ##'- ##.##" or ##.#####) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE Butte County 060017 Butte Ca B4. MAP AND PANEL 161...4 ft(m) m B7. FIRM PANEL of next ❑ c) Bottom of lowest horizontal structural member B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 06007CO995 C 6$-98 6&98 AE 160 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM (:1 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 Iodated in a Coastal Barrier 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 Constriction* ® Finished Constriction *A new Elevation Certificate will be required when construction of the budding is complete. C2. Building Diagram Number 8 (Select the budding diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the budding, provide a sketch or photograph.) C3. Elevations—Zones All AM, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, AR/A ARAE, AR/A1-A30, AR/AH, ARIAD Complete Items C3.-aA below according to the budding diagram specified in Item C2. State the datum used. 9 the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show 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 conversion. Datum ConversionlCorments Elevation reference mark used TBM 6 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a) Top of bottom floor (including basement or enclosure) ❑ b) Top higher floor 161...4 ft(m) m SAL ��ro O ••o.,• S of next ❑ c) Bottom of lowest horizontal structural member NIA. _ft(m) NIA. ��.••• r' O4gG GpG� (V zones only) ❑ d) Attached _ft.(m) o �tV"� .°QyD garage (top of slab) N/l _ft(m) E "' p : O� .4 ❑ e) Lowest elevation of machinery andfor equipment m a ; M No servicing the budding (Describe in a Comments area) NA . —ft(m) E 16 P C11 f) Lowest adjacent (finished) grade (LAG) 158.2 ft(m) z • ❑ g) Highest adjacent (finished) grade (FLAG) 158. .5 ft.(m) 'g •••"• Q` ❑ h) No. of permanent openings (flood vents) within 1 ft above a4acent grade 12 �OFC�'`� ❑ ) Total area of all permanent openings (flood vents) in C3.h 1170 sq. in. (sc} am) 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 data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME Ronald L. Graves LICENSE NUMBER PLS 4085, TITLE Professional Land Surveyor COMPANY NAME Ron Graves ADDRESS CITY STATE ZIP CODE 563 Nelson Ave. Orovide Ca 95965 SIGNWRE A A _ O A „ DATE TELEPHONE FEMA Form 81-31', January 2003 See reverse side for continuation. Replaces all previous editions affstrta Coiiipa.A+ t1»;< BUIU)I ' STREET ADDRESS (Irdudng Apt., Un Stite andlor BIt. No. OR P.O. ROUTE AND BOX N0.. f' it : ;i lyrritier: 1936 E ranza Ave. CITY STATE ZIP CODE GaMOW iy.tA1CNan.er'; ..... ...... Palermo Ca 95968 <:.............. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticompany, 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 Item E1 through E4. If the Bevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no dagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (4cudng basement or endosome) of the builcing is _ ft(m) _in.(cm) ❑ above or ❑ below (check one) the highest ac)acent grade. (Use natural grade, if available). E3. For Building Diagrams 6.8 with openings (see page 7), the next higher floor or elevated f = (elevation b) of the building is _ fL(m) _in.(cm) above the highest a4acent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery andror equipment servicing the building is _ ft(m) _in.(an) ❑ above or El below (check one) the highest a4acent 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 accordance with the community's floodplain management ordnance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA -issued or community - issued BFE) or Zane AO must sign here. The statements in Seddon A, B, C, and E are correct to the hest ofmy knowledge. OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordnance to administer the communily's floodplain management ordnance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Camplete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (Wthout a FEMA -issued or community -issued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the builcing is: _. —ft(m) Datum: G9. BFE or (in Zone AO) depth of floocing at the bdldng site is: _ _ NIM) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE COMMENTS Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions c ' ✓� ,,Ey�`+::is ..... J : !----FEDER11`+EA�IE`R�?NMMANAG MENT-AGENCY.� �� :,. NAL`FLOOD`1fJVSURAIIC ROG 2AM _t"S.W. B-ra o: 306 Aires July.3 02 _. EVATION -G�ERT'IFICATE .SEL _ ,. .Q2;. Wkttaft.... l~ _ReadlheJndi '.cilo.ns..:.o.n a es 4.- 7.:. _ .� �..,._..... _ ..._.__ _. _......... . �S�CTION.A'=-PROP.ERTY..OWNER INFORMATION rF t,is' -. t°:. utbno'Coiiip'arry Usb: _ BUILDING OWNER'S NAME y^,` ToN 5w w BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. _ . __ __..... v.�=CornMY NAIL Number CITYPP O STATE _ LhP CODE - APA azt. II3-6 BUILDING USE. e.g., Residential, Non-residential, Addition, Accessory. etc. Use Comments section if necessary.) R.L LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1J GPS (Type):•. ( ##° - tt#' - ##.##' or ##.ay##tl#°) (J NAD 1927 1J NAD 1983 1J USGS Quad Map LJ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER TB2.COUNTYNAME B3. STATE B Cr Co 406 00 Gl4l_ B4. MAP AND PANEL B5. SUFFIX 66. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) O t, o a S t 10. Indicate the source of the Base Flood 1 vati n (BFE) data orb se flood depth entered in B9. 1-1 FIS Profile I_AFIRM IJ Community Determined 1_1 Other (Describe): 11. Indicate the elevation datum used for the BFE in B9: I-kq NGVD 1929 1_1 NAVD 1988 I_1 Other (Describe): .12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1J Yes I-1 No Designation Date: stc I IUN c - BUILDING ELEVATION INFORMATION .(SURVEY REQUIRED) 1. Building elevations are based on: 1.. (Construction Drawings' 1_113uilding Under Construction' Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. 2. Building Diagram Number $ (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) 3. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B. convert the datum to that used for the BFE. Show 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 conversion. Datum Conversion/Comments Elevation reference mark used -r.1N. rA . 14 (e Does the elevation reference mark used appear on the FIRM? I 1 _1 Yes ( No 2"'a) Top of bottom floor (including basement or enclosure) lc� . S ft.( QY'b) Top of next higher floor __ __ —ft. a N?�•�qNO O c) Bottom of lowest horizontal structural member (V zones only) Al tt _ ft.(m) o o �c,L, (3' -. O d) Attached garage (top of slab) E 0 e) Lowest elevation of machinery and/or equipment W m 0: 0 o � ; Q (n / servicing the building _ ft.(m) a ' a ; ; xr �d f) Lowest adjacent grade (LAG) g h Z 9 No. 4085 .•' f�� ) Highest adjacent grade (HAG) . ft.(Fe - �'• 06/30/04 `� Vh No. of permanent openings (flood vents) within 1 ft. above adjacent grade �T '' •••..• Q lB' i) Total area of all permanent openings (flood vents) in C3h 7 B le sq. in. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION '-his certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation certify that the information in Sections A. B, and C on this certificate represents my best efforts to interpret the data availi understand that any false statement may be punishable by tine oriTprisonment under 18 U.S. Code, Section 1001. S M�� G iL rsssr� Y :MA Fnrm R1-31 At1C, 9q SFF RFVFRSF SInF F()R (()NTINt1ATinNRFP( AC FS Al I PRFVI(�11.4 F1�1C)NS 6A IMPORTANT: 1•n•the"se spaces; ) BUILDING STREET ADDRES (Indu 11a. 13A6U,'=kms.. CITY'. 6%4 U y thetcorresporiidirig I Apt, Unit,Whd.';and/or ff-5 P-av ZA-T _...d sly a.: , i'ri�aHoR`.from''Sectinr;;e ~-1?�,�•r�u� :+ _.. _ __..--.....SECTION D - SURVEYOR; ENGINEER; OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) cbmmunity"bfficial,-(2)Ts7uran6e 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. lfthe Elevation Certificate is lr(tended foruse as supporting information lora LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If 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 I_J_I ft.(m) LJ_ f in.(cm) 1_1 above or L below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher froor or elevated floor (elevation b) of the building is IJJ ft -(m) I_I_Iin.(cm) above the highest adjacent grade. E4. For 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? I I Yes. 1_1 No 1_1 Unknown The local official must certify this information in Section G SECTION F.- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A. B. and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE 'OMMENTS 1_1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) helocal 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. IJ The information in Section C was taken from other documentation that has been signed and.embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)', .2. IJ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. -3. 1_1 The following information (Items G4 -G9) is provided for community floodplain management purposes. 34. PERMIT NUMBER G5. DATE PERMIT ISSUE G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED 7. This permit has been issued for: IJ New Construction l -I Substantial Improvement S. Elevation of as -built lowest floor (including basement) -of the building is: _ft.(m)Datum: 9. BFE or (in Zone AO) depth of flooding at the building site is: _-_ft.(m)Datum: .00AL OFFICIAL'S NAME TITLE :OMMUNITY NAME TELEPHONE SIGNATURE DATE .OMMENTS Check here if attachments :MA Fnrm R1-31 AUG 99 RFPI AC P.S Al I PRFVInt1S FnITIONR v .. •'moi► IVOAV _ r ` Expression SerieS 4453A 3 Bedrooms • 2 Baths. • 1,190 Square Feet 46-4' t. UTILITY OPG frAllOt7/ TUO I D10OR :KITCHEN. DINING AREA e'0*xis+0* a: 9ATN '. 1 WEN i BEDROOM 1 sirctsi 9.$X �3 7 BATH -1--- I.:.; WALK-JU CLOW BAexG15E --- Q� UNM 1 1 *A,.f WNG ROOM BEDROOM fr e�x Ir -10" ENTRY n. f, OPL E�5ED Fleetwood Homes reserves the right to change colors, prloes, specification, models, dimensions and materiels wNhdrrt notice. Rendering and diagrams are meant to be represarlaft and, in keeping with Fleetwood's poky of co slant updatlnlg and Improvement, may vary from the actual home. AN dimensions are nominal and approximated. Square footage is measured from exterior wal to exterior wag: and la'an apprordmate flaure. Length Indicated in floorpierms:ls floor length only. The length of the hitch Is not Included. (Add tour feet to arrHe at transportable length.) Ask yore retailer for'3peciks. PRICES AND SPECIFICATIONS SLIWECT TO CHANGE wfTHOUT NOTICE' R OBLIGATION. W 17/JUN00 ENTRY DOOR am ' 38 Vd' L PANEL BOM �— —�--- • WATER INK1--1 I n I I 33 3 d I PLE DUCT CONNECTION DSTANDARD FOOT ANG I DRAIN OUTLET ® TES: A-UHI T 8�N1T LEX DUCT CONNB ION TALLATION MANUAL MD ar a I - In----n-------O--D-- d---------D-------I] 27-6 3/d- 26' -d 38 Vd•.. ENTRE DOOR IN I PLE DUCT CONNECTION DSTANDARD FOOT ANG I .0" TES: 8�N1T Y!T mm [A TALLATION MANUAL MD - In----n-------O--D-- d---------D-------I] 27-6 3/d- 26' -d 38 Vd•.. ENTRE DOOR IN MUIR ND 4453A PIER LAYOUT 30# ROOF LOAD o"": Fru& L. DATE: 03M CHASSIS INFO LM. 3D $p.IE,T M.R. SPACING 8B v7- ..z. REv I -BEAM SIZE 8'I ALL L E G E N D DSTANDARD FOOT ANG .0" TES: I. MIS DRAWING IS TO E USED IN CONAINC- TION WITH TFf INS- TALLATION MANUAL MD ar a ITS SUPPLEMENTS. 2. FOOTINGS ARE SHO&I C FOP EMAMPLOSPA ANTITY APO SPACING r VARI BASED ON PAC TYPE, SOIL CONDITIONS, s�rt� T[. dt�1 MUIR ND 4453A PIER LAYOUT 30# ROOF LOAD o"": Fru& L. DATE: 03M CHASSIS INFO LM. 3D $p.IE,T M.R. SPACING 8B v7- ..z. REv I -BEAM SIZE 8'I ALL n H z O STANDARD POST DATA LOCATION DIMENSIONS ARE FROM WIND ZONE: I LIVE LOAD: 30 LBS. HUNG -SIC LIVE LOAD. 30 LBS. TYPE LENGTH NOTE PERIMETER PIERING REQUIRED I ISG LABEL LOCATION UNIT POST LOAD HEIGHT BEARING POST PIER LOAD- BEAM A_ E I A 1235 119 1/2' 1.15 32 1300 TJI B AGGRESSIVE FASTENING PATTERN B 1103 119 1/2' 1.75 32 1200 TJI C 8'-1 1/4' A IBES 119 1/2' I.15 22 3100 TJI C 6"-9 1/4' B 1367 119 1/2" I,7S 3 B TJI D 15'-4 3/4' A 3580 119 1/2' 1.75 1 7300 TJI D 14'-0 3/4' B 3561 IIB 1/2' 1.75 7 15'-4 TJI E 31'-3 3/4' A 3TBS 119 1/2' 1,75 7 7600 TJI E 29' -II 3/4' B 3784 119 1/2' 1.15 7 TJI TJI F 39' -II 1/2' A 1443 IIg 1/2' 1,75 3 2000 TJI F 38'-7 1/2' B 1449 119 1/2' 1.15 3 3 TJI G 45'-4' A 904 fig 1/2' 1.15 32 1900 TJI G 44'-0' B 902 IIB 1/2' 1,75 32 I/2' TJI EMPTY PIER LOAD IS COMBINED IN NUMBER ABOVE TJI G 45'-4'. SHEAR WALL DATA LOCATION DIMENSIONS ARE FROM WIND ZONE: I LIVE LOAD: 30 LBS. HUNG -SIC UNIT WALL PANEL TYPE LENGTH NOTE TBIB A I ISG E 5'-10 3/4' 3 26 a STRAP 26'-6 5/8' A FA 2 ISG E 4'-0 3/4' 3 a 26 a STRAP A 1 ISG E I 4'-9 1/4' 3 x 2fi a STRAP 31--5 3/8" A 2 ISG E 1 7'-0 1/4' 3 a 26 ga STRAP - IN NOTE FIELD REQUIRES AGGRESSIVE FASTENING PATTERN a- EMPiT TAIB FIELD IS COMBINED IN NUMBER ABOVE -g' ALLOWED TJI SPLICE LOCATION DIMENSIONS ARE FROM HITCH END LIVE LOAD: 30 LBS. HUNG -SIC 0.19 FROM. - TO UNIT MATE 0' - 2'-0' A B 5'-3' - 12'-8' A B I7' -J' - 18'-0' A B. 27'-6' - 29'-5' A B 33'-10' - 45'-3' A B O' - 1'. 0 A 1 JOISTS A -g' B A 26'-3' - 28'-2' B A 32.-7' - 44'-0' B A DOOR SCHEDULE ' SYMBOL I SIZE DESCRIPTION GLAZ VENT IU VALUE 3679 36 x 79 BLANK -INSWING HUNG -SIC 0.19 SYMBOL DATA SIZE I DESCRIPTI V3659SH 36 x 59 SG l HUNG -SIC V1440SH 14 x 40 SGL HUNG -SIC V3040HS 30 x 40 H. SLIDER V4609HS 46 x 08 H. SLIDER V46S9SH 46 , 59 SGL HUNG -SIC OPT TOWER DORMER SHEAR WALL DATA DIMENSIONS ARE FROM HITCH END LIVE LOAD: WIND ZONE: I OPTS FROM - TO LIVE LOAD: 30 LBS. 2'•0' LABEL UNIT WALL PANELITYPE1 REQUIRED LENGTH NOTE LOCATION TRIG A A 1 ISG E S'-10 3/4" 3 - 26 ga STRAP 26"-6-5/8- A A 2 ISG E 4'-0 3/4' 3 x 26 a STRAP 1/2' B B 1 2SG S 9'-10' 1 JOISTS A 2 LAGS 31'-10 3/4' C A I ISC E 4'-8 1/4' 3 a 26 a STRAP 31'-5 3/8' C A 2 ISG E 7'-0 1/4' 3. 26 ja STRAP 119 IN NOTE FIELD REQUIRES AGGRESSIVE FASTENING PATTERN 3400 EMPTY TRIG FIELD IS COMBINED IN NUMBER ABOVE 8'-1 1/4' OPT FLUSH FRONT DEN POST DATA DIMENSIONS ARE FROM HITCH END LIVE LOAD: 30 LBS. OP12 FROM - TO LIVE LOAD: 30 LBS. 2'•0' OPT2 PERIMETER PIEAING REQUIRED 12'-8' LABEL LOCATION UNIT POST LOAD HEIGHT B BEARING POST PIER LOAD- BEAM A 45'-3' A A 1235 119 1/2' 1.75 32 2500 TJI A I7'-3' - I9'-0" B 1235 21'-6' - 90' I.IS 32 33'-10' - TJI C 8'-1 1/4' A 1665 119 1/2' 1.75 22 3400 1,11 C 8'-1 1/4' B 1665 119 1/2' 1.75 3 TJI fl IS' -4 3/4' A 3560 IIB 1/2' 1.75 1 7200 TJI D 15'-4 3/4" 8 3SB0 119 1/2' 1.75 7 TJI F 31'-3 3/4' A NOS IIB 1/2' 1.75 I 7600 TJI E 31'-3 3/4' B 3795 I19 1/2• 1.75 1 TJI F 39'-11 1/2' A 1443 119 1/2' I.7S 3 2900 2900M TJI F 39'-11 1/2" B 1443 119 'I/2- 1.75 TJI G 45'-4' A 004 119 I/2' I.7S 32 1900 TJI G 45'-4'. B 894 119 1/2' I. TS 32 TJI a EMPTY PIER LOAD IS COMBINED IN NUMBER ABOVE ALLOWED TJI SPLICE LOCATION'' DIMENSIONS ARE FROM HITCH END LIVE LOAD: 30 LBS. OP12 FROM - TO UNIT MATE 0' -' 2'•0' A 8 5'-3' - 12'-8' A B CEILING/ROOF INFO IB' -D" A B CEILING MATERIAL US GYP 29'-5' A B 33'-10' - 45'-3' A B 0' 2"-0' B A 5'-3' !2'•8'. B A . I7'-3' - I9'-0" 8 A 21'-6' - 29'-S' B A 33'-10' - 45'-3' 8 A I� APPROVED PFS Corporation Madison W1 - 4 _5/3/04 HUD Manufactured Home Construction & Safety Standard C H A S S I S I N F O M.R. SPACING 99 1/2' I—BEAM SIZE 8' DRAWBAR LENGTH 39' DRAWBAR ANGLE 60 FLOOR INFO JOIST SIZE 2x6 JOIST MATERIAL SPF JOIST SPACING .16 WALL INFO SIDEWALL HGT. 90" EXT WALL SIZE 2x4 EXT SIDING MATL /I6 4X8 HARD] CEILING/ROOF INFO RAFTER CODE ICATHI LC7-16D-3A(17 RAFTER SPACING 24 - CEILING THICKNESS 1/2" CEILING MATERIAL US GYP FRONT EAVE O'HANG 12' REAR EAVE O'HANG 12" FRONT GABLE 0'HG 12' REAR GABLE O'HG 12' Nx� FLEE MOW WOODLAND 17 PRODUCT NAME EXPRESSION MODEL NO. 4453A DRAWMG TITLE SPEC DRWG DRAWN BY: Frank L. DATE` 03/23/04 94T REV SPEC,1 BATH I „DPI. eEDRoat uRn A IAD - FA =014 T O V3659SH DINING RM t3s�t KITCHEN NEAT TAPE RECEPT ON I04DERSIDE OF FLOOR Vl609B S EA7H OPT. b f• �\• III �. Q © 0 0 n\ ' ;���I T14.7—f / L r IV e jei � c c r 0 Vl65991 91111V]6S9SH " V36S9SH V365M zv DIES$ d 13-n' IT -9" V-4• rn • • 45'-4• � n y .. De z 0 rn C4 0 THIS FLOOR PLAN AND ATTACHED OPTION DETAILS (IF APPLICABLE) IS DESIGNED TO MEET THE FOLLOWING STRUCTURAL REQUIREMENTS: off. WINDZONE(S) I ROOFLOAD(S) 30 PERIMETER PIERING REQUIRED WHEN ROOF LIVE LOAD > 20 psi ov 72 4, AA B APPROVED PFS Corporation Madison W1 - 4 5/3/04 HUD Manufactured Home Construction & SafetyStandard L E G E N D dRECEPTACLE SWITCH O THERMOSTAT ® SMOKE ALARM a SMOKE ALARM W1 RM BUrTCN •LIGHT FIXTURE ® EXHAUST FAN yDCp VIDEO DIGITAL CABLE PANEL BC VIDEO DIGITAL CABLE OUTLET FAN FAN W/LIGH LPANEL BOX = RAG RETURN AIR GRILLE Q FLOOR m REGISTER 0 .I CROSS-OVER LOCATION / AIR SUPPLY OSUPPORT POST QSHEARWALL QA 160 x 45'-4" © 160 x 44'-0- © x FCE� %iatiroo WOODLAND 17 PRODUCT NAA£ EXPRESSION MOOR NO. 4453A DRMIN, TITLE FLOOR PLAN DRAWN BY: Frank L. DATE. 03/23/04 REV FP. FP.1 SITE PLAN ... _.... ................ ............ — .. .. ...._............. _ ... ...._ .. ................................ .. ._ .. . ........................ .....--... . . ....:...:...... .. .. .. .. ._............ .. ............ ..................................... .. .. .. .. .. .. .. ... .. .. .. :.....:.....:......:.....:............. :................... a.. ............ .. .. ..o t .....<......j..........<......j......;..:...;......j......:.....<......:..... .....<........ ......... .. .. .. :..:.. ...........:......:.....:......:......:.....:.....:............ .. .. .. .. .. .. ............. ............. .. ....j............ �d= ' ..Q...................... ..... .............. ............. .. .7.. .. .. .. . _ ,.. .. .. ............ ............. .. .. ... .. ....... .. .._............. ..... _............ a r .. .. .. .. .. .. .. .. .. .. .. .. .. ... ............................;.....:.. .. .. ... .. .. .. .. .. %= .. .. .. .. .. _ .. .. 5-- - - - - ... .. .. .. .. .................................. .. .. .. .. .. :. ....................... . .. .. ... i..`!. .. = e— . . ......... : .................................................... me'• .. ... .. .. .. .. .. .. .. .. ....:............:.. 8 ... .. . 0 0 . .. .. ._ .. .. 4l�a .........1�......... .. no �: /�n8 .................. ............... � � 1 �J F.1 m.. ... .. .. .. 4 _ ................... .............. ....... ...... ............................. ;........ .. .. .. .. .. .. .. .. . . . .:....:.. ......._................. : ... 4�i .. .1,/ l........- } i 5.......,.........................................:......:....... .. .. .. .. .. .. ,,.. .. .. .. ........................ .. .................................... ......:......;... .. .. .. .. .. .. .. .. .. .. .. ................. .. .. ... ................... .. .. .. .. ... .. : V .. .. . .........w. .. .. 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" :. .. �, ...................... ...........................................................+ :............ /� rr3� S .. ®mo o Assessor's Parcel Number. a 0 - a a — 0 u Scale: 'I" Owner Name Aty&V � SWA F'P-© R Address /Phone No. gol�l ;Es► p PALE la - -S�3y 560A Site LocationN t4,QWXn�XAV5 Ago APPRo OW Contact: Name Aa o t�E J�.,IJi�Oyr Phone '�P;k 330/ od Zoning: General Plan Desig: Size, Acres PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: SITE PLAN ...--'-- ..................---.. ... .....:.........................:......:.....:...:................ .. .. .. _ .._ ................;.....;.. :......:..........:. :.. ............... . ............ .. .. ........: . NO C� ............................ .. .._ _.............................. _ �,.,.�. .�...... �. .:....:...:...:.. ....:....:... ......:. .. .. .. °o ............. .. ._ ................... .. .. o..._ ._ .. .. ............ .. ............. . 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A FT F.A. . .. .. .. ....�.,�. .- .. ........................ :.....;.......:....:.................;...........;................;... .. t .i. .. .i. .. .. ...i. .. .. .. .j. ... .........................1. ... ... .. .. idf 1++1111 tt�.. ....-•- . ... LOQ . , . �C =—�- .. .. App ............. ...... ............ . ...........rr� .•� �, `'� .. .. .. ' :.....: Assessor's Parcel Number. a 6 — / / — D / 3 _000UNI ❑❑❑ ❑❑0 ❑❑❑ Scaler - Owner NameD�/ ohl�/ SWA ��o RQ Address / Phone No. 4Z ,Es�94WA- dAAEjF�tD - .� 3j/ 35O �, Site Location N �,tD/Mhr�s/ON.S AWAPPRaX1M� Contact: Name 44 Phone Is 3 3301 • INTERIOR RIDGE SUPPORTS STANDARD PIER AS SPECIFIED AS SPECIFIED BY MANUFACTURER BY COACH MANUFACTURER o:.g I :g .g O -a 'OR TRIPLE WIDE 'LACE �.• I , 'ExISTI/G IOBIL xlftlNG NDB, $xISTING IGBRE El" {{ QQ !1 CZISTING IOBII`1 aEOACH BCAMSQ OCOACN T4:Axf a QEOACH BCAxSa 06 C%ISTING ROBAC I/COKN BCAMiy 14 Fll lfl lil El / Q Q a 4 4 4 4 4 4 4 41 ® F®. ii.PLATES: ASTM A36 ® E' un I I LU � LJ•� L.F-I LI -1 8 4 4 I 4 I 4 I 4 I 4 I 4 I 4 Of 4:12 o a a o a I LACE SEISMIC PI IN ROWS D• t I I I I �j 60' t �Ij! ck 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED FOUNDATION PAD / PER TABLIE E o m� U `i-' ( m� 6. THIS FOUNDATION SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL 4 4 4 4 [P-0 UP TO 48 FT 4:12 8 0 1 8 0 8 PLAN Stele: 1' _ 10' TRIPLE WIDE MOBILE COACH SEISMIC ZONE 3 ROOF LIVE LOAD (PSF 60 WIND L.OAD(MPH,EXP) 708 170 COACH SIZE / OF I OF / INSTALL MINUTE MAN EARTH AUGERS .'(OR EQUIV.) 2900 IBS CAPACITY WHEN REQUIRED, SEF. TABLE. SPACE IST ROW r 2 FT FROM END THEN SPACE EVENLY. OUTLINE OF .- lJ 44 � -o MOBILE lT-'1 COACH 0', 24', 26', 28', OR 32' PLAN Seale: i' - 10' DOUBLE WIDE MOBILE COACH SEISMIC ZONE I I N O -a 'OR TRIPLE WIDE 'LACE 4 I , ,� ("�� 1p W SEISMIC PIERS XQUWEN 18 PIERS 4 ROWS OF 4.ISTIHG 'SQUIRED PUCE 4 ROWS 0► B. El" {{ QQ !1 CZISTING IOBII`1 TT O + + 0 /COACH BEANS l MOBILO ?OCOACH BEAMS NJ _ I C%ISTING ROBAC I/COKN BCAMiy 14 Fll lfl lil El / Q Q r 00 ACCORDING AISC c. SHALL BE WELDED: ACCORDING TO AWS SPECIFICATIONS: (� F--++ ~Z_I j 00 I 51 4 4 4 41 a Q 4 ii.PLATES: ASTM A36 I I gr I I 4:12 LJ� Lr -I U-1 LU 8 LI-) L7'J 8 4 4 4 4 1p LENGTH PROTECTIVE COATED. 0 s Of 4:12 FOR DOUBLE ME 0 12 4 12 LACE SEISMIC PI IN ROWS D• t I I I I ! SEISMIC PIER & 60' / PER TABLE El 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED FOUNDATION PAD / PER TABLIE E o WITH LONGITUDINAL OR CROSS JOISTS. U i ( m� OUTLINE OF .- lJ 44 � -o MOBILE lT-'1 COACH 0', 24', 26', 28', OR 32' PLAN Seale: i' - 10' DOUBLE WIDE MOBILE COACH SEISMIC ZONE 3 & 4 3 & 4 70B 80B 40 40 OF I OF I OF MIC TIE- SEISMIC RS DOWNS PIERS C 0 6 0 .8 4 4 4 8 0 OUTLINE .OF MOBILE O_.,, . _0 . COACH 0",12'.14*.OR 16--j- PLAN ' 'PLAN se., i = t0'' SINGLE WIDE MOBILE COACH 3&4' 3&4 70C 80C OF II OF I OFOF 01 #'E- UP TO 48 FT 255:I2 I B 0 B o 1 e 1 4 PIERS MAX. SNOW LOAD 4 UP TO 78 FT 255:12 12 0 12 0 12 4 14 a COACH SIZE / 20 r 00 ACCORDING AISC c. SHALL BE WELDED: ACCORDING TO AWS SPECIFICATIONS: (� F--++ ~Z_I j 00 I i. ELECTRODES: E70 I-4 "�'"•� ii.PLATES: ASTM A36 SPIE gr UP To 48 FT 4:12 8 0 8 4 8 8 d. ALL METAL COMPONENTS INCLUDING NAILS. & SCREWS ETC. ARE TO BE WIDTH LENGTH PROTECTIVE COATED. 0 s UP TO 78 FT 4:12 12 0 12 4 12 8 3 3:12 10',12' 60' 6 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED O W E o WITH LONGITUDINAL OR CROSS JOISTS. U i In 6. THIS FOUNDATION SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL ROOF a SITE WITH NO EXISTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) m24',28'28' UP TO 48 FT 4:12 8 0 1 8 0 8 t ITCH14 ,18' 78' 8 S 32' UP TO 44 FT 4:12 8 0 8 0 12 a 0 ; U y s_ 44' 4 24'.28' 28'32' LIP TO 88 FT 4:12 12 0 12 0 12 4 N u 4:12 lU' & 12' 60' 6 3 & 4 3 & 4 70B 80B 40 40 OF I OF I OF MIC TIE- SEISMIC RS DOWNS PIERS C 0 6 0 .8 4 4 4 8 0 OUTLINE .OF MOBILE O_.,, . _0 . COACH 0",12'.14*.OR 16--j- PLAN ' 'PLAN se., i = t0'' SINGLE WIDE MOBILE COACH 3&4' 3&4 70C 80C OF II OF I OFOF 01 #'E- 7E- SEISMIC TIE- SEISMIC IE- 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL. REQUIREMENTS WHERE INSTALLED. PIERS PIERS DOWNS PIERS DOW) 4 16 6 6 12 4 1 18 8 8 14 UP TO 78 FT 4:12 18 0 IB 0 4 z ROOF 78' 8 4 . 8 4 18. 8 8 14 y PITCH a 30',38' [- UP TO 60 FT 4:12 12 0 16 3�U 4 14'&16 80 6 0 64 !6 8/ 6 12 42',48' UP TO 78 FT 4a2 18 0 IB 4 78' 8 O 8 4 18 10 8 1 16 FIND COACH SIZE, THEN ROOF PITCH. FOLLOW ROW ACROSS TO DESIGN LOAD. READ [IND ROOF PITCH, FOLLOW ROW ACROSS TO COACH SIZE THEN ACROSS TO DESIGN 10W. READ 'OTAL NUMBER OF C.P. SEISMIC PIERS & TOTAL NUMBER OF TIEDOWNS REQUIRED. SEE TOTAL NUMBER OF C.P. SEISMIC PIERS & TOTAL NUMBER OF TIEDOWNS REQUIRED. SEE PLAN PLAN ABOVE FOR PLACEMENT OF PIERS & TIEDOWNS. AUGER TIEDOWNS SHALL BE ABOVE FOR PLACEMENT OF PIERS & TIEDOWNS. AUGER TIEDOWNS SHALL BE LISTED. AUGER LISTED & INSTALLATION INSTRUCTIONS SHALL BE ON SITE AT TIME OF INSPECTION. INSTALLAT • FOR 18 C.P. SEISMIC PIERS, PLACE IN 3 ROWS OF 6. ' 12 IN OVERSIZED 5/8'x3' FOR CHIPPING AND/OR FLANGED PLASTIC CORNER BREAKAGE ANCHOR INSERTS �o o 3' 36 1/2' 4 5/9' x 1-3/8' FLANGED 5/8'x3' STAINLESS STEEL OR FLANGED PLASTIC 5/8 x 3' FLANGED ANCHOR INSERTS PLASTIC ANC1413R INSERT 3.5' 3.5' 1x1 -4x1 WWF_ 1 4x4 -4x4 WWF A 3 IN PRECAST C.P. PRO PAD PRECAST PAD 7AN 30'x32'x3/4' IN PLYWOOD 112 2 IN HOLES FOR TUBE MUST EXTEND I I COACH I BEAM 1 4 - 3/8: BOLT WITH WASHER S NUT 2' ,IA 1 STD PIPE' 4 - 3/8'LBOLTS GENERAL NOTES: REVISI❑NS BY REFERENCE: CALIFORNIA CODE OF REGULATIONS, TITLE 25 AND U.B.C. 1994 EDITION. 05-02-03 YW 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL. REQUIREMENTS WHERE INSTALLED. 10-01-03. YW 2. FOOTINGS ARE TO BE SUPPORTED BY EITHER FIRSAj"AT6D, UNDISTURBED SOIL'OR COMPACTED FILL, ASPHALT"OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING 04-07-04 YW CAPACITY AND SHALL BE'COMPATIBLE WITH LOCAL SOIL CONDITIONS.. ALL FOOTINGS SHALL BE FOUNDED IN ACCORDANCE WITH H.C.D. CUIDLINES AND TITLE' 25. ESTABLISHED ACCORDANCE TITLE 25 & MANUFACTURER. CO E_ 3. STRUCTURAL STEEL: Co' a �D a. SHALL CONFORM TO ASTM A36 Fp = 36 KSI MINIMUM. b. SHALL BE FABRICATED TO SPECIFICATIONS. �j r 00 ACCORDING AISC c. SHALL BE WELDED: ACCORDING TO AWS SPECIFICATIONS: (� F--++ ~Z_I j 00 I i. ELECTRODES: E70 I-4 "�'"•� ii.PLATES: ASTM A36 a` Oj iii. BOLTS: STANDARD ASTM A307 APPROVAL ODES NOT AUTHORIZE OR APPROVE ANY ES&rz OMISSIONS OR DEVIATION x n IV.THREADED ROD:. COLD DRAWN LOW CARBON WELDABLE ^� W d. ALL METAL COMPONENTS INCLUDING NAILS. & SCREWS ETC. ARE TO BE PROTECTIVE COATED. 4. THE C.P. SEISMIC PIER SHALL BE LISTED AND LABELED BY CERTIFIED TESTING AND, CONSULTING SERVICES THE FOLLOWING U) r00 v v (CTC)' FOR LOADS: a. LATERAL :X -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD 1-H NN Z 3 b. VERTICAL : 16000 LBS ULTIMATE LOAD.W IC 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED BUILDINGS CONSTRUCTED O W E o WITH LONGITUDINAL OR CROSS JOISTS. U i In 6. THIS FOUNDATION SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL W a SITE WITH NO EXISTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) �I L Q 7. STANDARD PIER & FOOTING SPACING PER COACH MANUFACTURER'S INSTALLATION H Q U MANUAL. WITHOUT MANUAL, SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE MOBILE HOMES PARK ACT. U W c J FOUNDATION PAD NOTES: W 1. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE U y s_ Z CUSTOMER MAY CHOOSE ONE OF THE FOUR PADS FOR THEIR COACH. c 0 2. FDTN PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) Q W F 3. CONCRETE FOUNDATION PADS 1-1 E- < A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLITE WEIGHT CONCRETE. O 3 B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LONG DIMENSION O W OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN). W C. ,.WHERE FIELD CONDITIONS REQUIRE PAD ROTATION, NO MORE THAN HALF OF THE Cn PADS IN A TRAVERSE LINE CAN BE ROTATED SO THAT THE LONG DIMENSION OF THE PADS ARE PARALLF.L:TO THE- COACH BEAM. CyV d D, q 4. PRESSURE TREATED FOUNDATION PAD A. 3/4 INCH A.P.A. 48/24 EXTERIOR P.S.I.-83 CC. PLUGGED, NER-QA397,PRP-108. w N d 5. ATTACHMENT TO EXISTING CONCRETE SLAB P--, THE C.P. SEISMIC PIER MAY BE ATTACHED TO AN EXISTING COMPETENT CONCRETE SLAB OR O 17 _J CONCRETE FOOTING ACCORDING TO THE FOLLOWING CRITERIA: 1. ATTACH WITH TWO '%' DIAM. ITW RAMSET/ REDHEAD TRUBULT WEDGE ANCHORS o 2. MINIMUM EMBEDMENT = 2.5' L._ 3. MINIMUM CONCRETE THICKNESS = 3.%" 4. MINIMUM .EDGE DISTANCE = 2" rx. COACH SIZE NOTES: I. UNLESS APPROVED BY ROCK SOLID ENGINEERING, INC., THE ROOF PITCH SHOULD NOT I EXCEED: - O A.SINGLE WIDES: 3:12 OR 4:12 AS SHOWN IN TABLE ^ E`'3 B.' 20 FEET WIDES: 2A:12 OR 4:12 AS SHOWN IN TABLE C. ALL OTHER DOUBLE WIDES: 4:12 I'r=Ij Q D. TRIPLE WIDES: 4:12 (]y 2. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PLAN OR REFERENCED ABOVE, I) LAYOUT SHALL BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING, INC. INSPECTION REQUIREMENTS: 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS W BUILT BY THE MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES AND [� SECONDARY ROOFS HAVE NOT BEEN INCLUDED IN THIS DESIGN. U In 2. ALL DIMENSIONS INCLUDED ON THIS PLAN, INCLUDING COACH SIZE, ROOF HEIGHT AND F Z 10 O V) (n PIER HEIGHT. SHOULD BE FIELD VERIFIED BY THE LOCAL BUILDING OFFICIAL ANY DISCREPENCIES SHOULD BE IMMEDIATELY BROUGHT TO THE ENGINEER'S ATTENTION. . L�_Z 00 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT PROPER -DRAINAGE PATTERNS HAVE BEEN IN WITH CO W Q� IN Z 0 ESTABLISHED ACCORDANCE TITLE 25 & MANUFACTURER. 00 E_ OI MOMACMEDROME/MOBILEHOME O r�l ate IOUNDAT CODE. SEC .- . ®AETR AT4D SAFETY CODE, SECTION 18551 W x �•+ M E r "�'"•� APPR APPRI:YI:U EUTUECT TO CORRECTIONS NOTED cv Owv ii APPROVAL ODES NOT AUTHORIZE OR APPROVE ANY ES&rz OMISSIONS OR DEVIATION 2 - 3/8' x V BOLTS ROM REQu1REMMMOF 5~ 4}tEM•WT' ."yam W APPLICABL ATE LAWS ANDREOUTATIM -.® FIELD DRILL HOLES Sm.. or C.Nraw .FF�97 OPTION DF E- 1p��j12/�pl� W CC 04 Afmlk 4^414 SELF TAP SCREWS ORAJHBEAM ��+fir Ik U � `� BI A107 sTAIlAyp By � (0 Z CIVILN' 0 1 /1'x2'PLATES, 1iY.r.141 �� C) ANGLE 3' WIDEIDE 57A NO�- -� •�• UE SPACERBAS NEEDED 7M.PI.Appn iByA` ,. I/2 x 2 1/2 C.B. ... 3 MIN IN TO CLAMP HOLES FOR ""�� _3/Ib' PLA7E (\EY(�Lo,.( / f 18'x24'x3/4' 1/2'x2-1/2' C.B. BASE HEIGHT 1! CLAMP 1 4 - 3/S SEISMIC S r - PLYWOOD - CO n ` 115 7 INCH $MALL 3/4' THREADED R00 BOLTS PIER RRIAGE UNE a STD. C71A5515 SUPPORT DATE: 04-2 PER, INSTALLATION MANUAL CONNECTED WITH EIGHT •` o 1-1/2'x.120' NAILS OR _. 9R8x1-1/2' FHWS''4; 4' 32' Q -PAD PLYWOOD PAD FOUNDATION PADS INCN REGULAR TYP PLATE LEGS 18.5 INCH EXTRALARGE iYP OF 2 SCALE: AS SH❑WN�i. OR STEj L(NSEQT. 5/81x PLA 1 INSERT: 5/8 WITH HARDENED WAST 1/4' PLATE SEISMIC PIER Not 'to SCa1e C.P. SEISMIC PIER#1-PATENT #5595366 I TYPICAL EIsMIC PIER ANULL� DRAWN YMW FIFOUNDATION 6,OPE MIN zx 36' MAX JOB #: W03002B BEAM rRADE LOT PER INSTALLATION MANUAL SHEET: CONNECTION ELEVATION 1 Not to Scale NOT TO SCALE OF 1 SHEETS F. •- � ` . �� , i