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HomeMy WebLinkAbout026-280-007/�0 (1G CODE VL 1 026- '0 Junk in public vie Ured bldg., & unsafe st COMPLAINT TO INSPECTOR COMPLAINT TO INSPECTOR COMPLAINT TO INSPECTOR a-�-os BUILDING CODE VIOLATION 30PA)" LETTER At 77 026-280-007 BRACEY, GAIL L- 7579 OCCIDENTAL AVE, I Y.7cNte�D CONT: OWNER DEMO SF 026-280-007 04-2024 BRACEY, GAIL 7579 OCCIDENTAL AVE, P Cont: OWNER INALE0 NEW MH PERM FND-L-X ITFC 26 Y B07-1873 026-280-00/7 MISCELLANEOUS Patio Cov Pch COVER R 7579 OCA\1E BRACEY, GAIL - CJ �f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name RZn ^ EU l First Name (�fT Mailing Address.? 51 � n ^OF—WA L t - City PR LEIZ-01 0 State Zip Phone,r-� - Fax E-mail APPLICANT SIGNATURE X �•&aa4 . _J^ PERMIT NO. bw - (N# TFiLo PROJECT LOCATION Property Address .75 111 Cy—ME-0111L AVE city �.1.�2M0 • q5 lig L._, WORKER'S COMPENSATION Policy Number Carrier t � If hiring anyone other, than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY \~• Name Address DESCRIPTION OR SCOPE OF WORK: CONTRACTOR Name Name Address / Address rn City Zip State Zip / Phone E-mail Fax u" r E-mail 'Glas`s'� APPLICANT SIGNATURE X �•&aa4 . _J^ PERMIT NO. bw - (N# TFiLo PROJECT LOCATION Property Address .75 111 Cy—ME-0111L AVE city �.1.�2M0 • q5 lig L._, WORKER'S COMPENSATION Policy Number Carrier t � If hiring anyone other, than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY \~• Name Address DESCRIPTION OR SCOPE OF WORK: AR,CHITE_ CT/ENGINEER Name v Address / City Sq FT- Living Garage Open Co E20:d State Zip Phone Fax - E-mail State License Number APPLICANT SIGNATURE X �•&aa4 . _J^ PERMIT NO. bw - (N# TFiLo PROJECT LOCATION Property Address .75 111 Cy—ME-0111L AVE city �.1.�2M0 • q5 lig L._, WORKER'S COMPENSATION Policy Number Carrier t � If hiring anyone other, than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY \~• Name Address DESCRIPTION OR SCOPE OF WORK: APPLICANT INFORMATION Name CAUL v Address _75 — .Ti1'il� n I City L Sq FT- Living Garage Open Co E20:d State Zip l;qi Phone�, ✓�I Fax E-mail APPLICANT SIGNATURE X �•&aa4 . _J^ PERMIT NO. bw - (N# TFiLo PROJECT LOCATION Property Address .75 111 Cy—ME-0111L AVE city �.1.�2M0 • q5 lig L._, WORKER'S COMPENSATION Policy Number Carrier t � If hiring anyone other, than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY \~• Name Address DESCRIPTION OR SCOPE OF WORK: Zoning Flood Zone i I Yes I No Occ. Sq FT- Living Garage Open Co E20:d 1 ® Structure Built without Permits O Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone if, SRA I Yes I No Occ. Type onst. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2004-100535182 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:43PM 01 -Sep -2004 REC FEE 10.00 CONFORM 1.00 Myles Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM �( Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GAIL E. BRACEY REA I. PROPERTY OWNFR/L.FSSOR 6368 LINCOLN BLVD. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP 7579 OCCIDENTAL AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE ALL835 MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STA'T'E ZIP 04-2024 530 538-7541 BUIL 'G PERMIT N0. TELEPHONE NUMBER ATURE OF LO ALA NCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SKYLINE 1981 ALL835 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMI:/NUMBER 01750315AP/BP 52'X 24' 214246/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ' SEE ATTACHED ASSESSOR'S PARCEL NUMBER 026-280-007 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. } i Order No. 00211288-001 n EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: A PART OF LOT 4 IN BLOCK 96, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PLAT OF RE -SUBDIVISION OF BLOCK 96, SUBDIVISION NO.2 OF PALERMO CITRUS TRACT, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AUGUST 20,1890 IN BOOK 1 OF MAPS, AT PAGE 39 AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: .BEGINNING AT THE SOUTHVv TST CORNER OF SAID LOT 4 AND RUNNING THENCE NORTH ALONG THE WEST LINE OF SAID LOT 4, A DISTANCE OF 174.0 FEET TO THE TRUE POINT OF BEGINNING OF THIS PARCEL OF LAND; THENCE CONTINUING NORTH ALONG THE WEST LINE OF SAID LOT 4, A DISTANCE OF 50.0 FEET; THENCE AT A RIGHT ANGLE EAST AND PARALLEL WITH THE SOUTH LINE OF SAID LOT 4, A DISTANCE OF 125.0 FEET; THENCE SOUTH AND PARALLEL WITH THE WEST LINE OF SAID LOT 4, A DISTANCE OF 50.0 FEET; THENCE WEST AND PARALLEL WITH THE SOUTH LINE OF SAID LOT 4, A DISTANCE OF 125.0 FEET TO THE TRUE POINT'OF BEGINNING OF THIS PARCEL OF LAND. •N NOTES RESIDENTIAL, ~ PERMIT NO. —x026-280-007 - - -- - - --04-2024 BRACEY, GAIL } 7579 OCCIDENTAL AVE, PALERMO Cont: OWNER NEW MH PERM FND-EX SITE I 0 .j THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE f INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW i MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. e SPECIAL CONDITIONS <,---� CHECKED BY �8RA ✓ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER LLOFFICE COPY Address GAS Meter By Date ELECTRIC Meter B .Date r•. _ cer1=► -� JOB FINALED (Date) Signature J OK 0=NofOK = NotNoApplic Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ . P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 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. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) on iq9,Req uirements-Setbacks-Easements os; Size -Spacing -Marriage Line locking aH Test -Demand -Valve R'Sectricity; MH Test ater; MH Test 7. Vater and Sewer Connected -80'Ga d Electricity Tagged x' nse Decals Verify #'s with Office to -Pi Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Cmc 2,bu 3??2-3//Z ,' MISCELLANEOUS Uate 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- Panel boards- 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 rDate 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 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date 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 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 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-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 O 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds 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 my license is in full force and effect. License Class : License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.): O 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 the Businesgnd fessions Code Date: 2l-4-0 Owner: �3 WORKERS' COMPENSATION DECLARATQN I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: PERMIT NO. BP042024 Issued Date: 08/04/2004 APN: 026-280-007-000 Site Address: 7579 OCCIDENTAL AVE PAL Map Index: Description: NEW MH ON PERM FND-REPLACES SF(1248) Owner: BRACEY GAIL E 6368 LINCOLN BLVD #76 OROVILLE, CA 95966-9532 Applicant: BRACEY GAIL E Contractor: License #: Architect: Engineer: Carrier: Policy #: Total Square Ft: 1248 S. F. Valuation: $81,120.00 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: C,7 — tl—oel Applicant: WARNING: ailure to secure work rs' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is, issued (Sec 3097 Civ.) Address: This permit is Pereby issued under the i Resolutions t do work indicated above 'i • ---1/1/1 t: `-vti ON: '7 f 04 icable provisions of the But which fees have been paid. X--, Data: S'-1�•OS ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pure e Print Name: C r7 ( �— - I l f..r1�CE� Signature: ,/Yti�`' Date: Zy �-y'U f 8( Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor ;a, ra��.r.yc.;,�,yti ;_•....t.,�*`.`-.,�.%.c"'+.^•t""r�w;�:.�.eP3:;.�w'r.tas•.-..,.«�;�'�a7�g9''a�:is'..Y'�'7�'�' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES <: 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER D yW2 PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, " leas contact this office immediatelyn ,� 4: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds 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 my license is in full force and effect. License Class: License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 the Business nd Professions Code Date: AI -0`'f Owner: WORKERS' COMP SATION DECLARAT N 1 hereby affirm under penalty of perl'ury one of the following declarations: ❑ 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy f a I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant:. WARNING: allure to secure wor rs' 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. PERMIT NO. BP042024 Issued Date: 08/04/2004 APN: 026-280-007-000 Site Address: 7579 OCCIDENTAL AVE PAL Map Index: Description: NEW MH ON PERM FND-REPLACES SF(1248) Owner: BRACEY GAIL E 6368 LINCOLN BLVD #76 OROVILLE, CA 95966-9532 Applicant: BRACEY GAIL E Contractor: License #: Architect: Engineer: Total Square Ft: 1248 S. F. Valuation: $81,120.00 Census Code: 4- $54q. 90 7•►�• 04 s CONSTRUCTION LENDING AGENCY This permit is ereby issued under the I hereby affirm that there is a construction lending agency for the Resolutions t do work indicated above performance of the work for which this permit is issued (Sec 3097 Civ.) �- Name: By: Address: ON: icable provisions of the But which fees have been paid. —� Date: 49-4,64 8•¢•05 ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pure e Print Name: co AJ L • "►/ Signature: r� . Date: 5r-4'U'I 67 g Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor KII BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT NAME OWNER Name Name ZACZ'� zip qt�4� Address tp3(,-s l_JP UJ_P (3LV O "71P City D f�-O U l I -L F Zip I State cll� Zip Phone11 —t E-mail -- k 5-6 4 E-mail -*g. ?64 � APPLICANT NAME -CONTRACTOR__-___ _.__ Name \ Address zip qt�4� City F_� State Zip Phone Fax E-mail -- Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name \ Address zip qt�4� City F_� State Zip Phone Fax E-mail State License N er APPLICANT NAME Name G R (L ra B i2/IA Cly AddressL6U-6 WOUt.N P14D I� City 0 V l LL. E Stat T zip qt�4� Phonejr�q , 0 F_� E-mail APPLICANT SIGNATURE X For of i use only: Zoning Flood Zone SRA Yes JA Occ. I T e Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT BIN # LOCATION AP# A4 Property Address 01 OCt DEN AL v Cross Street (SIA 0 CA g5gtp' WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of ork: 5 � ( MdP�'1LE F1bM� vl�.lc� S Sq. Footage j �ol/-(� SPT ❑ 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. 1!.%CnMAC\01111 MIki _ Cr.DIkAe%DIA-A-,IC. kDn f1 jinn Dino 1 M'> by: Amount: -/ Bldg /J 0 SRA Receipt #: Sheriff J09ASMIP I Other Date:l-� 0) Q Total P=%/ d_'1n_nd SUBMITTAL 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. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! , ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review.- ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ Sanitation and site plan approval from the Environmental Health Department. ❑ 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER!' ❑ 2. 4 Engineered plans with wet signature on plans AND,2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FA)[ES!). , ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. .. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 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 R /l OWNER: t/1 ASSESSOR PARCEL NUMBER Proposed Building Use: elV�% M Counter Technician: Date: �� • d / Items required in order to apply for a permIA All boxes, -MUST be checked OR marked NA in ordeCtb apply. 11 1. Site plans, 3 or 4 sets, signed byte 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. J' 8. Manufactured homes,Data sheets and installation Inst; Marriage line info, _ Floor Plan, Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and talcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Jam`/ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate 11�4' "44 00d e� • 7- ze. oel ❑ 11. Site plan and business license approval from the City of Biggs �U�e' OC }�6Q� ceyE- 7 z9 0� c ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ` ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ 15 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......:. ❑ / 20. Erosion Control Plan Required. 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ = ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. • �°i� 24. Planning approval O Use:b1kOB Parkin9: OC Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form .................. :.......................................................................... 27. Encroachment Permit for riveway from t e Public Works Dept ......................... 28. Pre -Ins -Inspection for S required....... 7 10 . &P ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ . 30. Worker's Compensation Carri r and Policy Number ....................................... .12 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 0 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 0 34. Manufactured home utility clearance............................................................... 35.ng violations and/or expired permits......................................................... ❑ 36. Restriction ....:.................................... ....... ........................ ❑ 37.ant Deed it H. Title/Statement of Facts, a ter from Legal Owner,�heck to H.C.D. $ ❑ 38.?: ❑ 39. Other:-��-�- When issued Telephone *0 and hold for pickup. I have been in o7�}med of thea ove items and requirements for obtaining a building permit. i• � Applicant: �) /W, Date: I'l�"U 1. Indee�x ppermit aVplication for the above iter(sjhumbered: Plan Check ett r 2"Additionakitems required 0 Contractor, d si ner, owner, was advised of the above data by-e'phone, ❑ mail, ❑ counter, by Date: signer, owner, was advised of theVajove ataby ❑ phone, ❑ mail, ❑ counte Date: Plans reviewed by: (�Ci Date:0 Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division A j A � .. E. U3E OAKY Plot Plea At; " Foos Plea Atee!►od sent to B.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r'I Owner t ° Location AP# Plan Approved for: Sewage Disposl— j Wate Supply: Public Private Wel Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental He 8/96 Specialist Date COUNTY OF BUTTE .DEPARTMENT OF DEVEL6pMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 ' SCHEDULE OF RECEIPT OF FEES ' OWNER. - 1 ` A. P'. # �0�19 " `� O�� 'PROPROSED BUILDING USE DATE 1 G RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES ► i ��- a /'— (paid at School District Office) (form available after Plan Chec U .4' oT 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paidatBuilding Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE X9:90 (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. Fig. Amt. `�`0. OTHER�� At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. , ) APPLICANT DATE Pursuant to Government Code Section 66020, you a hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the projector 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) f ;w7 4 4 Department C o u n t i. wttcnaei .rump, uirector Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACREI Project Description:jgfl�LX"L) -- Project Location and/or Parcel Number: ()&(p - oZS_o - OCA 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: q Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program O.B.-1 OWNER-DUUELDER VERITICATION Attention Property Owner: An "owner-buildee' 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. 0I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 9 NO ❑ (DI HAVE ❑ HAVE NOT )� signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction: AME• ADDRESS: CITY: J PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the folio person to coordinate, , supervise, and provide the major work: NAME: :��ADDRESS: CTTY• HONE: CONTRACTOR'S LICENSE NO. 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 GNED: PROPERTYOWNER: DATE: NOT' This t-rer-Builder Yercfication is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit 0V VR OWNER BUILDER INFORMATION Dear Property Owner. An application for a bmlding permit has been submitted in your name listing yourself as the builder of property improvements specified. For yourprotection, you should be aware that as "owner-bmlder"you are the responsible party ofrecord on such a permit: Building permits are not required to be signed by property owners unless they areerso own work. If your work is being performed P �Y Performing their by someone other than yourseh; You mai' Pmt Yourself from possible liability if that person applies for the proper permit is his or her name. Contractors are required by law to be licensed and bonded by the State of Califomia and to have a business license from the city or county. They are also required by Iaw to put their license number on all pemmiis for which they apply If you plan to do your own work; with time exception of various trades that you plan to subcontract; you should be aware of time following information for your benefit and protection: a If you employ or otherwise ewe any persons other than your immediate family, and time work C=bding materials and other costs) is S30D or more for the entire project, and such persons are not licensed as contractors or subcontracbms, Bien you may be an employer. ♦ If you are an employer, You must register wifk the State and Federal Governments as an employer and you are subjea workers D several Obli�on suons including disability state and Meral some tax withholding, federal social security taxes, ability msUrance costs, and unemployment compensation confriWtions. There may be fir mcial rids fmr you if you do not carry out these ob With respect to woricer's compensation ins rmnce, oma+ and these risks are especially serious ♦ For more specific mon about YOM obligations under Federal Law, co>miract the lntemal Revenue Service (and, if yon wish, time U.S. Small Business Administration). For mare specific inflammation about your obligations under State Law, contact the Department ofBenefit payments and the Division of hdastrial Accidents. If the structare is intended for sale, property owners who are not licensed contr c are allowed to perforin their work personally or fhmugh their own employees, without a licensed c or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be centzactars is to secure an "owner builder" building Pew err'oIIeouslS' hmpbbg 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 Rd oration about licensed Contractors may be obtained are Pig their own work personally. comnnmii3► or at 1020 N Street; S acramento, CA. 95814. � �e � State License Board in your Please � the` � B' are aware o1dur Ve�caiion" on the reverse side of this form so that we can confirm that you f these matten Tice building Permit Will not be issued until the verification is returned. .ur•? a .,■ ■ ■.■ NOT Z- TYtit Owner -Burma jnforrnaSoa is requfred by Secdon.19930 ofthe Calforrria Health acrd Safety Code BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 6+ (One form per Building) School District Building Department No. A.P. Number(D • NO • Jurisdiction: City -iCounty Property Owner Property LocatlonlA Subdivision Lot No. ........................................................... V ...................................... Residential DevelopmentL-j Sq. Footage No of Living Mobile Home Addition) *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) ....................................................................... 1 ....................... . ... q C —16c� Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/in6ustrial New Addition District Identification No. 050031 U,h 1QhGt School District certifies that I Sq. Footage (Including Exterior Ro6fed Areas) Date (Applicant) A — '15qq Dcci dLi0m\ :53 if- 9/0 (Streetdress) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing /� District JD5 --q by payment of $ Y'e M square feet. 2926 $ FULL MITIGATION $ g oDate Paid by Check # )(iefti � Remarks: V 9 No**: You may protest the Imposklon of the fees IdenOW above by submitting a written protest to the Distilict, in compliance with Gov mmmd Code Section 66020(a). whtdn 90 days from the date fib" am paid. Failure tosubmit atimely written protest will'prohlbIt you from challenging the ln**Mm of the ton In any court action. N, subsequ*W to the School District Representative signing #ft Butte County Schools Impact Fee certification Form, the School District Is rhotifled by the applicable Local Planning Agency that this project Is being rwlewsd under tin "Ifornlia linvimnmentall Quality Act (CEQA) this project may be autiled to additional school ton to fully mitigate. Its Impact on the ad" distrieft scimb. White (applicant), Yellow (building department), Pink (school district) feeform.xIs (10/03)dmm PRE -INSPECTION R OWNER: 0� LOCATION: CONTRACTOR: REASON FOR PRE-INSPECTIQN ,Q:V_- --?—�� 1 n X14i�/�O_ DATE TO INSPECTOR: �� PRRTiTiT uTCTnUv i \ �Tnwrr rX Building Description: Comrnercial/Usage: EPORT DATE: 1 �—' L� A.P. # ZONING: BUILDING INSPECTOR'S REPORT Residential # of Units: i { Currently Occupied ( ) Yes -Abandoned/Vacant: Electric: Electric Currently ( ) On Condition of Electric Gas: . Currently ( ) On Condition Sanitation: Plumbing Working ( ) Yes Obvious Sewage Problems ( ) Yes ACTION RECOMMENDED: ISSUE Hold for permits or verify: Inspector• ( ) No ( ) Off ( ) Off No No Mobile home # of Units: (, �es ( ) No Date: 1 Chef BUTTE COUNTY PERNIIT DEPARTMENT OF DEVELOPMENT SERVICES 0' BUILDING PERMIT APPLICATION 96) AND SUBMITTAL REQUIREMENTS BP 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CIRCO: (530) 891-2834 BIN # OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name 2AC L� Address UL -P e?LV p 7 to City ©f�0 V L LL & State Zip Phone r- weR � E-mail APPLICANT NAME CONTRACTOR Name ) Address Zip City c 454/9, State Zip Phone Lot # Fax E-mail Lic. # Class APPLICANT NAME �., ARCHITECT/ENGINEER Name City O v L t- F, Address Zip City c 454/9, `Stat Zip Phone Lot # Fax E-mail State License Neer APPLICANT NAME Name ca B" C�� `� Address r� to W O U I - N PL V p '1l City O v L t- F, Stat Zip Phone 5�,q , I O c 454/9, E-mail APPLICANT SIGNATURE X � • '' For offkb use only: 17 Zoning , Flood Zone SRA Yes Occ. I T e Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# , *-$d - 00-7 Property Address �0101 OUI DEN AL v Cross Street rA l—Fi� -mo C,h WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 5 , MOBILE HOMIY Sq. Footage l a I4 $ 54 i= -T ❑ 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. by: Amount: 1 �' Bldg 11 0 SRA Receipt #: Sheriff r(La I Q SMTP d ` ' Other Date: ` — �i r, / C ix / V/ lD �l 0� e� Tntal CODE V1' TT7. 026- 0 Junk in public vie ured bldg., 026-280-007 03-3205 & unsafe st 00 (30 day) BRACEY, GAIL E 7579 OCCIDENTAL AVE, PALERMO CONT: OWNER DEMO SF COMPLAINT TO INSPECTOR ou oar-iso-vat 95�U8 BUTTE geJy,�z W oax COUNTY SEP 17 2004 OEVEi,OPMFN'I' SERVICES I Butte County Department ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING September 21, 2004 Gail Bracey 6368 Lincoln Blvd. Oroville, CA 95966 Subject: Reconstruction of a nonconforming use Site Address: 7579 Occidental Ave., Palermo, CA 95968 Dear Ms, Bracey: Non -conforming uses in Butte County are governed by Butte County Code Sections 24- 35 though 24-35.55 inclusive. These sections of the code provide for the replacement of a nonconforming use subject to the requirements contained therein. This applies to all nonconforming uses in Butte County. The applicable sections of the Butte County Code may be found on the Butte County Department of Development Services website at www.buttecounty.net/dds/. If you have any specific questions please feel free to contact my office. Sincerely Yours, Ao h W. Bakering Manager 0�6- �Bd-GG7 t�leaa��?e I m -to 4er G4r is s��, t FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 fM' -2 6 2004 ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION ForInsurance ;o npery use: BUILDING OWNER'S NAME Policy Number. Gail Brace BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX N0. Company NAIC Numhee 7579 Occidental Avenue CITY STATE ZIP CODE Palermo CA 95968 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 026-280-007 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, eta Use a Comments area, if necessary.) Residential LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): ( W -## -##.#IF or ##.#####� ® NAD 1927 ❑ NAD 1983 ® USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMCNgY NAIVE & COMMUNITY NUMBER BZ COUNTY NAME B3. STATE Burne County Unincorporated Areas 060017 Bute CA 134. MAP AND PANEL 153.. 9 ft.(w) B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER 65. SUFFD( 66. FIRM INDEX DATE EFFECTIVEREVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of floodN) 0600700995 C 06W1998 OBW1998 AE 151.2 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): 811. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building 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 Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(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.) C3. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, ARIAH, ARIAO Complete Items C3. -a4 below according to the building diagram specified in Rem 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 USGS Conversion/Comments g of E S Elevation reference mark used 149.90 Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No .n , O a) Top of bottom floor (including basement or enclosure) 153.. 9 ft.(w) O b) Top of next higher floor O c) Bottom of lowest horizontal structural member (V zones only) 152.9—ft(R►4 0. 245 2 n+ O d) Attached garage (top of slab) _ _ft(m) E -31- m O e) Lowest elevation of machinery and/or equipment W servicing the building (Describe in a Comments area) 151.2 fi.(ar) E O f) Lowest adjacent (finished) grade (LAG) 150.4 ft(et) d . C1It. O g) Highest adjacent (finished) grade (HAG) 151. 0 fi.W r - 8 lF OF O h) No. of permanent openings (flood vents) within 1 ft above adjacent grade 16 C A1.�F� O i) Total area of all permanent openings (flood vents) in C3.h 1248 sq. in. (sq. cm) �ti — SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION lJ 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.. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Alan G. Brown, P.E. LICENSE NUMBER C24578 / TITL.EPrincipal Engineer COMPANY NAME'BBA ENGINEERING ADDRESS CITY STATE ZIP CODE 2060 Park Avenue Oroville CA 95966 SIGNATURE DATE TELEPHONE 8 + 530534-1911 FEMA Form 81-31, January 1603 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A For Insurance Company Use: BUILDING STREETADDRESS (Indudbg Apt, Unit, Sure, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. PgCmcy Nu 7579 Occidental Avenue - CRY ZIP CODE pa�mp STATE 95966 CanparryNAlCNumber SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. COMMENTS ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. 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 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 (inducing basement or enclosure) of the building is 2 ft(m)11in.(c m) ® above or ❑ below (check one) the highest adjacent grade. (Use natural grade, ff available). E3. For Building Diagrams 68 with openings (seepage 7); the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent 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 building is 0 ft.(m) gn,(cm) ® 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 available, is the top of the bottom floor elevated in accordance with the oommunitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3,h and C3.i only), and E for Zone A (without a FEMA4ssued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, A C, and E are corned to the best of my knowledge. PROPERTY OWNER'S QR OWNER'S AUTHORIZED REPRESENTATIVES NAME BBA ENGINEERING ��—� V \ ci o vi STATE ZIP CODE Park 2060 Avenue 1 Oroville CA 95%6 ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the communit fifloodplain management ordinance can compete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information inf 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 o coal completed Section E for a building located in Zone A (without a FEMA4ssued orcommunitymissued BFE) or Zone A0. G3. ❑ The folbwing information (Items G4 -G9) is provided for community floodplain management purposes. G7. This pertit has been issued for. ❑ New Constnxtion ❑ Substantial Improvement G8. Elevation of as -built lowest floor (inducing basement) of the building is: _ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: — -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 PARK AVENUE -7 -.-P-b:.SOX 1576 - .�P 610, `�VILLE, CA c, 17 1 PM- cr -4, 25 AUG Count' of-Bu'tte .y Building Department 7 County Center Drive Oroville, CA -95965 "REE, ,FRI Far.Fai FROM,,: RON_GRAYES & ASSOCIATES FAX NO. 530 533 BB44 Aug. 25 2004 08:11AM P1/3 .T , • BBA ENGINEERING Pi-ION-L7; 5,30-534=1911 / FAX' 530-534-0908 2010 PARK. AVENUE OROVILL£, CA 95966 FACSIMILE TRANSMITTAL SFIEE'I' TO: FROM: K-- L &OW CUMPANYi DATP..: t i FAX NUMBER: Tl1TAL NO. OF PAGES INCLU171NG COVPR' PHONE NUM.HER! SENDER'S REFRRF.NCL+ NUMhER: RE: YOUR REPERENCE NGMI%ER: ElURGEN-1• 0 FOR REVIEW [IPI.k..ASE COMMENY' Q PX,F,. -p REPLY D I'LL, ASki 111iC.YCLE N1YlF,5/COMMGNTS: • -'HwA cry ➢,e. � r..F.4�SL1'xA�. BUTTE COUNTY AUG 2 5 2004 DEVELOPMENT SERVICES P.O. BOK 1576. OROVILLB• CA 95969 r RECEIVE® AUG 2 5 204 couNTY UF- WME " LAND OE' z -i oPMm DIV ,FROM : RON_GRAYES & ASSOCIATES BUILDING OWNEWS w _Gail BTM BUILDING STREETADI 7678 Occidental Avenue FAX NO. : 530 533 8844 ttUtKAL CMCRUU461 MARAWC 02%I AVU%v r NATIONAL FLOOD MISURANCE PROGRAMA ELEVATION CERTIFICATE lg!! rllr Read th Ind11 Wris on pages 1.7. 'SECTION A..FROPERTYOwNEgt NtORMATI( (Induding Apt. Un% Suite, and/or Bldg. No.) OR P.O. ROUTE AND Aug. 25 2004 0B:11AM P2/3 U.M.u. No. 2L?o/-UU/ / Expires December 31, 2005 CITY STATE 71P CODE Palemlo CA 955" PROPEmy DESCRI and Wo* Numbers, Tex Parcel Number, Leo Description, etc.) APN 02$280-W suiLD1NG USE (ag., Residential, Nongestdantiai, Addition, Aawwry, eta. Use a Comnhenls area, Oneoeesary.) Residential LAYITUDIOULONGr! (OPTIONAL) HORWO AL DATLht SOURCE, aP8 (Typo. ( x> .4r - rt1Yir or "A"00P) ® NAD 1027 (3 NAD lees 0 USGS Quad Nlap O otnW. SECTION B • FLOOD INSURANCE RATE MAP (FIRNO INFORMATION •Bt.NFPCOM MNMM&C0MwL nYNlJMJBER MCOIA fY 01 STATE & aC*MUWn=pwwdArwGW7 Bh10B I CA sa.etihPAropA �� a `Fy ma as ) MJMR BS Sl7FFtX B6.f;W NDi:1(DATE EFFECtNElREV15EDDATE S&P-Oo0wwo) aAT R� 01509cm C tI608ti999 o6w998 AE 1512 810. Inky the sourced tha Base Flood Beed m (BFE) dela a base 100 oepm erroereG hn try. C7.FIS Phobia ® FIRM D Community Demmnhhed El Other(Describe). B11. h0cale do elevation datum used for the BFE In 69: ® MVD, 1928 ❑ NAVD 1988 D Other. Pwft) 812 lathe bheldag bated in a Coastal 68rtEer Resources System (CBRS) area orOftmse Protecled•Aree (OPW ❑ Yes ®No. Dedgrhalion Dana .. SECTION C - BULDING ELEVATION INFORMATION (SURVEY REQUIRED) ci. Building devatons are based on: ❑ Conoucton Dmh iW ❑ Bundlrhg Under CohsUualon' ® Finished CorduclIon 'A new Bevabon Ce fkate wl9 be ra*red when corhstrudon of the buf ft Is owrOete. C2. Buldrng DIWW Number 1(SdOd tee building diagram most similar 10 the Wding torwhidh this certificate Is being oornpleled - see oases 6 and 7. K rho degram aoaurately mixesents the building, provide a sketch or photograph.) C3. Elevations — Zones All", AE, AH, A (vhdh EM, VE, V1430, V (with BFB, AR ARIA, ARAE, ARW AX AR/AH, ARIAO Canptele Items C3. -a4 below a000nfi g to the bulldIng diagran specified in Re n C2. Sim the datum used If the datum Is different from tha datum used for the BFE in Semon B, convert the datum to that used for the BFE. Show field measurV raft end datim conwolon catou)ation. Use the space provtded or the Commems area o1 Ser m D a Secton G, as appopriate, to document the datum eomersion. Datum USS CahveslontCcmments ES Elevaton refetghoe mak used M%Does the elevation referenoe mark used eppearon the FIRM? ❑ Yes ®No �� a `Fy 0 a)TopdbotlomAoor(hrhdhxGngbasernerdorerhdaeute) �Rta>) �, O b)Tapofredliltalloor 152 3 R(+ O c) Bottom of bunter horizontal strudtual member (V zones odA o.2457 r^ n' O d)MediadgaW(Iopofslab) _: _rt(m) 3. C1 e) Lwvest elevallan d macheryinindlar equipment servicing the bulking (Desdlbe In a Conners area) IL1.if 1. 04 0 f) low int a4aohirnt (fes) grate (LAG) 160.4 R(wo CIVi` G 151. Q1t.(pr) D g) t9gt�iac4aoent (MLtlted) shade (HAG) `1 �E o�.i�► of c a�.�� permanent ops (Wvents) within R above ad&oant grade 11§ 0 h) No. of ening (3 i) TaW tea d al perhnanent openigs (flood verde) m C3.h 1248 sq. U. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICAIION This oer ificallon Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify eleV80011 Information. I w* that the fribmation in Seefts A, A and C on this ceNAcate represents my best eltods to lntWpMt the data avalleble. I understand that any false statement may be punishable by Bne orimpnisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Alan G. Brown, P.E. LICENSE NUMBER C245n T pc En" COMPANY NAME'SM ENGINEERING P2 CA 95966 FY'hT_ �'SIII1 See reverse side for continuation. Replace& oil previous editions FROM : RON_GRAYES & ASSOCIATES FAX NO. : 530 533 8844 Aug. 25 2004 09:12AM P3/3 If>wWANT: Inthese spaces, cW the corresponft khmi dion(bm See fonA. 9U0.0iWti IiTW ADDRESS (Ind *4Apt. Un%8^ andlor ft Na) OR P.Q RE7 M NV KK NO. 7579 OoddmW Averme efTY STA1E 2PCOGE Pam G 96A88 SECTION D • SURVEYOR EtiritNEER QRARCNITEAT CMIFICATiON (CONRINUM) Copy bdh Was dens Eat►dm Ce imbe for (1) r dam, (2) dtsuranoe agedlbo WW. and (3) bjding owner. ❑ Check hereW ab*rients E-SMING Fa Zme A0 and ZkmeA (without tom, conipiete Dins E1 ftwO E4. tithe Eif~rzdldt Cerate Is Mended for use as euppoAing W m dm for a LOMA or LOMR-F, - Sedim C mist be completed E1. Bun6rg Diagram tVurrtbef _(Sdeet the bdfdng tDagran moetsinnsar b the bulkfbtgta which gas oer8flca49 b belrtg aompie6ad —eee pages 6 and 7. n oo cflaprem mmirafery nepreseMs the buBdhg, proulds a sketdt a phoiajaph.) E2. Thetop d ft bdomtloa (Irtdudrtg basemertt a atdosure)•oi the b *q b Z it(m) j_l h(cm) ®eb*m or (Use nakrrel grade, n avatiable). E1. For" DVwm 6.8 vA opus (see page 7), the ned htgbarAoa a elettatad ttoa (dwdm b) of the bA t9Is _.1t(m) _ln.(crn) abmethe f a*w4 grade. Gmnpleta items Cb and C3.1 on frontd Corm. E4. The top d Bre plaftm of machinery = br egwpsnertt s" the bA*g Is Q %(m) P4mn) ®abae a ❑ below (check one) the highest a glade. (t% nannal grade,# evaWabie). ES.ForZaneAOoNlr nnotloodd�tlhnumbertaatval(sesta,IstlretopolfrebotmmEoaeb►X90(na000rdanoewgltlAeaorrtmmtll)Istloodpblrtrt�t�ertt�orr9nancaT —[]Yes ❑ No _ ❑ UNi & n The bcO onldel nwst ott * 4as hdomdm In Swim G. The pane owner a owner's admfted repimerdaft who mmgetes Se*m A, OX (Weis C3.h and C3J any), and E for Zone A MW a FEMhtssued a omVnU * i9RMBFE)orZoeeA0munt80hera Tft$Www*fn&w=A4CandEavomWibftbodafniyknokoa ❑ Check here >f attachments SECTION 0 -COMMUNITY INFORMATION (OPTIONAL) IitetacetolMi� who I.sartitod�.DgrJ�voFordirraroeto adndrtistisr Ota ooritmutlysttoodpaln ntatagentent ttrfitartoe can oorrtpless Sedlor>s A, B, C (a �1 and 6 d title Eleveaon Certft* Corr## 6epp Gmdelterrt�s)Aioddrbebw. 6. ❑ The Irdomr b b Seotlm C was tel ' frarnoeter dooumerttatlon that has been signed and embossed by a Woensed suneya, engineer, or arehW who's aubod»d by stale �: alocait8lrb''a eleVstlor>rYdart�9on.(indedathesoraoea,4dsfadArederdmddaln teCormt ftareabdow.) &O -A oom>1 *4 ft al OOni� Sec5m E for a braiding Waled In Zone A{wlUtout a FB A•i uW aoorrt u*j43sued BM or Zm AO. G3. C) The kbft foo»tim.*m C4M is pmwtded faconmd y tloodplein mmagement purposes• V�+rril.Y��I.IJM�f�1� 'l: W int l i.rCJY�1111WYW Np YnICVOl11rRI11cV1"IMtRW\WIANVfIV�1/1 19w". G7.This"pemthhas been iseue�d for: O Aiew Ca►sbudian ❑ SUbdaralal knpro�rrtertt Ge. DevaYcn dae'bu9tiawestiba pnaudhg basement) date bu�ngla _. _R(m) DaNm: 09.BFEar(inbneAO)dttpftddoodngaltltabt9 Nlibit _ _R(m) D*m: LOCALOFFE KSNAME TME COMMUNBTYNAME T8.8440NE I DATE COMMENTS ❑ Check here daJtadunerrls FEMA Form 81-31, January 2003 Replacas alt previous edgions COPY Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 20, 2004 Gail E. Bracey 6368 Lincoln Blvd Oroville CA 95966 RE: HCD 433A (mobile home on a permanent foundation) 7579 Occidental Avenue, Palermo Ap# 026-280-007`- - racey; , The County of Butte, Department of Development Services, Building Division, is requesting a check for $22.00, payable to H.C.D (Housing and Community Development). Please submit the check to: Department of Development Services Building Division 7 County Center Drive Oroville CA 95965 The recorded 433A,,check, and supporting documentation must be mailed to the State of California, Housing -and Community Development, Manufactured Housing Department before the mobile home canbe removed 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 Gwyn or Myles at (530) 538-7541. Thank you. Sincerely, Gwyn Benedict Office Assistant II k. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA.95965 COPY of Document Recorded 01 -Sep -2004 2004-0053582 Has not been compared With original BUTTE 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. GAIL E. BRACEY REAL PROPERTY OWNF.R!LF-SSOR 6368 LINCOLN BLVD. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP 7579 OCCIDENTAL AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP 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 04-2024 (530) 538-7541 BUILPPG PERMIT NO. TELEPHONE NUMBER _ 'ATURE OF LOCAL A NCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNIT DESCRIPTION -y.," SKYLINE i,..: 1981 ALL835 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMWNUMBER 01750315AP/BP 52'X 24' 214246/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION - ASSESSOR'S PARCEL NUMBER 026-280-007 Ji .l SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. Z. .. `Order No. 00211288-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: A PART OF LOT 4 IN BLOCK 96, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PLAT OF RE -SUBDIVISION OF BLOCK 96, SUBDIVISION NO.2 OF PALERMO CITRUS TRACT, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AUGUST 20,1890 IN BOOK 1 OF MAPS, AT PAGE 39 AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE S0UTHVv r ST CORNER OF SAID -LOT 4 AND RUNNING THENCE NORTH ALONG THE WEST LINE OF SAID LOT 4, A DISTANCE OF 174.0 FEET TO THE TRUE POINT OF BEGINNING OF THIS PARCEL OF LAND; THENCE CONTINUING NORTH ALONG THE WEST LINE OF SAID LOT 4, ADISTANCE OF 50.0 FEET; THENCE AT A RIGHT ANGLE EAST AND PARALLEL WITH THE SOUTH LINE OF SAID LOT 4, A DISTANCE OF 125.0 FEET; THENCE SOUTH AND PARALLEL WITH THE WEST LINE OF SAID LOT 4, A DISTANCE OF 50.0 FEET; THENCE WEST AND PARALLEL WITH THE SOUTH LINE OF SAID LOT 4, A DISTANCE OF 125.0 FEET TO THE TRUE POINT OF BEGINNING OF THIS PARCEL OF LAND. AP NO. 026-280-007 BUILDING PERMIT NUMBER: 04-2024 Address or location of unit: 6368 LINCOLN BLVD. OROVILLE, CA. 95966 Legal Description of Real Property: AP#: 026-280-007 SEE ATTACHED i (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: GAIL E. BR.ACEY Owner's address: 6368 LINCOLN BLVD. OROVILLE, CA. 95966 INSIGNIA OR HUD NUMBER: 214246/7 SERIAL NUMBER OR V.I.N.: 01750315AP/BP MANUFACTURER'S NAME: SKYLINE YEAR: 198 OFFICIAL APPROVING INSTALLATION. DATE: PHONE: (530) 538-7541 H.C.D. 513C Sep. 1. 2004 9:26AM BCDCSS Chico' • No.0793 P. 2 i4gttUk VAUPUKNIP jJU31lYLU TRAt4pPGRTATIObLANDHQU&MGAGENCY_. � ARk0 — _ _ _ n gDNWAefeyEQ(pM.QovEtnQL.. DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DWIZIon of t:odea and 6tanoarc(q �Nc . " Title Search DW Primed.---- 09/011-2004- 'Decal #: LAC7950 Use Code: SFD Manufactu'rer,.. 3.1524-SKYLINE-TOMES_ Original-Price-Cade- -AE Tradename: SKYLnvE Rating Year: Ivfadel i!L LIBS . Tw Type:- ypesManufactured ManufacturedDate: 0.4/08/1981 Last ELT Amount: Registration Fxn - Date n.T Eee.P_Aid- First Sold On: 05/18/1982 1LT Exemption: \ ' NONE' Serial Numbe r HUD I Ab L.Insignia_ 'Lente._ . - 01750315AP 214246 52' 12'' 0175031.51}P 214247 52 .12' Registeked Owner GAIL BRACEY , 6368 DOLS-BI-vn SP 76 OROVILLE, CA 95966 , . Last T1t"atet- 09/01f2_004 Last Reg Card: 09/01/2004 ' Sale2ransfet Info-L. PkeS18,000.00 Transfrrnd on-LO/29/1998 Situs Address: 75791 OCCIDENTAL_AVE_ . PALERMO, CA 95968 Situ-County- aU TTE__. Title Searches: FIDELITY NATIONAL TITLE + 455 ORO DAM BLVD SUITE A ORQVILLErC& 95965 Title File No: 106463 ENID—OE T1--ME SEARCjj **s r J J� Document Date: October 15, 2003 State of California County of Butte } SS. _ M On 10-15-03 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared David M. Pritchard P o o me or proved -to me on the basis of satisfactory FOR NOTARY SEAL OR STAMP evidence) to be the person(y,) whose name(0) is/ark subscribed to the within instrument and acknowledged to me that he/sho/th,6y executed the same in his/hifr/thor authorized capacity(id§),. and that by his/hed/thor signature(l) on the instrument the person(s+j, or the entity upon behalf of which the rson(E0 acted, ex uted the instrument.. +"- t GAYLA WILDER COMM. # 1399916 �+ WITNESS my h and o cial seal. NOTARY PUBLIC-CAUFORNlA Q BUTTE COUNTY O 1r=* COMM. EXP. FEB. 22, 2007 + Sienatur 1�t_ MAIL TAX STATEMENTS TO: Same as Above ' BTEC/GRANTDEED RECORDING REQUESTED BY 2 to 0__3— go Q) 7 2 S Es E& Bidwell Title & Escrow Company Recorded I REC FEE 10,0+0 ' Official Records I TAX 33.00 AND WHEN RECORDED MAIL'TO County Of I Name Gail E. Bracey BUTTE I CANDACE J. GRUBBS I street - 6368 Lincoln Blvd #76., Address Recorder I - ROSEMARY DICKSON I Oroville, Ca. Assistant I Kathy City, state 95966 09:OOAM 17 -Oct -2003 I Mage 1 of 2 Zip Order No. 00211288-001 SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. 026-280-007 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $33 . 00 ❑ City/Town of 0 computed on full value of interest or property conveyed, or 0 Unincorporated Area U full value less value of mens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, David M. Pritchard, An Unmarried Man hereby GRANT(s) to Gail E. Bracey, An Unmarried Woman the following real property in the ❑ City of 0 Unincorporated Area 02 County of Butte, State, of California: h l EXHIBIT A A -TACHED HERETO AND MADE A PART HEREOF David M. Pritchard J� Document Date: October 15, 2003 State of California County of Butte } SS. _ M On 10-15-03 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared David M. Pritchard P o o me or proved -to me on the basis of satisfactory FOR NOTARY SEAL OR STAMP evidence) to be the person(y,) whose name(0) is/ark subscribed to the within instrument and acknowledged to me that he/sho/th,6y executed the same in his/hifr/thor authorized capacity(id§),. and that by his/hed/thor signature(l) on the instrument the person(s+j, or the entity upon behalf of which the rson(E0 acted, ex uted the instrument.. +"- t GAYLA WILDER COMM. # 1399916 �+ WITNESS my h and o cial seal. NOTARY PUBLIC-CAUFORNlA Q BUTTE COUNTY O 1r=* COMM. EXP. FEB. 22, 2007 + Sienatur 1�t_ MAIL TAX STATEMENTS TO: Same as Above ' BTEC/GRANTDEED Order No. 00211288-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: A PART OF LOT 4 IN BLOCK 96, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PLAT OF RE -SUBDIVISION OF BLOCK 96, SUBDIVISION NO.2 OF PALERMO CITRUS TRACT, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AUGUST 20, 1890 IN BOOK 1 OF MAPS, AT PAGE 39 AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER OF SAID LOT 4 AND RUNNING THENCE NORTH ALONG THE WEST LINE OF SAID LOT 4, A DISTANCE OF 174.0 FEET TO THE TRUE POINT OF BEGINNING OF THIS PARCEL OF LAND; THENCE CONTINUING NORTH ALONG THE WEST LINE OF SAID LOT 4, A DISTANCE OF 50.0 FEET; THENCE AT A RIGHT ANGLE EAST AND PARALLEL WITH THE SOUTH LINE OF SAID LOT 4, A DISTANCE OF 125.0 FEET; THENCE SOUTH AND PARALLEL WITH THE WEST LINE OF SAID LOT 4, A DISTANCE OF 50.0 FEET; THENCE WEST AND PARALLEL WITH THE SOUTH LINE OF SAID LOT 4, A DISTANCE OF 125.0 FEET TO THE TRUE POINT OF BEGINNING OF THIS PARCEL OF LAND. ` r AP NO. 026-280-007 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the instructions on mcies 1- 7. O.M.B. No. 3067-0077 Expires December 31, 2005 SECTION A- PROPERTY OWNER INFORMATION I For lnsuranceCompany Use: BUILDING OWNER'S NAME Policy Number Gail Brace BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 7579 Occidental Avenue CITY STATE ZIP CODE Palermo CA 95968 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN 026-280-007 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): ( W - ##' - ##.#N' or ##.f 1k� ® NAD 1927 ❑ NAD 1983 ® USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NAP COMMUNITY NAME 8 COMMUNITY NUMBER 62. COUNTY NAME B3. STATE Butte County Unincorporated Areas 060017 Butt CA B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREMSED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of Wing) 06007CO995 C 06MI998 061011998 AE 151.2 B10, Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ AS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): 611. Indicate the elevation datum used for the BFE in 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrer Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. �-, - —:M717-4 1 C2. Building Diagram Number 1(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.)"=' C3. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, A�R/AtH* AO Complete Items C3. -a4 below accordingto the buildingdiagramspeclspecified in Item C2. State the datum used. If the atuisd'rfe rent f, rom a d' m' 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 providor the Coni%ents area of Section D or Section G, as appropriate, to document the datum conversion. Datum USGS Conversion/Comments Elevation reference mark used 149.90 Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No ❑ a) Top of bottom floor (including basement or enclosure) 153.. 2.111:.(m) ❑ b) Top of next higher floor ❑ c) Bottom of lowest horizontal structural member (V zones only) ❑ d) Attached garage (top of slab) _ _ft.(m) ❑ e) Lawest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 151 , 2 ft.(m) ❑ f) Lowest adjacent (finished) grade (LAG) 150.4 ft.(m) ❑ g) Highest adjacent (finished) grade (HAG) 151. 0 ft.(m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 16 ❑ i) Total area of all permanent openings (flood vents) in C3.h 1248 sq. in. (sq. cm) SECTION D - 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. t certify that the information in Sections A, 8, 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. CERTIFIERS NAME Alan G. Brown, P.E. LICENSE NUMBER C24578 !1\11x. TV� F C ALF TITLEPrincipal Engineer COMPANY NAME'BBA ENGINEERING AL ADDRESS CITY STATE ZIP CODE 2060 Park AvenaX SAW Oroville CA 95966 SIGNATURE DATE TELEPHONE 8-16-04 530534-1911 FEMA Form 81-31, Janua 003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A Forinsuranoe CarpanyUse: BUILDING STREET ADDRESS (Including Apt, Unit, Sure, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. PoiF.y Nutri 7579 Ooddentd Avenue CITY STATE ZIP CODE CompJNNCNit &-r Palermo CA 95968 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevalion Certificate for (1) community official, (2) insurance agent1company, 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 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 2 ft(m)11in,(an) ® above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6$ with openings (seepage 7), the next higherfloor or elevated floor (elevation b) of the building is _ ft.(m) _in.(crn) above the highest adjacent 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 building is 0 ft(m) Oin.(cm) ® 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 available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.1 only), and E for Zone A (without a FEMA -issued or community - issued BFE) or Zone AO must sign here The statements in Sedlions A, a G and E are cared to the best of my knowledge. PROPERTY OWNER K OWNER'S AUTHORIZED REPRESENTATIVE'S NAME BBA ENGINEERING SIGNATUREM41' r � 40 8-'TE� 7 334.09E t, ❑ Check here if attachments 0 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local officiallo is authorized bo bw or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Complete the applicable items) and sign below. GG he infonnalfin'on C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state oflocal law tevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A communitynplyted Section E for a building located in Zone A (without a FEMAassued or communityassued BFE) or Zone A0. G3. ❑ The following (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER "' I G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF COWLIANCEICCCUPANCY ISSUED G1.4is muxft: e. ❑ New Constr don ❑ Substantial Improvement G8. Elevation (including basement) of the building is: _. _ft(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _. _ ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS', FEMA Form 81-31, January 2003 if attachments all previous editions itROM :,,RON_GRAUES & ASSOCIATES ADDRESS FAX NO. : 530 533 8844 FEDERAL EMEROEXCY MANAGEMENT`AGENCY- NAT(ONAL FLOOD INSURA dtPROGRAM ELEVATION CERTIFICATE thn Irmtnuileea an oases 1 •-7, P O. ROUTE AND BQX NO. Aug. 26 2004 09:09AM P1/3 C M.B--No:-3067-007-7 - Expires December 31, 2005 7579 0cdderWAvenue STATE ZIP CODE Cir�F CA 959sa- Pelen++o eROPERT7 DF-SCodiili10N (l of end BbcK Numbers. Tez Parwl Number, legal Desatptio^•etc) APN 026280Q07 BUILDING USE (e g., ResMM,, NonreskWnl%1, Addition, Accessory, W- Use a Commnts eBMa, If necessary.) ReskWdial- LATTTUDE/LONGfTUDE (OPTIONAL) HORIZONTAL DATtJRk ( #u° -1ta'-Mph9h1< or hYrt. ®• NAD tez7 [] NAD 11383 ® USGS Quad Map D Other. Bt.NFP COtgMfrYNAIY &Wfwmuwiirnunw• -- - CA &&C U*urkxwpw&dAhmm860017 64.MAPANDPANEL B7 F�MPIL 69`FLA04E µtnyBEft as. SMD( 86. F DATE nAfiVISED DATE B8. HOOD ) (m AD, t5 OWCOW 12C 810. Indcat ft sauce d Iha am FloodEkvafon (BFE) data or base flood depth entered in89. [}FtS-PM0- - OfW - 0Contm*Deiernnhched . .[].fter(Desalbe): B11. Indicate the devalon dalum used for the BFE in 89: ® NGVD 1929 .: L] NAVD 1988 Q 0lherf Desalbe) n,) i• s,e hr & -f— Inn:em In a C Border Resources Sy*m CC R g o O owisise Prdeded Area (OPA)? j4.Nb .'. Deslgn&n Date Ci: are-baaedoa.aCo whKton Dmmng_s• . ❑ I3dldrg underConsbadw ® F1nlstled Construction •A new Elevatlat Cela vdU be required when oo oucom of the buUdng Is comp&. C2 &Wog.QjW= NumbmilSeled the txlUdng_dW= most slff& to the No" for which this oedlcate Is being completed - see pages 8 and I. N no Qagram .rte repremfs the buildng, provide a sketch or photograph) flevatictts - Zpl>es AI -AA AAHA (N^d' BF14. VE,-VI-V30V (cunt (n Item C2. St9s ft d Aw&mvsWL , A�tAe datlu>ti PVAH Acs di8amhmlimmtlhe datuaaused for the-BPt` Complete Rema C3. -at beinw acceding to Cie budding dlagran spedDed Sedlok8, oonverlthe datum to Mused for the 8FE. Stow held measutet'neft and dahm conversion calaAatlon. Use the space provided or She Comments area d Section D or Seton G, as 2pprophate, to document the datum conversion. Datum Ma COrtveresonCannhents Elevaeat reface mawk used 14�Does the elevalt ItiTA2 Q Yes JELNo_ _ 0 a) lop d bream tw Qndudng.basernw4 or endosure) JR.. TL194 �o el O b) Top d neott higher floor —&ft '� C o c) soeorndbad horizontal *udufal member (V zones only) 1 -9—ft* c.2457 T O d)ACad)edgarW(topo1sia9} O e) WNW drwailon d machinery andlorequow t sews ftdhebuUdogWhimlte In aComments are0}. ILI III.(" R(" . 0 A Lowest adlamnt (I)Ns hed) grade (LAG) M4Z U 151. �R.(ptj jf @F eh�Q, 0 h) No. d permenerd openings (Rood vents) w Mln 1 R above a4awnt grade 16 Q U Total a[ea d ail> >e+d a dthgs Q�ood ) in C3.h jos sq. In. (sV• cm) SECTION D - SURVEYOR ENONEER, OR AKGt1f lhgk 9EK1I1"IUAI IM4 . �! This oerdftaV Ib eland surop,anglneer,-or aLdhtied authodwtbY law to certify efevallon informa9on. I certify that the lnformeow In Sedlons A, d and C on this w0 ate represents my beat eFlbAs to brterpref the data available.. tuaderetend duitany false statement my be punishable by floe or ImpOsonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Alan G. Bn7wn, P.E. - UCENSE NUMBEtP82A5W TI Tt-EP in pal6►96heer NAME=BBA-ENGtNE€PJNG- 2060 Park Ave" SCNAMIRF - - - 41'24 'o4 CA 95866 531}534-1911 January See revolve 31de.10[ wtlnuallon.. Replaoes_ell prev(ous edRions 'FROM RON_GRAUES & ASSOCIATES FAX NO. : 530 533 8844 Aug. 2G 2004 09:10AM P2i3 - IMFMANT: In tlteee spaces, copy the cairroWnding fnformadon from Sedlon A MAL_DINC STpaf AWO EW (_Mddrg Api pn0. Su%, alb fB :No ZOR P.O. R011if AND BOXNO. 1_: 7579 Occidental Avenue „'. Cm STATE ZIPOODE p CA SECTION D - SURVEYOR, EN AWJ R.OR ARCHRECT CERITICATION (CONTINUED) Copy bA sides d thb Elovdon Cedicate for (f) oornnrunky olfldel, (2) Insum oe agentlaor om, and (3) buadng owner. ❑ Check hem If al fachrrmts KOT For Zone AO and Zone A WhM BFT:), o mpte:e Items Et thmurg E4. If the Bovaton Certilicge Is klmnded for use as suppolfing Infomdon for a LOMA or LOMR-F, Sedloa.Cnarslba E�Bdaldiogl�agramf�Ermhei�6elekittt$bkr(IdiLg.drag�n�stslLnitattnULebultmng.Porwtrkhtblseenifl�taLs.belr>aeompteted—sea.�ges.&arxL7. Hrdadi�c arnaogrrabzi� represents to bulldog, prwlde a sketch or O tD;W.) EZ, TheW d the bWDm W prdxfng bmaerd atsadow*d.the-hwlnlngls_ ZIIW 11n.(mn &o mor Qtetow(check.a* the-hoestadjamm.pde, (Use, na4rral grade. N evadable). E3: FaBuddirlg nagrm&&&whti WnkW (see page 7); fe.nexldighetfloa dx elevatsdfloor (etevft b) d the buildng_fs fl.{rrl) aln.(an) above �e Ngo adlaoent grade. Complete!term C3h and Cat on frau of form. E4-Thp— dd&pW4mdma&negeaadlaeW4u=tsuvking-ftjA ld>ng6 gft(m)O #n. &,aboveor .Qbelow(check om)thebl&tres agiceatgrade. (Use nature! gad�,;l avallahle). , 155 -For ZomAO onlyc_ t[ no Flood dapob_numtaer Isovolebl js the to(Ld the bollen door dav*d.in moondarxewilh fire communitis floodplain,mmagerrrer tordinance? ❑ Yes ❑ No ❑ Unknown. The tical dldat must ibis 16mistkn In SecGon G. The plopeny owner orownef a autl►mm representative who completes Settlors A, B, C ((tents C3.h and C&I only), and E for Zone A (wdW a FEMA -Issued or commuNb- issued fff)*&WAO uSt sign hes Tbss<dea>enfalaSac t 4C~and E are-madtaft had d�+�+lata ❑ Check here K attachments WI 40i i Cal i PIKONJILTI J\ -LI \ adrrdrdster the om muntVs floodplain management ardmanoe can complete Sections A, B, C (or E), and G of this Ela *n' A ..D The Irdonfdm In Seaton C wos.64 from other doamlentatlon that has been signed OW ernbossed by a Qeensed surveyor, engineer, or amhbd who is authalaed by state o'dAla�r.t�:oe�tjr .Udomjstian, ((ndcete ttaamme and.data-d the_deva5m.data In the C mner..ft-mbelow.) G2' ❑.A oonu ** pifiaeicwn0etpd Sedtiorr E f0(a bu0 ftlocated In Zone A (wfto aFEAMassued or a wnunit rlssued SFE) Zone A0. f;3 Q- lat foc.ammmlttftddalanlalWnmtWposaL, GA. PERMriNA6W j G5. DATE PERMIT ISSUED GO. DATE CERTIFICATE OF CONPLIANCE100CUPANCY =ED. G7. This Wrnit has been issued for. ❑ New ConsoucOm ❑ Substantia! Imp wffW GO - Door Oflb�tiLOnlngl9r _ _�( G9. BM or (m Zone AO) depth d flooding at the bulding sloe is: _ _ t(m) Datum ' LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS- . ❑Check flare if allgdtments . FEMA FoJm 81-31..January 2003 Replaces all prevtous.edAions ell WROM RON-:'GRAVES & ASSOCIATES FAX NO. : 530 533 8844 Aug. 26 2004 09:11AM P3/3 a B A Fk4G-1N-*E-ER1KG p 1-1 0 N E 5.3 0 - 5 3 4 - 1 9 1 1' / FAX-: 530-534-09 08- Za,6.0 RA -RK OROVILLE, CA 959661 FACSIMILE TRANSMITTAL SHEET FROM; io L 0(4 f(WPANY: DATF'� FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: PJ1ONENUM)4FR: SENI)PA'S REPPREN(.r NL;mtiF.R: RL':j�Y(>I;R REFERFN(:t7 NUMkiER; kke 'LL PFOR REV)r-W ❑ PLEASE COMMEN't 0 PLEASP REPLY C3 PLEASERFM. NO`1*ES/C0W.MP.N'1'S:- 11.0. BOIC 1576. OROVII.I.R. r.A 9.51965 SHEET NAME NAME OF BUTTE COUNTY PROPERTY RECORD SITUS Assessment Fee Number ZONING City ❑ County ❑ Assessment Year z o0 o 2000 GPM: UTILITIES -SITE IMPS. Date o26_ewo_oLr Public ❑ Well Ditch ❑ Electricity: Yes Telephone ❑ Appraiser 3 G g -c 3& 3 Gas: Public ❑j LPG ❑ None . ❑ Use Code Year R 5 02e,-181 -oz? /0,000 Sanitary Swr: Public p Indiv. Dwelling Units i PRIMARY BASE SECTION Street: Conc. []Asph. Ivirt ❑ Gravel ❑ Building Class Ar Street Lights: Yes ❑ No Bedrooms C & G: Yes ❑ No JW Baths Sidewalks: Yes ❑ No JZ Effective Year 55 SITE TOPOGRAPhIY Area of Residence t Level Rolling ® Other ❑ Car Shelter Yes ❑ No Yes ❑ No Yes ❑ No ❑ Yes ❑ No Yes ❑ No ❑ Yes ❑ No ❑ Slopes: Up ❑ Down ❑ S -S Misc. Buildings At: Above Below Eprade Pool . Yes ❑ No Yes ❑ No [M Yes ❑ No ❑ Yes ❑ No ❑ Yes No ❑ Yes ❑ No ❑ view: ❑ Of: I Phy. Char. lChecked b2r Checked ❑ Checked 0 lChecked IChecked ® Checked ❑ Soil Name Index Acres Base Year WATER»� za�� or VEATH l�U1S�C� MARKET DATA GPM: Depth: Comparable 1 o26_ewo_oLr Public ❑ Well Ditch ❑ Comparable 2 10,000 Supplier 7Comparable 3 aU-140-oq3 —° r Aerial Photo Year I Sale Date/Price 02e,-181 -oz? /0,000 Topo Map Year PRIMARY BASE SECTION Soil Name Index Acres Base Year znda za�� Event Date o516-2_19 • ►� zZ(99 Land 10,6no to ova Structural Imps. /0,060 10,000 Growing Imps. Total Fixtures Personal Property Ava. Soil Ratina I I SECONDARY BASE SECTION LAND REMARKS: Base Year Land Type: Lot H/S ❑ Acs. ❑ Event Date Size: 5o X z s =, i g A< Land Description: Structural Imps. - Growing Imps. Fixtures Personal Property Total SITE PLAN REVIEW APPLICATION Date: AP# & 2- 0 — 0-c-� Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: 6� Owners Address: 136 <-//j 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` _' ❑ Septic Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑'Applicable ❑ 'N1A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ' $R Approved , ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 5U Site n Sta ed 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: AS • Flood Panel No.: C96D07 [�_C9 `i °GSC_ • Index Date: (pC -- COg 6-t- R ❑ 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: 060z —1 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front ' Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 J Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ . Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Areal Road ❑ -Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other -----------------------------------------------------------------------------------------=------------------------------- Subdivision Map Special Fees ❑ Water Tender • ❑ Road Improvement ❑ North Oroville -Area : k ❑ Other (per map) * Check with school district to verify actual fee, if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ca Jar t{ Z w "^ # g Deeds: Date of Creation: Legal Access Provided: ❑'No Yes Deed of Reference: X61 3 ( Legal Access Required ❑ No Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments:J 1 � C. J Z� Z'5 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 -----------------------------------------------------------7----------------------------------------------------------------- Page 3 of 5 Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: 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. F Page 4 of 5 L ;l 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. CALatrys\Building Permit Site Plan Reviewl.doc i Page 5 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. CALatrys\Building Permit Site Plan Reviewl.doc i Page 5 of 5 M �, f Building Permit umber: Owner Name: rQC Residential Construction Requirements IMPORTANT This�set of plans and, specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H:V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the' attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. 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.. 40 , Page 2of 2 Building Permit Number: 0 ' ZO Z(1 Owner Name:�GLC Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of 113 feet from the side and _[Q— feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed.by a California registered engineer or licensed architect. FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the instructions on Daaes 1- 7. O.M.B. No. 3067-0077 Expires December 31, 2005 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number GAIL BRACEY BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 7579 Occidental Avenue CITY STATE ZIP CODE Palermo CA 95968 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) APN: 026-280-007 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): ( #9'- ##' -##.#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 Unincorporated Areas 060017 Butte CA B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVE/REMSED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 06007C0985 C 06-08-1998 61811998 AE 151.2 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): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date N/A SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ® Construction Drawings' ❑ Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(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.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, AR/A, ARAE, ARIA1-A30, AR/AH, AR/AO c s Complete Items C3. -a4 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 USGS Conversion/Comments RQFE8S10 Elevation reference mark used 149.90 Does the elevation reference mark used appear on the FIRM? [I Yes ®No �,V �4George �O F ❑ a) Top of bottom floor (including basement or enclosure) 152. 9 ft.(m) y ❑ b) Top of next higher floor _ _ft.(m) U) ❑ c) Bottom of lowest horizontal structural member (V zones only) _ _ft.(m) o o w N0. 24578 ❑ d) Attached garage (top of slab) _ _ft.(m) E0 ❑ e) Lowest elevation of machinery and/or equipment W Exp. 12-31-05 servicing the building (Describe in a Comments area) 151.. 4 ft.(m) E El f) Lowest adjacent (finished) grade (LAG) 150.. 4 ft.(m) z' it fP �� C3 g) Highest adjacent (finished) grade (HAG) 151.. 0 ft.(m) 9rF OCivil. �� p �FOQ� El h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 16 ❑ i) Total area of all permanent openings (flood vents) in C3.h 1248 sq. in. (sq. cm) 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. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Alan G. Brown, P.E. LICENSE NUMBER C24578 TITLE Principal COMPANY NAME BBA ENGINEERING ADDRESS CITY STATE ZIP CODE PO BOX 1576 Oroville CA 95965 SIGNATURE DATE TELEPHONE �. 55-04 530-534-1911 FEMA Form 81-31, Januaj 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A For Insurance Company use: BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 7579 Occidental Avenue - CITY STATE ZIP CODE Company NAIC Number Palermo CA 95968 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. COMMENTS ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. 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 8 (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 1 ft.(m)11 in.(crn) ® above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6.8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent 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 building is 1 ft.(m) 5in.(cm) ® 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 available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OWNER'S AUTHORIZED REPRESENTATIVE'S NAME BBA ENGINEERING ADDRESS CITY STATE ZIP CODE 2060 Park Avenue Oroville CA 95966 SIGNATURE 4010• DATE 7-29-04 TELEPHONE 530534-1911 ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable items) 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 (without a FEMA4ssued or community4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G5. DATE PERMIT ISSUED I 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 (in Zone AO) depth of flooding at the building site is: _ _ ft.(m) Datum: LOCAL OFFICIAL'S NAME 4 TITLE COMMUNITY NAME r 1 �; TELEPHONE SIGNATURE 5:. ' r ' .. `� DATE COMMENTS ❑rCheck here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions 1. Owner's Name: (� AE 2. Assessor's Parcel Number: _ �� -007 3, Installer's Name: G 1�_ [`� C Z V 4. Is the site currently under, permit? Yes[ ] No[,<] Permit No 5. Is the site an existing site? Yes[j<j No[ ) (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 10 4 Amperes. 7. What is the mobilehome site circuit breaker rating? Z O Amperes. 8. What is the electrical rating of the mobilehome site? Z O O Amperes. 9. Is the main service remote from the mobilehome site? Yes[AJ No[ ] If it is, what is the rating? 2, 00 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] Nob('] If 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[] Propane[ ] None[ ) 12. Size of gas pipe at the mobilehome • site from the meter or tank:-- 51'4inches. 13. What is the gas pipe length from the meter or tank to thepobilehome? 7. (ft.). 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 OT_ HER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION - ELECTRICAL, MECHANICAL, AND PLUMWNG CONSTRUCTION (IVOT- PLAN CHECKED ) SMALL COMPLY �JITH CURRENT Ei31'i1(�V OF NEC,. UMC AND UFC. May 1995.. 8.5 Mobilehome Manufacturer: 11 Aj k Manufacture Year: If other than single wide, furnish Setup Model Number: n 5 / 4z=j" Width:? -L4 (ft.) Length:�(ft.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[)<] Other: SUPPORTS: Concrete block[>] Other: Provide Tie Down Specifications for all Mobilehomes: V EC TO U N cl i ex) Pier Footings Sizes and Location SINGLE WIDE MIILTI-WIDE Cine 1 1 Line 2 fLine 2 MainBeams...........................................................................................2 Line 2Line I e 3 e 2 ............................................................................................Main Beamse 2 Line I a ............................................. e.5 Tag or Triple e 4 ine 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: I C` From ends -maximum: I ` Line 2 Piers: LLX Size minimum: J x V1. Spacing maximum: 0 ` From ends -maximum. 2 ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): 1 Line 1 Openings Size minimum: [ 1 Z ] x [30 ]. Each side of openings with width over: 14 1 0` Line 4 Piers: Size minimum: [ ] x [ Spacing maximum: I` From ends -maximum: I` 71,4 36 /4917-1#Z41 Z4 Xzy- !.3'/ z0' May 1995 9.4 I 0 4L . 0 Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 91212003 FOOTER SIZES INDEX PAGE RELEASE Approval UMMAC3gtREDROMMQMBI SECTION NUMBER DATE FOUNDAMN SYRW 12 WIND ZONE II , - SINGLE .13 MAIM AND SffM CODE, MCM ISM Al MOM INTRODUCTION ; 2 9/2/03 V -DRIVE & PIER SYSTEMS 16 SOIL CLASSIFICATION 17 VNIVIC roC0RR=0N3 GENERAL INSTALLATION 3 9/2/03 AffWVAL WW N0TAVTl==EltASS M PARTS LIST 4&5 9/2/03 axs O;t MiATION mom RNMMEM M I AffUCAM STAT$ LAWS AND R5W"TMM LONGITUDINAL DEVICES 6 9/2/03 suftof Wfoub ad Comm" Dawftme PIER HEIGHTS 7 9/2/03 M-016 AND asANAM1 SET-UP INSTRUCTIONS 8 9/2/03'—.,,zA FOOTER SIZES WIND ZONE I - SINGLE 9 -.DOUBLE" 10 - TRIPLE 11 - HIGH PIER 12 WIND ZONE II , - SINGLE .13 - DOUBLE 14 - TRIPLE 15 V -DRIVE & PIER SYSTEMS 16 SOIL CLASSIFICATION 17 CONCRETE INSTALLATION 18 & 19 COMPONENT PARTS AVAILABLE UPON REQUEST 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 M. Na, 60245 - * � LC4 \\CF cpo IRWI DING DEPA ry lM�`:�:. A P P R 0 V r 4 C I, - cc Cr N Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS - - Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. , Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/03 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or -poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE - TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 Vector Dynamics Foundation Systems Lateral Component Parts List Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V -Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ft. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. Page 4 California 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) AOL - r Page 5 California 9/2/03 Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector = Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts =1 L.S.D. system. Can be used on one pad or slipt on opposite ends of the home. Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone Single Section I I I I I I I I I I I I I I I I I I I I I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Wind Zone Triple Section 48 Ft. Max. Wind Zone I Tag Section IMI California 0 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it max. Unequal Pier Heights vlaximum Homes with .unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". t Page 7' California 9/2/03 Set -Up Instructions for Vector System #59018 J, [11,77""1 A 451 Long U -Bolts 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center comoression member between blocks, resting cn pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/rut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Atta--h strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. f California 9/2/03 IWIND ZONE I y �2 sq. ft. pad Home Length Vector Systems Required Anchors Required Per Side or 24" Pier 24+" Piers L.S.D. 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 WIND ZONE 1,` SEISMIC ZONE 4 I Y Vector. Dynamics Systems Required for .. Single Section Homes " (Materials Required) home sectio� -72 { � \ 3:i�Q�k .. �y': •'fid s3..:. n. �'� n .. 3 -r�•^fq. f CD £ .fin , a aX o.c.WP r is 34 ft• m Note: L.S.D.= Longitudinal NOTE: Vector Systems should be spaced as o Stabilization Device symmetrically as possible along the length' See Page 9 of the home. Pier spacing must be consistent with home manufacturers' o Soil Classifications: 2, 3, 4A, & 4B instructions and/or state requirements. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties IWIND ZONE I y �2 sq. ft. pad Home Length Vector Systems Required Anchors Required Per Side or 24" Pier 24+" Piers L.S.D. 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 Each Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) NOTE: Vector Systems should be spaced as symmetrically as possible along the length o home. Pier spacing must be consistent with manufacturers' instructions and/or state reqs w No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: Soil Bearing Capacity Anchors Required": 2, 3, 4A, & 4B 1,000 PSF minimum None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' WIND ZONE I, SEISMIC ZONE 4 3 67' to 84' 4 0 4 85to 90' 5 Vector Dynamics Systems Required for 4 I ` Double Section Homes (Materials Required) " - - _ - ' " ' " �t%on hom , - ' - b\e se 01 OL ------------ is 1 F r - ti• NOTE: Vector Systems should be spaced as symmetrically as possible along the length o home. Pier spacing must be consistent with manufacturers' instructions and/or state reqs w No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: Soil Bearing Capacity Anchors Required": 2, 3, 4A, & 4B 1,000 PSF minimum None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85to 90' 5 0 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. NOTE: cc 0 When a pier height at Vector locations exceeds 46", an 1 anchor must be used an the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home n manufacturers' instructions and/or state requirements. w K 0 Tag ori full triple 2 sq. ft. pad 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': None ('Marriage wall anchors may be required by home manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2onTag 0 2 1 49'to71' 3+2onTag 0 2 1 72'to84' WIND ZONE I, SEISMIC'ZONE 4 - -.'"_/--"" /-- ;o�h°"'sems. 2 2 Vector Dynamics Systems Required for - , ; / - - - , / - - /tt R`�\t\ 5eo Vecto� 5Y Triple Section Homes - lb - - / mP\e °s geneva\ SPn9 (Materials Required) - - - =� / ' " EXa n SNOW NOTE: cc 0 When a pier height at Vector locations exceeds 46", an 1 anchor must be used an the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home n manufacturers' instructions and/or state requirements. w K 0 Tag ori full triple 2 sq. ft. pad 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': None ('Marriage wall anchors may be required by home manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2onTag 0 2 1 49'to71' 3+2onTag 0 2 1 72'to84' 4+2onTag 0 2 2 85'to90' S+2onTag 0 2 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, . Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) co CD N n w 0 -i , - - - -- _� WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) - Vector Dynamics Systems Required for Double Section Homes (High Pier Sets with Diagonal Ties) h o Sec r• me --" `J .` t'o - - , double - " I � I NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. WIND ZONE I Max. Height Unit Width See Page 7 Cfl C=) I -Beam W Spacing 2 sq. ft. pad 45' Min. 0 to 48' 2 2 2 49' to 71' 3 3 3 72' to 84' 4 4 4 85' to 90' 5 5 4 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector Each Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE II, SEISMIC ZONE 4 (Hurricane) Vector Dynamics Systems Required for Single Seetion Homes (High Pier Sets with Diagonal Ties) sectio to oy e m s. 9\id&nes- " a Sre19 t°r 5 aNati°� ma 1e 0{ enera\ to hone �n wE as a ps ac1�99nust be - ' i 11 and P ' ads �oundavon P - ' -�, ca CD GO .- . C') 2 K 0 WIND ZONE II (not to scale) Soil Classifications: 2;3, 4A & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Equired per side LSD 0 to 48' 3 5 2 49' to 60' 5 6 2 61" to 72' 6 7 2 73' to 84' 7 8 2 85' to 90' 8 9 2 NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. 2 R � Each Vector System requires one of the following: 2 sq. ft. pad 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) CD A C') w K 0 0 CAD WIND ZONE II, SEISMIC ZONE 4 Vector Dynamics Systems Required for n home ms9��deV%ne� seotio r syste 1 Double Section Homes - - - ' _ " dovb\e for ver- ', rnanlja ---,_-' "l2ae me m-'ner Vector Systems Required �. 001 owsmbetOo i 4 i♦\ \1\UStpPa°%n9and s 5 5 3 61" to 72' 6 6 3 73' to 84' 7 7 4 85' to 90' 8 8 4 Imo_— ♦ �' e � �'.�w � 161, I \ \ NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Soil Classifications: Soil Bearing Capacity: Anchors Required*: 2,3, 4A & 4B 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Anchors Equired per side Vector Systems Required LSD 0 to 48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 3 73' to 84' 7 7 4 85' to 90' 8 8 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) s NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Soil Classifications: Soil Bearing Capacity: Anchors Required': Tag ori: 2, 3, 4A, & 4B full triple 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG T: 3+2onTag 4 2 1 49'to71' 4+2 on Tag 6 WIND ZONE II SEISMIC ZONE 4 ,"-- \' 1,- \ I Vector Dynamics Systems Required for ---'""��" cne -\Ome 5+3 on Tag 8 3 Triple Section Homes . - - - - ' " ectio� \ (Materials Required) , - - " - - �6 it coact\ 9 for hecto I a 1 , - " - -",-of a era\ sp - - - e Imo`-------- EX ons oWs9en f S ti UN > ,. zC \ z ectorM t ..,. narrtics� s NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Soil Classifications: Soil Bearing Capacity: Anchors Required': Tag ori: 2, 3, 4A, & 4B full triple 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG Oto 48' 3+2onTag 4 2 1 49'to71' 4+2 on Tag 6 3 2 72'to84' 4+3 on Tag 7 3 2 85'to90' 5+3 on Tag 8 3 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 2 sq. ft. pad .2 sq. ft. pad Vector Dynamics _ Metal Pier & V -Drive Installation METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in•the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center -com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16". Optional Moisture Termite _ Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V -Drive for rocky soil V -Drive anchors are used on/v in Zone 1, single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board _ should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. Page 16 California�x 2/03 VECTOR DYNAMICSI S LLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 46 as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals 3 Medium -dense coarse 24-39 sands, sandy gravels, very stiff silts and clays 350-549 lbs - in. 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs = in : Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in. -- - - 20x20 = 400 sq. in. or 16x18 = 288 sq. in. _ or 17x25=425 sq. in. • EQUALS - ` a EQUALS 2 -Vector Pads # 59275 1 -Vector Pad # 59271 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent listed above. *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Engineer Jamiliar with site conditons Page 17 California 9/2/03 Vector Dynamics System`""--- for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (gale. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to, the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. -The upturned edge! end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the -bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pe for concrete footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt 3 9/2/03 Vector Dynamics System for Concrete Applications Instructions 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt, in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration T Inside Tie Brackel Compressh boards of PVC Pipe., U -bolt Page 19 Californ\ia Vector pad for concrete Concrete footer 4cu 9/2/03 Installation Notes TIE DOWN ENGINEERING • 5901 Wheaton Drive • Atlanta GA, 30336 ' DIE www.tiedown.com • (404) 344-0000 • FAX (404) 349-0401:.DOWN; 03-3205 026-29.0;007 BRACEY, GAIL E' 75790 CCIDENTAL AVE; PALERMO . CONT: OWNER •. DEMO SF t 1: l , 't i i a r i' r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7,541 PERMIT NO. (ReG.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 026-280407 ZONING 2i BU I LD I NG P ER M IT OWNER TELEF ONE 34-9106 SO. FT. OCC. BUILDING VALUATION - OWNERS MAILING ADDRESS 6368 LIEWLIN BLVD # 76 ormille ca CONTRACTOR'S NAME ME� iJWIM TELEPHONE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7579 Energy Plan Checking Fee $ I $ PERMIT FEE $ ZS rV) LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: nti,►r► Sc s Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm Linder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 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$L 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 t Main Service 200A TO 1000A 46.00NEW CONST. DWELLING UP. OR AODNS. ( 6 ACC. BLDS. so 3.50 FT. �"R61D MULTBRANCI-OUTLET 97.50 POWER APPARATUS a SINGLE ourLEr cIR. Ex. Occup. OUTLET OR FOCTURES 20 Q I.00 BAL @ .50 FlXED APPLNS. OR Ex. Occup. OuriFTs "a. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:' ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) IS 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 forthwith comply with those provisions. X �, '� �s r" l -f Date lb- 11-e- j Signatdr6 of Applicant - ❑ Owner O Contractor ❑ Agent An OS44 permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD CDF PARCELPD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r. By r'l.' i. / Date i ". 1 / PERMIT EXPIRES ON 1!''' ; r�, :14 1 Dete ReceiptNo. /..1 � 5� GG WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT l i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.$2/96). APPLICATION AND PERMIT 03-3205 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELARE 34 -9106 SO. FT. OCC. BUILDING VALUATION - . OWNER'S MAILING ADDRESS 6368 LIBCOLIN BLVD # 76 oroville ca CONTRACTOR'S NAME 0147�7�p LV � •� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 19-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 757 Energy Plan Checking Fee $ PERMIT FEE $ 15 on LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ 'Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S - ELECTRICAL PERMIT Fling Fee 20.00 '0' ORUEMain Service 2o..OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in 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. IS 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 TO 46.00so WEE200A NEW CONST. DWELLING OCC P. CC ADDNS. ( 3.5QF°: NOR EW CONST. MULTICO DS NON -REBID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL @'.50 OR Ex. Occup. oimFis AEFIX�S16.) E, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number -. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 19 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo,4hwith comply with those provisions. X Date Signalr of Applicant - ❑ Owner Contractor ❑ Agent An OSH permit is required for excav ions over 60" deep and demolition or construction of structures over 3 stories in height.B MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated bove for whi s have PERMIT EXPIRES ON 16 - 117 I the applicable provisions Resolutions to do work been paid. Date -ay (Da te Receipt No. • G WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION4. PERMIT N0. 7 County Center Drive s Oroville, California 95965 • Telephone (530) 538-7541 r. » Rev., 2/96) APPLICATION AND PERMIT ( ) Zoon BUILDING PERMIT ASSESSOR PARCEL NUMBER ; HONE SO. FT. OCC. BUILDING VALUATION OWNER OWNERS MAUNG ADDRESS rnll HONE CONrRAcroRS �l / , `%� CONSTRUCTION LENDER LENDERS MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGWEERB uWNG ADDRESS LOT No. SUBDtMIDNS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U606ppes ❑ Installation ❑ Other ❑ Describe Work: D2 J .PERMIT FEE PAID SRA SHERIFF OTHER Total Valuation is PERMIT FEE $ FDCED Ex. Occup.vnETSAPPsID EJ, Filing Fee $ 20.00 Permit Fee $ Main Service Plan Checkin Fee $ NEW CONST. OR ADONS. Energy Plan Checking Fee $ ..-.. co LS ( ! UYa UTLhT 1 $ PERMIT FEE $ S PLUMBING PERMIT Fling Fee 20.00 Each Trap FLOOD 7.00 Solar or heat pump water heater I PD 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS i G I W 020.00 Ex. Occup. OUTLET OR FDCTURF PERMIT FEE $ FDCED Ex. Occup.vnETSAPPsID EJ, ELECTRICAL PERMIT Fling Fee 20.00 Main Service 1arvi oa tFss 23.00 Main Service 200A To Topa► 46.00 NEW CONST. OR ADONS. DWELLING OCCUP. & ACC. BIDS. 0. 3.5¢ ..-.. co LS ( ! UYa UTLhT 1 97.50 Ex. Occup. OUTLET OR FDCTURF SAL Q .50 FDCED Ex. Occup.vnETSAPPsID EJ, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 N PERMIT FEE 1 s MECHANICAL PERMIT I Fling Fee 20.00 Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ GC NST. TSE TOTAL FEE $ HAZ D. FEES IMP FLOOD CDF I PARCEL I PD I HD ISSUE AMOUNT RECEIVED $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work l- indicated above for which fees have been paid. DATE RECEIVED lG � (? �>� � cJ 3 By Date RE[EIPT ## PERMIT EXPIRES ON (Date) .49 O.B.- r 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 C1 NO M 2. I HAVE 0 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: No i LT (U405rn) 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: PROPERTYOWNER DATE:_ l D l7 03 NOTE: This Owner -Builder Venfwadon is required by Section 19831 and 19832 of the California Heafth and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner. O.B.-1 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 fie signed by property owners unless they are personally periiamring 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 worm 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 perms 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 fimumce. ♦ For move specific Wbrmation about your obligations under Federal Law, contract the Intemal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personalty 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 permik erroneously implying that the preppy owner is providing his or her own labor and material personally. Budding permits are not required to be signed by property owners unless they are performing their own work personally. Infomnation 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 Budder 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. I C. � ira, CB.O. Building Inspection NOTE: This Owner -Builder Wormadon is required by Section 19830 ofthe Cal forma Health and Safety Code _ w y August S, 2000 Gil Smith. Pacific Gas and Electric 350 Salem St. Chico, Ca. 95926 L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: HAZARDOUS ELECTRICAL CONDITIONS 7579 Occidental Palermo, CA 02# 6-280-007 Dear Mr. Smith This department received a complaint alleging health and safety hazards at the above referenced living unit. On August 7, 2000 an inspection was conducted by this department. The owner (David M Pritchard) and tenants are not currently occupying the structure. The structure at this site has numerous electrical hazards including but not limited to open conductors and conductor splices, unprotected conductors,'and a lack of proper grounding and bonding. The Building has been posted by this Department. "Unsafe For Human Habitation". As the Chief Building Inspector for Butte County, I am requesting that the electrical and gas to the structure referenced above be disconnected until appropriate actions are taken to resolve the hazards. Further, I request that the electrical and gas service not be reconnected until an authorization from this Department is granted to do so. This letter shall also serve as notice to the property owner and tenants that the electrical and gas service is to be disconnected on or about Friday August 11, 2000. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira at the number above. 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