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HomeMy WebLinkAbout027-080-038f 027-080-038 PERMIT#96-0779 FORRESTER, Samuel & Marie 2589 North Villa, Palermo Mobilehome Utilities ELECTRIC nC 0 dA— 34L'J'A GAS LINE COMPACTION TEST REQ 2L�Q_ SUPPORT STRUCT REQ 2y2 027-080-038 PERMIT#96-0780 FORRESTER, Samuel & Marie 2589 North Villa Palermo- Mobilehomd Inst&ilat' 027-080-038 PERMIT#98-1468 FORRESTER, Samuel & Marie 2589 North Villa, Palermo Re -Tag Gas Ser/MH 027-080-038 PERMIT#98-1468, FORRESTER, Samuel & Marie 2589 North Villa, Palermo Re -Tag Gas Ser/MH r7lb / � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �" Se ASSESSOR PARCEL NUMBER , ZONING BUILDINGPERMIT OWNER TELEPHONE P513-4.564 OWNERS MAILING ADDRESS Q MR= Sq, FT, OCC. BUILDING VALUATION CONTRACTOR'S NAME n 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 MAULING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2589 NORTH VILLA, PALL.R 10 I Energy Plan Checking Fee $ $ i PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑� Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0 Describe Work: RETAG GAS LINE Gas piping system 1 - 5 outlets 15.00 1.5. Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, an&rny license is in full force and effect.POWER 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, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service tow To L000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADONS. ( 8 ACC. S. 3.5¢FT. T. NOL}ROSID. MULTI.OuTL7 @7.50 APPARATUS 8 SINGLE OUTLET CIS. EX. OCCU oUTLEf OR FD(TUREs BAL @ ' o0 FULEDALNS. OR 5,00 Ex. Occup. PP ounETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shallTOTAL 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. Xj/ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE FEE $ HAZ. D. FEES IMP I FLOOD CFF PARCEL PO HD Isle' 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. By �t-� 'Lt Date Gtr PERMIT EXPIRES ON Receipt No. �� `Y' < WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF 6EVELJPMENT SERVICES - BUILDING D SION 7 County Center Drive • Oroville, CQ�liforni� 95965 • Telephone (530) 53 541 / �� � (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 258Q NORTH VILLA, 12ALERW CONTRACTOR'S NAME OWNER 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 2589 NORTH VILLA, PALERMO Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN RETAG GAS LINE Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G WF__ _ @ 20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service oA u<ss 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.POWER 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, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit 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.) �( 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit those provisions. Date 31gnature of Applican - ❑Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00So rCU000A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a ACC. BLOB. 3.50FT. W:,L NON -I'D ANCHOUTLET 97,50 APPARATUS a SINGLE OUfLEr CIR. 20 Ex. Occup. OUTLET OR FIXTURES akL p 1. 0 Ex. Occup. oFlx�eED�A R D OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD IS 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. By LetDate nt(4d6i11J ov PERMIT EXPIRES ON (bite) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 im rove C3 -property p went :YES . NO I HAVE .9 HAVE NOT ❑ signed as application for a building permit for the proposed w6dL I have contracted with the following person (firm) to provide the proposed construction:.:. 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: zz Ja V p SOCIAL SECURITY NUMBER: DATE: Z1_6 98 - NOTE: -Thu Owner -Builder Verification is required by .Section I9831na79832—oJ'1he— California Health and Safety Code. This verification must be completed aid returned to our office before we are permitted to issue the permit. OVER J s" OWNER BUILDER INFORMATION Dear Property Owner: 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 parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. if your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: v ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, Workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, 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 personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac9rs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. _ i rely, A' &k--, Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder.Informatlon is required by Section 19830 of the California Health and Safety Code- OVER oda OVER RESIDENTIAL 027-080-058 PERMIT#96-0779 . FORRESTER, Samuel & Marie 2589 North Villa, Palermo Mobilehome Utilities r/ i� I 9 r e i OFFICE COPY Address �7rrf'q .4• i i GAS c` Meter By Da ELECTRIC Meter By I JOB FINALE (Dat — Signature � V=OK O = Not OK = Nqt Applicable = Not Ready J MOBILE HOMES DME UTILITIES Plans OK exce t #'s Requirements - Setbacks - Easeme is 6. Gas; LorgtidnesHNrap; / /'L'ft. /�N' 3Cor�/_PL-Itj /LPG arance & Disconnect Ljef�Tility Clearance Date Card B-1 Qj Date Card B-1 Date — �� Card 8-1Date Card B-1 Date MOBILE HOME INSTALLATION Plans OK except #'s on' g Requirements- Setbacks Easements tings; Size -Spacing -Marriage Line 3. Gas M st-Demand Valve -Connector ecJ[ieity; MH Test -Crossovers -Breakers -Clearances rain; MH Test Fall -Flex Connector &LWafier-, MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval 8. Gas a . d Electricity Tagged owns -Type Installation Cert. Ex' sp.-Sketch /r Cert of Occupancy, Date S/, Card B-1 Date Card B-1 Date, Card B-1 J Date Card B-1 ti MISCELLANEOUS 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing—Veneer—Stucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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 L ghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK Not = Not Readyable RESIDENTIAL (; Date UNDERFLOOR (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4.Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. O.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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ------------------------------- 18. ------------ ------ 18. D.W.V : Test -Fittings & Anchor -Nail Protection --------------------------------------------------- --- 19. Shower Pan: Test. First Floor -Tub Access ----------------------------------------------------------- 20. Test -Tub & Shower. Second Floor -Tub Access ----- -- ---------------------------------------- 21. Gas Pipe_Size & Anchors ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------------------- ---------- 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------. .. _ _-- -- 25. Romex Installed Close to Edge of Studs & C.J. ------- --..----------`-------------------------------- -- 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water -----------------------------------------------.-.._.. _ ...... ..... .. 27. 2 Appliance Circuits in Kitchen_ & Conductor Size,GFI ------------------------------------ 28. Subfeed Wire Sizer ga Cu or AI -A.0 Wire Size ga. Cu or AI 29. Range Circ r ' ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------- ------------------------------- ---------------- - 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------------------- ..._..- ---- _ . 31. Equip Clearances Panels-Motors-Mech. Equip. ------------ ----------------- ----------- ------ - ---- 32. Clothes Closet Light -Shower Light -Spa Light ---------------------------------- ---- ---- 33. Smoke Detector ---------------..-------....... ----- -.............. .... ... ....... . Date Card B-1Date Card B-1 ................................... ------- ------ -----.............. ... ................... _. ... ... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support -----------------...-----------------.._......----....-..._..- - . .. .. _... 35. Vent Fan: Exhaust above insulation -------- -- - . --------.._... _._ ._...... .. .. . . ... .. 36. Condensate Dram & Overflow. Sze -&-Grade 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet .. -- ....... -- --- ... ... .. 38 Attic Access & Platform if Furnance in Attic ------------- ---------- _ . .. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except P'S 39 Sils. Proper Material & Anchors .. ... ... ... ... ... 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ......... . 41 Bearing Walls over Girders & Floor Nailing 42 Draft Stop in Walls (rat proof) - . . .... 43 Fire Stops. Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing "ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing -------------- -------------- 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer --------------------------- --------- - 56. Stucco Mesh-DripScreed-Fd. Vents-Underflr. Access -------------------------------- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. -Insulation -Walls -Ceilings ----------- --------------------------- 60. Infiltration -Walls -Windows ----------------- - ----------------------------------------------- - Date Card B-1 Date Card B-1 .. --------------- ----------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- 62. Smoke Detector - ------------ ---------------------------- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------------------- 64. Bedroom Exiting . -------------------------------- 65 ---- --------65 G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stags & Rails ------------------------------ ----- 68. Fireplace or Stove: Clearances -Hearth ..--- .--- ------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. .. ... ----------------- 70. ----------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ....----------------------------------- -- 71 Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper _............--------------------------- ----- ------ 74. Wtr Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection .... ----------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ---------------------------------- 76. --------------------------------76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. - - --------------------- ------------------------------- 7; Insulation -Foam -Looked in Attic ❑ Yes ---. _ .----------- --------------------------------------- 78. Guard Rads & Deck Construction -Post Caps --------------------------------- -- 79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -------------------------------- --- 80. Following instld ,. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ---------- -- ----------------------------------------- 81. Stucco. Brown -Finish _ ... _ ---------------------------- --------- 82 A C Unit: Disconnect. Electrical. Plumbing . ... ... ... . -------------------------------------------- 83. Vents Above Roof: PIbg.-Appliance- Fireplace. -Clea rance to Openings ....... ... . - -- ------- ----------------------------- 84 Water Well: Disconnect. Electrical. Plumbing 85 Exterior Elec Trim. G.F.I. Receptacle -Underground - ----------------------------- ------ 86 - -------------------------------- 86 Ventilation Throughout House . .. ---- ---------------------------------------- 87 Glass Protection 86 Corrections from Previous Inspections -- - -- -- ------------- 89 Gas Gas Test -Meters Tagged, Gas -Electric - ----------------------------- 90 Water & Sewer Connected -C/O to Grade -HD Approval ------------------------------ 91 Energy Compliance Certificate -Other Certificates ----- - ------------------------- Date Card B-1 Date Card B-1 ---------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT & DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT !G _G %moi ASSESSOR PARCEL NUMBER 27-0$0-038 ZONING ARM'rII BUILDING PERMIT OWNERn n SAPIUEL B. r- MARIE L. FORREST TELEPHONE R 533-4564 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS PO BOX 614 PALERMO, 95968 CONTRACTOR'S NAME O;+INER TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2589 N. VILLA PERMITFEE $ 23.00 PLUMBINGPERMIT Filing Fee 20.00 PALEM40 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex Y1 Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities OX Installation ❑ Other ❑ Describe Work: j XI �L-III Mobile Home 920.00 50.00 PERMITFEE $ $0.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( 800VOR LESS ) 200A OR LESS 23.00 3.00 Main Service ( 200A TO 1000A ) 46.00 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: El- I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. OR NS. ( a ACC. BUDS. ) 3.52 Fr. CONST. NEW CONSMULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( a SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .SO Ex. Occup. I FIXED I EEDTS IPE ISE D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 03.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL 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 tfh those provisions. X4 L '— --Date '7 �L�j -- Signature of Applicant 'Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE FEE $ 166.00 HA2. D. FEES FLOOD CDF Pp HD U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic above fo which fees have been paid. BY Date l� PERMITEXPIRESON 51-711.77 I (Data) ReceiptNo. ��S�bJ/ WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r e'� .r��t� . � •�ti'. :�{•,.a./� .,r..r4r,-T.�-.+t_rt�.iv.v�w•4-ri.._-.....-�ti." COUNTYOF BUTTE - DEPARTMENT OF'DEVELOPM ENT SERVICES - BUILDING DIVISION i .. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER ,4.rrtu�(' Gay N-- �O rr(gs1 c.— Proposed Building Use eA P. No.�`i - U Building Inspector Date � At time of permit application, I -was advised the following data must be submitted prior to permit processing and/or issuance: �. DATE RECEIVED BY :51. I items have been submitted. .. •.................... : ................ . (v Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... �f�s as shown on attached schedule . .............................. . tfo f eat "Forestry plan approval/fees. . 13. Flood elevation letter (100 year flogclJ by Cali ornia Engineer . ................ . Sanitation and plot plan approval c� j Health Department . ............ 5. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. ......... . riveway permit (construction approval required prior to occupancy). .. - 20. Pre -inspection for Prey ilding ;oo re es required. . to Building Inspector (Date) 21. 'Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... ML Owner -Builder Verification (Given to owner , Mail to owner _). ........... Recorded copy of Agricultural Acknowledgement Statement. .......... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use .......................................... ' 28. Mobilehome utility clearance ..................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed'or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ......... >� 31. Existing violations/expired permits . ................................ - 32. Plan check list ........................................... `.", 33. 34. When you issue theppermit ,Prtcess as follows: Maril//-t,o'' owner. Mail to contractor. Telephone53 t/Sby and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant �. �,a l� Date 9� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pr' r to permit is uance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by G , a G 0,45 Date -ZZ- Plans approved by _�� p, (►, Q., f,5 Date Sets of plans on hold in File cabinet k AP folder Copy - Department of Public Works Plot Plan AldcW Floor Plea AtdcW s� to B.D d Y TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance —L) A,2 VC-L'i Owner % Location P,4CC4f,11.4a Plan Approved for: Sewage Disposal v Water Supply: Public Clearance for bedroo mobil Hold fifial. f Final learance . K. for. Environmental Health 2 /01) 002'7- 0�6 -�38 AP# Private Well Date COUNTY OF BUTTE BUILDINGZIVISION ', :.A DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Orovitle, CA - (916) 538-7541 747 Elliott Road; Paradise, CA - (916) 872-6307 C RECTION NOTICE OWNER PERMIT NO. A routine inspection indicates t1at tle following violations of Butte County Ordinances exist at , the above address and should be rected. Please notify this office when correction of woikr is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. /2_ n(� 4• 1:: r -44 1Z i t c ZUf i i ,t. o GtJ I Date — Inspector REV 10192 \_ • ,lik AP # o�-7 6g �3g OWNER PERMIT MH UTIL.CLEARANCE DATE INSPECTOR. k—�Ud�i ELECTRIC GAS Support Compaction Struc. Test Re . Service Size Other Load Type Pipe Size Length YESI NO YESI NO o v We -ll *6t C<PeA i 10 C- ��v �✓ Q� 4 - 5e 1 , M.H.I.- 2 Mobilehome Manufacturer: (- A PA ? Manufacture Year: _? If other than single wide, furnish Setup Model Number: Width:�(ft.) Length:�_(ft.) Tagalong or Expando Size (ft.) x (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[K] Other: SUPPORTS: Concrete block[X) Other: Provide Tie Down Specifications for all Mobilehomes: h usco C 2oSS 19tirc Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 2 ............................................................. ................:.................. Main Beams Line2.............................................................................................. Line 1 ........................................................ Main Beams ........................................................ ............................................. Tag or Triple Line 1 Piers: Size minimum: x R V1. Spacing maximum:` From ends -maximum. -1---i` Line 2 Piers: Size minimum: [12-1 x [ 3 c]. Spacing maximum: I q ` (,` From ends -maximum: ( ` t) ` Line 3 Roof Loads: Size minimum Location (from front): Line S Roof Loads: Size minimum: Location (from front): .ine 1. Line 2 Ine 2 Line 3 Line 2 .................................. Line 2 .................................. Line 1 ie S ie 4 ie 1 Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: I` From ends -maximum: 4` 2yX3v AT ALL !NT£P_lof, acA(L(,/G WALJ,S OVER COUNTY a FILE COPY 9L, 180 1. Owner's Name: c� -5. � 112yi6 LQ restgu- 2. Assessor's Parcel Number: hP4L G 2.7 - C-,eo - © FDF� 3. Installer's Name: 4. Is the site currently under permit? Yes[X] No[ ] Permit No. M t.-+ `J 5. Is'the site as existing site? Yes[ ] No[,�] (If yes, furnish two plot plans). 6.. What is the electrical rating of the, mobilehome? Amperes. 7. What is the mobilehome site circuit breaker rating? Zc� �� Amperes. 8. What.is the electrical rating of the mobilehome site? 2 o Amperes. 9. Is the main service remote from the mobilehome site? Yes [ ] NoK ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[k] NSF] If yes, please identify the load and size: a) The mobile home site: Load- ? (o j:::) ' h 1 g ,( Amperes- b) The main service: .A Load- —OggEE9 Amperes150 -2-0o 11. Type of gas service at mobilehome site: NaturaK] Propane[ ] None[ ] 12. Size of jas pipe at the mobilehome site ' from the meter or tank: 3 inches. 13. What is the gas pipe length from the, meter or tank to the mobilehome?a S (ft.). 14. What is the mobilehome gas demand? N A B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 x 8.5 eiUaopleo '811ina® 9661 9 t UV y1I?eH ie#Uewu0J1nU=1 J �.L K O T. _ I ❑ J ) 3l ' APPROVED ED L Butte County environmental Health g , u. o - Signa t re N N LJ 4%14 Dz-f -TE. C4 J TY 1 PARPM �® %�� ABESCO ENGINEERED CROSS DRIVE TIE DOWNS MANUFACTURED HOME TIE DOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESIGN LOADS: • WIND--- 15 PSF • SEISMIC — ZONE 4 • SOIL --- 1,000 LBS. PSF LOAD BEARING ANCHOR DESIGN PULLOUT: • 1,727 LBS. — MAXIMUM TOTAL LOAD CAPACITY (CALCULATED) ABESCO CROSS DRIVE ANCHOR #607 MAY BE USED FOR BOTH SIDE AND END TIE DOWNS. STRAP DESIGN TENSION: • 4,750 LBS.—MINIMUM TOTAL LOAD CAPACITY (TESTED 5,900 LBS.) • 3,150 LBS.—WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) GENERAL NOTES: 1. SIDE TIE DOWNS ARE LOCATED ALONG THE OUTSIDE CHASSIS BEAMS. PLACE AN ABESCO CROSS DRIVE AT 2' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING TIE DOWNS EVENLY ALONG THE CHASSIS BEAMS. 2. END TIE DOWNS ARE LOCATED AT BOTH ENDS OF EACH UNIT(S). THEY ARE TO BE PLACED AT EACH END OF CHASSIS BEAMS, OF EACH TRANSPORTABLE SECTION OF THE BUILDING. 3. THE NUMBER OF TIE DOWNS REQUIRED ON EACH SIDE/END OF UNIT(S) ARE BASED ON THE LATERAL LOADS DUE TO 85 MPH WIND EXPOSURE `C OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. ENGINEER APPROVAL i ac No. 17918 C F.0�`b• THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3, SUBSECTION (a) I STATE APPROVAL AwpAuEBil,EO 71-efDaa/N.Sy.07-A ! APPROVED 5UPIECT TO CORRECTIONS NOTED %ff. Approval does not a. a p si8n or deviation from require �f Ica le $tate regulations. ��� Deportment of Ho •'ng d P!A ity v p �DIVISI N S A DNDARDS Bte�!� (signature) _ SPA NO._, - IDG,d This Plan Approval ®PAC= CONSIu.TU10 EfONIMM ABESCO, INQ 2150 till Ave, Sulte 145 PERYAtD4T FMMATO S15W SovQnmta WE 95838 Rmnc 916--%4-6019 5851 Flom—Pwkm Road Soammtk G 0131 Pk 916-30--= TYPE QS SEE CHART SINGLE WIDE TYPE Q SEE CHART 4 4 4 4 4 4 r 2' EQUAL EQUAL EQUAL EQUAL EQUAL 2' LENGTH VARIES DOUBLE WIDE TYPE (D SEE CHART RT TYPE QE SEE CHART [2-L EQUAL I EQUAL I EQUAL I EQUAL EQUAL 2' LENGTH VARIES TRIPLE WIDE ..... WIND= 15 PSF SEISMIC= ZONE 4 REO'D. NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' 1 40' 1 50' 1 56' 1 60' TIE DOWN LOCATIONS I E I S I E I S I E I S I E I S I E I S I E IS E SINGLE WIDE UNrT 4 2 5 2 5 2 6 2 6 2 7 27 2 TOTAL TIE DOWNS 1 12 1 14 1 15 1 16 1 16 1 18 1 18 WIND= 15 PSF SEISMIC= ZONE 4 REO'D. N0. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH LENGTH OF UNIT 30' 1 40' 1 S0' 1 56' 1 60' 2' EQUAL EQUAL EQUAL EQUAL EQUAL 2' TYP SEE CHA LENGTH VARIES I S I E I S I E SINGLE WIDE TYPE Q SEE CHART 4 4 4 4 4 4 r 2' EQUAL EQUAL EQUAL EQUAL EQUAL 2' LENGTH VARIES DOUBLE WIDE TYPE (D SEE CHART RT TYPE QE SEE CHART [2-L EQUAL I EQUAL I EQUAL I EQUAL EQUAL 2' LENGTH VARIES TRIPLE WIDE ..... WIND= 15 PSF SEISMIC= ZONE 4 REO'D. NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UNIT 30' 1 40' 1 50' 1 56' 1 60' TIE DOWN LOCATIONS I E I S I E I S I E I S I E I S I E I S I E IS E SINGLE WIDE UNrT 4 2 5 2 5 2 6 2 6 2 7 27 2 TOTAL TIE DOWNS 1 12 1 14 1 15 1 16 1 16 1 18 1 18 WIND= 15 PSF SEISMIC= ZONE 4 REO'D. N0. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH LENGTH OF UNIT 30' 1 40' 1 S0' 1 56' 1 60' 1 66' 1 70' TIE DOWN LOCATIONS I E I S I E I S I E I S I E I S I E I S I E I S I E FDOUBLE WIDE UNITI 414 1514 1514 161 4 1 614 1 714 1 714 1 I TOTAL TIE DOWNS 16 18 18 20 20 22 22 PE QE WIND= 15 PSF ;E SEISMIC= ZONE 4 IART REO'D. NO. OF CROSS DRIVE ANCHORS FOR EACH SIDE AND EACH END LENGTH OF UN(T 30' 1 40' 1 50' 1 56' 1 60' 1 66' 70' TIE DOWN LOCATIONS I E I S I E I S I E I S I E I S I E I S I E. S E TRIPLE WIDE UNITI 416 1516 1516 1616 1 6 6 7 6 7 6 TOTAL TIE DOWNSI 20 1 22 1 22 1 24 1 24 1 26 26 RUTS COUNT ul AP'miR I—BEAM SHOWN, SEE — C do RFC CHASSIS FOR CONNECTIONS ABESCO �y406 PIER ' BOLT—ON TOP SEE DETAIL "A" TYPEQE TIEDOWN row I BEAM CHASSIS SEE DETAIL 'A' TYPEQS TIEDOWN DRILL 9/16' HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2' A3)J61 7 #606 STL STRAP STL STRAP SEE I—BEAM CHASSIS FOR TIE DOWN ANCHOR RFC BEAM CHASSIS DRILL 9/16' HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2' A307 BOLTS —#614 STI_ STRAP II SEE I—BEAM CHASSIS FOR ii TIE DOWN ANCHOR C BEAM CHASSIS #606 STL STRAP #614 STL STRAP 1'. 75m � SIDE VIEW ENn VIEW BOLT & NUT C 07 CROSS CRETE RIVE ANCHOR DETAIL 'A' 12�yS0UARE , x 12 DEEP } GROUND UNE •• q;`I..�\•%+. � INSTALLATION INSTRUCTIONS CONI RIICTOR'8 WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL ;; •�;; c�; ��, i ; :•(. OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR �" i' `` i; ; t-• *�, 1 MINIMUM 2' ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH �a : I... 'Al CONCRETE AS SHOWN IN DETAIL 'B'. ` "'�•;� �'' '" "' t`•, %:`� ";i, .�".;' 't:<wc• jam;,. ��'+: s LL CROSS DRIVE ANCHORS INTO SOIL ACCORDING TO DETAIL 'B'. 1. INSTALL „ 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. DETAIL 'B' 4. ABESCO NAME IS STAMPED IN ANCHOR HEAD. CONTRACTORS VERIFICATION I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: DATE: CONTRACTORS LIC. # SIGNATURE #606 STL STRAP BEINE RT D #607 CROSS DRIVE ANCHOR ABESCO TIE DOWNS #606 7' STL. STRAP W/BUC TYPE "S" #614 7' STL STRAP W/HOLE TYPE "E"- 1 .F• ENGINEERING CALCULATIONS WIND=15 PSF -- SEISMIC ZONE 4 #608 SPLIT BOLT do NUT WIDTH LENGTH TRANSVERS LOAD -W- ITOTAL TRANS. LOAD 9 TYPE'S' I TIE DOWNS # TYPE TIE DOWNS SINGLE WIDE TO 14' 30 FT. 165 PLF 4,950 LBS. 3 2 40 FT. 165 PLF 6,600 UBS. 4 2 50 FT. 165 PLF 8,250 LBS. 5 2 60 FT. 165 PLF 9,900 LBS. 6 2 70 FT. 1 165 PLF 111,550 LBS.1 7 1 271 DOUBLE WIDE TO 28' 30 FT. 165 PLF 4,950 LBS. 3 4 40 FT. 165 PLF 6,600 LBS. 4 4 50 FT. 165 PLF 8,250 LBS. 5 4 60 FT. 165 PLF 9,900 LBS. 6 4 70 FT. 165 PLF 11,550 LBS. 7 4 TRIPLE WIDE TO 42' 30 FT. 165 PLF 4,950 LBS. 3 6 40 FT. 165 PLF 6,600 LBS. 4 6 50 FT. 165 PLF 8,250 LBS. 5 6 60 FT. 165 PLF 9,900 LBS. 6 6 70 FT. 1 165 PLF 111,550 LBS., 7 6 #406 PIER BOLT—ON TOP SOIL CONDITION SPECIFICATIONS CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROC CvNTY OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROC ,K °� MINIMUM 2 ASPHALT, ENCASE THE CROSS DRIVE A :_ 711 �TiI E, 0 A CONCRETE AS SHOWN IN DETAIL "Sr. 96-0169461' Rec Fee 6.00 I COP 1.00 And when recorded mail to: Recorded I Check 7.00. Building Division Official Records I i #7 Countv Center Drive County of I ' Oroville, Ca. 95965 Butte I Candace J. Grubbs I Recorder I 2:56pm 7 -May -96 I PUBL XX 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or, discomfort from_ the use of agricultural chemicals. including. but not limited to herbicides, pesticides. and fertilizers. and --from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke. noise. and odor. Butte County has established agricultural purposes and residents -,vithin said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real propem• situate in the County of Butte. State of California. described as follows: __Gi 1,3, iry �-�ILC:k �3, ai-S SFlty`cv C, u�) i ?-1�1-i� CEi'ZAr�`_ r`r1AP F�UTi>tci�," /Y1flP C+= Suomi iU�SiCPv I 0+ �I )L�-i2.nlo CF -1(2 15 RACT, J�ciTE CUttnl7- b � CAL."i� 41C WAS j2�CO��D�� IrJ TfIE 0 r ICt D% i}It�t"C-C.2i?� Uj= TIIC C�UJU,-T-j or -i -,,Zc1 �C Sr)'T C 1 c•,v FC6_ JZ1JA2t.( Zg, ASt 1868. Date: / n State of California County of BUTTE On 5-7-96 PRO RTY OWNERS: _4L J6 AMUEL B. FORRESTER before me, PENNY C. ENGLAND , Commhsbn 01079122 MP CPS?NOtMV _.L? Butte Co�unnsy. Cee bmja PENNY C. ENGLAND -4 ae, r.... �._._ � _ . ., .,.,,...���i::_'s� personally appeared SAMUEL B. FORRESTER personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted. executedthe instrument. WITNESS my hand and official seal. PENNY C. ENGLAND, - Commission 01079122 Mr; CFS? Notcsy Pubrlc t Signature Seal: Butte County,Cdbmb W Commiaston E)p. DEC. 3, i 99; 1511 A.P.1* 2 7 - C) 9 rL(�), 5 L `I�ti�:!'..+�'�.�•i7n.r*.r%...;�wi.::�.�.r_.-:�'�:,,:Atwri�,.-+r..�.r•K"�.. �... ,i.a; :, ,..1-��.�.,..... .. r: -.-'r sii •:�r-r±.��,-•......rr ^...... BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District oil v 1,- ul.-LA. H f].G L A.P. Number Z:7-096-6;1Jurisdiction: Property Owner --57-� i 4,L- r r r e 5) Building Department No. City LX -N County Property Location/Address Ua-- Subdivison Lot No. Residential Development Commercial/Industrial Building [N 0 Sq. Footage / 1-/ Q U No. of Living MHI Addition (Group R) Units 0 0 Sq. Footage New Addition (Floor Plans reviewed by School District Personnel) District Identification No. 960129 (Including Exterior Roofed Areas) Y / 6 Da 12hMAL R,�� School District certifies that s� #6- V., A. (Applicant) Address) (Phone Number) (Zip Code has complied with the requirements of Resolution No. by payment of $ V representing I'7 L' V square feet. AB 2926 $ :ON $ Date Paid by Check # Bank Number Paid by Cash M aj A a. & •�. 105 --Ad '-_ cam_ 61 If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wk1 (11/94)dmm 1 Location of structures & equipment shall be as st P -,f --',I easements. ELECTRICAL, MECHANICAL, AND F CONSTRUCTION ( NOT PLAN C1 SHALLCOMPLY WITH CURRENT OF NEC, UMC AND UPC. This set Of plans and speciftcat;lons MUST be kept on the job at all times and it Is unlawft I to make any e1janges or alterations on same vo ithow written permission from the Department of Pun Works, County of Butte. Non: All Materials & *Workmanship Shall Be In Accordance with l4c6gnized Good Practices and of a Quality Prescribed for the Specified use in the Uniform Building, Plumbing & Mech ca) Codes and toe National Electrical Code. VED '- ---tte :ounty �nmwtal Health -MAT IV Ure A OUTTE CO QTY BuIlLADING DEPARTMENT PRO ED '!J -7 7�7 copy OWNER . COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUELDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 �� ,�`� �� L. _ �'c✓ - A. P. # 2 7 - D 8 D - G.3 vr�es PROPOSED BUILDING USE s� /-� DATE SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division) Residential...... x unit amt. Commercial (Sq. ft.). x =$ 3. U�BAI-AREA-FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6 _�v��AND-PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER REC. # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE LAND DEVELOPMENT BUILDING/SEN RNME 'i�A HEQLt PERMIT CLEARANCE saiding Permit No. W "Q lack OWNERS r CCC 94 l A.P. NAME: i --n r. JYYl " �YY1fIf ; NUMBER: PRINT LAST NAME FlRST COUNTY ZONING DESIGNATION: FLOOD ZONE: X FLOOD MAP: 480 p APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY. DEEDS OR .MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: r ;„ MAP INFORMATION: DATE OF RECORDING LOT 13 gc 1c 43 BOOK W A -i L tf-3 PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from _ 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. N/A S -V 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 7. Connect to a public water supply. _ 8. Connect to a public sewer system. _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the 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 Fire Department specifications, serves the parcel. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. 13. A traffic mitigation fee for each new or additional living unit shall be paid. • Pay the amount of $ r ' -as stated in the Oroville Area Traffic Mitigation Fee Agreement. Pay n w to ba nuadia to 09 P!<e mft OhdhAon. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be'constructed on a permanent foundation complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ - _ 1'5. Deer` Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board_of Supervisors. X 16. Pay school impact mitigation fees.'" X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. 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. _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the •site by a professional archaeologist. ' This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20. 21. 22. 23. 24. 25. LD 9/95 - C:\WP51\FORMS.K\BLDGPERM.CLR MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMITN .: 7, Owners: Name: Owners: Address: ^.' ' / V .r .r xi" Mobilehome /Year of / Manufacturer Manufacture: Serial number t r Insignia or " J ?2(a or V.I.N. —{ .'. HUD number: ';17 /- Y3 Official approving ins alfhtion: Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION_ Z� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75�� _ d4#9 IT APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27-080-038 ZONING ARA1H1 BUILDING PERMIT OWNER SAi`UEL B. & MARIE L. FORRE TELEPHONE TER 533-456 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 614 PALLRMO 95968 CONTRACTOR'S NAME 04NER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2589 N. VILLA PERMITFEE $ 43.00 PALERMO PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex X] Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EX Installation ❑ Other ❑ Describe Work: HiT `a / / ` Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service500V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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: las owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADON ( a BILE. ) SO. LTI-ACC NEW CONST. MULTI -OUTLET S NON-RESID. ( BRANCH CIRCUITS ) 97. 0 @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .50 Ex. Occup. (oFTiEDTs RES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit 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 MECHANICAL PERMIT Filing Fee o.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ Date Signature of Applicant -,I-Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction00 of structures over 3 stories in height. Mobile Home Installation Fee $100.00 Energy Inspection Fee Is occ CONST. TYPE TOTAV FEE $ 1 .00 HA2. D. FE IMP FLOOD CDF PD H ISSU�i r/ This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. �D✓ate /� 76 �J (ate) Receipt No. -5� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ --' NO[ ]. 2. I HAVE[ L f HAVE NOT[ ] signed an application for a .building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: �� PROPERTY OWNER: .� �_e . \� SOCIAL SECURITY NUMBER: DATE: '-7/ — i/ — e 4 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- 1 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[ " r NO[ ]. 2. I HAVE[ ✓]" HAVE NOT[ ] signed an application for a .building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _— ADDRESS: CITY: - PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: — // — ` NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER COUNTYOF BUTTE - DEPARTMENT OF DEVEL"OPMENT SERVICES - BUILDING DIVISION � COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER �> 0.w\ CL4 Proposed Building Use PERMIT APPLICATION DATASHEET �LyiLL- orresA. P. No. 97-d Building Inspector /'r t 14-T- Date 1-1 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. .....:................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and mantifacturer's installation instructions, 2 sets. ........... -- Fees f $ "pact fees as shown on attached schedule. ............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval /rad Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Freanspedion reque-sf Pre -inspection for required. . to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). . ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . ���Letter of intent on building use. (2ge Mobilehome utility clearance. . ..................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... ,31. Existing violations/expired permits . ...................................... Plan, helist. ...... � .... ✓........................ . Li.S ,yam 34. When you issue the permit, process as follows: ovvovri 0�TelephoneS-'-O - �l Sand hold for pickup at C L/iti G Other Parcel Creation Acreage plicant Mail to contractor. _ office. Deliver with inspector. Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: r to permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Ct \ Sap, s4 S Date a -Z2 .U Plans approved by G ( 4315 01-45 Date s- P<', 114 Sets of plans on hold in File cabinet Z AP folder Copy Department of Public Works COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE %(lop ^D7J OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector REV 10/92 i I -BEAM SHOWN, SEE - C do RFC CHASSIS FOR CONNECTIONS ABE= 406 PIER' OLT-ON TOP SEE DETAIL 'A' TYPE(E TIEDOWN SEE DETAIL -A' TYPEOS TIEDOWN WQ.4,1440 I BEAM CHASSIS 11 `i i II 1 II 1 � n DRILL' 9/16- HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2- A307 BOLT #606 STL STRAP /614 STL STRAP SEE I -BEAM CHASSIS FOR TIE DOWN ANCHOR RFC BEAM CHASSIS DRILL 9/16' HOLE AT MID HEIGHT OF BEAM, INSTALL ,- 1/2- A307 BOLT - I� 1 jl _-J jc — 1614 STL STRAP SEE I -BEAM CHASSIS FOR TIE DOWN ANCHOR C BEAM CHASSIS #606 STL STRAP \ 1614 STL STRAP ' 7' STEEL ' 1 STRAP , , , 08 SPLIT SIDE VIEW END VIE1N �T t NUT DETAIL W ,`�' oUEEP E x 12 D GROUND UNE INSTALLATION INSTRUCTIONS :.. C0N1iiACTORB WARNING : CHECK FIRST FOR UNDERGROUND UTILITIES. 9'f•;• CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL ,�•�. ••.r,, ; , „ ' "' ,[ • OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR"I'�`i:7.' :"t. ,cam ,<.'•;�:?c., MINIMUM 2- ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH;.�. , _,,. f ' CONCRETE AS SHOWN IN DETAIL 'B :;;:•,�i.. _z �eE,•Y•r'�4 `;F ��t� 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL ACCORDING TO DETAIL -B 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. " DETAIL wEr 4. ABESCO NAME IS STAMPED IN ANCHOR HEAD. CROSS ANCHOR CONTRACTORS VERIFICATION I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. 1 HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE COMPANY NAME: CONTRACT S LIC. DATE: SIGNATUREvv- ,I 2 #606 STL STRAP