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HomeMy WebLinkAbout027-130-018( y�� 027-130-018 . BUILDING CODI, VIOLATION � LAND DEVELOPMENT SHEET 30 DAY'LETTER 1 0 027-130-018' — PERMIT#97-1633 1 BROWN, Donald & Gloria 415 Knob Hill Ave., Orovi'lle ' BUILDING CODE VIOLATION Cont: Executive Homes 2 10 DAY LETTER Mobile home Utilities 5 -u -c6 ELECTRIC aCD p20119P " 1 + GAS LINES P 352 oZ0 �, COMPACTION TEST REQ i D t" SUPPORT STRUCT REQ C,-2tO 027-130-018 PERMIT#97-1634 BROWN, Donald & Gloria 415 Knob Hi -11 AvE, , Oroville ; Cont: Executive Homes Mobilehome Installation • l �. 027-130-018 0'i-0511 = I G0DPRI:Y.'rR11ST 415 KNOB HILL, OROVILLC- , Cont SIERRA MOBILE SLRVICI I PND EXST MI-1���pi" ' • 3�10-oS 1111 - e a , - F , 7 i t. I 16 March 2005 Butte County Department of Development Services www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING James F. and Twyla R. Godfrey 415 Knob Hill Ave. Oroville, CA 95966 RE: Building Code Violation Location: 415 Knob Hill Ave., Oroville CA AP#: 027-130-018 Dear James F. and Twyla R. Godfrey: :4 31 James ..� a a This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced location, as follows: Failure to obtain the required permits, inspections and approvals from this office for the construction of an open deck. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these pennits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact a Permit Tech in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR: mj s May 12, 2005 Butte County Department of Development Services www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING James F. and Twyla R. Godfrey 26 Coarse Gold Rd. Oroville, CA 95965 RE: Formal Warning Notice Building Code Violation Location: 415 Knob Hill Ave., Oroville CA 95966 APN: 027-130-018 Dear James F. and Twyla R. Godfrey: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated March 25 2005, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of an open deck (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permii issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued" through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. James F. and Twyla R. Godfrey 12 May 2005 APN 027-130-018 Page 2 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact a Permit Tech at this office at the address or telephone number listed above. Sincerely, �4e'-�5c- 'W'- 0 Scott Rutherford Chief Building Inspector SR: mj s J PROOF OF SERVICE BY MAIL 1 I am a citizen of the United States and employed in the County of Butte. I am, and was at 2 the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the 3 within action. My business address is Department of Development Services, Building Division. 4 - 7 County Center. Drive, Oroville, California 95965. I am readily familiar with the County's 5 practice for collection and processing of correspondence/documents for mailing with the United 6 States Postal. Service and that said correspondence/documents are deposited with the United 7 States Postal Service in the ordinary course of business on the same day. 8 On May 12, 2005 the foregoing 10 Day Notice on the person(s) named below by placing 9 a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as 10 indicated below, and by placing said envelope 11 In the appropriate place within the Department of Development Services where 12 mail is collected for mailing with the United States Postal Services on the same 13 day. 14 X In the United States Postal Service Mail in Oroville, California. 15 16 James F. and Twyla R. Godfrey 26 Coarse Gold Rd. 17 Oroville, CA 95965 18 I declare under penalty of perjury under the laws of the State of California that the foregoing is true 19 and correct and that this declaration was executed on May 12, 2005 Oroville, California. 20 21 G 2 Myles YStraifd G3 Office Assistant II 24 25 26 27 28 April 29, 2005 Butte County Department of Development Services www.buftecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING James F. and Twyla R. Godfrey 415 Knob Hill Ave. Oroville, CA 95966 RE: Formal Warning Notice Building Code Violation Location: 415 Knob Hill Ave. AP #: 027-130-018 Dear James F. and Twyla,R; Godfrey.:,,_ , .. This is a_forma] warning notice. Pursuant to Butte County Code (BC,C),Section.41-2,'.we sent you,a courtesy notice dated March 25.2005, notifying you that you are in•violation of the BCC, and 1998 California Building Code (CBC), at the above-refetenced'location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of an open deck (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4tion Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. I °; This , is your final warning.._ Unless. you contact this. office and..make . the. proper arrangements to correct or abate the vkilat on(s). voluntarily,, within ten, (10) .days from.the date of this le tter,"enforcement shall b' pursued th`ro'ugh the issuance of'a citation (ordering you,, to. appear.,in court) for, ,said violation(s) and for failing to comply with this warning letter..:. court), James F. and Twyla R. Godfrey 415 Knob Hill Ave. Oroville, CA 95966 APN 027-130-018 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact a Permit Tech at this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR: mb 1 2 3 4 5 6 7 8 9. 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte. I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division. 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On April 29, 2005 the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. James F. and Twyla R. Godfrey 415 Knob Hill Ave. Oroville, CA 95966 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on April 29, 2005 Oroville, California. APWWWw— isty Olackhorse Office Assistant .Butte County Department of Development Srr`vrces -• ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 RETURN SERVICE REQUESTED fames F. and T\vv.1.a R.. God? rey 41. K'!icfb Hili Ave Groviile, 95966 GODF415 955663571 1405 so 05/03/05 RETURN TO SENDER GODFREY 26 COARSE GOLD RD OROVILLE CA 95965-3268 RETURN TO SENDER i1,;�? b,f,Il.. Ilm/1"I"I11„�1„,.h11��1 April 29, 2005 Butte County Department of Development Services www.bufecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING James F. and Twyla R. Godfrey 415 Knob Hill Ave. Oroville, CA 95966 RE: Formal Warning Notice Building Code Violation Location: 415 Knob Hill Ave. AP #: 027-130-018 Dear James F. and Twyla R. Godfrey: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated March 25 2005, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of an open deck (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. James F. and Twyla R. Godfrey 415 Knob Hill Ave. Oroville, CA 95966 APN 027-130-018 Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact a Permit Tech at this office at the address or telephone number listed above. Sincerely, A113 -F-10- , Scott Rutherford Chief Building Inspector SR: mb PROOF OF SERVICE BY MAIL 1 I am a citizen of the United States and employed in the County of Butte. I am, and was at 2 the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the 3 within action. My business address is Department of Development Services, Building Division. 4 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's 5 practice for collection. and processing of correspondence/documents for mailing with the United 6 States Postal Service and that said correspondence/documents are deposited with the United 7 States Postal Service in the ordinary course of business on the same day. 8 On April 29, 2005 the foregoing 10 Day Notice on the person(s) named below by placing 9 a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as 10 indicated below, and by placing said envelope 11 In the appropriate place within the Department of Development Services where 12 mail is collected for mailing with the United States Postal Services on the same 13 day. 14 X In the United States Postal Service Mail in Oroville, California. 15 16 James F. and Twyla R. Godfrey 415 Knob Hill Ave. 17 Oroville, CA 95966 18 I declare under penalty of perjury under the laws of the State of California that the foregoing is true 19 and correct and that this declaration was executed on April 29, 2005 Oroville, California. 20 21 22 23 Misty lackhorse Office Assistant 24 25 26 27 28 RECORDING REQUESTED BY: ti AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 C013Y of Document Recorded 14-har-2005 2005-0014042 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. JAMES F. AND TWYLA R. GODFREY REAL PROPERTY OWNERILESSOR 415 KNOB HILL AVE. MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0517 (530) 538-7541 BUIL/D/ _ RMIT�l9--- 7�',. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD HOMES 1997 5604B MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMLMMBER CAFLVI7A/B20294VM12 60'X 25'8" RAD1010687/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 027-130-018 k. HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK -Applicant GOLDENROD. Building Dept. DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS. FOLLOWS: PARCEL I• PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN .THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 24, 1987, IN BOOK 107 OF MAPS, AT PAGE(S) 72. AP#: 027-130-018-000 PARCEL 11: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCELS 1, 2 AND 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 7, 1982, IN BOOK' 89 OF MAPS, AT PAGE (S) 42.. PARCEL III- A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 24, 1987, IN BOOK 107 OF MAPS, AT PAGES) 72. NOTES RESIDENTIAL 027-130-018 05-0517 1 GODFREY, TRUST — I PERMIT NO.,415 KNOB HILL-, OROVILLE - - Cont: SIERRA MOBILE SERVIC (FND EXST M1 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER -j"o L -01 L/ 1�/6 E i} JOB FINALED (Date) _ Signature J=OK 0 = Not QK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; S,Qecial MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card --1 Date Card B-1 Date PER NE T END SYSTEM (ONLY) V Z906g Requirements -Setbacks -Easements 2eOTooti6gs; Size -Spacing -Marriage Line .Blocking -4-Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Daterz Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing t 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 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 I. 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater t 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 5 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 jDate Card B-1 Date Card B-1 I 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.-/ /" 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 -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 FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors 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 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 64. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 65. 32. Service -Riser Conductors & Ground Main Disconnect 66. 33. Equip. Clearances Panels-Motors-Mech. Equip. 67. 34. Clothes Closet Light -Shower Light -Spa Light 68. 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Stairs & Rails Card B-1 Date Card B-1 Date Fireplace or Stove, Clearance -Hearth 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 78. Card B-1 Date Card B-1 Date 79. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Insulation -Foam -Looked in Attic 41. Sills Proper Materials & Anchors Guard Rails & Deck Construction -Post Caps 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 43. Bearing Walls over Girders & Floor Nailing Clearance Looked under Floor 0 Yes 44. Draft Stop in Walls (rat proof) Following Instld./Drive 0 Yes :1 No/Walks 0 Yes D No/Planters 0 Yes ❑ No 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Stucco Brown -Finish 46. Headers & Beams -Size & Bearing A.C. Unit Disconnect, Electrical -Plumbing 86. 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 (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes :1 No/Walks 0 Yes D No/Planters 0 Yes ❑ 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: x 1 f 1 � ' � � � y .y j S i ` � '.� '. � .. ` -r a. ,.. ��` 7 � C .1 1 f 1 T � � , y ..a } .� ' � t•� - � � s � � y 4 - '.� � 1. �. - f � ' t - � � S .n y a 1 � � .y j S i ` � i , ' '. � .. ` -r a. ,.. ��` 7 � C .1 f 1 T � � , y ..a } .. IJUIILUUUNIY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 IJCKIVII I IVU. BP050517 B. C. Buildinq Permit ut-i6-04 pq 'i 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 Issued Date: 03/07/2005 APN: 027-130-018-000 effect. [ 70 3 �� License Class : License Number: Date: t1S�Contractor: Site Address: 415 KNOB HILL AVE PAL Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that 1 am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Description: EX SITE MH PERM FND 26X60 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 rile a Owner: GODFREY JAMES F & TMLA R 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 415 KNOB HILL AVE she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 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).): 95966 ❑ 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, Applicant: GODFREY JAMES F & TWYLA R 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.). ❑ 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 of the Business and Professions Code Contractor: SIERRA MOBILE SERVICE BILL REID Date: owner: 466 CIRCLE DRIVE OROVILLE, CA 95966 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-534-0599 ❑ 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 License #: 470386 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 Architect: insurance carrier and policy number are: Engineer: 7-11c Carrier: Policy #: S % ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 31-?. Applicant: WARNING: Failure' to' secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one ` hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor interest, fees. , I code, and attorney's CONSTRUCTION LENDING AGENCY This permit iA hereX Issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu s a work Indic ed above for vytnch fees have been paid `/? performance of the work for which this permit is Issued (Sec 3097 Civ.) By: Date: % Name: 6 PERMIT EXPIRES N: Address: (Datel ❑ I hereby certify that the use of this facility shall comply with Sections 25505,25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that i have read this application, that the above information is correct, and that I am the owner or the duly authorized agent 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 But County to enter upon the above mentioned property for inspection purposes. Signature: 1 — 4Print Name: / 3 O S Date: © Ownerractor EI for Owner ❑ Agent for Contractor Cont B. C. Buildinq Permit ut-i6-04 pq 'i 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 TIATE OF APPLICATION 54 0/_ qo **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE FX r For office use only - Zoning CONTRACTOR OWNER, -ast Name Address First Name 4ddress ' State u,= City 0'V' J" 5-7`� �S9 y State C'fl Zip S yce Phone Lic. # `i765V-6 Class �S Fax E-mail APPLICANT SIGNATURE FX r For office use only - Zoning CONTRACTOR Name :7 , Address yG 6 c� �G� r�,•�. City ' State u,= Zip Phone 5-7`� �S9 y Fax E-mail Y1 Lic. # `i765V-6 Class �S APPLICANT SIGNATURE FX r For office use only - Zoning ARCHITECTIENGINEER Name :7 , Address yG 6 c� �G� r�,•�. City L:2..ccxJLGe Stale Zip Phone Say oSGG Fax E-mail Y1 State License Number APPLICANT SIGNATURE FX r For office use only - Zoning APPLICANT NAME I Name :7 , Address yG 6 c� �G� r�,•�. City L:2..ccxJLGe Slate Zip CJS"�E Phone Say oSGG Fax E-mail Y1 APPLICANT SIGNATURE FX r For office use only - Zoning LOCATION Flood Zone SRA Property Address No Occ. Type ConsSubdivision rgeLot Name Map Book # Planner Date Approved: %J V EM rUK JUblvlt 1 I AL KLUUIREMENTS PERMIT C6 -051 BP BIN # Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:'P Amount LOCATION AP# SRA Property Address Sheriff SMTP City c - Cross Street WORKER'S COMPENSATION Policy Number Y1 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: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:'P Amount Iq—"G (p Bldg SRA /I ¢ Receipt #: �7 � l5 00A5 q11 I Sheriff SMTP Total ■ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGD�10SI 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: (�Sr._� ASSESSOR PARCEL NUMBER Proposed Building Use: �� Counter Technician: I Date: �T Items required in order o app of a permit. All boxes M ST be checked OR marked NA in order to apply. -1:11r 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down o fnY d plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. 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............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ rosion Control Plan Required........................................................................ ........ T��,N as shown on the attached Schedule of Fees Due Sheet.1.lity of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... 1)36. Deed Restriction......................................................................................... ❑ 37. �1 Grant Deed, O M.H. Fi tatement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone a /l �C7G�_ /oma �, and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: !N Date: 1. Index permit application for the above items numbered: Plan Check Letter ConPral items required _ actor, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date:Con designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑coun r by Date: Plans reviewed by: Date: Plans approved by: Date: D Structural reviewed by' Date: Structural approved by: Date: Note transfer by: L� -Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION .7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER C� BUILDING USE • e � 1. BUILDING PERMIT FEES p, --- Balance Due ..................... $ 1 --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ 4. URBAN AREA FEES Residential (per unit)..... X # Units Amt. A.P.0 DATE '27' RECEIPT DA EE . (paid at Building Division) 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 $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. 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 are 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 project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 SECTION INTRODUCTION GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS SET-UP INSTRUCTIONS FOOTER SIZES INDEX PAGE NUMBER 2 3 4&5 6 7 8 RELEASE DATE 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 WIND ZONE I - SINGLE 9 9/2/03 -xDOUBLE__ 109/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval MANUFACTURED HOME/MOBILE HOMB FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED kPPROFVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California I ent fHouain and Community D"opmo d N:ZS AND STANDARDS I SPA j This Pjan Approval E (sipaturo) / 9 �'�c. -7-D'n? BUT` E COUNTY 131UR.,CMG DDI i—BION APPROVED -, o3 tl— co O N O O O k 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 9/2/0 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 'P ' VC or lumber (2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the center cmpression 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 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. Combine Vector Dynamics & LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) Note: Two struts = 1 L.S.D, system. 3. Longitudinal Strut (2 per system) Can be used on one pad or slipt on 4. Tie Bracket (2 per system) opposite ends of the home. Examples of Possible Placement: Wind Zone (Contact TIE DOWN for placment in other Wind Zones) I Triple Section Wind Zone I Single 5ectiori I o I I I I I I I I I I I I I I I I I I I I I I I 11 18 Ft. Max. Wind Zone I Double Section 32 Ft. Max. Forgreater widths use triple Section design. Page 6 48 Ft. Max. Wind Zone I Tag Section California 4NE-E... 9/2/03 1 T 48 Ft. Max. Wind Zone I Tag Section California 4NE-E... 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 in max. Unequal Pier Heights Homes with unequal pier heights are limited to 50" maximum pier height and the shorter pier cannot exceed 26". Page 7 Maximum The difference between the taller pier California, 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts 4i� f r i�x,p ipr � y s C �r , l � 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 ceriter compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps , Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. <K ;. Califor - 9/2/03 WIND. ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Double Section Homes (Materials Required) _ - - _ _ - - " ho \ \I \ seckk daub Q { — Ka _ co— ,NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home. " ncrmics manufacturers' instructions and/or state requirements. j °J Soil Classifications: 2, 3, 4A, & 4B - oSoil Bearing Capacity: 1,000 PSF minimum Anchors Required: None (*Marriage wall anchors may be required by home manufacturer) No anchors required. For Pier heights up told WIND ZONE I 38" for 24' wide. See Pg 12 for high pier instructions. Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0to40' 2 0 2 41' to 66' 3 0 3 67' to 84 4' 0 - 4 85' to, 90' S 0 4 Note: L.S.D.= Longitudinal Stabilization Device See Page 6. CD .. N - Each Vector System requires one of the following:. - CD 1-4x4 or 2-2x4's pressure treated wood compression member, e Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) A 2 sq. ft. pad VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. - - - 20x20 = 400 sq. in. _ - = or 16x18 = 288 sq. in. - or 17x25=425 sq. in. EQUALS - 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 list! bove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in r lar with site conditons Page 17 California 9/2/03 REQUESTED BY: Q 2005-0014042 �RECt.'RDING OROVILLE BUTTE CA 95965 Recorded I REC FEE 10.00 05-0517 ,. 530 OfficialRecordsI CONFORM 1.00 CountBUTiEOf I DATE NONE DEALER NAME (if not a dealer sale, write "NONE") CANDACE J. GRUBBS 1 Recorder I AND WHEN RECORDED MAIL TO: ROSEMARY DICKSON I Assistant I Andrew 10:49AM 14 -Mar -2005 I Gage 1 of 2 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JAMES F. AND TWYLA R. GODFREY REAL PROPERTY OWNER/LESSOR . 415 KNOB HILL AVE. MAILING ADDRESS PALERMO BUTTE CA 95968 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso propenyowner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0517 ,. 530 538-7541 BUILDI TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD HOMES 1997 5604B MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLV 17AJB20294VM12 60'X 25'8" RAD1010687/8 SERIALNUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S) _REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 027-130-018 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK- Applicant GOLDENROD -Bu ilding Dept. DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I.- PARCEL : PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN .THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 24, 1987, IN BOOK 107 OF MAPS, AT PAGE(S) 72. AP#: 027-130-018-000 PARCEL II• A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCELS 1., 2 AND 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 7, 1982, IN BOOK' 89 OF MAPS, AT PAGE(S) 42.. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF. CALIFORNIA, ON AUGUST 24, 1987, IN BOOK 107 OF MAPS, AT PAGE(S) 72. RECORDING REQUESTED BY: JAMES FRANKLIN GODFREY and TWYLA RAE GODFREY WHEN RECORDED, MAIL TO: JAMES FRANKLIN GODFREY and TWYLA RAE GODFREY 415 KNOB HULL AVE. OROVILLE, CA 95966 2joizo4—iotm5433t:-i Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 11:14AM 07 -Sep --2004 REC FEE 10.00 CONFORM 1.00 Barbara Fuge 1 of SPACE ABOVE THIS LINE FOR RECORDER'S USE APN # 027-1.30-018-000 QUITCLAIM DEED The undersigned grantor(s) declare(s): This conveyance transfers the grantor's interest into a Revocable Living Trust R & T 11930. Not pursuant to a sale. There is no consideration for this transfer and is excluded from reappraisal under Proposition 13, 1. E., California Const. 13 A, Section 1, et, seq. (Documentary Transfer Tax -0-) JAMES F. GODFREY and TWYLA R. GODFREY, Husband and Wife as Joint Tenants hereby REMISES, RELEASES and QUITCLAIMS to: JAMES FRANKLIN GODFREY and TWYLA RAE GODFREY Trustee(s) ofTHE FRANK AND TWYLA GODFREY TRUST Dated ?_ / f- .� the following described real property in the Unincorporated area of, County of BUTTE, State of CIFORNYI���r i SEE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART� ` DATED: i JAMES F. GODFREY STATE OF CALIFORNIA )ss. Countyof U+{ -a. ) L . R, GOD REY On, 7-0 before me, Gern' d BO-Cn P_S , personally appeared, JAMES F. GODFREY.and TWYLA R. GODFREY, 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 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 this instrument the person(s) or the entity upon behalf of which person(s) acted, executed the instrument. (THIS AREA FOR OFFICIAL NOTARY STAMP) WITNESS my hand and official seal G R LD BARNES Comm. # 1282418 rrAA NOTARYPUBLICGCALIFORNIA V1 San Joequin County My Comm. Expires Nov. 3, 2004 Signature Mail Tax Statements to: JAMES FRANKLIN GODFREY and TWYLA RAE GODFREY, 415 KNOB HILL AVE., OROVILLE, CA 95966 NEITHER - PREPARED FROM STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ,,)SING q Division of Codes and Standards p 0© .0 Z 3 �� w 3G Title Search C ti.° Y DE Date Printed : 02/23/2005 Decal #: LAX6856 Use Code: SFD Manufacturer: 09534 FLEETWOOD HM INC Original Price Code: AMX Tradename: VOGUE MANSION Rating Year: Model: 5604B Tax Type: LPT Manufactured Date: 08/25/1997 Last ILT Amount: Registration Exp: Date ELT Fee Paid: First Sold On: 09/25/1997 ELT Exemption: NONE Serial Number HUD Label / Insignia Length Width CAFLV17A20294VM12 RAD1010687 60' 1211011 CAFLV17B20294VM12 RAD1010688 60' 12'10" Registered Owner: JAMES F GODFREY TWYLA R GODFREY (Joint Tenants with Right of Survivorship) 415 KNOBHILL AVE OROVILLE, CA 95966 Last Title Date: 05/22/2001 Last Reg Card: 05/22/2001 Sale/Transfer Info: Price $24,000.00 Transferred on 02/22/2001 Situs Address: 415 KNOBHILL AVE OROVILLE, CA 95966 Situs County: BUTTE * * * END OF TITLE SEARCH RESIDENTIAL 1� S 11�C—S 027-130-018 PERMIT#97-1633 BROWN, Donald & Gloria PERMIT N 415 Knob Hill Ave., Oroville Cont: Executive Homes` — PERMIT El, Mobilehome Utilities i OWNER CONTR. ASSESSOR PARCEL LOCATION T OFFICE COPY Address T GAS I Meter By Date ELECTRIC Meter By Date y a i Temp. Gas Service Called PG&E JOB FINALED (Date)4 r/ I Signature r V=OK O = Not OK • = Not Ready ble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Z" Requirements - Setbacks - Easements L--2—Soils ; I MH Support Sketch tion -Test -Fall -C/O -Concrete ater, Location -Test -Easement Needed (Sketch) . Ele0icity; Locadon-Clearances-Gmd-/ /Amp -Concrete as; Location -Test -Wrap; / JUL / /Na G 7. Clearance & Disconnect 8. Utility Clearance i r Date c . and 1 Date Card B-1 Date Card B4 Date _ Card B-1 Date MOBLWHOME INSTALLATION fPlansl OK mmpnt ad's i rX Zo ' Requirements- Setbacks Easements Ga ng%,St Spacing- Marriage Line H TesWemand VaheConnector Iec ' ; MH Test-Droswoers-Breakers-Clearances rai • Test -Fall -Flex Connector 6 a , MH Test -Regulator -Connector j a nd Sewer Connected -C/O to Grade -HD Approval + G4v4h'd Electricity Tagged (`. . Tie D s -Type -Installation Cert 1 ' ; Insp.Sketch yCert of Occupancy 1. Setbacks -Easements Decal 2. Soits; Compaction -Structure Stability Date rd B-1 "Date Card B-1 Date % ' ' Card B-1 Date Card B-1 'MISCELLANEOUS Date DECKS, COV12R8,..CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requi*rnentsSetbadcsEasemerrts 2. Footings; Scffs Sith-Spadng-ConnectorsSteel . 3. Decks; Girders and/or JoistsDedcing-BradngStairs-Rails 4. Wood Awn.: Posts$eams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 6. Alum. Awn.; Columns40onnectionsSplice-0ecal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fmrg,; Sils AndrorsStuds-Ritra-Trusses 9: Siding; NailingVeneerStucco-Mesh 10. Root; Shthg-Roofing 11. Ext:; Stepa-Doom"ndings, 12. Braced WallPanels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS nns) OK except #'s 1. Setbacks -Easements 2. Soits; Compaction -Structure Stability 3. Pod Structure; Steel-Donnections-Thickness . Dead Men -lining 4. Elect; Receptacles and Lighting, Distance-GFI S. Elec.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/3 -Circulating Equip.+leater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-EEridosures•Panelboardsans. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 OK _ No RESIDENTIAL (Single & Duplex) O = Not OK - - = Not Applicahle Not Ready Date UNDERFLOOR (Plans) OK except ft 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd -/ /" Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ ./" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UP 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; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #c's 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #Is 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. 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 (Plans) OK except ft 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill HgL & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. ExL Doors -One 3Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. I nfi l tra do n Wa l l S W i ndows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meeh. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. 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: Q� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION ' 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 PERMIT VO. (Rev. 12/96) APPLICATION AND PERMIT 7- T— ASSESSOR PARCEL NUMBER 027-130-018 ZONING BUILDING PERMIT OWNER DONALD & GLORIA BROWN TELEPHONE SO. FT. OCC. BUILDING VALUATI N OWNERS MAILING ADDRESS 407 W124TH ST PITTSBURGH, C� C)4569 CONTRACTOR'S NAME TELEPHONE ' X VHOMES CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $-�26r6G Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LOT NO. / S UBDNISIONS NAME PA CEL P PLUMBING PERMIT Filing Fee 20.00 USEOF8TRUCTURE SF ❑ Duplex ❑ Mobilehome ]p 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 11 Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 PERMIT FEE S H ELECTRICAL PERMIT Filing Fee 20.00 Main Service OO.A 23.00 93 C)n 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 ' full Joicm 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, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00NEW CONST. DWELLING OCC OR ADDNS. ( s ACC. BLDUP. S. SO 3.5¢FT; NEW CONST.MULTI-OUTLET NON-RESID. ANC c 97.50 8 PSINGOUTOWELER APPARATLETUS CIR. Ex. Occup. OUTLET OR FKTURES BA@50': L Ex. Occup. ouTELErs AESIo)OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S .00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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' cpensation insure c rr e u ber are: Carrier Policy Number l�_ (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 fort it comply with those r ions. X _ Date — �/� �— Signature of Applicant - ❑ ner Contractor ❑ Agent An OSHA permit is required for excava Ions 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 TO L FE $ 1( . 00 HAZ. ,,. D. FEES IM C F qRC�{ PO 1/ HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have � X) _ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 222593 —.63.00// 4i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GO NROD-APPLICANT ,IL. •':.�--���('.ti_>: ..�r;: y�t^Y^�.:�_1 -a,n +, ;r. .'... ..,y. +, 4%410��,,,•-."t'"•�-�'' .�+ -- . v, ... :+ n. 'C�`.-*-!h k�'�j"7+�., ,d7y, �.T"^'�.�.�:. �1.r r . .` - UNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA $5965 - TELEPHONE (916) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: J n ASSESSOR PAR ER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit proces ing d/or issuance: Date Received By ❑ 1. ✓All items have been submitted .-----------------=------------------------------------------------------------------- ❑2: Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on p s. -------- ❑ 5. Engineered truss details and layout in du%cate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. 07. Statement of Intent. for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. ------------------------------------- ❑9. Manufactured, Home data and installation instructions including Tie Down Specifications .------------------ � . Fees of $ 103 -C;D ------------------------------------------------------------------------------------- Z� y7 a 1 . Impact fees as shown on the attached schedule. ----- ----- --------- ------ California Department of Forestry plan approvaU ees. - - ----- --- 0 ---------------------------- ❑ 13. Flood elevation certificate. ------------------------- -------------------------------------------------:--- �T. Sanitation and plot plan approval ealth Department. ------------------------------------------- Sl/ -j 7% _ y ❑ 15. City of Chico plumbing permit. ---------------- ------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- _ ❑ 17. Plinning approval for (A) Use: (B) Parking: -------------I =--------- ! ❑ 8 Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ------ e -------------- Q 9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------- ❑20. Pre-inspectibn for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. --------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑ 2 : Letter of signature authorization. ------------------------------ Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. -------------------------------- 0 27. Manufactured Home utility clearance. ------------------------- 028. Existing violations and/or expired permits. ------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D 1130. Other: (Date) r ------------------------------- ------------------------------ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------------------------------------------------------------ •------------------------------ When you issue the permit process as follows El Mail to owner, ❑Mail to co actor. ❑Telephone t lD , qc:7Land hold for pickup at ��1� t office. ❑ Deliver with inspector. Applicant: Date: _B/ cf�>/ 9 7 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep ' &,Uo Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, % Other: Date: By:_ 1. Index permit application for the above items numbered: 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor; designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divis' n counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ❑ Plan Check List E.H. USE ONLI(i Plot Plan Attached Floor Plan Atta had Loll Sent to B.D. ✓,-T / MP -7 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance DSK 8,16 /T n(5191/ ' 2 7 IS-// Owner / Location AP# Plan Approved for- Sewage Disposaly Water Supply: Public Private Well Clearance foc U welling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date Y PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. �R UNDERGROUND UTILITIES. CONTRACTORS VERIFICATION — 0 FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. Z a c 1 CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO �T/HE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. ��,, e�w W COMPANY NAM I: �� =�-- ---- CONTRACTORS LIC - -2 let, ----------- DATEDATE i-./ �� _�!� SIGNATURE:�;y�.�r"'� �:L I COUNTY OF BUTTE I ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE PERMIT N 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, pie se contact this office immediately. J' G C Date 2 Inspector REV 10/92 97-031-9141 Rec Fee 8.00 1 IHF 2.00 Recorded I Check 10.00 And when recorded mail to: Official Records I Building Division County of 1 07 County Center Drive Butte I Oroville, Ca. 9.4965 Candace J. Grubbs I Recorder I 2:45pm 26 -Aug -97 I PUBL XX 2 AGRICULTURAL S1633DIEDIX OF A CIQOWLEDGMENT FOR RESMENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be Mmrded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke. noise, and odor, Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessan• farm operations. All that real property situate in the County of Butte. State of California. described as follo%vs: Date, 7 PROPERTY OWNERS: Aro�a US ZroLon State of California ) County oft1 bo� ) l On 9-) — / personally appeared � r0 w i,-, ._ personaliv known to me (or proved to me on the basis of satisfactory evidence) to be the person(') 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(it:s), and that by his/her/their signaturc(s) on the instrument, the person(s) or the entity upon behalf of which the persons) acted, executed the instrument. W ITN ESS an d i I seal OFRCIAL SEAL .• DAVID H"OLA NOTARY PUBLIC - CALIFORNIA N ' SlXtlature mal: COMMISSION 0 1057812 C BUTTE COUNTY My Canmbaton F,cp. May 3, 1999 Order No. 2-1.78196 � SCHEDULE C ,• 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: PJMCSL A: PARCEL 1, AS SHOWN ON THAT CERTAIN PAtCBL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 24, 1987 IN BOOK 107 OF MAPS, AT PAGN(S) 72. PARML. B : A NON—BXCLUSIVB EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCELS 1, 2, AND 31 AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE ^ OFFICE OF THE RECORDER OF THE COUNTY OF BUTTS, STATE OF CALIFORNIA, ON SEPTEMBER 7, 1982.IN BOOK 89 OF MAPS, AT PAGES) 42. PARCEL C s A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF HB RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 24T, 1887 IN BOOK 107 OF MAPS, AT PAGE(S) 72. AP NO. 027-130-•018 tri LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. NAME: RS %/'%C !-'�� / NUMBER: e, % 1 - c'; PRINT LAST NAME FIRST ADDRESS / LOCA COUNTY ZONINGd ft " DESIGNATION: S FLOOD ZONE: FLOOD MAP: .0 6 APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: e PARCEL CREATION BY DEEDS OR MAP ✓ Z 7,4c C DEED INFORMATION: DATE OF CREATION: DEED REFERENC LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO. COMMENTS/CONDITION MAP INFORMATION: DATE OF RECORDING 2 S 7 LOT BOOK / o 7 PAGE 7Z 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 D/V/S/ON UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. X2. Maintain a 20 ft.building setback from right-of-way/ee iterline of C U L f 3. Comply with Zoning' code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. I 5. Maintain a 100 ft. leachfield setback from n FAK �e4s7�-w ple-0peleri aIN6 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. X7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. _ 9. Connect to a public sewer system. _ 10. 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. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of.Fish and Game for the preservation of oak trees. (See phone number below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the pbni fng Division. _ 15. 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 system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. — 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. 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. _ 20. 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. 21. A/2 �.¢ c' .30 n orf rL G n Ls/tTL�L �v C t -f 1ti G 22 23. 24 25. 26 A!U .U%3Nio013a0 QW, 311n8 30 A1000 1661 E. z N n r 03AI30311 LD 5/97 C.%wva 1%F0WAS.KWL00KFW.tu+ REVIEWED By l P,U T TE CO. FIRE DEPT. CALW. DEPT. of FORESTRY Lconditions ubmitted nsshect./?DaZe / by)&'s "�;( 0 W n /3P .27-i3-/�' S mz f e "s iD0 AND EOUtP�gNT Q*IC�U®tNG S �� gp,S�=NTS• ASL STRUCTURE S CLE -AR OV: -� AND NCS s SNALL g �. EROt,A to Of O�gRHA OF 3a� t 1.1MeS Ato A SgT gACl� TNS REAR PROPER L:t L31= EROmC�, ;WRt.1Ng ��'T � f z s ROY THE ROA B�iD g4Ujp1AeNT * STrUCTg URSS A Oy _ gpVS O�pRANO. I U 6 `c C v\ °_ _ R��`�� 3 �QfD 2 647d r ( � e �N06 J �CDF FIRE SAFE REQUIREMENTS �-7 -/ 3-t P 9 -�(� 33 /&c' I AJ , 0,, /Al� AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [� 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [�] 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-artenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [.Q 1. No roadway shall have a horizontal inside radius of I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical. -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 4] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. (�] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3--. --) -1 3 '(8 i 7 16 3 3 A�w . L /,9-Z • AP # PERMIT # NAME (] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but ,\ less than 800 feet in length, shall provide a turnout. near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single -traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�] 1. All parcels 1 acre azid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �,r f'_zal inspection of a building permit. Page 2 of 3 AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 -Feet: - Class A or B roof - Enclosed eaves AME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank ,Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature ell Page 3 of 3 1. Owner's Name: �•o-�n� 5 t�r,�, o� i *� �''� 2. Assessor's Parcel Number: 3. Installer's Name: 1 >Ce C, ..-- i U 4. Is the site currently under permit? Yes ] Nokq Permit No. /4� 3 5. Is the site an existing site? Yes[ J No N (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? 200 Amperes. 8. What is the electrical rating of the mobilehome site?, 2vp Amperes. 9. Is the main service remote from the mobilehome site? Yes[�K ] No[ ] 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[)q No[ ] If yes, please identify the load and size: a) The mobile home site: Load- W sy1., Amperes- 3 b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] PropaneN None[ ] 12. Size ofgaffs 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?Z 4 (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 OTHER SIDE OF THIS FORM' MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 13t,,1T7F COUNTY May 1995 8,5 r i Mobilehome Manufacturer: qi cc—r:%A" c> Manufacture Year: 19�$ If other thin single wide, furnish Setup Model Number: 5100 113 Width LS S (ft.) Length:_'0 (ft.) Tagalong or Expando Sized (ft) x_ - On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation gradej>q Other: SUPPORTS: Concrete blocicj>�] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Main Beams Line2 ............................................ ........................ ................:........... ine 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams Line 2 Line 1 ..................................................ine S Tag or Triple ine 4 rinel Line 1 Piers: Size minimum: x Spacing maximum: ` From ends -maximum:` Line 2 Piers: Size minimum: [ IZ ] x I't . Spacing maximum: 3 ` From ends -maximum: 1 O ` Line 3 Roof Loads: Size minimum Location (from front). Line 5 Roof Loads: Size minimum: Location (from Line 1 Openings Size minimum: Each side of openings with width over: ` Line 4 Piers: Size minimum: [ x [ ]. Spacing maximum: ` From ends -maximum: ` �4L3p 3 k3ti 3b,�3o'Zyy30 3 �c30 tyk3 of, n 9 I o v5 3�1 i Hb to by v ILI)j�� +f'`'�in`l OVER !° °Y (�;a.J at"� 'y N a ' q.34! ISH' 10 T TAPE Z=GwPT 01J _ CPT U=EZ510E- or- FL -00c ts Y� ,.ji/1+I -r►� X11 i "1 i Uf'r o X.,. TUB L O 4 � SI1-A1G Fjj I I � — 6p1"u I°�JaOOVR�,�•� YrrL14EtZ 11J O Z, vrr Orr L ort IiEua:l f s1lun n s owo Q• L— 4 I 1 \n T 5 ® --�. - BEDRoOiq UvlUv Boon l t.1.3 SA• i'T• Z4'7.0. S.O. FY. \ 4 I (LO) f4RF� h 20 -o l X77 �v or{ ua_ CA 50 VENT IZA 1=. \ >v J BEDROOM DEl..I . sw. rT. I�S•1 s0. F* � s lOrr i 2 \ -----� i uALL -- '� NOTE5: t) Thb floor 7� � bC built h1 �t cxxs r>9rrvr BEDROOM $EDROOri irrl3go >b� snc � �•. l 11.3 54. FT WINDOW/DOOR SCHEDULE rn SCCE ocscRrp ta+ OLAZ I mff I.O. Sal ocscAla•*wrI G I "ic• '' V. tU O m 2-S I k. - VZ I 1po"Ic,SLI CE R 6• i5 3.2 e7 S2' Flou >11 14 N• SUDf3, 1'1.^.. 4•o I 4"' H. SLID EW,..2 6.1, 1 ZD 'xys9" %'. %v^ 19.S I .1) O. x t.-8' 40 SAFt- L: I - aia I tlT or{ ua_ CA 50 VENT IZA 1=. \ >v J BEDROOM DEl..I . sw. rT. I�S•1 s0. F* � s lOrr i 2 \ -----� i uALL -- -V s * GA.,eo42 1 A- '� BEDROOM $EDROOri 1cL N ssq- rT• l 11.3 54. FT -V s * GA.,eo42 1 A- MK 20aL.L. 10�O.L 2"LL- 108O.L PER 90' MAX 114' MAX. >S`J LOADS ❑ 77� rasT WZJ 7tI� rost I ll t • I �' r FIBS um 14 tJ4J<T U" ro. A - ftA Q 2800 1 B 6t 32 a+~i.Ile t 8 , 6-' 32 81. I Q 00 5 2 8 17-7 %X3 2 13 17-7 7? 5 l 71 A A FEDERX 6 AKWACTUM [] 2� 5400 9 B tz s 3 3 B 7T r 5 0 F USING C iFlMUCT"NW a SAFETY s ANDAM :>�4700 4 B 10-01W 3 4 B 10-0 VZ 4 U AMR 111996 0 �O-l0 55W 5 B trr 3 5 B i?•r 5 Q : d. 400 3500 a s sa 32 e B sa 32 a-melf, - h*r-aces r Dew a rcquwae M LEGEND: e>a ORS mwncwPAIEL REETWOoo Tom. WOOD -- 7T- S� 1 V SEE ELECT GA SPEC-- Q SUPPLY NA G9fiuX"Er- `""""�`: "` � FL nOR PLAN ��1 S Santa+ a ro tT► t d��w �1t •r 'lr 1 OF 1 a u�T sI:nJAE APKT �Z_ lQ Xtd-V Iz-�I /o.X%a 1 THEPMAOSTAT ® C=JPGGAllOISTEII SAi.LSUMC pAArwlR :y.— YO(I,�iEs'-Ij��1ON FEV Ep"UST 4 CEIL FAN Q 94AMALL ® SwOIcEOETECTOA p movoIIT►OST © 000A OELL rRANSSOAuEA GAC -% AETume 4M G" SCKC Ltf . r� ._ 71 rhS >11 MK 20aL.L. 10�O.L 2"LL- 108O.L PER 90' MAX 114' MAX. >S`J LOADS ❑ 77� rasT WZJ 7tI� rost I ll t • I �' r FIBS um 14 tJ4J<T U" ro. A - ftA Q 2800 1 B 6t 32 a+~i.Ile t 8 , 6-' 32 81. I Q 00 5 2 8 17-7 %X3 2 13 17-7 7? 5 l 71 A A FEDERX 6 AKWACTUM [] 2� 5400 9 B tz s 3 3 B 7T r 5 0 F USING C iFlMUCT"NW a SAFETY s ANDAM :>�4700 4 B 10-01W 3 4 B 10-0 VZ 4 U AMR 111996 0 �O-l0 55W 5 B trr 3 5 B i?•r 5 Q : d. 400 3500 a s sa 32 e B sa 32 a-melf, - h*r-aces r Dew a rcquwae M LEGEND: e>a ORS mwncwPAIEL REETWOoo Tom. WOOD -- 7T- S� 1 V SEE ELECT GA SPEC-- Q SUPPLY NA G9fiuX"Er- `""""�`: "` � FL nOR PLAN ��1 S Santa+ a ro tT► t d��w �1t •r 'lr 1 OF 1 a u�T sI:nJAE APKT �Z_ lQ Xtd-V Iz-�I /o.X%a 1 THEPMAOSTAT ® C=JPGGAllOISTEII SAi.LSUMC pAArwlR :y.— YO(I,�iEs'-Ij��1ON FEV Ep"UST 4 CEIL FAN Q 94AMALL ® SwOIcEOETECTOA p movoIIT►OST © 000A OELL rRANSSOAuEA GAC -% AETume 4M G" SCKC Ltf . r� ._ ABESCO ENGINEERED COMBINATION TIE -DOWNS MANUFACTURED HOME TIE -DOWN CALCULATIONS AP SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES I)ESIGN LOADS: DESIGN & GENERAL NOTES * WIND --------- 15 PSF * SOIL BEARING ---- 1000 PSF *TIE DOWN STRAPS - 3150# WORKING LOAD c TIE -DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ-S-781H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. * EARTH AUGERS -------- 2962#(TESTED TO 4750# MIN. * CROSS DRIVES -------- 2962# (TESTED TO 4750# MIN. * CONCRETE SLAB ANCHORS - 1390# (CALCULATED) GENERAL NOTES: 1. THE CHARTS SHOWN HEREON ARE THE REQUIRED NUMBER OF TIE -DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE -DOWNS ARE REQUIRED AT EACH CHASSIS BEAM, EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON. 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE -DOWNS CAN BE USED. 4. IN THE EVENT AN EARTH AUGER CANNOT BE INSTALLED DUE TO AN OBSTRUCTION, USE OF CROSS DRIVE ANCHORS IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT BE INSTALLED. SEE PAGE #3. 5. FOR ALL TIE -DOWN INSTALLATIONS, THE MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I" BEAMS. (FOR ILLUSTRATION PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OF RFC SHAPED. 6. END TIE -DOWNS CAN BE LOCATED WITHIN 24" OF EITHER SIDE OF CHASSIS BEAM AXIS AS SHOWN. CHASSIS BEAM N (ONE END TIE -DOWN MANDATORY .4 AT EACH END OF "I" BEAM) N 18"MIN --j 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. I.ARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY ABESCO MAY BE USED AT THE SAME SPACING a LOCATIONS SHOWN. ENGINEER APPROVAL '� a (,� T"10, i •`]':?: y ._ tV� rC'.a= 3 'I'OF 0 0 I W H O U W THIS TIEDOWN SYSTEM MEETS THE REOUIREMENTS C10 OF SECTION 1336.3, SUBSECTION (o) PACIFIC CONSULTING ENGINEERS 2150 BELL AVE. SUITE 145 SAC. CA. 95838 PH: 916-564-6028 STATE APPROVAL APPROVED . SUBJECT 7O CO.RRE07TIONS NOTED approvof does not oirthnrite nr ccpp:ave ally omission o, .ieviatinn an Irom regi•irr•mf^Is of nleplicnhle State Incas d 11190"lions. Stole of Cntifornin Deparh"rant nl Hcisirc� nnt! i ornrunily [?r. +n!�I;m¢nt CIMSIUOF CODES AND STAN-DARLIS 1 Da t e0V.// (sig"otore) .SPA NO.....-- 1'.5 this Plan A o� a�xp4x,z)—' SVA V4 1 F RIN- PiRKINS ROAD C. CA. 95828 PH: 916-383-8831 000 ABESCO TIE -DOWNS CABESCO NAME STAMPED IN) HEADS OF TIE—DOWNS // DRIVE ANCHOR II #606 STEEL #406 PIER STRAP W/BUC _� BOLT—ON TOP ® #601 30" #614 STEEL T.D.A. STRAP W/HOLE #604 CONCRETE #602 48" SLAB ANCHOR W/ #615 CONCRETE #616 STABILIZER T.D.A. #SH 5822 SLEEVE SLAB ANCHOR PLATE ANCHORS (DRY) (WET) SIDE TIE -DOWNS (SEE NOTE BELOW) Z /Om SINGLE WIDE I W <' �Fo ii z O W Z W WA EVENLY [SPACED 12' 1. LENGTH VARIES 1 1 <' SIDE TIE -DOWNS (SEE NOTE BELOW) <' rn 3 /zo OW Irz <' DOUBLE WIDE W w 2-1 EVENLY SPACED EVENLY SPACEDEVENLY SPACED�2' LENGTH VARIE'S NOTE: SIDE TIE -DOWNS: MUST BE WITHIN 24" OF THE ° N END OF CHASSIS BEAM. 6 END TIE -DOWNS: CAN BE LOCATED WITHIN 24' o OF EITHER SIDE OF CHASSIS BEAM. ONE TIE -DOWN IS MANDATORY AT -EACH END OF "I" BEAM. (SEE PAGE #1, GENERAL NOTE #6) IF SIDE. WALL TIE -DOWN GROUND ANCHOR LOCATION IS SUCH THAT'THE ANGLE BETWEEN THE GROUND AND STRAP EXCEEDS 60', CONNECT THE TIE STRAP TO THE INSIDE CHASSIS BEAM ON DOUBLE AND TRIPLE WIDES AND THE OPPOSITE CHASSIS BEAM ON SINGLE WIDES. SIDE TIE -DOWNS (SEE NOTE BELOW) TRIPLE WIDE I► ► ► t 1 2'1 EVENLY[SPACED I EVENLYLSPACED [2' 1 LENGTH 1 VARIES EARTH AUGERS MAX. LENGTH OF 36' 54' 72' 59' 68' MFG'D. HOME 4 5 6 7 8 MINIMUM NO. OF 2 3 4 SIDE TIE -DOWNS CROSS DRIVE ANCHORS MAX. LENGTH OF 36' 54' 72' 59' 68' MFG'D. HOME 4 5 6 7 8 MINIMUM NO. OF 2 3 4 SIDE TIE -DOWNS CONCRETE SLAB ANCHORS MAX. LENGTH OF MFG'D. HOME 34' 42' 50' 59' 68' MINIMUM NO. OF 4 5 6 7 8 SIDE TIE -DOWNS W v CROSS DRIVE TIE -DOWN END TIE—DOWN CHASSIS #406 PIER BOLT—ON TOP SIDE TIE—DOWN \ i STEEL �d i ` STRAP #614 STL. �o\i 8' #608 SPLIT 1` STRAP �\ bd I i�po #606 sig BOLT & NUT 607 CROSS STEEL °a°N� s� STRAP ~ _ �v�� # DRIVE ANCHOR V M INSTALLATION INSTRUCTIONS #616 STABLIZER PLATE GROUND LINE 1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN.TYPICAL CROSS DRIVE 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. (WITH STABILIZER PLATE 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, INSTALL #616 STABILIZER PLATE. (STABILIZER PLATES MAY BE PREWELDED TO #607 CROSS DRIVE ANCHOR) OR INSTALL 12"02"02" CONCRETE BLOCK. NOTE: IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE—DOWN. BOTH CROSS DRIVES MUST BE STABILIZED AS SHOWN 1N DETAIL"A". ,SEE PAGE #1, GENERAL NOTE #4. CONCRETE TIE -DOWN SIDE TIE—DOWN --\ END TIE—DOWN , ,.- >71 CHASSIS #406 PIER c.:a BOLT—ON TOP MIN r I ' " I #606 STEEL STRAP .5,, :•Ado , �.::: •_ , INSTALLATION INSTRUCTIONS #604 DRY 1. CONCRETE MUST BE A MINIMUM OF 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY EDGE. #615 WET 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. ci SIDE TIE -DOWN TIE -DOWN END TIE -DOWN _ - - "I" BEAM CHASSIS #406PIER BOLT SEE "I" BEAM CHASSIS BOLT -ON TOP . - -- _ , - . - NOTE #5, SHT. 1 FOR ` TIE -DOWN INFORMATION MIN I 4 #606 STEEL STRAP #614 ST STRAP - 8+ 6d I � apo. SEE DETAIL"A" (TYPICAL) IF& /---<—DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2" A307 } BOLT IL "C" BEAM CHASSIS "RFC" BEAM CHASSIS SEE "I" BEAM CHASSIS SEE "Y' BEAM CHASSIS NOTE #5, SHT. 1 FOR NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION TIE -DOWN INFORMATION 00o O INSTALL GROUND ANCHOR INTO GROUND, LEAVING 8"-12" OF SHAFT EXPOSED. SPLIT BOLT & NUT --, GROUND LINE #616 T.D.A. STABILIZER PLATE NOTE: VERTICAL OR. ANGULAR INSTALLATION IS OPTIONAL DETAIL "A" (TYPICAL) INSTALLATION INSTRUCTIONS 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTILL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 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. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. m PLACE STABILIZER PLATE :NEXT TO SHAFT BETWEEN ;ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. - CONTRACTORS VERIFICATION - O FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. 3 0 0 1 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. 0 WCOMPANY NAME:--------------------------- CONTRACTORS LIC.# --------------------- DATE: ------------ ----_--------------- DATE:------------ SIGNATURE: ------------------ ELECTRIC GAS Support Struc. Compactio Test eq. Service Size. Other Load Type Pipe Size. Length YES NOI YES NO • Q I 1 I' I MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: - i3��s - l icy Owners: Name: !�i CG fil !/1 Owners: A / 2C.3 r /2-' •..- ! .� c Address: � I .;.. z.� r + ; l lf� Mobilehomeear of Manufacturer /� i, l J r- Manufacture: Serial number 'f C'L V , 1 2 ... - `l ei ✓ M � 2 Insignia or r ` r_,1 : � ! ::> 1 c� .2' 7 s' > or V.I.N. HUD number: Official approving installation: Date: If the mobilehome is moved or, reocated, 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, , �r r I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-130-018 A5 ZONING BUILDING PERMIT OWNER BROWN TELEPHONE SO. FT. OCC. BUILDING VAL ATION` OWNERS MAILING ADDRESS PITTSBURGH.401 W12TH ST CA CONTRACTOR'S NAMETELEPHONE ' 891-6992 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER , I Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fills Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 92 QQ BUILDING ADDRESS 415 KNOR HILL Energy Plan Checking Fee $ $ PERMIT FEE s 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M 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 ❑ Remodell❑ Utilities ❑ Installation Ex Other ❑ Describe Work: 1 `�/ 3� TT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ion OR mss 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 i full of4 and effect. o 2 License Class � • j 1 Lic. No. 11�`-1-�J J 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, ill do the work, and the structure is not intended or offered for sale. 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. S. So 3.5¢FT; NEW NON-RESIDCON5T AULCTI CrRUTS @7.50 a soirWic�E PLPA siR. Ex. Occup. OUTLET OR FIXTURES 20@'•00 BAL p ,50 Ex. Occup. ouT REED AESSID.) EE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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. 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' pompen atm ion jn;n; c�rrperRq�Id �oJiry�ber are: Carrier—�)(���,[ �' _tVl�l � 1� ] j,� 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 hwith comply with tho provisions.. X __ ___ 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 20100 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE T03AL FEE $ 4 .00 0 HAZ. D FEES IM F 000 Df PARC HD SSUE 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.. spate PERMIT EXPIRES ON -� Defe Receipt No. • - ,2A �J9 t) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F ,,.+'^-,s.'V-, - _f.�i ,r• _ 3 3f3T'r4C S..' 1 � �:�c s rte. �=r, tTKS�'+4:i.'-a�'i'��..Wl �w-.: �',�'L.:r. it `.,.�...n . a.�`� � � " ^�,� .k'' ;,�; ,.t, xti•py dN �` r"'''�" -!a +s.t .f�+.y'14.-, .,.in, r'•T ,�'" f} , �-' �' Y COUNT' OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION -7 COUNTY CENTER DRIVE - OROVILLE, CALIFOI A'95965 - TELEPHONE (916) 538-7541 ., PERMIT APPLICATION DATA SHEET OWNER: r\ ASSESSOR PARMsed, ER: — P Proposed Building Use: Building Inspector:Date: At time of pe'emit application, I was advised the following data must prior to permit pro essi6 a d/or issuance: Date Received By F❑ 1. All items have been submitted .--------------------------------------------------------------- ----------------------- ❑ 2. Plot plans 3/4 sets, signed by the preparer of plans. ----------------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- O 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. --------- --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ Feesof $------------------------------------------------------------------------------------- pact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- Ell 3. -------------------------------------------------------- ❑13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- tj 0 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- p ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking:-------------------------- 1118. --------- ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 022. Workers' Compensation carrier and policy number. ---------------------------------------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Lett of signature authorization. -------------------------------------------------------------------------------- ❑ ecorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 2.P �Letter of intent on building use. ----------------------------------------------------------------------------------- anufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $=-------------- 030. Other: ------- 7 c (Date) , Zou issuethe permit, rocess as follows ❑ Mail to owner, ❑Mail to�co tractor. hone b� a and hold for pickup at �-b 1 office. ❑ Deliver with inspector. Applicant: 13 Date: V / 1:5l Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air,Poll Date:By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date_By: 1. Index pemrit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Did ` n counter, by Dade , Plans reviewed by: Date: Plans approved by: Date: (r ' Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. r,. y..7,�,,, ,,,- .,F�".ii'"P.'"F�{ -,'--x ,�. .. r+ -w. s. ....was �.F. s `r4ytrf;a."i"r"�' 4„"' j� rS7c� 4 �'�• K `H:'; 't «..; +i."�i.ti COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, .OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER SM—Url A.P. # a7 _ 130 ` C0(U . PROPOSED BUILDING USE DATE REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ . -- Additional Fees Due ........... $ -- Additional Fees Due ............ $ . - Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEESDIn 1� (paid at District Office) �b Q —&,18HERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ a VIL.q Units 1 Commercial (sq. ft.). x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER _ At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT `. DATE Original -Owner Copy -Building Div. (Rev. 12/96) A_ CRICULTURAL ST&UDJEED1][ AC YOWLEDGMENT EQRRISIDENTU►L DEVELOPMENT Section 26-8 of the Butte -County Code -requires this acknowledgment to be Mmrdid prior to issuance of.a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke. noise, and odor, Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the County of Butte, State of California. described as follows: See �� � • Datc: D ^ 7 PROPERTY OWNERS; X Orl US YOLO1 State of California ) County of}y�}e� ) On $ S / / before me, v i 4 lk-e r personally appeared 3 row I-, personYlh- known to me (or proved to me on the basis of satisfactory evidence) to be the Person(s) whose name(s) Istare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS y han d i I seal OFFICIAL SEAL DAVID HALKOLA WrARY PUBLIC - CALIFORNIA N S1lnature Seals COMMISSION # 1057812 C BUTTE COUNTY My Commission Exp. May 3, 1999 97-'0'319141 Rec Fee 8.00 IHF 2.00 Recorded I Check 10.00 And when recorded mail to: Official Records I Building Division i County of I 07 County Center Drive Butte I Oroville. Ca. 95965 Candace J. GrubbB I , Recorder 1 2:45pm 26 -Aug -97 I PUBL XX 2 A_ CRICULTURAL ST&UDJEED1][ AC YOWLEDGMENT EQRRISIDENTU►L DEVELOPMENT Section 26-8 of the Butte -County Code -requires this acknowledgment to be Mmrdid prior to issuance of.a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke. noise, and odor, Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. necessary farm operations. All that real property situate in the County of Butte, State of California. described as follows: See �� � • Datc: D ^ 7 PROPERTY OWNERS; X Orl US YOLO1 State of California ) County of}y�}e� ) On $ S / / before me, v i 4 lk-e r personally appeared 3 row I-, personYlh- known to me (or proved to me on the basis of satisfactory evidence) to be the Person(s) whose name(s) Istare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS y han d i I seal OFFICIAL SEAL DAVID HALKOLA WrARY PUBLIC - CALIFORNIA N S1lnature Seals COMMISSION # 1057812 C BUTTE COUNTY My Commission Exp. May 3, 1999 Order No. 2-178196 SCHEDULE C 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: PARCEL A: PARCEL 1, AS SHOWN ON THAT CERTAIN PAtCBL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIAON AUGUST H 1987 IN BOOK 107 OF MAPS, AT PAGE,S) 72. CALIFORNIA,..24, ON S: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSHS OVER PARCELS 1, 2, AND 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE "CORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SRPTI3NIBER 7, 1982 IN BOOK 89 OF MAPS, AT PAGB.(S) 42. PAROL C A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 24, 1987 IN BOOK 107 OF MAPS, AT PAGE(S) 72, AP NO. 027-130--018 Exec iii • /�� �'Vyyl+rnn.y'F'�•.'^�yY••�pp1 d+�i�y/�•'p j"'^.`,•'1SZ'." 'Yh��141=,�y'..;j,j".i cTF •'+Z"fV�iF+^jT"�i,s. ^"'�i"F"ii �:,:,tti'''ti`-ti�`�lyl.- v�`Ry-.. � BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One form per Building) ��z ©7 School District' V I I K Building Department No. A.P. Number SOLQ (� Jurisdiction:City County Property Owner %l�ti� •��, QIr I Q -1 w) \ a e Property Location/Address Subdivision Lot No. Residential Development r' Sq. Footage t No of Living Mobile Home:.' t Addition (Group R) Units Installation Commercial/Industrial Sq. Footage r New Addition (Including Exterior �O (Street Address) (Floor Plans reviewed by School District Personnel) No. ff School District certi ies A14 c: 'T1 , that (City) (state) has com lied with the requirements of Resolution No. O� .a replese tinct' (� squar6"feet. B 2926 y A zULL�1V1 OV School District Representative ��. , Paid by Check # Remarks, oofed Areas) Date icant) (Phone Number)' .(Zip Code) by payment of $ S TION , $ :; L 1�...•i � Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed un er the California Environmental Quality Act (CEQA),, this project may be subject to ad It�onel school fees to fully mitigate itsampact o t school district's schools. White (applicant), II , (b it ing departmentr, Pink (school dis`tri feeform.xls (2/97)dmm ci- c"41 e /3 /�P 27-i3- gyp' f �9 V) APPROVED Butte County Environmental Health Date Signature c -o 7'6 Sol 3551 KN°tti HILL .-tjo' ,4CTuAl Site It SriAef ov ?,Pope<r r SI1CD 8' F $O1 5oI �GNob 14 l Yrs �� �. I, r� �j i' �: �j �• �; I J 0