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030-110-057
_ -- A.P. 30-11-57 CHRISTENSEN, Mr. & Mrs. Herman K. ' ABANA W/0 PERMITS 1505 Grand Ave., Oroville Permit 2735-73P, E 0/6/98 (utilities for mobile home) P - -E-5-7 CHRISTENSEN, Herman 1505 GranclAve., Orovill mt-=-74B n �J� Pemit ## -= 74B (1 deck) AP 30-11-5 ��.K. CHRISTENSEN !1505 Grand Ave., Orov.11e Permit#$ 3797-74B (awning, MH) 0 030-110-057 03-2560 CHRISTENSEN, HERMAN 1505 GRAND AVE, OROVILLE NEW MH PERM FND 030 0-057 CHRISTENSEN, ELAINE 1505 GRAND AVE, OROVILLE CONT: OWNER GAS LINE ONLY 11 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE r 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. HERMAN K. CHRISTENSEN AND ELAINE I. CHRISTENSEN REAL PROPERTY OWNEMESSOR 540 YOLO AVENUE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 1505 GRAND AVENUE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA 95965 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 03-2560 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. KAUFMANBROAD 1984 SAHARA / 1861 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER SN512229 67x14' CAL291253 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 030-110-057 •Fa.l HCD FORM 433(A) REV. 8/9,1 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD. Building Dept. QIP FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: 03-2560 Address or location of unit: 1505 GRAND AVENUE, OROVILLE CA 95965 Legal Description of Real Property: AP # 030-110-057 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: HERMAN K. CHRISTENSEN AND ELAINE I. CHRISTENSEN Owner's address: 540 YOLO AVENUE, OROVILLE CA 95965 INSIGNIA. OR HUD NUMBER: CAL291253 SERIAL NUMBER OR V.I.N.: SN512229 MANUFACTURER'S NAME: KAUFMAN/BROAD YEAR: 1984 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C V le LEGAL DESCRIPTION A.P. #065-210-069 All that certain real property situate in the County of Butte, State of California, described as follows: JUN-17-2003 08:58 0 916 323 9243 • 916 323 9243 P.02i02 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY GRAY DAVIS, Oovarnor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENTs►Nc Division of codas and Standards LUTide Search, o� 04 Date Printed : 06/17/2003 Decal #: XMH1985 Use Code: SFD Manufacturer: 09578 KAUFMANBROAD Original Price Code: AFA Tradename: SAHARA Rating Year: Model: 1861 Tax Type: EXT ' Manufactured Date: 08/22/.1984 Last ILT Amount: $.00 Registration Exp: Date ELT Fee Paid: 11/21/1984 First Sold On: 10/09/1984 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width SN512229 CAL291253 67' 14' Registered Owner: 6EPT FISHING GAME STATE CALIF 1416 9TH ST SACRAMENTO, CA 95814-5511 Last Title Date: 12/05/1984 Last Reg Card: 12/05/1984 S21e/Tr2nsfer Info: Price 521,998.00 Transferred an 10/09/1984 'Situs Address: FEATHER RIVER HATCHERY 5 TABLE MT BL 1 OROVILLE, CA 95965-3501 Situs County: BUTTE *** END OF TITLE SEARCH *** r r +• 1 ` TOTAL P.02 08/22/2003 08:48 FIDELITY TITLE OROVILLE 4 5382140 NO.624 JUN -17-2003 08:58 916 323 9243 916 323 9243 P.02/02 STATE Of CALIFORNIA • BUSINESS, TRANSPORTATION AND HOUSING AGENCY MAY 0AVIS, 9ovemar DEPARTMENT OF HOUSING AND COMMUNTf DEVELOPMENT SiHr, q Dlvble-o o1 Coco/ end SYAOL4s $ » W 4 Tide Search Date Priated : '*06/17/2003 - o� Decal u: xm11985 ` Use Code: SED Manufacturer: 09579 XAUPMAN/B1tOAD Oilgihal-Nice Code. APA Tradename: SAHARA Rath MOdcl: 1861 t pe: BXT Mandactured Date: 09/22/1994 �- �-o . Regists•adon Exp: Date ILT Fee Paid: 11/21/1984 First Sold On:.-. 10/091984 ILT Exemption: NONE Serial Number HUD Label / Insignia, Length Width SN512229 CAL291253 611 14' Registered Owner. DEPT FtSNINa GAW STATE CALIF 1416 9TH ST SACRA.hENTO, CA 95814-5511 Iaet Tule Date: IVOS11984 Last Reg Card: 11/05/1984 Sale/Transfer Info: Price $21,998.00 T>rawfared.on 10/09/1984.. Situs Address: PEATHER-RIVER-HATCHERY ' 5 TABLE NIT DL / OROVO-LE, CA. 95965.3501. SiWS County: 8U'iTH ** END OFTFI'LE SEARCH 4Z�0� eff- --,s READ AND APPROVED_. 0 3 Pt�rz�c,a Tic �c {� Pr 5-T TOTAL P.02 Z. 08/22/2003 08:48 FIDELITY TITLE OROVILLE 4 5382140 NO.624 1?05 0CPAffMfNT*USFO trLID Receipt DEN: BTATE.OF CALIFORNIA y, LIMNESS, TRANSPOATATION. AND HOUSING AGENCY RTM NT USE ONLY TRANS COOJ PPF nTMENT OF HOUSING AND COMIIYIUNITY DEVELOPMENT ILT DECAL MAF If appecebts. Chad -one of the (anowfn0: ❑ TENCOM OR ❑ ,ITRS 17 TENCOM AND 0 COMPRO DIVISION OP CODES AND STANDARDS Current Mailing Address NO. PEN2 ChY \\\.Q. Coun Zip y MANUFACTURED HOUSINO. PROORAM Future Melling 0f 01stam man above) Street TRF Clry county Save vp LER REPORT OF SALE OR LEASE WITH AN Addyflogs allooof U Address of Unit TICKER NO. ' puri situs CC DUPA N TO -BUY A USED MANUFACTURED HOME, _PvS SUOD —, CONF 91LEHOME, MULTIUNIT MANUFACTURED (I applicable, cheer ens of the fakowing: 13 TENcom on ❑ JTRa TENCOM AND ❑ COMPRO EXP DATE TAX TYPE GREG ASF HOUSING, OR COMMERCIAL COACH N®.\ N PLY BIT ILT LPT EXT W IF. DEALER fNif. NO UDE COOK: © S QNIOwAI eAl[ OR [EASE PRICE Itl EXEMPT _ AT COST CODE RAYING YEAR ASF SFO ❑ MUMH OCC GROUP CCP p--, to end glotoly Code. SfOM TURF OF NEW REOtST OyY1JCR( ): ` 1 a �.,�,�� TOTAL Cul SALE d_If— fftl CYAREIOT'SALE a. t[ASC DATE' D7 -03 M ME OY MANUF ClllRFA Anna-�1 6Ro4.c� UFO UCOIB N0. Off? 5? 8 MAKUEACTWUR TRADE NANE Q.rQ MANUfACT R[. AAOW. MANE OA NUMSER. I DAR OF UFA RER. FOUNDATION TYPE ([Neta amt OATS etE DOL iEw=- 1/6" D$ as ® Q 10551 (Porml O Mee13 Iplo,) b 8 aELa 1141 1. OECA[AICQIDQ a. NANU9ACYUACn SERIAL NUMDENS, MUD W01!6 o• MCD aNiGNUt NUMyERID) MNGIM (Inth,r) 101110114101:11841 INDOMT Ictal xrni4$ s �ta� ADO SECTION 13Receipt DEPARTMENT USE ONtV NUmeel: Receipt DEN: ' Clerk Registered O) (Printrint trtrue- nanrotall will f1ro1 Middle t. n f 1 PPF RF ILT 3. MAF If appecebts. Chad -one of the (anowfn0: ❑ TENCOM OR ❑ ,ITRS 17 TENCOM AND 0 COMPRO P¢NI Current Mailing Address 51105 t b\ e.�u PEN2 ChY \\\.Q. Coun Zip y Future Melling 0f 01stam man above) Street TRF Clry county Save vp TOO Addyflogs allooof U Address of Unit Street �O W �+ 1(.21 \�n `L_ puri Rte p Gf1Y leiAs. Y \ \ C 4ILA rr Ifsq DUPA Legal OWr19! ptenholderl(pdM tfYO namalall _PvS SUOD —, CONF REPO (I applicable, cheer ens of the fakowing: 13 TENcom on ❑ JTRa TENCOM AND ❑ COMPRO Mailing Address. Street CUP Stole Z'ro GREG ASF Junior Llenholde► !prim leve nEmeefel) N®.\ N PLY BIT 11 appacabte. check one of the f9iiawina: IJ TENcom OR Q 3TR5 13 TENCOM AND 0 COMPRO UTP _ AT M&Iiing Addrase Shoat cityBaa. Zip ASF CERTIFICATION The eDOReam end deafer upntng 0010. 91010 to the Dort or In$;, VnowlodOo and bottof (het all statement& made In this aaPGcelton Era true and Correct. The dealer certifies 1 el the ddraleaa erJr Is fn eninlleace with All mrrroiorn of rho Hoolrh and Salary Coda ane Or enenenl .o aladona ado tad the Morl(h CCP p--, to end glotoly Code. SfOM TURF OF NEW REOtST OyY1JCR( ): ` 1 a �.,�,�� TOTAL /^I t % DEALER NAME: 1 SIGNATURE OF AUTHORIZED AWNT, OEALCR.wGOREse:. 9 tFaP R•AN NAMP• \�\r \Q... Z"� ew. eaeenewo ....u...... �niZ,��I 14Co 4eD.3 171971 Capt 1 • Department. CoPv 2 • P,erphi/or, COOP 3 • TDX AIaa110r, CPpv A. Deat&r Goal, No -332924 08/22/2003 08:48 FIDELITY TITLE OROVILLE 4 5382140 NO.624 004 STATE OF CALIFORNIA- BUSINESS. 000/n BUSINESS. TRANSPORTATION AND HOUSING AGENCY DEPARTMENT.OF HOUSING. AND COMMUNITY DEVELOPMENTDIVISION OF CODES AND STANDARDSREGISTRATION AND -TITLING PROGRAM BILL. OF SALE E his unit ;s a (chef one): ® -Manufactured Home/Mobilehome-- [] Commercial Coach []" Floating Home EJ Truck Camper The Decal (License) No.ts) of the unit is: XMH1985 The Trade Name of the unit is: Sahara The Serial No.(s) of_the unit is: S 512229 S MT116 _N117 • ATE NT bg VA T$ For the sum of zERo dollars Is _p and/or other valuable consideration. in -the. amount of the receipt of which is hereby acknowledged, I/we did sell, transfer and deliver to FLEETWOOD RETAIL CORP. . u yer on the day of , my/our right title and interest in and to the above-described unit. 9ECTION Ill. SELURTTERTIFICATI I/We certify under penalty of perjury under the laws of the State of California that the following is true and correct: (1) I/we are the lawful owner(s) of the unit, and (2) I/we have the right to sell it, and (3). I/.we..Auarantee.and will defend -the -title. to the unit against the claims and demands of any and all persons arising prior to this date and (4) the unit is free of all liens and encumbrances, except for the lienholder shown below*, whose lien -presently exists. and -has- not. been -paid. Executed on (Dara/ Signature of Seller J Signature of Seller at. WIN) /sram� Date _ 7V 7/0 2 Date- _ SECTION IV. LIENHOLDER'S-INFORMATION The space below Is lor ;ens create y the- uyer m t s transaction. °Lienholder Address Streer Address or f'. D: Box City State ZIP Code. MCD 475.1 01071 Reproduction by. ACS. Syotome,. InC—MCO epprnve4- April- 9. 1999 RECORDING REQUESTED BY Order No. 89266 AND WHEN RECORDED MAIL TO Name rMr. & Mrs. Herman K. Christ Street ����.� Address 750 Oro am Blvd Wes , Space 305 Sime LOroville, Calif. 95965 MAIL TAX STATEMENTS TO Name Street Same as above Address City a state I t— TO 404 CA (9-68) OFF -IMM. RECORDS I;UTTC: COl`MTY-c, LIF JUL 2216P19?3 en LOUISE t(l li:?li £f� COUNTY REG0ADER lit . FEE {�y 109 -SPACE ABOVE THIS LINE FOR RECORDER'S USE "76 undersignea grantor'(s)' cYeciare fs).o Documenfary transfer fax is $-3.A3Q........ ((XA comI-�r`C-1 on f:!ll value of r rod . r�ty raljveyea, or l , comjj-: ! "d cn "Lill 'CIlU^ I" ., V;'!_'? r`f 1!,n� GhG1 �( encun',i_ cartces remaininc, at fiir(io d scilee (X.V _ _ _ __ _ _---...------_----• yAx PAQ I Joint Tenancy Grant Deed I D.T.T.$ _ THIS FORM FURNISHED BY TITLE INSURANCE AND TRUST COMPANY FOR A. VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Cecil L. Scott and Juanita 0. Scott, his wife hereby GRANT(S) to Herman Ke Christensen and Elaine I. Christensen, his wife the real property in the AS JOINT TENANTS, County of Butte State of California, described as: A part of Lct 2 in Block 104 of THERiALITO, according to the Official Map thereof, recorded in the office of the Recorder.of the County of Butte, State of California, June 8, 1887, described as follows: Beginning at the Northeast corner of said Lot 2; running thence West along -the North line of said Lot which is the South line of Grand Avenue 142 feet; thence Southerly to a point on the South line of said Lot 2 distant thereon 115 feet West from the Southeast corner of said Lot; thence East along the South line of said Lot, 115 feet to the Southeast corner thereof; thence North along the East line of said Lot 355 feet to the point of beginning. EXCEPTING Ti_MREFROi,Y all that portion thereof described as follows: Commencing at the Northeast corner of said -Lot 2; running thence West along, the North line of said Lot which is the South line of Grand Avenue, 72 feet to the true point of beginning for the parcel of land described herein; thence froln said true point of beginning continuing OC' West along said line, a distance of 70 feet; thence Southerly a distanceM of 200 feet along a line which, when extended Southerly wculd into erse' t -the South line of said Lot 2 -distant thereon 115 feet tdAst,_ from Lit the Southeast corner of said Lct 2; thence ::ast and parallel Uith the CJ' North line of said Lot 2, a distance of 70 feet; thence Northerly a distance of 200 feet to the true point of beginning, containing 0.32 acres, more or less. - instrument and acknowledged that, tneY executed the same.y 4-1q}`". ,.s IIF{,' RALPu'A WI, M9LLER � b NU,n �S/ -� WITNESS my hand and official seal. V� �. i NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY rrr MY COMMISSION EXPIRES JUNE 22, 1973 Signature alph . Miller. Name (Typed or Printed) (This area for official notarial seal) Title Order No. Escrow or Loan No. i:iA OE DOCUtit6VT MAIL TAX STATEMENTS AS DIRECTED ABOVE 08/22/2003 08:48 FIDELITY TITLE OROUILLE 4 5382140 NO.624 ' Fidelity National Title Company OF CALIFORNIA FACSIMILE TRANSMISSION ATTN: Karen Jones DATE: August 22, 2003 Butte.County Building Dept. NO: OF -PAGES: 5 Including-coversheet- 538-2140 ESCROW NO: 104516 -CC FROM: Cindy Costa- TITLE ORDER -NO: - Elaine Christensen came into our office concerning the manufactured home that she purchased on August 7, 2003- Following are copies of -the -title search; bill-ofsale-and-dealer-report-of sale -to show - the chain of title to Ms. Christensen. The transfer of title is being processed. It is my understanding that. Ms. Christensen. is placing. -the home on a perm foundation -and that you require -this information - to process her request. Please let me know if you need anything further, NOTE:_ If there. are. any -questions concerning. -this transmission please call Cindy- Costa- at 153% 533-5511 PLEASE -NOTE: In -the -event -any -of these pages -require an -ORIGINAL SIGNATURE; -please copythe-fax- transmittal. page(s)_and sign. on the. PHOTO. COPY and return to us with the -original -signature. THANK YOU. CONFIDENTIALITY NOTICE The. information-.containe&in.this-facsimile is -legally -privileged and -confidential -information- intended,, only for the use of the individual or entity named above. If the reader of this message is not the intended -recipient,. you are. hereby. notified -that any -dissemination; distribution or copy -of -this facsimile.. is strictly prohibited. If you have received this facsimile in error, please immediately notify us by telephone and. return. the original facsimile to -us- at the -address above via -the-United- States Postal - Service. Thank you. 466 Oro. -Dom Blvd, a A Oroville; CA- 96966---1530) 533-551 V •- FAX -15-30) 533-1526- Mr DEPARTMENT USE ONLY TRANS CODE SITUS CC- . STATE OF CALIFORNIA BUSINESS. TRANSPORTATION, AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS MANUFACTURED HOUSING PROGRAM DEALER REPORT OF SALE OR LEASE WITH AN OPTION TO BUY A USED MANUFACTURED HOME, MOBILEHOME, MULTI -UNIT MANUFACTURED HOt1SIN[; nn CnMMFnCIAI t ner•u CALIF. DEALER LICENSE NO. e ..� - �� � 1 CURRENT SALE or LEASE PRICE DEPARTMENT USE ONLY , MANUFACTURER TRADE NAME 4:=�/�, L `� ti.._3S%- % �.1�.'•-j0•e• DECAL NO. DATE OF MANUFACTURER 69-j •OlQ 1641 STICKER NO. GATE FIRST SOLDPEW �i EXP DATE TAX TYPE E ILT LPT EXT CALIF. DEALER LICENSE NO. e ..� - �� � 1 CURRENT SALE or LEASE PRICE I USE CODE: ORIGINAL SALE OR LEASE PRICE ILT EXEMPT COST CODE RATING YEAR Ce SFD 11 MUMH OCC GROUP CURRENT SALE or LEASE DATE NAME OF MANUFACTURERC MFG LICENSE NO. ^7 yc MANUFACTURER TRADE NAME 4:=�/�, L `� ti.._3S%- % �.1�.'•-j0•e• MANUFACTURE MODEL NAME OR NUMBER ' ( DATE OF MANUFACTURER 69-j •OlQ 1641 FOUNDATION TYPE (check orrol ❑ 18651 (perm) ❑ 18813 (pier) GATE FIRST SOLDPEW �i SECT 11.41 DECALtUCENSE a MANUFACTURER SERIAL NUMBER(S) HUD LABEL or HCD INSIGNIA NUMBERISI LENGTH Iinchesl WIDTH Iinchesl WEIGHT Ilbsl Q) 9�r L,�z�3�; ADD SECTION ❑ DEPARTMENT USE ONLY Receipt Number: Receipt Date: Clerk RegisteredLast Owner [print true name(s)] First fs) 1. r 1 '=' . V. r � o ; `� Middle _.. PPF RF 2. ILT 3• MRF If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO PENt Current Mailing Address Street ,� l j O� `, } �,^: ` 6 PEN2 Cityr,,q . Ceu2u ` State t j a, Zip Future Mailing Address (if different than above) Street TRF City County State ZIP TOD Situs (location) Address of Unit Streetr 6_1 / r i DUPT City , �" (( tt , CoUrµy p State C— DUPR Legal Owner Plenholder) [print true namels)] �'1�y e" .^� .J UBD ONF If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND 4REPO ❑ COMPRO REG !Wailing Address Street City State SF Junior Lienholder [print true nemes(s)] PLT SIT Is If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO UTP RT Melling Address Street 1 City State Zip ASF CERTIFICATION Tdeale, The applicant and dealer signing below state to the best of their knowledge end belief that all statements made in this application are true and correct. Tthatthe described unit is in com liance with all rovisions of the Health end Safet Code end De artment re ulations ado ted ursuant to the Health end SIGNATURE OF NEW REGISTERED OV)INER(S):CA,2. 3. DEALERNAME: e' t AL2A i �Y � ; j a SIGNATURE OF AUTHORIZED AGENT: n4 I _ L .. , . i,_ A D Si ..� I. . \ , . _1 is ,. '1\ r1. HCD 480.3 (7/97) Copy 1 - Department, Copy 2 - Purchaser, Copy 3 - Tax Assessor, Copy 4 - Dealer Book N o • 3 3 2 9 ? 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI N 7 County Center Drive • Oroville, Caiifornia"95965 - Telephone (530) 538- 1 PERMIT NO. l'1�� -^ gr% /' (Rev. 12/96) APPLICATION AND PERMIT , ASSESSMVV1111 UVJ CFJ,,fMtS7 ZONING UILDINGPERMIT OWNER CHRISTENSEN HERMAN & ELAINE TELEPHONE SO. FT, OCC. BUILDING VALUATION 938 50,652-00 . OWNERS �MAILING ADDRESS 0 W LVI:�L\ CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 50 652.00 ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ 209.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1505 GRAND AVE. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 252.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 04 Other SPECIFY Each Trap' 7.00 Solar or heat um water heater 23.00 Water piping 15.00 L5.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: NEW MH PERM END EL 0D; X, AE, 07900 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 L5.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service zo.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 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 astheir 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service sow L000A 46.00 NEW CONST. DW LING NG OCCUP. OR ADDNS. ( a ACC. eLOS. SO 3.5QFT: I.,Gµ=T. MULTI -OUTLET 97,50 POWEPPARATUS 8 SINGLER AOUTLET CSI R. Ex. Occup. OUTLET OR FUTURES BAL @ � .50. Ex. Occup. ounFrs A�ID.GEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �[ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those prov' ions. — X Date R -6 Signature of App ant -A Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 345.50 HAZ. __ D FEES IMP/ __ FLOOD AE COF _ pgFICEL/ 7 pp HD I�suE / This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 9 �}� p� / U Qat 7 4 Date ReceiptNo. 385349/$345.50 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT N � �� - � � � Tri � c. �e e s COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California' 95965 • Telephone (530) 538-7541 IT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �`�/� - \ ,\ 20NIN BUILDING PERMIT OWNER -JV 1 lJ SQ. FT. C. BUILDING VALUATION . DW LJEFLS LING IDS V CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 0 LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Rlina Fee $ 20.00 ARCHrTECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDWGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVLSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 ' Each Trap 7.00 USEOFSTRUCTURE i"7 Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome )i Other Water piping 15.00 SPECIFY_ Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationA Other Building sewer 15.00 - - !� Mobile Home S G W @20.00 Describe Work: 9 PERMIT FEE S v ELECTRICAL PERMIT Filing Fee 20.00 OOVOR LES Main Service 200A OR LESS 23.00 Main Service 200A TO 1000A 46.0 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( 8 ACC. BLDS. 3.50Fr. PERMIT FEE PAID $ ��-CJ� -5ri No RES.. ANC,CONST. MULTI0,RCUT 97.50 POWER APPARATUS 8 S W GL E O VILET CIR. OUTLET OR FIXTURES 20 O 1.00 EX. OCCU BAL p .50 —. - - -- Ex. Occup. OvTlEis = OFR.A. 5.00 SRA$ Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 SHERIFF PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 I OTHER Heating Cooling / Hood 6.50 Ventilation V PERMIT FEI S $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TO AL FEE $ _ AMOUNT RECEIVED $ HAZ. D.FELS D D OF °EL HD �s This permit is hereby issued under the applicable provisions lof the Butte County Code and/or Resolutions to do work DATE RECEIVED. I indicated above for which fees have been paid. (-3 �-5 By Date RECEIPT # PERMIT EXPIRES ON Dere BUTTES COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �(�� I� `� ' Building Department No. A.P. Number 0 1 u� Jurisdiction: City County Property owner Property Location/Address Subdivision Residential Development No of Living MoWleome Units Installation Commercial/Industrial A New Addition Building Department Lot No. .................................................................................................................. Sq. Footage Addition/ 'Supplemental to (Group R) Conversion Permit #51 '(No foundation inspection.. r1 i� Sq. Footage acnooi vistnct rersonneq (Including Exterior � Roofed Areas) j I , 51' V� Date District Identification No. , y� 1 1� 0 r-1 �� School District certifies that J (Applicant) (Street Address) t 0 �j{j'��(Phonne Number) CA-, V ( I U, � — ` J� 1(�"J' '(City) has complied with the requirements of Resolution No. representing 3� square feet. . /% School District`Representative ' J ` (State) (Zip Code) 1U--5 ' jo by payment of $ AB 2926 $ FULL MITIGATION $ Dace Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90.days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this proiect may be subiect to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm Butte County Department- of Development Services luting "Ivislu" 0 0 0 -yam 7 County Center Drive UN Oroville, CA 95965 (530) 538-7541 I REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. -2. The request.must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued - if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the' receipt) and return to Develo ment Services for payment processing. 1 • CLAIMANTS NAME.::.,;;iKi.xi7:i= .=..x.,xxnxxxxxxxxxxx,_..,.,,..,."..xxxx.xxxxxxx.,;::;;.::.:::...:....::::::::::::;::!.:.::;:::,x,,,. ......:.xxxx.; :::-..^_._.._........___ ..._.___-. ...,x...a,._....xxx,xxx,xx,. ._ „x:.xnxxx.xxxxxxnaaxx::xxx,. , = xxxx,xrx...,,, ...........:.xxxr .x=.,x,.x.....i. xxx.xxxxxx,+,.,rz"xxrz.xrznxxa.xx...x,.......:.i. ::s;Ri",.•••:". xi..x..,xxxxx.,-, ..x.x.,xxxxx,x,_.,=x,:n,,,,x.x,x..x,xx+,=xxxxx:.,,, ;;;; ,,,;=7; ,:7ii:7:i 7xx �„ ,.x xx.x::,x,xxxxx..x,.: x,x.,xxxxx,r,xxi..x„xxx,: xaxx.rzx.x",,,,,,,."„xxx,..x„<xx + x, .xa,x,nx, �.xx,:a xxx.xx<.,:;_xxgk,7.:ii7ii.iiii.i:.:x°" +:, iiiii77a.i::;::.....:::::�i:i::i.i::i777i:7 `7i:i:. :i.i.iii:7aC......"„x,x.xx,x,,,:....C.,<rz<xxx„.x,<,xxx„xxxx,,.,.xx,,,,,.,, 7...;;:., ,.xx ,.txx _ xxxx x ,x.xx,+x.Xyxxrz: MAILING ADDRESS: . �- � i ° _. a 59 cs )' :'Wil L��y PHONE: _._ _ __ ...ii7::ix”:::E:77:x..7x.x:':.`.,`” :9 "6'".!�. 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L.:a, x,::x<xxrsx,xxxxv,x xa-..:xux. xx7x.xxx,rv..x i...: i 74q=x ..�7. Rik ,x"x.7xn>x xrx<xxxxxa xxrzxa_rxxxx +..,,._.. x+xxx . xxxxx..... ...xrz. ,xxxxxx xxx xxxxx"....:xxx. r.x x,:.xx.x..xx.xxx.xx.xx..xxx, u,.,xi....+.,x - i.,.x..,G .xx..xxxxx:xxx,. =xx.x„ xxxxxxx.xxx. xx:.xxrzxxxxx ::<:....xxxx., �,.............xxxx.........<=:<x..xxxxx,x.xx" i:i7ii. x.x. s:x„"::: xx,.xx....,.x:..,xxxxxxx rz...x.xrx+. ^i x77.. x+.....xxxx x ..,_..., x"....rzx,xx ....,.x x x"x,::.x,,..7. , , .. . ::xxxxx,xxxx::..x.x::xx+ax X.-.x.x"xa0% x.xi, ��.." x .. " " ,x,.. xx., .:::..xx.x.xx,=:::: :. + .. ... .. ..., + x,:,,..x..x,x,...xx.>,.x.xx,x.,xx.::xxx::,,.,..,x, x.rz.xxxx::,xxxx,.. ,xrz.=.xxrz::xxxx+x,xxa,xax+::x,!7xxx,xnrz.xxx.x:i:i:ii..:::i .xi .. _ .. .. + ... + , rzi + , + ...+,.. ,... + .. xx...xx.:xxxn. xx..xrx=rz.. ,..xxrzxixxx..ax..+... xix.x x.....xrz....x..x.....xx..... xx„xrz_..x...,.....,..=,.xrzi.xxx.,xxxxxxxxx„ix..xxrznxxxxx::x xxx,x.rz,-::xxxx.:xxx,::.,::xxrzxxx..........x:xrz.: ...xxrz. • _, .::..xxxx xxx.+xx•+ .,<x.i.Erz•x, xi. i..x x. •, .+:xxxx.... ,.,:xxx<. .,.!".xx3,+ .xx:xx,..i S ..xxxx.rzx xx .,.xxxx .xxxx..,, ,..xxxx .=..,xxxxx,+G7.xx,xx"�a,..xxxxxxx-,:..xrz xxxx xxx:«xxxxxx,: Check those fees which you wish to have considered for refund: - BuildingPermit Fees = Sheriff Fees. ° SRA Fees CDF Fir ( e Planning) 7i.i:7i:77ii7 ii xx,x.a.x ,x,.nx,..+x,.. xax ,xrz..,..=:::...= x. " ,<,,. +x7.x..iaxx,x xrzxxx...xxxr,, ..,, ,a xxx „ n x= ..........x,xx..x ...aaxx..- ,xxx.xxxxxxx. _.,,,x:.,xx. _ x,x ,.a„_ xrz=e.=x=:.............,+x x<,. x.xxxxxx.x........,” .iix.."axa7:.vxxx.xS rzrz,xx.:�=rzx;!rz,xxxn..xx<xx<.<rz.. x..xxxxx,x,xxxxr :xarzx,,,axx..xx: :;;;'7i.iiii..,,......::,..=.".x.xx,.....xrz..xxx:;.-:...,."."xx.xxxxxxx.xx.a.".".i.xnx.xxxxx.x•..xx„x.....xx,..ax+xxx,xxxxxx..r.,a"","„i=xxx,:.:xxrz_:..... '!.....+......ax::xxxx::::....xxxx::x::x:xxx:xxa:.:,rz, _ - _ ,x",�,=..,x+,,,.xxarza,.._.xxxx...— ..x.xxxx.:..x..! Other (specify): x:,...x , .,.xx".::."..",x,a"..,xxxxxx... "xxrz":....,,„x..xxx,xx.,"x.rz.".,,x,xx.n,x..xxxx...=.., „x.xxxxxxa xxxr.,. N. O (p fy). �:i „x..,"x,.,,",,..xxx x ,: x:i:i;7;7aa7i.i7.i x;:i" ii7� :.iii: Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. .......................... m :Si L!iisR.::. -ra,xF:..srzx,.,_!:xxx.:.x,..!;:xx,vxxvx;!xi,x:.:;x..xxx;;,.::;;x,.,x.x:::!x::x::.::!.:x;;:!..p.xxxx.x..r:;x:::ixxx„�:;,;;.xxx!:x.nn::xxxx x..x::xxxxxx,::x::rx:!x::x5x.: .i e �!V is z.. C/!xr%/✓..�._._._. .7 5 e Signature Date K:/Forms/Refund Application 082203 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET /1 OWNER: ASSESSOR PARCEL NUMBER �) b Proposed Building Use: X/w Counter Technician: ' Date: ,} ems required in order to apply for a permit. All oxes MUST a checked OR marked NA in order to a ply. 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. Energy compliance de?" n and supporting documentation in pdVplicate. . Manufactured homes -VA) Data sheets and installation ins+,,� arnage line info loor Plan OTie down or fnd plans, all in duplicate. .. Metal bld s: A MetaTBld Plans B Fnd plans and calcs iyntri licate C Elevg ns in tri licate. D Floor tans in triplicate. All of these m 9 () 9 () P P () P () P P must be . stamped and wet -signed by the engineer. Items r94wired for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and recured to the plan review line-up when required items are received. Date Reced BN� lood Elevation Certificate, wet -stamped and signed, in duplicate ................................ `� G -1� 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... V. Statement of Intent for Non -heated and A/C Buildings ................................../ 18. Sanitation and site plan approval from the Environmental Health Department in BCity of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: a K(B)Parking: (C) Parcel Check: —'Z�-- ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. 0/24. Encroachment Permit fo_r driveway from the PubUc Works Dept ................................. O 26. Contractor's licenA information. (Number, Name Style, Classification)...................... ❑ 27. Worker's Compensation. Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Ve41 ation (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ` ❑ 30. Recorded copy of Agricultural Acknowledgment Statement.... ...............................-. ❑ 31. Manufactured home lior ity clearance............................................................... ❑ 32. Existing violations a expired permits........................................................ ❑ 33.� Grant Deed, I.H. Title/Statement of Facts. ter from Legal Owne�Check to H.C.D. El 34. Other: When issued Telephone U co and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: �9"-2 y- 1. Index permit. application for the above items numbered: Plan Check Letter - 2. Additional items required ,.- Contractor, designer, owner, was advised of the above dWty Aphone, ❑ mail, ❑ counter, by . bate: s ``L Contractor, designer, owner, was advised of the a ve ata b ❑ phone, ❑ mail, ❑ co n, r by Date: Plans reviewed by: �'(� Date: i•� Plans approved by: I' l Date: Structural reviewed by: Date: t Structural approved by: Date: Note transfer by: Date: Yellow: Building Division OWNER 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 PROPROSED BUILDING USE 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ A.P. #Q'50 - m. U DATE <9_,9,4 - D RECEIPT # DATE REC. -- evised Plan Checking Fee.... $ _ S OOL DISTRICT FEES ) QrJ (paid at School District Office) (form available after Plan Check) FF S (paid at Building Division) -e i en X $360.00 =$ _ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. t 5. CREATION DISTRICT FEES id 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. ,,gomercia 0.mOTHE 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 changedduring,the plan checks progess DATE Y—.2l'-0'3 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) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive • Oroville, California 9*5965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT D (20 ASSE1611f�ARCEI, NkM8 7 3v 11(I ZONING BUILDING PER OWNER ELAINE CILRISTENSEN TELEPHONE 534-6667 SQ. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS 540 YOLO AVE OROVILLE 5965 cDMSNAME olzm TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1505 GRAND AVE, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GAS LINE ONT Y Gas piping system 1 - 5 outlets 15.0015,00 Building sewer 15.00 Mobile Home IS I G WWI @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING 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: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �Ql 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 foCbwith comply wi h those provisions. — X Date 0,3'-03 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWa ACCELI.ING OCCUP. OR ADDNS. ( . BLDS. SO 3.5¢F. NO R.ID MULTI.OUTLET 97,50 a R A OUTLET CIR. OWELEPPARATUS Ex. Occup. OUTLET OR FIXTURES p Q 1.00 BAL Q .50 Ex. Occu . OUTLFIXETS AP I'S 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 A. D. FEES IMP I FLOOD I COF PARCEL I pD HD ISSUE This permit is hereby issued under of the Butte County Code and/or which fees have *By ON the applicable provisions Resolutions to do work been paid. DateReceiptNo. ale WHITE-D.D.S.-B.D. CANARY-ASSE R PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541, P MI NO. (Rev. 12/96) APPLICATION AND PERMIT CE FASSE;SSOIRPARCELNUMBERV�/V V TEL! ONE SQ. FT, OCC. BUILDING VALUATIONL9 G 61 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHrrECT OR ENGINEER LICENSEE No. Rling Fee $ 20.00 Permit Fee $ ARCWrWT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS _ p '�/ Energy Plan Checking Fee $ $ PERMIT FEE $ IDT NO. SUBDMSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water piping 15.00 SF ❑ Duplex E3 Mobilehom� Other eF o -v Each gas water heater or vent 15.00 TYPE OF WORK Gas piping stem 1 - 5 outlets 15.00 1)7 New ❑ Addition ❑ Remodel ❑ U606es ❑ Installation ❑ Olh7�t_ Building sewer 15.00 Mobile Home I S G I W @20.00 Describe Work: PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20 A OR rs 23.00 Main Service 2004 TO 1000A 46.00 NEW CONST. / pWE11lNG OCCUP. 3.5t -Fr. OR ADDNS. \ b ACC. BLDS. NEW cousT7 MUIfl•OVTLEr NON R6ID. ANC C MCVrrS @7 55O PERMIT FEE PAID POWER APPARATUS b SINGLE 0UT1.ET GR EX. OCCU Ovnzr OR FWTURRE3 20 @ 1.00 SAL @ .50 Ex. Occup. vrLETSAPPRL,1i) 5.00 SRAR /O $ Temporary Service 23.00 ��w Mobile Home Facilities 20.00 Mist. Wiring 23.00 SHERIFF $ PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 OTHER $ Heating Cooling Hood 6.50 Ventilation 1 '4r PERMIT FEI: S Mobile Home Installation Fee $ Energy Inspection Fee $ Gc CONST. TYPE TOTAL FEE $ 3 �J �YY/// HAZ. D, FEES IMP FLOOD CDF _� PARCEL PDQ AMOUNT RECEIVED I I 1 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ,+ V indicated above for which fees have been paid. DATERECEIVED By Date RECEIPT ## U PERMIT EXPIRES ON (Date) D.B.- I OWNER-BUII,DER VERIFICATION Attention Property Owner. An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. �1. I personally plan to provide the major labor and materials for construction of thero osed P P (�)property improvement: YES A NO O I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: / NAAM: ADDRESS: . PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAM9: ADDRESS: CITY: HONE: CONTRACTOR'S LICENSE NO. 5. I provide some of the work but I have contracted (hired) the following persons to provide e work indicated: NAME ADDRESS PHONE TYPE OF WORK SI NED: < PROPERTYOWNER '12 DATE: — Q NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verrfwadOn must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of properly improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be. signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply If you plan to do your own word with the exception of various trades that you plan to subcontract; you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work ('Including materials and other costs) is $300 or more for the entire project; and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations inchiding state and Maral income tax wifhholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not curry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific infomuation about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons profhssing to be contractors is to secure an "owner builder" building permk eaonieouslY imps that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete time "Owner Builder Verification" on the -reverse side of this farm so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. yy Mc 1 C. V ira, CB.O. er, Buulding Inspection NOTE: T Isis Owner-Buflder Informadon is required by Seddon 19930 oftime Cahfornk Health and Safety Code APPLICATION FOR '' ate` ❑ Alteration, ❑ Addition or Conversion, ❑ Alternate Approval, ❑ Technical Services, ❑ Insignia Inspection (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS Not required for Special Purpose Commercial Coaches or Recreational Vehicles 1. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. Exp. Date Contractor __. Date 2. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that am exempt from the Contractors License Low for the following reason (Sec. 7031.5). Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred ,., dollors($500)•): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended of offered for sale (Sec. 7044. Business and Professions Code: The Contractors license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). [ ] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to on owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractors License Law.). [ ] I am exempt under Sec. B. & P.C. for this reason: i Owner: c 3. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: [ ]I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [ ] I have and will maintain workers'compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers compensation insurance carrier and policy number are: Cartier -- r Policy Number (This section need not be completed if the permit is for one hundred dollars ($100) or less). [ I I certify that in the performancp-of the work.focwhich'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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Applicant ` Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097. Civ. C.). Lender's Name Lender's 5. CERTIFICATION y 1 certify that I have read this application and statet ab8 . J0` information is correct. I agree to comply with all city dND4;ord�pncef and state laws relating to building construction, and herebyrpujhar` . representatives of this county to enter upon the above-menfiSJleiipfoperty for inspection purposes. Signature of Applicant or Agent Date SECTION 1 - UNIT INFORMATION P r I/We Are requesting services for the following unit(s): -t S 1 �r { (Check Appropriate Box) COL NO.3 ,d Manufactured Home/Moblehome, ` State of California ING A ❑ Commercial Coach (Occupancy Group ) ❑ Special Purpose Commercial Coach Business. Transportation and Housing Agency tA`� �z DATE � i / � Serial Number(s) '�+ J�6__JI c7 ��2 5' �^' q DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards a f J ! Manufacturer Name/ l -. f '`� Eva- �•! i !s'1(,A � ;'6 ��� , RTTO -` RT BY�Y% Model Name Insignia/HUD Label Number(s) ZF '� nC L- Year of Manufacture SECTION 2 - OWNER/ APPLICANT INFORMATION ; A p 61. Owner !�/a" APPLICATION FOR '' ate` ❑ Alteration, ❑ Addition or Conversion, ❑ Alternate Approval, ❑ Technical Services, ❑ Insignia Inspection (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS Not required for Special Purpose Commercial Coaches or Recreational Vehicles 1. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. Exp. Date Contractor __. Date 2. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that am exempt from the Contractors License Low for the following reason (Sec. 7031.5). Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred ,., dollors($500)•): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended of offered for sale (Sec. 7044. Business and Professions Code: The Contractors license Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). [ ] I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to on owner of property who builds or improves thereon, and who contracts for such projects with a contractors) licensed pursuant to the Contractors License Law.). [ ] I am exempt under Sec. B. & P.C. for this reason: i Owner: c 3. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: [ ]I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [ ] I have and will maintain workers'compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers compensation insurance carrier and policy number are: Cartier -- r Policy Number (This section need not be completed if the permit is for one hundred dollars ($100) or less). [ I I certify that in the performancp-of the work.focwhich'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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Applicant ` Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097. Civ. C.). Lender's Name Lender's 5. CERTIFICATION y 1 certify that I have read this application and statet ab8 . J0` information is correct. I agree to comply with all city dND4;ord�pncef and state laws relating to building construction, and herebyrpujhar` . representatives of this county to enter upon the above-menfiSJleiipfoperty for inspection purposes. Signature of Applicant or Agent Date SECTION 1 - UNIT INFORMATION I/We Are requesting services for the following unit(s): -t S 1 �r { (Check Appropriate Box) COL NO.3 ,d Manufactured Home/Moblehome, ❑ Manufactured Home/Mobilehome Component Structure FEE RECD ❑ Commercial Coach (Occupancy Group ) ❑ Special Purpose Commercial Coach Decal or License No. ` i✓! 1��—^ ^ DATE � i / � Serial Number(s) '�+ J�6__JI c7 ��2 5' �^' q AA NO. �1 f J ! Manufacturer Name/ l -. f '`� Eva- �•! i !s'1(,A � ;'6 ��� , RTTO -` RT BY�Y% Model Name Insignia/HUD Label Number(s) ZF '� nC L- Year of Manufacture SECTION 2 - OWNER/ APPLICANT INFORMATION ; A p 61. Owner !�/a" S 16' U (Z Address 7 r !' / f - _ City C _- f LI county4-1 C.0 Zip 2.5_2 r' Location Address Applicant Z- /G,i ! I t A, -V Address`✓ `�I 7 ' r iI 1 C'Llt r !! ==' r- City ` - Zip : ✓`=' Telephones J SECTION 3 - CONTRACTOR, ARCHITECT OR ENGINEER INFORMATION Contractor's Name Address Architect/Engineer Name License Address SECTION 4 - DESCRIPTION OF WORK/ACTIVITY AND VALUATION Describe the proposed work/activity in detail. Attach additional pages if necessary. Where structural alterations or additions are proposed, complete plans, specifications, details, and calculations are required to be attached to this form. Provide the make and model of any appliance to be installed and provide complete electrical calculations for.ony electrical alternations or additions. �1126( ; / Yj C- -:7 CF ra ! }� i'% �i. �.._ Indicate the Total Cost of the Work to be Performed SECTION 5 - SIGNATURE AND CERTIFICATION I!We hereby make application for the services designated above. If applying for replacement of a lost insignia or label for the unit described in item number 1 above, I/we certify that there have been no alternation, additions. or modifications to the unit which would affect compliance with California or federal law or the rules and regulations of the Department. (Where alterations or modifications hove been made, an inspection must be obtained`) ii �• % 47 Signature ` f r\_!� .�.` . L J_2t�*—Date ✓'`7 -� / r DEPARTMENT USE ONLY ❑ CONDITIONS (see reverse side) ❑ DISAPPROVED (see reverse side) f9fUre a6gep "' m€n1:Rep`resentative -" 11y_ 1 rJ Date mu L) 41 o, aiae i IKev uslyyl DISTRIBUTION: YELLOW - DEPARTMENT, WHITE - AREA OFFICE, PINK - OWNER/APPLICANT ' Mobilehome Manufacturer: Manufacture Year. 9 If other than single wide, furnis Setup Model Number: Width:j(ft.) Length:_.L�(ft.) Tagalong or Expando Size x On all mobilehomes manufactured after October 7, 1973) furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure tr a d or foundation grade[ Other: SUPPORTS: Concrete block[ Other: A , Provide Tie Down Specifications for all Mobile6mes: Pier Footings Sizes and Lodation SINGLE WIDE MULTI -WIDE Liao 1 1 Line 2 Liao 2 ............................................................................................. Main Beams Line2............................................:.................................................. Lice 3 ► ti 2` Line 1 Line 2 ........................................................................................... ............................................ ........................... Line 2 Line I ................................................. s Triple 4 CJ Z q ...... ............... 1 c�2— Z_ 1 Line 1 Piers: Size minimum: r lix Spacing maximum: 6` From ends -maximum ` Line 2 Piers: Size minimum: t 2 x 3 0. Spacing maximum: o ` From ends -maximum Line 3 Roof Loads: Size minimum Location (from front):' Line 516'of Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: Each side of openings with width over: ` Line 4 Piers: Size minimum: Spacing maximum: ` From ends -maximum ` V V ZK THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE N9 222 OROVILLE, CALIFORNIA 95965 ^. TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1505 Gra.1d Avenue Owner's Name: Elair►e Chris Leaseii Date: 8-21-03 Address: 1505 Grand Averwe Acct. No.: '100470 Oroville, CES 95965 A. P. No.: 3.i -"i 10-0-)7 Phone: New Unit: Applicant/Agent: Adding Units: Address: Fees: Phone: Permit: $ T.I.D.: Preliminary Review By: Date: Ext. Fees: ' Remarks:SEWER 10SP ,CTIONS (ONLY) CLEAN OUT Ur To SC -OR: GRADE Lateral: Other: Total Fees: Amount Pai : Collected Finaled By: Location: Date: - Al IQ 7 2. Size Line: ' Signature of Owner/Agent: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File: (R.F.C.) Blue Book: Paid SC -OR: Meter Book: (S/C HG's) Rev. 6/85 FOUNDATION LIGHTING BUILT-INS FIREPLACE ROOM AND FINISH DETAIL :oncrele -Re i,cci Few Fair Kitchen Fon location: Room Floors Walls Ceilings :oncrele-Lew Avg, Avg. Hood Metal Stone Story 1 2 B Cpl. Hw, lino. $.R. PI. Pan. S.R. P1. Ac c. Ex- E :oncrele Slob Many Good Range Brick Marble All 'iers Recess 220V Oven Raised Hearth Entry Auds;ll Spec. Rhea, Double Ovens Wall Hgl. Living Electronic Oven Free Standing Dining BONE STRUCT. HEATING Drop-in R & O Heatilator Family Vd. FrC Blk. Forced Central Slide-in R & O Flank Shelves Kitchen .rick Adobe Wall Gravity Garbage Disposal Dbl. Opaning Breakfast feel Conc. Floor Perim. Dishwasher Two Story Bedrooms Rod;an Ceiling Refrigerator EXTERIOR Elec. Bsbd. Intercom GARAGE tucco Punel Gas 'Slat. Breakfast Bar Attached Utility ' ;ding shingle. Engrd P. P. Vacuum Cleaner Detached _ KITCHENn DETAIL hake Asbes. E<ano. Wel Bar Double Cabinets H.W. O P Plysvd. Metal Spec. Not. Slolned & E Alum. 220 V. Outlet Single i Dr. 6d. &Cob. Ton Tile N Lino. no. St lash - I - R &-C -E- _G 9!a F ?,ATH DETAIL Ves Ston. COOLING Blender Carport ,dobeI" bds. BCc - _-- _ Refrig. Central BBQ Carport Finish Pixi-es Shower-- --- Evap. Roo( Desk Eleclriu ty Fir. No. Floor Walls T.H. lav- Tub I St. O.T. G.D. Finish Pullmon --- Misc. — .I Engrd. Wall O. H. domisl WINDOWS ----_-I--- — Econo. Wind. Remote Control Dr. . H. Wood Finished �- :smt. Steel — ----__-'�- j Wlr. Hit. Gots. %r Finished r - Iider I Alum. MISCELLANEOUS STRUCTURES vrs. I leaded APPRAISER °: DATE: '� � ✓, A-. , ...-q----------._._ ..-._... :rank Operated Item Flr. Ext. Int. Roof Age Size $/S.F. % Gd. RCLND $ •S.F. % Gd. RCIND $ S.F. % Gd. RCLN( -- 'Fdtn. I,e 6d;ng Gloss Dr(s) •%' �, -'.- / d --� f ..f — �n 4... -- —..—' Zee — C) --.. ROOF - ;able ;able - I - )utch Gable I — lip-- TOTAL REMARI<S7/-7/�! ���G/<r��jt �� CALCULATIONS: -- hed -- Not J'L t. --• ---- Monsord �. •�. :ut-Up 111. Eaves a - s , rs__r: .# _tel• �.� /_ L� i{ hinglo — -----I— ------ —--------------....--------------------._-----'--' :ompo-Roll or and Grovel —(IL�--- 'Ito i----'----'-------------._._—__------' - ----`-- C & G: Yes No CLASS: BUTTE COUNTY RESIDENTIAL PROPERTY RECORD Sdwlks: Yes E] No QLf 0 6- NAME: PROPERTY LOCATION: l S G 5� �,P/T A � i r -P Al vl P ' _3 Improving Stable Declining Second Floor! NEIGH6ORHOOD & SITE DESCRIPTION TRANSACTION RECORD Rq? o T !1 `9 USE TYPE LAND VALUE COMPUTATION Assessment Year 197V 19 a S r 4 1 p DCCUPANCY Date I Price Seller & Buyer Source & Date Single Appr. Width- Mod. Unit Site Total Dale_ -7 rl ^ I L� c/ F1 —7'a --19 •OCATION Urban Suburban Rural J ® ❑ % I .1.,7 300 C'' F% �GG /.' C/ �r154"A r T" LG /-��7 , Multi -Sol. Year Area Fact. Value Value Value SHEET g / OF Peripheral D Foothill Other E G e F P. P- Duplex 7L 700 S••) GO 160 Uso Code: �? ,�, Y .X T Total Summation �-s 70 4 \ (RAVEL TIME & DISTANCE Apt. .r e%t,' Comparable 1 t _ or = s �. 161 162 Solas Aro. Appraiser No: Code: .MPROVEMENT MIX Flat©� Homogeneous 0 Heterogeneous Schools: E G A F P Court Comparable 3 163 Incomple,e, P.U. 19......... Predominant Use: Res. 0 Res.lncome -] Listed Price Motel Plmbg. Extras Sale Data 164 Zoning: o9 Z Com'l. ❑ Indus. E3 Agri. 0 Profsnl. Misc. Extras CONSTRUCTION RECORD CDU RATING I Res. -Apt. Level Rolling [—I Other Network 165 Zoning Conf.,m„y: Y.: No E ' Permit Grade Base App:. Improvements/000 i E Slopes UP F-1Down S•S 166 Use Conformity: Yes GK No E] UTILITIES -SITE IMPTS. No. Item Amount Dote Year Year Age Cond. Desir. Util. No. Units ASSESSED VALUES 167 Bldg. C1.ss: R.C.N. Water: Public 21 Well C] Ditch El7% r�'�— 1 r -N /, TTe x/7.7 LOT TYPE ' REMARKS % Good Improvements 168 BR: 1 [ 2 Q' 3 a 4 5 Q Electricity: Yes No 7 if X3.2 b C v_ yp e./Gl _ Entered I 169 Baha: I C] 20 3 E) 4 It Ej Gas: Public LPG E] None CJ i�' Jf1 X110 4uTtJ1SA 170 B... Y.- ' Sanitary Swr: Public Indiv. - 171 Area: Storm Swr: Public Natural - - 172 land Type: Lot Acreog, Street: Conc. (] Asph. Dirt 11 Gravel El 173 Go go: Yes 0 No St. Lights: Yes n No RCLND COMPUTATION „ C & G: Yes No CLASS: Sdwlks: Yes E] No QLf APPRAISER & DATE: Item Fact. Area Unit Cost Cost Unit Cost Cost s Unit Cost Cost SUMMARY ' (REND First Floor j Improving Stable Declining Second Floor! E2 X //T e X / Rq? o T !1 `9 Assessment Year 197V 19 a S r 4 1 p DCCUPANCY Appraiser Owners Ej Tenants Mixed Gar. A - D - F Dale_ -7 rl ^ I L� c/ F1 —7'a --19 P•frt. R.C.N. v4AINTENANCE P"rear R. C. L.N.D. /000 � C` E G e F P. P- Land Value 700 S••) Patio Total Summation �-s 70 4 \ (RAVEL TIME & DISTANCE Comparable 1 t _ or = Shopping: E A F P AC Comparable 2 Schools: E G A F P FP Comparable 3 Core: E U A F P Kit. Extras Listed Price Plmbg. Extras Sale Data 14 3 irr),-) ;ITE TOPOGRAPHY Misc. Extras TOTAL PROPERTY APPRAISAL Level Rolling [—I Other Network Land t f ! © 0 At C] Above ❑ Below 0 Grade Improvements/000 i E Slopes UP F-1Down S•S Total PropertyC 1UIUGe s +' View Cj Sector ASSESSED VALUES R.C.N. .� Land 1 S- LOT TYPE % Good Improvements ' I Corner ED Interior Q Key 0 Cul-de-sac :--I R. C. L. N. D. Total Property _ Misc. R.C.L.N.D. _ Entered I Building Permit Number: Owner Name: Residential Construction Requirements . IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: (93-,MwO Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. MFire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of -15- feet from the side and 6 -' feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067--0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Im oitant: ,Read the instructions,bn pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION Fo[Iruuranoe Company Use: E A-1 nt , CN• A 1 S rfivs &W BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number / 5,0W 40 1Z4,1v A " CITY STATE ZIP CODE d F STATE aa-s*s' PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) oqp/v 030—//0-04;-7 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) 2 L-- S1 ntN 7-14, L_ LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: L—I GPS (Type):. ( ##° - ##'- ##.##" or ##.##ti##°) U NAD 1927 U NAD 1983 U USGS Quad Map " Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. KFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE 11tiT-ty dW!2a0!) LO fsUr -W' &A Lim NUMBER DATEEFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 0140 �^ I S►9+b Xu 9V W I 3 q 119 110. Indicate the source of the Base Flood Elevatio (BFE) data or base flood depth entered in B9. 1_I FIS Profile 14 FIRM 1J Community Determined 1-1 Other (Describe): 311. Indicate the elevation datum used for the BFE in 69: JA NGVD 1929 1_1 NAVD 1988 1_1 Other (Describe): ;12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? L_J Yes 1_1 No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) :1. Building elevations are based on: 1)<Construction Drawings' 1-1Building Under Construction' 1—(Finished Construction A new Elevation Certificate will be required when construction of the building is complete. :2. Building. Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) 3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section 8, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Eleyation reference mark used am V, -t-.o Does the elevation reference mark used appear on the FIRM? 1_1 Yes 14 No a) Top of bottom floor (including basement or enclosure) ft.(aej'a u 0 b) Top of next higher floor AI/A- ft.(m) a _ O c) Bottom of lowest horizontal structural member (V zones only) MIA- _ ft.(m) „ � \Ot1P.:. LA�� L• S G d) Attached garage (top of slab) _ ft.(m) E w `° �`' 'p�,0 Gy •Go ❑ e) Lowest elevation of machinery and/or equipment ��!' servicing the building _ ft.(m) a -Lowest ¢ . a N ; 0 r (11101 adjacent grade (LAG)ft. z' Z y Highest adjacent grade (HAG) y �. ft.(tyr�� No. 4085 0%. Exp. P) h) No. of permanent openings flood vents within 1 ft. above ad scentrade T Q q' 06/30/04 Vi) Total area of all permanent openings (flood vents) in C3h 613 sq. in. (rsr}.-cry FOp�A\-\IF SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION phis certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. understand that any false statement may be punishable by line orimprisonment under 18 U.S. Codei§eRclibni1,001. P. L- V,(� ! 0111 `S� r% UN I TITLECOMPANY NAME `N l.! — . ---1P•ok c ox qg(o &WIJtk-c-rG �%' '� is '7 r- . SIGNA TE T�LEPHDONE" =MA Form Al -:11 AtIC; 44 SPF RFVFRSF SIf) FnR CONTINHATInN RFPI A( -FS Al I PRFVIOtIS mITIONS IMPORTANT: In these spaces, copy the BUILDING STREET ADDRESS (including Apt, Information from Section A. Bldg. No.) OR P.O. ROUTE AND BOX NO. Company Use: J'r" c ZIP CODE ;Company' C Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/compjny, and (3) building owner. COMMENTS a Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting Information for a LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is 1_1_1 ft.(m) I_IJin.(cm) 1_1 above or 1_1 below (check one) the highest adjacent grade. .3. For Building Diagrams 13-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I_I_I ft•(m)1_I_lin.(cm) above the highest adjacent grade. 7-:4. For Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1_1 Yes • 1_1 No 1_1 Unknown The local official must certify this information in Section G SECTION F.- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE �OMMENTS SECTION G - COMMUNITY INFORMATION (OPTIONAL) Check here if attachments It; wnv is aurnor¢ea Dy law or ordinance to administer the community's floodplain management ordinance can complete ,ections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 1.1_1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) ?. 1_I A community official completed Section E for a building Located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. 3. 1_I The following information (Items G4-Gg) is provided for community floodplain management purposes A. PERMIT NUMBER r:5 na P oGnneiT IC-11- 7. cc11- 7. This permit has been issued for: 1_1 New Construction • 1_1 Substantial Improvement "` .. 3. Elevation of as -built lowest floor (including basement) of the building is: _ 9. BFE or (in Zone AO) depth offlooding at the building site is: _ �atum: OCAL OFFICIAL'S NAME TITLE 'OMMUNITY NAME C�o TELEPHONE tj ;IGNATURE DATE :OMMENTS >sly . Check here if attachments :MA Fnrm R1-11 Al1(; %) RFPI A( FC Al I PRFVIn115 FnITIONS 1. ' Owner's Name:_ ,c lCc I �,j e, .� C -5-c 2. Assessor's Parcel Number:Q n=0 —Q<�l =n�� 3. Installer's Name:_ (,DLLc) NJ1E-2 4. Is the site currently under permit? Yes[x] No[ ] Permit No. 5. Is the site an existing site? YesK j No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 6 o Amperes. 7. What is the mobilehome site circuit breaker rating? -2.Oa Amperes. 8. What is the electrical rating of the mobilehome site? 200 Amperes. � 9. Is the main ince remote from the mobilehome site? Yes[ 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[ ] N' [W If yes, please identify the load and size: a) The mobile home site: Load- Amperes- " b) The main service:`. Load- Amperes - 11. Type of gas service at mobilehome,site; Natural] Propane[ ) None[/] • fi�l.cit�S�.,e.. 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter.or tank to the mobilehome? (ft.). W 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 5'0.feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION PING ®jEp -MC . p °�R7 May 1995® # 8.5 - Mobilehome Manufacturer: u311(--in / Er o a d Manufacture Year: If other than single wide, furnish Setup Model Number: Width: (ft.) Length:ft.) Tagalong or Expando Size On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ther: SUPPORTS: Concrete block[ Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE XULTI-WIDE Line 1 f 1 Line 2 e 2 ........................................................................................ Main Beams Line 2 Line 1 e 3 e 2 ............................................................ .................. M' e 2 ....................... ................ e I a .. c5 Tr ine 4 ine 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: ` From ends -maximum: ` Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 2 Piers: 2� K 24 Line 4 Piers: Size minimum:o- x L�-A' Size minimum:: [ ] x [ ]. Spacing maximum: 4-5Spacing maxlrr` im: ` From ends -maximum: `p GF�corn�en"'ds maximum: ` SIP Line 3 Roof Loads: , �.,��, 6 xj r Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 8.4 VECTOR DYNAMICS FOUNDATION SYSTEM WIND ZONE 1 & 2 INSTALLATION INSTRUCTIONS For the State of California INDEX SECTION INTRODUCTION PIER HEIGHTS GENERAL INSTALLATION SET-UP INSTRUCTIONS METAL PIER & V DRIVE PARTS LIST CONCRETE INSTALLATION SCHEMATICS PAGE NUMBER 3 4 5 & 5a 6 7,7A,7B&7C .8&9 WIND ZONE I - SINGLE SECTION WIND ZONE II - SINGLE V -DRIVE - METAL PIER - DOUBLE SECTION - TRIPLE SECTION - SINGLE SECTION - DOUBLE SECTION - TRIPLE SECTION SOIL CLASSIFICATION 10 11 12 13 14 15 16 17 18 COMPONENT PARTS AVAILABLE UPON REQUEST Foundation System r_ i UTT": COUN T RUILDING DEPARTMEl 4y A pFjOVF Release Date 8/13/2001 Engineer Approval Si^ U� 1 e 2011 J. znate-AppTGAAWN 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUUMmL%TS OF APPLICABLE STATE LAWS AND REGULATIoi:S State of California Department of Housing and Community Development DM C ES AND STANDARDS Byq-/o -O I (sign ure) SPANO. 92 % J`" �'-__ • - - r - -9- /D - 0-7) For Further Information TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta, GA 30336 404-344-0000 FAX 404-349-0401 www.tiedown.com Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION INSTRUCTIONS Introduction These instructions describe the proper use of the Vector Dynamics Foundation System in Wind Zones 1 & 2. Additional installation instruction is available in VHS video, from manufactured housing distributors or from Tie Down Engineering, titled, Vector Dynamics Installation Video. The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone I & II &* III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec- tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & II), are available through local distributors of Vector Dynamics or directly from Tie Down Engineering. General The Vector Dynamics Foundation System provides the support to resist lateral and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these instructions. See manufac- tures Home Installation Manual for other pier & anchoring requirements. The following characteristics apply to both single and multi section homes: • Main rail minimum spacing of 86 inches or greater. • Nominal 8 foot or less top plate height at side walls. • Main rail depth of 12 inches or less. • Maximum roof slope of 20 degrees (4.4 in. in 12 in.) • Maximum pier height under main rail of 56 inches (see page 3). WIND ZONE I • Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. WIND ZONE 11 • Maximum single section home width is 15 ft. including eaves, maximum eave width is 6" per side. • Maximum single section home width of 16 ft. including eaves must use two additional vertical ties/ anchors/stabilizer plates (one per side) as listed in the charts on page 15. • Maximum double section home width including eaves 32 ft., maximum 12" eaves per side • Maximum triple section home width including eaves 48 ft., maximum 12" eaves per side The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic pad (s) has two (2) or three (3) square feet bearing area. Piers not used as part of the Vector system shall be located and constructed in accordance with the home installation instructions and/or state standards. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than 56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806. The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See page 3. Note that a ground anchor is used at each Vector system location in Wind Zones II & III. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or the state. Check with the most recent regulations in California. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located 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 include shear walls, mar- riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the perimeter joist or specified as a location for vertical ties. llz:O, Page 2 California 8/2001 56 i ma Figure 1 Maximum Pier Height (Wind Zones I & II only) The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location in Wind Zone II, and where the pier heights exceed 24 inches on a single section home in Wind Zone I. Piers must be constructed in accordance with the manufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. 56 i ma; Unequal Pier Heights ( Wind Zones I & II only Myulc c 5 in. iax. Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails. The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed, in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. �►� Page 3 California-'�W200:1 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. See manufacturer's home installation manual and state requirements for grading and other site preparation. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See pages 8 & 9. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each (set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe or TDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva- nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust- ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size and pier spacing must be consistent with home manufacturers' instructions and/or state requirements. LUMBER/MOISTURE - TERMITE SHIELD To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con- crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281 must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter bracket is used on top of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture Termite Shield may be required between the lumber and ground. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. 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 TENSION All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight- ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight- ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven- tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con- nectors with welds. c Page 4 California 8/2001 Set -Up Instructions for the Vector Dynamics Foundation System #59007 (Kit #59007 is interchangeable with Kit #59018) 1. SET VECTOR FOUNDATION PADS L0"g short Clear all loose vegetation from the immediate Short u o°it US -bolt area where your Vector foundation pads will rest. Press or hammer pads into the ground. Tip: Place a 3/8" nut on each U -bolt to keep it in place while you position the Vector pads. :LL: ` — \I 2. SET BLOCKS (OR PIERS) ON VECTOR FOUNDATION PADS Center the foundation blocks over the Vector pads. Place the pre-cut 4x4, 2x4's (side by side), Schedule 40 PVC (w/PVC adapter plate, part #59281) or 1 adjustable TDE steel compression member, (part #59043) tightly between the blocks, with ends resting on the Vector pads, and centered on each U -bolt. 3. OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of the foundation blocks and Vector pads. Place one of the short 6% 2x4's between the bracket and Vector pad. Adjust the short 2x4 so that it pushes against the foundation blocks, removing any space between the piers and center compression section. Tighten the 3/8" bolts. 2 square foot pad placement i or (1) 3 square i foot pad i 4. INSIDE BRACKETS AND STRAPS Attach the Inside Tie Brackets to the U -bolts over the pre-cut boards or PVC. Attach a strap with hook to each inside tie bracket. Tighten bracket. When using looped strap and a crimp seal, in place of the hook, place a 3" long section of strap, folded in half and inserted between the strap and inside tie bracket. Place other end of strap over the opposite (- beam and continue down to outside of the foundation blocks. Attach the strap to the Outside Tension brackets using the slotted bolt and nut provided. Wind strap a minimum of five times around the bolt. Continue tightening the slotted bolt until all slack has been removed and the strap is tight. 5. SET ANCHORS Refer to section home drawings for anchor installation information. Stabilizer plates are required for diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications Z4 3 only), use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement. Page 5 California 8/2001 Set -Up Instructions for Vector System #59018 (Kit #59018 is interchangeable with Kit #59007) A 0 f � y Long U -Bolts C 1. Set Vector Pads Clear all vegetation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. 1PT__ 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compression member. Attach a strap w/hook or swivel strap w/nut/washer & bolt (washers are required). Place other end of the strap over opposite I-beam & down to outside 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. Page 5a California x/2001 Vector Dynamics Metal Pier Installation For metal metal piers, place the piers in the center of the Vector pads. Set the single 4x4 or two 2x4's through the piers, centered in the U -bolts, so that the board(s) overhangs the Vector pads on each side by about 2'. Outside Tension brackets attach the same. Inside tie brackets mount 'upside down' as shown in drawing. Metal piers using the Vector system can only be used on level ground installations. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier capacity rating and spacing must be consistent with home manufacturers' installation instructions and/or state requirements. When using METAL PIER STANDS, cut lumber (2 - 2x4's or 1 - 44 per Vector system) for the center compression section, by measuring center to center frame distance and adding 16'. Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Adjustable steel strut (#59043) and PVC Schedule 40 pipe are not permitted to be substituted for lumber when using metal pier stands. V -Drive System for rocky soil Installation: conditions V Drive anchors are used only with Zone 1, single section homes. Soil Class 1,2,& 3. V -Drive anchors are used only in Wind Zone I, on single section homes in areas where rocky soil conditions do not allow a conventional helix style anchor to be installed. For solid rock, Soil Class 1, predrilling of holes for the V -drive rods is recommended. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive heAd. Attach a strap with hook, buckle or beam clamp to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about ten inc the anchor head to allow at least five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. Page 6 California 8/2001 Vector Dynamics Foundation Systems Component Parts List Vector System 2000 Kit # 59018 Single piece pads with straps and slotted bolts Part #'s included: 59310, 59288, 59135, 10925, 59279, 83044z, 59232 & 59732 ---------------------------------------------------------------------------------------------------------------- Part #'s included: 59275, 59282, 59276, 83044z & 10999 Vector System Kit # 59007 Concrete Vector System 0 0 N = Kit # 59008 o - (for single stack blocks) Part #'s included: 59277, 59282, 10530, 83044z, 59279 & 59232 I Part #'s included: 59273, 59282, 10530, 83044z, 59232 & 59279 Page 7 Concrete Vector System Kit # 59006 (for double stack blocks) California 8/2001 t Vector Dynamics Foundation Systems Component Parts List 1�1 Part #'s included: 59281, 59288,10925, 59232 & 83044z Cwa' 0 .p,; ..0 0 0 Part #'s included: 59269, 59113, 59282 & 10999 Adjustable Steel _:. Compression Strut P/N 59043 Or these products available at your local hardware store lPte55�<e i<ea�edl y Q � ea. A X40, • ' �� 2ea2 ROQ�GQ�pe R, Scre0e. n Vector 2000 3 Sq. Ft. Pad Part # 59271 1 required with 59026 Longitudinal System 2 required with 59024 Lateral System Vector lateral Hardware Kit Kit # 59024 (for use with 59271) V Drive Anchor Kit Kit # 59287 (for use with Kit#59007 only) A. Schedule 40 PVC pipe: 3-1/2" or 4" nominal schedule 40 polyvinyl chloride pipe or conduit made from type 1, grade 1, with cell classification 12454 as defined in ASTM D1784. Compound dimensions and tolerances in accordance to the requirements of ASTM D1785D. Color can be gray or white. Outside diameter is 4 inches. B. Ground Contact Rated Wood: No. 2 yellow pine or equivalent, pressure treated to AWPACI-1990 mini- mum, stamped "Ground Contact Rated" on wood or on label attached to the wood when purchased. II Ir Page 7A California 8/2001 Vector Dynamics Individual Component Parts Detail ®0 0 � 0 0 � Vector Dynamics Single Block Pad Part # 59275 1 Sq. Ft. 12 gauge, used in pairs 16-3/16" X 9" x 2-9/16" Vector Dynamics 2000 Single Block Pad Part # 59310 2 Sq. Ft. 12 gauge 18.719" x 15.625" x 3" Vector Dynamics Single Stack Concrete Pad Part # 59277 12 gauge 17-1/4" x 11" x 5-5/16" Vector Dynamics Double Stack Concrete Pad Part # 59273 12 gauge 18.75" x 18.625" x 5.188" Vector 2000 3 Sq. Ft. Pad Part # 59271 - 12 gauge 22.5" x 19.418" x 3" Vector Dynamics Tension link Y Slotted Bolt Part # 59282 Part # 59135 6.25" x 2.52" x 3" 3" x 5/8" Vector 2000 Tension Link Part # 59288 Long U -Bolt w/Nuts &Washers Part # 83044Z 2.125" x 2.375" x 2.06" 3/8" x 4" (16 Threads Per Inch) Concrete Wedge Anchor ® 2 Short U -Bolt w/Nuts & Washers Part # 10530 o Part # 10999 3/8" X 3-1/2" 3/8" x 3" (16 Threads Per Inch) Page Protecto-Strap Carriage Bolt w/Nut & Washer Part #59276 p Part # 10925 6.3" x 3.3" x 7/8" ® 1/2" X 2-1/2" oa Strap Protectors Protecto-Strap , a - � Part # 59232 Part # 59279 6.3" x 3.9" x 7/8" a PVC Adaptor 49 Part # 59281 ® Carriage Bolt w/Nut & Washer 7.25" x 4/56" x 1.42" Part # 10624 3/8"16 x 4.5" Tie Down Marked & Certified G60 Galvanized Strapping Model Part # Length MS35 59150 35' MS37 59155 37' Tie Down Marked & MS42 59160 42' MS60 59165 60' Certified G120 MS600 59170 600' Strap w/Swivel Connector Part # Length 59732 12' 59734 14' ok, 59736 16' Frame Tie w/Hook 8 ft. P/N 59195 10 ft. P/N 59210 Earth Anchors 12 ft. P/N 59211 Longer Lengths Available 0" 30" x 3/4" with 2-4" helix Black Paint: Part #59095 Galvanized: Part #59079 Earth Anchor Stabilizer V Drive Head r 12" wide Part#59269 n , L Black Paint: Part #59292 Galvanized: Part #59294 o ` =a ® Drive Rods l e 0 Part #59113 0 rage t u uanrornia Vector Dynamics System for Concrete Applications or Instructions for Vector Kit #59008 (for single stack blocks) Or Vector Kit #59006 (for single or double stack blocks) Page 1 of 2 These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24" x 24" x 4"(for part #59006 or 59008) or 18" round X 12" deep (for part # 59008 only). The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be a minimum of 2500 PSI and sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two 3/8" diameter holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One 1 Vector pad for concret Concrete footer Page 8 Wood Cap and wedge Outside Tension Bracket Wed e B �o California %2001 Vector Dynamics System for Concrete Applications Instructions for Vector Kit #59008 (for single stack blocks) or Vector Kit #59006 (for single or double stack blocks) Page 2 of 2 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors provided. The nut should Illustration Two Inside Tie Bracket Compression boards U -bolt page 9 Vector pad for concrete Concrete footer *44�_X California 001 be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. 16. Wedge the pier set at this time. 17. Using a 9/1..6" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 18. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration Two Inside Tie Bracket Compression boards U -bolt page 9 Vector pad for concrete Concrete footer *44�_X California 001 WIND ZONE I Vector Dynamics Systems Required for Single Section Homes (Materials Required) 1e o� a en (a sp gtonmeonstatlad°n EXa 5'00\Ns 9 ust be t h ootcatid 5pacio9 ndation pads an � . , u "--- - WIND ZONE I (not to scale) co o� �2 sq. ft. pad instructions and/or state requirements. Maximum allowable working drag load for the Vector System with the steel compression strut is Soil Classifications: 2, 3, 4A, & 4B 3,150 pounds per K2 Engineering test report. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': 30" with 4" helix anchor (59095),12" stabilizer plates (55292), 1-1/4" frame ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side " 0 to 72' 3 2 73 to 90 4 3 * Anchor and stabilizer plate combination Each Vector Foundation System requires V One \kctor Kit, 2 slotted bolts V 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break), V 1 ea. 4 x 4 pressure treated wood compression member V or 2 ea. 2 x 4 pressure treated wood compression member V or 1 ea. 3-1/2" or 4 nominal SCH 40 PVC pipe compression member V or 1 TDE adjustable steel strut meX o.G.k1p. Anchors Required 3 WIND ZONE I Per Side' is practicable along the length of the home. Pier spacing 0 to 72' must be went with home manufaarrers! Installation 3 Vector Dynamics Systems Required - ' - _ - • or 2 ea. 2 x 4 pressure t compression member I ' Single Section Homes Soil Classifications: 2, 3, the K2 Engineering test report. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': Difficult Soil Conditions 1-1/4" frame ties w/4725 lbs. min. breaking strength. When using "V" Drive Anchors Sectio of systan"a19uidelines - _ f t g�n9� lot V 1lation m tnata ' •sw' ' " ` e b to '00M XamP� oWs gen pace , _ - I ' i - - - kfat%on s acing tnu 111ua and sP as i Imo` M. i p; 3A 2 tt. max' CD d N O O V -Drive anchors are used only in WIND ZONE I (not to scale) \2 sq. ft. pad/ VIA meX o.G.k1p. Anchors Required 3 NOTE: Vector Systems should be spaced as evenly as Per Side' is practicable along the length of the home. Pier spacing 0 to 72' must be went with home manufaarrers! Installation 3 Instructions "or state requirements. Maximum allowable working drag load • or 2 ea. 2 x 4 pressure t compression member for the Vector System with the steel compression strut Is 3,150 pounds per Soil Classifications: 2, 3, the K2 Engineering test report. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': "V" Drive Anchor, Part Number 59269 1-1/4" frame ties w/4725 lbs. min. breaking strength. When using "V" Drive Anchors Home Length Vector Systems Anchors Required Each vector Foundation "" D Required Per Side' • 2 ea. 1-1/4 in. tie, length (4725 Ib. min. break), • 1 ea. 4 x 4 pressure tre 0 to 72' 3 3 • or 2 ea. 2 x 4 pressure t compression member 73' to 90' 4 4 * "V" Drive Anchor, Part Number 59269 System requires Ive Anchors, 4 slotted bolts will vary with pier height aced wood compression member reated wood • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member (center compression member only) • or 1 TDE adjustable steel strut • 2 ea. 2x4 pressure treated wood for "V" Drive Anchor connection. Note: PVC pipe cannot be substituted for wood on the "V" Drive Anchor connections. I Co N 0 0 Metal Pier Sets - \ ZONE I Vector Dynamics Systems Required for Single Section Homes Up to 72 (Materials Required) _ - -'_ , - '' "" ct,on hoctor ys emsa` guide\fines• {t sin9ie fot vel\at�On man" 1e p{ ten tai sPaOmme �nsta EXampsh°Ws g Ust be to ho 1 ' ousttatndspacing m a `♦1 on Pads 1 � J — — 1 VouOdO I C •; -1- ' t I 4} < 4— \'error Pier Sr' Soil Classifications: Soil Bearing Capacity: Anchors Required: 2, 3, 4A,&4B 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095) 12" stabilizer plates (55292), 4 ea. 1 1/4" frame ties Each Vector Foundation System requires one Vector Kit, 2 slotted bolts 2 ea. 1-1/4 x 12 ft. ties (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member Home Length Vector Systems Required Anchors Required Per Side 0 to 72' 3 2 73' to 90' 4 3 z sq. n. paa F * Anchor and stabilizer plate combination NOTE: Vector Systems should be spaced as evenly as is practicable along the length of the home. T/E DOWN urcurt t euro WIND ZONE I - ' " " " +otion h0 m en`s' t 9�`de,\nes'" Vector Dynamics Systems Required , - _ - bie ge %on\JeckOYmanua for Double Section Homes " . - - - - " of a 7 12 a\ pa onRg 1of ka\\aV% (Materials Required} --" ey'3. 0sVOo9e\,stbetOh I tn n SP IF n Pads a _ 0ud ♦ 4r ql \• y r maIL\ cc CID W w'a ; 4 �, y L� err �. , Np Maximum allowable working drag load for the Vector System with the steel}'' compression strut Is 3,150 pounds per \ 1 - ' " 'il NOTE: Vector SyMms should be spaced as evenly as the K2 Engineering test report. ' is practicable along the length of the home. Pier spacing must be consistent wish home manufachrers' Installation Inti ctions andlor state requirements. 0 0 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: None (marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required 0 to 48' 2 48' to 71' 3 72' to 89' 4 Each Vector Foundation System requires • One Vector Kit, 2 slotted bolts • 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break), • 1 ea. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member • or 1 TDE adjustable steel strut WIND ZONE 1 Vector Dynamics Systems Rei for Multi Section Homes (Materials Required) Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum u i re d rQme isms • teet�nes I . 1 � I ' �t 5�uojectOr sYmanual 9u efi a st Pahome MstatlattOn afipshOws mist be to , FOundeClpn s :a, I w *, n � . � u>+' � � + � ' r.';it a28 Asx. tyD• ' ` \I y WIND ZONE 1 NOTE: Shear wall, ridge beam support posts & marriage wall straps & anchors may be required by the home manufacturer. Vector systems should be spaced as evenly as Is practicable along the length of the home. A two foot variance + or - Is allowable at each system.Pler spacing must be consistent with the home Installation manual. 00 2 sq. ft. N O O Maximum allowable working drag load for the Vector System with the steel compression strut is 3,150 pounds per the K2 Engineering test report. Materials: Each Vector foundation system requires One Vector Kit 2 ea. 1-1/4 In. ties (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member or 3-1/2" or 4" nominal SCH40 Pipe Compression member or 1 TIDE adjustable steel strut Anchors Required Home Length Vector Systems Required Per Side Homes up to 48' 2 Vector Foundation Systems 0 Homes over 48' 3 Vector Foundation Systems 0 up to 52' Homes over 52' 4 Vector Foundation Systems 0 up to 76' WIND ZONE 1 NOTE: Shear wall, ridge beam support posts & marriage wall straps & anchors may be required by the home manufacturer. Vector systems should be spaced as evenly as Is practicable along the length of the home. A two foot variance + or - Is allowable at each system.Pler spacing must be consistent with the home Installation manual. 00 2 sq. ft. N O O Maximum allowable working drag load for the Vector System with the steel compression strut is 3,150 pounds per the K2 Engineering test report. Materials: Each Vector foundation system requires One Vector Kit 2 ea. 1-1/4 In. ties (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member or 3-1/2" or 4" nominal SCH40 Pipe Compression member or 1 TIDE adjustable steel strut WIND ZONE II (Hurricane) Vector D�namics Systems Requiredforngle Section Homes _ - ' " " ;on t:,o s ems. c;defines (Materials RequirpdJ ft s�ng`e edko� tion mancal g "�^ _ ,_-_" __ a 01 a�n to\spam meV%sta a ,- h EXampsh�W, geust be to i �\Wstcatnd spacing m daV%on P ds Foun 7 o� cs� CD Cn n WIND ZONE II (not to scale) N a. A ;l N 0 C) �2 sq. ft. pad Home Length Vector Systems Required *NOTE: For single section homes 2 `"ax•�yP' 6 Inches N' a Eaves over 6" less than or equal to 12" with eaves that exceed in Zone 2, two additional frame _ - 4 tie anchors with stabilizer plates 49' to 60" 5 (one anchor and one plate per 6 61' to 72' side) must be installed in additon 6 7 to the number of anchors listed 7 7 In the chart below. 85' to 90'8 Maximum allowable working drag load 9El for the Vector System with the steel compression strut is 3,150 pounds per Soil Classifications: 2, 3, 4A, & 4B the K2 Engineering test report. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Eaves 6" or less Eaves over 6" less than or equal to 12" 0 to 48' 4 4 5 49' to 60" 5 5 6 61' to 72' 6 6 7 73" to 84' 7 7 8 85' to 90'8 8 9El Vector Systems should be spaced as event yy as Is practicable along the length of the home. Pier Is must be consistent with home manufacturers' Instructions and/or state requirements. Each Vector Foundation System requires • one Vector Kit, 2 slotted bolts • 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break). • 1 ea. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression membe , P or 1 TDE adjustable steel Strut WIND ZONE II 1 • _ Vector Dynamics Systems Required ''"" Y Y q se 0� h0me ms. I tdeX'%As) for Double Section Homes - , , - _ - ' " 12 �t d° ab` 9 t ns� stab manna, gu (Materials Required) , _ _ of a eta\ spacM.omi -U Vector Systems Required N 0to48' (D Maximum allowable working drag load -A . for the Vector System with the steel a) compression strut Is 3,150 pounds per 6 the K2 Engineering test report. NOTE: Vector Systems should be spaced as evenly as Is pral the length of the home. Pier spacing must be consiste manufacturers' Instructions and/or state requirements EX-ao°Ws9estbetO,- dm ads a ♦ \ iP� ` 1 R. c7 WIND ZONE II (not to scale) O N� o �2 sq. ft. pad 0 Soil Classifications: 2, 3, 4A, & 413 Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side • 0to48' 4 4 49' to 60" 5 5 61' to 72' 6 6 73" to 84' 7 7 85' to 90' 8 8 Each Vector Foundation System requires • One Vector Kit, 2 slotted bolts • 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break). • 1 ea. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member • or 1 TDE adjustable steel Strut 1 tv co CD -4 O 7 LV Maximum allowable working drag load for the Vector System with the steel compression strut is 3,150 pounds per the K2 Engineering test report. WIND ZONE 2 NOTE: Longitudinal stabilization Is required. Vector systems should be spaced as evenly as Is practicable along the length of the home. Pier spacing must be consistent with the home installation manual. 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B 3nil RAnrino Caoacily: 1.000 PSF minimum chors Required Home Length Vector Systems Required p r Side Homes up to 48' WIND ZONE 2 °��sYs� at 9uide�ines Homesover 49' ` ,i \N Vector Dynamics Systems Required --'"" �es,�av gent eiwP8cM9011,tattaltcr` 3 Section Homes F � _ t be " 6 , 1 ..� _ " , - ltUcsual�sP9 n91^8� - Homes over 73' 7 Vector Foundation Systems (Materials Required) . s 5 P d Homes over 85' flagon 8 up to 90' a:A ng ` I ♦ " at= \ tv co CD -4 O 7 LV Maximum allowable working drag load for the Vector System with the steel compression strut is 3,150 pounds per the K2 Engineering test report. WIND ZONE 2 NOTE: Longitudinal stabilization Is required. Vector systems should be spaced as evenly as Is practicable along the length of the home. Pier spacing must be consistent with the home installation manual. 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B 3nil RAnrino Caoacily: 1.000 PSF minimum Materials: *Anchors Required: 3/4" x 30" anchor (59095), with vertical straps Each Vector foundation system requires One Vector Kit 2 ea. 1-1/4 In. ties (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member or 3-1/2" or 4" nominal SCH40 Pipe compression member or 1 TDE adjustable steel strut chors Required Home Length Vector Systems Required p r Side Homes up to 48' 4 Vector Foundation Systems 4 Homesover 49' 5 Vector Foundation Systems 5 up to 60' Homes over 61' 6 Vector Foundation Systems 6 up to 72' Homes over 73' 7 Vector Foundation Systems 7 up to 84' Homes over 85' 8 Vector Foundation Systems 8 up to 90' Materials: *Anchors Required: 3/4" x 30" anchor (59095), with vertical straps Each Vector foundation system requires One Vector Kit 2 ea. 1-1/4 In. ties (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member or 3-1/2" or 4" nominal SCH40 Pipe compression member or 1 TDE adjustable steel strut VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified as Class 4A 413, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class 5 conditions (above 50 in. lbs.), contact Tie Down Engineering. SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D1586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 in. lbs. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 in. lbs. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 in. lbs sands, firm to stiff clays 413 and silts, alluvian fill 175-275 in. lbs Peat, organic silts, 0-14 175 in. lbs 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gage the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its' resistance to penetration (flow) under load by means of the torque probe and is measured in inch lbs. The test probe has a helix on it. The overall length of the helical section is 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. Information about geographical areas of termite infestations which might require the optional termite and moisture shield when a wood compression member is used may be obtained from the local building official or may be found in the 1995 edition of the One and Two Family Dwelling Code. Page 18 California 8001 i 1_C -- �= �; !�� -�<�� - - /�=3=�� BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: In or., M., Inspector must draw a plot plan with all building locations:.. Additional comments from Inspector: . . . . . . . . . . . o a - A.P. 30-11-57 y • ' CHR.ISTENSEN, Mr. & Mrs. Herman K. * 1505 Grand Ave . y Orovil.le r� t Permit 2785-73P,E (utilities for mobile home) HRISTENSEN, Herman 1505 Grand Ave., Orovill ^ /�/✓J� • Dcnmi �- Jl - .K.--CHRISTENSEN---------- ----------a/� , --505 Grand •Ave.', Orov lle Permit## 3797-74B (awning, MH) 4 .- .. . .. .f .. ..-......-._ ..,-.S ..Fi '� ...' r , .wr. .r+. r.t*..?.^.. _... -ti •�....-..+-T..-.. w,-. Z....w. .. _.... -vt rr �, _.. ..� «.--.. ..,_ ♦' 6.- -Ds ........ _. mow. wr. � .ti. .. - -:. -. , a ... .t � .! S-' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 f CORRECTION NOTICE 03U - Ib -d S -J O NER 1 r0 S' �. J�?�P� P.EBW NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. D- , _ ./) n .-1 (!7 Fr"" �� � Date �V ^ Inspector REV 10/92 .. y 4 Date �V ^ Inspector REV 10/92 .. I VIOLATION CHECK LIST A. P.- # Owner Owner" s Owner's 3 - /- b-- a_7 Address ./5-(),,5- 0erwigy, a( g - E ),3 : n.� . 7- rk -i Crra,,9J AVe, jeo u.' 1 /L-e�; e s 9`ey7 c.���� Address �Zkl o Argy- Phone No: //�-- Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. �G� h�� u Gf/� ,�2✓Yy1 Specific Plot Plan with C/V Noted yes no Penalties Required 1st. Notice Sent 2nd. Notice Sent ate ate Comments and/or Determination 6/l.Z -- D 6z,) Ng,- CA- ,i`�/�%�'er /�G!'%J%/ SS/Dam �D O /.ii �� S �� �"��✓ 6 r C� %��lG Disposition Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) c_... = _. PERMIT NUMBER - B 2785-73P.,E 4 P h .,g E PERMIT EXPIRES /J `C;? -7 T v OWNER Mr. & Mrs. Herman' K. Christensen t CONTR: owner LOCATION (A.P. 30-11-57 u 1505 Grand Ave., Oroville x �1 G� 1 V J� CM1L F f is 9 t COUNTY OF BUTTE Department of Public Works BUILDING INSPECTPON RECORD Zoning Setback Forms _ Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Oc up. Final < Final final DATE REMARKS OR CORRECTIONS 6 Zc,r Irl 1-1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive „— ,Orctville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WIN BUILDING Owner2ir. j z�iY� SQ. FT. OCC. BUILDING VALUATION Mailing Address f ' Telephone No. L31— Fireplace Contractor 3"__ P° r Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee is Building Address % Sw S7 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 p� A. P. No (/ '� �� 7 A— 21 21 ' s Gas piping system T - 5 outlets 1.50 , Each additional outlet .30 Fees W.C. Sanitation Fire Dep t. FireZone Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rov ments P Lawn sprinkler system 2.00 ' Bldg. Plans Recd Parcel App ;vol Plans Ypproval Permit Fee $ is NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 a0d Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home,& Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ba l__ N ZO fa 25 Receps., switches & fix outlets b.1 010 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring —^ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ O 77 WORKMEN'S COMPENSATION INSURANCE i am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this -_ permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 1 f/(.1�0 // /� C /if O �,�Q Date ,^ 36 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF RUBLIC WORKS Suijding permit expires Date 1 � T e -SIelg. Setback, shall be 5 f#. from t side property Line and SO ft. from ,0 t e centerline of the mad, permitting ? a maximum of a 2 ft. eave overhang. a Septic systema to be aper Butte County Health Depts Re- quirements, s All utility connections shall, b.- elocated locatedwithin 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. 70 I 1 1 � { I 1 � T e -SIelg. Setback, shall be 5 f#. from t side property Line and SO ft. from ,0 t e centerline of the mad, permitting ? a maximum of a 2 ft. eave overhang. a I a, r PERMIT NO. 3797-74R P 9 )- E M MH UTIL. PERMIT NO. PERMIT EXPIRES ;OWNER H.K. Christensen CONTR. r "LOCATION (A.P. 30-11-57 ) 1505 Grand Ave., Oroville Temp. Power Pole Called PG&E Temp. Elea. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB �— FINALED (J ( ate) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setbac r Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Aest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footin s Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLERS MoXanels Framin ,.. Test Wa Stucco Final Su Mesh MECHANICAL d. Fault Prot. Scratch Heating ervice Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilatio Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO KS 7 County Center Drive — 4ville, California 95965 s /A Telephone: 534-4541 YYY ✓APPLICATION AND PERMIT AIo� I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Pe/r�mitee orAgent Receipt No. 1o� S - 7e3 _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 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. DIRECTOR OF BLIC WORKS By Date �a ilding permit expires Date ...................... g�z�..�.J.. BUILDING Owner ,J SQ. FT. OCC. BUAOINq VALUATION Mailing Address e Ilc- Telephone No. Fireplace Contractor eo &0 Total Valuation �. Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ n Building Address �ehAIZ>PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Q— I� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FleeW San t Fire Dept.Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma 60' R/W Im rovements P Lawn sprinkler system 2.00 ZIP �s d Paxwelpproval Pla royal Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �J/ Q Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 25 20ba Receps., switches & fix outlets 2U H[E= CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. coo I er, gar. d i sp. or D. W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ . I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Pe/r�mitee orAgent Receipt No. 1o� S - 7e3 _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 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. DIRECTOR OF BLIC WORKS By Date �a ilding permit expires Date ...................... g�z�..�.J.. PERMIT NO. 2510-745 P E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Herman K. Christ&asien CONTR. LOCATION (A.P. 30-11-57 1505 Grand Ave-., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB -7 Z FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTIVIEI�T OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback a Firewall Soil Piping Forms , Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicap ed Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footin s -77 Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam. ._ _ FIRE SPRINKLERS Motors Test Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot.. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS I M COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR / 7 County Center Drive- 5 le, California 95965 �B/v r�Telephone: 534-434-4541 APPLICATION AND PERMIT u orize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x c Date L-217-74 'Signature of Permitee or Agent Receipt No. /�? White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By / Date 7'3- %J Iding permit expires Date................2� BUILDING Owner��� �°���� TF �S'�/�/ SQ. FT. OCC. BUILDING VALUATION Z ! 3 11986 L Mailing Address /6-615— (5�Z/U Avg ` 49/zD V `'C ('— ��- Telephone No. Fireplace Contractor d Lu j".JG v Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ a $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$2.00 wlc!/01/0 Each Trap 1.50 D%0 Y`e /fc' Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� �� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes alq n I Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. I eed ParcgvA proval P pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter f T rfQr �J Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2002510 Receps., switches & fix outlets ods CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby a th TOTAL PERMIT FEE $ u orize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x c Date L-217-74 'Signature of Permitee or Agent Receipt No. /�? White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By / Date 7'3- %J Iding permit expires Date................2� FILANN'i'm"G DIVISION ONBUILENNO PLAN APPROVAL u QL6 DK Date:at ParWng:;* LwAscong; 0" "ig hature. Z- D4 I j ! j . �U_2 � i Cc. e- CSP 4e� �v Ile 530-6 ?zl -61067 c 'd gx, V�,-- Y, A - ,. - - .� - -_ - ,,rr� ;, >v - -- • -. fir. \ ,.: r . < 4Z.� I•• x manummommommoommy: = a4 '191 , � a , � d. 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