HomeMy WebLinkAbout030-420-020F - A.P. 30-42-20`
Signal Mortgage Co.
I, 1714 Leta Lane, Oroville (Lot 27)
I' Permit 4507_7_4_ R,E (utii.._ for_MH).___
i
IF
a HERMAN GRAMPS`t d�0
Leta- Lane,-Orovi-l-le — _-
IRCONTR: Earl Townq, Oroville '
r`D '
'. Prmit# 9 7-75MHI--
17 IssuedAll
t 030-420-020 T_ s'. _r
06-1141 "Y4
FORRESTER, SAMUEL
1714 LETA LN, OROVILLE Y
Cont: OWNER
M/H CHATTEL FND (NEW)
LEMAltd (B -f5-07
B07-1536 030-420-020
RESIDENTIAL SFD-Mobile Home PFS
MH, PERM FND (CHATTLE TO PERM
1714 LETA LN �qr% -7 .1-7, &7
FORRESTER, SA EUL & MARIE
IF
a HERMAN GRAMPS`t d�0
Leta- Lane,-Orovi-l-le — _-
IRCONTR: Earl Townq, Oroville '
r`D '
'. Prmit# 9 7-75MHI--
17 IssuedAll
t 030-420-020 T_ s'. _r
06-1141 "Y4
FORRESTER, SAMUEL
1714 LETA LN, OROVILLE Y
Cont: OWNER
M/H CHATTEL FND (NEW)
LEMAltd (B -f5-07
B07-1536 030-420-020
RESIDENTIAL SFD-Mobile Home PFS
MH, PERM FND (CHATTLE TO PERM
1714 LETA LN �qr% -7 .1-7, &7
FORRESTER, SA EUL & MARIE
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,BUTTE COUNTY
DEPARTMENT 'F DEVELOPMENT SERVICES
• BUILDING PERMIT .
• 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE#:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORM:AT_ ION:- b �.
.F
Site Address: 1714 LETA LN
Owner:
Permit NO: B07-1536 '
APN: , 030-420-020
FORRESTER, SAMEUL & MARI
-Issued Date: 07/16/2007 By KCG
Permit type: - RESIDENTIAL
P O BOX 5759 :
Subtype:" SFD-Mobile HomeIPFS
OROVILLE, CA 95966
Expiration Date: 07/15/2008
Description: MH, PERM FND (CHATTLE TO '
J(530) 990-4870
Occupancy:. Zoning: AR
Contractor
Applicant: -
Square Footage:
FORRESTER, SAMEUL & MA
Building Garage RemdUAddn
w.
P'O BOX 5759
OROVILLE, CA 95966''
Other Porch/Patio ' Total
(530)990-4870
' z> FEE,INFORIVIATION
DBOMSCF, Supplemental Inspectio. $231.96
Total Charged: $231.96.,'. Fees Paid: $231.96
Balance Due: $0.00 Receipt No: B3902
LICENSED CONTRACTOR$ DECLARATION _
;' -,',,OWN ER I BUILDER DECLARATION:
fzA�.
Contractor (Name) ' State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contraaor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any stricture prior to its issuance;
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
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.
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 fora permit subjects
X, 07/16/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:. -
Contractors Signature Date -
Krn1 I, AS OWNER -OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
Jam+ COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
- - -
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon; and who does
the work himself or, herself or through his or her own employees, provided that such improvements
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations..
1
HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are 'not intended or offered for sale. If, however,, the building or improvement is sold within one
❑1
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or '
performance of the work for which this permit is issued.
improve for the purpose of sale.). -
' - - -
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING. WITH LICENSED' -
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compansation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the '
Contractor's License Law.).
Carrier. Policy Number Exp Date
.
(This section neednot _ completed if the permit is or one hun redTliars ($100) or less.)
,'
❑ I AM EXEMPT under Section B: 8 P.C. forthis reason:
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
[Ci[I
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers"
Compensation laws of,Califomia, and agree that if I should become subject to the workers'
X' 07/16/2007 -
compens 'on provisions of Section 3 0 of the Labor Code,shall forthwith comply with those
15twnees Signature Date.
.l
provisio
X 07/16/2007
P1
r , .g_ .0 . -.:-.. ,; ;.
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations,.and State laws relating to building
Sig re - Date -
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
injury, including death; and property damage caused by, arising out of, or in any way connected with '
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
Cour to enter thea ova mentioned property for inspection purposes. I hereby certify that I am the .
pro or a uthorized to act on the property owner's behalf:
4 y
CONSTRUCTION.LENDING.AGENCY'
7/16/2007.
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
ar e o ermlttee [SIGN] Print Date
the performance of the work'for which this permit is issued'(3097 civ. code)
® Owner . ,� ContractorOR; Agent for Owner Agent for Contractor
FILE COPY
Lenders Address City' State ., ' Zip.
2006
-0006635
RECQPiB'li:G REQUESTED BY
Recorded i "' E 14. :
Mid Valley Title & Escrow Company )ficiai Records i T'HA
93.
County of i
AND WHEN RECORDED MAIL TO: But[:e i
Samuel B. Forrester and Marie Forrester CANDACE J. GRUIBS i
PO Box 5759
County Clerk -Recorder! [
Oroville, CA 95966
03:0VPA 31 -Feb -21N6 1. Hage i of 23
space Above This Line for Iteaorder's use Orgy
A.P.N.: 030-420-020-000 File No.: 0403-2269359 (AM)
GRANT DEED
The Umlersigned Grantor(s) Dedare(s): DOCUMBQTARY TRANSFER TAX $93.50; QTY TRANSFER TAX $0.00;
SURVEY MONUMENT FE: $ ejAJ
X aompuW on the gyration or full value of property om eyed, OR
computed on tire or fun vahre less value of liens and/or oxmI rances remaining at time of sale,
(. X w*wporated area; [ I City of ofwA e, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Riley Cunningham and Debbie
Cunningham, husband and wife and Doug Cunningham and Rub! Cunningham, husband and wife
and Darren Kean and Misty Kean, husband and wife, all as joint tenants
hereby GRANTS to Samuel B. Forrester and Marie Forrester, husband and wife as joint tenants
the following described property in the unincorporated area of Oroville, County of Butte, State of California:
LOT 27, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GOLDEN KNOLLS SUBDMSION",
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON AUGUST 18,1964, IN BOOK 32 OF MAPS, AT PAGE(S)17 AND
18.
Darren Kian
Debbie Cunningham.
Ru i Cunningham
Misty Kean
Mail Tax Statements To: SAME'AS ABOVE
A. P: -a .. -02�0-420-020-000
Grant Deed - continued
File No.:0403-2269359
(AM)
Date: 02/14/2006.
STATE OF rqt;fo nin )SS
COUNTY OF Butte )
On 2/15/06 , before me, 7amera G. Flowers
Notary Public, personally appeared Darren Kean & Misty Kean
Rilev Cunningham & Debbie Cunningham & Doug Cunningham & Rubi Cunningham personally known to me
(or proved to me on. the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of
which thee-person(s).acteq -exek~.rted-the instrument:
WITNESS my hand and official seal.
Signa, re
My Commission Expires:
TAMERA 0. FLOWERS
,10 I) -
Conn #/634106
CW
Na1eryCalydan�la
tom. Exp. JAS. i. 2MO
This area for official notarial seal
Notary Name: Notary Phone:
Notary Registration Number: County of Principal Place of Business:
a
STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
4 CERTIFICATE OF TITLE
Manufactured Home Decal No: LAE6467
Manufacturer IDIName
8534 FLEETWOOD
Trade Name
SANDALWOOD
Model
35638
DOM
05/24/1983 1
DFS
03MI984
I RY
Exp. Date
Serial Number
LabeNnstgnia Number
Weight
Length
Width .
SPC
SCC
Exempt
Use
Type
CAFL2AD221703795
CAL256968
16,500
56'
12
04
SFD
LPT
CAFL2BD221703795
CAL256969
14,300
56'
17
Issued
Total Fees Paid
Sep 18, 2006
$148.00
Addressee
SAMUEL B FORRESTER
PO BOX 5759
OROVILLE, CA 95966
SAMUEL
PO BOX
Situs
1714
LN
CA 965 r >�
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IMPORTANT
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE. CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
„:
.
f5 -3G
-) a
rte• � ` , �_ �►
E COUNTY
EVILOPMENT SERVICES
TION CARD
8-7631' (C'roville) (530) 891-2834 (Chico)
i38-2140 Website:www.buttecounty.net/dds
/lam
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BE
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVE!) BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Set acs
132 L
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/SteeV Ioldowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test
404
Masonry Grout
120
OFFICE COPY j
1
Address
GAS
MeterBy Dat`J'd I
Meter _
ELECTRIC 'Above Signed
Meter By Dated
i
1
Rough -Mechanical — --3'1"6 -4-
Rough Electrical
208
Gas Piping
403
Roof Nail
129
Shower Pan/Tub Test
408
Fire Sprinkler
702
Do Not Insulate Until Above Signed
Wall Insulation
I 117�+_
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Gas Test
404
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Project Final
801
PERMITS BECOME NULL AND VOID I YEAR FRO
COMMENCED, YOU MAY PAY FOR A I YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
REQUIRED AT FINAL INSPECTION
Butte County Mobile Home/Manufactured
Home Acceptance Certificate. Form 513.
Form to be completed by field inspector. Heath and
Safety Code Section 18613 or 1855(b)
SPA In -F
Manufacturer FLEET W O 0 D
Date of Manufacture
Serial Number(s)
HUD Number(s)
}tK y':PROJECT INFORMA—TION " -;'
_ ._
Site Address 1714 LETA LN -
':
Owner:'
SAMUEL '
Permit No 06-1141
APN; 0302420=020
FORRESTER
Issued Date: 12/18/2006 - By.. GLB
Permit type: RESIDENTIAL -
1"714 LETA LN
Subtype:. :SFD. Mobile Home SFT 4'
' OROVILLE, CA 95966. ,.`
.Expiration"Date .12/18%200,7
tion: M/H CHATTELTND (NEW).Occu
,
530) 990-480
:Z•Desa
aricYR-3 onm g;
Contractor' s
Applicant: "-
Square Footage.'. '
OWNER :
SAMUEL FORRESTER
Building Garage - ReindUAddn
>
' 1.714''L'ETA;LN
OROVILLE, CA 95966
Other Porch/Patio ." Total .
(530).990-4870 '
1,344
� = }
.FE"E .INEORkXTION
Fund 10 BLDG.,:_- $219.96 a
Mobile Hoine $329.94
$MIP -Residential. $8.74 -
' Total Charged: $558.64 " Fees Paid: $558.64
Balance Due: $0.00 .. Receipt No: B1241
' LICENSEDTCONTRACTOR'.S DECLARATION `�
-"�•' yOWNER:% BUILDERiDECLARATION='
i
'Contfactgr (Name) - '. State Contractors License No, /,Class'/ Expires. '
"
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License -
OWNER , / : / . r . ,,.T "''
Lawforthe following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires.a permit to construct, alter, improve, demolish,'orrepairamy structure prior to its issuance,'
also requires the applicant for such permit to file a signed statement that he or she is licensed..
`pursuant to theprovisions of.the Contractors License Law [Chapter 9 (commencing with Section 7000)
THEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisi " ssjgf Chapter 9
(commencing W16 Section 7000) of Division 3 of the Business and Professions Code fa ' my license'"
is' in full force and effect.'%y/
I :.•
of DMsion 3of ttie'Business and. Professions;Code] or that he or she is exempt therefrom and the -
a ,
basis for the alleged exemption. Any violation of Section 7031.5 by'any applicant fora permit subjects
�/
12/18/2006
the applicant to a evil penalty of not more than five hundred dollars [$SOOj;
' Please check one of thefollovnng
.COntraCtOiS,Signatllre.Date `
_ ✓
i WORKER -W COMPENSATION DECLARATION, �.R,r. iy�,}1
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 i
- -
OFFERED'FOR,SALE (Sec. 7044, Business and�Professions Code: The Contractors License-.
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations -
-- - -..
.E.I.HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT<TO SELF -INSURE FOR` ,
thework himself or herself or througn his or her own employees, provided that such improvements
�' 'are, not intended' or offered for,sale If, however; the building or.irrprovement is sold within. one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code; for the
year of completion, the, owner -builder will have the burden of proof that he or she did not build or,
performance of the work for which this Permit is issued:
improve for the purpose of sale.). "
E1 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION'INSURANCE as;required'by
n I; AS OWNER OF THE 'PROPERTY AM EXCLUSIVELY CONTRACTING WITH LICENSED
ONTRACTORS TO CONSTRUCT THE PROJECT (Sec 7044, Business and Provessions Code:
Section 3700 of;the Labor Code; for the performance of the work for which this permit is issued. -
The Contractor's License Law'dows not apply to an owner of'thep'roperty who builds or improves .
My Workers' Compansation insurance carrier and policy,number are -
- thereon, and who "contracts for the projects with a contractors) licensed pursuant to the ...,
F e'
Carrier. Number Exp.`Date
Contractor s License Law)
(This section need not be competed if the permit s oronund�llars ($100) or ess:
: r
,.
❑ tAM•EXEMPT under Secl on B. 8 P C for this reason
EII CERTIFY THATIN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
`
_
X 12/18/2006
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers':'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with'those
Owner's Signature Date
provisio -
X '
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building.
• t J ',12/18/2006
Sig ure -Date
WARNING` FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL;
construction, and with any all conditions of permif. I agree to defend, indemnify,,and hold harmless
Butte County, its officers, agents and employees from anyand'all claims and liability for personal,,:
AND SHALL SUBACLAN EMPLOYER TO,CRIMINAL' PENALTIES AND CIVIL- FINES UP TO ONE,
injury, including death, and property damage ceuse'd by, arising out of, or in any way connected with
HUNDRED THOUSAND' DOLLARS,(ti00,000),:IN ADDITION TO'THE COST OF COMPENSATION;
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use-oroccupancyof any sidewalk, street, or subsidewalk'I hereby authorize representatives of Butte '
ATTORNEYS FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
'property owner or am authorized to act on the property owners behalf:
n► u J`- ��22� E 12/18/2006
-ONSTRUCTION'LEND'INO AGENCY` r A s4
Name of Permittee [SIGN] Print,.- Date _
1 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. (3097 civ.'code)
FM Owner I Contractor QR. Agent for.Owner Agent for Contractor
F
Lender's Address': City State 'Zip
L^J
YFILE COPY,
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS "
24 HOUR INSPECTION#:.OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BEREQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name
02f_e—, 62
Name
first Name
dFM U-£
Addressg�
5ci
City
State C A
Zip 9 5
Phone 3o "0 'f f3 '7 O.
Fax ---
E-mail ------
Fax
APPLICANT INFORMATION
CONTRACTOR
Name
City.
Address
Zip
City
Fax
State
Zip
Phone
Name
Fax
E-mail
Map Book
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City.
Address
Zip
City
Fax
State
Zip '
Phone
Name
Fax
E-mail
Map Book
State License Number
APPLICANT INFORMATION
Name
Address
City.
State
Zip
Phone'
Fax
E-mail
PERMIT
NO.
Bp0b// Y/
BIN #
PROJECT LOCATION .
AP#C53O (12-0
Property Addres
l' 7/ 4 U—rq L
City
OrLo 0 • OL �=c
Cross Street
C�2A4,4'9
WORKER'S COMPENSATION
Policy Number. .
Carrier
If hiring anyo other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
0&
LENDING AGENCY
Name
Address
Description or Scope of Work:
,i4,og. CHq TEL
N& . M /+
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy /
(Note previous use): / 7
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew .action on an
application after expiration, a new application, plans.and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
APPLICANT SIGNATURE refundable.
X
For office use onl
Zoning
Flood Zone
SRA
Yes
No
0&
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS L
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Received by:
Amount:
Receipt #: ,52l
L( /
Date: �(b�
_c
SMTP
Other .
Total
REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS.
The -following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED, ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate; wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent -for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization'(if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of. fee payment on . permits not issued, and +two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\BrdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA . 95965
www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
Owner forrester APN No: 30-420-020 Permit Type: Subtype:
App Date: 5/16/2006 Permit No: BP 06 1141 Permit Desc:
1 BUILDING PERMIT FEES EST/MATED.AT APPLICATION $549.90
Plan Check portion of Permit Fee. $219.96 $329.94 Balance of Building Permit Fee
2 . FEMA Yes Flood Elevation Review $109.98 0
3 SRA* RYes Fire Plan Check - Non -Refundable $95.00 0 _
(State Responsibility Area) Building Inspection $109.98 0 - $204.98
NON-REFUNDABLE portion °'o"f fees due at apphcatlon w'` ^ ' ":'{$211§.06; RECEIP DATE Tech/Asst
FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION `;_$2,49;96
FEES (BELOW) DUE PRIOR TO ISSUANCE,OF.PERMIT •: $338.68
4 Balance of Building Permit Fees (from No. 1 above) $329.94
5. SMIP*'- Strong Motion Instrumentation Program (Enter amount from permit system) -
6 Additional Plan Check Fees (NON-REFUNDABLE)
7 Other*:
7a Other*:
8 , ' IMPACT FEES - RESIDENTIAL* Per Dwelling 1per Dwelling Per Dwelling
Applications After 04115106 SFD # MFD MH
County 4249.11 3183.54 3238.72
Chico Urban Area 6146:23 4538.82 5648.44
EI Medio Fire District 3249.97 2385.76 2422.68
North Chico Specific Plan
SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40
RINO R-1 8897.09 7491.04 8582.40
R-2 8390.09 6984.04 8075.40
R-3 7604.09 6198.04 7289.40 RECEIPT DATE Tech/Asst
Processing Fee is automatically added to impact fee total 0 $100.00
9 WATER TENDER FEE (Not collected when Impact Fees Applicable( Enter Bat.# $200.00
DRAINAGE FEES*.
10 CHICO STORM DRAINAGE 770 ButteCreek$7,997
MASTER PLAN 771 Comanche Creek $8,341
772 Little Chico Creek $9,088
773 Big Chico Creek $6,776
New construction, vacant 774 Lindo Channel $8,267
land, on 1 acre or less - 775 SUDAD Ditch $7,211
Enter 1 or less acre value 776 Mud -Sycamore Creek $6,275 RECEIPT DATE Tech/Asst
777 PV Ditch $8,893
10a More than 1 acre, existing buildings,- fees to be assessed by Public Works
Fee Determination Sheet Needed - Enter amount determined by PW
11 THERMALITO DRAINAGE AREA $684 Maximum
Per each new living unit on existing"lots where full drainage fees have not been paid
11a Temporary -Dwelling $136 At time of building permit
$136 annual renewal fee for first 4 renewals. Not to exceed $684.
PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be, prepared after plan check
is completed forapplicant to take :to respective district officer
12 SCHOOL DISTRICT FEES* 110roville High/Thermalito 104
12a RECREATION DISTRICT FEES* Oroville
At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan
checking process.
/.
Applicant: Date: Q (o
Pursuant to Government code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed bn your project. You have 90 days
from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are
specified in Goverment Code Section 66020(x). K:/Building/Forms/Schedule of Receipt Fees. Residential 041506
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: / % ASSESSOR PARCEL NUMBER
Proposed Building Use: N �� M I { y �s� 5 1 e%�t ' " ` Pe niTechnician: CP -:D Date: 6
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
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.
Cl 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
I n► 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
--
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed_ , in duplicate.
❑ 11. Hazardous Material Form
12. Acknowledgement of building permit application without required clearances.
13. Other-,,-'-
Remaining
therL
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...........................................
❑ 18. Erosion Control Plan Required........................................................................
19. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 20. City of Chico Plumbing permit........................................................................
❑ 21. Site plan and business license approval from the City of Biggs ..............................
❑ 22. California Department of Forestry, plan approval ❑ paid. Sent by: .............
23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ........... f0 a ob WVM
24. Contact Land Development about _ Improvements, amage..... 7 qz-.7Zrwr�l'Z � r -o 1-�/1�� ^� /rT�C�/'�� S��G/a6 ESS
❑ 25. Fire Marshall Review (commercial projects only). Sent by: ......................
N26. NPDES Form.............................................................................................
- 27. Encroachment Permit for driveway from the Public Works Dept ...........................
28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) .....................
11� 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, r istration or MCO ........................
36. Other: n A mllf It GUS -
37. Other: V0
When issued Telephone.5^' ' " / 47410 4-7,:� and hold for pickup.
I have been inj`.grmed of the abgve items and requirements for obtaining a building permit.
Applicant: " 9 - L= I Date:
1. Index permit application for the above items numbered: I b_I`1,'1 `✓ Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: a 042 Date:
Structural reviewed by: Dater tructural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
.: K/Building/Plan CheddData Sheets/data sheet page 2 9.27.05
.:-b-,�`^*:..n.-,�+�-.+—..w-rrr"S1�"ti�.t;�s�++c.�f�„�1�:.-;^---ti-.�+;_.�.,;,:.r:;+...:.n...cr..�—}.-r+.�*.w,+4"Woil�rrejaw-v....t;:.e�'h�.ag..5�t:.�"`�@�''(,�y"�=�.,+'"'y.N'E%' rb4N<��,:!{"W�'�i�i`SIV✓+�'i�vJ•'+rliiw'�'Ydi17Y�'r� s, i
BUTTE COUNTY SCHOOLS IMPACT_FEE CERTIFICATION FORM
(01110 form per Building)
School District /�/o Building Department No..
A.P. NumbertJ % ��2`JdFisdiction- 0 City =EjCounty
Property Owner 9-74 yK
Property Location/Address
Subdivision Lot No.
......:....................................................7.....1 ..................1
Residential Development Sq: Footage /
No of Living. Mobil Home Addition/ . 'Supplemental to ' (Group. R)
Units Installation Conversion Permit #
*(No foundation inspection)
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial 0
New Addition
Representative
Sq. Footage
(Including Exterior
Roofed Areas)
Date
District Identification No.
School District certifies that F O"Y Y
(Applicant)
(Street Address) (Phone.Number)
r vv� l
(City) (State) (Zip Code)
has complied with the requirements bf Resolution No. / by payment of $
representing f 'i square feet. 2926 $
ULL M�nGA-nGN $
C\
School District
intativ
Paid by Check # `'1111. Remarks:
r ��p
Date
Notice : You may protest the Imposition of the tees Idend ad above by submitting a on prof ast to the District, In cornplisnoa with
Government Code Section 66020(a), within 90 days from the date tees are paid Failure to submit a timely wrltlan protest will prohfl*
you from challmong the Imposition of the hes In any court action.
If, subsequent to the School District Representative sWft this Butt County Schools Impact Fee Certification Fam, the School District is
notified by the applicable Local PlanMng Agency that this. project Is bent owls wed under the California E vkonnnentel Quality Act (CEQA).
tide project may be subject to additional school hes to fully m F!s pnpsct on the school dlstrlct'a schools.
White (school district), Yellow (building department), Pink (appllcant), ieeformids (3r0SW=
ERTIFICATION FORM
BUTTE COUNTY DEVELOPMENT VEE.C
�:FtATHER.RIVER`RECREATION'AND PARK.DISTRICT- (FRRPD),
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. .1 personally plan to provide the major labor and material for construction of this proposed
property improvement: YES .PK—] NO [ ).
2. I HAVE [ ] HAVE NOT [ .] signed an application for,a' building permit for the proposed
work:
3.� I have -contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO: `
4.. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:. .
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO:
5. Twill provide some of the work but I have contracted (hired) the following'persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED .
PROPERTY OWNS
DATE:
NOTE: This Owner -Builder= verification is required by Section 19831 and.19832 of the California
Health and Safety Code.
This verification must be completed and returned to our of&ce before we are permitted to issue the
Butte County Department of Development ServicesTT
ADMINISTRATION 'BUILDING t GIS ` PLANNING o /
o o
o U
7 County Center Drive`
Oroville, CA 95965 0
(530) 538-7541 Telephone C'OU
(530) 538-2140 Facsimile
OWNER -]BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified -
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required bylaw to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information -for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation inc„rance, disability insurance costs, and unemployment compensation contributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
state law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, Califomia 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Scott Rutherford
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
o�P WTMF-N-r o�
��Tr� Department of Public Works
�,
r o ,° �} C o u m y o f B u t t e.
I ° ° I ;
k ° J. Michael Crump, LAND DEVELOPMENT DIVISION
Storm Water Management Program
D Ire C for 7 County Center Drive
\ U Oroville, CA 95965
A�etlC WOP�S (530) 538-7266
(FAX) 538-7171,
National Pollutant Discharge Elimination System ( NPDES ) Phase LI
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) AcknoWledgement_ [LESS THAN 1:ACRE]
Project Description:
Project Location and/or Parcel Number:
By, signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or. m'ore.of land and that I, therefore, do not need 'to apply for a Construction Storm Water
Pernnt , from the State of California' Regional Water Quality Control ' Board. Phased projects that
contain multiple site build -outs of less than one acre but when combined with subsequent phases total
more than one acre' of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that' submitting false and/or inaccurate information or failure to apply fora Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided; by law:
Signed:
Title: d Date:
Less
Less than 1 Acre NPDES & SWPPP Compliance Certification v
Butte County Storm Water Management Program
Revised 5/24/04
1. Owner's Name: `� A m Fy 2 ft -i=-
2. Assessor's Parcel Number. 3 0 0 Z D
3. Installer's Name:
4. Is the site camTntly under permit? Yes[ ] NoM " Permit No.
5. Is the site an "existing site? YesM No[ l (If yes, fiunish two plot plans).
6. What is the electrical rating of the mobilehoine? C� �: Amperes. =
7. What is the mobilehome site circuit breaker racing? Amperes:
= x
8. V'Fhat is the electrical -rating. of the mobdehome site? -2,00& Ampere
9. Is the main service remote from the mobilehome site? Yes[ j No V j 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[ ]. NoM If yes, please identify the load and size:
a) The mobile home site _
Load- Amperes
b) The main service: -
Load Amperes--
11-
mperes- 11- Type of gas service at mobilehome site: NatQral[g] Propane[ j None[ j
12. Size of gas pipe at the mobilehome site from. the. meter or.
tangy 3 inches.
13. What is the gas. pipe length from ,the meter or tank to the mobiilehome?;2- (fL).
14. What'is the mobilehome gas demand? B_T.U..*
*(This information is not required if the pipe length,is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF -THIS FORM MUST BE COWLETE>iD IN ORDER TO
PROCESS THIS PERBiTI' APPLICATION
C_
Mobilehome Manufacturer: L. = C T- to i) Manufacture Year. - .3
If other than single wide, furnish Setup Model -Number. 5 41 3
Width:(ft.} Length:_(ft.) Tagalong or Expando Size RA ($.} x
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation gra.deV] Other.
SUPPORTS: Concrete block[] Other. -
Provide Tie Down Specifications for A Mobilehomes: J 'pd4 J:f
Pier-Fobtings Sizes and Location =
SWGLE WIDE MULTI -WIDE
_ • el
................................................................................................
��
lain Beams
Lm* 2 .......................................... ...........
Lia-- Z Line 3
Li
• ---•a* 2
Maim Beams_ _
...... ............. ........ ...._..._...- - --- •- -. _.. .....- Line -
Liac !
.............. ...... . _ • S
Tag or Triple 4
1
Line 1 Piers:' NCA Hine -1 Openings
Size min±num' . lir I Size minunum: 112- ] x 13 o]•
Spacing maximum: Each side of openings
From, ends -maximum with width over. (�
Line 2 Piers: Line 4 Piers:
Size . i b'n m• [1 z ] X [3 0). Size minimum:I I x
Spacing maximum:. p Spacing maximum:
E COUNTY
From ends-maximum4 D From ends -maximum 7NG DIVISION
APPROVED
Line 3. Roof Loads:
Size minimum
)Zi 30 121130 ZAz3cO 2�v3o 2' 3cs ,4,r3o 12 3C
Location -(from front): 1 12 ' 1 5 i 3o'13-7' Lit ' (.'
Line 5 Roof Loads:
Size minimum: „.
Location (from front):
.ti
g
i
.
t
_
Ci
t
O
cy
BQ
i
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1
A6L�1,gGE Lte,rE L'0CICiNb 9L49iN
UTI,,,,N
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OATH
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size
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3-7
441 ,
�`�" ,c 30.,
x 30
STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
C
TIFICATE OF TITLE
MOBILEHOME LAE646
N.A.IKAPtIUER �,AMEj;A
MAUE. fAlE
PLEETH 9534
WIDALHM
35699 OV24r'33 05/31/03 .03/O3/04
U SERIAL NUMBER
I'CAFL2AD221703795
LABEL/ItiSIGP:!A NUN16ER rz!G'1TLENGiH
CAL256968 01650. 00672
V,101H
000144
ISzUEJ SGC
06/23/93 51
EXEMPI USE
SFO 11
2 CAFL213D221703795
CAL256969 014300 600672
000344
a
TOTAL
FEES
s
PAID:
e /� — ,> ..: ; g
TITLE
:k8.4S
o� c
A
t3
D
R
is ,f E
S
E
- R
t9 P1
I A
S I
T L
E
R
E
D
O S
W I
N T
F. u
R0
L
E
G
A
L
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w
N
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U F
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1 R
R T
L
I
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N S
H E
O C
® W
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DK AMER NTSA
pO BX 2190 RELEASE OF DEALER
RANCHO CORDOVA CA 95741 /,f NEW REGISTERED OWNER, FILL IN' ITEMS 4 - 9
ASSIGNMENT OF LEGAL OS"ER
s
a
NEW'ItEGISTER—cD OWNEi2 'SIGNATURE
NEW LEGAL ;OWNER, FILL IN ITEMS:<,10 - 12 ***
ADDRESS;
12 . q
CITY Ct-TY ST ZIP
* NEW IST JR. LIENHOLDER, FILL IN ITEMS 13 - 15 *?tom
NAME - PLEASE PRINT
ADPR499
15.
CITY CNTY ST ZIP
***,NEW 2ND JR. LIENHOLDER, FILL IN ITEMS 16 - 1S 3HHE
16.
NAME - PLEASE PRINT
16.
o CITY CNTY ST .ZIP
IMPORTANT 02—X69-01
THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT
OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT
TITLE STATUS OF THE.UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0200102
RECG REQUESTED BY
Mid Valley Title & Escrow Company
AND WHEN RECORDED MAIL TO:
Samuel B. Forrester and Marie Forrester
PO Box 5759
Oroville, CA 95966
I
2006-0008635
Recorded ! R=C EE {0
County of i
But I
,, iltiibS
_euntt Clerk-Recwdsri
i
i L.
MJ.2--===ii 21—a eb—=-` ash i Paye i cf C
Space Above This Line for Recorder's Use Only
A.P.N.: 030-420-020-000 File No.: 0403-2269359 (AM)
di
GRANT DEED
The Undersigned Grantors) Dedare(s): DOCUMENTARY TRANSFER TAX $93.50; CITY TRANSFER TAX $0.00;
SURVEY MONUMENT FEE $
X computed on the consideration or full value of property conveyed. OR
computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale,
X unincorporated area; [ ] City of Orm-He, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Riley Cunningham and Debbie
Cunningham, husband and wife and Doug Cunningham and Rubi Cunningham, husband and wife
and Darren Kean and Misty Kean, husband and wife, all as joint tenants
hereby GRANTS to Samuel B. Forrester and Marie Forrester, husband and wife as joint tenants
the following described property in the unincorporated area of Oroville, County of Butte, State of California:
LOT 27, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GOLDEN KNOLLS SUBDIVISION-,
WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON AUGUST 18, 1964, IN BOOK 32 OF MAPS, AT PAGE(S) 17 AND
18.
Darren Kean..
Debbie Cunningham
Ru i Cunningham
1
`� t1
Misty Kean
Mail Tax Statements To: SAME AS ABOVE
S PERMIT NO. 9� %-7�MHI
P
r
E
M
MH UTIL.
PERMIT NO.
} PERMIT EXPIRES f _76
t OWNER Herman Gra=s
CONTR.
Earl Towne, Oroville
LOCATION (A.P. 30-m42-20 )
1714
Leta Lane, Oroville, lot 27
i
•
l
r 'Tfrn
p Power Pole `
Called PG&E
Temp. Elec. Serv.25 7.
Called PG&E
_
Temp. Gas Sery.
Called PG&E
JOB
FINALED_
{
(Date)
(Signature)
COUNTY OF BUTTE DEPARTMENT OE PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setba Firewall Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
RestroomFinish2nd
Floor
" Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water PI in
f. - <
Piers
Roofing
Sewer
Garage
Fdn: Vents
Fixture
Footings
Garage Vents
Water Htr.
Stemwall
Prov. for physically
Heaters
Slab
handicapped
Appiiances
Carport
Conformance of ex.
Gas Pi ing & Test
Footings
structure
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing_
EL
CTRICAL
Masonry Walls
Throat
R o u q h l
'
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation 7
Permanent
Door Closer
Final `'�"
Fin mZ'
DATE REMARKS OR CORRECTIONS
MOBILEHOME INSTALLATION .INSPECTION CHECK LIST
1.: Is the mobilehome located wit required separation from.lot lines and buildings and generally
conform to plot plan? Yeso No
2. Does the mobilehome have required clearances above ground?. (Sec,5085) Yee�No
3. Are footings and supports properly sized, spaced,.and braced as per approved plans? -(Note
possible variation at spring shackles.) (Sec. 5082 &.5083) Yes Z, -`N0_1
4. Is the mobilehome level? (Sec. 5088) Yes No
5. .If.more,than a single unit, are crossover connections properly .installed? (Sec. 5088).
Yes No
6. Water
A. Is fle3�.tble connector of adequate size and.properly..installed (1/2" ID mite.)? (Sec.'.5566)`.
Yes' I/ No .
B. Test Does water piping withstand working pressure or 50 lbs, air test? Yes z,""No
C.'. Backflow.- If.coach is'P+gRV State of Cal; ar '_ approved, does station have backflow device
and pressure -relief valve? Yes No
7. Wastes and Drains I //
A Is -connection made with'Schedule 40 DWV and.have flex L
connectors at.�each end? Yes - No
B. Does it have minimum" per.foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after runn g 3 -gallons of water through each
fixture including washing machine standpipe?,.Yes No
.D. I,f coach Is State of California approved, doe's station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with'an approved 3/4" minimum
mobilehome, connector not more than 6 ft. long? .Note:. All piping is to be at least.as
large as the mo!;?ome gas line inlet without reductions other than'the mobilehome
connector. Yeso
B. Test OK 'as per following .procedure? Yes � No
1. .Open all appliance connector valves.
2. '.Shut off appliance burner and pilot valves.
3: Air test with manometer to 10"-14" water column, or test with slope gauge (minimum ..
6oz.-maximum 8 oz.) calibrated in tenth pound increments_. Test for 10 min: without
" drop.
4. Connect -gas meter to mobilehome with connector,. turn on gas,, test connections with
soapy water.
C. Are all appliance. vents properly .installed? Yes No'
9. Electrical
A.
Is
service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 1amp) and other facilities.on lot, i.e., water pumps,.
garage, cabana, etc.? Yes No
,�
B.
Is
there proper clearances around panels? Yes � No
C.,
Is
power supply cord or feeder assembly.properly fused? Yesk No
D.
Is
continuity test satisfactory as per the following procedure? Yes
1.
_L__
De -energize electrical.wiring system of -the mobilehome at the pedestal.,.
2.
Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3.
1
Switch all breakers and switches in the mobilehome to the "on".position.
4.
Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other -lead to each mobilehome supply conductor, including neutral.
5.
All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from.
such equipment and the grounding conductor.
6.
Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity .:
test shall then be made between the grounding electrode and the chassis of
.the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
10. Is
job
card signed by Health Department for water and sanitation?
11. If
everything okay, sign off card and tag services.
�z' J� ,s. ! c''^ �-•-, ,•� ': t: n _'. % r. �. 4y 1 I.r,. f r r ; _ ,•e .., l±; ,
COUNTY OF'BUTTE DEbQARTMENT OF PUBLIC W
-77
�7 County CenterJDrive .0rovrl'Ie Cal iforn i a 95965
Tel ephone 534-4541
' :APPLICATION AND. PERMIT ,
x
J :,BUILDING',,,
Owner Z `
;SQ. FT OCC.. .BUILDING VALUATION
"
,.
Mai ling; Address' r +
;Telephone
No
'
Fireplace.
Contractor',t' QI%. r'
Va
otal luation _
r =
Mailing Address t" Li73",''Plan
`Permit Fee,.
Checking Fee&/or;Penalty
t �a
Tele hone o.
Permit Fee'_7777
F.
Building d ss =
' PLUMBING No. @ FEE
PERMI-T FILING:FEE, 1$2.150
h,Trap 1.50
3
g
Repairdrainege:or.vent piping 1.50, .
Water piping 1'.50
Each'gas water heater or'vent 1.50 '
Ac P` No. ��
Zoning &'Planning
Gas piping system 1 5 outlets .50 ,
Each additional outlet 30 '
s
0705W io Fire Dept','FireZone
.
`,'Use,Permit
Building sewer 5.00
EQA' Parking.
!"Parcel
Declaration ,
"
Parcel,Map
•60RW
Improvemen
Lawn sprinkier system 2.00
c
B
BI s C Parcel A royal
Piens proyal"
Permit Fee $
`
NEWADDITf0N UTILITI S
0° ❑ OTHER
' ..-.:ELECTRICAL No: @ FEE
'
PERM IT'_•FILING,FEE $3.00 `
Maiwservice incl. 1 meter
O
:Additional meterseach 1.00
Sub -panel (12'or less) (morethanl2)
Single Family;,.Q. ,Duplex E] , Mobil Home Others ❑
Range. -top or Oven'; 1.00
Water Heater or Space Heater` 1.00
Light fixtures' • . w 23,
bail to
Receps., switches &- fi'z butlets
CONTRACTORS LhCENSE LAW
:1, 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 _
`.
Eyap. cooler, gar4disp. or..D.W. 1.00
'Air`�conditioneror.heat pump
Water pump
MobiF
l Home acili,fies 5.00
r p
y'�-C�'
Temp. -Powerpole,' 5;00
._ ,License No. - :Classification
:Mise wiring`
FF
Eliam exempt from,ttie' Contractors License Laws. of ,the State of 'Cal ifomia:.'
Permit Fee
,'WORKMEN'S COMPENSATION INSURANCE
I am'aware,of the'provi.sions of Se6tion3700 of the Cali o!rniwLabor..
Code.which.'requires,pvery;.employer'fobe insured against liability'
for Workmen s Compensation:
®1 have placed on�fi;le with the County ofrButte a'certificate of
:Workmen's,Compensationd surarice.'
r .� ,
n Ify;that .�certiin?'t-he performance .of th'e•work.for which this •.
permit is :issued• I shill l not employ; any person in any manner
so,as'to ,become subject1to.the°Workmen's, Compensation'Laws of
California 1• P . :(. .
a
' ME;CHANICAL _ N6.1 @ 1, FEE,.
P
'
PERMIT FILING FEE $3.00.
Heating ",',
Cooling. `
n
Venti Iation' -
Hood rr 2.00
�Pdemit• Fee
'
o
1 certify that I have�read;th'is application and`stafe that the above
information 'is correct. I a`g�ee to. comply,to al County Ordinances':
;and State Laws relatirig to- building ;construction, andi, hereby
-
Q'
,
TOTAL PERMLT• FEE
V:
authorize representatives ofAhe County, of Butte to1enter upon tbe,• ` This ermit is.herIeb issuetl under thea licable rovisions of:
f' above-mentioned property for inspection purposes. u y Pp p
the,;Butte County' Code and/or resolutions to do work indicated
aboye'•for which fees have'been'pai'd.
XL 3 DIREC OR OF,.PUB'LIC WORKS
Y 4
Date f.
Signature'of Permitee or Agent '.
��.� BY Date '�
Wh,te-D.PW, Ytellow-Assessor P,nk Ins actor'—Goldenrod-A Ii cant @ftTllt 8X IC@S Dat@
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0
MOBILEIi0`4E INSTALLATION
INFORMATION
Lot Facilities'
% Mobi ehome Data
1. Plot plan dimensioned, location -of mobile
1.
Length W h'
and utility connections?
Manufacturer
x
Yes"No
Kric-al.service
Vehicle Serial No. /
2 ,Ele equipment ampacity.
Insignia Control No..
y
Circuit breaker ampacity �%,9 _
2.
Feeder assembly,ampacity
Permanent Wiring Connection �j�
"Conduit size
A,�pacity
Power -supply cord (amps)_.
=:Receptacle-- Ampacity '�—
--�
3:
Gas iniet .size
3. Gas Natural PG
.-Mobilehome
connector size
Gas riser sizee,��
Capacity
4.=.Drain inlet. size %� .
.4.
Drain connector: describe on reverse side
5. .1 -later- riser size °' "
S.
Water connector: descr be on reverse side
6: Are utility..connections orated outside
6.
,Designed loads*
the. rear: /3 of.`the mobile.ome within
Roof live load sf.
.
4.;feet of. the left wall. Yes No
Wind load sf.
I� not, .show d1.menslons.abov_e.
(only for mobilehomes manufactured_ after
.7::Is the "MID ehome clear of septic tank,
October 7, 1973).`.
leach fields.and located outside public
7 Manu Pr's installation instructions?
utility easements? Yes No
Yes No
8. Do you propose to do other work on the
g.
Wi 1 the mobile home be installed on a
property other.than the mobilehome
installation w ich will require a permit;
separate.suppo structure
Yes No
Yes No
If so, spe • ify
.
� y
'^Forlans and s P ecifications of support s stem
P
.see.other.side.
LOAD BEI.I,.I�G SUPPORT A,ID IjiJOIZMATION ti -
Pier Spacing Used
Maximum Pier.Load Y_
Column. Load (multi] nits
only
Soil Bearifig Capacity
Footing Dimension L'c-ed_ "_
ASa
I
- I
PERMIT NO.
P
E ,
M
'MH UTIL. 4507-74R,E
PERMIT NO.
PERMIT EXPIRES / / — 7S
OWNER Signal Mortgage Co.
CONTR.
LOCATION (A.P. 3 0-49imM)
'I
I7/44
Maiam Leta Lane, Oroville (9atlC
i
t
6 '
i;
1
Temp Power Pole
• r
i Called PG&E
i, Temp. Elea Serv.�/l
Called PG&E
Temp. Gas Serv.
Called PG&E
;- JOB - n
FINALE
I
k
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water PI I5g
Piers
-Roofing
Sewer .
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaI I
Prov. for physically
Heaters
Slab
handicapped
'Appliances
CarportConformance
of ex.
Gas Piping zg
Footings
'structure
Temp. Gas
Slab
Final Ze 7
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
,Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
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
_
-
y
COUNTY OF BUTTE .DEPARTMENT OF PUBLIC W
7 County Center Drive J= cQroville, California 95965
Tel ephone: 534-4541
APPLICATION AND PERMIT `7v
autho6z6-represbntatives of.the County of. Butte to enter upon the .• This permit is hereby issued under the applicable provisions of
Aabove-ned property for `nspection.purposes.the Butte County Code and/or resolutions to do work indicated'above for_which.fees• have been,paid.
DIRECTOR OF P PLIC WORKS.
atere of.Peimitee or Agent
L/ By Date//_ 7—
Receipt No.
Idin permit expires Date..............:.�r':.7.�.7.�.......
White-D.P.W. — Yellow -Assessor— Pink -Inspector — Gal den rod -App lican t 9 �% - (�
BUILDING .
Owner �� G 6�7=p CQ .SQ. FT. OCC. -:-,BUILDING VALUATION, .-
Mai ling Address 7.fo �. O�O. D14�'YI BLV 6
Telephone No.
O�20Ul1.�' -- 003-• Fireplace
Contractor
Total . Valuation
Mailing "Address. Permit Fee
Plan Checking Fee &/or Penalty
Telephone No. $ $"
Permit Fee
PLUMBING No. - @ FEE
Building Address. � /Q PERMIT FILING FEE $2.00 C3
L C Each Trap
Repair drainage or vent piping -
Water piping - 1.50.
,S✓ b 1 Each gas water heater or vent •1.50
'
Gas piping system 1 - 5 outlets . 1.50 5.0 A. P. No.. — Q _. oning' Planni - Each additional outlet 30 /,
Fe W. _n'tatio Fire' Dept. FireZo ' e ermit irig.sewer 5.00 5.pp.•:
EQA
parking Parcel parcel M 60' R/W Im r Lawn, sprinkler, system 2.00
Plans- Declaration . P p ovements
Bldg. Pla s Recd_ Parcel roval' Plans Approval Permit Fee $ :- $ / Of
.
NEW � ADDITION � UTILITIES [7]C, OTHER'E] ELECTRICAL- No. @ FEE
• PERMIT FILING FEE _ _-- `' $3.00 00 '
Main service incl. 1 meter OO
i
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12).
Single Family Q.. Duplex Q • Mobil Home Others Q Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixture 25
s bala(610
Receps., switches &'fix outlets -2072-5
i(0
CONTRACTORS LICENSE LAW
Hood, Ex. FanorF.A. Furn. Motor- 1.00
I am licensed under- the. provisifons -of, Chapter 9, Div. 3, of the Evap, coo ler, gar. di.sp: or D.W. '1.00
State .of California Business & Professions' _ Code under tfie.name Air•conditionerorheat pump
style.of: Water pump
.
Mobil Home Facilities.- 5'.00
Temp. Power Pole 5.00
Misc. wiring
License No. Classification,
I 'am exerripf from.the�Contractors License -Laws of the State of California.' Permit+Fee $ $ 7 / O(
:.•
MECHANICAL No. @ FEE,
WOR,KMEN.'S COMPENSATION INSURANCE
PERMIT FILING FEE $3.00
I am aware of the provisions of Section3700 of the California Labor
Heating
Code which requires every employer to be.insured against liability
-for Workmen's . Compensation. .
have placed on file with the County of Butte a certificate of Cooling
Workmen's Compensation. Insurance.
I certify that -in the performance of'the work for which this. Ventilation
`
permit •is issued: I shall, not employ any person in any manner
'so -as'to become subject to the'Workmen's Compensation Laws* of Hood 2.00
California: $
Permit Fee
I certify that I have read this application and state that the above
information is.correct, I agree to comply,to'aII: County:Ordinances TOTAL PERMIT FEE $
:and. State Laws -relating, to building.,:cori
strucfion, and hereby
0�
autho6z6-represbntatives of.the County of. Butte to enter upon the .• This permit is hereby issued under the applicable provisions of
Aabove-ned property for `nspection.purposes.the Butte County Code and/or resolutions to do work indicated'above for_which.fees• have been,paid.
DIRECTOR OF P PLIC WORKS.
atere of.Peimitee or Agent
L/ By Date//_ 7—
Receipt No.
Idin permit expires Date..............:.�r':.7.�.7.�.......
White-D.P.W. — Yellow -Assessor— Pink -Inspector — Gal den rod -App lican t 9 �% - (�
BUILDING .
Owner �� G 6�7=p CQ .SQ. FT. OCC. -:-,BUILDING VALUATION, .-
Mai ling Address 7.fo �. O�O. D14�'YI BLV 6
Telephone No.
O�20Ul1.�' -- 003-• Fireplace
Contractor
Total . Valuation
Mailing "Address. Permit Fee
Plan Checking Fee &/or Penalty
Telephone No. $ $"
Permit Fee
PLUMBING No. - @ FEE
Building Address. � /Q PERMIT FILING FEE $2.00 C3
L C Each Trap
Repair drainage or vent piping -
Water piping - 1.50.
,S✓ b 1 Each gas water heater or vent •1.50
'
Gas piping system 1 - 5 outlets . 1.50 5.0 A. P. No.. — Q _. oning' Planni - Each additional outlet 30 /,
Fe W. _n'tatio Fire' Dept. FireZo ' e ermit irig.sewer 5.00 5.pp.•:
EQA
parking Parcel parcel M 60' R/W Im r Lawn, sprinkler, system 2.00
Plans- Declaration . P p ovements
Bldg. Pla s Recd_ Parcel roval' Plans Approval Permit Fee $ :- $ / Of
.
NEW � ADDITION � UTILITIES [7]C, OTHER'E] ELECTRICAL- No. @ FEE
• PERMIT FILING FEE _ _-- `' $3.00 00 '
Main service incl. 1 meter OO
i
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12).
Single Family Q.. Duplex Q • Mobil Home Others Q Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixture 25
s bala(610
Receps., switches &'fix outlets -2072-5
i(0
CONTRACTORS LICENSE LAW
Hood, Ex. FanorF.A. Furn. Motor- 1.00
I am licensed under- the. provisifons -of, Chapter 9, Div. 3, of the Evap, coo ler, gar. di.sp: or D.W. '1.00
State .of California Business & Professions' _ Code under tfie.name Air•conditionerorheat pump
style.of: Water pump
.
Mobil Home Facilities.- 5'.00
Temp. Power Pole 5.00
Misc. wiring
License No. Classification,
I 'am exerripf from.the�Contractors License -Laws of the State of California.' Permit+Fee $ $ 7 / O(
:.•
MECHANICAL No. @ FEE,
WOR,KMEN.'S COMPENSATION INSURANCE
PERMIT FILING FEE $3.00
I am aware of the provisions of Section3700 of the California Labor
Heating
Code which requires every employer to be.insured against liability
-for Workmen's . Compensation. .
have placed on file with the County of Butte a certificate of Cooling
Workmen's Compensation. Insurance.
I certify that -in the performance of'the work for which this. Ventilation
`
permit •is issued: I shall, not employ any person in any manner
'so -as'to become subject to the'Workmen's Compensation Laws* of Hood 2.00
California: $
Permit Fee
I certify that I have read this application and state that the above
information is.correct, I agree to comply,to'aII: County:Ordinances TOTAL PERMIT FEE $
:and. State Laws -relating, to building.,:cori
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* j• a.. iy. 1 - .�,.,-rr � 4,. 4-r _ 'Y 4 t� .Ii ,tr• ">T-•,- _y.{ 't7�'i� :�t .h �,'�
S ^u .�� = � ' •,.; � -' tF-^ �. / f, (( .;23 �; ' t ♦ rl „� r:;l ;t,;. « jTM � � � 1 ^ sr'':
' .f y• �• t. �1� ^� :..., ry}-. '�'.t• :F da,�r,4 { ! - .f �' 1, ^, .1•.. t � } h )'' � oY 'r � 1
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44 1L
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;�:ty �� ct• c .VI y� ,� ., ,>t• }' rt';r +. f !7 ti r1} t .` 1 ;: F
1,4�, y•Z= 1f �.' _ '. i* 'tt r 4,",_! ! F ,:� LM lj }; 4 ,j t#:.� `�
j�.'7 .'•.. // - � 'ti .� - yr- s'.7 i �.'r'.{*}, i.�- •i• {Y . �t. }yy [ ��; V.� , -1 -t ;�. .t_ - .�A i } } •, t. �!:
y F,.,- - S. . r •g - - t � .. K.'r _ k f ;: -�. j- 1�:� �, r. t. I c:� )) .t s � it'' ,. i
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q } -.c -]r' � _� ,1 � _t :.fin .++y + �'. l-t t L.t. �I .k:- R,t-�..�ta. � - r;. ^,rsr'7 4j � t, ^!..- f. �.} ` I$•.:-.i 1 t
-
r•r� �: �•a� � �t ti. t � �- �} }-. � K.. J )# •f. { 'r� .i, f r ' �' :a.,
• �. '�+e ' .a I+l _ S`'..J: ��>f `�4 ,. '- •I, r nw l r.�7 a;. t' : u �� !• �•'� if•; rs. y4rk,' : / i, r. i �'.
'r s. 4.. >- !+ � ^_• '•�' d) '> I - Y � }� s _ i F.: '1.4 }p }t Jel idi \ u t �i' 7 '+ ) j:r15 ' � t� - �' ^ t
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S'r. .'•+ '''� - I _ }s t, .� � �.y �''{ f �.. � w.� .+ w-^.A r � r � �.� �4 - err � j r'� r� � , � t
INTROOUCn0N _ r rOMMENT
The AVI Seel Foundetlon I100'V scenes is designed for both dirt and concrete foundation applications. `When noted Ihe'IC! ink9 GALL Ok'iT NAMI PART NONO.�� AOR A929/A929M 96
tains karhvel• wet a dry Uansverse (D) and longitudinal brackets (JJ and the "IV refers lo the deal pan dirt aalThese kkav+ingt B GROUND PAN It00.1A G:
ASTM xA 6 ASTM Al23.89 SEE INS7AUUTION.USING COCK PETE RUNNER ETC .:..
show (aundalians details, which ero.appdcebis b HUO cede houws and California HCO code manufactured homes or mobile homes C _ CONCRETE BASE CONCRETE ASTM" -912}89-9 OR �929/A929M•96 CARRIAGE BOLT a HEX NUT, GRADE 2, I REQUIRED
only. The foundaton an shown is en•ral and ts b be adjusted b meet the ecilic house bei installed: These design drawing- 0' GROUND PAN TRANSVERSE CONNECTOR U BW►CKE7 1100-3-0 ASTM :A36
Y p 9 +� tip req U RUST RESISTANT BUCK PAINT CARRIAGE BOLT 8 HEX NUT. GRADE 2, I REQUIRED
are supplemental b the home inxtatetfon manual Refer lo the installation a bcatbns W D(W) .CONCRETE WET SET TRANSVERSE ANCHOR. BRACKET ' 1100 -W -TACH ASTM x-9;36 k
for s supplemental
a manual for meang ine'and main rail P' D(0) .CONCRETE DRY SET TRANSVERSE CONNECTOR UIiRACy 1100 O TACA RUST RESISTANT.BLACK PAINT. CARRIAGE BOLT t HEX NU7 raRAOE'2 . .'EQUIP.EG
ASTM XA-36- RUST•RESISTAHT BLACK PAINT
P Apart and site.
anchoring system.
eenls for Specht aictutekd200 feuN larnia Building
be 25. Chapter
sob conditions �- E y BRACE i I? SQ TUBE 21Y LONG - 1.30.20-P. ASTM NAS 1 ] '.
and roof Irieds for the sits. This syslarm meets the requirrnerdx of 2001 CalUomia Bu{Qlrhg God•, Title 23, ChaplerZ, Nticle 7ASTM RUST RESISTANT BLACK PAINT
Section 1333 and Callfamia Health and Safety Code 18551. Y SPACE 1 .1lI 30 TUBE 28' LONG 1.50-28-P ASTM $AS 13 RUST RESISTANT BLACK PAINT m
GENERAL NOTES - BRACE 1 t? SO. TUBE 39' LONG 1,50 39-P ASTM AAS RUST RESISTANT BLACK PAINT
Y -BRACE I U2' SO. TUBE 44' LONG 1.50 -i4 -P RUST RESISTANT BUCK PAINT
1'.At work shall conform b the reyursmards of this design and d h• biking code adopted by Lha'agency huiving jurisdhction. ;Y SPACE 1 iir SO TUBE S4' LONG 1.50 S4 -P ASTM lA513 RUST RESISTANT BUCK PAINT CARRIAGE BOLTd HEX NUT, GRAVJE'2, t REQUIRED
2 -The Y trace of aw'All Steel. Foundation System has an approved design load as a pier of 4000 Lbs. Support piers other than F Y, BRACE 1 BEAM CONNECTOR 1106 -IO -P 'ASTM XA36 " . RUST RESISTANT BUCK PAINT. SELF TAPPING SCREWS. 114' 14x]l4', 4 P,EQUIRED
0u Y brae Shap line 'n accordance with•he hams mawfakduer's Installation instructions and shall be approved designs d CMU H iELES TRANSVERSE ARM 1 1? SO TUBE 60' LONG 1.50.60-P ASTM 3A513 RUST RESISTANT BUCK PAINT SELF TAPPING SCREWS. Il4'-0t4s3/4'. 4 P.£OUIRED
or sled support stands TELES. TRANSVERSE ARM 1 t? SD. TUBE Ir LONG 1.50.72-P' ASTM :A513
3. Design Cetlaria = - .WFnd Pressures - 10 MOX 15ps� aid 80 Mph (20 pad Exposure B and 70 Mph Exposure C TELES. TRANSVERSE ARM -1 i!1' SO. TUBE 60' LONG - 1.25-6" ASTM .'-9151 ] RUST RESISTANT BUCK PAINT.
Rod lhie Loads • 20 psi min. per house design TELES. TRANSVERSE ARM .t 1N' SO. TUBE 72' LONG 1.25-72-P ' ASTM :11513 RUST RESISTANT BUCK PAINT
Seismic tare a i . , TRANSVERSE ARM I BEAM CONNECTOR• 2 PIECES 1100-9-P ASTM 6-936 RUST RESISTANT BUCK PAINT CARRIAGE'BOLT a HEX NUT, GRADE 2. 2 REOUIP.EO
'Roof Rich• 6:12 Max:
J' TR PAN BRACKET I ' t 100-11-G ASTM OA36. ASTM AIM-i�A OR A929AA929M-96 CARRIAGE BOLT a HEX NUT, GRADE 2. 2 REQUIRED
SideWat Hegthl= IOr Max.. •i(w) CONCRETE WET Y ANCHOR BRACKET Hoo-W-CPCA ASTM3A 36 RUST RESISTANT BUCK PAINT CARRIAGE BOLT S HEX NUT GRADE 2, t REQUIRED
4:Delemmina thea els design wind pressure for this site 70 or M J(Ol , :CONCRETE DRY Y CONNECTOR BRACKET 1100�CPCA ASTM XA•36 RUST RESISTANT BUCK PAINT CARRIAGE BOLT b HEX Nl/T. GRADE 2. i.REOUIREO
PPS �' ' Pre ( Mph ph). Enter the applicable section of Table t or Table ,.
2 (page 21 b determine Ilii numbs of AA St" Foundation Brace Systems required.
SPECIAL CIRCUMSTANCES:
a) Ir eanre length'exceeds tr b 24': Use me edditbnd 7raavera System (noted on drawing by T) b) Exposure C in wind ores 75' NUMBER OF-FOUNDATION�BRACE SYSTEJNS �►LL CONCRETE
d 110: Use two (2) additional rul systems (from 80 Mptm table) noted on drawing by E. and additional two (2) anchors per side on ALTER.
REQUIRED WINO a SEISMIC ZONE 4�-,�h 1 - Transverse, arm Transverse, arm
�
NATE FOOTER single section homem. FOOTER I-beam cordwcicr \ H - .
If the kidowhg conditions occur Te
- STOPI Cwtact OWw chnpfes oloat I-1100-284-7437 for further instnacdon: 70 B WIND AREAS y Tap (1.25)
al System held exceeds 4e' (System heist can not exceed 3W an I-beam wWhs less then 06) b) Rod&aves exceed Z4' c) SEewd FOUNDATION BRACE MODEL 1100 1 C'•V•' or 1100 IvI.. . • bodorn 11, S' )
height extaed l0r d1.HadPillsQsdwhen6nt2 r : -. ... _ - - 2 BRACESlAj ]_aR&GWB) 4 BRACES C) L OIL- I\lJNL r.itJ-'
e) Localan in whin 1500 hat d oast ie, q Fooli g b infer ante 3 square (eel g) Sol acm c less than SB f) main rail speong b f ---
MOTH HOUSE LEN TH
exceeds )02- tr up To sfi• Sr To 76' -System Placement -A) -Second pier from i
INSTALL. eTION SOF GROUND PAN 11 V'1 - - ' 14' UP TO 56' sr To 7r -
16• UP TO S4' S4' To 76' end at opposite Opposing sldt'S: 8j
1. Remove weeds and debris In an appximata three fool square b;expos• firm: level undisturbed soil or cardmiled 1d for each ground 24'
raUP TO 50' 51' TO 76'+ '
pan (B) 2e• up TO 50' tit• TO 74' T3' TO 7r' . Same as W. olid third sy5ttm placed at
2 Place graved pan (6) cantered dheciy bdchassis assis I4eam Press or "a pan Ilmdy b_AO sot urtl flush with or below soil surface 3r UP TO 4e' , 49' TO 7r 73' TO 7r :. center per, outside rail, either side. C}
INSTALL noN usiNa CONCRETE RUNNER I FOOTER PICV'1 - . .. - , .. _ �. r r
The otxazee foolr, rwh•r or slab may be any shape tui has the n**nurn d 29M culn. with a n**mm 3770 N' UP TO Br 62 TO f Second pier from end.. all four• t cen D)
depth d ] 1AZ' (dry sel).or
6' (:rel sag: d d w system location: ad the surface d to bomq rum be Inge enough to support tree pier toad and allow at least r tam so a a 7e C WINO AREAS Repeat 'C. P18Ce 5th system a( cancer
_ 60 eco CrOPA buil W Our edge d On concrafa (ownOw 2r X Zr X 61 The concrete shd be minim tun 25M pd mix Lore -blended xadrad FOUNDATION BRACE MOO EL 1100 1 C'V' or 1100 fV pier. outside rail. elder- sldE
concrete mbt L acceptable) . Special hspedon d te'ancim hsidafons ts rout required, When kotamted on runn•ra or Aul stab, and 2 BRACESfA) � 4 BRACES S BRACES 0)
adjoining piers wepwwuw ertdy Rxad, no d%gonet Lnrrhe •helms are needed on single section home. If lis 1100 RC to svma WIOTM' HOUSE 13TH 'e F- :Y bran t-bsam 0 -Pan tahsverse conna clor
mystam, (0 braekN only) is to in Installed without using to 1100 LC lanpitudlnal system (J to It t MUST be Installed wlWn s.8' of a it UP TO 4r 4T To 64• 6s' TO TVConn@ctorgor a" OR 0(0) concrete,
14 UP TO 4r 43• To sr 6W TO TV -,.
pier.
LONGITUDINAL When ushe the 1100 wet tar JIWLbreakeL sirtmply install the bracket In n innarr eller OR When hsfemre h creed - 16• UP TO 40' • 41' To sr. 63' TO TV SEE TABLE ? tr connector -
t�te ui• aha 1100 dry ret"tredraL The 1100 dry set l(0) lmrdnt Is allndwd lo to eanerala using (2) Vr x r concrete 24• UP To 36' 39' To ss• , ss• To 7W
bolts. Plan he bracket in dedred locabort -Mark ,bail hale locations. then using a 1? cram 2s' UP To 36• 3r TO s6• 56' TO 74 7S ILLI,*
. : FOR FOOTERS OF
depth d 3. Malt• sue N dud and aQhkade ts blown curl d he hairs Plea �omry K"a hole to a minimum 3r UP TO 36• 3r TO'34' 5S' TO 7r . TV TO IV - C ^
d enb wedge halts and alert mdge ban nub. Take a hammer and �� baits hlo drilled holes. thm plant 100 J(0) brad[- 3370 A'. UP TO 64' 7r To 7r ALmTERNATE MATERIALS BUTTE 4��U !
tlt drive do widp• bolt down by hilllr g tare nut (rim" erre
:
not b hill Lina lop d treads on billy � suave of aermerete hva.3ea bolt made to ba er or below the lee e7mrhaele COmP� b'tr �4 . .. - Q
anhg �• PIER ON COt4CRETE FOOTER®S S O.C. MAX BUILDIN :DIVISION
LATERAL (a) For wet seA ketNaion set QN Irrnvres arrJhar brarJtat ave) into nrsedhair r desired toealan.(b) For dry set Yslsi r -- - . _�_-__. _. _._
lak n tin• dry set bradkst O(0) b attached b the concrete using (2) 1fr X 3' c orKrde wedge toils. Mark bail hole locatbru, than using a
• UrAwn. mssmry ht, r» holes 10 a mMim um depth d r. Maks era• al and and carhcreb is blown aut d the holes. Place wedge r MAX TYP. _ __ '^ _ _• APPROVED
bods Inlo dr/lsd holes Alfadh transverse connector bracket O(0). U needed, take a ha irnr and tightly drive the wedge bons down by j OPTIONAL SIORTIN13 A BiLSE ,.1
SPECIAL NOTA idin erre ma to hit he lap d nvsada an bdL) Campl•te by tightening nuts, i ' CL
B,D q,B,C,D,E `„Of C r J - Pah v braetut «:
krglbdhal Y brace system serves ex a pier under the Iletrhe and should be loaded as any cher pie. t h nee ,pQ-Fif i Nyy) a Kp1. E -- V Brace
amended ihat eller levstkq pian and wo-q r (114') loone-hW Inch (1r27 before home u loerered oompelely on b pt•n• Carts below E �� 'U B• Ground Pan Carmcrata V BradtN Tum (t 'Ji
NSTAtLLATI OFh ONGFr DIN A r Y BRACE SYSTEM - y� -EI
� rL • � _ - ..
1. Sated tr ksxrw a ( i TYP PIER a FOOTER c`_� r q
equsrethb. bran (E) Mr�gth for xst-,lee (piegl,elgM at em,pPo<t bcatign �! NOA34r1 OLIYER TECHNOLOGIES, INC.
PIER Het3HT150 1-800 x: -284-7437 fa931.796-8811
(ApprOL 40 - 60 dap a Marc). . Tube La+Oth m i ,. Fig ill/
• I .. - s www.divertechnulogies.ctxn-
a tli)rQ 1h[tt9Cs$p �isfgt r•2YJ l •? :- a kdb4am of M brhp3dwd aimhihatra the rod tar . E T �Tf CA -3 ALL STEEL FOUNDATION SYSTEM ,
Pier Height sya4a r. - wren
08' b 2s 2C andhons ' P�q//dry MODEL i1001CV S 1100 N M FL PERMANENT
to dimensiwh from tin. ,.. b) lasbia6arn d the savese gotan **min the nad lor dlar A,B,C,D.E C.ED l9 C L � /
top or p.dfotrsdvttah I* - ' 1I ^.,::..'I t�"f'�" 0� FOUNDATION SYSTEM
and frt= res, and stab7ca paras. cAi�F Edward M. Salsbury. P.E. - Consurdn Civil Engineer
the batbm ori loser 30'lo 40' 44' clNdtwh memambdhrmesin*udbnarorYstabdomof . 1052 SG John Place -Santa Ana: CA 92705-2320
2. Install both of � I -so. 36 (q • €�` l :L# ;: ,.. s4; T ' stabilizing davias and bek' nuithdiq tntata8on d Sideral - 76 MAX 1 ~
Yadorn umdior> rhea rat ad,
, n In," tisdore andhaa 714-730-8115
square aabes (E) irhb fro V trackat (J), inset cailega bot and Iaahie nut d) t the lhassaausr6csa^s h>blation hsfn,dlonu an eat avat• >
loom mor Mat adjusbn.nL bk to hone must be irisin" in aoenrdsnc�e rah any slot. p min u ro w Date: November 12, 2043.- Scale: None
3. Place 1 -beset cmvuctor (F) loosely on the bottom A-Ve d to 1 bean. Wyaind ndey a n m*iad by the aMaiq having jam, WHEN REOU IRED BY TABLE i
4. Attach he -defied 1.3' Woes (E) b he 1 bean mraledors (F) and fasten - .ALL STEEL FOUNDATION BRACE MODEL 1100 K: Page -Sheet 11 -
loosely with bdtr, and nuts. Notes The hotel mud be i♦vel In both direction's b
mare tins arglifiharkYgs on 1hs`cerh�apainj mi>rhe ire coned from the horizontal plane d the (oetsr. The angle h red to exceed 60 j FOUNDATION,SYSTEW
and not In- Main 40 degrees. The V bracket (J) la.dam ped with to angles b vadFv correct doge. line proper length babe or art and da k" PIER ON CONCRETE FOOTER @ 5 6. O.C. MAX r xeALiQ AND SAFETY CODBe BF.�:IIOT118 Sl .
b adhieve proper lenlift (rho lube may be ail =M any appropriate steal cutting method such as stud saw...._...... _ :
out6g_. .etc New Ides nhud - LU 1 f7 , 3 APPROVtla
........ _r
be dribs b tr-dimenalan, and d the Iocatan as shown for part E), L '. ' > : • r. -. � -1. 7 _MAX TYP. :' � - A,B,C,D, E 1 O "r � � W �-
5. using standard nerd beta, lighten all nuts grid bulb: When eanriad4g the brace bibs b;t m I-beam mrnecla bracket (F) tlghtan at i 8 D: }
1•esf ane and a hall lo baso A41 kms past hand teJFhL f C,E,D TYP. PIER S FOOTER ryOPTIONAL SKIRTING E SASE I V V_
iNSTALn eT10N OFLATERAL T 1 scopiNa TRali_n1ER8E ARM SYSTEM ,.,4.sa.wA.. r sulaimm To (:DRRECTIONS.NOTSD . . .
. - - . Fi�rwrw•..w.e .w+w�wwwwwwarww. ...........-4.. j� . S j
m
-. •. Salad the nonmed squre babe brace. (H) length hr. set-up lateral, transverse at support location. The 60' length is standard, (`Mth the, - E
1St' tube es the bettor lupe: sol the 12S lube as the ►sated tube) Thar 7r lube is used on extended frame widths greater thM^^ "-
7,
99.5' I v APPRONAL DOES NOT AUTHORIZE OR AFPRO ANY
' OIMISSIONS OR DEVIA71ON FROM RE OF
7. Install the 1.50 traruvrsa bra e,(F1) b kte:faptarlgroiuid pan camusior (D) with bait and nut, ( t f
8. `Slide 1..25' Transverse brace into the•1.50' bran and etach b scent (beam conriector I ),with-bort and nut. s.7 ! _ 3 APPLiCABLB STATE LAWS AND $E(iITLA71 NS
9.'Secuie 1.50' transverse am b 125' hansvrse arm using four.(4) 1M' • 14 x 3r4" self -Lipping sawn n pre drilled pilot holes. �) t f� �Gll%[ms
i Q wncuksxssr?sxastua,rncvui«scrunaesrwcroa s.7
01
Of Houdlis and Cotnmaaity Davelop •
DES AND STANDARDS
w'"i _ o
hren nee "' r hour d .w.> x , - : _ n - s .,, , T , , y _ - - --r U a'� r, '' I; Tg L1 CS
f _ _
ED ,
'm
• � e
I i
A
w Approrsdpinahrdor j S,C,O.c NO I ice) -
//� � SPA
Cbnw Mw to
Mah Baasmr Ch p w rdw orm meq optima Ykw U_ man TI" c6 •� r '
modem Typ mai- bsA am Sas
s' eKearmew / mpern.ra.map.w rndsanwam �.t_
4.
aa's72'uan conadftFoolmm ApwevwPier st"ar
FOOTERS OF ALTERNATE MATERIALS
>'
ALL STEEL FOUNDATION SYSTEM 11.00 IV -(PAN) eND ,1100 IC V, (CONCRETE
)
INSTALLATION WITH APPROVED'ABS OR TREATED WOOD FOOTERS
SEE GENERAL NOTES, .SHEET I OF 2' -FOR: INSTALLATION OF SAIL STEEL FOLTNDATT
GENERAL NO -TES Co-TINUED:IQ `1 DP ACE S 1 -STEMS.
See•General-Notes,
Sheet �1.of 2, for installationpf the All Steel Fountiatlon Brace Systems.
Tfealed Wood Fosters ere Axa �. Strap and andwr stun have
a
ily of 4725 lbs. Strap: shal meet ASTM 03953-91 $f, 'MO ^9 load capacity of 3150 tbs with a minimum Wtimate capac- - - -
.. er{nstruclons ap'and mchor +hatl be &ulstled m ecsordance.,v ith equipment manufaelur--- .
C ! f1oOf JO41 PIER ON FOOTER, PER HOUSE MANUFACTUREP. INSTALLATION INSTRUCTIONS 8' O.0 MAX
t-4 2- MAX TYP
C u�l _ '� Id•VI IIfAFI tN� �•� _ j - - f 1
v O 1 r I 1 -OPTIONAL: wx nn
SKIRTING a'BASe C;E,O BID A.B.C.D.E
eYrrlo Pferb , ` / .� ►w. - •CED - B,D - A,B,C.O,E - - -----co
=�
-.. ,, �O/-Z9R�-.19_ J_'L"'IDtf3Y`•C.f�yr�.?ilY:YY-->lSb�O�i!'�•
,C/��., .App Or l 4q eel TI' G•�wsa `� 'E. Q -- - - - - a' _. ;r� ,
TYP PIER 6 FOOTERME
.... _... -
-
.. -
AB Footer or treated
:� ,a � ,rte t,,. ■
.. .. ,
Approved� wood. - Q E , T.
RACE SYSTEMS AND/OR- -
NUMBER OF FOUNDATION=
TIEDOWNS REQUIRED WIND a SEISMIC ZONE 4, '-
.70 8 WIND AREAS (13P8F) -
FOUNDATION BRACE MODEL. 1100.1 "V" or IC 'V' TIEDOWWANCHOR REQUIRED PER 8WE OF HOUSE • i
. i B e o A) d g a e WS) 4 BRAGEaj - - _ ... -..._
MOTH HOUSE LENGTH -�� ]ANCHORS 4 ANCHORS - ww,
HOUSE LENGTH TV MAX --- MI1TiNQyY(BliERS PER HOUSE lW>AU:•CTURER ULST1aLLA1ION 1NSTT2UCTION
1Y UP TO SB' Sr TO 76' . UP TO 7Y 73' TO 76
14' ' UP TO Sr Sr TO 76.. UP TO 7C
,r UP TO S4 54' TO 76' . ,UP TO TB' C - STRAP',& ANCHOR TIE-DOMM TYPICAL
2n. 4• UP TO SO• 51.' TO 76 NONE REG_ NONE REQ WFIE14 REQIl1R® BY.TABI E 2
UP TO SO' 31' TO 74• 7Y TO 76 NONE REQ NONE REQ
3Y ' UP TO 48• 49• TO 7Y 7]' TO 76 NONE REQ . NONE REQ ALL STEEL FOUNDATION BRACE MODEL 1100 1 -V
A'T048 ` UP T662' . 6T TO 7S NONE REQ. NONE REQ or 1100 Ic.v:-.' OLIVER TECHNOLOGIES
80 8 6 70.0 WIND AREAS (20PSF)
INC.
FOUNDATION BRACE MODEL 11001 'V or IC V . TIEDOWNIANCHOR REQUIRED PER SIDE OF HOUSE
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HOUSE LENGTH HOUSE LENGTH
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1Y UP TO 4Y 47 TO 64' 63' TO 7P
CA -3 ALL STEEL FOUNDATION SYSTEM MODEL
PIER ON FOOTER PER HOU3E'MaNUFACTURER INSTALLATION INSTRUCTIONS Ir O.C. MAX NT FOUNDATION SYSTEM
c• . .. 14' UP TO 4Y 47 TO BY ' 63' TO 7C - -
1'r UP TO 40• 41• TO 6r. 6]• TO 76 GV. 67.70 76• _.... _.._.
UP To � - 11001CV MH, PERMANE
UP TO -- Edvlr4rd tIA Salsbury, P.E. Consulting Civil Engineer
•UP To sa 69' To 7i r MAX TyP. 1052 St. John Place -Santa Ana, CA 92705-2320
24' UP TO 38• ]9 TO Sa" S8' TO 7i NONE REQ. NONE REO 714-730-8115
�' UP TO 36' ]r To 36' Si- TO» 7S ,&;7G B p A,B C D E '
3Y ' UP TO 36•. 3r TO S4' SS' TO 7r 73' TO 76• NONE REQ. NONE REQ C E.p Date: November 12, 2003 -Scale: Norte
31.7048'
NONE REO. NONE REO ERe OPTIONAL SIORTINO,,& BASE
TYR PIER a Fool
UP TO 64' 7]' To 7C NONE RED. NONE REa _ Page -Sheet 212 - Rev.__] Dated'Febua'rV 7. 200
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When Tie Downs are required, placement is as.follows.
Single Wide homes require a minimum, of 3 anchors per side; awo (2) of those andiors logted pQ( 1 ' 100WACTURED ROME MOBIIg ]KOM
more than fool rr.,.,, .h. .� - 1.
Any.additional anchors (as spt afied, by Table 2) are b beWALTR.
spaced evenly along each side
i FOUNDA7IOPISY8IB11' '
AND RAFMT CODE. 13BC1IM 18551
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