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HomeMy WebLinkAbout039-250-054t Y LEMM 39-25 � � E/S. i rd, i mi S Burdick Rd, z mi E !, �Troxel d, Durham ! Permit#16-84P,E(util, MH) ` ELEC -�i GAS SUPPORT STRUCTURE COMPACTION TES WrEQ 7 F i39-25-/�a/8�c I P e r m iVO01068+-84I4I I u e d i 039-250-054 05-1189 LEMM, LARRY I 8783' LEMM RD, DURHAM ' Cont: OWNER AG BUILDING B06-2354 039-250-054 RESIDENTIAL SFD-Mobile Home PFS NEW MH PERM FND REPLACING EX 8783 LEMM RD -Pjnal'II`7Jo(V LEMM, LARRY E & PATRICIA I f I i R I P-ECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 - 2��6—X061864 Recorded I REC FEE 10,00 Official Records I County of I MWORPIEO Copy I.@@ Butte I CANDACE J. 6RL(BB5 I County Clerk-Recorderl I CW 02:IWN 22-NDv-2006 I Page I of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LEMM, LARRY E & PATRICIA BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 8783 LEMM RD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS DURHAM BUTTE CA 95938 OROVILLE BUTTE CA 95965 CITY COUNTY STATE "LIP CITY COUNTY STATE ZIP 8783 LEMM RD B06-2354 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER F DUR:I-IA:M BU:CTE CA 95938 11/17/2006 CITY COUNTY STATE ZIP SIGNATURE LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD HOMES 2006 7684F MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER WAFL531A/B/C18936-TR13AC 68' 8" X 40' WAS0095456/7/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 039-250-054 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. .y .,gym..—...w.d: EXHIBIT "A" AP# 039-250-054 The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 1: A part -of the ' Rancho Aguas Frias, according to the Official Map thereof and described as follows: COMMENCING at the Northwest corner of Lot 9 of the House Subdivision of the Pratt Grant Number One, according to the Official Map thereof filed in the office of the Recorder of the County of Butte, State of California, December 5, 1910 in Map Book 7", page. 33, said Northwest corner of Lot 9 being identical with the quarter section comer of Section 35, Township 21 North, Range 1 East, Mount Diablo Meridian, according to a certain map of the Rancho Aguas Frias, made in July 1876, by John La Croze, surveyor, and filed in the office of the Recorder of the County of Butte, State of California, September 25, 1876, in Map Book "5" page 28 (and being in the South line of Section 35, according to he Government Plat, approved May 1st, 1867); thence South along the West line of said Lot 9, a distance of 1525.92 feet to the Township line between Townships 20 and 21 North, Range 1- East, Mount Diablo Base and Meridian; thence West along said Township line 1027.681 feet to a point; thence North, parallel to the West line of said Lot 9, a distance of 1525.92 feet to the South line of said Section 35, according to the Government Plat approved May 15t, 1867; thence East, along - -- - -- -said-South said -Section -35, a -distance of 1027.681 feet to the point of commencement. PARCEL 2: Right of way for road purposes over the West 40 feet of the Southwest quarter of the Southeast quarter of Section 26 and over the West 40 feet of the Northeast quarter of Section 35 and over the West 40 feet of the Southeast quarter of Section 35, all in Township 21 North, Range 1 East, M.D.B.& M. 8Q►�6—�t058'988 AND WHEN RECORDED MAII, TO: � Recorded I REC FEE BUTTE COUNTY BUILDING DIVISION Official Records I 1®' P� 7 COUNTY CENTER DRIVE County of i CONFORMED COQY 1, 00 OROVILLE, CA 95965 Butte I CANM J. GRUBBS 1 County Clerk -Recorders 1 011:19AN 13 -Noy -M I Page 1 of 2 AGRICULTURAL STATEMENT OF.ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgement to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm 2-6111operations. All that real property situate in the County of Butte, State of California, described as following: Please see attached property description EXHIBIT "A" Date PROPERTY OWNERS: Lemm1 AGR �. L� 1-, State of California County of Butte On 7.ot9 Abe/�fore me, N� �LtC personally appeared Z4" ha Amo �y3w� �t� Lr" personally known to me (oriwesl&-, am b t)w bnsa 0fsaft9factpTy oadowe) to be the person(s) whose name(s) X/are subscribed to the within instrument and acknowledged to me that h~ey executed the same in Ws/*r/their authorized capacity(les) and that by lis/1*/their signature(s) on the, instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. w,. J. DARYLE POLK Signature letSte: COMM. # 1487788 NOTARY PUBLIC CALIFORMA EA 9 , COUNTY OF BUTTE K; A.P. # 039-250-054 Comm. Expires May 4, 2008 EXHIBIT "A" AP# 039-250-054 The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 1: A part of the Rancho Aguas Frias, according to the Official Map thereof and described as follows: COMMENCING at the Northwest corner of Lot 9 of the House Subdivision of the Pratt Grant Number One, according to the Official Map thereof filed in the office of the Recorder of the County of Butte, State of California, December 5, 1910 in Map Book 7", page 33, said Northwest corner of Lot 9 being identical with the quarter section comer of Section 35, Township 21 North, Range 1 East, Mount Diablo Meridian, according to a certain map of the Rancho Aguas Frias, made in July 1876, by John La Croze, surveyor, and filed in the office of the Recorder of the County of Butte, State of California, September 25, 1876, in Map Book "5" page 28 (and being in the South line of Section 35, according to he Government Plat, approved May 1 t, 1867); thence South along the West line of said Lot 9, a distance of 1525.92 feet to the Township line between Townships 20 and 21' North, Range 1 East, Mount Diablo Base and Meridian, thence West along said Township line 1027.681 feet to a point; thence North, parallel to the West line of said Lot 9, a distance of 1525.92 feet to the South line of said Section 35, according to the Government Plat approved May 1St, 1867; thence East, along said South line of said Section 35, a distance of 1027.681 feet to the point of commencement. PARCEL 2: Right of way for road purposes over the West 40 feet of the Southwest quarter of the Southeast quarter of Section 26 and over the West 40 feet of the Northeast quarter of Section 35 and over the West 40 feet of the Southeast quarter of Section 35, all in Township 21 North, Range 1 East, M.D.B.& M. BUTTE COUNTY • DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2.140 Website: www.buttecounty.net/dds Permit No: B06-2354 Issued: 11/16/2006 Address: 8783 LEMM RD DURHAM APN: 039-250-054 Permit Subtype: SFD-Mobile Home Owner: LEMM, LARRY E & PATRICIA Applicant: EXECUTIVE HOMES Description: NEW MH PERM FND REPLACING EX SITE 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 APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -c ---- -- --- — Gas ? OFFICE COPY Masa Maso Address Unde, Unde; GAS D�,/Qtv Shears Meter B Undei ELEC Undei Meter By Date Gas P M Do Normtan'Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 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 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 FM37 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AND_VOID "1 YEAR FR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 8783 LEMM RD Owner: Permit No: B06-2354 APN: 039-250-054 LEMM, LARRY E & PATRICIA Issued Date: 11/16/2006 By KEJ Permit type: RESIDENTIAL 8783 LEMM RD Subtype: SFD-Mobile Home PFS DURHAM, CA 95938 Expiration Date: 11/16/2007 Description: NEW MH PERM FND REPLACING (530) 893-4607 Occupancy: R-3 Zoning: Contractor Applicant: Square Footage: EXECUTIVE HOMES EXECUTIVE HOMES Building Garage Remdl/Addn 3042 ESPLANADE 3042 ESPLANADE 2,561 CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530)891-6992 (530)891-6992 2,561 FEE INFORMATION Impact Processing Auditor $50.00 Impact Processing DDS $50.00 Mobile Home $329.94 Mobile Home Plan Check $219.96 SMIP - Residential $16.65 Total Charged: $666.55 Fees Paid: $666.55 Balance Due: $0.00 Receipt No: B894 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License EXECUTIVE HOMES CSLB-640583 / C47 / 03/30/2008 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 structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) 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 for a permit subjects 11/16/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Cont actof ignature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I 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 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.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED as required by 4ly CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: ection 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 Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: EMPLOYERS COMPpolicy Number:FN031696304 Exp. Date:07H5/2007 Contractor's License Law.). (This section nee not a completed if the permit is oror one nunllars ($100) or less. ElI AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 11/16/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 11/16/2006 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 Signat re Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless 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 CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, 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 thatt is issuance of this pea rmit 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. 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 pro arty owners behalf. omes. 11/16/2006 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for am o Permi ee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. ElAgent for Owner NAgent for Contractor FILE COPY Lender's Address City State Zip Butte .County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B06-2354 Date: 10/03/2006 Location: 8783 LEMM RD By: TMP Parcel Number: 039-250-054 Sub Type: SFD-Mobile Home PI Owner Name: LEMM, LARRY E & PATRICIA Phone: (530) 893-4607 Description: NEW MH PERM FND REPLACING EX SITE The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: Date: 10/03/2006 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B06-2354 Job Address: 8783 LEMM RD Contractor: EXECUTIVE HOMES 3072 ESPLANADE CHICO, CA 95973 Printed: 10/03/2006 1:44 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt Impact Processing Auditor 0010-050-4617998-101001 $50.00 Impact Processing DDS 0010-440001-4617999-1010 $50.00 Mobile Home 0010-440001-4210500-1010 $329.94 Mobile Home Plan Check 0010-440001-4210500-1010 $219.96 10/03/2006 $219.96 SMIP - Residential Printed By: Tammie Powell 1001-0-280-1011298 $16.65 666.55 $219.96 Balance Due: $446.59 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: Date: 10/03/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at))�://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2354 Date: 10/03/2006 Location: 8783 LEMM RD Parcel Number: 039-250-054 Owner Name: LEMM, LARRY E & PATRICIA Phone: (530) 893-4607 Description: NEW MH PERM FND REPLACING EX SITE Signature of Property Owner: Date: 10/03/2006 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530)538-7171 Fax www.buttecounty.net/dds C A�TM�T 00 National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2354 Date: 10/03/2006 Location: 8783 LEMM RD By: TMP Parcel Number: 039-250-054 Sub Type: SFD-Mobile Home PI Owner Name: LEMM, LARRY E & PATRICIA Phone: (530) 893-4607 Description: NEW MH PERM FND REPLACING EX SITE By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts 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 Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: FILE Date: 10/03/2006 O�eP�T C i 6VTTF o o _ � Act U t4,, �C7C W�F� J. Michael Crump, Director of Public o f B U t o r k s LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538.7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water PollutiOn Prevention Plan (S PPP) Acknowledgement 6 Project Description: Project Location and/or Parcel Number: 0� `�t — 2L75 -C3 d I By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false arid/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Butte County Department of Development Services a TrF0 7 County Center Drive ° ° Oroville, CA 95965 (530) 538.7601 Telephone o .sip o (530) 538.7785 Facsimile c�UK BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building, permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: &19111 L Ae VLQV-'Y� APN: d 3 al r— Building site address: 1�' -7a?3 C.p_vi•, Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: cola-lorco SI �OFPPLICANT DATE Copy to Appricant/EH/File K:Forms/BldgPermitwithoutClearances 020705 BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) School District 'T1VLC2L Building Department No. Jurisdiction: ©County A.P. Number -city. Property Owner C LL4 Property Location/Address Ar', Subdivision Lot No. Residential Development=. EEI' No of Living Mobile Home Units Installation Commercial/Industrial New Addition Department Footage Addition/ *Supplemental to (Group. R) Conversion Permit # *(No foundab .�n.i inspection) T ................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), District Identification No. ta UNI -FI iF'-6 School District certifies that Sq. Footage (Including Exterior Roofed Areas) Date L-Rea4 � Pa¢rfe_,,R, Le" vn (Applicant) (Street Address) (Phone Number) -D (City) (State) (Zip Code) has Complied with the requirements; of Resolution .No. representing square feet. I-_ r- 4IL-7- Z_� - _z District Representative o44 -/Z by payment - of $ B 2926 $ ULL MITIGATION $ . //-/3-0 Date Paid by Check # Remarks: 4010u'-4 o18 mob, le(a�p� S� �� , . YC�p(erC - W Iq yl e co mot, Notice: You may protest the Imposition of the fan ldentffled above by submitting a written protesit.to the District, In comptlance with Government Code Section 68020(a), within 90 days from the deft fees are paid. FsHure to submit a timely written protest wHl prohibit you from.challenging the Imposition of the fen In any cotirt action. 11, subsequent to the School District Representative signing We Butte County Schools Impact Fee Certification Form, the School District to notified by the applicable Local Planning Agaicy that this project Is being reviewed under the CalWornis Environments! Quaft i Act (CEQA), this project may be subject to additional school fen to futly mitloate its kaped an the school dIsVWs schools. White (school district), Yellow (building department), Pink (applicant). liestomi-xis (3ftXlinm WE AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 13 -Nov -2006 2006-0058988 Has not been compared vith original $UTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8. of the Butte County Code required this acknowledgement to be recorded prior to issuance of a building permit. The property. described herein is adjacent to land or included within an area zoned for agricultural purposes,' and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to, herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as following: Please see attached property description EXHIBIT "A" Date PROPERTY OWNERS: 4aL-emm%ra L,ntj► State of California County of Butte On aS�/ C, before me, personally appeared Z� itis �'o 40vlC' 4- ZCA 1 personally known to me ()or-,j,an#g b&51S otsaftsfaGtpry ems) -to be the person(s) whose name(s),Ware subscribed to the within instrument and acknowledged to me that hoist hey executed the same in 4is*r/their authorized capacity(ies) and that by his/l* their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my band. and official seal. ). DARYLE POLK Signature Seal:COMM. # 1487788 ' NOTARY PUBLIC-CALIFORNY COUNTY OF BUTTE g A.P. # 039-250-054• Comm. Expires May 4; 2008 , EXHIBIT "p" AP# 039-250-054 The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 1: A . part of the Rancho Aguas Frias, according to the Official Map thereof and described as-follows- COMMENCING s follows: COMMENCING at the Northwest corner of Lot 9 of the .House Subdivision of the Pratt Grant Number One, according to the Official Map thereof filed in the office of the Recorder of the County of Butte, State of California, December 5, 1910 in Map Book "T', page 33, said Northwest corner of Lot 9 being identical with the quarter section. corner..of Section 35, Township 21 North, Range 1 East, Mount Diablo Meridian, according to a certain map of the Rancho Aguas Frias, made in July 1876, by John La.Croze, surveyor, and filed in the office of the Recorder of the County of Butte, State of California, September 25, 1876, in Map Book "5" page 28 (and being in�the South line of Section 35, according to he Government Plat, approved May 1St, 1867); thence South along the West line of said Lot 9, a distance of 1525..92 feet to the Township line between Townships 20 and 21 North, Range 1 East, Mount Diablo Base and Meridian- thence West along said Township line 1027.681 feet to a point; thence North, parallel to the West line of said Lot 9, a distance of 1525.92 feet to the South line of said Section 35, according to the Government Plat approved May 1St, 1867; thence East, along said South line of said Section 35, a distance of 1027.681 feet to the point of commencement. PARCEL 2: Right of way for road purposes over the West 40 feet of the Southwest quarter of the Southeast quarter of:Section 26 and over the West 40 feet of the Northeast quarter of Section 35 and over the West 40 feet of the Southeast quarter of Section 35, all in Township 21 North, Range 1 East, M.D.B:& M. 09/28/06 14:38 FAX 530 894 7647 BTEC CUSTOMER SERVICE x003 .!C:C?RjDING R60UA..9TED BY �NOVILLE TITLE COMPANY 2-122227 L Mr.. and Mrs. Tarry E. Lem—1 11904 Goodhue SL- Whi t t:.ie: , CA 90604 I SF04E AS ABOVE .)� t , L•. ' • npnn1�F. � 6�•I )fir, JII!I t Ell AKUn CLEdK-RCta'IUICn �r=..J (EE 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE ! Individual. Grant Deed TMIe FOAM FURNISH. TITLe INsupic P• n. P. N._39-251--.0=014._ I tRANsf O Tlu: undersigned granlor(s) declaro(e) : 1(aIPW I' Documentary trmlafer In% in DCX) rnugn.l«I 114 fah vnhu: al property couaryed, or 1 1 ': n Iwlyd o11 hill 1-11111a Il:aa 1-41111- n( Ii.•w cold cncuBll)rn.mce remaining at lime of We. DW:cue's 1 DUnincorporaled area: ( 1 Ciry of _---- -.-.----- — a I•'UIt A VALUAIIIA. CONS[ 1)M(ATION, ro-elpl of which ie licrehy aclnlawledged, . AMELIA CLIFTON, as her Bole and separate property( VICTORIA OOODRICH,'as llnr Sole and separate property; and JENNIE LILMM, as her Sole and separate -property 61-reb, CIIANT(S) la LARRY E. LEKM and PATRICIA L. T,EMM, I hu;;bind and w.ii'_e r aB Joint 'tenants the fuilo.ritg,dcar.ribcd real l,ruperly ill t11r unincorporated .area of the Caun.y 4( Butte , Slelr of Culifonda: SEE EXHIBIT "A" A'rrixHED ITI;;dF"PO AND MADE A PART HEREOF...... . I..1.•d May 4, 1982L t-rVU'.GI r, (ti.�!�l e n Amelia C1ifEon A'1'd'I I. III' CAI IFI IIINIA •I. II'\'I't'• I11. Butte may 5, 15Ei1 1.4....•....•..1.. 1.iI.I.•. Victoria Goodrich r.d,l..... ..d L.. ,..1-,I ..... n• .....4h AMELTA CLIFTON . 111.4.11 In nn I•. I... Il.r In• ..1. .,1".,. ..,..... iR .ul,.l',.I,.d ,,, Il.r ril 6111 .,,-u nn..m m,.l ". Au,.r L•dy,.•I dol. she .nrl will dn. .4411-. nu.,:•...•.....nn.nr,.................. q.n,.... y,n .46 .A ..',.I. - ": - �, . ICIAL �1 E A L SMITH' e �'If�,r � � _ . '"riiegn�alA"rd11u •li. "i.u••�:. � ,C•.,,n'. -rte-. �.w� •y;..n.0 �/ L'.,. .1.,. 1.7• ,9d, 8.1- .,.`,�• rn.u,�...uruu,.n..:j ^).unru.nu....f 'I'iI b•�Unlri N... �— --------. I•;n'vuw ..r I,4n11 N.... -- MAIL TAX- STATEMENTS AS DIRECTED ABOVE r 09/28/06 14:39 FAX 530. 894 7647 BTEC CUSTOMER SERVICE X004 Order No. 2-122227 EXHIBIT "A"' The 'land referred to lierein is described .as follows: All -that certain real property situate in the County of OuL•te, State of California, described its follows: PARCEI, 1 : ' A part of the• Rr,ncho Aguas; Prins, according to the Official Map thcr.v,L and dca;cribcd as •follol,.s: COMMENCING at the Northwest corner of Lot q of the Flouse 31jt.- r'ivision of the Pratt Grant Number One, according to the Official Map tllc:reol' filed in tl•tc office of the Recorcler of the County Of liu'tc, State of Cali.torni.a, December 5, 19].0 in. Map book 117'1, pale 33, said Ncrttlwest corner of Lot 9 being; identical with Lhe quarter Section corns, of Section 35, To•,Inship 21 Not•th, Ranee 1 i..ast, N.ount Diahlo 1'leri.dinn, acror6JIig tc' a. certain ,nap of the Ran;.,ho quas Prias, made irl .Ju3.y 115.'76, IIy John La ('rote, ;urvr-yor, .•Ind riled •in the office of Che Recorder of ti -in C:;urlt: Uf Cu1.'to, 5 ills of calllornia,-September 25., 1876, in F101) rook 115", flake 28 (arid belnr; in I.he Soutt, 1,,.n6 of, `lection 35, according; L:; the Government Plat,;approved May 1.st, 1.867); thence_roul•h along the West line of sald J,o•t 9; a distance of 1.525.92 feet to the Township line between Townships �O and 21 Ncrth, Renee 1. [a^t, Mount Diab.lo.Basi: and Meridian: thence West along said 'ibarnship 11ne 1027.691 feet to a point-; thence North, parallel to the West line of ;.aid Lot 9, a distance of 1525.92 feet to the South line of said Section 35, according to thlit Geverruar.-oL flat approved May 16t, 1867; thence Gast, .along said South line of snid Seetir)n•-Ak1 a distance of 1021.681 reet• to the point of commencement. PANCI;I, 2: RighL of iaay (or road pl.u"poses over. the Wcst 40 fcn:' of the Suuthwr.st 'Of quarter the SriutheasL quarter of Ser-L'ion 2G fold over. the West 40 f.cc.l of tho Norther:a;t qunrter of Ser_f.ion 35 and ovrr tlla West 40 fec'_ of Lile SouLJIL';I.�;L qunrLer of Section 3G, all in Town ,hip 21 North, ' Range L, 14. gj. IS. r. M. _ JTn LE. INSU11ANI'1* AND must _ I KI,\11•,11 I •\1 II 1111 iJ 1,\ .Iu1u n. YN Butte J Iryi May 10,, 1.902 nCI VIP IIIA 16 nn11P mune.l. :. Nul,.. 1.1110 III Gull lug ♦old .L11.•.1,L.,I,IIu\ Ir11•.11 11 vICTORiA GOODRIC:•1 Zkhd I JENNI E L114M . I — 2 r_`�' T � 4nur•n la me I IV 1M Illi IKI.IIne MITI I.r 11111111' a acetII.N.Il-I 1�1111...."1.. .............. nhey I1..1..11.111 r y I Ii1 IhP `.I.IIIu In.uunu-nl nuJ 3:L,111.1cJRnIllnl 1, C A L C �; 6 c\eerleJ Ins wmle• _ = i/ " '�, JAWCr. L. SA11TH 1 N'I I NIi1S Ing hanJ and Idlicinl \col.W1 Punu: •• iln Donn i ,•; f.1.1•fr111.'IY41'm 111111. .• 1, IS. 1962Vw a....., 1,11r.Il1.Ir111I1111.1:1.1..1..1...„MIN I.I.I.IY ".OF DOC 404..T ,. � • I Tk1. nal 6, nmchl nman.l Doll . .—_ EXHIBIT "A" AP# 039-250-054 The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows:. PARCEL 1: A part of the Rancho Aguas Frias, according to the Official Map thereof and described as follows: COMMENCING at the Northwest corner of Lot 9 of the House Subdivision of the Pratt Grant Number One, according to the Official Map thereof filed in the office of the Recorder of the County of Butte, State of California, December 5, 1910 in Map Book "T', page 33, said Northwest corner of Lot 9 being identical with the quarter section comer of Section 35, Township 21 North, Range 1 East, Mount Diablo Meridian, according to a certain map of the Rancho Aguas Frias, made in July 1876, by John La Croze, surveyor, and filed in the office of the Recorder of the County of Butte, State of California, September 25, 1876, in Map Book "5" page 28 (and being in the South line of Section 35, according to he Government Plat, approved May 1St, 1867); thence South along the West line of said Lot 9, a distance of 1525.92 feet to the Township line between Townships 20 and 21 North, Range 1 East, Mount Diablo Base and Meridian; thence West along said Township line 1027.681 feet to a point; thence North, parallel to the West line of said Lot 9, a distance of 1525.92 feet to the South line of said Section 35, according to the Government Plat approved May 15t, 1867; thence East, along said South line of said Section 35, a distance of 1027.681 feet to the point of commencement. PARCEL 2: Right of way for road purposes over the West 40 feet of the Southwest quarter of the Southeast quarter of Section 26 and over the West 40 feet of the Northeast quarter of Section 35 and over the West 40 feet of the Southeast quarter of Section 35, all in Township 21 North, Range 1 East, M.D.B.& M. BUT'T'E COUNTY DEPARTTmENT ®E' PUBLIC HEALTH ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH CLEARANCE REVIEW A Clearance is a review by Environmental Health to assist the applicant in the Building Permit process by verifying compliance with the requirements of the Uniform Plumbing Code regarding minimum standards for sewage and water systems. A Clearance remains valid when: The parcel will be served by existing water and sewage systems determined by the Division to be adequate for the proposed use, or ➢ The parcel will be served by individual well and septic systems, not yet constructed, but under current, non -expired permits vroperty taennrtc tion Q Owner Name APN _ 0_3 o? 57'-0 Site Address W-34467-0111 City�J Project Type t ingle Family Residence with bedrooms ❑ Other (Describe): File Records Review Will the parcel be served by a public/community water system? ❑ Yes ,ZNo ➢ If yes, what is the name of the system? ➢ If no, is there a valid well permit on file? 12 Yes ❑ No ➢ If finalled, what was the date of the final? &A V —T_ Will the parcel be served by a public/community sewer system? ❑ Yes XNo ➢ If yes, what is the name of the system? ➢ If no, is there a valid septic permit on file? // Yes ❑ No ➢ If finalled, what was the date of the final? lU Will adequate setbacks to water or sewer systems be aintained?�C Yes ❑ No Comments """ Official Use Only Below This Line "* BUILDING DEPARTMENT: PLEASE DO NOT FINAL THE PERMIT UNTIL ENVIRONMENTAL HEALTH HAS SIGNED PART TWO OF THIS CLEARANCE. Part One: Cleara ce for uilding Permit Approval HS ate Plot Plan Attached loor Plan Attached ❑ Pt 1 Sent to DDS: (2;.doc 202 MIRA LOMA DRIVE Oroville, CA 95965 TEL: (530) 538-7282 FAX: (530) 538-2165 Part Two: Clearance for Building Permit Final C" .� ar11'ex EHS D6te ❑ Pt 2 Sent to DDS: Revision August 21, 2006' T.,AdministrationiForms!Ctearence IAIN STREET/ P.O. BOX 5364 Chico, CA 95927 TEL: (530) 891-2727 FAX: (530) 895-6512 Oroville, CA 95965 TEL: (530) 538-7281 FAX: (530) 338-7785 APPROVED Butte County Environmental Heal (/J r 0 3`— '?_(;'Q - .O S F -Tradition Series Model 7684F Bedrooms • 2Y Baths • 2,551 Square Feet o OFT ". ;-4 ENI RYA- _ - I MASTER i ri y oPr ' iBEDROOM FAMILY ROOM ,+ ATH -E-DOORS- 14•-6" x 14'-10" . -lJ- - - - I j z - I , LIVING ROOM- -+- a F/r l G. -C I 16'4"X21-2" I ... . . I WALK-IN I I •J- i i_ ISLAND CLOSET --- i i ❑❑ MORNING . 40'-0"lil 111 114 OuEsr Ill fill L--- ---- a._ KITCHEN 1. 10'-8"X12' 1-4P +4W dU39 -PLANr SHELF 7 _1 - r-� --------- - r -•-l-' - ifi _ -'E- '_ 'I • -7 vaNrRr- n BEDROOM BEDROOM DwI INING oDW/SHELF ovr. I -W i _ _ �_�z -6^x1r-s" fo-srxlr-s" AREA + _ r a 1 _-r aHD fro� — 13'-10' X 12'-8" ', , I- '-I'- 1 -I I ...." - . WALK-IN -.� - _UTILITY CLOSET. _�_ _ I— .r -... -- - ENTRANCE ON Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions •are nominal and approximated. Square footage is measured -from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retaller foi specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. TR/31/JUL05 CA '0 R) N d BUTTE COUNTY BUILDING DIVIIOU O3q_asO_ 57( a .:L O vJ � i 0 '. CA '0 R) N d BUTTE COUNTY BUILDING DIVIIOU O3q_asO_ 57( a a 0 o J t _ . Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name:., T P -A -T Lzv" r1 A.P.# o� a) _2S o _ o S Home Manufacturer: F�.£�-rw o-0�' Manufacture Year: ZQo5 Model Number / Name:_ -TR-,6� 1=n �,•, `11o<6N F Width: H o, (ft.) Length:' (ft.) FOOTINGS: Wood - pressure treated or foundation grade[l Other:[ ] SUPPORTS: Concrete block N Other:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. rier rooting sizes ana Locations SINGLE WIDE MULTI -WIDE Line1 -------------------------------------------------------------- Line 1 Line 2 Section 1 Line 2 Line1 ��--------------------------------------------------------------- Line 3 -------------------------------------------------------------- Section 2 Line 2 ---------------------------------------------------------------'� Line 4 (triple wide only) -----7----------------------- Section -3 Line 2 Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 2 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 3 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size piers: Location (from front): Minimum size piers: Location (continued): X ' O " [ 1 ] X [ 2011 Snow Load: 'Lo psf Snow. Load requirements may be obtained at http://www.upstate-ca.com/butte/butte county/ Insert AP #, view snow load in lower right corner. Line 1 Openings:. AS G i D Minimum size pier: [ ] X ] �V\ u At_ Required at each side of openings over wide. Zy,.ti titix�-M zykHg zyxti8 zy�MB zyxyg z x48 -o x�g 2yxti 'LIA% Zy�yB �x �yxyg zy y z yyg �z� 'Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering DR V4.Aw, t'►lp- 039 250 — 0 5L XJ2 Concrete System Engineer Approval State Approval MANUFACTURED HOMEIMOBTLE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED WBJBCT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS. OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS Stato of Califomia Dopattma t of HoA�nY aad Com-== Dev loPmarst OF CORES AND STANDARDS _ MaaApprarvi BU`s'i'.E COUNTY BUILDING DIVISION Page 1 of 8 0 0 0 0 i; Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems -� HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing. must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls; marriage line ridge beam. support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by^ 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. J' , <Ram> , s J * Xi2 components exceed HUD code 3280.3068 "Anchoring equipment exposed to we herg shad hav�iato,` resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of s 0 0 0 0 10 Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes'in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or'drive pan irito_ground until Ilevel .and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-3/4" Tube • LateralOtruts 1-1/2"Tube 4-#12x1" j Tek Screws Figure 1. f Nome Ana o U -Bolt & mounting Bracket J -Bolt Nut & Washer Strut (flag end) I -Beam Figure 2 - - 1�1 11. Install frame bracket clamps to 1 -beam on in . side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. r�E DOWN - ENGINEERING Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 1 -beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To.: , 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Longitudinal Strut & Hardware Kit Ground Longitudinal Hardware Kit y Ground: Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete s d 3 Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems "2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 m G x ..7 t` G _ / M I g I I g I I s t I � z t{ Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 m G x ..7 t` G _ / M 2 4 5. me 0 8. 9. 10 11 Installation of Xi2 Concrete Systems Id'entify.the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Build pier according to State, Local or Home Manufacturers guidelines. Drill two 3/8"x 3" deep .holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place. nut & washer on anchor, leave enough room for 1 to2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through. bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, � tighten wedge/anchor bolt, securing bracket to the concrete. �pa F= 'g31 .Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5, 1/2" x 2-1/2" bolt/nut provided. �_ rs Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer•provided, (Figure 1 next page) _. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together Install frame bracket clamps on I-beam on the inside of block/pier. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to. concrete bracket: Pull the frame bracket clamp with fastened st; ut outward to remove a lack. Tighten all nuts and -bolts on system. Page 5 of 8 0 Li y' O Xi2 Lateral Concrete Systems Part #59307 Includes- 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" .Part No. Length Pier Height #59013 44" . up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #.59263 (Includes 2 sets per kit- I-beam bracket, nuts, bolts.and washers) Lateral and Longitudinal Combination Part #59332 Includes- 5' Strut, Longitudinal Strut (#59364); Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figured Lone Nut & Washer Beam Clamp Bracket Xi2 Installation Placement Bea m Longitudinal Strut d of Hone �n ...........,......E � �' 1~ ...... Page 6 of 8 lJ 6i G T C a �• O %z - Concrete Longitudinal Hardware Kit d of Hone �n ...........,......E � �' 1~ ...... Page 6 of 8 lJ 6i G T C a �• O Offset Placement ' - E Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus'offset. - Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement 1 ' 1 Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' .3 Xi2 Systems" 63' - 80' 4 Xi2 Systems "2 Xi2 systems can be placed at either end of.the home. 3 d E i i T I Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems H G D>��"{' Page 7 of 8.r... m C n 0 D r O Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2. Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-18 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and. Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8. x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 j4 I'IUN U 1 4G rn I' Ltt I WUUU HUfItO VHA NU. IOU GGO OUOd r. U4 �• JIM M _ _ oIGR UK aaP7 aw WaRSO[ Or ftt1OR O CO o 1 419 CM, N uH 45- . i+, _ -- - ".11�... }.-��.. . LINEN a rC�1 V, i -=A:-- m Y W t• --------- ---------- -- OCf . ; - ♦ A c,. I • 1 �n M •Ti 'U Oi 1 a, g P z C=) 1 ��- ------ r� \ CT T .r✓ `�j ` I. K, 11 le) a II --- ----------- J • - C W A i Q N • � C 1 1 c,J �� N I� -' po - -� Ac7>riTtsEIE _ _ ENTRY -•fes `�i�[-J ncao/Aw a. C/C , NSC ImI N Ln i 2:* K a _ O � J z k ELI ax.. --f ► "� Cs m n W n W n m '• i1 ..a �e� m +1` _� an - "f. . _. ," f7 m C7 m T[x1 m 3+ m m ],• m Q _ x- IA n m x- m a co '' may. Se � c ca a csa = ,! ' ,:^ c: rt �••_ ^i. c .' ' v ,� c 1r7 .o �'�. C"i sat P' A � —t r ^-• _. ..._. - w• w W SEE INSTALLATION "UAL SUPPLEMENT 00 F C: G LA - z 4 w r� N� Ln .J��.�. • d 7-0 LA l% SEP, -13-2004 MON 01 42 PM FLEETWOOD HOMES FAX NO. 360 225 5069 1/4 - NOTES: (lour plan may be buill in on exact 6"irf(,f in)01e abOul the length oxis. Adoul sheorwaall tributary length has been thr-fcdsed per offset design configuration. .�� :i. iter.eels shall not be installed Within 30 of Tub/Shower spore. L ROOM Sq. fl. MORN. AREA 106.9 Sq. Fl. MTN r FZEE1iNOAD x 10 Typ) £ivE�Pi�PW , INC. EXECUTIVE KouES SALES LINE 7G84F�-2 SCALE: 3/16" = VA MIN. 30f LL, I Of DL PIER 112" MAX. LOADSTRIB POST WZ--1 r3 -•COPT . (LBS). ❑ Leap N4. UPLIFT tom' 1700 1 B 2 -8 33 1600 2 8 / 2'-6 3 8" 34 —► 5600 3 B 9"--4' 5 5�`i�� ,.9 5400 4 8 9'-•0 3/4' 5 c2.3_ jy.Z 5900 5 B 9'-9 5/8" 5 2 6400 6 6 10'-7 1/2` 6 4800 7 g 8'-0` 4 ___W 11SL %1),j Lam.. 2'-8 L L`� 2' 3 7700 g A B 12`-9 3/4. 12 --1 3 4v8 6 4400 9 8 7'-2 3 8' 33 4800 10A 7'-10 3/80 33 1700 11 B 2'-8" 33 4300 12 C M T- �" 34 33 6100 13 C 10'-2" 5 14 C 13'-.4 5/8' 7 (SEE ;, 2 3 _[6400 `. o I 1 �y 15' 12'-1 1/4" 6 1 L�� .'22)16 C 9'-11 3/40 - 5 '� f .- / l 0���q"17 10'-8 3/4" fi �� _ 18.05'-2 5/8' 33 71(SE BEARING STANDARD WVVDLAND -- 31 CUSTOM FLOOR PLAN # S H T 1 '`AA I3' -4"x67'-4" S 13'-4"x68'-8` Q OF 1 Otz►WN BY:. SHAUN REV OATE_. 4/12/04 TRADITION -- STOU -- 7584E P. 03 AM Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping With'Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions: are nominal and approximated. Square footage is measured trom exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. TR/31/JUL05 . iS2S i T�. COPY -of Document Recorded RECORDING REQUESTED BY: 22-Mov-20®6 2006-0061864 Has not been compared vith original BUTTE COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LEMM, LARRY E & PATRICIA BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 8783 LEMM RD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS DURHAM BUTTE CA 95938 OROVILLE BUTTE CA 95965 --CITY---'--- ——COUNTY-----S`FATE----ZIP-------- -CIT-Y--------- COUNTY--------.STATE.—ZI)' .--------•-_-- 8783 LEMM RD B06-2354 530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER DURHAM BUTTE CA 95938 11/17/2006 CITY COUNTY STATE ZIP S GNATURE G LOCAL AGENCY OFFICIAL DATE v SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME - NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD HOMES 2006 7684F MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER WAFL531AIB/C18936-TR13AC 68'8" X 40' WAS0095456/7/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL, NUMBER: 039-250-054 COPY HCD FORM 433(A) REV 8/91 :gym EXHIBIT «A'9 AP# 039-250-054 1 ' The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 1: A part of the Rancho Aguas Frias, according to the Official Map thereof and described as follows: COMMENCIN.G.,,at the Northwest corner of Lot 9, of the House Subdivision of the Pratt Grant Numbe( One, according to the Official Map thereof filed in the office of the Recorder of the County of Butte, State of California, December 5, 1910 in Map Book 7"', page 33, said Northwest comer of Lot 9 being identical with the quarter section comer of Section 35,. Township 21 North, Range 1 East, Mount Diablo Meridian, according to a certain map of the Rancho Aguas Frias, made in July 1876, by John La Croze, surveyor, and filed in the office of the .Recorder of the County of Butte, State of California, September 25, 1876, in Map Book "5n page 28 (and being in the South line of Section 35, according to he Government -------- ---- _..-Plat, approve- May 1St, -1867 ;thence South along t -he West line of-said--Lot-9;-9— ---- distance of 1525.92 feet to the Township line between Townships 20 and 21 North, Range 1- East, Mount Diablo Base and Meridian; thence West along said Township line 1027.681 feet to a point; thence North, parallel to the West line of said Lot 9, a distance of 1525.92 feet to the South line of said Section 35, according 6.the..ovemment Plat approved May 15% 1867; thence East, along - - - said--South-line of said Section 35, a distance of 1027.681 feet to the point of commencement. PARCEL 2: Right of way for road purposes over the West 40 feet of the Southwest quarter of the Southeast quarter of Section 26 and over the West 40 feet of the Northeast quarter of Section 35 and over the West 40 feet of the Southeast quarter of Section 35, all in Township 21 North, Range 1 East, M.D. B.& M. FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B06-2354 Address or location of unit: 8783 LEMM RD DURHAM CA 95938 Legal Description of Real Property: 039-250-054 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: LEMM, LARRY E & PATRICIA Owner's address:8783 LEMM RD DURHAM CA 95938 INSIGNIA OR HUD NUMBER: WAS0095456/7/8 SERIAL NUMBER OR V.I.N.: WAFL531A/B/C18936-TR13AC MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 2006 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513 . ......... ........ . ..... 411 5TH STREET WOODLAND, WA. 98674 MC# 31 Date of Manufacture HUD label No.(s) WAS 01454�570 WAS 0 `JS1/5$ wAso�5,y54 Manufacturer's Serial Number(s) and Model Unit Designation TRADITION 7684F WAFL531A18936-TR13AC WAFL531B18936-TR13 WAFL531C18936-TR13AC Design Approval by (D.A.P.I.A.) PFS CORP . This manufactured home is designed to comply with the federal manufactured home construction and safety standards in force at time of manufacture. (For additional information consult owner's manual.) The factory Installed equipment includes: "U- .04 Equipment Manufacturer Model Designation For Heating VEXAR DGAA090BDTA For Air Cooling N/A ---_------- Water Heater RHEEM 21IR40DV For Cooking WHIRLPOOL SF378LEPS Refrigerator WHIRLPOOL GS2SHEXNS Dishwasher WHIRLPOOL DU915PWPS Microwave WHIRLPOOL GT4175SPS Garbage Disposal AtoN/ittey�/ g/p,rL Smoke Alarm FIRER 4618-10 HOME CONSTRUCTED FOR X ZONE I ZONE II ZONE -III EXP. "D" This home has not been designed for the higher wind pressure and anchoring provisions required for ocean/coastal areas and should not be located within 1500' of the coastline in Wind Zones II and III, unless the home and its anchoring and foundation system have been designed for the increased requirements specified for Exposure D in ANSI/ASCE 7 - 88. This home has ( ) has not (X) been equipped with storm shutters or other protective coverings for windows and exterior door openings. For homes designed to be located in Wind Zones II and III, which have not been provided with shutters or equivalent covering devices, it is strongly recommended that the home be made ready to be equipped with these devices in acoordance.with the method recommended in manufacturers printed instructions. Design roof load zone map: North 40 psf X South 20 psf X Middle 30 psf Other COMFORT HEATING This manufactured home has been thermally insulated to conform with the requirements of the federal manufactured home construction and safety standards for all locations within Uo value Zone 1, 2 , 3 . (See map at bottom) Heating equipment manufacturer and model (See list at left). The listed healing equipment has the capacity to maintain an average 70 degrees Fahrenheit temperature in this home at outdoor temperatures of -28 degrees Fahrenheit To maximize furnace operating economy, and to conserve energy, it is recommended that this home be installed where the outdoor winter design temperature (97 1/2%) is not higher than 1 AC degrees Fahrenheit. The above information has been calculated assuming a maximum wind velocity of mph at standard atmospheric pressure. COMFORT COOLING Air conditioner provided at factory (Alternate 1) Air conditioner manufacturer and model (see list at left). Certified capacity B.T.U./hour in accordance with the appropriate air conditioning and refrigeration institute standards. The central air conditioning system provided in this home has been sized assuring an or of the front (hitch end) of the home facing On this basis the system is designed to Maintain an indoor temperature of 75°F when outdoor temperatures are IF dry bulb and IF wet bulb. The temperature to which this home can be cooled will change depending upon the amount of exposure of the windows of this home to the sun's radiant heat. Therefore, the home's heat gains will vary dependent upon its orientation to the sun and any permanent shading provided. Information concerning the calculation of cooling loads at various locations, window exposures and shadings are provided in Chapter 22 of the 1989 edition of the ASHRAE Handbook of Fundamentals. Information necessary to calculate cooling loads at various locations and orientations is provided in the special comfort cooling information provided with this home. 11 Air conditioner not provided at factory (Alternate II) The air distribution system of this home is suitable for the installation of central air conditioning. The supply air distribution system installed in this home is sized for a manufactured home central air conditioningsystem of u to 6 8, 7 0 0 Ys P B.T.U. /hr, rated capacity which are certified in accordance with the appropriate air conditioning and refrigeration institute standards, when the air circulators of such air conditioners are rated at 0.3 inch water column static pressure or greater for the cooling air delivered to the manufactured home supply air duct system. Information necessary to calculate cooling loads at various locations and orientations is provided in the special comfort cooling information provided with this manufactured home. To determine the required capacity of equipment to coot a home efficiently and economically, a cooling load (heat gain) calculation is required. The cooling load is dependent on the orientation, location and the structure of the home. Central air conditioners operate most efficiently and provide the greatest comfort when their capacity closely approximates the calculated cooling load. Each home's air conditioner should be sized in accordance with Chapter 22 of the American Society of Heating, Refrigerating and Air Conditioning Engineers (ASHRAE) Handbook of Fundamentals 1989 edition,. once the location and orientation are known. INFORMATION PROVIDED BY THE MANUFACTURER NECESSARY TO CALCULATE SENSIBLE HEAT GAIN Walls (without windows and doors) .................................... . U- .06 Ceiling and roofs of light color .......................................... U. .03 Ceilings and roofs of dark color ....................................... U. .03 11 Floors ........................................................................ "U- .04 Air ducts in Floor........................................................... "U- .14 Air ducts in ceiling.......'.................................................. U. . 21 Air ducts installed outside the home ................................. .U" .23 The following are the duct areas in this home: Air ducts in Floor........................................................... 173 . seq. ft. Air ducts in ceiling ......................... .................................. . - - - - -sq. ft. Air ducts outside the home .................................. 12 5. 6sq, ft, U/O VALUE ZONE MAP WA MT Np NH l� VT ME MN OR ID UU1 SO WI C NY MA \ MI RI NV NE IA PA CT UT co IL IN OH NJ SC; ZONES U -VALUES 1 AL , GA i'.'. AK 1t 7X > LAS. MS `' 0.116 'FL 10.096 HI 3 -� 0.079 BUILDING DIVISION - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 0� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL O. n � 0 2 e 0� ZONING CJ OWNER ,•.J� � ... l) PHONE NO: S ` 077 �p OWNER'S ADDRESS � 7 /I�� �� � �� �� � (�� LOCATION OF BUILDING —2 g 3 , wm t e rfilo c -A, ? 5wi USE OF BUILDING f 6 [s SIZE OF STRUCTURE SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDINGi t'I ROOF C, OVEFjING �� f� `�'T7C FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $'a -s"000 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: o / � FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupanc Lt Date Signature of Owner Permit Fee -$109.98 Receipt No. V_ 11 White — DPW, Yellow — Assessor, Pink — B. The above described AG Buildinq is exe Manager Buildin Division / /��U BY Date S" G D �l � I., Goldenrod —Applicant COUNTY OF'BUTTE DEPARTMENT OF PUBLIC WORKS .1 COUNTY_ CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCURNCY This mobilehome has been installed in accordance �w' ith.the requirerlents of the �j lifo i inistrative Code,_Title 25, Chapter 5, under permit number. / for the' ollowiih-g" location: .Owner- Owner's wner Owner's Address Mobilehome Mfg. 1-4.1 Model Year Insignia No. lBB � 4 -? 7 r. S- 7 7. *7 (. 7,1" Serial No. It is hereby certified for occupancy at the above described location and may be occupied. (' Director of bli orks Date a"Z ¢ By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF'PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirei-jents of the California Administrative Code, Title 25, Chapter 51 under permit number. }� for the ollowing location: W 611 .,,�, �2� 39--` , Owner, Owner's Address .f1' Mobilehome Mfg. L f i" Model Year Insignia No. -?qs-7), %G_, %-)— Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Publ;�c Works Date ���-/� �% By— THIS y THIS CERTIFICATE IS :VOID WHEN MOBILEHOME IS RELOCATED , White - Own'er, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF'PUBLIC WORKS 7 COUNTY CENTER DRIVE Z OROVILLE, CALIF. - 534-4541 V, CERTIFICATE -OF OCCUPANCY 'J This mobilehome has been installed in accordance with the requirements of the California dministrative Code, Title'125, Chapter 5, under permit number_ for the ollowing location: 1� YAA ft4- AP 3L s ` u Owner �//li-s►�+.�b1 s��Cwvvrw Owner's- Address - -- � Mobilehome Mfg. Model Year Insignia No. V 7i. 7L,. 7i" Serial No. It is hereby certified for occupancy at the above described location and may be occupied. 1 )Director ofPub lic Y Works Date '% '`'�� f` B 4 �' ;JJ;11�, THIS CERTIFICATE ISjVOID WHEN OBILEHOME{IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PU`PLIC WORKS, 196 Memorial Way, Chico —Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector_,_ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION` NOTICE A routine inspection indicates thqj&thiAj2L1owingtviolations of County Ordinance exist at the above address and'ifioul'dW corrected. Please notify this office when correction of work is completed. If you have any auestion aertainina to this Inspector_ __ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORK9 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or, need additional explanation, please contact this office immediately. Inspector—, i Date • � r PERMIT NO. ( 1683-84PEMH) PERMIT EXPIRES + OWNER LARRY LEMM • �` �' y. 5 CONTR. owner (. ASSESSOR PARCEL 39—:5-14 LOCATION E /S pri rd, k, mi S Burdick Rd, i mi E ' Troxel Rd, Durham «��� 0 A E ' u 4 � `OF:FICE COPY r Address I GAS r,, t Meter By Date `t+ air ELECTRI Meter By nat �I Temp. Power Pole Called PG&E Temp. Elec. Service y Called PG&E l-/�S a Temp. Gas Service 4. Called PG&E JOB FINALED (Date) ki l Signature 4 `, t = OK i 0 = Not OKI f �. .. — = Not Applicable MOBILEHOMES 111 MISCELLANEOUS * = Not Ready Date MOBIL OME UTILITIES (P49s) OK except a's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's oning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements 142011,; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors VSewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 6;-05—ter; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing le ' ity; Location—Clearances—Grnd.—/,Zj�p Amp—Concrete 5, Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures a �Qadrio / /"L"ft./ /"Nat.or/ 'L"ft./ "LPG 6. Carports; Windows—Doors _jXtility Clearance 7. Elec. Card- Date —'/T Card -BI Date ;Card -BI Date Card -BI Date C BIate and -BI Date Card -BI Date Card -BI Date ate MOBI EHOME INSTALLA ION (Plans) OK except a's Date POOLS (Plans) OK except N's Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements bOlFootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—D uaI've Con'eeMr 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MHT ro rs—Br s—CIOUV"s 4. Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test—Fall—Flex Connector + 5. Elec.; Pool Lighting; 15 volts—GFI ter; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater CIE'Aas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane lboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10 Cert. of Occupancy t 9. Health Department Approval a 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 1 z�3� J = OK 0 = Not OK SP Not Applicable' * = Not Ready r, RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1.Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11.Electric; Underground 12.Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes [-]No: Walks ❑ Yes ❑ No; Planters El Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time youvisit jobsite) _COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ,1i 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 " '.. APPLICATION AND PERMIT PERMIT NO. SSESSOR PARCEL NUMBER 3 ZO ING 0 -�(2 BUILDING PERMIT OWNERT yE PNE^o� SO. FT. OCC. BUILDING VALUATION OWNER'S / I GADDR S� -i�/ CONTRAC OR'S AME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION � LENDER /Y ,AtA- UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER SE NO. Plan Checking Fee $ r 100 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , Q BUILDINGADD ESS . S 2 J , PLUMBING PERMIT Filing Fee 10.00 �t1 I,I,L�, Each Trap 2.00 Solar Water Heater 20.00 r tw Water piping 5.00 LOT NO. SUBDIVISION NAME ____JPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome0a Other SPECIFY Building sewer 5.00 Mobile Home S G TW 1 110-00 e TYPE OF WORK ,.New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: /�>✓:6�- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10001 OR 0 AMP ORLESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAWNEW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness and Professions Code and my license is in full force and effect. ,( License No, Classification lYl I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONSTR ULT"OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEWCONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp�OUTLETS OR FIXTURES 20®80C BAL®30 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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. 4agreeACPlJsave, indemnify d keep harmless the County of Butte against c and expenses which may in any way accrue�/un ' co ence of the granting of this permit. Date J cant — Own erJQ. Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE OF CONST. PARCEL PD HD 155D�,udgments, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for whic DIRECTOR OF P LIC BY —J PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date oma® Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT M BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 A MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: fC= 3. .Is the site currently under permit? Yes / / No (If yes, furnish permit number- ) OR. Is the site an existing site? Yes I / No / / (If yes, furnish two (2) plot plans.) 40, Will the mobilehome 'be located at least 5 ft. away from septic tank and leach fields and clear of. all setbacks and easements? Yes % No ( If no, clarify ) 5. _What is the mobilehome electrical rating? ----------------------- 0 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 4/06 Amps 8. Is there any other electric,load to be served by the mobilehome siteservice? ----------------------------------------------------- ..�; Yes No (If .yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------=------ (in.) 10. What is the type of gas service? ----------------------------- Natural 7-7 -,—LPG /7/ 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA I other than single wide, Mobilehome Mfr.Ce�2 furnish Setup Model No. — Year 79 Width y (ft.) Box Length lab (ft.) - Tagalong o de Size --ft. x�� ,ft. T •• (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) (ft.) (in. -4 (in.W in.) *If"cen.ter plera_are other than drawn above, "- • and dimensions. draw in •locatiobs, spacing, Max. Overhang BUTTE CGUN Y BUILDING DEPARTMENT APPROVED • Single 1'. Wood either A A pressure treated or foundation grade. (it.)(in.) ` (in.) (in.) U1.110 2. Other: (specify) Center support 3 Center support Supports (check one) locations* w footing sizes (in.) jam' 1, Concrete block. [:]..2i Other. (specify) (in.) (in.) 1 24X so w <-----Tagalong or Expando,' show support details. (in.) 12 x -30-- Typical Support .� (in.) (in.) Footing Size b 2 XSo (in.) (in.) , Max. Pier Spacing (ft.) (in. -4 (in.W in.) *If"cen.ter plera_are other than drawn above, "- • and dimensions. draw in •locatiobs, spacing, Max. Overhang BUTTE CGUN Y BUILDING DEPARTMENT APPROVED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califgrnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. Aft3 ASSESSOR PARCEL NUMBER 3 ZONING BUILDING PERMIT OWNER T L PHONE S- OW ER'S MAILING ADDRESS Fi SQ. FT. OCC.1 BUILDING V N CONTRACTOR'SNA TEL HONE toW CONTRACTOR'S MAILING -ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS A44U-ems Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ '\ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ,p S� PLUMBING PERMIT Filing Fee 10.00 gAafry7 , ' Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO., sueDlvlslo,rq NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome� Other SPECIFY Building sewer 5.00 Mobile Home I S1 G W 110-00e 0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities�C��-�-` Installation ❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 0V OR LE 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. t 2/2PSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ` License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR /POWER APPARATUS & NON•R ESI D. (SINGLE OUTLET CIR. Ex. Occu 20e50Q P�o OR FIXTURES 6AL@30 FIXED A FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 j Misc. Wiring 15.00 / A jO,i6o Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil' s, judgments, costs, and expenses which may in any way accrue against County in cons nce of the granting of this permit. C`:) Datesions Signature o pplicant — OwnerIV Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ TOTAL PERMIT FEE $ , OCCUP, GROUP I TYPE OF CONST. i/ PARCE PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or work indicated above for which DIRE R ,QF BLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �" -S Receipt No. S d WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Rett tai DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFFICIAL RECORDS FOR RESIDENTIAL DEVELOPMENT OUTTE COUNTY-GA1.11' . . aer,Of208 �tEnUF.S7E^ :i': "'`Section 26-8.1 of the Butte County Code requires this acknowledgement , �g ATM1 ISH be recorded prior to issuance of a building permit. MA20 QP' 9jil! The property described herein is adjacent to land or included CLERK1' P P Y � L'IfRK within an area zoned for agricultural'purposes,'and residents of `--1 this property may be subject to inconveniences or discomfort arising g��—z�16J'c�,�i FFE from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: _S,-: c- ftT7AC4led 10 PROPERTY OWNERS: State of (A 2n)-tq) On this the c_�_ day of Q SS. before me, the undersigned Notary PublIF, personally County of au+4 C ) appeared L. A"I 1..E On ►,q "';� r;� ��:•/ ;, known to me to be the person(s) whose name(s) ;•':'._.j subscribed to the within instrument and acknowledged ;. �;,, (7 P, C.iiiif � executed the ' same for the purposes that F7 _mmissS; , c ;I;? e; itgy 3.1933 U therein cont ned . `2 °° G a© 9 a n a 0 E o M e a V 0 U a a 0 M n 5J IN WITNESS WHEREOF, I hereunto set my ; hand and official laaaaansassassaanaaassama® seal. I ' LAURIE JEAN LOOFBOURROW i -m NOTARY PUBLIC -CALIFORNIA j sults County a MyComml,,onExpimsmay 3.1fl88 a Notary PuM is ®®B asMamamam" awNrIM[2Ma a 17 Present A.P. NO Y t✓ % y. 1 Z' . .. r. • . ' 1:^.°l r r .lN }.1 .±;:.�' �' .k�t� 1'i1 .1�: i1! f.. Yl; -.l . rtY �. l y Wit.. f q 5 . �,''- 7% %ftw -Y .1. u; iP'7'jo- ��:�'', t%, i ..^. .(ci .dl �t�r�n �.- .,y•p' h .11Y �. rl r " •5 ' • t , +• r , . ' �r) �,. '� d,f� Ft t iS♦�f 1 f " 5 i T t { .' " .'1 0 '1 ., . ../� ".. p]� sf'/f, ~ ' � i• ✓ � it • � i � ..•,ty ti 5 �. .Y �+"j,F �,�,��.,f�tt rt-' � .'{'�,}� ^'. r ` , 1•,f i �.�. .y , �:' 7 +� y' �k{�1i•; stir .}�.t rr�.Va ` I�.{��{1�K"�•`�♦i 4:. �• {7�#rte � '♦i11�ll"S4 • � i t "� t"y +•1 ��� , !'�• •:,'• • � .�t j ' G'I,t � {�! '1P't �` f ya � + �L� i!a•� 1 '.i � 4 .r. �,r1,~,�^� h .�('�iY' l "� �:' ;tR.. _ i ��,� - i ;t �+ •� s ♦; f " • `, � Y � � ' ;, r�' ;. i{ shy >ti y s "� r �„• 1 %r' , r' � r ? x,�� yl ��. , f1ti• 11 1 t F y,'•' v .q fYfY1r r}L+r t �,, r" tir { ti�"i. v"1 V ,�� Tt aTi ,y�y e " yGa ., 'A f � { .. 1 /' :, t f`� ♦ r ,� ♦ 1 ,t •a "� f"� rl rMa .r .+„•�f -.i�,f tt 1 �.ctgl ti y'i aF+X,:.: =Myp:�Af T IFS:• i l�,!*i u .�.,Li K t". , .'aG,�fit M ltle .:r,.f'�"', 11 y t.x.. ra ♦{3}(f ,., rk «.+lAty }'• .. 0, ,.� fr:4 'icy f•'F,.t ,+,1tn,.� f Y, O*rdor No. , 2.122227 The land ro ' •�� , y ter"4 to heroin is described as follow 3 f; All that oartain real property situate in the County of Sotto; State'of " ;. California', described as follows: , f{ FARCES. 1 a Al ;•r . A part of the Rancho Aquas Frias, according to the Official Map, thereof and described as followal COMMUNO at the Northwest corner of Lot 9 of the Sones Sub- division of the Pratt Grant mer One; aocording to the Official Map thereof filed in the office of the Recorder of the County Of Putts, State of California,•D000mber'91 1910 in Map Book h7at Page 33s aa.ld Northwest cornor of Lot 9 being identical with the quarter saotion corner'of Section 35# Tovnsbip 21 North, ate 1 Basta Mount Diablo Meridian, according to a certain �D o! the Rancho Aguas Frias, Made -In 3'elyr. 6 ' by John La Grose, surveoyyoor, •aad filed in the offieii; of the io er' of the county o! Aatte, State Of Caa•ifornia Se tember 25r ��+78, in No Pock "S", age 28 (and being in ho oath line of Section 5i•according to the Goaerament Plat, proved May lot$ 1867) , ! South along the hest line of Baic1 Ut 99 a diotance of ,1$25.- feet to the Township line betTroen Townships 20 sad 21 West 0-1 Bast, Mount DiabloBase and Meridianthence ng said Tpanship line 1027'.681 feet to a Volint; thence North "alloI to the West line of 'Bald Lot 9 a distence. Of 1si?9? toot to the South line of Bald 6ectlon 359'according to the ©ovarmant Plat approved Nom' 1st 1867• thence East - along said South litre of said 800tian 3"L a d1stance of 107.681 fent to the point of 00=0ncoaent . M1e"t of Way for roes purpones over the Nest 40 feet of the Southwest cZ'titer Qf.that Fodtlh:�a.ct quarter'of Section 26 and over the Nest 40 2t. 0f U@0 [iOrthdobt quarter of section 35 and over the Deet 40 feet nL` 4A" S6uA,110046 gUktttr of Section 35, all in Township 21 Borth, Range �n err, c: foxy • j r • .�' Fita'�hti:=:� j 1 mL111 � ' '>: A r`i CF C?kSI''1:•^.w�tt3A ce�ta��w _bCidit *A,ft 4 NMI7 hblk bond hR O&W —......�..•—..—.vim.. rurrr.r�.. ..ri�rS�•��.1'.F� — u M : ;. g:tt:^'A ..�, vlt°;ti' t" •eek. -4i . �'��•!tl....��IY.�C t,HGir.v b'xkwa-z. Pe anya!;^.Ctf``�{!1l�i'* �'rL� � orV1C1AL i tAL et (Q ".a 6 R,► :'sn : . SANK! L Wfl'N ( Fil,rN= ■.,' Iy�f..Y'.R 1 cAr `Li yrs 1. 1 11 000V um .. MUIA wr0-1 4.0 ' • :�%- W- Tr aced —oft agor.,-.....'Mc•V try. "�.•.`.;i'.!c?t: '=:z•«�;. ._, �.....,:.r:..an.•t:�w. _.. ._.---_. ..__ __�__._._... ....«W »Fltw...n.•wvn� i$j•, tar 1 � r.i w '., ♦t �; 4j,Sv a •�� �j •�.d1i,•iyiv^f.Lt1'1�'iS'fTtr��rrsit'i6�aY��.iti}fir �l iC'u3i•`..Y.7 •ia" 7M.'•.af :9@►r.•.ir'r OOV" A ?.. 'A d f. A Y' •'r1 a '} ri`K I g�4fvj ........................................:...................:...I...............:.......... .... / ....._ .._.,........... . 0�,..............._....._............._........_ 0 T Assessor's Parcel Number: 0 0 — 0 — a o a Scale: 1" _— �, �� Owner Name Address / Phone No. Site Location Contact: Name Phone bg 2 0cwbsr L'., 3703 i Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR.ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: ....................................................... ... ............ ........ : ...... : ............. : .................................... Assessors Parcel Number: K N M — 0 K 0 — l Fs Scale: 1" _ _O)ON P OwnerName -Address / Phone No.Site Location `b � f-�„^^ get- bg°�2 Contact: Name Phone odoberxt,2033 1- I PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: A setback of )5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except! -4 _'.1vor, overhang. 0 A permit will be required for the installation of the rugbilehome. Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. W"TE COUNTY OUILDING DEPARTMENT - A APPROVED 31_:.5-` A RRA 0 'Thu f icatiforts MUST L)e "t'6f plan and sped S unlawful tC' on the job at �11 time and itis ept make any than es or alterations on same with-]� out w ritten permission from the Department of � JI ,. 4 PublicWorks, County of Butte. r) NOTE.—All Materials & Workmanship Shat! be in %b27GC61 Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. A setback of )5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except! -4 _'.1vor, overhang. 0 A permit will be required for the installation of the rugbilehome. Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. W"TE COUNTY OUILDING DEPARTMENT - A APPROVED 31_:.5-` A RRA