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HomeMy WebLinkAbout040-170-106+oma --,_ - _. _-:::F.• - _ - � �-- _ - -ti ,(9493 Lott;=`Rd;, ELWr -GA ` COMPACTION TEST -. RE, o -J ` SUPPORT STRUCT'RE ' 40-17-106 Permit 1112-91M (installation 5i.� - • :040=170-106.. ,;, ,U-)-2566 'MILLER, z 'MILLER, CARL r ; 9493 1OTT RD; DURHAM ' rr Cont: O WNER `t , M/H PERM,FND •(NEW);�r �t lw� ," t , 01 { v + i r 1 i i I l • x- �? + � � ik i9k-Wi ,r ,00e ' Prioi ?d Nh wide tach 2 to cr, ee wE" fail re Jdre: nf:f) y ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Randy Miller FROM: Paul McIntosh, Interim Director DATE: 08/23/05 FILE #: ADM 06-04 PURPOSE: Administrative Permit for Randy Miller on APN 040-170-106 for a temporary second dwelling to be located approximately 1150 feet north of Durham Dayton Hwy on west side of Lott Road., on property, zoned A-10 (Agricultural, 10 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Randy Miller. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. No rent is to be charged to the occupant of the mobile home. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. The mobile home shall be vacated upon expiration, or revocation., of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. k�ul �6 Permittee Signature y Date Pete Calarco Date Assistant Director 04/17/2007 11:42 FAX 530 898 0459 CONS LN SPECLST y DURHAM, 0001/001 Location Map Rjor- .I2 0.7 •08:231b. :.;•r:".... ::"r•:.::;;. •• tt►DlitlCYk.4TRAT1vE-PERNUT for TEMPOPARY MOBILE AOMR (Aunt A l%nl@) FROM: Paul MduioO, Interim Dhvx ar FILE W. PURPOSE: P PE11M1T REQUW1%9I!'n, 'Appro4tii ;Cor:s tetslpti rw --Secsrtid d llitig is saki following rtx*ei =ectbs: � 1. A mobile bomccrbfiedurAertbo L9T4-Netioettil.Mobik He me Cunsouct)trrr•lind ACL Ot:cupa�ty Oft]60 mbaile baengshall be l5nrQto (rune I Ete� 'Art a9idavit remti"o:^.al►ipefH>c?trrohtt par:ieatvsssttlitiiitttdta-til:tbapermitepplictttitm; Nd real is to ba ci3atged to the (xxztpaea of mobile hoine. , e, t 6i 3. 7be oo°epwaty mobile mus: meet die•Bune County Ea:,11nanriu pep rrvnenrtktr�crtestStKster supply and sawagc dtspossi: 17be graotirg of.Chis - smoveitsc.equirelnrat:ofabtain�gthes{iptapriatapemits�'ornother•Di�irions. - A•.syriicts. The sitittgof the mobile hoses shall iso "dmiKfirrnt the•site rgaitonientsAf�ha district. eroetpt es reamed sy iiutte CbtintyCode Chapter 24, ar dtaa Bunte Con ,s - 28A. 5 The mobile }tore is dedarrd to boa tcmporav usaar. ihnpropeM, eeecsxvy m.ibc•gr?mary unit, - and sh8)l not 11e placed an it pa, ansm,Cfopndation. Addaionally, a,twa posey, titobilehonae•shall not be permitted on a let or pm.el Aitere deem is tat approved Sczond Unit. 6. Tba pest it Nhai l be grerved for ti tern of ryas years, EX10miti 9 of the =m;E r the•Peiudi, DrA exceeding one year fbr eadt extension; may be gttarued lFthe application for Ike'-0dartsinn it 51ed with the Pluming Division within 60 caicnear days prior w the data of e*irdion. .. The mobile ittutte shall be t•tsutied upea two-whon, ar 1`c*tnjusad'tmaoved within uaa h'vnttted twww (120) Gays aft vg4n&= ofing PenTrii. Iilt Ls riot ranovi within ore htmdn:d twcrty (120) days, rite Comity d:all raw*rts-ftid mobilo htarni are i'Are it aT d�,- owncea rJtptsrsv. ' 8. 'ihe Perotit maybe rtrroked if my of1he textus air conditicrrottbe'Peemy are violated, or if oily s;-ts or orrLu.Qts of rhe perntim*. in connection Hith the u,r xii0xvized by said Pattait, :atehtre a public nuisance. 9. •ilii: appliqota must maintabt abond crdeposit-in the amoutir of $1,500 for a siit -wido noble )ttrrue at 32,000 for a tk-cbL di' mobAo hcmc PerrttitteeS.gaak:.r< ---^ mate _ eaeCalara Assismat Director T ' o e Burne Comity A-panment ofDemlopment.9enires e e e � Him MAP.LOC —'TOTAL for Windows' appralsai software by a b mode, Inc. —1-800-ALAMODE Butte County Department ofDevelopmentServices Paul McIntosh, Interim Director www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING 'PLANNING August 31, 2005 Randy Miller 9493 Lott Road Durham, CA 95938 CERTIFIED MAIL Re: Administrative Permit, ADM 06-04 . APN 040-170-106 Dear Randy Miller: Enclosed is your validated Administrative Permit No. ADM 06-04 to allow a temporary mobile home on property zoned A-10 (Agricultural, 10 -acre parcels). The property is located approximately 1150 feet north of Durham Dayton Hwy on west side of Lott Road.. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Sherry Viernes Office Specialist, Senior Enc. cc: Land Development Division (g) Building Division (y) Environmental Health (p) Department of Forestry (gld) GIS (vi) ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Randy .Miller FROM: Paul McIntosh, Interim Director DATE: 08/23/05 FILE #: ADM 06-04 PURPOSE: Administrative Permit for Randy Miller on APN 040-170-106 for a temporary second dwelling to be located approximately 1150 feet north of Durham Dayton Hwy on west side of Lott Road., on property zoned A-10 (Agricultural, 10 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Randy Miller. An affidavit attesting to the relationship of the involved parties was submitted with the permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The- siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration; or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the terms or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a single -wide mobile home or $2,000 for a double -wide mobile home. c �- Permitte Signature Date ete Calarco Date Assistant Director 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 LICENSED CONTRACTORS DECLARATION. I hereby affirm under penalty of perjury that 'I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or stie did not build or improve for the purpose of sale.). (� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves the and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Business and Professions Code Date: b: ?--osowner. Z -Vs T JnA1 fV-" WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: , Carrier. Policy #: 0 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: to Applicant: JAAA WARNING: Failure to secure' workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for tin Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this.permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP052566- Issued Date: 10/17/2005 APN: 040-170-106-000 Site Address: 9491 LOTT RD. DUR Map Index: Description: new mh, tie downs, adm permit #06-04 Owner: MILLER, CARL AND VIOLET 9493 LOTT RD. DURHAM, CA. 95938 Applicant: MILLER, CARL AND VIOLET 9493 LOTT RD. DURHAM, CA. 95938 Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: This permit is t r w, issued Resolutio o do work inf3i ed By: PERMIT EXPIRES ON: S.F. tt so ^ Gd provisions of the Butte Cnunty Code enrt/Or fees have been paid. IL4111:1­1 Date: --/'7- 0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all'county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned properly for inspection purpose Print Name: �v� �9 �-1 \M 1. \ 2 Signature: Date: O Owner O Contractor d Agent for Owner O Agent for Contractor FA BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 C S� OFFICE 9: (530) 538-7541 A FEE WILL BE REOUIRED AT TIME OFAPPLICA TION BIN # Website: www.buttecounty.net/dds *PLEASE PRINT CLEARLY** APPLICANT NAME OWNER Last Name ow�L Firs Name Addres _ LD ff e_ b Ci tiy State Stat eC Zip., a Fax Ot 7� 3 S 6 _ Class Fax Ao,n e— E-mail APPLICANT NAME CONTRACTOR Name ow�L Address Lo D City' u_ Vz .r-- State Z' Phone3 — &,7 8 Fax E-mail Pla er z�S Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Cppiit Address Zsgs�� City Fax b 'e State Zip Phone p Book Fax E-mail Pla er z�S State License Number APPLICANT NAME NameGt , Address 0 Cppiit Stats Zsgs�� ;Zrb 3 _g Fax b 'e E-mail APPLICANT SIGNATURE X For office use only: Zoning — (' 1 Flood Zone Cross Street w— Cn e� ln7 SRA I Yes No Occ. Type Const. Subdivision Name-/ M 4�I� .Lrf eN p Book Page 6� Lot # Pla er z�S Date Approved: c9 - 2 - OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP#oyc - /%d" %[% Property Address 1- L6f t 2 t . City LA Cross Street w— Cn e� ln7 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: NL--- W 77, � F Pow11d Sq. Footage / Z O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: 1� v/ Bldg SRA Receipt #: 0112,7/ Sheriff SMIP � (�� Other Date: " v q L� Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor. Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only. be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION I \, KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: l �� - ASSESSOR PARCEL NUMBER 040' (10 Wft Proposed Building Use: _ � MOA 66,A Arj Permit Technician: Date: g�� Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orde t apply. IAJ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ` ❑ 6. Energy compliance design and supporting documentation in duplicate. O 7. Statement of Intent for No hepted-an� , d NC for Noon Residential -Buildings / N 8. Manufactured.homes:(Af-lnstaliation-manual,mcludinq-marria a me mfo; (M -Floor Plan. (D) Tie down or fnd Dlans. all in duplicate. v ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate! (D) Floor plans in triplicate. All of these must be stamped and,wet,-signed byathe•eragineer.- a % •� 73T cam.. / � 41- T 10. Flood Elevation Certificate, wet -stamped and signed, in du�licate. O 11. Letter of intent fog non-residential' buildirigs ❑ 12. Hazardous Material Form ,l t� 13. Acknowledgement of building permit application without required clearances. ❑ : 14. Other maining items needed to.issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers ...................................................................... Vie.................. ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner/Sent by Cl 18. Soils Report and/or Engineered Foundation required ........................................... 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet ...................::.'....... �- ❑ 21. City of Chico Plumbing permit.................................................................:...... ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry Ian approval ❑ paid. Sent by: 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Checki�........ fOIZUS 25. Contact Land Development about _ Improvements, _ Drainage: ....................... /(J 26. NPDES Form ... :.................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classificat.ion)................... ❑ 29. Worker's Compensation Carrier and Policy Number...' :...................................... �! 1 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. . ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction..........................................................::.............................. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 1`t� 3G/3- 81-7 S and hold for pickup. Cel I ----v Z2$ -2'103 I have been informed of the above items and requirements for obtaining a building permit., Applicant: A�"" Date: T-L),)`o 1. Index permit application for (he above items numbered: 3� Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: a Plans approved by: Date: Structural reviewed by: Date: Structural approved by Date: Note transfer by: Dat . Yellow: Building, Division 0 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER //V ( a4t 72— PR RO 7 BUILDING PROPROBUILDING USE /ULA `T I t'� �U►��5 1. BUILDING PERMIT FEES -- Balance Due ..................... $ Z EMA Flood elevation review ... $_ "j C) ditional plan checking Fee.... $ SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) A.P. # 01-lb—'I���/'—1 �v DATE 67-2,2--0 5— RECEIPT # I0/3/o5 3. SHERIFF FEES (paid at Building Division) Comm -ial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. PQId 4. RECREATION DISTRICT FEES 10 0 (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATE ER FEES BATTALION # .00 (paid at BuildingD' ision) 8. SMI3' 9. DRAINAGE FEE 10. OTHER 11. OTHER DATE REC. q 2eZ-o!�_ At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) Val V BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT .(FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND'PARK DISTRICT (PRPD) DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) &7 Yo - 1-70-106 Building Permit Number 131>05 2� 6 Property Owner (s) J/i/l 1 Project Location /Address LJ y Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling l/ Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) �rified by Building Department Comments: /I/L W /y10J�/GLs/7�isr'/� �//✓%N�INNl� — %���% ��p--(� Bui 'ng Departmen Representative , Date ❑ FRRPD Cl -CARD ❑ PRPD OKDRPD certifies that: art 1� liec X43-LogFi Applicant Name Phone Number n1 1/3f2 I „1L P'I Tll�r.rhArYl (1 ing Address City. Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. 0 LA - (U -1 by Payment of - Dwelling Units @ $ per unit for a total of $ 1, H q 2 , Square Feet @ $ ) . '-1 ( per sq foot for a total of $ Z , It Remarks: Paid by Check No: Paid by Cash, Receipt No: 2-2gy j on and Park District s . ,..-.......,,,,,,, ,-.n„-. rn01AC%. —A.--, fnr rev I'doc • Date BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Pllalyo Building Department No. P10 S- 2. a (j O OL/O- i70 - b A.P. Number / Jurisdiction: City ©County Property Owner IM ' I (— L 6 -� / > C,0 77— / `'/ Property Location/Address • ►/ Subdivision Lot No. Residential Development Q ..................................................................................... Q l.� Q Sq. Footage / / No of Living Mobile Home Addition/ *Supplemental to.. (Group. R) �1 Units Installation Conversion Permit # N (-W r' �Avfv—rw I""I -- ........................................................................................ '(No' foundation inspection) )>BOG—P L% Deed Restricted Sq. Footage (Attach a signed copy Deed Restriction Notice of Limited Use Facility document), A ro of and Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification No. School District certifies that M I e r , P19 n2) (Applicant) L 8L8 -�7b3 gi4R 3 Lo H kJ ,V 3�3-8g�5 (Street Address) f .(Phone Number) �u�er-(gym CR �I5�3� (City) (State) (Zip Code) has complied with the requirements of Resolution No. 0 7 — / P, by payment of $ representing / q q square feet. B 2926 $ IVULL MITIGATION $ School District Representative Date Paid by Check # A11A Remarks: f— S Wo i r&r7> — -E7i(p A4.14 "&rr t 1V Inn le- " 5e e- r Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District. In coinpliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing thhi Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project Is being revlewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on On school district's schools. White (school district), Yellow (building department), Pink (applicant) feefonn.xis (3M5)drinm qy 3 Z-Or7-OU �. lho?,01 C4 .`. V�:E: 4. i�['�j�1,:)`i ' :I .lti�.� 'li j:j:n.•fC:� �i.l,a_.�i.f.i .. .t: rr':;°/•_ ,�yr i_ �. — Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I p tonally plan to provide the major labor and material for construction of this proposed property improvement: 'YES K] NO[ E] ]. 2. I HAVHAVE NOT [/].signed an application for a building permit for the proposed work. / \ 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: t CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME - ADDRESS PHONE - TYPE OF WORK - SIGNED: �—�- • PROPERTY OWNER:? __::�''DATE: Io s' NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Butte County Department ADMINISTRATION t BUILDING ` GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner. of Dev0o flzent Services ��'fl _ 4_.•�T....'�w�-�'ei cL�c!v�,'�`�. t+�•__. ��'�.' `-a-JL ��Y'' ' 'IL�.�-w �tiri4s+i+o+•vsrv.�:-r.��'i�x�c./.. An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being perfoimed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and othbr costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Busirje;ss r',wnlnis•'rraiion): For more specific information aboui your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or ber own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete .and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. ?he building permit will not be issued until the verification is returned. C. Vieir+ C.B.O. Building Inspection NOTE: This Owner -Builder Tnfnrsnatinn is rPrrtnirF rl by G�rfinn 1 ORZn mrt-h., woom, nv%A Cnfafv rrvio- TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Piot Plan AttecMd 9� Floor Plan Attachad Sent to 8.0. a -6 3 Za Zt A 0 , Owner Location AP# Plan Approved for: Sewage Disposal- Water Supply: Public Private Well Clearance for dwelling. Other Final clearance O.K. for: NOTE: Environmenta 8/96 L, Ith Specialist qA la S- Date 7iDD. Beacon Hill Series Model 45638 ;t Bedrooms • 2 Baths • 1,492 Square Feet Orr. WDW ---zOff. s.G.o OPT. 4' 5TRETCH (2' IN DEN & V IN BEDROOM #2 & I' IN BEDROOM #3/ 2' IN DINING AREA & LIVING ROOM) OPT. GLAMOUR BATH 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 )me. 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 . (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. APPROVED Butte County Emen I Health -- PPXr Date Signature BH/17/MAY05 Butte County Department of-Develop71elztServlces °�vTr�° ° 7 County Center Drive oroville, CA 95965 ° (530) 538-7601 Telephone (530) 538-7785 Facsimile c�UN�y 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. e 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: Rf d�Y V/ u— APN: 19L/0-/70-06 Building site address: 5 L0 3 66-77—A-0' 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: SIGNATURE OF APPLICANT i -a,;2 -off DATE V Copy to Applicant/EH/File K Fonns/BidePermitwithoutClearances 020705 public \.Xlorks Department of t t e rj:;0? 4b%� .0 o u n t y o f B U j� ; _✓ � LAND DEVELOPMENT DIVISION ). Michael Crump, �I(2Ct0( Storm Water Management Program 7 County Center Drive CQ V "Oroville. CA 95965 p �g (530) 538-7266 LIC WOF' (FAX) 538-7171 National. Pollutant Discharge Elimination System (NPDES) Phase it Construction Storm Water Permit and Storm Water Pollution Prevention Pian (SWPPP) Acknowledgement BLESS THAN I ACRE Prol'ectDescription: 776z7-776z7-��vN /-^4D/-^4D Project Location and/or Parcel Number: &/g 3 Lo r --r— /co' o t/0 / 7d -/o h By signing below, L the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L 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 Pen -nit from the State of California Regional Water Quality Control 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 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 AGRICULTURAL BUFFER NOTIFICATION AND/OR UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agncu turas operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided.. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 t Name: Knn en v�.D� inn (PST f l -�-j Ii,`�Ic fi Phone: -530 -3V.3-8Q7y� Mailing Address: 7 'fG3 Lo f f i� Z?LA-41�ay.�- C� g5-23 8 E -Mail address Assessor's Parcel Number bgy - 00 - 1420 Reason you believe you qualify for the unusual circumstances exception: LS Owner or Authorize Agent's signature 6/a-)-/-5- Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements .......................................................................................................... Internal Dept. Contact Info: [IEnv. Health ElPlanning ❑Building l_Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT'SERVICES FOR PROCESSING For Agricultural Commissioner office use only: (to be completed after submittal ) DISCRETIONARY PERMITS (Planning) Exception Recommended Exception NOT Recommended Reason/Conditions/Specific setbacks from L, Agricultural Department Signature: MINISTERIAL PERMITS Buildin Exception Granted with the following conditions: Itural operations:-�I�arGs L S w • I 1A , . �� � JI� � avvlVtiZ Sew. -4 Date: S h o—' YMC 7/1/03 Butte County Department of Agriculture Request for Services: PLANNING / BUILDING PROJECT REVIEW Effective August 24, 2004, Butte County Ordinance No. 3880 section 3-61, k, 4, address the fee schedule for agricultural related planning project review: "All planning applications that are referred to the Agricultural Commissioner for review or when an individual or business requests review by the Agricultural Commissioner will be charged at an hourly rate of sixty five dollars ($65.00) per hour with a minimum of thirty-two dollars and fifty cents ($32.50) for one-half hour. Any additional or subsequent review of planning matters by the Agricultural Commissioner shall also be charged at this same r rate.° ff'' o Name: o��n Car { ULp - Phone No.: 3 K.3 " 8 9 ?S Business name (if applicable); Address:' 71(5'3 Go City &St.: Zip: ? Name or Scope of planning project (include any -documents or maps to facilitate review): SGV t S -AL o `t 64V APN number: Oqt)- .1-1 L) Consultation regarding the results of the review and any related documents will be provided by prior arrangement or appointment. The charge(s). for project review and mileage will be due at time of service or may be billed if approved by the Agricultural Deprtment. The totals are as follows: 1 Hr's labor @ $65.00/hr $ i0,�- Mileage @ .30/mi $ Total Charges $ I agree to pay the Butte County Department of Agriculture for Planning/Building services provided in accordance with the Butte County ordinance No. 3880. Signature: v/U`1 Date: 2 2 �Sr- Butte Counfy .: • ' . ; .` c. - ., ^ .. Development Services Department " Planning Division 7 County Center Drive ; To: Oa From: a�:. �OgRate: q1.2 7/6PS Re: DO f Pages: 3 •IV- ! r ❑ Urgent Ly'For, ❑ Please, ❑`Please - E .Please .• Review Comment • Reply,,. Recycle K • • • • . • • • • P • , y ' y '� .� � r � � l � C%��ti( (h--(.if'�.UI 4 J (�/ lJC- • C%!��� � ✓LLL' "" /11 ` -�-% � -y)/) �� 5 � pry rI// • , ., p�_ 0YL (70� Butte County Department ofDevelopment Services Paul McIntosh, Interim Director www.buttecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * PLANNING August 31, 2005 Randy Miller 9493 Lott Road Durham, CA 95938 CERTIFIED MAIL Re: Administrative Permit, ADM 06-04 APN 040-170-106 Dear Randy Miller: Enclosed is your validated Administrative Permit No. ADM 06-04 to allow a temporary mobile home on property zoned A-10 (Agricultural, 10 -acre parcels). The property is located approximately 1150 feet north of Durham Dayton Hwy on west side of Lott Road.. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Sherry Vierns Office Specialist, Senior Enc. cc: Land Development Division (g) Building Division (y) Enviromnental Health (p) Department of Forestry (gld) GIS (vi) ADMINISTRATIVE PERMIT for TEMPORARY MOBILE HOME TO: Randy Miller FROM: Paul McIntosh, Interim Director DATE: 08/23/05 FILE #: ADM 06-04 PURPOSE: Administrative Permit for Randy Miller on APN 040-170-106 for a temporary second dwelling to be located approximately 1150 feet north of Durham Dayton Hwy on west side of Lott Road., on property zoned A-10 (Agricultural, 10 -acre parcels). PERMIT REQUIREMENTS: Approval for a temporary second dwelling is subject to the following requirements: 1. A mobile home certified under the 1974 National Mobile Home Construction and Safety Standards Act. Occupancy of the mobile home shall be limited to Randy Miller. An affidavit attesting to the relationship of the involved parties was submitted with tint permit application. 2. No rent is to be charged to the occupant of the mobile home. 3. The temporary mobile must meet the requirements of the Butte County Environmental Health Department for domestic water supply and sewage disposal. The granting of this permit does not remove the requirement of obtaining the appropriate permits from other Divisions, Departments, or Districts. 4. The siting of the mobile home shall be exempt from the site requirements of the residential zoning district, except as required by Butte County Code Chapter 24, and the Butte County Code Chapter 28A. 5. The mobile home is declared to be a temporary use on the property, accessory to the primary unit, and shall not be placed on a permanent foundation. Additionally, a temporary mobile home shall not be permitted on a lot or parcel where there is an approved Second Unit. 6. The permit shall be granted for a term of two years. Extensions of the term for the permit, not exceeding one year for each extension, may be granted if the application for the extension is filed with the Planning Division within 60 calendar days prior to the date of expiration. 7. The mobile home shall be vacated upon expiration, or revocation, of the Permit and removed within one hundred twenty (120) days after expiration of the Permit. If it is not removed within one hundred twenty (120) days, the County shall remove said mobile home and store it at the owner's expense. 8. The Permit may be revoked if any of the tem -is or conditions of the Permit are violated, or if any acts or omissions of the permittee, in connection with the use authorized by said Permit, constitute a public nuisance. 9. The applicant must maintain a bond or deposit in the amount of $1,500 for a.single-wide mobile home or $2,000 for a double -wide mobile home. -o S- Perniitte6 Signature Date ;e%e Calarco Date Assistant Director FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1.7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number Randy Miller BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 9493 Lott Rd. CITY STATE ZIP CODE Durham CA 95938 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Butte County APN: 040-170-106 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##° - ##' - ##.#N' or ##.#####� ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE BUTTE COUNTY AND INCORPORATED 060746 BUTTE CA B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREMSED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of Hooding) 06007CO520 C 618KJ8 AE 161.4 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): 1311. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B_12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings" ® Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARAE, AR/Al -A30, ARIAH, AR/AO Complete Items C3: ai below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NIA Conversion/Comments NGVD 29 p Elevation reference mark used 169.31 Does the elevation reference mark used appear on the FIRM? ® Yes ❑ No , . ,,,� •^ ^- o a) Top of bottom floor (including basement or enclosure) 159.. 55 ft.(m)�► #� o b) Top of next higher floor 162.41 ft.(m) o c) Bottom of lowest horizontal structural member (V zones only) N/A. _ft.(m) o d) Attached garage (top of slab) N/A. _ft.(m) E ;; y o e) Lowest elevation of machinery and/or equipment w `° "�}, a, V' servicing the building (Describe in a Comments area) 161 .48 ft.(m) j c4/s�Q o f) Lowest adjacent (finished) grade (LAG) 159.13 ft.(m) v N• o g) Highest adjacent (finished) grade (HAG) 159. 55 ft.(m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 14 B.. s= ro1 • o i) Total area of all permanent openings (flood vents) in C3.h 1512 sq. in. (sq. cm) n ,, r. 0-;� f,' ' SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ;; i This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevatirsinformation. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data avai/g/e. A ! I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001, BUTTE O � V :�' CERTIFIERS NAME TIMOTHY C. WOOD LICENSE NUI'et�ReF3.�C.bJWPr6Ki0t 7% I Q 14 V TITLE REGISTERED PROFESSIONAL ENGINEER COMPANY NAME THE ENGINEERIINNGUvG�,RL 11 V f � ADDRESS CITY STATE ZIP CODE 1250 EAST AVENU #10 CHICO CA 95926 SIGNATUR DATE 2 Z �� 5 TELEPHONE 530 899-0409 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMP ?ANT: In these spaces, copy the corresponding information from Section A. For insurance Company use: BUILDING STREET ADDRESS (Including Apt, Unif Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 3 Lott Rd. CITY STATE ZIP CODE Company NAIC Number Durham CA 95938 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/oompany, and (3) building owner. COMMENTS Pre -construction flood certification. BM is Firm # 58 on Butte Creek Bridge on Durham Dayton Highway C3e: Bottom of electrical ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(crn) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is 1 ft.(m)11 in.(cm) ® above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ® Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAAssued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are coned to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME TIMOTHY C. WOOD ADDRESS �� CITY STATE ZIP CODE 1250 EAST CHICO CA 95926 NUNA I UKY e� `� DATE 9�z z/o TELEPHONE 530 899-0409 COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMAAssued or oommunityissued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _. _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS LJ Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions I �y�y IXONddY 181AICIONicnins 34 1/4' F i N n ®0 311.n BRI^ Ig S' - O J m- I'D ---- ❑------- ❑------- ❑-.------❑- - - 17 ❑ Io -e ❑ 1 1-.-�}—• .All INI/4 ORAIN OUTLET 1 LET Io_OAB � ai• . �.n.uBEi�• A -UNIT 0 n r -1I I I n I I ri 1El I tz- 10 Yrs 111-3 3/4 �CTi 1FURNACE DUCT 1 -— — — — — — — — — — — — — o ----------- - ------— — — — — - - - - - - - I F I I LLI1:1------- ❑------- a ------- ❑------- o - o- ❑----- ❑J WJ WL 3e v4• OrtI1r o0a11 IT -0 3/4' El CHABB•1.8 1 N"O M.R. BPACINO ;` f8B 1/2 I -BEAM SIZE I 10'' i . F 1 L E G E N D 1-1STANDARD FOOTING AN ' VARY I SOIL WOODLAND 17-1 SWT Kw RC ' 4563B PIER LAYOUT 300 ROOF LOAD BA's BY: WAR K. ATE: 05118/04 i.3D SP.E.I Z. EY All �n I 23-3 3/4 FURNAC DUCT B -UNIT m m I F I I LLI1:1------- ❑------- a ------- ❑------- o - o- ❑----- ❑J WJ WL 3e v4• OrtI1r o0a11 IT -0 3/4' El CHABB•1.8 1 N"O M.R. BPACINO ;` f8B 1/2 I -BEAM SIZE I 10'' i . F 1 L E G E N D 1-1STANDARD FOOTING AN ' VARY I SOIL WOODLAND 17-1 SWT Kw RC ' 4563B PIER LAYOUT 300 ROOF LOAD BA's BY: WAR K. ATE: 05118/04 i.3D SP.E.I Z. EY All �n I d'r d 1 ;1 CHASSIS INFO N.R. SPACING 99 1/2" POST DATA - TJI FRO J60 I -BEAN SIZE 10" LIVE LOAD: 30 LBS. PERIMETER PIERING REQUIRED SHEAR WALL DATA DRAWBAR LENGTH 39" ' LABEL LOCATION UNIT POST IAAD HEIGHT IBEARINGIPOST PIER LOAD' BEAM _ WINE LONE: 1 DRAWBAR ANGLE 60 "- A A 2018 119 1/2' 1.75 32 4100 TJI LABEL UNIT WALL PANEL TYPE LENG7B NOTE ' THIS ' A B 2018 119 1/2' 1.75 32 TJI A A I ISG E S'-1 7 1' 7 x :6 a STRAP B 16'-I 3/4' A 4177 119 1/2' 1.75 B 9000 TR A A. 2 ISG L 3'-8 3/1. 3 i 26 a STRAP FLOOR I N FO B 16'-1 3/1' B 44',J 119 1/:• 1.75 8 131 B B 1 25G S 9'-6. 1 JOISTS 6 2 LAGS 30'-B 3/4' JOIST SIZE 2x6 C -'-10 1/4' A 2736 119 1/2" 1.75 5 5500 TJI C A 1 1SG E 13'-0 ) s :6 a STRAP 34'-8' JOIST MATERIAL SPP C 2"'-10 I/1' B 2776 I19 1/2' 1.75 S TJI • REpU7 REB AGGRESSIVE FASTENING PATTERN 6 MAX 16 O.C. FRAMING JOIST SPACING 16 D 41'-5 1/4' A 4448 119 1/2' 1.15 B 8900 TJI •• EMPTY TRIO FIELD I9 COMBINED IN NUMBER ABOVE D 41'-5 1/4' B 4448 119 1/2' 1.75 B IN' E 56'-0' A 1799 1/2' 1.75 32 3600 TJI WALL INFO L 56'-0' B 179.+.9 1 2' IAS 32 TJI SIDEWALL HOT. _ 90• ' EMPTY PIER LOAD IS COMBINED IN NUMBER ABOVE EXT WALL SIZE 2x4 ' EXT SIDING MAIL /16 4X8 HARD CEILING/ROOF INFO TJI PRO -760 SPLICE L40CA110H RAFTER CODE (CATH( LC7-160-3A(1 DIMENSIONS ARE FROM HITCH END RAFTER SPACING 24" CEILING THICKNESS 1/2" LIVE LOAD: 30 LBS. STANDARD CEILING MATERIAL US GYP FROM TO UNIT 4' - 10• A NATE BFRONT SAVE O'HANO 12" -0 12'• - 12'-9• A B - NEAR SAVE O'HANG 12" 19'-10' - 2--0• A 8 FRONT GABLE 0'HG 12" 28'-S' - 31'-2' A B REAR GABLE O'HG 12" } )S' -I1' - 38'-7• A B ' S5'-2• - 56'-0• A B 1• - 10• B A +1. 12'-3' - 12'-9' 8 A 19'-10• - "-0• B A • 28'-S• - )1'-2• 8 A 3S'-11• - �38'-7• B A 44'-0' - /S'-7• B A 56'-0• B A Sy WOODLAND ' t 17 ... PNOgx,T 4MUE .IIDOW SCHEDULE����� ® � ITY WATERFORD SYMBOL BILE D SCRI PTION .GLAL VENT AREA 8 1 V3659SH 36 x 59 V4640HS9SH 46 x 40 HU -SIDE LD SG NG N. SLIDER 11.U21 5.05 14.95 9.9R 5.25 2.92 �{ 8��`'p/.�� BUILDING p6y /v�� ,e`' MOD61ND. DIVISION (VISION V46595N 46 x 59 - BGL HOHG-BIDO LD IT. 4-7 9 19.0 e. 45638 V 0 3SN n-.= SGL HUNG DRkYRMO T"IF V4608HS 46 x 08 H. SLIDER 1.15 0. 6 .83 AY®MR®VE® V30596H 30 x 59 SGL HUNG -SIDE LO .63 4.98 12.50 Cpgqy _. V362107PL 36x2lx7 PICTURE POLYGON 2.80 5.51S PEC SPEC DRWG 36x21x7 PICTURE POLYGON 2.80 5.51 V3016PW 30 x 16 PICTURE RIN DOW 2.41 3.34 Christopher DATE: ' ANAF1 K. e Davidson °"� 09120/04 DOOR 2004.09.20 '� SYMBOLEDI SIEE 3279 72 x 79 DESCRIPTION BLANK -INSWING I GLAL VENT U. YALUB 0.19 - 15:03:02 -0500' SPEC.1 /0► 3679 36 x 79 BLANK -INSWING 0.19 ' x/n.x A 191n . R A Crn - C►RRTY 35.50 17.70 0.19 _ T Beacon e • -model 4563B i _,TBedrooms .-2--Baths 1,492 Square Feet �.ia�: w>;.,,, ? ;gay +.. ..._isr �h K:L•4'Y�va. .u. �`.i'�';�:a,a, ".�.s .,� ;2"'.,�x S._, 3` ,."`_a� i� � ;' �'.;.�'�'a'P '� Aa � r m � 1��� N.. "� x_. �ex�4�,���=� ---------------- n OPL W STRETCH (2' IN DEN & V IN BEDROOM #2 & T IN BEDROOM #3/ 2' IN DINING AREA & LIVING ROOM) ur 1. vu+mwR BATH 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 )me. 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 (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. BH/17/MAY05 BUTTE COUNTY BUILDING DIVISION r APPROVED- . ' Wt.�urm/m■unuuuui W■mu■.■■-■uo■i \o\■tm... der. ml Ir. • [ ■t\fie\e t.\llm■\\RIMIAZE m 1 i■ o •� • Flaw d■■■■■■■■■■■■■■■■■i 1• ♦ 1 n al"I sol ■..o ■1.. ■.. ■■■■■�■■■ W■■■■■■■■■■■t■■■■■t■■■t■1■■/■■■t■■■■■t■■■■11 ■\ryr7yi\t m..■.\\mom■tot■■■■m.■.A■.o■■■■■\■■■1■t■■■■tt.■■■■m.l ■■■t■■1. _ 1■t■t■■■\ ■■• �1..\V■. ■■ ■t■■t■t■■t■rttrt/■■r\////■■■�t/�1�m{■m�■�\I{■t■1 ■\\■■\l■.l■■■■■.t■■■■t.■t/.■�1111t1■I■1 ■■r.■■■■.m..ot■■.t■■.■momtt■■ ■/\\/■\ilr/�r�r��■ 1tm.o..o■■.m■.\o■ ■�\111Ytif■1■■ .t■■■■■t■■t■■■■■■ '11.11..■.. ■■11 I1/\t1■m., ■tot 11/tm..m. momttl■■■■o. ■■■rt■■t■Omo.t■ lllmo.■■t■■■ ■\■tong,■■/t■t■ 11■■■■■■■ ■/■■■ V■.tmtt■ ■\■t■ 1!a-"-. ................. It\111mt.o■m■■t1■1t■■■1■\■■//t■.t■1.■RIil „ 1'•.r:m■o■ ■1■m 11Um1m10.r■r1■111so r \..■■t■■.m■.m■rI Iynoon.l■1 � ' .� �:e:::C:S:Cs::MM I:::::::::::�'.�t.1 "C .::::::::e:'.1 ■m■.0■\1/11■■110rrt\■..■oe■\ :::::::::::::: :::. ■u ■■ ouu■ .......■.�..m■. lltu ■ uo ► ■■� WeW ■■ a irGt3 u.u..no ■■■m1■■m.iiiEnna iriiiiieie:eii► :20 o■m1■ ■mU■.�! ......: 7L ILI Orr. :,; • J 'LIVING ROOMMASTER I'II • 1'II i ---------------- n OPL W STRETCH (2' IN DEN & V IN BEDROOM #2 & T IN BEDROOM #3/ 2' IN DINING AREA & LIVING ROOM) ur 1. vu+mwR BATH 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 )me. 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 (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. BH/17/MAY05 BUTTE COUNTY BUILDING DIVISION r APPROVED- . ' i"5. 6 r llfL � RE.Si "N' IAL 40-17-106 OuTslil6 341-91P,E(MH) a MILLER, Violet 9493 Lott Rd, Durham I (util, MH) 60-640 OFFICE COPY Addresst/f1.3 , a— GAS OLGI Meter By _ Date ELECTRIC° Meter By Da JOB FINALED (Date) Signature —T J=OK O =•Not OK Not = Not Ready MOBILE MOBILE HOMES Date MO ILE HOME UTILITIES Plans OK except #'s ` Zoning Requirements -Setbacks -Easements er'soas; Special MH Support Sketch Sewer- ocati - I C/O Concrete 1 ter; Location - asement Needed (Sketch) C_jElectricity; oc o le nces Grnd- Amp -Concrete §mss; Location-TVrap: / /"L"ft.r� / Ye'Nat. or/ /"L"ft./ /"LPG $ y Utility Clearance Date Q?y,,�j I Card B-1 Date Card B-1 1 Date G _&n -A t Card B-1 Date Card B-1 i Date MOBU& HOME INSTALLATION (Plans) OK except #'s 1 ments-Setbacks Easements (p�ir}gs,, Size -Spacing -Marriage Line : MH Test-Demand-Valve—Connector 4! ct 'ty; MH Test -Crossovers -Breakers -Clearances i H Test -Fall -Flex Connector ! fK t , M Test -Regulator -Connector Vwa'te&odnd Sewer Connected -C/O to Grade -HD Approval Cert. of Occupancy Date -S'-67-91 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 } 4— 6 —14— R Q i MISCELLANEOUS Date._ DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Solls-Size-Depth-Spacing-Connectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.,Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frma: Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable ' = Not Ready RESIDENTIAL (Single _ & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mach. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes 0 No; Planters 0 Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made �e+�'+�r�r`�r"'�+q�""Z.�""�+i►°: „e„�L�..1't's�-�•y �.:"'"�t".. - .�T�:-.."'�L�,�...�iyr� r, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi l jl. Phone: 538-7541 "> 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION 'NOTICE A routine inspection indicates that the following violations of County"Ordinance 3 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.;` \� (' rel T C O O 0-e f%5 ~ �4 Date �" �� 7� InspectorAt,4_,V_ a 0. U- NJ LL 4";,b fnl Ca'jC RI -r Fi_. frLIFlC- Ft.J-QV rZyX- t X20 J ibl� �r.aa�'`. LIET'TfzR. o 6'Sf.Prsc- 14/44, GZ)C.A n a./ anA FA LL WJlr0gr , s a'y l t .'r Date - �� a Inspector COUNTY OF BUTTE yDEPARTMENT OF PUBLIC WORKS • 19;(N Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Rhone: 538-7541 747 Elliott Road, Paradise — Phone: 872-8307 CORRECTION NOTICE yT, ' 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 ='g s when correction of work is have an you If completed. p y y question pertaining to this + matter, or need additional explanation, ex lanation, please contact this office immediately. / tK AlIU- 50 7 iEs7 aWA IC2 02 -5 < vJo rz, 'i C'- f - e. M w . 4.-1 M ( t_ &j rLAP ov G - As P! P/IvG _ U- NJ LL 4";,b fnl Ca'jC RI -r Fi_. frLIFlC- Ft.J-QV rZyX- t X20 J ibl� �r.aa�'`. LIET'TfzR. o 6'Sf.Prsc- 14/44, GZ)C.A n a./ anA FA LL WJlr0gr , s a'y l t .'r Date - �� a Inspector MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE ~ OROVILLE, CALIFORNIA— 534-4541 PERMIT NO. S'/ 9/ r'Address or location of,mobilehome 'Owner's name 1-1i �• � ' %y) . //Y�— ^� Owner's address- "Insignia ddress-Insignia or hud number /tl_ Manufacturer's name S k v /1,7�i o.►+.� $ i e— A Serial number of V.I.N. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION I ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED.WHEN THE MOBILEROME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. -COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7�County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 40-17-106 ZONING SR -1 BUILDING PERMIT OWNER : Violet Miller TELEPHONE 342-1523 S0, FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 2877 Carlene Place CONTRACTOR'S NAME ualit MH Set U TELEPHONE 343-8494 CONTRACTOR'S MA LING ADDRESS 16652 Powerline Rd., Redding 6001 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING. ADDRESS Permit Fee $ ARCHITECT OR L-V.',INEEP. LICENSE NO. Plan Checking Fee $15,00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $25.00 PLUMBING PERMIT Filing Fee 10.00 9493 Lott Rd., Durham Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities InstallationU Other❑ Describe work: MHI _ .11341-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare u der penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessionCodeand my license is in full force and effect. 30—"2,2 License No.Classification. �— / % F-1 1, 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) ❑ 1, 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.h OR ADDNS. ( ACC. SLOGS. ,/22SQft NEW CONSTR.U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES BAL030 eALeao EX. OCCUp. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave 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 yevoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s" County i equence of the granting of this permit. X Date �'l� - �/ Signature of A licant — Ownedrti 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 $45.00 Energy Inspection Fee $ ocC CONST TYPE E TOTAL FEE $ 70.00 HAz. _ cuA• PARK scH FL T PAR PD I HO Issu This permit is hereby issued unser the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS t� :p By Date PrjidlT EXPIRES Date Receipt No. 88381 WHITE-D.P.W.. YELLOW-ASSE950R, PINK -INSPECTOR. GOLDENROD -APPLICANT •C, LINTY OF BUTTE.- DEPARTMENT.,p=BLIC WORKS - BUILDING DIVISION W 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APFON DATA SHEET Permit No. / OWNER (/ 104- /yI /LLQ `'�"' A. P. o. 7 V ^/70Ifo Proposed Building3Use M !T 1, Building Inspector Date —V// 1 At time of permit application, I was advised the following data'must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance andsupporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) \9. Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ 11. Chico Urban Area fees paid......................:a................ 12. Park fees paid .......... 62G Z:2 School District fees paid . 44' Sanitation approval from Health Department — 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (seep City for other requirements) 17. Planning approval for (A) Use: (B) Parking: '%,18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 2 Letter ofsignature authorization –go- 6. -- t� Whn y ' eou sue..the permit, process as Telephone and Other Mail to o ner. Mail to contractor. G/- office. ' Del.iver w/inspector. hold for pickup at Applicant Date v Copy of Haz-Mat form sent 1 Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health'Dept. Fire Dept. Other Date By. The following data must be submitte p for to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, One , was advised of above required data by,_14phone_maiI—counter by -&—,,,, _date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date ►iii i Plans approved by RW Date 8 , Sets of plans on hold in File cabinet AP folder i Copy–DPW BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION.FORM (.One Form per., Building) A.P. Number ��-°^�� /O,- Building Dep 1 tment No'. School District ���.a� City County Jurisdiction /Property Owner/LLC- Project Location/Address a77- Subdivision Lot Number Residential Development:+., Cl- F Sq. Footage -& #jof Living M I Addition (Group R) Units VO r° Commercial/Industrial: Sq. Footage '._ New Addition (.Including, -Exterior Roofed Areas ) eoz , Bui 'ting Department Representative. f. Date (Floor Plans reviewed by School District Personnel) e District, Id No. -�'-'� GG/h!iM a12,ev& vSchool.District certifies that 1 V10 le (Applicant Name). (Phone Number) (Street.Address) ('City) -' (State).. (Zip Code) _ _ has complied with the requirem enof Resolution by the payment of $ °r representing square feet. School District Representative Date PAID BY CHECK NO. REMARKS 46 BANK NO ' 0o A6 s/a PAID BY CASH white -applicant, yellow -building department,.pink-school district SCHOOL.FEE (8/88) t - -�-Q-0 4 378 r \ ' QUES`T'ED Bey:. 10lei y ti . u 91-044738 Rec Fee 9•.00 PUBLIC V'-. ^ Recorded. Official Records !1 County of Butte r Candace J. Grubbs ; Recorder 10:53am 6 -Feb -91 XX 3 AFFIDAVIT OF`COMPLIANCE WITH COUNTY CODE SECTION 24-202 (A)(3) TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) Applicant 0(ole-7- f(r Date 4Z 2Z Zone S I AP #�%,"��;-BBuilding Permit # (� do declare, that the dwelling (Building Permit # o D.Alynl on ) at address (present) is intended for the sole occupancy of one adult or two adult persons who are 60 years of age or over, and the area of.floor space of the dwelling unit does not exceed 640 square feet. Said property is more particularly described in Exhibit "A" attached hereto. I also understand that violations of these,provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. Signed Dated 'gAll y/ Attach Notarization Form ) c Ic I A. I m as -r-4 /z/ - �z::d IN, �llllllll!!!!lllJ.' County of SS. NSP' 3 (This area for official notarial seal) On this the 4tday of F-if_bL'I', Q` 19G ,before me, —�V\r24v-1 vV1 �� *Gwts , the undersigned Notary Public, personally appeared ❑ personally known to me / proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) subscribed to the within instrument, and acknowledged that `?— executed it. WIT ESS my hand and official seal. VVX0 LO(k�la � s Signature nC11111111QtAL SEAL e KATHRYN WiLLIAMS • NOTARY PUSLIC.-• CAL WAWA � PRMICIPAL CFriCE IN0 i • OUT TE COUNTY so My O mmieslm E xptres sap. �a a� • • NSP' 3 (This area for official notarial seal) On this the 4tday of F-if_bL'I', Q` 19G ,before me, —�V\r24v-1 vV1 �� *Gwts , the undersigned Notary Public, personally appeared ❑ personally known to me / proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) subscribed to the within instrument, and acknowledged that `?— executed it. WIT ESS my hand and official seal. VVX0 LO(k�la � s Signature 91 -041.38 �4 641 " Rt-CORDIN6 REQUESTED BY ; RECORDED BUTTE COUNTY UrF!Clh.l- RECORDS f?y AND WHEN RECORDED MAIL TO NAME Carl E. Miller and Violet .J. Miller ADDRESS 9493 Lott. Road STATE Durham, CA 95938 Title Order No. Escrow No.____� MAIL TAX STATEMENTS TO NAME ADDRESS SAME AS ABOVE CITY & STAY E L #040-17-0-106-0 TITI.- U, =S87 NOV 18 AM 11: 1 CANDACE J. GRUBDS/ CLERK -RECORDER FEE. 8'7-42864 SPACE ABOVE THIS LINE FOR RECORDER'S USE Documentarytransfer tax $.....NONE..................... / ❑ Computed on full value of property conveyed, or ❑ Computed on full value less liens and encumbrances popes remaini"ng'thei•eon iit time of sale. Declared. by. ,the ,undersigned ,Grantor, , , , . Signature of declarant or agent determining tax—firm name ubibibuaY ,glut Teuacucp eeb WESTERN TITLE FORM NO. 105 FOR VALUE RECEIVED, VIOLET J. MILLER, a married woman,,who acquired title as VIOLET JUNE,MEDEIROS, an unmarried.woman, GRANTS_ to CARL E. MILLER and VIOLET J. MILLER, husband and wife, 4.. as JOINT TENANTS all that real property situate in the County of Butte, , State of California, described as follows: A portion of Lot J, as the same is designated and delineated on that certain Map entitled, "SUBDIV.ISIONAL PLAN OF THE DURHAM STATE LAND SETTLEMENT, BEING A PORTION OF THE ESQUON RANCHO, SITUATED NEAR DURHAM, BUTTE COUNTY, CALIFORNIA", which Map was filed in the office o.f the County Recorder of the County of Butte, State of California, September 17, 1918 in Book 8 of Maps, at pages 16, 17, and 18, more particularly described as follows: BEGINNING at the Southwest corner of said Lot J; thence North 880 47' East, along the South line of said Lot J, 215.60 feet to the true point of beginning for the parcel of land described herein; thence from said true point of beginning North 00 36' West, 102 feet to a point; thence South 890 56' East, 220 feet to a point in the East line of said Lot J and the West line of a 40 foot road as shown on said Ma.p; thence South 00 36' East along.the East line of said Lot J, 97 feet to the Southeast corner thereof; thence South 880 47' West, along the South line of Lot J, 220 feet to the true point of beginning. Dated November 17, 19 87 VIOLET J. MILL — STATE OF CALIFORNIA County of BUTTE ! sS onNovember rIf% 14--U, before me; the undersigned, a Notary Public in and for said State, State, personally appear VIOLET I MILLER ?Qt1CQ4A0p?RIaCQN7Q?44CDQ9CQt proved to me on the basis of satisfactode nee to be the parson_ whose name _ is subscribed to the within��,,ment, and adrnowledg d to met he _ executed It. FOR NOTARY SEAL OR STAMP to "'-- JULIANNE PETERS in NOTARY PUBLIC -CALIFORNIA U © Butte County ® My Commission Expires Feb. 16,1991 G1 s �memAs�s>tlnmmrrm�msl�®®®m���$� MAIL TAX STATEMENTS AS DIRECTED ABOVE CENO OF DOCUMEM� FNn nir nnro i ummir COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, CaOifornia`95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER L. ZONING BUILDING PERMIT OWNER fd .� , �� TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'SMAIL.ING ADDRESS c - ONTRACTOR'SNA E TELEPHONE ONT ACT. 'S MA NG ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDR S Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5,00 US OF STRUCTURE SF❑ Duplex[] Mobilehome Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IS—G'[ W 0.00 ea TYPE OF WORK ��,/ New ❑ m Addition ❑ Reodel ❑ L_ Utilities ❑ Installation 1 Other ❑ Describe work: %2E: 341 —91 cm HL� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service X000 AMP ORS 0LESS 10.00 CONTRACTORS LICENSE LAW I declare er Small of perjury penalty p I y (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 Z5 y--2 Classification._ C�'H/'/ ❑ 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) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEN/ CONST. OR ADONS. (DWELLING OCCUP.B ACC. BLDGS. , /20sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50ea POWER APPARATUS e (SINGLE OUTLET CIS. Ex. Occup(OUTLETS OR FIXTURES Z00SOC eALO 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 $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. F/1,I�iave 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 or 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 liabilities, judgme s, costs, and expenses which may in any way accrue against s 'd County in ons uence of the granting of this permit. %� Date 1l—�� �T / Signature pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oovverr 3- stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz. CUA PARK SCHL FLD cDF PA Po I HD. ISSUE This permit is hereby issued unaer the applicable provi- sions or the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date _ PERMIT EXPIRES Date Receipt No. 00 J WHITE-O.r.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J- %*iiif COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cilifornia'95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. n ASSESSOR PARCEL NUMBER _ _ ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9493 Lott Rd., Dtirharri 95938 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $(�(xr LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ ls.00 PLUMBING PERMIT Filing Fee 10.00 %91 Lott Rd., Diirham Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 60/640 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00. 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[X Installation❑ Other ❑ Describe work: MHU 60/640 Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10000 AMP ORV OR LE LESS10.0010.00 Main service EA. ADD'L 100 AMP 2.50 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 ❑ 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.R OR ADDNS. ACC. SLOGS. , /20sgft NEW CONSTR ULTI.OUTLET NON•RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS &) -SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P 200000 BAL®30 Ex. DCCUp. OUTLETS ((RESID )FIXED APPLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin g15.005.00 Permit Fee $ 25.00 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. (y I shall not employ any person in any manner so as to become subject `t' 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequen a of the granting of this permit. ` ) %�/� lJ1[ Q�L/ Date Signature of Applicant — OwnerW 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ AL E FEE HAz CUA PARK 1/7J -1j6 PAR PD HD IssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees R TOFijO(/j//\F PUBLIC BY �'` ✓ PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 83330 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT s ,34-1-91 ,COUNTY OF BUTTE - DEPARTMENT F PUBLIC WORKS - BU ING DIVISION - "„ ' .. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95 65 - TELEPHONE: 916 38-7541 PERMIT APPL1`A;10"N DATA SHEET Permit No. ' OWNERY l L A. P .No. Proposed Building Use �%�/ Building Inspector Date �D At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .. — 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans'. 4. Complete engineered plans and calcs, with wet signature on plans .. ` 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. t 8. Engineered truss details and layout in` duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... -A, 10. Fees of $1 ........................ 11. Chico Uban Area fees paid ........................................ 12. Park fees paid .................................................... - 13. School District fees paid .............. �1 4. Sanitation approval from G{f f r J0 -Health Department ;2 —Z 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of -(see City for other requirements) - 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of s' nature authorization _1ZX26. �aiO 1(a41 Z2 27. When y u issue the permit, proce s as follows: Mail owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other � r Applicant -Z/ Date r%O�Z�. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for abov I ems agiG 2. Additional items re uired: ! r. - r Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date e Contractor, designer, owner, was advised of above required data by—phone —mai l_counter by date Plans checked by Date Plans approved byACI Date q Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina"Department FROM: Environmental Health SUBJECT: Sanitation Clearance \A0A A—'—XULI:� owner Location. AP# Plan Approved tor: Sewaqe Disposal _� Water Supoly'C Hold final lor: Water Supply Final clearance O.R. for: Water Supply Clearance fors ._ bedroomobile ome. Other � fid cD Yana an Date Butte County Department of Public Works 7 County Center Drive Oroville, CA 95965 February 25, 1991 Re: Flood Plain Elevation; Violet Miller Building Permit, AP# 40-17-106 A cross section taken from the F.E.M.A. F1ood'Plain Map, through the Miller property indicates the elevation of the 100 year flood plain to be 159.90 feet (U.S.G.S. Datum). There is a U.S.G.S. Datum bench mark, a spike on the West side of JP #9487 near the Southeast corner of the sub- ject parcel; Elevation 159.46 feet. There is also. --a wood stake along the South property line 50 feet +/-*West of the Southeast property corner; Elevation 159.08 U.S.G.S. Datum. A finish floor elevation at or above 159.90 will be adequate to protect life and property. epFESS/OIV4l\ A.C. Bruhns G R(/y� F� R.C.E. 10531 CD / G7 / rn i = I C 10531 m (Expires 12-31-92) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Violet Miller 9493 Lott Rd. Durham, CA 95938 With reference to the above subject: / / Attached is: OTHER PHONE: 916-538-7541 DATE Fabriinry 11L, .1001 RE:building permit application #341-91 A. P. # 40-17-106 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical'Plan Sheet Owner -Builder Verification Form List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance, or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / / OTHER The, i ronnce,li hili 1 rli nn cite 1 i ec •.ri thi n o �lec.i jn��pa� T."PMA fl c®4 39^b` o n Re GI -.,.-Ad r..iyi1 Rnoine,or miict ectnhlial� the inn Minor £3elrp3 on TTCe�a�e P-nai nPPr is f n nrnui Ile, a hPnrhmnr1r nnnr i-bn hila l d;Ln- a�fL��r fi o�r� i r. c.�c>Strr , v r dpP prmi nP that the, f l onr 1 e,vPl i c nt. nr ahnlm t!3n 1,()T 3r -! God I nAAW , Should you have any questions concerning the above, please contact Dave Wasnev of this office. JFG/aj Yours very truly, William Cheff Director of Public Works .J.F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 ' DATE RE: .BPA A . P With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or.check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, O.roville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. Should you have any questions concerning the above, please contact of this office. Yours very truly, JFG/aj William Cheff Director of Public [forks J.F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESS R ARCE N MBER ZO -- 3Z 1 BUILDING PERMIT OWNS TE EPyo E G SO. FT. OCC. BUILDING VALUATION OWNER'S AIL N A,�tESS 77—. �� v a`t CONTR qC jO /S, N/1S.IQ0 � TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ ,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ r Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DD Permit fee $ r PLUMBING PERMIT FiIingFee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home W .00ea TYPE OF WORK New❑ Addition❑ Remodel Utilitie� Installation❑ Other ❑ Describe work: Q Permit Fee $ Contractor. ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 1 00 AMP L ESLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 ElI, 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) 1, 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.ai OR AODNS. ( ACC. BLDGS. /4sgft NEW CONSTR. ULTI.OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea (POWER (POWER APPARATUS e� OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®70¢ eALO 0 FIXED APPLNS. Ex. OCCup. OU LETS IRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. I MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ L—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, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequ ce of the granting of this permit. �( Date Signature of Applicant — Owner 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA I PARK I SCHI I FSO PAR PO HD ISSUE Th;s permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By `' PE=AIp� IT 'EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. W-T[-O.P.W.. Yv_LLOW-A-RA 9In4 P.VR-ivcPCf,TP.o r -n ,cuon�_�an� s.�- jp R V • I • • - Ate._ • a • ... • .. February-25; '1991 Butte County Department of Public Works .7 County Center Drive _ Orov,ille, CA 95965 - Re: Flood Plain Elevation; .' Violet Miller Building Permit, AP#, 40-17-106 ` A cross section taken from the F.E.M.A. Flood Plain Map, f through the Mill"er property indicates the elevation of. the- i. 100 year flood plain to be 159.90 feet (U..S.G.S. Datum). T-There_is-.a_U.-.S_.G S._Datum be h mark, a spike on the Westside of JP#9487 •near the Southeastcoof the ub- ject parcel; Elevation 1`59.46 feet. There is also stake along the South property line 50 feet +/—West of the Southeast property corner;!Eleva``tion 159:08'U:S.G-.S Datum.,- ; fin sh floo_r ele_v_ation�,a-t,,,,,or,,, a. ove,,;,159;.;90 wi 11the r. adequat tomprotect life andproperty. J Q FESS/p�Ly�\ A.C. Bruhns RUy R.C.E. 10531 U-JC-10531 m + , l`f C A\��`� r' (Expires 12-31-92) Z."7' a Se 'v !� tD ii f I Z F I REYIEYlED By EtIdiKEERiNG DEPT. C—NTERLINE, SUPPORT REOUIREMENTS USUED By Foi I ow. up sr TRS, SHEET TOz BE IMSEF#TED WITH SUPPLEMENT ~ TO FIELD INSTALLATIOlt MANUAL FOR !�eROOF + SNOW LOAD t)!4DER W RST R - L.f.90:Z4TORIE E 0ESCRW7?CN 3CfAOOF -o >-?F V 2S _rYE t p�7 i ` .J •' 7 J 1 m � 1 \ L \ � m t r - f e� - C m N + r , � t z m 1= 0. 0 0 r a � s1LE MH 0321 z p va 1 sec. s ai 61 PQ s-iBW NO. `SstEyAa�vss 8rasr. MOBILEHOME SUPPORT DATA If other than single wide, ry P1(ibilehome .Mfr. S/-�Y//�/ furnish Setup Model No. G Year Width (ft.) Box Length�(ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation inanual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)I t�lstuWood-pressure treated or foundation grade..2. Other (specify) SUPPORTS (check one) Concrete"block. 2. Other (specify) Pier Footing: Sizes and Locations' ,)g2? 1Y)FcZ& SINGLE -WIDE Main Beams Lille I e` ane 1 Piers : Size-Min.------------ Spacing-Max. - ' ------- From Ends -Max. ------- Line i Biers: ,. Size -Min .------------11 ; Spacing -Max. --------- From Ends-Max.------- I_iiqk l.Roof Loads: Size -Min. --------- Location (From Front) Main Beams __. __ I ___ __ __ __ __ __ __ :�_ Tag or Triple Ia FLc op ZONE /-\ Mo,31 tri - t3S 13&Cf-p tA)mi -PE_ Do U-) K3S . Line l Openinits: Size -Min- ------------------ "x Each Side of openings With Width Over ---' �� Line 7 Piers: (Under Bearing Wall only) Size -Min .------------------. "x Spacing -Max---------------- „ From Enda-Max.------------- „ 12„x30 24 "x�T' i2 "x3o' 24'k2r�- 12 "4; „x „x ,A Size -Min ------------- Spacing -Max---------- ,- u From Ends -Max.------- e ) hoot Lgaas• Size -Min .------------ location (From Front) e 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ 'k , Spacing -Max-------------=-- _ From Ends -Max -------------- _ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oruville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: IlUy LF�, 2. Installer's Name: 3. Is the site currently under permit? Yes No F-1 (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, fu.rnish.two plot plans.) 4. 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? --------------- Amps 6. What is the.mobilehome site service rating? ------------- /06 Amps 7. What is the.mob.ilehome site circuit breaker rating? ----- ,//Gtr Amps 8. Is there any other electric load to be served by the mobilehome site eery.ice?--------------------------------- ------------------------------- 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 LPG 11. What is the gas pipe length from meter or tank to the mobilehome?----------------------=---------------------- * 12. What is the mobilehome gas demand?----------------------I� Q((� (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) COUN" WILDING DEPARTM" f FtWES7M EY' �J ( c% i 91_004738 FEB 6 1951 AFFIDAVIT OF COMPLIANCE. WITH COUNTY CODE SECTION 24-202 (A)(3) TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) ApplicantUcy) e.7- 04 l ( I e ,r Date Zone I AP Building Permit 1 do declare, that the dwelling (Building Permit T ) at address (present) V93 LvT`r d Djrh Trn on AP is intended for the sole occupancy of one adult or two adult persons who are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. Said property is more particularly described in Exhibit. "All attached hereto. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. Signed Dated 0 attach Notarization Form GENERAL ACKNOWLDGMENT CO- On this the 4tda of TC.10�,,c a- G Y 19_, before me, F2222�_ SS. % the underssiigned Notary Public, personally appeared .......:... 0MCfAt sent' ' p ,personally known to me KATHRYN MLLIAMS r • t , NorAar PUBLIC -• cnt fr; r:rri� Proved to me on the basis of satisfactory evidence PFUNCIPAI r:FrlrE IN to be the person(s) whose name(s) subscribed to the GLT rE COUNTY �— MY Oommleelon E within instrument, and acknowledged that �k 2— executed it. xpfes Sep. 20, ~••••••••••••••••:•••.••••.••.••••...•....:.i Y hand and official seal. .... WIT ESS m h ,� O V � L � a vk� NP- 3 (flHs area for official notarial Teel) Notary's Signature ELECTRIC GAS Support Struc. Compaction Test Re . ervice Other pipe ize Load Type Size Len th YESI NO YES NO 1 6 NA r;l w emud* 4dufte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Violet Miller ADDRESS: 9493 Lott Rd. CITY & STATE: Durham, CA 95918 IMPORTANT: SEE INSTRUCTIONS April 30. 1991 DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT Refund Due To Duplicate Application Of Permit. Permit #342-91MHI, AP#40-17-106, Receipt #83330, dated 2/11/91. Total Permit Fees Paid -------------------------------- $70.00 Retain Building Permit F' ----- Total Permit Fees Retained--------------------=------- 10.00 TOTAL REFUND DUE =-------------------------------------.60.00 TOTAL 76n 7nn I. the undersigned. declare .under penalty of perjury that the services or articles claimed have been performed or delivered. and that this claim is true and correct as stated. Dated this .......... t7�..1G1...».»_ day of ....... 19� % at.....:511.�.L1 .... Calif. Signature of Claimant I. the undersigned. hereby certify that. to the best of my knowledge. the services or articles specified above have n performed or de- livered and that there is a Budget Appropriation or Specific Board Approval C:] (Check one f e a mp 91 Orovil.le Datod chis.. »_ Othday of ....Arll I9.. ac Calif. atment Head or Authorized D eputy Dept' Code 440-002 Code 4210500 PAYABLE FROM ....Const. ermits ..... .. _.._ _ .._. ........_.... ...._.........»...__ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. Cq.24 . Z62, 19f ? / C- 1-70 - 0 � � .���yC�,'�z COUNTY OF BUTTE-r-,)E�PkRTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlfe,'California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 40-17-106 1 ZONING SR -1 BUILDING PERMIT OWNER Violet Miller TELEPHONE 343-6984 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9493 Lott Rd., Durham 95938 CONTRACTOR'S NAME Unknow TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 ()493 Lott Rd. , Thirharn Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other 601640 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e . TYPE OF WORK New Addition❑ Remodel[] Utilitiesp Installation[l Other ❑ Describe work: MHI 60/640 / ,?t;e1—V Mito _ 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 LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license Is In full force and effect. License No. Classification ❑ 1, 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) ® 1, 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. / , h2sgft TLET NEW CONSTRESID, RANCH CIRCUITS) NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20®50t DALOSO EX. Occup. FIXED APPLNS. OUTTS ((RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IVirin 9 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 9 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseq ence of the granting of this permit. %� ����� jl ��� Date Signature of Applicant — Owner 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 $45.00 Energy Inspection Fee $ occ CONST TYPE FEE AL E TOTAL $70.00 HAZ CUA PARK PAR I PD I HD ISSUE This permit is hereby issued under Bions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 83330 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO r' NAME Carl E. Miller and Violet J. ADDREve Miller 9493 Lott Road STAT[ TT LDurham, CA 95938 S Title Order No. Escrow No. MAIL TAX STATEMENT! To •. NAME ADDgESa SAME AS ABOVE CITY & STATE L I J P #040-17-0-inr,-n 8 1-4 2864 RECORDED BUTTE COUNTY OFFICIA.I. RECORoS Ry f3u.I TE Ci UPJTI' TIT( -E: 1j"81 NOV 18 AM 11: 15 CA�dDl1CL J. G(�U[sUS/ CLERK -RECORDER FEE 8i--42864 -- SPACE ABOVE THIS LINE FOR RECORDER'S USE Documentary transfer tax $. , , , NONE / ❑ Computed on full- value of property conveyed, or ❑ Computed on full value less liens and encumbrances P!yge remaining thereon At time of sale. Declared, by, ,the ,undersigned ,Grantor Signature of declarant or agent determining tax—firm name ubibibuaYj'oiut zenancp �eeb WESTERN TITLE FORM NO. 108 FOR VALUE RECEIVED, VIOLET J. MILLER, a •married woman, who acquired title as VIOLET JUNE MEDEIROS, an unmarried woman, GRANTS to CARL E. MILLER and VIOLET J. MILLER, husband and wife as JOINT TENANTS all that real property situate in the County of Butte State of California, described as follows: 1 A portion of Lot J, as the same is designated and delineated on that certain Map entitled, "SUBDIV.ISIONAL PLAN OF THE DURHAM STATE LAND SETTLEMENT, BEING A PORTION OF THE ESQUON RANCHO, SITUATED NEAR DURHAM, BUTTE COUNTY, CALIFORNIA", which Map was filed in the office of the' -County Recorder of the County of Butte, State of California, September 17, 1918 in Book 8 of Maps, at pages 16, 17, and 18, more particularly described'as follows: BEGINNING at the Southwest corner of.said Lot J; thence North 880 47' East, along the South line of said Lot J, 215.60 feet to the true point of beginning for the parcel of .land described herein; thence from said true point of beginning North 00 36' West, 102 feet to a point; thence South 890 56' East, 220 feet to a point in the East line of said Lot J and the West line of a 90 foot road as shown.on said P1a.p; thence South 00 36' East along the East line 'of said I,ot J, 97 feet to the Soutlieasl- corner thereof ; lhe,nce—Souf.h._ _ 8To •47' I`desi:-; alone the Sou tli J'ft e of Lot J, 220 feet to the true point of beginning. Dated November 17, 19 87 VIOLET J. MILL , STATE OF CALIFORNIA County of BUTTE t onumbar / , lQ i % beforo me; the undersigned, a Notary PublicIn and for said State, personally appeared_ VIO ETJ MTT T FR M0(00 )%Kt? %XQCC4K0( proved to me on the basis of satisfactory' dente to be the person_ whose name subscribed to the within Ins ment, and acknowledged td -m. t t he_ executed IL I FOR NOTARY SEAL OR STAMP �o■®oom■■■a■■■■■■tr■ses■la■� ■ } JULIANNE PETERS F3 NOTARY PUBLIC -CALIFORNIA U Butte County ,a ■ My Comm!sslon Expires Feb. 18. 1991 0 ■■■!I■■■■■elo0It Ualaa19®sl a 17tidij MAIL TAX STATEMENTS AS DIRECTED ABOVE rrlvu ur UUGUMENl Vr 3, .4. i ' �• M. 0 INTERIOR RIDGE SUPPORTS STANDARD PIER SPACING AS AS SPECIFIED BY MANUFACTURER - . SPECIFIED BY COACH MANUFACTURER D SEISMIC ZONE 3& 4 3& 4 3& 4 � 80.0 FR TRIPLE WIDE O 'i%IS NNG MOBIIC ' E%IS TING XOBIL 'C%IS TING MOBILE l aCDACM BEAMS\j'afAACN 2'AA2 SCAMS a OCOACM BEAMSQ n t t t . TL -I -I t t >r • i 4 I •4 I 4 I 51 4 I I 4 4 4` 6 4 I uEll I -.. UP TO 48 FT 4:12 4 0 La -T t t I t I t LI --I . I I � I 4 EPI 4 4 4 4 I ' I I EE�f,� I I I I A F±1 4 0 8 0 8 4 ✓�{�-, I I� j�'',I ✓� CJ --I 6 0 MOBILE ,L}LJ� o. W COACH 4:12 .8 0 8 0 8 4 Q 4 4 T 8 0 8 0 _ n' '10.• A7' AA• 4:12 PLAN Scale: I- = 10' TRIPLE WIDE MOBILE COACH N N IN SEISMIC ZONE 3& 4 3& 4 3& 4 � 80.0 FR TRIPLE WIDE O ^ SEISMIC TIFF PIERS DOWNS PLACE SEISMIC PIERS I . I l ROWS OF d 2'AA2 4 0 AS SHOWN I`!',�-�)�[�'I 20' 78 FT EXISTING MOBIL VCOACN BEAMS 11 6 0 a a 48 FT 4:12 0 4 4 4 6 I Lai ST 78 FT 4 4` 6 4 I uEll I -.. UP TO 48 FT 4:12 4 0 6 0 4 4- l LIP TO 66 FT 4:12 i FOR DOUBLE WIDE• 6 4 ❑ PLACE SEISMIC PIERS I I ' IN ROWS OF 2 8 4 • p PER TABLE 4:12 4 0 8 0 8 4 32' OUTLINE OF 4:12 6 0 MOBILE 8 4 o. W COACH 4:12 .8 0 ' SEISMIC ZONE 3& 4 3& 4 3& 4 WIND LOAD(MPH,EXP) 70B & 80B 70C 80.0 COACH SIZE WIDTH LENGTH ROOF PITCH SEISMIC TIFF PIERS DOWNS SEISMIC TIE- PIERS DOWNS SEISMIC TIFF PIERS DOWNS N 48 FT 2'AA2 4 0 4 0 4 4 20' 78 FT 2-A:12 6 0 6 0 6 4 48 FT 4:12 0 4 4 4 6 I Lai ST 78 FT 4:12 6 0 6 4 6 8 UP TO 48 FT 4:12 4 0 6 0 1 6 1 4 2 & 28' 24 ' 26 LIP TO 66 FT 4:12 6 .0 6 0 6 4 c UP TO 78 FT 4:12 8 0 8 0 8 4 UP TO 48 FT 4:12 4 0 8 0 8 4 32' UP TO 56 FT 4:12 6 0 6 0 8 4 o. W UP TO 78 FT 4:12 .8 0 8 0 8 4 i30.36• UP TO 48FT 4:12 8 0 8 0 8 4 42'.48' UP TO 78 FT 4:12 12 0 12 1 0 1 12 1 4 FIND COACH SIZE. THEN ROOF PITCH. FOLLOW ROW ACROSS TO DESIGN LOAD. READ TOTAL NUMBER OF C.P. SEISMIC PIERS & TOTAL NUMBER OF TIEDOWNS REQUIRED. SEE PLAN ABOVE FOR PLACEMENT OF PIERS & TIEDOWNS. AUGER TIEDOWNS SHALL BE LISTED & INSTALLATION INSTRUCTIONS SHALL. BE ON SITE AT TIME OF INSPECTION. . 4 I OUTLINE � -F OF MOBILE -20', 24'. 26', 28', OR 32' COACH L10 ,12%14',OR 16' PLAN_ Scale: I" = 10' ',` - PLAN Scale: I- = 10' DOUBLE WIDE MOBILE -COACH SINGLE WIDE MOBILE COACH 0 0 . L 5/8'x3' 12 IN OVERSIZED •r - _�~ T op1WFESS)p4, FLANGED PLASi IC FOR CHIPPING AND/OR •r•';. - - ° ' - - n�' f M. W4 �Fy ANCHOR INSERTS CORNER PREAKAGE rQ < Na 325 A EXP. 0 CIVIL 3' - 36 !/2' 4' 5/8' x 1-3/8' FLANGED 5/8'x3' STAINLESS STEEL OR FLANGE 5/8 PLASTIC 5/8 x 3' FLANGED COACH I BEAM GENERAL NOTES: REFERENCE:CALIFORNIA CODE OF REGULATIONS, TITLE 25. REVISIONS BY 1. DESIGN LOADS $HALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 09-02-04 YW 2. FOOTINGS ARE TO BE SUPPORTED BY EITHER FIRM, UNSATURATED, UNDISTURBED SOIL OR -- COMPACTED FILL. ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. ALL FOOTINGS SHALL BE FOUNDED IN ACCORDANCE WITH H.C.D. GUIDLINES AND TITLE 25. 0. STRUCTURAL STEEL: CO a. SHALL CONFORM TO ASTM A36 Fy = 36 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. d D c. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: E C CO i. ELECTRODES: E70 � 3 U-) ii. PLATES: ASTM A36 1 iii.BOLTS: STANDARD ASTM A307 Z L iv.THREADED ROD: COLD DRAWN LOW CARBON WELDABLE ,r a N d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE n PROTECTIVE COATED. 4. THE C.P. SEISMIC PIER SHALL BE LISTED AND LABELED BY CERTIFIED TESTING AND .CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS: a. LATERAL :X -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD b. VERTICAL : 16000 LBS ULTIMATE LOAD i00 5. THIS T[EDOWN SYSTEM IS FOR PLACING MANUFACTURED HOMES CONSTRUCTED ~ c - WITH LONGITUDINAL OR CROSS JOISTS. I o 6. THIS TIEDOWN SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL I Q n SITE WITH NO EXISTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) W o In 7. STANDARD PIER & FOOTING. SPACING PER COACH MANUFACTURER'S INSTALLATION MANUAL. _ WITHOUT MANUAL. SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE MOBILE HOMES v PARK ACT. ALL STANDARD SUPPORTS MUST BE POSITIVELY ATTACHED TO THE CHASSIS BEAM IN z L di ACCORDANCE WITH TITLE 25, SECTION 1336.4. r�1�� Q' Z .0 FOUNDATION PAD NOTES: L J 1. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE CUSTOMER MAY CHOOSE THE FOUNDATION PAD FOR THEIR COACH. J 2. FDTN PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) x 3. CONCRETE FOUNDATION PADS I c .Z A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLITE WEIGHT CONCRETE. c C B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LONG DIMENSION I Q w N OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN).( O ¢ 3 C. WHERE FIELD CONDITIONS REQUIRE PAD ROTATION, NO MORE THAN HALF OF THE h -^t PADS IN A TRAVERSE LINE CAN BE ROTATED SO THAT THE LONG DIMENSION I W r OF THE PADS ARE PARALLEL TO THE COACH BEAM. 4. PRESSURE TREATED FOUNDATION PAD i T ^ w A. 3/4 INCH A.P.A. 48/24 EXTERIOR P.S.1.-83 CC. PLUGGED, NER-QA397.PRP-108. V 1 CD > 5. ATTACHMENT TO EXISTING CONCRETE SLAB - s_ THE C.P. SEISMIC PIER MAY BE ATTACHED TO AN EXISTING COMPETENT CONCRETE SLAB OR C:6 � Ia CONCRETE FOOTING ACCORDING TO THE FOLLOWING CRITERIA: 1. ATTACH WITH TWO 'A" DIAM. ITW RAMSET/ REDHEAD TRUBULT WEDGE ANCHORS I L 2. MINIMUM EMBEDMENT = 2.5" 3. MINIMUM CONCRETE THICKNESS = 33/."Q 4. MINIMUM EDGE DISTANCE = 2" I O > 0 1 COACH SIZE NOTES: IU o 1. UNLESS APPROVED BY ROCK SOLID ENGINEERING. INC.. THE ROOF PITCH SHOULD NOT EXCEED: I A. SINGLE WIDES: 3:12 OR 4:12 AS SHOWN IN TABLE B. 20 FEET WIDES: 2'h:12 OR 4:12 AS SHOWN IN TABLE C. ALL OTHER DOUBLE WIDES: 4:12 O D. TRIPLE WIDES: ' 4:12 2. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS -PLAN OR REFERENCED ABOVE. I r+ LAYOUT SHALL BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING, INC. INSPECTION REQUIREMENTS: 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS BUILT BY THE I •W MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES AND SECONDARY ROOFS HAVE NOT BEEN INCLUDED IN THIS DESIGN. 2. ALL DIMENSIONS INCLUDED ON THIS PLAN, INCLUDING COACH SIZE. ROOF HEIGHT AND PIER I HEIGHT, SHOULD BE FIELD VERIFIED BY THE LOCAL BUILDING OFFICIAL. ANY DISCREPENCIES SHOULD BE IMMEDIATELY BROUGHT TO THE ENGINEER'S ATTENTION. 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT. PROPER DRAINAGE PATTERNS HAVE C 1 BEEN ESTABLISHED IN ACCORDANCE WITH TITLE 25 & MANUFACTURER. U) INSTALLATION INSTRUCTIONS 1. MARK CHASSIS BEAM ACCORDING TO REQUIRED SPACING. 1'-'1 0 2. FOUNDATION FOR CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR El - THE LOADS AS SHOWN IN THE MANUFACTURED HOME INSTALLATION INSTRUCTIONS. W CO 3. ALL MANUFACTURER REQUIRED PIERS. EXCEPT MASONRY BLOCKS, MUST BE ATTACHED TO THE � ,� CHASSIS BEAM AND FOOTING PAD PER. TITLE 25, SECTION 1336.4. 4. LEVEL THE SOIL & PLACE THE. FOUNDATION PAD BELOW MARKING AS PER LAYOUT. THIS SHEET. I W O O 5. ASSEMBLE C.P. SEISMIC PIER TO ITS LOWEST SETTING: PLACE IT ON THE r ---I Q <' Q FOUNDATION PAD AND ATTACH IT PER THE CORRESPONDING DETAIL, THIS SHEET.- B. RAISE TOP SECTION OF C.P. SEISMIr, PIER UNTIL IT TOUCHES BOTTOM OF CHASSIS BEAM BY TURNING PIPE (FOUR TURNS EQUALS ONE, INCH CHANGE IN HEIGHT) TIGHTEN 4 CLAMP BOLTS. ^ 7. CLAMP UPPER PLATE TO BOTTOM OF CHASSIS FgErr11M A ppEj gET IL THIS S iEET. �� ENGINEERED TIEDo�N SYSTEfW APPROVED ' ABJECT TO ftCORRECTIONS NOTED B U L D 1 � PLASTIC ANCHOR INSERT 2 - 3/8' x 1' BOLTS Approval does not authorrze of approve any omissio • ANCHOR INSERT$ • �' 4 3'. x 3' PLATE 4 - 3/8' deviation from requirements of applicable State taws and �� W 3.tall I 5' BOLT WITH FIELD DRILL HOLES • 4x4 -4x4 WWF 3'S�=' WASHER '& NUT OPTION DF regulations. 4' I•I _ l• 4-014 SELF TAP SCREWS COACH C MAX HT ABOVE CLAMP - state 04 California �i . 4x4 -4x4 WWF 2' DIA' /-, C.P. PRO PAD PRECAST PAD 3 IN FOR THE 6 IN PIPE STD PIPE ` . OR J BEAM Department kiousldg and ''qy''mmunity Development T 30'x32'x3/4' 7 IN FOR TH 10 IN PIPE 4• _[� Dk qpv 1 F-•4 12 IN FOR THE IS IN PIPE 4 - 3/8' BOLTS 3' x 3' / O �' D STANDARDS. PLYWOOD ,TIGHTEN TO I/a'xWIDE PLATE I� � / �� f� /� p �' 0 -.� • �.' 14 !N FOR THE 18 IN PIPE ANGLE 3' WIDE L.L + HOLES FOR _ :180 IN -LBS SPACER AS NEEDED TUBE MUST EXTEND a: E15 FT -LBS) TORQUE B°i I/2' x 2 1/2' C.B.1 3' IN IN .TO CLAMP 3/16' PLATE / FOR J -BEAM SpA NO r L� 7 HOLES FOR = „•' ' - CLAMP 4 - 3/8'-1/ )/2'x2-1/2' C.B. BASE HEIGHT '� SEISMIC %L' r-'�� `%' iB'x24'x3/a'-� roc 7 INCH SMALL r 3/4' THREADED ROD BOLTS PIER Tho Plan ApprovalE7lDIreS DATE:, 12-16-03 PLYWOOD I' r7 �� �, IL5 INCH REGULAR 3/16' PLATE LEGS 16.5"INCH EXTRA LARGE - RRIAGE LINE & SID. CHASSIS SUPPORT SCALE: SAS SHOWN STEE�F INSERT: 5/8'x1-1/2' BOLT OR PER INSTAU.ATION MAMU" CONNECTED WITH E[GHT - •' ` PLASTIC INSERT' 5/8'x2-1/2' BOLT DRAWN: YMW 1-1/2'x.120' NAILS _ ".'i' WITH HARDENED WASHER OR 808x1-1%2' FHWS 4, _ ,''.• _ 1/4' PLATE EISHIC PIER AN JOB -#: W03002. 1 32' 4' FOUNDATION PA TYPICAL BEAM SLOPE NIM 2X SLOPE WIN 2R F36'MAX Q -PAD', PLYWOOD PAD SEISMIC PIER Not to Scale SHEET: .Z FOUNDATION PADS C.P. SEISMIC PIER#I -PATENT #5595366 CONNECTIONRADE LOT PER Not to Scale ELEVATION INSTALLATION MANUAL Not to Scale NOT TO SCALE OF 1 SHEETS S - --- •,INSTALL MINUTE MAN EARTH AUGERS (OR EQUIV.) 2900 LBS. CAPACITY, WHEN REQUIRED, SEE TABLE. SPACE IST ROW 2 FT FROM END THEN SPACE EVENLY. I . X N &-4 � C❑Q}-1 'EXISTING MOBIL I Lai ST LNG XDBIL� VCOACM . BEAMS BEAMSa a OCOACM I I C4 i I a N a a U1 I 4~ I Q m I 4 I 4 o. W } ❑ ••� �, I ® II NO j�I LFA LIQ r t I �,..�L-F-1I I I 1p I 4 W 4 Q v 1a:• o:T� Cr - .a .a Cr ' I I SEISMIC PIER & FOUNDATION PAD PER TABLE . 4 I OUTLINE � -F OF MOBILE -20', 24'. 26', 28', OR 32' COACH L10 ,12%14',OR 16' PLAN_ Scale: I" = 10' ',` - PLAN Scale: I- = 10' DOUBLE WIDE MOBILE -COACH SINGLE WIDE MOBILE COACH 0 0 . L 5/8'x3' 12 IN OVERSIZED •r - _�~ T op1WFESS)p4, FLANGED PLASi IC FOR CHIPPING AND/OR •r•';. - - ° ' - - n�' f M. W4 �Fy ANCHOR INSERTS CORNER PREAKAGE rQ < Na 325 A EXP. 0 CIVIL 3' - 36 !/2' 4' 5/8' x 1-3/8' FLANGED 5/8'x3' STAINLESS STEEL OR FLANGE 5/8 PLASTIC 5/8 x 3' FLANGED COACH I BEAM GENERAL NOTES: REFERENCE:CALIFORNIA CODE OF REGULATIONS, TITLE 25. REVISIONS BY 1. DESIGN LOADS $HALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 09-02-04 YW 2. FOOTINGS ARE TO BE SUPPORTED BY EITHER FIRM, UNSATURATED, UNDISTURBED SOIL OR -- COMPACTED FILL. ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. ALL FOOTINGS SHALL BE FOUNDED IN ACCORDANCE WITH H.C.D. GUIDLINES AND TITLE 25. 0. STRUCTURAL STEEL: CO a. SHALL CONFORM TO ASTM A36 Fy = 36 KSI MINIMUM. b. SHALL BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. d D c. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: E C CO i. ELECTRODES: E70 � 3 U-) ii. PLATES: ASTM A36 1 iii.BOLTS: STANDARD ASTM A307 Z L iv.THREADED ROD: COLD DRAWN LOW CARBON WELDABLE ,r a N d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE n PROTECTIVE COATED. 4. THE C.P. SEISMIC PIER SHALL BE LISTED AND LABELED BY CERTIFIED TESTING AND .CONSULTING SERVICES (CTC) FOR THE FOLLOWING LOADS: a. LATERAL :X -LARGE PIER: 1907 LBS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD b. VERTICAL : 16000 LBS ULTIMATE LOAD i00 5. THIS T[EDOWN SYSTEM IS FOR PLACING MANUFACTURED HOMES CONSTRUCTED ~ c - WITH LONGITUDINAL OR CROSS JOISTS. I o 6. THIS TIEDOWN SYSTEM PLAN IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL I Q n SITE WITH NO EXISTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) W o In 7. STANDARD PIER & FOOTING. SPACING PER COACH MANUFACTURER'S INSTALLATION MANUAL. _ WITHOUT MANUAL. SPACING OF STANDARD PIERS TO BE DETERMINED BY STATE MOBILE HOMES v PARK ACT. ALL STANDARD SUPPORTS MUST BE POSITIVELY ATTACHED TO THE CHASSIS BEAM IN z L di ACCORDANCE WITH TITLE 25, SECTION 1336.4. r�1�� Q' Z .0 FOUNDATION PAD NOTES: L J 1. FOUR FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE CUSTOMER MAY CHOOSE THE FOUNDATION PAD FOR THEIR COACH. J 2. FDTN PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) x 3. CONCRETE FOUNDATION PADS I c .Z A. 3000 PSI AT 28 DAYS AS TESTED AND MANUF. BY STARLITE WEIGHT CONCRETE. c C B. PREFERRED PAD ORIENTATION WHERE EVER POSSIBLE IS THAT THE LONG DIMENSION I Q w N OF THE PAD BE PERPENDICULAR TO THE COACH BEAM (AS SHOWN ON THE PLAN).( O ¢ 3 C. WHERE FIELD CONDITIONS REQUIRE PAD ROTATION, NO MORE THAN HALF OF THE h -^t PADS IN A TRAVERSE LINE CAN BE ROTATED SO THAT THE LONG DIMENSION I W r OF THE PADS ARE PARALLEL TO THE COACH BEAM. 4. PRESSURE TREATED FOUNDATION PAD i T ^ w A. 3/4 INCH A.P.A. 48/24 EXTERIOR P.S.1.-83 CC. PLUGGED, NER-QA397.PRP-108. V 1 CD > 5. ATTACHMENT TO EXISTING CONCRETE SLAB - s_ THE C.P. SEISMIC PIER MAY BE ATTACHED TO AN EXISTING COMPETENT CONCRETE SLAB OR C:6 � Ia CONCRETE FOOTING ACCORDING TO THE FOLLOWING CRITERIA: 1. ATTACH WITH TWO 'A" DIAM. ITW RAMSET/ REDHEAD TRUBULT WEDGE ANCHORS I L 2. MINIMUM EMBEDMENT = 2.5" 3. MINIMUM CONCRETE THICKNESS = 33/."Q 4. MINIMUM EDGE DISTANCE = 2" I O > 0 1 COACH SIZE NOTES: IU o 1. UNLESS APPROVED BY ROCK SOLID ENGINEERING. INC.. THE ROOF PITCH SHOULD NOT EXCEED: I A. SINGLE WIDES: 3:12 OR 4:12 AS SHOWN IN TABLE B. 20 FEET WIDES: 2'h:12 OR 4:12 AS SHOWN IN TABLE C. ALL OTHER DOUBLE WIDES: 4:12 O D. TRIPLE WIDES: ' 4:12 2. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS -PLAN OR REFERENCED ABOVE. I r+ LAYOUT SHALL BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING, INC. INSPECTION REQUIREMENTS: 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMES AS BUILT BY THE I •W MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES AND SECONDARY ROOFS HAVE NOT BEEN INCLUDED IN THIS DESIGN. 2. ALL DIMENSIONS INCLUDED ON THIS PLAN, INCLUDING COACH SIZE. ROOF HEIGHT AND PIER I HEIGHT, SHOULD BE FIELD VERIFIED BY THE LOCAL BUILDING OFFICIAL. ANY DISCREPENCIES SHOULD BE IMMEDIATELY BROUGHT TO THE ENGINEER'S ATTENTION. 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT. PROPER DRAINAGE PATTERNS HAVE C 1 BEEN ESTABLISHED IN ACCORDANCE WITH TITLE 25 & MANUFACTURER. U) INSTALLATION INSTRUCTIONS 1. MARK CHASSIS BEAM ACCORDING TO REQUIRED SPACING. 1'-'1 0 2. FOUNDATION FOR CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR El - THE LOADS AS SHOWN IN THE MANUFACTURED HOME INSTALLATION INSTRUCTIONS. W CO 3. ALL MANUFACTURER REQUIRED PIERS. EXCEPT MASONRY BLOCKS, MUST BE ATTACHED TO THE � ,� CHASSIS BEAM AND FOOTING PAD PER. TITLE 25, SECTION 1336.4. 4. LEVEL THE SOIL & PLACE THE. FOUNDATION PAD BELOW MARKING AS PER LAYOUT. THIS SHEET. I W O O 5. ASSEMBLE C.P. SEISMIC PIER TO ITS LOWEST SETTING: PLACE IT ON THE r ---I Q <' Q FOUNDATION PAD AND ATTACH IT PER THE CORRESPONDING DETAIL, THIS SHEET.- B. RAISE TOP SECTION OF C.P. SEISMIr, PIER UNTIL IT TOUCHES BOTTOM OF CHASSIS BEAM BY TURNING PIPE (FOUR TURNS EQUALS ONE, INCH CHANGE IN HEIGHT) TIGHTEN 4 CLAMP BOLTS. ^ 7. CLAMP UPPER PLATE TO BOTTOM OF CHASSIS FgErr11M A ppEj gET IL THIS S iEET. �� ENGINEERED TIEDo�N SYSTEfW APPROVED ' ABJECT TO ftCORRECTIONS NOTED B U L D 1 � PLASTIC ANCHOR INSERT 2 - 3/8' x 1' BOLTS Approval does not authorrze of approve any omissio • ANCHOR INSERT$ • �' 4 3'. x 3' PLATE 4 - 3/8' deviation from requirements of applicable State taws and �� W 3.tall I 5' BOLT WITH FIELD DRILL HOLES • 4x4 -4x4 WWF 3'S�=' WASHER '& NUT OPTION DF regulations. 4' I•I _ l• 4-014 SELF TAP SCREWS COACH C MAX HT ABOVE CLAMP - state 04 California �i . 4x4 -4x4 WWF 2' DIA' /-, C.P. PRO PAD PRECAST PAD 3 IN FOR THE 6 IN PIPE STD PIPE ` . OR J BEAM Department kiousldg and ''qy''mmunity Development T 30'x32'x3/4' 7 IN FOR TH 10 IN PIPE 4• _[� Dk qpv 1 F-•4 12 IN FOR THE IS IN PIPE 4 - 3/8' BOLTS 3' x 3' / O �' D STANDARDS. PLYWOOD ,TIGHTEN TO I/a'xWIDE PLATE I� � / �� f� /� p �' 0 -.� • �.' 14 !N FOR THE 18 IN PIPE ANGLE 3' WIDE L.L + HOLES FOR _ :180 IN -LBS SPACER AS NEEDED TUBE MUST EXTEND a: E15 FT -LBS) TORQUE B°i I/2' x 2 1/2' C.B.1 3' IN IN .TO CLAMP 3/16' PLATE / FOR J -BEAM SpA NO r L� 7 HOLES FOR = „•' ' - CLAMP 4 - 3/8'-1/ )/2'x2-1/2' C.B. BASE HEIGHT '� SEISMIC %L' r-'�� `%' iB'x24'x3/a'-� roc 7 INCH SMALL r 3/4' THREADED ROD BOLTS PIER Tho Plan ApprovalE7lDIreS DATE:, 12-16-03 PLYWOOD I' r7 �� �, IL5 INCH REGULAR 3/16' PLATE LEGS 16.5"INCH EXTRA LARGE - RRIAGE LINE & SID. CHASSIS SUPPORT SCALE: SAS SHOWN STEE�F INSERT: 5/8'x1-1/2' BOLT OR PER INSTAU.ATION MAMU" CONNECTED WITH E[GHT - •' ` PLASTIC INSERT' 5/8'x2-1/2' BOLT DRAWN: YMW 1-1/2'x.120' NAILS _ ".'i' WITH HARDENED WASHER OR 808x1-1%2' FHWS 4, _ ,''.• _ 1/4' PLATE EISHIC PIER AN JOB -#: W03002. 1 32' 4' FOUNDATION PA TYPICAL BEAM SLOPE NIM 2X SLOPE WIN 2R F36'MAX Q -PAD', PLYWOOD PAD SEISMIC PIER Not to Scale SHEET: .Z FOUNDATION PADS C.P. SEISMIC PIER#I -PATENT #5595366 CONNECTIONRADE LOT PER Not to Scale ELEVATION INSTALLATION MANUAL Not to Scale NOT TO SCALE OF 1 SHEETS S - --- N o _ V/ I GARAGE Finish floor, electrical, HVAC equipment and services above flood elevation of U' Dr1v2Wa This set of plans and specifications MUST be kept on the job at all times and it is unlawful to i make any changes or alterations on same with - (but written permission from the Department of Public Works, County of Butte. NOTE.—AA Materials & Workmanship Shall' Be i� Accordance with Recognized Good Practices and of a quality prescribed, for the Specified use inth6 Uniform Building, Plumbing & Mechanical Codes anal 'the National Electrical Code. _ • 1 _f _ co AXIS TING J 1119 1 (fid R11-1 N :r �3 I --i F-37 "aback of 5 ft. from the property lines and a setback of �. B^'RM Soft: from the road centerline shall be clear of structures or equipment except r fora 2 rjM 0 p i (Q,MOBILE HOME MU ft. save overhang. ! ' I BEAR H.U.D. LC)I.ABEI.S �' e2 of Au- C.�cVrS , i o i r^\ P EaS± erl 11-1 Scab%�"v1• -�i-rQ2s -�o 6a,r¢.rnoveci !. BUTTE COUNTY i rQd -a i �a.rn atm T BUILDING DEPARTKN Thisrsetof;plans'-andispecifications-MUST be kept on tfieaob at`all times and-it-is!unlawful'tc Cake:-any;7changes or elteratiChs'on' ame.with- ;- �� I out writtenrm peissio fro___m the:Department of Putil� Works, County of;Butte. i i NOTEt„�.A!=Mcterials_& Workm�mhp ShallSe' h� Ac ordcnc withRecognised-GoodcP.rac'-'- cnd of a"quplityprescriEied foc=tFie-Specified use='inth® Unrform'Nilding; Plumbing_$;ly =Nijnical Codes+and "'tN. ationalU�tr.;�c(sCeda:— _ o.. c.i DYiv2wc7� -Frush flooi�`slectrical, HVAC' A sett f 5-Vfrom theme �i Z (r�iTl Coquilmerrt and sen►ices:abo: Ve �- -- properly lines and ai etback of ft d'elevaUon of 1�2 oad y USGS. from.the.r ` 'cin te[6ne,shall be clear�� structures or=equipment except t ,,n m p G ;r.; r a 2 -:-save qND ,LnLn _.._...� 50' -4 MUST:�f ' -HOME= I si•+ _Fasm¢ht r I V C W 3 V_ I f SITE PLAN 7 ............. ...... 7 ........ ...... ...... 7 ................. .. . .......... ........ ...... 7-* ........ 7 ------- —7— .......... .... . ......... ............... ..................... . ........... ...... ... ....... ...... ............ ...... ...... ...... ...... .......... ..... ...... ....... ...... .... ..... ................................ ............. � ...... ................... ................... .................... ................... ................... ................... ...... ...... ....... * ........... .... ...... ...... ............ ........ ................ . ..... ...... ...... .................... ...... ...... ..... ...... ...... ..... ...... ...... ............. ...... ............ ...... ............ ...... ............ ....... ................ ...... ...... ............. ............ ..... .... ............. ...... .­: ..... ...... ....... ...... ............ ...... .......................... ...... ...... ...... ...... ...... ............. ...... ...... ...... ...... ............ ...... ............. ...... ............. ...... ............. ...... ...... ....... ...... ...... ...... ...... ...... ...... ............. ...... .................... ........ ............. ............. 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Assessor's Parcel Number Owner Name Address I Phor Site Location Contact: Name ❑aa- ❑oa oaa scale:,=, Phone \9 0' FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00' 1 zI Y O PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: C3V0HqlA V 0 V _ BUTTE COUNTY AUG 0 8 2005 DEVELOPMENT SERVICES COUNTY OF BUTTE - DEPART,F PUBLIC WORKS - BUILDING DIVISION r 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET -. _ Permit No. OWNER V Z, I / ' r A. P. No. Proposed Building Use �/% Building Inspector Dates At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED { 1. All items have been submitted . .................................... 1r 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ " 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs,.with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings -- -�-- 8. Engineered truss details and layout in duplicate (required prior to plan check) ll___�9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................. 3./ 1 / S D School District fees paid .............. ' 1 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... -16- Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for requiredPre-Inspec. request to ' Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22.' Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25- Letter of. signature aut orization 26. 27. When you issue the permit, process as follows: Mail to owner. Mai lAo contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl icant 1�y��'�d1T��, Date Copy of plans sent Health Dept., Fire Dept., Other Date r The following data must be submitted prior to permit issuance: (Circle new item not` clhecked/above). 1. Index permit for ab=ed 2. Additional items re Contractor, designer, owner, was advised of above required data by—phone --- mall—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy=DPW S.