HomeMy WebLinkAbout040-290-041\ � 4�—may—moi
M i{E WACKER 40=29-41' & '33 --
Rd. 3 4 mi. S. o _ t MICHAEL WACKER
E/S Stanford f / E/S Stanford Rd' 3/4 mi S
Durham—Oroville Hwy, Durham Dur -Oro Hwy
Permit #429-76B,P,E,M(extend liv— USE PERMIT (with conditions) 1/13/82
< ing room & dd b d ,st d &
bath/SF' ) Yh /_ �Z KATY LOU WARREN 40-29-41
9178 Sta.rford Lane, Durham
40-29-41 Permit#69-87A(A ric ltural Bldg Exemp)
contr: Holiday Pools, Chico
Permit #3661-79B,P"E(new private
swimming pool & spa)
Ina y _1
40-29-41
KATY -.WARREN
9178 Stanford Lane,Durham I/,)-
ContR: Pat Martin / •
PErmit#3397-88B(fireplace insert)SF
040-290-041 PERMIT#94-2101
1 WARREN, KATY
9180'STANFORD LN., DURHAM /
MOBILEHOME UTILITIES
)t ELCTRIC
,
GAS LINE
COMPACTION TEST REQn
SUPPORT STRUCT REQ
040-290-041 PERMIT04-2102
WARREN, KATY-�. i,
9180 STANFORD -LN:--, DURHAM
.MOBILEHOME INSTALLATION JJ
I 040-290-041 04-24"
WARREN, KATHY
STANFORD LN, DURHAM (�
11 Cont: OWNER
NEW MH PERM FND
or/
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Lw��� &VA-
3rmm'
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RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTITIT.
COUNTY
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE JAN 14 2005
OROVILLE.CA 95965 DEVELOPMENT
&_SERVICES .�
204—��176429
Recorded I REC FEE 10.00
Official Records I
County Of
CANDACHEUTJ. (3RUBBS I
Recorder I
ROSEMARY DICKSON I
Assistant I Alyce
11:49AN 15 -Dec -2004 I Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
KATY LOU WARREN
REAL PROPERTY OWNER/LESSOR
9178 STANFORD LN.
MAILING ADDRESS
DURHAM BUTTE CA. 95938
CITY COUNTY STATE ZIP
9182 STANFORD LN.
INSTALLATION MAILING ADDRESS, IF DIFFERENT
DURHAM BUTTE CA. 95938
CITY COUNTY STATE ZIP
HELEN NOVAK AND JULIA ELDREDGE
UNIT OWNER (if also property owner, write "SAME")
701 E. LASSEN SP. 93
MAILING ADDRESS
CHICO BUTTE CA. 95973
CITY COUNTY STATE IZIP
UNIT DESCRIPTION
'BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
04-2453 530
538-7541
UIL 'G PERMIT NO. TELEPHONE NUMBER
GNATURE OF LOC L AGENCY OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
DEALER LICENSE NO.
UNKNOWN 1976 UNKNOWN
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
SN612448 UNKNOWN 235119
SERIAL NUMBER(S) _ LENGTH X WIDTH INSIGNIAILABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 040-290-041
SEE ATTACHED
t
• HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
Description
Order No. BU -219162 TB
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
A PORTION OF FARM ALLOTMENT NO. 48, AS SHOWN ON THAT CERTAIN MAP ENTITLED,
"SUBDIVISIONAL PLAN OF THE DURHAM STATE LAND SETTLEMENT, BEING A PORTION
OF THE ESQUON RANCHO, SITUATED NEAR DURHAM, BUTTE CO., CALIF.', WHICH MAP
WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, ON SEPTEMBER 17, 1918, IN BOOK 8 OF MAPS, AT PAGES) 16,17 AND 18,
AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHEASTERLY CORNER OF SAID FARM ALLOTMENT NO. 48;
THENCE ALONG THE . SOUTHERLY LINE OF SAID FARM ALLOTMENT NO. 48 THE
FOLLOWING TWO COURSES AND DISTANCES: SOUTH 51 DEG. 08' -,WEST 825.8 FEET AND
SOUTH 38 DEG. 21' WEST, TO THE MOST EASTERLY CORNER OFA. PARCEL OF LAND
DESCRIBED IN A DEED TO JOHN W. MALMQUIST, ET UX, RECORDED MAY 28, 1964, IN
BOOK 1316, PAGE 351, OFFICIAL RECORDS; THENCE SOUTH 73 DEG. 50' WEST ALONG THE
NORTHERLY BOUNDARY LINE OF SAID MALMQUIST PARCEL TO A POINT THAT IS
DISTANT NORTH 73 DEG. 50' EAST 200 FEET FROM THE WESTERLR YLINE OF SAID LOQ' 48;
THENCE NORTH 16 DEG. 10' WEST AND PARALLEL WITH THE CENTERLINE OF STANFORD
ROAD, TO A POINT THAT IS DISTANT 80 FEET SOUTH OF THE NORTHERLY BOUNDARY
",LINE OF A PARCEL OF LAND DESCRIBED IN A DEED TO JAMS L. TOLER, RECORDED
OCTOBER 9, 1963, IN BOOK 1274, PAGE 425, OFFICIAL RECORDS; THENCE SOUTH 68 DEG.
32' 30" WEST AND PARALLEL WITH THE NORTHERLYBOUNDARY OF SAID TOLER PARCEL,
A DISTANCE OF 200.86 FEET TO THE CENTERLINE OF SAID STANFORD ROAD; THENCE
NORTH 16 DEG. 10' WEST ALONG SAID CENTERLINE, A DISTANCE OF 80 FEET TO THE
NORTHWESTERLY CORNER OF SAID TOLER PARCEL; THENCE NORTH 68 DEG. 32'30" EAST
ALONG THE NORTHERLY BOUNDARY OF SAID TOLER PARCEL, A DISTANCE OF 1382.14
FEET TO. A POINT ON THE EASTERLY LINE OF SAID FARM ALLOTMENT NO. 48; THENCE .
SOUTH 31 DEG. 44' EAST, ALONG SAID EASTERLY LINE A DISTANCE OF 56.93 FEET TO THE
POINT OF BEGINNING.
APN 040-290-041-000
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
KATY LOU WARREN
REAL PROPERTY OWNER/LESSOR
9178 STANFORD LN.
MAILING ADDRESS
DURHAM BUTTE
1111 oil III 111111111111111 i11111111
RECORDING REQUESTED BY:
a
1011,41- _ 11251 425 -7fS, 4 a 9
STATE
Recorded I REC EEE 10,00
Official Records i
>'
County Of I
BUTTE
CANDACE Jo GRUBBS i
CA.
Recorder I
AND WHEN RECORDED MAIL TO:
ROSEMARY DICKSON I
ZIP
Assistant I Alyce
11:49At� 15 -Dec -2004 (. Aare 1 of
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
MAILING ADDRESS
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
KATY LOU WARREN
REAL PROPERTY OWNER/LESSOR
9178 STANFORD LN.
MAILING ADDRESS
DURHAM BUTTE
CA.
95938
CITY COUNTY
STATE
ZIP
9182 STANFORD LN.
INSTALLATION MAILING ADDRESS, IF DIFFERENT
DURHAM BUTTE
CA.
95938
CITY COUNTY
STATE
ZIP
HELEN NOVAK AND JULIA ELDRIDGE
UNIT OWNER (if also property owner, write "SAME")
701 E. LASSEN SP. 93
MAILING ADDRESS
CHICO BUTTE
CA.
95973
CITY COUNTY
STATE
ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
04-2453 530 538-7541
/BUNG PERMIT N0. TELEPHONE NUMBER
l _�
41611__
G ATURE OF LOCXL AGENCY OFFICIAL DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
UNKNOWN 1976 UNKNOWN
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER
SN612448 UNKNOWN 235119
SERIALNUMBER(S) LENGTH WIDTH INSIGNIA/LABELNUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER '040-290-041
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK. - Applicant GOLDENROD- Building Dept.
l Order No. BU -219162 TB
Description
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
A PORTION OF FARM ALLOTMENT NO. 48, AS SHOWN ON THAT CERTAIN MAP ENTITLED,
"SUBDTVISIONAL PLAN OF THE DURHAM STATE LAND SETTLEMENT, BEING A PORTION
OF THE ESQUON RANCHO, SITUATED NEAR DURHAM, BUTTE CO., CALIF.", WHICH MAP
WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, ON SEPTEMBER 17, 1918, IN BOOK 8 OF MAPS, AT PAGES) 16,17 AND 18,
AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHEASTERLY CORNER OF SAID FARM ALLOTMENT NO. 48;
THENCE ALONG THE SOUTRERLY LINE OF SAID FARM ALLOTMENT NO. 48 THE
FOLLOWING TWO COURSES AND DISTANCES: SOUTH 51 DEG. 08' -.WEST 825.8 FEET AND
SOUTH 38 DEG. 21' WEST, TO THE MOST EASTERLY CORNER OFA PARCEL OF LAND
DESCRIBED IN A DEED TO JOHN W. MALMQUIST, ET UX, RECORDED MAY 28, 1964, IN
BOOK 1316, PAGE 351, OFFICIAL RECORDS; THENCE SOUTH 73 DEG. 50' WEST ALONG THE
NORTHERLY BOUNDARY LINE OF SAID MALMQUIST PARCEL TO A POINT THAT IS
DISTANT NORTH 73 DEG. 50' EAST 200 FEET FROM THE WESTERLY LINE OF SAID LOT 48;
THENCE NORTH 16 DEG. I O' WEST AND PARALLEL WITH TEE CENTERLINE OF STANFORD
ROAD, TO A POINT TfIAT IS DISTANT 80 FEET SOUTH OF THE NORTHERLY BOUNDARY
,LINE OF A PARCEL OF LAND DESCRIBED IN A DEED TO JAMES L. TOLER, RECORDED
OCTOBER 9, 1963, IN BOOK 1274, PAGE 425, OFFICIAL RECORDS; THENCE SOUTH 68 DEG.
32' 30" WEST AND PARALLEL WITH THE NORTHERLYBOUNDARY OF SAID TOLER PARCEL,
A DISTANCE OF 200.86 FEET TO THE CENTER M OF SAID STANFORD ROAD; THENCE
NORTH 16 DEG. 1.0' WEST ALONG SAID CENTERLINE, A DISTANCE OF 80 FEET TO THE
NORTHWESTERLY CORNER OI; SAID TOLER PARCEL; THENCE NORTH 68 DEG. 32'30" EAST
ALONG THE NORTHERLY BOUNDARY OF SAID TOLER PARCEL, A DISTANCE OF 1382.14
FEET.TO• A POINT ON THE EASTERLY LINE OF SAID FARM ALLOTMENT NO. 48; THENCE
SOUTH 31 DEG. 44' EAST, ALONG SAID EASTERLY LINE A DISTANCE OF 56.93 FEET TO THE
PONT OF BEGINNING.
A.PN 040-290-041-000
BUILDING PERMIT NUMBER: 04-2453
Address or location of unit: 9182 STANFORD LN. DURHAM, CA. 95938
Legal Description of Real Property: AP#: 040-290-041
SEE ATTACHED
0
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: HELEN NOVAC AND JULIA ELDRIDGE
Owner's address: 701 E. LASSEN SP. 93 CHICO, CA. 95973
INSIGNIA OR HUD NUMBER: 235119
SERIAL NUMBER OR V.I.N.: SN612448
i
MANUFACTURER'S NAME: UNKNOWN YEAR: 197
OFFICIAL APPROVING INSTALLATION:
DATE:�-�l�
PHONE: (530) 538-7541
H.C.D. 513C
RECORDING REQUESTED BY
MID VALLEY TITLE AND ESCROW CO.
AND WHEN RECORDED MAIL TO.
Katy Lou Warren
G1l'1$ Avl'FD�cI LAki e
11JIIlJIIiiJiJiJlllill!lJJJ1JJliil
a laGD4• ---1010 1L 3 1 749
Recorded
Official Records
CoBunntyc f
CANIMCE iJ. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:00AM 1"ar-2004
REC FEE 10.00
I
I
I
I
1 Jason
I Page 1 of 2
Above This Line for Recorder's Use Only
A.P.N.: 040-290.041 Order No.: C 1-} l /�, Escrow No.: 219162TB
GRANT DEED
�
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY
computed on full value of property conveyed, or
computed on full value less value of liens or encumbrances remaining at time of sale,
j unincorporated area; [ ] City of Durham , and
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
Katy Lou Warren
hereby GRANTS) to
Katy Lou Warren, Trustee of the Katy Lou Warren Living Trust dated June 15, 1994
V
the following described property in the City of Durham, County. of Butte State of California;
See legal description attached hereto and made a part hereof. .
Katy Warren
Document Date: March 1, 2004
STATE OF CALIFORNIA )SS
COUNTY OF )
On Q before
personally appeared L! -q rr rw?
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on
the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signator
This area for official notarial seal.
• - REBECCA L BLEOSOE
COMM / 1297451
mROTARY 1; IBuc CAUFORNIA
COUNTY OF BUTTE
Cotrim. Expires April I3,200
Mail Tax Statements to: 'SAME AS ABOVE or Address Noted Below
- . tY2}
Order No. BU -219162 TB
Description
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
A PORTION OF FARM ALLOTMENT NO. 48, AS SHOWN ON THAT CERTAIN MAP ENTITLED,
"SUBDIVISIONAL PLAN OF THE DURHAM STATE LAND SETTLEMENT, BEING A PORTION
OF THE ESQUON RANCHO, SITUATED NEAR DURHAM, BUTTE CO., CALIF.", WHICH MAP
WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, ON SEPTEMBER 17, 1918, IN BOOK 8 OF MAPS, AT PAGE(S) 16,17 AND 18,
AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHEASTERLY CORNER OF SAID FARM ALLOTMENT NO. 48;
THENCE ALONG THE SOUTHERLY LINE OF SAID FARM ALLOTMENT NO. 48 THE
FOLLOWING TWO COURSES AND DISTANCES: SOUTH 51 DEG. 08' -WEST 825.8 FEET AND
SOUTH 38 DEG. 21' WEST, TO THE MOST EASTERLY CORNER OFA PARCEL OF LAND
DESCRIBED IN A DEED TO JOHN W. MALMQUIST, ET UX, RECORDED MAY 28, 1964, IN
.BOOK 1316, PAGE 351, OFFICIAL, RECORDS; TAENCE SOUTH 73 DEG. 50' WEST ALONG THE
NORTHERLY BOUNDARY LINE .OF SAID MALMQUIST PARCEL TO A POINT THAT IS
DISTANT NORTH 73 DEG. 50' EAST 200 FEET FROM THE WESTERLY LINE OF SAID LOT 48;
THENCE NORTH 16 DEG. 10' WEST AND PARALLEL WITH THE CENTERLINE OF STANFORD
ROAD, TO A POINT THAT IS DISTANT 80 FEET SOUTH OF THE NORTHERLY BOUNDARY
�,LINE OF A PARCEL OF LAND DESCRIBED IN A DEED TO JAMES L. TOLER, RECORDED
OCTOBER 9, 1963, IN BOOK 1274, PAGE 425, OFFICIAL RECORDS; THENCE SOUTH 68 DEG.
-32'30" WEST AND PARALLEL WITH THE NORTHERLYBOUNDARY OF SAID TOLER PARCEL,
A DISTANCE OF 200.86 FEET TO THE CENTERLINE OF SAID STANFORD ROAD; THENCE
NORTH 16 DEG: 10' WEST "ALONG SAID CENTERLINE, A DISTANCE OF 80 FEET TO THE
NORTHWESTERLY CORNER OF SAID TOLER PARCEL; THENCE NORTH 68 DEG. 32'30" EAST
` ALONG THE NORTHERLY BOUNDARY OF SAID TOLER PARCEL, A DISTANCE OF 1382.14
FEET TO. A POINT ON THE EASTERLY LINE OF SAID FARM ALLOTMENT NO. 48; THENCE
SOU, H 31 DEG. 44' EAST, ALONG SAID EASTERLY LINE A DISTANCE OF 56.93 FEET TO THE
POINT OF BEGINNING.
APN 040-290-041-000
.6'7, ---
/IA
Building Permit Number: Q V
Owner Name: VI O-rre/yI
Residential Construction Requirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 2001 California Building Code
(2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California
Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A: Post Flood Elevation Certifccaie
will also be.requina
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater".
Page 2of 2
}
Building Permit Number:
Owner Name: W O rVC -1
Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
Fire sprinklers are required in this structure.
0 FrLL;
The following parcel map requirements shall be met:
- All structures and equipment including overhangs shall be clear of all easements.
A setback of feet from the side and feet from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
_ _ = Expansive soil maybe* encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200,r-
ELEVATION
00,ELEVATION CERTIFICATE
Read the instructions on Dacies 1- 7.
SECTION A - PROPERTY OWNER INFORMATION ) For lnsurdrmcoawny Use:
BUILDING OWNER'S NAME Policy Number
KATY WARREN
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
9178 STANFORD LANE
CITY STATE ZIP CODE
DURHAM CA 95938
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
APN 040-290-041
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Residential Stricture
LATIITUDE/LONGI TUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
( ##'- #9 - ##.W or ##.;' N NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP
COMMUNITY ER COUNTY AME STATE
BUTTE CO, CORP.AREA60017 Buony I
CA
B4. MAP AND PANEL
IB7.
❑ FIS Profile N FIRM ❑ Community Determined ❑ Other (Describe):
FIRM PANEL
B11. Indicate the elevation datum used for the BFE in B9: N NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
EFFECTIVEREVISED DATE
B8. FLOOD ZONE(S)
(Lone A0, use depth of flooding)
060017 0520
c
SEPT. 29,1989
JUNE 8,1998
AO
Depth 20 ft
610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile N FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: N NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date WA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: N 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 5 (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 reprints the building, provide a sketch or photograph.)
C3. Elevations—Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (witty BFE), AR, ARIA, ARAE, AR/A1AW, AR/AH, AR/AO
Complete Items C3. -a4 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 NGVD 1929 Conversion/Comments SEE SECTION D.
Elevation reference mark used RM 58 Does the elevation reference mark used appear on the FIRM? N Yes ❑ No
o a) Top of bottom floor (including basement or enclosure) 155.4 ft.(m)
q?pFESS/0
G
o b) Top of next higher floor 155.4 ft.(m)
�( e
o c) Bottom of lowest horizontal structural member (V zones only) N/A. _it(m) o o
����•
o d) Attached garage (top of slab) N/A. _ft(m) 0
uj:
o e) Lowest elevation of machinery and/or equipment w
servicing the building (Desaibe in a Comments area) 0 ft.(m) 1{ , `% v►, r r E
* •• No. 27 7
o f) Lowest adjacent (finished) grade (LAG) - 152.4 fL(m) Z.2)
3�/Q¢•�
o g) Highest Aaoent (finished) grade (HAG) 152.4 ft(m) C
tp21 CIVI%—
TF • ' ' ' '
• h) No. of permanent openings (flood vents) within 1 ft above adjacent grade 10
SFO
o i) Total area of all permanent openings (flood vents) in C3.h 750 sq. in. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS NAME: ROBERT G. AGEE, JR. LICENSE NUMBER RCE 27647
TITLE: CIVIL ENGINEER COMPANY NAME: SIERRA 6EjrSUl�,ri
ADDRESS CITY f 0 T T Ej"iZ1P'C;OpE,"..
5437 BLACK OLIVE DR. PARADISE gb n r.%CAr%1,95969
SIGNATUREDATE : TE ONE„ K
AUGUST 3, 2004 877-6253
FEMA Form 81-31, January 2003 Irsee reverse side for continuation. Replaces all previous editions
( �A,enn,o ro C-;!26 gl2
IMPORTANT: In obese spaces, copy the corresponding inforrnadon from Section A For lnsurarimCompany Use:
BUILD GIN ' 1REET ADDRESS (IndudN Apt, Unit, Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number
9178 STANFORD LANE
CITY STATE ZIP CODEI Company NAIC Number DURHAM
DURHAM CA 95938
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentloompany, and (3) building owner.
COMMENTS
T.B.M. = NAIL IN POWER POLE 0 200' NORTH ELEVATION =152.4'
❑ 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 E5. 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 5 (Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is 1 ft(m) _in.(crm) ® above or ❑ below (check one) the highest adjacent grade. (Use
11 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. NIA
E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cr) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).N/A
E5: For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance? ❑
Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. NIA
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4wAW or community -
issued BFE) or Zone AO must sign hare. The statements in Sections A, a Q and E are oared to die best ofmy Ivrowledge.
• PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP
SIGNATURE DATE TELEPHONE
COMMENTS
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the conmunitys 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 infomnation 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 FEMA4ssued or community4ssued 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 COMPUANCEIOCCUPANCY 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 81111M COLIN I } r
-AUILDING DEPARTMIrl"
COMMENTS p P P Q
❑ Check here if attachments
FEMA Form 81-31, January 2003 Replaces all previous editions
A.,
/��
BUTTE COUN j
'AULDING DEPARTME-F.,-'"
Owner's Name:
Assessor's Parcel Number:
3. Installer's Name: ! vl/ Gly
!4.,, Is'the site currently under�pe 't? Yes[ ] `'No ] Permit No.
5. Is the site an existing site? Ye&136 No[ ] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome?Amperes.
7. What is the mobilehome site circuit breaker rating? /07) Amperes:
8. What is the electrical rating of the mobilehome site? Amperes.
9. Is the main service remote from the mobilehome site? Yes [3No[ ] If it is, what is
the rating? Amperes.
-z .'r
10. Is there any other electric load to be served by the mobilehome site electricservice
(i:e. well, garage etc.)? Yes[ ] NoA-fIf yes, please identify the load and size:
a) The mobile home site:
Load- Amperes -
b) The main service:
Load- Amperes -
11. Type of gas service at mobilehome site: Natural[ ] Propane(k]'None[ ]
t `Y,
12. Size.. of,.,, as,pipe at the mobilehome site from the meter or
tank. inches.
13. What is thegas pipe length from the meter or tank to the mobilehome?gv(ft.).
14. What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is less than 6 -feet on natural gas or
less than 50 feet on propane).
1 .f.... I A[1G
ELECTRICAL, MECHANICAL, AND PLUWBIN6
CONSTRUCT10N, ( NOT FLAN CHECKED )
SHALL COMPLY WITH "CURREW EDITION
OF MEC, UMC AND UPC -
RS
Mobilehome Manufacturer• ,_,�J4�Manufacture Year -
If other than single wide, furnish �etup Model Number:
_,/I,—
Width:(ft.) Length: 60(ft.) Tagalong or Expando Size -
—00 x (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation gradA-1 Other:
'
SUPPORTS: Concrete block[ Ot her
Provide Tie Down Specifications for all Mobilehomes;
Pier-Fobtings Sizes and Location
SINGLE NIDE MULTI -WIDE
Line I C1
Line 2
Line 2
Main Beams
...........................................................
Line 2 2
Line I Line 3
Line 2
M
..................................................................................................
Lim 2
......................................... Main . Beams ................ I ..................... TLLLine I
..... ....... ......
...........................................
Tag or Triple
...........................................
Line 1 Piers:'
Size minimum:, x
Spacing maximum:
From ends-maximumi__
Line 2 Piers:
Size minimum: x
Spacing maximum: 1', /'
From ends-maximuml A%V4 11
,
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof U
Size minimum:
Location (from
5 -1
4 *
I
Line'l Openings
Size minimum: I Jx1 J
Each side of —
openings -
with width over: . 1 7_77*73
Line 4 Piers:
Size minimum: x
Spacing maximum:
From ends-maximumi
(�� OVER
J
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117
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m
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1-1
cn
2"x 2"x 3/16" 3/8- CAU PLA -ED BOLT, NUT & WASHER
STEEL ANGLE COUNTER BORED FLUSH WITH 30TTOM
AT 8" D.C. (8) REQUIRED
1/4- STAND BASE
ABESCO ABS PAD #503
DETAIL "A"
CHASSJS FRAME —
1/4" GRIPPER PLATE ®d
(2) REQUIRED
1/4- GRIPPER BASE
1/2-13UNC-A307 x 4"-�
BOLT WITH NUTS
i(4) REQUIRED
01 1/2" SCH 40 PIPE' RISER WITF:
01/2" ADJUSTER HOLES AVD 3/8"
THICK TOP PLATE
o2" SCH 40 PIPE STAND WITH TWO
01/2- ADJUSTER HOLES
CEESCO ABS PAD X1503
Sf£EL FRAME"
�%— DETAILS "A"
Y'
�m
36- MAX
TO BOTTOM
OF PAD
o 1 /2"x 3" C.R-
LOCK PIN WITH
01/8" BRIDGE
PEN
11
STAND BASE
TO P VI EW
COACa "C" FRAME
2" CHANNEL
1/4"x1-1/47-
TEK STS
(2) REQUIRED
1/4." GREFPER-
BASE
1/2- A307 800 -
(2) REQUIRED
3/8"x 6,x 6" -
STEEL PLATE
1/2" A307 BOLT -
(2) REQUIRED
17918
OF G
LO-
m 37" TUF--1 PERMANENT
m FOUNDATION SYSTEM
m
IS 1/2" AEESCO-GUS GUARD COMPANY
CN '_ 5851 FLORIN - PERKINS ROAD
N - SACRAMEWO, CA 95823
r't°•: PH: (f1VU) sttL-uusl
m I FAX: (916) 383-5207
i
COACH "J" FRAME
1/4- GRIPPER 1 /4"> 1-1 /4"
PLATE TEK STS
(4) REQUIRED
1/4' GRIPPER
BASE
/
Lj� 1/2" A307 BOLT
(4) REQUIRED
C—BEAM t' J ---BEAM
ATTACHMENT ATTACHM=NT
g" 1/2" DIA. HOLE (8) PLACES
STEEL FRAME
TOF VIEW
STATE7
1l "cal 111 A81i"01m
nJIR.DOlSd11��lMNO!!»�0�!�/�►1R0pV�BJ�Lt1!
" � �A,1CAfii1Ci178L11)i!fa�D�T��
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WAYNE -. POLVAOO, PE—LISTING NO. F94249 SHEET 1 or 3
to
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GENERAL NOTES GUS GUARD TUF-1
DESIGN LOADS: LIVE LOAD - 30 LB.
FLOOR LIVE LOAD - 40 PSF
WIND LOAD - 80 MPH EXPOSURE -C-
SEISMIC ZONE "4"
* SNOW LOAD 100 PSF (SEE NOTE 11115)
2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON
A FA RLY LEVEL SITE WITH NO EXISTING SOJL PROBLEMS.
3. CHASSIS BEAN SUPPORTS SHALL BE LO:ATED AND SIZED FOR THE LOADS
AS SHOWN IN THE 'MOBILE HOMO INSTALLATION INSTRUCTIONS".
IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR,
MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEE•S 1/4*.
OIL ViHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT.
5. CARRY ALL FODTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS
ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOH. PRESSURE, AND
SHALL BE CO9PATBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND
MAY BE USED TO FILL LOCAL VOIDS UNDER PADS.
E. STRUCTURAL STEEL: FABRICATED ACCORDING TO A1SC SPECIFICATION.
WELD ACCORDING TO ANS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM
A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725.
7. THE 'CUS GUARD ASSENBUES SHOWN ON THIS PAGE SHALL BE LISTED AND
LABELED BY BSK AND ASSOCFATES FOR THE FOLLOWING LOADS:
ALLOWABLE TOADS: HORIZONTAL VERTICAL
GUS GUARD TUF-1 2200,E 600(1#
GUS GUARD MGP PAD 22001 6000#
GUS GUARD E -Z TIE PAD 2200E 6000f
B. DVRFNG PRELIMINARY INSPECTION, THE ESTIMATOR SHAD- ENSURE THAI 4�
MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION.
9. EXISTING COACHES MAI' BE RETROFITTED TO RESIST SEISMIC FORCES BY
INSTALLING GUS GUARD TUF-1 LNITS AS SHOWN ON- THIS PAGE OF TYPICAL
r FOUNDATION 'LAMS.
X10. THE CUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD
++
44LF
AIN EAREAS 1YHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT
THREFEET.ULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED
G) HE NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS
f THE SAME AS SHOWN REQUIRED PER EACH UNIT.
9_ SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. s (SEE SHEET #3)..e
IMETAL COMPONENTS M ATTACHMENTS ITEMS SHALL BE PPOTECTNE COATED.
>4,+� WHEN CONCRETE •SLAB IS IN E(ISTANCE, PAD IS NDT
16. FOUNDATION FLOCKS 16"x 16"xl2" POURED IN MACE AT GROUND LEVEL MAY
BE USED AT IASTALLERS DISCRETION ALTEPAATTVE TO PADS.
SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES
�
E= 2' WIN. / S' MAX. E= 2' MIN. / 11' MAX.
MIM. /16' MAX. 5= 6' NLN_ / 22 MAX.
Hl!
f
0.2,�`
VARIES 10'-70' (SEE TA3L6 ON SHEET #3)
E S S
E
I_
❑ ❑
RIDGE BEAM SUPPORT AS
"
REQUIRED BY MANUFACTURER
�1
a (TYPICAL) a ❑
-E3-T ❑ ❑ ❑
a
8' NOM.
❑ ❑
•
2' NOM.
PADS IN ANY PAIR MAY BE STANDA;O M.H. FOUNDATION
ROTATED 90 DECREES OR PIERS AS RECOMMENDED BY
PVC SERIES
OFFSET TO OTHER SIDE TO THE MANUFACTURER OP. THE
AVOID CLEARANCE PROD -EMS- ENGINEER. TYPICAL THROUGHOUT
SUPPORT
PAD TYP)
Exp. � �
�lgrF oElc ,.�
+ �OUIRED. ANCHOR STAND TO CONCRETE SLAB WITH 7UE-1 PERMANENT
,OUR (4) 1/2"x 3 1%2` EXPANSION ANCHORS. FOUNDATION SYSTEM
rT 5. -MGUS GUARD 7UF-1 FOUNDATION SYSTEM PROVIDES
ALLOVIABLE SNDW LOA[ TO 10C PSF WHEN INSTALLED ABESCO -GUS GUARD COMPANY
_ WITH EXISTING STANDARDS REQUIRED BY COACH SSST IZORDv - PF.FICD�TS ROAD
MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823
ONEE BASIS. PH: (800) 382-8831
FAX: (916) 383-5207
STATE APPROVAL
MANL°FACi R13 ROMWODil17W
FOUNDATION SYSTEM
MAT-THAND SATR" OOD9, BECiIM SUN
11PPROVJ3>!
suwwr Yo comscrmm num
AVnOVA{. D01M NOr,&X 3GPM MAPFIRo" AW
OMISSIONS OR DEVIATTONFROM RBQ NiBW
APPLICABLE STA7F LAWS AND PjKyj 113X"
State ofCatiiFmts
N
of AocrieS aed Cpa��p
D/� t
CODES AND A't;
1w
SPA NO. 4{-),,
-- - ��
TIisPlanAnmmvslFxeTr=
WAYNE T. POLVADO, PE—LISTING NO. E94249 SHEET 2 of 3
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1/2"x 3 1/2" ---,
EXPANSION ANCHOR
;4) REQUIRED
r -
CONCRETE PAD INSTALLATION
CHASSIS FRAME
1/4" GRIPPER. PLATE
(2) REQUIRED
1/4" GRIPPER BASE
1/2-13UNC—A307 x 4'
BOLT WITH NUTS
(4) REQUIRED
01 1/2" SCH 40 PIPE RISER WITq
0t/2" AOJJSTER HOLES AND 3/E'°
THICK TOP PLATE
02" SCH 40 PIPE STAND . WITH TWO
ZI/2" ADJUSTER HOLES
,. ABESCO ADS PAG #503 —�
STEEL FRAME —\
3/4" DIA. x 18' L.G.
1/2'x 8' LONG (4) REQUIRED
ANCHOR BOLT 3/8' CAD PLATED BOLT, HUT & WASHER
(4) REWIRED COUNTER BORED FtUSH WITH 80T0M
AT B" O.C. ` (8) REQUIRED
�f.-� - •.4 i t Y,
1
POURED IN PLACE 16x16x12 -ONCRETE
FOUNDATION INSTALLATION
/ 36' MAX
TO BOTTOM
OF PAD
i
01/2'x 3" CR.j
LOCK PIN WITH
01/8' BRIDGE
PIN
i
1
f
J
LIGH— HEAVY—WEIGHT
PLASTIC PAD [INSTALLATION
MT1LR3--11IDB UK=
LENGTM OF
H014E
24
TH OF HOME
2 26 44
UP TO 4♦
6
8 8 12
4c-1' to 86'
1 e
12 12 18
Bi' -1' to 80
20
20 1 20 1 4
S HOM TM$ UNI'15
LENGTH
HOME
10
WIDTH OF HONE
127 1 14 16
IIP TO 44' 1
6
1 6.1
8
41-1 10 wl
$
I 8 I
8 I 8
to Sol
10
1 10 1
to 10
NUMBER OF TUF-1 RE.QUI4110 NUIMBER OF TUF-1 NLIWUIHI:U
NOM SINGLE WIDE UNITS REQUIRE (4) E—Z ME PADS. GUS WARD TUF-1 PIERS ARE
TO BE PLACED AT APPROXIMATELY EQUAL RiTERYALS ALONG EACH FRAME RAIL
ABESC04M CKTAM I .
5151 • iN - PERMINS •s•r
SACRANERCM,
:11
1
STATE APPROVAL
FC•UNDATYUN SY5TEAt
ANC SAFETYCODf. SBCTTON SRS!><
APPRDYED
1791 aLTBTBCT TO goRitBCT10r8 NOTFiD
APPROVAL C•OW NIOT AXIMORM DR APPS WE ANY
OMAPPL:CABLB AT8LAWS OR DEVIA17ON OAND REGULATMN9
Sate of C41,forn1r" ' . . . ...
p en EI Brod Comma 4 D-dopmam
FA AND STAND A>!D$ yV o
(asm)
SPAVO.
7],h F1anAppmval ExpUa b
WAYNE T. POLVADO, PE—'_[STING NO. F94249 SHEET 3 of 3
0
$ '%' �rj�Y�jlyk ; . �;. Y •fes H • �. 3:% , 'Sr.:�:d* jvr�`'t7i';i��"er'?-tn•�'?tir7d11'l'r"J�` �' -
BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM
DURHAM RECREATIONAND PARK DISTRICT
Assessor Parcel Number (s);
Property Owner (s):
Project Location/Address:
Subdivison Name:
Type of Residential Development (check one):
Assessable Square Footage: 77-0
New Development ❑ Afteration/Addition XMobile Home (s) Non -Residential to Residential
Comments:
� Cl
Bui ding Division Representative Date
, Durham Recreation and Park District (DRPD) certifies that
Applicant Name
Street Address
City
State
Applicant Phone Number
?S-� -� J/
Zip Code
has complied with the requirements of the Butte County Board of Supervisors Resolution No:-,;
93 - 114 by payment for'^square feet at $ 1.04 per square foot for a total payment''
of $ 1_
All
0/- S�c`i t1 "lQ�`57ric
4
DRPD Representative
PAID BY CHECK No.:`=`j
BANK No.:
PAID BY CASH:
RECEIPT No.:,,,
Remarks:
DISTRIBUTION: WHITE - APPLICANT PINK - DRPD
Date-
Remarks:
a e
�X :-
YELLOW - BUTTE CO. BUILDING DIVISION
Employer
Employer's Address
Name of Property Ov
Property Owner's. Adi
0wner'sAssessor's Parcel NumbeParcel Size Ac.
1, do declare, subject to the penalty of
perjury, that I am the employer of
address (present) - �i and that I will be
employer under Section 24-305.0209-.1, for at least thirty-two (32) hours per
a) to (g)
week for at least sixteen (16) weeks per year on AP#_
n
AGRICULTURAL AFFIDAVIT
EMPLOYER
4
BUTTE
COUNTY
Y
JUL 3 Lu104
DEVELOPMENT
SERVICES
Phorie SJ5y
0
Signed:
Environmental. Health, Approval:
Permit Description and Number
Date Issued /a
Planning Approval:
Date /® 4T 26
By
Cr�
Dated: 44
**********
Zone Am Dwelling on AP#
Produced -
R
BUTTE
COUNTY
AGRICULTURAL AFFIDAVIT JUL J ` 2004
DEVELOPMENT
EMPLOYEE SERVICES
Employee fw- ,e &-4 �0)w ei, Phone
Employee's Address (Pre
Name of Property Owner
Property Owner's Address /GC�?&� -- c,-/
Owner's Assessor's Parcel Number DYQ -a 9a - O Z Parcel Size Ac.
do declare, subject to theenal of
P tY
perjury, that I am the employee of
address (present) �T and that I will be
employee under Section 24-305.020 a- ,(3 G A6 for at least thirty-two (32) hours per
(a) o (g)
week for at least sixteen (16) weeks per year on AP# �) -C��� 6 Zz
Signed:
Environmental Health Approval-.-
Permit
pproval:Permit Description and Number
Datelssued
Planning Approval:
Date �C
Dated:
_ Zone Q Dwelling on AP# e�� -
Produced
AGRICULTURAL AFFIDAVIT
EMPLOYER/EMPLOYEE
Please read the following carefully before signing:
Section 24-305.020 Agriculture Employer/ Employee
(Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160)
An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will
be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or
that his primary source of annual income is, -or is anticipated to be; derived from any of the
--following described occupations:
----�--- ----- — ---�-- ---
(a) The preparation, care and treatment of farm land, pipelines or ditches, including
leveling for agriculture purposes, plowing, discing and fertilizing the soil;
(b) The sowing and planting of any agricultural or horticultural commodity;
(c) The care of any agricultural or horticultural commodity. As used in this subdivision,
care includes, but is not limited to, cultivation, irrigation, weed control, thinning,
heating, pruning or tieing, fumigating, spraying and dusting;
(d) The harvesting of any agricultural or horticultural commodity including, but not
limited to, picking, cutting, threshing, field packing and placing in field containers
or in the vehicle in which the commodity will be hauled on the farm or to the place
of first processing;
(e) The assembly and storage of any agricultural or horticultural commodity including
but not limited to, loading, roadsiding, banking, stacking, binning and piling;
(f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish,
- --frogs-and -other-aquatic animals,- including but not -limited to, herding, housing,
hatching, milking, shearing, handling eggs and extracting honey;
(g) The operation, conservation, improvement or maintenance of such farm and its
tools and equipment.
This affidavit is valid only for the named employee. Any change of employee requires a new
affidavit to be filed.
Employer tax r,ecords may be requested as proof of employment status.
Signed:
Dated: y��
r »
AGRICULTURAL AFFIDAVIT
EMPLOYER/EMPLOYEE
Please read the following carefully before signing:
Section 24-305.020 Agriculture Employer/ Employee
(Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160)
An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will
be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or
that his primary source of annual income is, -or is anticipated to be; derived from any of the
--following described occupations:
----�--- ----- — ---�-- ---
(a) The preparation, care and treatment of farm land, pipelines or ditches, including
leveling for agriculture purposes, plowing, discing and fertilizing the soil;
(b) The sowing and planting of any agricultural or horticultural commodity;
(c) The care of any agricultural or horticultural commodity. As used in this subdivision,
care includes, but is not limited to, cultivation, irrigation, weed control, thinning,
heating, pruning or tieing, fumigating, spraying and dusting;
(d) The harvesting of any agricultural or horticultural commodity including, but not
limited to, picking, cutting, threshing, field packing and placing in field containers
or in the vehicle in which the commodity will be hauled on the farm or to the place
of first processing;
(e) The assembly and storage of any agricultural or horticultural commodity including
but not limited to, loading, roadsiding, banking, stacking, binning and piling;
(f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish,
- --frogs-and -other-aquatic animals,- including but not -limited to, herding, housing,
hatching, milking, shearing, handling eggs and extracting honey;
(g) The operation, conservation, improvement or maintenance of such farm and its
tools and equipment.
This affidavit is valid only for the named employee. Any change of employee requires a new
affidavit to be filed.
Employer tax r,ecords may be requested as proof of employment status.
Signed:
Dated: y��
M -
BVy1\ 1 il�lE�
COV
JUL 2 9 Z;"i
DEVELOPMENT
SERVICES
0y-aL53
BUTTE COUNTY
AGRICULTURAL BUFFER NOTIFICATION AND/OR
UNUSUAL CIRCUMSTANCES REQUEST
�o-�I E C p&_�
Received
AUG 24 2004
KO,
Butte County requires a 300 foot buffer between neighboring agricultural'806466s 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:
nt Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601
Name: A I
Mailing Address:
E -Mail address
Assessor's Parcel Number:
a - fir/) __0
Reason you believe you qualify for the unusual circumstances exception:
Owner or Autpftized Agent's signature
—
/1-,o �,
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:
❑ Env. Health ❑ Planning ❑ Building ❑ Other
Contact Person: Phone:
.........................................................................................................................................................................................
For Agricultural Commissioner office use only: (to be completed after submittal )
DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building)
❑ Exception Recommended ® Exception Granted with the
❑ Exception NOT Recommended following conditions:
Reason/Conditions/Specific setbacks from adjacent agricultural operations: fire_ -a-1 Sty= �►
04.",6 VW T S� . pUf-� A
Agricultural Department Signature:'U.+„- -..=,,1,\,,Date: e5g--Z5-0ff
&t _ C -t,, YMC 7/1/03
s
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 41
ASSESSOR PARCEL NUMBER
040-290-041
20N NG
BUILDING PERMIT
OWNER
y WARREN
TELEPHONE
345-5494
SQ, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
917R RTANFORD TANE,T)ITRUAM 99918
CONTRACTOR'S NAME -
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
Permit Fee $ 23-01
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS y
STANFORD LANE DURHAM
PERMIT FEE $ qvnn
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping 15.00
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF ❑ Duplex O Mobilehome, Other
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W @20.00 60.00
TYPE OF WORK
New ❑ Addition ElRemodel O Utilities W Installation ❑ Other O
Describe Work:U�,������1C{�
PERMIT FEE $ 80.00
Contractor
ELECTRICAL PERMIT Filing Fee 1 20.00
OR LESS
Main Service ( 00A0 LESS I 23.00 23.00
I
Main Service ( 200A TO IOOOA I 46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLOS. g0, I 3.5, FT.
CONTRACTORS LICENSE LAW"'
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS ) @7.50
ER APPARATUS )
8 SINGLE OUTLET CRR.
Ex. Occup. ( OUTLET OR FIXTURES ) SA20 .00
L. @ R.50
Ex. Occup.FIXED APPWS. OR
(OUTLETS IRESID.1 EA. I 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00 20,00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
,411shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, j dgments, costs and expenses which may in any way accrue against said
Count i con equence f he granting of this permit.
X Date G, /
Si ature of Ap cant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA pe it is required for excavations over 5"0" deep and demolition or
construction f structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 166.00
S IMP Flo
PARC PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees ve been paid.
By Date
PERMIT EXPIRES ON S
(Date)
i
ReceiptNo. 163027
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
F.H. IiSF. ONLY
..__ Hot Pkm Attached E�7-
Hwir Han Auach.d
scot to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Lb
Owner Location AP//
Plan Approved for: Sewage Disposaly' Water Supply: Public Private Well �—
Clearance for bedroom pobile home. Ott Z�A}2 �
Hold final for:
Final clearance O.K. for:
NOTE:
L-nvi onmental Health Specialist
8/92
Date
...r•--r+�-r ,r�s;;sca�s,�wrra.�:•M�,.�r �r .. * � y,�� p,.rci v.
.1:Ia' �.. 't.J'!fi'ix,.iN•y+�.. 'h� t' � M:, i*+�N+ irk. �N-hc+.:•Tc.►: •ry+.+v11
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPM'PIT SERVICES -BUILDING DIVISION
�1 t
J
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
�i
Ot , ®yd - 2qo • b t//
OWNER A. P. No.
Proposed Building se _ Building Inspector Date 7 .Z c
At time of permit application; I was advised the �foil owin�data !l must be submitted prior tcrpermit processing and/or issuance: �( j L DATE RECENED BY
1, All items have been submitted. ........ .
2. Plot plans, 3/4 sets, signed by preparer of plans�.
3. Complete plans, 3/4 sets, sign d b p(eparerA pians. .. � .... �...... .
4. Engineered plans and calcs,, -sets, with wet signature on,pi ns.
5. Hazardous Material Form . ........................ 2 f y ...... .
6. Energy Design Compliance and supporting documentation..
7. Statement of Intent for Non -Heated and A/C Buildings. . d . ...................
8. Engineered truss details and `layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... .
10. Fees of
f - 111 v.
$� ....,...... ............................... .
11. Impact fees as shown on attached schedule. ...._ . .
12. California Department of Forestry plan approval/fees. V ........................
Flood elevation letter (100 year flood) by California Engineer ...................
1 Sanitation and plot plan approval (Cc:;; Health Department . ........... .
City of Chico plumbing permit. .
16. Plot plan anitd business license apEroval'from City of Biggs/Gridley. .
sa 17. Planning approval for (A) Use: ✓ (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. . .
(h t/ 19. Driveway permit (construction approval required prior to occupancy). ..
Pre -Inspection request
e 20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22... Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner . ...........
24. Recorded copy of Agricultural Acknowledgement Statement ...................
25. Letter of signature authorization.................`:.......................�
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
-27. Letter of intent on building use. .. ...................................... .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access.
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . .......................................
32. Plan checklist ......................................................
33.
34.
When you issue the permit, process as follows: Mail to 0Vner. Mail to contractor.
Telephone, -q$ S1VfI/ and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
,'Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air ollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circ) neyr ' not checked above).
1. Index permit for above items No.
2. Additional items required: IV
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter y'_ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER /\ /': '^
U Gl//)cxd
ZONING
BUILDING PERMIT
OWNER )
TELEPHONE
-C
SQ, FT, OCC. BUILDING VALUATION
OWN $ MAILING ADO ESS /V -G 1 YwrA JJJV39
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
,
Permit Fee $
ARCHITECT OR ENGINEER ..
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS AlAo Q
y�
PERMIT FEE $
000
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO. SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF D Duplex D Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home
./�0
@20.00 0. t/
TYPE OF WORK
New ❑ Addition -0 Re del O Utilities ElInstallation ElOther O
Describe Work:
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 1 20.00
Main Service ( 800V OR LESS )
200A OR LESS
23.00 O�
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLOS. )
g0 -
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in fust force and effect.
License No. Classification
Cl I, as the owner, 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)
O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWEfl APPARAS )
a sINCLE ouTLET CUIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occu FIXED APPUNS. OR
(
p' OUTLETS IRESID.1 EA. )
S.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked:
PERMIT FEE $/00
o rho
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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 consequence of the granting of this permit.
X Date
Signature of Applicant - Cl Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONSr. TTPE
TOTAL FEE $
HAZ. 1 D. FEES IMP
F OD I CDF
PARCEL PO
HD ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
lOe rel
Receipt No. /403927
WHITE-O.D.S.-B.D. CANARY -ASSESSOR- PINK -INSPECTOR GOLDENROD -APPLICANT
I
SITE PLAN REVIEW APPLICATION
Date: ho Q AP# ay(% —,2%
t
Permit Number (if applicable) 0y-_?`iE3
APPLICANT INFORMATION Parcel Size:
Owners•Name:
Owners Address: G
Telephone No.:
Situs Address:
Proposed Use:
a
Residential
❑ New Single Family Residential
❑ Single Family Addition ❑ Single Family Remodel
10 Mobile Home —
❑ Residential Accessor�
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition ❑ Commercial Remodel
❑ . New Industrial
❑ Industrial Addition ❑ Industrial Remodel
Other '
❑ Septic ❑ Well
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site Plan Stamped Approved'
By 4,a Date l0
I
,e
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservatiori Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
fN Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
100 -Year Flood Plain: (Sge attach)
• Flood Zone:
• Flood Panel No.: COrj SOC Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from t4Calirnia Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
------------- —---- ---------- ---------------------------------------------
❑ Detached Building Use Form ❑ Encroachment -Permit
® Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning:
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
/0(
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
I
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
-------------------------------------------------------------------------------------------------------------------------
Subdivision Map,Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
❑ Deeds:
Date of Creation:. Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:[] No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
❑ Subdivision Map/Parcel Map:
Map Date of Recording:
Lot: Book: Page:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development.. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for roa
FOI
A a rrP d r%f G
I
in
L-
0
u
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
C:\LarrysUiuilding Permit Site Plan Reviewl.doc
i
0
MOBILEHOME
INSTALLATION
•
GUIDE
NT OFy\/,
•
Alt o F --
NI TY D�
swe or caliromw
Bus+ , T►anupo=uon and Housing Agmy
Depanvne w of Housing and Cannuuun De-Jopntm
Division ofCo6a and Suv<dmd:
Auguo 1994
a
5
PREFACE
'Mobilehome installation regulations are an important subject for the mobilehome industry in
California. As with any regulations, there .are always some questions as to their meaning and
proper Implementation. In order to assess the uses and to promote a better understanding of
the installation regulations, the Department of Housing and Community Development has
compiled information from various sources on numerous subjects relating. to the installation of
mobilehomes. This manual will hopefully be a convenient reference for mobilehome installers
and code enforcement officials.. The intent of this manual is not to supersede any regulations,
but to clarify procedures and material standards, so as to promote uniformity and understanding
of the mobilehome installation regulations.
Each page in this manual is numbered so that when new material or information is prepared, you
will be able to remove the old pages and replace them with the updated pages as you receive
them.
'For the purposes of this guide the definition of mobilehome shall also mean manufactured
home.
TABLE OF CONTENTS
I, APPLICATION
PAGE
History...... :...........................................
1
Scope..................................................
1
Definitions..............................................
2
PermitFees ............................................
6
Permit Application and Issuance Procedure .....................
6
Regulations.............................................
7
Application for Permit to Construct .............................
8
PlotPlan ................................................
9
II. LOAD BEARING SUPPORTS
Manufactured Supports ....................................
11
Approval Procedure ........................................
11
Approved Testing and/or Listing Agencies .......................
13
Mobilehome Support .......................................
15
CMACN - Concrete Masonry Mobilehome Support
................
17
Roof Live Load ...........................................
18
Required Load Capacities ...................................
19
III, FOOTINGS
Mobilehome Support .......................................
20
Load Distribution .........................................
21
Pressure Treated Lumber ....................................
22
Approved Quality Control Agencies for the
Pressure Treatment of Wood ................................
23
Explanation of Quality Mark ................................
• 25
TABLE OF CONTENTS
FOOTINGS (cont'd) PAGE
Suppliers of Pressure Treated Lumber .......................... 26
Redwood.......................:...... 27
Other Approved Material .... ............... .............. 27
'Maximum Pier Spacing - 2 x 12 x 24 ............................ 28
Maximum Pier Spacing- 2 x 24 x 24 29
Maximum Pier Spacing - 2 x 12 x.30 ............................ 30
IV• TIEDOWNS
Requirements .............................................. 31
Tiedown Manufacturers ..................................... 32
V. SUPPORT STRUCTURES
Definition................................................ 33
Application 33
Design and Construction ................................... 33
Permit Required .. .............................. 33
VI. FOUNDATION SYSTEM
Foundation System Requirements ............................. 33
Local Enforcement Agency Approval ........................... 33
VII. MOBILEHOME INSTALLATION INSPECTION WORKSHEET .......... 34
VIII. ALTERATIONS TO THE MOBILEHOME
General................................................ 35
Gas, Water, Drain and Electrical Connections .................... 35
TABLE OF CONTENTS
ALTERATIONS TO THE MOBILEHOME (cont'd) PAGE
Gas Connections. ......................................... 35
Electrical Feeder Assembly ..................... • • • • • • • • • • • • . 36
Required Tests (Water, Drain, Gas and Electrical) ................. 38
iv
I. APPLICATION
HIS_
In 1973 the California State Legislature enacted Senate Bill 261, Chapter 640 adding Sections
18613 and 19814 of the Health and Safety Code to require that on and after July 1. 1974, a
permit must be obtained from the enforcement agency each time a mobilehome, which is
required to be moved under a permit (pursuant to the Vehicle Code), Is installed as a dwelling.
The requirements are intended to protect life and property by insuring that the park sewer, gas,
water and electrical systems and the mobilehome sewer, gas, water, electrical, heating and
support systems are inspected at the site to determine compliance with state law and
compatibility between the supply capabilities of the lot utilities and the demand of the specific
mobilehome placed on the lot. In addition, the field installation of the structural components of
the mobilehome is inspected to ensure that the intent of the manufacturer's design is followed.
In"1979 the California State Legislature enacted Assembly Bill 887, Chapter 1160 adding Section
18551 of the Health and Safety Code to permit mobilehome installations on a permanent
foundation system on and after January 1, 1980. A permit must be obtained from the local
enforcement agency and HCD Form 413 completed and immediately transmitted to the
Department with a copy of the building permit, and $11.00 for each transportable section. Any
mobilehome which is installed on a permanent foundation system for occupancy as a residence
is subject to local property taxation, and no longer considered a vehicle for purposes of
registration or any other purpose.
S_
A permit is required for the installation of a mobilehome when:
a) the mobilehome is required by the California Vehicle Code Section 35790 to be moved
under a permit.
b) the mobilehome is used for the purpose of human habitation or occupancy as a dwelling
c) The mobilehome is installed on a foundation system.
Installation permit requirements apply:
a) in a mobilehome park
b) outside a mobilehome park (see exceptions).
c) in labor camps when mobilehomes are used for human habitation.
Installation permit requirements do not apply and a permit is not required for:
a) recreational vehicles
b) mobilehomes set up for display as sales models in mobilehome parks when the
mobilehome is not connected to the park utility systems
c) mobilehomes not requiring a permit to be moved over a highway (not over 8 feet wide or
over 40 feet long)
d) mobilehomes installed at public school sites.
DEFINITIONS
The following definitions apply to this Mobilehome Installation Guide.
Approved - When used in connection with any material, appliance or construction, means
meeting the requirements for obtaining the approval of the Department.
Awning - A shade structure supported by posts or columns and partially supported by a home
installed, erected, or used on a mobilehome lot.
Awning Free-standing - A shade structure supported entirely by columns or posts and not
attached to or supported by a mabilehome or other structure.
Branch Service Line - That portion of the water distributing system extended from the park water
main to a lot, including connections, devices and appurtenances.
Carport - An awning or shade structure for a vehicle or vehicles which may be free-standing or
partially supported by a home.
Closed Building Components and Systems - 'Closed building components and systems"
subsystem, subassembly, or any total system or assembly designated for use in, or as part of,
a mobilehome accessory building or structure which may include structural, mechanical,
electrical, plumbing, and fire -protection systems and other systems affecting health and safety.
However, •closed building components and systems" does not include appliances or equipment
such as heaters, stoves, refrigerators, or air conditioners which have been listed and labeled by
an approved listing agency. 'Closed building components and systems" shall include only those
units which are manufactured in such a manner that all concealed parts or processes of
manufacture cannot be inspected before installation at the building site without disassembly,
damage, or destruction of the unit and which are either wholly manufactured at an off-site
location to be wholly or partially assembled on site.
Commercial Coach - A structure transportable in one or more sections, designed and equipped
for human occupancy for industrial, professional, or commercial purposes, which is required to
be moved under permit, and shall include a trailer coach as defined in Section 635 of the Vehicle
Code.
Decal of Anoroval - A decal or tag issued by the Department to indicate compliance with the
regulations established by the Department for closed building components and systems.
Department - Is Department of Housing and Community Development.
Drainage Lateral - That portion of the park drainage system extending to an individual lot drain
inlet.
Electrical Wiring System -All �s'de of buildings electrical rw9h n aumobilehome park appurtenances and
related electrical installations
Enforcement Agency - Is Department of Housing and Community Development, or any city,
county, or city and county which has assumed responsibility for the enforcement of this part
pursuant to Section 18300.
2
Feeder - The circuit conductors between the park service, or the generator switchboard of an
isolated plant, and the branch circuit overcurrent protective devices.
Feeder Assembly - The overhead or undervehicle feeder conductors, including the grounding
conductor, together with the necessary fittings and equipment, designed for the purpose of
delivering energy from the source of electrical supply to the branch circuit distribution panelboard
within the home.
Gas Lateral - The pipe, or that portion of a gas piping system, terminating at a single outlet at
a home site.
Gas Outlet Riser - That portion of -a gas lateral or gas piping system extending above ground at
a home site.
Ground Anchor - That part of a tiedown assembly that Is inserted into the ground.
Installation - Closed Building Components - The assembly of the closed building components
or systems on site and the process of affixing the closed building components to land,
foundation, footings, or an existing mobilehome accessory structure.
Label of Approval - The label or tag attached to each mobilehome accessory building or structure
to indicate acceptance by the Department of a standard plan approval.
Listed - All equipment and installations that appear in a list published by an approved testing or
listing agency.
Listed Tiedown Assembly - An assembly of component parts that has been tested and listed by
agencies approved by the department as complying with the requirements of section 1336.1.
Lot - Means any area or tract of land or portion of a mobilehome park or special occupancy park,
designated or used for the occupancy of one manufactured home, mobilehome, recreational
vehicle, tent, camp car, or camping party.
Lot Electrical Service Equipment - That equipment containing the disconnecting means,
overcurrent protective devices and receptacles or other means for supplying a mobilehome with
electrical power.
Lot Water Service Outlet - That portion of the park water distribution system, including fittings,
devices and appurtenances, provided with a fitting for connecting a mobilehome water connector.
Manufactured Home - 'Manufactured home" for the purposes of this part, means a structure,
transportable in one or more sections, which, in the traveling mode, is eight body feet or more
in width, or 40 body feet or more in length, or, when erected on site, is 320 or more square feet,
and which is built on a permanent chassis and designed to be used as a dwelling with or without
a permanent foundation when connected to the required utilities, and includes the plumbing,
heating, air conditioning, and electrical systems contained therein; except that such term shall
include any structure which meets all the requirements of this paragraph except the size
requirements and with respect to which the manufacturer voluntarily files a certification and
complies with the standards established under this part. "Manufactured home' includes a
mobilehome subject to the National Manufactured Housing Construction and Safety Act of 1974.
(42 U.S.C., Sec. 5401, et seq)
3
Mobilehome - For the purposes of this part, means either of the following:
(a) A structure transportable under permit in one or more sections, designed and equipped to
contain not more than two dwelling units to be used with or without a foundation system.
(b) A structure transportable under permit in one or more sections designed to be used with a
foundation system for any of the following purposes:
(1) Three or more dwelling units, as defined by Section 18003.3.
(2) As a dormitory. A 'dormitory" shall mean a room or rooms inhabited for the purposes of
temporary residence by two or more persons.
(3) A residential hotel, as defined by paragraph (1) of subdivision (b) of Section 50519.
(4) Efficiency units, as defined by Section 17958.1.
Mobilehome does not include a recreational vehicle, commercial coach, or factory -built housing,
as defined in Section 19971. The handicap accessibility and adaptability requirements of Title
24 of the California Code of Regulations applicable to dormitories, hotels, and apartment houses
shall be applicable to mobilehomes constructed for those purposes.-
Mobilehome Accessory Building or Structure - Any awning, cabana, ramada, storage cabinet,
storage building, private garage, carport, fence, windbreak or porch or any residential building
or structure established for the use of the occupant of a manufactured home, mobilehome, or
recreational vehicle on a lot.
Mobilehome Insignia of Approval - For the purposes of this chapter, the mobilehome insignia of
approval means a tag or label permanently affixed to each transportable section of the
mobilehome indicating compliance to applicable regulations of the Department or to Federal
Mobile Home Construction and Safety Standards (Title VI, 24 CFR).
Mobilehome Drain Outlet - The discharge end of the vehicle drainage system.
Mobilehome Gas Connector - A flexible metal connector approved for exterior use for conveying
gas from a gas outlet riser to a mobilehome gas supply connection.
Mobilehome Drainage System - All the piping within or attached to the mobilehome that conveys
sewage or other liquid wastes to the drain outlet.
Mobilehome Drain Connector - The extension connecting the mobilehome drain outlet to the
drain inlet.
Mobilehome Park - (a) is any area or tract of land where two or more mobilehome lots are
rented or leased, held out for rent or lease, or were formerly held out for rent or lease and later
converted to a subdivision, cooperative, condominium, or other form of resident ownership, to
accommodate manufactured homes or mobilehomes used for human habitation. The rental paid
for a manufactured home or mobilehome shall be deemed to include rental for the lot it occupies.
(b) Notwithstanding subdivision (a), an area or tract of land zoned for agricultural purposes where
two or more mobilehome lots or spaces are rented or leased, held out for rent or lease, or
provided as a term or condition of employment, to accommodate manufactured homes or
mobilehomes used for the purpose of housing less than five agricultural employees shall not be
deemed a mobilehome park. (c) Notwithstanding subdivision (a), an area or tract of land shall
not be deemed a mobilehome park if the structures on it consist of residential structures that are
rented or leased, or held out for rent or lease, N those residential structures meet both of the
following requirements: 1) The residential structures are manufactured homes constructed
pursuant to the National Manufactured Housing Construction and Safety Act of 1974 (42U.S.C.,
Secs. 5401 et seq.) or mobilehomes containing two or more dwelling units for human habitation.
2) Those manufactured homes or mobilehomes have been approved by a city, county, or city
4
and county pursuant to subdivision (d) of Section 17951 as an alternate which is at least the
equivalent to the requirements prescribed in the California Building Standards Code or Part 1.5
(commencing with Section 17910) in performance, safety, and for the protection of life and health.
Mobilehome Park Electrical Service - The conductors and equipment for delivering electrical
energy from the electrical supply system or the generator of an isolated plant, to the wiring
system of the mobilehome park. '
Mobilehome Water Connector - The flexible extension connecting the mobilehome water
distribution system to the park water service outlet.
Mobilehome Water Supply Connection - The fitting or point of connection of the mobilehome
water distribution system designed for connection to a water connector.
Modification - Any change from the approved plans which in the opinion of the Department or
local enforcement agency would affect the structural, mechanical, electrical, or plumbing systems
of a closed building component or system used in the construction of a mobilehome accessory
building or structure bearing a Department decal of approval.
N.F.P.A. - National Fire Protection Association.
Occuoied Area -The total of all the space occupied by a mobilehome including eave overhangs,
mobilehome accessory buildings or structures and miscellaneous structures, on a lot.
O=er - The person or firm that holds legal title.
P= - An outside walking area exceeding nine square feet, having the floor elevated more than
eight inches above grade.
Power Supply Cord - A flexible cord assembly of conductors, including a grounding conductor,
connectors, attachment plug cap, and all other fittings, grommets or devices, designed for the
purpose of delivering energy from the source of electrical supply to the branch circuit distribution
panelboard within the mobilehome.
Ramada - Any free-standing roof, or shade structure, installed or erected above a home or any
portion thereof.
Secondary System - That part of the electrical wiring system of the park distributing electrical
energy at nominal 115/230 volts, single phase.
5
PERMIT FEES
Where the Department Is the enforcement agency, the following fees shall apply:
1. Application Filing Fee, twenty dollars ($20)
2 Installation Permit Fee, one hundred dollars ($100) for the first hour plus thirty dollars
($30) for each 30 minutes or fractional part thereof in excess of one hour.
3. Reinspection Fee, sixty dollars ($60) for the first hour plus thirty dollars ($30) for each 30
minutes or fractional part thereof in excess of one hour.
PERMIT APPLICATION AND ISSUANCE PROCEDURE
A person required to obtain a permit to install a mobilehome shall submit an application for the
permit to the enforcement agency on forms provided by the enforcement agency.
When a mobilehome is.to be installed within a mobilehome park, contact the Department of
Housing and Community Development at one of the offices listed below for the name of the
enforcement agency.
AREA OFFICE ADDRESS TELEPHONE
Northern Area Office 8911 Folsom Boulevard (916) 255-2501
Division of Codes Sacramento, CA 95826
and Standards
Southern Area Office 2038 Iowa Avenue, Bldg. B, Suite -102 (909) 782-4420
Division of Codes Riverside, CA 92507
and Standards
Application form HCD 50 (see enclosed sample) is available from the Department of Housing and
Community Development. Where the applicant is not the mobilehome owner, the contractor's
license number and classification shall be shown on the application. A person submitting an
application for a permit shall submit one complete set of plans and specifications with his
application, which shall include the following information:
1. A plot plan, signed by the owner or operator, of the lot or site on which the mobilehome
is to be installed, which shall indicate the planned location of the mobilehome, the
locations of electrical, gas, water and sewer connections, and any permanent buildings
on the site. The plot plan shall indicate all required dimensions.
2. Specifications or description of the utility services and connections on the lot or site.
3. The size of the mobilehome to be installed, the size and ampere rating of its electrical
feeder assembly, the size of its gas supply inlet and a description of the water supply
connector and waste connector.
4. Department Insignia of Approval numbers, or the HUD Label Number, or the year of
manufacture and manufacturer's name if the mobilehome does not bear an insignia of
approval.
5. Plans and specifications of the support system, stabilizing devices or support structure
for the mobilehome, including their design loads.
0
6. The manufacturer's installation instructions.
A complete set of plans and specifications shall be on site available to the inspector at the time
of inspection..
Section 18300 of the Health and Safety Code provides that cities and counties, within their
jurisdiction, shall enforce the regulations, relating to mobilehome installation outside of
mobilehome parks. When a mobilehome is to be installed outside a mobilehome park, the
installation permit shall be obtained form the appropriate city or county agency having
enforcement jurisdiction.
When a mobilehome Is to be installed on a foundation system a permit must be obtained from
the appropriate enforcement agency. A foundation system plan shall be provided to the
enforcement agency. The mobilehome manufacturer may
provide
its installation instructions, or a foundation system p an may a compan'ynt system installation
instructions. Foundation systems may be approved by the local enforcement agency or the
Department of Housing and Community Development. Foundation systems approved by the
Department of Housing and Community Development shall be accepted by every enforcement
agency as approved for the purpose of obtaining a construction permit when the design loads
and conditions are consistent with the locality. When a permit to install a mobilehome on a
foundation system Is obtained from the local enforcement agency, HCD Form 433A (see
enclosed sample) must be completed and Immediately transmitted to the Department of Housing
and Community Development, P.O. Box 31, Sacramento, California 95812-0031, with a copy of
the building permit, and $11.00 for each transportable section.
REGULATIONS
The regulations cited in this Mobilehome Installation Guide are found in Title 25, California Code
of Regulations, Chapter 2. Copies of these regulations are available from:
Barclay's Law Publishing
P.O. Box 3066
S. San Francisco, CA 94083
(800) 888-3600
(415) 244-6611
7
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INSTRUCTIONS
�. ACCESSORT s1111'rTURES COWUTE ITEMS 1. !. 4. a
t EsoEDE110ME 04TAIIATIM COMPKII ITfA1S-1. 7. S.
LAK U1RITiS Al111101ON AND ADDIll" COWUTE ITEMS 1. 7. 7. A SUPPIEMfHT
I Now PARRS AND KRMAP*NT IU OWA COMPIETE 01" L ?- S. b. SUMIEMENT
REIIIRN AU COPIES w11N REOUIEEO fill
Stale of Califomia
Rurness. TrAnporlals,n ant Iksonna Arr++17
OEPARTMtNT Of HOUS940 AND COMMIMTV DMOPMMI
6VIS10N Of CODES AND STANDARDS
APPLICATION FOR PERMIT TO CONSTRUCT
9 Oo.ctotion of We&
1
FOA NoMg
k4
►o& Addons
Unww, Inc. _— Ciy/Couay ZIP
PAA O ~ Teo. No.
Address :n
Applicant State tic. No.
rj
Address Tod. No.
ArdkweA/EnOikeer tic. No.
Address Tal. No.
Lender's Norse Branch
Address
9 - CONTRACTOR/OWNER BUILDER A
1 tersly dka Mks Neo- ikq Cora Aw•s licerme No. and Clwsificw
hoe a in IuR force and good.
1 cersfy that 1 as essmW from Socliow 7031.3 of Aro Rosiness and hofasions
Cods. Ownion 3. Chapter 9. Conhoctors' theme low. -, I M lobw.inp section,
O.w: S.cson 704E ❑ Minor wA under $100, Section 7011 0'
E,npley.e woArq for ropes only, Section 7013 O
Othss,
wORKOV COAAPB"111001 KEOtfIlawell$
Some, Caspwnoliow O Csrtificass On fie with HCO
bowonce ►ohq No. Espiratiow Does
EXEMPTK7N
O 1 certify Lha in the performance of the work for vrbick this permit is issued. 1
dal not ewkpley any pons" i o y moessr so OR b became subject' to Mw
woAen' Compensation Iws.af Coiloneia
NOTE. K. sow eea►iw9 such esrMicab. Mn applicant for toe permit should become
*Alpe to M woriers' Compnmatiom provisiorss of Mrs code. he shill IoAhriA
com;* work the provisions of Section 3700 or his p r" shall be deswkeof revoked.
1 hereby oth - lodes the Mr 1 1- wion 1 haw provided M correct and owom
0,61 d const wcomh " be i, accordance wih applicable provision of The Heollh
and SaMty Code. lab« Code. Controcton' uterus tar. and related Rules and
R.piworm o1 Mki•Ss soe of Caiforwio, and 1 ocdnorledpe if is my responsibility to
seam d neConory iwpKtioms incident b Mks bWANKe of M,is permit and 016r
ow" of o 6wised penonnes to Provide s odi i s"dions.
Dae APPUCANT
e11IRY110N ORIG 10 APPIKANT, 2. AREA OFllCR: & 011 4. ASSESSOR
Co 30 fwv. Iti9/t
MOUBgME AalSSOIlT STEIfCPM
0 Nev, Cl Reinstall Stokdord Plan Approval No. —
Awrkikp ❑ C«port ❑ Porch (] CabonO 1.J Olher
Osww/Tend
MOYBIOAIE INSTAIIATI(M
ID No.
0 MP I1 ACC/S I J Miff
CLOSED BY . ________.----•- - •-
DATE CLOSED —_— –_-.
DIVISION USE ONLY
COI. NO. -------
tot No. — I FEE RECD
O.nw/Tenor too No.
SERIAL NO. DATE Of MFGR.
DESCRIP110f1
114IGMA OR HUD tAEEt NO.
ROUTE TO _
ROWED BY
DATE
IN 01 ONAAVW&41 MPSDVM 10 MUIt
Ma 9A9MMt Of IME. no$ ram K awn
mat foe auss vM4A1M MOM
PERMIT NO.
MH
Approvedr I ^�'
MobWkoAke /«i Orrw/Opsrabr/MonoRer
00"no M►
DIVISION MOCESS ELCOEO
APPLICATION
LOCAL APPROVALS
PLANNING
FIRE
HEALTH
PUBLIC WORKS
DATE
ISSUED BY
EXPIRES
BID
G
MNI
MISC
s PLC'K
r S M.I.
ISSUE
TOTAL
97 97.50
co
Uol lines
A)
B)
Plot Plan
IICD SM (Rerind ]/9/) C)
lot Ltnes
Length and width of mobilehome/manufactured home:
( X t
Length and Width of lot:
( X 1
Identify roadways adjacent to lot lines
State of California
Department of Housing and
Community Development ;
Division of Codes and Standards
(Sec InUmniomAnIu m-lan un tett) i
A) Park Name
Address {
City Zip I:
D) Owner (Resident or Dealer) I
Address -
city, tip I
Space or Lot N
k
C) Applicant
Address
City yP
Telephone (�
D) Design Information:
Home's Desien Site Desirn
Home Amperage: Pedestal Amperage:
Root Load: PSF Roof Load: PSF
E) 1. the undersigned. as owner or operator/manager of
this park. hereby certify that all lot lines as shown on this
Plot plea are true and accurate. 1 also artily that the lot
line ooroirs are clearly and permanently marked in the
following manner: -
1
Park Owner or Operator/Manager Date
(Signalum feyui ed)
0)
MOBII.EHOMMIANUFACIURED HOME PIAT PLAN INSTRUCTIONS:
❑ 1. FW in the length and width of the mobilehomehnanufactured home (including Caves) and the length and width of the lot.
❑ 2 Indicate the front of mobilehomeh anufactured home.
O 3. Draw in the proposed structure(:) and existing structures on the plot plan at the appreadntate location and identify the
structures by type (Lee., deck, awning, etc). Indicate the length and width of the structure(s).
O 4. Indicate any roadway bordering the lot
O 5. Fill in the distances from all propertyllot lines to all Basting or proposed structures. AA distances given shall include the
shortest distance to the lot line.
O 6. Sketch in and provide actual distances from any structure looted on sQseent propenWots, if they are within ten (10) feet
of your propertyAot lines (including Caves).
D 7. Obtain signature, on the front of this sheet, of the park owner or operatorAmaoager. Note: A.permlt will not be issued without
this slgmture,
D a For mobilebonte/manufactured home installations, the applicant shall provide a copy of the completed plot plan to the
bomeowua. If installed within a park. a copy of the completed plot plan must also be provided to the park owner or
operator.
D 9. Return three (3) coples of the completed plan. with the permit application, for permit issuance.
IMPORTANT INFORMATION:
A. Within mobilehome parks constructed on or after 9/15161, minimum distances from a mobilehomehnanufactured home to:
1. A permanent building = ten (10) feet, induding eaves;
2 Another mobilehomeft nufactured home, installed, including eaves,
a. Side to side • ten (10) feet;
b. Side to rear or front = eight (8) feet;
e Rear or front to a rear or front w six (6) feet.
B. Within mobilebome parks constructed prior to 9/15/61. six (6) feet minimum setback to any permanent building or another
mobilebome/manufactured home is required.
C MobUchomeJmanufactured homes or accessory structures shall not be lasted:
1. Over underground gas piping, unless the gas piping is installed in gas tight sleeves (carports excepted);
2 Over main sewer line clean outs;
3. Over, or within, five (5) feet of septic tank;
4. Over, or within, eight (8) feet of sewage disposal lields;
5. Under overhead insulated electrical conductor, unless eight (8) feet of clearance is provided;
6. So as to restrict aocers to park electrical equipment;
7. Over lot gas risers or gas meters.
D. Additionally, accessory structures shall act be located:
I. So as to restrict access or ventilation of lot gas risers/meter%
2 So as to block:
L Required light or ventilation in the mobilehomelmanufaetured home;
b. Required egress windows or exit doors in the mobilehome/manufactured home;
c Aotxss to the mobilebome/manufactured home's appliances.
E All combustible construction, induding mobilehomes/manufactured homes, eaves, storage cabinets (sheds), awning posts,
decks, etc, must be at hast three (3) fat from lot/property lines (except lot/property lines bordering roadways). Note Metal
storage cabinets (sheds) with no combustible framing (walis/foof) may be placed up to a lot line, provided there is three (3)
feet clearance from any structure on an adjoining lot
F. Large liquefied petroleum (LP) gas tanks shall be a minimum of ten (10) feet from mobilebome/manufactured home or park
property lines.
G. FAeh lot line corner shall be desrly and eermenend marked erlor to construction and Inspwilon. Failure to Identify the
lot Hoe eornen will result in termination of the inspection and cancellation of the permit. A new permit Is then required
to obtain inspeetion.
H. Plot plans and permits are not required for storage cabinets (sheds), provided the cabinets do not exceed 100 square foot flocr
area.A maximum of two storage cabinets are allowed. per lot. having a combined total floor area of not more than 100 square
feet Storage cabinets exceeding these limits are considered storage buildings. Storage buildings require a permit and must
be eonstrwed to specific standards.
I. The total occupied area of a lot may not exceed 75% of the lot area, including the mobilehomelmenufactured home, awnings,
carports, storage cabinets, porches, etc. Driveways, walkways, slabs and similar flat work are not subject to this limitation.
1. A Flood Plain Ordinance Compliance certificate (HCD Form 547) is required for mobilehome/manufactured home
installations where the local government has adopted a Flood Plain Management program. The HCD Form 547 is available
from this department
K For mobilehomehnanufactured home installation inspections. at least one exterior doorway shall be provided with a complying
stairway at the time of the home installation.
Revised 3M
10
1 LOAD-BEARING SUPPORTS
MANUFACTURED SUPPORTS
Section 1334(c), Title 25, Chapter 2, California Code of Regulations (25 CCR) states in part:
'Manufactured load bearing supports or devices shall be listed by an approved listing agency
and identified as being approved'
When an existing mobilehome is relocated, the existing load bearing supports may be reused
if they are in good condition and evidence is provided which indicates that these supports were
the property of the owner or occupant of the mobilehome when originally installed.
The footing material may not be reused unless it meets the requirements of Section 1334.
The Department has established criteria for qualification as an approved testing or listing agency
and maintains a list of approved testing and listing agencies. A list of approved testing and
listing agencies is shown on pages 13 and 14 and the procedures that a prospective
manufacturer must follow to obtain approval for a load bearing support is included below.
APPROVAL PROCEDURE
MANUFACTURED LOAD BEARING SUPPORTS
Mobilehome installation requirements are contained in 25 CCR Section 1334.
Please note that for mobilehomes manufactured on or after October 7, 1973 the specific
requirements on load bearing supports on a particular mobilehome are contained in the
manufacturer's installation instructions delivered with each mobilehome. The required load
carrying capacity and spacing of supports will be described in the manufacturer's installation
instructions.
The Department will require that the load bearing supports be listed by an approved listing and/or
testing agency, and that the supports have the capacity required by the installation instructions.
An approved listing and/or testing agency is an agency which has been approved by the
Department and meets the following requirements:
Listing Agency - means an agency approved by the Department which is in the business of listing
or labeling and which maintains a periodic inspection program on current production of listed
models, and which makes available at least an annual published report of such listing in which
specific information is included that the product has been tested by an approved testing agency
to approved standards and found safe for use in a speck manner.
Testing Agency - means an organization which is:
(a) In the business of testing equipment and installations;
(b) is qualified and equipped for such experimental testing;
(c) is not under the jurisdiction or control of any manufacturer or supplier for any affected
industry;
(d) maintains at least an annual inspection program of all equipment and installations
currently listed or labeled;
11
(e) makes available a published directory showing current listing of manufacturer's equipment
and installations which have been investigated, certified and found safe for use in a
specified manner and which are listed or labeled by the testing agency; and
(f) . is approved by the Department.
A list of approved testing and/oi listing agencies for structural components . is included in this
guide.
CA
„P
{ 12
APPROVED TESTING AND/OR LISTING AGENCIES
FOR STRUCTURAL COMPONENTS
American Plywood Association
P.O. Box 11700
Tacoma, WA 98411
(206) 565-6600
Applied Research Laboratories
of Florida, Inc.
5371 N.W. 161st Street
Hialeah, FL 33014
(305) 624-4800
BSK & Associates
1445 F Street
Fresno, CA 93706
(209)4a5-3200
Capitol Engineering Laboratories
631 Commerce Drive
Roseville, CA 95678
(916) 929-8738
Columbia Research and Testing Corp.
P.O. Box 968
Santa Rosa, CA 95402
(707) 585-0131
Hardwood Plywood Manufacturers Assoc.
P.O. Box 2789
Reston, VA 22090
(703) 435-2900
Inspection Concepts
14108 Orange Avenue
Paramount, CA 90723
(213) 408-0978
Industrial Testing International
2100 Flight Line Drive, #4"
Lincoln, CA 95648
(916) 645-6013
National Particle Board Assoc.
18948 Premier Court
Gaithersburg, MD 20879
(301) 587-2204
Pittsburgh Testing Laboratory
850 Poplar Street
Pittsburgh, PA 15220
(412) 922-4000
Pittsburgh Testing Laboratory
826 NW 49
Seattle, WA 98107
(206) 292-0660
Preferred Construction Inspection
4888 Ronson Court 'G' .
San Diego, CA 92111
(619) 576-9110
Resources Applications, Designs & Controls,
Inc. (RADCO)
P.O. Box 5506
Carson, CA 90749
Smith -Emery Co.
781 E. Washington Boulevard
Los Angeles, CA 90021
(213) 749-3411.
Southwest Research Institute
6220 Calebra Road
San Antonio, TX 78228-0510
(512) 6845111
TECO Products & Testing, Inc.
P.O. Box 5405
Eugene, OR 97405
(503) 746-8271
Testing Engineers - San Diego
(Parent Company) TEI Consulting Engineers
P.O. Box 24075
Oakland, CA 94623:
(415) 839-0522, ext:
"265
Timber Products= Inspection
P.O. Box 20455`
Portland, OR' 97217
(503) 285-3631
f-
13 V
Tri-State Testing Services, Inc.
6756 Buckles Cove
Memphis, TN 38133
(901) 385-1199
Underwriters Laboratories
333 Pfingsten Road
Northbrook, IL 60062-2096
(708) 272-8800
Underwriters Laboratories, Inc. ..
1655 Scott Boulevard
Santa Clara, CA 95050
(408) 985-2400
United States Testing Co., Inc.
1415 Park Avenue
Hoboken, NJ 07030
(201) 792-2400
United State Testing Co., Inc.
5521 Telegraph Road
Los Angeles, CA 90040
(213) 723-7181
United States Testing Co. Inc.
(Nationwide Consumer Testing Institute)
3467 Kurtz Street
San Diego, CA 92138
(619) 225-9641
Western Wood Products Association
1500 Yeon Building
Portland, OR 97204
(503) 224-3930
14
MOBILEHOME SUPPORT
Load bearing supports and support structures shall be designed and constructed in accordance
with the design requirements of Title 24, California Code of Regulations, Part 2, Basic Building
Construction Regulations. The required load bearing capacity of individual load bearing support
and their footings shall be calculated at not less than a combined live and dead load of 75
pounds per square foot, based on roof live and dead load of 25 pounds per square foot and
floor live and dead load of 50 pounds per square foot of the mobilehome. (Title 24, California
Code. of Regulations, Title 251334.)
Individual load bearing footings may be placed on the surface of the ground, and shall be placed
level on cleared, firm, undisturbed soil or compacted fill. Where unusual soil conditions exist, as
determined by the enforcement agency, footings shall be designed to compensate for such
conditions. The allowable loading on the soil shall not exceed 1,000 pounds per square foot
unless data to substantiate the use of higher values is submitted to the enforcement agency.
Footings shall be adequate in size to withstand the tributary live and dead loads of the
mobilehome and any concentrated loads. The length to width ratio of the footing shall not
exceed 2.5 to 1. The area of load bearing surface of footings may be determined from Table
13341.
Footing Areas
Load
Footing Area
1000 lbs.
144 sq. in.
2000 lbs.
288 sq. in.
3000 Ibs.
432 sq. in.
4000 lbs.
576 sq. in.
5000lbs.
720 sq. in.
Individual footings for load bearing support or devices shall consist of one of the following:
1. Pressure treated lumber which meets the following requirements:
A. Not less than two inch nominal thickness with a minimum of 25% of the individual
footings identified by an approved listing agency, as being pressure treated for
ground contact.
B. Knots. Well spaced knots. of any quality are permitted in sizes not to exceed the
following or equivalent displacement:
Any
Holes
Nom. Width
Location
(Any Cause)
6'
) 2 3/8"
1 1/2"
an
38
2" One Hole or
10•
33/40
2 1/2" Equivalent
12"
4 1/4"
3" Per Piece
14"
4 5/8'
31/20
C. Splits. In no case exceed 1/6 the length of- the piece.
D. _ Honeycomb or Peck.. Limited to small spots or streaks of firm honeycomb or
peck equivalent in size to holes listed in (B) above.
,15
2 Precast or poured -in-place concrete footings not less than three and one-half inches in
thickness. The concrete shall have a minimum 28 day compressive strength of not less
than 200 pounds per square inch.
3. Other approved material providing equivalent load bearing capacity and resistance to
decay.
Individual load bearing supports or devices shall be designed and constructed with sufficient
rigidity and bearing area to evenly distribute the loads carried to the footings and the footings
shall be constructed of sufficient rigidity to evenly distribute the loads carried to the ground
without bowing or splitting. Manufactured load bearing supports or devices shall be listed by an
approved listing agency, and identified as being approved.
Individual load bearing support or devices three or more feet in height shall be provided with
lateral bracing in two directions at right angles to each other. When more than one-fourth of the
area of the mobilehome is supported at a height of three feet or more, the mobilehome shall be
Installed on a permanently constructed support structure.
Effective September 20, 1994, if you install a home on a support system consisting of concrete
piers or steel piers, you must include a means of mechanical connection of the piers to the home
and of the piers to the footing. You may not modify either the home or the pier in order to install
the mechanical connection, and the final installation must not separate or slide in the event that
the home is subjected to horizontal loads from any direction and/or to vertical loads upward or
downward. The use of a listed pier that incorporates a means of mechanical connection meets
this requirement.
16
The recommendations of the Concrete Masonry Association of Calitomia and Nevada are
indicated below.
CONCRETE MASONRY MOBILEHOME SUPPORT
The minimum size of standard hollow load bearing concrete masonry unit to be used for
mobilehome support shall be 8"x8"x160. Minimum two inch thick, maximum four inch thick solid
concrete masonryunits 8" wide, 16" long may be used with the basic VxBox16• unit to gain
added height of support, arranged in any desired sequence; however, when used at the top of
support column, the 4' solid replace wood cap block. 80x4*X160 hollow units or other half height
hollow units shall not be used for mobilehome support. Masonry dimensions are nominal - up
to 1120 less than specified.
The compressive strength requirements for hollow concrete units shall be ASTM C90-70 (Grade
N); for solid units ASTM C145.71 (Table 2, elevated to 2,000PSI). Other physical properties such
as weight classification, surface texture, finish and color shall be at the discretion of the masonry
supplier.
Footing ske. bad transfer from
moblishoeo chassis
to masonry support wmUor footing
materials other than dawn must be
approved by the enforcement
agency.
No wood spacers or mortar required.
Mardmum load per support of 8.000
Ibs.(sd* factory of 7-U2 from teats).
Gals of hollow units must always be
verdc* "grad se shown.
Other approved footing pad materials
with equal strength and stability as
well as decay. firs and termite
resistant properties may be used. N
approved by the enforcement
agency. Stability shall be achieved
by alternating the daee0an of the ISO
dimension of the column in relation to
the chassis member - columns 1.3.5
etc., perpendicular. columns 2,4.8.
ata, parallel, as follows:
Approval limited to use as a
mobilehome load bearing support
pursuant to Title 24. CCR. Section
5082 when a valid installation permit
hes been obtained.
iih
V HOLLOW I
12'MINIMUM
W MAXIMUM
4• SI
The 8.000 Ib. load rating applies
to the stacked blocks only. The
footing must be designed separately
and approved -to support the
appropriate loads.
ROOF LIVE LOAD
In regions where snow loads are possible, consideration must be given to the support
requirements involved due to the additional weight of the snow. The addition of snow loads will
require that the load bearing supports and footings have a greater capacity. The required load
bearing capacity of individual load bearing supports and footings shall be calculated using the
following total design loads.
Roof Live Load (psi) 20 30 60 80
Roof Dead Load (psf) 5 5 5 5
Floor Live Load (psf) 40 40 40 40
Floor Dead Load (psf) 10 10 10 10
Total Design Load (psi) 75 85 115 135
Section 1338 relating to snow loads is reproduced herein for your reference.
Roof Live Load..(a) Every mobilehome installed shall have the capacity to resist the applicable
minimum roof load of the region in which it is installed as set forth in Table 1338.1 or as is further
provided by this section.
Table 1338-1
General Roof Live Load Requirements for Mobilehomes
Region I Region II
Elevation Roof Live Load Elevation Roof Live Load
Al 20 psi � 0-3000 ft. 20 psi
Elevations 3001-3500 ft. 30 psf
3501-5000 ft. 60 psf
Region III
Elevation Roof Live Load
0-2000 ft. 20 psf
2001-3000 ft. 30 psf
3001-4000 ft. 60 psi
4001-5000 ft. 80 psf
Table 1338-1 shall apply except where either greater or lesser snow loads have. been established
through survey of the region, and approved by the Department. At elevations above 5000 feet,
snow loads established for residential buildings by local ordinance shall 'apply.
Region I includes the following counties: Alameda, Butte, Colusa, Contra Costa, Del Norte,
Glenn, Humboldt, Imperial, IGngs, Lake, Los Angeles, Marin, Mendocino, Merced, Monterey,
Napa, Orange, Sacramento, San Benito, San Diego, San Francisco, San Joaquin, San Luis
Obispo, San Mateo, Santa Barbara, Santa Clara, Santa Cruz, Solano, Sonoma, Stanislaus, Sutter,
Ventura and Yolo.
18
`Region II Includes the following counties: Amador, Fresno, Inyo, Kem. Modoc, Riverside, San
Bernardino and Siskiyou.
Region 111 includes the following counties: Alpine, Calaveras, EI Dorado, Lassen, Madera,
Mariposa, Mono, Nevada, Placer, Plumas, Shasta, Sierra, Tehama, Trinity, Tulare, Tuolumne and
Yuba
(b) When an application is submitted for a permit to install a mobilehome manufactured.
prior to October 7, 1973, or a mobilehome with a designed roof live load less than that specified'
in Table 1338.1 and it is know the mobilehome will be subjected to snow loads, the plans and
specifications shall include a method of 'protecting the mobilehome from snow loads that is
acceptable to the enforcement agency.
(c) The operator of a mobilehome park located in Region II or III may request and obtain
approval from the enforcement agency for a snow root load maintenance program. The request
' for such approval shatz specify (1) the type of maintenance to be used to control snow
accumulation, and (2) assurance of necessary personnel and equipment to satisfactorily perform
the snow roof load maintenance program. A mobilehome which does not have the capacity to
resist the minimum roof live load of the region specified in Table 1338.1 may be installed in a
mobilehome park which has an approved `snow roof load maintenance program, provided the
installation complies with all other applicable requirements of these regulations, and is approved
by the enforcement agency. A conditional permit to operate subject to the snow roof load
maintenance program shall be obtained -from the enforcement agency. This subsection does not
apply to mobilehomes installed outside of mobilehome parks. '
f:
(d) When approved by the enforcement agency, a ramada may be used to protect a
mobilehome which does not have. the capacity to resist the minimum roof live load for the region
in which it is to be installed.
(e) This section shall not apply to mobilehomes installed prior to September 30, 1975.
REQUIRED LOAD CAPACITIES
Section 1336(a) states: "The required load bearing capacity of individual load bearing supports
and their footings shall be calculated at • not less than a combined live and dead load of 75
pounds per square foot ...
Section 1342 states: 'Mobilehomes• manufactured prior to October 7, 1973 or mobilehomes
which do not have manufacturer's installation instructions, shall be supported by load bearing
supports or a support structure under its main chassis,;beams, spaced' not more than six feet
apart longitudinally and under all ridge beam supports.' s..
Example Calculations:
Given: 1960 Mobilehome (8'x 50') installed in Fresno..,.,. -
Find: Required pier capacity and wood pad size.
Solution: Since this mobilehome was manufactured prior, to October 1973, we will
limit pier spacing to 6'00. Pier Capacity = .P = . (tributary width) x (total
design load) x (pier spacing) P = (4) x (75) x (6) = 1,800 lbs. Assume that
we have 2 x 12 (net size) pressure treated wood pads available.
19
Required Length = L.=. (vier capacity -lbs) x. (144 in'tft11
(soil bearing pressure-psf)(pad width -in)
L = (1800) x (144) = 23"
(1000) x (11.25)
Use one pad, 7 x 17 x 23"
Given: 1974 Mobilehome, 12 x 60, newly installed in San Jose,
Manufacturer suggests 8'0" maximum pier spacing. Installer
has 3,000 Ib. capacity steel piers available.
Find: Maximum pier spacing and total number of piers required.
Solution: Maximum pier spacing = S = Pier Capacity -lbs)
(total design load-psQ
(tributary width -ft.)
S = 3_00_0
(75) (6)
Total No. _ (total design load-psf)(width feet)
(length -feet)
Piers Required (pier capacity -lbs.)
Total No. = L75) (12) (160) = 18
Piers Required 3000
Reauired Capacities of Load Bearing Supports Spaced at 6'0" O.C.
MOBILEHOME SUPPORT
of
Section 1334(b) states "Individual load bearing firm,
footings
urrbedesolaced on the il or compacted fill.e Where
ground, and shall be placed level on Clea
unusual soil conditions exist, as determinedby
tllowab eenforcement
loading on encythe so I shat not excleed
be
designed to compensate for such conditions. T
1,000 pounds per square foot unless data to substantiate the use of higher values is submitted
to the enforcement agency-"
The length to width ratio of the footing shall not exceed 2.5 to 1".
20
Width of Mobilehome Unit
Roof Live Load
8 Ft.
10 Ft.
1_
20 psi (min)
1800 lbs.
2250 lbs.
2700 lbs.
30 psf
2040 lbs.
2550 lbs.
3060 lbs.
40 psf
2280 lbs.
2850 lbs.
3420 lbs.
80 psf
3240 lbs.
4050 lbs.
4860 lbs.
III.
FOOTINGS
MOBILEHOME SUPPORT
of
Section 1334(b) states "Individual load bearing firm,
footings
urrbedesolaced on the il or compacted fill.e Where
ground, and shall be placed level on Clea
unusual soil conditions exist, as determinedby
tllowab eenforcement
loading on encythe so I shat not excleed
be
designed to compensate for such conditions. T
1,000 pounds per square foot unless data to substantiate the use of higher values is submitted
to the enforcement agency-"
The length to width ratio of the footing shall not exceed 2.5 to 1".
20
LOAD DISTRIBUTION
Section 1334(c) states: 'Individual load bearing supports or devices shall be designed and
constructed with sufficient rigidity and bearing'area to evenly distribute the loads carried to the
footings, and the footings shall be constructed of sufficient rigidity to evenly distribute the loads
carried to the ground without bowing or splitting'
FOOTING DIMENSIONS
Section 1334(b) states 'The length to width ratio of the footing shall not exceed 2.5 to 1
EXAMPLE:
MAXIMUM FOOTING DIMENSIONS
A load distributing element Is required for steel piers with base formed with steel straps when it
is founded on two or more wood pads. The top load distributing element should be a 2x
member whose width equals the width of the steel base and whose length equals the width of
the multiple wood pads.
EXAMF
21
Ipprored Footins
material
s't1buting Element
A load distributing element is, required .for. concrete .block piers founded on two or more wood
pads when the length of the block is less than the width of the multiple pad. The load
distributing element should be a 2x member whose width is at least equal to the width of the
block and whose length is at least equal to the width of the multiple wood pads.
EXAMPLE:
fb-----A-91..L
Approved footing
Material
Irieuting Elenent
PRESSURE TREATED LUMBER
1, SPECIFICATIONS for pressure treated lumber shall conform to the Uniform Building Code
Standard No. 25-12.
2. PRESERVATIVES used shall be one of the following:
Water Borne Preservatives
A. Acid Copper Chromate (ACC)
B. Ammoniacal Copper Arsenate (ACA)
C. Chromated Copper Arsenate (CCA)
3. MARKING at least 25% of the total number of the pieces of lumber used under each
mobilehome shall be legibly branded, marked, or otherwise permanently affixed with the
following information:
A. Identity of the company doing the treating.
B. Identity of the plant doing the treating and the year treated.
C. Wood species.
D. Preservative symbols.
•AWPB Standard for quality control of preservatives used in ground contact. This standard is
included in their stamp.
22
•AWPB QUALITY
PRESERVATIVE
SYMBOL
CONTROL STANDARD
Acid Copper Chromate
ACC
LP22
LP22
Ammoniacal Copper Arsenate
ACA
CCA -A
LP22
Chromated Copper Arsenate -A
Chromated Copper Arsenate -B
CCA -B
LP22
Chromated Copper Arsenate -C
CCA -C
LP22
•AWPB Standard for quality control of preservatives used in ground contact. This standard is
included in their stamp.
22
0
APPROVED QUALITY CONTROL AGENCIES
FOR THE PRESSURE TREATMENT OF WOOD
General Testing and Inspection Agency Inc.
8131 N. Interstate Avenue
Portland, Oregon 97217
California Lumber Inspection Service
1190 Lincoln Avenue
San Jose, California 95125
III
Timber Products Inspection and Testing
Services
6440 Hillandale Road
Lithonia, Georgia 30058
CRT
Columbia Research and Testing Corporation
P.O. Box 877
Healdsburg, California 95448
A
AW PB-LP2 2' w P
Figure No. 1
Quality Mark of this Agency
for Preservative Treated Wood
'The letters and/or numbers change to indicate the applicable standard.
American Wood Preservers Bureau
2772 S. Randolph Street
P.O. Box 6085
Arlington, Virginia 22206
y
23
4. INCISING - Lumber of the species listed below, with a nominal thickness of two inches
(7), but less than four inches (4-), shall be incised by puncturing the surface of the wood
on both wide faces. Lumber with a nominal thickness of at least four inches (4-) shall be
incised on all four sides.
Intermountain Douglas Fir Lodgepole Pine
Pacific Coast Douglas Fir Northern White Pine
Western Hemlock Red Pine
Western Larch Sugar Pine
Jack Pine Western White Pine
5. FIELD CUTTING OF PRESSURE TREATED LUMBER - Insofar as is practicable, all cutting
shall be done prior to treatment. When pressure treated lumber is cut after treatment, the
wood preservative used shall meet the above specifications with the following limitations:
Water -Boma Preservatives - ACA, CCA types A, B and C, shall have a minimum
concentration of 3 percent in solution. Water-bome preservatives FCAP and ACC may
be used for field treatment of material originally treated with CCA and ACA water -borne
preservatives and the concentration of FCAP or ACC shall be a minimum of 5 percent in
solution.
Copper Naphthanate Solutions - May be used for field treatment of material originally
treated with pentachlorophenol, creosote, creosote solutions, or water -borne
preservatives. This preservative solution shall be prepared with a solvent conforming to
AWPA Standard P9. The preservative concentration shall contain a minimum of 2 percent
copper metal. Preparations for field treatment made by manufacturers of the preservative
can be specked.
Method*of Application - All cuts, holes and injuries of the surface of treated material shall
be field -protected by brushing, spraying, dipping, soaking or coating.
Cuts and Damage - Care should be taken to assure that all injuries, such as abrasions,
nail and spike holes, are thoroughly saturated with the field -treated solution.
Bore Holes - Holes bored in pressure -treated material shall be poured full of preservative.
Horizontal holes, such as those for sway brace bolts, may be filled by pouring the
preservative into them with a bent funnel.
g. LUMBER GRADES � acceptablet fo Nuse s pressure treated umber footings. o. s Common, Utility, and Economy Board grades
of lumber shall not
24
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SUPPLIERS OF PRESSURE TREATED LUMBER
The companies listed below have indicated to the Department that they can provide pressure
treated lumber for mobilehome footings in accordance with the Uniform Building Code, Standard
25-12.
This is in no means a complete list of .companies who can supply pressure treated lumber.
CO_
1. J. H. Baxter & Company
P.O. Box 5902
San Mateo, CA 94402
(310) 435-0147
2. Coast Wood Preserving, Inc.
P.O. Box 673
Ukiah, CA 95482
(707) 468-0141
3. Fontana Wood Preserving, Inc.
P.O. Box 1070
15500 Valencia Avenue
Fontana, CA 92335
(714) 350-1214
4. McFarland Cascade
P.O. Box 1496
Tacoma, WA 93401
(206) 572.3033
26
5. Permapost Products Company
25600 SW Tualatin Valley Hwy
P.O. Box 100
Hillsboro, OR 97123
(503) 643-4156
6'. Pacific Sound Resources
2801 Southwest Florida Street
Seattle, WA 98126
(206) 93240445
7. Pacific Wood Preserving of
Bakersfield
5601 District Boulevard
Bakersfield, CA 93313
(805) 833-0429
REDWOOD
The following heartwood grades of redwood meet the requirements of Section 1344(b) ...
"(3) Other approved material providing equivalent load bearing capacity and resistance to decay'
SELECT HEART
CONSTRUCTION HEART
FOUNDATION
NO.2 FOUNDATION
CLEAR ALL HEART
At least 25 percent of the individual pieces of lumber used as foundation supports shall bear a
grade mark. by an approved lumber grading agency. An example of a grade mark for
FOUNDATION grade redwood is shown below.
a50FOTNREDWOODKSO
OTHER APPROVED MATERIAL
Section 1334(b) states in part "Individual footings for load bearing supports or devices shall
consist of ... (3) Other approved material providing equivalent load bearing capacity and
resistance to decay'
These "other approved" materials shall be listed and labeled by an approved listing agency. The
label shall designate the manufacturer's name, the listing agency's logo and the allowable load
bearing capacity of the footing.
27
MAXIMUM PIER SPACING
for
2 X 12 X 2.4 WOOD PADS
10'40" WIDE
MOBILEHOME
MAXIMUM
PIER SPACING
5'-0"
3'-3"
2'-7
12'-0" WIDE
MOBILEHOME
MAXIMUM
PIER SPACING
4'-2"
3'-8"
2'-3"
28
8'4r WIDE
ROOF WE
MOBILEHOME
LOAD
MAXIMUM
PIER SPACING
20 psi
61-0"
30 psf
51-6"
60 psf
4'-1"
80 psf
3'-5"
ASSUMED SOIL BEARING PRESSURE = 1000 PSF
REQUIRED PIER CAPACITY = 1875 LBS.
2 X 12
(NOMINAL)
WOOD
PADS �
10'40" WIDE
MOBILEHOME
MAXIMUM
PIER SPACING
5'-0"
3'-3"
2'-7
12'-0" WIDE
MOBILEHOME
MAXIMUM
PIER SPACING
4'-2"
3'-8"
2'-3"
28
MAXIMUM PIER SPACING
for
2 X 24 X 24 WOOD PADS
FROLIVE
D
8'-0" WIDE
MOBILEHOME
MAXIMUM
PIER SPACING
10'-0" WIDE
MOBILEHOME
MAXIMUM
PIER SPACING
12'-0" WIDE
MOBILEHOME
MAXIMUM
PIER SPACING
20 psf
12'-6"
10'-T
8'-4"
30 psf
11'-T
8'-10"
7'-4'
60 psf
8'-1'
61-W
5,-5"
80 psf
6'-11 "
51-6"
4'-T
ASSUMED SOIL BEARING PRESSURE = 1000 PSF
REQUIRED PIER CAPACITY = 3750 LBS. , 1. c L
A o M o J -e /
Load Distributing
Element As Required
2 X 12 (NOMINAL)
WOOD PAD
29
MAXIMUM PIER SPACING
for
2 X 12 X 30 WOOD PADS
FROLOFLIVE
D
8140' WIDE
MOBILEHOME
MAXIMUM
PIER SPACING
10'4r WIDE
MOBILEHOME
MAXIMUM
PIER SPACING
12'4r WIDE
MOBILEHOME
MAXIMUM
PIER SPACING
20 psf
6'-0" -7' `I �
6'-T
51-6'
30 psf
d"-� 6 /p
5'-10'
4'-10"
60 psf
5'-5'
4'-4'
3'-T
80 psf
4'-T
3'4r
3'-1'
ASSUMED SOIL BEARING PRESSURE = 1000 PSF
REQUIRED PIER CAPACITY = 2345 LBS.
NOTE: SPACING SHALL NOT EXCEED 6' O.C. UNLESS ENGINEERING ANALYSIS IS
PROVIDED.
2 X 12 (FULL WIDTH)
WOOD PAS
Rio]
IV. TIEDOWNS
REQUIREMENTS `
Section 1020, 25 CCR reads in 'part:
'(c) Except as provided in subsection (e), effective September 20,1994, when a home is initially
Installed or reinstalled on a different lot pursuant to Health and Safety Code section 18613, a
tiedown system must be installed.
(d) Except as provided in subsection (e), effective September 20,1994, when concrete piers or
steel piers are used as the support system for a home, the installation of the home must include
mechanical connection of each pier both to the home and to its footing that complies with
section 1336.4.
(e) The requirements of subsections (c) and (d) shall not apply to a home for which escrow was
opened in accordance with Health and Safety Code section 18035 prior to September 20, 1994.
(f) The requirements of subsection (c) and (d) shall apply to the installation on a different lot of
a home, when the installation on a different lot does not occur directly as a result of an escrow
opened in accordance with Health and Safety Code section 18035 prior to September 10, 1994."
31
TIEDOWN MANUFACTURERS
A.B. Chance Company
210 N. Allen Street
Centralia, MO 65240
(314) 682-5521
Abesco Distributing Co.
P.O. Box 26536
Sacramento, CA 95825
(916) 421-3000
Anchor - Sur
Route 29
North Pekin, IL 61554
(309) 688-1711, (309) 382-3045
Blanco Manufacturing Co.
P.O. Box 220
Blanco, TX 78606
(210) 833-4107
Minute Man Anchors
305 West Walker Street
East Flat Rock, NC 28726
(704) 692-0256, (800) 438-7261
Imperial Stamping Corporation
23852 Reedy Drive
Elkhart, IN 46514
(219) 262-3624
32
V. SUPPORT STRUCTURES
DEFINITION
A support structure is a structure designed to support a mobilehome to resist the vertical and
lateral loads tributary to the mobilehome and the support structure.
APPLICATION
When more than one-fourth of the area of the mobilehome is supported at height of three feet
or more, the mobilehome shall be installed on a permanently constructed support structure.
DESIGN AND CONSTRUCTION
The support structure shall be designed and constructed in accordance with the design
requirements of Title 24, California Code of Regulations, Part 2, Basic Building Regulations.
The applicant shall submit plans and specifications to the enforcement agency for approval.
PERMIT REQUIRED
A separate permit is required to construct a support structure. Permit fees shall be determined
from Section 1024.
VI. FOUNDATION SYSTEM
FOUNDATION SYSTEM REQUIREMENTS
Section 1333(a), Title 25, Chapter 2, California Code of Regulations states: 'Pursuant to the
Health and Safety Code, Section 18551 the requirements for mobilehome foundations systems
are applicable throughout the state'
The foundation system and the connection of the mobilehome to the foundation system shall be
designed to withstand the vertical and lateral forces due to dead load, roof and floor live loads,
wind and seismic loads in accordance with the provisions of Chapter 29, Uniform Building Code,
1982 Edition, and local soil conditions. The roof live load, wind and seismic loads as established
for permanent buildings within specific local areas.
LOCAL ENFORCEMENT AGENCY APPROVAL
Mobilehome foundation systems may be approved by local enforcement agencies. The
foundation system and the connection of the mobilehome to the foundation system shall be
designed to withstand the vertical and lateral forces due to dead load, roof and floor live loads,
wind and seismic loads in accordance with the provisions of Chapters 23 and 29, Uniform
Building Code, 1982 Edition, and local soil conditions. The roof live load, wind and seismic loads
as established for permanent buildings within the specific local jurisdiction shall apply.
33
VIII. ALTERATIONS TO THE MOBILEHOME
GENERAL
Before any alterations are made to a mobilehome bearing a Department insignia or federal label,
R is required that an application be filed with the Department of Housing and Community
Development for such alterations.
Section 18029 of the Health and Safety Code provides: 9t is unlawful for any person to atter or
convert, or cause to be altered or converted, the structural, fire safety, plumbing, heat -producing,
or electrical systems and installations or equipment of a manufactured home, mobilehome,
recreational vehicle, special purpose commercial coach, or commercial coach which bears a
department insignia of approval or federal label when the manufactured home, mobilehome,
recreational vehicle, special purpose commercial coach, or commercial coach is used, occupied,
sold, or offered for sale within this state, unless performance is in compliance with regulations
adopted by the department. The department may adopt regulations providing requirements for
alterations and conversions'
Section 18020 of the Health and Safety Code provides in part: 'The department shall enforce
every provision of this part and the Rules and Regulations promulgated thereunder'
GAS. WATER, DRAIN AND ELECTRICAL CONNECTIONS
The gas, water, drain and electrical connections on a mobilehome- bearing a Department insignia
or federal label are part of a previously approved system. The size, location, extension, addition
or deletion of these connections may not be made without prior approval and inspection by the
Department of Housing and Community Development.
GAS CONNECTIONS
Mobilehome Gas Connector
Each mobilehome shall be connected to the mobilehome lot outlet by a listed mobilehome
flexible gas connector not more than six feet in length and of adequate size to supply the
mobilehome demand, as evidenced by the label on the mobilehome. In the absence of a label,
the mobilehome demand shall be determined by Chapter 12 of the 1979 Edition of the Uniform
Plumbing Code. Approved pipe and fittings may be used to connect the mobilehome gas piping
where the distance between the mobilehgjne lot gas outlet and the mobilehome gas supply
connection exceeds that required to make a safe installation with only one flexible gas connector.
The mobilehome gas piping may be extended beneath the mobilehome when supported by metal
hangers spaced not to exceed four -foot intervals. The flexible gas connector shall be installed
between this piping and the mobilehome lot gas outlet.
A mobilehome lot outlet extension may be located beneath the mobilehome when supported at
least six inches above grade on piers at its termination and at six-foot intervals. Piers used to
support a mobilehome lot gas outlet extension shall not be used to support any other loads. The
flexible gas connector shall be installed between the lot outlet extension and the mobilehome gas
piping.
Only one gas supply connection to a mobilehome for each dwelling unit shall be permitted.
35
Mobilehome Water Connector
A mobilehome shall be connected to the lot water service outlet by an approved connector, or
copper tubing, with not less than one-half inch interior diameter.
Mobilehome Drain Connector
A mobilehome shall be connected to the lot drain inlet by means of a drain connector consisting
of approved pipe not less than schedule 40, appropriate fittings and connector and shall not be
less in size than the mobilehome drain outlet. An approved flexible connector shall be provided
at the lot drain inlet end of the pipe.
If rough field calculations indicate that there may be a problem with the connector sizing, call the
Department's nearest office for clarification. Prior to October 1973, mobilehomes were normally
and lawfully supplied with the smaller connector.
ELECTRICAL FEEDER ASSEMBLY
A mobilehome shall be connected to the mobilehome service equipment by one of the following
means:
1. Usted cord set for mobilehome use.
2. Feeder assembly.
A mobilehome with a calculated electrical load of 40 amperes or 50 amperes may be connected
to the mobilehome lot equipment with a listed mobilehome power supply cord.
The power supply cord shall bear the following markings: "For mobilehome use - 40 amperes'
or 'For mobilehome use - 50 amperes' as appropriate. Except: a mobilehome equipped with
an existing power supply cord not listed for mobilehomes may have its use continued provided:
1. The cord used shall be listed: Type SO, ST, or STO. The cord shall not be spliced.
2. The male attachment plug shall be listed type conforming to one of the following
standards:
A. ANSI Standard C73.17-1972, 125 volts, 20 amperes, 2 poles, 3 wire grounding
type for 120 volt systems.
3. Where the listed type attachment plug cap configuration of the mobilehome power supply
cord does not correspond to the configuration of the approved grounded type receptacle
in the mobilehome service equipment an adaptor may be used. The adaptor cord set
shall be not more than 12 inches in length and assembled of the following listed
materials:
A. Type SO, ST, or STO cord.
g, Grounded type attachment plug cap.
36
C. Grounded type body connector.
D. The rating of the attachment plug cap, body connector, and the cord shall be
adequate to carry the total connected load, but in no case less than the rating of
the power supply cord of the mobilehome.
A mobilehome with a calculated load in excess of 50 amperes shall be connected to the
mobilehome service equipment by one of the following:
1. A mobilehome equipped with a feeder assembly for overhead connection consisting of
conductors run in a conduit riser and service head, shall be connected by four
continuous, insulated feeder conductors from a pole.
2. A mobilehome equipped for an undervehicle feeder assembly shall be connected to the
mobilehome service equipment by means of a feeder assembly consisting of four
continuous, insulated, color -coded, feeder conductors suitable for wet locations, installed
in an approved flexible metal conduit.
Feeder conductors for an overhead installation or conductors for a mobilehome feeder assembly
used for undervehicle installation shall be sized as follows:
1. Conductors shall be sized in accordance with the requirements of the mobilehome
manufacturer's approved installation instructions.
2. If the manufacturer's installation instructions are not available, the conductors shall be
sized for the electrical load shown on the mobilehome electrical label.
3. In the absence of an electrical label on the mobilehome or the mobilehome
.manufacturer's approved installation instructions, the conductors shall be sized in
accordance with the calculated load as determined by the provisions of the National
Electrical Code, 1978 Edition.
The feeder assembly shall be Installed above ground to be kept from direct contact with the
earth.
Alteration. Power supply cords or feeder assemblies of mobilehomes bearing an insignia of
approval shall not be altered unless approval is obtained from the department. The power supply
cord or feeder assembly shall be maintained in safe operating condition.
Only one power supply connection to the mobilehome for each dwelling unit shall be permitted.
Where electrical service equipment is provided as a part of a mobilehome, the power supply
connection shall be made in accordance with applicable provisions of the 1978 National Electrical
Code.
When in doubt as to what is and is not an alteration to a mobilehome, call or write the
Department.
37
EOUIRED TESTS NVATER DRAIN GAS AND ELECTRICAL
When a mobilehome consists of two or more units, all utility connections from one unit to another
shall be visually inspected and included in the tests.
1. The water distribution system of the mobilehome and the supply connections shall show
no evidence of leakage under normal operating pressures. If water at normal operating
pressure is not available, the mobilehome water distribution system shall be tested by a
50 pound per square inch air pressure test for a period of not less than 15 minutes
without leaking.
2. The mobilehome drainage piping system shall be connected to the lot or site drain inlet,
and tested by allowing water to flow into all fixtures and receptors, including the clothes
washer standpipe, for a period of three minutes. 0 water under pressure is not available,
the drainage piping system shall be tested by letting at least three gallons of water into
each fixture and receptor. There shall be no visible evidence of leaks.
3. The mobilehome fuel gas piping system shall be tested before it is connected to the
mobilehome lot gas outlet. The mobilehome gas piping system shall be subjected to a
pressure test with all appliance shut-off valves, except those ahead of fuel gas cooking
appliances, In the open position. Appliance shut-off valves ahead of fuel gas cooking
appliances shall be closed.
The test shall consist of air pressure at not less than 10 inches nor more than a
MAXIMUM of 14 inches water column. (Six ounce to a MAXIMUM of eight ounce psi).
The system shall be isolated from the air pressure source and maintain this pressure for
not less than two minutes without perceptible leakage. Upon satisfactory completion of
the test, the appliance valves ahead of fuel gas cooking appliances shall be opened and
the gas cooking appliance connectors tested with soapy water or bubble solution while
under the pressure remaining in the piping system. Solutions used for testing for leakage
shall not contain corrosive chemicals. Pressure shall be meas, -ed with either a
manometer, slope gauge, or gauge calibrated in either water fiches or psi with
increments of either one-tenth inch or one-tenth psi, as applicable.
Gas appliance vents shall be visually inspected to insure that they have not been
dislodged in transit and are securely connected to the applia ice. NOTE: Do not
overpressurize the fuel gas piping system. Pressurization beyond the maximum specified
may result in damage to valves, regulators, appliances, etc.
4. The electrical wiring and power supply feeder assembly of the mobilehome shall be tested
for continuity and grounding. The electrical wiring system of the mobilehome shall not
be energized during the test. A mobilehome equipped with a power supply cord shall not
be connected to the lot or site service equipment. A mobilehome equipped with a feeder
assembly shall have the flexible metal conduit of the feeder assembly connected to tl•
lot or site service equipment; however, the supply conductors, including the ne! '.. al
conductor, shall not be connected.
38
The continuity test shall be made with all mobilehome interior branch circuit switches or
circuit breakers and all switches controlling individual outlets, fixtures and appliances In
the 'on" position. The test shall be made by connecting one lead of the test instrument
to the mobilehome grounding conductor at the point of supply to the feeder assembly,
and applying the other lead to each of the supply conductors, including the neutral
conductor. There shall be no evidence of any connection between any of the -supply
conductors at the grounding conductor. In addition, all noncurrent -carrying metal parts
of electrical equipment of the mobilehome, including fixtures and appliances, shall be
tested to determine continuity between such equipment and the equipment grounding
conductor.
Upon completion of the continuity. test, the power supply cord or feeder assembly shall
be connected at the lot or site service equipment. A further continuity test shall then be
made between, the grounding electrode and the chassis of the mobilehome.
Upon satisfactory completion of the gas and electrical tests, the lot or site equipment shall be
approved for service.
39
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
PERMIT NO.
BP042453
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
I'r-1
Issued Date: 09/17/2004 APN: 040-290-041-000
the Business and Professions Code, and my license is in full force and
effect.
1181
License Class: License Number:
Site Address: a4a& STANFORD LN DUR
Date: Contractor.
Map Index:
Description: NEW MH NEW SITE PERM FNDN 72
p • � 0)
OWNER -BUILDER DECLARATION
f p
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
Owner: WARREN KATY LOU LIVING TRUST
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
WARREN KATY LOU TRUSTEE
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
9178 STANFORD LN
she is exempt therefrom and the basis for the alleged exemption. Any
DURHAM, CA 95938-9745
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
dd 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
Applicant: WARREN KATY LOU LIVING TRUST
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 she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ 1Gajm Exempt under Article 3 of t e Business and Professions Code
Date:1_1-f-/ Owner:
WORKERS' COMPENSATION bECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
License #•
workers' compensation, as provided for by Section 3700 of the
'
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carder:—
arrier:Policy#.
Total Square Ft: 720 S. F.
Policy #:
I certify that in the performance of the work for which this is
permit
Valuation' $46,800.00
'
issued, 1 shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
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:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is ereby issued under the applicable provisions of the Butte County CodR anriwor
I hereby affirm that there is a construction lending agency for the
Resolutions t do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
% • 1 O+
'
Name:
BY Date: (
y 5 E
PER E IRES ON: 9' 1/'
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health 8 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 a y official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspectio purpose
Print NameQ Signature:
Date:
❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
i,
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
APPLICANT NAME
OWNER
Last Name
City
am
Address
City
City
State
State 0
Zip
Phon U
5,�
F3v 3 r
E-mail
Lic. #
APPLICANT NAME
CONTRA TOR
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
Lic. #
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office useAly:
AP#� J _2
ZoningAth
I Flood ZoneSRA
WORKER'S COMPENSATION
Yes
Carrier
Occ. -
LENDING AGENCY
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
�q53
BIN #
LOCATION
AP#� J _2
Pro , rty Addtess
CrosAtreet
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
OVER FOR SUBMITTAL REQUIREMENTS U
K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2
Description or Scope Work:
Al EW .MN #j EN/ S 1 T — AG WOI�2/C�
W
w
Sq. Footage
❑ Structureuilt without Permits
ElProposed C ange 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
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
pemmit 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:
W_
Receipt)e
qo� LP
Date /)-q 1 /j
Amount: I ''96 Bldg
SRA
Sheriff
Lo � SMTP
Oq 92 Other
160 `T - 'NO Total
REV 7-27-04
UN
it
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. (Note: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Data sheets and 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).
❑ 13. Sanitation and site plan approval from the Environmental Health Department.
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, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application 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 I ;
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 refupds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
_, ..-.3.�..,,,,n-a.•�r,�.p:.-��+�:,....s�-".... rte:-vvm..w:s,......r-�..---.Lq _
7 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
t� 7 County Center Drive, Orov Ile, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: \AI A Q12 C J ASSESSOR PARCEL NUMBER o 4-0 • 2--7 o ' ef>A` I
Proposed Building Use: �t M t -I at EvV 5 i zE AG Wp 1G K Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans..
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
R( 8. Manufactured homes: Data sheets and installation instq(B�Marriage line info,{t%�Floor Pla , Tie down o tans II in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings J
❑ ; 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
i 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
Cl) 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
o17. Fire Sprinklers.................................................................................... .....
18. Agricultural Buffer clr and site plan apr from the Ag CommissionengcSennt bVV y d. w T r ;
❑ 19. Soils Report and/or Engineered Foundation required ..................... ' ,C v �'
......................
Erosion Control Plan Required........................................................................
2 Fees as shown on the attached Schedule of Fees Due Sheet ..............................
y 22. City of Chico Plumbing permit........................................................................
❑ 23. California Department of Fore plan approval ❑ paid. Sent by: .............
24. Planning approval (A) Use: B)Parking: (C) Parcel Check:
25. e ................
-Contact Land Development about _ Improvements, _ Dralna9.......
j• 26. NPDES Form......................................................................................;.......
❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... =
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ........:...............................
31. Owner -Builder Verification (_ Given to owner, _Mailed to owner).. ...................
O 32. Letter of Signature authorization .............................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ '35. Existing violations and/or expired permits.........................................................
' ❑ 36. D ed Restric�io�n._. .................................................................................
37. Grant DeTitle/Statement o Facts, ❑Lett rfrom Legal Owner, ❑Check to H.C.D. $
t�W. Other:
Other: OT
When iss Telephone and hold for pickup.
I have b en inf rm d of t e gve iE m and requirements for obtaining a building permit. �, r
Applicant: a ✓ !
1. Index permi application for t above items numbered: Plan Check Letter
al it s required rr// (L
tor, esigne ,40,
as advised of the above data by ph ne, CO: mail, ❑counter, by Date: T' T
Contractor, designe ,was advised of thea ve t by one, ❑mail, ❑counter, by Date:
ans reweave y. Date. Plans approved by: Date
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division °+,
T0: epartment -,
FROM: EnOironmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Plot Pion Anachod
Flow Man Anschod �—
S®n4 to B.D. !�
l�
-&.g�Az- - sz�z-�� 42, -- -
Owner - Location AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well �—
Clearance for dwelling. Other
e
Id"finai for: x % d�
Final clearance O.K. for:
NOTE:
F
Go /4 1,24f 4
c�
® /
Environmental Health Specialist Date
8/96
V,
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
\� f SCHEDULE OF RECEIPT OF FEES /> �l
OWNER V V A.P. # v'v
0 tq
PROPROSED BUILDING USE A -)&Y4 ,°1 DATE
(4 . 1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
RECEIPT # DATE REC.
Commercial (sq. ftg.)..... X $0.03
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Fig. Amt.
5.RECREATION DISTRICT FEES
pard at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #.
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Fig. / Amt.
10. OTHER �'M' �.(�� L�,D��•4— 8 • ��-/ ��
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 checacing process.
APPLICANT
DATE—1f -O 4
Pursuant to Government Code Sepion 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and IO above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
f,
BUTTE COUNTY'PARK FACILITY FEE PAYMENT CERTIFICATION FORM
DURHAM RECREATION & PARK DISTRICT
.Assessor Parcel. Number:
Property Owner(s):
Project Location/Address: - 1 �� Y,/A
Subdivision Name:
_Assessable Square Footage: "7 a`
Type of Residential Development (check one):
New Development '
[� Alteration/Additionk
Int Mobile;Home ;t
[� Non-Residential'to Residential
t ! {
Comments:
Buildin' egivision Representative
Durham Recreation and Park District (DRPD) certifies that
..J Applicant Name
t
_ +-rLo
Mailing Addrest
7 `-tJ — - f
Phone Number
M
Has complied with the requirements of the Butte County Board of Supervisors
Resolution No. 04-107 by payment for `�au square feet at $1.41 per ft. for a
total payment of $ 01 S:..
Zq loq
DRP epresentatfive .f Date
IV
Pa15�y'Check No.: Remarks:
Bank No.: 1 !.(r, az,
Paid by Cash: _
Receipt No.:
1
DISTRIBUTION: WHITE — APPLICANT PINK — DRPD YELLOW — BUTTE CO. BLDG. DIVISION
tie
I
� R
t �a BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
;M,
_. � (One form per Building)
School -District 'D11 Q 14 Building' Department No.45 5
A.P. Number O4'4. 2-10 • cUA-J Jurisdiction:A' City County
? Property Owner Wig ►�� ' ��
Property Locatio'h/Address J %B Jr� i t FD 2 �. r`! bL,L-JW—
Subdivision
Lot No.
.............. ........... ..................................... :......................................
Residential Development Qj Q Q Sq. Footage �Z
No of Living Mobile Home Addition/ 'Supplemental to (Group R)
Units Installation Conversion Permit #
.'(Nofoundation inspection)
V Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial Q .
New Addition
Building Nortrirent Representative .
Sq. Footage
Im
(Including Exterior
Roofed Areas)
`b
8 • le? • o4—
Date
District Identification -No. (cod
School District certifies that lip j `l 1249te&
(Applicant)
ql7 g Sn�FozD L�/ 3S�S- Sy95�
(Street Address) (Phone Number)
Du24A?►1 GA
(City) (State) (Zip Code)
'has complied with the requirements of Resolution No. by payment of $
}
representing 2 O square feet. JAB 2828 $
FULL MRIGATION $
School District Representative Date
. V �
FC• s 4/4 V� — U0561)IP ohr 4- M�-.—�
Paid by Check # AJA Remarks:
r .
Notice: You may protest the Imposition of the fess klerdllied above by submitting a written protest to the District, in compliance with
Qoverrrrnen Lode Seddon 66020(a), within 80 days from the date tees are'pald. Failure to submit a timely written protest will'prohlbit '
'You from challenging the Imposition of the tees In any court aetbn.
If, subsequent to the School District RepresentaNw signing ffib iBiAb County Schools Impact Fee GrtNleation Form,, the School District Is
r.
nAIR by the applicabN Local Planning Agency that this project Is being reviewed under the California Environmental Quality Ad (CEQA).
thls project maybe subjed to additional school fees to fully mitlg.te.lte Impact on the school dbbkfle schools.
White (applicant), Yellow (building department), Pink (school district) teeform.xis (10/03)dm.m .
SIGNIFICANT MOBILE HOME DATES
A) Title 25, Chapter 3, Subchapter 2, Articles 1 and 2, sections 4002 and 4050.
1) First standards for plumbing, heat producing and electrical equipment in
mobile homes, recreational vehicles, and travel trailers.
.....................................................................................September 1, 1958
2) First standards for construction and fire safety in mobile homes and
commercial coaches.
.....................................................................................September 15, 1971
3) National manufactured home standard adopted by U.S. Department of
Housing and Urban Development preempted all state and local standards
and created HUD label. ( The Federal Mobile Home Construction and
Safety Standards Act of 1974 )
--�.. "Effective June 15, 1976
e label should read as`follows::
AS EVIDENCED BY THIS LABEL NO ZT& MANUFACTURER
CERTIFIES THAT THIS MOBILE HOME HAS BEEN INSPECTED IN ACCORDANCE
WITH THE REQUIREMENTS OF THE DEPARTMENT OF HOUSING AND URBAN
DEVELOPMENT AND TO THE BEST OF THE MANUFACTURER 'S KNOWLEDGE
AND BELIEF, IS CONSTRUCTED IN CONFORMANCE WITH THE FEDERAL
MOBILE HOME CONSTRUCTION AND SAFETY STANDARDS IN EFFECT ON THE
�\�ATE OF MANUFACTURE.
SEE DATA PLATE.
B) _ Other Significate Dates
1) Legislation to separate Department of Housing from the Dept. of
Industrial Relations. Creation of Department of Housing and Community
Development ( HCD ).
.............................................................................................................1965
Conclusion: Unless a mobile home is constructed after 1976 and has a HUD
sticker, the only way to obtain HUD designation is to have HCD
inspect the mobile home and issue the proper clearance and
insignia.
WP/Oct 1995
Mbldats
8.27
O.B.- I
OWNER-BUELDER VERIFICATION
Attention Property Owner.
An "owner buildee' 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
cation is received.
I personally plan to pro;;;rN'O
ior labor and materials far construction of the proposed
property, ' ovemeat : ❑
0 I HAV EEAVE NOT ❑ signed application for a buil
gn an app ding permit for the proposed wo&
I have contracted with the following person (firm) to provide the proposed construction:
NAME: '
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
I plan to.provide portions of this worm, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:. CITY:
PHONE: CONTRACTOR'S LICENSE NO.
>/ I�l]rpr-av�.de-somP.-of�l�:e�r-l�buti ha.�n#r�cted.--the-€ellew�gpersons-#s-pro�de—
the work indicated:
NARK ADDRESS PHONE TYPE OF WORK
GNED:
PROP k'RTYOWNER:
DATE:
NOTE: T Us Owner -Builder Venf ciulon is required by Section 19831 and 19832 of the
California Health and Safety Code. Ms verification must be completed and
returned to our office before we are perwiffed to issue the permit:
OWNER BUILD DER Mop
ATTpN
Dear Property Owner.
a binding Pmak Inas been submitted in your name listing yourself as the bolder of property
For your protwdon, You should be aware that as "owner-bmldee you are the
a P� Building peraft are not regrraed to be signed by pro �° � Ply ofrecord on such
own work. If your work is bei PAY owners unless they are personally perfonaiag their
mg Performed by someone other than yourself; yon may protect Yourself from possible
liability if that person applies for the proper permit in his or her name.
license firm m are by law to be licensed and bonded by the State Of California and to have a business
apply.
or counlY- They are also required by law to put their license number on all permits for which they
Ifyou
be aware of the fop II to do your own w� � dw mon of various trades that you plan to subcontract, you should
�g mom for your benefit and protean:
a Ifyou employ or otherwise MMW My persons other than your mmediate family, and the I -k Cmciuding maserials
and other costs) is $300 or more for the entire prc jec4 and such persons are not licensed as contractors
or
subcanirac—N then yon may be an employer.
♦ If you are an employer, you must Mister Wffi the State and Federal Go
subject to seveial obiigadow . veoents as as employer and you are
wogseasatzon insurance, disabce cos'tsmcome tax withholding; federal social sectnity taxes.
♦ T7zere may be financial risme for. y� ifyon do not � unemPloym� compensafioa contnbufions,
with ecu to worm's �' ani obfig��, `� these rids are especially serious
�P compensation insurance.
♦ For more specific man about your obligations under Federal Law,
if you wish; the U.S. Small $usiness . contract the internal Revue Service (and.
State Law contact the D .. )- For more Teecific mon about your obligations under
eP ofBenefit Payments and the Division of Industrial Aocidents.
If the sh uc In is intended for sale, Property own= who are not licensed
cond annL their own emP�Y wrthourt a licensed contractorsubcontractor, are only under limited
A frequent practice of umlicemsed peons Pm{m-dng to be factors is to secure an aowmer builder" building
permit; eaoneously imPlymg that the properly owner is providing his or her own labor and
P�am ndt req�d to be signed by PropertMmmi-6m about y owners un"' trey are perfo�g weir owawamaterial
rk. Building
community► or at 1020 Nlrceased �Y be obi by the � State License YourPlease � the "ow=
Sa��, CA. 95814.
"Ow= BMder Venfic3hon" on the reverse side of this fD= so that we can coufnm that you
are aware of these matters, The building P� Will not be issued until the veiifion is retuned.
„
�'OT1�- T7cis Qwrser-Bur7derinforrr: oR Is required by Seabn .1.9m of fhe Ca1ifortsfa Hea18c mzd Safety Code
rr
100 M I V
AGRICULTURAL AFFIDAVIT ENVIROP-I110ENTAL HEALTH
EMPLOYER/EMPLOYEE
Please read the following carefully before signing:
Section 24-21.020 Agriculture Employer/Employee
(Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160)
J U L 2 5 1994
VNUM, CALIFORNIA
An individual who verified, by personal affidavit and by affidavit of his employer, that he
is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16)
weeks per year, or that his primary source of annual income is, or is anticipated to be,
derived from any of the following described occupations:
0(a) The preparation, care and treatment of farm land, pipelines" " or ditches,
including leveling for agriculture purposes, plowing, discing and fertilizing the
soil;
/ (b The sowing and planting of any agricultural or horticultural commodity;
/(c), The care of any agricultural or horticultural commodity. As used in this
subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed
control, thinning, heating, pruning or tieing, fumigating, spraying and dusting;
(d)� The' harvesting of any agricultural or horticultural commodity including, but
not limited to, picking, cutting, threshing, field packing and placing in field
containers or in the vehicle in;which the commodity will be hauled on the
farm or to the place of first processing;
(e) The assembly and storage of any agricultural or horticultural commodity
_ . including but not limited to, loading, roadsiding, banking, stacking, binning
and piling;
(f) The raising, feeding and management of livestock, fur -bearing animals, bees,
'fish, frogs and other aquatic animals, including but not limited to, herding,
housing, hatching, milking, shearing, handling eggs and extracting honey;
C9))The operation, conservation, improvement or maintenance of such farm and
r its tools and equipment.
This affidavit is valid only for the named employee. Any change of employee requires a new
affidavit to be filed:
Employer- tax records may be requested as proof of employment status.
Signed: Dated:_'7_44—
I . - C4W RMI ENTAL HEALTh
i
J U L 2 5 1994
AGRICULTURAL AFFIDAVIT 'HICO, CALIFORNIA
EMPLOYEE
EmployeeA-) �d e ,2 Phone ��� -
Employee's Address (Pre
Name of Property Owner
Property Owner's Address
Owner's Assessor's Parcel Number —d Parcel Size Ac.
A.
I,
v
perjury, that I am the employee of
do declare, subject to the penalty of
address (present) 7/and that I will be
i
employee under Section 24-21.020A C QE . for at least thirty-two (32) hours per
a to'(g)
week for at least sixteen (16) weeks per year on AP# �9
Signed:_/%�� „ Q r� Dated:
Environmental Health Approval:
Permit Description and Number
Date Issued
Planning Approval:
Date 94- Zone O . Dwelling on AP# O, -D _. Z90 c) 4-1
BY
Crop/Commodity Produced
7
S-7 3?k
AGRICULTURAL AFFIDAVIT
EMPLOYER
Employer
Employer'sAddress yw
Name of Property Owner
Property Owner's Address
ENVIRONMENTAL VEALTI'
JUL 2 5 199
CHICO, CALIFORNIA
Phone ,,% 0,_2V
Owner's sessor's Parcel Number bo ��_p_p / — Parcel Size Ac.
I, , do declare, subject to the penalty of
perjury, th I am the employer of
address (present) #� - 41A-)- 7 and that I will be
employer under Section 24-21.020 a for at least thirty-two (32) hours per
(a) to g)
week for at least sixteen (16) weeks per year on AP#D
Dated:_Y_ C
Environmental Health Approval:
Permit Description and Number
Date Issued &_101A_� By
Planning Approval:
Date Zone Dwelling on AP# 0dQ — Zc) O — O 4-1
By(s4-e�
Crop/Commodity Produced
e
A �Mr 5
Department
. C o u n t,
J. Michael Crump, Director
of Public
o f B u t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement ILESS THAN 1 ACREI
0
Project Description:
Project Location and/or Parcel Number:
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land'and that I, therefore, do not'need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board.
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 of more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:
Less than I Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/12/04
1
STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT •�o�sirvc gtia•
Division of Codes and Standards ,
O� ®® u Z
g ''� 1" w
Title Search 3Gw0a�
Date Printed: 08/24/2004 DEQ
Decal #: MW 1518
Manufacturer:
Tradename: BILTM
Model:
Manufactured Date: 00/00/1976
Registration Exp: 08/31/2004
First Sold On: 08/09/1976
Serial Number
SN612448
HUD Label / Insignia
'Unknown
Use Code:
Original Price Code:
Rating Year:
Tax Type:
Last ILT Amount:
Date ILT Fee Paid:
ILT Exemption:
Length
Unknown
Registered Owner:
HELEN NOVAK
JULIA ELDRIDGE (Tenants in Common Or)
701 E LASSEN SP 93
CHICO, CA 95973-0727
Last Title Date: NO TITLE ISSUED
Last Reg Card: 08/14/2003
Sale/Transfer Info: Unknown
Situs Address:
701 E LASSEN SP 93
CHICO, CA 95973-0727
Situs County: BUTTE
Title Searches:
BIDWELL TITLE
500 WALL ST
P0BOX 5173
CHICO, CA 95927
Title File No: 02080407
Renewal Fees:
$24.00
* * * END OF TITLE SEARCH * * *
UNK
ABY
1976
ILT
$8.00
08/12/2003
NONE
Width
Unknown
• + REGISTRATION EXPIRES TYPE LICENSE NUMBER •
TRA-ILER AfiG 31 -
S� ffd t $ REGISTRATION EXPIRES
_I 2 TRAILER AUG 31 80,
` OWIYERStNP CERT
tFtCATE � r C
r. NOT CARRY IN VEHICLE .'MAKEs
rEH JD Si�12�#8' Y I q Mo - m A
:., i...=a. .• YfAR MODEL 1 v, i �.'-7 �9`! .a ".�'� a" Er.��er4.�
SHOWN IS BASED OU MANUFACTURER AND D� RESENTA�Fip�pt�tF VFH. ID. SES I Z �i H
80IIY 7YPE MODEL CyLSf3ATERSi SOip'' C
a �y
EALE
YEAR MODEL SHOWN IS BASED ON MANUFACTURER AND
"+ ax onn ns'rr[.,tn ATP#:
%{�g 71&'. 13'r> --�-� BODY TYPE MODEL I CYLS. DATE FIRST SOLD CLASS
DATE ISSUED e vnrA �� �� 'R CCUPIP
!{X 'WC CIG
t`a� '`'ak,TA B-NUAdBEfi :, TOTRL.F,;fS 7N USE 7az �, . I By
'I
.„. r , t .a,y � .. s; C� , �}�.t 4A08/21/79
DATE ISSUED I OR PARR BAIL AX -4VC^ UNLADEN !E , TAB
•
A
0400 :-3
it
E
kQ W A K mr—L& 1E
03
?
OR ELDR3'€�GE JULIA'
WF - ' I
_...
701 E+F:J�S{.�.71G `'Jiq '-^ ,..'
E
R
D
O
CHIC
Q
PEu c
W
V'O VEHIRA R
-TRA FER-IEG 138) S k u C � ) � )3
E
_ Q',ar ✓,.y<� �` '.`-�'°;K .S at- 'Raw-r� }y
y'�' 'h`3�.a w'C. �r oa `Jy...`r�e°tic S
'C�
E
N�
,
`-E
y s'�t"'•�_
S. 'oR E .yQ :+ �`h 44 •<?, OS l..li y.1:..'
0
tn
0 n
�`117f#TICL$ow'",,;;zPATE �ni�'� -4
R
R
tae`.-..ic
READ REVERSE SIDE - IMaORTA.NT t S:
fl_,RuC.r tom,
r
•
VEHIGI.ES `
ARTMENT G sox�3�R E o
�t� p.0 CA. 95806 p N
SpGRAh4ENT0• L L 3.
NOTE E a
ER - PIEASE R
REGISTERED OWN Renawol fees must be
line boxed in tell.
this
16
fres is printed 20tPeaent penate 0 lsycoMay tObe Idled.
PA10 VEHICLEre ordless of use. id on of
our cegistrotion exP otherwise registered at all times 9 leas MUST be p° VILEGE
rse
The dote Y date, "Cow?" must be 9 bosts, renewal RENEWAL PRI
paid on or before this C(H, or THE OUARTERIY R .
Typ¢ Model ' if 14 S iSE NE�TAOONE, :. E
vehicles with Body commercial vehicle It ° n. G O
oalify fa register ° rioter regislraUST BEFPAtD-
F THE YEAR M prtrtteat, and I N
S If you qhe expiration ""EhB41ANCE 0 the dep 5 P
b¢fore FEES FOR • UST be surrendered cl T I
IS LOST ANO s lutes M {the vehicle. E
EMICLUS orlies, tee ey' .. license P o ¢ration o R
rivate P. rgavina permit PRIOR to the P
FEE EXEMPT V v- lees
to P on demand E
on sole If this q tees or obiam I resented IP 0
1. UP must Pay and must be 4
the PURCHASER r vehicie ta` whit' issue
ecson or by
L INFGRMASION maintained in '' the deportment in 9
GENERA r its facsimile muse be m d.tely not
t0*d ° YOUR VEHICLE, im "�� new aDdress
1. bysany Peace ottrcec. or it y Slep rd and print the
you
ADDRESS de4artment. on this co
you CHANGc yOLR rovtded by the oNice o{ the
2. It y tie Proper forms P ADDRESS, mark out the old address shown VEHICLES, contact any
mal an " CHANGE OF
ecording ° (title! on NOHiRANSFERABLE
3. When below the old address. wnershiP It you do not receive
.z
immediately rnia (ertiticote of 0 ' °aHyl fees due on or before —
min a Cplilo mast be 'eat s1er.d I
4. To ob exempt vehicles deportment and pIY AKE,
depotimeet For tnfocmaipant and "oanu°I" t the the vehicle M
NOi1LE ee p the neatest office I
S, SPECIAL take this card tI our TRUE 4AME• YOUR PRESENT ADDRESS, and
renewal notice,
res. t . ent, give Y
registration exP to the deoor.m
6. IS you need to write 4UMBERS.
C{CENSE and IDENjIFICATIOH
� naM oR iN�DtQUNtRi51 Al3o�rE'
NAwsE OF cEs• �R NAti OF REGIStER�
Do NOT
3
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
- Expires December 31, 2001.
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
KATY WARREN
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
9178 STANFORD LANE
CITY — STATE ZIP CODE
DURHAM CA 95938
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
APN 040.290-041
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Residential Structure
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
(W - ## - ##.##" or ##.#####� 10 NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NF1P COMMUNITY NAME & COMMUNITY NUMBER T§2 COUNTY NANiE 83. STATE
BUTTE CO, CA. & INCORP. AREA 060017 I Butte County CA
B4. MAP AND PANEL
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B7. FIRM PANEL
B11. Indicate the elevation datum used for the BRE in B9: ® NGVD 1929 1 ❑ NAVD 1988 ❑ Other (Describe):
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
EFFECTIVEIREMSED DATE
B8. FLOOD ZONE(S)
(Zone A0, use depth of floodirg)
060017 0510
C
SEPT. 29,1989
JUNE 8,1998
AO
Depth 20It
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):
B11. Indicate the elevation datum used for the BRE in B9: ® NGVD 1929 1 ❑ 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 NIA
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 5 (Select the building diagram most similar to the building for which this oetificate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations —lore, Al -A30, AE, AH, A (with BRE), VE, V1 430, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, ARIAH, ARIAO
Complete Items C3. -a4 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 NGVD 1929 ConversionlComments SEE SECTION D.
Elevation reference mark used RM 58 Does the elevation reference mark used appear on the FIRM? ®Yes ❑ No
F ESSIQ
o a) Top of bottom floor (including basement or enclosure) 155.7 ft(m) �;o
Ao
b) Top of next higher floor 155.7 ft(m)G'
c) Bottom of lowest horizontal str utural member (V zones only) N/A.o
d) Attached garage (top of slab) N/A. ft.(m) Ero
e) Lowest elevation of machinery and/or equipmentw `°servicing the building (Describe in a Comments area) N/A. 0 ft(m) �27647
(4,.No-
E
o f) Lowest adjacent (finished) grade (LAG) 152.4ft(m) dino
g) Highest adjacent (finished) grade (HAG)152.4ft(m)
CIVIC
o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade 10
F CA��F
o i) Total area of all permanent openings (flood vents) in C3.h 750 sq, in. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
CERTIFIERS NAME: ROBERT G. AGEE, JR. LICENSE NUMBER: RCE 27647
TITLE: CIVIL ENGINEER COMPANY NAME: SIERRA WEST SURVEYING
ADDRESS CITY STATE 7JP CODE
5437 BLACK OLIVE DR. A PARADISE CA 95969
SIGNATURE /)
DATE TELEPHONE
SEPT, 27, 2004 877-6253
FEMA Form -31, January 2003 See reverse side for continuation. Replaces all previous editions
.IMPORTANT: In these spaces, copy the corresponding information from Section A ( ForInsurance Company Use: (
BUILDING STREET ADDRESS (IndudN Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number
9118 STANFORD LANE
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 agent1company, and (3) building owner.
COMMENTS
T.B.M. = NAIL IN POWER POLE 0 200' NORTH ELEVATION =152.4'
❑ 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 E5. If the Elevation Certificate is intended for use as supporting infomlation for a LOMA or LOMR-F, Section C
must be completed.
E1. Building Diagram Number 5 (Select the building diagram most similar to the building for which this certificate is being completed–see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is 1 ft.(m) _in,(crn) ® above or El below (check one) the highest adjacent grade. (Use
11 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 _t(m_in.(an) above the highest adjacent grade.
Complete items C3.h and C3.i on front of form. NIA
E4. The top of the platform of machinery and/or equipment servidng the building is _ ft.(m) _in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).NIA
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. NIA
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATW CERTIFICATION
The property owner or owners authorized motive who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community -
issued BFE) or Zone AO must sign here. The statements in Secdons A, a C, and E are cared to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZJPCODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinarm to administer the community's floodplain management ordinance can oorrOl a 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 oommun4 official completed Section E for a building located in Zone A (without a FEMAissued or oommunity4ssued BFE) or Zone A0.
G3. ❑ The fbIlowing information (Items G4 -G9) is provided for community floodplain management purposes.
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement
GB. 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 NAIVE TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
❑ Check here I attachments
FEMA Form 81-31, January 2003 Replaces all previous editions
NOTES ,
11
�j
RESIDENTIAL
�O�10=29b-04] 04-2453 ,•
PERMIT N0. WARREN, KATHY
Q(�iJ STANFORD LN, DURHAM
I C� Cont: OWNER
'NEW MH PERM FND '
1
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIV15JON:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON
,,','NEW' MH' S).
.jj INSPECTOR TO VERIFY SERIAL & LABEL #'S.
l
SPECIAL CONDITIONS
CHECKED
BY
i A ..
OOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
' SPECIAL INSPECTION ITEMS
1
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
tz3����
I
OFFICE COPT:,".`_:'v
Address
f
GAS % 9'
Meter B Date
ELEC 12,4/ 1
eter B DatJ i
JOB FINALED 4((,aqtR
/
Signature'l
j
J=OK
0 = Not OK
Applic
No Readyable
Card B-1 Date
,
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Card B-1
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
;
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Roof; Shthg-Roofing
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
12.
7.
Well Clearance & Disconnect
t
8.
Utility Clearance
7
8.
8. Ga nd Electricity Tagged
its
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date
2.
Footings; Size -Spacing -Marriage Line
Card B-1 Date
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date '
Card B-1 Date
Card B-1 _r
Date
Card B-1 Date„-.
Card B-1
Date
PERM E END SYSTEM (ONLY)
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
o ' g Requirements -Setbacks -Easements
6.
Carports; Windows -Doors
ootangs; Size -Spacing -Marriage Line'
Electric
1 8.
3: Xbcki �
;
Siding; Nailing -Veneer -Stucco -Mesh
MH Test -Demand -Valve
Roof; Shthg-Roofing
11.
Electricity; MH Test
12.
Braced Wall Panels
6. Water; MH Test
t
7.
7. Water and Sewer Connected
7
8.
8. Ga nd Electricity Tagged
its
cense Decals
1 .1 Verify #'s with Office
Dat
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
t
ii
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
I' 7.
Electric
1 8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
i 10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
9.
Card B-1 Date Card B-1
Date
10.
Card B-1 Date Card B-1
'Date
POOLS (Plans) OK except #'s
1
1.
Setbacks -Easements
'
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
Card B-1 Date Card B-1
4.
Elec.; Receptacles and Lighting, Distance-GFI
t
5.
Elec.; Pool Lighting; 15 Volts-GFI
{
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
t
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
7
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
i
9.
Health Department Approval
?
10.
Plumb.; Cir. Test -Water Supply Test
j
11.
Light Niche
12.
Enclosure; Fencing -Alarms
t Date
Card B-1 Date Card B-1
'Date
Card B-1 Date Card B-1
,`7
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16.
Insulation
Date
47.
Card B-1 Date Card B-1
Date
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
17.
Water Htr.; Vent -Access -Combustion Air Baffle
52.
18.
Water Pipe; Test & Anchor -Nail Protection
Property Line Firewall & Openings
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
55.
20.
Shower Pan; Test, First Floor -Tub Access
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
21.
Test Tub & Shower, Second Floor -Tub Access
59.
22.
Gas Pipe; Sixe & Anchors
Shear Walls; Nailing -Bolts
23.
Fire Sprinkler; Test
62.
Insulation -Walls -Ceilings
63.
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
A.C. Duct in Garage -Damper
24.
Fixture & Transformer Clearance -Ins. Protection
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Plb.; Elec. & Mech. Equip. Listed for Location
26.
Size Boxes & No. of Conductors Stapled
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
27.
Romex Installed Close to Edge of Studs & C.J.
Insulation -Foam -Looked in Attic
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Guard Rails & Deck Construction -Post Caps
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
Clearance Looked under Floor ❑ Yes
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
Following Instld./Drive Z1 Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes O No
32.
Service -Riser Conductors & Ground Main Disconnect
Stucco Brown -Finish
33.
Equip. Clearances Panels-Motors-Mech. Equip.
A.C. Unit Disconnect, Electrical -Plumbing
34.
Clothes Closet Light -Shower Light -Spa Light
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
35.
Smoke Detector
Water Well, Disconnect, Electrical, Plumbing
88.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Corrections from Previous Inspections
36.
A.C. Ducts Insulation & Support
Gas Test -Meters Tagged, Gas -Electric
37.
Vent Fan, Exhaust above insulation
Water & Sewer Connected -C/O to Grade -HD Approval
38.
Condensate Drain & Overflow, Size & Grade
Energy Compliance Certificate -Other Certificates
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Address Posted '
40.
Attic Access & Platform if Furnace in Attic
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive Z1 Yes ❑ No/Walks O Yes ❑ No/Planters ❑ Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90. Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted '
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
R _ SEPTIC SYSTEM INSPECTION CERTIFICATE
P. O. BOX 5364 7 COUNTY CENTER DRIVE
CHICO CALIFORNIA 95927 OROVILLE, CALIFORNIA 95965
TEL: (530) 891-2727 TEL: (530) 538-7281
The Sewage Disposal System was inspected at
FOR
SEPTIC TANK LEAC ING FIELD
< Size 0-00 Gallons Length - feet
Material t ,?� ()19 Width inches
No. of lines L2
4
1-1��'7`1- iunhos-
�96k I lnrlsr Pins
1
The above dimensions meet the minimum requirements of Butte County Code, Chapter 19.
Additional leaching area will be required if experience shows it to be necessary.
Remarks:
/4)
Date: Le
S2 - 778R (Rev. 4/ ) ENVIROIqMENTAL HEALTH SPECIALIST
•
r' J
. . . . . . . . . . . . .
COUNTY OF BUTTE
BUILDING DIVISION''
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville; CA • (530) 538-7541
CORRECTION NOTICE
2q��,
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
I
if
0 1 v 1 i L o I
h'� 0yv,
nk-
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
Il CORRECTION NOTICE V'(� Def - 2ct 5�
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. It you have any questions pertaining to this matter, or need additional explanation,
jp4ee contact this office immediately.
�� ►�P Ge c l� r -}Ln� p0e r"
1�rf�v D QroLi�d �n�,� alo�^o' � 4-
rg
I I 1 ky- k)A6 _c bL4_ 1 0 K-
-hod�y
HEV 10192
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
PERMIT NO.
BP042453
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
Issued Date' 09/17/2004 APN' 040-290-041-000
the Business and Professions Code, and my license is in full force and
effect.
9 f 82-
License Class : License Number:
Site Address:,gtn STANFORD LN DUR
Date: Contractor.
Map Index:
Description: NEW MH NEW SITE PERM FNDN (720)
OWNEDECLARATION
I hereby affirm under penaltyenalty off 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
Owner: WARREN KATY LOU LIVING TRUST
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
WARREN KATY LOU TRUSTEE
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
9178 STANFORD LN
she is exempt therefrom and the basis for the alleged exemption. Any
DURHAM, CA 95938-9745
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
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
Applicant: WARREN KATY LOU LIVING TRUST
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 she did not build or improve for the purpose of
sale.):
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor'
❑ I am Exempt under Article 3 of t Business and Professions Code
e7
i
Date: Owner: Owner:
WORKERS' COMPENSATION ECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
O 1 have and will maintain a certificate of consent to self -insure for
License #'
-
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
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer'
insurance carrier and policy number are:
Carrier:
Total Square Ft: 720 S. F.
Policy #:
I certify that in the performance of the work for which this permit is
Valuation: $46,800.00
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, 1 shall
forthwith comply with those provisions.
Date: �0
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
j
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
i
q+�roro��}-rjt{C% . a►� $11clbn (-
code, interest, and attorney's fees.
.d
L
CONSTRUCTION LENDING AGENCY
This permit is Oereby issued under the applicable provisions of tFie t3utte Couc;iy C:ofiw' anrr/or
I hereby affirm that there is a construction lending agency for the
ResolutionsY do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
�-y 4
�-'`=� Date: 9' f O
Name:
By: :. ('
{ 9•► os
`PERM E IRES ON: �'.
Address: �
Date
❑ I hereby certify that the use of this facility shall comply with Sections ?5505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials. i
1•
❑ 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 a y official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspectio purpose
1
Print Name: a Signature: Z-L" -�✓�
J C
— /
Date: /
❑ Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor
�PSIDENTIAL
040-290-041 PERMIT#94-2101
WARREN, KATY
9180 STANFORD LN., DURHAM
MOBILEHOME UTILITIES
i OFFICE COPY
'3"A ss �` a
-r-.
;.
G, �+
Meter 'By Dater
ELECTRIC I,
Meter By
!
i
w
JOB FINALED (Data
Signature
V=OK
O = Not OK
Not
t Reeap yen's ' MOBILE HOMES
UTILITIES (Plans) OK except
irements-Setbacks-Easements
Q. -Soil .pecial MH Support Sketch
.4.-Sewer;,Locati6n-Test`Fall-C/0 Concrete
%rotV-qqpr,, ocation-Teat-Easement Needed (Sketch)
electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap;.* /"L"ft. 14
/ /" at. or/;0/"L"tt./ PLPG
&-Utility Clearance
r
Z `- Ii Lb?
a
Date/Initials MO HOME•.INSTALLATION (Plans) OK except #Is
. _ZoMng Requirements -Setbacks Easements
2�FoDtinps; Size-SDacina-Marriage Line
.. Gas MH Test-Demand-Valve—Connector
4006ect' ty; MH Test -Crossovers -Breakers -Clearances
rain jhH Test -Fell -Flex Connector
11p1 et'Snd Sewer Connected -C/O to Grade -HD Approval
OGas and Electricity Tagged
9. Exits; Iaap.Bketch
19 ,art: of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectore-Steel
3. Decks; Griders and/or Joista-Decking-Bracing-Stairs-Rails
4. Wood Awn.; Posts-Beams-Rftre.-Connectors
Shthg -Rfg -Bracing
5. Alum. Awn.; Columns-Connections-Spllce-Decal-Enclosures
S. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftre-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
1
i
Date/Initials POOLS (Plans) OK except q'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
1 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
111 Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
1
1
V=OK
O = Not OK
= Not Applicable
= Not ReadyI.
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plans) OK except M's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16, Insulation
Date/Initials PLUMBING (Permit) OK except N's
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Neil Protection
18. D.W.V.; Test -Fittings & Anchor -Nall Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24.Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ge.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Mein Disconnect
31. Equip. Clearances Panels-Motore-Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except k's
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'a
39. Sile, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
I
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Ong. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Wells; Nailing -Bolts
59. Insu latlon-Wells-Cel I i ngs
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'a
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yea
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainae & Wood -Earth
Clearance Looked under Floor 9 Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No:
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
MOBILEI;OME INSTALLATION.ACCEPTANCE
J COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, ICALIFORNIi4'95965 • — .TELEPHONE: (916) 538-7541 a,
PERMIT N0.
-k g�k,Address'or location of mobilehome
Owner's name �.) iB n AQM K
Owner's address vi IC'� �i) kn!"y"
.Insignia or hud number q -�-Zt)3 —L I'
Manufacturer's name ?j
"Serial number of V.I.N.—i I Year of manufacture=
(official -Approving Installation
was
X17
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION,
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE*
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
o
5138 White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO
APPLICATION AND PERMIT a/0�
ASSESSOR PARCEL NUMBER
040-290-041
z I� .
A`11, cFY
- BUILDING PERMIT
OWNER
KATY WARREN
TELEPHONE
45-5494
SQ, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
9178 STANFORD LANE, DURHAM 95938
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$
ARCHITECT OR ENGINEER
_
LICENSE NO.
Plan Checking Fee
$ 23.0
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS STANFORD
U RAM
PERMIT FEE
$ 43.0
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
`
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome X] Other
sKCIFv
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New O Addition ❑ Remodel ❑ Utilities ❑ Installation C1Other `O
� �
Describe Work: MHI MHU# UAP
—"�'�
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service I "'OR` )
2OOA OR LESS
23.00
Main Service I 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. I & ACC. BLDS. )
g0
3.50 FT.,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON•RESID. ( BRANCH CIRCUITS )
@7.50
POW ER APPARATUS )
I 8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 20 .00
Ex. Occup.FIXED APPLNS. OR
( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
i
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California 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
gments, costs, and expenses which may in any way accrue against said
liabilities, j1.
County •n o sr f the granting of this permit. n
X Date / z
Signature of Ap c nt - C1 Owner ❑ Contractor ❑ Agent
An OSHA perit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $ 100
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL F $
HA2. D. FEES IMP
. F
C PAR H .
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
00
BY
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date 4�/Ilelw
Date)
ReceiptNo. 163027
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
%: r, • ,n,,,, .- r -r..• : i.,n�rrwnr�-;.;y}trp'}"�'f.C1"DRi`4�►�'J�'(`1iFi�?'��'1�F.��f'raiFffi$hl'��Yi1e7� �WiiTlii'r+W.� :'.M,.,,T,Y f.,,r�+,,p1,�'f rM"7i�*�.k`'''IZ*}'j� •l` a.."Y
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION e
7 COUNTY CENTER DRIVE - OROVILLE, CALI t Rli�1A 9965 - TELEPHONE (916) 538-7541
' . PERMIT''APPLICATION DATA SHEET
OWNER ��`
A. P. No. - z 4,
Proposed Building Ude - Building Inspector _ o bate hg
At time of permit application, I was, advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ........ ........I ......................
2. Plot plans, 3/4 sets, signed by preparer of plans. .
3. Complete plans, 3/4 sets, signed by preparer of plans. ..........
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ................... * *\..................... .
--� p f rj rgy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings.
ngineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ........... i
Fees of $ an`. :....................... .
11 Impact fees as shown on attached
schedule. '............................
California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . .................. .
4. Sanitation and plot plan approval Health Department ...............
'- 15. City of Chico plumbing permit . ............................:........... .
Plot plan and business license approval from City of Biggs/Gridley. . ........... .
` 17 Planning approval for (A) Use: (B) Parking:
Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy)... .
•Pn:-Inspection request
t. 20. Pre -inspection for required. ..;,to Budding Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification). ..... '9: .
22. Certificate of Workmans Compensation Insurance . ............... A ....... .
23' Owner -Builder Verification (Given to owner Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
Letter of�intent on building use . ...............................
+{ , Mobilehome utility clearance . .............................. .::: ; ::: -
29. Documentation of legal access. '
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements. . . . . .d. F a"
31. Existing violations/expired permits . .....................................
32. Plan check list . .....................................................
33.
34.
When yo issue the rmit process as follows: Mail wrier. Mail to contractor.
elephone9y and hold for pickup at /'G office. Deliver with inspector.
Other
Parcel Creation 7
AcreageApplicant Date
".Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permii issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER 0q6_2o10 O
ZONINt:
BUILDING PERMIT
OWNER -
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWN $MAILING AUORIts
�s[/✓JC// I/'/1 L �[ JCS
CONTRACTOR'S NAME /' /
W
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIWOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER ..
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
e
PERMIT FEE $
apa
/l
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO. SUBDIVISION'S NAMEPAR CEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF O Duplex ❑ MobilehomeOther
SPECIFY
TYPE OF WORK
New Cl Addition -0 ' Remodel ❑ Utilities ❑ Installation ❑ Other O
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS G W
:f_::L
@20.00
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
OO
Main Service ( BoR LESS )
200V A OR LESS
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONIS. ( A ACC. BLDS. )
SD,
3.5C FT,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full -force and effect.
License No. Classification
Cl I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR,
Ex. Occup. ( OUTLET OR FI%TURES )
20 @ 1.00
BAL. SO
Ex. Occup.FIXED AP"S. OR
( OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
Ventilation
E65
PERMIT FEE S
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 consequence of the granting of this permit.
X Date
Signature of Applicant - ❑ Owner O Contractor ❑ Agent tof
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCCCONST.
TYPE
TOTAL FEE $
I HAZ. 1 0. FEES I IMP I FLOOD
CDF PARCEL I PD
HD
ISSUE
This permit is hereby issued under the
the Butte County Code and/or Resolutions
indicated above for which fees have been
By
PERMIT EXPIRES ON
lDetel
applicable provisions
to do work
paid.
Date
Receipt No. / (l�J�� ?
WHITE•O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE-- DEPARTMENT OF DEVELOPMENT, SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE EA95963 TELiPHONE (916) 538-7541
OWNER
PROPOSED BUILDING USE
A. P.
DATE
REC. # DATE REC
SCHOOL DISTRICT FEES l/ ���'"� •
(paid At District Offic.a).........................�/��� �i...
2. SHERIFF FEES
_ (paid at Building Department)
Residential .....•
x _ 360 `-
unit amt.
Commercial (sgft) x ��
, sq. ft. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
unitsa_t
Commercial (per sq.ft) x
sg.ft.---'
amt.
REMATION DISTRICT FEES %�
(paid at District Office)...�/.�.............. ,e G-
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
6. SRA FIRE INSPECTION AND PLAN CUM = $89.00......
(paid at Building Department]
7. OTHER
8 . OTM
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT DATE
AP # o /
OWNER f�A 1
PERMIT
MH UTIL.CLEARANCE DAT
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test -Req.
Service
Other
Pipe
YESI NO
YESJ NO
Size
Load
Type
Size
Length
/o v
Zo o 0'4
L A/
k
v ,
i
i
SIERRA WEST SURVEYING
LICENSED LAND SURVEYING
5437 Black Olive Drive - Paradise, CA 95969
Phone: (916) 877-6253
BUTTE COUNTY
BUILDING DEPARTMENT
7 County Center .brive_
Oroville, California 95965-3397.
July 27, 1994
COUNTY OF ®UTTL
BUILDING DEPT
AUC 0 1 9991
Dear Sir/Madam:
I have been asked to review the Flood In. _uran.c_e_Rate Map in
relation to Assessor's Parcel Number -04 �-0 -i I have
determined that this parcel of land is located in Zone X, according
to Panel 225'of 600, Butte County, California, Flood Insurance Rate
Map, except for a few'feet on the east side.
If you'have any questions, please call 877-6253.
Sincere.ly,
Robert G. Agee, Jr.
RGA/jee
�LettersMONarr,Ltr
6907 Warren
m 14 U'Tl L-
S,-f*FOA-f,) UJ
p C4 CIMIL-1
mru, +r, imop
LIA
�`" •!Y�;.`;'.`�"asacr' ; "wil.arr`•z,3,�;-�►z�+TM—ly,'�;K,.�-...�«.3.M(nwr-�kF s��"t.-"...'�''r^erw*�-.k;�,?a�l�ro-,r,nai....v-`7„*"'"n..r•„�;►�,ax,�-.r,_..���.sZ'�.',�'�*r"'�,�„`r1rx�r�-�s-.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
I-' 0
School District /,/(/yt�i��'/ Building Department No.
A, P. Number Jurisdiction ❑ City ' County
Property Owner
n
Property Locatic
Subdivison
Residential Development ❑ �!
No. of Living MHI
Units
Lot No.
❑ Sq. Footage 7420
Addition (Group R)
Commercial/Industrial ❑ 0 Sq, Footage
New Addition (Including Exterior
Roofed Areas)
as �
Building Departure epresentative Date
(Floor Plans reviewed by School District Personnel)
District Identification No.
�fJ2r►� . UN1,4-/k-j'�� School District certifies that /<f}T//
(Applicant)
(Street Address) (Phone Number)
,r)Ole #-lq7" C'q 9s�37
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. g q- 3 by payment of $ _
representing mezzo square feet. ❑ Check here if fee received represents "Full
School District Representative Date
no
gation'..
Paid by Check # Remarks: FeE lliq
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schoolsflmpact Fee
Certification Form, the School District is notified by the.applicable Local Planning Agency that this project
is being reviewed under. the California Environmental Quality Act (CEQA), this project4' be subject to
additional school fees to fully mitigate its impact on the school district's schools. k L
White (applicant), Yellow (building department), Pink (school district) " .'s . feeformmkl (4/94)
&t 7S 10Ei
`PERMIT NO. 3661-79B,P,E,
r PERMIT EXPIRES
(OWNER Mike Wacker
CONTR. Holiday Pools, Chico
r
' LOCATION (A.P. 40-29-41
994 Stanford Lane, Durham
f
r
X41
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E c7
Temp. Gas Serv. YZ
Called PG&E
JOB
FINALED
(Date) 01
(Signal e ) A
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTI6N'RECORD
BUILDING
BUILDIN (Cont'd)
Setback
Firewall
Forms Z
Parapets
Main Bldg.
Restroom Finish
Footings
Windows
Stemwal I
Siding
Slab
Roof Sheathing
Piers
Roofing
.Garage
Fdn. Vents
Footings
Stemwa l I
Garage Vents
Insulation
Slab
Carport
Footings
Prov. for phsically
handicapped
Conformance of ex.
structure
Slab
Final
Patio
FIREPLACE
Footings
Footing
Masonry Walls
Throat
Reinf. Steel
Final
Bond Beam
FIRE SPRINKLERS
Framing
Test
Stucco
�) Final
Mesh
MECHANICAL
Scratch
Heating
Brown
Cooling
Finish
mets
Soil Piping
1st Floor
2nd Floor
3rd Floor
PLUMBING
Water Piping iii lj
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas PI in & Test
Temp. Gas
Sanitation .
Final
ELECTRICAL
Rough
Fixtures
Motors
Water Htr.
Subpanels
Grd. Fault Prot.
Servi
Ii
Pole
interior Lath Ventilation Permanent r
Door Closer Final Final
MOBILEHOME UTILI IES - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal
Water Piping ` Sewer Gas Piping '
MS2§16EHOME INSTALLATION - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
in
9
DATE
REMARKS OR CORRECTIONS
<2
�YZZoVe-
1
(NOTE: n entry must be,,&T-thl•s''form each time you visit the job site.) V
4�
\
`g
r
i•
CG'JN.,TY OF BUTTE - DPACT.MENT OF PUBLIC WORKS
j7 County Center Drive — bcroville, California 95965
Tel ephon :534-4�41
APPLICATION AND PERMIT , ,(�, _
2.V
aumonze representatives oT the Vounty oT butte to enter upon ine
above-mentioned property for inspection purposes.
X Date f
Q, 1q,
Signature of Permitee or Agent
Receipt No. =g67 I
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
B Date6— -;?-/— 71E
Building permit expires Date
BUILDING ?/
Owner
KE
SQ. FT. OCC. BUILDING'VA11UATION
Mailing Address
Telephone No.
oa L Sfen4 14060
Contractor
Mailing Address �^
d C '
Fireplace
Total Valuation ( 60 Q
Q ph e
CAT__C70 CA -% MVR
Permit Fee
Building Address S r0Q-� 19
PIanCheckingFee &/orPenal ty
Permit Fee , 0c
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $3.00 39
Each Trap 1.50
Repair drainage or vent piping 1.50
IJ
A. P. No. o — 2
A -l -j—
Zoning &'PTSnning
Water piping 1.50 �
Each gas water heater or vent 1.50
WS
(W C.
a I io
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking rcel
Plans Decl ration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
ans ec'd
Parcel Approval
Pla pproval
Lawn sprinkler system 2.00
NEWJ& ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
7
RL%' J oa,,
ELECTRICAL No. @ FEE
PERMIT FILING FEE 1 $3.00 3.00
600V OR LESS
Main service 100 AMP OR Less 5.00
Single Family-- Duplex ❑ Mobil Home ❑ Other
Main service EA. ADD'L 100 AMP 2.50
,.
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ADWECCLBLDGS.LING CCUP. s) 22sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: L �1 p
upl T Tb C3C—S
NEW CONSTR BRANCH CIR T
NON -REBID ( BRANCH CIRCUITS/ 12.50ea
NEW CONSTR. (POWER APPARATUS.&J
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTIIRES 5 L ,�
Ex. Occup.(0F U1 'ED T ETSP(RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.2oaa-1 322— �`"S3
Classification
Misc. Wiring.LtL *Av, 6.25 .2"
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$q 17-S
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
CI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
is
$
TOTAL PERMIT FEE
�� ?s
aumonze representatives oT the Vounty oT butte to enter upon ine
above-mentioned property for inspection purposes.
X Date f
Q, 1q,
Signature of Permitee or Agent
Receipt No. =g67 I
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
B Date6— -;?-/— 71E
Building permit expires Date
con
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
E; I T
_;'9
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESVARC,yL NO.
��
ZONING
A 57
OW
eA -kPJ a) A g Lq= e -
PHONE NO.
r- S
0, ! R S� D S 4,1 ' i U c Imo! n om— �u/�%1 Qi1i12i
15172
L TION OF BUILDING
/
v e r
9it
USE O BUILDING
,
SIZE OF RL TURE
0 Ix
��
SO. FT.
=
TYPE OF CONSTRUCTION:
WOOD FRAME —y— STEEL CONCRETE� OTHER (Specify)
TYPE OF SIDING
ROOF COVER NG
FLOG TYPE
ni
ESTIMATED COST OF CONSTRUCTION
$ A �a
shall
AG Buildings comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as foil S:/ s:/ i
S0 STD 5
I
FRONT SIDES
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date —7 :7 Signature of Owner 61
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No.
9116Q6,s-
Director of P 'c Works
By Date
White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant
COUNTY OF BUTTE - DEPARThEEYT OF DEvhLur:vir,N 1ZAVLl.G39 D$,Ju.,uuw JJtV101V1.
7 Caunty Center Drive, oroville CA 95965
Phone: 916-538-7541
KATY WARREN
9178 STANFORD LANE
DURHAM CA 95938
RE: BUILDING PERMIT APPLICATIO N #94-2101 FOR MH IDDM: 7/27/94
A.P.,# 040-29-0-041
With reference to the above- subject:
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engineered Calculations Typical Plan Sheet
Owner -Builder Verification Fm List of Codes Enforced
We need the following information prior to permit processing and/or issuance:
Permit application signed and completed where indicated with. all copies returned.
Plot plans, 3/4 sets, signed by preparer of plans.
Complete plans, 3/4 sets, signed by preparer of plans.
A lana and calcs 3/4 sets, with wet signature on plans.
Englneere p
Hazardous Material Form
Energy Design Compliance and supporting documentation.
Statement of Intent for Non -Heated and A/C Buildings.
Engineered truss details and layout in duplicate.
Mobilehome data and manufacturer's installation instructions, 2 sets.
Fees of $J, payable to Butte County Treasurer.
I ct fees paid
mpa
California Department'of Forestry plan approval/fees.
XXX Flood elevation letter (100 year flood) by California Engineer.
XXX Sanitation and plot plan approval c=hip o Health Department.
City of Chico plumbing permit.
1 t Ian and business license approval from City of Biggs/Gridley.
--� °lappp USE
- ing approval for- '
Land Development (a) Improvements (b) Drainage.
_ Driveway permit (approval of construction required prior to occupancy).
Contractor's license information (No. Name Style, Class) or exemption statement.
Certificate of Workmans Compensation Insurance.
Owner -Builder Verificeti^_^_ Form.
Recorded copy of Agricultural Acknowledgement Statement.
)—Letter of signature authorization. -
Copy of recorded deed of parcel creation and 60' rig::t of way to a public ma?.
Letter of intent on building use.
M.obilehome utility clearance.
on of le al access
Documentatl g
D umer cion of 50o subdivision developed or (a) Road improvements completed and
oc
(b) Parcel meets zoning area and frontage requirements.
Existing violations/expired permits resolved.
Plan check list data and revisions.
sets of plans in accordance with changes marked in red.
Other: Your procerty lies in the 100 year Flood Zone. You need to contact a Civil Engi-
neer to determine the flood elevation at your property according ro U S G dgrum
He then needs to place a marker on your property near the proposed building write
us a letter stating location of marker, how he arrived at that elevation and what
the finish floor level should be. We cannot issue your permit until we recieve
this letter.
Should you have any questions concerning the above, please contact Scott Rutherford
of this office.
Mic ael C. Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
• e
LANG OF NATURAL WEALTH AND 8EAUT'`I
4 PLANNING COMMISSION
„ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965
CERTIFIED MAIL PHONE: 534-4601
.January 13, 1982
Mr. Michael Wacker
:P 0 Box 308
Durham, Ca.
95938
Re: Use Permit, AP 40-29-41 F, 33
Dear Mr. Wacker:
Enclosed is your validated Use Permit No. 81-24 to allow
the segregation of a.one-acre homesi.te from a 7.3 acre
parcel, property zoned "A-5" (Agricultural - 5 acre parcels)
located -on the east side of Stanford Lane, approximately
1200 feet north of Sycamore Lane, in Durham.
Should you have any questions, please feel free to contact
our office.
Sincerely,
Bettye Blair
Director of Planning
/ h.d
Enc.
cc: Health Department
apt. of Public Works (2)
Fire Department
USE PERMIT PGC Z of 2
BUTTE COUNTY PLANNING COMMISSION V--_ _____It �no-I
� _
DATE- (Registered mail receipt)
•
All _24
• PERMIT NO.
ouN
40-29-41 A 33
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special
conditions set forth below:
Michael Hacker is hereby granted a Use Permit
NAME
in accordance with application filed: 3110/[l1 to allow thn ttnhrroanti nn
of a ono acre hoaccito Aron a 7.s(date) acro parcel on proQorty zoned
"A•5" locntod an thn nnnt nide of _Sinnferd I nnn_ onnrnk _ 120n ¢net
north of Sycalcoro Lana, Durhac.
1• Failure to comply with the conditions specifies herein as the basis for approval of appli-
cation and issuance of Permit, constitutes cause for the revocation of said permit in accor-
dance with the procedures set forth in the Butte County Zoning Enabling Ordinance.
2. Unless otherwise provided for in a condition to a use permit, all conditions must be com-
pleted by the permittee within 12 months of the delivery of the countersigned permit to
the permittee.
3. If any use for which a use permit has been granted is not established within one year of the
date of receipt of the countersigned permit by the permittee, the permit shall become null
and void and reapplication shall be required to establish the use.
SPECIAL CONDITIONS:
b) At least tan (10) yeoirs hen olapsad frau the data of recordation
and the Planning Comaission finds circumstances regarding paid
property and othor properties in the area have changed nufficiently
to reconsider the restriction.
g. The applicant Faust also comply with all other applicable Stato And
local statutes, ordinances,, and regulations.
I hereby declare under penalty of perjury that I have read the foregoing conditions,
that they are in fact the conditions which were imposed upon the granting of this use
permit, and that I agree to abide fully by said conditions.
Dated:
Applicant
NOTE: Issuance of this variance does not waive requirement of obtaining Building
and Health Department permits before starting construction, nor does it waive
any other requirements.
CC: Health Department
Department of Public Works (2)
Fire Department chairman of Planning commission
PAGE 1 of 2
USE PERMIT
BUTTE COUNTY PLANNING COMMISSION
DATE ii1LlAlr(Registeredmaih receipt)
• 81-24
• ; PERMIT NO.
oiuN 40-2+)-41 R 33
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special
conditions set forth below:
Michael t1ackor is hereby granted a Use Permit
NAME
in accordance with application filed: 3/10/01 to allow the segIrogation
of a one acre homoslto fror1 a (date) y.3 acre parcel on property
xonad "A-51° locatod on tha anst nide of SEAnfaPd Lnna- nnn,rnx,.
1200 feet north Of Sycac:ore Lane, Durham.
1 Failure to comply with the conditions specifies herein as the basis for approval of appli-
cation and issuance of Permit, constitutes cause for the revocation of said permit in accor-
dance with the procedures set forth in the Butte County Zoning Enabling Ordinance.
2. Unless otherwise provided for in a condition to a use permit, all conditions must be com-
pleted by the permittee within 12 months of the delivery of the countersigned permit to
the permittee.
3. If any use for which a use permit has been granted is not established. within one year of the
date of receipt of the countersigned permit by the permittee, the permit shall become null
and void and reapplication shall be required to establish the use.
SPECIAL CONDITIONS:
1. Dead 30 f4, of right-of-way from centorline of Stanford Lana to
County of. Butte.
2. Parcol's shall be created pursuant to Chapter 20 of the Butte County
Code and the State Subdivinion t1ap Act.
3. Any dovolopmont is to moot Environoontal Health Roquiraaents»
4. Prior to the deviBion being effective. the owner or owners of the
property included in the approved devolopmont plan shall excuto and
cause to be recorded in the office of the Recorder of Butte County a
restriction binding upon the original ovines and their hoirs, succos;so-<
and assigns, which dicnlloas additional dwellings from being tocoted
on the -property until -either of the following occurs:
a) The -property is rezoned to any other zone; or
I hereby declare under penalty of perjury that I have read the foregoing conditions,
that they are in fact the conditions which were imposed upon the granting of this use
permit, and that I agree to abide fully by said conditions.
Dated:
Applicant
NOTE: Issuance of this variance does not waive requirement of obtaining Building
and Health Department permits before starting construction, nor does it waive
any other requirements.
CC: Health Department w
Department of Public Works (2)
Fire Department Chairman of Planning Commission
• ?ERMIT NO. 429=76B, P,E,M
+rpt, PERMIT EXPIRES
OWNER Mike Wacker
to
ON T R.
owner
f40-29-41
LOCATION (A.P. )
E/S Stanford Rd., 3/4 mi. S. of Durham-
} Or//oville Hwy, Durham
itcI A,, �� fyCa c", scf ,
411,
j
tJ
Temp. Power Pole
Called PG&E _
Temp. Elec. Serv.,
Called PG&E -
Temp. Gas Sery
Called PGA
JOB
FINAL gD
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS i
•S
BUILDING INSPECTION RECORD
BUILDING
BUILD NG (Cont'd)
Water Htr.
Setback % _ —2�
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings _
indows
3rd Floor
Stemwall
idin g
To out
Slab .� /6-7Roof
SheathingWater
Piping
Piers
Roofing
Sewer
Garage A-
Fdn. Vents A
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped ,
Heaters
Appliances
Carport
Footings
Conformance of ex
structure 7
Gas Piping & T
Temp. Gas
Slab
Final 4aSanitation
Patio /
FIREPEACE
Final
i
Footin s
Footinq '
Masonry Walls -
Reinf. Steel
Bond Beam
FIRE SPRINKLER'S Motors
PLUMBING
Framing 25 Test
Water Htr.
Stucco
Final
Subpanels
Mesh .
M CHANICAL
Grd. Fault Prot.
Scratch
Heating
Service .
Brown
Cooling
Temp. Pole ,
Finish
Ducts
Underground /
Interior Lath Ventilat'on
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
5x—
GY;"'�-
(NOTE: An entry must be made on this form each time you visit the job site.)
o MESSAGE o
TO------------U--- -• ----------------------
DATE;----- - - -V- - - ---TIME ----------------------------
.o WHILE e " ,� rMERE OUT o
MR- --------------I-,--_ ____ 1 _L_--- ------- ---
OF------------------------------------------------------ --------
PHONE N O ---------- .-.. -! ---- - - - -- - --
Telephoned - - - - ❑ Please Call - - - - p
Called to See You - - ❑ Will Call Again - - ❑
MESSAGE: -------------
------------
MIKE WACKER
Route 1 Box 1159H
DURHAM, CA 95938
TO
P&!:7e- -7-e--P'1Z-
CfG A4 v a- / 4 e- et,1,4,y
F] PLEASE REPLY F1 NO REPLY NECESSARY
1L-\
PATE -3- I--Lgp
SUBJECT
oe
eI:rlz—m— , r
. -- --m 76
y— T - 7=:
- - -- ---------------
COUNTY OF BUTTE ,,vIENT OF PUBLIC WORKS
7 County Center Drive�... iville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT 4�
above -mention d property for inspection purposes.
X
Signature of'Permitee o gent
Receipt No.
White-D.P.W. — Yellow-Asse�� Po �tor — GoldenrO#Appalpr,pQt
I n)s permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been pa'
DIRECTOR OF U LIC WORKS
BY Date—,2--,7— ](P
ding permit expires Date 7
BUILDING
Owner
SQ.AT, OCC BUII,,DIW VALUATION
Mailing Address
Tel ho a No.
'
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
/L
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address S
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap <1 1.50
r
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ^' v�
FVsJ W 404 no FireDept. FireZone
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Use Permit
Building sewer 5.00
EOA
I PPIan 9 Declaration
Parcel Map
60' R/W
Improve ents
Lawn sprinkler system 2.00
Bldg. Plzils Recd
Parcel pproval
Planspproval
Permit Fee $
NEW ❑ ADDITION ❑
UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
�
PERMIT FILING FEE $3.00
�f'i •y °�—
600V OR LESS
Main service 100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ obil Home ❑ Others ❑
OVR Main service 100E
EAMP oR LESS 25.00
Main service EA. ADD°L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CC &) 20sgft
NEW CONSTR MULTI-OUTL
NON-RESID- BRANCH CIRCUITS) 2.50ea
-
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
Ex. Occup. (OUT LETS00
FIXED AP(RESID,)LNS.REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE.
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
EJI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
<plermit is issued. I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL @ I FEE
-No.1
PERMIT FILING FEE J$3.001
Heating
Cool ng
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that -the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
51111 t1nn 7C rCnroccnf �fivcc. ..i ♦... /•.......... ..s n...._ ._ __.__ __ ..
TOTAL PERMIT FEE
$
above -mention d property for inspection purposes.
X
Signature of'Permitee o gent
Receipt No.
White-D.P.W. — Yellow-Asse�� Po �tor — GoldenrO#Appalpr,pQt
I n)s permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been pa'
DIRECTOR OF U LIC WORKS
BY Date—,2--,7— ](P
ding permit expires Date 7
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICXTIONAND PERMIT
PERMIT NO. •.f
ASSESSOR PARCE NUMBER
_
ZONING
BUILDING PERMIT
OWNEP
<t
TELEPHONE
4
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADD ESS
�k f = l*
9
�CONVRACTOR'S
NAM„?
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace /000
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 17. S
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
,ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 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[ --I Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 j
Building sewer
5.00 /
Mobile Home is
10.00ea /
TYPE OF WORK
i
New Addition,❑ Remodel � Utilities[] Installation El Other ❑
Describe work:Contractor
10, r e II &CP $CISe r'—i—
Permit Fee
$
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eODV OR LESS
100 AMP OR LESS
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 BuslneSS
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ei
OR ADDNS. ACC. BLDGS.
, /2 OSq ft
NEW CONSTR U TI.OUTLET
NON.RESID BRA CH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
eAL030
FIXED PR
Ex. Occup. OUTLETS (RESID,)EA.J
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 ,
Misc. �Yirin g
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I deTunder penalty of perjury (check one): `l,
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. 1
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the'Labor,Code, you must fofthwith comply with such
provisions or this permit shall be deemed revoked. i
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
/
penult Fee
$
Contractor
I certify that I haVCread this applicationtand 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.
also agree to save, indemnify and keep harmless -the County of Butte against
allIiabilit'es, judgments, costs, and expenses which may in any way accrue
agains sa d Copnty i ccinsequence of the granting of this permit.
�+�D_/�This
.r ❑
Signature of Applicant — Owner Contractor ❑ Agent
An OSHA/. /'
permyt ,s required for excavations over 5'0” deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee i
Energy Inspection Fee $
-
TOTAL PERMIT FEE $ a.
OCCuP.
CONST.TYPC
SCHOOLFLOODPARCEL
PO
E7,I
Jdo
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
A 1I
DIRECTOR OF PUBLIC
B Y I o
PEIIMIT EXPIRES Date f
the applicable prDate
resolutions to
-have been aid.
p
WORKS �J
Receipt No. PI- 4 /�
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANQ PERMIT
PERMIT N0.
ASSESSOR PARCE NUMBER
— ' —
ZONING
BUILDING PERMIT
OWNER
t_.rr
TELEPHONE
3 - y
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAIPLING ADD ESS
CON RACTOR'S NAME
t
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace R" /0100
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 7, S70
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
r`i-O N�
9/79 �//1�I c""
Each Trap
2.00
c x
Solar or heat pump water heater
20.00 2
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 S I G I W
O.00ea
IIE OF WORK
New ❑ Addition ❑ Remodel Utilities ❑ ' Installation❑ Other ❑
Describe work:
lot r -e p I&C efnSe_r_+
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
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
❑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
Arfor sale..(Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.e,`
OR ADONS. ACC. BLDGS. / , /20sgff
NEW CONSTR MULTI -OUTLET
NON.RESID .BRA CH CIRC ITS 2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES eA 0S3 �
Ex. Occup. OUTLETS ED APP(RESID )LNS.REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declar 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
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
al Iiabilis
t' , judgments, costs, and expenses which may in any way accrue
a ains Id C my i c nsequence of the gra ting of this permit.
6_
X Date s
Signature of Ap Dant — Owner Contractor ❑ Agent ❑
An OSHA per is required for excavations over 5'0" deep and demolition or construct-
ion of str cturVs over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ '?,SQ
occu P.
CONST.TYPEJ
SCHOOL
FLOOD
PARCEL
PD
ND
s9UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated ab ve for which
RE O OF PUBLIC
B
P&6 T EXPIRE Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
rl/r�
Date
Receipt No. 01024/ /�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
j�Ae/e�5u/—/Ar/
SIERRA WEST SURVEYING
LICENSED LAND SURVEYING
5437 Black Olive Drive - Paradise, CA 95969
Phone: (916) 877-6253
BUTTE COUNTY
BUILDING DEPARTMENT
7 County Center Drive
Oroville, California 95965-3397
Dear Sir/Madam:
94 -,o /0 �
July 27, 1994
COUFM OF BU ffE
BUILDING OEPT
AUG 0 ) 9991
I have been asked to review the Flood Insurance Rate Map in
relation to Assessor's Parcel Number 040-29-0-041-0. 'I have
determined that this parcel of land is located in Zone X, according
to Panel 225 of 600, Butte County., California, Flood Insurance Rate
Map, except for a few feet on the east side.
If you have any questions, please call 877-6253.
Sincerely,
Robert G. Agee, Jr.
RGA/jee
\Letters\6907WarrAtr
6907 Warren
. ' 7
NoTk: Al Materials & WorkrnwAlp S
Accordance with R ognaed Good Prcctiiwdbdyf t .�
of a quality prescri�d for the Specified use in the
Uniform Building, Plumbing & Mechanicssl Cobs gjW
5 � specification
MUST Ix
the Dectrioal &odd___ . ibis sot ofi plans and spe
"ob at all times and it is unlawfultc
- ' - kept on the .i.
changes or alterations on same With'
CT�pD,� MECHANICAL, make any permission from the Department o;
NUDTP )CAl-. ANout written, Pe
S �,,* ( NITH T PLAN DOH KBD �� grlcs,�, � Butte.
CURREN J j- NEC.
-AND U.pC
\ �\
L./JW'
t:
1
5
.. � ,1 GAY Q► C �
Q0`� �� AGO
�} Al/°
2'. el �. G � � oma``,� �
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y ,
ZA _,vim su . C VI 1
41
.,.E UNTY
BUILDING D
5 EPwRTfNENT
/ VVEU
,a
1
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
i} 7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name:
YCN
0
2. Installer's Name: kw&N
3. Is the site currently under permit?
Yes
No
mobilehome electrical rating? ---------------
(If yes, furnish permit number
) OR
Is the site an existing site?
Yes
No
(If yes, furnish two plot plans.)
What
is the
mobilehome site
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.-
mps.-
6.
6.
What
is the
mobilehome site
service rating? -------------
���
Amps
5 dC:)
7.
What
is the
mobilehome site
circuit breaker rating?
-----
Amps
8.
Is there any other electric
load to be served by the
_
No
mobilehome
site
service? --------------------------------
Yes
Lam•
(If yes, identify the
load and size:
(Load)
(Amps)
9.
What
is the
mobilehome site
gas pipe size? --------------
y
(in.)
-------------------
Natural F-1 LPG
R
10.
What
is the
type of gas service?
11.
What
is the
gas pipe length
from meter or tank to the
mobilehome?
---------------------------------------------
(ft.)
* 12.
What
is the
mobilehome gas
demand? ----------------------
(BTU)
*(This information not required if pipe length less than 6 ft. on
natural gas or less than 50 ft. on LPG.)'
q�®a� DEV Aa
MOBILEHOME SUPPORT DATA rA
`L-
'
If other than single wide,
rMobilehome Mfr. j furnish Setup Model No. Year ( l
Width l (ft.) Box Length (2 (ft.) Tagalong or Expando Size ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.2. Other (specify)
SUPPORTS (check one) 1. Concrete block.a 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Line 1 Piers:
Size -Min. ------------
,k ,
Spacing -Max. ---------
From Ends -Max. -------
Line 2 Piers:
Size-Min.------------
Spacing-Max -
-----------Spacing-Max- ---------
From Ends -Max .-------
Line 3 Roof Loads:
Size -Min. ------------
Location (From Front)
Line 1 Openings:
Size -Min- ------------------�
Each Side of Openings
With Width Over ---------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min -------------------
Spacing-Max ----------------
From
------------------
Spacing-Max_______________-
From Ends -Max --------------
e 4 Piers
Size -Min .------------ ,k
Spacing -Max.---------
From Ends -Max.------- „
e 5 Piers: (Under Bearing Walls Only)
Size -Min -------------------
Spacing-Max ----------------
From
------------------Spacing-Max.---------------
From Ends -Max .------------- "
Line 5 Roof Loads:
Size -Min ------------- .1x ., „x �, �,x „ "A �, ,k „x x ..
Location (From Front)
„ r
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PROVIDE FOR ALL
r—, owT tF� FOR OFFICE USE ONLY
Assessor's Parcel umJber: U❑ —1 [� Scale: 1 ADJACENT PARCELS
=
Owner Name _
Address/ Phone No.
Site Location <
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