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Home My WebLink About040-300-028s� �-- GLEN CRENSHAW r,,ajjjCRENSHAW Glen 5241BI ' 10090 Jones Av nue, Durham �� 4374-73P,M * 5019E Cnntr: Servamatic Solar System 40 6Pt, �' __(r0-30`' P-rmit#2205-83P(solar wtr htr) 040=300-028'! - • PERMIT#97-2063 BENNETT, Curtis &•Rosemary 10090`Jones Ave., Durha Mobilehome Utilities t ELECTRIC GAS LINE GP& COMPACTION TEST RE Q SUPPORT STRUCT REQ ? 040-300-028 —'PERMIT#97-2291';;. BENNETT,. Rosemary Co, ! 10090 'Jones=Ate.,, Durham Cont Sierra Pacific yl, f I9 Mobirlehome Installation B0870866 ;Fiya& 1W040-300-028 RESIDENTIAL , SM -Mobile Home RET EX MH, EX SITE, PERM FND 10090 JONES AVE BENNETT, CURTIS C. & ROSEMARY I elJones Ave. 4 mi. off Midway, ur am (convert garage to family room) 1 ORMERLY UNDER Qene Camp - Permit #1407± _ A.P. 40-30-21" d ht&coolr."s I �J (adg --- ' a ' = � Cir]� � V , ti c -t. BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 5 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B08-0866 Issued: 05/13/2008 Address: 10090 JONES AVE Area: DURHAM Owner: BENNETT, CURTIS C. & ROSEMARY Applicant: GERALD GLEN DOREMUS Permit Type: SFD-Mobile Home RET APN: 040-300-028 Description: EX MH, EX SITE, PERM FND Flood Zone: AO SRA Area: No SETBACKS for Zonine. AG. SRA. PW Front: Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+ ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/SteeUHoldowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 ti -- �- ina,is Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Ins ection Type I IVR I MSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: S & Public Works Final 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 Y54 G4 AS-= -rrolecr anal is a %_cruncaie of occupancy for knesmennai vinyl PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 91 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 10090 JONES AVE APN: 040-300-028 Owner: BENNETT, CURTIS C. & ROSE Permit No: B08-0866 Issued Date: 05/13/2008 By KCG Permit type: RESIDENTIAL 9738 FIMPLE RD Subtype: SFD-Mobile Home RET Description: EX MH, EX SITE, PERM FND CHICO, CA 95928 (530) 898-9800 Expiration Date: 05/13/2009 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: GERALD GLEN DOREMUS GERALD GLEN DOREMUS Building Garage Remdl/Addn PO BOX 4121 PO BOX 4121 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530)895-1774 1 (530)895-1774 FEE INFORMATION DBF MH Plan Check $241.16 DBMSC Mobile Home Permit Fee. $361.74 Total Charged: $602.90 Fees Paid: $602.90 Balance Due: $0.00 Receipt No: B7313 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GERALD GLEN DOREMUS 445103 / C47 / 08/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such peril to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 'HERFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 com encing with Section 7000) of Division 3 of the Business and Professions Code, and my license ull force d effec): 05/13/2008 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Conttof S i na ure Date 7n� ❑ 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 / RKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are notintended or offered for sale. If, however, the building or improvement is sold within one I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This coon need not be completed if the peril is or one human red dollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS X 05/13/2008 ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' cern a salion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Bions. Owner's Signature Date X 05/13/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Signature Date WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SH L SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) DAMAG S AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. ounty to enter the above mentioned property for inspection purposes. I hereby certify that I am the p rty owner or am aulhoriz!5,*act on the property owners behalf. 05/13/2008 CONSTRUCTION LENDING AGENCY US Name of Perrrll ee [SIGN] Pri7t Date I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner Contractor OR. Agent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. APPLICANT INFORMATION OWNER INFORMATION Last Name 13 W-titi First Name Mailing Address Ga qe�V City (141 66tg State Zip Phone State Fax E-mail State License Number APPLICANT INFORMATION ARCHITECT/ENGINEER CONTRACTOR Name 12 �G /P _ 1 Address Fax B Z ( City C t'CC� State Zip(f Phone State License Number % Fax E-mail Lic. # I Class oqq APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail PPLICANT SIGNATURE X PROJECT LOCATION AN 0 1/0 _ 30 d C22_ Property Address City Davel 11� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. AX O Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. I 05-08-2008 18:58 PETESON 5308989800 STATE OF. CALIFORNIA —DEPARTMENT OF HOUSING AND MUNI DEVELOPMENT /`GDTYCYrArc AG TTTI C Yne7a G'uAYC ncn., u PAGE1 -- MANUFACTURER NAMF/10 - — -- — TRADE NAME MODEL DOM OOT DFS SPC &rsn-Tr vv EXPIRATION FLEETN000 HN IW./09534 SUNPOINTE 5603A 04/3(/91 05/03191 05/24/91 U SLMAL NUMBER T CAFLN17A12919ST LABII /INSIGNIA NUMBER M591478 WEIGHT 02290t LENGIH 000720 WIDTH 0001.56 ISSUED I SCC 07/01/911 04 EXEMPT USE Tym 5FD LPl E CAFLN17012919ST RADS91479 01950t 000720 000156 3 i3 TOTAL 4 6 `FEES /_�� 16300 A GREEN TREE ACPT INC D 9310 TECH CENTER DR STE 200 b SACRAMENTO CA 93826 R 8 S • fi � R KIMBLER PENNY S/` K a PENNM CURTIS C JARS a M I A 851 POMONA AVE 73 9 I � E L CHICO 95M R V�"m E 1. D REL E DF "hI!QX8TERED OWMER 4A, a e 13346 HAMILT CANA W I N 'r dN9 b E u CHICO CA 95926.. R B 6�e°Caw Fr i .r14R•p; f GkLcA 144 ACQ90-Tvk@44 'QR A 9310 TECH CES DR STE 200 i L awl f OCA r 956 � - i sA�ato:NTo � a w DATE: 06 '�i a9:ss:oo E M P 2.A) ' R RELEASE FF LEQAL OWNER H) RET£NT20 �,. K 190AL OWNER C) A88IQNMENT 09 CWLfiWK9R 3. RELEAGE OF DEALER jet NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9 � 4.A) AND OR Y) ,mF NAME - PLRASR PRZMT 4 NS' x. ENT MAILZNp ADDRESS A, i,, F , �n e: dill/ CNTY ST ZIP FUTURE kAT)rlttQ ADDRESS ;1. 12. CITY 11"m NEW 1ST OR. CNTY� ST PRICE DATE FILL IN I1 Vie• l0 - 12 *XM NAME - PLadff" PRINT ZIP CNTY . BT ZxP r FILL IN ITE148 13 - 12 �rx* •- 13. - J AME - PLEASE PRINT u F I R ADDRESS O S R T CITY CNTY ST ZIP L 3HF7E NEW 2ND JR. LIENHOL•UER, FILL IN ITEMS 16 - 18 # )f I P 16. _---- — N S NAME - PLEASE PRINT N E O C 17. L O ADDRESS 0 N e D is. R CITY CNTY ST ZIP IMPORTANT 02-177-0155 THIS CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0200098 05-06-2008 19:07 PETESON 5308989800 -'� Floud at .the Request d Alld VBufi y M & F.saw Company Offt No. APN 040-900-028-000 Escrow No. 161290MG Loan No. WHEN RECORDED MAIL TO: MR. & MRS. CURTIS C. BENNETT 9738 PIMPLE ROAD CHICO, CA 95928 MAIL TAX STATEMENTS TO: SAME AS ABOVE 97-0345241' Rec Fee I DOC Recorded I IAF DYfl clal Records I Check County of 4 Butte Candace J. Grubbs I Recox-der I 9:00aar 16 -Sep -97 I NVTC PAGE3 8.00 57.20 2.00 67.20 CA 2 DOCUMENTARY TRANSFER TAX $6220 is Comptes an ure amo dwa m or value of property cmmyed; OR Computed on Me oonalderatton of vahm lase fans or enwmbreacae remeW" of erne of sale. The tlndersianAd C-jrantor dleclaras -- c4e4 , %aalum of Oederant or Apent deb minhy tax - FM trema GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which Is hereby a&nowiedged, KYLE L.OYD CRENSHAW, SUCCESSOR TRUSTEE OF THE GLEN J. CRENSHAW LJVING TRUST CREATED ON NOVEMBER 16, 1993 WOW GRANT(S) to CURTIS C. BENNETT and ROSEMARY BENNETT, husband and wife as -JOir)t Tenants the real property in the City of SEE ATTACHED LEGAL DESCRIPTION STATE OF CALIFORNIA COUNTY OF b ,—c;k M!�& UNINCORPORATED AREA before personally appeared e z24ee1_(1--gik �I.rey } ,, iE ,OF TH9 GLEN J. CRENSHAW LIVING } TRUST CREATED ON NOVEMBER 16, 1993 personalty I xvn to me (or proved to me on the hass of satistadory eMence) to be the pevmm(A whom nan*4 lWm subscribed to the wNhin instrument and acluumhxlgeid to me Mar hafaherlRhay awcuted the same In hlsfierAheir authorized cepadMies), and that by hWb~ sknatureW on the k_"Umem tate person(of or the mullyy upon behall d which the aded, executed the ksh mart WITNESS my I", seal. �C Q1 i 7NQkzyPuWC—Caff0fN0 27M [0 * 05706-2008 18:08 PETESON 5308989800 PAGE4 ORDER NO. BU -161290 MC DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIAr COUN'T'Y OF BUTTE, AND IS DESCRIBED AS FOLLOWS: BEING A PORTION OF LOT 21, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF A. F. JONES SUBDIVISION OF THE FERSON FARM", WHICH MAP WAS RECORDED OF CALIFORNIA,FICE OF ON JUNE 8HE 1911,RECORDER BUTTE r STATEBOOK 7 OF MAPS, AT PAGE(S) 53, MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT A POINT ON. -THE WESTERLY. LINE OF SAID LOT 21, DISTANT THEREON SOUTH 4 DEG. 22r WEST, 2256.5 FEET FROM THE MOST NORTHERLY CORNER OF SAID LOT 21, BEING THE NORTHWEST CORNER OF THE PARCEL OF LAND DESCRIBED IN DEED TO JOE KATICH, RECORDED SEPTEMBER 81, 19481, IN BOOR 483, PAGE 345, OFFICIAL RECORDS; THENCE NORTH 4 DEG. 22' EAST ALONG THE WESTERLY LINE OF SAID IAT 21, A DISTANCE OF 500 FEET TO THE TRUE POINT OF BEGINNING OF THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING NORTH 4 DEG. 22' EAST ALONG THE WESTERLY LINE OF SAID IAT 211, A DISTANCE OF 100 FEET: THENCE SOUTH 85 DEG. 46' EAST 200.00 FEET; THENCE SOUTH 4 DEG. 22 WEST, PARALLEL WITH THE WESTERLY LINE OF SAID IAT 21 A DISTANCE OF 100 FEET TO A POINT THAT SEARS SOU'T'H 85 DEG. 461 EAST, PROM THE TRUE POINT OF BEGINNING; THENCE NORTH 85 DEG. 46' WEST, 200.00 FEET TO SAID TRUE POINT OF BEGINNING. EXCEPTING THEREFROM ALL OIL? GAS D FR(OTHEAPTHTYADLRO CAR PANONS ANA MINERALS AS DESERVED xN THE DEE DATED JULY 10, 1944 AND CORPORATION, TO J. A. NICHOLAS, E'T' AL, ORrmn SEPTEMBER 15 1944, IN BOOK 338, PAGE 8r OFFICIAL RECORDS. REC Vector Dynamics "Foundation System" by TIE DOWN ENOINEERINO, Inc. Installation Instructions for the State ofCaluifornnis, *Ind Zone 1, '18 PSI:' Wind,. Seismic Zone 4 Intradoetion These instructions describe the proper use of the.lateral and longitudinal foundation system. General .The Vector. Dynamics. Foundation system resists lateral longitudinal wind loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes. • These plans and specifications meet the equirements of Title 25 section 133( and ' e*C requirements. • Maximum eave width (roof overhang of sidewall) of 12" for Zone I. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These ioeations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. M -0 -to BY_ 13UTTE COUNTY SPA BUILDING DIVISION APPROVEn qPM auto- 300.0A Engineer Approvail State Approval MAN'UFACTUREDHOINEIpi01 ARMa FOUNDATION STEW . HgAL : tt AND SAFETY CODE, »CIM lid APPROVED SUMECT TO CORREC170 37car'Ea mov&L DOE$ TtoT Aumoxag OR A'!P M Alm 'MONS OR DHVIATION FROM RSQUJA16MWM 0f 0PLICABLE STATE taws AND REGUL S= of caRtbrik 2 -pa mmt of Hoy f%g ani C=W=4j D0Wd0P=d hvwisrom OV C0= AND STAMMUld . iG -ph GENERAL INSTALLATION INSTRUCTIONS Site Preparation It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. Footings and Frost Lines -The Vector Dynamics Foundation System was designed to -be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete to comply with local requirements for footer depth. Foundation/Footing Specification for Vector Pads Vector Pads -are used in place of conventional foundation.pads. One Vector pad provides 2 sq. ft. on single block and 3 sq ft: double block pads of bearing support. Vector Systems should be spaced as symmetrically as possible within 10' of end of home. For pier locations in between the Vector Systems, use the normal foundation pads. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal -pier) -not to exceed .36 inches under one or both main rail(s). Multi -section homes limited to 50 inches. Unequal Pier. Heights Multi=section homes with unequal pier heights are'limited to 50" maximum pier height. --The difference' between the taller pier and the shorter pier cannot exceed 26". —.—.—.—.---------------•—•-----------------------------•-----.—.—.—.—.—.—.—.—.—.—.—.—.—.--------------- T. Vector Dynamics Foundation Systems Component Parts List all a o. 0 CD o.. 21 .:o 0 Vector Foundation Systems for the State of California Page 2 Vector System Part # 59018 Single piece pads with straps and slotted bolts Y v it Vector/LSD Kit` Part # 59013K for single block pads 11/28/2005 O o o Concrete Vector System M"* ® _ Part # 59036 (for single stack blocks) o o T may/ Concrete Vector System gjiiR.z> ._Part # 59049.. o — (for double stack blocks) O .+• ` Longitudinal 0,: .,... °``.°\® Stabilization 0 O o Hardware Kit B 8 �Jor.Concrete ® ® o 9 d Part `# 59023 _._._._._._._-- _---- v . _._._ _----- - ----• -.^-bi?�.ZT,4.:- • ............. • • _.� _._.__.__._._ I T r. y O d ....Vector 2000.3 Sq. Ft. Pad 0 0 o e e Part #.59276 for Double Block sets with strap and .hardware .Longitudinal f r f k Hardware Kit Part # 59026 p (for. use with 59271) H'S ® O ®� ill Q% Vilma : t h _._._._._._...._._.---.-.-.-®.-.-.---.--------------------------------- - - - -------_ ' J its for Longitudinal Systems Part Strut Pier No. Length Height 59013 44" up to 4 Blocks 590.15 65" 5 to 6 Blocks Vector Foundation Systems for the State of California Center Compression Strut # 48612 - 62"-108" Strut # 48613 - 34"- 60" Strut Page 3 1/28/2005 Set -Up Instructions for Vector System Long U -softs Beam Clamp Longitudinal Strut ' _ = , a Longitudinal Bracket Y__/ . Vector. Pad for 1. Set Vector Pads Clear all vegetation where pads will rest. Place a long U -bolt in pad as shown. Attach longitudinal bracket to pan. Press or hammer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place metal strut between blocks, resting on pads, centers between U -.bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to outside of pads. Vector Foundation Systems for the State of California - Outside Tension - Bracket a 2 scf. ft. o 0 single block set f � y 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compression member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to outside tension:; bracket. Cut strap 12 =15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. 5. Longitudinal Install beam clamp to I-beam and attach longitudinal strut to pan using nuts and bolts provided. Pull beam clamp outward to remove any slack and ti n all nuts and bolts.y - Page 4 11/28/20R,'F Set -Up Instructions for Double Stack Vector Systems Part #59276 1 -Beam Beam Clap Strut Longitudinal Bracket 3 3q. Ft Yector Pad for Double Block Set Vector Foundation Systems for the State of California Page 5 V U Ii51G1 U Bracket: r Metal Pier Foundations For metal piers, place the piers in the -center of the Vector pad. Set the strut -through the piers so that it butts up against the tension bracket..lnside.tie bracket mounts upside down as shown in drawing. Metal piers on Vector can only be used on level ground sets." Conventional pier adjusters must be placed under beam with head fastened to beam. '4 Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. ;. t ti 4 Pae 6 11 %28/2 05 Vector Foundation Systems for the State of California 9 ,ter WIND ZONE I for Sing-lei.Section Homes- Using omes-Using Vector. Dynamics Foundation Systems Example of a Single Section 14'x 72' Home r ------------_--;----------------------------I. FMT I Fol 51 121 U I Ir stems LSD rl hector Systems _^4 ML Vector 5y _ I LITI �--L LSD Soil Bearing Capacity: 1,000 PSF Minimum Home Length Vector Systems Required Iongitudinal Stabilization (LSD) 0 to 80' 4 2 NOTES: . For use;on 14' & 16' wide homes. Main tail spacing on single wide must be 95" or more. Pier hieghts cannot exceed 36". Roof slope no greater than 200 (4.37 in. 12" pitch). Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements. Two Struts =1 LSD System. Can be used on one pad or on opposite ends of home Vector Foundation Systems for the State of California Page 7 11128/2005 t j WIND ZONE .I for. -Double -Section Homes Using Vector Dynamics Foundation.Systems -------------------------------------------i Fn_1 50 FM Fm I i LSD Example of Double Section 28'.x 72' Home I Vector System I I 0m_1 ME riff -1 FW 50 Fit -1 FIFO L- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Soil Bearing Capacity: 1,000 PSF Minimum Home Length* Vector Systems Required Longitudinal Stabilization (LSD) 0 to 62' 3 2 63' to 80' 4 4 * Up to 7:12 Slope NOTES: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements. Two Struts =1 LSD System which can be used on one pad or on opposite ends of the home. �28--> Diagram represents example of a double section offset. Total size is determined by the length. of unit plus 72' offset. i t Vector Foundation Systems for the State of'California Page 8 Example: 28' x 7 11 r WIND ZONE I for -Double Section Homes (High Pier Sets) Using Vector Dynamics Foundation Systems Example of a Double Section 25'x 72' Home L519 J_ I Vector System . Vector Systems I I I L--------------------------------------------I 'Soil Bearing Capacity: 1,000 PSF Minimum" Home Length Vector Systems Required over 24" Longitudinal. Stabilization (LSD) 0 to 80' 4 4 NOTES: Pier height is measured from top of the Vector Pad to the bottom of the I-beam. Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements. Two Struts =1 LSD System which can be used on one pad or on opposite ends of the home. Vector Foundation Systems for the State of California . Page 9 11/28/2005 WIND ZONE] for -Triple Section Homes - using Vector Dynamics Foundation Systems ----------------------------------------------- Example --------------- --------------------- Example of a Triple Section 32' x 72' Home I Vector 5y5temo uw I (M I f:l I ---- ---- ----—'-7---------------� LM LM LM I l I� I ..Tag or Full Triple ` I-----------------------------------.� �---- 32, Soil Bearing Capacity: 1,000 PSF Minimum i Home Length Vector Systems 'Required :. Longitudinal Stabilization (LSD) . Tag Or " 3rd Section 0' to 80' 4 + 2 on Tag 2 2 NOTES: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers instruction and/or state requirements. Two Struts =1 LSD System which can be used on one pad or on opposite ends of the home. Vector Foundation Systems for the State of California i 72' Diagram represents example of a triple section offset. Total size is determined by the length of unit plus offset. Page 10 11 /28/�6IIra " ;Vector Dynamics System for Concrete Applications Instructions Read and follow all applicable instructions and guidelines in the Vector instructions -and home instal- lation manual. The Vector system for concrete pads applies to concrete footers, runne.rs and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" sound (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load. resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3.. Place a long u -bolt through the holes of the Vector pad as shown. 4. Place the concrete pier blocks on the Vector pad. Center the blocks .under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 5.- Build vector piers.but do not wedge at this time.. , .: : ra 6. 'Using a'concrete drillbit; drill'two holes into the concrete using the two holes in the rear end of the r.. Vector pad as a guide. Drill the 3/8" diameter. holes 3 inches deep. 7. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One: Single Block Set -Up Part #59036 Double Block Set -Up Part #59049 Vector pay for concrete footer Vector Foundation Systems for the State of California Page 11 Wood Cap and wedge. Outside Tension Bracket Wedge Bolt Vector Dynamics System for Concrete Applications r I.vn hs� 8. Put a washer and nut on one of the 3/8" 0-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 9. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". - 10. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set: 11. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 12. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to outside tension bracket. Cut strap 12 -15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. 13. Tighten inside u -bolts at this time. 14. Use the outside tension brackets to remove any space between the outside tension brackets, -:�_6oncrete blocks and the inside.edge of the Vector.pad by tapping the brackets with a hammer.. Wedge the pier set at this time. 15. Using a 9/16" socket wrench, tighten all of the .wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 16. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration Tw Single Block Part #59036 Double Block Part #59049 Inside Tie Bracket Steel Compression U -bolt Strut Vector Foundation Systems for the State of California Page 12 Vector pad for concrete Concrete footer 11/28/2005 #59018-1 Hardware Kiff'or #59018 & #59276 Lateral System 2 10019 Flat Washer 1/2" zinc 4 10502 Flat Washer 3/8-16 zinc 4 10624 Hex Nut 3/8-16 Grade 5 zinc 2 .10646Y Hex Nut 1/2-13 Grade 5 zinc .... ..; 2 10925 Carriage Bolt 1/2 x 1 Grade 5 zinc 2 59135 Slotted Bolt w/Nut 2 59232 Protecto Strap 2 59279 Diagonal Connector 2 59288 Vector Tension Head 2 83044Z U Bolt 3/8-16 x 4.06 x 4.88 zinc #10732 Hardware Kit Longitudinal 4. 10804. Carriage Bolt, -3/8-16.x 1 Grade 5 zinc 10502 Flat Washer 3/8 -16 -zinc 4 10624 Hex Nut 3/8-16 Grade 5 zinc #10732-1 Hardware Kit Longitudinal 8 10926 Carriage Bolt 1/2-13 x 1=1/4 full Thread 1210646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc #10733 Longitudinal Hardware for #59013 Kit 1 10732 Hardware Kit, 1 10732-1 Hardware Kit 2 59282 Tension Link 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange Parts Breakdown #59036-2 Vector Sub Kit for Concrete 4,10502 Flat Washer 3/8-16 zinc 4 10530 Hardware Anchor wedge 3/8 x 3.50 4 10624 Hex Nut 3/8-16 Grade 5 zinc 3 83004Z U Bolt 3/8-16 x 4.56 x 5.50 2 59282. 1-3/4 Thread zinc 2 59135 Slotted Bolt w/Nut 2 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread 2 10646Y' Hex Nut 1/2-13 Grade 5 zinc 2 10019 Flat. Washer 1/2 zinc #59036=1 Hardware for #59036 and #59049 -Lateral Concrete System 1 59036-2 Sub Kit 2 -59279 Diagonal Connector 2 59282 Tension Link 2 59232 .Protecto. Strap #59023 Longitudinal Hardware 4 10530 Hardware Anchor Wedge 3/8 x 3.50 1 10732-1 Hardware Kit 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 2 59282. Tension Link #59026 Longitudinal Hardware 2. 59272-1 Beam Clamp.Base =-r•..- 4 59272-2 .. Beam Clamp Top Flange 2 59288 Vector Tension Head 1 10732-1 Hardware Kit #48612-1 Compression Strut Hardware 2 10999 U Bolt 3/8-16 x 4.06 x 2.751-3/4 Thread zinc 4 10502 Flat Washer 3/8-16 zinc 4 10624 Hex Nut 3/8-16 Grade 5 zinc 6 10556 Tek Screw #12 x 1 Vector Foundation Systems for the State of California Page 13 11/28/2005 `y RESIDENTIAL 040-300-028 PERMIT#97-2063 PERMITGBENNETT, Curtis & Rosemary i 10090 Jones Ave., Durham PERMIT j Mobilehome Utilities. OWNER CONTR. ASSESSOR PARCEL LOCATION Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E1 lJ Temp. Gas Service Called PG&E JOB FINALED (Date) �Z� Signature ob ✓ OK O = Not OK - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #a 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ i Ftg. Depth 3. Fig. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, Steela/Vrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way CIO -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. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GA 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) , 44. vire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing RESIDENTIAL (Single & Duplex) tl� Date FRAMING (Continued) Y 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.1. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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: 11 V=OK - 0 = Not OKNot - '=NotRealdyble MOBILE HOMES i Clearance uate -qCard B-1 Date Card B-1 Date `Card B-1 Date Card B-1 Date MOBILEMOME INSTALLATION Plnncl r1K --,d A'. � !ty 2ning Requirements- Setbacks Easements 2. Footi , iae-Spacing-Marriage Line 31�,as; MH Test-DemarKlWaheConnec0or !- cl 4 lectricity; MH Test -C2 reakers-Clearances 5. rain; MH Test -Fal lex Connek (DNater, MH Test-Regu r onnector ater and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Tie Dgwns-Type-Installation Cert. 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 LL&I Date Card B-1 Date Card B-1 Data Card B-1 9 MISCELLANEOUS Date DECKS, COVERt Cd1 WORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements • 2. Foos; SoilsSiz�pacing-ConnectontSteel 3. Decks; Girders and/or Joists-Decidng-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns-ConneebonsSplic&Decal-Enclosures 6. Carports; Windows -Doors 7. Electric . 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing-VeneerSUmo-Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps-DoorwLandinga 12. Braced WWI.Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR S. Eke.; Pod Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/8 -Circulating Equip. -Heater .8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool Lghtg. Boxes-Erx*mres-Paneiboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Data Card B-1 Date Card B-1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION t 7 County Center Drive - Oroville,` California 95965 - Telephone (916) 538-754y, ER IT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 40-30-28 ZONING A-20 BUILDINGPERMIT OWNER CURTIS & ROSEMARY BENNETT TELEPHONE 342-4847 SO. FT. - OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9738 FIMPLE RD CHICO CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 10090 JONES AVE Energy Plan Checking FeeDURITIAM $ $ PERMIT FEE $ 23.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CK Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities R Installation ❑ Other ❑ Describe Work:—26X6Qy- rMOBTI R-1ITTIITTT:R2 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 60.00 PERMIT FEE S90.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos OR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law Pr the following reason: 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO Io00A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. so 3.5¢FT. NEW CONS NON -RES D.T MUCI C CU @7.50 APPARATUS a SINGLE OIfrM CIR. Ex. Occu . OUTLET OR FDRUREs BAL @';0 Ex. Occup. OUTLEE' R'.%.0EA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comply wit a provisions. Date �_ Signet a of Applica ner ❑ Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee Is Energy Inspection Fee is occ CONST. TYPE TOTAL FEE 166.00 HAZ. D. FEES IMP ^, FL CDF 7Jj1 pARCE PO 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. 9/ 0 By Dat l PERMIT EXPIRES ON la 2 a abw ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t; .....--.^rci^'!r✓!'an+*.+r;«�tl-!"�'-.r^'`�A'++f1'�.. �. ._ �_'i%1s"F� yr7`1/"!`�w.1i'•1'"'��`+:'�C�F'�A'i►`ii'9.criT7r'ffi'_itibri.», �n��'!� :r�+wi:W6rt'iL:,..rw.... COURTYOFBUTTE-DEPARTMENT OFDEV8LOPM ENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION D ATAryS H E ET , OWNER C'�^✓v. f5T ns61w, .c.e i�� A. P. No. �/ D Proposed Builthg se Building Inspector _ IZ �> Date 07 3'- % 7 t I At time of perrriit application, I was advised.the following data must be submitted prior to permit processing and/or issuance: 'I -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, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. ....................... 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 $.................................. .... . 11. Impact fees as shown on attached schedule. .............................. . 12 California Department of Forestry plan approval/fees. Flood elevation letter (1 .00 year flop0j 4y California Engineer. .. ` .............. C/ �3 14. Sanitation and "plot plan approval / C [� Health Department. 15. City;of Chico plumbing permit . ......................................... 16. Plot..PIan and business license approval from City of Biggs/Gridley . 17. Planning approval for (A) Use: (B) Parking: . .. 0 -IS -9 &Atem 18. Contact Land Development about (A) Improvements (B) Drainage. ...... . 19. Driveway permit (construction- approval required prior to occupancy). . . 20. Pre -ins ectlon for Pre-Inspect6r6qu`55-- P required. .. to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of -Agricultural Acknowledgement Statement . .................. _ 3b 712 - 25. Letter of signature authorization . .......................................... 1 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use..................a..........:............ . 28. Mobilehome utility clearance . ................... , .............. :....... 29. Documentation of legal access . .....................: y ................. 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 check list . ................................................. . 33. 34. When you issue the permit, process as follows: M' to owner. Mail to contractor. Telephone I:Na - and hold for pickup at office. Deliver with inspector. Other K', o a - oa n1 Parcel Creation Acreage Applicant r `rl ` W Date / -c2`3-9 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 1. Index permit for above items No. _ 2. Additional items required: issuance;Xgjp6le new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was dvised 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 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until ' thi's verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES % NO ❑ 2. I HAVE ❑ HAVE NOT'5d signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK a PROPERTYOWNER:f_ SOCIAL SECURITY DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. v e Y} .O R. 1 OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner-Builder.Information is required by Section 198.0 of the California Health and Safety Code. OVER (Rev. 12/96) 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 YD — � S 20NING — BUILDING PERMIT OWNER u� S ) Desffw C t� TELEPH�E L�7 IF SO FT.' OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 / CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing F@@ $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ r e-0 BUILDING ADDRESS v Energy Plan Checking Fee $ $ PERMIT FEE $ tiTd LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK �,,� New ❑ Addition ❑ Remodel ❑ Util'ibes Ration ❑ Other ❑ Describe Work: p�69-(,rf' � Q /yyl�,�� p (�,� j 1!'�j'rs Gas piping stem 1 - 5 outlets 15.00 Building sewer15.00 Mobile Home G W @20.00 d - oro PERMIT FEE $ 18 Q ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa Lss ` © 23.00 493 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service T° 46.00so CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( s AM. SMS. S° 3.50Fr: NOµpE°ONST. MULTI. SID OUTLET 97,50 POWER APPA US a SINGLE ouTLET cIR. Ex. Occup. OUTLET OR ForrUREs BAS @':0050 Ex. Occup. oU UES RES,D,LNS °ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 V, Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure fOr workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD 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 ate Receipt NO. .Q -77 WHITE •D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT AP OHNE PEPiur MH UTIL.CLURANCE DATE INSPECTOR. fi:ZV ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YES 140 YES NO W 0rip Nm/0 S o AC) 0 E41414M,0�� COUNTY OF BUTTE i BUILDING DIVISION '> DEPARTMENT OF DEVELOPMENT SERVICES ' 411 Main Street, Chico, CA - (916) 891-2751 7 County Guenter Drive, Orovjlle, CA - (916) 538-7541 CORRECTION NOTICE F� fix," 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 notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, s please contact this office immediately. Date //-3-q7 Inspector REV 10/92 t !" COUNTY OF BUTTE f BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE Off-vK/t-?% 179--Z 0 6 3 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 notify 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. LUC41C.ArQt t'26v60 6�vlc. C��TI C•d�l �- /?-347 I Date 1 Z� Inspector REV 10/92 -9 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION'OF CODES AND STANDARDSa P.O. BOX 1407 SACRAMENTO, CA 95812-1407 (916) 255-2501""' ° . TIEDOWN SYSTEM CERTIFICATION (To be completed by the mobilehome installation permittee or their representative) (Frkt Na -me and Title) hereby certify under penalty of perjury and in accordance with the provisions of the California Code of Regulations, Title 25, Division 1, Chapter 2Section the tiedown system Installed at Ion �\o D -,7 ef S A/ :4 . I A (Address) amIF46.) ) fnp fie) was not modified prior to or during the Installation, and was installed in accordance with the tiedown manufacturer's inst ion instructions or In accord ce with plans and specifications of an engineered tiedown system. ir /Z .3-5� (signature) (Des) Noce to kntalers: P - Pursuant to ire CCR, T25, Section 1326(4) upon completion of the installation of the home, the home manufacturet's installation instruction, the approved plot plan, a copy of the plans and specifications for an engineered tie down system • K used, and a copy of any maintenance requirements for the tiedown system shall be placed within the home for retention by the homeowner. Permit # Department Use Only District Representative HCD-NA021 (Rev. 6/95) From: SIERRA WEST SURVEY 916 877 6254 12-03-97 09:50 P. 001 f SIERRA'WEST SURVEYING LICENSED IdAND SURVEYING 5437 Black Olive Drivu - Paradise, CA 95969 Phone: (916) 877.6253 FAX: (916) 877-6254 FAX TRANSMITTAL ,o, o..E. COMPANY: >ffp P ` G. ;Y/!' FAX NO: zS �� 5r�� FROM; REGARDING: Le4LwL %�/�13� l�-crac?�, 1; �✓4&A) VN 10 - 30 roz0 1416– F6, tVr *10 a NO. OF PAGES: - C -�' coV61Q- I ORIGINAL TO FOLLOW: 11-00041-6— From: SIERRA WEST SURUEY 916 877 6254 ELEVATION CERTIFICATE 12-03-97 09:51 P. 002 O.M.B. No. 3067.0077 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood Insurance purchase requirement. This form Is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper Inaurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of Information unless a valid. OMS control number Is displayed In the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCEcoMPANY USE BUILDING OWN SH'y NAME POLICY NUM®ER f' zww el M 13 T. STRFET ADOR SSS (Including Apt., Unit, 5ulto anator Bldg. Number) Qk P.Q. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER 06SCRiPTION NO ttnd Block Nurnberg, etc.) 0-10"-ZIF _ /0Oci 0 CITY $PATE ZIP CODE L -f 7 -1 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION, Provide the fcllowing from the proper FIRM (See instructions); t. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. PATE OF FIRM INDEX S. FIRM ZONL• 6' BASE FLOOD ELEVATION Q � �� 'Z 7-� � Z. y le 7 A (I n AO Zones, uea deptn) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (SFE); EINGVD'29 El Other (describe on back) 8. For zones A or V, where no SFE Is provided on the FIRM, and the community has established a BFE for this building site, indicate the commLnity's eFE:1 1 V, 0 16 feet NWO (or other FIRM datum—see Section B, Item 7), SECTION C BUILDING ELEVATION INFORMATION - . t. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes -.he subject building's reference level JT _ . 2(a). FIRM Zones Al •A30, AE, AH, and A (with SFE), The top of the reference level floor from the selected diagram is at an elevallon of I I Il UJ,9feet NGVD (or other FIRM datum—see Section B, Item 7), (b). FiRM Zones V1 •V30, VE, and V (with SFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of LJ..J J . . �J feet NGVD (or other FIRM datum—see Section B, Item 7), (c). FIRM zone A (without SFE). The floor used as the reference level irom the selected diagram Is L_.J_.J .0 feet above or below ❑ (check one) the highest grade adjacent to the building, (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LLI.LJ feet above 11 1 or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, Is the building's lowest floor (reference level) elevated In accordance with the community's floodplain management ordinance? ❑ Yes ❑ No L Unknown 3. Indicate the elevation datum system used In determining the above reference level elevatlons:'R:NGVD'29 Other (describe under Comments on Page 2). (NOTE; If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, item 71, then Convert the elevations to the datum system used on the FIRM and show the conversion equation Lnder Comments on Page 2.) 4, Elevation reference mark used appears on FIRM: Yes _60 (See instructions on Page 4) S. The reference level elevation Is based on: Factual construction construction drawings (NOTE! Use of construction drawings Is oniy valid if the building does not yet have the reference level floor In place, in which case this certificate will only be valid for the building during the course of construction, A post -construction Elevation Certificate will be required once construction /s complete.) 6. The elevallon of the lowest grade Immediately adjacent to the building is; i._ '/ pl,L feet NGVD (or other FIRM datum -see Section B, item 7), SECTION D COMMUNITY INFORMATION 1. If the oommunity Off lcial responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance Is: I I i _1LJ,LJ feet NGVE) (or other PIRM datum—see Section B, Item 7). 2. Date of the Start of construction or substantial Improvement I=EMA Form et •31, AUG 98 REPLACES ALL PREVIOUS EOMONS SEE REVERSE SIDE FOR COMiNUATiON From: SIERRA WEST SURVEY 916 877 6254 12-03-97 09:52 P. 003 SECTION E CERTIFICATION . This certification Is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation Information for Zones Al—A30, AE, AH, A (with 8FE),V1—V30,VE, and V (with BFE) Is required. Community officials who are authorized by local law or ordinance to provide floodplain management Information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFI;), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 • Distinguishing Features—if the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unflnisned area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered, l certify that the information in Sections 8 and C on this certificate represents my best etforts to interpret the data available, understand that any (also statement may be punishable by line or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seat) TITLE COMPANY NAME ule>� -r AQDRESS CITY ZIP �. SATE S1GIJyfy% DATA:-- PHONE CD�lea gheuld' hw mann n! �hle l']e�1lsl..n•n �....: yL _..�.._.._r... _..:_:_, ,.. ,�_...._-- -'- - . _.. .. owner, WITH ON PILES, BLAB BAMMUNT PIERS, OR COLUMN6 A v A A v ZONCS ZONES ZONES ZONES ZQNES NEFERENCE RQP6RENGE U LEVEL AIFQRENCE LEv@l FLOOD LEVIL ELEVATION ' +{�. "t :K; `��• ?'a BASE .�i,•'; ' . FL Ooo ADJACENT': •: ,l'�t REFERENCE ..' .FLOOD ELEVATioN ORAOI'i'i LEVEL �."ON REFER/NC! ADJACENT yni: , ,.ELEVATION , LEVEL ORADO �•. �'�i �.,. 't+! ..,rj:� ••�r `•. ! ADJACENT` i': •' . trrtL:.' OAAOE The diagrams above illustrate the points at which the eleva!ions should be measurso in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones Should be measured at the bottom of the lowest horizontal Structural member. Page 2 Dec -04-97 09:35A CATE : TO ATTN FAX FRCM SIERRA PACIFIC P.Q. BOX 1570 . VACAVIL! 5, CA 95696-1 570 (7G7) 446-7550 C.411FORNLA CONI RACTORS LICENSE # 399504 REDOING OFFICE (916) 223-1409 FAX (916) 223-1490 P.0.'SOX 494999 REDOING, CA 96049 7 CF PAGES: TIME : P.Ol > • t ZIt 9 ry.. ~ r ~ W ' 0 � uj r �• ��► ay► 10/9/97 CURTIS & ROSEMARY BENNETT 9738 FIMPLE RD CHICO, CA 95926 Re: B.P.#97-2063 I t LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHOrE: (916) 538-7541 • FAX: N916) 533-2140 A.P.# With reference to the above subject, attached is: [ x] Plan Check List [ ] Red Marked Calculations [ ] Red. Marked Plans [ ] Other Action Required: [ X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely,,- LINDA incerely, LINDA SEXTON z .-PERMIT APPLICANT CURTIS & ROSEMARY BENNETT ASSESSOR PARCEL'NO. 40-30-28 PERMIT NO.'! 97-2063 DATE 10/9/97 The above referenced building plans were reviewed by this office. Provide additional- information and/or make appropriate revisions to plans, specifications, and calculations as follFOU '�y 1. ,YOU LO�ONED A- 0.VREFOREHAVE 25' SIDE AND REAR YARD SETBACKS. THE MOBILE WILLNOT FIT ON THE LOT AS SHOWN. PERHAPS YOU COULD RUN IT THE OTHER DIRECTION ON THE PROPERTY. A FLOOD ELEVATION CERTIFICATE FILLED OUT BY A REGISTERED ENGINEER IS REQUIRED SINCE YOU ARE IN FLOOD ZONE A. 1 LINDA ?'rXTON If .you wish to discuss any requirements,you may contact me at (916) 538-7541 between 1:00p.m. and 4:00 p.m., Monday through Thursday. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: r•,��,�� PERMIT NO.: 63 Owners: Name: Owners:fCjIQ .,,�C>fJf S' �JV 12 7✓ V i�t�%�%� Address: Mobilehome % f f ,� ?"" �v 1 rYear[fManufacturer 7 ture: , t Serial number 1 ��-� � jQ� 1 Zai �`7 -� � Insignia or 940 or V.I.N. J HUD number: Official approving.installation: �i Date: 12. y_ 0" If the mobilehome is mover relocated, the mobilehome installation acceptance shall become invalid. This form•shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor .. - •-..' �Sl.. ..e. .4Va. .- .-� .� .ni:...t. .�.-...,.., � .� • I Sr'.._ :.f .. - -.._ r .�.u:. ! .... tit. . ,.. 4 r _ -� . r a-,. _j n h. Y.... _ . is . 11 .00 BATTALION �# VALUATION: /S' 11. : i00goones oma- 0J/0.300 -o a8' - 000 b'i!'s!!;i• iill!!'llllilslll !!� 1111: '11 II I M'lI'1!I!11111 :• ;li•i i�ili'i�iii 'lilil ii •= 1 � 111jj III 1 1 11 �.=i111 ��III11 11 ll,i=! 11 llll!1!Il1:I 1 11 1 1. 111111 11 1 � Illll i. II, 11! . 1 �•� �r�11111 .. i' IIIA I li ;li�'I is !I •III I i1 I' �IIII III1;: iijli iili ISI j• • !••'!}1I •+��l11�1 I I I, iill ILII i I. ,i!I 11 : ;i�� Ill- ,) ,I I i I� ,�y 1 tt • i!x.11 , }I �I•'! t+•II'I'cl:i: I 1 � 1 ; 1 i Environmental rUda"" L Ii I I• 1 I 1 w Odw�U—i Inn-4no / m5NNrlHA A ; N O�, T "V Ec= &7-0' Fo EII OP7. L --j FAHrPY ...... ... . AREA OPT. "oLW -UTILITY 41.�I —c - I OEOP OPF BATH 00 ........ .. .. . ...... OAT,; IZ-6712'4* — ----------- --------- . ......... ........ .. - ---- --- ------ L------------- ............ 25!. 7- 14_1 L L MODEL 5603A /' 3 BEDROOMS, 2 BATHS APPROX. 1,540 SQ. FT. LIVING ROOM 251-6712-61 OEOPOOM wl-blxt26' L ----- I--- &u5sr CEt EP ctosfr PT. 19VI OFT. CORNER BAY opr. FRONT POPCH EnvIronmental Health 1 1997 �;-,;oo, Calitomia Sun Pointe.- iW FIEEMCODe SN/171NOV90 #-*It 3„ �-cl A -Kob"i. lei dr 'D " oji CVII'341 OCT 2 8 1997 �uTT]g COU14T� Buys DIXG D'VISION Marr-•.•.�-nr-�. �,..�"r,�.'`�f'z'�`fi'�,,rt"'�e""„�.','�•K^;,;�.. `r�^" ;'"s'ni��--«:>,�tr.°;,�� • r, BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s): 3 Property Owner (s): Project Location/Address: �o r) Q �7- D A, A� U F M Subdivison Name: Type of Residential Development (check one): Assessable Square Footage: /!E;_6 Q New Development ❑ Alteration/Addition ❑ Mobile Home (s) Comments: ilding Division Representative Non -Residential to Residential Date Durham Recreation and Park District (DRPD) certifies that )se /710 LL -1 � Applicant Name l�" 11 Applicant Phone Number Street Address F1.� City State Zip Code -X-) has complied with the requirements of the Butte County Board of Supes si ors Resolution No. 93' 1 f"4 b me4for�_' square feet.at $ 1.04 per square foot�f r a total payment ,.�. Y p Y q _ yg �. , ^� p Y Of $ (�) I�. DRPD,Repr sentative {.f �: ♦. •!^f f s �..Sj s y, w r. i:{:y�..".7�? r ... s `4 'r .. �` ^.•', Y� r -.. t:tr'. }PAID BY CHEMN'P Remarks BANK No.. _ �.� x q.. PAID BY CASH: g s 'RECEIPT No.: DISTRIBUTION: WHITE - APPLICANT PINK- DRPD YELLOW -BUTTE CO. BUILDING DIVISION BUTTVCOUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM s .. (One form per•Building) School Districts r zu_ Building Department No. A.P. Number q12 — 3t).., 01,S Jurisdiction: City County T � Property Owner ,� Property Location/Address �OD�p'(� �) �� C 5 V e— Subdivision ( Lot No. Residential Development EZ No of Living Mobile Home Addition Units Installation Commercialllridustrlal • i , W.. ,. ; �. New Addition Building Department Representative (Floor Plans reviewed by School District Personnel) Sq. Footage /5-40 a (Group R) q...Fo4tage 1. , (Including Exterior Roofed Areas) Date District Identification No. 7/5.5- School District certifies that e U R r/ (Applicant) /D O 90 70A) ES AvE (Street Address) (Phone Number) (City) (State) (Zip Code) --las complied with the requirements of Resolution No. 7 by payment of $ �p representing /s(ad square feet. B 2926 $ ULL MITIGATION $ I i � School District Representative . �`� Date Paid by Check # ` /V Remarks: Ft�, E5 LC/P I UE_ �� %V �� /�2 4 r fit' t"I OLI> P,4 n Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), I this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)dmm I , 040-300-028 PERMIT#97-2291 .BENNETT, Rosemary 10090 Jones Ave., Durham. Cont: Sierra Pacific Mobilehome Installation' ?;02 l03 s�d�e, OFFICE COPY•, '?ZqI Address 1/Dqy bm&8;4yel— .. ,GAS - Meter By Dateg:if ELECTRIC Meter By bateCZ Ravine .0yla-300•,bZB COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION "4'1" "tounty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMITor T — ASSESSOR PARCEL NUMBER ' 040-300-028 A20 ZONING BUILDING PERMIT OWNER B FMKY– TELEPHONE _ SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C• 9738 FIMPLE RD n CONTRACTOR'S NAME SIERRA PACIF'C TELEPHONE 343-2251 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 10090 JONES AVEEnergy Plan Checking Fee $ DURTIAM $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex Cf, Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 13_' Other ❑ Describe Work: MAT INSTA1 1.ATI0u Gas piping system 1 - 5 outlets 15.00 B uilding sewer 15.00 Mobile Home ISI GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A0.LEss 23.06 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class V '% Lic. No. 3 9 9S4 y OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( & ACC. BLDS. So 3.5¢FT. =RES'2.T MU 0,U,TLET @7,50 OWERAPPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20Q1'00 BAL @ .50 Ex. Occup. 0UTErs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier rUfilb MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number - 41_ g!; 6e -F e3 15 1 (The above sections need-nof lie completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X__ ___ Date Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionA of structures over 3 stories in height.B Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAe D. FIE IMP •► " FLOOD CDF PARCEL - PD HO IssUE, V 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. i ,� '� Y�( _ Y � / .� Date �/ PERMIT EXPIRES ON (Date) Receipt No. 231025 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUIL ING DIVISION 7 County Center Drive - Orovige, California 95965 - Telephone (916) 538-7541 VMI 0. (Rev. APPLICATION AND PERMIT �I' ASSESSOR PARCEL NUMBER 040-300-028 A20 ZONING BUILDING PERMIT OWNER ROSEMARY BENNETT TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 738 FIMPLE RD CHICO CONTRACTOR'S NAME SIERRA PACIFC TELEPHONE ' 343-2251 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 10090 NES AVE Energy Plan Checking Fee $ DURHAM $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex EX Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat pumpwater heater 23.00 Water piping 15.00 Each as water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IX Other ❑ Describe Work: W14 !NST -ALL -AT -10N t Gas piping system 1 - 5 outlets 15.00 Building sewer .•15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo oa .ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect. License Class % Lic. No. J 9 9s0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compens��lIon insurance carrier and policy number are: Carrier Y¢TE fU/�� Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( g ACC. B.S. so 3.5¢FT: -EW---S MANC CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES 20 @ 1.00 BAL @ .50 Ex. Occup. DuxTiFrsCREEs o.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number y�3� S 3 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort ith comply with those provisions. __ Date � X _ _�OC Signature of App' ❑tractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee I $ 100AQ QQ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143 00 H*rD.- IMP v FLOOD CDF PARCEL HO I U This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Oate S Da Receipt No. 2 3 1 WHITE-D.D.S.-B.D. CANA -ASSESSOR PINK- NSPECTOR GOLDENROD -APPLICANT ;�...--.�--,..,-.Y..�„�r�j..-,.-..,,.,y q,,,.,,�a,,,Yry��,.� r,�j7jr-+�frrf*'T,�'+ �"'.""""''irrc'+�'V°"'�/N+al »tr+rls`*.�.:i�'•..+5 :-i.-.;./'r. ... r . n%60UNTYOF•BUTTE - DEPARTMENTQF-DL,OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 -TELEPHONE (916) 538-7541 k • PERMIT APPLICATION DATA SHEET' OWNER Proposed Building Use I Building Inspector P. No.� U©� O,;S— Date/ At time of permit application, I was advised the follow.**'trig data must be submitted prior to permit processing and/or issuance: tt. DATE RECEIVED BY 1. All items have been submitted. .... :.... ' 2. Plot plans, 3/4 sets, signed, by preparer of plans. ........ ............... . Complete plans, 3/41 sets, signed by preparer of plans. ... �-- Engineered plans and calcs, 3/4 sets, with wet signature on plans. ...�. L:...0 . 5. Hazardous Material Form . ...................... ................. . 6. Energy Design Compliance and supporting documentation' ................. . alStatement of Intent for Non -Heated and A/C Buildings. ..................... . 1. Engineered truss details and layout in duplicate (required prior to plan check). AjV9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ . .................... �. --11. Impact fees -as shown on attached schedule. ... . 12. California Department of Forestry plan approval/fees......................... ood• elevation letter (100 year flood) by California Engineer.. . 4. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit . ............. I.............. - ........... . 16. Plot plan and business license approval from City of Biggs/Gridley. ....... 17. Planning approval for (A) Use: , (B) Parking: ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for required. .. o e�,d g nspeaor f Date> 21. Contractor's license, information. (No., Name Style, Classification) . .............. 22: Certificate of Workmans Compensation Insurance . ......................... d� 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................... L 25. Letter of signature authorization . ............................ .v.,......... . 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.'•Documentatio"n of legaVaccess. .....................:....... : 30. Documentation of 50% subdivision developed or (A) Road improvements,,completed and (B) Parcel meets zoning area and frontage requirements. ...... "` ..... + 3:1. Existing,,violations/expired-permits. .......... .... '32. Plan check list . ............ ...............33. ... . l f �... 34. When you issue the pe t, proces as follows: Mai ow qtr.. Mail to contractor. L/'Telephone -end hold for pickup t office. Deliver with inspector. Other Parcel Creation !O 9-3Acreage Applicant 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 permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additio - I items required: Co tractor, designer, owne as advi , sed of above require d by _ phone _ mail Counter by _ Date Contractor; designer, owner, was advised of above required data by _phone _mail Countary _ Date Plans checked by I Date Plans approved by ��Date 07 Sets of plans/on hold in File cabinet AP folder Copy - Department of Public Works E.H. USE ONLY Plot Plan Attached wj — —Floor PIw AnwW Ye S f ~Sed to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Tones Ave, Owner Location AP# Plan Approved for: Sewage Disposal V Water Supply: Public Private Well t/ Clearance for 3 bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: 7,- reoAze r - Environ Av� nvironniin'talAealth Specialist 18/92s/92 /4` /-9:7 . Date " N �. too �, yYldb(e Home, ao x, &o SII IIJ,11- i�11 II I I I I Ilt I It '11'1'111 II I I II 1 '�I'Ill'll 111111 111!11 till 111: �1llill'Ilfi1 ' I�lil�lll III' i 1 111:11:1 llllll11!11111I111III ' 111111111 I' 1`►It111!I II 1 ,:"'.I!' !illli 1:1111111111,1, I :1!111!! �j' tfa II!III IIII I 111 lit ii1i :111'1 `%� l l � '11!11 1 1 1! IIII • 111: 11111 II II III!: IIII �� 'tI�`1� 'Yj 11;1 1!111 il!I 1III11111ii111 I III''1Ii IIII :� ill l I IIII i1 11 1: �>r?IIIC I 00� 1W, 'Aecorl�a�e; ' a ' itylPt^! s; 1 4a . 1iFl �� e.:i, I t i �,�e a1 1h I ' ' I '• !1i1$l1ii� xlll_O�Ali ]8tfilatlz VI �C 9I��`H`I►,V' I 1 ! i i� i�A� I TI�� 1• 1' 11 (1 11 1 i j 1 I j I I' 1 it '" I'jli 'i) 11 II ( ') II 111111 jllli�ljll 11�.�il It 1111 I!i II II11� II1i'i !11 ,;1i'!; 6uu i!' I'i'! :•III I'I) III'..'.! I ilil iltli I ! ! r.1 i I I' tl1 II Ill' �� 11 Ij!II,1 1 :;1i11' 11.111! 11!1111II 'rlicPe, 1 11 II Illlllll 11:1 I! ' I J , �1ialQ1' 1 lid C� IPM ° 11'11'!NpN1®��'11 y I �J��Q 1:''1� illliilil111 I 1 i ! i � ��,' {,'� ' :7 " • �V�`1' � �.Wti"" I ' i 1 ' i • ' i I i I ' � i ij �! �!{.F � 1, I ►! jllill li ! Ir' � $�� I�I (!� I I , , (I I I i I I 1 1 I• i I i I i I �II� IIII '•'IIII I � ,i11 !�� I'll �� lilll iil:ill'j � I :111;1 ;111 lil I, IIS .'Il;l � I '• Iltl li I' I11�! II'�, �'1� I, ijillt;l� ;111'1 I_I_IJ- floor J- 11• 1 i I jl I I 111, 111ili �I p .�. loorti 41 Mill pqulpmen I aro getvuca9S 1 ¢iQod elevW :n. ': I( I I I _: I t ,�.1. • �5.�•.>l.�j,-i=:=1- '_ ''i-! 1 1 I_ I I ! 1 11 I I I 0'11111. I I i! I �y` ! :� t�l' , I i l I '''�I I I S IIII I Ii, I ►,! 1 II 11 liil 11.•11 IIII1111I� ll�i II 11111:1.!: 1'11 1111111.1, 11111 ii Iiljll fli'•IIIIIII'!I 1) ijjl I 111 1111111 11 � III 11 i III II 1' I it II 11 111 . I 1' iillll 1 I '�I�I!i � 111!. 111111 1111111' II ` i1 I II!i.1 il'I!' I �1'Illj I II°!11'1 !i I 1 '1111 III 11 11 I' 'I I I I i II11 ''' j ;11•,1,1 111111 I 0. _ ... ni I Illi it 1 I �,I ills II j I'; tail lj�i'�,I I i ill. i1�111111i11� i I ilil !�'��I 1111 11 I I i :Iii; '1111 lilil III 111 (; 1 1 1 1 1' 1 I i l i i iii i •"' I IIII i I I I I I , i jl I ; I 1 i ISI ,Ij 1 , , '• . jlI I I 1 • I j lig it I I► I' I j /' ��'I'1' l'III� 1 I �I� II ,1'111 III, Ii i II II�,, 1111,,1 I! II!Illlljll Ij I j !i ,� 1 II11 11 'I. 11. !li��,l��'ll�l,'� ii' �, ,.•.'I III II 1'1 ill• li I! I I � ! I' Ii'1 i�;lil'!li;!; .iltl�'� I;I••li i ' IIl11 jq ' � I i ill ill illlll Ill) 11 fill !1 ;III• i 1 j 1 11 I Itl � 1, 1 � vv 1 tSECTION-E? CERTIFICATION This certifii--ation is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation informatioi when the elevation information for Zones Al—A30, AE, AH, A (with 13FE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certificaticn. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, Oran owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included i -i the certification under Comments below. The diagram. number, Section C, Item 1, must still be entered. I certify tf•at the information in Sections 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 Ko 156727 G LICENSE NUMBER (or Affix Seal) E J2- .Q'c -) -7/ TITLE - � COMPANY NAME ADDRESS CITY STATE ZIP i� -7 i3LA4C � iyc 17x2., /°.��?�,��sE � SIGN ATUF� DATE PHONE '04,-6 Z.9 Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: -1-1-6d �4 IL /N ou Tir°C E �'r,- v F CQ�uciLETE CL E✓ATio N - = / 8 /, 76 ON SLAB A V ZONES ZONES REFERENCE BASE FLOOD ELEVATION REFERENCE ADJACENT LEVEL I GRADE ADJACENT GRADE WITH BASEMENT A ZONES - .� � -- v • rq� N 47 •: c;vl\- ,.�• r; r ON PILE �-�---__, PIERS, OR COLUMNS A V ZONES ZONES REFERENCE BASE LEVEL REFERENCE FLOOD LEVEL ELEVATION REFERENCE BASE FLOOD LEVEL ELEVATION The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 ELEVATION CERTIFICATE O.M.B. No. 3067-0077 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31.,,1999 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER Phi N /V Y K /M $ L 5,K -- ' STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 3 3 t6d M /L To AJ O nC O 64 A) f I[ J f), OTHER DESCRIPTION (Lot and Block Numbers, etc.) A,Ru, '10-30- 'Z8- — /Oogn Jo ves AtfE Du,2rlAM CITY STATE ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION 6600/7 ZZs 5 9 Z9 8i (in AO Zones, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '29 ❑Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I I/ Ivl / I . U feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level S 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of LI I1 IBIZI.0 feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I I I ,H feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is L1J . L feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is L1J.LJ feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: 9NGVD '29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes l I No (See Instructions on Page 4) 5. The reference level elevation is based on: ❑ actual construction' construction drawings (NOTE: Use of construction drawings is only valid if the building dries not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: I I I /181q, 5feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I I—L—i—f—!-Lj feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31, AUG 96 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION abs Owner's Name:, AiU_y ,- �j,,r/T (�� ►;i ;,� 2. -Assessor's Parcel Number: -01-/O. 3 ®O 691.9 3. Installer's Name: c�f �A �,g.�� /-`� C_ 4. Is the site currently under permit? Yes[ No[ ] Permit No. -5. Is the site an existing site? Yes.[, 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?. Amperes. 8. What is the electrical rating of the mobilehome site? (D Amperes. 9. Is the main servie remote from the mobilehome site? Yes[(] No[ j If it is, what is the rating? Amperes. 10. Is there any othi (i.e. well, garage a) The mobi Load - b) The main Load - electric load to be served by the mobilehome site electric service c.)? Yes[(] No[ Of yes, please identify the load and size: home site: 9 Amperes- Amperes - 11. Type of gas s rvice at mobilehome site: Natural[Propane[ ] None[ ] 12. Size, of is pipe at the mobilehome site from the meter or tank: 3 inches. lS 13. What is the gas pipe length from the meter or tank to t 1e mobilehome? (ft.). 14. What is themobilehome gas demand? *(This information is not required if the pipe length is less than 6. feet on natural gas or less than 50 feet on' pane). -THE OTHER SIDE OF THIS FORM MIDST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 .� N I Mobilehome Manufacturer: rt, OOH Manufacture Year: 9� If other than single wide, furnish Setup Model Number: Width: (ft.) Length:_Q(ft.) Tagalong or Expando Size On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural. setup sheets. FOOTINGS: Wood pressure treated or foundation grade] Other: SUPPORTS: Concrete block Other: Provide Tie Down Specifications for all Mobilehomes: yf5(d,r /ela Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ...................................................................,............................. Main Beams (': Line2..........................................................................................:... e2 Line 1 Line 3 Line 2 ............................................................................................... `,Main Beams �.................... `. Line 2 ................................................ . Line 1 .............................................. ine S Tag or Triple e4 ine 1 Line 1 Piers: ��oP�as ©NLr Line 1 Openings Size minimum:-•- '-• ' W ixsize minimum: D"Ll ] x [;Z(]. Spacing maximum: © Each side of openings From ends -'maximum: Zf with width over: E,O N ` Line 2 Piers: Line 4 Piers: Size minimum: [;] x [ -;]. Size minimum: x [ ]. Spacing maximum: Spacing maximum: Z` From ends -maximum: From ends-maximu ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): 9VYA 7,gx3y 1 7,yy Ac -),q 1 2 yz OVER Y �' 'IV `� DOUBLE WIDE PIERING WORKSHEET MODEL: 56 D "� A C%'t PSF•ROOF LOAD PLANTf_ SEE PERIMETER PIERING I SEE NOTE REQUIREMENTS TABLE SEE MATING LINE PIERING TABLE I}FRONT OF SEE PERIMETER UNIT ...,--PIERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN DFIAWING IN INSTALLATION MANUAL FOR REQUIREMENTS OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING TABLE* RIDGE BEAM INITIAL POST 1ST INTERIOR 2ND INTERIOR 3RD INTERIOR 4TH INTERIOR 5TH INTERIOR REAR WALL POST LOCATIONS AT FRONT POST POST POST POST POST POST PIER LOAD CAPACITY IN LBS. 3331 6y.�.o.... y09 9 MINIMUM FOOTING SIZE 2y X 7 2 L, 24{ %t3y 2L 4 X 2 2q X3L1 Z Z NOTE: Footing sizes based on 1000PSF soil bearing value. If soil conditions differ see the piering plan drawing or the Home Technical Installation Manual for method of calculation. PERIMETER PIERING REQUIREMENTS TABLE PIERS REQUIRED DOORSIDE WALL* ROADSIDE WALL' ' JAMB STUDS A'r DDOOrR OPENINGSOVE I / I_Dli �1�1� 'l►' L// L{ 2! 6'�a>J� �.(6 �,o„ MASONRY FACED FIREPLACES IN OVERHANG OF FLOOR ' PORCH POSTS AT RE- CESSED S/WALL WHEN POSTS EXCEED 42" HEAVY APPLIANCES IN OVERHANG OF FLOOR • DIMENSIONS ARE FROM FRONT OF KNIT. ; X-5-129 Ilea 1 _.. V �1 8 `dx +, t f+ ' cry, \ V � Mi OWNER: 1 ev1 DATE: I ��• LOCATION: 10Dq D -Jones Av-e, ,-T)U/y A.P.#: ��fD—tea--nab CONTRACTOR: ZONING:' DATE TO INSPECTOR: L PERMIT HISTORY: [ ]NONE [ JAS FOLLOWS: A I I TYPE OF OCCUPANCY: BUILDING INSPECTOR'S REPORT ig Description: [ ] ommercial/Usage: [ residential/# of Units: [ [ ] Currently Occupied. [ ] AbandonedNacant. c: [ ] Yes [ ] No Electric is currently : [ ] On [ ] Off Condition of electrical? Mobile Home: Yes[ ] No[ ] Natural [K Propane[ ] None[ ] . Currently On[ ] Oil ] Obvious problems: CA P12 h Q Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] Obvious Sewage Problems: Potable water: Yes[ ] No[ ] a ascription of Damaged Area: S7(7yG1y (e(1 S IMA/ �l�Glo L) �0 C2 /U 4 ro V/1,614,T)'O'V 0 I -If imate valuation of Damaged Area: pector• Date: %-8D— r NT STA. LOG INT. SENT STA.. LOG INT. SENT/4 A. : 61 LOG INT 1/L SENT STA .� LOG INT. SENT cTq. r 1 LOG INT. CDF/BCFD DAILY INCIDENT LOG PAGE OF DAY/DATE FROM 080VOM / / — / DAY/DATE TO 0800 7/,Q ,/ TION AMBULANCE OFFICER: REFMnTT TIME. u+C10ENr N[OnO LOGr.F,O Br CASE NO FIRE NO n n --_— _ F. MEOICAIITC— r VFOFTA TION VEGETATION___ IMEPOVEMFrII OCATION' -EDI ALJIC 4TRUCTURF. L . HAZMAr LOCATION DART _ VEHICLE PUBLIC ASSIST FMS OTHER MISC R ESCUE VJnAR I PEFUSECAUSE 'VEHIf:IF ;IP , 'R' IA NO USE. OAMAr,F. SAVE - FALSE ALARM I ASSISTIll.. ASSIST RESCUE $IAIIUN. AMBULANCE OFFICER. FPORT TIME: R O ✓INA/ /I -- VEGe7 A110fI IfICIDEUTNo �3a i CASE NO MEOICAIITC— r STRUCTUREHAZMAr VEGETATION___ of) OCATION' DART I � • L . F M S LOCATION RESCUE REFUSE RHONE PRO' PUBLIC ASSIST i OTHER MISC FALSF ALARM 7� RESCUE ASSIST 'VEHIf:IF ;IP , 'R' HAZMAT P�pNE fq I F M S ASSIST RESCUE IRE NAME i .� WMA- B I THER INFO: CAUSE. LAND USF. OAMArE SAVE: c INCIDENT NO ' y co"c EO Br• ter- � ripe NO R O ✓INA/ /I -- VEGe7 A110fI IfICIDEUTNo IMPROVFMErIT LCIGEDBY• MEOICAIITC— r STRUCTUREHAZMAr VEGETATION___ of) OCATION' DART VEHICLE FIRE NO6 6 q F M S VFGETATInN RESCUE REFUSE RHONE PRO' PUBLIC ASSIST STRUCTURE OTHER MISC FALSF ALARM 7� RESCUE ASSIST 'VEHIf:IF ;IP , 51AIION AMBULANCE OFFICER' moor: NFF\1rrINo REPORT TIME IfICIDEUTNo FIRE PRO LCIGEDBY• CASE NO rmE NU VEGETATION___ of) OCATION' CASE No. MEDCALIT FIRE NO6 6 q ------ VFGETATInN IMRROVEIAFtIT RHONE PRO' MEDICAVTC STRUCTURE F M S IIA ZMAr RESCUE DART 'VEHIf:IF ;IP � CT nIjCTVPe' jl� HAZMAT IAMAGE SAVE DART F M S ASSIST RESCUE E NAME 7,,+ /�" 't� i .� ✓r j]yNJ?b i'� ^ j/1 81 DEFUSF. REFUSE P)BLIC ASSIST Ii/BIrC ASSIST OTHFR MISC [114ER INFO CAUSE. LAND ' USE, DAMAGE SAVE l5E ALARM ACSIST $TAIIDN AMBULAN OFFICER 'AMBULANCE - 1 I. OCA T ION' n 2 �D IRE fuME/1` _A_l THFR INFO' CAUSE. LA NO USE Sit' s -,Qu 1? $IAIION AMBULANCE UI CCA TION' P WE r1AME. I7+En INFO CAUSE LAND USE RFPORT TIME: moor: NFF\1rrINo LOGT By' REPORT TIME. FIRE PRO I+CIOEfrr NO LOGGED r. VEGETATION___ � CASE No. MEDCALIT FIRE NO6 6 q . d RD801 TART RHONE PRO' ,. _; VEGETATIO,I F M S IMDROVFMFIT RESCUE MEDIGLlTC � CT nIjCTVPe' jl� HAZMAT IAMAGE SAVE DART ASSIST VEHICLE F M S RESCUE � REFUSE Ii/BIrC ASSIST OTHER MICC SAVE. -Z0_Ay W FALSF. ALARM ASSIST RFPORT TIME: moor: NFF\1rrINo LOGT By' CAST NO FIRE PRO IR O A ou 1 VEGETATION___ IMPROVEMFIIT VIII MEDCALIT HAZMAr TART RHONE PRO' VE.ICLE F M S RESCUE fA RI' J�AREFUSE PUBLICASSIST OTHER MI!'I IAMAGE SAVE 7. cAL!:F ALARM ASSIST I 'alis ��- /bo qo 3 1-6- !V o 0 0 e— ,etc w U -j i�rsPoerot `� w�c� cypeu's, be o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS [� PERMIT NO. - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �t APPLICATJ D PERMIT J 1 ASSESSOR PARCEL NUMBER r . , ZONTNG BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ` / f / / N/. CONTRACTOR'S NAME r TELEPHONE, 7 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION, LENDER i� UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS • , �� ` �� , r. � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ,f Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFET Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S W G 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgit 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 m license is in full force and effect. %� � License No. - ' Classification , I L ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NO N.RESI D. BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &') NON-RESID. SINGLE OUTLET CIR, TS OR FIXTURES 0AL030 Ex. Occu / zA @30 P\o FIXED FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County.in consequence of the granting of this permit. / X Date 'r Signature of Applicant — Owner❑ Contractor E]Agert ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL 77D I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS " ( N I By r1 1 , -, _'i,'' i Date 1 +: PERMIT EXPIRES Date 1 r I Receipt No. �� 1 I WHITE-D.P.W., YELLOW-ASSQSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND -PERMIT PERM �-NNO. J — ASSESSOIJ ARCEL NUMBER - D_,7if ZONING BUILDING PE T OWNER) AVV?Q , ELEPHONE SO. FT. OCC. BUILDING VALUATION OWN S AILING DDRESS C RAC TORS NAME C��O T C AOR's MAILING A,TRESS Fireplace CONSTRUCTI P LEUpE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas waterheater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ?�, Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W T: 10.00 e TYPE OF WORK New❑ Addition 0 R model❑ tilities,❑ Installation❑ Other[] Describe work: Permit Fee, $ gTco Contractor 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 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21h0sq ft CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professiq Cod and m license is in f��rc n effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR.POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. zD®s0C Ex. Occup(o TS OR FIXTURES BAL@30 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ,pp 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' lities, judgments, costs, and expenses which may in any way accrue ra nst aid C unty ' c nce of he granting of this 7pemit. 9 Date d Signature of Applicant - Owner LJ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep andd demolition or construct- ion of structures over 3 stories/in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occUF7F7 TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TCTO OF PUBLIC By PERMIT EXPIRES Dae �' the applicable provi- resolutions to do fees have been paid. WORKS Date 6 ' Receipt No. ( / WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ELEVATION CERTIFICATE O.M.B. No. 3067-0077 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I BUILDING OWNER'S NAME STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER POLICY NUMBER COMPANY NAIC NUMBER /-2 f4 (1,40.1 ic.To.y NO4,0 L "WA4 /-{w L I OTHER DESCRIPTION (Lot and Block Numbers, etc.) AA Al. 4O --3o- Z 00 5' 0 J OAJ F $ �d� . /) IJ ✓114A,14 CITY SPATE ZIP CODE cff�c o rA Ff-1 73 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION, Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE6. BASE FLOOD ELEVATION (in AO Zones, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 0NGVD'29 []Other (describe on back) 8. For Zones A or V,'where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: II I V 0 11 1,61 feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes'the subject building's reference level 5- 2(a). 2(a). FIRM Zones Al -A30, AE,'AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of feet'NGVD (or other FIRM datum—see Section B, Item 7). (b): FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I I I .LJ feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is W . U feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference !evel from the selected diagram is W .0 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:iFZ-NGVD '29 I 11 Other (describe under Comments on Page 2). (NOTE:. If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: 11rYes %No (See Instructions on Page 4) 5. The reference level elevation is based on: actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: ! !/ $ P .1-9 feet NGVD (or other FIRM datum -see Section. B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C. Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I I I I I I .0 feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31, AUG 96 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification, Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. If certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. / understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) )3E�T �' . �sE� jig,, I2c8- z-;,647 TITLE COMPANY NAME -- __ �i d• L �Uc� 2 S�G�r�2.4 "--s -r �y /Z - YL _ ADDRESS '-- - s4 7 -7 , CITY STATE ZIP —_-- l� L �-C K QL/ //G /f SIGNATURE �/___L!�'.-/-..-._......- .. l..%�/Ci✓�- SE TS.. -CI tet/ �` �J DATEPHONE---------- /!fes ,L 2 < -5,97 r3 7 Z.5 Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) buildin ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS AV A ZONES ZONES ZONES A V ZONES ZONES REFERENCE REFERENCE LEVEL BASE LEVEL REFERENCE • FLOOD LEVEL ELEVATION BASE '''� �'' ' FLOOD "' ADJACENT? REFERENCE ELEVATION REFERENCE ADJACENT GRADE LEVEL BASE FLOOD ELEVATION LEVEL GRADE GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be*measuredat the bottom of the lowest horizontal structural member. Page 2 r i � ;' F H And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 I97 - 036527 1_ -�_ __ __ - _ . SEP 3 p 1997 ..aR 61COMPARED [)OCUMENT AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides. pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: -Being a portion of'Lot 21, as shown on Map entitled, "Official Map of A.F. Jones Subdivision of the Ferson Farm", which Map was recorded in the office of the recorder of the county of Butte, State of California, June 8, 1911, :in Book 7 of Maps, at page 53, more particularly described as follows: BEGINNING at a point on the Westerly line of said Lot 21, distant thereon South 22' West, 2256,5 feet from the most Northerly corner of said Lot 21, ,be the Northwest corner of the parcel of land.described in Deed to Joe Katich, recorded September 8,1948, in Book 483, of Butte County Official Record, at page 345; thence North 40:, 23t,'East along the Westerly line of said Lot 21, a distance of 500 feet to the true point of beginning of the parcel of land herein described; thence from said true point of beginning North 411 22' East along the Westerly line of said Lot 21, a distance of 100 feet; thence South 859,- 46' East 200.00 feet; thence South 4? 22' West,para- Date: 9' 97 PROPERTY OWNERS State of California County of Butte On 9-29-97 before me, Mary R. Casebeer, , Notary Public personally appeared Rosemary Bennett and Curtis Bennett personaliv known to me (or proved to me on the basis of satisfactory evidence) to be thepersons) whose names) 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 persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. `, Signaturc/ / Scal: Mary . Casebeer A.P. # •, MARY R. CASEBEER O COMM, #1138028 @ �R NOTARY PUBLIC -CALIFORNIA 0 V BUTTE COUNTY My Comm. Expires April 27, 2001 -page 2. .All that real property situate in the County of Butte State of California as follow: ...Countinune from page 1 lled with the Westerly.line of said Lot21, a distance of-100 feet to a point that bears South 85-*461 East, -from the true point of beginning; thence North 85' 461 West, 200.00.feet to said true point of beginning. EXCEPTING THEREFROM all oil, gas and other hydrocarbons and minerals as reserved in the.Degp--:from Capital Company 4 corporation to J.A, Nicholas et . al, dated July 10, 1944 'j 8 f. 'Butte otnty- c. in- Book `338 --Re 'Ord"g"'at -page 8. /I 21 �� d � ee72c, oa,0 A C0V (.� Amo+an i BUTTE COUNTY BUILDING ®IVISsp�r, APPROVE , Apc�p. app-p K-CL -e CO r is