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(+ AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
2004-00633 1 8
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:47AM 14 -Ort -2004
REC FEE 7.00
CONFORM 1.00
Alyce
Page 1 of 1
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required 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:
All that portion of the east half of the east half of the southwest quarter of the
northwest quarter of Section 34, Township 20 North, Range 4 East M.D.B. & M., lying
southerly of the centerline of the Oregon Gulch Road. The above mentioned southwest
quarter of the northwest quarter of said Section 34, being composed of a portion
of Lots 7, 8 and 45, as shown on government survey map of said Section 34.
Date /0�3/Bo PRO PE TY OWNERS:
State of California,/
County of /3 ZWe_
On Io(�'J�e-r, 13, -),"
re mL/e,
r\74V
personally appeared Lzc ,- U Va n c a_�,A U&,Kce ersonally
known to me ( e) to be the person(s) whose name(s) Ware subscribed
to the within instrument and acknowledged to me that helshe/they executed the same in kWh r/their authorized
capacity(ies), and that by hisA�er/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and official seal. ?
Signature,
Seal:
A.P. # 0416290=095 / JUDI SUTHERLAND
COMM. #1415659
NOTARY PUBLIC - CALIFORNIA
BUTTE COUNTY
1161My Comm. Expires May 4, 2007
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
LARRY VANCE AND SANDRA VANCE
REAL PROPERTY OWNERILESSOR
2313 VIA CORTE
MAILING ADDRESS
OROVILLE BUTTE CA.
95966
CITY COUNTY STATE
ZIP
746 OREGON GULCH RD.
INSTALLATION MAILING ADDRESS. IF DIFFERENT
OROVILLE BUTTE CA.
95966
CITY COUNTY STATE
ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE
ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
04-2755 (530) 538-7541
BUILDING PERMIT NO. TELEPHONE NUMBER
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
INTEGRITY HOMES
DEALER NAME (if not a dealer sale, write "NONE")
1057714
DEALER LICENSE NO.
DELAWARE WESTERN HMS 2001 WESTWOOD
MANUFACTURER'S NAME - DATE OF MANUFACTURE MODEL NAME/NUMBER
17309089A/B 60'X 13'6"/56'X 12'10" HWC319352/3
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 041-290-095
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept.
VV/ 1G/ UY uk"c IfAZ '53U 89,1 7647 BTEQ C[JSTO� SERVICE
RECORDING REQtrF.SM BY
MID VALLEY TITLE & ESCROW CO.
0W WHEN R=OADED 1 ATL TO:
LARRY AND SANDRA VANCE
2313 VIA, CORTE
OROMLE, CA 95966
ORO -C
031
aa. 11J VL\111 l,"Avv WjVV%
003
1 E56'9r
Ioraed
ROf rds
I RFC FM 7.00
t TAX
i
60,50
J. SRUBBS
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I
Y DIc3isorl
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19 -Nov- ZW
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Above Uis Line far Reeordees Use Only
A.P.N.: 041.29"95 Order No.: 216520MAM }?scrow No,: zl6szol,
GRANT DEED
TM t)bM'M 1GN1W GRANTOR(s) DECL%M(s) THAT DOCUM3 WTARY TRANSin TAX 1S: COUNTY $bQ•50
X I computed on fall value of property wnveyed, or
computed on gull value less value of liens or encumbrances remaining at d' me of sale,
Unincorporated arca; t I Cita' of _, and
FOR A VALUABLE CONSIDERATION, Receipt of whirb is hereby ackmvAedged,
�T- RUNGS, 3R., TRUSTEE OF THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING
TRUST
hereby GRANTS) to, .
LARRY O. VANCE and SANDRA VANCE, Husband and Wife as Jotot Tenants
the following described property in the Unincorporated Area of the, County of Bette State of Caiifot>lia;
ALL THAT PORTION OF THE EAST HALF OF THE EAST HALF 017 THE SOUTHWEST QUARTER OF T$E
NORTUWE9T QUARTER OF SEC 7ON 34, TOWNS" 20 NORTH, RANGE 4 EAST M.D.B. & K, LYING
SOUTHERLY OF' THE CENTERLINE OF THE OREGON OW LM ROAD. THE ABOVE ML1MoNgD
SOUTH'WES'T QUARTER OF THE NORTHWEST QUAItTlE R OF SAM SECTION 34, BEING COWOSED OF A
]PORTION OF LATS 7, S AND 4S, AS S11OWN ON GO'VERMMNT SURVEY KAP OF SAID SECTION 34.
THE HENRY T. RUNGS, JR. AND CYNTHIA A.
RUNGS LIVING TRUST
By:
HENRY T.
RUAIGE, JR., TRUSTEE
Document bate; atober 27, 2M3
STATE OF CALIFORNIA
COUNTY OF ' BUTTE-
On
UTTE-On NOVEMBLIR 18', 2003 befbre am, MA1�Y A__ TFIO nN _ 17 TT,av
PeMIA IY ePPeQ"d HENRY T. ItdA1GE r �7R -
PersensDY known to me for proved to me on die basis of seus(QcWry ovidence) ro be the persons) whoss mne(t)19/ste subscribeil to the within
Insw=cat and acknowledged to the than hc/.t>e11hey =mted Ma s,me in hielhedthakrandm4ed capaairy(ie) and that by hlarhar/d-jr sigtmouo(s) on
tho (riscrummm d e person(s) orthe entity rayon oehalfof which the per7or0) acred, cxxuted the t%vumem.
WITNESS my hw 4 and ofFciW near
5igtutture .L5 MARYA. �10MPSON
C9 CommlSsicA #1351470 0
8i Notary Publio-ClallifOmia to
MYcomm Exuttep APF(, 15, ZOOS
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
BUILDING PERMIT NUMBER: 04-2755
Address or, location of unit: 746 OREGON GULCH RD. OROVILLE, CA.
Legal Description of Real Property: AP#: 041-290-095
SEK ATTACHED
(x) Mobilehome/Manufactured. Home
.()'Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: LARRY VANCE AND SANDRA VANCE
Owner's address: 2313 VIA CORTE OROVILLE, CA. 95966
INSIGNIX OR HUD NUMBER: HWC319352/3
SERIAL NUMBER OR V.I.N.: , 17309089A/B
MANUFACTURER'S NAME: DELAWARE WESTERN HOMES YEAR: 2001
OFFICIAL APPROVING INSTALLATION:
DATE:
PHONE: (530) 538-7541,.,
H.C.D: 5130
tJ TOF _ ._.__....... STATE:OFCALIFORNUk
BUSINESS, TRANSPORTATION AND HOUSING At ,y NUMBER:
- . DEPARTMENT OF HOUSING AND COIAMUNITY DEVELi7PAAEM
DM I N H STAND OS - - --. .
S O OF COb AND AR
:'�Fit1,;._.�NU �iC�1R OUSWGP.ROGRAM
TYtlH. n. -,.•...
MANUFACTURER CERTIFICATE OF ORIGIN
DISTRIB�ON ' ORIGINAL-(PI"4 ^- FORwiD.TO THE INVENTORY CREDROR, UNLESS THERE is. NONE. THEN FORWARD.T.O.THE PURCWISER.(DEALER-OR_TRANSFEREE}_,'. _
COPY t. (IIIHtTE)
''FOR `DEP D�PARTMENTAT P.O. .828, SACRAMENTO. CA 951112-1828, WITHIN FIVE DAYS OF RELE�ISE :
COPY 2 (1f C101iV). ' DELIVER TO THE TR. NSPORTER TQA000MQANY:THE UNIT -To ITS DESTINATIbti
COPY 3 (GOLDENROD) TO BE:RETAIN0 pY THE MANUFACTURER:•:`":''
HCb 493 0: S(de f� (1/9n #r, ....
❑ CHECK IF THIS ISA DUPLICATE MCO -ENTER ORIGINAL MCO NO.
MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING
n
L�cU SFD (SINGLE FAMILY DWELLING) .❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING
NUMBER OF
TRANSPORTABLE SECTIONS
COMMERCIAL COACH:
OCCUPANCY GROUP
MANUFACTURER NAME:
MANUFACTURER LICENSE NUMBER:
DELAWARE 'NESTERN HOMES CORPORATivf-v
9W96 .
MANUFACTURER ADDRESS:
SUGGESTED RETAIL PRICE:
(S , ERAVt•J._:F Y:I V)..:. .CA 95TC7
it
578.'17c X
State)(Zi)
MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER:
DATE OF MANUFACTURE:
SiLVE.RCREST 4"'1=�T +�OOE'
'I'V_1/Q1
NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):
CALIF. DEALER NUMBER OR
DATE OF TRANSFER:
DUPAR & ANGEL r,nANUFACTURED HSP!!' !=P
TRANSFEREE DESIGNATION:
122121 f0i
DEALER OR TRANSFEREE ADDRESS:
(Street) (City) (State)
INVENTORY CREDITOR NAME:
(Zip)
INVENTORY CREDITOR ADDRESS:
--•. '. _°i '�-. � z; - mac: -- -
(Street)
(City) (State)
(Zip)
SECTION
MANUFACTURER SERIAL NUMBER
HCD INSIGNIA OR HUD LABEL NUMBER
LENGTH
WIDTH
WEIGHT
(INCHES)
(INCHES)
(POUNDS)
TRA"VW�PE9 ISPORT
TRANP93 tiC.IXR�Si'S? DURHAM CA 96938
(Street) C') State
ADDRESS
NAM. (Street) C' State
'I certify under Dena 'or ury udder the laws of the state of Cal ii& that the above aro W .
12/210'1 -
.ND, "OLO.� CA�LIFORNfA
_ -
Executed.an
" (Data) City (C-0tY)
(Slate)
SIGNATURE OF AUTHORIZED AGENT: -.: . •.::.: , .. _;: _ :. •_ :^:_ .::.. . -
DISTRIB�ON ' ORIGINAL-(PI"4 ^- FORwiD.TO THE INVENTORY CREDROR, UNLESS THERE is. NONE. THEN FORWARD.T.O.THE PURCWISER.(DEALER-OR_TRANSFEREE}_,'. _
COPY t. (IIIHtTE)
''FOR `DEP D�PARTMENTAT P.O. .828, SACRAMENTO. CA 951112-1828, WITHIN FIVE DAYS OF RELE�ISE :
COPY 2 (1f C101iV). ' DELIVER TO THE TR. NSPORTER TQA000MQANY:THE UNIT -To ITS DESTINATIbti
COPY 3 (GOLDENROD) TO BE:RETAIN0 pY THE MANUFACTURER:•:`":''
HCb 493 0: S(de f� (1/9n #r, ....
�r
NOTES RESIDENTIAL
1 PERMIT NO 141-290:05
VANCE, I:ARR.Y
Y �p OREGON GULCH RD, OR
° Cont: D & A CONS'fI:UCTION
MH PERM FND
ea
a
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (TETE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON NEW
MH'S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
I
SPECIAL CONDITIONS
CHECKED
" BY-
+ J
SRA -
(r FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPEGI�1_�1.4.1.(�P1 rn.T l./1t.1s1_T G�.n.i_ _
i VERIF`4 ../OFFICE COPY
-7 t
Address / ! 6 otzkof cui_6H
USE PI
SUB=S'
GAS
Meter By Date
' ELECTRIC N 0� / 23•�
Meter By a Date
_t 1
F'
1
D)o l pocl/q/s�
_ I
-JOB FINALED (Dt) _
Signature -
v
J=OK
0 = Not OK
. NotReadyable
MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utilitv Clearance
Date Card B-1 Date Card B-1
Date Card. B;,31 Date Card B-1
Date MOBILE'HOME INSTALLATION (Plans) OK except #'s
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
'Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
,7,/Fo gs; Size -Spacing -Marriage Line
2�1 0, J S(z,�-,�
-Y
s; MH Test -Demand -Valve -Connector
Electricity; MH Test -Crossovers -Breakers -Clearances
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Drain; NIH Test -Fall -Flex Connector
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Water; MH Test -Regulator -Connector
Carports; Windows -Doors
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Electric
8.
Gas gpd Electricity Tagged
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
wns-Type-Installation Cert.. ,
zits; Insp.-Sketch
Cert. of Occupancy
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
e
Ari
+
Date
Card B 1 Date Card B-1
Date
Card B-1 Date Card B-1
,"Date. -
PERMANENT END SYSTEM (ONLY)-,
1'
Zoning Requirements -Setbacks -Easements
Date
2.
Footings; Size -Spacing -Marriage Line
Date
3.
Blocking
1.
- 4.
Gas; MH Test -Demand -Valve
2.
5.
Electricity; MH Test
3.
6.
Water; MH Test
4.
7.
Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
'Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 . Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
Date
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
Card B-1 Date Card B-1
Date
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Garage Fire Protection Framing -RC Channel
17.
Water Htr.; Vent -Access -Combustion Air Baffle
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
18.
Water Pipe; Test & Anchor -Nail Protection
56.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Siding -Nailing Veneer
20.
Shower Pan; Test, First Floor -Tub Access
59.
21.
Test Tub & Shower, Second Floor -Tub Access
Shear Walls; Nailing -Bolts
22.
Gas Pipe; Sixe & Anchors
74.
23.
Fire Sprinkler; Test
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
Date
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
Card B-1 Date Card B-1
Date
79.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
81.
24.
Fixture & Transformer Clearance -Ins. Protection
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
_
83.
26.
Size Boxes & No. of Conductors Stapled
Stucco Brown -Finish i
27.
Romex Installed Close to Edge of Studs & C.J.
86.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Water Well, Disconnect, Electrical, Plumbing
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
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 (Permit) OK except #'s
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders'& Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive O Yes O NoMalks O Yes O No/Planters O Yes O No I
84.
Stucco Brown -Finish i
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1 i
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP042755
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/14/2004 APN: 041-290-095-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number: Site Address: 746 OREGON GULCH RD ORO
Date: Contractor. Map Index:
OWNER -BUILDER DECLARATION Description: NEW MH NEW SITE PERM FND 1537
I hereby affirm under penalty of perjury that I am exempt from the p ( )
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior Owner: VANCE, LARRY & SANDY
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section P O BOX 607
7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95966
she is exempt therefrom and the basis for the alleged exemption. Any (530) 538-7407
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
ryy I, as owner of the property, or my employees with wages as their
Y sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions Applicant: VANCE, LARRY &SANDY
Code: The Contractors' State License Law does not apply to an pp
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees, P O BOX 607
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one OROVILLE, CA 95966
year of completion, the owner -builder will have the burden of (530) 538-7407
E proving that he or she did not build or improve for the purpose of
sale.).
O I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon, Contractor:. DU PAR & ANGEL INC
and who contracts for such projects with a contractor(s) licensed MICHELLE FREEL
pursuant to the Contractors' State License Law.). 2532 SANTA ROSA AVE
❑ 1 am Exempt under Articleaofthe usiness and P ofessions Code SANTA ROSA, CA 95404
530-821-5850 530-821-5854 (fax)
Date:0/ Owner: michellef88@sbcglobal.net
WORKERS'COMPtNSAyT6N DECLARATION License #: 457364
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 Architect:
is issued.
❑ 1 have and will maintain workers' compensation insurance, as Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Cartier Total Square Ft: 1537 S.F.
Policy#: Valuation: $99,905.00
AI certify that in the performance of the work for which this permit is Census Code:
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'
j compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: l0
Applicant.
WARN G: F re to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicab a provisions of the Bufte County C de anjor
I hereby affirm that there is a construction lending agency for the Resolutio t o work,jndicated b ve for h es have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) 7T
Name: BY ate: D v
PERMIT EXPIRES ON:
Address: Da
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to
enter
upon the above mentioned property for inspection purposes.
Print Name: �l �,T 'v t� Signature:
Date: i G G`
❑ Owner 0 Contractor 0 Agent for Owner 0 Agent for Contractor
O.B.- I
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES[ ] NO".
2 I HAVE[QC] HAVE NOT[ ] signed an application for a building permit for the
proposed work.
3. I have contracted with 'the following person (firrn) to nrovide the nrnnncPrl
construction:
NAME:
ADDRESS: CITY:
• PHONE: 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: CITY:
PHONE: 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
SIGNED:
PROPERTY
SAS
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.
May 1995 2.26
O.B.-,1
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 yourseJA 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: '
0 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.
0 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.
0 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.
0 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 "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by 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
I
C. Viei* C.B.O.
, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
CONTRACTOR
OWNER
Name /Z, -z Y 4'
Address p c
Address D�
da 71
City �,2ovl��C
Zipgsg9/
State n#
Zip 16�
Phon!EW-7-10 7 33 6Y'z
Fax
E-mail L to
Couw
CONTRACTOR
Name
I
r
Address p c
+-I- AP -
City /� , '
State to
Zipgsg9/
Phone $lam,/ SM
Fax 536 ?02/ SYSt{
E -m .elle_r?r 6)Uc
#LI573&V
Clasrti%
1,7 APPLICANT SIGNATURE
X
Fo a us onl :
ARCHITECT/ENGINEER
Name
/L/L Ir/ G
Address
City
City
State L.�
State
Zip
Phone
Fax
Fax
E-mail
Map Book
State License Number
1,7 APPLICANT SIGNATURE
X
Fo a us onl :
APPLICANT NAME
Name
/L/L Ir/ G
Address D D 7 /
City
40/1 o vir
State L.�
Zip 96�
Phone
5 3t = 0 7
Fax
E-mail
1,7 APPLICANT SIGNATURE
X
Fo a us onl :
Zoning
Flood Zone
SRA
Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
������rtO�:t+`l�=11'I1��_I=1�:� P_�1I:� IIT ►�.�
PERMIT
NO.
BP -042,
BIN #
LOCATION
AP#
b 41/- 4) - of 67
Property Address
.da
Cross Street
WORKER'S COMPENSATION
Policy Number
�C
Carrier 1 n
If hiring anyone other than license 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:
rtS�a 'o y 1x 1e4I'm
Sq. Footage s37c5
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: $-4-( Amount: 54.9.90 Bldg
2a4.C79 SRA
Receipt #: ¢ f a ♦�6 sl6o - Sheriff
.1' 4q SMIP
II Date: q , �o . �,} �Other I I
Il t l 4.8 Total
K:\FORMS\BUILDING F0RMS1BIdgApp1SubRgmts.doc Page 1 of 2 REV 4-30-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER!
❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations. .
❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 5. Letter from Engineer or Architect for truss design review. -
❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to
mobile or modular homes.)
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 8. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 9. Sanitation and site plan approval from the Environmental Health Department.
❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑
1.
4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑
2.
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑
3.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑
4.
Letter from Engineer or Architect for truss design review.
❑
5.
2 Energy compliance design and supporting documentation (if required).
❑
6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑
7.
Statement of Intent for Non -heated and A/C (if required).
❑
8.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑
9.
Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11.. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2
REV 4-30-04
a E.d
9iot Sian Attach� GAILY
od
Roar Pian Attrrhad"4:���_
Sent to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage DisposaWater S ply: P blit Private Well
Clearance for dwelling. OtherCIA
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION_ .
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
` / PERMIT APPLICATION DATA SHEET
OWNER: V1 t c r ASSESSOR PARCEL NUMBER e541. :2-7e:> 0 �7
Proposed Building Use: L' C - w rte/ " _ J IF- w 5 i T r- f--4,2 r -Counter Technician: Date
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
J-,
1.
Site plans 3,tr 4 sets, signed by the preparer of the plans. .
Cl
2.
Complete fans, 3 or 4 sets, signed by the preparer of the plans.
❑
3.
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑
4.
Engineered truss details and layouts in duplicate. No faxes!
❑
5.
Letter from Engineer or Architect for truss design review.
❑
6.
Energy compliance design and supporting documentation in duplicate.
❑
7.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
4
8.
Manufactured homes: I Data sheets and installation inst, (Marriage line info, Vloor Plan, 5 Tie down or fnd plans, all in
duplicate. -------_
❑
9.
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑
10.
Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑
11.
Site plan and business license approval from the City of Biggs
❑
12.
Letter of intent for non-residential buildings
❑
13.
Detached Accessory Building Form filled out by the owner
❑
14.
Hazardous Material Form
1�p
15.
Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑
16.
Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
20. Erosion Control Plan Required........................................................................ ........
21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
22. City of Chico Plumbing permit........................................................................
23. California Department of Forestry plan approval W aid. Sent by: V111 q • 1° • 04
24. Planning approval (A) Use:(B Parkin9 (C) Parcel Cekclb -t 2-
2
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
g/ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification).................I
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
o 32. Letter of Signature authorization......................................:.............................
33. Recorded copy of Agricultural Acknowledgment Statement.................................4*
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ,o Grant Deed, l9rl.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
-Ep,- 38. Other:
❑ 39. Other:
When issued Telephone F3 • <r- and hold for pickup. i f
.I have been informed of the above items and requirements for obtaining a building permit.W
Applicant:r� Date: d91
1. Index permi pplicatio orthe above items numbered: jA Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owdvised of the ve data by phone, ❑ mail, ❑ counte , by Date-
Plans
was a
Plans reviewed by: Date: Plans approved by: Date'll
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER 4-"J c (E7
PROPROSED BUILDING USE
�i 1. BUILDING PERMIT FEES
--- Balance Due ..................... $ 549.90
Po4�-7s5
A.P. # O 4-1 • s90• cg S
DATE a o • o 4 -
RECEIPT # DATE REC.
4-1247& 1•--10•o4
--- Additional Fees Due........... $
-- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES C---"Jzo "e. �-►
(paid at School District Office) (form available after Plan Check)
t V er1 '�O D-tM vt�ir
3. SHERIFF FEES (paid at Building Division)
Residential............ i X $360.00 =$ 3�0 • 114 (,
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES
(paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.06 (paid at Building Division)
2°4.98
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
c1 • �7O • e>4-
+194-76 0/ 0.04 -
Commercial (sq. ftg.) ......... X = $
Sq. Ftg, Amt,
10. OTHER �MiP !t 9.19 412476 5•26 04 -
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed durin a plan checkin process. n D
APPLICANT DATE
Pursuant to Government0of
Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the da approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
14 -Oct -2004 2004-0063318
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required 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:
All that portion of the east half of the east half of the southwest quarter of the
northwest quarter of Section 34, Township 20 North, Range 4 East M.D.B. & M,, lying
southerly of the centerline of the Oregon Gulch Road. The above mentioned southwest
quarter of the northwest quarter of said Section 34, being composed of a portion
of Lots 7, 8 and 45, as shown on government survey map of said Section 34.
Date /0131,90 PROPE T:OWNERS:
State of California )
County of( ) e )
On (,�(/�'J��r 1 � ���7y�� before me,
personally appeared L'_XL'r1- Q, Vai r, c Q ��;�.�% Sa,K.cE.r 6;, c ' personally
known to me (orprnve"- n -Masi& 4rsar,.__ tis. a -evidence) to be the person(s) whose name(s)A/are subscribed
to the within instrument and acknowledged to me that hese/they executed the same in -W" r/their authorized
capacity(ies), and that by his4ier/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and official seal. ,,
Signature Seal:
f,.
A.P. # 041f 290=095.. JUDI SUTHERLAND
COMM. #1415659 -'
NOTARY PUBLIC - CALIFORNIA
BUTTE COUNTY
My Comm. Expires May 4, 2007
f
BUTTE COUNTY SCHOOLS immir FEE CERTIFICATION FORM.
(One form per Building)
School District 120V I I— L- e 6 H. Building Department No.
A.P. Number, 04- V q0 OG 6 Jurisdiction: city County
Property Owner VA &I e- IF-`
Property Location/Address
z7 55
Subdivision
Lot No.
Residential Development Q
0
.... . ............ . ............................ ... . .................................
Q Q Sq. Footage
163.7
No of Living
Mobile Home
Addition/ *Supplemental to V
(Group R)
Units
Installation
Conversion Permit #
*(No foundation Inspection)
............................................................................................... . ....
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/industrial Q
Q
Sq. Footage
New
Addition
(Including Exterior
Roofed Areas)
ft� "r
Building
District Identification No. 010 3
Dr'wAaU School District certifies that
recon G�1 �l� �c�
9•-)o *.
Date
(Applicant)
(Street AddressP (Phone Number)
D'r uv ;1\,9 :. C - _
(City)
\,9—
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
representing .1,537 square feet.
District Rep'T� ' Atative
, I.
Paid by Check Or Remarks:
) D5- 67b
by payrnent'0 $
FULL 29211 $
MITIGATION MGATION $
Date
Notice: You may protest the Imposition of the fen Identified above by submitting a written protest to the District, In compliance with
Government Code Section 66020(a), within 90 days from the dde fen are paid. Failure to submit a timely wrtftn protest will'prohlbit
you from challenging the Imposition of the fen In any court action.
It, subsequent to the School District Representative signing this Butte County Schools Impact Fee Cardficallon Form, the 8ehool District Is
nstMMd by the aWIcable Local Planning Agency that this project Is being reviewed under the California Environ merital Quality Act (CEQA)
this p -1 c may be subject to addiltional school fen to fully midgets. ft Impact on the school districils schools. ` .
White (applicant), Yellow (bu.ilding department), Pink (school district) feeforyn.49 00/03)dmm
Integrity Homes
a DuPar and Angel Company
STATEMENT OF FACTS
This unit is a : X. Mobilehome Commerical Coach Floating Home Truck Camper
Decal (License) No.(s)
Trade Name
Silvercrest
Serial No.(s)
TBD
i / we, the unaersignea, hereby state that the unit described above:
be placed on a permanent foundation at Oregon Gulch Road, Oroville
California, 95965 by authorization of Integrity Homes
a Dupar and Angel Company. 041-290-095
Affiant further agress to indemnify and save harmless the Director of Housing
and Community Development, State of California, and subsequent purchasers of
said unit; for any loss they may suffer resulting from registration of the above-
described unit in California, of from issuance of a California certificate of
title covering the same.
I / We certify under penalty of perjury that the foregoing is true and correct.
Executed on 9/13/04 at: Yuba City California
14850 (City)
Signature of each affiant Print name of each affiant
C% A .
Address: 868 W. Onstott #J City: Yuba City State: California
HCD 476.6 (Rev. 11/86)
Department
r n u n t V
J. Michael Crump, Director
f Public
o f B u t t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville. CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase 11
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE
Project Description: PAI,
A -
Project Location and/or Parcel Number:
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date: 1�
n
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
• 7 County Center Drive
Oroville, CA 95965
(530) 538.7601 Telephone
(530) 538.7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
October 13, 2004
Larry Vance
P.O. Box 6071
Oroville, CA 95966
Subject: APN — 041-290-095
Dear Mr. Vance,
The Butte County Department of Development Services, Planning Department, has reviewed the
submitted Building Permit Application 04-2755 and has found your application in compliance
with the established planning criteria. The site plan you submitted meets the setback
requirements for your zone as well as applicable map or use permit conditions. The Permit
Application has now been forwarded to the Building Division for their consideration and action.
If attached, please find a copy of any use permits, map notes and conditions for your property.
We are providing this to your for your information and future reference.
Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and
4:00 p.m. Monday through Friday at (530) 538-7603.
Si e ely,
hris Tolley
Assistant Planner
ENCROACHMENT PERMIT
County of Butte Department of Public Works
7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356
Download Forms: www.buttecounty.net/pubhcworks/forms.html
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE
Phone (530) 538-7157 Ext. 2016
Permit Number
10q0 GG / E
District
(�
APPLICATION
I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads
and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted
1. Applicant's Name: / C
(/
la. Company Name:
2. Address:
3. Phone:
1JPXh2 3Y7VP7 owe f3
4. Assessor's Parcel Number.
V'11— _ p7375.
Location of Work to be Done
,a e qP ti ✓
6. Applicant's Signature
7. Date:
s=101-Zolpy
CONTRACTOR'S INFORMATION
8. Contractor's Name
9. Address
10. Phone:
11. Fax:
12. Contractor's License Number.
13. Certificate of Insurance: Yes ❑ No: ❑
14. Contractor's Signature:
14a. Date Signed:
15. Authorized Agent
TYPE OF WORK TO BE DONE
16. Please Check: Curb: ❑ Gutter: ❑ Sidewalk: ❑
17. Driveway (List Type)-�J /
IS. Other.
PERMIT RANTED
In compliance with the above request, and subject to all temu, conditions (including those on page 2 of this permit form) and special conditions written below,
permission is hereby ted.
19. Conditions -3
w n1'., C Y` i� . C l y86 -0 yt a 0 83
Underground Service Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600
20. R All work shall- conform to accompanying: Detail C, Plans D Special Conditions IR
21. Date Issued SJ // G' I
22. Expiration Date: GS/
23 Surety.
Mike Crump, Director of Publics Works
By:
s{ Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up i% one week.
Page 1 of 2
General Conditions — See Page 2
4,
SITE PLAN REVIEW APPLICATION
Date: (i '' lZ - 2®6 AP# e-2 V- 71d -
Permit Number (if applicable) 0,V- 2 7 Bin Number
APPLICANT INFORMATION Parcel Size:
Owners Name:
Owners Address: 10, 0• Zcy
Telephone No.:-'
Situs Address
Proposed Use: %
V
Residential '
❑ New Single Family Residential
❑ Single Family Addition
Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary- Travel -Trailer -
F1 Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ ,New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
❑ Agricultural Buffer Form ❑ Applicable ❑ N/A
{
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
10 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
WS, l77tped Approved
By Date (3 - 24Oq
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone:
• Flood Panel No.: C�7c, Index Date: G ^/
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
-------- -------- 7----------------------------------------------------------------------------------------------
❑ Detached Building•Use Form- ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: U_
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. M CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
F
�O
Side
Side Street
Rear
1
�2Uf
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. M CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
Subdivision Map Special Fees
❑ Water Tender
❑ Road Improvement
❑ North Oroville Area
❑ Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
Date of Creation: 7 It Legal Access Provided: ❑ No Yes
Deed of Reference: ,_ICO Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
` Comments: 666 t o&m d
09 Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ -Meet current Environmental Health Department requirements
Page 3 of 5
❑ Subdivision Map/Parcel Map:
Map Date of Recording:
Lot: Book: Page:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
Page 4of5
Wt
lel
0
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
C:\Larrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
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eut+smft8 acres
E plyironriLbning mIth
ate
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� 28'
P-34'/
� ---� EXISTING GATE & GR VEL
DRIVEWAY
16'
Adjacent Pai
Size: 5 acre
Zoning: U
Seas
General sic
of property
I � ,
i
J gate & gravel
Max. slop 5%
157'
Proposed reside
57'
I
I
Proposed well-,
115'
,Proposed garage -�
Existing septic I
tank and leach J 145'-6"
field
330'
Adjacent Parcel Info:
Size: 10 acres
Zoning: U
Scale: 1/64" = 1'
106'
272'
APPROVED
Butte County
Environmental Health
Dq*e
i ture
Seasonal creek
Adjacent Parcel Info:
Size: 200 acres
Zoning: OS
. 4
Location Map
A,
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DAIS: 4/22/04
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PARCEL. / 041-290-095
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PARCEL. / 041-290-095
-FC&E- AS MARKED
Building Permit Number: OV"
Owner Name: Va/yuC-c.,
Residential Construction Requirements
D IEPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 2001 California Building Code
(2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California
Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
Your parcel lies within a designated 100-ye-ar flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Building Permit Number:
Owner Name: Volnc e
a Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
0 Fire sprinklers are required in this structure.
MThe following parcel map requirements shall be met:
Page 2of 2
04-,;?7S5-
All
4-755
All structures and equipment including ovgrhangs shall be clear of all easements.
A setback of ;a feet from the side and �>D feet from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
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MOBILEHOME INSTALLATION DATA
1) Owner's Name:
c.
2) Assessor's Parcel Number:
3) Installer's Name: INTEGRITY HOMES, INC.
4) Is the site currently under permit? Yes [ ] No [ A Permit No.
5) Is the site an existing site? Yes [ ] No [,,c]
6) What is the electrical rating of the mobilehome?
7) What is the mobilehome site circuit breaker rating?
8) What is the electrical rating of the mobilehome site?
(If yes, furnish two plot plans).
C Amperes.
Amperes.
o7CO Amperes.
9) Is the main service remote from the mobilehome site? Yes [ ] No �e] If it is,
what is the rating? Amperes.
10) Is there any other electrical load to be served by the mobilehome site electric service
(ie well, garage, etc.)? Yes J� ] No[ ] If yes, please identify the load and size:
a) The mobilehome site:
Load- G, , 0 Amperes- ? C )
b) The main service:
Load- Amperes -
11) Type of gas service at mobilehome site: Natural [ ] Propane (�] None[ ]
12) Size of gas pipe at the mobilehome site from the meter or tank: 3/4".
13) What is the gas pipe length from the meter or tank to the mobilehome? L)S 4- (ft.)
14) What is the mobilehome gas demand? B.T.U. *
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less then 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
MOBILEHOME SUPPORT DATA
Mobile Manufacturer: C� 1W((' (` 'st Manufacture Year: 2C Oji
If other then single wide, fumishSetup Model Number: \,"J - UT,
Width: 9lc n y (ft) Length: ( O, I ft Tagalong or Expando Size X
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade [K] Other:
SUPPORTS: Concrete block [k] Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 . 1
Line 2 Line 2
Main Beams
Line2................................................................................................ e 2
Line I Line 3
Line 2
................................................................................................
Main Beams
............................................................................................. Line 2
Line 1
............................................. L���e 5
Tag or Triple e 4
ine 1
Line 1 Piers:
Line 1 Openings
U I Ltti 0"
Size minimum:
Spacing maximum:
x
Size minimum:]XI
Each side of openings
I
"
From ends -max:
with width over:
"
Line 2 Piers:
Line 4 Piers:
Size minimum:
a x M
Size minimum:
x
Spacing maximum:
-I' c.)
Spacing maximum:
"
From ends -max:
C Y c� "
From ends -max:
"
Line 3 Roof Loads:
Size minimum
Location (from rear):
Line 5 Roof Loads:
Size minimum
Location (from rear):
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RIDGE BEAM SUPPORT PIERS
DAPIA APPROVAL
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FP -26-691
JLB 7125141
WOODLAND Fq-AN NO.
W-60
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' Indicates longitudinal Gearing wall between these supports. Additional PIERS are required underthesewalls Page 1 of 1
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UNITS AIB
STD
1
2
3
4
5
Lacation 0
0'-0"
12'-3
26'-1
i 44'-0
56'-0
Load 0 20 PSF
2377
5064
6160
5804
2328
Load 0 30 PSF
3222
! .6860
8350
7868
3156
Opt. 60" SHWR
Location ♦
0'-0"
13'-4
26-1
44'-0
56'-0
Load 0 20 PSF
2587
5060
5949
5804
2.3.2_8
Load 0 30 PSF
3607
6860
8065
DAPIA APPROVAL
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FP -26-691
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WOODLAND Fq-AN NO.
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PERIMETER LAYOUT FOR SERIAL NO.
_ �QT� � FoIZ CX1�G� ��N1F��SOt�75
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PLAN W-�PQ
NOTE., 1) ,1l F,„1S[fRE.liE4?::LRF. FR0I I R1A[ JOIST To RIM .1OlST.
2) LN1F.,1SURV*I EnS DO NOT INCLUDE SIDINGA IN 1) TRI1i.
3) THIS PML\IETER LAYOUT IS FUR 5-M. ZY I WALLS {31YLY.
d) SEE-QQU?5Li=. NIDE FOUNDATION SYSTEM FOR GENERAL
`NOTES ,1; ! U DETAILS.
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109 County Road fl0l + 4VocdJand. California 95695
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STEEL ANGLE
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1/4" GRIPPER PLATE
(2) REQUIRED
1/4" GRIPPER BASE
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BOLT WITH NUTS
(4) REQUIRED
01 1/2" SCH 40 -PIPE RISER WITH
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02' SCH 40 PIPE STAND. WITH TWO
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1/4" STAND BASF i/4 4"-
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36" MAX
TO BCTTOM
OF PAD
01/2'x 3" C.R.
LOCK PIN WITH
01/8" BRIDGE
P:N
J
1/4' GRIPPER
BASE
1/2' A307 BOLT
(2) REQUIRED
3/8"1 6'x 6'
STEEL PLATE
1/2" A307 RO_T
(2) REQUIRED
10.OD —1
F 0 0
I D.OD ��
09/16 HOLE (TVP)
STAND BASE
TOP VIEW
17918
4
OF CAL'
TUF-1 PERMANENT
FOUNDATION SYSTEM
ABESCO-GLIS GUARD CO?&ANY
5851 FLOWN - PERX NS ROAD
SACRAMENTO, CA 95823
PH: (800) 382-8831
FAX: (916) 383-3207
r 1/4" GRIPPE)
FLATE
COACH 'J" FRAME
m
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N
TEK STS
w
;4) REQUIRED
m
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A
1/4' GRIPPER
BASE
N
N
112' A3G7 BOLT
(4) REQUIRED
C— BEAM J—BEAM
ATTACHMENT ATTACHMENT
{r ¢
8"
1/2" DIA. HOLE (8) PLACES
STEEL FRAME
TOP VIEW
' STAB
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WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET i of 3
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GUERAL NOTES GUS GUARD TUF-1
1. DESIGN LOADS: LIVE LOAD - 30 I.R.
FLOOR LIVE LOAD - 40 PSF
WIN) LOAD - SO MPH EXPOSURE "C"
SEISMIC Z04C "4"
* SPIOW LCAD 100 PSF (SEE NOTE 115)
2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON
A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS.
3_ CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS
AS SHCWN IN THE 'MOBILE HOME INSTALLATION NSTRUCTIONS'.
4. IN AREAS WHERE DIFFERENTIA_ SETTLEMENT (D.S.) CAN OCCUR,
MANUFACTURED ROME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4'.
OR WHEY IT WILL ADVERSELY AFFECT MOBILE HOME UNIT_
5. CARRY ALL F007INGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS
ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE. AND
SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS, COMPACTED SAND
MAY BE USED TO FILL LOCAL VODS UNDER PADS.
6. STRUCTURAL STEEU FABRICATED ACCORDING TO AISC SPECIFICATION_
WELD ACCORDING TO AWS SPECIFICATIONS_ ELECTRODES -37D PLATES -ASTM
A36 BOLTS -SAE ,;R 5=ASTM A449=ASTM A3725.
7. THE GUS GUARD ASSEM13UES SHOWN ON TRIS PAGE SHALL EE LISTED AND
LABELED BY BSK AND ASSOCIATES FOR THE fOMOWINC LOADS:
AllOWABLE LOADS: HOQIZONT-kL VERTICAL
GUS GUARD TUF-1' 22001 60001
GUS GUARC MGP FAD 22004 60001
_GUS GUARC E -Z TIE PAD 2200# 60000
a_ DURING PRELIMINARY INSPECTION, THE ESTIMATOF SHALL ENSURE THAI
MOBILE HOME CHASSIS 3EAMS ARE OF STANDARD SECTION-
S. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY
INSTALLING GUS GUARD TUF-1 UNITS AS'SHOWN ON THIS PAGE OF T'P1CAL
JO FOUNDATION PLANS.
III . THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR IISTALLA-ION IN MOOD
F` PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT
C- dF%THR_E FEET.
`D it'iv LTIPLE UIIIT INSTALLATION IS ACCEPTABLE PROVIDED
S;'�T- t PLUMBER OF TUF-1 UNITS UNDER EACH UNIT IS
To,E- SAME AS SHOWN REQUIRED PER EACH UNIT.
12~,SINGLE-WIDE UNTS REQLIRE ADDITIONAL RESTRAINT. ' (SEE SHEET 13)-*
13 fAllC,VEfA1 COMPCNEI fS AND ATTACFY£NTS IrMS SHALL BE PROTECTIVE COATED.
14>-MITIIM CONCRETE SLAB IS IN EMSTANCE. PAD IS NOT
16. FOUNDATION BLOCXS 16'x 16'x12" POURED IN PLACE AT GROUND LEVEL MAY
BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS.
SINGLE WIDE COACHES DOU3LE/MULTIPLE COACHES
E= 2' MIN, 8' MAX, E= 2' MIN. / 1 I" MAX.
S= 6' MIN. / 16' MAX. S= 6' MIN_ / 22 MAX.
YARIES 10'-70' (SEE TABLE ON SHEET #3:1
f E S S .1�— 5 -- �' � E
{ 1
W
rRIDGE BEAN SUPPORT AS
REQUIRED BY MANUFACTURER
a I1 (TYPICAL) EJ 0_0 0
0 -
0-F a 0-0
0
8' NON.
LJ_2'' NOM_ 0
`
PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION
ROTATED 90 OEGREES OR PIERS AS RECOMMENDED BY
OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE
PVC SERIES `
SUPPORT 1
AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP)
C44 11c
Exp. a'
Tl OF cmw
< �iEQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT
�a --f%k (4) 1/2'x 3 1/7" EXPANSION ANCHORS_ FOUNDATION SYSTEM
5 Its, GUARD TIIF-1 FOUNDATI04 SYSTEM PROVDES
' ! r+. LLOWABLE SNCW LOAD TO 100 PSF WHEN INSTALLED 79257COLGUS GUARD COMPANY
WITH EXISTING STANDARDS RSQUIREC BY COACH PERKIIdS ROAD
-
FLORIAI
MANUFACTURER OR REPLACE -HEM OIL A ONE TO SA 5851 1 FLORIN
CA 95823
ONE BASIS. PH_ (8130) 382-8831
FAX: (916; 383-5207
STATE APPROVAL
MANUFACTURED HOME1A10BILE
FOUNDATION SYSTEM
IHFALTH AND SAPETY COD$ SDCrM I&M
APPROVED
mm.mcr To camemom L¢om
APPROVAL MO NOT ADTRORIZ6 OTB APl M Mr
OMISSIONS OR DEVIATION FROM REQU1RE6ii Mop
APPLICABLE STATE LAWS AND ABW"7UW
State or cmwbra's
_Po1 Hmtsflq ®A Cownmay DrmlkVmw&
CODES AWD
G`1
Cap
This Plan Annnval Pn ;...
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WAYNE T. POLVADO, PE—LISTING NO. F94249 'SHEET 2 of 3
o
-up
3/4- CIA. x 15" LG.
1/27X 3 1/2" 1 /2"x 8" LONG -(4) REQUIRED
EXPANSION ANCHOR All BOLT 3/8" CAD PLATED BOLT, NUT do WASHER
(4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM
l AT 8- O.C. (8) REQUIRED
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CONCRETE PAD INSTALLATION
POURED IN PLACE 16x16x12 CONCRETE l l
FOUNDATION INSTALLATIONmal a
Iy
CHASSIS FRAME
LIGHT HEAVY—WEIGHT
PLASTIC PAD INSTALLATION
36" MAX H11LYI-1RD8 U1'TI'[ S SINGLE TIDE UNP15
1/4" GRIPPER PLATE
(2) REQUIRED
1/4- GRIPPER BASE
1/2-13UNC-A307 x 4
BOLT WITH NUTS
• (4) REQUIRED
01 1/2" SCH 40 PTFE RISER WITH --
A1/2- ADJUSTER HOLES AND 3/8"
THICK TOP PLATE
02", SCH 40 PIPE STAND WITH TWO —
d2" ADJUSTER HOLES
..ABESCO AB3 PAD 1503 -
STEEL FRAME
TO BOTTOM
OF PAD
i
r 01 /2"x a" C.R.
LENGTH
HOME 1
24
W1 DTH 0
26
HOME
28 44
UP TO 44' 1
8
1 8
8 12
44-1 to WI
12
1 12
12 18
66'-Y to $01
20
1 20 1
!0 1 24
vnvm i
LEHM OF
HOME
10
WIDTH OF HOME
12 I14 16
UP TO 44'
6
1 6 16
6
4t'-11 % 6b'
8
I B I8
8
6s'-1' 10 801
10
1 10 1
In I 10
LOCK PIN WITH j NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED
01/8" BRIDGE NOTE; SINGLE WIDE UMTS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE
PIN
i TO BE PLACED AT APPROXn ATELY EQUAL INTERVALS ALONG EACH FRAME RAIL
I
�-I
SACRAMEM, CA 95823
j(800) 382-8831
FAX: (916) 383-3207
1
STATE APPROVAL
FOUNDATION SYSTEM
H AND SAFETY CCDE, SECTION 18-41
APPROVED
SUBTBCT SD OORRECTIONS 1. OM
ArROVAL DOES NOT AUTHCRIZE OR APPROV@ ANY
i .
0611 SSIONS DR DEVIATION FROM REQUrREMENT3 OF
APPLICABLE STATE LAWS AND mmAmcm
sura of CaliNinds
Hadi and Cwwmn 7Davalog0wt
PS AND STANDARDS v
BY � ZQ o
SPANID (�
i iiaPl=ApMvalFipasa �o
WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 o1 3
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CDF FIRE SAFE REQUIREMENTS
041-290-095 BP -04-2755 Vance
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required by the Butte County Fire
Department and made a part of this permit. These requirements are minimums and will be
superseded by Butte County local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for compliance.
[X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of
properties in conformance with these standards and measures and to
assure continued avail -ability, access and utilization of the defensible
space provided for in these standards, annual maintenance must be
provided for by the land owner.
Driveway Standards
[X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges,
culverts and other appurtenant structures which supplement the roadway
bed or shoulders) shall provided unobstructed access to conventional
drive vehicles, including sedans and fire apparatus weighing up to
40,000 pounds.
[X] 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
[X] 1. No roadway shall have a horizontal inside
radius of curvature of less than 50 feet and additional surface
width of 4 feet shall be added to curves of 50-100 feet radius; 2
feet to those from 100-200 feet.
[X] 2. the length of vertical curves in roadways
exclusive of gutters, ditches and drainage structures designed to
hold or divert water shall be not less than 100 feet.
[X] 1273.05 Turnarounds. If required, will have a minimum
turning radius of 40 feet from the center of the road.
[X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a
minimum 25 foot taper on each end.
[X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and
unobstructed vertical clearance of 15 feet along its entire length.
[X] 1273.10 Turnouts. Driveways exceeding 150 feet in length,
but less than 800 feet in length, shall provide a turnout near the midpoint
of the driveway. Where a driveway exceeds 800 feet, turnouts shall be
provided no more than 400 feet apart.
1273.11 Gates
[q 1. Gate entrances shall be at least two feet wider than the roadway
it serves.
2. The gates must be located at least 30 feet from the roadway and
shall open to allow a vehicle to stop without obstructing traffic on
the roadway.
3. Where a one-way road with a single traffic lane provides
entrance, a 50 foot turning radius shall be used.
CDF FIRE SAFE REQUIREMENTS
BP -04-2755 Vance
041-290-095 PERMIT # NAME
AP#
Fuel Modification
1276.01 Setback for Structure Defensible Space
�X] 1. All parcels 1 acre and larger shall provide a minimum 30 foot
setback for buildings and accessory buildings from all property
lines and/or the center of the road.
] 2. For parcels less than 1 acre, local jurisdiction shall provide for
the same practical effect. See other requirements below.
burying
pq 1276.02 a o�f removtal'to a landfion and llsits. e approvedbyth'egocapjursdiction, of
burning site development and
flammable vegetation and fuel caused
and fuel modification shall
construction, road and driveway
be completed prior to completion of road construction or final inspection
of a building permit.
Other Requirements
] If Buildin Setback is 15 to 30 Feet:
Class A or B roof
Enclosed Eaves
] If Buildin Setback is Less Than l 5 reeL--
Choose any 2 of the following:
Metal or no doors on side toward property line with insufficient setback
Interior automatic sprinkler system per NFPA 13D
Glass area not to exceed 10% of wall area toward property line with insufficient
setback
Siding from the following list:
Stucco — 3 coat
Hardi-Board or Plank
Masonry
Masonry Veneer
Metal roved materials
Other Butte county Fire Department app
09/22/2004 Darren Read
Date Signature
2
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Adjacent (jai
Size: 5 acre
Zoning: U
Beak
i
Adjacent parcel Info:
Size: 0.08 ams /
Zoning: U /
Existing electrical
UflKy pole
EXISTING GATE
--� / General slope
of property
16,
B®° From center of road
to gate post
Proposed electrical
\ rmeter location
Pro9g'cW
Proposed propane
tank lotion
Proposed residence
t-- 50°
137'-Q'
Seasonal creek
Adjacent parcel Inin:
Sias: 200 acnes
Zoning: ®S
Location Map
IME&AICAL, MECHANICAL, AND PLUMIINC
CONSTRUCTI3 ( NOT PLAN CHECKED
3HALLCOMPLOY WITH CURRENT E ITtON
3.� OF ASC, UMC AND UPC.
t�
E:
Mch
ed
Re ; i�ciet)i1tS
fl k Pages
Eistmng septic*KC)C
tank and leachMd
X330°
Adjacent parcel Info:
Size: 10 acres
Zoning: U
8odoo 1164" --� T
PLANNING DIVISION - BUILDING PLAN APPROVAL
Use: Date: a - ? 00`I
Parking: Landscaping:
Other.
Signature: 4
0q- a7Ss nuc.
6UTTE COUN I ,
RUILDiNG DEPA RTMIF
A P P R 0 V r
F
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DATE: 4422004
DWG: LV
CKD:
REVISED: 9/171004
PARCEL #��0041nn6=�I-nn290-022�°
SCALE: AS uV11KEED
SHEET:
OF SHEETS
0
0
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0-
DATE: 4422004
DWG: LV
CKD:
REVISED: 9/171004
PARCEL #��0041nn6=�I-nn290-022�°
SCALE: AS uV11KEED
SHEET:
OF SHEETS