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041-480-037
4� -48-37 e+ q i /W Richard Alexander., j � I �, Pri.d �t rd., 1/3 mi. of Cherokee Id. - J 9/10 mi.S.of Cemetery,Cherokee % - `D- /' Pe, ��5159-79P,E(util ,MH SUPPORT STRUCTUIRE REQ. /yQ > COMPACTION TEST REQ. /j/p _,-•: `_ • c ntr Gene Sch�iiitt MH Serv. , Vina Permit #7387-79MgI �� ssued /o����/79' %914 41-48-37 -� �P_er i #7553iZ.9P(gas line/5159-79) MH ` 0�+1-48-0-037.: 93-3919 B ALEXANDER; KAREN & RICH - 98•:HUMPYBACK . RD; CHEROKEE'/ �� COVERED [ATALKWAY/MH - / q 1 041-480-037 -3058 ~ [ I_AVAGNINO, CARRI 98 HUMPY .BACK RD, OR VIg1 Cont: CHI MHS m EX MH PERM FND V - RECORDING'REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 4a1068348 Recorded I REC FEE 13.00 Official Records I CONFORM 1.00 County Of I BUTTE I CANDACE J. GRUBBS 1 Recorder I ROSEMARY DICKSON I Assistant I Jason 09:02AM 08—Nov-2004 I Page 1 of 3 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. GRACE LAVAGNINO AND CARRIE LAVAGNINO REAL PROPERTY OWNER/LESSOR 98 HUMPYBACK RD. MAILING ADDRESS OROVILLE BUTTE CA. x95965 CITY COUNTY - STATE ZIP SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT ' SAME - CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION MOUNTAIN HOME 1979 MANUFACTURER'S NAME 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 04-3058 (530) 538-7541 EIVMIT NO. TELEPHONE MBER� /� SIGNAT AL AGENCY OFFICIAL DATE NON' DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. DATE OF MANUFACTURE LIKINOM03UT 611 MODEL NAME/NUMBER 2790A/B 64'X 24' CAL123901/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 041-480-037 - HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. , SC ORDER NO.: 00202323-099 - DRK THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL A: PARCEL 31 AS SHOWN ON THAT CERTAIN PARCEL MAP OF A PORTION OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D. & M., WHICH PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, NOVEMBER 15,1974, IN BOOK 50 OF MAPS, AT PAGES 94 AND 95. AP NO. 041-490-037 PARCEL B: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS THE NORTH LINE OF THE SOUTH 2100 FEET OF SAID SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.M., LYING WESTERLY OF THE OROVILLE-CHEROKEE ROAD, AS THE SAME EXISTED MARCH 30,1950, AND EASTERLY OF THE EASTERLY LINE OF THE ABOVE DESCRIBED PROPERTY. s PARCEL C: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, LYING SOUTHERLY AND EASTERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT THAT BEARS SOUTH 290 28' 18" WEST, 1146.60 FEET FROM THE SOUTH QUARTER CORNER OF SAID SECTION 28; THENCE SOUTH 18° 1412111 EAST,160.22 FEET; THENCE SOUTH 200 00134" EAST,187.42 FEET; THENCE SOUTH 08° 53' 13" EAST, 340.50 FEET; THENCE SOUTH 23° 25126" WEST, 258.71 FEET; THENCE SOUTH 250 06'35" WEST, 370.53 FEET; THENCE SOUTH 040 32'2411 WEST, 305.16 FEET; THENCE SOUTH 200 14' 58" EAST, 216.58 FEET; THENCE SOUTH 07° 51143" WEST, 93.82 FEET; THENCE SOUTH 31° 36' 53"EAST, 148.36 FEET; THENCE SOUTH 46° 59' 02" EAST, 154.67 FEET TO THE TRUE POINT OF BEGINNING FOR THE LINE HEREIN DESCRIBED; THENCE SOUTH 460 59' 02" EAST, 110.33 FEET; THENCE SOUTH 260 1114511 EAST, 274.32 FEET; THENCE SOUTH 76° 3112011 EAST, 201.79 FEET; THENCE NORTH 60° 09140" EAST, '454.20 FEET; THENCE NORTH 080 3910511 WEST, 99.15 FEET TO A POINT ON THE NORTH LINE OF THE SOUTH 2100 FEET OF SAID SECTION 33 AND THE END OF SAID LINE. PABLUM e ORDER NO.: 00202323-099 - DRK (CONTINUED) PARCEL D: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS THE NORTH LINE OF THE SOUTH 3150 FEET OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., LYING WESTERLY OF THE OROVILLE CHEROKEE ROAD, AS THE SAME EXISTED MARCH 30,1950, AND EASTERLY OF THE EASTERLY LINE OF THE ABOVE DESCRIBED PROPERTY. PARCEL E: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, OVER A STRIP OF LAND 30 FEET IN WIDTH, LYING EASTERLY OF AND ADJACENT TO THE EASTERLY LINE OF PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, OF A PORTION OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., WHICH PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, NOVEMBER 15,1974, IN BOOK'50 OF MAPS, AT PAGES 94 AND 95, LYING WITHIN THE NORTHERLY 3200 FEET OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M. 9 Him RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Capt of Document Recorded 08-Hov-2004 2004-0068348 Has not been compared with original BUTTE COUNTY RECORDER 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. GRACE LAVAGNINO AND CABBIE LAVAGNINO REAL PROPERTY OWNERlLESSOR 98 HUMPYBACK RD. MAILING ADDRESS OROVILLE BUTTE CA. 95965 CITY COUNTY STATE zip SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT SAME 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 04-3058 (530) 53,N8�1-7541 BUI G MIT NO. TELEPHONE _ MBER J SIGN TI) AL AGENCY OFFICIAL DATE NON I DEALER NAME (if not a dealer sale. write "NONE") NONE DEALER LICENSE NO MOUNTAIN HOME 1979 UNKNOWN MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAMENUMBER 2790AJB 64'X 24' CAL123901/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER 041-480-037 e>~F ATTAruFT) MCD FORM 433(A) REV. 8/91 V ORDER NO.: 00202323-099 - DRK THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL A: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP OF A PORTION OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D. & M., WHICH PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, NOVEMBER 15t 19740 IN BOOK 50 OF MAPS, AT PAGES 94 AND 95. AP NO. 041-480-037 PARCEL B: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS THE NORTH LINE OF THE SOUTH 2100 FEET OF SAID SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.M., LYING WESTERLY OF THE OROVILLE-CHEROKEE ROAD, AS THE SAME EXISTED MARCH 30,1950, AND EASTERLY OF THE EASTERLY LINE OF THE ABOVE DESCRIBED PROPERTY. s PARCEL C: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, LYING SOUTHERLY AND EASTERLY OF AND ADJACENT TO THE FOLLOWING DESCRIBED LINE: BEGINNING AT A POINT THAT BEARS SOUTH 290 28' 18" WEST, 1146.60 FEET FROM THE SOUTH QUARTER CORNER OF SAID SECTION 28; THENCE SOUTH 18° 1412111 EAST, 160.22 FEET; THENCE SOUTH 20° 00' 34" EAST,187.42 FEET; THENCE SOUTH 08° 53113" EAST, 340.50 FEET; THENCE SOUTH 230 2512611 WEST, 258.71 FEET; THENCE SOUTH 250 06135" WEST, 370.53 FEET; THENCE SOUTH 04° 32'24" WEST, 305.16 FEET; THENCE SOUTH 200 1415811 EAST, 216.58 FEET; THENCE SOUTH 070 51143" WEST, 93.82 FEET; THENCE SOUTH 31° 36153" EAST, 148.36 FEET; THENCE SOUTH 46° 59102" EAST, 154.67 FEET TO THE TRUE POINT OF BEGINNING FOR THE LINE HEREIN DESCRIBED; THENCE SOUTH 460 59' 02" EAST, 110.33 FEET; THENCE SOUTH 260 1114511 EAST, 274.32 FEET; THENCE SOUTH 76° 31'20" EAST, 201.79 FEET; THENCE NORTH 600 09140" EAST, 454.20 FEET; THENCE NORTH 08° 3910511 WEST, 99.15 FEET TO A POINT ON THE NORTH LINE OF THE SOUTH 2100 FEET OF SAID SECTION 33 AND THE END OF SAID LINE. ROZA ORDER NO.: 00202323-099 - DRK (CONTMED) PARCEL D: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, OVER A STRIP OF LAND 60 FEET IN WIDTH, THE CENTERLINE OF WHICH IS THE NORTH LINE OF THE SOUTH 3150 FEET OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., LYING WESTERLY OF THE OROVILLE CHEROKEE ROAD, AS THE SAME EXISTED MARCH 30919501, AND EASTERLY OF THE EASTERLY LINE OF THE ABOVE DESCRIBED PROPERTY. PARCEL E: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES, OVER A STRIP OF LAND 30 FEET IN WIDTH, LYING EASTERLY OF AND ADJACENT TO THE EASTERLY LINE OF PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, OF A PORTION OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M., WHICH PARCEL MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, NOVEMBER 15,1974, IN BOOK 50 OF MAPS, AT PAGES 94 AND 95, LYING WITHIN THE NORTHERLY 3200 FEET OF SECTION 33, TOWNSHIP 21 NORTH, RANGE 4 EAST, M.D.B. & M. l t 9 mum ... v v TRI COUNTIES BANK - 1-800-922-8742 11WO kto 313 6:(11 1:1211350451: NAME: AP#: DATE: • ... v v TRI COUNTIES BANK - 1-800-922-8742 11WO kto 313 6:(11 1:1211350451: NAME: AP#: DATE: NOTES'" RESIDENTIAL .� PERMIT NO. — 041 480-037 04-3058 V LAVA.GNINO, CARRIE i. 98 HUMPY BACK RD, OROVILLE Cont: CHICO MHS EX MH PERM FND i THE HCD FORM 433A FOR THIS MH CANNOT B'E Ir• RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: ` (1) LICENSE PLATE(S) OR DECAL (THE' r J. INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON K NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED' BY SRA F FLOOD CERTIFICATE^REQ. FIRE -SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 4 i f t JOB FINALED (Date) Signature J=C* 0 = Not OK • . = NotReadyable MOBILE HOMES Date MOBILf- 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 / /" L "ft./ P LPG 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- 7. Well Clearance & Disconnect 2. 8. Utility Clearance r' 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing . 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Date 7. Card B-1 Date Card B-1 Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Roof; Shthg-Roofing 1. Zoning Requirements -Setbacks -Easements 12. 2. Footings; Size -Spacing -Marriage Line 12. 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain;•MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector .7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch j 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) t 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test ' 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 Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, Steel -Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits ' 8. Piers -Fireplace Ftg.-Steel Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation 63. Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 64. 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 80. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 81. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 82. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 83. 33. Equip. Clearances Panels-Motors-Mech. Equip. 84. 34. Clothes Closet Light -Shower Light -Spa Light 85. 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date ,r Water Well, Disconnect, Electrical, Plumbing °. Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 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 t. Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes O No/Walks ❑ Yes ❑ No/Planters O Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. ,r Water Well, Disconnect, Electrical, Plumbing °. 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY . DEPARTMENT OF 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.neAdds PERMIT NO. BP043058 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: APN• 041-480-037-000 the Business and Professions Code, and my license is in full force and effect. ��/CL� License Class: License Number: Site Address: 98 HUMPYBACK RD ORO , Dater • _OLL Contractor: Map Index: Description: EX MH ON PERM FND OWNER eUILDE,KDEC,fARATION I hereby affirm under penalty of/perjuo that I am exempt from the Contractors' State License Law 4or the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires. a Owner: LAVAGNINO GRACE ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a LAVAGNINO CARRIE signed statement that he or she is licensed pursuant to the provisions of 98 HUMPYBACK RD the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95965-9104 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LAVAGNINO GRACE ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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 Contractor: JERRY'S MOBILE HOME SERVICE not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 479 BOQUEST BLVD ❑ I am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95969 Date: - Owner: 530-876-0369 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 696262 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: g required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. PolicyA. -the Valuation: $0.00 CW11'certify that in the performance of wch 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: .lI WARNING: ailur to secure workers' compensation coverage is tunlawful, anan employer to criminal penalties and one hundred th san dollars ($100,000), in addition to the cost of compensati n, 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 applicable provisions of the Bette County Coda ?nryor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to d vori i dicated above for which fees have been paid. 11 % Name: By: �yDate: PERMIT EXPIRES Address: ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827:5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct• and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter tf( f any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspe n p. 7anc Print Name:- L� Sign. Date: —` c ❑ Owner a]' Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name — irst Name Address City Q State Zip 9579(o _r Phone v - Fax E-mail APPLICANT NAME CONTRACTOR Name C� E' Address 9 %3o W 2 % City StateCe� Zip 23-22 7 -Phone a E-mail Lic. # �S O . Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone LENDING AGENCY Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail PPLICANT SIGNATURE For o ice #e only: Zoni g ffi Flood Zone SRA es No OC6. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT l . BP BIN # LOCATION AP# (— - o37 Prope d ess City Cross Street t WORKER'S COMPENSATION Policy Number Carrier 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 Des ription or Scope of ork: Sq. Footage -� ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): OVER FOR SUBMITTAL REQUIREMENTS Ll K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 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 do ing fees, plan check fees for work plan checked and o p3,rtment osts are not Received by: �� �L'31- SRA b Receipt #. Sheriff It t SMIP Date: / 0 C I d al REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a.. permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). n1_3—Sanitation_ d -site plan -a e_Ea*_onmentaLdealth_Departmenf. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Workers Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 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: �-'' ` `� Q ` \� r , v Y ASSESSOR PARCEL NUMBER Proposed Building Use: Q ' Counter Technician: Date: (� , Items required in order fo apply f6ir'aperifift. All boxesl MUST be checked OR marked NA in order to 6ply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . �❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, '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 ❑ 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 ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the P blic Works De Z"'28. Pre -Inspection for I �ired....... ❑ 29. Contractor's license informati n. (Number, Name Style, Clas Del ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits.. * ........ ...... ermits.......................... ❑ 36. Deed Restriction..........................................................................I.............. -ff 37.e Grant Deed,-fyl.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 0 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been i formed.of the above items and requirements for obtaining a building permit. Applicant: / _�� C� Date: 1. Index permi applic {ion fvor e a o�veitems numbered: Plan Check Letter 2. AdOor, ems required ontrsigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: i ' i, 7 �! Con rsigner, owner was advised of the above data by ❑ phone, ❑ mail, ❑ counte , by Date: Plans reviewed by: Date: (8 ZU • 04 Plans approved by: Date: u - Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division a BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES I ; BUILDING PERMIT •s 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. BP043058 LICENSED CONTRACTORS DECLARATION f 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: APN: 041-480-037-000 the Business and Professions Code, and my license is in full force and License Class: V7- License Number: Site Address: 98 HUMPYBACK RD ORO Date:/Map Contracto . I Map Index: Description: EX MH ON PERM FND t OWNER$UILDE DE ARATION I hereby that' I from the affirm under penalty of pedu am exempt . Contractors' State License Law or the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LAVAGNINO GRACE ETAL permit to construct, alter, improve, demolish, or tepair,any structure, prior to its issuance, also requires the applicant for such permit to file a LAVAGNINO CARRIE signed statement that he or she is licensed pursuant to the provisions of 98 HUMPYBACK RD the Contractor's State License Law (Chapter 9'commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95965-9104 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: LAVAGNINO GRACE ETAL - Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder. will 'have the burden of �4 proving that he or she did not build or improve for the purpose of ; sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State'License Law does Contractor: JERRY'S MOBILE HOME SERVICE not apply to an owner of property who builds ort improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 479 BOQUEST BLVD' ❑ 1 am Exempt under Article 3 of the Business and Professions Code PARADISE, CA 95969 Date: Owner: 530-876-0369' WORKERS' ,COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 696262 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: 9 required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: `. Square Ft: 0 S.F. PolicyTotal Valuation: $0.00 I 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 C_ alifomia, 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. JK Date: , Applicant: WARNING: ailur to secure workers' compensation coverage is hall an to I f unlawful, and subject employer criminal penalties and one hundred th san ,dolla� ($100,000), in addition to the cost of compensati n, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. l L-- f—\� f t y 1 e,Y CONSTRUCTION LENDING AGENCY - This permit is hereby issued under the applicable provisions of the Bntte County Code ?nNor I hereby affirm that there is a construction lending agency for the of the work for which this is issued (Sec 3097 Civ.) Resolutions to d diceted above for which fees have been paid. ' 1 ' V performance permit Name: r r ` `+ By: Date: Address: f PERMIT EXPIRES ON:• ' Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. , + ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this.project. , Cl Attached are copies of the required E.P.A. notification forms. the owner or the duly authorized agent of the owner. I agree to comply with I hereby certify that 1 have read this application, that the above information is correct, and that I am7f,anyofficlal all county and state laws relating to building construction. I acknowledge it is unlawful to alter t form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspPrintName: LOSign ( Date: Z = t ❑ Owner JW—Contractor ❑ Agent for Owner ❑ Agent for Contractor BUILDING: PERMIT NUMBER: -04-3058 Addressor location `of :unit: -'98 HUMPYBACK RD. OROVILLE, CA-. 95965' Legal`'Description'ofReal Property: AP#: 041-4.80=037 SEE ATTACHED (x) Mobilehome/Manufactured Home O •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: ;GRACE -LAVAGNINO AND CARRIE LAVAGNINO :Owner's. address:. 98 `H-UMPYBACK RD: OROVILLE, CA. 9590'. . INSIGNIA OR HUD NUMBER-' CAL123901/2 • SERIAL NUMBER OR V.I:N.: 2790A/B MANUFACTURER'SNAME: MOUNTAIN HOME' YEAR: 1979 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C y t BUILDING: PERMIT NUMBER: -04-3058 Addressor location `of :unit: -'98 HUMPYBACK RD. OROVILLE, CA-. 95965' Legal`'Description'ofReal Property: AP#: 041-4.80=037 SEE ATTACHED (x) Mobilehome/Manufactured Home O •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: ;GRACE -LAVAGNINO AND CARRIE LAVAGNINO :Owner's. address:. 98 `H-UMPYBACK RD: OROVILLE, CA. 9590'. . INSIGNIA OR HUD NUMBER-' CAL123901/2 • SERIAL NUMBER OR V.I:N.: 2790A/B MANUFACTURER'SNAME: MOUNTAIN HOME' YEAR: 1979 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C y COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 P /EI&MIT APPLICATION DATA SHEET Lo� \ OWNER: /0_ `n `, j ) � v ASSESSOR PARCEL NUMBER Proposed Building Use: WV) Counter Technician: Date: fo t 7eI ms required in order o apply fora per it. All boxedMUST be checked OR marked NA in order to a ply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. 0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (96e 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. ❑ 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 clearance and site plan approval from the Ag Commissioner's office ❑ 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 ❑ paid. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _Drainage. ❑ 26. NPDES Form ❑/ 27. Encroachment Permit or driveway fr the Public Works Dept. (construction approval prior to occupancy). 28. Pre -Inspection for C required. ❑ 29. Contractor's license informati n. (Number, Name Style, Classification). ❑ 30. Worker's Compensation Carrier and Policy Number. ❑ 31. Owner -Builder Verification ( _ Given to owner, _ Mailed to owner). ❑ 32. Letter of Signature authorization. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ❑ 34. Manufactured home utility clearance. ❑ 35. Existing violations and/or expired permits. ❑ 36. Deed Restriction. 37.E Grant Dee , M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have bFnewapplication, f the above items and requirements' or obtaining a building permit. ApplicaDate: EXPIRATION OF APPLICATION Applicatipermit has not been issued will expire one year after date of application. In order to renew action on an application after expiratio plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Original -Applicant S �. Illll111{illl!!!1llllllfll!{111111 3 MCOBDWO REQUESTED BY Bm� &MHOW RECORDING REQUESTED BY Recorded I REC FEE 13. a Official Records I Placer Title Company CountyBUTTEOf j Escrow Number: 504-7449 CANDACEJ. eRUBBS I AND WHEN RECORDED MAIL TO RecorROSEMARY derDICKSON I GRACE LAVAGNINO AND KARRIE LAVAGNINO Assistant I Myles 98 HUMPPYBACK 09:00AM 03 -Jul -2802 I Page i of 3 OROVVII,LLE, CALIFORNIA 95985 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED 3 The.underSigned grantor(s) declare(s): Documentary transfer tax is $44.00 City Transfer Tax: $0.00 (X) computed on full value of property conveyed, or 0 computed on full value less value of liens and encumbrances remaining at time of sate. FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, G. RICHARD ALEXANDER AKA RICHARD ALEXANDER AND KAREN ALEXANDER, HUSBAND AND WIFE HerebyGRANT(S) to GRACE LAVAGNINO AN UNMARRIED WOMAN AND CARRIE LAVAGNINO, AN UNMARRIED WOMAN AS JOINT TENANTS ALL THAT CERTAIN REAL PROPERTY SITUATED IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS:SEBD,LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF Dated: • June 28, 2002 STATE OF CALIFORNIA COUNTYOF Sutter On 6/28/02 before e, ilJ a`a' person allyppeared mR i s arc e x n e r andel area Alexander B; yG. RICHARD ALEXANDER ARICHARD personally known to me (or proved to me on the basis of ALEXANDER satisfactory evidence) to be the person(s) whose name(s) is/are �� _II/�� i subscribed to the within instrument an acknowledged to me that By: helshelthey executed the same in his/her/their authorized KAREN ALEXANDER capacity(ies), and that by hlslherAheir 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 CI eal. J. DE VORE ✓ Signature: Commbslon # 1236564 Notary Public — t;alt(omla Sutter County My Comm• 15.4003 MAILTAX STATE Ef* fS TO PARTY SHOWN ON FOLLO WING LINE; IF NO (PARTY SHOWN, MAIL AS DIRECTED ABOVE SAME AS ABOVE Name Sam Addross City & State ow,me,oaexurmop S'T'ATE OF CALIFORNIA - DEPARTMENT OF DOUSING AND COMMUNITY DEVELOPMENT CERTMCATE OF TITLE .�._. Mwafami-ed Homo Decal No: LBEI463 Mamtactumr 1D/Name 'True Nacos Model DOHA DFS RY Exp. Dato AIWUNTAIN HAA 00/00/1979 OOMWI1711 Sertal Number Label/Insipla Humber 1AtelS S. Length Width SPC SCC Exompt Uso Type. 2?00A CAL123901 t34' 17 04 SFDL.PT 7908 12� CAL123902 84' 17 F Isouod Total Foes Paid { } Aug 27, 2002 $117.00 Addressee GRACE LAVAGNINO 98 HUMPYBACK OROVILLE, CA 95965 _ 4r Registered OWn#r(s) GRACE LAVdGNINO CARRIE LAVAGNINO Joint Tenailta with'ftht of Survivorship 98 HUMPYBA('k""- OROVILLE, CA 95965 Situs Address b$ !"i13'IVt�'i'E%1Gh ' OROVILLE, CA, 95965 k. IMPOrrl'ANT THE OWNER INFORMATION SHOWN ABOVE MAVANOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DOVELOiPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DIN: 2374253 08272002- 493 �I -.�' oy . �y _�� � jos — �. Building Permit Number: Q X34 5 8 Owner Name: La Viz g n i h O Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation 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. R•ml � � H F • F Page 2of 2 Building Permit Number: L/ -� Owner Name: vt O 4 ® Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. = Fire sprinklers are required in this structure. The following parcel map requirements shall be met: -_ _- All structures andeq�uipment including overhangs shall be clear of all easements. A setback.of oOO eet from the side andy 3kTeet 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 fora 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. r - Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/212003 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval I MMWACMED ROMMOME FOUNDATION SYSWM i[S4=AND,8AFM CODJL 9== IO! A:'FAOV6D acr70copla OMMOM A"%WAL D= ?= AVrR0R= 0K A"%M N DM OATS OR DSVIATiON FROM RStWCREM0M *UMCNM STATE LAWS AND RBOULUMM BUTTE COUNT q, ILDING DEPAR a.PP ROVE M rl- co L co O N O O INDEX PAGE RELEASE SECTION NUMBER DATE INTRODUCTION ' 2 9/2/03 GENERAL INSTALLATION 3 9/2/03 PARTS LIST 4&5 9/2/03 LONGITUDINAL DEVICES 6 9/2/03 PIER HEIGHTS 7 9/2/03 SET-UP INSTRUCTIONS 8 9/2/03 FOOTER SIZES WIND ZONE I - SINGLE 9 9/2/03 - DOUBLE 10 .9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval I MMWACMED ROMMOME FOUNDATION SYSWM i[S4=AND,8AFM CODJL 9== IO! A:'FAOV6D acr70copla OMMOM A"%WAL D= ?= AVrR0R= 0K A"%M N DM OATS OR DSVIATiON FROM RStWCREM0M *UMCNM STATE LAWS AND RBOULUMM BUTTE COUNT q, ILDING DEPAR a.PP ROVE M rl- co L co O N O O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS - Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. 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 locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. �X *-Jm Page 2 California 9/2/03 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 (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE - TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16" ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. *X -E Page 3 California 9/2/03 Vector Dynamics Foundation Systems Lateral Component Parts List Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V -Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. it. pad (2 required) # 59024 - Vector Lateral Hardware Kit, . includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. Page 4 California 9/2/03 MI Vector Dynamics Foundation Systems Longitudinal COMPonent Parts List Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, - longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System # 59.026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 = For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) <a am Page 5 California 9/2/03 Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD C 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD _ Note: Two struts =1 L.S.D. system. Can be used on one pad or slipt on opposite ends of the home. Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single 5ection 1 I I I I I I I I I I I I I I I I I I I � I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Wind Zone I Triple 5ection Wind Zone I Tag 5ection 9 48 Ft. Max. Page 6 California 9/2/03 f�1�1 [�I�1 GLl Wind Zone I Tag 5ection 9 48 Ft. Max. Page 6 California 9/2/03 _ 50 in max. Maximum Pier Heiaht r 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 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with. -the following exception: 'double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 in max. Maximum Unequal Pier Heights Homes with unequal.pier heights are limited to 50" maximum pier height. The difference. between the taller pier and the"shorter pier cannot e'xcee'd 26". Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 ul Long U -Bolts Ile ae�a h, , 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side 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. Page 8 California 9/2/03 WIND ZONE I \2 sq.'ft. -pad/ p.CMP. s4 K• mo- NOTE: Vector Systems should be spaced as symmetrically as possible along the length of'the home. Pier spacing must be consistent with:home manufacturers' 2, 3,,4A, & 4B instructions and/or state requirements. 1,000 PSF minimum 30" with 2-4" helix anchor (59095), 12" stabilizer, plates (59292), 1=1/4" -frame ties Home Length ♦ .a. ,�� P�. -- CD Required Per Side or 24 Pier 24+" Piers 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 WIND ZONE I, SEISMIC ZONE 4 " Vector Dynamics Systems Required for , , ' ", - ' - - ' ♦ \ Single Section Moines Stabilization Device See Page 6. (Materials Required) C-) _ - - n ho o Soil Classifications: Soil Bearing Capacity: Anchors Required: i i - ,- k G ' s z WIND ZONE I \2 sq.'ft. -pad/ p.CMP. s4 K• mo- NOTE: Vector Systems should be spaced as symmetrically as possible along the length of'the home. Pier spacing must be consistent with:home manufacturers' 2, 3,,4A, & 4B instructions and/or state requirements. 1,000 PSF minimum 30" with 2-4" helix anchor (59095), 12" stabilizer, plates (59292), 1=1/4" -frame ties Home Length ♦ .a. ,�� P�. -- CD Required Per Side or 24 Pier 24+" Piers 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 Note: L.S.D.= Longitudinal Stabilization Device See Page 6. C-) o Soil Classifications: Soil Bearing Capacity: Anchors Required: WIND ZONE I \2 sq.'ft. -pad/ p.CMP. s4 K• mo- NOTE: Vector Systems should be spaced as symmetrically as possible along the length of'the home. Pier spacing must be consistent with:home manufacturers' 2, 3,,4A, & 4B instructions and/or state requirements. 1,000 PSF minimum 30" with 2-4" helix anchor (59095), 12" stabilizer, plates (59292), 1=1/4" -frame ties Home Length Vector Systems Anchors Required Required Per Side or 24 Pier 24+" Piers 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression. member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE I, SEISMIC ZONE 4 Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 Vector Dynamics Systems Required for 5 0 4 - ♦ I Double Section Homes ' ' " _ - ' " " ♦ ` \ \ _ (Materials Required) e hpm' _ - -• \ ♦I ` ` etvttprl , \ -IN Ila ♦ � — I ` ,:ice-�.� � >, <„� _ � \ u,• - .::x 1 _ r Ott `� \ � a � j � �� �, ♦ I co CD O NOTE: Vector Systems should be spaced as symmetrically as possible along the length o home. Pier spacing must be consistent with manufacturers' instructions and/or state reqs Lts No anchors required. For pier heights up to 46" for 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. WIND ZONE 1 �2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B f Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' 5 0 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. co NOTE: CD When a pier height at Vector locations exceeds 46", an 1 anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible,along the length of the home. Pier spacing must be consistent with home C -)manufacturers' instructions and/or state requirements. w 0 Tag ori: full triple 0 co 2 sq. ft. pad 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: None (*Marriage wall anchors may be required by home manufacturer.) Home Length. Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2onTag 0 2 1 49'to71' 3+2onTag 0 WIND ZONE I, SEISMIC ZONE 4 �homeems " ♦`\,� `` Vector Dynamics Systems Required for o s - _ " _ _ - ' ' -ro it mV\ti setveot°( sy to, ` Triple Section Homes 5+2onTag " - - _ - ' _ " \e of a Hera\ spao`ng 2 (Materials Required) - - - -,� - ' _ ExamPhoWs 9s \ ♦ \ \ s � fir. � ♦�� f��<`j�����,� � � �' :., I .;� \ �. , co NOTE: CD When a pier height at Vector locations exceeds 46", an 1 anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible,along the length of the home. Pier spacing must be consistent with home C -)manufacturers' instructions and/or state requirements. w 0 Tag ori: full triple 0 co 2 sq. ft. pad 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: None (*Marriage wall anchors may be required by home manufacturer.) Home Length. Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2onTag 0 2 1 49'to71' 3+2onTag 0 2 1 72'to84' 4+2onTag 0 2, 2 85'to90' 5+2onTag 0 2 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) Vector Dynamics Systems Required for Double Section Homes (High Pier Sets with Diagonal Ties) p nh me - - �e e�t'o -' 72, doub s - --------,- E ,Pie 01 _ xa--I-3CD NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. 0 WIND ZONE I Max. Height Unit Width See Page 7 CO rw I -Beam W Spacing ,1 �2 sq. ft. pad/ 45' Min. 0 to 48' 2 2 2 49' to 71' 3 3 3 72' to 84' 4 4 4 F85' to 90' 5 5 4 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required`: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) I WIND ZONE .I1, SEISMIC ZONE 4 (Hurricane) - - Vector Dynamics Systems Required for 1 ` Single Section, Homes (High Pier Sets with Diagonal Ties) eGti100 h°y em�a` g�%de\Ines' kOt of a72t\era sP9�meotsac�at�onn`an "--- l .n EXaCn\ Sh°\Ns c 1,oe to h° on m \1\�ssr d sPao�n9 on Pad \ IFO%pdate 1 � _tc 24" C) �. w 'WIND ZONE II (not to scale) u t Soil Classifications: 2,3, 4A & 4B Soil Bearing Capacity: 1;000 PSF minimum Anchors Required": 30" with 4" helix anchor (59095), 1-1 /4" vertical ties w/4725 lbs. min. 1 _ breaking strength. Home Length Vector Systems Required Anchors Equired per side LSD Oto 48' 3 5 r 24" C) �. w 'WIND ZONE II (not to scale) u t Soil Classifications: 2,3, 4A & 4B Soil Bearing Capacity: 1;000 PSF minimum Anchors Required": 30" with 4" helix anchor (59095), 1-1 /4" vertical ties w/4725 lbs. min. 1 _ breaking strength. Home Length Vector Systems Required Anchors Equired per side LSD Oto 48' 3 5 2 49' to 60' 5 6 2 61" to 72' 6 7 2 73' to 84' 7' 8 2 85' to 90' 8 9 2 ...�,n k l m i m tttttttti .mow.;. 2n V O.HP' S w NOTE: Vector Systems should be spaced asA' symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Each Vector System requires one of the following: �2 sq. ft. pad 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) C-) 2 K Q 0 W WIND ZONE II, SEISMIC ZONE 4 Vector Dynamics Systems Required for ho s Se or syste �a\ Double Section Homes - - , _ _ - - a 2 as pb peg torsa\\at�O� man EXampis ows g Ust be to home ,, - k\\\Ustaid sPa°%n9 Pads NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Soil Classifications: Soil Bearing Capacity: Anchors Required": 2,3, 4A & 4B 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Anchors Equired per side Vector Systems Required LSD 0 to 48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 3 73' to 84' 7 7 4 85' to 90' 8 8 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) C') w K 0 c� 0 CA) NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements Soil Classifications: Soil Bearing Capacity: Anchors Required`: 2, 3, 4A, & 4B 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095)1-1/4" vertical ties w//4725 lbs: min. breaking strength. Home Length Vector Systems Required Anchors. Required Per Side LSD Main TAG 0to46' 3+2 on Tag WIND ZONE II, SEISMIC ZONE 4 1 49'to71' 4+2 on Tag >' 3 Vector Dynamics Systems Required for 4+3 on Tag - � - 3 ♦ ` ♦ �` Triple Section HomesSec�veCto 8 osystems \`\ - (Materials Required) _ _ , _ - ' _ 6 tt tnv ��g tov ♦ i ♦ _ P\e o{ ae eras spao " 'a `, .. i ` ♦ ♦ `\ Etn ,'1 �♦ `.' , `♦ I \ �- ���U — _ —� — <.°. ,fix ;� ♦ , 1 3l :Y �(�1 ♦ 1 _ s< %C7 ter,%C7 ✓ 1 O ss1 . ` \\ .... fi .0 ,. �;. .♦ ♦ 1 ANN ..!,. _ NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements Soil Classifications: Soil Bearing Capacity: Anchors Required`: 2, 3, 4A, & 4B 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095)1-1/4" vertical ties w//4725 lbs: min. breaking strength. Home Length Vector Systems Required Anchors. Required Per Side LSD Main TAG 0to46' 3+2 on Tag 4 2 1 49'to71' 4+2 on Tag 6 3 2 72'to84' 4+3 on Tag 7 3 2 85' to 90' 5+ 3 on Tag 8 3 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure.treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 2 sq. pad 2 sq. ft. pad Vector Dynamics Metal Pier & V -Drive Installation METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16". Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V -Drive System for rocky soil conditions V -Drive anchors are used only in Zone 1. single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer. board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. '$E4 Page 16 California 2/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. _ 20x20 = 400 sq. in. ;4 or 16x18 = 288 sq. in. _ or 17x25=425 sq. in. _- EQUALS EQUALS7 71 2 -Vector Pads # 59275 ' - 1 -Vector Pad # 59271 - =.4 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent listed above. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Enineer miliar with site conditons Page 17 California 9/2/03 Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (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. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. 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. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. 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 of a Single Section Set -Up Vector pe for concretf footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt lui, 9/2/03 1, Vector Dynamics System . for Concrete Applications Instructions 9. Put a washer and nut on one of the 3/8" x 3-3/4" 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. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. 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. 13. Attach a strap with hook or crimp seal to the inside tie bracket,,with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. 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 T Inside Tie Brackel Compressii boards of PVC Pipe U -bolt Page 19 California Vector pad for concrete Concrete footer OUM, 9/2/03 Installation Notes TIE DOWN ENGINEERING * 5901 Wheaton Drive • Atlanta GA, 30336 www.tiedown.com • (404) 344-0000 • FAX (404) 349-0401 TIE E�0WN� S-' PRE-INSPE OWNER: LOCATION: CONTRACTOR. } cc REASON FOR PRE -IN, Ib DATE TO INSPECTOR: CTION REPORT DATE: 6, 1 ' CIv A.P. # ZO G: �At�� \ PERMIT HISTORY ( ) NONE Y SEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Cornmercial/Usage: Residential # of Units: Mobile home # of Units: Currently Occupied ('-Yes () No Abandoned/Vacant: ' Electric: z -- Electric Currently (WOn ( ) O ff Condition of Electric Gas: Currently (§On ( ) Off Condition Sanitation: Plumbing Worldng ()Yes ) No Obvious Sewage Problems ( ) Yes ( ) No C41- Iva I I I LG �oL- ACTION RECOMMENDED: ISSUE (Yes () No Hold for permits or verify: Inspector: Date: a �� Richard Alexander��gj10I Pri.d " -t rd., 1/3 mY l -of Cherok e qd. 9/10 i.5 -of Cemetery, Cherokee P0*, mit #5159-79P,E(util. ,MHS, ELEC . -.S-. %e)r i �ffn1yo GAS SUPPORT STRUC RE REQ.z/o COMPACTION TEST REQ. co►notr ,ene Sch itt MH Serv. , Vin Permit #7387-79M-Hj ssued LIla 11*1 41-48-37 553-79P(gas line/5159-79) MH -0-037 93-3919 B R, KAREN & RICH BACK RD, CHEROKEE WALKWAY/MH ))� Q Oil -�8o-D3� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name '0 LIA C* — irst Name Address 1� City © State Zip Phone -- V Fax E-mail APPLICANT NAME CONTRACTOR Name 6 r Address `�' � ctl City C 0 Stated , � "p —PhoneC� Phone E-mail Lic. # els Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE For ofce u e only. Zoni g V I Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K \FORMS\BUILDING FORMS\Bld IS bR d PERMIT NO. Is BIN # LOCATIONAN ---7 Prope d ess v City Cross Street WORKER'S COMPENSATION Policy Number Carrier 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 vrwp u gmts. oc Page 1 of L Des ription or Scope of ork: �n� X i�� Sq. Footage 4%36 5L9 ❑ 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: Amount: C / Bldg SRA Receipt #: Sheriff SMIP Other Date: � L} � � � Total 7. RCV /-L/-VY OWNER 5159-79P,E PERMIT EXPIRES Richard Alexander CONTR. owner c LOCATION (A.P. 41-49-37 ) r. Pri.dirt rd., 1/3 mi/W.of Dherokee Rd., 9/10 mi.S.of Cemetery , Cherokee Te p. Power Pole /10—/ Called PG&E Z'o 41 emp. Elec. Serv. Called PG&E T2mP. Gas Serv. Called PG&E JOB FINALED ;g5 ure) V/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the reqquirements of the California Administrative Code, Title 25, Chapter5, and�e' ,permit P,umber 7J7 t— 7`y for the following location: 195ei �iic°: i+ tit Owner's Address 4 Mobilehome Mfg. - A077 V.4L-L:y Model -?66-4Ire. Year 79 Insignia No. 1-2-3 901 /7Z i 70 A Serial No. 5 22 'w y '�' It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Datey f%//��� $ sr T SIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED .. COUNTY OF BUTTE — DEPAROF PUBLIC WORKS E,`�` �, .. BUILDING,INSPECTI N' REiCORD BUILDING BUILDING '(Cont'd) 'PLUMBING Set ck rewall oil Piping For Pa pets 1st Floor.. Main Idg'. I Res oom Finish' d Floor Foo'n s Windo s 3r I Floor Stem II Siding' To ou Slab Roof SheNthing Water P In Piers Roofing Sewer Garage Fdn. Vents -Fixtures . Footings Garage Vents Water Htr. StemwaI l Insulation Heaters X. Slab . Carport Footings X Prov. for physic y handicappeConforms ce of ex. A structure Appliances !� Gas Piping & Tes. Temp. Gas Slab Final Sanitation Patio RE LACE Final Footings- Footing E CTR CAL ilasonry Walls X Throat X Rough Reinf. Stee Final X Fixtures Bond Bea IRE SPRINKLE , Motors Framing Test Water Htr. Stucco , Final Sub anel Mesh + MECHANICAL. Grd. Fit Prot. Scr ch Heatl Servisf B wn Cool q TgAp. Pole erior Lath X I V ntllation NJ JPermanent or Closer anal anal MOBILEHOME UTILITIES ----- Elec. Service EleaAOVdWal Water Piping. • .�% Sewer _ Gas Pipin M2WJ,,EHOME INS ALLAMN f - - = Support Elec. Continuity ' Water Piping / Drainage Gas Piping DATE _ , " ��REMAXKWSOR CORRE -Ileo. a rJ7 z71 (NOTE: An entry must be made on this form each time you visit the job site.) i COUNTY OF BUTTE — DEP.. `MENT OF PUBLIC WORKS r 7 County Center Drive - �ville, California 95965 • } Tel ephohe: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X r ate o?� 7Y Signature of PeerrmYitee or AAgan Receipt No. ����' 3 `o! White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR -OF PUBLAC WORKS By4 1 2r." Date permit expires Date-'����J BUILDING Owner 9 ( G SQ. FT. OCC. BUILDING VAL TION Mailing Address D406E l Telephone No. IT Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address - - X1. II%/AT FV� Plan Checking Fee&/or Penalty Permit Fee rill, PLUMBING No. @ FEE Ap &46S PERMIT FILING FEE $3.00 ,OQ Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. No. �� " '� 7i Zoning fanning Water piping 1,50 16,0 Each gas water heater or vent 1.50 tps I Nt.13, !!M&onJ Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I ParcelEach Declaration arcel ap 60' R/W Improvement additional outlet .30 Building sewer 5.00 Bldg. Plans Recd �� �'Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ $ — ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _0G7 Main service 600V OR LESS •5•00 L 100 AMP OR LESS J� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 •6-Z) Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBL GS.LING CCUP. 9� 2�sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID,CONSTBRANCHMULTI-OCIRCUITS) NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 5 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTtIRES 5B L@; FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 5,,rFb License No. Classification Misc. Wirin 6.25 • p I am exempt from the Contractors License Laws of the State of California. Permit Fee $ , I� $ Q MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. permit is issued I shall not employ any person in any manner FoI certify that in the performance of the work for which this as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X r ate o?� 7Y Signature of PeerrmYitee or AAgan Receipt No. ����' 3 `o! White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR -OF PUBLAC WORKS By4 1 2r." Date permit expires Date-'����J a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WqPN 7 County Center Drive - Oroville, California 95965 Tel ephorie: 5344541 APPLICATION AND PERMIT v d BUILDING Owner �G���D SQ. FT. OCC. BUILDING VALUATIO Mailing Address Telephone No. Contractor 4E1VE tSt�iWIT7— AW. �%. SF-k?V 6C Mailing Address / -0. 60X 2� Fireplace o. Total Valuation /,t%A C 09 �l -ZN.3i 7i Permit Fee sOIQ� • ,DIST eD. �3 /(/J/. �, Plan Checking Fee &/or Penalty BuildingAddress Permit Fee $ O/= ��ipOk� ,LD• 9 /d /Ll / S• 0,C PLUMBING No. @ FEE TFL PERMIT FILING FEE $3.00 _ Each Trap 1.50 t!�/fL�2O/LSC Repair drainage or vent piping 1.50 �/ p a t1 Water piping 1.50 A. P. No. - 4 8— �/ Zoning 8 Planning Each gas water heater or vent 1.50 F 11 SartfTffnrrr Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 Parking Parcel Each additional outlet .30 EQA Pias Declaration Parcel Map 60' R/W Improvements Building sewer 5.00 Bldg. ns Recd Parcel A rovol ns Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [9" Permit Fee $ $ )ekf t J. 5 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1,001 OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service O100VERAM6001POR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS, \ ACCDWELBLOGS.LING CCUP. 1+� 22 sq ft - CONTRACTORS LICENSE LAW NEW RESID, BRANCH L T NEW CO I T ( BRANCH CIRCUITS 2.50ea NEW CONSTR (POWER APPARATUS 8 I am licensed under the provisions of Chapter 9, Div. 3, Of the NON.RESID, SINGLE OUTLET CIR. State of California Business & Professions Code under the name Ex. OCCUP(OUTLETS OR FIXTURES, 1B@1 style of: Ex. Occup ( FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 r V l Cis Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification C- / ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE J$3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ ......... �� $ Q I certify that I have read this application and state that the above Ua"d- Qa,-,,.I,.....e BU information is correct. I agree to comply to all County Ordinances TOTAL PERMIT FEE $ 4-0d© and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned proper for in ection purposes. the Butte County Code and/or resolutions to do work indicated above fr which fees have been paid. X Date f-2`0 OF PUBLIC WORKS r57gnoture of Permit or Agent B - —. _ Date [[[ Receipt No. / White-D.P.W. - Yellow-Assessor - Pink-Inspector - Golden od- pplicant Building permit expires Date -/0 O COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 /�j���??? Telephone: 534-4541 /��'/V/ APPLICATION AND PERMIT OutIurl -e reNleJenlGII VBS 01 the t�OUnty Or t5utte to enter upon the above-mentioned property for inspection purposes. X��J �911,.si,� Date la -17-7f �ignature of�Permitee or Agent Receipt No. :3 a—/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ECTO F BLIC WORKS - BY Date g permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address��, ?yp 7 Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee 9 Building Address—,� l,�s Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 C fc 5 Repair drainage or vent piping 1.50 A. P. No. W — % AO- Z. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Baa"auorl Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bm4-GI+ated Parcel A ro Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 1 $ 71"1 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home,® Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLDGS.LING 0 CCUP. !� 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name le of: style NEW CONSTFt BRANCHCIR-OUTLET NON-RESID, BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. `SINGLE OUTLET CIR. Ex. QCCUD(OUTLETS OR FIXTIIRES 50@25' ) BAL@T Ex. OCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ Icr OutIurl -e reNleJenlGII VBS 01 the t�OUnty Or t5utte to enter upon the above-mentioned property for inspection purposes. X��J �911,.si,� Date la -17-7f �ignature of�Permitee or Agent Receipt No. :3 a—/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ECTO F BLIC WORKS - BY Date g permit expires Date Y ole located within 4 ft. outside the rear'( th«d section of the mobile o?'�-1 on the left (road) side of rte molle _ _ ?� Septic system and locale 1 " • Butte County Health ! j. quirements. A permit will be require4 for the x l r installation of the mobi ehome . t `• Q d it r1t.. Aga ase s er �; r i o of This set of plans and specifications MUST4be kept on the job at all fl -nes and' it is unlawful to me'n i permission from the Department of Public writtenp Works, County of Butte. NOTE:—AII Materials & Workmanship Shall lge- Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in t 1 ` Uniform Building, Plumbing & Mechanical Codes nd the National Electrical Code. 1 gt'Y:t•;Pr����� " The -fit Setback shall ,e 5 ft from ti+,* linea 50 ft from`�. side property rinittmg:a m , centerline of the r mum of a.2 ft. ve overhang butntir�jt out of all a ements. + y 4 ft BUTTE BUILDING DEPARTM APPROVE . ^v r•. f i ` r • . n.•.r J T ):� Fy ? C � v �� ` C f�yl: 1 t i. • f. `�A r'I_ t 1 . _ t ! }•. }' 1 rya�r l •,My i .. .' V P�'-�! • �..�. y .rtnrw •.• +a Allu tilitY connections shall be �, <i Y ole located within 4 ft. outside the rear'( th«d section of the mobile o?'�-1 on the left (road) side of rte molle _ _ ?� Septic system and locale 1 " • Butte County Health ! j. quirements. A permit will be require4 for the x l r installation of the mobi ehome . t `• Q d it r1t.. Aga ase s er �; r i o of This set of plans and specifications MUST4be kept on the job at all fl -nes and' it is unlawful to me'n i permission from the Department of Public writtenp Works, County of Butte. NOTE:—AII Materials & Workmanship Shall lge- Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in t 1 ` Uniform Building, Plumbing & Mechanical Codes nd the National Electrical Code. 1 gt'Y:t•;Pr����� " The -fit Setback shall ,e 5 ft from ti+,* linea 50 ft from`�. side property rinittmg:a m , centerline of the r mum of a.2 ft. ve overhang butntir�jt out of all a ements. + y 4 ft BUTTE BUILDING DEPARTM APPROVE . ^v r•. F, RESIDENTIAL 041-48-0-037 93-3919 B ALEXANDER, KAREN & RICH 98 HUMPYBACK RD, CHEROKEE COVERED WALKWAY/MH //?/� y -snA . , � I JOt3 FINALED (gate) L-3 r Signature V=OK O=Not OK -=Not Applicable Not Ready MOBILE HOMES ' = Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Teat-Crossovers-Breakem-Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECIM'COVTJW, CARPORTS GARAGES Plans OK except #'a . Zo g Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists; Decking -Bracing -Stairs -Rolls 4. Wood Awn.; Posta-Beams-Rftrs: Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sila-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils. Pro Der Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection-Skyllghts-Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: av �"'+��"'�:'�(`1+"`(v1�1.�,r7{`''i'-1-„�-++`\j-y��{i✓"'vft.-v y 4'�'r'�'''Snr�^r.y . ��I..Yhr� � ��t �'J'lt"' ;�L;��'.�,,,�^��._ ....--� _ �.� f5-1..(�;,. �r.-..,y'�...u,l�: r+-y���: � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 Y\ � OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector D - D.' - Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................... . 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. act fees as shown on attached schedule-'. 2. California Department of Forestry plan ap4ov 13. Flood elevation letter (100 year flood by Ca' eer. ............... . 14. Sanitation and plot plan approval Health Department. ......... 15. City of Chico plumbing permit . ........................................ . 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). .... ... .r 4nspection reque-Es 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22.. Certificate of Workmans Compensation Insurance. .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner IL. ........... 2Z 3 -10 24. Recorded copy of Agricultural Acknowledgement Statement. . 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. 34. When you issue the permit, procesp as follows: Mail to owner. Mail to contractor. u - Telephone ii 0-tand hold for pickup. a& office. Deliver with inspector. 7 ` Other Parcel Creation �` �C�r 12-11 3- Acreage cc�� AppIicant 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:( 'rcle Xiew em 1. Index permit for above items No. 2. Additional items required: ecked above). Contractor, designer, owner, was advised of above required data by _phone _ mail Counter by _Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by �Date �-Ze Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works f TO FROM Building Department Environmental Health SUBJECT: Sanitation Clearance 4/Aec-vQH r�" Owner Location �II?.II''list{ ().-I.Y rl,,t Plan Au CIICU�� Jeau to 14.1>���_� ,If/ -5-`F-a -G3'l AP// }Flan Approved for: Scwage Disposal Water Supply: Public Private Well Clearance f .. Other ~�lsd Hold fes( for: Final clearance O.K. for: W Environmental Health Specialist 8/92 Date , pw COUNTY OF BUTTE -DEPARTMENT OF D�VEPMENT SERVICES - BUILD NG DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERK IT, 17 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 041-48-0-037 ZONING TT BUILDING PERMIT OWNER KAREN & RUCH ALEXANDER15-34-5142 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 98 Hum back Road Cherokee •moi CONTRACTOR'S NAME tXXXX Owner TELEPHONE C J CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $3J0 Filing Fee $ 20.00 LENDERMAlLIAIG ADDRESS I YY VV 1111 CC Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 64.35 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9-8 Humpyback Road, ChprokepPLUMBING PERMIT FEE $ 1 R1 11c; PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE gg�� SFO Duplex O Mobilehome t9 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ` 20'00 TYPE OF WORK New ❑ Addition ❑X Remodel CJUtilities ❑ Installation ElOther ❑ Describe Work: Covered walkway front & back Of MH PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 not attached) Main Service ( ""ORLESS I 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. 1 & ACC. OLDS. ) S0. 3.50FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Xl, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON RESID. 1 BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.000 BAL.0 Ex. Occup.FIXED .OR (OUTLETS ((RESTREBID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, " Building Division a Certificate of Workmen's Compensation Insurance or a �Certificate of Consent to Self -insure. 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor t 'MECHANICAL PERMIT Filing Fee 20.00 Pleating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities gments, costs, and expenses which may in any way accrue against said Count Inc nsequ nc of th7gra tingof this permit. -��f Date �C. ^ % ' / Signature of pplicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over "O" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP •� I F.100q /L�/ COF PARCEL PD —'11-1X HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS p By Date 2 9,3 PERMIT EXPIRES ON (atel Receipt No. 1 5400 5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public .,Wo.rks 7 County Center Drive, Oroville, CA- 9,5965. Phone: 916-538_7j41 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 this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �S Z. I. (have/have -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 City: Phone Contractors 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 Contractors License No. 5. I will provide some of the work but I have contracted (hired)' thefollowing persons to provide the work indicated: Namn Address Phone Type of Work Signed: Property Owner G Social Security Numbek Date /a -a2-93 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our offce'before we are per- mitted to issue the permit. r COUNTY OF BUTTE*m- DEPARTMENT OF DEVELOPMENT,.SERVICES BUILDING DIVISION 7.COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (9.16) 538-7541. OWNER e n / l �. �' A l0C� . - 4!? A. P. # cul ffo PROPOSED BUILDING USE � �/ o- DATE REC. # DATE REC 1'. SCHOOL DISTRICT•FEES (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential..... x =$ - unit amt. Commercial (sgft) x _$ sq.ft. . amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x _$ -F-units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land'Development Division) .............. r n)<�k. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...,,, /67 1 of 9 (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I' -was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE _ CM t3 f C) Yt, s -a OF. d-.0 JNT � E B:u To' h. OFFICE OF 'EDUCATION f Terri Thurman . Executive Assistant Student Support Services Z M 1859 Bird Street �� - a. - OroviM, CAS 9b965' Tax (536)1532-5758 - tthurni►ah coe.orgi , 1 saN OT e the attach S i dp mum —pages�� s ELECTRICAL, MECHANICAL, AND PLUMMN6 CONSTRUCTION ( NOT PLAN CHECKED ) SHALL COMPLY WITH CURRENT EDITION OF NEC, UM.0 AND UPC:. ru(a10 A J r - L V?0- 0,37 A�q v A /j// ova lei t1, L. .. aU rTE COUN I ILDING DEPARTMENT PROW uind'c-bvn