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Home My WebLink About056-230-050i( 056-230-050 PER. JONES, Steven ✓11, 15953 Katydid Ln., M Mobilehome Utilities ELECTRIC , 00/� 30 Gf/ae- GAS LINE :L -y '-' �Q COMPACTION TEST REQ f2O SUPPORT STRUCT REQ 056-230-050 PERMIT#97-1840/ JONES, Steven & Patricia 15953 K,tyd.id.Rd., Magalia ✓�'' Cont: Integrity Homes, Inc. Mobilehome Installation — ,� ^� '� .� / ~~~~~~��^^~~~~~- `^~~°^^^�~~^^^~~^~^~°`°^-^ ^^~~~~^- x� �� . '/� DER�RT�ENTOFDEVELOP�ENTSERVCES ' c ' . ~� / ~_ � 8U|LD|NQ O|V|S| '-7 COUNTYCENTERDR|VE `"�- ^. � ` � nmommon�owo�mvv�mmm�ammmv |n�u�u*o ,hu u�vmo�m�na 7mvmm`sh� nm�mumuwhmmwmvm�h mo�ms�n�vnommoa�vn�pm,m� `' � ' � 5�� ' �m=°m"u�,pmx�u��s"m�"�"�, � � . . � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive='Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 056-230-050 ' ZONING BUILDING PERMIT OWNER STEVEN & PATRICIA JONES TELEPHONE 873-0927 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS PO BOY 1097 MAGALIA, 95954 CONTRACTOR'S NAME INTEGRITY HOMES, INC. I TELEPHONE ' 533-4403 CONTRACTORS MAILING ADDRESS 1740 FEATHER RIVER BLVD OROVILLE, 959 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 15953 KATYDID RD Energy Plan Checking Fee $ MAGALIA $ PERMIT FEE $ 43.00 - LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: Gi7-/ / Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ion oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is n f II Te and effect._ License Class Lic. No. `7 °Z la" & OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACc. BLOS. SD 3.5QFT: NEW CONST. MULTI -OUTLET NON•RESID. C C', c @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES @'•50 SAL @ .SO Ex. Occup. oUTLEEDrs RESID.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 JL_ PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 1' 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' mpensation insurance carrier and policy number are: Carrier CL f MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number — — — 1'— (The above sections need not be completed if the permit is for ork of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wo ers' compensation provisions of section 3700 of the Labor Code, I shall f with comply with t ose p ovisions. `zo�",D �j e k��`� _ Signat a of Applicant - ❑ Owner ❑ ContractorAged Yep An OSHA permit is required for excavations over 5'0" dand demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee 77100.00 Energy Inspection Fee $ occ CONST. TYPE TOT FEE $ 3. 0 HAZ. �— D. FE IMP FLOOD—cDF \/(` P11 PARC Po HD su 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. ly By / Da e PERMIT EXPIRES ON G I I(Date) Receipt No. 224329 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT AP #C%� ~ 23y�D�� OWNERJ , r PERMIT"t �22 =Z 2 M UTIL.CL N ATE �D'6 ( INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size _ Other Load Type Pipe Size Len th YES NO YESI NO E 'i1^ „ 1; kTr"',y.�+`.��i`/'�,r�L�'Y'�v��"r5'77Wi1�.?��ilr-.`�y'Sial�r;"•ti�s' '16;x, COUNTY O BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DfdVE-;6ROVILLLE,'CALIF'ORNIA 95965 - TELEPHONE (916) 538-7541 0 41 (f)Z PERMIT APPLICA TION DA TA SHEET OWNER: ASSESSOR PARC ER: CD J Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit pi4cessm and/ r issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 set#, signed by the preparer of plans. ------------------------------------------------------------ 133. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.------------------------------------------------ 118. ----------------------------------------------- ❑8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .--------- ❑ 10 Fees of $ --------------------------------------------------------------------- efk. Impact fees as shown on the attached schedule. ------------------------------------------------ ❑ 12. California Department of Forestry plan approval/fees.----------------------------------------- 1113. ---------------------------------------- ❑13. Flood elevation certificate. ------------------------------------------------------------------------ ❑ 14. Sanitation and plot plan approval Health Department. --------------------------- 1115. ------------------------- ❑15. City of Chico plumbing permit. ------------------------------------------------------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. ------------------------------ ❑ 17. Planning approval for (A) Use: (B) Parking: ---------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 022. Workers' Compensation carrier and policy number. ------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - ---------------------------------- 024. Letter of signature authorization.--------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement.---------------------------------------------- r -------------------------------------------= ❑ . tter of intent on building use. ------------------------------------------------------------------------------ 7. Manufactured Home utility clearance. ----------------------------------------------------------------------- 28. Existing violations and/or expired permits. ----------------------------------------------------------------- ❑29. ❑433 A, []Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . ----------- 03 0. Other: --- (Date) it When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to ntractor. BTelephone5 55 — qq 03 and hold for pickup at office. ❑ Deliver with inspector. Applican � ate: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By. Cody of plans sent ❑ Health Department, ❑ Fire Department, ❑ e Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designe, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Datd: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin D' 'siccounter, by,'` Date: Plans reviewed by: Date: Plans approved by: AJ Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF .BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION . 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER A. P. # PROPOSED BUILDING USE DATE REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ............ $ -- Additional Fees Due ........... $ -- RevisedPlan Checking Fee ....... $ 2 SCHOOL DISTRICT FEES Pae�� I �'W_ (paid at District Office) 5 -F . 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ t Units / Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division).+ 7. SRA FIRE INSPECTION AND PLAN. CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to 'be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT„ ,�� aJ DATE a Original -Owner Copy -Building Div. (Rev. 12/96) (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION - 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR CELN MBER� ZONING BUILDING PERMIT E ` G TELEPHONE SO. FT. OCC. BUILDING VALUATION OW 5 MAILI DRESS CONTRACTOR'S NAME INTEGRITY HOMES, INC. TELEPHONE 533-4403 1 740TGFEATHNG ERSSRIVER BLVD., OROVILLE 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ _ CO BUILDING RE Energy Plan Checking Fee $ $ - PERMIT FEE $ 41 _ LOT NO. S UBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome)L Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describ(: Work: -bO. I V)t V ��' `a+(c2y,, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W PERMIT FEE S ELECTRICAL PERMIT Fling Feel 20.00 OR UE Main Service =.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C 4 7 Lic. No. 707958 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. (I I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier UNICARE Main Service 200A TO 1000A 46.00 NEW CONST. D'NELLING OCCUR OR ADDNS. ( SO FT.I NEW CONST. MULTI -OUTLET -.E 'DqN I , @7.50 —NON POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAS@ .w Ex. Occup. o TLEEDTs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling _ Hood 6.50 Ventilation PERMIT FEE S Policy Number- - (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X____ Date Signature of Applicant - ❑ Owner ❑ Contractor b Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 3„ HAZ. 1 O. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Date) Receipt No. WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT H f RESIDENTIAL c 056-230-050 PERMIT#97-1765 JONES, Steven 15953 Katydid Ln., Magalia PERMIT N( Mobilehome Utilities �J PERMIT EX.. _ /` "5;1 OWNER CONTR. ASSESSOR PARCEL LOCATION OFFICE COPY I Address [tel 4IO�Yd GAS Meter By Datew f z ELECTRIC Meter By Date i Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E _ Temp. Gas Service Called PG&E _ JOB FINALED (Date) Signature rk V=OK — O = Not OK " Not Ready .MOBILE HOMES 1r-ZorgJctg•Requirements - Setbacks - Easements , /6'. as; Location-Tesi-Wrap; / /L'ft. �f / L�,ft'ft./ /LPG %l earanoe 8 Disconnect i uate Card B -y./ Dab Card B-1 Date Card B-1 Date Card B-1 Date MOBIL OME INSTALLATION(Plans) OK except #'s f'Sning Requirements- Setbacks Easements 2. Footings; SiaeSpacngMarriage Line s; MH Test-0emand-Valve-Connector iricity; MH Test -Crossovers -Breakers -Clearances e ain• MH Test -Fall -Flex Connector stet -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval A Gas and Type -Installation Cert. 11. Cert of Occupancy errnanent Foundation Only: License Decal 1 Date Card B 1 Date Card B-1 �t Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKSi.E0V B,.CAAPORT8, A ES (Plana) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Siie-Depth-Spacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. carports; windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing-VeneerStucco-Mesh 10. -Root, Shthg-Roofing 11. Ext; StepaDoorsd-andings 12. Braced Wall,Panels Date Card.13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / C Ftg. Depth Date 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth FRAMING (Continued) 4. Fig. Porches & Decks; SoilsSteel-/ / Ftg. Depth 46. Hangers -Post Caps -Anchors -Connectors 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts4Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, SteeWVrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 53. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 54. 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor BoltsJoists-Vents-Crippies 15. Access & Ventilation Shear Walls; Nailing -Bolts 16. Insulation 61. Insulation -Walls -Ceilings Date 62. Infiltration -Walls -Windows Cab B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Bedroom Exiting 67. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fireplace or Stove, Clearance -Hearth 23. Fixture & Transformer Clearance -Ins. Protection Elec. Outlets at Wood Panel, Int. & Ext. 24. Elec. Receptacles Spacing -Lights & Switches at Doors Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 25. Size Boxes & No. of Conductors Stapled Elec. Outlets & Recepticales at Kit. Counter 26. Romex Installed Close to Edge of Studs & C.J. Garage Fire Door; Swing -Landing -Closure 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water A.C. Duct in Garage -Damper 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga Cu or AI Plb., Elec. & Mech. Equip. Listed for Location 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Elec. Receptacles in Garage (G.FI.)-Romex Protection 31. Service -Riser Conductors & Ground -Main Disconect Insulation -Foam -Looked in Attic 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 83. Stucco Brown -Finish Date 84. Card B-1 Date Card B-1 Date 85. Card B-1 Date Card B-1 Date 86. MECHANICAL (Permit) OK except #s 35. A.C. Ducts Insulation & Support 88. 36. Vent Fan, Exhaust above insulation 89. 37. Condensate Drain & Overflow, Size & Grade 90. Corrections from Previous Inspections 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet Gas Test -Meters Tagged, Gas -Electric 39. Attic Access & Platform if Furnace in Attic Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Cana B-1 Date Date Card B-1 Date Card B-1 Date Date FRAMING (Plans) OK except #s Card 8-1 Date Card B-1 40. Sits Proper Materials & Anchors Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr Ties-Purtin-roff Brac.-TrussShting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom-Rise-Run-�nding-Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location _ 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoNyalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87: Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF. DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California' 95965 - Telephone (916) 538-7541 _ fRMIT N (Rev.12/96) APPLICATION AND PERMIT 1 ' ASSESSOR PARCEL NUMBER 056-230-050 ZONING TM20 BUILDING PERMIT OWNER STEVEN JONES TELEPHONE 873-0927 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 1097 MAGALIA CA 95954 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS ` Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 15953 KATYDID LN., MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LAT NO. SUBDIVISIONS NAME PARCEL CP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome JFK Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EXXlnstallation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I 110 1 j @20.00 60.00 PERMIT FEE $ 80,00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service iooA °OR LEss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGOWERLE License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: fill 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO L°OOA 46.00 NEW CONST. / DWELLINGOCCUP. OR AODNS. \ 8 ACC. BLOS. SO 3.5QFT. r",O .A s oT ANC I-°urLETITS @7.50 b OrLET CIR. APPARllATUS Ex. Occup. OUTLET OR FaruREs 20 Q 1•00 SAL ® •50 Ex. Occup. °FIxLITELE'A RE.SDOERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.0 Misc. Wiring 23.00 PERMIT FEE $ 63.0 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ell I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��t� X .,CYL�-�— Date04%�� Signature of Applicant wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FE $ 166.00 HAZ. D. FE OD FL;;I CDF P TX PD HD SS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have fc, By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. �Jr 17 Date /1✓ J /� Date ReceiptNo._'2(DB WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �.r-.Yy�,.r.w^""h`''�R i.rsa-..�^n,1+..r.:��.�-f'T'��''4"M�'�M�M"•':Z'is7?I'�`i�T,r"r��'.. .�M1,�"'�i�fr'~r!w'_K ,-r"ter`,t��7t�'Yf'1�'N�:.L`'r,�17�v`'.}a.,.,rY't...� i.. .. COUNT OF B ITTE DEPARTMENT OF DE,, Ifl—OPMENT SERVICES — BUILDING DIVISION 7 r . TY CENTER Dl �'- ORO VILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ST U f- n/ TO NE S ASSESSOR PARCEL NUMBER: ��(• 23d - r) r Proposed Building Use Cn 1A w Building Inspector: Date: �(� _ 7 At time of permit application, I was advised the following data must be sA binitted prior to permit processing and/or issuance: j .4 Date Received By ❑ 1. All items have been submitted-------------------------------------------------------------------------------------- 11 ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete;plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 0 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ .a ------------------------------------------------------------------------------------- ❑ 1 Ioil Impact feesfas shown on the attached schedule. ------ California Department of Forestry plan approval/ ees -''`-- T---------------------------------- ❑j13. Flood elevation certificate.---------------------------------------------------------------------------------------- , 4 S Sanitation and plot plan approval C N I P U Health Department. ------------------------------------------- !3, / �c/;= a ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Plannuig approval for (A) Use: (B) Parking: -----------------------= El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ------,-•--------------- X,i 9. Encroachment Permit for driveway (construction approval prior to occupancy). T '- / ---------1--- q:Z'5r—%2.= 020. Pre -inspection for required. Request to Building Inspector on (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number.----------------------------------------------�----------- t 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). ---- ---------------------------------- ❑24. Letter of signature authorization: --------------------------------------- ------- - ---------------------------- §65. -------------------------- J 1 �1- �� Q5. Recorded copy of Agricultural Acknowledgment Statement. ------------------- - - --�- ----------------JZ - ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. -------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. --------------❑30. Other: ------- _ When you issue the permit, process as follows 0 Mail to owner, ❑Mail to contractor. Telephone 8'3- Q 9 27 and hold for pickup at C Mt e0 office. ❑ Deliver with inspector. Applicant: _ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: lgf— Index permit application for the above items numbered: 2. Additional items required: 49 --ig� �y ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by'_Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divis'Qn counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attache Floor Plan Attached--Z;;;- Sent to B.D. o516t/e I» JZ;� a -s Kf„e.� d Ln 66f o f /die. Al;/l) s6 - Z30-05-0 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Mab. 99: Clearance for 3b dwelling. Other Hold final for: Final clearance O.K. for: NOTE: / s Environmental Health Specialist 8/96 9-15-- 97 Date Motes on Installation Solt . Solf DescripVon Class 1. Sound hard rock, 2• Very Dense and/or cemented sands, coarse gravoUoobbles, preloaded silts, clays and coral. Test Value 'r 550 La. lbs and up 3. Medium dense coarse sands, sandy gravels, -350 to 550 very stiff silts and clays. in. lbs: Recommended Atichore - Ith=Buckle VescripNon I.Install strap by push' n the end. between the inside of the frame "" I Cross drive tock anchor beam and the floor, 30" z 5B"Trod, 24" helix 2. Position the buckle at upper end of the "I" beam frame. Wrapp the end of the "I" 30" x.314" rod, 2-4" helix strap; around the beam. Thread the end of the strap thru the slot:in the buckle as shown. Push the end of strap in-between -I- beam and floor. 3. Pull the strap, tnakin certain the _ buckle stays Ifposition. Thread loose end of strap thru slotted tensioning bolt attached tc ten- sioning bead of anchor. Tighten slotted tensioning bolt a minimum of 3 full turns until all slack in strap is removed. (Mchor must be properly installed into ground before proceeding frith . this Mp.) Recommended Atichore Model # Stk # VescripNon MRA 59110 ` Cross drive tock anchor MI225/8 59090 30" z 5B"Trod, 24" helix M(4 59095 30" x.314" rod, 2-4" helix (arid those listed below) NH2H518 59080 48" x SB" rod, 1-6" helix M12H3/4 59085 48" x 3/4" rod, 1-6" helix 4. Loose to medium dense sands, firm to 200 to 350 stiff clays and silts, alluvial fill.MIZmm 59080 48" x 5/8" rod, 1-6" helix ' Below these aa4vA a Ia. lbs # ZVMH3/4 59085 48 x 314" N pr�fcssioagl rngtncershould be conndud N rod, 1-6 helix 5. Concrete Slab arxr ` ; Tensioning devices for use in concrete pad, runner, etc. shall be tested (same as anchors) and speeificatioas S r time of concrete reinforcement, size and thickness of concrete, size and depth of bolt hole, type and Ici Of stueld:If, 2stb' 7x Minimum distance at which tensioning device can be installed from edge of end of slab ad runner etc, shall be s epci '. P p {.. lnStalierlContractor Certification I ceWfY that I have installed the TM DOWN ENG NEMINd anchoring system as per ITS DOWN'z Installation instructions and that no modifications have been made to the anchoring system or building structure. Company Name: e T � Date: ®—eV Signaturem: Page 4 of 8 Contractoes u" I 90401�,,,TIE.DMN ENGItEERING. 02 JAN 07.. TIE -DOWN ENGINEERING ML 45 DEGREE FULL ON. (59292) sTABmnmR Pi;ATE it; SILTY 6,067Q 8/5/92 -CLAY. TEST PROBE TORQUE VALUE BETWEEN - (AVG.) 200-349 INCII POUNDS. NOTE*- -'ALL'ABOVE 'TESTS -BY'ATEC ASSOCIATES INC; AND GALLEYASSOCIATES. ., P-RODUCT TEST MADE AVAILABLE UPON REQUEST. THE E IlMrVIDUAL TEST RESULTS: WILLINGr PLEASE =FORMA=ON TO: Fop WjjpM yoUR REQUEST Y3E T FOR THIS - TIE DOWN ENGINEERING 5901 WHEATOIT DRIVE ATLANTA, GEORGIA 30336 Page 5 of 8 INDEPENDENT TESTING RESULTS MODEL NO. 1:)ESC ULTIMATE .5jT.ZNGTFT TEST D&T_E VERTICAL PULL-OUT IN MOIST SILTY CLAY. (5/8-&314') TEST PROBE TORQUE VALUE BETWEEN- 6,133- 9/15/92 200-349 INCH POUNDS- (AVG.) VERTICAL PULL-OUT IN SILTY SAND AND. GRAVEL TEST PROBE TORQUE VALLr Ir 550 INCH POUNDS 5,7338 9115192 AND MORE" (AVG.) MRA VERTICAL PULL-OUT IN LABORATORY FM RES -r Fop- SIMULATION. UNCOMMINMI) ROCK WAS NOT :5,567f 3PY93 AVAILA3311- Nff CS12) VERTICAL PULL-OUT IN 2500 psi CURED CoMaETE- TF -ST. STOPPED AT 5,2W POUNDS. 5,2001" r MD z VERTICAL PULL-OUT jN 2500 PSI CURED CONC. TEST -STOPPED AT5,200 POUNDS. 5,2001- T 3130/94 MIS VERTICAL PULL-OUT IN. 2,500 CURED -PSI I 4 2 5,200A3/30194 MUH64 (5925(l) -VERTICAL--P .7PSTPRO13E TORQUE VALMB -200-' 40 ]NCR 5.=A l0t6193 POUNDS ML 45 DEGREE FULL ON. (59292) sTABmnmR Pi;ATE it; SILTY 6,067Q 8/5/92 -CLAY. TEST PROBE TORQUE VALUE BETWEEN - (AVG.) 200-349 INCII POUNDS. NOTE*- -'ALL'ABOVE 'TESTS -BY'ATEC ASSOCIATES INC; AND GALLEYASSOCIATES. ., P-RODUCT TEST MADE AVAILABLE UPON REQUEST. THE E IlMrVIDUAL TEST RESULTS: WILLINGr PLEASE =FORMA=ON TO: Fop WjjpM yoUR REQUEST Y3E T FOR THIS - TIE DOWN ENGINEERING 5901 WHEATOIT DRIVE ATLANTA, GEORGIA 30336 Page 5 of 8 �i HMEIP , 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[V ] NO[ ]. 2. I HAVE[kj] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ,�T� U e x D A W ADDRESS: P 0, 1 017 CITY: ZLI a 9/ c 7a ,/' e PHONE: � 13 - 011 -1 CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: so PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: , - DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 95 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you'may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 2.27 '#,-� L:> V�-� Mr.& Mrs. Jones 15989tydid Rd. ForesU -'ads & Workma gbeco�t�ed Good Practices�r� 13e in Ap# QF.'�03orlbed far sheacid e V rin Bugq� Peclted use Cbd w �T 9�� & We ca; Owe' 1978. This set of plans and specifioatima MMT be kept on the job at all times and it is unlawful to mw a any changes or alterations on same without written permission from the Department of Publla Works. County of Butte. / 913.4' E�� Sp`SEN► . D AU- MAID ,SES AN R Of g1DE A� S'��S SttAt-LS �Vk0� �1NE.S NSE EaµA Nop SNAt, Ove v SES S�D�, nF . �EpF� cEN.�E� -Iv � EXGE� ®M S p,XlD FT • �avc- % p, o. O� �r 0� 300' Septic Tank ectric Pole Leach Field Proposed 24'x46' Man actured Home Sam mp ed (,,,oev. tse%,Bv% app�� Road xmedDF. Pc44,ec- P� I �b�1 . -- 1.80' 84 1980.39' I ell 1980.39' Septic Tank Leach Field 300' ctric Pole roposed 24'x46' actured Home NOTE: All Materials & Workmanship lle TDR �oad Accorda.n.ce yvith Recognized Good Practi .es an of a (duality Prescribed for the Specified se in the Uniform Baildmg, plumbing & M hanimVi -GQdaa and thsi Nation®1 Bled Code. ThIs. Set of plans and specifications MST be kept on the job at all tir^les and it is Unlawful to Make any changes or aitera- ,10r;3 on same with a. the, ;P men of ittaen Per lissien frons rs e�. t � PubltO - ----- -- ----- - - - - APPROVED Butte County En fronmen tz at Health Signature ME hed Vo� sbe Ptd' coop��ted a� 0 s� ed the ari mgnts \ bV C F' ANL N`\ t� .a OOL fY P VE .�3RO r� / ell 1980.39 rnN+" MNL Mobilehome Manufacturer: CHAMPION Manufacture Year: % L If other than single wide, furnish Setup Model Number: 699 Width: 24 (ft.) Length: 46 (ft:) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[x ] Other: SUPPORTS: Concrete block[x ] Other: Provide Tie Down Specifications for all Mobilehomes: Line 1 Piers: Size minimum: r i x Spacing maximum: L` From ends -maximum. ` Line 2 Piers: Size minimum: [24 ] x [30 ]• Spacing, maximum: H From ends -maximum 1 Line 3 Roof Loads: Size minimum Location (from ): rear Line 5 Roof Loads: Size minimum: - , Location (from front): Line 1 Openings Size minimum: 112 1X1301 - Each x[30]Each side of openings with width over: 1 4 ° 0 Line 4 Piers: Size minimum: [ ] x [ J. Spacing maximum: ` From ends -maximum: ` Pier Footings Sizes and Location SINGLE WIDE NfULTI-WIDE Line 1 1 Line 2 ................................................................................................. Line 2 -Main Skarn Line 2 ............................................................................................... e 2 Line 1 Line 3 ................................................................................................ Line 2 Ma Beams Main i ....................................... . ................................................ Line 2 Line 1 ............................................. C S Tag or Triple e 4 rine 1 Line 1 Piers: Size minimum: r i x Spacing maximum: L` From ends -maximum. ` Line 2 Piers: Size minimum: [24 ] x [30 ]• Spacing, maximum: H From ends -maximum 1 Line 3 Roof Loads: Size minimum Location (from ): rear Line 5 Roof Loads: Size minimum: - , Location (from front): Line 1 Openings Size minimum: 112 1X1301 - Each x[30]Each side of openings with width over: 1 4 ° 0 Line 4 Piers: Size minimum: [ ] x [ J. Spacing maximum: ` From ends -maximum: ` 1. Owner's Name: S j •Q -J � u` f" Jafo-� c - ��mn�.S 2. Assessor's Parcel Number: 3. Installer's Name: 9 N 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No [A (If yes, furnish two plot plans). 6.. What is the electrical rating of the mobilehome? 10 G Amperes. 7. What is the mobilehome site circuit breaker rating?__j (� U .Amperes. 8. What is the electrical rating of the mobilehome site? -DL 0 0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No [ `� If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[A ] No[ J If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- ,t) Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[!.] None[ ] 12. Size of gas . pipe at the mobilehome site from the meter or tank: 3 y inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?Q(fft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION A Mav 1995 8.5 V+I-L--e)vw O at:f I - 4-11 Z RZ 9 M-44 �2 I EV 1 R11 5 a)7 1 U4 t ui Kim Coum-v 1 -0 1 PPROVED 1.1,1 7T -W) mnu 5MES5916 'ON XVJ 31IIAONO-S3WOH A118031NI WV 66: 11 TIE�1(1 ngine0r0d-Ti( -down system Manufactured home tie down calculations and schedules for single/double/t • i Design Loads ripe wades Wind 15 •PSF Soil Bearing 1000 PSP Tie Down Straps 3150 # Working Load Seismic Zone 4 -Be down straps meet federal specifications QQ-S-78 IH for Type 1, Class B, Grade 1 strapping and be at least 1_1/4" x.035, zinc plated. Earth Augers 2962 # (11bsted to 4750 # minimum) Cross Drives 1727 # (Calculated) Concrete Slab Anchors 1390 #(Calculated) Note: Maximum soil presurC is 1000 P.S F, without a soils report General Notes I. The charts shown herein are for the required number of tie downs on the sides of the Manufactured.Hotne. 2. Tie downs are required at each chassis beam, eachend.of each transportable section of the Manufactured Home and kan be any of the types shown herein. 3• Combinations of the different types of tie downs can be used. 4. In the event an earth anger cannot be installed due to as obstruc- tion, use of cross drive anchors is permitted, provided 2 doss dm anchors are Installed for each earth: auger that cannot be installed 5. For all tie down installations, the Mannfactured gone chassis members are shown as "P beams for illustration purposes only. Chassis beams can also be "C:" shaped or RFC shaped. 6. End tie downs can be located within 18" of either side of chassis beam axis as shown. One end tie down required tg" at each T beam end --- C Cassis Beam 7. The sizes, typos; leuaths, etc. of materials shown herein are minimum Larger, longer, heavier materials.supplied by Tie Down Engineering may be used at the same, spacing and.. locations shown. Engineer Approval PD l INo. 15,18 cis G;AP State Approval � . QUO Ti�o�,ti�/,fyX�tl APPROVED SUBJECT TO C0RRECn0NS .NOTED t dw cAofo dMt ovlhartu a OPProv! .00Y. omas(oo e f,,,,rQgvirPlTMtt d oppUoable Slaf. taw., •'9vlat'�es. Staff of C*gQrAro OaAeftmtal of Noveinp a.d eeaMvnby Ordopmem Orv1S10N CODES ANO_ STANOAWS Y Dat eO e (s7pnefvnj SPA NO_S rhis Plan Approval This tic down system Meets the requirements of section 1336$, subsection (a) 77E DOWN ENGlNEEc 6901 Wheaton Drive Atlanta, Geornia_3o33 8. Alternate devices may be substituted with engineers Fax 40404 -349 -Ml approvals. Page I of 8 i TES -- January ES January 2, 1996 Mr. Merrill Sutton Tie Down Engineering 5901 Wheaton Drive Atlanta, GA 30336 Dear Mr. Sutton: ICES! �r .318 P06 c JAN 02a:.97--1-17. 08 • F: S LISTING NUMBER: TIE -94.2609 Having completed the in-house audit of quality control, quality assurance, procurement, welding procedures, etc., Tri-State Testing Services In compliance with the rules and regulations of the Department of Housing of California lists the following products: MODE=L NUMBER PART NUMBER AESCRIPTION M121-15/8 59080 5/8" X 58" DOUBLE HEAD ANCHOR W/6" A M12H3/4 UGER 59085 3/4",.X.48 ":DOU13LE.-HEAD ANCHOR W/6" AUGER Ml225l8 69090 6/8";3(30 DOUBLE`READ %ANCHOR M1223/4 W/2-4" AUGERS 59095 3/4" X 30 DOUBLE HEAD ANCHOR W/2-4. AUGERS MIJ MIJ2 2 59116 3/4"X 8' DOU13LE HEAD THREADED ROD PATIO ANCHOR 59120 5/8" X 12" DOUBLE HEAD J -ROD SLAB ANCHOR MICS2 59126 PATIO ANCHOR.W/EXPANSION BOLT 59260 69250' 3/4",X 36" DOUBLE HEAP MRA ' ANCHOR W/6" & 4" -AUGER R CROSS DRIVE ROCK ANCHOR 3/4" X 30" ROD. 59292 69292 LATERAL STABILIZER PLATE CS B 59145 GALVANIZED ROOF BRACKET BCS MBU 59175 CRIMPING SEAL FOR 1-1/4" STRAP 59140 GALVANIZED STRAP BUCKLE M MSB 59135 SLOTTED BOLT AND NUT . S33 59149 1-1/4" X 33' GALVANIZED STRAP f 67SG 13VCKL,ES COVE MEMM-rls, TN 38 133 '901-38S- I 199 F/VG 901-386-66 14 r" F ?4043490401w '+TIE :DOWN::ENG I NEERI NG ��.s�'4.,�9 ___ rz�-.,.. L .... ..... .. .._.-K.:t:-t:��';:;r:;.,,._�.....<.,.•...r:.....:.•-..-318��'.F07:vs;i:<isJAN,02.;...,9'7�i:=:1.7.�Gisz: `Pp Down Engineering Page 2 LISTING NU MBJ_R; TIE -942609 January 2, 1996 59150 1-1/4" X 35' GALVANIZED STRAP MS37 59155 1-1/4" X 37' GALVANIZED STRAP MS42 59160 1-1/4" X 42' GALVANIZED STRAP MS60 59165 1-1/4" X 60' GALVANIZED STRAP MS600 59170 1-1/4" X 600 GALVANIZED STRAP MBU6 59137 1-1/4" X 6' FRAME TIE W/BUCKLE MBU7 59141 1-1/4" - X 7 FRAME TIE W/sUCKLE MBU8 59142 1-1/4" X -8' FRAME TIE W/BUCKLE MBU10 59138 1-1/4"X 10' FRAME TIE W/BUCKLE MBU12 59144 1-1/4" X 12' FRAME TIE W/BUCKLE MBU15' 59143 1-1/4" X 15' FRAME TIE 'W/BUCKLE MI -Ft 59188 End Frame lie (Approved 5-25-95) If you have any questions or if we may be of further help, please call us. Sincerely, 'ATE TESTING SERVICES, INC. ; William E. Jackson Manager Y f TRI-S4AWTESTING SERVICES, INC. i 0 59145 Roof Brackot Q MIT2 Concrete Slab Anchor J� (pry) "O MU2 Concrete 51ab Anchor(Wet) TIE DOWN ENGINEERING Tie Down Anchoring :System o MLFT End Frame Tie MDU/59140 59292 Strap Buckle MRA Lateral Stabilizer Plate Rock Anchor M8U78158/59185 Budde w/.St1 I rap Slotted Dolt & Nut M122 (518" & 3/fl 30" Long Anchor M12H (5/8" & 3/4') 48" Lone Anchor .. . Max Length of 36' 54' 72' Max length of Mat1f. Home. Mani, Home 32' 42' b2' 62' 73' MfnumurYi No. of 2 3 4 Minumum No. of Side Tie Downs Side Tiemu Downs 3 4 5 6; 7 One tie down is required at each end of "I" beam. One tie down is required at each end of "I" beam. Max Length of � 42! 60' ss'- Manf. Home Mlnumtm.No._vf : 5.' 5[del Downs=.. _ 8 Dne tie down is required at each end of "I" beam_ Side Tle .Downs (5ea Note below) 11- ' Evenly 5yaced 2' Length Yarles �— 2' 11 Evenly Spaced . I 2' Length Varies Side tie downs mustbe within 24" of the end of the chassis beam. End tie downs can � � be loc ted within 18" of the, center line of each chassis beam. One tic down is "uired for 6 Side Tie Downs (Seo Note Below) SINGLE WIDE zS_x Eveniv Saaced _ I I '� y 2' Length Varier, 2' SidcTk Downs (see Nate Blow) Page 2 of 9 ZI _ Cross drive anchors a; a used where hard or rocky soil occurs. If the ground surface is other than rock or mini. mum 2" asphalt, encase the cross drive anchor with concrete as shown In ug. 1 • Drill 5/8" diameter tole S -W" deep In anter of anchor location. Insu, pilot stud into hole. zo Drill two 3/4" dian.eter holes Into the rock at 450 angles. cuing the anchor head as a locating guide. • Place rod tlxddi h coli and=poQdirrg bottom web flange and into 4S° 10c. Drive rod Into tock. Rod must be driven into rock at lest 80%of it's length to achieve minimum allowable -pullout resistance. 14 La i' .'.• Z�+�9��F`.ie �f� j•�'K {•��. i� l.a Earth Anchor I. Partially install anchor allowing 14" to 16" remaining above ground level using constant downward pressure to minimize soil disturbance. 2. Utilizing oversize hammer, vertically install stabilizer plate, nesting anchor rod in between formed channels on outside of stabilizer plate (between anchor and frame). 3. Fully install anchor until tension head rests against stabilizer plate. fig. 1 Croso Drive Anchor Concrete 12" square x 12" deep Page 3 of 8 _ ,D Concrete; Anchors MIJ2 • • Concrete must b-, a 2500 PSI minimum slabwith: 4" minimum thickness and 6/6 x 10/10 wire mesh installed; MIC52 • After reviewin& restrictions • Contxete slab int;t allow 4750 lbs of vertical ten_ listed:to the left, drill 'a 5/8 in x 3 In. hole in the slab where the an- chor head is to be located. . Sion on anchor wic.out lifting. This assuirles that the concrete weighs 150 lbs per cu. ft. • Place steel expansion sleeve over • Minimum distance from the s' horshaft to one edge Of the slab is 12 in. and 5 ft, from 0 0 bolt and Place Into the drilled hole. any other edge. • Place the washer onto the expan- sion bolt. bM2 is designed t,, be installed into a concrete slab at the time it is be ing e • Thread nut opto exptuision bolt and tighten until maximum expan. poured. • Slab must be 8 in. minimum thicknes% at location under any anchor to allow S in. erabedn:ent sion of steel expansion sleeve has been achieved, of!" rod anchor. A')IT2 is designed to be inserted through a 3/4" hole MIT2 drilled or formed.ir::o an existing ' Remove nut and washer and p�� anchor head over exposed Ela concrete slab. • O • Place washer n anQ It" to Attach anchor head, tighten nut. scum " me, Page 3 of 8 _ ,D NOteo on 105tal(ation _ �_ `Fra.r-rleT�e :wi�h'Buckie I:Ins?all strap by pusfiing the end beta yen the inside of the frame bear-: and the floor. 2. PG:: ition the buckle at upper end of the T' beam frame. Wrapp the end Of th•:. strap around the "i" beam. 'Ihre:Ad the end of thee the slot in the buckle as shown. Push the erd of strap in-between 'I" beam and floor, 3. Pu!' the strap, making certain the buck,%. stays 'n positron. Thread loose end of strap thru slotted tensioning bolt attached to ten - siccing tread of anchor. Tighten slotted tensioning bolt a minimum of 3 full turns until all slack in strap is removed. (Anchor must be propetly installed into ground before proceeding with . US step.) Soil Class Tensioning . Soll Descrlpirion Test E Recommended AnAore - 1. Sound hard tock, Value . Model # stik # Descrt pt;ion `. :..:.....:.... MA , ;. MRA..:: -"'591 10 Cross drive nock anchor 2 : Very Dense andfor cemented sands, -coar3e gravelloobbles, preloaded silts, SSO u% lbs MM5B 59090 30" It .518 i od, 2 4"..Belix clays and coral soda P MIM/4 59095 30, 014" nod, 2-4" helix (arid those listed below! 3. Medium dease coarse sands, sandy gravels, 350 to 550 MM1518 very stiff gilts and clays. In. lbs. M12H3/4 59080 59085 48"x518" nod, 1-6" helix 48" x 3/4" rod, 1-6" helix 4. Loose to medium dense sands, firm to 200 to 350 MI2H518 stiff clays and ants, alluvial fill. • 4 MUH3/4 59080 48^ x « Below these Maitre:: a prgftusorral eghWershould bt tonsrdud 59085 48" x �I hetlx t' 5. Concrete Stab-' e "w M0, I Tensioning devices for use in concrete pad, runner, etc. shall be tested (same as anchors and s Aj time of concrete crrinfoceemeat, size and thickness of concrete, size and depth of bolt hole, cati°ns as to PSI an euro Minimum distance at which tensioning device can be Installed from edge of end of slab, pad, cur cert ctd shall of be eld If pct issible. Installer/Contractor Certification certify that I have d the TM that modifications havecbeen madDOWN ahorin sRjatem a building system as r r Per Tlls DOW.. s Installation instructions and g structut�e. Company Name. Date: Contractoes License 41 Signature: Page 4 of 9 :.. - 3 go4093490401;R;T I E DtA�A� .ENGINEERING ULTIMATE N TIE -DOWN ENGINEERING INDEPENDENT TESTING RESULTS MODEL NO. DESC p p Z ES ULTIMATE N TEST D VERTICAL PUT L -OUT IN MOIST SILTY CLAY. (5/8- (5/8"&3!4") TEST PROBE TORQUE VALUE BETWEEN 6,133„ 9/15/92 200-349 INCH POUNDS. (AVG.) M�2 VERTICAL PULL-0UT IN SILTY SAND AND GRAVEL (5/8'&3/4') TEST PROBE TORQUE VALUE 550 INCH POUNDS . 5,733," 9/15/92 AND MORE," (AVG.) M3Zt1 VERTICAL PULL, OUT IN LABORATORY FIXTURES FOR SIMULAnON. UNCONFIRMED ROCK WAS NOT 5,567f 3/PJ93 AVAILABLE. MICS? VERTICAL PULL-OUT IN 2SOO PSI CURED CONCRETE. TEST SWOPPED AT 5,200 POUNDS. 5,2002 3/?4/94 MIJ2 VERTICAL PUI:L-0UT IN 2560 PSI CURED CONCRETE. TEST STOPPED AT 5,200 POUNDS. 5,200 3/30/94 M1T2 VERTICAL; PULL-OUT IN.2,500. PSI CURED CONCRETE.: TEST.STO ED AT;S�2QO:POUNDS; 5,200A 3/30194 ' (59250) VERTICAL PUlT;OUT IN 5II.T7' CLAY. TEST PROBE 5,? j TORQUE VALUE.$�.200-340 INCR POUNDS 10/6/93 MI- (59292) 45 DEGREE PUTS. ON. II1 Im PLATE SILTY STABIQUE 6,067Q CLAY. TEST PROBE TOR VALUE BL BETWEEN V5/92 200-349 INC$ POUNDS. (AVG.) NOTE:. - 'ALL 'ABOVE 'TESTSWERE CONDUCT -BY'ATEC P INCAND GALL.SSOCTATES PRODUCT TESTING MADE AVAILABLE , : EY & ASSOCIATES. THE INDIVIDUAL TEST RESULTS WILL BE UPON REQREQUE>rST INFORMATION TO: PLEASE FORW-ZM YOUR :ftQUEST FOR THIS TIE DOWN ENGINEERING 5901 WHEATON DRIVE ATLANTA, GEORGIA 30336 Page 5 of 8 DEPARTMENT OF"H-OUSING AND COMMUNITY DEVELOPMENT DMSION OF CODES AND.STANDARDS 1800 THIRD STREET, Suite 260 P.O• Box 1407 SAQRAMENTO,•CA 95812-1407 (956)_445=9471.°_FAX (916.327-4712 TDO 800-735-2929 September 29, 1994 William E. Jackson, Manager Tri-State resting Services, Inc. 6756 Buckles Cove Mempbis, TN 38133 .. " . . Dear Mr_ Jackson: CP( CCT 0 5 199 I Tbis's to confmn that the California Department of Housing and Community Development has approved your firms application to become an approved testing and listing agency for load bearing supports and structural components used with manufactured homes, mobilehomes and commercial coaches. This approval is for the Listing and labelling of structural components used in the manufactured housing industry in accordance with the standard established by your firm. Please note -the Department may 1Cquire design calculations and test data be submitted to substantiate a design when the listed system or component does not appear to. conform t Your app standard. We may also request this -Information. for the purpose Ofoutine mouitoring•or complaint "investi�tion: IZ.evisions to your approved standard as well as listed designs may be necessary in the future- a result of amendments to curnnt and/or regulations. statutes Thank you for choosing to become an approved Iistin& you have any questions or need to discnss.a particular issue testing agency. If in the future at (9167.445-9471 or Kke Rosen , yQU may contact either myself . (9167 255-2501. Chris L. Anderson Mobilehome parks Program Manager ec: • • Mike Rosenberg Page 8 of 8 4 V 0001- - ri am REVIEWED BY BUTTE CO. FIRE DEPT CALIF. DEPT. of FORESTRY approved as submitted [I—/j appvoved wit" condilicns alta ed qheet, ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. ASFT BACK OF ?O.FT. FROM THE SIDE AND FT. FROM THE REAR PROPEFTrY LINES AND til F-1< FROM THE ROAD CENTERLINE SHALL BE OF STRUCTURES AND EQUIPMENT EXCEPT 300' FOR A 2 FT. EA VE OVERI-11ANG. Septic Tank Leach Field NOTE: All MaterWe & Workmanship 91 Aocordance with Recognized Good Prac' of a Quality Prescribed for'the Specified in the Uniform Building, Plumbing & GQ.dw 0 ,nd ths NaUon&l Bleetrical Code. This set of plans and specifications MUST be kept on thajob at all times and it is unjawifta to make any changes or alterations on S&Me witjout written permission from the Department of publjo 80' Ma ctric Pole roposed 24'x46' actured Home Beto s R oad tk be ed sk S 0", 0""y ell 1980.39' AP# CDF FIRE SAFE REQUIREMENTS PERMIT # NAM Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [� 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. �] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [1�] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3-*. R 1 .i+ + AP# CDF FIRE SAFE REQUIREMENTS PERMIT # NAM Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [� 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. �] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [�] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [1�] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3-*. 51; - z Z - S -a f 7 - /7G.S"_ AP # PERMIT # AME [�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in ,length and shall be within 50 feet of the building. 1273.11 Gates [fit] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [X] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [`(�] 1276..02 Disposal of Vegetation and Fuels. Disposal, including I chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of road construction �r fi:ial inspection of a building permit. Page 2 of 3 -23—no AP # PERMIT # -� NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] if Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials e,2-0 Date Signature Page 3 of 3 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM -(One form per Building) School District , ', . Building Department No. A.P. Number Property Owner Property Location/ Subdivision Lot No. Residential Development No of Living Mobile Home Addition Units Installation t> , Commercial/Industrial New Addition Sq. Footage ( roup R) Sq. Footage Roofed Areas) . R /;� h!� t — , . - I Date •. (Floor Plans revidWed by School District Personnel) District Identification No: 9 �—` 3 School District certifies that (Applicant) I . (Street (City) has complied with•the requirements of Resolution No. representing /J? 3 square feet. ' ju,4 /tip- /!2�= School District Representative Q Paid by Check /i Remarks: '(State) r (Phone Number) (Zip Code) by payment of $ B 2926 $ ULL MITIGATION 7 / Date %� l3zi/l Notice: You may protest the imposition4'of the fees identified above by sub fitting a written protest to the District, ip/co pliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School'D'istrict is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm 8 _ E - . - - : - -- --- - - -- �-� - I. Fee 8.00 _ 197-0325571 Rec I IHF 2.00 And when recorded mail to: Recorded I PPG 6.00 Building Division Official Records I Check 16.00 #7 County Center Drive County of I Orovilie, Ca. 95965 Butte I Candace J. Grubbs I Recorder I 9:42am 2 -Sep -97 I. PUBL XX 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. T property described herein is adjacent to land or included within an -area zoned for agricultural purposes, and residents of d property may be subject to inconveniences or discomfort from the use .of agricultural chemicals. including. but not limited herbicides. pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivadc plowing, spraving, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establish agricultural purposes and residents within said zones. and on adjacent property should be prepared to accept such inconvenience discomfort from normal. necessary farm operations. All that real property situate in the County, of Butte. State of California described as follo«•s: Date: ,O -� l --4 ^1 PROPERTY OWNERS: -- i State of California ) �' County of Z3z4 t7� ) On OZ2! before me, �QGi/G �yi�z �,, G I�D7 rl��/114e ll personally appeared ✓4,eie s aAd personal! known to me (or proved to me on the basis of satisfactory evidence) to be the persons) whose name(s) is/are subscribed to th within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ics), an that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) actet executed the instrument. WITNESS m,,►,hand and official seal. JODIE FINATO Signature :%.P.# COMM. ! 1115313 _3 NOTARY PUBIC-MFORNIA y Seal: Q COUIJTY OF BUTTE W My Comm. Exphs Nov. 3, 2000 Order No. 1-179127 REFINANCE ESCROW INSTRUCTIONS SCHLDULL C 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: That portion of the patented mining claim known as the Alvarado Consolidated Placer Mining Claim embracing the Alvarado and New Alvarado placer mining claims and Wyoming and Katy Did Quartz Claims, designated by the Surveyor General as Survey No. 4480, embracing a portion of Section 34, township 24 North, range 3 East, MDM, as set for in the patent from the United States of American to John E. McGibbons recorded July 13, 1909 in Book G of Patents at page 264, records of Butte County, California, described as follows: Parcel 3 as shown on that certain parcel map recorded in the office of the Recorder of the County of Butte, State of California oniNovember 20, 1981 in Book 86 of Maps, pages 84 and 85. Also excepting from the above described land any veins or lodes of quartz or other rock in place bearing gold silver, cinnabar, lead, tin, copper or other valuable deposits within the land above described which may have been discovered or known to exist on or prior to October 15, 1907, other than the Wyoming Lode mining claim and the Katy Did Lode mining claim as described in the above patent. AP No. 056-230-050 PARCEL B: A 60 foot right of way for.road and public utility purposes as shown on that certain Parcel Map, recorded.in the office of the Recorder of the County of Butte, State of California, on November 20, 1981, in Book 86 of Maps, at pages 84 and 85. PARCEL C: A 30 foot non-exclusive road and public utility easement as shown on that certain Parcel Map, recorded in the office of the Recorder of the County of Butte, State of California, on November 20, 1981, in Book 86 of Maps, at pages 84 and 85. PLE INITIAL LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Bui/ding Permit No. OWNER F j A. NUMBER: P. 6Z, PRINT LAST NAME RRST l TT J ADDRESS / LOCATION: / Y !J L N COUNTY ZONING.X X ,� 0-11515 DESIGNATION: �/"1 ZD FLOOD ZONE:. FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEM RIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING LOT 3 BOOK 86o PAGE 84 COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? * (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 41.. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ' ft.building setback from right-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a /00 ft. leachfield setback from s V.Iq$� � .S7nest M S 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. x7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. _ 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the. National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to ba made to dw Planning Dh sfen. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission. requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22. 23, 24. 25. 26. 'AI01N3Wd013A30 OMfI 3108 :10 A1N665 1661 1 1 9nd ®3AMAI LD 5/97 CAWPS I TOMLS.MMOOPE W -UR