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056-360-019
�� 36-j9 t D=AF Doerschlag orst Ranch Rd., Forest Ranch �� USERMIT FOR ;PE,,SENIOR Parcel 1 CITIZEN DWELLING �' �'• Permit �k510 82B P F M(new si 7/19/95 � � �r ngle family) � 56-36-19 � Permit#78_ -83B(lst renewal/510-82) IS a; 056-360-019. PERMIT#95-0681 ! DOERSCHLAG, Dons• 1 16138 Forest'`Ranch Rd.` Forest Ranch / s Ele for Outdoor Lighting 056-360-019 PERMIT#95-1 60 DOERSCHLAG, Dori I I 16138Forest Ranch Rd., Forest anch Mobilehome Utilities/2nd Dwelling__- + az ELECTRIC GAS LINE L /0 . 1/44 / i:7- + COMPACTION TEST REQS-0:. SUPPORT STRU.CT REQ L -019 PERMIT#95=2983LAG; Don `,orest? Ranch Rd., ForestRanch:me Installation oZ' r i 4 f � i f� r i m , a Cput,; �� Burt KS pEp?• OF PUOI.Irr , EIB 16 19 • � � Rr'�g 9�14�11���1i2�3�4t516 a RECORDING REQUESTED BY AND WHEN .RECORDED MAIL TO NAME Douglas S. Starr ADDRESS P.O. Box 365 - ' Forest Ranch, .Ca. 95942 CITY & STATE L I Title Order No. Escrow No NAME ADDRESS CITY & STATE A MAIL TAX STATEMENTS TO Same as above !Change of..Owner- ship SIO, emont N Filed. (Sec. 430 R 8 T Coe) Ze ing address on document. OPTIC: .. N`cC;QI<;,. . OU1 N Mhy 10 12 50 NI'I 19 3 ELEANOR �4, so f:. I,:,, CLERK -RECORD ER � �I F k I6-3�-,Ao 'SPACE ABOVE THIS LINE FOR RECORDER'S USE Documentary transfer tax $...,/'�; tte ................ ❑ Computed on full value of property conveyed, or ❑ Computed on full value less liens and encumbrances remaining there h at time of sale. ............ Signature of decl;�'nt or agent determining tax—fm name 3jubibibuaY 0tant"Ileeb WESTERN TITLE FORM NO. 104 FOR VALUE RECEIVED, DONALD A. DOERSCHLAG and SANDRA K. DOERSCHLAG,. husband and wife GRANT—q--to DOUGLAS S. STARR.and WANDA E. STARR, husband and wife. as JOINT TENANTS all that real property situate in the unincorporated area of the County of Butte , State of California, described as follows: Parcel 29 as shown on that certain Parcel Map of a portion of the West half of Section 32, Township 24,North,. Range 3 East, M.D.B. & M., which — Parcel Map was filed in the office of the Recorder.of the County of.Butte, .State of California, September 28th9 1.981 in Book'86 of Parcel Maps,'at pages 23 &.24. RESERVING THEREFROM a non-exclusive easement for waterline purposes over the Southerly 15.00 feet -of the above described Parcel 2. Said easement is for the benefit of and,appurtenant to Parcel 1 as shown on that certain Parcel Map recorded iri the office of the Recorder, of the County of Butte, State -of California, Sbptember 28th, 1981, in -Book 86 of Parcel Maps, at pages 23 & 24, and shali inure to the benefit of the remaining land of the Grantor and may be used by all persons who may hereafter become the owners of said appurtenant property or any parts or portions thereof.' Dated April 28th _ 19–BI . ONALD A. DOERSCHLAG SXNDRA K. DOERSCHLAG. STATE OF CALIFORNIA } ss. County of B1'1`- JJJ On ADril 28, 19 E? , before me, the undersigned. a Notary Public, in and for said State, personally appeared 11o11 aid A. Doerschlag & Sandra X. De-2rscrl�..-- r;� �,r�li• . known to me to be the persons whose name. subscribed to the within instrument, and acknowledged to me that, U hem executed the same. Notary Public FOR NOTARY SEAL OR' STAMP MAIL TAX STATEMENTS AS DIRECTED ABOVE 'rN(j 0 LV G CX G= s.. G7 rT•1 C.: C. a. OFFICIAL SEAL '- •Y!<h._�' WALTER D. SUMMERS �•Ij-=i?j�!.; FZiS' 7'' NOTARY PUBLIC CALIFORNIA PRINCIPAL OFFICE IN BUTTE COUNTY MY COMMISSION EXPIRES OCTOBER 1, 1983 MAIL TAX STATEMENTS AS DIRECTED ABOVE 'rN(j 0 LV G CX G= s.. G7 rT•1 C.: C. a. RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO -71 NAME Donald A. Doerschlag . P.O. Box 127 ADDRESS Forest 'Ranch, Ca. .95942 CITY & STATE L Title Order No. Escrow No. MAIL TAX STATEMENTS TO NAME ADDRESS Same as above CITY & STATE of OWner- Change oment NOT $tot. ship 4Jj g, T. lin9 Fi1c:J `" tno. r'nCle) '�'�nt t0 nt. J IMPH fqp� CLERK - R�CORI Lit ' 83-20(;10.` SPACE ABOVE THIS LINE FOR ECORDER'S USE Documentary transfer tax $...,��7:2 .( ........:... . 0 Computed on full value of property conveyed, or ❑ Computed on full value less liens and, encumbrances Tema' in thereo at time of s le. �.Z� ............. Signet re of dec Int or agent determining tax irm name TER SEMENT NOW- %prant �Deeb WESTERN TITLE FORM NO. 104 FOR VALUE RECEIVED, DOUGLAS S. STARR and WANDA E. STARR, husband and wife GRANTS—to DONALD A. DOERSCHLAG and SANDRA K. DOERSCHLAG, husband and wife as JOINT TENANTS all that real property situate in the unincorporated area of the County of Butte. , State of California, described as follows: Being anon -exclusive easement for waterline purposes over the Southerly .15.00 feet of Parcel 3 as.shown on that certain Parcel Map for George Jarjosa Jr. which map was filed.in the Office of the Recorder of Butte . County, California'in Book 86 of Parcel Maps at pages 23 & 24. Said easement is for the benefit of and appurtenant to Parcel 1 as shown on that certain Parcel Map recorded in the office of the Recorder, of the County of'Butte, State of California., September 28th, 1981, in Book 86 of Parcel Maps, at pages 23 & 24, and shall inure to the benefit of the remaining land.of DONALD A. DORRSCHLAG and SANDRA K. DOERSCHLAG and may } be used by all.persons who may hereafter become the owners of said appurtenant property_or any parts or portions thereof..( Dat..ci Apr" 28(th19 83 DOUG S.• STARR WANDA E. STARR STATE OF CALIFORNIA l( Futte t ss: County of J On June 1 7 . l9 8 3 before me, the. undersigned. a Notary Public, in and for said State, personally appeared Douglas S. Stair & Wanda E. Starr T)erosonwlly known to me to be the person-% whose name S are subscribed to the within instrument, and acknowledged to me.that --the-y- executed the same. Notary Public 1 FOR NOTARY SEAL OR STAMP OFFICIAL SEAL \VALTER D. SUMMERS I'"•- k°"' NOTARY PUBLIC CALIFORNIA PRIt:CIPAL OFFICE IN BUTTE COUNTY MY COMMISSION EXPTCS OCTOBER 1, 1983 MAIL TAX STATEMENTS AS DIRECTED ABOVE END OF DOCUMENT 0 r ` When, recorded mail to: 3 7 30 cl- Butte County Planning Division 7 County Center Drive - Oroville, CA 95965 95-0437301 Rec Fee 9.00 I Check 9.00 Recorded I I Official Records I County of I Butte 1 Candace J. Grubbs I Recorder I �,10:04am 14 -Dec -95 1 PUBL XX 2� OWNER'S AFFIDAVIT -RE: SENIOR �� E�S� CITIZEN DWEWNG UNIT (BUTTE COUNTY CODE SECTION 24-202) Property Owner Do i4A �,o Owner's Address Administrative Permit Number 95-70 APN 056-360-019 Property Address/ 6 1 sl P 66-1 Lc j %Z� Property Description Attached as Exhibit "A" I, 00mA_LlD owner of the above described property, do declare, that the Senior Dwelling.Unit on the proPerty described above is now and shall be occupied solely by one (1) adult sixty-two (62) years of age .or over or two (2) adults, one of whom is sixty-two (62) years of age or over. This affidavit, which shall be recorded at my request shall constitute a covenant running with the land, binding upon me and my heirs, successors and assigns, and limiting the occupancy of the said senior citizen dwelling unit in accordance with Section 24-202 and as specified above. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this I 4 til day of lie _, 1g94�at r h.i o , California. Signed STATE OF CALIFORNIA COUNTY OF BUTTE On ( a` ^ I (� ^ T.- before me_ nersnnally Z appeared Tonald 0 e r5 , ❑ personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be he persoh(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized .• .." . capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the enti-upon behalf of which the person(s) acted, executed the instrument. WIT S my hand and official seal. S��yATURE OJF NOTARY 0 OFFS WAW 1018784 C. ARAGON NOTARY PUBLIC'- CAUFORNiA COUNTY OF BUTTE MY Comm. Expires January 30, 1M January 4, 1995 Don Doerschlag P. O. box 127 Forest Ranch, CA 95942 Re: Administrative Permit, AP 056-360-019 #95-70 Dear Mr. Doerschlag: Enclosed is your validated Administrative Permit No. 95-70 to allow a Senior Citizen dwelling unit on property zoned. TM -5 and located on the south side of Forest Ranch Road, approximately 2600' west of Hwy 32 in the Forest Ranch area. Every Administrative Permit expires and is automatically null and void without, further action by the County if the Activity or use for which the Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final approval. Should you have any questions regarding this matter, please contact Barbra Duncan of - this office Monday through Thursday, between the hours of -8:00 a.m. and 4:00 p.m. Very truly yours, Barry K.°,Hogan / Planning Manager BKH:bd Enclosure cc: Building Division Land Development Division Environmental Health Division Department of Forestry PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 Re: Administrative Permit, AP 056-360-019 #95-70 Dear Mr. Doerschlag: Enclosed is your validated Administrative Permit No. 95-70 to allow a Senior Citizen dwelling unit on property zoned. TM -5 and located on the south side of Forest Ranch Road, approximately 2600' west of Hwy 32 in the Forest Ranch area. Every Administrative Permit expires and is automatically null and void without, further action by the County if the Activity or use for which the Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final approval. Should you have any questions regarding this matter, please contact Barbra Duncan of - this office Monday through Thursday, between the hours of -8:00 a.m. and 4:00 p.m. Very truly yours, Barry K.°,Hogan / Planning Manager BKH:bd Enclosure cc: Building Division Land Development Division Environmental Health Division Department of Forestry ADMINISTRATIVE PERMIT BUTTE COUN7Y PLANNING DIVISION, Deceruiber.26. 1994 95-70 PEt1i1 IT NO. 056-360-019 ASSESSOR'S PANCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Don Doerschlag is hereby granted an Administrative- Permit in accordance with application filed: September 27, 1994 to allow a detached Senior Citizen dwelling unit on property zoned TM -5 (Timber Mountain, 5 acre parcels) located on the south side of Forest Ranch Road, approximately 2600' west of Hwy. 32 in the Forest Ranch area. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24-62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the- benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. The. "living area" meaning the interior habitable floor space area of a dwelling unit including basements and attics, but not including a garage or any accessory structure, shall not exceed 1,200 square feet. 2. The senior citizen dwelling unit is intended for the sole occupancy of one (1) adult 62 years of age or over or two (2) adult persons, one of whom is 62 years of age or over. An affidavit of compliance with the age requirements of this section shall be recorded in the office of the Recorder prior to issuance of building permits. Said affidavit shall include the legal_ description of the lot or parcel and shall constitute a covenant running with the land, binding" upon the original owners and their heirs, successors and assigns, limiting the occupancy of the senior citizen dwelling unit to the conditions described in this, section. 3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel containing the unit" is created in compliance" with the existing zoning and subdivision ordinances and the resulting density is in conformance with the General Plan. 4. Two off-street parking spaces shall be provided for the senior citizen dwelling unit in addition to the parking spaces. required for the primary dwelling unit. 5. Adequate sewer and water facilities shall be provided subject to the" approval of the Environmental Health Division. 6. All site development" standards as required by the zoning district in which the unit is located shall be met: 7 The senior citizen dwellingunit may be a conventionally constructed building, a mobile home that complies with the National Manufactured Housing Construction and Safety. Standards Act of 1974, or a mobile home. 8. Maintain at least a 12 ft. wide access to the rear of the property for fire protection purposes and provide an all weather driveway capable of supporting a 40,000 pound fire apparatus. 9. Meet the requirements of PRC 4290 except for the requirement for on site water storage. Placement of the. new structure must" be at least 30 feet from the closest property line: 10. The approval of" this permit constitutes approval only to the extent that the project complies with the Butte" County Code and all other applicable "regulations. 11. The requirements of all concerned governmental agencies having jurisdiction by law, including but not limited to the issuance of appropriate permits, shall be met. NOTE: Minor" changes may be approved administratively by the. Director of Development Services upon receipt -of a substantiated written request by the applicant. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the, application, fees" paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. NOTE: Issuance of this Administrative. Permit does not waive requirement of obtaining Building and Health Division permits before starting; construction and their approvals, prior to use or occupancy, nor does it waive any other requirements. cc: Land Development Division Building Division Environmental Health Division Department of Forestry AP'4 56 36 - 19 16138 FOREST RANCH PARCEL ij 5°217 AC,,, Fot�.s� L o� L `t' pr�oPos�,,� S� X lob P� o?0-40 S TlZ J i J R-cl rl i r7 v r"l 12- on S Q F' i Biro l-oo rZ z1, /k P Z 8-14 1 P" p ROVEDDEVELOPMENT PLAN DATE b&E PERMIT �--VARIANCE BY eve -f PERMIT NO. PERMIT EXPIRES OWNER Donald DoerscHag 7 CONTR uwmr ASSESSOR PARCEL 56-24-144 port. LOCATION 16138 Forest Ranch Rd., Forest Ranch ley l 4 ;.t Temp. Power Pole .g Called PG&Ey Tem lec. Service d , Called PG&E Temp. Gas Service Cal led PG JOB FINALEI Signature �tEIDENT IAL EPiK_gY_CONSERVAIION STANDARDS CONS'TRUCTIpNV COMP JANCF CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORHMCE WITH CURRENT ENERGY CONSERVATION REGULATIONS i AT A -3k (location) BU11.1DINC PF.RMTT NO. 1C A. P.. NO. .�j7':T4' / TIIE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A it: not applicable) INSULATION: CLAZ INC : i Slab Edge Single C1azed Fdn. Walls t41 -j_ Special (Insulated) q (, Floors XA CERT. & LABELED WDS. Walls jL-2Z & SLIDING DRS._ Ir IF _ .Ceiling/Roof d -3O WEATHLRSTRIPPL•'D DRS. YiyS _ Duc t s Bat f PP.17 BACK DAMPEIWD FANS 'r67' . Circulating Pipes INTERMITTENT IGNITION DEVICES__6L/- APPROVED HEATER _t,,)0ab CERT. APPLIANCES APPROVED W'TR. ifTR. S„1cAl2 W/ fit, A t� LIP I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE Iii.VE BEEN INSTALLED IN ACCOIUDAWCE WITH THE ENERGY CONS 1-11VAT ION REQU IREZIENTS AND ACRTE: TO THE COMPLETENESS OF THIS CER.TTF I:CATE AS SUWMITTED. Insulation Applicator Name Hajkj.La_j=ujation Co Inc. Signature of (pleas-p-Dr'int) Insulation Applicatoa,�4���..�. State 1-untracLurt License No. _ 373407 General ContractorOwner Nam (plc:!se print) Sil;nat�irc of . Ccnoral Contracto er Datee State ontractors Lice n..0 PJo._ THIS CERTIFICATE MVST.Ze ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION, WITHIN TIIF InJELLING. J =' OK O = Not OK — = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS A. Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except it's 3 1. Zoning Requirements—Setbacks,.-Easements 2. Soils; Special MH Support—Sketch 2, Footings; Size—Depth—Spacing—Connectors -- 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete j 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L" ft./ /"Nat. or/ /"L',ft./ /"LPG 6. Carports; Windows—Doors _ 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1, Zoning Requirements—Setbacks—Easements Card -BI Date _ Date . Card -BI _ Date, POOLS (Plans) OK'except +Y's, 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged a B. Elec.; Grounding; Equip -.w/5' -Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—Ins. to•Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date .. -- i Q'? - ' r J = OK O = Ndt OK - =.VDI Applicable Not Ready G 0RESIDENTIAL (Single and Duplex) Date UNDERFLOOR P s OK except 9's Date FRA NG Continued . ming requirements -Set' s- Egpments fyLo k.'Property Line Firewall & Openings I- _fZ g., Main; Soils Ele rnd.- / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils-64ea1-/ /" Ftg. Depth .60I Statirsi'""""' " (room -Rise -Run -Landing -Fire Protection y t ., Perges Ftg. Depth L1/Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Z y tem s, Main; Steve -BI uts-Wrapped-S� nigui s•, Garage; S4"-BIctAerts-Wrapped, E2, -Siding -Nailing -Veneer rip Screed-Fdn. Vents-Underflr. Access _ iers- I . Glazing Area -Glass Protection -Skylights -Plastic 3' V.: Ka1'FF' s- -2 ay C/ Sewejje -6s snoa. wall% Nailing -Bolts ARehe Seryest 11)(EI chic; Undergrou d �/-ZS 1 lenmris-d D Clear -M -Su rt -las. 13.xGirders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date J/i Card -BI Date ,j dA-T�. a �� Card -BI K4J Dat ,r Card -BI Date C s ®, Card -BI Date Card -BI Date Card -BI fft DateV- .LLr,3 Card -BI Date Date FIN (Plans) OK except,#'s Card -BI CA DatGV- Card -BI Date Date PLUMBING (Permit) OK except q's . 5xt. Steps -D Sidelight Protection -Lendings 5 Smoke Detector Vent -Access -Combustion Air9&rlearance-Comb. j*lAir-Connector- l or -Ducts -Meth. Protection . Water Pipe; st & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection Sroom Exiting _ 6 .F.1. & Bath Fixtures & Tub s - cce s ElecTAm & S96pawel; Breaker Sizes-L$bate- .replace or ,'c learapetl-s HsafW U—Ele-c. Outlets at Wood Panel; In>3.&4Ext. Card -B Date �-J/Card-BI Date Gfi�t. Fixt. & Appliance; CAwdY--Aires=Cooking-G4earance Car I Date Card -BI Date 6 c. Outlets & Receptaeles-at'-Kit. Counter Date ELE RICAL Permit OK except t N's Garage Fire Door; Zyij-L&o"g- - er . Fixture &Transformer Clearance -Ins. Protection • Wtr. Htr.; dents-Cleaee-Cera,4ir-6oarSacta�-PEi�f! ;n Aa_rclamor-Mech. Protection C1,-Elec. Receptacles Spacing -Lights & Switches at Doors lec. & Mech. Equip. Listed for Location 22 -r -Size Boxes & No. of Conductors-Stapledlec. Receptacles in Garage; o ro c. Zar-Ro -Installed Close to Edge of Studs & C.J. 4 p. Ground made up w/Mech. OvMners-Bond Gas nsulation -Looked in Attic des P 2 Appliance Circuits in Kitchen & Conductor Size _ Q&_Suhu�� Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At a Door -Drainage & Wood -Earth Clearance L s Range Circ. /?'/ ga. Cu or AI -Oven Circ. /!?'/ ga. Cu or AI, Insulated Neutral 5;4�es ❑No ollowing instld.: Drive � []No; Walks ❑ Yes Q e! Planters []Yes -in.sh 28r -Service -Riser Conductors & Ground -Main Disconnect ZK—Equip. Clearances; Panels-Motors-Mech. Equip. Irnces-Brkr. & Cond. Size -115V Outlet ht -Shower Light 7&,4—encs Above Roof; .-Ane LLacce.-Fj ,O' Clearaoca-te,.O-ppnngs. ��---.Alert -wall^ALL%r nnorf Flprir•r II�''�' � CC,i ,a/)/� W/ffxterior Elec. Trim; G.F.I. Receptacle - d Card B -I Date$-W-J"Z Card -BI Date entilation throughout House 6Protection Card - AP Date - Q Card -BI Date Date MECHANICAL (Permit) OK except H's _ erections from Previous Inspections -Meters ed; Gat-Elew4e— A.C. Ducts; Insulation & Supporta5e'TVa1gL_& Sewer Connected -C/0 ade-HD Approval ._.__.__.42. _ Vent Fan; Exhaust above Insulation Overflow; Size & Grade nergy Compliance Certificate -Other Certificates Air -Return Air Vent -115V outlet if Furnace in Attic Card -BI Dat Card -BI Date Card -B Date,3_7107 Card -BI Date Card -BI Dat Card -BI Date Card -BI Dae Card -BI Date Card- Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ ins over Girders & Floor Nailing Pi. -15r -aft Stop in Walls (rat proof) _i46' --Fire Stops; Furred Ceilin s -Stairs -Chases -Tub . Header & Beam -Size & Bearing ers=Post Caps -Anchors -Connectors CI . Joist Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. ireplace. Ties or yp 4 Firepfe�t _ 45. 'tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) IS.4 (2 Lor 2 JI 5 57-17 Ac. O(54.52 ACJ 160 AC Lor 3) 3 (54.71.4c) 148 VS4 Lor4 (54.9 4C) N FOPEST 0 8 Lor U,34 -JCF R04 156 AC 4146 A.C. d ,0,38 96, IJ34 33 47.23 AC 88 C, 90 &Or2 IiiU64 83 1 - .., �", 13-06.// c el ROAD2c;;c W. @) 7 5 , 4 40. 584C fIG43, 'Y. 6& Lor3... II 25.97/ Ac. r X -7�. 4 54.1-2ACJe, -"73� FO Lor4 TRNS. To 30 -PO (54 61 4c 35 p C, . 17-, A 11 4 5.: 6 i. 2.1 P / 3 Af S5 10. 4 4: G�9-8 yc.A[ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE le✓C/l! 44 7 f5 _ o',3' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ma ter, or need additional explanation, please contact this office immediately. ,'"� Sl �J / G /LDc/a✓C� Ire ; Inspector Date J j / UVE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 ° Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office w correction of work is completed. If you have any question pertaining to this Latter, or need additional explanation, please contact this office immediately. u�3 ,P/Z, 4-4;- � ® 'C w -774.t av/r;, Inspector Date l - COUNTY OF BUTTE DEPARTMENT OF -PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5343541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 r CORRECTION NOTICE rc A LU ,�. � ire✓� 7,y y OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mattes/br need additional explanation, please contact this office immediately. G r"a is 0"" r'/', /L a Inspector_ __ Date r` COUNTY OF BUTTE •� DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way' Chico = Phone: 891-2751 r 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 Jr CORRECTION NOTICE I//I,-.- //°A` J/0 - BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when corr ction of work is completed. If you have any question pertaining to this matte , or need additional explanation, please contact this office immediately. o'�/% �.� ft/C� it � d �(� � !%=i,i.lt,✓✓e' ,s/S - .• 5 � LF'/ fra 1 /`D��£� mac!/ /✓�f ,41(Y A� / C�2J %T fel -5"1 Inspector /'� i%r Date <-/ 7- JVZ— ---T COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` 196 Memorial Way, -Chico = Phone: 891-27.51 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 i" CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or'need additional explanation, please contact this office immediately. Lake- G� i Inspector G�/ver/ `U/` Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • ' APPLICATION AND PERMIT PERMIT NO. f ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNJ) q� /\�}y, TELEEPHOONNEAI SQ. FT. OCC -1 BUILDING VALU ION OWNER'S MAILING ADDRESS J 144 4 P0, BQK AJ CO TRACT``OeR�NAME IV� TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION TTIIOON LENDER UNKNOWN Total Valuation $ go,Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,©p ARECEST OR ENGIN CENSE' NQ. fJ Plan Checking ee $ Penalty $ ARCHITECT O GINEER'S MAtLING ADDRESS 1A21�L / , j D Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PA�R+/CEL MAA,P- 6�a—�T Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF4�< Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑. Other ❑ Describe work: — /-'•600V �(^!•r [�/'/' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 2t/20sq ft NTRACTORS LICENSE LAW I declare under penalt f perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT'.OUTLET NO N•RESID BRANCH CIRC ITS 2.50 ea NEW CONSTPOWER APPARATUS & NON.RESI R D, SINGLE OUTLET CIR. ) Ex. OccuP(ouTLETs OR FIXTURES 20050e BAL®30,t FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor RKMEN'S COMPENSATION INSURANCE I declare under p9halty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject d�L to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I'also agree to save, indemnify and keep harmless the County of Butte against all .1icabilities, judgments, costs, and expenses which may in any way accrue said County in c• sequence of the granting of this permit. Date ��This Ognature of Applicant — Owner. C tractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee. $ TOTAL PERMIT FEE $/2_'P'5� ocCOP. GROUP I TYPE OF CONST. I PARCEL PD 1 HD 1 ISSUE ermit ishereby issued under siohe Butte County Code and/or wo i d ove for which COR OF PUBLIC BY PERMIT EXPIRES Date_ — the applicable provi- resolutions to do fees have been paid. WORKS �jgg Date OJ �— Receipt NO. 02006 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT d y COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 • - APPLICATION AND PERMIT A ASSESSOR PARCEL UMBERZONIN 5TQ —3-q M a BUILDING PERMIT OW TELEPHONE in It SQ. FT. OCC.1 BUILDING VALUA ION Nle"Z� R' MAILING ADDRESS . (0JA 7YDS ,AA ONTRACTO NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN �� Total Valuation $ Filing Fee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ A ITECT Qui EN EE 1u (CENSE NO. Plan Checking Fee ''� $ 00 Penalty $ ARCH TECT OR ENG EER'S(LING AD RESS I100P-D Y� , Permit fee $ x'00 BUILDINGIADEDRESS PLUMBING PERMIT Filing Fee 10.00 -/ R Each Trap � 2.00 ob Repair drainage or vent piping 5.00 Water piping CO LOT NO. SUBDIVISION NAME JPAROL jV��l/JV Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF L/ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system5.00 Iv TYPE OF WORK New Ev Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 6700 O Main service EA. ADD'L 1100 AMP 2.50 NEW CONST. DWELL d4C & OR ADDNS. ACC. B :4t7T� _ 20 sq it 3 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON -RESIT R. BRANCH CIRCT TS 2.50 ea NEw CONSTR. / POWER APPARATUS e) NON-RESID. \SINGLE OUTLET CIR. 50025¢ Ex. Occup OUTLETS OR FIXTURES BAL@100 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. . ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag t said County in conseque=oftheanting of this permit. ate .2 Signature of Applicant — `Owne� Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. T_ ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By IT .EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dato- Z� �� pL? ?--r-- � a .3 Receipt NO.� / 2 dL f--- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT - S2�"' 5365 FOR RESIDENTIAL DEVELOPMENT BFiG;% EICO =t;) , CALIF. Section 26-8.1 of the Butte County Code requires.this acknowledgement 1111_1 =9T8Y be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of A: NEL il.) this property may be subject to inconveniences or discomfort arising ��-�E9RDcR from the use of agricultural chemicals, including, but not limited to herbicides, EE` pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should.be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of.Butte, State of California, described'as follows: Parcel 1, as shown on that certain Parcel Map of a portion of the West half of Section 32, Township 24 North, Range 3 East, M.D.B. & M. which Parcel Map was ,filed in the office of the Recorder of the County of Butte, State of California, September 28, 1981 in Book 86 of Parcel Maps, at page 23 and 24. Date: 2 el State of California ) County of Butte ) OFFICIAL SEAL �. WALTER D. SUMMERS NOTARY PUBLIC . CALIFORNIA • ' PRINCIPAL OFFICE IN-°= BUTTE COUNTY MY COMMISSION EXPIRES OCTOBER 1, 1983 PROPERTY OWNERS: aW11 F"? I W, A " W-, V mm On this the 2nd day of March ; 1S,','•1982 ; SS. before me, the'undersigned Notary Public, personally , �`' :- appeared •�j`:Donald A. Doerschlag and Sandra K. Doerschlag i known to me to;:be.the person(s) whose name(s) are o iI subscribedt-to6 the within instrument and acknowledged that ihey executed the same for the purposes therein`bontained. IN WITNESS WHEREOF, I hereunto set my hand and official 00 seal. -� n. G7 Notary Public Present A.P. NO. cp4_77 BG G END OF DOCUMENT 0/1 klo Y d r 's k. „ F CLI a ►� .. fi RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Pe # rmit a OWNER=1°�A® ' $ ����L A A. P . �� 56 _ ah A.GENERAI. Voning requirements (sideyards and parking). aluation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN e.Complete parcel size and dimensions. ^` X/Y Setbackq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLO.OR PLAN k1.- omplete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per,State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). .8"' Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. ations of water heater, heating & cooling equipment, -other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). } 1 - 3'0" exte�r'gr exit door (Sec. 3303d). rFireplace location. .Smoke detectors (Sec. 1413). TC TURAL DETAILS oundation plan complete enough to construct building. loor construction details complete enough to construct building. levations and wall construction details complete enough to construct building. �. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR /CCX plywood on exposed locations and overhangs. ?/ tairway details (Sec. 3305). 3 ardrail details (Sec. 1716). /Brick or stone veneer (Chapter 30). Y Exterior plaster - weep screeds (Sec. 4706 & 4708). G! Proper roof pitch for roof covering (Chapter 32). rfter ties or bearing ridge beam. "� rage door or porch header sizes. ,�+. Adequate bracing. Living area over garage - complete 1 -hour separation required.including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). 3 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT QFFIG:AL -IL..: Is()_ 8lJTij C�OUKT'i - VAL1F. Section 26-8.1 of the Butte County Code requires this acknowledgement` .AOR H OfQ "`TED 8Y be recorded prior to issuance of a building permit. c - AA I 121 AH IWol The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of CLARK A•NLL3011 this property may be subject to inconveniences or discomfort arising 0L9#9=flgGORgcR from the use of agricultural chemicals, including, but not limited to herbicides, AFfF pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such Inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Parcel 1, as shown on that certain Parcel -Map of a portion of the West half of Section 32, Township 24 North, Range 3 East, M.D.B. 6 M. which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, September 28, 1981 in Book 86 of Parcel Maps, at page 23 and 24. Date • l9 Z PROPERTY OWNERS: r State of California ) On this the 2nd day of March SS. before me, the undersigned Notary Public, personally County of Butte ) appeared Donald A. Doerachlag and Sandra K. Doerschlag known to me to be the person(s) whose name(s) are o ! subscribed to the within instrument and acknowledged n OFFICIAL SEAL that thwy executed the same for the purposes �ql WALTER D. SUMMERS therein contained. NOTARY PUBLIC • CALIFORNIA PRII:CIPAL OFFICE IN IN WITNESS WHEREOF, I hereunto set my hand and official BUTTE COUIITY seal. MY COMMISSION EXPIRCS OCIOUR 1, 1987 /) T Notary Public Present A.P. NO. ��' ��G END OF DOCUMENT j '+.. 056.-360-019 y PERMIT#95-0681 DOERSCHLAG, Don. 16138 Forest Ranch Rd..' -,Forest Ranch Ele foi Outdoor Lighting 1 � k i 7 4 . i OFFICE COPY' Address I . GAS Meter ByDate r ELECTRIC " Meter By Date ' F /JJJf i i' Q a. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATIWAND PERMIT ASSESSOR PARCEL NUMBER 056-360-019 ZONING 1fr5 BUILDIN ERMIT OWNER TELEPHONE 1342-2201 SO, FT, OCC. BUILDING VALUATION ,1FRSrHT.AG OWNERS MAILING ADDRESS ` PQ PDX ±127, FOREST RANCH 95942-0127 — CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN OWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. T Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS " Penalty $ BUILDING ADDRESS 16138 FREST RANCH RD, FOREST RAND PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other OUTDOOR LIGHTING SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00— 5.00SPECIFY Building sewer 15.00 TYPE OF WORK New 7J Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: SERVICE FOR OUTDOOR LIGHTING Mobile Home I S I GI W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.00 - Main Service a OR LESS ( 2000A OR LESS ) 23.00 773 • Main Service ( 200A TO 1000A ) 46.00 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. .4. 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 I 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON -RES ID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 8 SINGLE OUTLET CIR. / Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL .50 Ex. Occup. ( OunEDTs PLNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor MECHANICAL PERMIT: Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above, sections need not be completed if the permit is for work of a valuation of or)e 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. (I (all (� �,r A- Date =(= i = � � Signature of Applicant - Owner ❑ ontractor ❑ 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 is occ CONST. TYPE TOTAL FEE 4e HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PO HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. r Date (Date) Receipt No. �%' I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �- ASSESSOR PARCEL NUMBER 056-360-019 ZONING fr5 BUILDIN ERMIT OWNER TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS PQ ROX +197. FOREST RANCH 95949-0127 — CONTRACTOR'S NAME OWNFR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOVOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S "UNG ADDRESS Penalty $ BUILDING ADDRESS 16138 FREST RANCH RD, FOREST RANCH PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other OUTDOOR LIGHTING SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New )7 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: SERVICE FOR OUTDOOR LIGHTING Mobile Home IS I GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service ( OOOv OR LESSOROR LESS ) 23.00 23-00 Main Service ( z00A TO I ... A ) 46.00 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 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: ❑ 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. Ias owner of the property, am exclusively contracting with licensed contractors io construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) SO, 3.51t FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 PSINGOWELE OUTLET DIS. R APPARATUS ) Ex. Occup. (OUTLET OR FORURES) 20 Q 1.00 SAL 30 EX. OCCU p. OUTLETS (RES D.)0E0. ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 7 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. A Of Ae,01—Date C �_ Signature of Applicant -0 Owner ❑ ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3ststories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 43.0 HAZ. D. FEES IMP FLOOD 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 P MITEXPIRESONITE-D.D.S.-B.D. the applicable provisions Resolutions to do work been paid. Date / l (Data) FReceiptNo. / CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ILI im 11 e RSIDENTIAL 6-360-019 ��PERMIT#95-1660 �. DOERSCHLAG, Don 1613RForest Ranch Rd., Forest Ranch Mobilehome Utilities/2nd Dwelling tzt� -Ga4 d- POud1. --_� I // OFFICE COPY G Address 7 0 j GAS Meter By--U-6—Date Z' ELECTRIC Meter By �6 Date0 r JOB FINALED (Date) -.2-1,8. % 6 Signature �4 J=OK O = Not OK, Not Applicable Not Ready MOBILE HOMES = Date T Zo Requirements -Setbacks -Easements Soil pecial MH Support Sketch ewe cation -Test -Fall -C/O Concrete ater; Location -Test -Easement Needed ( ketch) ci,ty; Location-Clearences-Gr mp-Concrete Gas; Location- Testap: / P1 ft. / /-Nat. or/,,/"L _q- /"LPG ell rance 8 disEonnect ity Clearance Date I If Card B-1 ' Date Card B-1 Date Card Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector t 4. Electricity; MH Test -Crossovers -Breakers -Clearances j 5. Drain; MH Test -Fall -Flex Connector t 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy + Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 n z r /r 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; Griders and/or Joists -Decking -Bracing -Stairs -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. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK Not = Not Ready RESIDENTIAL RESIDENTIAL (Single Date UNDERFLOOR(Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils -Steel -Flet. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 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 6. 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; Unde 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except P's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection ------------------ ------------------------- -- ---- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -------------- -- -------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access ------------- ----- 21. Gas Pipe: Size & Anchors ------------------------------------ ----- - ------------- ------ Date _ _ Card B_1 -- Date - Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except u'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!Mech. Fastners-Bond Gas & Water ---- --- -------------------------- ------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------------ - --------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ga. Cu or At ---- ------- ------------------------ --------------------- 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-Mech. Equip. ------------------------------------------------- - ------ 32. Clothes Closet Light -Shower Light -Spa Light --------- ---- ------ -- - ---------- --------------------- - --- - -- -- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------- - ------------------------------------ ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a'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 ------------------------------------------- ----------- Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except k's 39. Sils. Proper Material & Anchors ------- ------------•------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --- - -- ------------ - ----------- - -- 41. Bearing Walls over Girders & Floor Nailing ------------------------------------------------------------------------- ------------- 42. -Draft -Stop -in- - Walls- - (rat- pro -o -f) -------- ------- --------------- ---------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garaae Fire Protection Framina 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------------------------------- -- -- 53. Stairs: Width -Head room -Rise-Run- Landing -Fire Protection _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. -Insulation -Walls -Ceilings ---------------- 60. Infiltration -Walls -Windows ------------------------------- Date Card B-1 Dale Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff's _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector. ------------- ------------ - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. 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 ---------------------------------------- Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. - In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------------ 7;.- Insulation -Foam -Looked in Attic C3Yes ------------------------------------------- - ------------- - 78. - Guard -Rails & Deck -Const Caps ------------------------ -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ 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 ------ ..----------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------ ----Card ----------- --- ---- Date- -- --- - ------------ Card B-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, .Califbrnia„95965 - Telephone (916) 538-7541 ER�^ITT NO. APPLICATION AND PERMIT �a 100 ASSESSOR ARD NUMBER 05�-3�0-019 ZONING TM5 BUILDING PERMIT OWNVon Doerschlag TELEPHONE 2201 SQ. Fr. OCC. BUILDING VALUATION NCB�Oox127, Forest Ranch, CA 95942 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ XX"1S'X7i'X Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS Forest Ranch Rd., Forest Ranch PERMITFEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME P MAP Solar Or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome $K Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilities)Q Installation ❑ Other ❑ Describe Work: 2 bedroom Admin Use Permi t#95-70 Mobile Home IRI XV 1 @20.00 60.00 PERMITFEE g $0.00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service ( E00v OR LESS % 200A OR LESS I 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law�ar 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. ❑ 1, 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 NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) SO. 3.5Q FT. NEW CCONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL .SO Ex. Occup. oFIXEEDrs PLNS. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION I 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation � f one hundred dollars ($100) or less.) EI" 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 6orthwith compl with those provisions. X A ❑ C _ Date Z�2 Signature of Applicant - ❑ Owner ractor ❑ Agent An OSHA permit is required for excavatio over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTALF E $ 166.0 HAZ. � D. FEES — IMP FLO PARCELPD �— HD SU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date Q (D9) Receipt No. 180501 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .t= .. "'�^��- ,7�,Ii1...�.. `.=k�i`'�+e+���+r,''cp�°'�.��Ap�R,r' Ye•�e4•`5,:'`'r'�;,:u.•'"' 'i .,. '�_ •L r, COUNTYOF BUTTE-, DEPARTMENTOF DEV�WPMENTSERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PER IT APPLICATION DATA SHEET OWNER No. -5-6 f 3�0 v / Proposed Building Use Building Inspect Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 7" 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. ees of $ .......................................... Impact fees as shown on attached schedule. . . California Department of Forestry plan approva ..... �Eu► ?-f9`�''� + 1 lood elevation letter (100 year flood) key Cal ornia Engineer ................... � 4. Sanitation and plot plan approval Gf/ / (J Health Department . ............ 7A -3 -T9 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: _. ........ Contact Land Development about (A) Improvements (B) Drainage. ........ 19. Driveway permit (construction approval required prior to occupancy). ..," f Fre-Inspedon requeis 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). . 7.� * ........ . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... ` 27. Letter of intent on building use . ....................................... . 28. Mobilehome utility clearance) .................................... 29. Documentation of legal access . ..................... :............ ......�� I ` 30. Documentation of 50% subdivision developed or (A) Road improvements completed 1 and (B) Parcel meets zoning area and frontage requirements. .............. . 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ......................................... .......... -' . 33. 34. Wh ssue the permit, process as follows: Mail to owner' Mail to contractor. ,':phone and hold for pickup at office. Deliver with inspector. Vtner Parcel Creation Acreage Copy of Haz-Mat form sent Health Dept. Fire Dept. '•. ` Air Pollution Date ,r Copy of plans sent Health, Dept. Fire Dept. Other Date By The following data must be subrriitt 1. Index permit for above items No. 2. Additional items required: new item not checked 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 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works AP # �� ro� _ [C OWNER PERMIT `it a60 V NRI UT IL . CLEA AA E S i INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . iervice iize Other Load �Type Pipe Size Length YESI NO YES NO MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 534-4541 j PERMIT(�NO. -Address or location of mobilehome ,f(n n-cX.��c IT) V ryOwner's name /44/4/6 Owner's address / ^� , Insignia or hud number PAD -SOZ3 7 x ^ yanufacturer's name s *,1� ti -Serial number of V.I.N. �» �i L t< I7A /nL+C}'A/ !"Year of manufacture z. K (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL'BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE a MOBILEHAI E IS INSTALLED ON A FOUNDATION SYSTEM. 4 1#9 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Clllifornia! 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �- A�,s�S�oRp�LgcgLN}�Iy�Bi .ibU Uly ZOr+`15 BUILDING PERMIT OWNER DON G TELEPHONE 342-2201 SQ. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 1?0 Rr)y-- j27, FOREST RANCH 95942 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS R RANCH RD FOREST RANCH L� PERMITFEE $ 43.00 le 140 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 10 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation XI Other ❑ Describe Work:ADM PERMIT 95-70 95-1660 Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service a OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: god 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( &ACC. BUDS. ) SO. 3.52 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) Q7.50 POWER APPARATUS ) ( 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL .00 Ex. Occup. oUTLPD50 rA PLN D.°ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 0 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. _ _Date ` ----- nature of Applicant - ❑ Owner ❑ actor ❑ Agent An OSHA permit is required for excavati over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.01 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.0 HA2. _ D. FE F$ V/ IMP FLOOD _ CDF PARCE PD HD SU This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work in indicated above for which fees have been paid. ®r By ate t/ -F /.J, PERMITEXPIRESON (Dad), r\ I rwReceiptNo. HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT X ^r•rii.:�;,isit»�Sx�.;jY17V"YW.3`:�^�.�Mh�"r„q"!Tf"•"''�+iira`��.7e�r�'�'�r�"'�:�1�'ti`"'.....r...sw.-•.�.n.-^-ww..v*a..-.ry.;:y-..+•.-..�-�.. ., �i �,; ._ !,.-`; .i_�. COUNTYOF BUTTE - DEPARTMENTOF DEVEL,APMENTSERVICES -BUILDING DIVISIO I t 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �o,r N ©eA 'S A. P. No. Proposed Building Use v ,Building Inspectors Date3->`,r At time permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1! All items have been submitted....:.......I............................... 2: `Plot plans, 3/4 sets, signed by preparer of,plans. .......................... 3. Complete plans, 3/4 sets', signed by prepa�er of plans . ...................... 4. Engineered plans and calcs3/4 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. Mobil home data and manufacturer's installation instructions, 2 sets. ........... 'p OImpact fees as shown on attached schedule. ............................ 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . .............. . . 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)... . . 'Freanspedion request- 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Nagme Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . ................... S 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. W e you issue them' process as follows: Mai o owner. Mail to'cotractor. Telephone71 ' Ti,o( and hold for pickup at office.- Deliver with inspector. Other Parcel Creation a Acreage Applicant Date Copy of Haz-Mat form sent . -Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No _ 2. Additional items required: ni o :5WW ao hones a- S �o Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date tractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date d by 2 Date Plans approved by Date of plans on hold in File cabinet AP folder nt of Public Works F TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H.;DNI,Y'X— _ Plot Plan AUadwd Floor Plea Seat to B.D. a Owner. Location AP# Plan Approved for: Sewage Disposal i-� Water Supply: Public Private Well L-� Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Specialist 8/92 v oC Date O.B.-1 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 KI NO[ ]. It 2. I HAVE[] 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: �(' ll/a– ADDRESS: CITY• PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide.the major work: NAME: /V/,4 ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER:—. DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 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 $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration): Foi 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. 1 ` Sin'@erel 1 Michaa 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. School District BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) Building Department No. A.P. Number Jurisdiction: City County Property Owner d 00 ©e n Property Location/Address /%43 ��sr baa / o Subdivison y Lot No. Residential Development 0 No. of LivingWH Units Commercial/Industrial New Buil Representative 0 Sq. Footage % u 4-/ Addition (Group R) 0 Sq. Footage Addition r-' (Floor Plans reviewed by School District Personnel) J ....r1.• (Including Exterior Roofed Areas) /i.so 5,— Dat District I entification No.' /V# School District certifies that (Applicant) Address) (City) (Phone Number) (Zip N has complied with the requirements of Resolution No. 5t2? -9 by payment of $ representing �8�5 square feet. As 2926 $ "0' FULL MITIGATION $ School District Representative Date + Paihy,Check # J) fi Remarks: a/,�d Bank Number 31 Paid by Cash"',. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee 'Certification Form, the School District is notified by the applicable Local Planning Agency that this project "'is'peing reviewed under the California Environmental Quality Act (CEQA), this project may be subject to White (applicant); Yellow (building department), Pink (school district); feeform.wkl (11/94)dmm GERTtFtC TE OF ANCHOR INSTALLATION Title 25 CCR Moblehome Parks Act Section 1326 (W) I certify those .portions of the tiedown system installed. below grade were notdamaged prior to or as a result of the installation, were not modified prior to or during the installation, and were installed in _ accordance with the -manufacturers installation instructions, plans and specifications of the engineered „ tiedown system referenced on this certificate. Tiedown System: - — Manufacturer. IJ S Model: (1+ Installed by:C Date: l Z — Contr./Owner. D LA) 1-t 17, - License No.: f AP; -4 5 6 - 3 6 - 19 FOREST RANCH PARCEL Ij 5.217 AC. Cv?Ej1 f ILp,m ua x WE ..r(' /. rr _ S E?Tl L� If p�ZoPOswD SIT- p — -, c J u X 10 r?�or3iRcvri S pL-E; 0` /ao ► 0 y59. of �o� U::4TY Cxl ST�uc� .L'' Mobilehome Manufacturer: Manufacture Year: D If other than single wide, furbish Setup Model Number: Width:(ft.) Length:16 Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured agerOctober,�7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[] Other: SUPPORTS: Concrete block6e ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE c� �.� •� MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Main Beams Line2................................................................................................ ine 2 Line 1 Line 3 Line 2 ................................................................................................. Main Beams ................................................................................................ Line 2 Line I .................................................Eine ine S Tag or Triple ine 4 r� I Line 1 Piers: Size minimum: . [ ] x [ ] Spacing maximum: [ ] x [ ] From ends -maximum: [ ] x [ ] Line 2 Piers: Size minimum: [ (L] x Spacing maximum: [t�,s] x [ ] From ends -maximum: [ j J x [ ] Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ . ] x [ J. Each side of openings with width over: [ ] x [ ). Line 4 Piers: Size minimum: [ ] x [ ] Spacing maximum: [ ] x [ ] From ends -maximum: [ ] x [ ] OVER 0 M.H.L-2 1. Owner's Name:_ Q//� %--.x9�� -C e-C4f9-1r- 2. Assessor's Parcel Number: r6 - ? 6 - 3. Installer's Name: 4. Is the site currently unde`r'permit? Yes[,A No[ ] Permit No. J " 5. Is the site an existing site? Yes[ ] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? ! &0 Amperes. 7. What is the electric service rating of the mobilehome site? eo D Amperes. 8. What is the mobilehome site circuit breaker rating? (a O Amperes. 9. What is the main service breaker rating at this location? 2 0 4 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ pc] If yes, please identify the load and size: (Load) (Amperes) 11. Type of gas service at mobilehome site: Natural[ ] Propane[-] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 4 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? Zo (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 11 OVER 5 6 —. 3 6 — 19 1613 FOREST RANCH-. PARCEL 1t 5,217 ACo ThJs set of pians anc� specincations MMT be kept on tha job at all times and it is unlawful to make an changes or alterations on same without written permission from the Department of PuWa Works, County of Butte. I Fo1zvsr t' AvAe-0 12 (--00 61 f R -A" 0 4 Lva i IV F1► -L SVA1Ob `-' 6H0 -f �0 ;< V\\ INCA r Ext s r N INGLUG W A't AND EQUIP LL SEMENTS I CLLR DO ' ' SiF��p HALL 6S r- -CNS 41 OVERHA p F; r LINES AN SET Sp 01K OF .. - �AF� P LINE S�IF►V BE AGydj ROAq GE ENT EXCEPT O� -INE SANDE U1PM . O� GTURE • Q - S VEOVER�`NG`. �p ' � J S 6?1-1 L ME2�a;40/7- LIZ 50 -z,4p/ry25o .4QI - SnZv�t�iZ� i Mor�l��n Ior'1�� 00 t y vI y5Q. o! A - '\civ% Z1 W nor, 6. Zg8-41 5 6- 3 6 19 16138 -FOREST RANCH ROAD" PARCEL I� 5.217 AC. Fo�Zv1f �A Environmental Health J U L .17 1995 Chico, California u pKopose�o S0XIOb Pr�0Fo140 S nZ O' ---F .vp Moat 5GpL- ; I`t= 100 1 Environmental Health J U L 17 1995 Chico, California APPROVED Butte County Environ ental Health e =—s---- — ---- ---- Signature FP 2, - . r. i F-01. G oovo" q J. Mobilehome Manufacturer: �r'� (00v Manufacture Year: U If other than single wide, fu, rnish-Setup1_ModelNumber: Width: -'(ft.) Length: `r (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after_,Octolier.� 7, 1973, furnish manufacturer's installation manual and structural setup sheets.; FOOTINGS: Wood pressure treated or foundation grade[] Other: SUPPORTS: Concrete block[ Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE :`_� MULTI -WIDE Line 1 Line 1 Line 2 \ i Line 2 .......... ........Y ............ ..................................................... Main Beams Line2................................................................................................ ine 2 Line 1 + Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 ............................. Tag or Triple Line 1 Piers: Size minimum: [ ] x [ ]. Spacing maximum: [ J x [ ]. From ends -maximum: [ ] x [ ]. Line 2 Piers: Size minimum: [ (Z] x 130 ]. Spacing maximum: [Iff x [ ]. From ends -maximum: x Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): S ---Line 4 A Line 1 Openings Size minimum: [ ] x [ ] Each side of openings with width over: [ ] x [ ] Line 4 Piers: Size minimum: [ ] x [ ] Spacing maximum: [ ] x [ ] From ends -maximum: [ ] x [ ] uvr_tt ra_ a�, ,Jtj 1. Owner's Name: Llz�l /k( LJU�il`SGtf, 2. Assessor's Parcel Number: j 3. Installer's Name: .SA 1� 4. Is the site currently undef-permit? Yes[. ], No[ j Permit No. 5. Is the site an existing site? Yes [ J No[ ] (If yes, furnish two plot plans). 7 .6. What is the electrical rating of the mobilehome? 6a Amperes. 100 7. What is the electric service rating of the mobilehome site? '2W45 Amperes. 8. What is the mobilehome site circuit breaker rating? 100 Amperes. 9. What is the main service breaker rating at this location? 2.00 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No[ If yes, please identify the load and size: (Load) (Amperes) 11. Type of gas service at mobilehome site: Natural[ j Propaney, ] None[ ] / 12. Size of gas pipe at the mobilehome site from the meter or tank: 34 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 2-b (ft.). 14. What is the'mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION ,j OVER�r - AP 4 6— 36 19 1613&1 FORF.&&T.- RANCH ROAfI C P -AH 0 -1- WE x P A R C E L 17 A C o �Nc Nis ° a �,No PaoF E S If 3 Z e?R�EPOOV GK �' GESS l WE / a F\re gyp• me �ts R.,�st be cervtcemt. d and app spe � Z :Fj �-L PKoPosrb SITE SoXlob 0\4 E� is TiN tr -DR vi WA REVBY BUTTE CO•'FlRE DEPT. CALIF. DEPT. of FORESTRY approved as submitted japproved with conditions per attached sheet -i, ADate j r C l l-fA'jMElLN►zgp/rI - -Z -- -- PER PPC '-12 s o Mof31 �n,. don ��: Z-.$1i-f� Rcvi'1 ��' �ooJo•��';1 h TM -1 P 6. V4 E ,Ease Cxl ST nuc.. L'' Wi LL' -I'o o►4T'k0 /X i' r - Z 6-4 1 �CDF'FIRE'SAFE'REQUIREMENTS� os( - 95 -/ ( ( o `tae � -, �aG , r AP# PERMIT # NAME 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 appirte-i-ant 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. [Xl 2. The length of ver=i^,;::l curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. ['F] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�1 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. �fy 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 -, 057b-3�0-095-I6bD I�ers�IQa , AP # PERMIT # NAME 1273.10.Turnouts. Driveways exceeding 150 feet in length, but 1 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. [xJ 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 [�] 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. 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. ] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull 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 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 be completed prior to completion of road construction �r fi_ral inspection of a building permit. Page 2 of 3 AP # PERMIT # NAKE Other Requirements [ ] If Building Setback is 15 to 30 Feet.: - Class A or B roof - Enclosed eaves [ ] If Buildinc7 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 i0% 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 Date Signature Page 3 of 3 When recorded mail to: Butte County Planning Division 7 County Center Drive Oroville, CA 95965 OWNER'S AFFIDAVIT RE: SENIOR CITIZEN DWEWNG UNIT (BUTTE COUNTY CODE SECTION 24-202) 5-04373 Property Owner 00 L A G,o 4 7Di�- S uo 6 - Owner's Address iL Z 7 FZ5!i r Pt-Aj .41 Administrative Permit Number 95-70 APN 056-360-019 �=-T Property Address J61 3 a ILD 2 2 Property Description Attached as Exhibit "A" I, �i�huD �_70F2 Sr L �4 owner of the above described property, do declare, that the Senior Dwelling Unit on the property described above is now and shall be occupied solely by one (1) adult sixty-two (62) years of age or over or two (2) adults, one of whom is sixty-two (62) years of age or over. This affidavit, which shall be recorded at my request, shall constitute a covenant running with the land, binding upon me and my heirs, successors and assigns, and limiting the occupancy of the said senior citizen dwelling unit in accordance with Section 24-202 and as specked above. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this j 4t1n day of (f C I , 199 ,sat (' i c o , California. Signed STATE OF CALIFORNIA COUNTY OF BUTTE On ( a - 14 ` 1 before me, _ C ��<< �('��'�� , personally appeared Dena Id A. o o e r5c H I a a , ❑ personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be he person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WIT S my hand and official seal. _ OFFS s� dh 61 ell �,�m C. ARAGON MMMI SIG ATURE & NOTARY NOTARY PUSUC . CALIFORNIA 0 COUNTY OF 8UTTE •+ My Comm. Expires January 30. low Parcel I. as shown on that certain Parcel Map of a portion of the West half of Section 32, Township 24 North, Range 3 East, M.D.B. & M., which Parcel Man was filed in the office of the Recorder of the County of Butte, State of California, September 28th, 1981 in Book 86 of Parcel Maps, at pages 23 & 24. 9 Rutte county PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 January 4, 1995 FAX: 1916) 538-7785 >< Don Doerschlag P. O. box 127 Forest Ranch, CA 95942 Re: Administrative Permit! -AP 056-360=019 #95-70 Dear Mr. Doerschlag: Enclosed is your validated Administrative Permit No. 95-70 to allow a Senior Citizen dwelling unit on property zoned TM -5 and located on the south side of Forest Ranch Road, approximately 2600' west of Hwy 32 in the Forest Ranch area. Every Administrative Permit expires and is automatically null and void without further action by the County if the Activity or use for which the Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final approval. Should you have any questions regarding this matter, please contact Barbra Duncan of this office Monday through Thursday, between the hours of 8:00 a.m. and 4:00 p.m. Very truly yours, Aar A l� Q 63 D Barry K. ogan 1J Planning Manager BKH:bd Enclosure cc: Building Division Land Development Division Environmental Health Division Department of Forestry ADMINISTRATIVE PERMIT BUTTE COUNTY PLANNING DIVISION December. 26, 1994 95-70 PERMIT NO. 056-360-019 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Don Doerschlag is hereby granted an Administrative Permit in accordance with application filed: September 27, 1994 to allow a detached Senior Citizen dwelling unit on property zoned TM -5 (Timber Mountain, 5 acre parcels) located on the south side of Forest Ranch Road, approximately 2600' west of Hwy. 32 in the Forest Ranch area. I., Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24-62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. The "living area" meaning the interior habitable floor space area of a dwelling unit including basements and attics, but not including a garage or any accessory structure, shall not exceed 1,200 square feet. 2. The senior citizen dwelling unit is intended for the sole occupancy of one (1) adult 62 years of age or over or two (2) adult persons, one of whom is 62 years of age or over. An affidavit of compliance with the age requirements of this section shall be recorded in the office of the Recorder prior to issuance of building permits. Said affidavit shall include the legal description of the lot or parcel and shall constitute a covenant running with the land, binding upon the original owners and their heirs, successors and assigns, limiting the occupancy of the senior citizen dwelling unit to the conditions described in this section. 3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel containing the unit is created in compliance with the existing zoning and subdivision ordinances and the resulting density is in conformance with the General Plan. 4.. Two off-street parking spaces shall be provided for the senior citizen dwelling unit in addition to the parking spaces required for the primary dwelling unit. 5. Adequate sewer and water facilities shall be provided subject to the approval of the Environmental Health Division. 6. All site development standards as required by the zoning district in which the unit is located shall be met. 7. The senior citizen dwelling unit may be a conventionally constructed building, a mobile home that complies with the National Manufactured Housing Construction and Safety Standards Act of 1974, or a mobile home. 8. Maintain at least a 12 ft. wide access to the rear of the property for fire protection purposes and provide an all weather driveway capable of supporting a 40,000 pound fire apparatus. 9. Meet the requirements of PRC 4290 except for the requirement for on site water storage. Placement of the new structure must be at least 30 feet from the closest property line. 10. The approval of this permit constitutes approval only to the extent that the project complies with the Butte County Code and all other applicable regulations. 11. The requirements of all concerned governmental agencies having jurisdiction by law, including but not limited to the issuance of appropriate permits, shall be met. NOTE: Minor changes may be approved administratively by the Director of Development Services upon receipt of a substantiated written request by the applicant. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining Building and Health Division permits before starting construction and their approvals prior to use or occupancy, nor does it waive any other requirements. cc: Land Development Division Building Division Environmental Health Division Department of Forestry AP" 5 6 - 36 - 19 16138 FOREST -RANCH PARCEL I7 5.217 AC, F., .j r ?, I c_°IZ ti 1 f gAm 0 x U 2-11 I pKopoSco S70xIoo Pt�o?os� S TIZ v�T v17 El rl t77 v f'''t Z o'er s F 8roILxm S � A I -E : I " = / do ' X159. of Eq L-xt Sf iut� L" o Gro -r" o" "S6 -Z6-41 DEVELOPMENT PLAN QP)TE Adrnl(l, 61GE PERMIT -VARIANCE BY . 1 'S.\ R` •>:^ '3 T. '�.i:l. ,.} .i hc,:3. 3S.ca..•Sia..:"' �> •. Qn.• .."•CK : ��% :1 - 4.y .0:=5'< .',`tddelS... � �" ^c '^.. .e.:.;L•� �i:.u�.::=n`smi'1.:. lS:::..:��_„.” .'��'R-�.w+mlc�.;-.L 1, r:i<ny-_ �Si `s i,�tiv"`1;7n:.d��aL•..�.�.`,�'u"e'.i.�iYsnz �'l til �:s�ln.uZl�n%a~iAY;d•`.�LiL"• L.a._.:1..�:�.•...u. ".l.a''tiB.�f�.. �3': �,.:....�v,.'�v.�L' .,.�,„ • END TIE—DOWN #406 PIER BOLT -ON TOP #614 STL. �" o STRAP 60 TIE -DOWN "I" BEAM CHASSIS t: SEE "r BEAM CHASSIS NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION SIDE TIE -DOWN #606 STEEL STRAP (TYPICAL) DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2' A307 BOLT "C" BEAM CHASSIS "RFC' BEAM CHASSIS SEE "I" BEAM CHASSIS SEE "T' BEAM CHASSIS NOTE #5, SHT. 1 FOR NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION TIE -DOWN INFORMATION Dov O 1 -' 'INSTALL GROUND ANCHOR INTO GROUND, LEAVING 8'-12" OF SHAFT EXPOSED. Q SPLIT BOLT & NUT ---, GROUND LINE #616 T.D.A. STABILIZER PLATE J NOTE: VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL 0•-1 DETAIL "A" (TYPICAL) INSTALLATION INSTRUCTIONS 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTILL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 2: ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. — CONTRACTORS VERIFICATION — D FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME: CONTRACTORS LIC.# — DATE:_ _ SIGNATURE: I ABESCO ENGINEERED COMBINATION TIE -DOWNS ANUFACTURED HOME. TIE -DOWN CALCULATIONS At SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESIGN & GENERAL NOTES U IJ<.JI V'1. LV CILLI. * WIND --------- 15 PSF * SOIL BEARING - - - - 1000 PSF * TIE DOWN STRAPS- 3150# WORKING LOAD TIE -DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ-S-781H FOR TYPE 1, CLASS B, GRADE I STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. * EARTH AUGERS -------- 2962# TESTED TO 4750# MIN.) *CROSS DRIVES -------- 1727# CALCULATED i *CONCRETE SLAB ANCHORS - 1390# CALCULATED; i GENERAL NOTES: 1. THE CHARTS SHOWN HEREON ARE THE REQUIRED NUMBER OF TIE—DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE—DOWNS ARE REQUIRED AT EACH CHASSIS BEAM, EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON. 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE—DOWNS CAN BE USED. 4. IN THE EVENT AN EARTH AUGER CANNOT BE INSTALLED DUE TO AN OBSTRUCTION, USE OF CROSS DRIVE ANCHORS IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT BE INSTALLED. 5. FOR ALL TIE—DOWN INSTALLATIONS, THE MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I" BEAMS. (FOR ILLUSTRATION PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE "C' SHAPED OF RFC SHAPED. 6. END TIE—DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM AXIS AS SHOWN. CHASSIS BEAM a0 (ONE END TIE—DOWN MANDATORY co AT EACH END OF "I" BEAM) 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY ABESCO MAY BE USED AT THE SAME SPACING & LOCATIONS SHOWN. ENGINEER APPROVAL STATE APPROVAL ,�ivs✓•�l,E�rP.6l� 7%�o�6�/i�l f �if/r! oB/os�/y�� .. _ ccc APPROVED `��,O�iq! SUBJECT TO CORRECTIONS NOTED DAApproval does not authorize or approve any omission or deviation from requirements of applicable State laws and H QJ\ regulations. e ca c o,.1.79 8 State of California Department of Housing and Community Development y Exn&__ Zr Q, DIVISI CODES AND STANDARDS lF ate OF CAti�F� BU�Q� (signature) 4 NO.�%��'II�G W g3 m THIS TIEDOWN SYSTEM MEETS THE REOLARWEN TST a OF SECTION 1336.3. SUBSECTION (a) his Plan Approval Expires PACIFIC CONSULTING ENGINEERS ABESCO 2150 BELL AVE. SUITE 145 5851 FLORIN—PERKINS ROAD SAC. CA. 95838 PH: 916-564-6028 SAC. CA. 95828 PH: 916-383-8831 [o a ABESCO TIE -DOWNS CABESCO NAME STAMPED IN) HEADS OF TIE—DOWNS // #607 CROSS DRIVE ANCHOR #606 STEEL STRAP W/BUC Yt i b � 6 � m #406 PIER BOLT—ON TOP #601 30" #614 STEEL T.D.A. STRAP W/HOLE #604 CONCRETE #602 48" SLAB :ANCHOR W/ #615 CONCRETE T.D.A. #SH 5822 SLEEVE SLAB ANCHOR ANCHORS (DRY) (WET) #616 STABILIZER PLATE SIDE TIE -DOWNS (SEE NOTE BELOW) SIDE TIE -DOWNS (SEE NOTE BELOW) Z �� om <� SINGLE WIDE I W \\ W0 \ W z W W N 2'! EVENLY I SPACED 12' I LENGTH VARIES <\ SIDE TIE -DOWNS (SEE NOTE BELOW) l v13 <\ z o \ 3 O W m I W W1•- �o <; DOUBLE WIDE WLaLa 1 r - 1 r 2'1 EVENLY SPACED EVENLY SPACED I EVENLY SPACED 12. LENGTH VARIES P NOTE: SIDE TIE—DOWNS: MUST BE WITHIN 24" OF THE END OF CHASSIS BEAM. �,• Y END. TIE—DOWNS: CAN BE LOCATED WITHIN �1;8=� kj#'''ji OF EITHER SIDE OF CHASSIS BEAM. ONE TIE—DOWN IS MANDATORY AT EACH END OF "I" BEAM. (SEE PAGE #1, GENERAL NOTE #6) TRIPLE WIDE 11 1 1 .2'1 EVENLY�SPACED EVENLY SPACED 2' T1 ' LENGTH VARIES 1 1 1 EARTH AUGERS MAX. LENGTH OF 36' 54'2' S2' 62' 73' MFG'D. HOME 0. so �0 #606 No I STEEL °A,,. STRAP MINIMUM NO. OF 2 3 *r:'► 6 7 SIDE TIE -DOWNS CROSS DRIVE ANCHORS MAX. LENGTH OF 32' 42' S2' 62' 73' MFG 'D. HOME 0. so �0 #606 No I STEEL °A,,. STRAP MINIMUM NO. OF 3 1 4 5 1 6 7 SIDE TIE -DOWNS CONCRETE' SLAB ANCHORS `MAX: LENGTH OF 34' 42' 50' 59' 68' 'MFG'D:';HOME 0. so �0 #606 No I STEEL °A,,. STRAP MINIMUM NO. OF 4 5 6 7 8 SIDE TIE -DOWNS 3 z 3 0 0 W h� 0 W END TIE—DOWN #406 PIER BOLT—ON TOP #614 STL. STRAP — CROSS DRIVE TIE -DOWN STEEL STRAP #608 SPLIT BOLT & NUT #607 CROSS CONCRETE: DRIVE ANCHOR 12" _SQUARE e o ....... 0 M 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH CONCRETE AS SHOWN IN DETAIL "A". NOTE: IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE—DOWN. BOTH CROSS DRIVES MUST BE ENCASED IN CONCRETE AS SHOWN IN DETAIL "A", WITH EACH ONE BEING INDEPENDENTLY CONCRETED. END TIE—DOWN #406 PIER BOLT—ON TOP CONCRETE TIE -DOWN CHASSIS SIDE TIE—DOWN INSTALLATION INSTRUCTIONS #604 DRY 1. CONCRETE MUST BE A MINIMUM OF 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY EDGE. #615 WET 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF . EXCESS STRAP AND THEN TIGHTEN BOLT' UNTIL STRAP IS SNUG. 1 CHASSIS SIDE TIE—DOWN 0 a 0. so �0 #606 No I STEEL °A,,. STRAP STEEL STRAP #608 SPLIT BOLT & NUT #607 CROSS CONCRETE: DRIVE ANCHOR 12" _SQUARE e o ....... 0 M 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, ENCASE THE CROSS DRIVE ANCHORS WITH CONCRETE AS SHOWN IN DETAIL "A". NOTE: IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS DRIVES MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE—DOWN. BOTH CROSS DRIVES MUST BE ENCASED IN CONCRETE AS SHOWN IN DETAIL "A", WITH EACH ONE BEING INDEPENDENTLY CONCRETED. END TIE—DOWN #406 PIER BOLT—ON TOP CONCRETE TIE -DOWN CHASSIS SIDE TIE—DOWN INSTALLATION INSTRUCTIONS #604 DRY 1. CONCRETE MUST BE A MINIMUM OF 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY EDGE. #615 WET 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF . EXCESS STRAP AND THEN TIGHTEN BOLT' UNTIL STRAP IS SNUG.