HomeMy WebLinkAbout058-170-078co
058-170-07801-2738
1 G
THERMALITO IRR T
Aq ON DIST
12498 CONCOW RD. ORPO/ L( -e
CONT: RED BLUFFF MI -I SERVICE
REPLACE MI -I EX SITE
058-170-078 0
J-3049
TID , " nA L-
12498 CONCOW, OROVILLE
NEW DECK /2-19-0(
M
1 1
NOTES RESIDENTIAL
PERMIT NO... -.058-170-078 01`3_049
TID
12498 CONCOW, OROVILLE
NEW DECK
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
r
Signature
CHECKED
BY
d = OK
0 = Not OK
= Not Applica¢le MOBILE HOMES
= Not Ready
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3.
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /"L"ft./ /'LPG
5.
7. Well Clearance & Disconnect
8. Utility Clearance
Carports; Windows -Doors
7.
Electric
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card 3-1
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
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
12. Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
I
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills -Anchors- Studs- Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Ring.
2.
Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
72.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral O Yes ❑ No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
MECHANICAL (Permit) OK except #'s
87.
35.
A.C. Ducts Insulation & Support
88.
36.
Vent Fan, Exhaust above insulation
89.
37.
Condensate Drain & Overflow, Size & Grade
90.
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
91.
39.
Attic Access & Platform if Furnace in Attic
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Date
40.
Sits Proper Materials & Anchors
Card B-1 Date Card B-1
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Tingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes :1 No/Planters 0 Yes ] No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
1
COUNTY OF BUTTE - DEPARTMENT OF.'bEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Orovllle, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 01-3049
ZONING
PR•-ao
BUILDING PERMIT
71
OwTfD X33rr40
T�
SQ. FT. OCC. BUILDING VALUATION
`41b'tTAVUE, OROVILLE 95965 Ir-ollyfl
OPEN
C0I6¢:$ NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
y
ARCHITECT OR ENGINEER
LICENSE NO.
—FilingFee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
'ITtONVOW RD, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex O Mobilehome IR Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities O Installation ❑ Other EY
Describe Work: NEW DECK
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
n4
ELECTRICAL PERMIT
Filing Fee 20.00
v oLE
Main Service 'DOA ORR LEsSSs
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class 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:
19 I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number '
(The above sections need not be completed if the permit is for work of a valuation
Of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that H I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X �� �92-yC� Date /7 e G , �CS[51
nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. S. 3.5¢FT;
NO" µa.,.sT_ MULTI.OUTLET @7,50
POWER APPARATUS
a SINGLE ourLET qR.
Ex. OCCU OUTLET OR FDCTURES
20 ®1'00
BAL @ .50
Ex. Occup. ourLEEDrs(RRES,o.UNSOFR.a 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI= $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAz.
D FEEs
–
IMP
FLOOD
–
CDF PARCEL pp
–
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Da
PERMIT EXPIRES O v2
I Iefe
provisions
to do work
paid.
e G
I
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
1
CORRECTION NOTICE
i 3 &`t
OWNER PERMIT 130.
A routine inspec n indi
'cates that the following violations of butte county Ordinances exist at the
>_w above addres and should be corrected. Please notice this office when correction of work is
comlets
p �d� you have any questions pertaining to this matter, or need additional explanation,
Please con ct this office immediat ly.
A
24a 6
G r�
/As "'t. S%C _ le, -C Dei
/ Inspector
Date ��
w•
REV 10/G6
I
1
t'
/ Inspector
Date ��
w•
REV 10/G6
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER t ASSESSOR PL U BER:
Proposed Building Use: Building Inspector: Date:
At time of permit applicatio , I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted.............................................................................................................
❑ 2. Plot plans,, 3/4 sets, signed by the preparer of plans............................................................................
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans...................................................................
❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans.
All engineering must be shown on plans.............................................................................................
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ...............
❑ 6. Energy Design Compliance and supporting documentation................................................................
❑ 7. Statement of Intent for Non -Heated and A/C Buildings......................................................................
❑ 8. Hazardous Material Form....................................................................................................................
Q 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications ..............
❑ 10. Fees of $..........................................................................................................
❑ 11. Impact Fees as shown on the attached schedule..................................................................................
❑ 12. California Department of Forestry Plan Approval/Fees......................................................................
Ll 3. Flood Elevation Certificate.........................................:........................................................................
0Ll�4Sanitation and Plot Plan Approval Environmental Health Department..........
15. City of Chico Plumbing Permit............................................................................................................
❑ 16. Plot Plan and Business License Approval from the City of Biggs .......................................................
❑. 17. Planning Approval for (A) Use: ® 1< (B) Parking: ........... 2—L4— O
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainagegal Parcel ........................... "
❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ...............................
❑ 20. Pre -Inspection for required. Request to Building Inspector (Date) j
❑ 21. Contractor's License Information (Number, Name Style, Classification) ...........................................
❑ 22. Workers' Compensation carrier/d policy number.......................................................... ..:................
`3. Owner -Builder Verification ( Given to Owner. Ll Mailed to Owner) ............................................. %;Z 3-Oi � i'
(�
❑ 24. Letter of Signature Authorization........................................................................................................
❑ 25. Recorded Copy of Agricultural Acknowledgment Statement..............................................................
❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................
❑ 27. Manufactured Home Utility Clearance................................................................................................
❑ 28. Existing violations and/or expired permits . ...................... :..................................................................
*hen
. Ll 433 A, ❑ Grant --ed, Q M.H. Title, ❑ heck to H.C.D. $ .....................
Other
you issue the permit, proc�sT s ollows: Q Mail to Owner, Q M it to Contractor.
elephone .t and hold for pickup at office. Deliver with Inspector. /
X33 -- 0- 7L[0 Date: I — r� 0— o
Applicant:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air 9ollution Date: By:
Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other Date: By:
1. Index permit Application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, Bys Date:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date:
Plans reviewed by: Date: Plans reviewed by: Qb Date: % 0
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services - Building Division
,P
..... . .......
H. WE ONLY
Plot Plan Attschsd
Floor Plan At%asood
sent to B.O.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
AP#
Location
Owner ispos-at----.,- water Supply: P ) blic Priv I
Plan Approved for: Sewage D _, v te Well
"A
Clearance for dwelling. Other
------------
Hold final for:
Final clearance O.K. for:
NOTE:
EnViro
8/96
ealth Sp6cialist
e',
APPROVED
Butte County
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176-O�Sr
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7be .l(r, )D/ --c f -
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received. .
I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES E( NO ❑
Q2.I HAVE E7 HAVE NOT ❑ signed an application for a building permit for the proposed work.
I have contracted with the following person (firm) to provide the proposed construction:
NAME:,�� -
ADDRESS:
PHONE:
CITY:
. CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
superviseOU rovide the major work:
NAME:
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
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
:
PROPERTYO)VNER:—
SOCIAL SECURITY NUMBER:
DATE:
NOTE: This Owner -Builder Verification is required by Section 19831.and 19831 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
OWNER BUILDER INFORMATION I
Dear Property Owner:
An applicarion 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 parry of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
i rely,
Mic el C. Vi iia, C.B.O.
M ger, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19810 of the California Health and Safety Code-
OVER
oda
OVER
PLANNING DIVISION -BUILDING PLAN APPROVAL
PLANNING
Date:
6se:—
.-Parking: Landscaping:
F,&,�h
Other:
Sig
Signature:
us
NOTE:
See The Attached'
Esidential Co tructior
ZW Ad—
R
pages
ALL STRUCTURES AND EQUIPMENT INCLUDING
ASEMENTS.
E
OVERHANGS SHALL BE CLEAR OF ALL E
OL,, Ml THE ,TnE AND -h
SET BACK OF FT. FROP BUTTE COUNTY
P
T IE REAR PPD�l
aowel-' F7. FRO'wiIA &a'e DEPARTMEW,
E
-91
IrHE ae*B qLa �- 0 r_
RL -44f SHALL 5 WILDING
ENTI EXCEPT
CLEAR OF STRUCTURES AND EQUIPM
1M. A 2 FT. EAVE.OVERHANG- APPROVED
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— May 1995
6.5
NOTES
RESIDENTIAL
058-170-078 ' - { _ 01-2738 i
THERMALITO IRRIGATION DIST j
12498 CONCOW RD. QP_UV:ILIE
CONT: RED BLUFF MVI SERVICE a
} REPLACE MH EX SITE j
Zfl
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STAN DARD'HOUSING LETTER
JOB FINALED,(Date)
Signature
Y Y
Zfl
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STAN DARD'HOUSING LETTER
JOB FINALED,(Date)
Signature
/= OK
0 ='Not OK
Not Applicable MOBILE HOMES
= Not Ready
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/
/'Nat. or/ /"L"ft./ PLPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE H0k1f INSTALLATION (Plans) OK except #'s
(Q.rFo tings; Size -Spacing -Marriage Line
Gas Test -Demand -Valve -Connector
I icity; MH'Test-Crossovers-Breakers-Clearances
Drain H Test -Fall -Flex Connector
M2 65 -!r; MN•Test-Regulator-Connector
ater and Sewer Connected -C/O to Grade -HD Approval
Cert.
/JW!Cert. of Occupancy
42. dation Only; License Decal
Date 2_1 Card B-1 Date Card B-1
Da Card B-1 Date Card B-1
t't
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J = OK
6a.
Hold Downs and Special Anchors
0 = Not OK
Slab, Steel -Wrapped
8.
- = Not Applicable
RESIDENTIAL
(Single & Duplex)
= Not Ready
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Date
Underfloor (Plans) OK except #'s
Water Pipe; Test -Anchors -Regulator -Service Test
Date
FRAMING (Continued)
Electric Underground
1. Zoning -Setbacks -Easements -Flood -Slope
13.
46.
Hangers -Post Caps -Anchors -Connectors
14.
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss -Shting. -Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r' Ftg. Depth
Insulation
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ r' Ftg. Depth
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Blockouts-Wrapped
Date
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
Water Htr.; Vent -Access -Combustion Air Baffle
51.
Garage Fire Protection Framing
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
70.
Card B-1 Date Card B-1
Date
71.
Card B-1 Date Card B-1
Date
72.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral O Yes O No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
MECHANICAL (Permit) OK except #'s
87.
35.
A.C. Ducts Insulation & Support
88.
36.
Vent Fan, Exhaust above insulation
89.
37.
Condensate Drain & Overflow, Size & Grade
90.
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
91.
39.
Attic Access & Platform if Furnace in Attic
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Address Posted
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Permit) OK except #'s
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
f-`W�"�'�'�i^�".,..�'!�v7' .. t. � 't T i : �.' _'�,'r � r -"•`ti+'. .• ,. �, t.^'^^�..'�t'.'��V'/7n-..,
ii
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION — COUNTY CENTER DRIVE
OROVILLE, CA 95965 — PHONE (530) 538-7541 a`l
APN:
PERMIT NO.:
r j c7 / 7o — b 7
0l r
2- % 3
Owner's Name:
!_�,
�i
b'yf G L�� ..4 � r 1 SIG.
rJ✓1 r /r '�� .
Owner's Address:
r �
Mobilehome Manufacturer:
Year of Manufacture:
Serial Number or V.I.N.:
-7
Insignia 4
or HUD Number:
1 �l
..
t
Official approving installatio(/n�
Date:
c aft w
If the mobilehome/is moved or relocated, the mobilehome installation acceptance shall become invalid. This
form shall not be used when the mobilehome is installed on a foundation system.
5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor
i
/r
i
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION — COUNTY CENTER DRIVE
r OROVILLE, CA 95965 — PHONE (530) 538-7541 J�
APN:
PERMIT NO.:
0
Owner's Name:
Owner's Address:
/ 4' (I/
Mobilehome Manufacturer:
Year of Manufacture:
Serial Number or V.I.N.:
Insignia or HUD Number:
1 J
Official approving installation:.
Date: r
If the mobilehome' s move4r relocated, the mobilehome installation acceptance shall become invalid. This
form shall not be used when the mobilehome is installed on a foundation system.
513B White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor
COUNTY OF BUTTE•
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
7 4 -
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
q !' � � '�i�fw'� Vii(:. �.2�A i�� rC.J �� � _S i•.�.{•�✓ ,,�
Date �;�� Inspector
't
REV 10/92
i
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA - (530) 891-2751
7 County Center Drive * Oroville, CA * (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinance, exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date // A /1.7 Inspector
REV 10/92
CERTIFICATE OF AN:CHQR INSTALLATION.t
Title 25 CCR Moblehome Parks Act` Section 1326'@iia)
I certify those portions of the tiedown system installed below gr14 were not damaged 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 manufacturer's installation instructions, plans and specifications of the engineered
tiedown system .referenced on this certificate.
Tiedown System:
C
Manufacturer.
Model:
Installed by:
Teel &� (gy6ate: .-. ,
Z o -I
Cbntr.10wner. _ �.:\ License No.:
� '
'r
1
Im
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES'
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
O ENW R
-2-7-39
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date 2l D Inspector
REV 10/9/2
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA • (530) 891-2751...
7 County Center Drive * Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butt6'founty Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter,f6r need additional explanation,
please contact this office immediately.
A 'fzrl
C)
�F
fi Date Inspector
REV 10/92
1�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO.
(Rev. 12/96) APPLICATION MURMUR' �
ASSESSOR PARCEL NUMBER ZONING
058-170-078
BUILDING PERMIT
OWNER TELEPHONE
THERMALITO IRRIGATION DISTRICT
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAIUNG ADDRESS
410 GRAND AVE. OROVILLE CA 95965 o-740
CONTRACTOR'S NAME
RED BLUFF MOBILE HOME SERIVCE
TELEPHONE
1529-4085
CONTRACTORS MAILING ADDRESS
22770 ANTEWPE BLVD. RM BLUFF, CA 960,90
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
12498 CT)NICOW RTL C14TC07 CA 95965
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUSOMSION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fiing rere 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome IX Other
SPECIFY
Each Trap7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work: REPLACE MH ON EX STTF'
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE _
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR IFSS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is Issued.
I 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' co' 1�' pensatio insurance carrier and policy number are:
Carrier �F Iy
Policy Number I I-) �2 0 2 b 1
(The above sections need nof be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that ff I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
orthwith comply with those provisions.
X Date
Sign kt {L re of Applicant - ❑ Owner ❑ ContrctoraAgent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DIN ELI.ING UP. s
ORA DNS. ( 3.50FT..
CONS MU ICO �iET
NON-RESID. 97.50
OWER APPARATUS
8 SINGLE OLrr. CIR.
20 O 1.00
Ex. Occup. OUTLET OR FOTTUREs SAL @ .50
FDD
Ex. Occu . ovr� pESIp,OFRp 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEIE $
Mobile Home Installation Fee $
r
Energy Inspection Fee . _ -_ $
Occ
CONST. TYPE
TOTAL FEE $ 343.00
—
FEES IMP
FLOOD
CDF
—
PARCEL
PDHD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Opde and/or Resolutions to do work
In ed o for w cb fees have been paid.
�� 6/
B /"`� r D two^
PERMIT EXPIRES ON i/ z G 0v
r
Receipt No. 332100/143.00 p6
WHITE-D.D.S.-B.D. CANARY -ASSES -SOA PINK -INSPECTOR GOLDENROD -APPLICANT
,Oct -a-22-01 01:46P P.01
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 It Telephone (530) 538-7541
(Rev. 12/96) APPLICATION AND PERMIT�7 A"" NO.
uscssoapAncnwrol �j
�_t
�___ _ ��. BUILDINGPERMIT
• } j �� A00K_,(/N pN�1 SO. FT• OCC. BUILDING VALUATION
owNFAr Mao �fJ�
COMMCrprr7 IMS
COMRACTOA7 MAaJrrO ADOalIt _ [�!� � U �C fiJ%1F.� L l i��LL 5 - O
corarMlcTo" CA DEA -
V
/6 - --
%ANDER a MNUNG AWFI
Fireplace
ARCH(TECT on crOU2EA
Total Valuation i
uccrsc woe
Filing Fee
=
AAperlrcer oa aop+oor• WIAOoncsa
Permit Fee —�-
t
SutDMO AOOr1Efa
C a.�c�w
Plan CheGkin Fee
• �
� --Energy-Pian-Chocking-Fee,
t
Dib sueonedrsrwe� I O� J
PANCIL
PERMIT FEE
i
f 1
> 3')
L PLUAABING PERMIT
USEOFSTRUCTURE
Each Trap
SF 0 Duplex O- Mobilehoms p/OFOther
Solar or heat Qum water heater
•
aP6C.Y
Water piping
TYPE OF WORK
Each gas water heater a vent
New 17 Addition ❑ Remodel 0 Utilities ❑ . Installation O
Other ❑
Gas piping system t - 5 outlets
Building sower
_
Describe Work: o L (� • �j%j �/� �• lYC/G—
G�
le Home S G W
PERMIT FEE
i
!ELECTRICAL
PERMITTService
oQ� _ �X ()s -z-a �
�OOea LEssF1
sonic.
»u To ,�A
*PERMIT FEE PAIb
SRA •.
SHERIFF
OTHER
AA kbVNT RECEX"b'
s�l 'i7
*RECEaPT NVAUM
* To ile PVT ZNTio Coop
20.00
20.00
7.00
29.00
15.00
15.00
EI5.00
5.00
(20.00
NII 20.00
29.00
46.00
3. St;.o.
Ex. Occup. ouna ownrrunrs aAL .f0
20 0 ..Go
Ex. Occup. (," rp o F� 5.00
Temporary Servlet 23.00
Mobile Home Facilities -20 00
PERMIT FEE 18
MECHANICAL PERMIT Filing Fee 20 00
Heatlno
4.50
tion
Mobil. Home Installation Fe. i 1 `/,
O ,
«c corer. nps TO AL FE _ 3, 6 /•
NAZ. 0. pan nDo cop . EL w uc
This permit Is herby Issued under the applicable provisions
of the Butte County Code and/or RoeoluUons to do work
Indicated above for which fees have boon paid.
By
PERMIT EXPIRES ON
Date
0
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 -COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: SESSOR PARCEL NUMBER.
Proposed Building Use: Building Inspector: Date: -474
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted.............................................................................................................
Plot plans, 3/4 sets, signed by the preparer of plans............................................................................
❑ 3:':. Complete plans, 3/4 sets, signed by the preparer of plans...................................................................
❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans.
All engineering must be shown on plans ................................... .
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ...............
❑ 6. Energy Design Compliance and supporting documentation................................................................
❑ 7. Statement of Intent for Non -Heated and A/C Buildings......................................................................
Hazardous Material Form...................................................................................................................
9. Manufactured Home Data and Instalion I structions including Tie Down Specifications ..............
;Lo
kt
Feesof $ 0- , �'�.,.................................................... ,�
11. Impact Fees as shown on the attached sc a le....... ............I. .. ...... 413
........................
California Department of Forestry Plan Approval/Fees..............................................................
"1 Flood Elevation Certificate.
Sanitation and Plot Plan Approval O Environmental Health Department..........
Cityof Chico Plumbing Permit............................................................................................................
❑ 16. Plot Plan and Business License Approval from the City of Biggs ......................................................
❑ 17. Planning Approval for (A) Use: 0 �—,- (B) Parking: ........... 10-31cl
❑ 18. Contact Land Development about ❑ Improvements, ❑ Draina egal Parcel ........................... "S
❑ 9j Encroachment Permit for Driveway construction approval prior to occupancy)
[� 0. Pre -Inspection for �} Gi / o,c/ "Y Ci moi' required. Request to Building Inspector (Date)
Ll 21. Contractor's License Information (Number, Name Style, Classification) ...........................................
Ll 22. Workers' Compensation carrier and policy number.............................................................................
23. Owner -Builder Verification (L) Given to Owner, Ll Mailed to Owner) .............................................
4., Letter of Signature Authorization........................................................................................................
Recorded Copy of Agricultural Acknowledgment Statement..............................................................
26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................
❑ 27. Manufactured Home Utility Clearance................................................................................................
❑ 28. Existing violations and/or expired permits..........................................................................................
❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ .....................
❑ 30. Other
When you issue the permit, process as follows: ❑ Mail to Owner, ❑ Mail to Contractor.
t��ephone G► Z �" �0� 5 and hold for pickup at (2 offi ❑ Deliver with Inspector.
Applicant: Date: AL
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, L (Air ollution Date: By:
Copy of Plans sent ❑ Health Department, L] Fire Department, ❑ Other Date: By:
1. Index permit Application for the above items
2. Additional items required:
❑ Plan Check List
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building D�i Ctsion counter, By: Date:
Plans reviewed by: Date: Plans reviewed by: C Date: ` ZIOZ
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
• X9.1. FCi `�>.
Yellow Copy - Department of Development Services - B6ilding,D1vis1. n
E.H. USE CA11V
Plot Plan Attachod
Flow Plan Arad
Sent to 8.0. � �-
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-r- i D I C w rev Fi -+ I
Owner Location AP#
Plan Approved for: Sewage Disposa Water Supply: P blic Priv to Wel
Clearance for dwelling. Other. c3- /
3L4�� Hold final for:
Final clearance O.K. for:
NOTE:
EnvironmentaT Health
8/96
ialist
�-1 l
Date
.._��•.�':iNr..;F,''.--�t.+Mii.._.,,�w4r:-n::r-:.•.,�trsT;,..r1.s+,;,P,x-+;��„?r!rt?�t^.'R:"+�'k`.rw1,✓`-,yxirr'"r7rd:,;ri""�"r*^T*�r,T•+�"h.-..c'.�_Hi+�_,yv�.rj•,;s� ' r'^,-±...»..,r4...La:�ti
BUTTE COUNTY SCHO 1-SJMPACT`FEE CERTIFICATION FORM A
�O a fo per Building)
School District Building Department No.
A.P. Number /O--�N? D� Jurisdiction: City County `
Property Owner V—.,' (/
Ay
af/
Property Location/Address
Subdivision Lot No.
Residential Development
+�:�,.
No of Living
Mobile Home
Units
Installation
0 0
.Addition/ 'Supplemental to
Conversion Permit #
'(No foundation inspection)
:..................................................................................................................
(Floor Plans%Mwed by School District Personnel)
District Identification No. 0 2005
) 0 0 0 JnsJ
Ik,, Un(IQrz •� School District certifies that ( ! '0
(ApplicantIlli
I.
1Zgg� CoV1Gex� Pui. ��3— 0140 .
(Street Address) (Phone Number)
Sq. Footage
(G oup R
Sq. Footage
(Including Exterior
11-15l! A� s)
Date ` -
(City)
has complied with the requirements of Resolution No.
representing square feet..- -�
r
School District Representative
Paid by Ch
(State) (Zip Code)
by payment.of $
AB 2926 $
FULL MITIGATION $
II rug • o�.
Date
•,y
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school frees to fully mitigate its impact on the school district's schools. f^,, /
White (applicant), Yellow (building department), Pink (school district) I feeform.xis 00/98)dmm
W
i
APPROVED
Butte Countyealth
AEnvVilronHe
I
feeqoo ce .mac•. }-
i
C --
,
APPROVED
Butte County
Act
FLEETWOOD. Westfield Series
Model 26028
LIVING ROOM
)Y -5"X
ter.
:t G
}�DfNING
SEVROOM
AREA.
a�
OPT,
WALK-IN
►iaY
LrrILITr
SA
-
----
MASTER
s+�ir enc
JClTCrfEfJ i�
watx-w ;
I �f.OYALN'
'1I �iHOOMER
i
-------
I
�r, w
;
®
-- J
LIVING ROOM
)Y -5"X
ter.
:t G
2 Se 'moms ;2 ��at`s • '99 ScuGre 7ear
SEVROOM
a�
OPT,
WALK-IN
►iaY
2 Se 'moms ;2 ��at`s • '99 ScuGre 7ear
10/25/2001 07:12 FAX 5005296890
AND WIEN RECORDED MAIL TO:
BIrrTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLL CA 95%5
. '1 '�y
0\
Strict'1; L'ma1 .:obil^o 1u
• �II) I'I I�� � I'II I II�� II (� I� II� I �I�)
2�®1 —049996 1
Recorded I REC FEE .00 '
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON'
Assistant
02:28PM 26 -Oct -2001
I
I _
I-
I
I
I Vickie
I Page 1 of 1
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT 1
Section 26-8 of the Butte County Code m4uirod this acknowledgment to be recorded prior to issuance of a building permit, Ile.,
property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to
herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established
agricultural purposes and residents within. said zones and onadjacent 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, recorded–in the office
of the recorder of the County of Butte, State of California, on
September 23, 1987, in the Book 107 of Maps, at pages 98,99 & 100.
Date 15cr 2ff 2-,o./ PROPERTY OWNERS:
State of California
County
On
before
cX , Secr.PtarV Rnnrd of Dir,
Thermalito Irr. District
Personally appeared �ZP. V i [ �' i �d personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that be/she/they executed the same in blAer/their authorized capacity(ics), and that by
his/her/their signature(s) on the instrument, the person(@) or the entity upon behalf of which the persons) acted, executed the
instrument.
WITNESS my band and oflr=W seal.
Commission #1297451
Notary Public a
Butte County, California U
-My Comm. Exp. APR 13, 2005 ,
PRE -INSPECTION REPORT
OWNER.LW I174Gi 7o ,lam/6/�7oti S�
`� CQ U/GGG
LOCATION: �a � �/ � CG.VCIilc1
CONTRACTOR: ;Cry z2Lz
PRE-INSPETION FOR:
DATE TO INSPECTOR:
PERMff
LC/ D.V
DATE: 07 5z-
A.P.
LA.P.
ZONING:
) AS FOLLOWS:
BUILDING 134SPECrOR'S RBPORT
Building Description:
CommerciaUUsage:
ResidentiaW{ of Units:
Currently Occupied
Abandoned/Vacant
Electric:
Yes_ No Electric currently
Condition of Electric
Gas:
s^
Natural Propane None Currently On Off
Obvious Problems:
Sanitation: r"<a
Plumbing Working r .
Well Working Potable ater_
Obvious Sewaw.Problems • A j i" , .
f��
�i
S �,. Jam— -��- �--�sy ,� y
ACTION RECOMMENDED: ISSUE: HOI.D FOR
t %3— ig t
Inspector: Date y- D
i
,Sketch buildings on reverse and indicate location on property.
v`--GG—U1 U1 •+ur rUl
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
'R"' i2'96j
7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 p
APPLICATION AND PERMIT-� j 7Mrr NO
YSESSOjt►ARCO. WMs=
,M,,,•A �� C/ y >"o BUILDING PERMIT
J T�b�
G O Gjti/ — CACI S0. FT. OCC. BUILDING VALUATION
ow.rtTLs .aoRts•
COMM,C1p•'• ►M1r
COM TIlytTlDlr 111001 / / � (' J" �
uF1oFA s "W.AQ AOOR[Se
ARCNnECT OR Ewur•d
LaMooff Poo.
AACWTECr Oa t110•r[Est• wwa ADOREss
•uLalka ADDRESS
.OT 10 •LADN001A /M1! ��'���,�'/�'
USEOOFSTRUCTURE
SF O . Duplex O Mobllshome UIOther
• N
TYPE OF WORK
Now O Addition O Remodel O Utilities O Inat&ktion O Othar O
Describe Work: (� L �Gl� `j/% /�. G /�cG� G.� —
`PERMIT FEE PAIp
SRA
SHERIFF
OTHER
AMOVNT RECEI b
s
" TO BE PVT =NTD COAVUM
Total Valuation 1i
Felin FM
Permit Fee
Plan Checking Fee
Energy Plan Checking Fee
7/7-- /-1
PERMIT FE
PLUMBING PERMIT
Each Trap
_Sole► or heel pump water heeler
Wstar piping
Each 018 water heater or vent
Gra piping ayetam 1 • 5 outlets
Building sower
Mobile Home S G W
PERMIT FEE S
ELECTRICAL�1111M,,T
Mein ServlCeoA ssOR LESS
Main Service o isw, 1
00
0.00
7.00
29.00
15.00
13.00
Iso
15.00
20.00
20.00
23.00
40.00
9. Sty
@7.50
23.00
20.00
23.00
Fee 1 20.00
a.So
PERMIT FEE f
Mobilo Home Installation Fae
Energy Inspoctbn Faa
occ cose TOTAL FEE _
3, i;Dw.n r1► RaOoCor •oAcn. ro tO
This parmlt Is hereby Issued under the appkable provisions
of the Butte County Code and/or RaoolutJons to do work
Indicated above for which fees have bean paid.
By Data,
PERMIT EXPIRES. ON
PLANNING DIVISION-BUILDING PLAN APPROVAL
Use: CO ZZ Date:
Parking: Landscaping:
• Other:
u
Signature:
cam.
41
V,l l?o(A
sa
L
4.
� � �p�* o s�, - ►fin � a� o
AMPS°
/A Alf/
oil
.390
C�
� 1931.69 f
. Z r
cbtv
co
l�
77
1104-68A 3 a
80
31.69AC
$
20"12 20.1 r ACS
X020. o jM1O7-98 69-32
480 921.19 525
160 AC•
O
CRA►N
16
3~'
SFE
PG
\\ 35
s
Q Nom'
`a
O ti
\ �w
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i
e
aix i0 00 %Do
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a rn
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co
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00
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as
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o
T ' d EisZ6-EES
( DES 3
�� ON
i
e
aix i0 00 %Do
1. Owner's Name: j}-e/Pci I4o _ _T(yt cg,7,�t an
2. Assessor's Parcel Number: W v 00 0?
3. Installer's Name: WV) ��. —'' �c�! �� �1`6►�-Q_
4. Is the site currently under permit? Yes[ ] -No[ ?} Permit No.
5. Is the site an existing site? Yes['�e No[ ] (If yes, furnish two plot plans).:
6.. What is the electrical rating of the mobilehome? 1,02 Amperes.
7. What is the mobilehome site circuit breaker rating?Amperes. ` z
S. What is the electrical rating of the mobilehome site? q_0 0 Amperes..
9. Is the main service remote from the mobilehome site? Yes[ ] No[e\4Zf it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[' ]moo[ ] If yes, please identify the load and size:
a) The mobile home site:
Load Amperes- 0-0
b) The main service:
Load- Amperes- -200
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: inches.
13. What is the gas pipe length from the meter or tank to the mobilehome?�(ft.).
14. • What is the mobilehome gas demand? /f% : 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
May 1995 � . 8.5
P��;�
0 ;.
Mobilehome Manufacturer: Fbe-"oc%Manufacture Year. Ot L/
If other than single wide, furnish Setup Model Number:
Width: 14 (ft.) Length: O ft.) Tagalong or Expan.do, Size _(ft.).)k - (ft)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade[)q Other:
SUPPORTS: Concrete block[ Other:
Provide Tie Down Specifications for A Mobilehomes:
Pier Footings Sizes and Location
SIN= WIDE MULTI --WIDE
Line I P
Lim 2--%,,"v
......................................................................... .....................
MainBeams
............ .................................................................................... 2
Line 2 3
Line I LO
Line
................................................................................................
Main Beams
Line 2
0
Lim I
................................................. 5
Tag or Triple 4
.................................................
I
Line I Piers: Line I Openings
Size minimum: rI),- 1 x Size minimum: x
Spacing maximum: p Each side of openings I
From ends -maximum] I r) with width over:
at4 onA-- A-oc,,r� i
Line 2 Piers: a X IQ)X,,J� Line 4 Piers:
Size minimum: I x Size minimum: x
Spacing maximum: (6") Spacing maximum:
From ends -maximum. From ends-maximuml
Line 3 Roof Loads:
Size minimum -
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
OVER
1
.-,01/05/01 'Tau 09:04 PAZ 390+740+6893 SAC INDUSTRIES
i
T .SAS INDUSTRIES
AWNS
olrl+ti�� P i 1'i DOWN sYsmk
co p ::
*11�ND------- ----- 15pat (70'MPk •EXPOSURiV)
.r.----�•••.--.-=-=—= Zsptf• .(BS ;MPH EXPOSURE Y")
-�-----�-------- $5pst..(100 MPH EXPOSURE V)
*
IOM ,S$ARINO --------- ; ,1000 psf I NOTE; MAXIMUM SOIL PRESSURE
IS 1000 pff WINOUT A SOIL REPORT.
* >iABT>ELAUGNUS 4750 Milo. TOTAL LOAD CAPACITY
31 wo W01WING LOAD CAPACITY
* STABIL—X DRIVE ANCJE bW�?-'4750# ,MI . TOTAL LOAD CAPACITY.
31301 W"KING LOAD CAPACITY
#
CONCV= SLAB ANCHORS-- 47501 MIN. TOTAL LOAD CAPACITY
31301 WOOKING LOAD CAPACITY
# i1S DOVN STRAPS ------- 41501 MIDI. TOTAL LAAO CAPACITY
31S9..1NOFKING LOAD,.*.CAPACITY
TIE OWN STRAPS MEETS '"WERAL SPECIFICATION 00—S-751 H FOR TYPE 1, CLASS B,
GRADE 1 STRAPPING AND BE AT. LEAST 1 1/4' z .035 ZINC PLATED.
1. IWE CHARTS SHOW THE REQUIRED NUMBER OF TIC DOWNS ON THE SIDES AND
i ENDS OF THE MANUFACTURED HOME.' i
7. COMBINATIONS OF THE DIFFERENT TYPES OF 'FIE DOWNS CAN BE USED.
3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS
ARE SHOWN AS 7 BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS
CAN ALSO SE V SHAPED OR `RFC" SA APEO.
4. SIDE TIE DOWNS ARE REQUIRED ALONG iH9 OUTSIDE CHASSIS BEAMS. ENP TIE
DOWNS ARE REOUIRED AT EACH END OF�EACH TRANSPORTABLE SECTION OF THE
MANUFACTURED HONE.
S. END TIC DOWNS CAN BE LOCATED WITHIN' IIr OF EITHER AM OF CHASSIS BEAM
AXIS, AND BOLT -ON TOP CAN BE ATTACHED Wrkm 11C TO 60- FROM END• Of CWSIS DEAN.
5. THE SIZES, TYPES. LENGTHS. ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM.
LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY
BE USED AT THE SAVE SPACING AND LOCATIONS SHOWN.
7. ALL PART`S ARE COATED WITH RUST RESISTANT INDUSTRIAL SHOP PRIMER.
B. THIS TIE DOWN SYSTEM MEETS THE ROUIREMENTS OF SECTION 1336.3 SUB—
SECTION (o).
STATE APPROVAL
SAC
ENGINEERED 11EDOWN sra r cr.. _
AD
= -%Ms ttor a 9M
VA 9M2
APPROVED '���
1
SUBiC'T TO CORRWWNS NOTED E
Q Q�ESSIO/�
APpMV0 does not autftarll; or approve any orlmai cr
1e = requirejuertta
of oppficab!e SMtc I"Z, er,d
stm at alvaRlo
0MyMeni Homier
of aad Coma'mty Derelapmert
D1Nf NOF E AtiD STAND '•
6Y If
D.-te 27 2 00 U
_ /
N
Exp
nffw
75-1 U0
' '
PACInc '
2150 •8ELL'•AVE.' TE 7
' .. .. • . �
SACIf}WENTO.' CA.
TO _39Vd ONI Lfl
'• Wes w�+06EEi'
i•.0 � •�r - .
IBJ 003
ENGINE APPROVAL
v` G1NEE
� —..
� OAE�i ' 1�1►
14, :v 4
i
V
to
SAC IND. EARTH AUGER Tib D0 ANtlTVf
#6005 .
#5006 #7000 ►7001 #7002 04002
CHASSIS
.r
r_r401 T0PIER
, •.. �otT�•ON / • r .. r � .
� .rI ''rte i'•i'
7 STEEL "
�. •+
sTRAP .• �000 rSTEEL
w/rIOLE — �*IIAP w
•DOS s►LIT
,• DOLT A 2VI
�GiE�.b' ' 1r1• �y.�y r. �., y,r V. r
i~�, '%,� t'•M•'rR r 'a �'� ,��+rf�� y 9 7i� Al"UZER
Q NOTE 3 ��[• ��''• • ' d , PLAY[
000
W' �A�RT�IO SERIES
AUCER
pypl
VERTICAL OR ANGULAR .IhSTALIAtIgN• IIS OPTIONAL
AIDER TIE—DOWN
MTR ONS
I- CONTRACTORS Wj jRNI_••-. CHECK FIRST FOR ONDERGROUN6 UTILITIES.
Z. INSTALL GROUND ANCHOR INTOGROUND kEAV!NO Ir -l- OF" SHAFT EXPOSED.
3. PLACE. STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS
BEAM; 'AND DRIVE INTO CRQUND.
4. FINISH TURNING •ANCNOR' INTO 'THE' GROUND APPLYING CONSTANT DOWNWARD
PRESSURE TO MINIMIZE SOIL DISTUR9ANCE, UNTIL ANCHOR HEAD IS FLUSH WITH
STABILIZER PLATE:
'a. ATTACH STRAPS TO CHASSIS TEAM IN MANNER SHOWN.
6. IF ANGLE OF SIDE STRAP .IS ' GREATER THAN 607. STRAP CONNECTION CAN • BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM,
7. ' INSERT STRAP THROUGH SPLIT 9CLT. CUT OFF EXCESS STRAP AND ' TIGHTEN
9OLT UNTIL STRAP IS SNUG.
iNO.?li ow" ¢ own
iNp lit' now
1410 1 •:• ` t`, t:. c• •.� .i.4:. f. Ali' �•,
1' 'fit.. '• 1. .l •'1� '+'1�
• . • vi V .�r.....r_��,,:.,....5�.. •_... k.v?i'iT"v� LJ;i4:•ciY
,..
•IDE DOUBLE W* IDE TRIPLE WIDE
4.
.t8 3ma ONI 11'1 06EET990ES V sET T80L/9T/88
#6005
#7000 #7001 #7002
•
•04002
m
O
06003
p0 0
#6004
//��002 PIER CHASSIS �•
BOLTON TOP
No .
//7002
7' STLEL STRAP
WITH HOLE w.
: 7000 7' STEEL
6005&SP
LIT „ TRAP W/BUCKLE
COLT
/6004
OR
4•t���ibi � ..
N •; fr��t�:ii /6003
COZJCRETS TIE—DOWN
cap.. .. ••
SIDE vww
BEAM CHASSTC
SEE GENERAL NOTE 13
DRILL 9/1 f HOLE AT MID HVCHT
OF BEAM AND INSTALL
I /2' A307 BOLT
SIDE VIEW .
"RFC" BEAM CHASSIS
SEE GENERAL NOTE /3
/ /likk
1
SIDE VIEW END VIEW
END TIE DQj�
NOTE; END TIE DOWNS CAN BE
LOCATED WITHIN 18" OF EITHER
SIDE OF CHASSIS BEAM AXIS.
1 CERTIFY THAT I HAVE INSTALLED THE SAC IND., INC. ANCHORING SYSTEM AS
PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE
ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE.
'COMPANY NAME:
EO 3DVd
CONTRACTORS LIC.p
06EE1990E5
b1:ET T8Oi/9T/s0
lN&TAL A, ON INSTR'UCTIONS
.NEW_
CCNCR[TE — it60D4
1.
PLACE CONCRETE ANCHOR INTO WET CONCRETE. AND ALLOW TO PROPERLY CURE.
•�;,��
2.
ALTERNATE CONNECTION REQUIRES /5 REBAR PROPERLY EMBEDDED IN CONCRETE.
'��<';•! �•%
1.
CONCRETE MUST BE A MINIMUM 3 1/2" THICK AND IN 0000 CONDITION.
Z
MINIMUM SLAB AREA OF EACH ANCHOR 15 26 SQUARE FEET.
ALTERNATE
3.
DRILL PROPER SIZE HOLE IN SLAB. A'MINIMUM OF It FROM ANY SIDE.
CONNECTION
A.
E><PAKSION BOLT IS 8/6' t 3 1/2" WITH MINIMUM 2 3/4" EMBEDMENT AND
et"ssm
6.160 POUND PULL OUT, 7,160 POUND SHEAR.
CONNECTION
1.
ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
2.
IF ANGLE OF SIDE STRAP IS' GREATER THAN 607, STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
3.
INSERT STRAP THROUGH SPLIT BOLT. CUT OFF' EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
NOTE • SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS.
TND TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION
OF
THE MANUFACTURED HOME.
,X= A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE USED.
cap.. .. ••
SIDE vww
BEAM CHASSTC
SEE GENERAL NOTE 13
DRILL 9/1 f HOLE AT MID HVCHT
OF BEAM AND INSTALL
I /2' A307 BOLT
SIDE VIEW .
"RFC" BEAM CHASSIS
SEE GENERAL NOTE /3
/ /likk
1
SIDE VIEW END VIEW
END TIE DQj�
NOTE; END TIE DOWNS CAN BE
LOCATED WITHIN 18" OF EITHER
SIDE OF CHASSIS BEAM AXIS.
1 CERTIFY THAT I HAVE INSTALLED THE SAC IND., INC. ANCHORING SYSTEM AS
PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE
ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE.
'COMPANY NAME:
EO 3DVd
CONTRACTORS LIC.p
06EE1990E5
b1:ET T8Oi/9T/s0
SAC IND.. , STAJJIL-7X DRIVE* TIE DOWN ANCHORS
X6013 X16005
�7000 or #"OR
' STEEL STRAP.
W0a sPUT
T r NUT-%
/6013 STABILE X'
ORIVL ANCHOR -
•OROUNO UNE—%
A
X17000 X17001 #7002
X14002
DETAIL,A� -0-10 1... -•����.
SEE DQAIC
VERTICAL OR ANGULAR INSTAL.LAIION q OPTIONAL
STABIL—X DRM TI£ DOWN
Sm D�.
INSTALLATIM INSTBUCTiO
1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES_
2. DRIVE STABILIZER PLATE INTO GROUND.
3. DRIVE CROSS. RODS THROUGH ;HEAD TUBES INTO SOIL AS SHOWN,
4. ATTACH STRAPS TO CHASSIS BEAM AN MANNER SHOWN.
S. IF ANGLE OF SIDE -STRAP IS GREATER. THEN 6?... STRAP CONNECTION CAN BE
MADE FROM ANCHOR 'TO. OPPOSITE CHA"IS BEAM,
6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
7. #6002 ANCHOR CAN 'BE USED * WHERE HARD ON ' ROCKY SOIL ' OCCURS. Ii THE '
GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM Y ASPHALT USE
Ily 6002
SEE NOTE #7
AND NOTE 08
STABIL—X ANCHOR OR ENCASE ANCHOR WITH 12"x12"x1Y" CUBE OF CONCRETE.
8. : WHEN 8B8002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR. -- (2) ANCHORS
MUST BE USED AT THAT LOCATION.
WIND- 70 MPH• — 85 MPH — 10.0 MPH EXP.'S' — SEISMIC ZONE 4
REQUIRED NUMBER OF COMBINED ANCHORS FOR EACH ,Sj1,Z$ AND = OF MANUFACTURED }TOME .
WIDTH LENGTH ' WIND SPEED SEISMIC No OF SIDE No, OF END TOTAL No. OF
TIE •DOWNS TIE DOWNS TIE DOWNS
SINGLE
WIDE
TO -1,
CHASSIS
0 M =15PSF I ZONE. i
1AoOT 1ER
OLT•ONvTOP
100 MP XP. =35PSF L ZONE 4 1 1 215
Ilii. /�.••-
4
x/7002
75TR L
7000 7t�5fEEL
FRAC W/�I1CK6E
w/HOIE
0 ��6•
�-ir, arm
LT r HIR
DETAIL,A� -0-10 1... -•����.
SEE DQAIC
VERTICAL OR ANGULAR INSTAL.LAIION q OPTIONAL
STABIL—X DRM TI£ DOWN
Sm D�.
INSTALLATIM INSTBUCTiO
1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES_
2. DRIVE STABILIZER PLATE INTO GROUND.
3. DRIVE CROSS. RODS THROUGH ;HEAD TUBES INTO SOIL AS SHOWN,
4. ATTACH STRAPS TO CHASSIS BEAM AN MANNER SHOWN.
S. IF ANGLE OF SIDE -STRAP IS GREATER. THEN 6?... STRAP CONNECTION CAN BE
MADE FROM ANCHOR 'TO. OPPOSITE CHA"IS BEAM,
6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
7. #6002 ANCHOR CAN 'BE USED * WHERE HARD ON ' ROCKY SOIL ' OCCURS. Ii THE '
GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM Y ASPHALT USE
Ily 6002
SEE NOTE #7
AND NOTE 08
STABIL—X ANCHOR OR ENCASE ANCHOR WITH 12"x12"x1Y" CUBE OF CONCRETE.
8. : WHEN 8B8002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR. -- (2) ANCHORS
MUST BE USED AT THAT LOCATION.
WIND- 70 MPH• — 85 MPH — 10.0 MPH EXP.'S' — SEISMIC ZONE 4
REQUIRED NUMBER OF COMBINED ANCHORS FOR EACH ,Sj1,Z$ AND = OF MANUFACTURED }TOME .
WIDTH LENGTH ' WIND SPEED SEISMIC No OF SIDE No, OF END TOTAL No. OF
TIE •DOWNS TIE DOWNS TIE DOWNS
SINGLE
WIDE
TO -1,
-78'S
0 M =15PSF I ZONE. i
x 4 8 1 2 1 20
100 MP XP. =35PSF L ZONE 4 1 1 215
UUuoLc Ito
LIPH EXP. - =1 4 4 1
WIDE 0'-74' H EXP. =25PS 4 4• 24
TO 28' 1A upw CYO—2COce' 5AW, .�
TRIPLE
WIDE
TO 42'
0'-78'
70 MPH' EXP, 20
1 05 MPH EXP C =25PS : NE -4 ,28:
F 100 MPH EXP. C a35PS ONE 4 •6 36
V9 3Wd ONI lfl 06EET99GE9 VVET TOSVEIT/80