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058-370-001
058-370-001 PERMIT#96-0428 STRA[dN, Stephen&Dawn3 3847 Windermere Ln., Orovle Mobilehome Utilities —i9 ELECTRIC :J00 3/90/Q�, GAS LINE L /'C 3/y COMPACTION TEST REQ___.�o (!� SUPPORT STRUCT REQ f�0 S 058-370-001 PERMIT#96-0429 STRAWN, Stephen & Dawn --� 3847 WindermEre Ln., Oroville � ` e- Mobilehome Installation � �•22gq cterm e Ln. Otuv'v1k Htrlodrr 7horn45 Atrno DM7, N1o6i k Horne CONTR: tliiC bche{•ol E:nrainte M I f i 5-,�- 96, SfYG ww ,)00 /Vo �° `� ZT-£S V3Vd 91-Z4 lAd 8I -£S VdVd 3:9NV6 MAID 0-I£ 080 81-£S Md 69-0- 6Z -LO 03`03I83 7.Z -L4 lAd Z4-89 lAd LZ -90 03 39NVN ON/A113 61-£0 03183 SO -ZS VsVd 44-8b 0311H3 66Th -0004 ZO-90 lAd 00941-00W 19-L4 lAd TI -99 03 09-49 03 T9-69 lAd 91-6Z 03 4I -6Z 03 91-6Z 03 09-0 0I-99 lAd 9£-59 03 39NV8 ON/AiD 64-0£ ONO OO£91-00Z91 SZ -99 Ad Md H/W / 39NVS ON 4Z -LO lAd C 1 RESIDENTIAL �J 058-370-001 PERMIT#96-0428 1 STRAWN, Stephen & Dawn 3847 Windermere Ln., Oroville 1 Mobilehome Utilities t l 4° lj T I(� OFFICE COPY n Address (' � I GAS Meter By Date j ELECTRIC I Meter By Dat f JOB FINALED (Date) Signature ,N , V=OK O = Not OK NottReal*ble . MOBILE HOMES Date MOBI HOME UTILITIES(Plans) OK except #'s Lielor Requirements - Setbacks - Easements o'; Special MH Support Sketch ewer; Location -Test -Fall -C/O -Concrete ate tion -Test -Easement Needed (Sketch) 1> -'Electricity; Location -Clearances -Gm - p -concrete 6. Gas;n-Test ; / / L'ft. Well C once & Disoo nect lity Clearance Dates/Gc7c.�� Card B-1 �-/�— Date Card B-1 Date Card B-1 Date Card B-1 Lk?ojng Requirements -Setbacks Easements IecV' ity; MH T-Crossove Breakers -Clearances ain; MH Test -Fall -Flex Connector ater• HTest-Regulator Connector ay and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged own 'iype-Installation Cert. 657Axit • sp.-Sketch ert of Occupancy Date Z Card B-1 f Date Card B-1 Date Card B-1 Date Card B-1 � yfl vH/G� MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Deptt Spacing -Connectors -Steel 3. Decks; Girders 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 j 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses } 9. Siding; Nailing -Veneer -Stucco -Mesh i 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date POOLS (Plans) OK except #'s 1. Setbacks -Easements ( 2. Soils; Compaction -Structure Stability f 3. Pool Structure; Steel -Connections -Thickness f 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/6 -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 t 10. Plumb.; Cir. Test -Water Supply Test Date Card 13-1 Date Card 13 - Date Card B-1 Date Card B-1 1 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 f 3. Pool Structure; Steel -Connections -Thickness f 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/6 -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 t 10. Plumb.; Cir. Test -Water Supply Test Date Card 13-1 Date Card 13 - Date Card B-1 Date Card B-1 1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except #f's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; 'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. 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 a'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 6-1Date Card B-1 ----------------- ----------------- --------------------------- Date ---------------Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection --------------------- ------------------------------------------------- ---- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - ------ --------- ---------------------- ---------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------------------- - - -- -- 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------- 26. Equip Ground made up w/Mech. Fasiners-Bond Gas & Water ----------- - ------------------------------------ - ----- - ------ 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ------------------------------------------------ --- -- 28. Subfeed Wire Sizer r ga. Cu or AI -A.0 Wire Size ga Cu or At ----------- - --------- --- --. ................... .. 29. Range Circ. r I ga. Cu or AI -Oven Circ. r r 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 ------------- --------------- -- ------ -............ ... Dare Card B-1Date Card B-1 _ - ----------. ......_....-. ---- . -------------- Dare Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support - - ..........._ ....I...---- . . 35. Vent Fan: Exhaust above insulation ------ -- --- --- --- - - .. ....... ..... 36 Cond....... ....... ... ....---.... a 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - -- -- ... ... ....... ... ... 38 Attic Access & Platform if Furnance in Attic ------ ------ --- --- ..- - - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except rr's 39 S Is. Proper Material & Anchors 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound . .... ....... ... ... .. _ _.. ...... . 41 Bearing Walls over Girders & Floor Nailing . ....... ... ... .... . .. .. . ... . . . . . - 42 Draft Stop in Walls (rat proof) .._ ._. ... ....... ... ... .._ .. . ... . . . 43 Fire Stops: Furred Ceilings -Stairs - Chases -Tub ....... ....... ..... 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. ------------------ ------ 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49._Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50 Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---------------------------------- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59.- Insulation -Walls -Ceilings ------------------------------------------ - 60. Infiltration -Walls -Windows ------------- -- -- - -------------------------------------------- -- Date Card B-1 Date Card B-1 ---------- ---- ---------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------- 62. ----- 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. Stags & Rails ... ....--------- -- --------------------- 68 Fireplace or Stove: Clearances -Hearth ..---------------------------------- - 69 Elec. Outlets at Wood Panel: Int. & Ext. . - - - --- ------------------ ------------ 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ...... _.....------------------------------------- -- 71 Elec. Outlets & Receptacles at Kit. Counter . ... .. . ... ... . - ----- -- ------------------ ------ --- 72. Garage Fire Door: Swing -Landing -Closer ...... ... .._ ....... ---------------- ------ ----- ---- 73. A.C. Duct in Garage -Damper ........------------------------------ ----- ----- 74. Wtr Htr.. Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection . - - ------------------------------- ----- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------------------------------- - 76. . Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ._..--------- --------------------------- ------------- 7; Insulation -Foam -Looked in Attic ❑ Yes ----------------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps - ------------------------------------------- 79 _-------------------------------------79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80 Following ins(IJ Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No --------- I --- -------------------------- 81. Stucco: Brown -Finish - ------------------------------------- 82 A CUnit: Disconnect. Electrical, Plumbing --- -- ------- ------------------------------------ 83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings ..... - -- - - - --- ----------------- ----------- 84 Water Well: D sconnect. Electrical. Plumbing 85 Exterior Elec Trim. G F.I. Receptacle -Underground .. ..... - ----- --------------------------- ---- 86 Ventilation Throughout House 87 Glass Protection - ------ ---------------- 68 Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric ------------------------------ 90 Water & Sewer Connected-CrO to Grade -HD Approval 91 Energy Compliance Certificate -Other Certificates --- --- ----------------------------------- 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: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California, 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-370-001 RT1 ZONING BUILDING PERMIT OWNER STEPHEN & DAWN STRA141\1 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3331 WINDEWJERE LN OROVILLE, CONTRACTOR'S NAME OTiJNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS .1847 TRMERE LN PERMITFEE S PLUMBINGPERMIT Filing Fee 20.00 F Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome q Other SPECIFY 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 V Installation ❑ Other ❑ Describe Work: _� jj;TlRnnA.4 Mobile Home 920.00 io. 00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service 600V 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1�. 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.so. OR ADONS. ( & ACC. BIDS. ) 3.50 Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER (a SINGLE OUTLETTUS C R. ) Ex. Occup. (OUTLET OR FIXTURES) 20 0 1.00 BAL .50 Ex. Occup. (oFIXEEDrs RES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 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 9 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.) I certify that in the performance of the work for which this permit is issued, I shallTOTAL 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 f with comply with those provisions. X Date � Si ature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is Occ CONST. TYPE FEE $ 166.00 HA2. , � D. FEES -� FLOOD — CDF t/ C PD HD Issu This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By� ate 6 PERMITEXPIRESON (Date Receipt No.'V 719 WHITE-D.D.S.-M.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f" inv,,'rer ^'•.i.•'!7^`•�.wc,�<1AR`'t�IR�'"; ' ,.,s•.ninv a.-�`Rk'+"F`n'3R4;r ,-t;i . i. V.W%, COUNTYOF BUTTE - DEPARTMENTdF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMITAPPLICAgION DATA SHEET Building 611 No. Jo - %0-00 Date cV a9q,!C, At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ...........' ............................ . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed bytpreparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10,Fees of $ , . ............... '✓ Z1 Impact fees as shown on attached schedule. .;=. ... . . . California Department of Forestry plan approval/f .3 .......... . -Flood elevation letter (100 year flood) by Clifornia Engineer . ................ . 14. Sanitation and plot plan approval Q�V-i Health Department . ............4W6:::j 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). .. .. .. . Freanspection reque�s 20. Pre -inspection for required. .. to Building lnspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner ........... 24. Recorded copy of Agricultural Acknowledgement Statement .................. '5- 4�- 9L 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . t 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. Whyou issue the,.pPermit, process as follows: Mail to owner.// Mail to contractor. ✓ Telephone731-1(oS; and hold for pickup at �� l0 office. Deliver with inspector. Other Parcel Creation 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: 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 G ) RG045 Date 3-13,-S6 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r B.H. USE ONLY Plot Plm AmbcW ' V FIw Plea Ahad" Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 37 -(11 Owner Location APAP Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroo mobile home. Other Hold final for: Final clearance O.K. for: NOTE: '00 &Lzi Environmental Health Specialist Date f: DIN Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES] NO[ ]. 0 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: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: ((�� PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: ,2-a9- 6 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 O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than 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). 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 uniiceased persons professing to be contractors is to secure an "ownerbuiider' 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. 95314. 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 perTnit will not be issued until the verification is returned. Sincrely, ` Michail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code. OVER i t . • And when recorded mail to: Building Division #7 Countv Center Drive Oroville, Ca. 95965 NOT COMPARED �t ,1 . - i:l�t syr. ,'..y •,.,DR�GIN,q.L;�DpC�MENT i �4p 0,11996 • .t � +1;:. { ,,i; . {! :. , 1 T . sS tSSii 1 Jr411 AGRICULTURAL ."1 it3"til' Pot Itii 95 -39 I.53gf 'No. .Order 2 34268 I LEGAL DESCRIPTION. :.. EXHIBIT "A" All that certain -'real. property situate in the County of Butte', State of California, being' more particularly described as follows: PARCEL IA: Lot 63, as shown on that certain map entitled "CAMELOT SPRING VALLEY RANCH", f fled' in the of f ice of the County Recorder fButte C53nt5California, on September 10, 1971, in Book 38 of Maps, pages,4, d 56 (AP No. 058-370-001) This Deed is made and accepted upon the covenants and conditions.set forth in Declaration of Protective Covenants, Conditions and Restrictions, recorded September 10, 1971, Book 1699, Page 621; in •Book 1702, Page 213; and in Book 1751, Page 666, Butte County Official Records, all of which are incorporated herein by reference to said Declaration with the same effect as though fully set forth herein. TOGETHER WITH and RESERVING THEREFROM those appurtenant easements provided for and described in the aforementioned Declaration of Protective Covenants and Conditions and Restrictions. Also conveying and transferring to Grantee hereunder, that proportionate share of any and all riparian, appropriative or prescriptive water rights inuring to the benefit of, appurtenant to, or held by the lands and real property hereby conveyed to Grantee, immediately prior to the conveyance herein. Grantor does not imply or expressly grant any easement or right of way across other lands owned by Grantor for the enjoyment or use of any such water rights upon the land herein conveyed. PARCEL IB: Those certain 60 foot easements as shown on that certain Map entitled, "CAMELOT SPRING VALLEY RANCH", filed in the office of the County Recorder of Butte County, California, on September 10, 1971, in Book 38 of Maps, pages 51, 52, 53,'54, 55 and 56. PARCEL IC: An Easement for the u'se and enjoyment of each of said'parks, common areas and ,natural areas designated on that certain Map entitled, "CAMELOT SPRING VALLEY RANCH", filed in the office of the County Recorder o 5of 1, 52, 53un5,y .California, on September 10, 1971, in Book 38 of Maps, pages 55 and 56. "Said Lots, or any portion thereof, shall not be used for ingress, egress or access, to or from, nor for utility services to any parcel or parcels of real property not located within Camelot Subdivision." End of Legal Description END OF DOCUMENT CDF FIRE SAFE REQUIREMENTS — 3 7 — D f e74 -o t � S z�,,�.y, rt6l roNOi 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. [M 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-iant 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' [`n 1. No roadway shall have a horizontal inside radius of I curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [�•] 2. The length of ver i^:1 curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a minimum .turning radius of 40 feet from the center of the road. ( 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 I feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. we Page. 1 of : 2.-, BUS COU h BUILDIN DEPARTMENT �PPnb_.. AP # PERMIT # "NAME r<] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [� 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways .over 300 .feet in length and shall be within 50 feet of the building. 1273.11 Gates [A 1. Gate entrances shall be at least two feet wider than the roadway it serves. Q0 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. [ J 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ j 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 4_11 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 :pr fi_ral inspection of a. building permit. BUTTE COUNTY. I'_•- 2 of . , ,.➢-` DEPARTMENT APPROVED 0 l AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet:. - Class A or B roof - Enclosed eaves r,f If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof.wi.tH enclosed eaves - Interior automatic sprinkler system per NFPA 13D Glass area not to exceed 10% of wall area -toward property line with insufficient setback Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal ,Other Butte County Fire Department approved materials t O t_e_ Date Signature Page 3 of 3 nag Page C BulI"'PAR ENT APP LAND XVIELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT" CLEARANCE Building Permit No. -I (O l�C.tWn OWNE RS NAMEP��. NUMBER:- OSE— SE`y ^7D_ V D PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: R %/ FLOOD ZONE: )c FLOOD MAP: 1-5-0 13 APPROVED: CONDITIONALLY APPROVED: " RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS • OR MAP k DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS:. C'14'-1 ezar ✓G 11ACZ6As /9A,01770u MAP INFORMATION: DATE OF RECORDING 09f1,P111 LOT 63 BOOK 38 PAGE 57/ /-6-6 COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES X NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. -�g 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 7. Connect to a public water supply. 8. Connect to a public sewer system. _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20 , 21 22 23 24. 25 Ala iN3Wd07l3A3a aNVI 3.Un8 J0 kiNf100 9661 1 1 dVW ®3AI333H LD 9/95 - CAWP51TORMS.K\BLDGPERM.CLR t�n7f1`�"'tyi, '+" 7Y.�"•.-:r"G",n..rtr+-'.moi �v+�•r"�"rtiur:Ylt2� w� '�:'1.''�''+'n'�l"' "yt;.i1� /y� �,�",k'¢�'�tJ%ai1�'+is..�li...�.:.,,, f^�l `�"i''`'y„�'�'�,.,,_, p�'1J-^c"'rt""R��,�-."�,;j„yT` r'�t%>K.i`r"�v---'�'/wr4,r'?=: :y..-a:�"i y� t..r'� �`� ,,- `,rv-., ` . MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: PERMIT NO.: Owners: %� n t„ ` t, ,L/ c:o.JI�i J rte. eJ Vj Name: �✓� Owners: K ✓yt / C- Address: LAII . 0'-V -- MobilehomeYear of Manufacturer ' Manufacture: Serial number Insignia or / / � or V.I.N. HUD number: Official approving installation: Dale: 12 - If the mob lei home is moved or/located, the mobilehome installation acceptance shall become invalWThis form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor ► v/ COUNTY OF BUTTE -DEPARTMENT OF'DEVEL'OPM ENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Cakfornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9�'���� ASSESSOR PARCEL NUMBER 058-370-001 ZONING RT1 BUILDING PERMIT OWNER STEPHEN & DAWN STRAIIN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3831 WINDERMERE N OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS WTNT)FRURRE IN PERMITFEE $ 43,00 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY 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 Cx Other ❑ Describe Work: Mobile Home S G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service000Y 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 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 NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BLAS. ) SO. 3.5Q FT. NEW CONST. MULTI.OUTLET NOWRESID. ( BRANCH CIRCUITS ) 97.50 WER (a SIINGLE OUTLETT IR. ) Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 SAL .00 Ex. Occup. FIXED PLNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 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 g 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.) 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 Orthwith comply with those provisions. X Date -�? 9 Signature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HA2. 1 D. FEE IM FLOOD CDF ARC PD 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 PERMITEXPIRESON provisions to do work paid. Dat ate) ceiptNo. ITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L COUNTY OF BUTTE - DEPARTMENT O A�P,VE&PMENTSERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILL'E.CAL�1ORNIA95965 -TELEPHONE (916) 538-7541 R PERMIT APPLICATION DJATASHEET OWNERJ n^� P. No. V" 370 ' 00 f' Proposed Building Use �► Building Inspector Datec /a71&60 At time of permit application, I was -advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED 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............................At ................ . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings ........................ 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ....................................... KL= 11. Impact fees as shown on attached schedule . ............................. 12. California Department of Forestry plan approval/fees. ......................... VOZE . 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. ............. X 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). . . P,;4;.pe .A request - 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 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. .... . Letter of intent on building use . ........................................ . Mobilehome utility clearance . ..................................... If ............ Documentation of legal access . ..................... :....... ! ......... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. ,When you issue the pe s�mit, process as follows: Mato owne . Mail to contractor. , ✓ Telephone 't(o� and hold for pickup at rm office. Deliver with inspector. Other Parcel Creation 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 tormit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 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 (;r I Ba wS Date 3- 0-9a Plans approved by r i [566 t 5 Date Zo- ro Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF. BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (916) 538-7541 A.P. # PROPOSED BUILDING USE DATE REC: # DATE REC SCHOOL DISTRICT FEES r0 (paid at District Office) 2. SHERIFF FEES (paid at Building Division) Residential...... x unit amt. Commercial (sq.ft.). x 3. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #units amt. Commercial (sq.ft.). x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6—. SRA FIRE INSPECTION AND -PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 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: YESM NO[ ]. 2. I HAVE[] HAVE NOT[ ] signed an application for a building permit for the proposed work. 1 I have contracted with the following person (firm) Ao provide the proposed construction: NAME: ADDRESS: DTZ': PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: YAti>E ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: /Lun SOCIAL SECURITY NUMBER: DATE: �9 %� 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 takes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees. «:thout a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owmerbuiider' 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. 95314. 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. Sin1crely, Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code. OVER -wti`Tr'�j�-wb•",..�`+'rw•re"�`�rrer+trtr�.n..:w+°ri`«sh.,y7;af"�*�a+..:if`�;y�;��r;i'•.''t'j.+�'�K'�,;'ttl.'4•..'^a�"" �nf;►J.'F'�rti:x'i'^Rp'+vTii�'sY.•.fi�yf�c��,,`,,�_ • _..... _ CArn�l�s,��e ,lrcy r d2 L r 6.s BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Oro Building Department No. A.P. Number 'LW—WO—CO ( Jurisdiction: City �ounty Property Owner Property Location/Address 3V4 Subdivison Lot No. Residential Development 0 Sq. Footage No. of Living MHI Addition (Group R Units Commercial/Industrial 'Iding Department Representative (Floor Plans reviewed by District Identification No. 9 6 ® 9 a New Addition Sq. Footage (Including Exterior Roofed reas) a a� 9 Date neov) Ile on l on M6 School District certifies that Dai x-) (Applicant) (Street Address) (Phone /Number) (State) (Zip has complied with the requirements of Resolution No. 9 0 by payment of $ Iml 2) 69 representing 6 V �, square feet. hool Paid by Check # Remarks: Bank Number 16/01 , Paid by Cash AB 2926 $ PULL MITIGATION $ ` 0 Date t 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 fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm CERTIFICATE OF ANCHOR INSTALLATION Title 25 CCR Mobilehome Parks Act Section 1326 (b)(3) I certify those portions of the tiedown system installed below grade 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: Manufacturer: H KC —� C'6j e Model: Com - 7D % Installed by: Date: Contractor/Owner:Zve— License No.: COUNTY OF. BUTTE1 Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES y" 1469 Humboldt„Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CAa- (916) 538-7541 747 Elliott -Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. i✓' R A routine inspection indicates that the following violations of Butte County Ordinances exist at Y the above address and should be corrected. Please notify 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 iminediately. Date Inspector REV 10/ 2 3 z i CORRECTION NOTICE OWNER �- OyZ PERMIT N 4'- A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Dlease ontact this office immediat y. Ga Al `'- �'o 'wry k Ni M' Lv� ^r }j! 1 1� Date Z. Inspector REV 10/9 aye . _ . 7- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER �- OyZ PERMIT N 4'- A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Dlease ontact this office immediat y. Ga Al `'- �'o 'wry k Ni M' Lv� ^r }j! 1 1� Date Z. Inspector REV 10/9 aye Ej Mobilehome, Manufacturer: 9 Lt', 14 mbr e, Manufacture Year - If other than singlevide, furnish Setup Model Number: Width: I 'C�6-- (f t _(ft.) Length: -. (ft.). Tagalong or Expan.do Size % -(ft.) On all mobilehomes�- manufactured. after October 7, 1973, fin-nish manufacturer's installation manual and structural setup sheets. FOOTINGS:: Wood pressure tr ted or foundation grade[ Other: SUPPORTS: Concrete block[? Other: Provide Tie Down Specifications for all Mobflehomes: A 13 F-5,ci 0061 l31,VA I -JOA/ 7 Pier Footings Sizes and Location SINGLE WIDE -MULTI-WME line I Lice 2`%�: up ........................ * .................................... Win . Beams" .................................................................... ; ............................ Line 2 Line I . . . ............................... ........................................................... Main Beams ................................................................................................ ................................................. e5 Tag or Triple e 4 ................................................. Line 2 Line 2 Uai3 Line 2 Line 1 Piers: Line 1 Openings Size minimum: Size minimum: x Spacing maximum: Each side of openings From ends -maximum: c AW4 I' A with width over: Line 2 Piers: IeK30 Size minimum: X I x Spacing maximum: JG ' 0' From ends -maximum.=! `, I/, oil Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 2 Line 1 Line 4 Piers: Size minimum: x [30 Spacing maximum: 0 From ends -maximum] [elm F(Lf, Coi7i 1. Owner's Name: ,n t DQ tzt� E- Sf r4 LOIS 2.: Assessor's Parcel Number: $ = `7 O -. ©O 1 3. Installer's Name: c, c.s-� r1 F- R. "5 A. " Is the site currently under permit? Yes[ No[A—Permit No.3 6a - a cf 2 ] 8 5. Is the site an existing site? Yes[ ] NOM (If yes, furnish two plot plans). 6. What' is the electrical rating of the. mobilehome?_ 11 o Amperes. _ 7. What is the mobilehome site circuit breaker ratin bo Am eras. = --- 8. P _ ' _ .8.. What'is the electrical rating of the mobilehome site? D .Q Amperes. 9. Ts the main service remote from the mobilehome site? Yes[ ] -No ] If it is, what is the rating? 'Amperes. - 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[)( No[ ] If.yes, please identify the load and size: a) The mobile home site: Load - y3 eA - Amperes- b) The main service: Load- Amperes- 11. Type of gas service at mobilehome site: Natural[ ] Propane[W None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 34iinches. 13. What is the gas pipe length from the meter or tank to the mobilehome??(ft.). 14. What is the mobilehome gas demand? LQ-—t4,o,y-x 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 onrp oyane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 Edi El H.no� SiePhe-r I, 4 CQw N 97 Sfrnw N ISP, 1� 061- 370- ado/ M tW - 53 y./ &,,T 2 /44 by 0-ra � ) Iche V, -'KT—TE COUNTY, M d yob -=---- Signa -------- BUILQII� :... � . Signa ENT P R 0E D I n9 Roo. a u ;dei 3 `. Q cr, O APPROVED Butte County Ell. C' 66. rn ^ -- Environmental Health -'KT—TE COUNTY, M d yob -=---- Signa -------- BUILQII� :... � . Signa ENT P R 0E l AP R 23 95 16:53 FR AJESC0 ABE= ABES^O A9 E -E-ER-F-D 4 I COMBIN"ATION TIE- DOWNS MANUFACTURED HOME TIE DOWN CALCULATIONS AND DESIGN LOAD SCHEDULES FOR SINGLE/DCUELE/TRIPLE WIDES -' • WIND-- 15 PSF /WAG ,Va. Co�- • SEISMIC IC - ZONE a yam/ • SOIL --- 1,000 Lis. PSF LOAD BEARING -4CHOR DESIGN PULLOLM- T1E DOWN • 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) • 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) CONCREM T1Ej0OWN • 4,750 LBS.-VIMIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) • 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) CFt0.S3 DRIVE 17E DOWN • 1,727 LES. - MAXIMUM TOTAL LOAD CAPACITY (CALCULATED) TIEDOWN STRAPS ARE TO SE ABESCO'S STEEL STRAPS #606 AND ,J614. THESE STRAPS MEETS FEDERAL SPECIFICATION 00-S-781 H FCR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1/e x .035 ZINC PLATED. STEP DESIGN T-ENSION: • 4,750 L°S.-MINIMUM TOTAL LOAD CAPACITY (TESTED 5.900 LES.) - • 3,150 LBS.-WCRKING LOAD CAPACITY (1,5 SAFETY FACTOR) GENERAL MOTE& 1. ANY COMBINATION OF TIE DCWNS ARE PERMISSIBLE. CHARTS SNOWING QUANTITIES OF TIE DOWNS ARE BASED ON DESIGN LOADS AND 1,727 LBS. MAXIMUM TOTAL LOAD CAPACITY. Z. SIDE TIE DOWNS ARE LOCATED ALONG THE OUTSIDE CHASSIS BEAMS. PLACE AN ABESCO CROSS DRIVE AT 2' 1N FRCM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING TIE DOWNS EVENLY ALONG THE CHASSIS BEAMS. 3. END TIE DOWNS ARE LOCATED AT BOTH ENDS OF EACH UNIT(S). THEY ARE TO BE PLACED AT EACH ENO OF CHASSIS BEAMS, OF EACH TRANSFCRTABLr SECTION OF THE BUILDING. 4. THE NUMBER OF TIE DCWNS REQUIRED ON EACH SIDE/END OF UNIT(S) ARE BASED ON THE LATERAL LOADS DUE TO 14 PSF WIND EXPOSURE 'C' OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. ENGINEER APPROVAL a No. 17513 * Ex�' �l C1y11. �p �lE OF THIS TIE DOWN SYSTEIr1 MEETS THE REQUIREMENTS OF SECTION 1336.3, SUBSECTION (o) Ad aur Sib 145 aceta rAL IL= Am 0_55"= STATE APPROVAL APPROVED ,�� j SUBJECT TO �C�ORRE:TIONS 14OTM APP' JZTL A a+� ee+btion or d•viefi n f►een nirew.•rtt Doll opplicey!• Sea►. 1ws and � � VIE- PAENT sem. ,r c�I,o ECODES NO STANDAMS ;ft) D .SFA J jff ASESCOt mr. m r4t4h9ft bm G 2= Pk 0 -3113 -:Lit - PPR 23 ''t8- 15 SS FR 41ESCO 1 GIBS/ ESCO I -BEAM 5HOVM. SEE C do RFC CHASSIS FOR CONNECTIONS rIr ^rte. 1p406 PISA sx 9OLT-ON .OP i SEE DETAIL 'A' TYPE ® TIE DOWN 008 SPLIT SOLT & NUT "w' f o'er -SEE DETAIL "A• k TYPE (D TIE DOWN 4C'-80 #908 SPLIT aCLT & NUT J INSTALLATION INSTRUCTION,9 = TP,C_#0n WAVLM: : CNECX FIRST FOR UNDERGROUND UTILITIES. I. INSTALL ANCHORS INTO SOIL APPLTING CONSTANT OCIMIWARO PRESSURE TO WINIWIZ�r SOIL DM-jURBANCF UNTIL HEAD IS FLUSH WITH STAMUZER PLATE ANMCRS SHOULD BE INSTALLED 8E1w FROST UNE. 2. ATTACH STRAPS TO CHASSIS 8EAM1 IN MANNER SHOWN. 1 INSVIT STRAP THROUGH SPLIT SOLT. CUT OFF EXLr S SRAP A THEN TIGHTEEN BOLT UNTIL STRAP IS SNUG• 4. • ABESCO NAME IS STAMPED iN ANCHOR HEAD. O INSTALL GRCUND ANCHOR INTO GROUND, LEAVING r-12' C' SJ.AfT EVOSM I ]SEAM CHASSIS Pr ;'SBURQE TESTING i_AgpFjATCRY RESULTS T= !1s Pvil out Taat In SANDY SOIL, A3, having a 00"MY of -124.110 Iba./Duff. R=ULTS; Actual Pull Out -7,000 Iba. Araroga Oaflagttan Ri002ur9d In Inchaa.1.44S TEST /2; Pull out Tact in +20=y SOIL. A1hOMng a Dan of -133.0 iba, ou.fL RESULTS: AMUSI Pud Outa7.000 lb, Avwoi. o@f:aatl0n n� rad In Inehaa .771 TEST /31 Pull Out Taaf In A009E SOIL AS, having a OtnaltT at— a7M lbs./eu.ft. R£SULS: Aatuel Pull OVt27,000 Iba. Avsmgg 00!laerl0n maaaur1W In InChaa= .524 DRILL 9/16• HOLE AT MID HEIGHT OF BEA/2'A-307 BOLT BOLT - STRAP STRAP is 14 STL STRAP j6ls STL. STW . SM I -SCAM CHASSIS FOR SEE I -BEAM CHASMS FOR 71E DOWN ANCHOR TIE DOM ANCHOR C BEAM CHASSIS RFC BEAM CHASSIS 14; O PLACE _—j j Aa lt'�tZi PLATE NEXT TO SHAFT oc rte! ANCHOR AND CHASSIS BEAM. AND DRIVE INTO GROUND. O FINISH TURNING ANCHOR INM THE GROUND UNTIL ANCHOR HEAD IS FLUSH V4 "rl STABILIZER PLATE THIS PROVIDES SECURE FXTEC110N AI ACNST LATERAL CONTRACTORS VERIFICATION h "� f CE:"" THAT I HAVE INSTALLED THE AMCO ANCNORIND SYSTEM AS PER THE INSTAUATION INSTRUCTIONS. 1 HAVE MADE NO 1f001FICAT10N5 Tb THF ANCHORING swri 1 OR TO TIME BUILDING STRUC'TURL CaMfPAN1r NAPE: CONTRACTORS UG OAT7r TIE DOWN K. "w' f o'er -SEE DETAIL "A• k TYPE (D TIE DOWN 4C'-80 #908 SPLIT aCLT & NUT J INSTALLATION INSTRUCTION,9 = TP,C_#0n WAVLM: : CNECX FIRST FOR UNDERGROUND UTILITIES. I. INSTALL ANCHORS INTO SOIL APPLTING CONSTANT OCIMIWARO PRESSURE TO WINIWIZ�r SOIL DM-jURBANCF UNTIL HEAD IS FLUSH WITH STAMUZER PLATE ANMCRS SHOULD BE INSTALLED 8E1w FROST UNE. 2. ATTACH STRAPS TO CHASSIS 8EAM1 IN MANNER SHOWN. 1 INSVIT STRAP THROUGH SPLIT SOLT. CUT OFF EXLr S SRAP A THEN TIGHTEEN BOLT UNTIL STRAP IS SNUG• 4. • ABESCO NAME IS STAMPED iN ANCHOR HEAD. O INSTALL GRCUND ANCHOR INTO GROUND, LEAVING r-12' C' SJ.AfT EVOSM I ]SEAM CHASSIS Pr ;'SBURQE TESTING i_AgpFjATCRY RESULTS T= !1s Pvil out Taat In SANDY SOIL, A3, having a 00"MY of -124.110 Iba./Duff. R=ULTS; Actual Pull Out -7,000 Iba. Araroga Oaflagttan Ri002ur9d In Inchaa.1.44S TEST /2; Pull out Tact in +20=y SOIL. A1hOMng a Dan of -133.0 iba, ou.fL RESULTS: AMUSI Pud Outa7.000 lb, Avwoi. o@f:aatl0n n� rad In Inehaa .771 TEST /31 Pull Out Taaf In A009E SOIL AS, having a OtnaltT at— a7M lbs./eu.ft. R£SULS: Aatuel Pull OVt27,000 Iba. Avsmgg 00!laerl0n maaaur1W In InChaa= .524 DRILL 9/16• HOLE AT MID HEIGHT OF BEA/2'A-307 BOLT BOLT - STRAP STRAP is 14 STL STRAP j6ls STL. STW . SM I -SCAM CHASSIS FOR SEE I -BEAM CHASMS FOR 71E DOWN ANCHOR TIE DOM ANCHOR C BEAM CHASSIS RFC BEAM CHASSIS 14; O PLACE _—j j Aa lt'�tZi PLATE NEXT TO SHAFT oc rte! ANCHOR AND CHASSIS BEAM. AND DRIVE INTO GROUND. O FINISH TURNING ANCHOR INM THE GROUND UNTIL ANCHOR HEAD IS FLUSH V4 "rl STABILIZER PLATE THIS PROVIDES SECURE FXTEC110N AI ACNST LATERAL CONTRACTORS VERIFICATION h "� f CE:"" THAT I HAVE INSTALLED THE AMCO ANCNORIND SYSTEM AS PER THE INSTAUATION INSTRUCTIONS. 1 HAVE MADE NO 1f001FICAT10N5 Tb THF ANCHORING swri 1 OR TO TIME BUILDING STRUC'TURL CaMfPAN1r NAPE: CONTRACTORS UG OAT7r y APR 23 195 15:54 :FR 4.`ESCO ABESCO AMSCO n I 7ABIUZER PLACE �v 107 CROSS VE ANC40 x+601 30' OR #602 48" • T.D.A. TIE DOWNS 015 CONCRETE SLAB ANCHOR ' WET, TYPE ID SEE CHART 0 #6C< CCNCaETE SLAS ANCHOR w/ ISH 5822 SLSEVE ANCHORS •CRQQYO �,51100 ,;e . I I 1 1 I I I i I I I r TYPE 1 j j j SEF I :• I ECUAL EQUAL I ,� I E� A, CHART 2 LiNC'H VARrES ri1H0= 13 Pyr sLlswx= ZQNE a MA ar =09AC01 MLIICRS FOR Gla•+ 9Li ASO EAOq DO :�+cn1 ex XTJ 3cr I • 1 K xAlrl Mrons rE IS IE Is IE IS EIS IE !S IE IS IE gM4E >r0E UlnT a 2 r 5{ 2 1 5 1 6 1 1 8 2 1 7 1 7 2 TOTAL ^E OaMfS 1^ I +a 1 I I± 1 1 I± SINGLE WIDE TYPE a SEE CHART PE OE E ART E 4� I #514 r S7L STRAP l AP WMCLE TYPE E• Z�� ,606 7' S7L STRAP w/BUC IYPE "S• TYPE a SEE CHART #406 PIER BCLT--ON TCP *4t #608 SPUT BOLT & NUT v F T T T T 2'r --r-'UAL I MAL I '-,.,UAL I EOUAt 12. UNC'k VARIrA MS+>C• ZONE 4 REM .% Lr C ANA77i A4a1s�%F$ FS7tEAG! 4+� AND EAGI om I�rNa N OF UWT •0' 1 40' 1 'Y Wo50. 1 56' 1 d0. 1 66• 70• Wo !MT10f1S S E S- E 1S E S E S s 1 tE VCE Mrl ♦ I fi I A 11 I 1 1 r ICTAL ^.E XV051 20 1 22 1 22 1 24 4 I 26 w1fl1M ( LENC711 9Np.E , M10E TD 14' TRIPLZ i T ►DE 4 PE 4D E ART 2' EQUAL EQUAL EQUAL E AL i AL 2• -- 70 FZ. r I t83 PLF ~� m 11.550 L� - • �~ i" T Z LENGTH VARIES 1 30 FT. 163 PV 4• Lig LRL 3 4 WAG- 13 PSF Op(JM.E Y 40 FT. 165 PLF /.500 L8& 4 4 S"MIC. ZONE 4 � 30 FT. 163 PLF bZSO s ►1C 7 COY81xAID01 A1ICFICRS F(R EA4t 4Of A10 EAbr p1p Rb 2d' ID Ff. i PV 1,9pp Lgt 6 4 4 tp+C1l+ WET y• 0- 70 FT. t P 11 T 4 30 FT. 1 4 4 40 FL 163 � 4 a a ;rY 1♦ 50 FT tis A ?70 eilw�r= IRT. 1 1'y. ,, ... �n;•• rc 1►�.,�,9<iib+lyl *'" �.... .. 77:. 'rn.. . PAM-r• .. een cra^, o, cs�nsc, a ..M.Kc .a...�r+•..1,ery �T�.i. t rn ,-..-.•,rr • :.. .... ._ - APR 23 '95 1S: 55 FR WESM I• -BEAM sma". S¢ C &RIC OqA=9S FOR CONNECTIONS S` OF -AIL 'A'- rms l5n©cm 916 .9�5 SSU -TD 5345612 •'? BOSS DRIVE TIF- DOW beca Lt.S-P— a roG9 57a�t, SIE DETAIL 'A• TYPE QTICOWN okcLm `.'� � .. ... �' � '^•�.I �•4••• —.r.�r ..• '�,'w ',;. �1'tl�•��t„ '•�a \•'.`2• vis ^�i •\� IT 'i C �.�• ' ,`r'�� .•,r, nom. .:�_....: + .+.. ••jf \� �.� � l.t•}.� .` C� 1 SEAM CHASSIS "''� DETiVL 'H' INSTALLATION INSTRUCTIONS CIDIfTAK ONSQ WA.$NINQ : ClHEC?C Pms Pon woommANo Um rtm CRC55 aRnt AN.?<CRS AAE «; MMS x.470 OR ROCKY SOIL OCURFS IF THE WOUND SURFACE IS OTHER THAN AUX OR LINILL'4 2' AWMALTSE . ENCA"-'; ;,90SS DAVE ANCHORS wIM CONOWM AS SHMW IN DETA8' L'. 1. INSTALL CQC55 ORrvE ANC10Rq INTO SOq,,,Z SMO1Mi. Z ATTACH S"" To Crwk=S REAM :N 11ANNER 9HCN1'N. UM �lCOUNTY 1 INbT:FT STRAP 'MRWCH PUT BOLT. CUT OFF EXCESS STRAP AND `�fS! ijHEN iIGMTDi BOLT L:NTIL STRAP IS SNUG 1 4. AGES= NAME 15 STAYPM „Y ANCHOR HEAD. f�9 'd Til RRR+++nnn SES. DETAIL 'A' CONCRETE TIE DOWN ryP= (Zi)E LC^ INSTALLATION INSTRUCTIONS I -SEAL 9icM'N. s- I�mor C & RFC CHASSIS •-~ -~ 5�� M= X CSN FCR C=NmECTIONS �- I 7'e=sss t� 1. DRJ1L:/a'.ay- CRETE SLAB. _� 04CE PIER pyo _• m -AC= BYES s�AN!DCN ZZEVE mat BOLT AND PLACE INTO HOLE. BOLT -ON TOP 4 �� apy� 1 rrR-,4= WASHER 0%0 Tp OF WARMCM BOLT. 4. THREAD NUT ONTO MANSION 90.T AND 1WTEN NNT uwm uA uuu SEE DETAIL 'A' rn°E ONE 00WN BOLT At NUs0•-ea' �SPLIT6NUT MUM LIHILuw C?1C4ciE SLI19 4' 9.48- 21A Sr:. FT. 3' 9 t8- 143 Sp, pT, I BEAM CHASSIS W STM E WANSCN SLEM HAS SEEN AO C%= S M&4 NUT AN WASIML d P1,= *A - 9a OVER OrMUM TLP OF DPAN9bH BOLT AND TIGNTQ! NUT. NOTL* CONCRETE Oy0 Dryom Top Cr wANsON 9CLT AN TIOHTEY NUT: LAYM -^VS/Sa1DMo UMOtt ECUAL S REC:LLENOED. CONCRETE MAP S2E TO ALL C11 4:750 LHS MMrC& nXMCN ON ANCHOR NN - MIT L ll(t SLAIL A55WE 1MOLHT OF 13o LBS/CU FLSL Nyle 106 1. PLACE L31=t ANCHOM DM MET CONCRETE Z AitC1Y caNCFiETE Tp pp *sM,f Cts 3. ATTACH MAPS TO Cy.ASSIS BEAM IN WmVt SHCMIL 4. p'SCtt STRAP 'NApuQ1 SPLIT amt CUT OFF OtC= STRAP. TImfM VOLT LWT1L STRAr IS SAI: L AaCSCD MALE IS STAmp£o N ANCHOR MEAD. CK42= CrDMMEL•nM 1. ATTACH CRAPS To 04AM WAM IN WANNER SMOUK Z DWlT MW Tk M=i 44JT 0MT- WT CFF EXCESS STRAP. TiGKM 80LT WM SMAP IS SM 1 A5X= NAVE IS STAM►'Ea p! ATNpl01! W4M _. TESTING RESULTa PART NO. SIZE HOLE 512E ae� ENT PULL OUT SHEAR AWE VALLIK OR EWV. 5/11'x2 1/4' s/8' r Mao LIRL 7160