HomeMy WebLinkAbout060-110-081v
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ADAMS ; PAUL'
J Y gU111BOLDT RDs,-BUTTELAIEADOWS • ,
ELEC FOR LOT DEVELOPMEN! 071
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060-11=0' 081 ':32442fP4 E ' -
ADAMS; PAUL 060-110-081 r OS 1369 , t
7S( HUMBOLDT RD, BUTTE MEADOWS ADAMS; PAUL & PAM'
UTIL 'yK YI 7580 HUMBOLDT,RD, BUTTE • �z.
ELEC pQ ». -- MEADOWS
GAS A o j°'~ LI)ell- Cont: OWNER,..
1 COMPACTION, TEST REQ A-10 ;: AG BLDG,.
SUPPORT STRUCT REQ ,✓y
060-110-081' _ - 94-003 MH
ADAMS,. PAUL_' .` y IAWZSI
ABNER, LN, BUTTE r! y w
INSTALL MOBILEHOME
�. •060-11-0-081 -__ � �96-1916 _ ' � ����' �-
ADAMS, PAUL'
' •.CONTR: CARPER, BOB . r
7580 HUMBOLDT RD., BUTTE MEADOWS q I
ADD COV DECK/SF ALE
060-110-081 ` 0 2� G I�
ADAMS, PAUL &s PAM
7580 HUMBOLDT RD:, BUTT EADO
CONT: CHICO MHS j
EX MH PERM FND EX SITE
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BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO.
ZONING
fo D O
1)
QWNEV
/
PHONE NO.
OW R'S A SS DRE
�
LOCATION OF BUILDING
S �
USE OF BUILDING
SIZE OF STRUCTURE
.9
SO.
FT.
TYPE OF CONSTRUCTION:
✓
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOG TYPE
T
1S' e
�,e
ESTIMATED COST OF CONSTRUCTION
$ go C040, o-'1
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
FRONT
��
'7—y— SIDES v REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date of Owner /
Permit Fee 468.60
Receipt No.� /
Cm#<56�
The above described AG Buildi
Manager Buildir�Division
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
is exempt from a buildi
I Y I ROOF G IISS
Dat
NOTES ✓ f �jj' RESIDENTIAL `
t % y
`PERMIT NO. —
060-110-081 02-2352
ADAIVIS, PAUL 6 PAM
7580 HUMBOLDT RD., BUTTE MEADOWS
_
CONT:. CHICO MHS.,,
= + EX MH PERM FND EX SITE
oe
f •
`
SPECIAL CONDITIONS
CHECKED
BY
i
SRA
-''
FLOOD CERTIFICATE REQ. .
1,
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
-`
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
t
` • ;t PA .
{ JOB FINALED (Date) ` t
Signature f�J ��
J = OK
0 = Not OK
= NotReadyabte
Card B-1 Date ' Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
1.
Zoning Requirements -Setbacks -Easements
Soils; Compaction -Structure Stability
2.
Soils; Special MH Support Sketch
4.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Elec.; Pool Lighting; 15 Volts-GFI
4.
Water; Location -Test -Easement Needed (Sketch)
7.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /" L "ft./ P LPG
10.
7.
Well Clearance & Disconnect
Light Niche
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card 8-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) -OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
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
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PER ANENT END SYSTEM (ONLY)
1.
oning Requirements -Setbacks -Easements
/ootings; Size -Spacing -Marriage Line
Blockina
as; MH Test -Demand -Valve
lectricity; MH TMT- Ar
Water; MljT
Water and Sewer Connected
ao,Seas and ElectricitVTaoged
lg/Jcicense uecals
Verify #'s with Office
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date ' Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
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 -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
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
23. Fire Sprinkler; Test
72. Elec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
_
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
87. Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41. Sills Proper Materials & Anchors
Comments at Final:
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters D Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
10 -Sep -2002 2002-0047075
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described
hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be
indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents
to all persons thereafter dealing with the real property.
PAUL E. ADAMS AND
PAMELA ADAMS
REAL PROPERTY OWNEWLESSOR
7584 HUMBOLDT RD.
MAILING ADDRESS
BUTTE MEADOWS BUTTE CA 95942
CITY COUNTY STATE _ ZIP
7580 HUMBOLDT RD.
INSTALLATION MAILING ADDRESS, IF DIFFERENT
BUTTE MEADOWS BUTTE CA 95942
Lily COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
CIT COUNTY STATE ZIP
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CHAMPION
CITY COUNTY STATE
ZIP
02-2352
530)538-7541
BU G PERMIT TELEPHONE NUMBER
9-5-02
IG -N E OF LOCAL NC OFFICIAL.
DATE
NO
INSIGNIA/LABEL NUMBER(S)
DEALER NAME (if not a dealer sale, write "NONE")
ASSESSOR'S PARCEL NUMBER A.P. # 060-110-081
NONE
SEE ATTACHED
DEALER LICENSE NO.
UNIT DESCRIPTION
CHAMPION
1994
WOODLAKE
MANUFACTURER'S NAME
09946724749A/B
DATE OF MANUFACTURE
MODEL NAME/NUMBER
60 X 26
RAD741662/3
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
ASSESSOR'S PARCEL NUMBER A.P. # 060-110-081
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD. Building Dept
n � �-,� ,r'a�.�•;+r, �� cR „ .�. rs .s. ,i �. � �w +� w� Ya7 +'a� " '�'+Y . F .r -- u ^z + a. � .,�
J-� fp. `r �"�'�'�'`�f hf�M�$ L7''��rk��''�f.i"."",d r ayt��7.�7 ��7i`r.::f..'� �N'�4 .�ti�'��'!'a.��`•�"��4y�:� �'s��`�����'�%+��-w�i��� �Y
-Cyif2 f M1bL �,,� "wi {4t r F�§.,a,�, ��FOUNDAT}IONS°SYSTzE�M�-����`y �`�:�cf+�T.��•�`i � ��q
.§ .SKS 1 r �� � re x s'IFF t:�.+r' Y" t � F'ii�..� '! •�
d�F, '��t �{F@ � s,y.>>r .+ t �-4 •fit �r; `°?+'"' t. y., +'v K� '" R .� y^ 4 ✓ f-'"ti'r �r �gj � Y I�.
,s 4, � w7' �. t F� �,y va ,rG�� 'C t '•f � � �"Y
;. t J� F. �i1� :.�, - ..'r'z..r":� : YR 1X'.5 i.. ..�ai_`.�� rl...ii: U �. a +;,F' 'L+�.t.�i:.s > i��..r.?'X'd:�.�• ;.': name
r
BUILDING PERMIT NUMBER: 02-2352
Address or location of unit: 7580 HUMBOLDT RD., BUTTE MEADOWS, CA.
95942
Legal Description of Real Property: A.P.# 060-110-081
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: PAUL E. AND PAMELA ADAMS
Owner's address: 7584 HUMBOLDT RD., BUTTE MEADOWS, CA. 95942
INSIGNIA OR HUD NUMBER: RAD741662/3
SERIAL NUMBER OR V.I.N.: 09946724749A/B
MANUFACTURER'S NAME: CHAMPION YEA:1994 .
OFFICIAL APPROVING INSTALLATION:
DATE: 9-5-02
PHONE: (530) 538-7541
H.C.D. 513C
LEGAL DESCRIPTION
A.P. # 060-110-081
All that certain real property situate in the County of Butte, State of California, described as follows:
LOT 15, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "REVISED OFFICIAL MAP
OF THE FIRST SUBDIVISION OF. THE DAVIS TRACT, BEING PART OF THE
NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26 NORTH, RANGE 4 EAST,
M.D.M.", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF
THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 3, 1922 IN BOOK
9 OF MAPS, AT PAGE 11.
m
nrrrndLkt,W :Lr nuquu:ll of Mid Vnlloy Tlf/o S Egcrow Confpony 9 1 " 5 3 0 0 3
On(ur No.
Csrrow No. 1:112,57-11
Loma No.
WHEN nI:COIIDED MAIL TO: 92-053003', Roc Fee .15. 00
I DOC 26.40
PAUL E. ADAMS Recorded 1 Check 31.40
PAMELA ADAMS Officiul Records I
12(ly ldual: 111th Avunuo County of I
f Chico, Ce �1' 926 Butte I
t Conduce J. Grubbs I
Recorder I
t MAIL TAX STATEMENTS TO:
SAME AS ABOVE
O:OOam 19 -Nov -92 I HVTC JJ 1
DOCUMENTARY TRANSFER TAX $26AD
X Computed on Uin eeneldorallon or'�awe of Property conveyed; OR
Computud of the consWoretion or vsluo loss tone or encumbrances
racalnhg at time of sale.
The 47: -;,signed GranlnLdeclares _
Signature ....•:- U of Agent determining tax -Firm Nene
GRANT DEED
APN 0641-110-046-000 PTN.
FOR A VALUABLE CONSIDERATION, receipt of which IS hereby acknowledged,
KENNETH E, GARCAL and EDITH GARCAL, husband and wife
noroby GRANTS) to
PAUL E. ADAMS and PAMELA ADAMS, husband and wife as Joint Tenants
the real property In the City of UNINCORPORATED AREA
County of . BUTTE Site of California. described
as
LOT 15, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "REVISED OFFICIAL MAP OF THE FIRST
SUBDIVISION OF THE DAVIS TRACT, BEING PART OF THE NORTHEAST OUARTER OF SECTION 29,
TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.M.", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 3, 1922, IN BOOK 9
OF MAPS, AT PAGE 11. '
i
ffi Dated —Oclnber 10 199? _
f
STATF- OF CALIFORMA 1
COUNTY OF Butte )ss.
1
i On nn nhpr In, 199? bviye
me. DEE PALMER
personalty appeared KENNETH E. GARCAL AND EDIT:(
GARCAL
personalty known to me (or proved to me on the basis of satisfactory
evidence) to be the persons) whose namo(s) Islam subscribed to the
within Instrument and acknowledged to me that helshe/they executed the
same In his/hor/choir authorized capaciy(les), and Ctat by his/hor/thoir
signaturn(s) on tho instrument the porson(s) or the entity upon behalf of
which tire parsons) acted, executed the Instrument.
WITNESS my hand and official seal. j
i
Signature _.
DEE PALMER
d
EDIT—H7MMCAL '
i• �r .. OFFICIALSEAL
DU MPH
�;�<rc` N0IMYPU0UC•rtLGORNW
\V,��9>
GUM CCUNry
Ei� by Comm. Expires Acrd 26.19U
END OF DOCU51FNT
STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
nC'^TQTnwTTn\I ^won unnrrunue-
MANUFACTURER NAME/ ID
TRADE NAME
'_
MODEL DOM
DOT
DFS
SPC
LNV! 1
EXPIRAI
CHAMPION HM BUILDERS CO/90086
WOODLAKE
SW672W 02/09/94
02/21/94
03/11/94
U SERIAL NUMBER
109946724749A
LABEL/INSIGNIA NUMBER
RAD741662
WEIGHT
022260
LENGTH
000720
WIDTH
000156
ISSUED
04/08/94
I SCC
04
EXEMPT
USE
SFD
2 099467247498
RAD741663
021540
000720
000156
TOTAL
3
4
FEES
5
PAID:
6
$70.00
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ADAMS PAUL E/PAM S JTRS
1207 W 11TH AVE
CHICO CA 95926
ADAMS PAUL E/PAM S JTRS IN U
low -
7584 HUMBOLT RD k� .
BUTTE MEADOWS (i 95942
'a
7584 HUMBOLT RDI;
BUTTE MEADOWS
GREENTREE FIN CORP
I -w-.
PO BX 27670,81
SACRAMENTO
DATE: 03/22/ 1'
G DUPLICATE COPY
TO BE FILED WITH THE MOBILEHOME
ARK OPERATOR AS REQUIRED BY LAW
r
r
i .
V
vk
s
IMPORTANT 03-095-00038
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
nFPARTMFNT nF Hn11STNf, ANn CnMMUNTTY nFVEL.OPMENT AGAINST THE DESCRIBED UNIT.
FROM CHICOMOBILE HOME SPECIALIST FAX NO. 530-895-1774 Sep. 05 2002 11:28AM P1
•IJuJ wUL 1V_ VJIJL ru Ul
;IVA /°
THE FINANCIAL ADVANTAGE
Loan ConvidW16
September 3. 2002
Butte County
Go Jerry Doremus
Chico Mobile Home Specialties
VIA FACSIMILE: 530 8951774
Re: Pam and Paul Adams Refinance Loan
beer Kerry,
This letter is to confirm that the Adams have been pre -approved for their refinance
financing for their home at 7580 Humboldt Road. Butte Meadows, CA . This loan is
contingent on their moble home being set on a foundation or an approved, engineered
to down foundation to that lot or land. This must be completed and approved by a
California lioardw appraiser.
The loan would require that the prior liens be retired on the property. The current'loan
to.Conseoo Financial is the loan that appears to have that lien currently and will be paid
off at the dose of escrow of this new loan.
Yours truly,
Richard Ogre
The Financial Advantage
tpo Qat# fin goad, dub *274 • Sa ulft Qillwtii 04M
W.-418.288.9797 800.82!.7780 4x:415.288.9740
amx0: 1npu1ry•g8dKG"
a
.10
OOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 --PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT ��-91L-Ns a
ASSESSOR I:ARCEL NUMBER
ZQMN°
BUILDING PERMIT
OWNER
D AIR 1, IIAM
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1560 R 84,240-00
OWNERS MAILING AD RESS
7984 1411MBOLD! RD BUTTE ME4DQ1JS 95942-
CONTRACTOR'S NAME
TE NE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation 1 E4240.00
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$ 20.00
—Fling
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
7590 HUMBOLDT RD BUTTE MEAD-0-W—S
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 329.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome b Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:ppT_gySITE
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$S0"00
ELECTRICAL PERMIT
Fling Fee 20.00 =
Main Service 200AoRLESS
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 f 1 f and effect. /��
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWEUJNG OCCUP.
OR ADDNS. ( 8 ACC. BLDS.
S°
3.5¢x'
q ° IDT MULTI.Oun Er
97,50
POWER APPARATUS
a SINGLE ourLFT cIR.
Ex. OCCU OUTLET OR FIXTURES��
�':
Ex. Occup. DuTL��°rstRREa. 0EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PERMIT FEE
$
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
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
e 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
s' compensation provisions of section 3700 of the Labor Code, I shall
th comply with thos rovisions.
DatePeWd
pplicant - ❑ Owner Contractor ❑ Agent
it is required for excavations over 5'0" deep and demolition or construction
ver 3 stories in height.
gReceiptNo.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ CONST. TYPE
TOTAL FEE $
HAL. D. FEES IMP FLOOD CDF PARCEL ND ISSU
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which fees have
By
PERMIT EXPIRES ON
applicable provisions
to do work
been paid.
ate
Data
61091 $379-00
.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUA6ERo� l I O ZONING BUILDING PERMIT
NE TEI�NONE SO. FT. OCC. BUILDING VALUATION
S m
bWNER9 MIUGNO ADO ,9�\+ 0`' 9�
COMRACTO E (%\ 'V /,V `�TELEPHONE y
OCONTRACTORS MARINO ADDRESS
CONSTRUCTION LENDER
LENDER'S LANCING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEERS MAIUNO ADDRESS
BUILOINGADDRESS r
LAT NO. SUBMISIONS NAME
PARCEL MAP
I USEOFSTRUCTURE I
SF 13 Duplex Mobilehome V Other
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: Q
jkrm;� 7
i
SAX
si�w;;
r�9+�t�ed � � 1
0,� (o / Dq
Nt�
Total Valuation Is
PERMIT FEE t
SO. CJS
ELECTRICAL PERMIT
Filing Fee
S
ago. on LLE .
20.00
Permit Fee �—
S
46.00
NEW CONST.
OR ADDNS. (
Plan Checking Fee
S
NEW coNs .
NON.REsIe.
u-2'?uT3L L 1
Energy Plan Checking Fee
b
S
PERMIT
PERMITFling
Fee
20.00
Each Tre
7.00Solar
or heat um water he23.00
JFEE$PLUMBING
Water i in
15.00
S.6Each
as water heater or ven15.00
Gas I in stem 1 - S outle15.00
js'j—o
Buildin sewer
15.00
Mobile Home S G WQ20.00
EX. OCCU OUTLET OR FDMMES S o .50
Ex. Occup. L L °R" 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
PERMIT FEE 1 $
MECHANICAL PERMIT I Fling Fee 20.00
6.50
PERMIT FEI: f
Mobile Home Installation Fee S
Energy Inspection Fee S
°C0 -T' -PE TOTAL FEE $ 3 °%
NAZ D. L— I IMP I FLOOD I COF PARCEL I PO I NO ISSUE
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 Date
PERMIT EXPIRES ON
n
PERMIT FEE t
SO. CJS
ELECTRICAL PERMIT
Fling Feel 20.00
Main Service
ago. on LLE .
23.00
Main Service
YDGA TO LDOOA
46.00
NEW CONST.
OR ADDNS. (
OWELLING OCCUP.
8 ACC. BLDS.
3.50FT.
NEW coNs .
NON.REsIe.
u-2'?uT3L L 1
07.50
EX. OCCU OUTLET OR FDMMES S o .50
Ex. Occup. L L °R" 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
PERMIT FEE 1 $
MECHANICAL PERMIT I Fling Fee 20.00
6.50
PERMIT FEI: f
Mobile Home Installation Fee S
Energy Inspection Fee S
°C0 -T' -PE TOTAL FEE $ 3 °%
NAZ D. L— I IMP I FLOOD I COF PARCEL I PO I NO ISSUE
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 Date
PERMIT EXPIRES ON
n
v
�
w
•
7
�
w
r
-
A
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET / � / `,
OWNER: S J� ASSESSOR PARCEL NUMBER ( O l / V oy /
Proposed Building Use: Counter Technician: QMLM Date:
Items required in order to apply for a per '. All r boxes MUST be checked OR marked NA in order to Apply.
❑ 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan; (D) Tie down or
foundation plans, all in duplicate.
❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ig neer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.......................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
0,,c7j. Encroachment Permit for driveway from the Public Worcs Dept. (construction approval prior to occupancy).
e=Inspection for required ................
❑ 23. Contractor's license information. umber, N me Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization.....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance ................. ......... � ...................
❑ 9. E 'sting violatio and/or expired permits............ .. ........
® 30. ,,4Deed,MV1.H. Title/Statement of acts, L� Letter from Legal O er'Aheck to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have` en informed of the above items and requirements for obtaining a building permit.
Applicant: Date: Z
1. Index per/bit Oplication for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, n r, was advised of the alio a da a by ❑ phone, El mail, ❑ counter, b Date: ,
Plans reviewed by: Date: 0 Plans approved by: Date:
Structural reviewed by: Date: L k Structural approved by: Date:
Note transfer by: Date:
Yellow: Buildine Division
I�oT raP 0`1' o
1; 4"40 VVN
� o0
0�.V\eNe,
BUTTE
COUNTY
BtlltDiNG DEPARTMelt
�.APPRAVED
'VECTOR DYNAMICS
..-FOUNDATION, SYSTEM
WIND .ZONEA-& 2.
INSTALLATION INSTRUCTIONS
For the State of California
Release Date 8/13/2001
Engineer Approval
T Li u",
C.D
26070 A0011 6
I V1
APPROVED
SUBJECT TO CORRECTIONS NOTED
APPROVAL DOES NOTAUTHORIZE OR APPROVE ANY
OMISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
State Of California
Department of Housing, and Community Development
OFCODES'AND STANDARDS
I M. . .... 01�
gnature)
SPA NO. 9
Am M AMOVal rA PM
Foundation System
.INDEX
For Further Information
PAGE
BUTM COM
SECTION NUMBER
TIE DOWN ENGINEERING
5901 Wheaton Drive
INTRODUCTION 2
SULOW3 DEPAMEW.
PIER HEIGHTS 3
Atlanta, GA 30336
404-344-0000
GENERAL. INSTALLATION 4
'�: .P �..0V_E#
SET-UP, INSTRUCTIONS' 5 & 5a
FAX 404-349-0401
www.tiedown.COM
METAL PIER & V -DRIVE 6
PARTS LIST 7,7A, 7B & 7C
CONCRETE INSTALLATION 8 & 9
SCHEMATICS
WIND ZONE I SINGLE SECTION 10
SINGLE V -DRIVE 11
METAL PIER 12
DOUBLE SECTION 13
TRIPLE SECTION 14
WIND ZONE 11 - SINGLE SECTION 15
- DOUBLE SECTION 16'
TRIPLE SECTION 17
SOIL CLASSIFICATION 18
COMPONENT PARTS AVAILABLE UPON REQUEST
Release Date 8/13/2001
Engineer Approval
T Li u",
C.D
26070 A0011 6
I V1
APPROVED
SUBJECT TO CORRECTIONS NOTED
APPROVAL DOES NOTAUTHORIZE OR APPROVE ANY
OMISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
State Of California
Department of Housing, and Community Development
OFCODES'AND STANDARDS
I M. . .... 01�
gnature)
SPA NO. 9
Am M AMOVal rA PM
Foundation System
For Further Information
BUTM COM
TIE DOWN ENGINEERING
5901 Wheaton Drive
SULOW3 DEPAMEW.
Atlanta, GA 30336
404-344-0000
'�: .P �..0V_E#
FAX 404-349-0401
www.tiedown.COM
'Of
Tie Down Engineering, Inc.
VECTOR DYNAMICS INSTALLATION INSTRUCTIONS
Introduction
These instructions describe -the proper use of the Vector Dynamics Foundation System in Wind Zones 1 & 2. Additional
installation instruction is available in VHS video, from manufactured housing distributors orfrom Tie Down Engineering, titled, Vector Dynamics Installation
Video.
The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone I & II &
III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec-
tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & 11), are available through local distributors of Vector Dynamics or directly from
Tie Down Engineering.
General
The Vector Dynamics Foundation System provides the support to resist lateral and over -turning movement of the home as required by the Federal
Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these.instructions. See manufac-
tures Home Installation Manual for other pier & anchoringrequirements. The following characteristics apply to both single and multi section homes:
• Main rail minimum spacing of 86 inches or greater.
• Nominal 8 foot or less top plate height at side walls.
• Main rail depth of 12 inches or less.
• Maximum roof slope of 20 degrees (4.4 in. in 12 in.)
• Maximum pier height under main rail of 56 inches (see page 3).
WIND ZONE
• Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
• Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
• Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
WIND ZONE II
• Maximum single section home width. is 15 ft including eaves, maximum eave width is 6" per side.
• Maximum single section home width of 16 ft. including eaves must use two additional vertical ties/
anchors/stabilizer plates (one per side) as listed in the charts on page 15.
• Maximum double section home width including eaves 32 ft., maximum 12" eaves per side
• Maximum triple section home width including eaves 48 ft., maximum 12" eaves per side
The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic
pad (s) has two (2) or three (3) square feet bearing area. Piers not used as part of the Vector system shall be located and constructed in accordance with
the home installation instructions and/or state standards.
To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than
56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806.
The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See
page 3. Note that a ground anchor is used at each Vector system location in Wind Zones 11 & III. The use of interlocked double stacks of concrete blocks
may be required by the home manufacturer or the state. Check with the most recent regulations in California.
The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located within 1500
feet of the coastline.
Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations include shear walls, mar- .
riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to
resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must
be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie
Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the perimeter joist or specified as a location for
vertical ties.
N
Page 2 California 8/2001
56 i
ma;
Figure 1
Maximum Pier Height (Wind Zones I & II only)
The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches
under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location
in Wind Zone Il,.and where the pier heights exceed 24 inches on a single section home in Wind Zone I. Piers
must be constructed in accordance with the manufacturer's installation instructions and/or state requirements.
The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check
with the most recent regulations in your state.
56 ii
ma)
c
Unequal Pier Heights ( Wind Zones I & II only) r►yure
5 in.
iax.
Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails.
The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be
used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location
exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber
compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed
in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked
double stacks of concrete blocks may be required by the home manufacturer or state. Check with t g, ost recent
regulations in your state. o o
Page 3 California 8/2001
GENERAL -INSTALLATION INSTRUCTIONS
SITE PREPARATION
It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or
flowing beneath the home. See manufacturer's home installation manual and state requirements for grading
and other site preparation.
FOOTINGS AND FROST LINES
The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose
vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See
pages 8 & 9.
FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS
Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each
(set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be
spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end
of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended
by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must
follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe
or TDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level
ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva-
nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt
and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and
the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the
vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust-
ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size
and pier spacing must be consistent with home manufacturers' instructions and/or state requirements.
LUMBER/MOISTURE - TERMITE SHIELD
To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con-
crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL
PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC
pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber
as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281
must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter
bracket is used on top of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture
Termite Shield may be required between the lumber and ground.
ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED.
Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths
are the same, the pre-cut boards will also be the same length in each Vector set-up.
STRAP TENSION
All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight-
ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined
as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight-
ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven-
tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation
system. A minimum of two factory 1/4° spot welds must be used when straps are connected to the swivel con -
hectors with welds.
0 0�
Page 4 California 8/2001
Set -Up Instructions for the
Vector Dynamics Foundation System
#59007 (Kit #59007 is interchangeable with Kit #59018)
♦
♦
♦
♦
♦
♦
2. SET BLOCKS (OR PIERS) ON
VECTOR FOUNDATION PADS
Center the foundation blocks over
the Vector pads. Place the pre-cut
4x4, 2x4's (side by side),,. Schedule
40 PVC (w/PVC adapter plate, part
#59281) or 1 adjustable TDE steel
compression member, (part
#59043) tightly between the blocks,
with ends resting on the Vector
pads, and centered on each
U -bolt.
3. OUTSIDE TENSION BRACKETS
Attach an Outside Tension Bracket
to the U -bolts on the outside of the
foundation blocks and Vector pads.
Place one of the short 6"- 2x4's
between the bracket and Vector
pad. Adjust the short 2x4 so that it
pushes against the foundation
blocks, removing any space
between the piers and center
compression section. Tighten the
3/8" bolts.
2 square foot
pad placement
or (1) 3 square
foot pad
4. INSIDE BRACKETS AND
STRAPS
Attach the Inside Tie Brackets to the
U -bolts over the pre-cut boards or
PVC. Attach a strap with hook to
each inside tie bracket. Tighten
bracket. When using looped strap and
a crimp seal, in place of the hook,
place a 3" long section of strap,
folded in half and inserted between
the strap and inside tie bracket. Place
other end of strap over the opposite I-
beam and continue down to outside
of the foundation blocks. Attach the
strap to the Outside Tension brackets
using the slotted bolt and nut
provided. Wind strap a minimum of
five times around the bolt. Continue
tightening the ,slotted bolt until all
slack has been removed and the
strap is tight.
5. SET ANCHORS
Refer to section home drawings for anchor installation information.' Stabilizer plates are required for
diagonal ties only. Preload anchor against stabilizer plate. Make certain all :slack is removed and strap is
tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications 3
only), use minimum of 3 each V -Drive anchors per side. See -drawing on page 6 for placement. �.
Page 5 California' 8/2001
Set -Up Instructions for
Vector System #59018
(Kit #59018 is interchangeable with Kit #59007)
Long U -B
q_i
1. Set Vector Pads
Clear all vegetation where pads will rest. Place
a long U -bolt in pad as shown. Press or ham-
mer pad into the ground.
2. Set Block or piers on pads.
Center foundation blocks or piers on pads.
Place pre-cut center compression member
between blocks, resting on pads, centers
between U -bolts as shown.
3. Outside Tension Bracket
Attach outside tension bracket as shown to out-
side of pads.
4. Inside brackets & straps
Attach the inside tie brackets to the U -bolts over
the compression member. Attach a strap
w/hook or swivel strap w/nut/washer & bolt
(washers are required). Place other end of the
strap over opposite I-beam & down to outside
tension bracket. Cut strap 12 - 15 inches past
bracket. Attach strap & slotted bolt in bracket.
Tighten strap until tight with 4-5 wraps around
bolt. Repeat with opposite strap.
Page 5a
ce
California 8/2001
am/Cs�
s�-
iy1 s
For metal piers, place the piers in the center of the Vector pads. Set the single 4x4 'or two 2x4's through the piers, centered in the Ufiolts, so that the
board(s) overhangs the Vector pads on each side by about 2°. Outside Tension brackets attach the same. Inside tie brackets mount 'upside down' as
shown in drawing. Metal piers using the Vector system can only be used on,level ground. installations.
Conventional pier adjusters must be placed under beam with uptumed edge directed towards the outside of the home. Pier capacity rating and spacing
must be consistent with home manufacturers'. installation instructions and/or state requirements.
When using.METAL PIER STANDS, -cut lumber (2-,2x4's or 1-- 4)(4 per Vector system) for the center compression section,. by measuring center to
center frame distance and adding 16 Optional Moisture Termite Shield may be required in certain regions. ALL .WOOD MUST BE PRESSURE
TREATED, GROUND CONTACT RATED. Adjustable steel strut (#59043) and PVC Schedule 40 pipe are not permitted to be substituted for lumber
when using metal pier stands.
..VMrive System : Irnstallation:. .
for rocky soil conditions
' 9
V Drive anchors are used only with
Zone 1, single section'homes.
. Soil Class 1,2,& 3.
V -Drive anchors are used only in Wind Zone I, on single. section homes in.areas where rocky soil conditions do not allow a conventional helix style
anchor to be installed. For solid rock, Soil Class 1,, predrilling of holes 4or the V -drive rods is recommended.
Vector.Systems are set following the general set upinstructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension
brackets are discarded. in place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the
Vector pier set to 5 inches from the side wall of the home.'
Place the V -Drive head over the end of the longer, board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through
the V -Drive heads at an angle of approximately 45 degrees under the home. The rods. must come to a complete stop on the V-Drive.he. ttach a strap
with hook, buckle or beam clamp to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end. about ten inche O e anchor
head to allow at least five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight.
Page 6 California 8/2001
Vector Dynamics
j=•ry
err
Foundation Systems ector
x�
�n, amcs
Component Parts List
'1.k3 t
'
q4
�.
vo
Part #'s included: 59310, 59288, 59135, 10925, 59279, 83044z, 59232 & 59732
----------------------------------------------------------------
I�
Part #'s, included: 59275, 59282, 59276, 83044z & 10999
Part #'s included: 59277, 59282, 10530, 83044z, 59279 & 59232
Part #'s included: 59273, 59282, 10530, 83044z, 59232 & 59279
Page 7
Vector System 2000
Kit # 59018
Single piece pads with straps
and slotted bolts
Vector System
Kit # 59007
Concrete Vector System
Kit # 59008
(for single stack blocks)
Concrete Vector System
Kit # 59006
(for double stack blocks)
oj.
0
California 8/2001
- Vector Dynamics
Foundation Systems Component Parts List..
Vector 2000 3 Sq. Ft. Pad
Part # 59271
1 required with 59026 Longitudinal System
2 required with 59024 Lateral System
Part #'s included: 59281, 59288,10925, 59232 & 83044z
:map?
0 0
®o c ®o c
Part #'s included: 59269, 59113, 59282 & 10999
Adjustable Steel
Compression Strut
P/N 59043
Or
these products available
at your local hardware store
Ssvte `�ea�edl
y a NY'
a ot, ea. a
I( 2ea`2x ROQVCQ�pe
Vector Lateral Hardware Kit
Kit # 59024
(for use with 59271)
V Drive Anchor Kit
Kit # 59287 (for use with Kit#59007 only)
A. Schedule 40 PVC pipe: 3-1/2" or 4" nominal
schedule 40 polyvinyl chloride pipe or conduit made
from type 1, grade 1, with cell classification 12454
as defined in ASTM D1784. Compound dimensions
and tolerances in accordance to the requirements of
ASTM D1785D. Color can be gray or white. Outside
diameter is 4 inches.
B. Ground Contact Rated Wood: No. 2 yellow pine or
equivalent, pressure treated to AWPACI-1990 mini-
mum, stamped "Ground Contact Rated" on wood or on
label attached to the wood when purchased.
0
Page 7A California 8/2001
Vector Dynamics Individual Component Parts Detail
Vector Dynamics Single Block Pad
Part # 59275 1 Sq. Ft. 12 gauge, used in pairs
16-3/16" X 9" x 2-9/16"
Vector Dynamics 2000 Single Block Pad
Part # 59310 2 Sq. Ft. 12 gauge
18.719" x 15.625" x 3"
Vector Dynamics Single Stack Concrete Pad
Part # 59277 12 gauge
17-1/4" x 11" x 5-5/16"
Vector Dynamics Double Stack Concrete Pad
Part # 59273 12 gauge
18.75"x 18.625" x 5.188"
Vector 2000 3 Sq. Ft. Pad
Part # 59271 -12 gauge
22.5" x 19.418" x 3"
® Vector Dynamics Tension Link l�
y .- ,.�. � Slotted Bolt
0 0 Part # 59282 'i»Part # 59135
6.25" x 2.52" x 3" �n. 3" x 5/8"
Vector 2000 Tension Link
Long U -Bolt w/Nuts & Washers
0 Part # 59288 Part # 83044Z
2.125" x 2.375" x 2.06" 3/8" x 4" (16 Threads 'Per Inch)
® Short U -Bolt w/Nuts & Washers
Concrete Wedge Anchor ® 3-1/2" part # 10999
3/8" X 3-1/2
Part # 3/8" x 3" (16 Threads Per Inch)
Page 713
Califom
Protecto-Strap Carriage Bolt w/Nut & Washer
Part #59276 p® Part # 10925
a
6.3" x 3.3" x 7/8" 1/2" X 2-1/2"
Strap Protectors �� Protecto Strap
PPart # 59279
art # 59232
6.3" x.3.9" x 7/8"
o
PVC Adaptor
Part # 59281 ® Carriage Bolt w/Nut & Washer
7.25" x 4/56" x 1.42" Part # 10624
3/8"-16 x 4.5"
Tie Down Marked &
Certified G120
Strap w/Swivel Connector
Part # Length
59732 12'
59734 14'
59736 16'
Earth Anchors
30" x 3/4" with 2-4" helix
Black Paint: Part #59095
Galvanized: Part #59079
V Drive Head
Part #59269
Drive Rods
Part #59113
Tie Down Marked &
Certified G60 Galvanized Strapping
Model
Part #
Length
MS35
59150
35'
MS37
59155
37'
MS42
59160
42'
MS60
59165
60'
MS600
59170
600'
Frame Tie w/Hook
8 ft. P/N 59195
10 ft. P/N 59210
12 ft. P/N 59211
Longer Lengths Available
Earth Anchor Stabilizer
12" wide
Black Paint: Part #59292
Galvanized: Part #59294
Page 7C California
Vector Dynamics System
for Concrete Applications
Instructions for Vector Kit #59008 (for single stack blocks)
or Vector Kit #59006 (for single or double stack blocks)
Page 1 of 2
These instructions are an addendum to the standard Vector Dynamics instructions. Read
and follow all applicable instructions and guidelines in the Vector instructions and home
installation manual. The Vector system for concrete pads applies to concrete footers,
runners and slabs. Minimum size of concrete per Vector pier is 24" x 24" x 4"(for part
#59006 or 59008) or 18" round X 12" deep (for part # 59008 only). The bottom of footers
must be below the frost line or a minimum of 4" below finished grade whichever is
greater. Concrete must be a minimum of 2500 PSI and sufficiently cured and set to
accommodate an anchor bolt to its, full load resistance.
1. Determine location of pier sets where the Vector systems will be located.
2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be
located, centered under the I-beam of the home. Place the upturned edge towards the
center of the home and directed to the opposite Vector pier. Do the same for the opposite
Vector pier.
3. Measure the distance between the two Vector system pads at the base where the Vector
pad meets the concrete. Cut two ground treated 2x4's this length and place between the
piers as shown.
4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown.
5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The
upturned edge end of the Vector pads should be up against the inside of the pier blocks.
6. Build vector piers but do not wedge at this time.
7. Using a concrete drill bit, drill two 3/8" diameter holes on each side into the concrete
using the holes in the Vector pad as a guide. Drill the holes 3 inches deep.
8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up
the holes in the bracket, Vector pad and concrete pad.
Illustration One
000
Vector pad \ �"
for
concret
Concrete
footer
Page 8
Wood Cap
and wedge
Outside
Tension
Bracket
Wed"t.
Bolt
.j
California 8/2001
Vector Dynamics System
for Concrete Applications
Instructions for Vector Kit #59008 (for single stack blocks)
or Vector Kit #59006 (for single or double stack blocks)
Page 2 of 2
9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors provided. The nut should
be screwed on enough to have 1 or 2. threads showing on the top of the bolt. Place the
wedge end of the bolt into one of the holes, going through the outside tension bracket,
metal Vector pad and into the concrete.
10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt
above concrete is 2".
11. Repeat for the other hole in the outside tension bracket and the two holes on the other
Vector system pier set.
12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between.the
Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not
tighten yet.
13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go
over -the opposite pier and down to the outside tension bracket, plus 12 inches for
wrapping the slotted bolt. Repeat for the opposite side.
14. Tighten inside u -bolts at this time.
15. Use the outside tension brackets to remove any space between the outside tension
brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets
with a hammer.
16. Wedge the pier set at this time.
17. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside
tension bracket and Vector pad to the concrete.
18. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with
end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using
at least five turns on the slotted bolts.
Illustration Two-
} Vector pad
for
e o�
concrete
Inside
Tie Bracket'
1( Concrete
Compression fo er
boards=_�zh:�«.��,,....�.._...U....�,,,a._.�..,..:.�F,.��Kn,.�._�...�.�......:�.:�:....�:�.:�..�.�....�.:.-.�.:.�
0
U -bolt Page 9 California /2001
CD
WIND ZONE I -""-- -
Vector Dynamics Systems Required
y 1 . ,
for Single Section Homes
(Materials Required)-
- - horse s.
"- - - - 1e SeCt%eGtor ,Ste,
a-
' - - - - - of a 2 to sp giomeonSta\tatton
EXe(npShoNls gest be to
h
„`ust( andta pac�n9
foundatto
v WIND ZONE I
o (not to scale)
N
9 41R
2 sq. ft. pad
R
instructions and/or state requirements.
Maximum allowable working drag load for the
Vector System with the steel compression strut is
Soil Classifications: 2, 3, 4A, & 4B 3,150 pounds per K2 Engineering test report.
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required*: 30" with 4" helix anchor (59095),12" stabilizer plates (55292),
1-1/4" frame ties w/4725 lbs. min. breaking strength.
Home Length
Vector Systems
Required
Anchors Required
Per Side "
0 to 72'
3
2
73 to 90
4
3
* Anchor and stabilizer plate combination
Each Vector Foundation System requires
One \lector Kit, 2 slotted bolts
V 2 ea. 1-1/4 in. ties, length will vary with pier height
(4725 Ib. min. break),
V 1 ea. 4 x 4 pressure treated wood
compression member
Y or 2 ea. 2 x 4 pressure treated wood
compression member
V or 1 ea. 3-1/2" or 4 nominal SCH 40 PVC
pipe compression member
V or 1 TDE adjustable steel strut
�bA
V Drive anchors
are used only in
WIND ZONE I
(not to scale)
34 (i. mex, o•o \YP
2---��
NOTE: Vector Systems should be spaced as evenly as
Is practicable along the length of the home. Pier spacing
must be consistent with home manufacturers! itstaletilm
Ituhuctions; "or state reWremenls.
Maximum allowable working drag load
for the Vector System with the steel
compression strut is 3,150 pounds per.
Soil Classifications: 2, 3, the K2 Engineering test report.
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required*: "V" Drive Anchor, Part Number 59269
1-1/4" frame ties w/4725 lbs. min. breaking strength.
When using "V" Dr ve Anchors
Home Length Vector Systems Anchors Required
Eachvector ctor Kit, 2 Vtbn a Anchors, 4 requirestem slotted bolts
Required
Per.Side *
• 2 ea. 1-1/4 in. tie, length will vary with pier height
(4725 Ib. min. break),
• 1 ea. 4 x'4 pressure treated wood compression member
0 to 72'
3
3
WIND ZONE I
• or 2 ea. 2 x 4 pressure treated. wood
Compression member
73' to 90'
4
Vector Dynamics Systems Required
• or 1 ea. 3-1/2" or 4" nominal.SCH 40 PVC pipe compression
1
member (center compression member only)
Single Section Homes,
Difficult Soil Conditions
-
i
1e se�tie no
°ys a MS. guidelines'
aging tO�S a1la�ton ma
mPeplsg ra1p ome
EXa Shoal eUs, be to h
_
,00n d klonP
151
C _
•ic��
�
t
CD
.�
�Xt
-
1
�bA
V Drive anchors
are used only in
WIND ZONE I
(not to scale)
34 (i. mex, o•o \YP
2---��
NOTE: Vector Systems should be spaced as evenly as
Is practicable along the length of the home. Pier spacing
must be consistent with home manufacturers! itstaletilm
Ituhuctions; "or state reWremenls.
Maximum allowable working drag load
for the Vector System with the steel
compression strut is 3,150 pounds per.
Soil Classifications: 2, 3, the K2 Engineering test report.
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required*: "V" Drive Anchor, Part Number 59269
1-1/4" frame ties w/4725 lbs. min. breaking strength.
When using "V" Dr ve Anchors
Home Length Vector Systems Anchors Required
I-- \ fir- a - • or 1 TDH adjustable steel strut
—` * "V•' Drive Anchor, Part Number 59269 •2 ea. 2x4 pressure treated wood for .
'V" Drive Anchor connection.
Note: PVC pipe cannot be substituted for wood on the
sq. ft. pad "v" Drive Anchor connections.
t TIE
DOWN
lllf•III!lRlllf•
Eachvector ctor Kit, 2 Vtbn a Anchors, 4 requirestem slotted bolts
Required
Per.Side *
• 2 ea. 1-1/4 in. tie, length will vary with pier height
(4725 Ib. min. break),
• 1 ea. 4 x'4 pressure treated wood compression member
0 to 72'
3
3
• or 2 ea. 2 x 4 pressure treated. wood
Compression member
73' to 90'
4
4
• or 1 ea. 3-1/2" or 4" nominal.SCH 40 PVC pipe compression
1
member (center compression member only)
I-- \ fir- a - • or 1 TDH adjustable steel strut
—` * "V•' Drive Anchor, Part Number 59269 •2 ea. 2x4 pressure treated wood for .
'V" Drive Anchor connection.
Note: PVC pipe cannot be substituted for wood on the
sq. ft. pad "v" Drive Anchor connections.
t TIE
DOWN
lllf•III!lRlllf•
to
CD
N
n
!y
0
N
00
N
O
O
Metal Pier Sets
ZONE I
Vector Dynamics Systems Required
1 I ♦. !
for Single Section Homes Up to 72
(Materials Required) , - - _ ; - - ' " t�pn hom en\s•
- - Sep dot s1stem _ I
` pf a e 2 �a Spa omens at\on cna
i
I
EXamptos
111
Inovs 9 est be h
1
uscrat\ d sPao\n9 m
Undat\On Pads an
♦ I
1 ♦ !
W..' R., S„
Soil Classifications:
Soil Bearing Capacity
Anchors Required:
Materials:
2, 3, 4A, & 4B
1,000 PSF minimum
3/4" x 30" with 4" helix anchor (59095)
12" stabilizer plates (55292), 4 ea. 1 1/4" frame ties
Each Vector. Foundation System requires
one Vector Kit, 2 slotted bolts
2 ea. 1-1/4 x 12 ft. ties (4725 lb. min. break)
1 ea. 4 x 4 wood compression member
or 2 ea. 2 x 4 wood compression member
Home Length
Vector Systems
Required
Anchors Required
Per Side '
0 to 72'
3
2
73' to 90'
4
3
' Ancnor ana scaourzer plate cvmornauun
NOTE: Vector Systems should be
spaced as evenly as is practicable
along the length of the home.
TIE
DOWN
('JJGINC(NING
WIND ZONE I' . me . I es
Vector Dynamics Systems 'Required.. - "- b`e Se ve o"° ma ��de��n-
for Double •Section Homes . " - - - , a t2 lad pac��me°�sla��a<`
s h
Materials Requiredl - sXar�psh°,s 9e�So oe �o °- -
--'--"-- \11usttattaspactn9R'-,,--'-
a�ton Pads ar\ - .
Found
' , - ` � ` � � '"� °- ?kms •. �..yr�. `� �; - � ` I
"
-
.tYp
CD
Maximum allowable working drag load
for the Vector System with the steel '
compression strut Is 3,150 pounds per , , NOTE: Vector Systems should be spaced as evenly as
the K2 Engineering test reporti b t g is practicable along the length of the home. (Pier spacing
must be consistent with home manufacturers' installation
instructions andfor state requirements.
Soil Classifications: 2, 3, 4A, & 46
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required: None (marriage wall:anchors maybe required by home man
WIND ZONE Iufacturer)
(not to scale)
O
3
N•
A
Home Length
Vector Systems
Required
0 to 48'
2
48' to 71'
3
72' to 89` —T-4
Each Vector Foundation System requires
• One Vector Kit, 2 slotted bolls
• 2 ea._ 1-1/4 in. ties; length will vary with pier height
(4725 Ib. min. break),
• 1 ea. 4x 4 pressure treated wood
compression member
• or 2 ea. 2 x 4 pressure treated wood
compression member
• or 1 ea. 3-1/2" or 4' nominal SCH 40 PVC
pipe compression member
• or 1 TDE adjustable steel strut
Qp
N
0 .2 sq. ft. padr
WIND ZONE 1
Vector Dynamics Systems Rei
for Multi Section Homes
(Materials Required)
N
O
3
W
Soil Classifications: 2, 3, 4A, & 4B
Soil Bearing Capacity: 1,000 PSF minimum
Home Length
Vector Systems Required
Homes up to 48'
2 Vector Foundation Systems
Homes over 48'
3 Vector Foundation Systems
up to 52'
Homes over 52'
4 Vector Foundation Systems
up to 76'
WIND ZONE 1
- 'It
-� IN
rdell0
u i red - - ' - " " " guar
DO ten CJO% es ` i. �.
aD ik-v 30N tO(\S a\\a\ion ma I `
189t ants\ SP home _ - ' I , `.
R �,afi9hoWs must be to , i ` `
I ' - Stra�%on sc\n9 t
- _ - (Ueas end SP.,
I ♦ #;� � - � ��. rye t
s Required - `
Per Side ♦ 11' ` I
NOTE: Shear wall, ridge beam support posts &
marriage wall straps & anchors may be required by
the home manufacturer.
Vector systems should be spaced as evenly as Is
practicable along the length of the home. A two foot
variance + or - Is allowable at each system.Pler
spacing must be consistent with the home Installation
manual.
�2 sq. ft.
Maximum allowable working drag load
for the Vector System with the steel
compression strut Is 3,150 pounds per
the K2 Engineering test report.
Materials: Each Vector foundation system requires
One Vector Kit
2 ea. 1-114 in. ties (4725 Ib. min. break)
1 ea. 4 x 4 wood compression member
or 2 ea. 2 x 4 wood compression member
or 3-1/2" or 4" nominal SCH40 Pipe
compression member or 1 TDE adjustable
steel strut
WIND ZONE II (Hurricane) -
Vector Dynamics Systems Required
for Single Section Homes. - - _ - ; ; - - - -
1 `
s• 1
on homstems
• u\de\\�e � I 1
(Materials RequirQd} _ -'--- �tSir•9�e ioc\JectOt nma""a�9"---
' amp\e s1no,ifs 9e� t a be oah ine. tnsta
\\\uEe dsPacing mUs b ,, '
.I
on Pads an
odet\ 1 .
R _
'NOTE For single section homes 2n•max.
CD
with eaves that exceed 6 inches
Ln " - - In Zone 2, two additional frame
tie anchors with stabilizer plates
L, (one anchor and one plate per
side) must be Installed in additon
to the number.of anchors listed
t= in the chart below.
Maximum allowable working drag load
for the Vector System with the steel
Soil Classifications: 2, 3, 4A, & 4B compression strut Is 3,150 pounds per
the K2 Engineering test report. .
Soil Bearing Capacity: 1,000 PSF minimum
Anchors. Required': 30" with 4" helix anchor (59095),
1-1/4" vertical ties w/4725 lbs. min. breaking strength.
Home Length Vector Systems Anchors Required
(7 Required Per S Ida "
p� Eaves 6". Eaves over 6" Vector Systems should be spaced as evenly. as Is
_ WIND ZONE II or less - less than or practicable along the length of the home. Pier spacing
equal to 12" must be consistent with home manufacturers'
O Instructions and/or state requirements.
j (not to scale)
0 to 48' 4 4 5 Each Vector Foundation System requires
p�' • One Vector Kit, 2 slotted bolts
+ 2 ea. 1-1/4 in. ties, length will vary with pier
49' to 60'. 5 5 6 height (4725 Ib. min. break).
• 1 ea. 4 x 4 pressure treated wood
61' to 72' 6 6 7 compression member "
compression pressure treated wood
�s„ { 73" to 84' 7 7 8 • or 1 ea. 3-1/2" or 4" nominal
:;
� SCH 40 PVC pipe compression
Cembd
)
�, 85' to 90' 8 8 9 • or 1 TDE adjustable steel Strut
2 sq. ft. pad
00
N
O
O
WIND ZONE II
Vector Dynamics Systems Required - YomeS: \
for Double Section Homes " - " _ - _ �2 �� doll b�e S est eckOf manna\ 9I
on
(Materials Required , - - _ `e of a e�eta\ sophome t -
EXamP shows g est be t ,
—♦ I ,
IN\at �aspac\n9 -_-- -"--
a s _ I
ationp,__
I ♦♦♦ I ♦` ""_ -- Maga .�e,♦ I _— _---
I ♦fir—" ♦" ._ d h`�3 ;��'y �: —_ J;—"" 1
I — — _ — 1 ♦ 4 �% '� fat � � — ♦ I
I — ♦ ♦ aux` »„> ���'` �' - - I
Maximum allowable working drag load
for the Vector System with the steel
compression strut is 3,150 pounds per
the K2 Engineering test report.
NOTE:
Vector Systems should be spaced as evenly as is pre
the length of the home. Pler spacing must be consish
manufacturers' instructions and/or state requirement+
Soil Classifications:
Soil Bearing Capacity:
Anchors Required':
2, 3, 4A, & 4B
1,000 PSF minimum
30" with 4" helix anchor (59095),
1-1/4" vertical ties w/4725 lbs. min. breaking strength.
Home Length
Vector Systems
Required
Anchors Required
Per Side'
0 to 48'
4
4
49' to 60"
5
5
61' to 72'
6
1 6
73" to 84'
7
7
85' to 90'
8
8
Each Vector Foundation System requires
• One Vector Kit, 2 slotted bolts
• 2 ea. 1-1/4 in. ties, length will vary with pier
height (4725 Ib. min. break).
• 1 ea. 4 x 4 pressure treated wood
compression member
• or 2 ea. 2 x 4 pressure treated wood
compression member
• or 1 ea. 3-1/2" or 4" nominal
SCH 40 PVC pipe
compression member
• or 1 TDE adjustable steel Strut
WIND ZONE 2
Vector Dynamics Systems Required
3 Section Homes
(Materials Required)
Maximum allowable working drag load
for the Vector System with the steel
compression strut is 3,150 pounds per
the K2 Engineering test report.
WIND ZONE 2
NOTE: Longitudinal stabilization Is required.
Vector systems should be spaced as evenly as Is
practicable along the length of the home. Pier spacing
must be consistent with the home Installation manual.
2 sq. h. pad
Soil Classifications:
Soil Bearina Capacity:
2, 3, 4A, & 413
1.000 PSF minimum
chors Required
Home Length
Vector Systems Required
p r Side
Homes up to 48'
4 Vector Foundation Systems
4
Homesover 49'
5 Vector Foundation Systems
5
up to 60'
Homes over 61'
6 Vector Foundation Systems
6
up to 72'
Homes over 73'
7 Vector Foundation Systems
7
up to 84'
Homes over 85'
8 Vector Foundation Systems
8
up to 90'
AN WE
03
NOTE: Longitudinal stabilization Is required.
Vector systems should be spaced as evenly as Is
practicable along the length of the home. Pier spacing
must be consistent with the home Installation manual.
2 sq. h. pad
Soil Classifications:
Soil Bearina Capacity:
2, 3, 4A, & 413
1.000 PSF minimum
Materials:
*Anchors Required: 3/4" x 30" anchor (59095),
with vertical straps
Each Vector foundation system requires
One Vector Kit
2 ea. 1-1/4 in. ties (4725 Ib. min. break)
1 ea. 4 x 4 wood compression member
or 2 ea. 2 x 4 wood compression member
or 3-1/2" or 4" nominal SCH40 Pipe
compression member or 1 TDE adjustable
steel strut
chors Required
Home Length
Vector Systems Required
p r Side
Homes up to 48'
4 Vector Foundation Systems
4
Homesover 49'
5 Vector Foundation Systems
5
up to 60'
Homes over 61'
6 Vector Foundation Systems
6
up to 72'
Homes over 73'
7 Vector Foundation Systems
7
up to 84'
Homes over 85'
8 Vector Foundation Systems
8
up to 90'
Materials:
*Anchors Required: 3/4" x 30" anchor (59095),
with vertical straps
Each Vector foundation system requires
One Vector Kit
2 ea. 1-1/4 in. ties (4725 Ib. min. break)
1 ea. 4 x 4 wood compression member
or 2 ea. 2 x 4 wood compression member
or 3-1/2" or 4" nominal SCH40 Pipe
compression member or 1 TDE adjustable
steel strut
,s
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classed
as Class 4A 413, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class
5 conditions (above 50 in. lbs.), contact Tie Down Engineering.
SOIL CLASSIFICATIONS
Soil Class
Types of Soils
Blow Count (ASTM
Soil Test Probe (1)
D1586)
Torque Value (2)
1
Sound hard rock......
NA
NA
Very dense and/or
40 -up
More than 550 in. lbs.
cemented sands, coarse
2
gravel and cobbles,
preloaded silts, clays,
and corals
Medium -dense coarse
24-39
350-549 in. lbs.
3
sands, sandy gravels, very
stiff silts and clays
4A
Loose to medium dense
14-23
275-349 in. lbs
sands, firm to stiff clays
46
and silts, alluvian fill
175-275 in. lbs
Peat, organic silts,
0-14
175 in. lbs
5
inundated silts, loose fine
and lower
sand, alluvium, loess,
varied clays, fill, fly ash.
(1) The purpose of the soil test probe is to gage the strength of the soil below the surface
and near the anchor's helical plate. The strength of the soil is estimated in terms of its'
resistance to penetration (flow) under load by means of the torque probe and is measured in
inch lbs. The test probe has a helix on it. The overall length of the helical section is 10.75 in.;
the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft
must be of suitable length for anchor depth.
(2) A measure synonymous with moment of a force when distributed around the shaft of the test
probe.
Information about geographical areas of termite infestations which might require the optional termite
and moisture shield when a wood compression member is used may be obtained from the local
building. official or may be found in the 1995 edition of the One and Two Family Dwelling Code.
lk�
Page 18 California 8/2001
PRE -INSPECTION REPORT
ZONING:
PRE-INSPETION
DATE TO INSPECTOR: PERMIT HLSTORY.t-) NONE
BUILDING INSPECIrOR'S RBPORT
Building Dacrlptlon:
Commer'daUUsage:
ResidentialM of Units:
Currently Occupied {
Abandoned/V t
Electric: 1 j
Yes 1, No Electric currently On Off
Condition of Electric
Ga:
Natural Propane None Currently On Off
Obvious Problems-
-rt
Sanitation:
Plumbing Workingy1.�
Well Working_ ; Potable Water
Obvious SewageProblems
Comments:
r.
ACTION RECOMMENDED: ISSUE: �. HOLD FOR
Inspector. Date
Sketch buildings on reverse and indicate location on p'ropert.
t
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville/ California 95965 • Telephone (530) 538.754 NO,
(Rev. 12/96) APPLICATION AND PERMIT
ASA"SORPAR&NUMBER O ^, l ( (D .--.)
zow+a
BUILDING PERMIT
ON if S m
T4s►grSi
SO. FT. OCC. BUILDING
VALUATION
OwNERa MAL04lq
1nIM�i - �l s�1
CONTRALTO '
Cit)
T!ll�fpNE
CONrRACTOR9 MAILINO ADORES
CONSTRUCTION LENDER
LENOER'S M HUNG ADORESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE No.
Filing Fee $
20.00
ARCNRECT OR ENGINEERS MAILING ADDRESS
Permit Fee S
WD
Plan Checking Fee $
BUILOWO AGGRESS
riSeO
.
Energy Plan Checking Fee $
VKMd
S
PERMIT FEE S
LOT NO.
SUBMISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
BP��
Each Tr
7.00
Solar or heat um water heater
23.00
Water piping
15.00 /S -,,OO
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Insulation ❑
Describe Work: Q
Other �i
Gas piping stem 1 - 5 outlets
15.00 !T,(,0
Buildingsower
15.00
Mobile Home S G W
X20.00
PERMIT FEE S
,
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service weowuA. LESS s
23.00
.
•
d
S�
O �
MEOW
•
pqNAz
Nkw1�
Main Service 20" TO IOWA 48.00
NEW CONST. DWELLNG occuP. 3.5¢SOL
OR AODNS. A ACC. BLOS.
NLW GUM 1.
NON•RESID. MOLT,'-% T CiG 7.50
POWER APPARATUS
8 S OLIRET CIR.
Ex. Occup. "UTLET OR FORUREs 20 0 "'
SAL .00
NIS OR
Ex. Occup.°9 ,o 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood8.50
Ventilation
PERMIT FEL: S
Mobile Home Installation Fee $
Energy Inspection Fee $
OC`
CONST. �°� TOTAL FEE $ 3.-j
QFEES IMP ILOOD CDF FARCE PO NO ISSUE
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 Date
PERMIT EXPIRES ON
R' SIDENTIAL
f 060-11-07081 96-1916
ADAMS, PAUL
CONTR; CARPER, BOB
1580 HUMBOLDT RD., BUTTE MEADOWS
T ADD COV DECK/SF
' I el' 4�� JOB FINALED (Date) �2
Signature
V=OK
O = Not OK
Not •=Not Applicable
yble MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
7. Well Clearance & Disconnect
1. Zoning Requirements - Setbacks - Easements
8. Utility Clearance
2. Soils; Special MH Support Sketch
5. 'Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
3. Sewer, Location -Test -Fall -C/O -Concrete
6. Carports; Windows -Doors
4. Water, Location -Test -Easement Needed (Sketch)
Card B-1 Date Card B-1
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
Cana B-1 Date Card B-1
6. Gas; Location -Test -Wrap; / /12%
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
/ /Nat. or/ /Vtt./ /LPG
Date
7. Well Clearance & Disconnect
8. Utility Clearance
5. 'Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
Date
Card B-1 Date Card B-1
Date
Cana B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements- Setbacks Easements
Date
2. Footings; Size -Spacing -Marriage Line
Date
3. Gas; MH Test-DemandAtahe-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
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date
DEC COVERS, CARPORTS, GARAGES lens OK except #'s
_ . Zon'ng Requirements -Setbacks -Easements
. Footin s• Soils -Size Dep"pacing-Connectors-Steel
ecks; 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
6. Carports; Windows -Doors
7. Electric .
rmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
. oo thg-Roofing
�s
Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GR
5. Elec.; Pool Lighting; 15 Volts -GA
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
✓ = OK
O = Not OK
- = Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning-Setbacks-Easments-Flood-Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth
4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts- 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. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Pienums & 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 E-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
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date 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 Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
32. Equip. Clearances Panels-Motors-Mech. Epuip.
33. Clothes Closet Light -Shower Light -Spa Light
34. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
40. Sits 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
RESIDENTIAL"(Sinble & Duplex)
Date
46.
FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing: Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
-50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -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 Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-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 & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.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 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE -DEPARTMENT OFtr)EVEt:OPMENTSERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 -PERMIT NO.
APPLICATIO!NAN,DPERMIT 0-/z� �`
ASSESSOR PARCEL NUMBER
060-110-081
ZONING
`Z
BUILDING PERMIT
OWNER
PAUL ADAMS
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
1308 C 17,004
OWNER'S MAILING ADDRESS
7580 HUMBOLDT RD
CONTRACTOR'S NAMETELEPHONE
BOB CARPER
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIOJOWN
Total Valuation Is
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 189.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
122-95
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
7580 HUMBOLDT RD
PERMITFEE $
8
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF 11 Duplex ❑ Mobilehome ❑ 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 ❑ Other ❑
Describe Work: 1308 SQ FT OF COVERED DECK
Mobile Home I S I GI W 1 920.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Filina Fee 20.'00
Main ServiceOOOV OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO I000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I( 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
Lawhe 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 SO.
OR ADONS. ( a ACC. BLDS. ) 3.5a FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
BAL 0 .50
Ex. Occup. I FIXEEDrPPLNS s RES D.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
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.)
l certify that in the performance of the work for which this permit is issued, I shallR3
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X �I J .L.�/�y►� "tom__ Date 9 ^ � C So
n-sL
Signature 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.
Mobile Home Installation Fee $
Energy Inspection Fee Is
Occ
CONST. TYPE
VN
TOTAL FEE $ 331.85
HAZ.
I D. FEES
I IMP I FLOOD
CDF PARCEL PD HD
ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
in
indicated above for which fees have been paid.
O
BY Date/-jtJ( �
PERMITEXPIRESON_10
µ ate
Receipt No. ZC3Z X573
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,,.aq'-, �... ...ysw'7tq 1'i'r%Ri ^is►�riR°'r7f� �P1r',°'71"3'Ilfi7j�'7+�"�;�g. n�'�r«+.,:.,�;rr,:�.,..,� .,_. :r:
COUNTYOF BUTTE - DEPARTMENTOF` `i% OPM ENT SERVICES = BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, C9�FORNIA95965 -TELEPHONE (916) 538-7541
t Zr-
,PERMITAPPLICATION DATASHEET
OWNER NDAW A( .X A P. No. 0G0 I 10 _10
Proposed Building Use U •
Building Inspector siDate _. Mua? y _
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1.
All items have been submitted . ........................ . ...............
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3.
Complete plans, 3/4 sets, signed by preparer of plans . ......................
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
` 5.
Hazardous Material Form . ............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $.........................................
11.
Impact fees as shown on attached schedule . ..............................
12.
California Department of Forestry plan approval/fees. ....................... .
13.
Flood elevation letter (100 year flcby California Engineer. .
14.
Sanitation and plot plan approval Health Department . ............q�/
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). ...PR4Asec6oA,6qu_esf__
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. .. j ...............
25.
26.
Letter of signature authorization . .............................. ........ .
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
28.
Letter of intent on building use . .........................................
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.
X. When you issue the emit rocess as follows: Ma'Itto owner. Mail to contractor.
Telephone 7 i0 3A and hold for at
pickup office. Deliver with inspector.
Other
Parcel Creation
Acreage
_ 2 2
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 ounter by _ Date
Plans checked by Date Plans approved by D�fe,
Sets of plans on hold in File cabinet AP folder /�%-I%
Copy - Department of Public Works
t
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7
E.H. Us
Pbt PI= Attached
Plwr Plan Attache Scat to B.D. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Taj I Ajx.M'- 1�2LO (0 0- /1 - &I
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for . OtheroZ,� tz. c
Hold final for:
Final clearance
NOTE: ") a
Environmental
R/99
K- fuer_
Specialist
wIDENTIAL
0-11-0
-081
ADAMS, PAUL 93-2442 P'
E
7:580 HUMBOLDT RD, BUTTE MEADOWS'
IR4V-Bb--T-RALLFS-UTIL
OFFICE COPY
Address 7
GAS
Meter By �fi� Date *,Y,
ELECTRIC tf'6 Date
Meter By
JOB FINALED (Date)
Signature
MOBILEHOME INSTALLATION ACCEPTANCE '
COUNTY OF BUTTE
DEPARTMENT OF PUBI„IC WC.,9KS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-75/41
�
PERRMI%T NO.
Address or location mobilehome *V �( 1
Owner's name
Owner's address iJ� i/ll / I mit ��. Oht —o � fo
Insignia or hud number kA D C('o� d 1� G D
Manufacturer's name// �``'l''C!/y//.�T.L6Z`t''z;e
Seri number of V.I.N.;n99.'y—t077�"7aL9 Year of manufacturea.,
(Official Approving Installation) (Date) '
r�
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED )NHEN=THE
NOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. !;:-
513B White - Owner, Yellow - Installer, Pink - D.P.W. ''
V=OK `
O = Not OK
Not
' = Not Ready Applicable MOBILE HOMES
Date/Initials
MOBIL HOME UTILITIES Plans OK except #'a
oni equirements-Setbacks-Easements
21.5 IIs;j4pse1al MH Support Sketc
3. IS war; Ocation-Test-Fall-&6CyonCrete
Ll_Water _L c tion-Test-Edse ant NeededASketch)
trfcity; Locatiop--glesrences-Cid-//WAmp-Concrete
Gas; Location-T-Wrap: / L"
/ PNat. or/ P'L"tt./�-/ PG ,.3yit/
ell learance & Disconnect
tility Clearance
3
30 4� b
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2 Footings; Size -Spacing -Marriage Line
3.. Gas; MH Teat -Demand -Valve -Connector
4. Electricity; MH Teat-Crossovere-Breakers-Clearances
5. Drain; MH Test -Fell -Flex Connector
8. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rolls
4. Wood Awn.; Posts-Beams-Rftrs: Connectors
Shthg: Rig: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
8. Carports; Windows -Doors
7. Electric
8. Frmg; Sits-Anchors-Studs-Rftrs-Trueses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
8. 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 -Pane lboards- Ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O = Not OK
- = Not Applicable RESIDENTIAL
' = Not Ready
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test _
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clears nce-Material-Support-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Wells over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Single & Duplex)
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. 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-Cellings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanef; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
0!'/ SRA
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95265 - Telephones (916) 538-7541 PERMIT NO.
APPLICATION'AND PERMIT
ASSCf${QIi,PAf :N}'2V81
jj jjAD�tAJJMISI
ZONING �
BUILDING PERMIT
OWttPJJHWUJJL
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWY+ MILIIV'1 1ES$ Avenue, Chico 95926
� �C11
CONTRACTOR'S NOME ,
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
Permit Fee $
2300
ARCHITECT OR ENGINEER
LICENSE N0.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
7fgg Humbolt Road, Butte Meadows
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISI S NAME ' " " �
U��4 1 t1&a ]r
PARCEL MAP
I- 11
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other ;,,_,�.'_'
SPECIFY'
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ElUtilities IN Installation ElOther O
Describe Work: utilities, MH
PERMIT FEE J$
Contractor
ELECTRICAL PERMIT
Filing Fee, 20.00
Main Service ( III OR LESS 00AORLESS )
23.00 23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
SO, r
3.5C FT,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 a a licensed under provisions of Chapter 9, Division 3 of the Business and
P ofessions Code and my license is in full force and effect.
-cense No. Classification
I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON RANCH ( BRANCH CIRCUITS )
@7.50
( POWERAPPARATUS )
8, SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL. @ 1.500
Ex. Occup.FIXED APPLNS. OR
(OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00 20.00
Misc. Wiring
23.00
pre inS
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Bu' ng Division a Certificate of Workmen's Compensation Insurance or a
ertiflcate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
63.0
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also a ree to save, indemnify and keep harmless the County of Butte against all
y in any way accrue against said
Count i c nseque ce o,,
liabilit S, ju gments, os=a�i
—_,� q3-
�X� Date
Signature of Applicant - ❑ Owner ❑ Contractor U Agent
An OSHA permit is required for excavations over 5"o" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE S 146.00
HAZ•
D. FEES
IMP
F100 CDF
PARC Po HD
U
This permit is hereby issued under thea applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
OF PUBLIC WORKSp
Ai
PERMIT EXPIRES ON Zg
(D4)
pp provisions
to do work
paid.
(�,/y
Date 2 Q / `C
N
S
Receipt No. 143752
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLIC ANT
}`t COUNTYOFBUTTE-DEPARTMENTbF'DEV -ISO, ,MENT SERV1GES,- BUILDING DIVISION
7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER �/ 4/LLS P. No.
Proposed Building Use A �A %e Building Inspector Date Z 3
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 preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ .
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ .........................................
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees.........................
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval - MAI X/ Health Department . /
15. City of Chico plumbing permit . .........................................
16. Plot plaln?and business license approval from City of Biggs/Gridley. ............ .
17. Planning approval for (A) Use: r (B) Parking: '
18. Contact Land Development. about (A) Improvements (B) Drainage. . .
19. Driveway permit (construction approval required prior to occupancy). ..4 D 2 lz
20. Pre -inspection for ' required. .. o Build g Inspector (Date) ,
21. Contractors 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 . ........................................
2676opy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . .............................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list.
33. ' s
34.
%;H�elephone
u issue the permit, process as follows: ail to owner. Mail to contractor.
and hold for pickup at 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
1. Index permit for above items No.
2. Additional items required:
item not checked
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 Co'Lnnter by _ Date
Plans checked by Date Plans approved by Date
ASets,_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.
OWNER A.P. v- _
PROPOSED BUILDING USE T - DATE
REC. # DATE REC
1. SCHOOL DISTRICT FEES
(paid at District Office)....-.-. ......................
2. SHERIFF FEES
(paid at Building Department)
Residential...... x =$
unit amt.
Commercial (sqft) x =$ -
.sq.ft. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt. -. .
4.- RECREATION DISTRICT FEES
(paid at District Office)....... ...................
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
/�6 . SRA FIRE INSPECTION AND PLAN CHECK = $89.00 ...... Li 3 /L
(paid at Building Department`
7. OTHER
z3 9
At'time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT DATE
r
"I;i n\I.Y
Hot 1'hm A(mchcd
Floor Plan Au❑ch.d�
Sens to Ii. U.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Aidam-' Pni t^-- A I/ -rd
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for -?* bedroom mobile home. Other
Hold. final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
Fy
Date
p "
COUNTY OF BUTTE - Department of Public Works
7 County Center. Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1.. I personally plan to.provide the major labor and materials for construction of
the proposed property improvement (yes or no).'va
2. I (have/have not) ji V e-- signed an application for a building permit
for the proposed work.
3. I have contracted with the.following person (firm) to provide the proposed
construction:
Name .
• Address City'
Phone Contractors License No.
4: I plan to provide portions of this work,.but'I have hired the following person
to coordinate, supervise, -and provide the major work:
Name
Address City
Phone Contractors'Lidense No.'
S. I will provide some of the work�but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent -to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
2
I COU.NT„Y OF BUTTE
r BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
OWN
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
C
PERMIT NO.
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
iscomp ed. If you have any questions pertaining to this matter, or need additional explanation,
please c ntact this office immediately.
Date 11474Inspector
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF�DEVELOPMENT SERVICES - BUILDING DIVISION
County Center Drive - Or4ille, California 95965 - Telephone (916) 538-7541p PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
060-110-081
ZONING
U
BUILDING PERMIT2,�,,,-�.
OWNER
L ADAMS
TELEPHONE
873-6932
SQ. FT- OCC. BUILDING VAWATION
OWNER'S MAILING ADDRESS
1207 W 11TH AVENUE, CHICO 99996
CONTRACTOR'S NWN AME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER `
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER-
LICENSE NO.
Plan Checking Fee $ 2300
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
ABNER LN BUTTE MEADOWS
PERMIT FEE $ 43.00
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work: MEI
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
*,{TrTT #
1-i11 U }t �"i
Main Service I BOOV OR LESS
2ODA OR LESS ) 23.00
Main Service I 200A TO IOOOA ) 46.00
NEW CONST. DWELLING OCCUP. S0.
OR ADDNS. I & ACC. BLOS. ) 3.56 FT._
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
❑ I, a he owner, or my employees with wages as their sole compensation, will do
work, and the structure is not intended or offered for sale. (Sec 7044)
I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON.RESIo. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ l.5
BAL. 500
Ex. Occu FIXED AP"S. OR
p. ( OUTLETS (RESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Buil Division a Certificate of Workmen's Compensation Insurance or a
rtificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 26.00
Heating
Cooling,JVT
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabi11ti , 'udgments, costs, and a enses which may in any way accrue against said
Coun in onseq ce of gr ting of this permit.
XDate
Signature of Applicant wrier ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $ 100.00
Energy Inspection Fee $
GCC
CONST. TYPE
TOTAL FEE ,S 143.00
HAZ-
D. FEES
IMP
F>0
CDF PARCEL PD
HD E
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
�
BY Date (�(
PERMIT EXPIRES ON
ID-
Receipt No. 153655S,
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
`�y�,,r.,�,..,.,.. .Z,,.,.�-""7i*"R.''" T'^"F,'�-.,_,_.,_�+�---.r•�
COUNTYOF BUTTE - DEPARTME6T. bEVELOPMENT SERVIBES-'BUILDING DIVISION
7C_OUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET v�
OWNER"Gl� ,,�.� A. P. No. Old '' l�D-Q F�
Proposed Building Usetl Building Inspector Date / 5F - SSS
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted.........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . .... :.............
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ .
............
11. Impact fees as shown on attached schedule . ............................ .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flby California Engineer .............::: .
ood
14. Sanitation and plot plan approval e' u> Health Department. .
15. City of Chico plumbing permit . ..........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ...... .
20. Pre -inspection for required. ..�s�ild 9 �specto
- (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. .....
27. Letter of intent on building use . ........................................ .
-� 28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . ................................................... .
33.
34.
When yeu issue the` permit, process as follows: Mail to owner. ` '`� .._. Mail to contractor.
Telephone$n?3-%9'� and hold for pickup at /2_ - office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Ti.4:.-a, Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuanc (Cir(Ye Dew it/ of ch c Wd above).
1. Index permit�for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail flCounter by _ Date
Plans checked by Date Plans approved by _ ✓- Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541
OWNER1! �� f`/y�}/I� A.P. # 060
PROPOSED BUILDING USE DATE;�q //-'�
REC. # DATE REC
SCHOOL DISTRICT FEE"" �
(paid at District Office).........................�
SHERIFF FEES
(paid at Building Department)
Residential...... x =$
unit amt:
Commercial (s.gft) x =$
:sq.ft. amt.
3. URBAN AREA FEES
(paid at Building. Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
• 4. RECREATION DISTRICT FEES
(paid at District Office) .........................
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00......
(paid at Building Department]
7. OTHER
8. OTHER
At time of permit application, I was advised the above fees are required to be'paid
prior to issuance of the permit.
APPLICANT DATE
7 J
u
COUNTY OF BUTTE - Department of.Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION.,
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to. provide the major labor and mat ials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit.
for the proposed wo
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone _ 'Contractors License No.
4: I plan to provide* portions of this work,.but'I have hired the following person
to coordinate, supervise, and provide the major work: ,
Name
Address City
Phone Contractors' License No.'
5. I will provide some of the work�but I have contracted (hired) the following
persons to provide .the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Securit Number —
Date��i
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
11
RESIDENTi-RL'PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit # �'�'�a�`�
OWNER A. P. # (0hD D -- b9:?/
GENERAL Plan Checker
1. Zoning requirements: (sideyards and number of permitted living units).
2. Valuation.
3. Plans signed by designer.
4. Proper description of work on application.
5. Existing violations on property.
6. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
7. Recorded notice of violation.
PLOT PLAN
1.
2.
3.
4.
5.
6.
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map,
ustible, and foundations).
FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
FLOOR PLAN
1.
2.
3.
4.
5.
6.
7.
8.
9
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec.'1205). '
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406)..
Required room sizes, ceiling heights (Sec. 1207).
GFCIs. in baths, garage, kitchen, and exterior outlets (Article
Light fixtures, switches, receptacles, and exterior receptacles
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other
or gas equipment.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
210-8).
for main -
electrical
1. Standard bracing or engineered design (Table 25V)
2. Unusual shape, size, or split level house requiring lateral design.
3. Clerestory requiring balloon framing and/or engineering.
4. Three story building requiring engineered calculations and plans.
5. Foundation plan complete enough to construct building.
6. Floor construction details complete enough to construct building.
7. Elevations and wall construction details complete enough to construct building
8. Roof construction details complete enough to construct building.
9. Fireplace construction details and talcs if necessary.
10. Rafter ties or bearing ridge beam.
11. Garage door or porch header sizes.
12. Stud heights.
13. Adobe soils - special foundation design.
14. Retaining walls requiring design. v
15. Special Inspection required.
8/91
RESIDENTIAL PLAN.CHECKING CU -IDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
1. Stairway details: landings, rise and run, head clearance, handrails
(Sec. 3306).
2. Guardrail details (Sec. 1711 & 3306(j).
3. Brick or stone veneer (Chapter 30).
4. Exterior plaster - weep screeds (Sec. 4706).
5. Proper roof pitch for roof convering (Chapter 32).
6. Roof covering type - (fire hazard).
7. Foam insulation - protection.
8. 36" halls and stairways.
9. Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
10. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
11. Attic access and ventilation (Sec. 3205).
12. Underfloor access and ventilation (Sec. 2516).
13. Combustion air for fuel burning appliances - L.P.G. requirements.
14. Noise requirements on duplexes.
15. Energy design.
16. Flashing at all exterior openings.
17. CDF responsible area requirements.
T F 9. The only way to protect oneself
infected.
T F 10. Only people who are homosexual c
T F 11. HIV and AIDS are the same Condit
T F 12. Healthy skin is a good barrier t
2/88
Additional questions/comments:
APr
014NER
PERMIT
Mli UT IL . CLEARANCE DATE 3/3o
q
INSPECTOR r �r
ELECTRIC
GAS
Support
Struc.
Compaction.
Test eq.
Service
Size
Other
Load
Type
Pipe
Size
Length
YES NO
YES NO
�O
3C7anp
7ection
� uidEN9 0 i V, AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit...
The ' property•described herein .- is.- adjacent—'
to 'land or included within an .area- zoned ~. 94-002049
for agricultural purposes, and'' residents =
of this property may be subject`to incon- NOT COMpARED WffR
veniences or discomfort arising from the ORIGINAL DOCUMENT.
use of agricultural chemicals, including, JAN 19 1994
but not• ' limited to herbicides, pesticides, r .
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 agricul-
tural zones which have as a priority use'for productive agricultural purposes, .and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.'
All 'tM>✓at .zeal .:preperty.'-situate in . the County of Butte, State of California, described as
follows: d�N.,OfvO - - d 8/ G�'i�%y' O F L/N�n/eore�o•�/�Teal /�it°�ii�
ASS/70L1/a G/i� / /i�/�T eC�%/¢/ N i/{/.��% C/✓%i % LEL7j t►�e v>,$GGl
Su B4O1 1:5 / U/ o F 7/�E 4r1W 1-s 7;;i -4e_ T .8�•:,v9
Aver o A-- Th`E /yoXT,f ,,,4W_T7- 4p r�� o /e S.�cT/ aw .99, Teta vSrX1;d . G 1J1,e;ey'i1
IX,,0 //9,Lv /'c h� /iMjo
771E 1( eeo,4!!01e.e_ ee4%4,
771, )6�olf
Date: PROPERTY OWNERS:
State of ) On this the �2LZ-qay of ,.19 -?-1, before me, the
SS. undersigned Notary Public, personally appeared
County of
122 7d -A
Personally known to me. Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
ubscribed to the within instrument and acknowledged that
ot=±cia�vo�arYSEai xecuted the same for the purposes therein contained. IN WI S
;.town, i�ublk: -• Czlitcrnia EREOF, I hereunto set my hand and official seal.
t� •' BUTTE COUNTY
My Comm. Expires JAN 2,1,1995
:'resent A.P. No.Iles
Notary Pu is !
s
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it
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if
A la "URR s
PT
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bow
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3114;
:V
� -K`A
.." -T w•"•'—)7yit.. .i v'.�.y;� gt��°�"�i�i.�?':9'irl^"'���;�S.,�o.v.:+=e`�'�Nlvlt'O'�wr nwa..9�erYtfF''45�'�-p���1u`�t,�'�'r�/..,•�'t.rf�..... �.
BUTTE COUNTY SCHOOLS.IMPACT`FEE CERTIFICATION FORM r
(One Form Per Building)
School District 6,C.9 Building Department No. -
A.P. Number ��0�-/`4) o�� Jurisdiction 0 City �'Eounty
/ A i
Property Owner
Property Location/Address . «•C orris
Subdivison Lot No."
Residential Development Sq. Footage
No. of Living I Addition (Group R)
Units
Commercial/Industrial 0 Sq.'Footage
New Addition (Including Exterior
1 Roofed Areas),
r
f
Building Department Re;.e ' rita)i V 'o Date
(Floor Plans reviewed by School District Personnel)
Distri t I • entificgtion No.
zfOt School District certifies that 1
(Applicant)
Wo �i
(Street Address) (Phone: Number) F
(City) )
has complied with the requirements of Resolution No.
representing � square feet.
School District Representative
(State) .
Paid by Check Number Remarks:
Bank Number _
Paid by Cash
by payment of $
'/// A;v
Dat
It, 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) feeformmkf (4/92)
,lr(�_ f rr r/,� -fix' AAA DS1aCli
1
In
i
24'/26' WIDE
b
TM
r '
1
4
•S
a
4
F
BUILT BETTER FROM THE INSIDE OUT.
5 w 1
r
23
-4"
12 MR I■■.■
iu■..u..r..I
u.uu■...;n.....■■
u.
I Paco,
"NUM ■
ufii®----Hm.
um 1 rf■.... ■ruu■a■■■■
,
iiiiu■.■1 1 l■.a..rrnu® ru ■f..I7 �. r■uu■r u.....
ruli..un 1 uuu.■19iruu..iii
{��■.uul ..■..M uuu■.■■
I'/I- LIVING "11
I'1I I/ I
® low ■19 -�
r uu..■.■■. r
I I lumen eiii®�ri • I' I I
�� ...f®assman
1....19:1
7� 1 I uuua ■ fl�
BEDROOM LIVING ROOM B£DR�OM
17'-4" DEN
10•-1'
3 -BEDROOM MODEL 644C 24X40' 933 SO. FT.
A 44'
BED
F.
MASTER
BEDROOM
13'-4'
1 ■L--1919-1919-.-�-I
1 r .
/ �rruuuuu
1 'u.uu■u...i
LIVING ROOM
19'-B'
2 -BEDROOM MODEL 645C 24'X44' 1027 SO. FT.
a
7
ueu
l H
K
STANDARD FEATURES
1.
COMPOSITION SHINGLE ROOF
24.
VENTILATED CLOSET SHELVING
2.
PREPAINTED HARDBOARD EXTERIOR
25.
SINGLE LEVER KITCHEN FAUCET
3.
VARIETY OF EXTERIOR TRIM COLORS
26.
R11/R7/R11 FIBERGLASS INSULATION
4.
30 POUND ROOF LOAD
27.
SLATER SILENT SWITCHES
5.
HUD SEALS
28.
WALK-IN CLOSET LIGHTS
6.
2 X 4 EXTERIOR WALLS
29.
30" GAS RANGE WITH LIGHTED POWER
7.
2 X 4 MARRIAGE WALLS
VENT HOOD
8.
2 X 3 INTERIOR WALLS
30.
SHOWER CURTAINS
9.
REMOVABLE HITCHES
31.
DRAWER BANKS (MOST BATHS)
10.
WHITE GRIDDED WINDOWS
*32.
2 -DRAWER BANKS IN KITCHEN
11.
ROOF VENTILATION
33.
DECORATIVE TOWEL BARS AND TISSUE
12.
CATHEDRAL CEILING THROUGHOUT
HOLDERS,
13.
BLOWN, ACOUSTIC CEILING THROUGHOUT
34.
DECORATIVE LIGHT BARS (BOTH BATHS)
14.
30 GALLON ELECTRIC WATER HEATER
35.
BRIGHT, BRASS -COLORED BATH FIXTURES
15.
SHUT-OFF VALVES
*36.
60" OVAL TUBS IN M/BATH
16.
MINI -BLINDS WITH COORDINATING
37.
15' FROST -FREE REFRIGERATOR
VALANCES
38.
SHOWER HEAD OVER EACH TUB
17.
BACK SPLASHES (KITCHEN AND BATHS)
39.
RESIDENTIAL FRONT DOOR
18.
LINED OVERHEAD KITCHEN CABINETS
40.
JALOUSIE REAR DOOR
19,
CEILING LIGHTS IN ALL BEDROOMS
41.
1 -PIECE FIBERGLASS TUB/SHOWER.
20.
GLASS GLOBES THROUGHOUT
42.
17 X 17 VENT WITH 5 -WAY SWITCH
21.
METAL DOOR KNOBS
43.
PLUMB FOR WASHER
22.
HEAVY RESIDENTIAL DOOR AND CEILING
44.
WIRE FOR ELECTRIC DRYER
TRIM
45.
OVERHEAD UTILITY CABINET
23.
DELUXE MOLDING OVER KITCHEN
"STD. ON DOUBLEWIDES ONLY
CABINETS
WOODLAKE HOMES ... YOU'LL BE PROUD TO OWN ONE!
• WIDTH AND LENGTH MEASUREMENTS are approximate overall NOTE: Champion Home Builders Co. reserves the right to make
exterior dimensions. including any roof overhangs. changes at any time in prices, colors. materials, equipment.
• SOME TIRES, WHEELS AND AXLES have been reused after specifications and models and also to discontinue models without
inspection for safety. notice and/or obligations. Data shown is basic information for the
• ROOM SIZES are approximate inside wall-to-wall dimensions. prospective buyer effective at time of issuance of this literature.
• NO DIMENSIONS HEREIN are to be used for set-up of home on Retailer will provide complete up-to-date information on available
site: consult selling retailer for exact specifications. equipment, specifications., etc. not shown or noted here. Items referred
• OVERALL LENGTH does not include 4 ft. hitch. to as being available or optional are at extra cost.
Mh CHamPlon
xifi IF HOME BUILDERS CO.
WOODLAKE HOMES DIVISION
P.O. Box 429
Lindsay, CA 93247
(209) 562-4951
,9
YOUR LOCAL RETAILER
Linda Barker
Mobile Home Center
(916) 343-5611
4/92
I
A'o'G o411-0 ' 02) j ► ► 'i I i
)00 r
------------- , --. `rials&WrkraanshiaShalL2e_iA. .
wit i Recognized Good Practices and
quality pre •crlbed forte Specified a he--
ilechanical Codes m d
ALL STRUCTURES 'AND EOU IPMENf AdLONING troa National EI rical Code.
OVFRR HAP:3S SHALL BE CLEAR OF ALL EASEMENTS. J�
;.e • LRZS .E SIDE AND � � -
f`i• ROfiI THk-REAR P ,
►.
— FT. FROM -HE-POID1:(: TERUNE BE--
GLEAM OF STRUCTURES AND OUIPMENT EXCEPT
fi A 1 FT:-EAVE.OVI ,"f4f1:. _- - ' - t Phi- -- ;- - -�- is o p ans an citiL�tit)ns�iGltfSi `
-dept-on the- at alLtimes and ii -is un MAULto _.
- intake any c anges or alterations on same without
- --"— ' - - - - -- - written per- ssioriftr-the DepartmenrofPubiic
__:_ 4InrksrCou ty_of Butte.-'_
3,
_ p _- _ _ _
r
4Zl
n
r :ti j
--------• : ------------ -------�---; ---..- -= sem- � -1---� -- ,------�--------- -- --
A �OkIWVA
3
t
i ! , I i
i3tttieCou�EyErtNPrc� rv?,?�;a��,----
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
(If no, clarify
5.
VA V" L J'I` /� M- S
is the mobilehome
electrical rating? ---------------
1.
Owner's Name: I✓
6.
What
2.
Installer's Name: is
Ric +2(1 �/q a/
U C F/
scRUlc �s
Amps
--V+ _�TA
--V+
What
is the mobilehome
site
circuit breaker rating?
----- 10 6
Amps
8.
Is there any other electric
3.
Is the site currently under permit?
Yes
❑�
No
---------------------------------Yes
(If yes, furnish permit ,number ,Q3-
`.L'f- V-Z
OR,�
57
Is the site. an existing 's-ite?'
Yes, -F
,
site .service?
_ a —
(If yes, furnish, two plot plans.)
No
4.
Will the mobilehome be located at least
5 ft. away
from septic tank and leach
the
9
(Load) Z- Cj
(Amps)
9.
What
is the mobilehome
site
gas pipe size? --------------
fields and clear of all setbacks and easements?
(in.)
Yes
F
No
service.
?-------- ----
-------
(If no, clarify
5.
What
is the mobilehome
electrical rating? ---------------
o
Amps
6.
What
is the mobilehome
site
service rating? -------------
Amps
7.
What
is the mobilehome
site
circuit breaker rating?
----- 10 6
Amps
8.
Is there any other electric
load to be served by the
---------------------------------Yes
�=-
mobilehome
site .service?
No
(If yes, identify
the
load and size:
(Load) Z- Cj
(Amps)
9.
What
is the mobilehome
site
gas pipe size? --------------
7 4
(in.)
10.
What
e
is the t of as
YP g
service.
?-------- ----
-------
Natural
�
LPG
F�
11. What is the gas pipe length from meter or tank to the
mobilehome?------------------------------ --- ----- (ft.
* 12. What is the mobilehome gas demand? ---------------------- (BTU)
*(This information not required if pipe length less than 6 ft, on
natural gas 'or less than 50'ft. on LPG.)
NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION.
- -
C-
C .
MOBILEHOME SUPPORT DATA
If other than single wide,
Mob ilehome Mfr. b furnish Setup Model No. Year 9 e1K
Width L (ft.) Box Length �° ® (ft.) Tagalong or Expando ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) V. Wood -pressure treated or -foundation grade. 2.. Other .(specify)
SUPPORTS (ctleckone)R1. Concrete block.a 2.. Other -(specify)
Pier Footing Sizes and Locations
SINGLE -WIDE
Line 1 Piers: Line 1 Openings:
Size -Min. ------------ ,k „ Size -Min. --------
,,x
Spacing -Max. - " '- "-- Each Side of Openings
From Enda-Max.------- With Width Over ---------
Line 2 Piers:
Size -Min .------------
Spacing -Max.---------
From Ends -Max .------- �_ v
Line 3 Roof Loads:
Size -Min.------------
Location (From Front)
Line 3 Piers: (Under Bearing Wall Only)
Size -Min .------------------
i,x r,
Spacing -Max.----__-_--_--__ ,
From Ends -Max .-------------
Line 4 dere:
Size -Min -------------
'k
Spacing -Max.--------- ,.
From Ends -Max .------- ._
Line 5 Roof Loads:.
Size -Min .------------
Location (From Front)
r
Line 5 Piers: (Under Bearing Walls Only)
Size -Min.------------------
Spacing -Max .--------------- ._ u
From Ends -Max.------------- '- ��
,x „ .k „
Line 4 dere:
Size -Min -------------
'k
Spacing -Max.--------- ,.
From Ends -Max .------- ._
Line 5 Roof Loads:.
Size -Min .------------
Location (From Front)
r
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060-11-p-081
ADAMS, PAUL 93=2443.E
4� HUMBOLDT RD
ELEC FOR LOT DEVELOPMENTS MEADOk'S49 gy
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
N7 County Center Drive - Oroville, California' 95965 - Telephone (91Fi) 588=7541 PFR T,�
APPLICATION AND PERMIT Y "':Il"
TWIT L D 1
ZONING
BUILDING PERMIT
wr+�QM
°rAUL ADAMS
TELEPHONE
$ 3-6932
SO. FT. OCC. BUILDING VALUATION
01 6/ n G iTtl1 Avenue, .Chico
CONTRACTOWS NAME
owner
TELEPHONE
-
CONTRACTO WS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Humboldt Road Butte
PERMIT FEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other well
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
New ElAddition ElRemodel ❑ Utilities C4 Installation ElOther 1:1Contractor
power for f�xfttx>Iinx future lot
Describe Work:
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( BOOV OR LESS ) 23.00
200A OR LESS
Main Service ( 200A TO 1000A ) 46.00
z
NEW CONST. DWELLING OCC P. So,
OR ADDNS. ( a ACC. BLDS. ) 3.5C FT.
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS ) @7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Prof Bions Code and my license is in full force and effect.
tenseNo. Classification
/d' -I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ lam exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00
FIXED APPS. OR 0
Ex. Occup- ( W
OUTLETS(RESID.)EA. ) 5.00 5�0�
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
pre Inap 123.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
01 -shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities' gments, costs, and exp and-keep
which may in any way accrue against said
County in nsequ c_e of i e' ran ng of this permit.
X 1 Date ! (
Signature of Applicant - Owner ❑Contractor O Agent
An OSHA permit is required for )excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE $ 71.00
HAZ.
D. FEES
IMP
ROOD
CDF
PARCEL PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR.OF PUBLIC WORKS
By/ 4A&V � Date / �/'.�
I PERMIT EXPIRES ON
(Da tel
Receipt 143752
eptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
/ COUNTY OF BUTTE - DEPARTMENT OF. DEVELOPMENT SERVICES - BUILDING DIVISION
' 7 County Center Drive - Oroville, Califprnia 95965 - Telephone (916) 538-7541 ��72-
APPLICATION AND PERMIT2
(t��i�l 11
AbnR PfTEL�(UM$E�1
U1717
ZONING
BUILDING PERMIT
Di�JL ADAMSS
TELEPHONE
g 3_ 6932
SO_ FT, OCC. BUILDING VALUA ON
DNL07 AIN. 11th Avenue, Chico
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS Humboldt Road,
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFO Duplex O Mobilehome O Other wt -1 1
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O Addition ❑ Remodel ❑ Utilities OX Installation O Other O
Describe Work: power for fXXXi9KXiI@kXdlRX future lot
development
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service (11OV OR LESS
200A OR LESS )
23.00 23.00
Main Service ( 200ATO1000A )
46.00
NEW CONST. DWELLING OCC P.
OR ADDNS. ( & ACC. BLDS. )
so.
3.5C FT,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and
P P
Prof sions Code and my license is in full force and effect.
ense No. Classification
#Ias the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. I@ .50
Ex. Occu FIXED APPWS. OR
P ( OUTLETS IRESID.) EA. I
5.00 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
pre insp
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
tlfiCate of Consent to Self -insure.
shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state thatthe above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilitige,sri4gments, costs, an exp ses which may in any way accrue against said
Count in nseque a of t ran g of this permit. `%
Date [ —2-�
Signature of Applicant Owner O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE I
TOTAL FEE $ 71 -nn
HAZ-
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKSA
By /Date l29 S
Up �y
PERMIT EXPIRES ON / 7
a4rej
Receipt No. 143752
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD APPLICANT
"N"UNTYOF BUTTE -DEPARTMENT OF DEV :RPMENTSERVICES -BUILDING DIVISION
f
w0- __ a s, • N V
-
7 COUNTY CENTER DRIVE - OROVILLE;,CALIFORNIA95965 -TELEPHONE (916) 538-7541
( PERMIT
OWNER
Proposed Building Use
APPLICATIONZATA SHEET
Inspector
A. P. No. 640--1/[n
� Date z
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ....................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
t� 20. Pre -inspection for Uev� - 1��%/UCGfequired. .. o e� �a �9 �speao
(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. .... .
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.
Wheryyou issue the permit, pro ess as follows: Mail to owner. Mail to contractor.
Telephone and hold for pi kup t e office. Deliver with inspector.
Other
Parcel Creation Q
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 Date
Sets of plans on hold in File cabinet AP folder
- Copy - Department of Public Works
�df, !
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION -
Attention Property Owner:
Phone: 916 -538 -7541 -
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 at rials for construction of
the proposed property improvement (yes or no) J0_
2: I (have/have not) �— signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4: I plan to provide' portions of this work, .but' I have hired' the following person
to coordinate, supervise, and provide the major work: ,
Name
Address City
Phone Contractors'License No.'
5. I will provide some of the work�but I have contracted (hired) the following
® persons to piovide .the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security 9
Date Z��
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
a
atics� �
Ir
To
62' G" �� _D6r,--t 4z
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CERTIFICATE OF ROOF COVERING
OWNERS NAME: A.P. #:
ADDRESS: PERMIT #:
BUILDING SIZE/AREA: BUILDING USE:
FIRE
HAZARD ZONE
ALLOWED ROOFING FROM LISTS BELOW
[�
VERY HIGH
#1,
#2
[]
HIGH
#1,
#2, #3
MODERATE
#1,
#2, #3, #4
LIST
#1
LIST
#3
F]
CLASS 'A' ASSEMBLY
CLASS 'B' ASSEMBLY
CLASS 'A' PREPARED ROOFING
[j
BUILT-UP ROOF PER 3203(e)
�]
CLASS A OR B PREPARED ROOFING
LTST
#2
ASBESTOS CEMENT SH.LNGLES
METAL ROOFING
�]
CONC. OR CLAY TILE
❑
(OTHER FIRE RETARDANT ROOFING)
[�
SLATE SHINGLES
LIST #4
(O'CFII?R N0N-(_1'0M13U5'I'I.III.J-; ROOFING)
CLASS 'C' 235# ASI'll lAL'' SII.I.NGI,VS
T. HEREBY CERTIFY, I INSTALLED ROOF COVERING AS INDICATED ON THE ABOVE
BUILDING, TN CONFORMANCE WITH STATE AND LOCAL REQUIREMENTS.
FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF GENERAL CONTRACTOR/OWNER
DA
THTS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL.
January 1988
PRE -INSPECTION'
r Q//
OWNER: ! / U /aA44-<, DATE 2 -3
LOCATION: Utit D�%�a�i/UF.�IGGYeWs A.P. #
CONTRACTOR: ZONING
-----------
PRE-INSPECTION FOR: &(JA)e(e
DATE TO INSPECTOR
------------------------------------------------
------------------------------------------------
PERMIT HISTORY: NONE AS FOLLOWS:
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
[� OCCUPIED F__] HAS ELECTRIC HAS GAS
HEATED -COOLED PERSON CONTACTED
OTHER COMMENTS:
ACTION RECOMMENDED:
ISSUE Q HOLD FOR
OTHER:
BY
HAS SANITATION FACILITIES
DATE 7 -c)-?_ 73
r
o®��
os
l
i
ri
ALL o"WWWRO, AND. ill f ofmiiwn
X4WS MALL BE CLEAR OF ALL EASEMEMM,
A W BACK OF -5 ' Fr. FRom THE SM ml)
,.2 Fr. Ffiom THE REAR PROPERTY LINES A%
FT- FROM THE ROAD CENTERLINE SHALL r
OF STRUCTURES AND EOUPUM EXQW
FOR A 2 FT. EAVE O'VERHAW
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