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HomeMy WebLinkAbout062-200-125SfATE OF CALIFORNIA - DEPARTMENT OF, HOUSING AND COMMUNITY DEVELOPMENT } CERTIFICATE OF TITLE Manufactured Home Decal No: ABI8947 Manufacturer ID/Name Trade Name LABRN Model DOM 00/00/1977 DFS 10/15/1977 RY 1 1977 Exp. Date Oct 31, 2004 Serial Number Label/Insignia Number Weight Length .Width SPC SCC Exempt Use Type 1420B 285133 60' 12' AFS 31 SFD ILT 1420A 285132 60' 12' Issued Total Fees Paid Jul 08, 2004 $895.00 Addressee STEPHEN W ALLEN i� 4777 AUBURN BLVD #100 SACRAMENTO, CA 95841 �NTOF - Re istere' nes- - `, - + ._F{ -j( STEPHE ALL KIMSER A Joint T is w i . to Wrvivorship 4777 RN BLV #1 * _ SAC NTO,- CA 9 Situs dress 575 RSARGE CT BAX , CA 95701 V _ �. a _ �.Ty IMPORTANT THE OWNER INFORMATION SHOWN.'ABOVE MAY NOT REFLECTALL LIENS RECORDED -WITH THE - DEPARTMENT OF HOUSING AND'COMMUNITY.DEVELOPMENT- AGAINST THYDESCRIBED'UNIT. THE CURRENT TITLE STATUS OF THE UNIT,MAY. BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 3471216 07082004- 137 State of California t BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM PO Box 2111 Sacramento CA 95812-2111 1 800 952-8356 httpJ/www.hcd.ca.gov/codes/rLhtm .,�Ovs�G 9�0 • El E3 �n NOTICE OF SALE OR TRANSFER In order.to process your Notice of Transfer, please complete the followin l'sections: SECTION:I: Please enter.ttie Unit description information pertaining to your Mobilehome. Remember to includeyour. Decal/License plate number(s), Serial(s) number, and Trade name of Unit SECTION II: Complete all information requested for the sale of the Mobilehome, include purchase price and date of sale. SECTION III: Please provide new owner information, including full name and address. SECTION N: Please date; enter City and Sate. Remember to include yodr signature and printed name. UPON COW ET10N;.PT BASFRETURN 'I'O.T' ME- '0"'V ­E, LlE D. -AD iD RESS:`TJ Demi Number(s) •` For the sum of $ j0 ther eipt of which is hereby acknowledged, I/we did sell; transfer and deliver to the. purchaser/owner-nam d below, on , my/our right title and interest in the unit described -above. Dfite of ransfer SECTION 111. NAME OF P.URCHASERlNEYY..O=R: Name: Address: City:. I State: I Zip Code: I(we certify under penalty of perjury under the laws of the State of California that: 1) I/we are the laws"ul owner(s) of the unit, and 2) Itwe have the right to sell it, and 3) Itwe guarantee and will defend the title to the unit against the claims and demands of any and all persons arising prior to this date, and 4) the unit is'free of all liens and encumbrances I/We certify underpenaltyy of perjury under the laws of the State of California that the foregoing is true and correct Executed On � 7 at ate , ,,city , State Signature of Seller. Printed Name: HCD 476.8'(06/00) . STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD t Manufactured Home Decal No: ABI8947 Manufacturer ID/Name i Trade Name LABRN Model DOM 00/00/1977 DFS 10/15/1977 RY 1977 Exp. Date Oct31,2004 Serial Number Label/Insignia Number, Weight Length Width SPC SCC Exempt Use Type 1420B 285133 INDICATED ABOVE IN THE BOX LABELED "Exp. Date". 60' 12' AFS 31 SFD ILT 1420A 285132 60' 12' Issued Total Fees Paid Jul 08, 2004 $895.00 Addressee STEPHEN W ALLEN 4777 AUBURN BLVD #100 SACRAMENTO, CA 95841 Registered Owner(s) STEPHEN W ALLEN ATTENTION OWNER: KIMBERLYB ALLEN Joint Tenants with Right of Survivorship THIS IS THE REGISTRATION CARD FOR THE UNIT 4777 AUBURN BLVD #100 DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE SACRAMENTO, CA 95841 ...PLACE WITHIN. TIM UNIT. 'Situs Address `- ' ' " ` .' INSTRUCTIONS FOR RENEWAL: 575 KEARSARG E CT REGISTRATION FOR THIS UNIT EXPIRES ON .THE DATE BAXTER, CA 95701 INDICATED ABOVE IN THE BOX LABELED "Exp. Date". THERE ARE SUBSTANTIAL PENALTIES FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS. IMPORTANT --_.---•---- --- ---------- . THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 3471216 07082004- 136 ®�I " • iAON A - S14 OUf I)ETRCT'(R CE TI GA -DON • The California Health and Safety Code requires that all used manufactured homes and used mobilehomes be equipped with a smoke detector which is in proper working order on the date of transfer. A declaration may be signed within 45 days prior to the date of sale stating that the smoke detector was operable on the date the declaration was signed. I/We further agree to indemnify and save harmless the Director of the State of California, Department of Housing and Community Development, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the unit in California, or from, issuance of a California Certificate of Title covering the same. We certify under p nalty of �etjury under thAaws of the State of California that the foregoing is true and S2rrec/t. Executed on �/7• 70 i�'e at / wry - - State � Si re Printed—Name tSECTI+ON LEAS , • ° ... �' _: - _ - _ 1 a. Date of Release asing Sign ture egisterewner lb. r (,� Date of Release / Re easing Signature of R gistered Owner 2. ❑ Release ❑ Retain * ❑ Assign Interest Legal Owner of Record (if any) si and check a ro riate box (• If Assign Interest is checked - Complete New Legal Owner Below) SECTION C --NEW-OWNER 0WOR'1 ATION _ NE. REEGISTERED, r '.Zge �t_4r YPe CIearlLi .�� 3a. 3c. New Registered Owners Name New Registered Owners Name 3b. 3d. New Registered Owners Name New Registered Owners Name If more than one New Owner going onto title, please check the appropriate Co-owner term box. ❑ Joint Tenants with Right of Survivorship ❑ Tenants In Common OR *❑ Trust/Trustee(s) (* If this box is checked -Complete HCD 476.6B) ❑ Tenants In Common AND ❑ Community Property ❑ Community Property with Right of Survivorship 4. Mailing Address of New Registered Owner City/State Zip Code 5. Actual Location Address of Unit City/State Zip Code 6. Purchase Price or check box if Gift -0 Purchase Date or Transfer Date 74. 7c. Signature of New Registered Owners Signature of New Registered Owners 7b. 7d. Signatureeoof New Registered Owners Signature of New Registered Owners _ _..-.—NEAGA1�YMQWNER�P.leWj'TlmtQr 8a. 8b. New Legal Owners Name New Legal Owners Name If more than one New Lender going onto title, please check the appropriate Co-owner term box below.. ❑ Joint Tenants with Right of Survivorship ❑ Tenants In Common OR *❑.—Trust/Trustee(s) (*If this box is checked -Complete HCD 476.6B) ❑ Tenants In Common AND ❑ Community. Property ❑ Community Property with Right of Survivorship 9. Mailing Address of New Legal Owner _ City/State ZiCode ��` NEW TIJNIURI:IEiIiOT.DER..ase gj�lnt�e Cleajrly' 10a. 10b. New Junior Lienholder Name New Junior Lienholder Name 11. Mailin Address of New Junior Liertholder Cit /State Zip Code 12. Signature of Selling Denler Print Dealers Nate and Dealer Number UM4 BALANCE OF FEES SSI` DATE: PERMIT: . ASSESSOR PARCEL, 200- 12.E OWNER'S NAME: tYi Le O FEES: (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE: $ SRA $ COPIES $ URBAN AREA FEES $ CSA 87 (North Chico. Spec) $ WATER TENDER. FEE $ BATTALION # THERM DRAINAGE FEE $ OTBEx $ VALUATION - IF BALANCE OF FEES OR ADDITIONAL FEES: TOTAL VALUATION: $ ADDITIONAL VAL: $ (Check one) COUNTY CITY OF BIGGS - (Check one) RESIDENTIAL CWaffRCLAL i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042413 LICENSED CONTRACTORS 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 Issued Date: 09/16/2004 APN• 062-200-125-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 83 OAK TREE LN BCK Date: Contractor. Map Index: Description: NEW MH NEW SITE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SMITH, LEO JR permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 9360 ATKINSON ST the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or ROSEVILLE, CA 95747 she is exempt therefrom and the basis for the alleged exemption. Any (916) 205-9686 (916) 784-6963 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Applicant: SMITH, LEO JR Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: A A A MOBILE HOME SERVICES not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed icensa Law.). pursuant to the Contracty3e PO BOX 382 ❑ I am Exempt under Articlusine nd fessions Code HOMEDALE, ID 83628 Date:L owner: 916-216-8947 WORKERS' COMPENSA I N DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 827538 ❑ I 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' Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of 9 the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 1440 S. F. Policy #: Valuation: $93,600.00 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: G Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of ¢ compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is fi reby issued under the applicable provisions of the Butte County CodR anrUor affirm I hereby arm that there is a construction lending agency for the Resolutions to o work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) B�r�g • 104 Name: v: Date: PERMIT IRES ON: e)S Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the ow2orthe authod agent of the ner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substaal fo document utte County. I her by authorize repre ntatives of Butte County to enter upon the above mentioned property for inspection purpPrint Name:/ -Signature:v Date: iiOwner ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY ti DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name irst Nam Address 6egJo N �,t City ,,11 �) F r �t State Zi Phoney /,c �V 6 Fax E-mail CONTRACTOR Name r G Address ea 1349 City State/ Zi 3 2 Pho ! . Fax2,) �375724 E-mail Lic. ..z� Clas For office use only: ARCHITECT/ENGINEER Name - Address - City INo State Zip Phone 4 g Fax E-mail Planner State License Number For office use only: APPLICANT NAME Name I Flood Zone Address93 / ® G� ` iZ City INo Staten Zi / Pho D (O 4 g Fax E -m it Planner For office use only: Zoning' -jt/} I Flood Zone I I SRA I A INo Occ. ' Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMITf�� L11NO '3 7"� BP 11.&►IM LOCATION AN /��a' �l>o' leD Property Address � A �e City Oc 11 ON C 2 dock fib WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: a fr (f C� Sq. Footage -0 S ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: 5497 •9O Bldg c�w 151-178 SRA Receipt #: -111 34"0.— Sheriff 9.34. SMTP Other ther OVER FOR SUBMITTAL REQUIREMENTS l 0 2. 2�' Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required)- (NO FAXES!).• ' ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. obile, Manufactured, or Modular Homes: /_1 1. 3 Site Plans, signed by the preparer. NO GRAPH R! �,, ,, ww -v de Ck 2. 2 Data sheets and installation instruction manual. 5' .1 1 3. 2 Marriage line information. 66 4. 2 Floor plans. I 5. 2 Engineered Tie Downs or Foundation plans.�� �i 6. Sanitation and site 'plan approval from the Environmental Health Department. G ---7--L Ffaod Elevation Certificate, wet -stamped and.:signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the prepares. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ` ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped`and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 ...----...--.r-��,..----�.,e�r-.�-.-,,,w•-a�r•--•�•.. �,�--•.....�+��•.�v�...,..�,.+,-......�la�``•"..�,.=�1it'ry,'..rfi�+r-tif�''T��""'!L"`.-i...'t,srt,.,,,�,i}rAr'�.:.r',.,1r.•'.n. �.l^�.r�..•�l �•: O t C�q 1 I COUNTOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DTVI . ,. SION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET / OWNER: C� J ' ASSESSOR PARCEL NUMBER OVJ • w ' /.0� Proposed Building Use: �QJ (`I'v '/1(�� Counter Technician: Date: (� • G Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t6 apply. '& 1. Site plans, 3 or 4 sets, signed by 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! n,' ❑ (l 5. Letter from Engineer or Architect for truss design review. El J 6. Energy compliance design and supporting documentation in duplicate. pLf ❑ 7. Statement of Intent for Non -heated and A/C'for Non -Residential Buildings. ❑ 8. Manufactured homes -70) Data sheets and installation inst, (B; a info 'Floor Plan Tie down r fnd plans, all in duplicate. t ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All'of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other •Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... Q,, \ 20. Erosion Control Plan Required........................................................................ ........ U 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. �3 ❑ 22. City of Chico Plumbing permit...................................................................... 23. California Department of Forest plan approval laid. Sent by: ��.. gr .(.�. 04- 24. Planning approval (A) Use: Q�(B)Parking: (C) Parcel Check: (0 d El 25. Contact Land Development about _ Improvements, _ Drainage ......................... J' 26. NPDES Form............................................................................................. VVT 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number ......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ; 32. Letter of Signature authorization.................................................................... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... . ' ❑ -35. Existing violations and/or expired e d permits.....................................................:... W❑ 36. DRestriction......................................................................................... 37. ant Deed, ❑ M.H. Tillp/Statelhent of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: (Y\ -Q-,,( ) h11 ❑ 39. Other: (- When issued Telephone and hold forkup. pic I have been informed of the °boveitems and requirements for obtaining a building permit. Applicant: 1. Index permit application/6r the a ove irems numbered: Plan Check Letter 2. Additional items require Contractor, designer, wner as advised of the above data by phone, ❑ mail, ❑ counter, by . Date: Contractor, designer, owner as advised of the oveMby hone, ❑mail, ❑ counte by Kt_ Date: q ►`} o . Plans reviewed by: Ci Date: (� Plans approved by: Date : Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H.USE 07dLy _ Piot Stan Attached Root Man dttzclnad r' Sant to B.D. / r TO: -Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well � Clearance for 'welling. Other 6', e 'A Hold final for: Final clearance O.K. for: .NOTE: / t Environmental Health rs—acialist Date 8/96 IR �. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER SM t -rH A.P. # -01 =-040- 13S PROPROSED BUILDING USE C—tiy M H J Ew DATE S -16 • 04- RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES ©'Qom t t -Lt 4..r— t -F (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ 41 22Z( - Units Commercial (sq. ftg.)..... 4. URBAN AREA FEES X $0.03 = $ Residential (per unit)..... X # Units Amt. Commercial (Sq. Ftg.).... X Sq. Ftg. Amt. (paid at Building Division) 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE _589-0 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... 10. OTHER SM I p X =$ Sq. Ftg. Amt. :!te1.3(,, 4-I Z2Z(o +12Z2(o g a Y6 � 8•Ib•o4 9 • 1&, -.04- 04- 9-116-04- $•110.04 At At time of permiVapplica on, I was dvised the above fees are required to be paid prior to issuance of the permit. These fees may be changed plan c cki g cess. APPLICANTDATE - If - 44 au Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your projec . You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) SITE PLAN REVIEW APPLICATION Date:1Y (O Permit Number (if applicable) 7 l J Owners Name: j Owners Address: l Telephone No.: Situs Address: 5 Proposed Use: AP# O L900 .2 S Parcel Size: 5 o ( Qclu-s eh 957Y' % Residential ❑ New Single Family Residential Single Family A ition ❑ Single Family Remodel Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ ,Commercial Addition ❑ New Industrial . ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By� Date ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ElNitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) i Flood Zone: • Flood Panel No.: Index Date: F]Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative' Permit ❑ Minor Variance ❑ Variance —---- -------- ------- ----------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: v` Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 L Zoning Code Streets & Highways Fire Prevention Subdivision Map Front ^ Side Side Street Rear /5- 1 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 L Applicable Development Fees:. Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By , ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: E] No ❑ Yes Comments: , ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Mau/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: ' � 6 Page: -L/ (O Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa El Pars d of f x 41 N yEl Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrysSuilding Permit site Plan Reviewl.doc 4 C x 41 N yEl Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrysSuilding Permit site Plan Reviewl.doc 4 EE49-6L 1/61-0£4 i9/60fd -496567Y.7 3171,101/0 W51 XO(/ '0 r/ sa18ijo CCD ITP /�/�4 9a1L7AaOS (,/!U bod aaewnN lviads b3v/vn CJUaO.L7L/.<1NM0 IVI A18' I e rs AJ/yyo lv d N/ O/ yev /Vb A)1/YAaLNJNG7 9N/dr $/ d/NS LdNMO fOl//Iv0/yyP NO SdLOH 77NA'f"015 2/9.170M ?10.7 -Y1 ' D, .71106/ YO O.7I/O' 6121 MOV010.9iMV17.7/11 /Y/ 00' `Y �?v *121 OF /Y0/1,g5 yl? /YO/1llOd 010 A/ndab aOA91&aS AI NOOJ LOGO S) i 2 YIO18N oavnJ/s FN via plso a.a waaeaus Av7� bd0a0.7Aa ALNnpa 'dplN'ard AHL f0 9N/ •awry S/NL Lr oJlspnr N057iN 'P.Ybp a/ll Q<a0/ 1pCJ77/fllb'XfOY //n03adadMHJ/aM d03bi.7[7Ci7 LpN S/ ACW-4w NMMt 1NJN3fY9 JA/LJ7].Cd MM X09 dA1 -ddO fO SNO. OAjQ 3HliObOdOW A/IOLNdL 03A0addOdRL OI SWa� �!/ d/W77XOA5//.' 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The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor: Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 2 PAL(eL 1t�� Ceja- j r 0 ,FF E- 8!-= �CG ®2�f>� ©�- h t✓ C� vas J flfx= � h �, 5 f -f ;=( ; i:; /Zt�,� Date State of California ) County of 5,,ill T;e ) On 1L`Z 3 -0 before me, personally appeared L.Et) Sul -tfti personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS m; han and official seal. Signature t ��� Seal: KARY J. BI DWELL A.P. # C)� "' ?dd t cn Commission #1381097 n a- Notary Public - Califomia a Butte County co M11 Comm. Exp. NOV. O8, 2006 � � � ::. —777k --- t o iibL.4a jvp I APPROVED Butte County nv!, erfial�at, ------ ®ate-- Ssgnatura �s 550 9 P4 R GES. AV&(6,el2 � - M0, ��-� �r f �n� o 3 �� d C AI -aoo f f BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM_ Io (One form per Building) School -District �.i�►SAV 11—I—E I G M Building Department No. PO4-241 3 A.P. Number ` OIo 2 • Ooo• 11.5 Jurisdkton: City County Property Owner r TH Property LocatiordAddress Subdivision ti QA We ►�rz C- E i-a�l� JErir�. ' + `� Lot No Residential Development QI Q No of Living Mobile Home Units Installation Commercial/Industrial rA Buil in Department Rept 0� 0 New Addition CLo $ y' Ga C -C- W- .................... . ... ....... - ........»...»........................»� ....... ............ Sq. Footage Addition/ 'Supplemental to (Group R) Conversion Permit # -(No foundation inspection) • ......._...._...._ ...................»........... »....»».»»».. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction end Notice of Limited Use Facility document) � Fr. District Identification .No. 05005-3 I I LZ�U'" t to N chool District certifies that Address) YK City) has complied with the requirements of Resolution No. representing' 0 square feet. School District Representative i Paid by Check # I Sq. Footage (Including Exterior Roofed Areas) $•lt,. oA- _. Date (Applicant) rIB� --lv91o3., (Phone Number) (state) (zip Code) U, o by payment of $ `�' �32�� (0 d JAB 2926 FULL MRIGATION-�'s"`r— Date , Notice: You may protest the Imposition of the fess identified above by submitting a written protest to the District, In compliance with Government coda Section 66020(x), witidn 90 days from do date fees are paid. Failure to submit a limey wrttten protest will'prohiblt you from challenging the imposition of the furs In any court action. K. subsequent to the School District Representative signing this Butte County schools Impact Fee Certification Form, the lichee( Dlstrkt Is f nAIR ed by the appikabla Local Planning Agency that this project Is being revlwwd under lir Caiiromia Environmental Quality Act (CEQAj this pnojsct may be suloct to additional school fees to fuly mitigate. its Impact on the school disbkft schools. White (applicant), Yellow (building department), Pink (school district) feeform.tds (10/03)dmm Department C o u n t y J. Michael Crump., Director of Public o f B u t t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE] Project Description: Project Location and/or Parcel Number: d C/ By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more -of land may result in revocation of grading and/or other permits or other sanctions provided by lav,✓. / Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification ti Butte County Storm Water Management Program Revised 5/12/04 Building Permit Number: Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW .. Your'parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Gp� Page 2of 2 Building Permit Number: O o? Owner Name:, j yLGj _ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: -All structures and equipment including overhangs shall be clear of all easements. A setback of '% feet from the side and 50 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. E Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. APPROVED Butte Count] Envir nental a!� Date --- '�igratvze �7 m7c l-�A ,r,,cr I' 55oR P pA R CEL rivet UeR- � N ouszvek PAmt o leo 311L 5't^ 17h� 1 Zo5���6 OAI t Ri TTE COON I .� UILDING DEPARTMEN ; � P P R 0 V I Owner's Name: L P j l& 14,t l 2. Assessor's Parcel Number: 0 0 0 G �s 3. Installers Name: A�-UL c S'�� Uce-e 4. Is the site currently under permit? Yes[ ] No[ ] Permit No. 5. Is the site ani existing site? Yes[ ] NoN (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? r (j Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? 0 0 Amperes .9. -Is the main service remote from the mobilehome site? Yes[ J No[ - ],If it is, what is the rating? Amperes. -10. Is.,there­any*other electric load to - be served by the mobilehome site electric. service Zell, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and..size:. . a) The mobile home site: Load- 0 0' Amperes - b) The main service: Load- Q !' Amperes- . �F 11.. Type of gas service at mobilehome site: Natural[ ] Propane[ ] NoneM 12. Size,* of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter.or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION ELE G ED CON F—P.'MON SH ►� May 1995 Oje NEC,.. UMC° 3.5 VA f 11. H. L -.2 Mobllehome Manufacturer: CA�i, �)Pi�"j Manufacture Year: If other than single wide, furnish Setup Model Number: Width: Length: (ft.) Tagalong or Expando Size -(ft.) x -(ft.) t (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: b SUPPORTS: Concrete blocky{] Other: 000 *_5 MAX jt�-Pj� Provide Tie Down Specifications for all Mobilehomes: SINGLE WIDE Line 1 1 Line 2:� ............................................................................................. Main Beams ................... : ...................................... Pier Footings Sizes and Location MULTI -WIDE Line 2 Line 1 ............. Main Bc=u Ane 1 Line 2 Ane 2 Line 3 Line -2 Line 2 ............. ................................................................................... Line 1 .................................................. ine 5 Tag or Triple ine 4 . ..................... : ........................... ine I Line I Piers: oq X- W Line I Openings Size minimum: x Size minimum: x re Spacing maximum:I _. 0!�- �-8 Each side of openings From ends -maximum: :,! with width over: ") A, ,k IRLine 4 Piers:J1461�' Line 2 Piers: x 16 size minimum: x Size minimum: XA_ I , Spacing maximum: 9 �Kl� Spacing maximum: From ends -maximum: Fto From ends -maximum,.- & t ?_1011 T � X .q V 46,5 o-+ 6ut W* 4crio r Line 3 Roof Loads: :S#A/94 Size minimum #1 P5 F I Location (from front), + Line 5 Roof Loads: Size rru*ru*mum, Location (from front): N BUTTE COUN I AUALDING DEPARTMf.'� Vr'1,4 May 1995 P P R k.,� May. 1. 2004 12:58PM No -6314 P. 4%5 05/07/2004 • 08:-23 ' 91.6-374-0150 WESTLAND' PAGE 04 TIE VOWM ENGIMEERIMG, Inc. ABS Pad #59303 - 24"X24" 0.25 A," �110�r 0.020 A. (TYp.) • t. 5 � 0.16 0.1 , 4 0.290 Ole Q,06 R. 0.049 R. (Typ.) •• Section • a Otm�,i� tem_ Enlatped . ENer®ed 6,000 lb. 41000 W. steal pier 24x24 ABS Pad Attmh-pier to -AVS P&d uskW. (4) #14 x 2? -SM5 Screw& 24" x 24° The dimenglons shown on detail right are for injection mold process. Actual measured thicknesses after curing; Outer Flange = 0.124" to 0.107" (top) Bottorn. (base)= '0 * 1030 Ribs (at base) - 0.182" to 0.118" (top) , ct. MF�/E' BUTTE COLIN t j gUILDIIVG DEPARTM APPR0VI' ` APPROVED General Notes APProval-of these plans does nal builbodae or cq3, Plova any omission or deviation 'from requirements of stale laws local t} 2) . Qr ord-Inancer. Based on 1 t000 Ibs. P$F Soli One sel ofapproved plans shall be available on 576 square. inches = 4 square ifttraiect site at all +tma.. Rated 4,�0� State of WHornla Depci tmenl of ffouA,$9 and Commup Flat si a owe. (Jlvisian of Building and a s °° "�dp`"°" ° 5) Can be used with Steel Piers Na ') or Concrete Blocks 6) Tested, -listed & labeled 7) Listing #TDR-02.1014'"-� , ct. MF�/E' BUTTE COLIN t j gUILDIIVG DEPARTM APPR0VI' ` E =Z -=FIE DOWN SYSTEM DESIGN TOADS: *WHO LOAD --- IS PSF 1_ THIS TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WTFH NO EXISTING SOIL PROBLEMS - MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SAIL. WITH ,MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. 2. CI4ASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS. 3- IN - AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4 OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN WIDTH. CONTACT THE DESIGN. ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5- STRUCIURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTROULS-37U PLA1Ea-ASTNI A36. MOLTS=ASTM A307- 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING; LOADS: r SINGLE WIDE COACHES WURLE/bWLT[FLIE COACHES E= 2.' MIN_ / 8' MAX. E=' 2' MIN. / 11' MAX - VARIES 10'-70' -- "—"'' 7 EVENLY SPACED BETWEEN i 1 O Cl —J RIDGE BEAM SUPPORT AS •REOUIRED BY MANUFACTURER ET (TYPICAL) 0 0 O ET E -Z TIE SUP PORI PAD --�, (TYPICAL) 4 1 0 O� �_j-• CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING AS ✓REOUIRED BY THE HOME MANUFACTURER. LENGTH OF HOME NUMBER OF E -Z TIES --_— HEIGHT HORIZONTAL VERTICAL 18" 2010 (Ib 6000 (Ib) UPLIFT . __- v fc// @ 891 (Ib)-.' ' Q� 28" HT 36" INT 4a' 21" 1825 (ib� 6000 (Ib) 25" 1510 (Ib) 6000 (Ib) 801 (Ib) ,-+R�f D/ 664 (Ib) 4 6 50' 28" 1419 Ib 6000 (Ib) �lb 629 (Ib) 4 6 60' 36 867 6000 (Ib) 385 (Ib) 5 8 ' it T46 4 4 6 8 70' 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS.SHALL BE PROT TI 6 10 �i COATED. ?�f 8 - WHERE STAND IS PLACED ON A CMCRETE SLAB. USE I / 7 CONCRE 1.1AEXPANSION ANCHORS TO SECURE THE STEEL FRAMET0THE SLAB. � r� ���-�� J THE PLASTIC BASE PADS ARE NOT REQUIRED. i'AL'FIMEN1 MFTIIODS FOR "C- A J- BEAMS SHOWN ON SIIT_ 12. >� 10. THE LONG DIRECTION OF THE E -Z TIE PAD (37") MUST BE INSTALLED PERPFNDICULAR TO FHE CHASSIS OEM- �) ') ADINC-1-GUS GUARD COMPANY 5851 FLORIN - PERIQATS ROAD a SACRAMENW, CA 9582.3 PH., (800) 382-8831 FAX. (916)- 383--5207 r SINGLE WIDE COACHES WURLE/bWLT[FLIE COACHES E= 2.' MIN_ / 8' MAX. E=' 2' MIN. / 11' MAX - VARIES 10'-70' -- "—"'' 7 EVENLY SPACED BETWEEN i 1 O Cl —J RIDGE BEAM SUPPORT AS •REOUIRED BY MANUFACTURER ET (TYPICAL) 0 0 O ET E -Z TIE SUP PORI PAD --�, (TYPICAL) 4 1 0 O� �_j-• CHASSIS BEAM SUPPORT PIERS --SIZE AND SPACING AS ✓REOUIRED BY THE HOME MANUFACTURER. LENGTH OF HOME NUMBER OF E -Z TIES --_— IB -"T 21 " HT 25,""-' 28" HT 36" INT 4a' 4 4 4 4 6 50' 4 4 4 _ 4 6 60' 4 4 5 8 ' it T46 4 4 6 8 70' 6 6 10 APPPOVED >e SUBJECT TO CORRECTIONS NOTED Appal does not authorize Or aMsT-:e any OMiS*n OF &.,nation from requirements Of apT+kabls We lairs and regulations. $fig p1 OffortNa L`eparime ou im me Cownwii!y DeVeb;%Mtut SI 0_ S D STA(NI)ARDS e Date ja a a 3 SFA Ho This Plan Approval Expires 30"z j 1H15 FIE 00VM VISTEM MEETS THE REQUIREMENTS OF SECTION 1336_3 SUBSECTION (a). J WAYF4E T_ POIYAD0, PE --LISTING NO- 99001 SHEET t of 3 2"x2":3/16" STL. ANGLE — 3/8' CAD PLATED 85 LT. NUT 8 WASHER COUNTER BORED FLUSH WITH BOTTOM (8) REOUIREO - 1/4- STAND RASE ABESCO ABS PAD #503 3/4' DIA. ,x 18' LG_ �rr-rr� (4) REQUIRED DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" BOLT WltH NU1S (4) REQIARED fl 1/2" SCH 40 PIPE RISER VAT" Eft/2' ADJUSTER NOTES AND 3/8" THICK TOP PLATE 02- SCH 40 P111E STAND will" rNO 01/2" ADJUSTER HOLES Q ASCO A8S PAD #503 S1EE1- FRAME \ Y/ 36" MAX TO BOTTOIJ OF PAD -r11/2"x 3" Chi. LOCK PIN WITH ' 01/8' BRIDGE PIN J . J-," — — r /al. Pi ADCC TOP VFEw 1 1/2"xl 1/Z"x3/16 x2' T_S. (4) REQUIRED SIDE VIEW 10.00 F t e r- COACH 'C' FRAME 09/16 HOLE (7YP) -, STAND BASE TOP VIEW 1/4"xi-1/4' TEK STS (2) REQUIRED 1/4' GRIPPER - BASE t- 1/2- A307 BOLT 1/2" A307 BOLT (2) REQUIRED (4) REQUIRED C- BEA J ^BEAM AYTACFIMEPIT ATTACHMENT E -Z TtE DOWN__SYSTEMM WAYNE T_ POLVAIDO, PE -LISTING NO- 94001 SHEET 7 of 3 1/4- GRIPER PLATE 2" CHARNEL -- COACH 'J" FRAME - 1/4'xI-1/4' TEK STS (4) REQUIRED 1/2' A307 BOLT (2) REQUIRED 1/4" GRIPPER 13A5£ 5851 FLOM - PERKM ROAD aY SACRAM afW. CA 95923 PH: (800) 382-8031 FAX: - (916) 383-5207 i G�a/> cl G) :7] 0 n 000 D c IN5TALL'ATIQN ONSTRPCTIONS- , f -7 TIE SYSTEM I. FIEF45 MUST BE PLACED ON WAY W17: U1 24" OF AN gUTRIG,GER ?R CIOSS MEMBW. OT,HERW)SE IM5TALL WEB STIFFENER ON GHASSFS BF9M_ 2. NAKF LEVE L THE PLACE WKRE JWE P�p WILL SEF, DO+'YW TO UNDISTURBED BUIL. 3. THE ,PAD VUSI f!E C=NTERP BELOW 1HE CHASSIS BEAM. 4. RE"- THE fOLIR (4) NUAMP WA$HERS .FROM 1141E STUD'BOUI� IN 'fl -IF PA'O Apo PLACE Tx1E KIER. �}1I IfOLES IH THE WILL Litt,UP TTH TME STUD 89LTS_ P.EPL-LC: TIE NUTS A040 VT SHEDS ARP IIGrTEN DOWN, BAI$i( PLATE T_orAu ; 5. FEMCQVE THit T" (2) Amwr� PL�ITES 9f! FOP Of THE PIER. START THE f1EIGHT ADJUS-NI;NT BY RE49VING n -W POTTER AND Wj NNS. PER C TAD? TELESCAPE. E E TQp OFI THE PER lRlTl! THE PLATE •IS 4$ CLOSE TO THE BOT10N O THE XHAS SIS PDS�18lE. P'LACE AL'' U E, PIV T RU A nS;MENT r DLE AND SECURE wrm THF' Emnp qIN_ . - __IL4 THE TOi SLAT[ USIPIC_ THE ADJ .STAT£ _N S U _ 1L. T IE. 1319H. -Tap IS 3_GHI T S S BE 7. THE'. GRIPPER PATE OVER INE FLANGE OR THE BEAN.AND TIGITT,EN DAWN FIRMLY, KITH, TFE TDP TUTS. C-PEAM$ ANp J-BEAPS 8. HEAD, If PIERS �!["ES THAT TWO (�) TEK SCRFWS qE PLACED THRu TFiE ;SIDE 9. 9F THF BfAfl IN ADOIi60N TQ ONE GRIPPER 'LATE. Ff3Uff (4} STEEL STAKES (S)1PPlI O) A�tE TO B[ gRIVEN; THHU GUI ES RfTO SPL UNTIL STOPS ARE FLUSH WITH THE )GUIDE, AtTEpNAT!yE! (2) #12 S.M.& OR WELD {2) pz 5. 13 ANGI E I" 1Sh zTSft':srha' NATE" USE STIFFNER IF* OUTRIGGER OR —�-- c ROM€MBER po NOI OC,CJR WITH NN 241' OF ATANCHIOJJ (IyP) WEB STIFFI;NB 2 DrTAIL «v� x�uarr PA % SIR 3 FAjf: (91;6) 383-527 r A WVNE T. P(7LYAQ0, PE—LISTING NO. 99091 ' SJCFT 3 of 3 U F CDF FIRE SAFE REQUIREMENTS 062-260-125 BP -04-2413 Smith AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail -ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to' conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 2. the length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Tumouts. Shall be a minimum of 10 feet wide and 30 feet tong with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 3 1273.11 ♦ Gates [X] 1. , Gate entrances shall beat least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. 1 C®F FIRE SAFE REQUIREMENTS 062-260-125 BP -04-2413 Smith AP# PERMIT # NAME Fuel Modification 1276.01 Setback for Structure Defensible Space [X] 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet — Class A or B roof with enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on side toward property line with insufficient setback - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat Hardi-Board or Plank Masonry Masonry Veneer Metal Other Butte county Fire Department approved materials a 08/19/2004 Darren Read Date Signature ra -3r ITE PLAN C .. ...................................................... ... ......._............... .................. _ ... ........... .. .. _ .. .. : ..... . ..... .. . .... .............. ... .. ... ............. .................................... _ ... ..................... .. ... _ .. ................. ............. .. :.........................:... - ..................... .. .. ... .. .. .. ........... .. ...... ... .. 33 U C�OLsi'i'i�s • .......................... .. .. .. .. o 6 ............. ...................... 1 J• •�PU\i9�'OP1��`lt`'S:a3� .. ... .. ... ............. .. .. ....................... ... .. _ . i.... ... ... .... ... •tl '... .. 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PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: e 6TE ... .. .... . ........................... ... .. .. ............ .. .. .E _d.................._ .. _... _............ _. ........................ , '. _ .. .... ... .. .. .. .. ... .. .. 1. .3 .. .. ... Vhf yJ .. .. .. ........ d q .6 :: ^1' �• �� . . . ..:.. ..:.. ..... . . . . . . . :.. ..:. I( •D I..e �YI�:.L/Yf:3"i1vi 7''1%itif'^Y'i- :i'i i� J't _ F .;j ti•.c.�' : I p 1 I ii: �i '�E�iT �,�'•ie}'9t%I�'c'3-'?l.a`la'i:au�':n .............. .. .. .. .. .. .. ... .. .. ......' .. F ... .. SHALL COMPLY: PLY : W_ 1`� H Cl��i N f .. _. T .. 1 : 7 q • C w� /r , i y,q p �e ,t p-� un.` y ;�A�...... .. .. ... ........... .. .. ��, ... .. ...... :V. :01�'9EVj..V%ill'i��•/'uVL:V�/...;.. t .. .i................ .. ... ..... .. .. .. .. •• /� ti® : : : : : : : \ -n 4 : : I •"t `�tv1�1G LIVI&i0N N APPROVAL IIYG ... ..... .... ..... i �-� Parl�n LBid§capirfg: l rlj`it� "NCL .:......:.....<............. ... .. 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Assessor's Parcel Number: © M121 ® 2' F0_1 0 ® ZI 0 ET Scale: 1°° m ra �Tlln_ A ", / . At LNvner Name Address / Phone No. Site Location Contact: Dame L -e -d Phone jam, 9 D 3 �� �,--G n FOR OFMCE USE ONLY Zoning: General Plan Desig: Size, Ams �.� PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: _11- AND [9■ V.AND 3 AND LLL BE 0