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062-440-001
62-44-01 92� P'`E DENT, Harold 9 Pine"Ridge Lm, er`ry Creek. - contr':: M & S Pump & lectr'ic ,�0?9/9, mh utilities_ _ I ELEC p Cao - !I 8 �• GAS c P6 3/it" 30' COMPACTION TEST REQ o SUPPORT STRUCT REQ 62-44:-01 92-2145 _MHI DENT, Harold & osephine �.� 9 Pine Ridg n, Berry Creek contra E cutive HOmes � mhi '062-440-0 :92-2509 B DENT, Harold i 9.Pine Ridge Ln, Berr reek contr:, Clanton Const open deck/mh1- _.. 062-440-001 r X92-2659B DENT, Har d 9 Pine idge+ Ln, Berry ;Creek contr. Clanton Const :gar ge .1 ' 062-440-001 DENT, HAROLD G • G 9 PINE RIDGE LN., BERRY CONT: SIERRA MH_ S EX MH PERM FND EX SITE 02-26 062- INL.ED IjpROLD `DENTT , BERR CREEK.'' #9 BUILT IDG ORCH COVER AS a 0 (02 -4,-l0 - do I r, a Mom M. i wkw. NOTES RESIDENTIAL 062-440-001 02-2647 PERMIT NO. DENT; HAROLD #9 PINE RIDGE LN., BERRY CREEK AS BUILT PORCH COVER SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=OK 0 = Not OK . = Not Ready NotApplicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements ' Date 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 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH•Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS VERS ARPORTS, GARAGES (Plans) OK except #'s 1. Zorn quirements-Setbacks-Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4�1/dtfod Awn.; Posts-Beams-Rftrs-Connectors k 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- Panel boards- 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/0 -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 Htc; 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 -Wal Is -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 0 Yes 83. Following Instld./Drive 0 Yes O NolWalks 0 Yes 0 No/Planters O Yes 0 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 Certificale-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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410 z7*7 (Rev.12/96) ' ' APPLICATION AND PERMIT `� ASSESSOR PARCEL NUMBER 069-440-001 ZONING BUILDING PERMIT OWNER TELEPHONE -,20-9928 SQ. FT. OCC. BUILDING VALUATION 11_2 1456.00 . OWNERS MAILING ADDRESS #9 PINE ]RIDGE LN BERR31 CREEK CA 9591 CONTRACTOR'S NAME 9TEtEPHONE Dzu CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 145&00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS #9 PINE RI E TN_, BERRY GREEK Energy Plan Checking Fee $ PERMIT FEE $ 78.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: AS -BUILT PORCH COVER L, nth tJ �k �� r^,,; 91 - 1 $ 0 9 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 "OVOR LE Main Service 20OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby -affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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 To 46.00 CCU000A WEE200A NEW CONST. DWELLING OCCUP. SO OR ADONS. a ACC. BLDS. 3.5¢Fr. T. 50 INpµRESID. MULTI.OUTLET @7.50 OWER APPARATUS 8 PSINGLUTLET E OCIR. j 20 EX. Occup. OUTLET OR FWTURES BAL O t. 0 FOCED APPLNs. OR Ex. Occup. ouTLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ,,fgAiwith comply with thIps provisions. Date 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. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 78. 00 FLOOD 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. By Aof (� Datertf PERMIT EXPIRES ON ate Receipt No. II&R758 WHITE-D.D.S.•B.D. CA A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ',.t4s !"'Y✓' x 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: ^ `�y 1� ASSESSOR PARCEL NUMBER ()V Proposed Building Use: 0 ('AN. _ ,(� V �J x Counter Technician: Date: d �/ Items required in ord4 to apply for a permit. All boxes MUST be checked OR >I a ked NA in order to apply. 1. ,Plot plans, 3 or 4 sets, signed,�y 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 engineer. 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 0 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 ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name,Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. CT1,25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... T 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance...........................................................'.. ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been infor ed of t�h/e above items and requirements for obtainingga`building permit. Applicant: Date: 7 2 1. Index permit application 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, owner was advised of the abo a da;a by ❑ phone, . ❑ mail, ❑ counter, by Date: Plans reviewed by: 0,61 Date: 2,7 p i Plans approved by: / Date: 1 -47 7,6.2 -- Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division • ONVNER-BUILDER VERIFICATION Attention Property Owner: Aa "owner -builder" building permit has been applied for in your name and bearing your 40AUMM Please complete and return this information at your earliest opportunity to avoid noaeoea�� in processing and issuing your building permit. No building permit will be issued trout this verification is received. 1. I personally plan to provide the major labor and materials for construction of the propowd property improvement: YET- NO C32 I HAV HAVE NOT 0 signed an application for a building permit for the psfl; oaed wiodc. ;. I have contracted with the following person (firm) to provide the proposed c-nstruedon: NAME: RESS• Com' PHOS COL--MkCTOR'S LICENSE NO. 4. I plan to provi rtioas of this work, but I have hired the following person to coordinate, supervise, and provi the major work: ADDRESS: C=: PHONE: COL 4IOR'S LICENSE NO. 5. I will provide some the work but I have cted (hired) the following persons to provide the work indictee NAME � ADDRESS HONE TYPE OF WORK SIGiYED: 1�GGG� PROPERTYOWNE� � SOCIAL S E CURITY NUMBER: DATEV / 0 v XOTE: This Owner -Builder Verification is required by Section 198.11 and 198114VAs California Health and Safety Code. This verification must be eompl&W and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORlti1ATION -1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible patty of record on such a permit. Building permits are not required to be signed by property, owners unless they are personally per&cmB4 heir own work. If your work is being performed by someone other than yourself, you may protect yourself from posimle liability if chat person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontrac>�, you ihould be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family. and the work (Including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ I f you are an emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more scecitic information about your obligations under Federal Law, contract the Internal Revenue Service (and, I i You wish, the G.S. Small Business Administration). For more specific information about your obligations under Sate Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. 1; the stiucn:re is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Lrtformation about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "O%vner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Ilt�vf rely, el C. Vi ira, C.B.O. ger, Building inspection NOTE: Titin 0 w rr er- B u ilder Information is required by Secdon 19830 of the California Nualllt and Safety Cods OVER 0 n Az n so �L Zl o o � so COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the a4ove address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. I L - t Date REV 1 r NOTES RESIDENTIAL PERMIT N0. _ 062-440-001 02-2360 DENT;HAROLD 9 PINE RIDGE LN., BERRY CREEK + CONT: SIERRA MHS EX MH PERM FND EX SITE THE HCD FORM 433A FOR THIS MH CANNOT BE j RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: i (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). I (2) STATEMENT OF FACTS (ONLY ON i 1 NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. 1 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) 6 U Signature C.� J=OK 0 = Not OK = Not Rle Not Ready MOBILE HOMES . . =eatly Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ P' L "ft./ ' P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE 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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy ��o � yygp7�a q MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Q. ,,as i$ 14 1. Zoning Requirements -Setbacks -Easements �^ 7. Electric 2. Footings; Size -Spacing -Marriage Line 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 3. Blocking 10. Roof; Shthg-Roofing 4. Gas; MH Test -Demand -Valve 11. Ext.; Steps -Doors -Landings 5. Electricity; MH Test 6. Water; MH Test Card B-1 • Date Card B-1 Date 7. Water and Sewer Connected Date POOLS (Plans) OK except #'s 8. Gas and Electricity Tagged . 1. Setbacks -Easements 9. Exits 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 1 License Decals 4. Elec.; Receptacles and Lighting, Distance-GFI Verify #'s with Office 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Card B-1 Date_ Card B-1 Date Card B-1 Date Card B-1 ��o � yygp7�a q 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-Con nectors 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 r 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) I . 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/0 -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 Datq 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 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 All Insulated Neutral ❑ Yes ❑ 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 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 41. Sills Proper Materials & Anchors 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 t 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 Aftic 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 0 Yes 0 NoAValks O Yes 0 No/Planters 0 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/0 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: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DVEWPMENT SERVICES 411'Main Street • Chico,.CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ;OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. t ?— Inspector REV OWNER LOCATI4 CONTRA PRE-INSPETION FOR: PRE -INSPECTION REPORT DATE:_ A.P. #• • `'(� 1 ZONING: U- . DATE TO INSPECTOR: S q �)Z PERMIT HISTORY:( ) NONE (AAs FOLLOWS: BUILDING INSPECTOR'S REPORT Building n: ResidentialM Currently Occupied j/ Abandoned/Vacant Electric: Yes / No Electric currently On Off Condition of Electric Gam: Natural Propane None Currently On Rf Obvious Problems: Sanitation: Plumbing Worldn Well Working_ _ � Potable Water Obvious SewageProblems Comments• ACTION RECOMMENDED: ISSUE: HOLD FOR /isl 1� r Inspector. Date 2— Sketch buildings on reverse and indicate location on p'ropert. tr w A -e c, PP �; Cpl Foy COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 T (J N5 (Rev.12/96), APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER , 062-440-001 ZONING IT BUILDING PERMIT OWNER DENT - 1 ELEPHONE SO. FT. OCC. BUILDING VALUATION 1456 -R 78 624.00 OWNERS MauNG i�00REss 9 PINE *RTDGF IN BERRY CREEK, CA , CONTRACTOR'S NAME STFREA MRS 1534-0599 TELEPHONE CONTRACTORS MAIUNG ADDRESS 466 CTECIE DR OROZUE1 CA 9-59-6964 CONSTRUCTION LENDER , Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 73 624.00 ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee 545/2 $ 272.50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 9 PINE RIDGE TN_. BERRY CRM Energy Plan Checking Fee $ $ PERMIT FEE $ 315.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IR Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK Describe Work: EX MH PERM FM FX gTTF, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.0015.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 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 infu force and effect. License Class Lic. No. !Kq a 3 ip6 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 13—TTiave 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 � Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. s0 3.5QFT. NOµHEOSID. RANCHO CIRCUITS 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU . OUTLET OR FD(TURES .00 BAL @ I .50 FIXED APPurs. OR Ex. Occup. ounErs RESID. EA 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 Hood 6.50 Ventilation PERMIT FEE S Policy Number YSS`7 (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply ith those provisions. o >_ X _ Date L Signature of Applicant - ❑ Owner ❑ 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 $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. ' D. FEES IMP FLOOD 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. q By D to / �� 02 PERMIT EXPIRES ON / 03 Dae ReceiptNo. 361100 $365.50 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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: 146 ASSESSOR PARCEL NUMBER `O - GV Proposed Building Use:��( {D(t� ���c�'� ('� Counter Technician: Date: Gz Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans. i 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. '0 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down of 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 engineer. 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: ,Q❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ` /21. Encroachment PeMUL fo drive ay from the Public Works Dept. (construction approval prior to occupancy). _ t�J 22. Pre -Inspection for / /1 m 14. required ................ _ ❑ 23. Contractor's license informati' n. (Number, Name 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............................................................... _ ❑ 29. �Ei1x�'stmg violatio and/or expired permits ............................................ .i rJ0 ❑ 30. � C�'Grant Deed, .H. Title/Statement of Facts, ❑ Letter from Legal Owner, 2Mheck to H.C.D. $ of ❑ 31. Other: When issued Telephone adl and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: IDate: r/� ° z' 1. Index permit application for the above ite �umbbced�:: - AChfck Letter 2. Additional items required i ,, c R Ns OcUNe ontract , designer, owner, was -advised cf the above data by ' phone, ❑ f � ' , eCC` n r, by (� Date: _} 3 a 0 .- actor, designer, o ner, wa advised Jo�fthe above data by © phone, ❑ mail, ❑ counter by Date: Plans reviewed by: I �f t✓j(ualte: -'}- Plans approved by: 1) Date: Structural reviewed by: /1 &�� _ l.ate':j j' -I Structural approved by: Date: v Note transfer by: ��, " Date= UU �x � /`' Yeflow.-Ruildinn Divicinn ' r, RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 03 -Oct -2002 2002-0051911 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. HAROLD E. AND JOSEPHINE C. DENT REAL PROPERTY OWNER/LESSOR 9 PINE RIDGE LN MAILING ADDRESS BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 02-2360 (530)538-7541 BUI G PERMIT NO. TELEPHONE NUMBER 14 1 10-2-02 IGNA OF LOCAL AGENCielgFidiAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD 1992 SANDALWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLNI7A/1314197SW 56 X 26 RAD644800/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER A.P. # 062-440-001 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PM -Applicant GOLDENROD - Building Dept. .;f`T'e}`J�twYl.tj+'t 3�i'st war-T}lyn�'7,Lwtbit�'H7•..i! 1 s �'c`11 err y^'tr `}' 4 s't's� i b tX'r•y7:4"�r` S:u`»e L n.. i?'�+t :.�',',iw1•iL"`.'j }'�1`i t `�uFOUNDATION"SYSTEM NV •''sf�. 7y�tre 6 1 ji t;d�t�.:. r.+ tiR �"e rf6j!E� hJ ; s r`' fie• t 'K �t a,� y n"c. M�,`�(�' [!5jrt». mid zs�'i j`('YY�Le.. C' �i �' ¢T yv, �^sYC i9 4 t !v �<� M. •1 1 -ro , �: ,'y 4 � , RCERT�IFICAT{E OFYa °, � CCUaP���p�.NC•�Y��Y;��.�2�.����� ,.,l• '� F.. it't' id'_._ : `�- r.L:*. ,? .::. *. -la ��•1• fC•+Z„`:'l.,, i�.."�.�s3•? •r^.... .:�Yi.ij r. ':-l..(,tt� ::��41Y,4.eY��t5 �1:<i :'uA,..l ,�' BUILDING PERMIT NUMBER: 02-2360 Address or location of unit: 9 PINE RIDGE LANE, BERRY CREEK, CA. 95916 Legal Description of Real Property: A.P.# 062-440-001 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: HAROLD DENT Owner's address: 9 PINE RIDGE LANE, BERRY CREEK, CA. 95916 INSIGNIA OR HUD NUMBER: RAD644800/1 SERIAL NUMBER OR V.I.N.: CAFLNI7A/B14197SW MANUFACTURER'S NAME: FLEETWOOD YEAR: 1992 OFFICIAL APPROVING INSTALLATIO DATE: 10-2-02 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P.# 062-440-001 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 1, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PINE CREST ESTATES", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JUNE 9, 1969, IN BOOK 35 OF MAPS, AT PAGES 45 AND 46. STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT f FQTTFTf ATF nG TT'TI F MI1RT1 Funrar MANUFACTURER NAME/ID FLEETWOOD HM INC/09534 - - TRADE NAME SANDALWOOD - - --- ----- MODEL 5562F DOM 07/01/92 DOT 07/06/92 DFS 07/13/92 SPC .tLMJ07 ciao 0 EXPIRATIO U SERIAL NUMBER 1 CAFLN17A14197SW LABEL/INSIGNIA NUMBER RAD644800 WEIGHT 022300 LENGTH 000672 WIDTH 000156 ISSUED 08/18/92 SCC 04 EXEMPTSE T 2 CAFLN17B14197SW RAD644801 017900 000672 000156 SF� IL FEESL111 F a 5 PAID: LD �22 A SEC PAC HOUSING SERV INC D 1737 N 1ST ST 540 D SAN JOSE CA 95112 R E S S E � DENT Nfiir<OLr7 E/ �,,� '�, �^•.w;h ;; E JOSIF^111iiE C jTRS G M Mgr.. I A 9 PINE RIDGE LN s I.w T L E BERRY CREEK 95916 R E 1. Ni D RELEASE;tOF REGISTERED OWNER ..A: O S 9 PINE RIDGE W I � N Tj E U BERRY CREEK?' CA 95916.,.,-- R S �A r..... ........ .-- ._..� � al L SEC PAC HOUSING SERV INC: E i I �F I f ( t A 1737 N 1ST;,ST"540 i o SR JOSE '" ' CA 9511112 W D�E`rt- NURITY Cel •C Hlb N ER1t R RELEASE OF LEGAL OWNER p.4114 4�p `� RETENTT_ON:OF.;.EEGAL OWNER C) ASSIGNMENT OF LEGAL -OWNER J U F N I I R O S R T L I E N S H E O C L O D N E D R 3 ;%.- U ------------ RELEASE OF DEALER *at NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9 rat 4.A) AND OR B) : r NAME - PLEASE PRINT ai LRREYr �.F.zlrra ncazeca B)T city r' > Cs. CNTY ST ZIP "�`r� i-� 6. FUTURE MAILING.ADDRESS iv a;r CNTY,.,•, ST ZIP Als r i' PURCHASE PRICE DATE NEW}REGISTERED OWNER'"S_ZQNATURE 3%Eli LEGAL3�OWNER, FILL IN IT.EM9;t..,j0 - 12 at>E 11. 1.2 - CITY �t3t>E NEW IST JR. .� jwff«r ^' �113. 5 a' 3 4. NAME - CNTY ST ZIP + FILL IN ITEMS 13 - 13 *** E - PLEASE PRINT ADDRESS 15. CITY CNTY ST ZIP >E NEW 2ND JR. LIENHOLDER, FILL IN ITEMS 16 - 1B +Calif 16. 17. 18. NAME - PLEASE PRINT ADDRESS CITY CNTY . ST ZIP IMPORTANT 02-226-0 THIS CERTIFICATE OF TITLE 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. 0200050 CNTY,.,•, ST ZIP Als r i' PURCHASE PRICE DATE NEW}REGISTERED OWNER'"S_ZQNATURE 3%Eli LEGAL3�OWNER, FILL IN IT.EM9;t..,j0 - 12 at>E 11. 1.2 - CITY �t3t>E NEW IST JR. .� jwff«r ^' �113. 5 a' 3 4. NAME - CNTY ST ZIP + FILL IN ITEMS 13 - 13 *** E - PLEASE PRINT ADDRESS 15. CITY CNTY ST ZIP >E NEW 2ND JR. LIENHOLDER, FILL IN ITEMS 16 - 1B +Calif 16. 17. 18. NAME - PLEASE PRINT ADDRESS CITY CNTY . ST ZIP IMPORTANT 02-226-0 THIS CERTIFICATE OF TITLE 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. 0200050 t,. Rh,('0RDING REQUESTED BY BUTTE COUNTY TITLE COMPANY MAIL TAX STATEMENT TO "Same As Below" WHIN RECORDED MAIL TO y,r,,,•, Mr. and Mrs. Harold Dent Addrenz 10160 Freesia Avenue Cil'v Stockton, Calif. 95212 "I tIle I 90-051920 Recorded Official Records County of Butte Candace J. Grubbs Recorder 8:00am 4 -Dec -90 90-5 1920 Rec Fee 5.00 DOC 12.10 Check 17.10 SPACE ABOVE RECORDER'S USE ONLY CD 1 ORDERN0. ESCROW NI GRANT DEED (JOINT TENANCY) The undersigned grantor(s) declares Documentary transfer tax is $ 2.10 IKXJo Computed on full value of property conveyed, or A►ni$o ( ) TAX Pad Computer on full value less value of liens and encumbrances remaining at time of sale. ( ) Unincorporated area 440 ptC�l f Tax Parcel No. 62 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged. BARBARA J. BOWER hereby GRANT(S) to HAROLD E. DENT and JOSEPHINE C. DENT, husband and wife ,AS.IOINT TENANTS the following described real property in the County of Butte , State of California. Lot 1, as shown on that certain Map entitled, "PINE CREST ESTATES", which Map was filed in'the Office of the Recorder of the County of Butte, State of California, June 9, 1969, in Book 35 of Maps, at pages 45 and 46. _.. Barbara J. Bo Dated November 20, 1990 s STATE OF CALIFORNIA County of RRitte S.S. On this 30th day of November , 19 90 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared Barbara J Bnwer personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to me within the instrument and acknowledged that she executed the same. a WIT SS m land and fficial sea ° BEYERLYJ.CHEEN ° NOTARY PUBLIUAWOANIA a t '�+ 811110 County ■ 4 •%=.. r My C pec �3S1199Expiros a NotaryPublic in and for sai •C unty and tate. ° (Notary Seal) VECTOR DYNAMICS FOUNDATION SYSTEM WIND ZONE 1 & 2 INSTALLATION INSTRUCTIONS For the State of California INDEX SECTION INTRODUCTION PIER HEIGHTS GENERAL INSTALLATION SET-UP INSTRUCTIONS METAL PIER & V -DRIVE PARTS LIST CONCRETE INSTALLATION SCHEMATICS PAGE NUMBER 2 4 5 & 5a 6 7, 7A, 7B & 7C 8&9 WIND ZONE I - SINGLE SECTION WIND ZONE II - SINGLE V DRIVE - METAL PIER -IQOUBL_E SECTION -TRIPLE SECTION - SINGLE SECTION - DOUBLE SECTION - TRIPLE SECTION SOIL CLASSIFICATION 10 11 12 13 14 15 16 17 18 Releasee Date 8/13/2001 Engineer Approval '.'.; v. 25� % G t �xp 313 2 N HFALTHS: rI -'_ c 18551 ' tale AW6 SUB-TECT TO Co ;rr_CT>ONS A*oT® APPROVAL DOES NOT AUTHOR -ME OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS Of APPUCABLE STATE LAWS AND REGULATI:I::S Stan of Celifomia Department of Housing and Community Develelrant COMPONENT PARTS AVAILABLE UPON REQUEST By f Foundation System BUTTE COUNTY UlLDING DEPARTINEM APPROVED D STANDARDS �9_/o_vl No. q V1.. Annoval Exvi es 3-- La ----c-3 For Further Information TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta, GA 30336 404-344-0000 FAX 404-349-0401 www.tiedown.com Tre Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION INSTRUCTIONS IrdroduCtion ditional These instructions describe the proper use of the red housinVector g distributors or from Tie Down Engineering, ynamics Foundation system in itled Vector Dynamics installation installation Instruction is available in VHS video, from manufactured 9 Video. 11 m supports the home by anchoring the two longitudinal Final Rule24CFR part 3280 for both rails. i The Vector Dynamics foundation systesingle and mul&sec III areas of the Manufactured Home Construction and Safety Standards and Wind tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & II), are available through local distributors of Vector Dynamics or directly from Tie Down Engineering. Genera l e Federal The Vector Dynamics Foundation System provides the support to res I &ist la teral and over Manufactured Home Construction and Safety Standards in Wind Zone when he system d m is u as deSc-turning movement rbeden these mstructlons.home as required b PPhm3 anufac- t I 'om In tallation Manual for other pier & anchorin° re°uiremi .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 I • Maximum single section home width is 16 feet including eeavI maximum a width of 12 inches on each longlongitudinal itudinal side of home. • Maximum double section home width is 36 feet includinges; m • 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 fL 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 IL, 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. h main The Vector Dynamics Foundation Systems may be used on homes which require pier heights & IIItThe usto eof interlocked double stacksd 56 inches under one or tof concrete blocks page 3. Note that a ground anchor is used at each Vector system location in Wind Zones 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. ions ude shear Additional vertical anchor ties that are unique to a home's design may be required by the home refers tomantthenlongitudinal rer. These Ities tthat are lattached t walls, home to riage line ridge beam support posts, end frame ties and rim plates. The term end frame fres resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these of useor Dynamics with Tie be installed and connected to anchors that are independent of other to the factorand yors. See brackets fastened onto he°ns for perimeter joist or specified yas a location for Down's Longitudinal Stabilization Device. The term rim plates refers rY vertical ties. Page 2 California /2001 56 i ma: Figure Maximum Pier Height iWind Zones I &11 oniv) The Vector Dynamics Foundation System may be used on homes whichrequire pi sheights ide a of toto exceed 56 systeexceed under one or both main rail(s). Note that a ground anchor must be used each cation in Wind Zone II, and where the pier heights exceed 24 inches 9nstruct ons and/or staWind te requeements. 1. Piers must be constructed in accordance with the manufacturer's installation 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 mai 5 in. lax. Unequal Pier Heights ( Wind Zones I & 11 oniv) 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 ts nn that ustibe used at each side of a Vector system installation in Wind Zone I and where either of the pie 9lumber exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks nd pressure must treated constructed compression members are permitted on unequal pier heights using the Vector system. in accordance with themanufacturer's installation instructions and/or state requirements. The u e of ince loc recent double stacks of concrete blocks may be required by the home manufacturer or state. regulations in your state. California /200.1 Page 3. 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 TIDE 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- nectors with welds. Page 4 CaliforniaN-.,-.o01 Set -Up Instructions for the Vector Dynamics Foundation System x#59007 (Kit #59007 is interchangeable with Kit #59018) 1. SETVECTOR FOUNDATION PADS Clear all loose vegetation from the immediate area where your Vector foundation pads will rest. Press or hammer pads into the ground. Tip: Place a 3/8" nut on each U -bolt to keep it in place while you position the Vector pads. 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. Long Short Short U -bolt U -bolt 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 (- 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 2 & 3 only), use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement. Page 5 Califomia 001 Set -Up instructions for Vector System #59018 (Kit #59018 is interchangeable with Kit #59007) Long U -Bolts 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 California /2001 WIND ZONE I Vector Dynamics Systems Required _ _ _ _ _ - - - " se�k�on ( sys eo's 9�ide1`nes for Double Section Homes _ _ - ' " " 2 lit d° J . 9 (O(S apt ,e 11 a eneca1 sp V\ome 1n (Materials Requiredl - - - ey-01 sho\" 9 Ust be to ,\ _ 111usVati a sPac`n9 m ds aO _ oundation pa I \ CD 44 _ 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. \2 sq. ft. pad/ NOTE: Vector Systems should be spaced as evenly as is practicable along the length of the home. Pier spacilg must be consistent with hone man lfacttrers' installation instructions and/or state "Iremerrts. Soil Classifications: 2, 3, 4A, & 48 Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: None (marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required 0to48' 2 48' to 71' 3 72' to 89' 4 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 as. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal 8CH 40 PVC pipe compression member • or 1 TDE adjustable steel strut I VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified as Class 4A 4B, 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 Peat, organic silts, 175-275 in. lbs 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. ce Page 18 California 812001 9 8' FtNt Qk9C F- roe f ND Ssl%a� mal/ �Oa..�,tig r3»�� A£ N3do ISM 111 $2-ve -byes 100 101hh (.9 9/bS6 AV$ ,ra 3SO-t P cl1o�vA All Ina 3 & 4c ea, 5 e- (ttit r i C, a -t W 6 r ;. -#J-& 4v b r crw" ev �&P 3yr4�hl pr; or, t Dp* 62--ac.y7 W5%1 hoz-136o ,. BUTTE COUNTY BUILDING DEPARTIYIE APPROVED RESIDENTIAL '' r 062-440-001 92-2509 B DENT, Harold 9 Pine Ridge Ln, Berry Creek contr: Clanton Const open deck/rah 1� 31 JOB FINALE Signature m J=OK O=Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date ( D•ECR3y COVERS, CARPORTS, GARAGES, (Plans)OK except #'s g}! ring Requirements -Setbacks -Easements otings; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof Shthg-Roofing Ext.; Steps -Doors -Landings Date Card B-1 , Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 O O=Not OK = Not Applicable Not Ready RESIDENTIAL = Date UNDERFLOOR (Plans) OIC 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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- -- - - ----------------------- 17. Water Pipe; Test & Anchor -Nail Protection --------------- ----------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------ - ---------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ----------------------------- ._ . . Date Card B-1 --- Date ------------------------------- Date r Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance - Ins. Protection Dec; Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------------ 26. Equip. Ground made_up w/Mech. Fastners-Bond Gas & Water ----- - - - ---------------------- -------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- -------------------------------------------- 28. Subfeed Wire Size ! r 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-Mech. Equip. ------------- --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------------- ----- -------------- ---- ----- ---------------- - - 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except #'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 Card B-1 Date Card B-1 ------- ---------------------------------- ------------------------------------ - Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors --------------------------------------------------- ------------ --- ----- - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------- ------------------------------ ----------- --- - -- 41. Bearing Walls over Girders & •Floor Nailing -- ----- - - - ---- --- ----------------------------------------------------- 42. Draft Stop in Walls (rat proof) --- ----------------------'-- ---------------------------------- 43. Fire Stops. Furred Ceilings -Stairs -Chases -Tub ---------------------------- 44. ---------------------------44. Headers & Beam -Size & Bearing Sal Single & Duplex) Date,F, FRAMING (Continued) 45. .Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 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 -Head room -Rise-R+jn- Land ing-Fire Protection - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ---------------------- -- _ _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. -Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - -- - --------------------------- Date _ _Card B-1 _ Date Card B-1 Date - Card B-1 DateCard B-1 Date 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 -Meeh. Protection -------------- 64. Bedroom Exiting --------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ----------------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- 67. ------------ 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. ------------ 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection ------------------------------------ 75. Plb.. Elec. & Mech. Equip. Listed for Locatior)_ 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7i. Insulation -Foam -Looked in Attic 11 Yes ----------- - - - - 78. Guard Rails & Deck Construction -Post Caps -- --------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -- ------------------------------------ - 81. Stucco: Brown -Finish _ - 82. A.C. Unit; Disconnect. Electrical, Plumbing ------------------ 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electr cal, Plumbing --------------------------------- --- 85. Exterior Elea Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House - ------------------------------------------------ 87. Glass Protection _. __..__.... ---'---------------------------------------- --- 88. Corrections from Previous Inspections ----------------------------------------------- ------ 89. Gas Test -Meters Tagged; Gas -Electric ----------------------------------- ----------------- ___________ -90. -Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 ------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: To Euildino Department FROM:- Environmental Health SUBJECT: Sanitation Clearance _ Rote- (-_7r,— Owner LocatiAP# Y Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply Final clearance O.R. for: Clearar. NOTE */* Sanitarian Water Supply . Other COUNTY OF BUTTE_.PARTMENT OF PUBLIC WO BUILDING DIVISION COU � , , � :•. 7 COUNTY CENTER DRIVE-~OROVIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICArl"ON DATA SHEET OWNER Proposed Building Use Building Inspector -4�7/4 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 . .................. t 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. ....................... . 14. Flood elevation letter (100 year flood). California Engineer. . . Sanitation and plot plan'apprcvaIC /LC7 Health Department . ............ 7-/7"92 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 Inspecti.on reque.-Es Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ............ _ 24. Recorded copy of Agricultural Acknowledgement Statement . ..............:� .. . 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 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. Whe? pe'ssue theermitlpro e s as follows:Nytgscav�ner. Mail to contractor. Telephone 33 d hold for pickup at ,office. Deliver with inspector. Other ` Parcel Creation /6 � :7� 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: G% Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Datie2 95 Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Plans by Date ��' _ DAe' �t checked Plans approved by Date I Sets of plans on hold in File cabinet AP folder , Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT PERMIT NO. 5 a i ASSESSOR PARCEL NUMBER 062-440-001 ZONING U BUILDING PERMIT OWNER HAROLD E. DENT (209) TELEPHONE 931-3666 SO. FT. OCC. BUILDING VALUATI N 384 0 2,68 OWNER'S MAILING ADDRESS 10160 FREESIA AVE STOCKTON CONTRACTOR'S NAME CLANTON CONST TELEPHONE 533-5882 CONTRACTOR'S MAILING ADDRESS 2525 ESPERANZA AVE PALERMO 95968 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 2, Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A9 RESS PINE RIDGE LN BERRY CREEK 95916 Permit tee $ 82.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex[] Mobilehomeg Other Mobile Home I S G W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition El Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: DECK Contractor ELECTRICAL PERMIT Filing Fee 15. Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1oo0A1 37.50 ' CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Ra/l'am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code //and my license Is In full force and effect. License 'Jo., Classification B ❑ I, as the owner, or my employees with wages as their sole compen- NEW CONST'( DWELLING OCCUP.yd\ OR ADDNS. 1 ACC. BLDGS. / NEW CONST FL ULT' -OUTLET NO N.RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APLNS. Ex. Occup. OUTLETS IPRESID OR 3.6Q sq.ft. r @ 5•�0 A20 CcP 76 3.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Temporary service Mobile Home Facilities Misc. byirin g 15.00 15.00 '15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Mobile Home Installation Fee Energy Inspection Fee S $ Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa' County in con a uenc of the granting of this per m't. occ CONST TYPE I TOTAL FEE $ 82.50 I.UA4JD.UKS I IMPFLOOD PD I E X tz�ate Signat ❑ Contractor Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. This permit is hereby issued under the applicable provi- sions of the Butte Co ty Code and/or resolutions to do work ind Gated bo a or w fees have been aid. p i DI C OF UBL WORKS h Receipt No. 122313 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT BY PERMIT EXPIRES ate Date W. RESIDENTIAL 062-440-001 � � - - - - • - ---- - - - • 92-2659B DENT, Harold 9 Pine Ridge Ln, Berry Creek t contr: Clanton Const garage I JOB FINALE Signature J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s . Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /'LPG 7.-tnlettris 7. Well Clearance & Disconnect LA -0m g; Sils-Anchors-Studs-Rftrs-T+usggs 8. Utility Clearance Sid' g; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 /�_ Date Card B-1 1. Zoning Requirements -Setbacks Easements Gj y Card B-1 Date Card B-1 POOLS (Plans) OK except #'s 2. Footings; Size -Spacing -Marriage Line 1. Setbacks -Easements 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting, Distances-GFI 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 volts-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 9. Exits; Insp.-Sketch I 10. Cert. of Occupancy Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEFEE, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s . Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7.-tnlettris LA -0m g; Sils-Anchors-Studs-Rftrs-T+usggs Sid' g; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing . Ext.; Step -Landings /moors Date Card B-1 /�_ Date Card B-1 Date % Date Gj y Card B-1 Date Card B-1 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except ti'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 -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. `Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -,test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents•Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's -16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ----------------- -------------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail - Protection ------------------ ------------------- 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size _& Anchors Date - -Card B71 --- Date - Card B-1 -------- ---------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's -- - -- 22. Fixture & Transformer Clearance -Protection 23. Elec.. Receptacles Spacing -Lights & Switches at Doors ------------------------- ----------------------------------------- 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge, of Studs & C_J. -- 26. Equip. Ground made_up w!Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -------------------------------------- ------------------------ 28. Subfeed Wire Size ! r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At 29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ------- --------------------------------------------- - 31. Equip Clearances Panels -Motors -Meth. Equip. - - - ----------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light 33 Smoke Detector - ----------------------------------------------------------------------------------- Date Card B-1 DateCard B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except ti's 34. -A. -C. -Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ----------------------------------------- 36. ----------- ------------------------------------ - ----------- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------ 37. ----------------------- -- -- - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ ----------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------- ------------------------- ----- - --- Date Card B-1 Date Card B-1 -------------------------- ------------------------------------- ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors -- - ----- ----------------------------------------- ---------------- ----------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------- 41. --------- --------41. Bearing Walls over Girders & Floor Nailing -- -•-- ---- -- ----- -- ----------------------------------- --- ------------------ 42. Draft Stop in Walls (rat proof) ---------------------------- ----------------------- 43. ----------------------43. Fire Stops Furred Ceilings -Stairs -Chases -Tub ------------------------------- 44. Headers & Beam -Size & Bearing ')Ingle & Duplex) r Date -FRAMING (Continued) , - - .45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 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 -Buri -Landing -Fire Protection -- -_ -- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ____ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vent:-Underflr. Access _ 57. Glazing Area -Glass Protection=Skylights-Plastic -.---58. __58. Shear Walls: Nailing -Bolts _ 59. -Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------------------- Date Card B-1 _ Date Card B-1 Date Card B-1 - Date Card B-1 Date FINAL (Plans) OK except ti's _ 61. Ext. Steps, -Door & Sidelight Protection -Landings -- 62. Smoke Detector --------------------------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector= In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting --------------------- . 65. ------------ - 65. G.F.I. & Bath Fixtures & Tub Access -Spa -------------------------------- --- .66 ------------ ------------------ 66. Elec. Trim &_Subpanel; Breaker Sizes & Labels ------------------ 67. Stairs &Rails ----- 68. Fireplace or Stove: Clearances -Hearth ------------ --- 69. Elec. Outlets at Wood Panel; Int. & Ext'. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Rece tacles 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 -Meeh. Protection 75. Plb. Elec. & Mech._Equip. Listed for Location -------------------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ------------------------------------------ 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------- - 78. Guard Rails & Deck -Construction- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor. ❑ 'Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------- 81 Stucco: Brown -Finish ------- ------------ ---------- --- - 82. A.C. Unit: Disconnect, Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings _ _ _ _ _ 84. Water Well; Disconnect, Electrical, Plumbing ------------- - ------------------- - -- - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -------------------------------------- 86. Ventilation Throughout House 87. Glass -Protection 88. Corrections from Previous Inspections - ----- -------------------- ---------------- 89. Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval --------------------- 91. Energy Compliance Certificate -Other Certificates -------...------------------------------------- ----- --- Date Card B-1 Date Card B-1 -------------------------------------------- - --- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance npf-A-- Owner LocationAt# Plan Approved for: Hold final for: 7inal clearance O.R. for: dleA/jan0-4or e c NOTE Sanitarian Sewage Disposal Water Supply Water Supply " Water Supply Other y Date .COUN OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ..: 17, COUNTY CENTER DRIVE - OF�OWL` , CALIFORNIA 95965 - TELEPHONE (916) 538-7541 L PERMIT APPL KATION DATA SHEET OWNER P. No. o(0��-I7U'D�I Proposed Building Use Jet' &AeA&6 Building Inspector Date Z - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: j, I 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 . .................. 1 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 . ................. . L 14. Sanitation and plot plan approval d V_' Health Department . .....:...... 70-9192 PAJ 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). ... Pre -Inspection req. .uest 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 . .............. F'... 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. " i When you issue the permit, proc ss as follows: Mail to owner. Mail to contractor. Telephone -5-15 -5 and hold for pickup at pgo office. Deliver with inspector. Other Parcel Creation h Acreage Applican 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 Dated4E ` Sets of plans on hold in File cabinet AP folder Copy - Yepartment of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7)County'Center Drive-'Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER i 062-440-001 ZONI G BUILDING PERMIT OWNER HAROLD DENT TELEPHONE S0. FT. OCC. BUILDING VALUA ION 480M 8640 OWNER'S MAILING ADDRESS 10160 FEESIA AVE STOCI:TON CONTRACTOR'S NAME CLANTOP? CONST. T H CONTRACTOR'S MAILING ADDRESS 2525 ESPERANZA AVE PALERMO 95968 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 90,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 45.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI 9 i DDINE SRIDGE LN BERRY CREEK Permit fee $ 150.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other DET GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New aj Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 ' Main service 200A TO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ["I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Co�de ra/nd my license is in full force and effect. License No. 4Q9� Classification SIS ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.9 OR ADONS. 1 ACC. BLDGS. // 3.64 sq.ft. NEW CONSTR ULTI.OUTLET NON•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76 FIXED APLNS Ex. DCCUp. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling g 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against d County in con q nce the granting of this permi . X Date Sign ure of Applicant — r owner n/ ❑ Contractor L!� Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Ener Inspection Fee $ 9Y P OCC CONST TYPE TOTAL FEE $ 150.00 HAZ DFEES IMP - FLOOD �� CDF PARCEL PO UE This permit is hereby issued under the sions of the Butte Co my Code and/or work indicated b for which fees D R O LIC By ITE PIR ate applicable provi resolutions to do have been paid. WORKS DateE3 Receipt No. 117778 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT MOBILEHOME INS:LAJION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. 2 Z Address or location of mobi lehome Owner's name Owner's address Insignia or hud riumber ,�1 yy o GY (�<- ��✓f Manufacturer's name Serial number of V.I.N.+^jQf-1-Al I7�� � E! %�%� Year of manufapture' 1� icial Approving Installatio IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White -.Owner, Yellow- Installer, Pink - D.P.W. COUNTY OF' BUTTE DEPARTMENT OF PUBLIC WORKS 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 ff CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. rfLgctiu��< / btr�,L l�, ,telr� l,.ccea��eC� Date Inspector REV 11/91 RESIDENTIAL 62-44-01 - R DENT, Harold 92-1804 P,E 9 Pine Ridge Ln, Berry Creek contr: M & S Pump & Electric m utilities (' - 3- �145 '3 -57 PZ -3-- 3 1 OFFICE COPY Address i GAS Meter By Date ELECTRIC I} Meter By Date JOB FINALED (Date) Signature _� J=OK O = Not OK =Not Ready RESIDENTIAL (; ' =Not Ready Date UNDERFLOOR (Plans)'OK except ti'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 -Block outs -Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8.,Pie rs-Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. s 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples i•� 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------- ---- --------------------------- 17. Water Pipe; Test & Anchor -Nail Protection -------- ------ ------------------------ ----- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------- ---- ----------------- 19. Shower Pan; Test, First Floor -Tub Access ---------------- ------------------------------ 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors -------------------------------------- --------------------- Date Card B-1 Date Card B-1 --------------------- ---------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance - Ins. Protection --------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------- - --------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled --------------------------------------- ---- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------ ---------------- 26. Equip. Ground made up w!Mech. Fastners -Bon d Gas & Water ------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------------- -------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size / / ga. Cu or At -------------- --=1-- ---------------------------- ------------------------ ---- 29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral C1 -Yes 0 -No - ---------------------------------------- - - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------------------------- - 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- e Card B-1 Date Card B-1 to MECHANICAL (Permit) OK except ti'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 Card B-1 Date Card B-1 ------------------------------------------------------•------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- ------------------------------------------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --------------- ------------------------------------------------ 42. Draft Stop in Walls (rat proof) -- - ------------- ----------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------- -------------------------------------------------- 44. Headers & Beam -Size & Bearing 'ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors -46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. ` 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------------------------- ------------ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ___________ 55.- Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------------------------- Date Card B-1 Date Card B-1 --- ---------- ---------______ Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- 62. Smoke Detector -------------- -- ----------- --- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------- - - - ------ 64. Bedroom Exiting ------------ - - 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------- --------------------------- 67. Stairs & Rails --------------------- -- ----------- - 6& Fireplace ace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ----------------------- --- 72. Garage Fire Door: Swing -Landing -Closer ---- -------------------------------- ---73.- A_C.-Duct in-Garage_Damper - -- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------- 7;. --------------7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- 78. Guard Rails & Deck -Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -- ---------------------------------------- 81. Stucco_ Brown -Finish ---_--- 82. A.C. Unit: Disconnect. Electrical, Plumbing - ---------------------------------- --- -- 83. Vents Above Roof: Plb9 _ A liancpp e-Firep lace. -Clearance to Openings ------- ------------------------------ 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------------------------------ 87. ------------------------------ --- 87. Glass Protection ......--------------------------------------- ---------- 88. Corrections from Previous Inspections ------- •------- --------- --------------------------------- --- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates -------------------------------------------- --- --- Date Card B-1 Date Card B-1 -------------------------------------------- Date -----------------------------------------Date Card B-1 Date Card B-1 --- --------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: 1 r J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBIPE HOME UTILITIES Plans OK except #'s LelfopiY111'g Requirements -Setbacks -Easements So, Special MH Support Sketch 3-1; `r; Location -Test -Fall -C/O Concrete Water; tion -Test -Easement Needed (Sketch) ectricity; Location-Clearences-Grnd- mp-Concrete s; Location -Test -Wrap: / /"L"ft. / /flat. WvL"fji0/"LPG elrr-W prance & Disconnect tility Clearance Date ,ftGarrf B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBIL HOME INSTALLATION (Plans) OK except #'s 1 0 i g Requirements -Setbacks Easements o ngs; Size -Spacing -Marriage Line ' L as; MH Test-Demand-Valve—Connector th_I9ctricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector a MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged Exits; Insp.-Sketch Cert. of Occupancy Date 2_—Card B-1 Date Card B-1 Date Card B-1 / Date Card B-1 X419 611 �8 o 1 (q� /-y /C77 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 _ Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5.Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Tes. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 D COU'N Y OF BUTTE - QEPARTMENT OF PUBLIC WORKS (/ 7 County Center Drive - OrovIIle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT N0, ASSESSOR PARCEL NUMBER 062-440-001 ZONING U BUILDING PERMIT OWNER HAROLD DENT 209 TELEPHONE 931-3666 S0. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 10160 FREESIA AVE STOCKTON CONTRACTOR'S NAME TELEPHONE EXECUTIVE HOMES 891-6 92 CONTRACTOR'S MAILING ADDRESS Fireplace 3042 ESPLANADE CHICO CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 9 PTNE RIDGE LANE BERRY CREEK Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex❑ Mobilehome® Other Mobile Home S G I W @ 15.00 SPECIFY TYPE OF WORK New Addition 11 Remodel Utilities Installat'on5 Qther❑ Permit Fee $ Describe work: MH I g� Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): LPI am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License J0. `/ 22 /[2 Classification :� NEW CONST. / DWELLING OCCUP.9 OR ACDNS. 1 ACC. BLDGS. II NEW CONSTR ULT' -OUTLET NON -RES, BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 3.64sq.ft. @ 5.00 20 76 JAL. _� T(REA.) El 1, as the owner, or my employees with wages as their sole compen- FIXED LNS OR Ex. Occup. OUTLETS RESID ) I 3.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) Temporary service Mobile Home Facilities Misc. Wiring 15.00 15.00 '15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIirig Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all lla " S, ' dgm t , costs, a e e seS which may In any way accrue aga' t sa' Cou sequenc granting of this permit. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $105.00 HAZ DFEE IMP FLOG CDF PARCEL PD HD ISSu — _ _ Date This permit is hereby issued under the applicable provi- owner ❑ Contractorx Agent ❑ Appli�3stories sions sions of the Butte County Code and/or resolutions to do An of rmit i for excavations over 5'0" deep and demolition or construct- ion of sa in height. work indicated abo for which fees have been paid. C O OF PUBLIC WORKS Receipt No. 117083 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT By9 PER E PIRES Date Date? ?— COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.`536-7541 APPLICATION AND PERMIT PERMIT NO. 92-1804 ASSESSOR PARCEL NUMBER 062-440-001 1— ' ZONING U BUILDING PER OWNER HAROLD DENT 209 TELEPHONE X31-3666 S0. FT. OCC.1 BUILDING VALUATN OWNER'S MAILING ADDRESS a 10160 FREESIA STOCKTON 95212 CONTRACTOR'S NAME M & S PUMP & ELECTRIC #264809 TELEPHONE 589-1468 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PINE RIDGE LANE BERRY CREEK Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 — Y� �� S"l/X J PARCEL MAP G Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[J Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home W I TYPE OF WORK New' Addition L Remodel ❑ Utilities [ Installation❑ Other ❑ Describe work: ME g 2 BDRM _ Permit Fee $ 60-00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 60V OR OR Main service ESS 18.501 18.50 Main service 200A TO 1000A, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ACDNS. ACC. BLDGS. _37.50 3.64sq.ft. NEW CONST R. ULTI-OUTLET NON -RE SID BRANCH CIRCUITS @ 5•00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURESFIXED 20 76d APLIS. \\ Ex. Occup. OUTLETS IPRESID,)REA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Iyirin g 15.00 Permit Fee $ 48,50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 3K I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agre o save, indemnify and keep harmless the County of Butte against all liabili es, judgments, costs and expenses which may in any agai t id C nt in seq n e of a granting S wa accrue of this 5?: Date Signature of Applicant — Owner X', Contractor ❑ Age ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ SO HAz 0FEES .�IMP FLo �CD'P Ra ' This permit is hereby issued under thPeA sions of the Butte County Code and/or work indicated a "bve f which fees CTO F P BLIC eV MITE PIAES/Date pLplicPDable proIsysiu-it. resolutions to do have been paid. WORKS Date Receipt No. 116820 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT WUN-TY OF BUTTE ;WEPARTM NT OF PUBLIC WO, `= BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ct PERMIT APPLICATION DATA SHEET OWNER gpRa' D c A P. No. Proposed Building Use '144 1-(L Building Inspector J'K Date Z, FA Attime 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 . ....................I .................... 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. 9. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. . 2 :V�_, 10. 11. Fees tf $ ed schedule. ... ................ . Impact fees as shown on attached schedule. r32o .Uu!OJJ... ...Ztz 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: . I ....... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . • 20. Fre Inspection ragas-ls Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . ................. . 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 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 . ...................................... klan 32. ght list. . 33. 34. When �pu issue the permi ,process as follows: Mail to owner. Mail to contractor. 1/ Telephone7sg%iY2-- and hold for pickup at office.. Deliver with inspector. Other Parcel Creation Acreage Applic t Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Airfollution 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 b _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou er y _ Date - Plans checked by Date Plans approved by A Date �)Ai(/� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works f I COUNTY OF BUTTE iPARTMENT OF PUBLIC WO BUILDING DIVISION CO R� Z. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 ;!/ I PERMIT APPLICATION DATA SHEET �a OWNER Proposed Building Use Building Inspector A. P. No. Q 62 - yo -60 Date Z At time of permit application, I was advised thefollowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. 2. Plot plans,(8/4 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$....I'll .................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood UCalii o nia Engineer. . . 14. Sanitation and plot plan approval QQ �7// 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). .., . , - Pre -Inspection req, 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 . ................ 5� s� % ! 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance ........................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed J and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When ou issue the permit proce s as follows: Mail to owner,., Mail to contractor. Telephone.26i 9/-3% and hold for pickup at U office. Deliver with inspector. Other Parcel Creation Acreage Applic t Date 5 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_Qoun � 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 TO: Building Depar.tmentli FROM: Encroachment Permit Section RE: 'Driveway Clearance owner location AP # Driveway permit /I P71-74ele" has been issued for the above property. n b /��7�-/ Zg �Z date sign re r TO FROM: SUBJECT: Buildinv Department Environmental Health . Sanitation Clearance COUNTY OF BtiiTE BUILDING DEPT MAY 2 8 Owner Location AP# Plan Approved for: Hold final for: Sewage Disposal X Water Supply Lie-/` ^anal clearance O.K. for: Clearance for Z bedroom mobile home. Other NOTE * * * Sanitarian Water Supply Water Supply M Date 9� TWA% r- + e q Its BUTTE COUNTII SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) .iy /V l (06z SchoolDistrict — �LL _ _ ----- - — Building Department No. / A.P. Number 64, _Jurisdiction (` J City County Property Owner 0.k O(_ �R VV Property Location/Address `"_ —_ �I �-e Subdivison Residential Development L� No. of Living U r its Commercial/Industrial COUNTY OF BUTTE BUILDING DEPT J U N 19 1992 Building Departme t Representative -I MHI New Lot No. Sq. Footage L/L Addition (Group R) 0 Sq. Footage Addition 5--12 Date --------- ----------------- ----...--------- District Identification No. �n 2_0 _4 _9 3 School District certifies that I (Applicant) (Street Address) (Including Exterior Roofed Areas) 9- 9 7, (Phone Number) 0 Ca. (City) r (State) _ (Zip Code) _ /hasomplied with the requirements of Resolution No. �by payment of $senting / p?sq.ra•r-e feet. ' [mac 0 .��-� School District Repres tative Dat Paid by Check Number _ Remarks: Bank Number _ Paid by Cash If, subsequent he School District presentative signing t Butte County School pact Fee Certification orm, the School Dis ct is notified by thea icable Local Plannin gency that this project is being viewed under the C ornia Environmental ality Act (CEQA), th�i roject may be sub'eet to addit' al school fees to fu miti ate its im act the school district's Ehools. White (applicant), Yellow uilding department), ".--,("School district) feeformmkt (4/92) AP # 6 a -4-1cf 1 OWNER�� PERMIT MH UT IL . CLEARANCE DATE INSPECTOR_z� ELECTRIC GAS Support Struc. Compaction Test Req. Service Size Other Load �Type Pipe Size Length YESI NO YES NO o?UC7 /d 1d 0" La PC9— .I •. * •Y f M 1 4 w�� .r. g�� 1` 0 3753. 92-023793 92-023793 92-023x793.1 C ckee Retarded 1 J},- Offtcial Recordo I County. of I Butte 1 'Candace J. Grubb: 1 Recorder I. 1:39pm 29 -May -•S2 I PURL 5. 00 =.- 5.00 N .............. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEHFNT FOR RESIDENTIAL DEVELOPMENT Section 26-6.1 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 for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising 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 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 ipconvehience 'or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lot 1, as shoran on that . certain • Map entitled, ""INE Q?EST" ESTATES whish.' Map eras .filed in the Office of the Recorder' of the Couuittr of `Butte, State- of' CAlffvrnia, June 9; 1969, -in Book 35 of Maps, at pages 45 and 46. . mow Date: 5/28/92 State of - ) On SS. me, :County of ) PROPS Y OWIJERS : o1d Dolt this the Josea� fC, Dent! 19 before the undersigned Notary Public, personally appeared Ll Personally known to me. L/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowled$ed that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. 062-440-0f11. T019311N1.90101 TICOR TITLE INSURANCE (Witness Acknowledgment) 1 STATE OF CALIFORNI COUNT ) SS. On before me, the undersigned, a Notary Public in and for said State, personally ppeared personally known to me to be the person whose name is subscribed to the within instrument, or proved to be such by the oath k -I 1% (1 rdiblr w U!i•ss who is lu•isunnlly known tU nu•, as briny II!u subs/ L Ing Wltll •s!, ht -AL), said subsuibmy Wens^r, bvmU by me duly sworn, deposes and says: That this witness resid s m and that said w yg �s present and saw—�r%��'a� if za�F.- personally e , personally known to said witness to be the same person(s) described in and whose name(s) is/are subscribed to the within and annexed instrument as a party thereto, and acknowledged to said affiant that •• • • • • • • • •""""" • he/she/they executed the same in his/her/their authorized et4 OFFICIAL SEAL capacity(ies), and that by his/her/their signature(s) on the instrument L. JOYNER the person(s), or the entity upon behalf of which the person(s) acted, N07ARY PUBLIC - CALIFORNI„ executed the Instrument, and that affiant subscribed his/her name to •PRINCIPAL OFFICE INthe within Instrument as a W 7al. •BUTTE COUNTY COMM. Expires Oct. 18, 1995. ti.•.eee.eeeeeeeeeeeeeeeee.e...ee.• WITNESS my �an4ancis Signature (This area for official notarial seal) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965'- TELEPHONE (916)5387541 OWNER A.P. N0. PROPOSED BUILDING USE All DATE REC. # DATE REC '1. School Distric Fees (RO U �Uc0A (paid at District Office) �L _2. Sheriff Fees A//: Hr, (paid at Building Department) � oa Residential .......... X �(�- _$ 66. unit amt. 3. Commercial(per sq.ft.) X i. sq.ft. Urban Area Fees (paid at Building Department i=L. . _t Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X =$. sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. DATE _ �� Z . MOBILEHONE INSTALLATION SHEET 1. Owner's Name:- 2. ame:-2. Installer's Name: 3. Is the site currently under permit? Yes No. (If yes, furnish permit number 7�- ''` ��� ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ---------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the F] mobilehome site service? -------------------------------- Yes No ALL -70" (If yes, identify the load and size: (Load) _ (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service. ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? ------------------------------------------- 12. ------------------------------12. What is the mobilehome gas demand? --------------------------- (BTU) *(This -information not required if pipe length less than f : .on natural gas.or..less.'than.50 ft.:'on LPG:) _ BU... - _ UNTY BUILDING DEPARTMENT -AP PR0VED i MOKLEROME SUPPORT DATA 1f,other than single wide, AVr LES-1"w'� "furnish Setu Model-No.s�b'�°ZF Year Mohilehome Mfr. P WidthZG g (ft.) Box Length 10(ft. ) Tagalong 'orExpando Size — ft: t: 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). FOC91NGS (check one)191. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check on e) Concrete block. ❑ 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE s Main Beams Linc 2 Main Beams — — — — — — — — — — -- s Line 2 —• — — •— —• — tea. -Line 4 Tag or Triple Line 1 Line 1 Piers: Size -Min. --------- - 'k Spacing -Max. - ------- Fr, -m Ende-Max.------- HIL- 2 Piers: SJre-Min. ------------ Spacing -Max- --------- From Enda-Max .------- _ 0 I.1ne �:L Root 1a)ad6: Size-Mln.------------ Lncation (From Front) l.1ne.4 PLe_raa: Line 5 Piers: (Under Bearing Walls Only) Size -Min.- - - Size -Min ------------=• -- Spac Lig-Max.--------- „ Spacing -Max,--------------- From Ends -Max.------- ._ From Ends -Max .------------- Linc 5 Roof mads: Line 1 Openings: Size -Min- ----- -- ----- - "x n Each Side of Openings With Width Over-------- HIL-_.2 -------' Line 3 Piers: (Under Bearing Wall Only) Size -Min. ------------------ "x 11 .Sp,icing-Max ---------------- From Ends -Max .------------- Z � ,:x3n" 3b,x'3p„ �, „x �, Z� „x3v „ 3d „x 3�„ 2�( „x3Q „ . •.,, x Size -Mill .--•---------= location (From Front) Nook— I (� OU6I~V WIDE PIERING WORKSHEETr`' . YW - �i14�141�.�11111Yi����l I YIYYY�y.A_Y MODEL:- r /c'... ��� _� -� ..� PSF ROOF LO Da BEE PERIM€HA PIERINCI SEE •:OTE FfQUIREMENTS TABLE SEE MATING LINE PIERING TABLE �►. �r tw r r.� �� r � �r .r�.� www � �� Y� �.. r � Ms r � • .� �Yr Fr w � �. r ♦ wY�Y r ♦� wry y NM � _"- r rr+ �, � • —PRONT OF SEE PERIMETER ' UNIT PIERING REOUIREMENTS TABLE NOTE; SEE PIERING PLAN AND PIER LOAD CAPACITY DRAWINGS FOR REQUIREMENTS OF MAIN FAIL SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING UBLE• ' F, a:E EIA'•'. INIML P051 IST INTMOR 2ND INIMOR 3n71!o'TE 41H INIER109 STH INTERIOR EEO WALL F: 5' LO.A'10►"S AT fAONT PAST POST POST POST POST POST P;EF LOAD CkP LRS. Z$WO ��16Z ` ZO p yQ7(,' _ r IJ K11JUV, C'N'E PIECE�, FC►aTll:� ;;:TE (,. �, 6,. 7 2y„ � Cy 2.L � • z I X2 101-VIA'Al. Fol_lljti� " Y, ITrI 1E• >. ,c• ���� bLe- @A,a.d kQtk�d dD40,CA &LkpA &a 4- -tauT E: P oatir>, Vies buel on IDDDFSF so'; bnomp value, It soil coridllions differ seethe Pier Load NOTE: Ca pasty drav; irr or the HomE TyhJ !Jcsl iralull?t:on Mzn'wet for mcthod of MIcu'll0l. . PERIMETER PIERING P.EOUIREMENTS TABLE DOORSIDE WALL* F,DADSIDE WALL" JA%Qb S, UU5 Al E.ODn OT EN::':3S AND AND FACLD FIREFLI.CES 114 0Vf rF:A,'.'G C•F FLOOR • FORCH POSTS Al FIE- CESFED ELL 1$,'HEA ; C.r-c Iy:rr,) 42. • .4E5 'DII.•.it.:.0':S ARE FROM. FRDNl OF UN -11. Toe] 29LB T68 T F dO QNd7aOO1 S3WOH 000M133IJ 172:2T M/PT/90 9a Nv Q� i1W CONSTRUCTION Cathedral ceiling throughout 2" x 6" floor 2" x 4" exterior walls 16" O.C. Copper wiring 100 amp electrical service Complies with HUD specifications Energy efficient insulation 30 gallon water heater Smoke detectors Utility room 5/8" flooring R14-7-7 insulation (The higher the R -value number, the better the resistance and effectiveness of the material.) Vinyl floor covering - kitchen, utility, most baths Water shut-off valves 30 Ib. roof load EXTERIOR STYLING Hardboard siding in a choice of colors Exterior light at all doors Ground fault interruptor controller . exterior receptacle Class A roof shingles Attic ventilation 12" side eaves on all 26' wides Inswing front door LIVING ROOM Color. coordinated draperies Decorative wall panels Lg. windows w/removable screens BATHS Recessed medicine cabinet - both baths Window for lighting and ventilation - -(most models). Designer coordinated wall covering 4" backsplash - both baths Privacy lock Shut off valves on toilets Molded mirrors - both baths DINING AREA/ROOM Color coordinated drapery Lg, window including removable screen Decorative wall coverings Carpet KITCHEN Free standing 30" range 15 cu. ft. dbl-door frost -free refrigerator Range hood Mahogany sided drawers w/metal drawer side* rollers Lined overhead cabinets Crown molding kitchen cabinets TT E E RR 4" backsplash Mini blinds on all kitchen and morning room windows Double -bowl steel sink Color coordinated drapery Name brand appliances MASTER- BEDROOM Large egress windows Designer carpet Adjoining bathroom ` GUEST BEDROOMS Large egress windows Color coordinated draperies Designer carpet Designer coordinated wall covering POPULAR LIVING FEATURES Prefinished deluxe doors One piece vinyl floor covering Cabinet hardware 1/2" door jamb w/1-1/2" wood door casing POS ventilation system Plumb for washer Wire for dryer Note that square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floor plans is.floor length only. Renderings and diagrams are meant to be.representative and, inkeeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal. Ask your retailer for specifics. (Add four feet to arrive at transportable length.) PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. OPTIONS 1 -pc. oval tub (most models) Dishwasher/disposal Pre -wire for ceiling fans Skylight R21-11-11 insulation (The higher the R -value number, the better the resistance and effectiveness of the material.) Plywood floors Sliding glass door 19 cu. ft. frost -free refrigerator ` Stereo 40 gallon water heater Dual pane windows (cross back) Fireplace Solid oak cabinets OTHER OPTIONS AND FEATURES MAYBE AVAILABLE. BE SURE TO ASK YOUR RETAILER. SMDAL%VFC*.D" BY FLEEMOOD. Sandalwood -Homes are built by: FLEETWOOD HOMES OF CALIFORNIA, INC., a subsidiary of Fleetwood Enterprises, Inc. 18 North County Road 101, P.O. Box 1308 Woodland, California 95695 (916) 662-3223 SW117/DEC90 0, TT,l EEE liq LcLv L4 L(o- b( EXECUTIVE HOMES 3042 ESPLANADE CHICO, CA, 95926 Phore 891 - 6992 OPT. 3RI? BEDROOM opr. BUFFET ii MODEL 5562F 2 BEDROOMS, 2 BATHS APPROX. 1,437 SO. FT. S,MD.U.W'WD' BY FLEETWOOD® SW/17/JAN91 ..Ap# ora - �y6-Doi r This set of,plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same with out written permission from the Department of Public Works, County of Butte JOTE:`q(( Materials 8c Workmanshi 114891;(ccordonce with Recognized Good Pract cles� \ f a quality prescribei for the Specified use (h al Cpd� Iniform Buiiding, Plumbing & Mechanic le National Electrical Code, e Location of structures & ®quipment shall be as shown & clear of all easements. Xpermit will Eie ri-gitired for the installation of the mobilehome. BUTTE COUNTY BUOLDiNG DEPARTMENT - APPRPVEW ',O 806(01,\ Y 56tbAt�C S1 - - -O _✓ED- - Butte County -- = - Environmental Health Date - .. - ------ ----- :;I _z?�� ------ Signature - S` y6 AJ N ��- 'r`S't r�• ;�rf�'� "?�•ti �7Q;7'. . �� r �'�•,�• ��� Sa1l:ii::elt 3�.;t , tss� ld mss 0O 7 a s. +�44 •1 , , , - ,-,-,.-- .- � - - � - -1-All-li 1'f..4lllio_NI` - III I I � , ,', I I � ", I ;1 , I � , t , , , , I i, t I, ,I " I I i , � ,, I 11 : , ', , � 1 , , � t I'j , ] , , I i ; ( 1 4II44 I I I 11 ,44. III I � f , �:, - �, , J , I � I, . , :: I � I � , � : , :� , 1 , I ,, I , , 11 � I ,, i It , ,I I �,� , I I, I �, , " I I -:,'',� � , I :1, I I , . ,I'. - it, � ., ., I : , I ,�, I -1" , "I 4, , , r"( �Ii1_� I , � !I � I I -, 'i, _ I,--- 11 . It j til 1 -- - , I � I I I ; ,, , . I 11 � ,� 1 1 it t� 1, I , I, ,, � . 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