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062-730-034
2943 P,E STEIN, Norman& oan y Creek' �• `� - 85 Summerleaf D_ r ; err mhu _ _- _ - a 0-- ` - -/9 ELEC 3 j p /0/ GAS "COMPACTION R CT RERE Q SUPPOR -- — G`azz-��-�_�� 92-3972 MHI STEIN, Norman & joan1 J 2, 85 Summer Leaf ,Dr, Berrye .Cre contra MHCe er mhi ^� y �-- - -- 92-421 B STEIN, Norman & Joan Cree 85 Summerleaf Dr , Berry 2 open decks/mh � --2- 9 _ 93 062-730-037 04-0170 STEIN, JOAN r 85 SUMMERLEAF DR, BERR CONT: BRODERICK, BRUCE 2.3.0 EX MH ON PERM FND L� mmmw- -- -- ITI RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 COPY of Document Recorded 05 -[May -2004 2004-0026327 Has not been compared with original BUTTE COUNTY RECORDER NOTICE OF MANUFACTURED HOME (MOBILEHOME OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM THE ATTACHED DOCUMENT IS BEING RECORDED TO CORRECT AN ERROR ON THE ASSESSORS PARCEL NUMBER ON THE NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM, RECORDED ON FEBRUARY 5TH, 2004 UNDER SERIAL. NUMBER 2004- 0006756. THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 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. NORMAN AND JOAN STEIN FAMILY TRUST REAL PROPERTY OWNERILE,SSOR 99 SUMAdERLEAF DRIVE MAILING ADDRESS 95965 BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP 85 SUMMERLEAF DRIVE INSTALLATION MAILING ADDRESS, IF DIFFERENT W,NATCTRE OF LOCAX AGENCY O I BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME NONE UNIT OWNER (if also property owner, write "SAME") DEALER LICENSE NO. SAME MAILING ADDRESS 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 04-0170 530 538-7541 B G PERMIT NO, TELEPHONE NUMBER 2-3-04 W,NATCTRE OF LOCAX AGENCY O I DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP ..... UNIT -.DESCRIPTION-... CHAMPION HM BUILDER 1991 WOODLAKE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFINUMBER 09926753061 A/B 56'x16' RAD 608576/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 062-730-037 SEE ATTACHED HCD FORM 433(A) REV. 8/91 'ANARY. HCD PTNR - A—u—, A portion of the Southeast ti of Section 35, Township 21 North, Range 5 East, Mount Diablo Base and ivwridian, Butte County, California, more particularly described as follows: Commencing at a point on the East line of the Southeast 4 of Section 35 aforementioned, from which point the East as comer of said Section 35 bears North 00° 29' 04" East, a distance of 876.52 feet; thence, South 89° 39' 23" West 170.00 feet to the true point of beginning for the parcel of land herein described; thence , from said true point of beginning, South 00° 29' 04" West Parallel with the East line of said Section 35, a distance of 200.00 feet; thence. South 89° 39' 23" West 170.00 feet; thence, North 00° 29' 04" East parallel with the East line of said Section 35, a distance of 200.00 feet, thence. North 89° 39' 23" East' 170.00 feet to the true point of beginning Together with and reserving therefrom: A right of way for road and public utility purposes over a strip of land 60 feet in width lying 30 feet on each side of the following described centerline: A portion of the Southeast 4 of Section 35, Township 21 North, Range 5 Fast, Mount Diablo Ease and Meridian, Butte County, California, more particularly described as follows: Beginning at a point on the East Line of the Southeast 4 of Section 35, aforementioned from which point the East 4 comer of said Section 35 bears North 00° 29' 04" East, a distance of 876.52 feet; thence leaving said point on the East line of the Southeast 4 of said Section 35 and running South 00° 29' 04" West a distance of 400.00 feet along the East line of the Southeast 4 of said Section 35 to the Southeast comer of the Northeast k of the Southeast zi of said Section 35; thence, leaving the Southeast comer of the Northeast k of the Southeast 4a of said Section 35 and running South 89° 39' 23" West, a distance of 1156.13 feet along the South line of the Northeast k of the Southeast 4 of said Section 35 to a point on said line; thence leaving the South line of the Northeast as of the Southeast as of said Section 35 and running North 00° 35' 10" East, a distance 315.00 feet to a point; thence. South 89° 39' 23" West, a distance of 150.00 feet to a point on the West line of the Northeast 4 of the Southeast K of said Secdon 35, thence, North 00° 35' 10" East, a distance of 200.20 feet along the West line of the Northeast as of the Southeast y of said Section 35 to a point on the centerline of Bald Rock Road, thence leaving the West line of the Northeast . of the Southeast ca of said Section 35 and running along the centerline of Bald Rock Road , South 85143' 35" . East 73.22 feet; thence, North 00140' 55" East, a distance of 7.53 feet to the tnre point of beginning for the centerline herein described, thence, from a said true point of beginning South 43° 48' 06" East 330.12 feet to a point; thence, South 7 1° 02' 57" Fast 172.17 fact; thence, South 87° 13' 25" East 639.16 feet; thence North 01 ° 00' 36" East 120.63 feel: thence, North 77° 41' S8" East 71.53 feet to the East line of the above mentioned Southeast It of Section 35 and the end of said centerline. BUILDING PERMIT NUMBER: 04-0170 Address or location of unit: 85 SUMMERLEAF DRIVE, BERRY CREEK CA 95916 Legal Description of Real Property: AP # 062-730-037 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: NORMAN AND JOAN STEIN FAMILY TRUST Owner's address: 99 SUMMERLEAF DRIVE, BERRY CREEK CA 95916 INSIGNIA OR HUD NUMBER: RAD 608576/7 SERIAL NUMBER OR V.I.N.: 09926753061 A/B MANUFACTURER'S NAME: CHAMPION HM BUILDERS YEAR: 1991 OFFICIAL APPROVING INSTALLATION: ( fawr" �Q Z,?/-/ DATE: 2-3-04 PHONE: (530) 538-7541 H.C.D. 513C .11 ...r.. A portion of the Southeast 4 of Section 35, Township 21 North, Range 5 East, Mount Diablo Base and ivieridian, Butie County, California, more particularly described as follows: Commencing at a point on the East line ofthe Southeast 4 of Section 35 aforementioned, from which -point the East y corner of said Section 35 bears North 00° 29' 04" East, a distance of 876.52 feet; thence, South 89° 39' 23" West 170.00 feet to the true point of beginning for the parcel of land herein described; thence , from said true point of beginning, South 00° 29' 04" West Parallel with the East line of said Section 35, a distance of 200.00 feet; thence. South 89° 39' 23" West 170.00 feet; thence, North 00° 29' 04" East parallel with the East line of said Section 35, a distance of 200.00 feet, thence, North 890 39' 23" East 170.00 feet to the true point of beginning Together with and reserving therefrom: A right of way for road and public utility purposes over a strip of land 60 feet in width lying 30 feet on each side of the following described centerline: A. portion ofthe Southeast 4 of Section 35, Township 21 North, Range 5 Fast, Mount Diablo Base and Meridian, Butte County, California, more particularly described as follows: Beginning at a point on the East Line ofthe Southeast 4 of Section 35, aforementioned from which point the East 4 corner of said Section 35 bears North 00° 29' 04" East, a distance of 876.52 feet; thence leaving said point on the East line of the Southeast 4 of said Section 35 and running South 00° 29' 04" West a distance of 400.00 feet along the East line of the Southeast 4 of said Section 35 to the Southeast comer of the Northeast 4 of the Southeast 4 of said Section 35; thence, leaving the Southeast comer of the Northeast 4 ofthe Southeast 1.4 of said Section 35 and running South 89° 39' 23" West, a distance of! 156.13 feet along the South line of the Northeast 4 of the Southeast 4 of said Section 35 to a point on said line; thence leaving the South line ofthe Nortluenst t, of the Southeast tt of said Section 35 and running North 00° 35' 10" East, a distance 315.00 feet to a point: thence, South 89° 39' 23" West, a distance of 150.00 feet In a point on the West lire ofthe Northeast 4 ofthe Southeast 4 of said Secdon 35, thence, North OC° 35' 10" East, a distance of 200.20 feet along the West line ofthe Northeast 4 ofthe Southeast 4 of said Section. 35 to a point on the centerline of Bald Rock Road, thence leaving the West line ofthe Northeast 4 ofthe Southeast 4 of said Section 35 and running along the centerline of Bald Rock Road , South 851 43' 35" East 73.22 feet; thence, North 00140' 55" East, a distance of 7.53 feet to the true point of beginning for the centerline herein described; thence, frem a said true point of beginning South 43° 48' 06" East 330.12 feet to a point; thence. South 71* 02' 57" Fast 172.17 fret; thence, South 87° 13' 25" East 639.16 feet; thence North Oil 00' 36' East 120.63 feel: thence. North 77° 41' S8" East 71.53 feet to the Fast line ofthe above mentioned Southeast It of Section 35 and the end of said centerline. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 05 -Feb -2004 2004-0006756 Has not been compared vith 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. NORMAN AND JOAN STEIN FAMILY TRUST REAL PROPERTY OWNER/LESSOR 99 SUNDAERLEAF DRIVE 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP 85 SUMIVIERLEAF DRIVE 2-3-04 ATURE OF LOCAL AGENCY UMCIAL INSTALLATION MAfI NG ADDRESS, IF DIFFERENT NONE BERRY CREEK BUTTE CA 95916 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAEUNG ADDRESS SAME 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 04-0170 530 538-7541 BUIL1&G PERMIT N0. TELEPHONE NUMBER 1 2-3-04 ATURE OF LOCAL AGENCY UMCIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE') NONE DEALER LICENSE NO. CHAMPION HM BUILDER 1991 - WOODLAKE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 09926753061 A/B 56'X16' RAD 608576/7 SERIAL. NUMBER(S) LENGTH X WIDTH TNSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PAR NUMBER AP # 062-730-07 SEE ATTACHED -i -Cl1-A]9/A\DLR- 01- EXHIBIT u » FOX llw 0&�-73co-073 A portion of the Southeast %4 of Section 35, Township 21 North, Range 5 East, Mount Diablo Base and Meridian, Butte County, California, more particularly described as follows: Commencing at a point on the East line of the Southeast 4 of Section 35 aforementioned, from which point the Fast Ii corner of said Section 35 bears North 00° 29' 04" East, a distance of 876.52 feet; thence, South 89° 39' 23" West 170.00 feet to the true point of beginning for the parcel of land herein described; thence , from said true point. of beginning, South 00° 29' 04" West Parallel with the East line of said Section 35, a distance of 200.00 feet; thence, South 89° 39' 23" West 170.00 feet; thence, North 00° 29' 04" East parallel with the East line of said Section 35, a distance of -200.00 feet; thence, North 89° 39' 23" East 170.00 feet to the true point of beginning. Together with and reserving therefrom: A right of way for road and public utility purposes over a strip of land 60 feet in width lying 30 feet on each side of the following described centerline: A portion of the Southeast 4 of Section.35, Township 21 North, Range 5 East, Mount Diablo Base and Meridian, Butte County, California, more particularly described as follows: Beginning at a point on the East Line of the Southeast 4 of Section 35, aforementioned from which point the East k, corner of said Section 35 bears North 00° 29' 04" East, a distance of 876.52 feet; thence leaving said point on the East line of the Southeast 4 of said Section 35 and running Sou+h 00° 29' 04" West a distance of 400.00 feet along the East line of the Southeast 4 of said Section 35 to the Southeast comer of the Northeast 4 of the Southeast ;i of said Section 35; thence, leaving the Southeast corner of the Northeast 4 of the Southeast %i of said Section 35 and running South 89° 39' 23" West, a distance of 1156.13 feet along the South line of the Northeast 41 of the Southeast 4 of sa;d Section 35 to a point on said line; thence leaving the South line of the Northeast 4 of the Southeast �i of said Section 35 and running North 00° 35' 10" East, a distance 315.00 feet to a point; thence, South 89' 39' 23" West, a distance of 150.00 feet to a point on the West line of the Northeast ;-i of the Southeast 4 of said Section 35; thence, North 00° 35' 10" East, a distance of 200.20 feet along the West line of the Northeast 4 of the Southeast 4 of said Section 35 to a point on the centerline of Bald Rock Road, thence leaving the West line of the Northeast 4 of the Southeast Ii of said Section 35 and running along the centerline of Bald Rock Road , South 85° 43' 35" East 73.21 feet; thence, North 00°40' 55" East, a distance of 7.53 feet to the true point of beginning for the centerline herein described; thence, from a said true, point of beginning South 43° 48' 06" East 330.12 feet to a point; thence, South 71° 02' 57" East 172.17 feet; thence, South 87° 13' 25" East 639.16 feet; thence North 01 ° 00' 36" East 120.63 feet; thence, North 77° 41' 58" East 71.53 fee(%, the East line of the above mentioned Southeast 4 of Section 35 and the end of said centerline. BUILDING PERMIT NUMBER: 04-0170 Address or location of unit: 85 SUMMERLEAF DRIVE, BERRY CREEK CA 95916 Legal Description of Ileal Property: AP # 062-730-0 � j 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 15551. Owner's name: NORMAN AND JOAN STEIN FAMMY TRUST Owner's address: 99 SUM ERLEAF DRIVE, BERRY CREEK CA 95916 INSIGNIA OR HUD NUMBER: RAD 608576/7 SERIAL NUMBER OR V.I.N.: 09926753061 A/B MANUFACTURER'S NAME: CHAMPION HM BUILDERS YEAR: 1991 OFFICIAL APPROVING INSTALLATION: DATE: 2-3-04 PHONE: (530) 538-7541 H.C.D. 513C hl� 01/21/2004 09:08 FIDELITY TITLE OROVILLE 4 2735091 NO.259 SPATE OF CALIFORNIA- BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLp SCF(WARXENEGbER, Governer DEPARTMENT OF HOUSING AND COMMUNITY CIEVELOPMENT DIVIslon of Codes and standards ®e ' ;;�suYG , �2b' a �•�, Title Search �o Dste Printed : 01/21/2004 n �� Decal #: LAU2637 Use Code: SFD Manufacturer: 90086 C14AMPION HM BUILDERS Original Price Code' AKJ Tradename: WOODLAKE Rating Year: Model: SW675W Tax Type: LPT Manufactured 'Date: 09124/1991 Last iLT Amount: Registration Exp' Date ILT Fee Paid: First Sold On: 11/25/1992 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width 09926753061A RAD608576 56' 13' 09926753061B RAD608577 56' 13' Record Conditions: PPF Exempt Registered Owner: JOAN STEIN 99 SUMMERLEAF DR BERRY CREEK, CA 95916 Lost Title Date: 03/26/1993 Last.Reg Card: 03/26/1993 Sate/Transfer info: Price $36,414,00 Transferred on 11/25i1992 Situs address: 99 SUMMFRLEAF DR .BERRY CREEK, CA 95916 Situs County. BUTTE Title Searches: FIDELITY NATIONAL TITLE 455 ORO DAM BLVD SUITE A OROVILLE, CA 95965 Tine File No: 1050$0 ***'END OF TITLE SEARCIi *** WE 01/21!2004 09:03 FIDELITY TITLE OROVIL.LE 4 2735091 N0.259 VAYE of CALIFORNIA - SUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD 5CMWARnNE6GER, Gavemor DEPARTMENT OF HOUSING AND COMMUNITY LIEVELOPMENT �aStfvG DIVIsIon of Codes and standards Q .. V y�r Title Search a Dare Printed : 01/21/2004 aEi1�� Decal #: LAU2637 Manufacturer: 90086 CHAMPION 14M BUILDERS Tradename: WOODLAKE Model: SW675W Manufactured Date: 09/24/1991 Registration Fxp: First Sold On: 11/25/1992 Serial Number HUD Label / Insignia 09926753061A RAD608576 09926753061B RAD608577 Record Conditions: PPF Exempt Registered Owner: Use Cade: SFD Original Price Code: AKJ Rating Year Tax Type: LPT Last ILT Amowit: Date ILT Fee Paid: ILT Exemption: NONE Length Width 56' 13' 56' 13' JOAN STEIN 99 SUMMERLEAF DR BERRY CRL•EK, CA 95916 Last Title Date: 03/26/1993 Last Reg Card: 03/26/1993 Sale/Transfer .info: Price $36,414.00 Transferred on 11/25il992 Situs Address: 99 SUM.MF.RLEAF DR BERRY CREEK., CA 95916 Situs County: BUTTE Title Searches: FIDELITY NATIONAL TITLE 455 ORO DAM BLVD SUITE A OROVILLE, CA 95965 Title File No: 105050 *** END OF TITLE SEARCH *** k6A,-6�- r*15 �_I 01/21/2004 09:08 FIDELITY TITLE OROOILLLE 4 8735091 53C 1977 3443 01.121,104 (14:48 F. -O' 5:10 8779 3.143 !,)kiil•.i1 il-%09wNQ,;OR@(1C67t'C05�9f: 9lR-"'0° �1/+01 l5tk*Q �o Ira* .;Lmv m (ON am Acme trw t ®, ark ROabr�i� s ®. Q;1O WM'lt$G1MJDMMtr LM, 1:►ti,Se�md A MMM and Isla Ouse :crit! Ce►u62 4u$ rdu ! ill 3 mtrvAu f loin maty® A61rrQeel. �,A8591d Ctilfd=o .lo OVU665 1 R�'dO1° glLQmb S4-As>,R-98 1 puaL ux n ISE ......��...... _. _ __ OUTCLAIM RiiD �T�'�yfm�tsv (a) dtuFrntol: 'RJS cm,roraa�e trs,!ufara 1]'A gra~ti>,o'+� ogaG1 into a 1Q,etiaable living 7h�t R d! T i l M 1. Tam b so mo ldown to 111b twote ad is omeludw Om mimruwgmlw Preto r;tsaa 13.1 e.• CaW mica Ca1A t I A ::CCOM 1, a btA, (I'ma5cr0ary 7awfy Toa • 0, ) MM it1N 0, SWO and JOW U �xnl1, 7tt4 Mk as J%M Wi dnv, h MbY W993 8, REM46M AND OUfTCUMS In No inn 0catV .130n wid JO> m NibsSle]n, aTru4nd Of ?to Neta= ug Jon btcio Fmtily Tut Ow. i..O�= .1996 010 4011e148120,10cd raei prepeW--5 Mciv of 84M G4auk. County of 5mr. style vrulr rpnia, qVf BWO1 P wC ATTht 'M 1.7A.UNO AND NY flNpl;Mtr MOP AN PRRB U. PART RMCOF, filem eemmemly Imowm as: HS lumu*d Mine. Bert• ty=1. 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South 71 ° O3' 7,Y" TAS 113.17 n+C n+eace, Soarb 87° I!' 25` Fact 1/39.16 fcs� /hatter t1uhA D1 ° Or)' 314' FJmt 17JJ,4! !tom Hmca tib 77r A I � S8" btpt 71.« tiel tq dtc butt lae M oho n8�7ve ��'."i. t;7..•:r.:'..t� '� :::G.71:n3 �S b•�i Gs cai vraba �7' �eril7i+:. De• c— ioti.:,r,: RLitto,C4. 1996.30043 Rzaq. 2 of 2 NOTES r� JOB FINALED (Date) 9 &> Signature RESIDENTIAL STEIN, JOAN 04-0170 85 SUMMERLEAF DR, BERRY CREEK CONT: BRODERICK, BRUCE EX MH ON PERM FND THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S.– SPECIAL CONDITIONS CHECKED BY — SRA _ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. —SPECIAL INSPECTION ITEMS _ VERIFY — USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER J=OK 0 = Not OK . = Not Readyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams- Rftrs-Connectors 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Date POOLS (Plans) OK except #'s 6. Gas; Location -Test-Wrap; -/ P' L 'ft. / /'Nat. or/ P' L "ft./ , P LPG 2. 7. Well Clearance & Disconnect Pool Structure; Steel -Connections -Thickness Dead Men -Lining 8. Utility Clearance 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins..to Main Conduit Card B-1 Date Card B-1 Date Plumb.; Cir. Test -Water Supply Test 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. Tie Downs-Type=Installation Cert. 10.. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zon Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line 3. Blockin j4. % MH Test -Demand -Valve 5. Electricity; MH Test pier; MH Test 7. Water and Sewer Connected / aid Electricity.. Tagged 9., -Exits 10. License Decals 11. Verifv #.'s with Office Date g,r/ Card B-1 Date Card B-1 Dater-` Card B-1 Y Date Card B-1 77 £d MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Roof; Shthg-Roofing 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 Service -Riser Conductors & Ground Main Disconnect 1. Zoning -Setbacks -Easements -Flood -Slope 33. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Clothes Closet Light -Shower Light -Spa Light 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 35. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Card B-1 Date Card B-1 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test MECHANICAL (Permit) OK except #'s 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 36. 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 Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 15. Access & Ventilation 40. 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Sills Proper Materials & Anchors 18. Water Pipe; Test & Anchor -Nail Protection 42. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access Bearing Walls over Girders & Floor Nailing 21. Test Tub & Shower, Second Floor -Tub Access 44. 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 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 ❑ Yes ❑ No Date 32. Service -Riser Conductors & Ground Main Disconnect 47. Hangers -Post Caps -Anchors -Connectors 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 35. Smoke Detector 52. Garage Fire Protection Framing -RC Channel Date Card B-1 Date Card B-1 Date 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 57. Siding -Nailing Veneer 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 62. Insulation -Walls -Ceilings 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 72. Elec. Outlets at Wood Panel, Int. & Ext. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters Cl Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Dy dr -70 ASsE ffAndu-$F�7 � ZONING BUILDING PERMIT 'NJVUbN STEIN 589-3312 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNIFMAILING ADDRESS J SUMMERLEAF DR BERRY CREEK CA 1456 R 78 624.00 CONTRACTOR'S NAME BRUCE BRODERICK 873-5059 TELEPHONE CONTRACTORS MAILING ADDRESS PO BOX 786 MAGALIA CA 95954 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 78,62 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 272.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 85 SU*1ERLEAF DR BERRY CREEK CA Energy Plan Checking Fee $ $ PERMIT FEE $ 315.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 —Eachas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PERM EM FX MH Gas piping stem 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $90-00 ELECTRICAL PERMIT Filing Fee 20.00 800VOR LE Main Service A 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 ' full force and effect. /POWER License Class Lic. No. Q 7� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pro isions of section 3700 of the Labor Code, I shall fo with comply w' those rovisions. V 7/ X Date � Signature of Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavatio s r 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To IDDDA 46.00 NEW CONST. DWELLING OCCUR SD OR ADDNS. ( a ACC. BLDS. 3.5QFT; R OSID. MULTI-OUTLEr @7,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FD(TURES 1120 @ 1.000 of'"ED EDAAM oR� 5.00 Ex. Occup. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 365.50 HAz. SEs 1=P °� PARCELPD HD Issu This permit is hereby issued under ofjtheButftte Co ty Code and/or ina ve or which fees have �f,� By ""' _ ` PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate a 0� fe Receipt No. / WHITE-D.D.S.-B.D. A A Y -ASSES R PINK -INSPECTOR GOLDENROD -APPLICANT • "OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION $ 7 County Center drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT (!' APPLICATION AND PERMIT T � --� $ (Rev. 12/96) 2000. M=. Wring „SSESiIR,M„COL - BUILDING PERMIT $ 3(o a SQ. FT. OCC. BUILDING VALUATION CPAWM 0 �'�33i� 45rn 8 ��- Heating �s M Aeep Lefr- oe. �� Cry Cooling TE7.�liINB 6.50 .. CONSrRUCTM U30M Rreplam O wwars MhAm Amms Total Valuation $ MOW= EJB � Film Fee154-5/.z $ 20.0 Permit Fee ' $ MOW= OR oxaN�s MUM Ants Plan Medan Fee $ suunwcrAonaEss Energy Plan Checidng Fee $ &aa�� Is PERMIT FEE S . LOTNO. suawosroKsn� '""O�''"� PLUMBING PERMIT Firing Fee 20.0 Each Tr 7.00 . USEOFSTRUCTURE Soar or heat pump water heater 23.00 SF O Duplex Q Ntobl®home ❑ 00w - Water plyfing 15.00 1 5 — SF60WY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping 1 - 5 outlets 15.00 1.5 New ❑ AddW= ❑ Remodel 0 U01iss ❑kww"m ❑ Other ❑ Building sewer 15.00 Q –p e5& ,A A �"` AAobile Home S G W @20.00 Describe Work: /- [=./C. ,Fyd PERMIT FEE $ y ELECTRICAL PERMIT k Main Service ( PERMIT FEE PAID sRa $ SHERIFF $ OTHER $ AAobile Home Facilities 2000. M=. Wring 23.00 AMOUNT RECEIVED $ 3(o DATE RECEIVED. � a WM..SWvice ( 2WA To WMA NEW CONST. i D'WFL7Ma OCCM g Fee 20.0 23.00 46.00 3.50' .5)7:50 Er- Occup- WnfroR MURES a arp Ex. Otto � 5.00 Temporary Service 23.00 AAobile Home Facilities 2000. M=. Wring 23.00 PERMIT FEE .s MECHANICAL PERMIT ung Fee 20.0 Heating Cooling Head 6.50 Mtobile Home installation Fee is Energy inspection Fee Is TOTAL. FEE 3 OAZ gEEES UNP a7 I CIF p/WGg, FD. HD This permit is hereby issued under the applicable provision of the Butte County Code and/or Resolutions to do woi indicated above for which fees have been paid. By Date 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: v TC/^J ASSESSOR PARCEL NUMBER Proposed Building Use: �EPh' FA/ 6 Ex q14 Counter Technician: SCh Date: Ts required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy'compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, 4e-dcwa4r fnd plans, all in duplicate. . ❑ 9. Metal bldgs: (A) Metal Bldg Plansi (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required...'..................................................................... ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit .... :................ ........................................ ........... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... .❑ 26. NPDES Form.........................!................................................................... �/ 27. Encroachment Permit.for drive ay rom the Public Works Dept.... ....................... G 28. Pre -Inspection for ZZ) 6, -)required....... '(� 29. Contractor's license information. (Number,'Name Style, lassification)................... ❑ 30. Worker's Compensation Carrier and Policy Number ........................................... ❑ 31. Owner -Builder. Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.; ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired ;permits ......................................................... 0 36. Deed Restriction.H. Title/Stat.........................................................../..:... JV_ 37.�Grant Deed, �M emer acts-f�-L-etterf, omrtegd-ewfrer,.❑J, heck to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 3and hold for pickup. I have been informed of the abc tve items and requirements for obtaining a building permit. Applicant: C�/� i__Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner was advised of the abo data by ❑ phone, ❑ mail, ❑ co =ter, btd_ - _ y Date: Plans reviewed by: Date: • b` 0 Plans approved by: _ Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division REQUs Location: • Owner: .,X1— 0( Ief2 Contractor: Call Lj Phone: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.0 PR IN PECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Piping/Test Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Ven fv Woodstove Sewer Piping Well Circuit x He Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Final Final Final Corrections Ready for Final Inspec. on: ��� / f Date: Com anent: ,� � PRE4NSPECTI4 : REP.ORT OWNER:_�}� tie/r►� DATE: oZ LOCATION:_ 9,6- 6V-in,17WX?Z&rF UGC, iP�e/ c�i� A.P. #_ CONTRACTOR: _-zg (% /J/wael (GLS ZONING: V PRE-INSPETION FOR DATE TO INSPECTOR PERwr mnoRY:( ) NONE (ul /As BUILDING INSPECTOR'S REPORT Building Description: Electric: Gigs: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Yes No Electric currently On -Off, Condition of Electric Natural Propane None Currently Op Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious Sewagel?roblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. Date = / Sketch buildings on reverse and indicate location on property. A COUNTY OF BUTTE - DEPARTMENT OF ®EVELOPI&ENT SERVICES - BUILDING DIVISION County Center Orive •t�Orovilie, Californiagi�95965 • Telephone (530) 538-7541 O�P�� APPLICATION AND PERMIT (Rev.12/96) sEssoRPARce u BUILDING PERMIT -.7�-v Sp F% OCC BUILDING VALUATION FKE, 8 �0�4 Ole c� CO WS 00 9 MAam - commucraMUMER -MAP= UMER s aooREss Total valuation $ ARCWrMToRENGDMm ua'EErm. Filing Fee +5 2 $ 20.0 Permit Feel$ ARCM M" OR avMMEEa ,a n= Ani $ Plan CheckingFee suRoerc�AnaREss - �� i Energy Plan Checldng Fee $ C PERMIT FEE wfe suaoros,onisr nARcrs "qP PLUMBING PERMIT Filing Fee 20.0 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex Q Mobilehome ❑ Other Water piping 15.00 15 — spawr Each gas water heater or vent 15.00 TYPE OF WORK Gas pVng system 1 - 5 outlets 15.00 l $ Now ❑ Addilion ❑ Remodel ❑ Uiilr w ❑krs ❑ Other ❑ Building sewer 15.00 n��� ��� ��l Mobile HomeIS-1G W1_ @20.00 Describe Work: J'" PEMIT FEEE S ELECTRICAL PERMIT Rl'mg Fee 20.0 Main SerAce ��o�RLL225 23.00 Msin ..Service 2AA To IOWA 46.00 ria coasr. aweuUm occw� 3.50SP aR Aaorrs. t s Acc. ams PERMIT SEE PAID $ -� 07:50 r3c .o«cu. ounEronRcroRes Ex. O -u . u sA '& 5.00 �p SRA Temporary Service 25.00 W16bile Home Facilities 20.00 ' Mise. Whin 23.00 SHERIFF � PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.0 Mgr OTHER Heating Coolie Hcod 6.50 Ventilation _• PERMIT FEIE S h4obile Home installation Fee $ 1 hh 9 Energy inspection Fee Is OOWT Ttlt= TOTAL FEE $ S. C"—? -1 ►tAz a [mss tup o coF iARcs. vo AMOUNT RECEIVED � � J LJ This permit is hereby issued under the applicable provision of the Butte County Code andior Resolutions to do wo, indicated above for which fees have been paid. ®ATE ®ECe4VEA • I. r � By Date W-2943 PX STEIN, Norman & oan 85 Summerleaf Dr,�Y Creek mhu a0 \' /9 ELEC 3 j 0 GAS °ST Q !(�0 ACTN SUPPORTIOTRCT RE -n��'1 92-3972 NII�I STEIN, Norman & J an Creel%'2'90 85 Summer Leaf r, Berry contr: MH Ce er mhi 062- i69- .92-4201 B STEIN, Norman & Joan 85 Summerleaf Dr, Berry Cree 2 open decks/mh )-.29-93 _.29_93 I� r 7 �I ' y 1 RESIDENTIAL 92-4201 B. ; 062-23-0-073 STEIN, Norman &Joan Creek j 85 Summerleaf Dr, Berry 2 open decks/mh l ��� /i f �csf l��c►t&T�el�er JOB FINALE Signature J=OK . .0 Not OK = Not t Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except q'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./ 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 exceptg'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 DECKge-eOVERS, CARPORTS, GARAGES, Plans OK except It's te'Sning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- 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• -hthg-Roofing 113erk; 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 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel -Elea 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 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 1 Date ELECTRICAL (Permit) OK except O's 22. Fixture & Transformer Clearance -ins. -Protection - ------------------- 23. Elec.. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors-Stapled ---------------------------------------------------------------- ------ ---- - Romex Installed Close to Edge of Studs & C.J. - ----------------------------------------------------------- 26. Equip. Ground made'up w/Meeh. 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 -Meth. 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 a's 34. A.C. Ducts Insulation & Support --------------------------------------------------------------------------------- - 35. Vent Fan: - - Exhaust a--bove 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 1+'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) Daje FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-root 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 -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 It'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 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 Fire Door; Swing -Landing -Closer ----------------------- - - 73. 'A.C. Duct in -Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection --------------------------------- --- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck -Const ruction -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. ---- ----------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 13-1 Date Card B-1 Date Card _B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 41 X.7 UNTY OF BUTTE - DEPARTMENT OF nty Center Drive - Oroville, California 95965 - PUBLIC WORKS Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING y 062-230-073 •U BUILDING PERMIT OWNER Norman Stein TELEPHONE 589-3312 SQ. FT. OCC. BUILDING VALUATION' OWNER'S MAILING ADDRESS 23 O 1 t Summer Leaf Drive Berry Creek 95916 CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,638.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 33.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $68.00 PLUMBING PERMIT Filing Fee 15.00 R5 Riirnmpr Leaf Drive- 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 SF [I Duplex[] Mobilehome® Other Building sewer 15.00 Mobile Home I S I G W 1 615.00 SPECIFY TYPE OF WORK New❑ Addition [2 Remodel❑ Utilities❑ Installation❑ Other❑ Permit Fee $ Describe work: 2 Open Decks Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 620A00V OR LESS OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW NEW CONSTLLING OCCUP.& . ( DWE 3.64 sq.ft. I declare under penalty of perjury (check one): OR ACDNS. \ ACC. BLDGS. / ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NEW CONSTR. U TI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 and Professions Code and my license is in full force and effect. POWER APPARATUS &) SINGLE OUTLET CIR. License No. Classification EX. Occu Occup(OUTLETS OR FIXTURES 20 @ 76 1, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring -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 of Consent to Self -Insure. Cooling 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 Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ Provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ 68.00 all liabilities, judgments, co s, and expenses which may in any way accrue ' HAz 0FEESIMP FLOOD CDF PARCEL PO H Issu10 1 against said County c quence of the granting of this permit. X Date This permit is hereby issued under the applicable provi- Signature of pplicant — Owner n Contractor ❑ Agent sions of the Butte County Code and/or resolutions to do A„ OSHA permit is required for excavations over 5'0" deep and demolition or construct- work indicated above for which fees have been paid. ion of structures over 3 stories in height. DIRECT RO PUBLIC WORKS Receipt No. 129877 By ate/Z—A/—Q WNITC-D.P.W.. YELLOW-ASS[390R, PINK -INSPECTOR, GOLDENROD -APPLICANT PER PIKES Date / zrzl—S Z n6D COUNTY OF BUTTE - DEPARTMENT 0t PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER/ ^ ^0+1)773 0,2 - rJ� J < ZONING BUILDING PERMIT OWNER nq,A�,�, 6flio -r,-I �J • TELEPHONE 5q-331r.8 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS SU/VALMet' �-��►G f ��v� t2�J f e CONTRACTOR'S NAM wN TELEPHONE CONTR CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 13 $ 20. p.a ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 114 e,,r / (!q F I- ,p Permit fee $ 69 ��sr SCC 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 SF ❑ Duplex[] Mobilehomq Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition Remodel[]Utilities ❑ Installation[] Other ❑ Describe work: T� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1NON.RESID 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 u I, as the owner, Or my employees withwages as their SOIe 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. / DWELLING OCCUP.&) OR ADONS, l ACC. SLOGS. // 3.6Q sq.f[. NEW CONSTR 71 -OUTLET BRANCH CIRITS C @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@ 76d EX. OCCUp. FIXED APPLNS. OR OUTLETS (RESIO.) EA.) I 3.of) Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 of 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 Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner 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. Mobile Home Installation Fee $ Energy Inspection Fee $ I Occ CONST TYPE TOTAL FEE ^ $ 6Q HAz DFEES IMP FLOOD COF PARCEL PO I HD ISSUE This permit is hereby issued under the sions of the Butte Count Code and/or y work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. /aZ / O / / HNITC•D. P. W., TEL LOW•ASSC390 R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 1119/rllA/l/1% 7C/.4 A. P. No. � � a2 '� -3 73 Proposed Building Use0�Agc6s Building Inspector Date��--- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3.. Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees......................... - 13. Flood elevation letter (100 year flood) by California Engineer . ...........:::::.. 14. Sanitation and plot plan approval Qf4v-09 Health Department. . /"L- 7 t 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. 20. Pre -inspection for P ... . re..4nspect'on n'qu�- 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 le- ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. ......, .................................. . 28. Mobilehome utility clearance. .......................................... ....................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34 When y nissue the permit, process as follows: Mail to owner. Mail to contractor. Telephone ;5 33• L 185/ and hold for pickup at - 4::)4dn office. Deliver with inspector. Other Parcel Creation ✓✓ Acreage Applicant *- Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to it issuance: (Circle new item not checked above). 1. Index permit for above items No. S 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by �, Date'27 /Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works The most precious things in life aren't things 1= £ (— P 4 dzCt L A"uMG a lin sd�a o `�°iHnoo -ailing TO` Building Department FROM: Environmental Health w E.H. USE ONIN Hol Plan Atuchal ei Flog Han nu: dwd q SUBJECT: Sanitation Clearance 67 -,23 - �3 Owner' Location jb L��E� AP/# Plan Approved for: Sewage Disposal Water Supply: Publiic Private Well Clearance for bedroom mobile home. Other�(Qj 0 ��� 6 �3� O ��� 3 �(� X��! Hold fi Final clearance O.K. fi NOT peeialist 8/92 COUNTY OF BUTTE'- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION n 'no Attention Property Owner: An 'owner -builder" building permit has been applied for.in your name and bearing your signature. Please complete.and.return.this .information at your earliest opportunity to avoid unnecessary delay in processing and issuing.your-building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and aterials for construction of the proposed property improvement & or no) 2. Iav /have not r signed an application .for a building permit~ for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed*, construction: Name Address City Phone Contractors License No. 4. I plan to -provide portions of this work, but•I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone... Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: -Name Address Phone Type of Work Signed: Property Owner may! Social Secur�umber Date /�? NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 3 � 7 -2 - RESIDENTIAL `062=23-0-073 STEIN; Norman & Joan 85 Summerleaf Dr, Berry Creek mhu Address GAS Meter By "Date ELECTRIC Meter By Date l JOB FINALED (Date) Signature . Al2—z, J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBJkE HOME UTILITIES Plans OK except #'s mg Requirements -Setbacks -Easements So'Is; Special MH Support Sketch Sewer; Location -Test -Fall -C/O Concrete ater; cation -Test -Easement Needed (Sketch) 5. EI ricity; Location-Clearences-Grn -eAmp-Concrete Gas; Location -Test -Wrap: /- /" L" ft. / /"Nat. o "L" ft. "LPG ell Clearance & Disbonnect (,8!15iility Clearance Date 4W1_3&—Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOB E OME INSTALLATION (Plans) OK except #'s i ing Requirements -Setbacks Easements lef Fo 'hgs; Size -Spacing -Marriage Line Ga's: MH Test-Demand-Valve—Connector (/4. Ele city; MH Test -Crossovers -Breakers -Clearances raiD�-MH Test -Fall -Flex Connector (,6!Wat ; MH Test- RegulatnL.Connector Water and Sewer Connected -C/O to Grade -HD Approval s and Electricity its; Insp.-Sketch rt. of Occupants Date ('ZCard B-1 y Date Card B-1 I Date Card B-1 Date Card B-1 1 okl 6 08.5 7.6 SAD Ga�S77 ,N MISCELLANEOUS - Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OR 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- Bea ms- 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 Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = 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 -Bloc kouts-Wra pped 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 Card B-1 -------- -- ----------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture_& Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------- ------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------- ----------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water -------------------------------------------- --------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------ -------------------------------=------------------------- 28. Subfeed Wire Sizer 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-&- P-latfo-rm 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. -Wa-11 --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 ;ingie & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. lies-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 46. 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-Run-Landin 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 #'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. 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 ---------- ---------- -Door-: -------- ---------------: ----- 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-Mech. 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 Rails & Deck -Co 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 ❑ N_o _ 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 --- _._________Card ------------------------------- - --- Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT jjNO. /9Z ` 33172 ` Address or location of mobilehome a 9414 "40 a !Pa F �d - �. C• Owner's name 1r� �.�nr. ya �' rtc iA 4 e v� Owner's address 9q ��� �r Ln. /D _ Insignia or hud number R�'o�_?L F �'7 Manufacturer's name 1�ri�e►'j Serial number of V.I.N. �Z 3QAI </ Year of manufacture cial',Approvirig Installation IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTAkC,,E SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 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 CORRECTION NOTICE 9Z - 3i 7Z - 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 contract this office immediately. E 0,0- D ate ,0' Date 1112- 2 Inspector REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, brovi'lle, CA - (916) 538-7541 747 Elliott Road; -Paradise, CA - (916) 872-6307 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, rY please contact this office immediately. 03- I ", Date Z Inspector REV 11/91 �1I '18 COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ARPLICATION'AND PERMIT ASSESSOR PARCEL NUMBER 062-230-073 - ONING U BUILDING PERMIT OWNER Norman & Joan Stein TELEPHONE 589-3312 SQ.FT. OCC. BUILDING VAL_UAT14N OWNER'S MAILING ADDRESS 99 Summer Leaf Drive Berry Creek 95916 CONTRACTOR'S NAME Mobile Home Center TELEPHONE 343-5611 CONTRACTOR'S MAILING ADDRESS 3130 Esplanade, Chico 95927 Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 5.00 89 Summer Leaf Drive, Rerry Creek PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater F20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomer491 Other 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation l Other ❑ Describe wor _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW under penalty of perjury p y p I y (Check one): I dewand I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$S 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 $ Ie 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 Main service 200ATO1000A) 37.50 NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC. SLOGS. II 3.64sq.ft. NEW CONSTR U I -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e) \SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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. ❑ 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 subjectnult 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 FiIingFee 15.00 Heating Cooling Hood 6.50 ntilation Feeto FP $ ntractor 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 ave, indemnify and keep harmless the County of Butte against all liabilitic dgments sts, and expenses which may in any way accrue against sa' aunty in c ns que ce of the granting of this permi . X Date Signature of Applicant owner ❑ Contractor Agent An OSHA permit is re ired for excavations over S'0' deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 10 ,.00 HAz 0FEES IMP FLOOD CDF PAR L P D SSUE This permit is hereby issued under the Bions of the Butte County Code and/or work indicated above for which fees D CTOR OF PWLIC By I�pwv' PERW —EkPIRES Date applicable provi- resolutions to do have been paid. WORKS Date, Receipt No. 129670 WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT � 4_ ti. c: ♦r e l ri-n1L'r�W t f VL`', 1 r M,I. _ ,r,, ;{'.. - •� ' COUNfY OF BUTTE PARTMENT OF PUBLIC WO BU I -D DIVISION 7 COUNTY G�NTNEK DFUtl OROVIULE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 4)1,M-61 �%J OA Zl S/5//L/ A. 2 Proposed Building Use Building Inspector Date At time of permit application, I was advised the folloMng data must be submitted prior to permit, processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ..:......................................... 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... ZS.Engineered truss details and layout in duplicate (required prior to plan check). .... . Mobilehome data and manufacturer's installation instructions, 2 sets. ..... . eesof $ .......................................... 11. Impact fees as shown on attached schedule . .............................. z Z- 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Dtainage............ 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -Inspection for Prednding Ins ectors - 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 . ............................................ 9� 29. Documentation of legal access . ........................................ 01 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits` ...................................... 32. Plan check list. ......................................... . 33. s . 34. When yo 'ssue.the permit, process as follows: Maims caner. Mail to contractor. Telephone_ and hold for pickup at /(J� office. Deliver with inspector. Other Parcel Creation 00, /� �� Acreage Applicant 4 / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution 9ddte Copy of plans sent Health Dept. Fire Dept. Other fe By The following data must be submitted ' 1. Index permit for above items No. _ 2. Additional items required: it issuance: (Circle new item not checked above). Cont tor, designer, owner, was advised of above required data by�phone _ mail Counter 6WDate % Contractor, designer, owner, was advised of above required data by _ phone _ mai Counter by _ Date Plans checked by Date Plans approved by Date LL-&, .7 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 AP.PLICATION•AND PERMIT ASSESSOR PARCEL NUMBER — 51325 —Q'! -3 ZONING G{ I BUILDING PERMIT OWNER- LS P / h TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER' ILING ADDRESS 0I/er Cd CONTRACT R E TE PHONE CONTRACTOR'S AyING A DRESS i 0 �s �% �%d�- /�U Fireplace CONSTRUCTION LENOEYR / UNKNOWN Total Valuation Is LENDER'S M 4)4 s Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 0, 0 p ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS / J E C- Permit fee $ �� PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.001 Solar or heat pump water heater 1 20.00 LOT NO. SUBOIVI ION NAME PARCEL MAP Water piping 7,00 Each qas water heater or vent 7.00 USE (IF STRUCTURE SF ❑ Dupiex❑ MobilehomelAf Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G 1W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work:_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORRLESS 18.50 CONTRACTORS LICENSE LAW I decla a under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and n y license is in full orce and effect. License No.,2�f 9Q& Classification L ❑ 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 Main service 200A TO 1o0OAI 37.50 NEW CONST. /DWELLING OCCUP. f\ 3.6d sq.ft. OR ADDNS. 1 ACC. BLDGS. / NEW CONSTFLULTI.OUTLET @ S.00 NON•RESID BRANCH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. 20 76d Ex. Occup(OUTLETS OR FIXTURES A FIXED APLNS. EX. OCCUp. OUTLETS PRESIO.IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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 of 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 Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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, indemnif and keep harmless the County of Butte against all liabiliti , judgments, os an expenses which may in any wa accrue against s 'd unty in nseq nc f the granting of this permit. X Date Owner ❑ Contractor Agent ❑ Signature of Applicant —/addfor An OSHAwork permit is req excavations over '0 ' deep and demolition or construct- ion of structures over 3 tories in height. Mobile Home Installation Fee S G Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �S 01 HAz OFEES IMP FLooD CDF PARCEL PD HO I ISSUE This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 2Receipt14!�No. rNIT[-D.P.W.. YELLOW -ASSESSOR, PINK-IN3PECTOR, GOLDEN POD -APPLICANT 090 <)y 145 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE,- OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 �N47 ?ROPOSED BUILDING USE A.P. NO. �o -Zed G% DATE % Z REC. .if; DATE_ REC School Distric Fees- eizj C/�/ (paid at District Office) .,,. ............ 2. Sheriff Fees (paid at Building Department) - Re sidential epartment)- Residential ..........% unit amt. Commercial(per sq.ft.) X =$ sq -.ft. amt. 3. Urban Area Fees (.paid at Building Department Residential- (per unit) X =$ units amt. Commerical(per sq.ft.) X =$ /�- sq.ft. amt. / ► .•:�4. Recreation District Fees (paid at District Office) <U �' 5. Drainage District Fees (Contact Land Development) ...... 6. Other 7. Other lMo //-175z At time of permit application, I was advised the above fees are required to be paid prig- to issuance of the vermes APPLICANT ATE 6 c� a -a 3o=toy � : i o � -.a � v • BUTTE to NTY;SCHOOLS 154PACT FEE CERTIFICATION FORM (One Form Per Building) j:. School District A.P. Number ��� �31� '� f Jurisdiction Property Owner ,2��;,%�9L Building Department No. Cityt�' County Property Location%Address Subdivison Lot No. Residential Development ©� 0 Sq. Footage j No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 0 New Addition (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Ar 'as) Date `l J V U District Identification No. k't ,f P , , 7 (� School District certifies that ' �, 61 (Applicant) (Street Address) (City) has complied: wi representing3 3 ,� ,; (State) (Phone Number) (Zip Code) 41 the requirements of Resolution No. 'by payment of $ C 4QA yb _3 , sauare feet. School District Representative Paid by Check Number Bank Number Paid by Cash Date Remarks: ��% �, K If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to _additional school fees to fully mitigate its imaact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) 2. Installer's Name : `% G �� L4 T' G✓I'► �1�,-v t�rL l..:c �0.--: _the .site .currently under permit?---. _Yes - _17] = N— 0_ ._ y,,.a•,,- _.ter:. '�'.. _...:."^"`"""""� (If yes, furnish -permit number.-p�� - -Is �the -site -an ..existing site? ,__ • Yes No ^1 /-14 yes, fuihish5two plot plans.) - --�-- 4. Will the'-mobilehome bey -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-ratin ?--------------- —~- g - l G v - Amps..._._ 6. 12. What is the mobilehome site service rating? ------------- Amps 'f 7. What is the mobilehome site circuit breaker rating? ----- / O U Amps 8. Is there �k ••, r; load -to be served by the Y `�'•'e h•�:. .r. .� 1...} 3C 7'i SW,t f vr..s fe L+r�} ,7 S'�4, .,.[ti Yea No �:. �{ (If yes, identify the /' load and sizer) (Load) 2' U _(Amps) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS .J»•. mobilehome site gas pipe size? -------------- � . •7 County Center Drive, •Oroville, 'CA-*", 'r ------------------- Natural PHONE: -538-7541 '� Yy '�• r....rM:�w,•.++.+n+•.r�+we. .,•T._.-. a•. wt•vsr.I1+• ..,.,.,,... a.•>. w.l•1.7,._..w .. . r •wM aw.. ...w.... w.. . .a+lW1+.r.. .wwa..�r•,w....r4..•.w+•...w.w '. •p.ur ..t`d "ew•. ...a�:sa+a.:✓ ' . ..._ +� - the --' -- ••----MOBILEHOME -INSTALLATION~ SHEET ------- - ---r_- i " mobilehome? ----------------------------------------- ---------------------------------------------- yY41. MOwner•'a -Name:.l<��. 2. Installer's Name : `% G �� L4 T' G✓I'► �1�,-v t�rL l..:c �0.--: _the .site .currently under permit?---. _Yes - _17] = N— 0_ ._ y,,.a•,,- _.ter:. '�'.. _...:."^"`"""""� (If yes, furnish -permit number.-p�� - -Is �the -site -an ..existing site? ,__ • Yes No ^1 /-14 yes, fuihish5two plot plans.) - --�-- 4. Will the'-mobilehome bey -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-ratin ?--------------- —~- g - l G v - Amps..._._ 6. 12. What is the mobilehome site service rating? ------------- Amps 'f 7. What is the mobilehome site circuit breaker rating? ----- / O U Amps 8. Is there any other electric load -to be served by the mobilehome site -service? -- P------------------------ Yea No �:. �{ (If yes, identify the /' load and sizer) (Load) 2' U _(Amps) 9. What is the mobilehome site gas pipe size? -------------- � (in.) 10. What is ------------------- Natural LPG the type of gas service? 11. What is the gas pipe length from meter or tank to the .77 " mobilehome? ----------------------------------------- ---------------------------------------------- 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) COUMVt Geo PE ._ .... B JTTE C _ ...._._ _.: U NTY- . -- N0V 1 0 1992, BUILDING DEPARTMEN A•PPR � ® V E D • y lf.tio*her than single wide, Mobilehome Mfr. 1-1/4-' i'r� l furnish Setup Model No. �� 7 Year `r _ Width (ft.) ., Bozo ;Length �(ft.) Tagalong or Expando Size fAft. On. all mobilehomes manufactured .after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS.(check one) 1. Wood -pressure treated or foundation grade.2. Other (specify) . SUPPORTS (check one 1. Concrete block. 0 2. Other (specify) Pier Footing Sizes and Locations SINGLE-61IDE MULT11W1DE •• - --Line 1..._ _...... ... 11rit, 2� — — Main Beams �Snc l Deese — — — — — — — — — — ",*—Line Y Tag or Triple . ... ... ...---... ,� Line ' Line 1 Piers: - - - -_ .__.__ Line 1 Oeeninas r _ . Size -Min. .......... -- Size -Min. ................ �i Spacing -Max. - ------- Each Side of Openings From Ends -Max. ----- Wltn Width Over ............ " Line 2 Piers: Size -Min............. ---........ 'Sl 3or' spacing -Max........... From Ends -Max .------- Line 3 kouf loads: Size -Min.------...••. Location (Pros Front) Line 3 Piera:' (Under Bearing Wall -Only) Sise=Mio................... Spat ins -Mas ................ Prom Ends -Max.............. „ • F L "x3 2"x 3a 'k3o 'k icyl 12^x3o^ %2'.36- k Lint 4 Yler^• t •••. ,.. ,. ... Sise-Min.----------- Spacing -Max .-------- ` From Line S Piers: (Under bearing Walls Only) Size -Min. Spacing-Max.............. From Ends=Maa:".... ------ sin-Min............ - - of _._ SOX–:::Y "of ,j� h ..X Location (From front) T`r`E Ct)UNTY rz' s TM r���la DEP,�IRTf��iT �• +, ifr^Xr Jk+ r• . �� .w ° tE+a... ' �s - .)7y„ :a°;+ a i-:_" ,• E__ ' � •'� - `fit. , .. . itr; . NOE:—/ill fventanals & Wbr& Acc rdanca with Recognized of a uality prescribed for the the 89 in � ;s and 1 yin the - ---- ----------- _-- ---. odes and -.. Location of structures & equipment shall be as shown & clear of all easements. ,5� ✓moi �£ G1�2 � Environmental HeaRh AUG 18 1992 Oroville, Cal fomia This set of plans and specifications iAUST, be kept on the job at a!! times vr;d it is un!al.�,fui to matte any changes or aitarations on sane M pout written permission from the Deo Works, of Public Works, Coun#y of Butte. N L y- — -OV ED Cutte County Environmental Health �� _ y�_t� Date -_BUTTE �OUNTY BUILDING DEPARTMENT A P P R O V E D Y2� a O Svwl" £i2��4 In -ro/vr "Coo 191A65 Noilr, (- Omc o 5(*,-� Cie 13 M I -e- d f PPS_ oue)cp- -!S 5 (6- f -7Z 8N VI A r -:I- el,4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N 92-2Q41 ?17) ASSESSOR PARCEL NUMBER 062 �30-073 ZONING U BUILDING PERMIT OWNER NORMAN & JOAN STEIN TELEPHONE 589-3312 S0. FT. OCC. BUILDING VALUATION/ - OWNER'S MAILING ADDRESS 99 SUMMERLEAF DRIVE BERRY CREEK 95916 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 85 SUMMERLEAF DRIVE BERRY CREEK 95916 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 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home 1 (0 C; If @ 15.00 5.00 TYPE OF WORKrryy-� New❑ Addition[]Remodel❑ Utilitiesu Installation❑ Other❑ Describe work: MH U 3 BDRM Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 LES Main service 200A OR LESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under El p provisions of Cha t. 9, Div. 3 Of the Business and Professions Code and my license Is In full force and effect. L" ense 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 Main service 200A TO IOOOAI 37.50 OCCUP.&\ NEW CONST. DWELLING OR ADONS. ACC. BLDGS. // 3.64sq.ft. NEW CONSTFIULTI.OU TLET NO N•R ESID BRANCH CIRCUITS) 5.00 ( POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20 76d FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 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 I 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 Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 li iti s, judgments, costs, and exp nses which may in any way accrue agai st sa'd County in co�.sequence o ranting of this permit. X Date ` C� 9 Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 28.5 HAz DFEES IMP FLOOD cDF PAR L PD D ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do j indicated b e for which fees have been paid. 'c DI E OR BLIC WORKS By. Gam- Date/6, 1 y 5 nature of Applicant — Owner 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. Receipt No. 122499 PERMIT EXPIRES Date r WXITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT NVA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95985 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCRL NUM R ZONING (% BUILDING PERMIT OWNER IV I �TfIW TELEPHONE -M 3312. SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Afelily GE'«' 06%11.6 CONTRAC OR'S NAME TELEPHONE CONTRACT R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $-q•g-�� Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ IQ 0 . C9 LT_ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ Z Q • r_0C7 PLUMBING PERMIT Filing Fee 15.00 Kr ree /J l6 C' 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❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 Z737W TYPE OF WORK New ❑ Additiofn�❑ Remodel❑? Utilities K Installation❑ Other ❑ Describe work: �/ uhf ' y , 7 �� _ " I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 5� Main service 20CATOI000AI 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 Code and my license Is in full force and effect. License Ao. 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) El 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.B\ OR ADDNS. ACC. BLDGS. II 3.64sq.ft. NEW CONSTR. ••ULT I.OUTLET NON.RESIO. BRANCH f_IRC 'ITS 5.00 POWER APPARATUS e (SINGLE OUTLET OR. Ex. Occup(OUTLETS OR FIXTURES 20 76d Ex. Occup. ours TS �RESID IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 1 15.001757— 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 of 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation penult 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 said County in consequence of the granting of this permit. X Date 5i nature of Applicant - owner 9 pp ❑ 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. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $�f HAz 1 0FEES I IMP I FLOOD CDF I PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS • Date Receipt No. as �' f 1 WNITE•O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Ok h h BOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE' - OROV4LLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER orMAA J",3 �cir �eP� No. %z- 23t�'U�73 Proposed Building Use 1111t1- Building Inspector Date 9Z 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.........................................1 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........� 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year fl000ddby Qaliif rnia Engineer . .............. . '�e- 14. Sanitation and plot plan approval Health Department . .....:...... 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ -�'�18. Contact Land Development about (A) Improvements (B) Drainage. ......... C3 V<_- (9. Driveway permit (construction approval required prior to occupancy). . . Pre4;sWct6 reque Pre -inspection for required. .. to Building Inspector (Date) r1. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... iJ 23. Owner -Builder Verification (Given to owner Mail to owner ).............. 24. Recorded copy of Agricultural Acknowledgement Statement ................... Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the ermit pprocess as follows: Mail to owner. Mail to contractor. y TelephonegE, 2- and hold for pickup at 0 office. Deliver with inspector.* Other Parcel Creation I a-73 0.// -J-/-7 T-7-6- 4 c ^� Acreage Applicant f"'� Date g 19TI 9 Copy of Haz-Mat form sent Health Dept. Fire Dep Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Ot Date By The following data must be submittedp to per ' suan :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 _ mai Counter by _ Date Plans checked by Date Plans approved by /, _049cJ Date Z Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works f Z$_y2 a//E'd- Afj:�, TO:. Building Department FROM: Encroachment Permit Section RE: Driveway Clearance O -W 1'7 S -le l aT a-, owner location �Z-z3- 7� AP # Driveway permit 1?04C !2 ��/ has been issued for the above property. si ature date TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance i�e '93. Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Final clearance O.R. for: Clearance for L�5 bedroom mobile home. NOTE * * * Water Supply Water Supply Other L b jj�. j ,> qqcq Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBL 7 County Center Drive - Orovllle, California 95965 - Telephon r` = APPLICATION AND PERMIT nrvG 99 SUMMERLEAF D] ONTRACTOR'S NAME _ BYRON GARRTCK =ONTRACTOR'S MAILING ADDRESS -ONSTRUCTION LENDER _F-NDER'S MAILING ADDRESS -RCHITECT OR ENGINEER aRCHITECT OR ENGINEER'S MAILI =UILOING ADDRESS 9-S sum _OT NO. SUBDIVISION NAME 5216 ' _ TELEPHONE JNKNOWN -(CENSE. NO. CREEK 9' PARCEL MAP USE OF STRUCTURE z.,=[] Duplex❑ Mobilehome® Other SPECIFY TYPE OF WORK i NewI Ad(d�ition Remodel ❑ Uti lities n InstallationE] Other ❑ Besibe�rk: ii _3 RIM I CONTRACTORS LICENSE LAW Jam.& 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 Profession:; Code for this reason WORKMEN'S COMPENSATION INSURANCE declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on fi.le with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of 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 :o the W. C. provisions of the Labor Code, you must forthwith comply wit) such crovisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information -s correct. I agree to comply to al,l County Ordinances and State Laws relating :o building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ! also agree to save, indemnify and keep harmless the County of Butte against =11 liabilities, judgments, costs, and expenses which may in any way accrue agains Z County in conseque ce of the granting of this permit. XDate sign ure of Applicant — Owner Contractor E Agent ❑ . SHA permit is required for excavations over 5'0" deep and demolition or construct. on of structures over 3 stories In height. receipt No 1— TIt 122499 YELLOW-AeeE730K, PINK -INSPECTOR. GOLDENPOO-AP►LI CANT SO. FT. Fireplace 1 a Total Valuate Filing Feed Permit Fee; Plan Check Energy Plai r � _ Penalty Permit fee PLW Each Trap tom-- �"'�-� �! ' ✓, i Sol aror hea [+�� � r r Water pipini L1` `� /� ��/�•i Each Clas w Gas piping ! Building se( Mobile Homi r� - Permit Feel Contractor I! ELECT Main servicj N —� Main servici NEW CONIST.I M J OR ADDNS. I WC JJ _�-j ,•� /l /y,^ NON.R ESI D.f. 1 Ex. Occup(' �� �J Ex.Occup. ✓"' i� Temporary q Mobile Homy t Misc. Wirin' t Permit Pop 01,111 w _ _ 46.7U Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Venti lation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ i This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Gate *iur` to DPW AGRICULTURAL STATEMENT OF AC',KNOWLEDGE►MEW 9 2 3 7 3 3 0 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte' County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent �I to land or included within an area zoned I Rec Fee 8.00 F or agricultural purposes, and residents I Cash 8.00 of this property may be subject to incon- , Recorded I veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I but not limited to cultivation, plowing, 11 : CIL III 19 -Aug -92 1 PUBL XX 2 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent .property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property., situate in the County of Butte, State of California, described as follows: /+7r/� 01 Oce - o Date: F— /?-'9Z ,c5l�, LC&AL PROPERTY OWNERS: State of On this the l/„day of , 19before me, the SS. undersigned Notary Public, per onally appeared County of _ F1 Personally known to me. ” Proved to me on the basis O OFFICIALSEAL of satisfactory evidence. T61EtAJ.GUDGEON to be the person(s) whose name(s) js MotARV PU�LIGCp�IFURNIA PdRclpM coins Uflf subscribed to the within instrument and acknowledged that 5he_ wNoom`e.exaRCHes executed the same for the purposes therein contained. IN WITNESS eo®®tP�,Pg®®® ®®e P P WHEREOF, I hereunto set my hand and official seal. Present A.P. No. oZ 427 Not ry Public C r A portion of the Southeast quatter of Section 35, Tow. Up 21 North ,�- :; F t • y:bPj_ngm S East, N.D.B. b H., Butte County California, scare particularly described follow ; .+ as :- 4 ` t W121Dr.-I C at a point on the East line of the Southeast quarter of = „ Section 35 aforementioned, from which point the East quarter et z, t •; : of said Section 35 bears North 00. 29' 04" East, a dista.-tce of 876.52 feet; thence South 89. 39' 23" !lest 170.00 feet to � the true point t,. ,of bei nein^ for the parcel of land herein described; i'' £a;; • �, : g o es r bed; thence, from M ? said• true point of beginning, South 00. 29' 04" 'West parallel with the tost,lire of h•aid Section 35, a distance of 200.00 feet; t?enee, . . Scuth 89. 39' 23" :lest 170.00 feet; thence, Worth 000 29' 04" East iq_parallel with the East line of said Section 3S, a distance of 200.00 ?4eet; thence, North 890 39' 23" Fast 170.00 feet to the true point '', %• L of beginning !ITR xn RMV. l?* •(�1 i(.F f: right of way for road and public utility purposes over a stri" 'of land 60 feet in width lying 30 feet on each side of the followit de#cribed centerline: portion of the Southeast quarter of Secticn 35, Trwnship 21 North',,[ 1A 4. range S East, H.D.B. b H., Putt* County, Califorr.ia, more particularly; ': described as follows f. .'•; y�'i UMNIfM at a pcin of tM Southeast quartet of , r •d ' t en the fast line r;!Sectirtl 35, aferement'lened frrm which print the rest cuerter crrT+ir'cf'aeid Secticn 35 bears North CO. 29' 04" East, a distance.:T.,. ;, rt; 876:52!feet• thence lesvinn said print on the East lin* rf the ,i' J r` `• Sarlheast " qua rter of said Section 35 and running South 000 29' 04".:�;":!:r.: a dtetance of 400.00 feet along the Fast line of the Southeast'>>,!r a• -''quorter >' of taid Section 35 to the SCUtheast crrner of the Wnrtheast gturter of the Southeast quarter of said Section 35; thence, leaving' `..': the Southeast ecrner rf the nrrtheast quarter rf the Southeast quartet •. said Stttion 35 anJ running•' Sruth 890 39' 23" Nest, a distance rf :3 1156.13 feet along the South line rf the Nrrtheast quarter the '.`..; Southeast quarter rf said Section 35 to a print on said line; thence, `.�:i:`leaving the Scuth line of the Northeest quarter of the ScuVwowst qUurter:;�,', of said Section 35 n:?d runniM Forth 00. 35' 10" East, a distance rf '315,00, feet to a point; thence, South VSO 39' 23" West, a distance '` :d± of •150.00 feet to a print on the Vest line of the V, rthea_•t quarter rf ::;.; , ;m�' the Southeast quarter of said :ectif%n 35; thence, Nrr•th 00. 35' lo" Easts' a distance of 206.20 feet along the West line of the rcrtheaat quarter of the Southeast quarter rf said Srctirn 35 tr a print en the •` : :i ctnterline of Bald ^,rc"!!rad; thcnee, leavIbC the West line ►f the •. = , " 4 . r'Fortheast quarter of the Southeast querter of said Section 35 and ' -VirunninC alrnr the centerline r •• '+ f Pald * ..rt . „cad, Scuts 85a 43 35" 73.22 feet; thence, Ferth OZ• 40' SS" East, a distance rf 7.59 r �' (�fce{ tc the true print of berinnini; for the eentcrlirc herein described;':;?;.:`'.:: {='/)thence, fres said true print of berinning Sruth 430 48' O6" East 330.12.;'''', 4,,feet to a print= tllenc�e, Sruth 710 02' 57" East 172.17 feet; thence, Sruth 87. 13' 2S" trst 639.16 feet; thence, Korth 81. 00' 36" Fast 120.63'; " s ' ie et; thence, North 778 Al' %" Fast 71.53 feet tc the East line of eve.••; abrve mentioned Southeast quarter of Secticn 35 and the end of said centerline. : y ,. 2 END OF DOCUMENT keturn to DPW AGRICULTURAL STATDIENT OF ACKYOWLEDGEI`-NT FOR RESIDENTIAL DEVELOPIMNT Sectioir 26-8.1 of the Butte County Code requires this acknowledgement. be recorded prior to issuance of a building permit. NOT COMPARED WITH ORIGINAL DOCUMENT The property described herein is adjacent 1 9.1992 to land or included within an area zoned AUG for agricultural purposes, and residents of this property may be subject to incon- 92-037330 veniences 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 Countv has established agricul- tural zones which have as d`.priority use for productive agricultural purposes, and residents within said zones and on adjacent .property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: 9- /9- 92 - State of �rA�iGoknyl�) ) SS. County of �u7� ) tel\ LCCA. L OL-�sc;,�/ P77()w COUNTYf OF BUTTE BUIAUG 19 1992 PROPERTY OWNERS: On this the day of 4.411ijB �' 19�, before me, the undersigned Notary Public, personally appeared 3o/a-NS �l A/ a Personally known to me. � Proved to me on the basis Y OFFIMA—LSM of satisfactory evidence. TJ1RA J. GUDGEON to be the persons ) whose names ) i5 L* FeOTARYPUSLIU IA�jFQpN a PAncIpslQfllaeIne cau subscribed to the within instrument and acknowledged that she aNIA ryc�^TMFxc+m,cHe,�es executed the same for the p �.." F_®� w ®w ® purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Dia -a30 -o%3 - - -\1 Vii Not ry Pubfic i Y^ A pertiett of the Southeast gaette•r o,` Section 35, Toy. Up 21 ?forth, ; : •. -: S East, H.D.B. b ?L, Butte Count, California, sicrre vartiaulsrlp' ,,described as follow: CQ1201CING at a point on the East line of. the Southeast quarter of Section 35 afore.mentic•ned, frog which point the Fait quarter crrner " ,s-, of said Section 35 bears North 000 U' 04" East, a distance of 876.52 feet; thence, South 89. 39' 23" West 170.00 feet to the true point 'i'. of begin-dnv for the parcel of lard herein described; thence, from said. true point of beginning, South 00. 29' 04" Fest parallel vith the East.lire of said Section 35, a distance of 200.00 feet; thence,. 'r. ' "-i•; Scuth 89. 39' 23" :Test 170.00 feet; thence, North 000 29' 04" East :,- ;; parallel vith the Fast line of said Section 35, a distance of 200.00 feet'. thence, North 89. 39' 23" Fast 170.00 feet to the true point +� of btZinning.' ■ITYI JU' R!3n.nrG ?MET" i; A right of war for road and public utility purposes over a striF of land 60 feet in width lying 30 feet on each nide of the followit� 'I described centerline: A portion rf the Southeast quarter of Sectinn 35, 7rwnship 21 North, • 'J1 'I. range S East, H.D.B. b H., Putt* County, California, more particularlyI:kt described as follovsi I;! ROCINNI?f01at a point .._ _ _ ` t lin* of the Southeast a t en t?Nc F.af qu r et Cf r s•' }t a' i. ;;' �` SecticA'35, afer"entiened from which pint the Fast ouarter :1ecrner'cf'said•Secticn 35 bears North 00. 29' 04" East, '& distance:,, ..,orf 876."52 feet, thence, leovin-, said print on the Fast line of the r:^►t ", ' .''.,Southeast quarter of said Section 35 and runninZ South 00e 29' 04" ' meat a dietence of 600.00 feet elonS the East line of the Southeast', �,,,'r:}•. %i ;'quarter of taid Section 35 to the Smtheast corner cf the 1lrrtheast Turter of the Southeast quarter of said Section 35; thence, leaYin." the Southeast ecrner rf the NrrtMast quarter rf the Southeast gvarter tf said Scctlon 35 onJ running Sruth 89. 39' 23" West, a distance rf >' :.1156.13 feet along the South line of the Nrrthesst quarter r: the ;:;Southeast quarter rf said Section 35 to a print on said line; thence, ..`leoving the Sruth line of the Northeast quarter of the Scut"WAst quarter! ;;'!rf said Section 35 and runniM Forth 00. 35' 10" East, a distance rf feet to n point; thence, South CS• 39' 23" West, a distance :k< of •150.00 fret to a print on the WeSL line rf the fi rthea!,t quarter rf '''' the Stutheast quarter of said :ecti^n 35; thence, North 00. 35' 10" East, a dittence tf 206.20 feet aloM the West line of the f4rthea-st i ' ;..,; quarter of the Scuthenst quarter rf said Sectirn 35 tr a print on the " .;•, centerline of bald nrc': ^.rad; thence, leavit,C the Nest line •f the ;,1 ' northeast quarter el the Southeost quarter tf said Sectirn 35 and ';i runnin, alenr the centerline rf Pald ''cc'; ^rad, Scute.. 85. 43' 35" !rayt 73.22 :cet; thence, 1:rrth CC 40' S5" Fast, a distance rf 7.59 :�";foeT it the true print of berinninr frr the centcrlic herein described; ithence, frve said true print of beginning South 430 48' 06" rant 330.12.: "": ;feet to a print= t1tence, Sruth 71• 02' 57" East 172.17 feet; theixe, ' ruth 87. 13' 25" ?est 639.16 feet; thence, 1;rrth 81. 00' 36" East 120.63:; ::eat; thence, North 77° til' %" Fist 71.53 feet tc the Erst line rf t're. •;.`'. . abrve mentioned Southeast quarter rf Section 35 and the end of said. ? '' centerline. .i; Gp B '• • Co�Oy AP S G - sZ.30 --o?:3 OWNER PERMIT #- U-1 17411 MH UT IL . CLEARANCE DATE INSPECTOR_.,�� /liz ELECTRIC GAS Support Struc. Compaction 'fest Re . Service Size Other Load Type Pipe Size Len th YES NO YESI NO cro l--0 �U COUNTY OF BUTTE -.Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied.for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the.proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work.. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but -I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: If Name Address . Phone Type of Work Signed: i Property Owner Social Securi umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 0 7-, 78,�c, `CJI I YASTER- �. ►-iO BEDROOM D/NIN� f0'— BEDROOM I LIVING ROOM 1 v—d 0 KITCHEN MORNING il ROOM ff 3—BEDROOM MODEL 675C 26X56' 1456: SQ. _ . Q/� '• '.1•:�' :. J' •`5.'x.1 _CTiL.{�' � vf� !til+•.:'•` �-,r _ But", unto ... .......: L{ ��-/yir:--r--ur��a%%l Heal Date :i _ .• Signature .._ Environmental HeaRh AUG 18 1992 Orovilie, Caidomia �ri Building Permit Number: L/ J() 1-7 0 Owner Name: fel rl Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: 0 y O/ 7a Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setbacSfrom the side andereet om the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 1. Owner's Name : %n 1< 2. Installer's Name: ' t 6 6.- 3. ...Is .the site- currently under permit?.-... Yes No If yes furnish permit number. ;. Ie the site-an..existing site? Yes No r .(If yes, furaish:=two plot plans.) r,.• - 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,.; lar if y 5. -.What is -the mobilehome electrical rating? --------------- l Gy Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- / O O Amps �. 8. Is there any other electric load to be served by the -- - ------•--cJf'Y1 ----mobilehome site service? ---- -Yes No (If yes, identify the load and size: (Load) 2 y (Amps)' ? C 9. What is the mobilehome site gas pipe i e 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?------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than §El on q C.. natural gas or less than 50 ft. on LPG.) . COUNTY OF BUTTE _ .... E l�.��` "_ ± � D � Ij BUILDING DEP 1 N0V 1 BUILDING DEPARTMENT / If other than single wide, iiobilehome Mfr. C'9'l::� m 12 ea /---Ifurnish Setup Model No. ?JYear ,_____• ..Width (�e (ft.) �.. Bp*�':Length % tt.) Tagalong or Expando Size ftd ft. On.all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS -(check one)1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one ���-----��+1. Concrete block. 112. Other (specify) Pier Footing Sizes and Locations S]NCIE-6fIpE MULTI -NIDE •• - Lf n� _ _ �. ins 1..._ _.... ... ine Main Beams �1ne l Main seams ���� J'Line .Line Tag or Triple Iin. 4 ... _ ... .__.... Line 1 Line 1 Piers; _.. Line 1 Owai�ei Size -Min. .......... ,k Size -Min.' ................ Spacing -Max. -•-----•- Each Side of Openings From Ends -Max ........ Witn Width Over ---- •-' / Line 2 Piers: Size-Min.------------ -----------spacing-Max. spacing-Max .- -- From Ends -Max ........ Line ] koof loads: Size -Min. ---------- 3� Location (Pros Front) U '. C) " �Z' LinePiers: Size -Min ........... -- Spacing-Max --------- Prost Ends -Max =•••-- Lined Roof loads: Line 7 Piers: (Under Dearing Ya11,Only) •' Sise-Mia......:.......:::.. .k ., Spaeing-Max................ From Ends -Max.............. „ 'k 3v" k 3cr t�_--Oo 'k36.. Line S Piers: (Under Dearing Wails Un y -------------------- Spec ins -MALX . ------------------Spacing-Max. ..••..•.... - From Ends -Mai; ••. ....... ,- Sise-Min.-.---------- nx n .....k „ .k.. 'n ,k a ".k n .� to .k o ,t, n location (Prom Front) L-JTTE COUNTY IENTZ BUP Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/212003 SECTION INTRODUCTION GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS SET-UP INSTRUCTIONS FOOTER SIZES INDEX PAGE NUMBER 2 3 4&5 6 7 8 RELEASE DATE 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 WIND ZONE I - SINGLE 9 9/2/03 - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 -DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval MANUFACTURED HOME/MOBILE ROME FOUNDATION SYSTEM REACTS AND SAFETY CODE. SECTION 18331 APPROVED SUBJEM TO CORREMONS NOMM UFFROVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OP APPLICABLE STATE LAWS AND REGULATIONS Smt. of Califor.l. P olnsl. ma Cam -WV Devei%=M ;;3: D N ODES AND STANDARDS DATE SPA This Approval Expires BUTTE COUN" qUILDING DEPARTMEW 4 P P R 0,V 1. 00 M O N O O O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of.the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or locallwind load requirements prior to installation of the home. The Vector Dynamics'Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be usedon single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. N po Page 2 California 9/2/03' 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. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE -TERMITE SHIELD To. cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". 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 INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.') 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is' flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 Vector Dynamics Foundation Systems Lateral Component Parts List Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ft. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. Page 4 California4 *XM 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List z Longitudinal Stabilization Hardware Kit # 1,0733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. Ft.- Pad Vector Longitudinal System # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 590.14 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) Page 5 California 9/2/03 C Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and .straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD Note: Two struts =1 L.S.D. system. Can be used on one pad or slipt on opposite ends of the home. Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone 5ingle Section I I I I I 1 1 I I I I 1 I I I I I I I I I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Wind Zone I Triple Section 48 Ft. Max. Wind Zone I Tag 5ection California 9/2/03 R-1 -- 48 Ft. Max. Wind Zone I Tag 5ection California 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it max. Unequal Pier Heights 4aximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference be een the taller pier and the shorter pier cannot exceed 26". as Page 7 California ` 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts 1. Set Vector Pads 4. Inside brackets & straps Clear all vegatation where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 c9203 Y Cy 1. Set Vector Pads 4. Inside brackets & straps Clear all vegatation where pads will rest. Place Attach the inside tie brackets to the U -bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap. as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 c9203 WIND ZONE Home Length Vector Systems Required Anchors Required Per Side or 24" Pier 24+" Piers L.S.D. 0 to 72' 3 2 3 2 73' to 90' 4 3 WIND. ZONE I, SEISMIC ZONE 4 - Vector -Dynamics Systems "Required for Single Section Homes (Materials Required) - - "_ _ " " " ♦ ` bome -- -- "�♦�♦ � I 2ftsin9 a 01 AM ♦ ♦ _ - Y W cp CD t ,�.�;,u '4 �'` � - - max• LYP' .x� hM' r tr,3Q max' °.c 1yP Note: L.S.D.= Longitudinal A'' Stabilization Device ' NOTE: Vector Systems should be spaced as See Page 6. symmetrically as possible along the length of the home. Pier spacing must be o Soil Classifications: 2, 3, 4A, & 46 consistent with home manufacturers' 'instructions �• Soil Bearing Capacity: 1,000 PSF minimum and/or state requirements. Anchors Required: 30" with 24"' helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties WIND ZONE Home Length Vector Systems Required Anchors Required Per Side or 24" Pier 24+" Piers L.S.D. 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 Each Vector System requires one of the following: w A R 1-4x4 or 2-2x4's pressure treated wood compression member, p °Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list). 2 sq..ft. pad w No anchors required. For pier heights up. to 46" for WIND ZONE I 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. q Home Length Vector Systems Required Anchors Required .Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 WIND ZONE I, SEISMIC ZONE 4 4 0 4 85' to 90' S 0 4 Vector Dynamics Systems Required for I \\ I Double Section Homes " - m e (Materials Required) , - ' " - ' " h0 " _ - " bxe 0- n CD r+ NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. n Soil Classifications: -2, 3,4A, & 4B w o Soil Bearing Capacity: An ^hors Re wired*: 1,000 PSF minimum None ('Marriage wall anchors may be required by home manufacturer) w No anchors required. For pier heights up. to 46" for WIND ZONE I 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. q Home Length Vector Systems Required Anchors Required .Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' S 0 4 Note: L.S.D.= Longitudinal Stabilization Device See Page 6. Each. Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood corripre"ssion member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 2 sq. ft. pad W NOTE: co Cb When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at:that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home C') manufacturers' instructions and/or state requirements. 0 Tag or_ -,- full triple z sq, rE. paa z sq. n. paa A , Soil Classifications: 2, 3,4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: None (*Marriage wall anchors may be required by home, manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2 on Tag 0 2 1 49' to 71' 3+ 2 on .Tag 0 2 1 72' to 84' 4+ 2 on Tag 0 2 2 85' to 90' 5+ 2 on Tag xE;,,= 2 2 `�?��C. �`®®� UZ 9. �C ��'��1��®i�� ,,��++ 4�5./ F�ir'.i i"�I�ta; �• •� W NOTE: co Cb When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at:that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home C') manufacturers' instructions and/or state requirements. 0 Tag or_ -,- full triple z sq, rE. paa z sq. n. paa A , Soil Classifications: 2, 3,4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: None (*Marriage wall anchors may be required by home, manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2 on Tag 0 2 1 49' to 71' 3+ 2 on .Tag 0 2 1 72' to 84' 4+ 2 on Tag 0 2 2 85' to 90' 5+ 2 on Tag 0 2 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) -i j:------- _- WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) _ - Vector Dynamics Systems Required for Double Section Homes (High Pier Sets with Diagonal Ties)h me bye SeCt%0vN 12, dov - , O{ NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. iv 0to48' 2 2 2 49' to 71'. 3 3 3 72' to 84' 1 4 4 4 85' to 90' 1 5 5 4 Soil Classifications:. 2, 3, 4A, & 4B WIND ZONE i Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: 30" with 2-4" helix anchor (59095), 12" stabilizer plates Max. Height unitwidth (59292)1-1/4" frame tie with connector See Page 7 as' Min. Each Vector System requires one of the following: ,-Beam 14X4 or 2-2x4's pressure treated wood compression member, Spacing A JL Schedule 40 PVC Pipe or 1, adjustable steel compression (see parts list) \2 sq. fL pad \ WIND ZONE II, SEISMIC ZONE 4 (Hurricane) - = I , , Vector Dynamics Systems Required for 1 Single Section Homes I \ (High Pier Sets with Diagonal Ties) I _ sect%onaf sY emuai guidelines •It �e vect 1e of a �� fa sP 9� me?nstallat�on- EXaCnPshoWs 9eust be to ° ' . 1lluasfand spacing dation Pa I Foul Soil Classifications: 2,3, 4A & 4B C-) Soil Bearing Capacity: 1,000 PSF minimum o Anchors Required": 30' with 4° helix anchor (59095), 1-1/4° vertical ties w/4725 lbs. min. breaking strength. N o w WIND ZONE II (not to scale) Home Length Vector Systems Required Anchors Equired per side LSD 0 to 48' 3 5 2 49' to 60' 5 6 2 61" to 72' 6 7 2 73' to 84' 7 8 2 85' to 90' 8 9 2 2 myc.tiYP. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. R Each Vector System requires one of the following: \2 sq. ft. pad 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE II, SEISMIC ZONE 4 Vector Dynamics Systems Required for - -" 0. VOrs,-de%nes oCema g�% blef\Iecma�u Double Section Homes oug n <n C NOTE: Vector Systems should be spaced as symmetrically as possible along the length i home. Pier spacing must be consistent with manufacturers' instructions and/or state req W 0 Maximum allowable working drag load for tl System with steel compression strut is 4,001 the K2 Engineering test report. • . • .• i 3 Ple WIND ZONE II (not to scale) aou bearing uapacity: i,uuu rar num um Anchors Required": 30' with 4° helix anchor (59095), 1-1/4' vertical ties w/4725 lbs. min. breaking strength. Home Length Anchors Equired per side Vector Systems Required LSD 0to48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 3 73' to 84' 7 7 4 85' to 90' 8 8 4 R, zv Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, �2 sq. ft. pad Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) w CD 90 v, Vector Systems Required NOTE: - LSD Main TAG When a pier height at Vector locations exceeds 46", an_ 3+2 on Tag anchor must be used on the outside wall/beam at that • ,- _ = `\ WIND ZONE 11, SEISMIC ZONE 4 symmetrically as possible along the length of.the \ home. Pier spacing must be consistent with home Vector Dynamics Systems Required for - - - - - - - \ full triple Triple Section Homes 8 , - - ' _ - - -;t� sect%o do o ys gms, 2 Anchors Required*: 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties (Materials Required) _ - _ tOr - ' ' " , - a a� `e of spa°`09 ff%p ne A i !�r names <x .m� v, Vector Systems Required NOTE: - LSD Main TAG When a pier height at Vector locations exceeds 46", an_ 3+2 on Tag anchor must be used on the outside wall/beam at that 2 approximate location.' = `\ NOTE: Vector Systems should be spaced as r symmetrically as possible along the length of.the \ home. Pier spacing must be consistent with home - manufacturers' instructions and/or state requirements: Tag or ---,- 2 full triple Soil Classifications: 2,3,4A, & 4B 8 Soil Bearing Capacity: 1,000 PSF minimum 2 Anchors Required*: 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side' - LSD Main TAG 0to48' 3+2 on Tag 4 2 1 49'.to 71' 4+ 2 on Tag 6 3 2 72'to84' 4+3onTag 7 3 2 85'to90' 5+3 on Tag 8 3 2 K7 ach Vector System requires one of the following: W 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) A v 2 sq. ft. pad . 2 sq. ft. pad Vector Dynamics Metal Pier & V -Drive Installation METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 4x4 or two 2x4's through the piers, centered in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount 'upside down' as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4s or 1 - 44 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16'. Optional Moisture Termite Shield may be required in certain regions. 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. V Drive System for rocky soil V -Drive anchors are used only in Zone 1. single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bol ut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. ont a tighte'Ing _� strap until all slack is out and strap is tight. (—�) Page 16 California `" 9/2/03 VECTOR DYNAMICS INSTALLATIOWDESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 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 gauge 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 Ib -in. 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. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: 16x16 = 256 sq. in. or 16x18 = 288 sq. in. Footer Size: 20x20 = 400 sq: in. - or 17x25=425 sq. in. EQUALS EQUALS - 2 -Vector Pads # 59275 1 -Vector Pad # 59271 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent liste bove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in ar with site conditons C Page 17 California 9/2/0 Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector Instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector, pier. Do the same for the opposite Vector pier. 3.. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. ' Illustration One of a Single Section Set -Up Vector pa for concrete footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt i e. Vector Dynamics System for Concrete Applications Instructions r 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, 7metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other . Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for - wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt.until straps are tight using at least five turns on the slotted bolts. Illustration Tv Inside Tie Bracket Compressh boards of PVC Pipe i 3d e rage iu uanrorrnia 6 f 6' '7 (? ��U � i�Ctn Gc%,� �c'r����� 40 W i4P�` 03 7 /7 D�d�c�e : �ca�/ �fe:�i ee, y - --A---q" '�J ./%ri/1� Nib /��� 1)'ellle- ELEOTRIC ' AL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED SHALL COMPLY WITH CURRENT EDITION NUIL: dee ee the aftached Pe-miripntini r1nnstruction R,-N-uiremen Pages MEG, UMC AND "UPC. 7 0 rn B UTTE COU N I -11JILDING DEPARTME.ol,; P P R 0 V T. �29tit/n-���� - V f7n9v de C/ L Eo - o�'Z,