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063-040-037
� ' ` ' �63-04-37forest RancPamit #2881-76GASCOMPAf;1439-TEST REQ.GASSjSl OPT 8TRftTlJlkE REQ: A,1,0 " %COMPACTIN TEST REQ._ —,Vj- 11yV3 - 04 - 3 7.'Dermlt#646-!81MHI.(exis-t.ing- -site) ' 063-646-037 03-2790 Collt. -S 13063 DOE MILL RD, FO T Cont: SKYCREST ENT j NEW GARAGE i 063-040-037 04-15121- GWr ETH REEHEk,'GWYNETH NCH ,13063 DOE MILL RD, FOREST RANCH Ry ITCHELL con�t: JERRY MITCHELL TT GARAGE ^. . ^' ' _ �� �� �� �� � __ -' ---.- r�...� 7� COUNTY OF BUTTE - DEPARTMEEN DEVEi OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Californla:�95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION i4ID PERMIT a3' 2-789 ASSESSORPARCELNUMBEIR^I Q� - (� ZONING TM -Ib BUILDINGPERMIT OWNER Qeet4Ei2 Gw 1/..I ETI -F TELEPHONE 5160% • Q 881 SO. FT. OCC. BUILDING VALUATION OWNERS NG ADDRESS 0 Box �I-o 1 FotegS-r R.*r#_tcH g594Z 1 80 29 $ CONTRACTOR'S NAME 5 E EN Tr_ r2 Pa 15 TELEPHONE 342.2(094 CONTRACTORS MAILING ADDRESS 13f-tolBHw 9q GHlco q5 73 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee 554 /2 $ .277. Plan Checking Fee $ 23, — BUILDINGADDRESS Q 3603 Energy Plan Checking Fee $ FOQE.SiQA�IGN $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Or'Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 IS.— Each gas water heater or vent 15.00 TYPE OF WORK New New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation IrYOther ❑ Describe Work: Oi' w m N Pearn G,,l D TPI Ex 5 I TE Gas piping system 1 - 5 outlets 15.00 14S.— 5.— Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 6S. - ELECTRICAL PERMIT Fling Fee 20.00 Main Service .'OAOR LESS 23.00 2-3.— 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 ! f 1 e and effect. / Q License Class �!/' Lic. No. �` / �� � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 1, 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 MainTo Main Service 46. CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( a AM. BUDS. SO so 3.5QFT: NpµRESID MULTI -OUTLET 97.50 POWER APPARATus &SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURESBAL @':50 Ex. Occup. OFT ETSRa OR) Rk 5.00 Temporary Service 23.00 23.. s Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My worker ' ation . surance carrier and policy number are: Carrier eW 7[.-e ilyr4 Policy Number �/ag 3 /p _ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.). ❑ 1 certifythat in the performance of the work for which this permit is issued, I shall p p 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 rovisions of section 3700 of the Labor Code, I shall orthwith comply with se provisions. X Date S' na re of Applicant - ❑ Ow 11 Contractor ❑Agent HA permit is required for excavations over 60" deep and demolition or constructionfi65� of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $not AZ. —. D. FEES IMP ✓ FLOOD X COF ✓ PARCEL v PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have B ov PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 38553 45/. "'— WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 9 T 5 1 g�ellephone (530) 538-7 (Rev.12/96)r, APPLICATIONV ND PERM(' ASSESSOR PARCEL IJUMBER 20NIN BUILDINGPERMIT OWNER .ONE SO. FT. OCC. BUILDING VALUATION :TION LENDER MAILING ADDRESS r OR ENGINEER T OR ENGINEER'S MAKING •LOT NO. SUBDIVISION'S NAME PARCEL MAP USE�OFSTRUCTURE �,% A C ❑ Duplex ❑ Mobilehome � Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Re odel ❑ Udliities ❑ Installation i� Other Describe Work: LQ n r- Sep _ .PERMIT FEE PAID SRA -� _$ 0.1 SHERIFF $ OTHER S AMOUNT RECEIVED $ DATE RECEIVED. RECEIPT #�� Fireplace PERMIT FEE $ Total Valuation Is I Fling Feel 20.00 Main Service Filing Fee $ 20.00 Permit Fee of B $ b0 Plan Checking Fee $ OR ADDNS. Energy Plan Checking Fee $ NEW a ONS . - MULTI:OUTLET $ PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 __ Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ' Mobile Home I S G W @20.00 EX. OCCU . OUTLET OR FDRURES PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 Main Service OR LESS ..OA OR LESS 23.00 Main Service 200A TO I000A 46.00 NEW CONST. ( DWELLING OCCUP. Zr SO 3.5¢FT. OR ADDNS. 8 ACC. NEW a ONS . - MULTI:OUTLET 04D7.50 EX. OCCU . OUTLET OR FDRURES BAL 6 .50 Ex. Occup. OunEEDTs EWSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 PERMIT FEE 1 $ Mobile Home Installation Fee $ Energy Inspection Fee $ ccc CONST. TVPE TO L FEE $ j FCEL ND This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 4 E.H. USE ONLY Piot Plan Attached Floor Plan Attached �F sant to B.D. / 3-16'04 w i (i SOM TO: Building Department 3''�° FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well v Clearance for -dwelling. Other Final r_learance O.K. far: C Environmental Health Specialist hate 8/96 ' a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION "'- 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �r`-�:/ �( A SESSOR PARCEL NUMBER ' U 6;5 1 Proposed Building Use::Ly\ Counter Technic r Date: / ` C ,,kms required in order to apply fora permit. All oxes MUST be checked OR marked NA �inorde 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!keri 5. Energy compliance d �inst, uplicate. • D 6. Manufactured home Da a s ee s an�ris all tioMarriage line in o, (C). loor PlXe( Sie down or Ind plans, all in du lic ❑ 7. Metal bldgs: (A) Metal s, n p ans an ca cs in triplicate, (C) Elevations in triplic oor pans In rip Ica e. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review liri when reauired items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Site plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... 13. Fire Sprinklers.......................................................................................... .. . Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by11 15. Other 1"' eA- 0� i rl l -t of A(li �-I i.c, ►�nbh � ��� ReTaining items needed to issue the permit. (May require additiog�(g160 1 , gryteeei �,q g f i terns. 'Er 16. Fees as shown on the attached Schedule of Fees Due Sheet...1.it....................�.......... ply J� atement of Intent for Non -heated and A/C Buildings ................................ ....... anitation and site plan approval from the Environmental Health Department i /U ❑ 1)e°City of Chico Plumbing permit ....................................................... ......... A - 20. California Department of Forestry plan approval ❑ paid. Sent by V ........... ❑ 21. ,Planning approval for (A) Use: 0 1L(B)Parking: (C) Parcel eck: 0 22. Contact Land Development about ❑ Improvements, ❑ Drainage.......... ..................... 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violatioDs and/or expired permits ................................................. _ ❑ 33-<9 Grant Dee M.H. Title_ /Statement of Facts ❑ Letter from Legal Owner; E� eck to H.C.D. $ ❑ 34. -'Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicar :.--- ' Date: Z 1. Index permit application for the above iterrl numbered: i 2. Additional items required Co cto , desi a wrier, was advised of the above data by phone, ❑ mail, ❑ counter, by on rac f4ef' caner, was dvised of thea e d a by �l one, ❑ mail, ❑ counttee/rA,by revs a y: Date: • b Plans approved by: V / previewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter Date: _ COUNTY OF BUTTE a , DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES / _ i�j OWNER A.P. # v —1 M i PROPROSED BUILDING USE M 1 I ` DATE ( '0 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ 1 - vi ed Plan Checking Fee.... $ "-1. SCHOOL DISTRICT FEES !>r. (paid at School District Office) (form available afte Check) SHERIFF FEES (paid at Buildin Residential............. 36 00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) ()C4- SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was ad may be changeA -during the plan checki 3.0 3Fi� above fees are required to be paid prior to issuance of the permit. These fees DATE Pursuant to QAvemment Code Section 66020, yoLYSre hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) s NOTES - RESIDENTIAL PERMIT N(' REEHER GW 03-2789 YNETH 13063 DOE MILL RD, FOREST RANCH ' Cont: SKYCREST ENT ' 'NEW MH PERM FND EX SITE O3 -Z�90 rN SPECIAL CONDITIONS CHECKED BY •SRA _ FLOOD CERTIFICATE -'REQ. " FIRE SPRINKLERS REQ. e SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER rT OFFICE COPY Address GAS 'Meter By ? ELECTRIC % L% t' Meter By Da4l P-r-►� r, c �. t.,"J013 FINALED (Dat . Signature ' ' J=OK 0 = Not OK . = Not Readybble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Suoport Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility CleaYance Date Card B-1 Date Card B-1 Date Card B-1 r 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 - PERM NT END SYSTEM (ONLY) oning Requirements -Setbacks -Easements r 4►oGTest-Demand-Valve lectricity; MH Test Qrl�e,,,MH Test to and Sewer Connected s and Electricitv Taooed 10. License Decals 1 erify #'s with Office Date 01f Card B71 Date Card B-1 Date j ( 2,�J� ,Oard B-1 a= r Date Card B-1 T� U.T u� Ll 5-55 r I y �P� �rp L MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK o = Not ARESIDENTIAL (. - =Not App plicable � . = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 172. Elec. Outlets at Wood Panel, Int. & Ext. 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 1 O Yes 83. Following Instid./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing, 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openirigs 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 s Date Card B-1 Date 4' ; Card B-1' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: i T fee 4,w `Ji RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 30-Hov-2004 2004-0073207 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GWYNETH A. REEHER 7 COUNTY CENTER DRIVE WOODFIELD.P248-CT REAL PROPERTYOWNER/LESSOR DATE OF MANUFACTURE OROVILLE BUTTE CA P.O. BOX 401 CIYY COUNTY STATE ZIP MAILING ADDRESS 538-7541 BUILD O. TELE-HONENUMBER FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE- ZIP 13063 DOE MILL ROAD DEALER NAME (if not a dealer sale, write "NONE") INSTALLATION MAILMG ADDRESS. IF DIFFERENT 91265 FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE WOODFIELD.P248-CT MMUNG ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CIYY COUNTY STATE ZIP 03-2789 530 538-7541 BUILD O. TELE-HONENUMBER SIGNATURE'O L AGENCY OFFICIAL DATE SKYCR= ENTERPRISES DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE HOMES. INC 2004 WOODFIELD.P248-CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 17-70-0557-S-A/B 13X56'6"; 13X60 UL1555811/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 063-040-037 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. U • JC,, - 1 i . . L, U . 1/UJCl . / . LL I JJrI_. O,DD ..0 . 00J r uJC Escrow No. 204062 -JW TKIS Order No. 00204082 EXHIBIT ONE Parcel One: The North 261 feet of the South 500 feet of the South half of the West half of the Northeast quarter of Section 8, Township 23 North, Range 3 East, M.D.B.& M. Parcel Two: A non exclusive easement to be used in common with others for road purposes and public utility purposes over a strip of land described as follows; A strip of land 60 feet In width lying 30.00 feet on each side of the North line of the South 709.00 feet of said West half of the Northeast quarter of Section 8, Township 23 North, Range 3 East, M. O. B. & M.; a strip 60 feet in width lying 30 feet on each side of the South line of the herein described property; and a strip of land over the West 60 feet of the South half of the West half of the Northeast quarter of Section 8. EXCEPTING however, those portions lying within the boundaries of the parcels described in Parcel One.' Parcel Three: A water line easement over a portion of the Southerly 239 feet of the West half of the Northeast quarter of Section S. Township 23 North, Range 3 East, M.D.B.& M., described as follows: A 10.00 foot wide easement 5.00 feet on either side of the following described centerline: COMMENCING at the Southeast corner of said West half of the Northeast quarter of said Section 8; and running thence Westerly along the Southerly line of said West hall of the Northeast quarter, a distance of 375 feat to the TRUE POINT OF BEGINNING of the herein described centerline; thence leaving said Southerly Ins, Northerly and parallel to the Easterly line of said West half of the Northeast quarter of Section 8, a distance of 239 feet, more or lass, to a point on the Northerly fine of said Southerly 239 feet and the end of the herein described centerline. Parcel Three herein described has not yet been created of record and in shown herein for informational purposes only. If it is not the desire of the vests• to create said easement of record. Parcel Three should be deleted from the land described herein. Said easement so granted Is to be appurtenant to and for the benefit and use of the lands of the grantee and any subsequent subdivisions thereof. Parcel Four; A well and water lirw easement over a portion of the Northwest quarter of the Southeast quarter of Section 8, Township 23 North, Ranee 3 East, M.D.B.& M., described as follows; A 10.00 foot wide easement 5.00 feet on either side of the following described centerline; COMMENCING at the Southeast corner of tie Northwest quarter of the Southeast quarter of Section 8 and running thence Northerly along the Easterly line of said Northwest quarter of the Southeast quarter, a distance of 30 feet to the TRUE POINT OF BEGINNING of the herein described conterflne ; thence leaving said Easterly line and running parallel to the Southerly One of said Northwest quarter of the Southeast quarter, a distance of 96 feet. thence Northwesterly to a point on tho East-West Centerfine of sold Section 8, said point being 375 feet Westerly of the Northeast corner of said Northwest quarter of the Southeast quarter of said Section 8 and the end of the herein described centerline. 1 . 04/30/03 11:17 BIDWELL TITLE 4 5303436496 N0.863 P005 Parcel Four herein described has not yet been created of record and is shown herein for informational purposes only. If it is not the desire of the vestee to create said Guam wi t of record, Parcel Four should be deleted from the land described herein. Said easement so granted is to be appurtenant to and for the benefit and use of the lands of the grantee and any subsequent subdivisions thereof. 11/30/2004 11:36 5303429174 CHICO BLDG SYSTEMS PAGE 02 1 .. 9r7ETE'OF CALtFOAN►A'' - _ `:.:, BUSINESS. TRANSPORTATt .(WNP . SIN®AQF,, V._ NUMBER' QN NC - ....._ • EPARTMEN ODIVIg noUSINO ANd �¢M �V �VEIO.P•AAE :..:.,..: , O ' ODEB'AND D'A'RD6" . NSANUFACTVRED HOUBIN4 PROGRAM MANUFACTURER CERTIFICATE"OF ORIGIN'"'.."' 1NITRIBItYlON: COPYINAL (PINK) • FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE 15 NONE. -THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE), . (WMITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828. SACRAMENTO, CA -95812-1928, WITHIN FIVE (5) DAYS OF RELEASE. ' COPY 2 (YELLOW) DELIVER TO TME TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HC0199.0 - Side 1 - (1197) — L02- e ❑ { CHECK IF THIS IS A,DUPLICATE MCO704TER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING .SFD (SINGLE FAMILY DWELLING) D MUMH•(MULT4UNIT MANUFACTURED HOUSING_.. NUMBER OF TRANSPORTABLE SECTIONS • • .., • COMMERCIAL COACH:. OCCUPANCY GROUP MANUFACTURER NAME' ' MANUFACTURER LICENSE NUMBER: SKYLINE HOMES INC 90002 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: EAST BEAMER SIRERT WOOD C 957 $ 90,930.75 (VAO tole MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WOODFIELD P248—CT 4/13/2004 NAME OF DEALER OR TTIANEVEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER' UMBER OR DATE -OF TRANSFER: TRANSFEREE DESIGNATION' SKYCREST ENTERPRISES/COUSIN GARY'S HODS 4/13/2004.' DEALER OR TRANSFEREE ADDRESS: HWY 99 E CHICO CA 73 tJA68 C INVENTORY CREDITOR NAME: TEXTRON 'FIWANCIAL'CORP INVENTORY CREDITOR ADDRESS' P.O.... OX •1.6520 ..ST LOUTCI ._..:. MO 105 S� zI SECTION MANUFACTURER SERIAL NUMBER "CO INSIGNIA OR HUD LABEL NUMBER 16 LENOTN WIDTH WEIGHT INCHES INCHES (POUNDS 1 17-70-0557—S—B ULI 555.8.11 680"' 156 2 '17-70-0557-9—A IYU 555-812 720 ls6 2% SAS TRANSPORTER NAME: BENNETT TRUCK TRANSPORT TRANSPORTER ADDRESS: P.O. BOX 179 DURHAM CA 95938 811661 (c Slate (zip) DESTINATION FOR UNIT DESCRIBED ABOVE: - NAME COUSIN GARY' S HOMES 8i,"1 13468 HWY 99 E c, CHICO (fA) 95973 I Caney Undo. PenaKy of PMury urWa the 16-6 M the 31816 Of CelMmnia "the above 12CU ne We and coned. Exm4ad 6n 4/13/2004 aI WOODLAND YOLO CA (Dale) (oily( ( ounly) "7 (State) SIGNATURE OF AUTHORIZED AGENT' _ 1NITRIBItYlON: COPYINAL (PINK) • FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE 15 NONE. -THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE), . (WMITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828. SACRAMENTO, CA -95812-1928, WITHIN FIVE (5) DAYS OF RELEASE. ' COPY 2 (YELLOW) DELIVER TO TME TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HC0199.0 - Side 1 - (1197) fa roes Name.and Address HUD No. -HOMES, INC 20E. BEAMER ST. X 1870 ULI 555811 UL1555t]2 - �S�al No. of Mfg. Model Designation L7 -70 -0557 -S -BA 0411-3/2004 WOODErF, 1) P745t.17T rsthm it designed tri comply with the Federal hbnuflctjrW Rome Conshuctfon and SaWy Standard In Ipfce at the Ume ot. DeslqmApp"l b*.0b0w#*I% Labor*ries, Inc. .1 .1roUled Equornind Indbdew MODEL RATINGS OF FACTORY INSTALLED CIRCUIT _D) (APPLIANCE NOT FACTORY INSTALLED) OU7KEW MANUFACTURER DESIGNATION NA "'rt'Heafing 1COLEMAN pCLjA07'7E1DrA 4 0 ANT tion* 2NA NAI 1. A MIDDLE IN "-BMD&PEEL SERIAL NUMBER 1040213053 2 3 FQ2022f9P 4 SF903793B 5 s DG250674 7RHNG1203111038 8 9 IODFBIW7B 11 DG315457S-9 12 13 14 SEMD & PEEL D 0 M CS) w 4 G JW41650WB008 NA "Ve v -top Cooking 5 N NA NA ;eiator 6 GE.. GSWIEPDWW NA Treater TRHUM 21140T NIA DsWasher SNA NA; 20 A" mpryer DNA 30 AMP rasher' ioGE GSD4WWOIWW NA: wasw iiGE GFCF52500 NA e' Detector 12 FMEX ADC NA: Abe 13 NA NA NA 14 NA NA 15 AMP Instructions for all work to be perfbnped in the field are Id raw -located in the Itchen drawer. I'tide bout donne the design loads fRr each geographical aree'. This 460w*: Hd*M (N Zone I ❑ Zone 11 Zone III h" bow designed lbr the roof and wird IMM zoom: CONIFTRUCTIED FOR This home �= rw bom desowd tor ft hWw wtmd pmmro fm 0083000axted Y and shwAd MW be Wcalod widen 16OW of Me =za-' w ft hWft &d ft North: 40 PSF E] Southi 20 PSF &W ftWWabW T/Iftm hm bow deft -ad Ow Vw n4Amvwft spedfied lor Ew= re D in a-ZE 74�L Middle 30 PSF ❑ Othe� PSF TwMMI hm 0 h. . [9 =Wed wtth stain dubre or cow "Cmutw ten VA Wd ...: .. Some requires does not Jequire perinnebeaVr6oh, cm b doora , openbVL For tD be bcabd In VWzd Zonae 11 NW 1% wft* ham ra been pawed w1th WPW Ac^ I ID mWvoy:�00 m.,Wy W be o a 4 with ==w W method & NOFIT'Hk WIND LOAD MIDDLE IN "-BMD&PEEL SERIAL NUMBER 1040213053 2 3 FQ2022f9P 4 SF903793B 5 s DG250674 7RHNG1203111038 8 9 IODFBIW7B 11 DG315457S-9 12 13 14 SEMD & PEEL D 0 M CS) w Y RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 30 -Nov -2004 2004-0073207 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, . INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GWYNETH A. REEHER 7 COUNTY CENTER DRIVE REAL PROPERTY OWNER/LESSOR OROVILLE BUTTE CA P.O. BOX 401 CITY COUNTY STATE ZIP MAILING ADDRESS 538-7541 BUILD 0. TELEPHONE NUMBER / IL U 17/"i FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE ZIP 13063 DOE MILL ROAD 91265 INSTALLATION MAILING ADDRESS, IF DIFFERENT DEALER LICENSE NO. FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING 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 03-2789 530 538-7541 BUILD 0. TELEPHONE NUMBER / IL U 17/"i �e < - SIGNATURVOF:�L AGENCY OFFICIAL DATE SKYCRESX ENTERPRISES DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE HOMES INC 2004 WOODFIELD P248 -CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 17-70-0557-S-A/B 13X56'6"; 13X60 ULI555811/2 SERIALNUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 063-040-037 SEE ATTACHED HCD FORM 433(A) REV. 8/91 tti' JtJ UJ 1 � . V U, LWLLL . 1 A L.L. JJCJJti JG". JC./ �.U. oc- r'UU-+ Escrow No. 204062 -JW TWO Order No. 00204062 EXH181T ONE Parcel One: The North 261 feet of the South 500 feet of the South half of the West half of the Northeast quarter of Section 8, Township 23 Nath, Range 3 East, M.D.B.& M. Parcel Two: A non exclusive easement to be used in common with others for road purposes and public utility purposes over a strip of land described as follows: A strip of land 60 feet In width lying 30.00 feet on each We of the North line of the South 709.00 feet of said West half of the Northeast quarter of Section 8, Township 23 North, Range 3 East, M. O. B. & M.: a strip 60 feet in width lying 30 feet on each side of the South file of the herein described property; and a strip of land over the West 60 feet of the South half of the West half of the Northeast quarter of Section 8. EXCEPTING however, those portions lying within the boundaries of the parcels described in Parcel One. Parcel Three: A water line easement over a portion of the Southerly 239 feet of the'West half of the Northeast quarter of Section 8. Township 23 North, Range 3 East, M.D.B.& M., described as follows: A 10.00 foot wide easement 5.00 feet on either side of the fo0owing described centerline: COMMENCING at the Southeast corner of said West half of the Northeast quarter of said Section 8, and running thence Westerly along the Southerly line of sald West half of the Northeast quarter, a distance of 375 feet to the TRUE POINT OF BEGINNING of the herein described centerline; thence leaving said Southerly line, Northerly and parallel to the Easterly line of said West half of the Northeast quarter of Section 8, a distance of 239 feet, more or less. to a point on the Northerly fine of said Southerly 239 feet and the end of the herein described centerline. Parcel Three herein described has not yet been created of record and in shown herein for informational purposes only, if it is not the desire of the vestee to create said easement of record. Parcel Three should be deleted from the land described herein. Said easement so granted Is to be appurtenant to and for the benefit and use of the lands of the grantee and any subsequent subdivisions thereof. Parcel Four: A well and water line easement over a portion of the Northwest quarter of the Southeast quarter of Section 8, Township 23 North, Range 3 East, M.O.B.& M., described as follows: A 10.00 foot wide easement 5.00 feet on either side of the following described centerline; COMMENCING at the Southeast corner of the Northwest quarter of the Southeast quarter of Section 8 and running thence Northerly along the Easterly line of said Northwest quarter of the Southeast quarter, a distance of 30 fest to the TRUE POINT OF BEGINNING of the herein described centerline; thence leaving said Easterly line and running parallel to the Southerly line of said Northwest quarter of the Southeast quarter, a distance of 95 feet; thence Northwesterly to a point on the East-West Centering of said Section 8, said point being 375 feet Westerly of the Northeast corner of said Northwest quarter of the Southeast quarter of said Section 8 and the end of the herein described centerline. 04/30/03 11:17 BIDWELL TITLE 4 5303436496 NO. 863 P005 Parcel Four herein described has not yet been creatad of rocord and is shown herein for informational purposes only. If it is not the desire of the vestee to create said eeiement of record, Parcel Four should be deleted from the land described herein. Said easement so granted is to be appurtenent to and for the benefit and use of the lands of the grantee and any subsequent subdivisions thereof, 04/30/03 11:16 BIDWELL TITLE -) 'RECORDING REQUESTED BY: Fidelity National Title of California Ewen No. 204082•JW Thla Ordfr No. 00204092 When Recorded Mall Document To: Gwyneth Rather 53,Jr Wa11 SF. ehleb, !f► g5v,2r APN: 063.040-037 53034384196 NO.863 P003 2000--�i0��323 NEC FEE 13.00 I 1 I 1 1 1 Cindy I Page 1 of 3 INTERSPOU$A' Ti�ANSFER DEED (Excluded from reappraisal under Celifot+tl ..Constitution Article 13 A Section 1 at seq.) The undersigned grantor(s) declare(s) Gmhos• tteW' t*W NV utterest. � Title. Documentary transfer tax is 4 City Tax to This Is an Interspousel Transfer and not a change In Owneri*P under Section 63 of the Revenue and Taxation Code and Grantor(s) has (have) checked the applicable exdiiiion from reappraisal: • Interspousal - Held no Interest FOR A VALUABLE CONSIDERATION, receipt of whlch'tb liereby acknowledged, Peter Lee, spouse of the Grantee herein hereby GRANTIS) to Gwynedh A. Reaher, a marled Wofthn as her separate property the real property in the City of Forest Reneh, County of Butte, State of California: SEE EXH HIT "ONE" ATTACHED HERETO AND MADh`.A PART HEREOF DATED: October 30, 2000 STATE OF CALIFORNIA COUNTY OF Blbfiir_ ON 10- 9-60 before me, Personally appeared personally known to me for proved to me on the beds of satisfeetory evidence) to be the personts) whose name(s) Is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorised cepaclty(les), and that by his/her/their signature(s) on the Instrument the oerson(s), or the entity upon behalf of which the Person(s) acted, executed the instrument. Witness nd azzjk� ' : ) Signet u • w w �,�o r, J. WHITSETTCCI a m IIOTAg1d'MP1180: tW?:.iUFsOl4t1241A N COUNTY OF f• XTC COMA- c:.•Oros Atm. 2a, i'_W` 6 MAIL TAX STATEMENT AS DIRECTED ABOVE uo. 7C Ir7-.. •Z/ORS uAen��VV�Iu""narin eacQ 04/30/03 11:16 BIDWELL TITLE 4 5303438496 NO.863 P004 Esaow No. 2040624W TYtle Order Na. 00104062 EXHIBIT ONE Parcel One: The North 261 feet of the South 500 feet of fits South half of the West half of the Northeast quarter of Section 8, Township 23 North, Range 3 East, M.D.B.& M. Parcel Two: A non exclusive easement to be used in common with others for road purposes and public utility purposes over a strip of land described as follows: A strip of land 60 feet In width lying 30.00 feet on each side of the North line of the South 709.00 feet of said West half of the Northeast quarter of Section 8, Township 23 North, Range 3 East, M. D. B. & M.; a strip 60 feet in width lying 30 feet on each side of the South line of the herein described property; and a strip of land over the West 60 feet of the South half of the West half of the Northeast quarter of Section 8. EXCEPTING however, those portions lying within the boundaries of the parcels described in Parcel One. Parcel Th(se: A water line easement over a portion of the Southerly 239 feet of the West half of the Northeast quarter of Section 8, Township 23 North, Range 3 East, MAB.& M., described as follows: A 10.00 foot wide easement 5.00 feet on either side of the following described centerline: COMMENCING at the Southeast corner of said West half of the Northeast quarter of said Section 8, and running thence Westerly along the Southerly line of said West half of the Northeast quarter, a distance of 375 feet to the TRUE POINT OF BEGINNING of the herein described centerline; thence leaving said Southerly line, Northerly and parallel to the Easterly line of said West half of the Northeast quarter of Section 8, a distance of 239 feet, more or less, to a point on the Northerly line of said Southerly 239 feet and the and of the herein described centerline. Parcel Three herein described has not yet been created of record and in shown herein for informational purposes only. If it is not the desire of the vestee to create said easement of record, Parcel Three should be deleted from the land described herein. Said easement so granted Is to be appurtenant to and for the benefit and use of the lands of the grantee and any subsequent subdivisions thereof. Parcel Four: A well and water line easement over a portion of the Northwest quarter of the Southeast quarter of Section 8, Township 23 North. Range 3 East, M.D.B.& M., described as follows; A 10.00 foot wide easement 5.00 feet on either side of the following described centerline; COMMENCING at the Southeast corner of the Northwest quarter of the Southeast quarter of Section 8 and running thence Northerly along the Easterly line of said Northwest quarter of the Southeast quarter, a distance of 30 feet to the TRUE POINT OF BEGINNING of the herein described centerline; thence leaving said Easterly line and running parallel to the Southerly line of said Northwest quarter of the Southeast quarter, a distance of 95 feet; thence Northwesterly to a point on the East-West Centerline of sold Section 8, said point being 375 feet Westerly of the Northeast corner of said Northwest quarter of the Southeast quarter of said Section 8 and the and of the herein described centerline. 04/30//03 11:17 BIDWELL TITLE 4 5303438496 N0.863 P005 Tercel Four herein described has not yet been created of record and is shown herein for informational purposes only. If it is not the desire of the vestee to create said e86ement of record, Parcel Four should be deleted from the land described herein. Said easement so granted is to be appurtenant to and for the benefit and use of the lands of the grantee and any subsequent subdivisions thereof. s- - STATE OF CALIFORNIA „ . OEPARTMENT Or HOUSING AND CO UNITY OEVELOPMEN' DIVISION OF CONS AND STANDARDS REGISTRATION AND TITLING SECTION ; ' . STATEMENT OF FACTS This Unit 1$. 9: Mobilahome Commercial Coach ® Floating- Fine Oecal `License) No. (S.) Trade: Name . Serial too. (s) I/We, the undersigned, hereby state that the unit described above: Affiant further agrees to. indemnify and save harmless the Director of Housing and Commu, Development, State of California, and subsequent purchasers of said unit, for any loss may suffer resulting from registration of the above-described unit in California, or fr; issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correcto Executed on D at (Date) (City) (State) a � Tture of each a iant dress -City NCO 476.6 (Rev 11/66) Printed name of each affiant ®1'11e S State .— COPY Butte County Department of Development Services www.buftecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile October 22, 2004 Skycrest Enterprises 13468 Hwy 99 Chico CA 95973 RE: Incomplete permit process for . HCD 433A (mobile home on a permanent foundation) Gwyneth Reeher, 13063 Doe Mill Road, Forest Ranch CA Ap#. 063-040-037; Permit 03-2789 Dear Skycrest Enterprises; Your check, payable to HCD "is being returned to you; due to failure to complete the permit process as referenced above. You will rieed to contact our office, and talk to one of our Permit Application Assistants. Who will assist you in determining what you will need to finish the permit process. This process must be completed before the mobile home can be removed from California State license rolls and added to Butte County rolls as real property. If you have any questions regarding this process, please call (530) 538-7541, and ask for a Plan Application Assistant. Thank you, Gwyn Benedict Office Assistant II ir'c'c: Gwyneth Reeher,�PO Box 401, Forest Ranch CA 95942 ....... ........ ........ ........ ......... ....... Building Permit Number: -17 Owner Name: �eP�lei/ Residential Construction Requirements IMPORTANT ...'. :.. :. ,... This set of -plans and specifications MUST be kept on the job site at all times and itis 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. r a Page 2of 2 Building Permit Number: J Owner Name: geLhe"' h Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 Fire sprinklers are required in this structure. , The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of ?b feet from the side and "�b feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. 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. CDF FIRE SAFE REQUIREMENTS 063-040-037 BP -04-1512 Gwyneth Reeher AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00-., Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail -ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. Y 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. [X] 2. the length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10 Turnouts. Driveways exceeding, 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.11 Gates [X] - 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. ! CDF FIRE SAFE REQUIREMENTS 6 063-040-037 BP -04-1512• Gwyneth Reeher AP# z PERMIT # NAME x, Fuel Modification 1276.01 Setback for Structure Defensible Space [X] 1. All parcels 1 acre and larger shall provide a minimum 30 foot • setback for buildings and accessory buildings from all property `} lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements If Building Setback is 15.to 30 Feet: - Class A or B roof Enclosed Eaves [ J If Building Setback is Less Than 15 Feet — Class A or B roof with enclosed Eaves and: Choose any 2 of the following: I - Metal orno doors on side toward property line with insufficient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco — 3 coat ` Hardi-Board or Plank Masonry - Masonry Veneer Metal Other Butte county Fire Department approved materials Date e%Signa 2 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School -District Building Department No. a-1 72� -9 A.P. Number 2 Jurisdiction: city County Property Owner ..It Property Location/A Subdivision Residential Development Q EE� No of Living Mobile Home Units Installation Commercial/Industrial Lot No. ............ . .................................. z ....................................... Sq. Footage r7 Addition/ *Supplemental to (Group R) Conversion Permit # *(No foundation Inspection) L........................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification , No. Al 17+ School District certifies that (StreetAddress) � . ' . 01 1 1 V has complied with the requirements of Resolution No. representing 1;1+ square feet. Y A - School District Paid by Check # .f r" i,fNRemarks: Sq. Footage (including Exterior Roofed Areas) Q 3 Date (Applicant) 0 Y' `-,,.(Phone Number) 3 (State) (Zip Z by paymentbf $ 2926 $ FULL MMGATION $ ate No0c You may protest: the Imposition of tie too klealffied above by submitting a written protest to the District. In compliance with I Goveinunard Code Section 66020(a), within 90 days ftom #w date ton are paid. Failure to submit a timely wftan protest will'prohlbit yofrom clsollanging the Imposition of the fees In any court action. 9, subsequent to the School District Representative signing this Butte County Schools Impact Fee CertIlIcation Form, the 8ehool l3b.tirld-Is nodftd by the applicable Local Planning Agency " this project Is being i view under tto Calffbimle Environmental Quality Act (CEQA),' this p -feet may be subject to okftonal school fen to fully mMgd;.Its Impact on Ow school Matr1cft schools. White (applicant), Yellow (building department), Pink (school district) feeforrn.xis 1110103kimm School District /� \ A.P. Number Property Owner p v `j Property Location/Address Subdivision Residential Development R� 1 Commercial/Industrial BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) l L' Building Department No. Jurisdiction: City County 3a 0 No of Living Mobile Home Units Installation New Addition Building Department Representative 11 Lot No. ............................................................................................................... j Sq. Footage / �7 Addition/ 'Supplemental to (Group R) Conversion Permit # "(No foundation inspection ................................................................................................................ �. Sq. Footage (Including Exterior Roofed_A s) �- 10.0.3 Date r ' Irloor clans reviewed by School Uistnct Personnel) District Identification No. / U19. School District certifies that' (Applicant) (Street Address) )Phone Number) (City) has complied with the requirements'of Resolution No representing /W7 square feet. School District Representative (State) (Zip Code) s O Sby payment of $ AB 2926 $ FULL MITIGATION $ Date F Paid by Check # / Remarks: m 6 -6 1791 -1 - dl 7 /Jy. •'4� Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written.protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (10/98)dmm 4 Ate. RECORDING REQUig— EDDY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2 010 - 011732117 Recorded I REC FEE 13.00 Official Records I CONFORM 1.00 CountyBUTTE f CA 95942 I CANDACE J. GRUBBS I Recorder I ROSE14ARY DICKSON I Assistant I Kathyh 11:28AM 30 -Nov -2004 .I Page 1 of 3 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 3 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. GWYNETH A. REEHER REAL PROPERTY OWNER/LESSOR P.O. BOX 401 r MAILING ADDRESS - OROVILLE BUTTE CA FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE ZIP 13063 DOE MILL ROAD L -� SIGNATURE O L AGENCY OFFICIAL INSTALLATION MAILING ADDRESS, IF DIFFERENT SKYCR ENTERPRISES FOREST RANCH BUTTE CA 95942 CITY COUNTY STATE ZIP SAME - UNIT OWNER (if also property owner, write "SAME") SAME MAILING 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 03-2789 530 538-7541 BUILD M 0. TELEPHONE NUMBER Il L -� SIGNATURE O L AGENCY OFFICIAL DATE SKYCR ENTERPRISES DEALER NAME (if not a dealer sale, write "NONE") 91265 DEALER LICENSE NO. SKYLINE HOMES INC - 2004 WOODFIELD P248 -CT MANUFACTURER'S NAME - DATE OF MANUFACTURE MODEL NAMUNUMBER 17=70-0557-S-A/B 13X56'6"; 13X60 ULI555811/2 SERIAL NUMBER(S) • LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 063-040-037 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. 1 ' 11 `.' JUS UJ 1 a . L i.:1 LwCLL � ! i LG � JJYJJtiJG`.JG a� 1 Escrow No. 204062.JW Thle Order No. 00204062 EXHIBIT ONE Parcel One: .-. OGJ vuco" The North 261 feet of the South 500 feet of the South half of the West half of the Northeast quarter of Section 8, Township 23 North, Range 3 East, M.D.B.& M. Parcel Two: A non exclusive easement to be used in common with others for road purposes and public utility purposes over a strip of land described as follows. A strip of land 60 feet In width lying 30.00 feet on each raids of the North line of the South 709.00 feet of said West half of the Northeast quarter of Section 8, Township 23 North, Range 3 East, M. D. B. & M.: a strip 60 feet in width lying 30 feet on each side of the South line of the herein described property; and a strip of land over the West 60 feet of the South half of the West half of the Northeast quarter of Section 8. EXCEPTING however, those portions lying within the boundaries of the parcels described in Parcel One, Parcel Three: A water line easement oyer a portion of the Southerly 239 feet of the West half of the Northeast quarter of Section B. Township 23 North, Range 3 East, M.D.B.& M., described as follows: A 10.00 foot wide easement 5.00 feet on either side of the following described centerline: COMMENCING at the Southeast cornet of said West half of the Northeast quarter of said Section 8, and running thence Westerly along the Southerly line of sold West half of the Northeast quarter, a distance of 375 feet to the TRUE POINT OF BEGINNING of the herein described centerline; thence leaving said Southerly line, Northerly and parallel to the Easterly line of said West half of the Northeast quarter of Section 8, a distance of 239 feet, more or less, to a point on the Northerly fine of said Southerly 239 feet and the and of the herein described centerline. Parcel Three herein described hes not yet been created of record and in shown herein for informational purposes only. If it is not the desire of the vestee to create said easement of record. Parcel Three should be deleted from the land described herein. Said easement so granted Is to be appurtenant to and for the benefit and use of the lands of the grantee and any subsequent subdivisions thereof. Parcel Four: A well and water line easement over a portion of the Northwest quarter of the Southeast quarter of Section 8, Township 23 North, Range 3 East, M,D.BA M., described ae follows: A 10.00 foot wide easement 5.00 feet on either side of the following described centerline; COMMENCING at the Southeast corner of the Northwest quarter of the Southeast quarter of Section 8 and running thence Northerly along the Easterly line of said Northwest quarter of the Southeast quarter, a distance of 30 feet to the TRUE POINT OF BEGINNING of the herein described centerline; thence leaving said Easterhi line and running parallel to the Southerly line of said Northwest quarter of the Southeast quarter, a distance of 96 feet. thence Northwesterly to a point on the East-West Centerline of seld Section 8, said point being 375 feet Westerly of the Northeast corner of said Northwest quarter of the Southeast quarter of said Section 8 and the end of the herein described centerline. per- c rn _ ®f / kk I —10 E� k� k a2 � _ C Ag 2© &' � § \ \ § '. . w ./ .00 ■v 2. ` ■ J3 ... .G 2T 'c > 2 � k© ��$ § $ .c a . C: q 2 ( ; .,I C . 2 � � f � \ � ■ &� Received from Ile &= of For 0 CQ CASH CHECK - 38 5 9/— 66 2A T10a s. N: National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board.' I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N. 0.1.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources -Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land.. I have also reviewed the Best Management Practices Handbooks, California Storm'Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BWs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs riecessary to prevent the discharge of pollutants from this project during construction .could result in significant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible forgathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan l� ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOVS.. 7 COUNTY CENTER DRIVE r OROVIL LE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY 4 This mobilehome has been installed in accordance with the requirements sof the California Administrative' Code, Title 25, Chapter 5, under permit number. �+ for the following location: _ Owner *Owner's Address Mobile home Mfg. Model Year %? . Insignia No. E - . ?� Serial No. , It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date `` ^.., f l i r By THIS CERTIFICATE IS VOID WHEN"MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. N PERMIT NO. 646-81MHi exist site. PERMIT EXPIRES3-22 OWNER DAVID BIBEAU CONTR. owner ASSESSOR PARCEL -63-04-37 LOCATION WIS. Schott Rd, 4��- mi' E Hwy 52 Forest Ranch Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E -000, Temp. Gas Service Called PG&E JOB FINALED te) Signature J = OK 8�+ 0 = Not OK S = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready - - Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's • 1.. Zoning Requirements—Setbacks'Easements 1. Zoning Requirements—Setbacks—.Easements 2. Soils; Special MH Support Sk `c 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test I —C Increte 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Lo ation• Te t— asement Needed (Sketch) 4• Wood Awn.; Posts—Beams-Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electr' it oc i —Clearances— / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; o Test—Wrap: / /"Nat. or/ /"L"ft./ /" LPG 6. Carports; Windows—Doors 7. Utilit learance 7. Elec. Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI Date Date MOBIL OME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's oning Requirements—Setbacks—Eaeeffm"4s 1. Setbacks—Easements &,, 6otings; S' p — ne 2. Soils; Compaction—Structure Stability $-% . Gas; MH VoP—DpA3nd-V£Jwe—Co ec 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining E ecOicity; M Te OrvasoeersrBreakers—Cle&3aees 4, Elec.; Receptacles and Lighting; Distances—GFI jDo6rain; MH Test—F&I--< 5. Elec.; Pool Lighting; 15 volts—GFI MH Yer—Rogulaar—Con r 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ZZ 7. W Sewer,!�&an€cted—C/0 tofawd_e—FlD..4feval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater :@. sand ectricity Tagge�f?W f 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit �ts; Insp.—Sketch 14'cert. of Occupancy . 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-I vb✓ Dat — j.-4/ Card-BI Date Card-BI Date Card-BI Date Card B-1 Date� L Card-Bl Date j Card-BI Date Card-BI Date / r1 9 27/'�fJe/%��/� 4/ c V = OK 0 = Not OK - = Not Applicable SIE = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall &.Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except It's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except It's 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instid.: Drive ❑ Yes E] No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. _ Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. 83. Glass Protection Corrections from Previous Inspections Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. -Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing _ 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Ti Fireplace es or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — -Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 53.4-4541 Skyway and Elliott Road, Paradise -- $7i-a9t,/ xs�• C0"RREC 'I0IrMn H®TICS BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinand'e exist at the above address and should be ,corrected. Please notify this office when correction of work is completed. If you•have any question pertaining to this matter, or need additional explanation, please contact this office immediately. X C —yam / yJ /N L2 0 ,2,� 5 Inspector__ —.__ Date V aCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT N�} 7 Co Inti Gertter Drive - Oroville, California 95965 - Telephone 916/534-454 —X • APPLICATION AND PERMIT AV ASSESSOR PARCEL UMBER - (/a ZONING BUILDING PERMIT OW R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW ER'S MAILING AD RESS ALki 0? , 28-390 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOwy� Total Valuation - $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ f 00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN ADDRESS S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 r�j Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ' USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�/Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK/ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation r2 --'Other ❑ Describe work: t' 4px1&-br%p Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2;5'50 NEW CONST. [ DWELLING OCCUP.81) OR ADONS. ACC. BLDGS.' / 2Q sq ft S CONTRACTORS LICENSE LAW I declare under pens ty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIheS$ and Professions Code and my license is in full force and 'effect. License No. Classification I, as the owner, spa, will.do the work,and the structure is not intended or offered for sale. (Sec. 7044). ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for -this reason NEW CONSTR. -oU LET 2.50 ea NO N•RESID BRAN RA CH CIRC S NEW -CONSTR /POWER APPARATUS S1 NON RESID. SINGLE OUTLET CIR. / ( EX. OCCUR(OUTLETS OR FIXTURES gA�,� FIXED APPLNS. OR EX. OCCup.(OLIT LETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare un 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. Ipl 1 shall not employ any person in any manner so as to become subject YN 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. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia ' I 'es, judgm pts, costs, and expenses which may in any way accrue again s County ' coof a granting of this permit. s� X ) Date 4-17-`� Signa re of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over ST" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 30,E TOTAL PERMIT FEE $ S -D,0-0 occUP. GROUP I TYPE OF CONST. PARCEL PD I ND ' seU This permit is hereby issued under sions of the Butte County Code`and/or work indicated above for which DIRECTOR PUBLIC By PER EXPIRES Date - the applicable to do resolutions to do fees have been paid. WORKS Date 7 3-2--E Receipt NO. qJ mo WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ..J F/ /A/C /..2'x (o 0� . f?d, S�R1er ��o�t; /00NM� Be* I AriF. A/�R 06 \.=,. r�/�'� rR ,�`p Ni►j� a p/;Mp ORXu%0� ( C _TPF- - DOD ! 000 �tp�. • -'�/ 9(36'` '' • I AS 130, .. i 7 I Tlrrs'set of ns ani! specificaTions INDUST be kept bn the job) at i 11 tames and itis un4awtul t;, Wake any ch news oi• blterat•ions ,a) sZipne with- %# itten Pb�ra is ion frob) the Department of iblit 1r1 bt6, CAu ' of Butte. NOTE: --All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Code and the National Electrical Code. I I do BUTTE COUN BUILDING DEPARTMEN' ` OPROVP—D w 1 :!�+. V A setback of t. from the property Uric s and a setback of 50ft. frOrr the road centerline all be clear of or equipment exCOM structures ter a 2#t. ewe overhang. 7 I Tlrrs'set of ns ani! specificaTions INDUST be kept bn the job) at i 11 tames and itis un4awtul t;, Wake any ch news oi• blterat•ions ,a) sZipne with- %# itten Pb�ra is ion frob) the Department of iblit 1r1 bt6, CAu ' of Butte. NOTE: --All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Code and the National Electrical Code. I I do BUTTE COUN BUILDING DEPARTMEN' ` OPROVP—D w 1 :!�+. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS '7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET t 1.. Owner's name: 2. Instal_ler's .name: 3._ Is the site currently under permit? Yes / / NoLAN- (If yes, furnish permit number ) OR Is the site an existing site? Yes /. / No (If yes, furnish two (2).plot plans.) 4. 'Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of. -all setbacks.and easements? Yes / / No (If no, clarify i ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- / (> ® Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load,to be served by the mobilehome site service? -:= ------------------------------------------------- Yes No T-7 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- , /► 10. What is the type of gas service? ----------------------------- Natural 7—/ LPG 73F/ -*11. What is the gas pipe length from meter or tank to the mobilehome? 140 (ft.) 12. What is the mobilehome gas demand? ------------------------------ 6 . (BTU) (This information not required'if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA A—If other than single -wide, , Mobilehome Mfr.��„�,�„��l�f�i �r�furnish Setup Model No. Year Width % g.-: (ft.) Box Length(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) 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). All center supports measured from front of mobilehome unless otherwise specified. Single x (ft.)(in:) (in.) (in.) Center support Center support locations* footing sizes (in.) I (ft.)(in.) (in.) (in.) Footings (check one) ® 1. Wood either pressure treated or foundation grade. 2. Other: ( specify) Supports (check one) 1: Concrete block. F1 .2: Other. (specify) 4—Tagalong or Expando,' show support details. (f:t:)(in.) (in.) (in.) -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) 3� -- Max. Pier Spacing r t=' Max. Over(ft.)I (in.) (in.) (in.) buff k Ci�tJt�f� BUILDING DEPA#2TMENl APPROVED *If center piers are other than drawn above, ' w draw in. -locations, spacing,, and dimensions. -76 PERMIT NO. 2686-77P,E - PERMIT EXPIRES OWNER David Bibeau CONTR. owner LOCATION (A.P. 63-04-37 W/S Schott Rd., 42 mi.E.of Hwy 32, Forest ' Ranch Temp. Power Pole Call PG&E Temp�Elec. Serv.. /FINALED— ailed PG&E . Gas Serv. 11011 alled PG&E ,� (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r ' BUILDING INSPECTION RECORD ' BUILDING BUILDING (Cont'd) PLUMBING Mai Bldg. Restro)vn Finish Fo ins Windows Stem all Siding Slab Roof SheathNpg Piers Roofing Garage Fdn. Vents Footincis Stemwal l Garage Vents Insulation Slab Carport Footings V Prov. for ph sicall, handica ed Conformance of ex. structure Slab A Final Patio I Footin s Footin Masonry Walls Throat Reinf. Steel Final Bond Bea- IRE Stucco / \ I FI Heat So Plpin 1 Floor 2nd loor 3rdJorTo ouWater Sewer Fixtures Water Htr. Appliances Gas Piping & Test Temp. Gas Sanitation E Final ECTRICA Rough Fixtures Motors Water Htr. Sub ane LL Grd. F It Prot. Servl Tlimp. Pole FqInIsh I Dults linderground I rior Lath I Yfritilation Permanent oor Closer anal Inal MOBILEHOME UTILITIES ............ ..... Elec. Service 7 Elec. Pedestal Water Piping Z _ Sewer d Gas Piping OBILEHOMEI STALLATMN --------------Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORREO IONS 4-7 (NOTE: An entry must be made on this form each time you visit the job site.) »4'%.fit.`.. -7mr," ... COUNTY OF _BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Ormville, California 95965 r T -el ephonb: 534-4541 APPLICATION AND PERMIT ;77 JV1 A/ L 1QtJ1 e1IlaUV6S VI me UOU(Ity oI BuRe to enter upon the above-. entioned property for inspection purposes. Da -� Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORS PUBLIC WORKS IIdin�per �Rexp�iresate�z !" BUILDING it 1 Owner Aa&I SQ. FT. OCC. BUILDING VALUATION Mailing Address v!QO a S e ,N V . Fireplace Contractor Total Valuation Mai ling Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee (,� / Building Address �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 7i Each Trap 1.50 Repair drainage or vent piping 1.50 Zoning derificefion _0aIV Water piping erg Z4 go Each gas water heater or vent 1.50 A. P. No.2..� `f �3 7�'( Zoning P n Gas piping system 1 -5 outlets -# -3U Each additional outlet .30 F s .C. Sa on Fire Dept. Fire Zone se Permit Building sewer -6'� 10,610 EQA Parking Pla Parcel Declaration Parcel Ma P 60' R/W Im rove a is P Lawn sprinkler system 2.00 Bldg. tans Recd P Approval Plans oval Permit Fee $ 3 O $ 173 6( NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR L Main service 1000 AMP ORSLESS 5.00 0 Main service EA. ADD -L. 100 AMP 2.50 (� Single Family ❑ Duplex ❑ Mobil Home [. Others ❑ Main service 10 0 AMP VER OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 22sgft NEW CONSTSL MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) -2.50ea NEW CONSTR. /POWER APPARATUS & NON.RESID. \SINGLE O TLET CIR. CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Eft W A 06- Ex. Occup(ouTLETS OR FIXTURES)�� BAL 01 FIXED ALNS Ex. Occup. (OUT LETSP(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 ®I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee . Q $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this IAJ permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 R TOTAL PEIT FEE $TV C L 1QtJ1 e1IlaUV6S VI me UOU(Ity oI BuRe to enter upon the above-. entioned property for inspection purposes. Da -� Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORS PUBLIC WORKS IIdin�per �Rexp�iresate�z !" NOTE ----:—All Mbferials & Workmanship Shall Be in , Accordance 'wi h Recognized Good Practices ane of a quality prescribed for.the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. ------------------- �Q 14,4 , e\ v'� \e o °% Septic system to be as per. Butte. County Health Dept, Re- N1,►irements. The 96g. Setback shaf! be 5 ft. from the side. property line and 50 ft. from. thp, centerline cif the road, permitting a maxi- mum of a 2 ft. eava overhang but entirely out of ail easements. ILI All utility connections. shall be located within 4 ft. outside the rear. Aird section of the mobile home. on the left (road) side of :the mobile home: BUTTE COUNTY BUILDING Dr-71iA.11TIVINr. APPROW, BUTTE INTER -DEPARTMENTAL MEMORANDUM COUNTS' OCT- 12 2004 TO: BUILDING D VISION, O VILLE DEVELOPMENT VN SERVICES FROM: ��, ENVIR. HEALTH, CHICO DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: , SEPTIC: WELL: AP#: 0&3-- 104 l%—t947ADDRESS/LOCATION: /3061 Comments: 03'Z790 4;%44gc �� 9t—W-65I. M, -7T /Z-r-oy GL/memos/releasehold :� Building Permit Number: 0 3- 2 78'q Owner Name: A-eehe4— 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: 632 % 3J, Owner Name: �C 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: A • i All structures and equipment including overhangs shall be clear of all easements. A setback of 30 feet from the side and � feet from the rear property lines and 20 feet (25 feet if -Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. 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. AV CORNER iU8 B J OIi,. R l►� elr EE.4STER BDRO'OMr$„ N OPTION GLAMOUR BATH D948CT/6O-56-8"26 2BEDROOM - 2BATHS - CATHEDRAL (1,487 SQ.FT.) BEDROOM No. 3 12'-B° OPTION 3RD BEDROOM • OPI WIDOW M.H.I.-2 i 1 . Owner's Name: GWYNETH REEHER-LEE 2 . Assessor's Parcel Number:^ « 063-040-037 f ' 3 . Installer's Name:' - --SKYCREST ENTERPRISES. 4 . Is the site currently under permit? Yes [ ] No [ X ] Permit No. 5 . Is the site an existing site: Yes [ X ] No[ ] (If yes, furnish two plot plans). 6 . What is the electrical rating of the mobilehome? ( 100 Amperes. 7 . What is the mobilehome site circuit breaker rating? 100 Ampere's: 8 . What is the electrical iating of the mobilehome si'te'? 200 Amperes. 9 . Is the main service remote from the mobilehome !site? Yes [ ] No [ X ] If it is, what is the rating? Amperes. ' 10 . Is there any other electric load to be served by the mobilehome site electric service (Le. well, garage, etc.)? Yes [ ] No' [X] Yf es,'please identify the load and size: a) The mobilehome site: Load - i Amperes - b) The main service: Load - Amperes - 11 . Type of gas service at-rriobilehome site: Natural [ ] Propane [ .X ],"None [ J 12 . Size of gas pipe at the mobilehome site from thea meter or tank: 3/4 inches. 13 . What is the gas pipe length from the meter or tank to.the mobilehome? 30' (ft.) 14 . What is the mobilehome gas demand? BTU.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50'feet on propane)`,'' i. THE OTHER SIDE OF THIS FORM[ MUST BE COMPLETED IN ORDER TO PROCESS THISIOERWDAPPLICATION BUT P248I30# STB FNDTN lUILD$NG ,"" A P Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Lim I Line I Line 2 Lino 2 .................................................................... ........ .............. Line 2 Main Beams Lino 2 ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...... ... ... ... ... ... ... ... ... ... ..... Line I line 3 ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...... ... ... ... ... ... ... ...... ..... Line 2 Main Beams Line 2 ... ... ... ... ... ...... ...... ... ... ... ... ... ... ... ... ...... ... ... ... ... ... ...... ... ... ... ..... line I ... ... ....... ... ... ... ... ...... ... ... ........ Une 5 Tag or Triple Line 4 Une I Line I Piers: ,Size minimum: Spacing maximum: From ends -maximum: Line 2 Piers: Size minimum: Spacing maximum: From ends -maximum: Line 3 Roof Loads: Sim , , Location (from rear): Line 5 Roof Loads: Size minimum: Location (from rear): 'Line I Openings: U IkI I Size minimum: E4wh side of openings with width over: Az 2b "Line 4'Piers: XI Size minimum: 610Spacing maximum: 2' 0"] From ends -maximum: ,*00 oNX 30 aux 30 �Ivi 2, ( P) 7M �I�, ` [24] x [24] 1 4' 0" 1 D934CTR 30# STD FNDTN =-- —7- -7�- CT J'- 4 LL rn 33 0 m TLza-RjU?, -IRY < 30# CENTERLINE SWORT UQUIREMENTS 71 "I 'I'kTN T i0 INS FALLATICNIr 30 S,: PV?iNJ FOR MH 9321 4 : DATr: 041W.12m7 LLW pow Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 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 SPA Thio Approval MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED ROVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State or California k- M4 f1'ousin and Community Davelopeand 'IDES AND STANDARDS / .- / — (sis9lu-) oQROFESS/On,\ �\tE M. Wigs c No. 245 a OF CA�IF� ,IUILDIING DEPARTME-,A:. p p v Qct rl- 00 LQ Cl) 0 (V 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 local wind 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 used on 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. 1�' a c o Page 2 California 9/2/0 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's upport. Vector System's 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 - 4x4' 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. ar M PanP .1 ralifnrnia e Vector Dynamics Foundation Systems Lateral Component Parts List Vector System Lateral Stabilization Block Pads #590181- 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. ff. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. �.. =CD Page 4 California 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List Longitudinal Stabilization Hardware Kit # 10733 - (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 # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut ®ei # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) Pana .Si (:alifnrnia oo/m rz 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 P000ible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I I I I 1 I I I I I I I I I I I I I I I I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forreater widths use triple section design. Page 6 Wind Zone I Triple Section a Wind Zone I Tag Section 11-1; 48 Ft. Max. California I Sri r 9/2/03 r 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 in max. Unequal Pier Heights Maximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Pana 7f'alifnrn a :` ni1)in1) Set -Up Instructions for Vector System #59018 Long U -Bolts 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. . Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. 4"M &' Californ ' 9/2/03 I WIND ZONE I 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 WIND ZONE I, SEISMIC ZONE 4 � 1 Vector Dynamics Systems Required for Single Section Homes ' (Materials Required) n home 01 , 1 `♦. \ _ -- su,_.res r .rr !�,� =s ;�i. s�•ss"- ' . 1 44' _ V� � fl • - � ��: 2 � max• wQ CD 4r - r tY is - o kjlp 34 m Note: L.S.D.=Lon Longitudinal ;} g x NOTE: Vector Systems should be spaced as Stabilization Device symmetrically as possible along the length See Page 6. of the home. Pier spacing must be v consistent with home manufacturers' o Soil Classifications: 2, 3,4A, & 4B instructions and/or state requirements. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: 30" with 24" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties WIND ZONE I 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 4 i r f ' 't� N Each Vector System requires one of the following: i7gmics y O A 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) o �2 sq. ft. pad CD I 0 N n 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. No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 413 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 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 • 4 • l I RON01 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. No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 413 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 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 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) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. o NOTE: CD 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 manufacturers' instructions and/or state requirements. n 0 MIN�®ate "• �>�Et��. - �s �'° Tag 'ori► full triple .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.) 2 sq. tt. pao z sq. Ti. pao A v 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'to84' 4+2 on Tag 0 2 2 85'to90' 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) CD JIM ,v 0 co WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) Vector Dynamics Systems Required for - _ , ' - Double Section Homes (High Pier Sets with Diagonal Ties) , _ - ' " " home - ' Ub1e seotio - _ - e o vector......... >, :.. V:..:, 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. WIND ZONE I Max. Height Unit Wldth See Page 7 cfl N I -Beam W Spacing A ; �2 sq. ft. pad • 4s' Min. 0 to 48' 2 2 2 49' to 71' 3 3 3 72' to 84' 4 1 4 1 4 FNo 90' 5 ' 5 4 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': 30" with 24" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector Each Vector System requires one of the following: 14x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 10 cn CD W co WIND ZONE II, SEISMIC ZONE 4 (Hurricane) - Vector Dynamics Systems Required for Single Section Homes - (High Pier Sets with Diagonal Ties) ' tCte es , Seot\o hof 5yste MS. \ ' " ! `e of a e� a\ s30,M9 eof 5 a� at\on ma U In EXafnPkkoshoWs m�St bel - - _ - - -r ' ' - \\\US SP ads a y, dation P r -,.>t F 0\3 , m_ - �: 5 r WIND ZONE II r (not to scale) 4" N O _ �2 sq. ft. pad A O Soil Classifications: 2,3, 4A & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required`: 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems 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 85-1090. 8 9 2 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. 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) "ricimcs __ 09 v to cfl j A WIND ZONE II, SEISMIC ZONE 4- Vector Dynamics Systems Required for _ _ _ - ' _ " ^ _Gt1on II�Vs ems- v;deilne5l�< Double Section Homes _ - - ' " doub,e Sor Vectoo,s, manual 91 - 12 {k acing EXa fnp15 olds USr be to h �illUstran'd00 Found 593 C'%n9 m Pall -- _- I ' ation P - - _ - I � � 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. WIND ZONE II (not to scale) \2 sq. ft. pad/ Soil Classifications: Soil Bearing Capacity: Anchors Required': 2,3, 4A & 4B 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min Home Length Anchors Equired per side Vector Systems Required LSD 0 to 48' 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 breaking strength. 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) v CD cfl rQ ach Vector System requires one of the following: oW 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 +-- - - -- WIND ZONE II, SEISMIC -ZONE 4 _ - Vector Dynamics Systems Required for Triple Section Homes'Sect\oto°sys (Materials Required) _ - ' , - - "_F �� 16 {ti oactn0 for vec NOTE: 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 manufacturers' instructions and/or state requirements. Tag ori Soil Classifications: 2, 3, 4A, & 4B full triple Soil Bearing Capacity: 1,000 PSF minimum 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+2onTag 4 2 1 49'to71' 4+2onTag 6 3 2 72'to84' 4+3onTag 7 3 2 85' to 90' S+ 3 on Tag 8 j 3 j 2 1 % r 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 44 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 - 2x4's 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 conditions 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 bolt 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. -Cont a tighte iing strap until all slack is out and strap is tight. < H C D Page 16 California N-' — 9/2/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector DynamicFoundation 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: Footer Size: _ 16x16 = 256 sq. in. 20x20 = 400 sq. in. or 16x18 = 288 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 list e Bove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Processional En in ar with site conditons C Page 17 California 9/2/03 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 -U p Vector pa for concret( footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt 9/� lu Vector Dynamics System for Concrete Applications • instructions 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, metal Vector pad and 0into 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 T% Inside Tie Bracket Compressii boards or PVC Pipe rage iu Uaniurnia ad :e (Elsal d/2/03 ' CDF FIRE SAFE REQUIREMENTS AP# - PEFMT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed •16 percent unless paved. 1273.04 Driveway Radius [X] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [X] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05. Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum -25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length.. Page 1 of 3 jj AP# PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 127311 Gates [X] 1.Gate entrances shall be at least two feet wider than the roadway it,serves. [X] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3: Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [� 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. 1276.02 Disposal. of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 -of 3 .l AP# PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30'Feet: - Class A or B roof and Enclosed Eaves If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D Glass area not to exceed 10 % of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi- Board or Plank - Masonry Masonry veneer Metal Other Butte County Fire Department approved materials r 7-D3 Date Signature Page 3 of 3 a NOTES S RESIDENTIAL i,fe ti..C.b. i PERMIT NO. _ 0637049'037 04-B REEHER, GWYNETH 13063 DOE MILL RD, FOREST RANCH Cont: JERRY MITCHELL ATT GARAGE SPECIAL CONDITIONS CHECKED BY _SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER W13 FINALED (Date) • 4 — -.�J< Signature __,._ ._ _._. ._... ,.. .... ,..� _.._....,.�... J=OK 0 = Not OK = Not Applicable . = Not Ready DEF4,COVERS, MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1.. Zoning Requirements -Setbacks -Easements Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/0 -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) 6. 5: Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 7. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 8. 7. Well Clearance & Disconnect 9. 8. Utility Clearance 10. Roof; Shthg-Roofing 7. 11. Ext.; Steps -Doors -Landings 8. Date Braced Wall Panels Card B-1 Date Card B-1 Date ,10.. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Light Niche 1. Zoning Requirements -Setbacks -Easements Enclosure; Fencing -Alarms 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; MH Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date Zj jz.T, DEF4,COVERS, CARPORTS, GARAGES (Plans) OK except #'s ning Requirements -Setbacks -Easements til Footings; Soils -Size -Depth -Spacing -Connectors -Steel Date. 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails j 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 1. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. 6. Carports; Windows -Doors ' 3. 7. Electric 'r 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses ` 9. Siding; Nailing -Veneer -Stucco -Mesh - 10. Roof; Shthg-Roofing 7. 11. Ext.; Steps -Doors -Landings 8. 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 u 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval :': ,10.. Plumb.; Cir. Test -Water Supply Test �;. 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) K Date UNDERFLOOR (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope Card B-1 Date Card B-1 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 41. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 42. 11. Water Pipe; Test -Anchors -Regulator -Service Test 43. 12. Electric Underground 44. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 45. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 46. 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card,B-1 " Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 67. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. Stairs & Rails - 22. Gas Pipe; Sixe & Anchors Fireplace or Stove, Clearance -Hearth 23. Fire Sprinkler; Test Elec. Outlets at Wood Panel, Int. & Ext. 73. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 76. A.C. Duct in Garage -Damper 24. Fixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Plb.; Elec. & Mech. Equip. Listed for Location 26. Size Boxes & No. of Conductors Stapled Elec. Receptacles in Garage (F.F.I.)-Romex Protection 27. Romex Installed Close to Edge of Studs & C.J. Insulation -Foam -Looked in Attic 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Guard Rails & Deck Construction -Post Caps 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Clearance Looked under Floor ❑ Yes 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date FRAMING (Continued) Card B-1 Date Card B-1 Date , Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 54. Card B-1 Date Card B-1 Date 55. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 41. Sills Proper Materials & Anchors Siding -Nailing Veneer 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 43. Bearing Walls over Girders & Floor Nailing Glazing Area -Glass Protection -Skylights -Plastic 44. Draft Stop in Walls (rat proof) Shear Walls; Nailing -Bolts 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Brace Interior/Exterior Wall Panels 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. , Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card,B-1 " Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection , 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails - 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTEBUILDING DIVISIONDEPARTMENT OF DEVELOOMENT SERVICES7 County Center Drive Oroville, CA *,(530) 538-7�41CORRECTION NOTICEANEI� PERMIT NO.A routine inspection indicates that the following violations of butte county Ordinances exist at theabove address and should be corrected. Please notice this office when correction of work iscompleted. If you have any questions pertaining to this matter, or need additional explanation,please contact this office immediately.Mf 1AMIA a ��� REV 10/92 _ .�� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. . BP041512 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/03/2004 APN: 063-040-037-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect•Site Address: 13063 DOE MILL RD FRN License Clap: A— License Number,3��2 Map Index: Dat Contractor. !/ Description: GARAGE (576) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: REEHER GWYNETH A permit to construct, alter, Improve, demolish, or repair any structure, prior P O BOX 401 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of FOREST RANCH, CA the Contractor's State License Law (Chapter 9 commencing with Section 95942-0401 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): �as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: REEHER GWYNETH A Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: HYSMITH CONSTRUCTION not apply to an owner of property who builds or Improves thereon, RICK HYSMITH and who contracts for such projects with a contractor(s) licensed 10480 N STREET pursuant to the Contractors' State License Law.). LIVE OAK, CA 95953 ❑ 1 am Exempt under Article 3 of the Business and Professions Code 530-695-8784 Date: Owner: License #: 791117 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self4nsure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, (or the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier. Total Square Ft: 576 S. F. Valuation: $13,824.00 Policy #: Census Code: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall' forthwith comply with those provisions. Date: Applicant: WARNING: Failure to scure workers' compo ation r s unlawful, and shall subject a( employ), to criminal sand one � -21 hundred thousand dollars $100,000 , in additio of C� 7l JIB VIj compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees. `— ✓j Z,ai �� CONSTRUCTION LENDING AGENCY This permitjsbereby issued under the applicable provisions of the Bulte Cnunly Codn 2nrvor I hereby affirm that there is a construction lending agency for the Resoluti o rk Indicated above for which fees have been paid. /v� performance of the work for which this permit is Issued (Sec 3097 Civ.) • BY 0 t e: Name: tx- a PERMIT EXPIRE O ' Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the own duly authorized agent of the owner. 1 agree to comply with to the of any o 'cial form or documen u e t7mri all county and state laws relating to building construction. I acknowledge it is unlawful alter subst ce . authorize representatives of Butte County to enter upon the above mentioned property fol Inspection pu oses. C Print Name Signature: Date: rwner—I Contractor Agent f r Owner ❑ Agent for Contractor 0 0 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVELLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION • .������ �___nWIUER_. Name'VG�►r1L��1 Address /8 Mt f h Sta ZiR? RM Fax E -ma • .������ 0ma-- < II _" is i%]�/I�1111Iii/I�Ti�1yFi%.[r' City LuisWIN= _ W Zip City Fax State Zip Phone 1I �� Fax APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail Lot # State License Number APPLICANT NAME Name Addres City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone M No OccJ7 ; ,� Type Const. V n Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS M PERMIT NO. BP a4- /54 BIN # // -- /L'OCATII(ON AP# �; (o G H d— U 8 rI Property Address Cross Street Se 6 / ,J• WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq. Footage a ca of e- 0 ❑ Structure Built without Pe its C574) ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION , Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by- Amount 2-74-15 Bldg 15.2 ct 8 SRA Receipt #: 46 (-v 14,9 Date: 15(as/O4 Sheriff SMIP Other 47 7. 9 3 Total REV 4-30-04 SUBMITTAL REQUIREMENTS ` The,following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! _ ;,; _ r4 ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed, calculations. - ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ' ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required_ ):.• ❑ 9. Sanitation and site plan approval from the Environmental Health Department. r ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6;—='- Sanitation and site plan approval from the Environmental Health Department. ❑ 7. .2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed b the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Driv6�Croville; CA 95965 Phone (530)538-7541 Fax (530)538-2140 '^ PERMIT APPLICATION DATA SHEET OWNER: l� 1 P( ASSESSOR PAR.CE NUMBER , �-' (J V 17 Proposed Building Use: i / KT(E �� unte T! h ►cian: 7P Date: Itp-ms required in order to apply for a permit. All box§s MUST be checked OR marked NA in order to apply. V1. 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. 0 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! 0 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, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form :�p 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. SEE. 03.2 �� ❑ 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 Z paid. Sent by: ............. 24. Planning approval (A) Use: B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage.......... 144 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance....' ......... learance.................................................. ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone X46= . 44r and hold for pickup. I have been i ormed of the ab ve items and requirements for obtaining a building permit. Applicant: �r Date: 1. Index permit icaticfd' t v Xeg"Fhumbered. Plan C eck Letter 2. Additional��ea ' Contracto(/,d'esignerpner, was advised of the above data by ❑"phone,\❑ mail, ❑ counter, by Date: Contractor, designer, ow was advised of the ab4veS� by phone, �❑ mail, ❑ counte , Date: Plans reviewed by: Date: (0 �J o Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 `f SCHEDULE OF RECEIPT OF FEES OWNER E>✓ F+ Ea— A.P. # 065 .04-0 •037 PROPROSED BUILDING USE Gig S 7<o DATE RECEIPT # DA E REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... 2 q s $0,Q)2I --- Additional Fees Due........... --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ 4. URBAN AREA FEES Residential (per unit)...... Sq.Ftg. X # Units Amt. (paid at Building Division) Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE (paid at Building Division) 15s . 1 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. 46( 14q S 2S a9 - Commercial (sq. ftg.) ......... X�, Sq. Ftg. _01HER At time of permit appl, on, s a sed the above are required to a paid prior to issuance of the permit. These fees may be changed dur' g the pla ch APPLICANT DATE Pursuant to Government o ec ' 6020, you are reby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the of ap 1 of the project r from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) .k .r ' SITE PLAN REVIEW APPLICATION Date:.. 7%loq�# 0`0 _oyo-Q3 % T Permit Number (if applicable) 0 (S/ APPLICANT INFORMATION Parcel Size: Owners Name:, / Owners Address: 304 3 Dom- ko-61 Telephone No:: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home Residential Accessory �-0, ❑ Permanent Second Dwelling �OA_a ✓ ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family. Non-residential' ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary):' DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Approved'. ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By/1,a Date 7 O lvn Nz ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: (See attached) • Flood Zone: j • Flood Panel No.: 0606 7 e037SCIndex Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the dalitomia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit El Minor Variance F1 Administrative Permit ❑ Variance ------------------------------------------------------- -------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: T —10 Applicable Building Setbacks: Front Zoning Code Streets & Highways Fire Prevention Subdivision Map Side J Side Street Rear U Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Parra 7 of C Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff . ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road -❑ Thermalito Impact-, ❑ Other ------------------------------------------------- --------------------------------------------------- Map Special Fees ❑ Water Tender - ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. 1 1. . . Parcel Created By Deeds: Date of Creation: Legal Access Provided: El No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: • 03 -,27�9 - 4 ❑ Parcel Deemed to be legal _ ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ------------------------------------------------------------------------------------------------------------------------------ r___ � _rc ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page:_ Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ . In lieu of a pressurized water system or water storage tank_ , payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from.all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa M] n___ n _re Summary of Specific Requirements: f • rFi Summary of Specific Requirements: f • F This information provided in this summary is based on the application information and on the best available data at the time .of review. CALanys\Building Permit Site Plan Reviewl.doc PaaP c �,f c Department C o u n t y J. Michael Crump, Director of Public Works o f B u t t e. LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description: I Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result,in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Skycrest Enterprises DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY) ADDRESS: 13468 Hwy 99 Refund Claim - See attached calculation sheet APN: 063-040-037 CITY & STATE: Chico, CA 95973 DATE OF CLAIM- 01 /28/05 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund Claim - See attached calculation sheet APN: 063-040-037 Permit No.: 03-2790-7 PAID RETAINED REFUND Development Services $ 308.22 $ 146.90 $ 161.32 SRA $ - $ - $ - Sheriff $ - $ - $ _ Other: $ $ $ _ TOTAL $ 308.22 $ 146.90 $ 161.32 :.:. o...... :::::BR) A { iiE VN :::::::::::::BUDGET-::::ACCQU:NT::::AMOUN-T:- ... ............... .............. ............... Development Services 440-001 4210500 $ 161.32 SRA 0100 4617240 $ - Sheriff 280 1011811 $ - Other $ _ TOTAL $ 161.32 $ 161.32 ., mu untiulwyneo, ueciare unser penairy or perjury rnar me services or anicies claimed have Deen performed or delivered, and that this claim is true and correct as stated. Dated this day of 2005, at r r Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or arti pecified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check on the same. Dated this3y�f 2005, at Oroville C Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY EPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: REFUND CALCULATION SHEET Skmest Enterprises 13468 Hwy 99 Chico, CA 95973 05/17/04 APN: 063-040-037 RECEIPT INFORMATION NUMBER: 385587 385587 DATE: 09/10/2003 ISSUED TO: Sk crest Ente CHECK #: 5339 AMOUNT: $308.22 PERMIT #: 03-2790 Yes tREFUNDS: VERIFIED X ses 5339 103-2789 No I Yes No X REFUND BREAKDOWN BLDG $848.22 DETAIL PAID RETAIN REFUND 440-001 4210500 0100 4617240 280 1011811 BLDG :::::::::::::::::::::::::::::: :::....:::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :::::::::::::: ............................ .............. ............................ .............. ............................ .............. :""*":�""" :""':" ............................ :::::: ::::::: .......................... .......................... .......................... ::::::::: :::::::::::: .......................... ...... ........... ........... ........... : ........... :.:.::::.:.:.:.: ......•.•.•.•.•. FILING FEES Building 20.00 20.00 Plumbing Electric 20.00 20.00 Mechanical PLAN CHECK Plan Check 81.901 81.90 Energy INSPECTION Ener SRA -BLDG Building $46 PERMIT FEES Building Plumbing Electric Mechanical 126.00 126.00 126.00 20.16 20.16 20.16 OTHER BLDG Overcharge 40.16 40.16 40.16 REFUND PROCESS FEE 25.00 -25.00 -25.00 BUILDING TOTAL 308.22 146.90 161.32161.32 SRA - FIRE Fire $43 :: SRA - FIRE SHERIFF - $360 Sheriff SHERIFF OTHER NON -BLDG OTHER $ 308.22 $ 146.90 $ 161.32 $ - $ - $ - $ 161.32 BLDG SRA SHERIFF 440-001 0100 280 4210500 4617240 1011811 CHECK: $161.32 DIFFERENCE: (Should be blank) APPROVAL Date Reviewed 7/15/2 Michael Vieira Building Manager Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Development Services for payment processing. CLAIMANT'S NAME: U. % (� 3 / ✓. w. R 7 MAILING ADDRESS: 9 PHONE: ASSESSOR'S PARCEL NO.: [Please use one claim form per permit.] BLDG PERMIT NO.: d 3 -.�2 7.?. 1 Receipt No. 1 Receipt No. 2 Receipt No. 3 RECEIPT NO.: �� �_� RECEIPT DATE: ,/ _ _ 36� l� -zz ' RECEIPT AMOUNT: REASON FOR REFUND REQUEST: ✓W53i5�_ Sea Check those fees which you wish to have considered for refund: [Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. Kffiature :/Forms/Refund Application 082203 Date 73 5 MANT: Skycrest Enterprises - LESS: 13468 Hwy 99 8 STATE: Chico, CA 95973 'OF CLAIM: 05/17/04 APN: 063-040-037 RECEIPT INFORMATION NUMBER: 385587 385587 ` DATE: 9/10/2003 9/10/2003 ISSUED TO: S crest Enter rises Sk crest Ente rises CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED - 5339 5339 $848.22 $308.22 $540.00 03-2790 03-2789 Yes No Yes No Yes No X X REFUND BREAKDOWN r Title Fund Dept Accnt Cash REFUND BLDG 0010 440.001 4210500 101001 THRM DRNG 1800 rHRM DRN 280 1011822 AUD SUSP 1001 (SMTP) 280 1011430 SHER DEV FEE 1800 (SHR) 280 1011811 THRM URBN 1800 (TUA) 280y 1011816 DETAIL PAID RETAIN BLDG rime 109.98 549.90 }iiiiii}i:::i?::: -::':<< ii}}}}ii::::::::....... :: _'' :iii}i:i ................ .:•i:•:.i:•i: Filingfrom Plan Check 0.00 0.00 0.00 PIE ling 025 27.50 219.96 219.961 0.0011 0.00 Inspection 1 0.00 329.94 329.941 0.001 0.00 BLDG FEES BLDG IOTHER T 54.99 0.00 54.99 54.99 SHR 54.99 54.99 54.99 REFUND PROCESS FEE 54.99 0.00 0.00 BUILDING TOTAL 659.88 549.90 109.98 109.98 THERM DRNG 510.00 510.00 0.00 0.00:::::::;• '§MIP 7.74 7.74 0.00 0.00 SHR 305.011 305.011 0.001 0.00 i:•: •:•iii} TUA - '`'`_- 540.01 --540.011 - 0.00 .-` " . 0.00 APPROVAL Date Reviewed Michael Vieira Building Manager $ 2,022.64 $ 8/42004 1,912.66 $ 109.98 CHECK: $109.98 DIFFERENCE: $0:00 (Should be blank) $ 109.98 $ $ $ $ - County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Skycrest Enterprises ADDRESS: 13468 Hwy 99 CITY & STATE: Chico, CA 95973 DATE OF CLAIM- 05/17/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Refund Claim - See attached calculation sheet APN: 063-040-037 Permit No.: 03-2790 PAID RETAINED REFUND Development Services $ 659.88 $ 549.90 $ 109.98 THERM DRNG $ 510.00 $ 510.00 $ - SMIP $ 7.74 $ 7.74 $ - SHR $ 305.01 $ - $ - TUA $ 540.01 $ 540.01 $ - TOTAL $ 2,022.64 $ 1,607.65 $ 109.98 ::: BREAI4fl01VN ::?: >::: >:BU1)O T`:. ACeIOU.VT ::AMOUNTI 101001 DVLPMNT SVC 440-001 4210500 $ 109.98 1011822 THERM DRNG 1800 280 $ - 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 1011816 TUA 1800 280 $ - TOTAL I $ 109.98 Is 109.98 u„um� yncu, uc�idic wiuci P-dily v1 Prqu y uiai uie services or arucies ciaimeo nave Deen penormea or delivered, and that this claim is true and correct as stated. Dated this day of 2004, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2004, at Oroville Calif. ` Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. 1. County of Butte Oroville, California GENERAL CLAIM CLAIMANT: SkycreSt Enterprises ADDRESS: 13468 Hwy 99 CITY & STATE: Chico -CA 95973 - nATF OF CI AIM- n5/17/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund Claim - See attached calculation sheet APN: 063-040-037 Permit No.: 03-2790 PAID RETAINED REFUND Development Services $ 308.22 $ 146.90 $ 161.32 SRA $ _ $ - $ _ Sheriff $ _ $ $ _ Other: $ $ _ $ TOTAL $ 308.22 $ 146.90 $ 161.32 ................. .................... ....C...... :.?:BREAKD'OW.N:::::: >'::::::Bi�DGET:: .... ............... :ACCQUNT: .............. >:ALViOUN.T:: ............... Development Services 440-001 4210500 $ 161.32 SRA 0100 4617240 $ - Sheriff 280 1011811 $ - Other g _ TOTAL 1 1 $ 161.32 $ 161.32 11 uro unuersiyneu, oeaare unuer penairy or perjury mar me services or articies claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of 2004, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2004, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY )EPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. PERMIT ' ZBin`( -'_ A`PN 0 4 0 ._■ LAST NAME FIRST NAME rerwrim CONTRACTOR SKYCREST ENT CITY/CTY STREET NO �STREET NAME DOE MILL RD C/TYj FORESTRANCH USE TYPE REMARKS ' ' �Z5�rm =LM VALUATION • FEES PAID JFEES2 FEES 3 FEES 4 PLAN CHECK ACiTIV1Ai P E M FLOOD -� RECEIPT RECEIPT_ 2_. RECEIPT 3 RECEIPT 4 ii FINALED PlanChk-1: Chkd By -1: ® Return Plan Chk-2: Chkd By -2: ® Return Plan Chk-3: Chkd By -3: _ Approved: Str Appr: Comments: 255 char. max (call to contr-9/19 they may cancel project.mc index 4/12/04 -index until mobile home is ready.mc refund applied for. 9/10/2003 4/21/2004 PERMIT=x�°-= : • ._■ Bin j a_1111 APN • i LAST NAME 7 V I __ _ FIRST NAME CONTRACTOR ENT CITY/CTY STREET NO STREET NAME'DOE MILL RD CITY1 FORESTRANCH USE TYPE =101MMIREMARKS o 25 char. max B P E E M M - VALUATION : FLOOD 451 .PLAN CHECK ACTIVITY FINALED Plan Chk-7:' WHOIB ® Return -1: Str Chk-9: Plan Chk-2: J WN11112A I hkd By -2:® Return 2: _— Str Chk-2:, Plan Chk-3: Chkd By -3: ® Approved: Str Appr: Comments: 258 char. max 9/10/2003 4/21/20041 9/10/03: PD SRA $89, REC #385587. plans incomplete -call to contractor -they may cancel project.mc index4/12/04-ioncomplete plans again submitted -letter of intent for removal of existing mobile home to PAA process and data sheet item.mc COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER � 3 • 040.03 ZONING 'fM - I O BUILDING PERMIT OWNER R TELEPHONE � Q � SO, FT, OCC. BUILDING VALUATIONb8a -5746 . OWNERI M.UNG ADDRESS t� BbX �'D� OREST ���IGtI Q594'2- CONTRACT R'S NAME K GrQi�ST E"TEp2P021nEs TELEPHONE _3+ Z • llo CONTRAc 1 ¢U DRE � r Co q Sy _73 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ — ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ $t .d10 BUILDINGADDRESS �O/ Doc—, oeo f0 Energy Plan Checking Fee $ F:0 12 T P&PO4 4 $ PERMIT FEE $ ZZ '?6 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 2 -'Other 24-X 24' SPECIFY Each Trap 7.00 - Solar or heat um water heater 2 3. 00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: IV ����'� E Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 R III Main Service 2001 OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license ' n, I e and effect. QQ� License Class Lic. No. '_ V OWN.50 -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' c an insur9pee carrier policy number are: Carrier � Policy Number (The above sections need not be competed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers'HAZ. compensation laws of California, and agree that if I should become subject to the workers' compensatio provisions of section 3700 of the Labor Code, I shall hwith comply with ose provisions. ` Date/ S' ure of Applicant - ❑ ner ❑Contractor ❑ Ag OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( 6 ACC. BWS. 3.50,. 20-116. NON-RESID BRANCH MULTI-OUTLETinur 97.50 POWER APPARATUS & SINGLE OUTLET CIR. ER OUTLET OR FOREs BA @ 1 0 0 E(, OCCU CTU Ex. Occup. our>F°SAPR '., 6.)OEEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ f(o 40 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ 0- Ilo_ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ , ZZ p. FEES IMP MP FLOOD x COF V PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B Dat q F PERMIT EXPIRES N��qLeWHITE-D.D.S.-B.D. ReceiptNo. l?!C; ' 9'% $,30$•2.2 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT R i COUNTY:OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive p• Oroville, California 95965 • Telephone (530) 538-75y-1 ^ PE MIT No. APPLICATION (Rev. !1� PPLICAI'IOR! AND PERMIT `�j ASSESSOR PARCEL N0ASERQ rJ ZONWO_ / j'' BUILDING PERMIT OWNER TELEPHONEETaQff^- f SQ. FT. OCC. BUILDING VALUATION OWNS �RESR.g,� ��� V/H//�� /J✓/L�/l l��J/� CONSTRUCTION LENDER / LENDER'S MAILING ADDRESS !F:CHRECT OR ENGINEER OR ENGWEEAS MALLJNG ADDRESS 4AING l P. „ n �1 LOT NO. I SUBDIVISIONS NAME SF ❑ Duplex ❑ Mobilehon USEOFSTRUCTURE TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ e PERMIT FEE PAID $ 60? SRA $ Po. SHERIFF $ � OTHER $ AMOUNT RECEIVED DATE RECEIVED. 9 RECEIPT Total Valuation Is I BGS o FDCED APPLNS. OR Ex. Occup. OUTLETS ESID. EA Filing Fee $ 20.00 Permit Fee $ '— Plan Checking Fee $ Energy Plan Checking Fee $ $ PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W @20.00 PERMIT FEE _ I i J ELECTRICAL PERMIT I Fling Feel 20.00 Main Service 80.v ON LEGS 23.00 Main Service 200A To IOWA 46.00 NEW CONST. DWEUJWOCCUP. OR ADDNS. ( b ACC. &.DS. 3.50SO NEW cO m uLT,.ovnzr NON-RESID. —.I.-- @7.50 Ex. OCCU . OUTLET OR FIXTURES I BGS o FDCED APPLNS. OR Ex. Occup. OUTLETS ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wisc. Wirinq 23.00 PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood . 6.50 PERMIT FEIr I S Mobile Home Installation Fee $ Energy Inspection Fee $ occ OONsT. Tri TOT L FEE $ J-Y1-SSU-E HA7- D. FEES FLOOD CD EL This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date �.� rs `���"- i a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 6 �.� `^ `-'� \ ASSESSOR PARCEL NUMBER Proposed BuildingUse: Date: Counter Technician: V ` Q Items required in order t a ply for a'6nit. All boxes MUST be checked OR mare NA in order to apply. 'O'P' ot plans, 3 or 0144ets, signed by the preparer of the plans. /(ems 1%i,� Complete planr 4 sets, signed by the preparer of the plans. En ineered lan,or 4 sets with wet signature on plans AND 2 set�m ed and signed calculations. g P g P P g ❑ .4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5: Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... EV 10. Letter of intent for non-residential buildings ........................../V.... . . 11- Detached Accessory Building Form filled out by the owner......... '......................... ❑ Z. Hazard Material Form ..................................... ..................., ......... they -- Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ /Statement of Intent for Non -heated and A/C Buildings ........................................... Sanitation and plot plan approval from the Environmental Health Department in Q City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: 0 i< (B)Parking: (C) Parcel Check: 1 6 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23.' Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................: ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance................................................................ ❑ 29. Existing violations and/or expired permits......................................................... ❑* 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ etter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: � 4 I When issued Telephone= and hold for pickup. I have bee med of the ab=items rements for obtaining a building permit. Applicant: Date: 1. Inde per t application for the above numbered: Plan Check Letter 2. A al items required &AZWDL-Nesigner, owner, was advised of the above data by I1�phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the ab ve data by, ❑ phone, ❑ mail, ❑ count by Date: Plans reviewed by: Date: d Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division � - c.,�. - �• .�Y.,1 ..r w ...�. r � .. �R+r•�►r.y-„1.♦.Y �...Y-'. .�lY^ .i _,Y_�-.'Y-+rte..-+..Yr.f- ..r.-.+� +.-r-h,- F-� f COUNTY OF SBUTTE - DEPARTMENT'OF DEVELOPMENT SERVICES - BUILDING DIVISION .,. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. x, (Rev. 12/96) APPLICATI®N ANDPERMIT- t _...✓ L....r r J yr y ASSESSOR PARCELNUMBER zDNI-1 rJ1 f U BUILDING PERMIT OWNERTELEPHONE g SQ. FT. OCC. BUILDING VALUATION . OWNERS,MAILING ADDRESS PD E, aev 40P ! opfr --1 67514 2 - �� �_^,� , �'•- CONTRACTOR'S NAME - CONTRACTORS TELEPHONE CONTRACTORS •MAILING ADDRESS r^ 13 4 &- e ,Hw lin c.,yr��� e'_J CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1 ? ” ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ 01.e110 BUILDING ADDRESS ;-, �i C' 4: F l I l L Energy Plan Checking Fee _ $ ' r (3e t•-tPERMIT $ FEE $ '1 2 2 �'!G LOT NO. SUBDIVISIONS NAME pA L MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE �X /^ SF ❑ Duplex ❑ Mobilehome O' Other dnf � :!'d SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK F r- {'- New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ +Other'❑ --X \ ' Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 ,.- PERMIT FEE $ V ELECTRICAL PERMIT ` I Fling Feel 20.00 Mairl Service ' OOV oR LES 2o0A OR LESSS 1 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 /isiin ffurll♦jorce and effect. , /j^ License Class C s i'f Lic. No. e� V OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ( /?-, ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1a exempt under Sec. -Business and Professions Code for this reason Main Service 200A TO t000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. DW: ACC. BIDS. 3.50FT. , (% NONRESID. MULTI.OUTT @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS 20 9': 0 Ex. Occup. oFIxA o) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FE $ 4 16 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations. ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co ge sation insurggnce carrier and policy number are: Carrier /� /`f s) c4 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number /�''� `� ''i /r (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that if f,should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall C -"forthwith comply with%those provisions. / %h/ A Date �`" �% Signature of Applicant- ❑Owner ❑ Contractor ❑ Agent :iAn OSHA permit is required for excavations' over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 56r6, 2 Z FEES IMP FLOOD CIF pggOEl pp HD ISSUEcompensation This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. %� B�®C ' `.! Date PERMIT EXPIRES ON 411, ,x , /Date Receipt No. ?g 'c�r5 2 =t ?sig •Z 2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1[ 11 NOTES RESIDENTIAL ` 41, PERMIT NO. 063-040-037 03-2790 lam— 1 REEHER, GWYNETH 13063 DOE MILL RD, FOREST RANCH Cont: SKYCREST ENT NEW GARAGE G , I • ' r ;1 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except ft Utility Clearance 1. Zoning Requirements -Setbacks -Easements 1. 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Date 6.> Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i- s i• J tf= i - 2 � 7. Well Clearance & Disconnect MISCELLANEOUS 8. Utility Clearance 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Date Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Card B-1 Date Card B-1 Date Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing Card B-1Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements - Carports; Windows -Doors - 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 1 6. Water; MH Test -Regulator -Connector t 1• 7. Water and Sewer.Connected-C/O to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch + Date 11. Cert. of Occupancy 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability Date Pool Structure; Steel -Connections -Thickness Dead Men -Lining Card B-1 Date- Card B-1 Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking "^ 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. -Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify W9 with Office Date Card B-1 Date Card B-1 Date Card B-1 Date' Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i- s i• J tf= i - 2 � MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Con nectidhs-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 1 11. Ext.; Steps -Doors -Landings t 1• 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 ft 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 i- s i• J tf= i - 2 � J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Date 15. Access & Ventilation 16. Insulation 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle _ 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 59. Glazing Area -Glass Protection -Skylights -Plastic 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 Date 25. Elec. Receptacles Spacing -Lights & Switches at Doors Date 26. Size Boxes & No. of Conductors Stapled Date 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 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 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 MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s _ 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub'Access-Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 11 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance 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: t f � t r, .+�,.ail.,MH 2881-76P E PERMIT NO. PERMIT EXPIRES 1:�107 OWNER David M. Bibeau CONTR. owner LOCATION (A.P. 63=04-37 ) W/S Schott Rd., 42 mi.E.ofHwy 32, Forest Ranch •11 .Q f{Ya 1. 1 1 Temp. Power Pole Called PG&E i'9". Elea Serv. Z` i Called PG&E Temp. Gas Serv. Called PG&E ' JOB 1 FINALED (Date). (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING. Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish _2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicape Conformance of ex. structure Appliances Gas PI Ing & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLEF Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation 'Door Closer Final DATE REMARKS OR CORRECTIONS_ h1 Water Htr. Subpanels Grd. Fault Pri Service Temp. Pole Undergroun� Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRICAL ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive..-..-._,UroviIle, California 95965 / w i Telephone: 534-4541 APPLICATION AND PERMIT' .- �r,......,, •..., v...a , a �c v 11Ly UP OULLU LU QIIICI UJJUII Lilt:above- toned property for inspection purposes. �( 1 Da�L�is Signature of Permitee or Agent (U� Receipt No. _�77/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By — Date -gWiidi, g permit expires Date �//�% BUILDINVIFI Owner/V/& 13P,/ SO. FT. OCC. BUILDING VALUATION Mailing Address//7-4 S-117- :'Telephone 6 TelephoneNo. rp 0 - -� (1� -- Fir place Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address Q7 2> PLUMBING No. @ FEE PERMIT FILING FEE $3.00 � 7-55 Each Trap 1.50 _ Repair drainage or vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ''� '- "'� ' Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W. Sa n Fire Dept. Fire Zone Use Permit Building sewer 5.00 ©� EOA Parking Parcel Plans eclaration parcel Map 60R/W ' rov e Imp nts Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approvol Permit Fee $` (7[, $ NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00QC-) Main service 100V OR LESS O fs., 100 AMP OR LESS 5•00 l/ Main service EA. ADD'L 100 AMP 2.50 �- 0 rqvr Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 0 AMPVEROOR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 2¢Sgft NEW CONSTR.MULTI-OUTLET NON.RESID, BRANCH CIRCUITS_) 2.50ea NEW CONSTR (POWER APPARATUS & SID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: O 0 pExOccup(OUTLETS OR FIXTURES)@2-1 BALC� Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.( EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 r� License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee 7, 5) $� WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. rAI to an certify that in the performance of the work for which this ermit is issued I shall not em P employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances.r and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ®�C .- �r,......,, •..., v...a , a �c v 11Ly UP OULLU LU QIIICI UJJUII Lilt:above- toned property for inspection purposes. �( 1 Da�L�is Signature of Permitee or Agent (U� Receipt No. _�77/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By — Date -gWiidi, g permit expires Date �//�% 14 4<1 Z -� Saiz - _. o.37 -e. Q f v - id N07 Shrill fI^.rry'p . ill B PrOrfores Of a qur'fit rre, c;'u -4 for :-he Sf)ecified use in rh . Uniform' BuMinq, PlLambi;,g & Machani Codes n ..the.. National Electrical Code. - I :2 r , L7Y M for Th Setback shall be 5 ft. from V -e si;3e property line an*d 50 ft. From the centerline of the rocad,�permitting a maximum -of a.2 ft, eave overhand. . ms set of plans AMUORMAtagg MUS I be <ept on the' job at all times and. it is unlawful to make any changes or alt rations on same without written permisson from the Department of Public Works, County of Butte. Assessors Parcel Number::.:::: ❑ d rI 0 7 0.❑ ❑ .� n Scale:.1 .. ,`'o Owner Name ? �e� . G/�r►���`.: L — a Address /Phone. No Site Location Contact` .Name 7 �� L Phone Assessor's Parcel Nu__. -Q ©.� 0:© -. 0 �. Scale:,1 a g� T. :. OWn a e: Name . Address -1 Phone No. _ o Site Location Contac t Name �� ��'� Phone C �3� �-o� 9 LLI 1 U21 tts 13411 M44 loaso 691 g t w bar a� sa a mrtuc a oeaa r C wr GLIM *8m ow i !m lam a!$ a or 7s cc am e cram n: a IM son: to 0 v t P CAMMM/M soar somas" 32S 356 591 eq n la Is.7 52 Sal a sr►tBte3s• acsrsmaown Qf7ttWns tV 9Ea3ET IAS Es6 BOY 12MTK DEOCIMP"ON DBATD9G NUWM 1Di 71 5So 601b-2RK-Z8-CA1H P218 -Cf Assessor's Parcel Nu__. -Q ©.� 0:© -. 0 �. Scale:,1 a g� T. :. OWn a e: Name . Address -1 Phone No. _ o Site Location Contac t Name �� ��'� Phone C �3� �-o� 9 ELECTRICAL, MECHANICAL; AN® PLUMM CONlS:TR0CT!0jS3' (NOT -PLAN CHECKED on'sii SHALLCOMPLY.-WITI-I'dORRENT EDMON 0F NEO uMc--ANb UPC. U7 o 'o oul o - 'c -n a- u) ul uj D_ U0, ucr,- Lu cc 0 L11 0 Lu o 11"10TE u 40 < 0 LL 0 cb -r- sc.-B the ail.arhed w M w Co 5c, �L�n C5 wco > ELLL, w cl) > > Sx 0 0 0 cc LL: 2 2 co cc T- :<i act e2— U. U_ co 0 L co > 0 2 co a- 1 4 Pages Z < C) c'j co '3 Dco co a: p cc U3NM 0 u Ro Bli TEE COUN I k- ULDiNG DEP�RTMF- P P R V .1 F" C�2 1 401 E Ll ELECTRICAL, MECHANICAL; AN® PLUMM CONlS:TR0CT!0jS3' (NOT -PLAN CHECKED on'sii SHALLCOMPLY.-WITI-I'dORRENT EDMON 0F NEO uMc--ANb UPC. U7 o 'o oul o - 'c -n a- u) ul uj D_ U0, ucr,- Lu cc 0 L11 0 Lu o 11"10TE u 40 < 0 LL 0 cb -r- sc.-B the ail.arhed w M w Co 5c, �L�n C5 wco > ELLL, w cl) > > Sx 0 0 0 cc LL: 2 2 co cc T- :<i act e2— U. U_ co 0 L co > 0 2 co a- 1 4 Pages Z < C) c'j co '3 Dco co a: p cc U3NM 0 u Ro Bli TEE COUN I k- ULDiNG DEP�RTMF- P P R V .1 F" irk till :. N t -•s. - .. _. _'----- - ---- ---- .: __. _ .- .____ _—._ _--- .__ — _ ..... `- _ _.....c. _ ... _..... jr .. ... _ ..... .... _ .. .._.... .... REVIEWED -BY.. .. ... .. ......... .. /E �G= r' i.ITi'E CO. F 1RE DEPT. appre E ; pp mw avath ^ ndifibns _ . - : ff, /�/ L-'JCi�.'M Alit � L 1rN NN?`S" er. tt ched Sheet. - - .. _ ._ : - .../ d' [ fj� , / 1'1x'4- FRO, TyiE :SIDE Ah�1D [ ER t.l S A ............ . . ems^ � y�i�% Date.. - T[ --IE, ".., :..:Sign ... _ _ azure � Da4e: - :- �'. FROM �� TSE - -.- G - :........ ........ .. _ ....... .. .... ELEO- •- ;CAL9 �'�i� i�;•-r^ate-��J!�-F`�:4'�„��p!�Q:..... :.....:..... ..� . .. . t��i=jUCt"i�3� � ( �10�`' Pi:..f�f� _.. �Otil PL "Alil`�-i .�;tlRR i`��`: Ems.; t+l _ V�,{ a - TT .. .. ... .. .. .. .. .... ... 1. ._: ._ .. --•'-1 ::. �--- ----- -- - -- - -�- :. �'��� .• - , ►� � - - �'�1f1P3NING:DIVI$IDi�•B'ILDINGPLAI�APPROV - �. .. . ta E FC ii `Dim /` fig;' �9.. .A .f - - - - .. : . : .• n . ............... . . eUILDIN ,�. -- :e - �- i t�E ""( 1038 ... .:.. _ War¢liause - •.: - _ •��'�...":s'' SOX .... 1�ii c • ec�;2y; •�► 9594$ - - -- � �- _ =- ' - - : _ _ _ ._ - . : - - - -.: - - � • . 'Se30 846=4 _.... ... .... ..-:...--- .-._...:.. 43s s rs Parcel Nwinl3ef:: -: Q. -. 0.0: Scale". OG T.��: FOR OFFfCE USE. ONLY PROVIDE FORALL._ . . - - _ .. o 0 oQ ADJACENT PARCELS Owner Name :7"e� i/��/�� L o o Zoning: S� ' C :..: Address /. Phone.No 1 G c� i'� % / . J o o ' General Plan Desig: ZONING: Site locationc�U NZy - Ske:. Aces.-: GEN PLAN: 3G 5 �'�, 4.oa*. USES`:.' Coniact- Name �C� Phone —� . :-- SITE PLAN LA Mse��_7'/6'_ I ;cr _,�� ccf- 02-2/ 6a —CI 3�l it 102 '• i ) 2 � rr ti � ebr •.:u< 122 � . /6 /! C _ .._... ... .. ._. .:.... .. ':,r� ... ... Dit .j it/ O r3J r - .E<Z1. �I.'C L. <� _C. / O N W O) W��. ._ .... .. _ �2 5C� , 5� ^-r 7- I <,/ )/ T .... fCYJ r <„ c ;OAC. C � t `,C/ � W•<W00<G N C W y O 0Z - 1 ppp{ 1 f`i 97 48 V -1J J I♦ 1 W J .., W W ..._ ... ... ..... ....... .. �_ I Ncw / O/.r! o! ' II Z r i < C ut .. . 1 p ifw, lGACSi /J NCN L•G 1. I- r9 Ib' .�I �1� I1 N O y ... _... .. .. .. .. .... ... .. .. � _ O a ° I I :. I:7J C s• , 70 J , O f 0 1<J r.r 7G�.: 2, c2. • 1117 U t.:rDr /.L�•'. Js._DD. v r/ 7<S.:J OJO - .. _.. ..... .. .... . .. .. .. �o < IIElO.17 r F15 _ a o6 O ,< 7] �. - ,, r2 `o '9rS•,: Ico.�*,F�'-,�.,r I + _ c Frd 55•-� :` e- / lS.F<_C Ib.�e%r90 '6l 03.1z 'sS. LLS/ r ' r•.—_ :C (spy r lZ �/ � � l0 ZZ 7 !i ;..r_. c ZS I ./0 _c. —__ O r , KNOLLS SUB °6 IZ'3.:e 7. . 57 ,r -M r 5 5<-c0 ! �5 rO! r05 �r0o 65z O ^ 66 r9/2! 67 O4 vj Il F� 7�.z �1Ili • - :oosrersmr+r�. -0�SSCSSOis r'�✓o %/O. EJ ....... ... .... _ .. :07£: 7t ... .... only end mv, not !onrlitnlr 1a 1 :mc clJ. 0/ County Q/ Eu,te, Co," ' _ ......... .. Assessor's Parcel Number: Scale: 1" = 0 0\ T rF0 FOR OFFICE USE ONLYPROVIDE FOR ALL Owner Name �� �' �� - � < ° ° Zoning: ADJACENT PARCELS o o SIZE (AC): Address / Phone No. O� 71� 0 0 General Plan De'sig: ZONING: Site Location or ?� �� G� O oovN�y O Size, Acres GEN PLAN: Contact Name A--le--le, ee a.00- USES: Phone -�a od*bw23.2 ' .. _ Pa , Scale :1 Q 91 FT Fo .15 10 E 13 E21Scal :I"' Owner Name Mdtiess Phon Site Location Contact Name Phon C$d0W23.2D03' Mon y .............. . ......... ...... PROVIDE FOR'ALL. FOR: OFFICE. USE ONLY ADJACENT PARCELS Zoning: SIZE (AQ):. General Plan Pe'41g:. ZONING. Size,. Acres... GEN -PLAN: - 4.00 - USES... r-. O'LIJV I VIT11113 TRUSS O LOOMIS OFFICE 3243 Rippey Road Loomis, CA 95650 Phone: (916) 652-4655 Fax: (916) 652-3860 MARYSVILLE PLANT' 5033 Feather River Blvd. Marysville, CA 95901 Phone: (530) 743-8855 Fag: (530)-743-.8856 Truss Design Submittal Designed By: Date: Technical Representative: Bryan Wagner April 14, 2004 Bryan Wagner C,111 C111:1V:5CU Ura VI;nv,+ Mitchell's Building Supply Office Phone: Office Fax: Iii ,e in alpha -numerical order Project - Peter Lee Rei-rec�e�l '2 24'x 241 Building, uttecCou 1 y AI Site Phone: Site Contact: 6 ` Plan/Elevation: Floor System: O O Original Submittal'�,00f System: O Complete l�,evision WETSFALS O Partial Revision: Replaces individual drawings Work Order # 0301203 0 Addition: Add to Original Submittal �. 24-0 Nil o - N BSE 00 v N 1 Y DING DEPART F-�-4'� P P ' . 'V A 24-0. Roof l ine 3D Lay GARAGES SALES REP BW Wo# gar2828 DUE DATE M2TCHELLS BUILDSNG BW Date 4/16/2004 9:36 D VAR 2 E S LO CAT S ON TC Live - 30.00 psf DurFac-Lbr 1.15 TC Dead 14.00 psfp1t 1.15 •yS Em T'y� L _G HC Live' 0.00 pef BC Dead 7.00 psf Total , 51.00 psf. O.C. Spacing24.0 Design Spec : UBC -97 ' 13 / O KIN Job Name: Peter Lee 24'X2 4' Building Truss ID: Z1 Qty: 10 BRG X -LOC REACT SIZE REQ'D TC 2x4 DFL #1 Plating spec ' ANSI/TPI - 1995 This truss is designed using the W0: Dri ve_T_0301203_L00005_J 1 0- 1-12 1386 3.50" 1.50 BC 2x4 DFL #1 THIS DESIGN IS THE COMPOSITE RESULT OF UBC -97 Code. 2 23-10- 4 1386 3.50" 1.50" WEB 2x4 DFL STANDARD MULTIPLE LOAD CASES. Bldg Enclosed Yes, Importance Factor - 1.00 BRG REQUIREMENTS shown are based ONLY Loaded for 10 PSF non -concurrent BCLL. PLATE VALUES PER ICBO RESEARCH REPORT #1607. Truss Location = Not End Zone noted. Bracing shown is for lateral support of components members only to reduce buckling length. This component shall not be placed In any on the truss material at each bearing ' 14.00 psf, PLATING BASED ON GREEN LUMBER VALUES. Hurricane/Ocean Line - No Exp Category ft, Bldg Width = B ft MAX DEFLECTION (span) MEM 7-8 Rep Mbr Comp 1.00 Bldg length = 40.00 = 30.00 Mean height 12.16 ft, mph 75 enNronmenl that will cause the moisture content of the wood to exceed 19% antl/or cause connector plate corrosion. Fabricate, handle. install *Joint L/999 IN (LIVE) L=_Qy1j"___p __O,Ij:__T- -0.28" 0.00 psf Rep Mbr Tens 1.00 roof = UBC Standard Occupancy, Dead Load = 13.2 psf TC COMP. OUR. / TENS.(DUR.) CSI 1-2 -2948 1.15 / 0.56 2-3 -2558 1.15 / 0.55 3-4 -2559 1.15 / 0.55 4-5 2948 1.15 / 0.56 8C COMP.(DUR.)/ TENS. DUR. CSI 6-7 / 2738 1.15 0.62 7-8 / 1795 1.15 0.42 8-9 / 2738 1.15 0.62 WB COMP.(DUR.)/ TENS. DUR. CSI 2-7 -566(1.15)/ 38 1.60 0.10 3-7 / 764 1.15 0.34 3-8 / 764 1.15 0.34 4-8 -566(1.15)/ 38 1.60 0.10 6---"B"UTTE U V I 6 62 0 ©ENsT12-0 12-20-0 171�10 24-0-0 "OLDIN � kr t 12-0-0 1 12-0-0 t 1 2 3 4 5 P V 4r DO � L' 4-6 B1 4-7-11 - - I SHIP 2 111 0313 B2 o- o- 24-0-0 6 7 8 9 800 8-O 800 8-0-0 16-0-0 24-0-0 FEssrQ,y9 & (: 4598 m Exp: 1213 46 Truswal Systems Plates are 20 ga. unless shown by "18"(18 ga.), "H"(16 ga.), or "MX"(TWMX 20 ga.), positioned per Joint Details Report. Circled plates and false frame plates are positioned as shown above. Shift gable stud plates to avoid overlap with structural plates (or staple). 4/16/2004 ARNINGRead all notes on this sheet and give a copy of it to the Erecting Contractor. Cust: MITCHELL'S BUILDING SUPPLY This design is for an individual building component not truss system. It has been based on specifications provided by the component manufacturer W0: Dri ve_T_0301203_L00005_J 00001 ® and done in accordance with the current versions of TPI and AFPA design standards. No responsibility is assumed for dimensional accuracy. Dimensions Dsgn r • BW #LC = 16 WT' 123# ' are to be verified by the component manufacturer and/or building designer prior to fabrication. The building designer must ascertain that the loads TC Live 30.00 psf Ou r Facs L=1.15 P=1.00 Rep Mbr Bnd 1. 15 HOMEWOOD utilized on this design meet Or exceed the loading Imposed by the local building code and the particular application. The design assumes that the top chord Is laterally braced by the root or floor sheathing and the bottom chord is laterally braced by a rigid sheathing material directly attached, unless otherwise noted. Bracing shown is for lateral support of components members only to reduce buckling length. This component shall not be placed In any TC Dead 14.00 psf, I' Rep Mbr Comp 1.00 ®TRV SS enNronmenl that will cause the moisture content of the wood to exceed 19% antl/or cause connector plate corrosion. Fabricate, handle. install *Joint BC Live 0.00 psf Rep Mbr Tens 1.00 Northpark Or. and brace this truss In accordance with the following standards: and Cutting Detail Reports' available as output from Truswal software. 'ANSIrTPI WTCA Wood Truss Council America Standard Design Responsibilities,'BUILDING COMPONENT SAFETY INFORMATION'. BC Dead 7. 00 psf 0. C. Spaci ng 2- 0- 0 Colo Colo Springs, CO 80907 1', 1' • of TRU SPLUS 6.0 VER: T6.4.1 (SCSI 143) and SCSI SUMMARY SHEETS' by wTCA and TPI. The Truss Plate Institute (TPI) is located at 583 D'Onofrb Drive, Madison, FWisconsin 53719. The American Forest and Paper Association (AFPA)islocated at111119IhStreet, NW, Ste 800.Washington. DC20036. TOTAL 51.00 psf Design Spec UBC -97 DEFL RATIO: L/240 TC: L/24 Job Name: Peter Lee 24'X2 4' Building Truss ID: ZG Qty: 2 CRITICAL MEMBER FORCES: TC 2x4 DFL #1 Plating spec ' ANSI/TPI - 1995 This truss is designed using the WO: Drive—T-03012031-00005-300001 BC 2x4 DFL #1 THIS DESIGN IS THE COMPOSITE RESULT OF UBC -97 Code. #LC = 16 WT : 156# GBL BLK- 2x4DFL STANDARD MULTIPLE LOAD CASES. Bldg Enclosed = Yes, Importance Factor - 1.00 Loaded for 10 PSF non -concurrent BCLL. PLATE VALUES PER ICBG RESEARCH REPORT #1607. Truss Location = Not End Zone •TC Dead PLATING BASED ON GREEN LUMBER VALUES. May use adequate staples for gable blocks. Hurricane/Ocean Line No Exp Category = B ft, Bldg Width ft BUILDING DESIGNER MUST VERIFY GABLE LOADS! [+] gable bracing required @ 58" intervals, Bldg Length = 40.00 = 30.00 Mean roof height 12.16 ft, mph 75 that will cause the moisture content of the wood to exceed 19% and/or cause connector plate corrosion. Fabricate, handle, install BC Live 0.00 psf if exposed to wind load applied to face. UBC Standard Occupancy, Dead Load == 13.2 psf BC Dead 7.00 'psf See "General Gable Data ils•, C002065035. Colo Springs, CO 80907 I', WTCA 1'- Wood Council of America Standard Design COMPONENT 4-3-13 2.5 2 0-3-13 .-61 E COUN 1 i t 12-0-0 I 12-0-0 t# 1 2 3 4 5 6 7 8 9 101 12 13 14 15 16 17�j— � 41 00 3-4 U -o n oo 0- �I 24-0-0 18 19 20 21 22 23 2425 2157 28 29 30 31 32 33 TYPICAL PLATE: 1.5-4 OVER CONTINUOUS SUPPORT TruswaI Systems Plates are 20 ga. unless shown by "18'(18 ga.), "H"(16 ga.), or "MX"(TWMX 20 ga.), positioned per Joint Details Report. Circled plates and false frame plates are positioned as shown above. Shift gable stud plates to avoid overlap with structural plates (or staple). 4/16/200 04 WARNINGRead aU notes on this sheet and give a copy of it to the Erecting Contractor. Cust: MITCHELL'S BUILDING SUPPLY _ This design is for an individual building component not truss system. It has been based on specifications provided by the component manufacturer WO: Drive—T-03012031-00005-300001 ® and done In accordance with the current versions of TPI and AFPA design standards. No responsibility is assumed for dimensional a=mcy. Dimensions Ds n r • BW 9 ' #LC = 16 WT : 156# are to be wmlied by the component manufacturer and/or building designer prior to fabrication. The building designer must ascertain (hat the loads TC Live 30.00 psf Du r Facs L=1.15 P=1.00 Rep Mb Bird 1.15 HOMEYV OOD utilized on this design meal or exceed the loading imposed by the local building code and the particular application. The design assumes that the top chord is laterally braced by the roof or floor sheathing and the bottom chord Is laterally braced by a rigid sheathing material directly attached, unless otherwise noted. Bracing shown is for lateral support of components members only to reduce buckling length. This component shall not be placed in any •TC Dead 14.00 psf r Rep Mb r Tens 1.00 ®TRUSSenvironment that will cause the moisture content of the wood to exceed 19% and/or cause connector plate corrosion. Fabricate, handle, install BC Live 0.00 psf Rep Mb r Tens 1.00 4445 Northpark Or. and brace this truss in accordance with the following standards:'Joint and Cutting Detail Reports' available as output from Truswal software. •ANSUTPI Truss Responsibili(les.'BUILDING SAFETY INFORMATION'. BC Dead 7.00 'psf O.C.Spacing 2- 0- 0 Colo Springs, CO 80907 I', WTCA 1'- Wood Council of America Standard Design COMPONENT Design Spec UBC • TRUSPLUS 6.0 VER: T6.4.1 (SCSI 1-03) and'BCSI SUMMARY SHEETS' by WTCA and TPI. The Truss Plate Institute (TPI) is located at 563 D'Onolrio Drive, Madison, Wisconsin 53719. The American Forest and Paper Association (AFPA) is located at I I 11 19th Street, NW, Ste 800. Washington, DC 20036. TOTAL 51.00 psf. -97 DEFL RATIO: L/240 EXISTING MOBILE HOME 1-- 4'----)1 � I �3 N x — — X J C� — N N x (1) rn Ci O � o = � — D o O O rn 70 (E)DOOK 4' IX 12 HqR7gu �h 3068 T HDR 8 FLOOR PLAN SCALE: 114"= 1'-0"' * 4" THICK 5LA13 * 12" X 12" FOOTING * G X G X 1 0 X 1 0 REME5H * 112" REBAR 2 RUNS BME COiJN i g UILDING DEPAPTMF-„:.., APPR0-VF 4X 12 HDR 4X 12 HDR 4X 12 HDR 3040 3040 3040 `—�� 1Nit�ch�; d• s a4erials Warehoas� 1038 4' 7J 3' -G 3' -G” j 4 GeidIO-V, CA 5948- (530) 846-44 24' -- Tc�� 11211 x 10" ANCHOR BOLTS G' O.C. W/ 2"X2"X3/ 1 G" SQ. WASHERS, 12" BRACED WALL PANELS TO BE 4'X9' X 5/1 G" FROM ENDS AND JOINTS OR USE PETER LEE 401 HARDI BOARD SIDING 8" O.C. 51MP50N MA5 FOUNDATION ANCHORS. P.O. BOX RAN FORRERANCH, CH, CA 95942 L _ MaterWs Wa-Y P.O Box IMi Gddtey. 1($l:fi§ (53Q) Z� -- / BSE COUNT V OVERLAP T.P. @ CORNERS 2X4 TRIMMER TYP 2X4 P.T. SILL PLATE FIN. GRADE d Q PITCH TO MATCH EXISTING MOBILE 4X 1 2 - I a SIDING NAILING: 8d HD GALV. 4" CORNERS, 8" JOINTS, 12 FIELD 510��,Vp ROOF NAILING: 8d HD GALV. G"EDGES, 12" FIELD — 2X4 @ I Gil 0. C. —2X4 P.T. SILL 112"0 X 10" FDT BOLT @ G" O.C. W/2"X2"X3/ 1 G" STL. PLT. WASHER #4 REBAR ,y I 2" MINJ. FOUNDATION DETAIL FILL Fc=2500 psi G 20 YEAR COMP. ROOFING 0/ 15# FELT O/ 7/1 Gil OSB 2X BLOCKING DrL. T. P. TYPICAL SECTION FRAMING SCALE: 1/4"= 1'-0" 2 <4@IGil OC. CONCRETE FOUNDATION Buil 9 MatarWt , Ww4m, P. . Box 1030 Grldle9. A 95949.193$ (53®) 84G•44®g BUTTE COUN I y UILDI G DEPARTM "' & P P R 0 V r 2X4 OUT—RIGGEF @ 24" O. .5 0 � 0 RO SCA '5 C. 7/1 G" 05E3 5TAGGEREI 20 YEAR Cc O c O m 0 O 51MP50N H I OR EQ. CLIPS AT EACH RAFTER TO TOP PLATE OF PLAN LE: 1/4"= 1'-0" '' PITCH � v SHEETING ) W/ 15# 30 FELT )MP05TION SHINGLES e •s B dins:aterials Warehouse O. Box 1038 iirid ey, CA 95948-1038 (530) 846 9 i EX15TING MOBILE VERIFY PITCH 12 4 �- 25'-8" EX15TING 24' NEW GARAGE I GX7 SECTIONAL DOOR 24' NEW GARAGE EX15TING M051LF VERIFY PITCH 12 II II TI II II TLIJ 4 25-8" EX15TING LEFT ELEVATION SCALE: 1/4"= 1'-0" BUT7E COUfqTr App BIGHT ELEVATION SCALE: 1/4"= 1'-0" s Buil" Materials Warehouse R Bax .1038 GridIe �9 1038 7 153 &-•:�-�i�4k1 ,�/ • I All \/ 1 O II /I A M I C\ /CA IT - 24' NEW GARAGE -I ` FRONT ELEVATION SCALE: 1/4"= 1'-0" UILDING DEPARTM. , PPR0, V Mit ui ing Materials Warehouse \ .O. Box 1038 Gridl -CA 95948-1038 (530) 846-4409 �- .� e -� -� � � � i 6�4 �� b����� . � :���� . ; ;� ��4oy°O� .� " 't+''�'" �J • ` O 1 fj ' r � ` � � F, , 4 i ` _ , • • f `' . '� ••.........� O"V VY41 aui utv aFYi vpuxuc matcnAI. . Q. r✓ a u" m A EXT'ERYOR SIDING, Cv t� N CL N 4n W Plywood: IfWls- .. id's @ /4" o.c. Edge s� Strn h