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HomeMy WebLinkAbout064-070-02664- 7-26 Jack Claar �� r ���' �► T 450 Colter Way, lot "102, .PP#12, Magalia contr: Hess Backhoe Serv.�, Paradise Permit k3613-77P,E(uti,,MH) ,LEC . GAS SUPP RT S"R*CTURE- REQ: 2 2,,n — COMPACTION TEST REQ, AP 64-07-26 Permit 348-77MHI ' CONTR: Chico MH Serv.,Chico 7 �S,SUED B07-0143 064-070-026 RESIDENTIAL SFD-Mobile Home RET EX MH EX SITE PERM FNDN (1440 14605 COLTER WAY 54;1 /,V`(3% , ZIMMERLY, W B & B F FAMILY RE 7 n w BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 3 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2.140 Website: www.buttecounty.net/dds Permit No: B07-0143 Issued: 01/24/2007 Address: 14605 COLTER WAY Area: MAGALIA Owner: ZIMMERLY, W B & B F IAPN: 064-070-026 Applicant: PREMIER BUILDERS Map Page: Permit Type: SFD-Mobile Home RET Description: EX MH EX SITE PERM FNDN (1440) Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 4 Inspection Type I . IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation I 117 Ceiling Insulation 1 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: CHAMPION Date of Manufacture: 1978 Model Name/Number: CONCORD Serial Numbers: 298202D4350AB Length x Width: Insignia: 013387/8 -1-- 7//// i% I—�i� Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 -rrolect rtnai is a uernncate of occupancy for (Residential Only) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy S FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMIT NUMBER: B07-0143 Address or location of unit: 14605 COLTER WAY MAGALIA CA Legal Description of Real Property: 064-070-026 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: ZIMMERLY, W B & B F FAMILY REVOCABLE TRUST Owner's address: 5905-D CLARK ROAD #138 PARADISE CA 95969 INSIGNIA OR HUD NUMBER: 013387/8 SERIAL NUMBER OR V.I.N.: 298202D4350A/B MANUFACTURER'S NAME: CHAMPION YEAR: 1978 OFFICIAL APPROVING INSTALLATION: DATE: //2-6/67 PHONE: (530) 538-7541 H.C.D. 513 PAGE / OF CDF / BCFD DAILY INCIDENT LOG JAY/DATE FROM 0800 4W / /a - DAY/DATE TO 0800 17 trt, tttttt+trtttrrttt++t+trt++++:torr+++++++ttt+++trrtt+t+rtrt+++ttrt+trt+ttsarr _..ndr --- - 0A DAMAGE: SO WT • DOZ CREW AA ( AT HC SAVED: OTHER EOUIP: MEDICS rt+«trr«+rrr+r+r+tr+trtttrrttrttrrtr+++trrttttr+t++rrrt+++++t t;+++k,rrrrrtt+tt SAVED: OTHER EOUIP: MEDICS v MISC.: DAMAGE: SO * WT DOZ CREW AA AT HC SAVED: OTHER EQUIP: MEDICS LAND USE: ACRE/TYPE TOTAL OWNER/TENANT WRA -/ U R.P. B.I. MISC. ++tr+trrrttttttr+tttttttttttttttt+tr+tt+rtr+trrttttr+++r++++t+++rt+tt rtttt++ .( I -NQ # DQFIRE # NAME CA Ls (Aw TYPE ,- p (1 { REPORT TIME 7 START TIME CONTROL TIME R.Q.A. Y" LOCATION: I q/7 IiJAED Alill)- IV., Ft AT f - DAMAGE: SO . . WT DOZ CREW AA AT HC SAVED: OTHER.EOUIP: MEDICS v mloJ ,,: L L t PERMIT NO. 3613-77P,E PERMIT EXPIRES —� 7 J k C1 „ OWNER ac aar CONTR. Hess Backhoe Serv.,Paradise LOCATION (A.P. 64-07-26 450 Colter Way, lot 102, PP#12, Magalia 4 _ r Z+ 4 t' Temp. Power Pole Called PG&E Temp. Elec/sServ. Cal lle�ed' PG& E TempAGas Serv. S Called PG&E JOB //�� ff FINALED % l� w--� ^7 / 1 (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING S14back Fo s MdXn Bldg. F otin s Ste wall Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footin s Masonry Walls Reinf. Steel Bond Beam Framing Stucco Xr1or BUILDING (Cont'd) Restrhom Finish Window Siding Roof Shea in Roofing Fdn. Vents Garage Vents Insulation Prov. for physics luontormance of ex. structure Final I REV LACE Footing Throat Final FIRE SPRINKL Test Final \ YFInal S I PipIn 1 Floor A Sewer Fixtures Water Htr. Appliances Gas Piping & T Temp. Gas Sanitation Final Fixtures Motors Water Htr Sub ane Grd. F uit Prot. mo. Pole oder round Permanent Final MOBILEHOMEUTILITIES ------- - ------- Elec- Service '�//��?. Elec. Pedestal Water Piping //- Sewer Gas Piping MORILEWOME INSTALLATION - -- Support — Elec. Continuity Water Piping �� . 7 Drainage Gas Piping DATE REMARKS OR CORRECTIONS �- v�Z 77 tr s� t 1 eacOyou visit the job site.) PLUMBING TR COUNTY O-F BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number Vii(, 13, - i i for the following location: 4",-,0 & '. t A.. (j+r l jw Owner -_- A 1j / Owner's Address(/ UF Mobilehome Mfg. w ; �- Model Year '7 Insignia No. thn 0 / Vk F - SS k Serial No. It is hereby certified for occupancy at the above described location and may be occupied. q Director of Public Works Date / _ L % By �� + THIS CERTIFICATE IS VOID WHEN M�OBILEHOME IS RELOCATED Pi0BTi,1,Ii0 t.E DIST'ALLATIOU INSPECTION CHECK LIST 1. Is the mobilehom` located 1,71 required separation from lot lines and buildings and generally conform to plct plan? Y ;/No 2, Does the mobilehome have 'required clearances above ground? (Sec.5085) YesNo 3. Are footui,s and supports properly sized, spaced, and braced aspQr approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_.i_ No_ 4. Is the mobilehome level.? (Sec. 5088) Yes No - 5. If mode than a single unit, are crossover connections properly installed? (Sec. 5088) Yes ,/ No 5: Water. A. Is fl xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes • No 7. Wastes and Drains' A. Is connection made witri Schedule 40 DWV and have flex connectors at each end? Yes P"� No B. Does it have minimum z," per foot slope and is -it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No c�_ D. If coach is not State of California approved, does station have required trap and vent? Yes t✓ No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum 87 mobilehome connector not more than 6 ft. long? Note: All piping is to be at least'as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter. to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes / No 9 9. Electrical. A. Is service large enough to provide .adequate amperage to mobilel-iome (must equal rating of mobilehome with a. :::inia,:um of 100 amp) and other facilities on lot, i.e. , water pumps, garage, cabana, ctc.? Yes � No B Is thea proper clearances around panels? Yes L,/ No C. Is power supply cord or feeder assembly properly fused? Yes w- -No -D. Is continuity test satisfactory as per the following procedure? Yes -,""No 1. De -energize electrical wiring, system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, havE: been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one le. ---id of a test instrument to the mobilehome grounding conductor and apply tliC O%iti' i.%Sd to cai:ti TOuul.LCLLUIIIC SiiDp1.y conductor, 1tiCliiutltg ttE:ULrat. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te.<;r_ shall then be made between the grounding electrode and the chassis of the Mobilehome. UDOn satisfactory completion of. the electrical tests, the lot or site service equipment may be approved for energizing. ; ?, Tas job card si-ned by L'ealth Department for water and sanitation? 1.1.. If evo. ything cel<ay, sign off card and tag services. iOBTLEiTORE DATA Manufacturer and/or Namestyle Length CO Width j:�_ Vehicle Serial No.�S�b State Identification 'No. IOP -0133? �g A&,, i t ional Infol-na t: i on or Comments: 0 COUNTY OF"BUTTF. — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 t Telephone: 534-4541 APPLICATION AND PERMIT J�eIP7_7 W Jz 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of PPerrmittteee or Agent ceipt 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. DIRECTOR OF PUBLIC WORKS BY ate f—, 7::1 - ilding permit expires Date YJ 7-.�— %� BUILDING Owner G� �� SQ. FT. OCC. BUILDING JALUATION Mailing Address Telephone No.' Fireplace / Contractor d Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty /� el phone No. ,/ 7 Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Q lN� Each Trap 1.50 / Repair drainage or vent piping 1.50 Water piping 1.50 2, — A'/T/ Each gas water heater or vent 1.50 A. P. No. --0'— ZoningGas 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 es �ltic@. 5al�ita�ien Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00, ��Plans d81 g. Plans Recd Par Approval ons Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 29 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ` SIlk,b ' 3al:3— Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 DWELLING OCCUP. &) 20sq ft NEW OR ADDNST ( ACC BLDG NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APFARATUS & NON.RESID. (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: a24m) IV Ex. Occup(OUTLETS OR FIXTURES) BALD 009 Ex. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 40'5964P Classification 0— a % Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. ❑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 permit is issued I shall not employ any person in any manner ras to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 42.00 Hood 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 TOTAL PERMIT FEE $ 77 JD Ci authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of PPerrmittteee or Agent ceipt 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. DIRECTOR OF PUBLIC WORKS BY ate f—, 7::1 - ilding permit expires Date YJ 7-.�— %� MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No. 07,0a. 3 Year 7 Width (ft.) Length (ft.)' Expando'Size ft.x ft. (Draw support detains*below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on fi e with the County of Butte). C6��el yu&, c� Piv 7navil . _�n� � G7,le Footings (check one) / 1 Center Center Support Support Footing Sizes Locations (in.) -41 (in.)(iin:j 4 �...._.._.. x (ft) tin) (in.)(in.) *If center piers are other than drawn ab ve, ..draw in locations, spacing, and dimensi ns. . Wood either pressure treated or fdn. grade. W 2. Concrete pad. 3. Other, specify Supports (check one) 7"— 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify %X Typical Support � Footing Size �i:ri:7�n. ) (' Max. Pier ft. `) �D.J) Spacing Max. I_ - Overhang (f C-1- in ) BUTTE COUNTY BUILDING DEPARTMr-NT "'APPROVED �% tv-0 /� 0� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center'.Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �c^ e: 2. Installer's name: eY) 3. Is the site currently under permit? Yes / Q No / / ( 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 7P_/ No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- o? ® 0 Amps 6. What is the mobilehome site service rating? --------------------- pZ�o 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 /X% (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What-is°the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas 3 or less than 50 ft. on LPG.) COUNTY OFTTE — DEPARTMENT OF PUBLIC WORK -� 7 County Center Drive — Oroville, California 95965 I Telephone: 534-4541 77 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned roperty for inspection purposes. X oat 1,9v Signature of Permitee or Agent Receipt No. 1(,V �q 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 PUBLIC WORKS � P-7,-7-7 B2ild!i�ingpermit Date 1 expires Date _Z_ 7� BUILDING Owner A40 , SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace _ Contractor S 84c, 14 14 ©e E 2 V 1 C7e7 Total Valuation .(o C>, Mailing Address A In , `J o/( Permit Fee Plan Checking Fee &/or Penalty �� (fLl- �' Telepho e N�2S Permit Fee $ Building Address C) �� 2 L"J` PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 A 0 7— Q .Z Each Trap 1.50 Repair drainage or vent piping 1.50 0 - Water piping >.s0- /0— Zoning Verificafian OnIV Zoning Each gas water heater or vent 1.50 A. P. No.`` L 7 l0 — 7 — Zo n n r Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W'C.(S ( (o Fire Dept. Fire Zone Use Permit EQA Parking IParcel Parcel a 60' R/W Improvements Plans Declaration P provements Building sewer 7=1 f 0 Lawn sprinkler system 2.00 8 10. P,Idh Rec'd Parcelproval Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 100 AMP OR LESS 5.00 .-- Main service 600V OR LESS Main service EA. ADO'L 100 AMP 2.50 Main service 1100EAMP o=? LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 UM NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 20Sq ft NEW CONSTRMULTI-OUTLET NON•RESID. ( 2.50ea BRANCH CIRCUITS) FOR MOBILES NON.RESID NF-WCONSTR (POWER APPARATUS 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: Ex. Occup(OUTLETS OR FIXTURES) BAL2ia Ex. Occu P• FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 y� License No. _30 ,C 77Classification /J Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. f'S7f 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 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 and State Laws relating to building construction, and hereby I ao vo t - u., Fee - TOTAL PERMIT FEE $ — authorize representatives of the county of Butte to enter upon the above-mentioned roperty for inspection purposes. X oat 1,9v Signature of Permitee or Agent Receipt No. 1(,V �q 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 PUBLIC WORKS � P-7,-7-7 B2ild!i�ingpermit Date 1 expires Date _Z_ 7� COUNTY OF — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 '- —" Telephone: 534-4541 APPLICATION AND PERMIT �li9v--77 IcN.co cnlou- vi uPC IJ UU11 y V� Quilt lU CIIICI uNun ule above-mentioned property for inspection purposes. X Date OoP—//?-7 Signature (ce of Perrmiteetfor Agent eceipt No. L ` '3`P` F6 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 Building. permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address..,. Telephone No. Fireplace Contractor Total Valuation Mailingd9fress L� Permit Fee Plan Checking Fee &/or Penalty Tel hone No. Permit Fee $ Building Address PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 � / `-'Y J_ o L "C GL LJV' 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. Planning Zoning &Plann Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FAegi W!C. I Safltmtmr Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg - ns Rec'd Parcel Approval Plans Approval, Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER .ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '. / Main service 100 AMP OR00V OR LSLESS 5.00 7 - �• Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Ho,e-U Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW LING OR ADDNST ( ACCLBLDGS. OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea - NEW CONSTR.(POWER APPARATUS & NON•RESID, 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: Ex. OCCUp(OUTLETS OR FIXTURES)50 @250 109 FIXED APLNS. Ex. Occup. ( OUTLETS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 p / License No. "50= Classification --g-67 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. EpI 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 the Workmen's Compensation Laws of California. - MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 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 and State Laws relating to building construction, and hereby 00 Cti'�j v TOTAL PERMIT FEE $ IcN.co cnlou- vi uPC IJ UU11 y V� Quilt lU CIIICI uNun ule above-mentioned property for inspection purposes. X Date OoP—//?-7 Signature (ce of Perrmiteetfor Agent eceipt No. L ` '3`P` F6 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 Building. permit expires Date 64-07-26 Contr: John Doremus, Chico Permit ##4190-77MHI Issued 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 PROJECT INFORMATION Site Address: 14605 COLTER WAY Owner: Permit No: B07-0143 APN: 064-070-026 ZIMMERLY, W B & B F FAMIL Issued Date: 01/24/2007 By KEJ Permit type: RESIDENTIAL 5905-D CLARK ROAD #138 Subtype: SFD-Mobile Home RET PARADISE, CA 95969 Expiration Date: 01/24/2008 Description: EX MH EX SITE PERM FNDN (144U Occupancy: Zoning: RT1 Contractor Applicant: Square Footage: PREMIER BUILDERS PREMIER BUILDERS Building Garage Remdl/Addn 1584 WAGSTAFF ROAD 1584 WAGSTAFF ROAD PARADISE, CA 95969 PARADISE, CA 95969 (530)872-1096 (530)872-1096 Other Porch/Patio Total FEE INFORMATION DBF MH Plan Check $219.96 DBMSC Mobile Home $329.94 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B1603 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires PREMIER BUILDERS 343173 / B / 09/30/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to 01/24/2007 a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the 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 improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the STATE FUND 1127626-06 05/01/2007 Carrier. Policy Number: ExpDate: . Contractor's License Law.). (This section need not a competed if the permit -is-For—one un re dollars ($100)—Or—le—ss ElIAM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any in X 01/24/200'% person 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 Owners Signature Date provisions. X 01/24/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply City Signature Date with all and County ordinances, rules, regulations, and State laws relating to building WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND a injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. 1 hereby acknowledge thatt is issuance of this permit does not authorize the ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY 01/24/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Name of Permittee [SIGN] Print Date Owner Contractor OR E]Agent for Owner ❑Agent for Contractor INSPECTOR COPY Lenders Address City State zip n 01/23/2007 13:07 530-872-7914 W B ZIMMERLY PAGE 0F' STATE OF CALIFORNIA - DEPARTMENT OF DOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD ® Manufactured Home Decal No: LAZ5618 i �- Manufacturer IDfName , Trade Name Model DOM DFS R7 Exp. Date i CHAMPION ;CONCORD 00!00/78 j 00100/77 i Serial Number 1 LabeVlnslgnia Number ; Welyht Lenuth Width I SPC SCC --i Exempt IlseType j 298202D4350A 013387 80' 12 04 I I SFD LPT j 288202D4350B 013388 I 60, I Addressee WINFRED BIRCH ZIMMERLY 5905 D SP 138 PARADISE, CA 95969 Registered Owner(s) WINFRED BIRCH ZIMMERLY BETTY FRANCES ZIMMERLY Trustees 5905 D SP 138 PARADISE, CA 95969 Situs Address 14605 COLTER WY MAGALIA, CA 95954 Issued -Total Fees Paid May 5, 1899 $897.00 IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF ROUSING AND COMMUNITY DEVELOPMENT AGAIINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 01/23/2007 13:07 530-872-7914 Order No. Escrow No. P'=32303 Loah No. Recording requested by Preferred Land -Title & Fscnv WHEN RECORDED MAIL T0: Mr'. & Mrs. Winfred - Zimmerly W B ZIMMERLY 12 U4 94-0269361' Ree Fee I DOC Rtecorde►d I C�ec�C PAGE 02 l 9.00 30.80 n9. g0 Official Records I County of i Butte I Candace J. Grubbs I.. Recorder I 8:00am 28 -Joan -94 I PTC MD 2 MAIL TAX STATEMENTS'TO: DOGUNEffARY TP&V M TAX _X Computed an the acho knrdert or wine or promW oerseyw; OR same as above .,.,: Cattsxttad on ohs oorrldw.tfon value oa. otane ev n+b,anes remaiffing at dm at aefa Rr W AOMeetl _ AP NQ_ 4-:10>426__ _ GRANT DE -10 ,- FOO A VALUABLE COiNS10ERAT1010, taeeipt of mOdeh Whereby acknowledged, KEZ= MARTZ,.•an u=ar'riad •ma'n• and PAMMA YEOMAN, who acquired title as PAMELA MARTZ and . 16W. YBOMM, her. husband hereby GRANT(S) to WINFRED BIRCH Zn4WMY and BET IZ FRMrICES Z Y, Trustees of the W.B. AND B.F. ZIMMF Y FAMILY 1988 1EV0 A= TMST dated March 14, 1989 the real property in the tltlincOLPOra'ted County of Atte , State of California, described as SEE MMIT " W.r. attached hereto and made a part- hereof l`a7A1E OF CALIKQFI rA SS. — O►t � F �� / q 4 7 before me, �`%� I L L, 0"g- sonall known to me or roved to me on the basis of saUsfw to evidence) 'ter:treuuurmrarmr�smuouumaet�rmiroulat:ccs. P� y ( P ry. to be theerson(s) whose name a) Is are subscribed to the within instrument l+ OFFICIAL SEAL A P 1 name(a) tI:'' 058794 rtd aacknowledged m me that he /she /they executed the same In hie / her / 4? ; - - r thelr alltnormou capael Qea), and that by No /her / their elgrtaturo(e) on tho C: .::.;�; . DLSl i :10ERO N instrument the persona), or the entity upon behalf of whbh the person(s) (; .. NOTARYO u�TY OF pUTTa Aql/ a acted, executed the Instrument, Q . is nay commission Etrpir0s Marsh 4, 5098 WIT my hand end offiole Signature ' 1 l C: Ui 1 (Seal) Form 9212-1 Dated Mal' 27, 1994 . STATE o A ij1 !�?f l{l✓J7 s is ,;) �c'� : :._71 Yia ✓l3 EXMIT "A" The land referred to he is described as follows: All that certain real property situate in the County of Butte, Unincorporated, State of California, described as follows: Lot 102, as Shown -on that certain map entitled "PARADISE PINES UNIT 12",.recorded in the office of the Recorder of the County of Butte, State of California; on May 13, 1971 in Book 38 of Maps, at Pages 24, 26, 26 and 27. EXCEPTING THEREFROM all minerals, oil, m and hydrocarbon substances, with provision that any hand uall miningr operations shall be done from orifices outside the surface area of the .land described herein, and that no damage shall be done to the surface of said land. 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 PROJECT INFORMATION Site Address: 14605 COLTER WAY Owner: Permit NO: B07-0143 APN: 064-070-026 ZIMMERLY, W B & B F FAMIL Issued Date: 01/24/2007 By KEJ Permit type: RESIDENTIAL 5905-D CLARK ROAD #138 Subtype: SFD-Mobile Home RET PARADISE, CA 95969 Expiration Date: 01/24/2008 Description: EX MH EX SITE PERM FNDN (1440 Occupancy: Zoning: RT1 Contractor Applicant: Square Footage: PREMIER BUILDERS PREMIER BUILDERS Building Garage Remdl/Addn 1584 WAGSTAFF ROAD 1584 WAGSTAFF ROAD PARADISE, CA 95969 PARADISE, CA 95969 (530) 872-1096 (530) 872-1096 Other Porch/Patio Total FEE INFORMATION DBF MH Plan Check $219.96 DBMSC Mobile Home $329.94 Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B1603 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires PREMIER BUILDERS 343173 / B / 09/30/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Business and Professions Code, and my license Pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect, of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X ` . !� basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to c>:N�.t,t t (�v �` 01/24/2007 a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. ff, however, the building or improvement is sold within one as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business Provessions 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; and Code: The Contractor's License Law dows not apply to an owner of the property' who builds or improves thereon, and who contracts for the projects with a contractors) licensed pursuant to the STATE FUND 1127626-06 05/01/2007 Policy Number: E Carrier: p. Date: x Contractors License Law.). (This section nee not be completed if the permit is or one undre dollars ($100) or ess. ❑IAM EXEMPT under Section B. & P.C. for this reason: ❑ I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 01/24/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 'M M& -z, 01/24/2007 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all and liability for personal HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND t of, o the isury, including death, and property damage caused t is arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the CONSTRUCTION LENDING AGENCY grope a or am authori to ad on the p erty owners behalf. CGttee I� 1/24/2007 I I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Name of Permittee [SIGN] Prin ate Owner n ractor OR. 1:1Agent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip LN X12 Foundation System Installati®n Instructions for California for Ground & Concrete Systems HUD Wind Zone Is 15 PSS Wind Load Seismic 4 By 'die Down Engineering Engineer Approval State Approval RMNUFACTURFD HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 1855I APPROVED c ."T TO CORRECii 0iv5 N07—ED APPROVAL DOES NOT AUTHORIZE. OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California DegatMVd of Housing and Community Devalopment IDIVISION _ OF CODES AND STANDARDS / I,�.L.l� `. LY L'' HATE % I A l( -� i2 Concrete System BU Pyr �_ r; ; �,- �;, —r ml M I T b Af f ROVED Page 1 of 8 0 eVP C C'. n� Engineer Approval State Approval RMNUFACTURFD HOME/MOBILE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 1855I APPROVED c ."T TO CORRECii 0iv5 N07—ED APPROVAL DOES NOT AUTHORIZE. OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California DegatMVd of Housing and Community Devalopment IDIVISION _ OF CODES AND STANDARDS / I,�.L.l� `. LY L'' HATE % I A l( -� i2 Concrete System BU Pyr �_ r; ; �,- �;, —r ml M I T b Af f ROVED Page 1 of 8 0 eVP C C'. r A ®2 Foundation Sys to Installation Instructions for Calif®r for Ground & Concrete Systems FSU® Wired Zone 1, 15 PSF Wind L®s REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewaJl is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • 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, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must -be placed as evenly as possible, no more than 10' from end of home. • Designed for 7.12 roof slope. ;Except single sections, (20° - 4.37 in. 12" pitch). Additional— Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 - o LO 0 � tf`• Installation of Xi2 Ground systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) Nut & Washer 1-314" Tube J-Bo1� 6 � / Strut Lateral Struts L (flag end) f p 1-1/2" Tube s 4-#12x1" 4 Tek Screws 1 -Seam Figure 2 1�1 U -Bolt & mounting Figure 1 Bracket nd of Ho me 11. Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. - DOWN ENGINEERING' 0 0 L6 G M2 Ground Parts Detail • Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes- 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Longitudinal Strut & Hardware Kit Includes- 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. 0 C Struts for Longitudinal Systems 0 Part Strut Pier Height ® C> No. Length Up To: Ground Longitudinal 3trut59330-4459330-4414411 4 blOCKS or 32 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Stabilization Pier Placement for Ground or Concrete M2 Ground System a 9 1 Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 Installation of Xi2 Concrete systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the.systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4... Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut_& washer on anchor, leave.enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving.nut & washer flush with bracket. Using a 9/16 socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the and of the smaller tube to the bracket mounted on the pad, using the grade 5-;1/2" x 2-1/2" bolt/nut provided. 6. Attach the -flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure t next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided 'in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. Page 5 of 8 �DDWN £NGINFE(il1VG 0 LO 0 0 O .1i2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Figure I Nut & Washer Beam Clamp Bracket Longitudinalelco!i — U — — — I— — — 1-13eam Xi2 Installation Placement Longitudinal Strut Xi2 Concrete System Concrete Longitudinal Hardware Kit Page 6 of 8 .1 TIE DOWN• ENGINEERING' 11 H � % ! R � o� Concrete Longitudinal Hardware Kit Page 6 of 8 .1 TIE DOWN• ENGINEERING' 11 H � % ! Offset Placement O Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 = 0 LO . o 0 1 i it #59329-1 Hardware for 59306 Lateral aystem 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 4 59272-2 1-3/4 zinc 4 10556 Tek Screw #12 x 1" 1 10631Z J Bolt 1/2X 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 2 10646Y Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Boit 1/2-12 x 2-1/2 4 10926 Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10801 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange. # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 .10556 Tek Screw #12 x 1" 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc . #59027 Hardware flit for 59307 Lateral System 2 59264 3 Wav Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware far 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc ,.#59364 Hardware for 59332 Lateral and Longitudinal combination. 1 59264: 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1!2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 G O U A -t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Z. L M 1z Address irst Name r i it Mailing Address �. ;10 d Address City State x-69- Zi��,�� Phone Fax E-mail Fax CONTRACTOR Name f Address city a�. fel sF State Address Phone S Z` lO Fax E-mail Lic. #3q 3t? Class APPLICANT SIGNATURE X `/C For office use only. ARCHITECT/ENGINEER Name Mi, CUC f.i Address Address City �E. MTZ 19 V 1S 7-,,9 State Zip Phone State Fax E-mail 2--- State License Number APPLICANT SIGNATURE X `/C For office use only. APPLICANT INFORMATION Name Mi, CUC f.i PI-00TzD Address I No �E. MTZ 19 V 1S 7-,,9 City Subdivision Name Map Book State Zip �el9r Phone 2--- Fax E-mail APPLICANT SIGNATURE X `/C For office use only. Zoning Flood Zone City SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION AP# O(o41 —Gib ,.-do Z �_o Property Address 5- DUEK City Cross Street WORKER'S COMPENSATION Policy Number 12 r7 1 Carrier S Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Pr=ig 441P&P-7 Cq3 A U���lL I�XfS7ZN � tMO�lLL' Sq FT- Living )i#17-6Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. I I Received by: Amount: ► V Bldg I SRA Receipt #: Sheriff SMIP I I Date: Other I I Total RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 2.9-Jan-2€*7 2007 -6"46c -i2 Has not. been compared mitt original BUTTE COUNTY CCIUNTY REC>C&j) 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 constructivenotice as to its contents to all persons thereafter dealing with the real property. ZIMMERLY, WB & B F FAMILY BUTTE COUNTY BUILDING DIVISION REVOCABLE TRUST REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 5905-D CLARK ROAD #138 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS PARADISE BUTTE CA 95969 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 14605 COLTER WAY B07-0143 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER MAGALIA BUTTE CA 95954 1 . HOA*1�4 J' .- ( /07 CITY COUNTY STATE ZIP SIGNATOR—E-01FCAL AGENCY OFFITf IAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CiTY Y COUN I STATE ZIP UNIT DESCRIPTION CHAMPION 1978 CONCORD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 298202D4350A/B 60 X 24 013387/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 064-070-026 HCD FORM 433(A) REV 8/91 PREMIER BUILDERS THIS CHECK IS IN PAYMENT OF THE FOLLOWING MARVIN W. PLOURD - GENERAL CONTRACTOR 6055 TERRA VISTA PARADISE, CA 95969 (530) 872.1096 �l. �4na ITT e ?�fJ / / �T DOLLARS I r/AT - — - - TO THE.ORDER OF DESCRIPTION DISC. �DATE ` = e 1 GROSS F.I.C.A. ; FED. W/H : D' STATE E' DI F. ADV. C482 PAYROLL r I 7842 16.66/1220 CHECK AMOUNT BANK OF AMERICA, NA IvP 11900 784 211' 1:; L 2 200066 11: 24 3 581109 78411' 2 Q- �7Ln � %O ��_ U �� S���I A MA I gs L721 .i 1 i� 1 Jj - u. +. gs L721 .i 1 1 Jj - u. +. J y;.,f.. F . Y � � S .Y Y' � tF.J r . { • � i <- __ pi. n � .1�' •f i 'k 1. � .} �._� i F � .. N `' { t - .. _._ k i • 4 , g� m,.�t ` J ��t l.' 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