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065-100-029
\ _ Nita Edgington' "NIS pri.dirt rd.ap00 w.of Para i i' Stirling City Hwy, app.k- mi.N.of DeSabla Store contr: Tri V Const., Magalia Permit #948-79P,E(uti4.,1'121)j6 GAS_e SUPPORT STRUCTURE REQ.,C,,;g�2 COMPACTION TEST REQ, / =r. 5-10-29' .ontr: Hilton sMH, Magalia Permit ##3715-79MHI `� o Issued — 65-10-29 Contr: Illumination Elepotik slf?1?5 Permit#1437-85E(replace underground ele etween pole-&_pedestal)MH ._. 65-10-29 p 6100 Lambert Lane.,'-Magalia Contr: Cal Oylers MH I al Permit#349785MHI(existing site) Issued 065-100-029 01-3069 MELLICK, NITA 6100 LAMBERT LN, MAGALIA CONT: RONS.MHS_. - - - EX MH EX SITE PERM FNDN 065-100-029 _ 01-3155_ EDIN_GTON, SARA -- _ 6100 LAMBERT, MAGALIA --OPEN DECK BUILT W/O PERMIT ti . t A. P '�, 11 July 30, 2002 Nita Diane Edgington Nita D. Mellick Richard T. Mellick 6100 Lambert Ln.. Magalia, CA. 95954 L A N D O F N AT U RA L W EA L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: HCD Form 433A, Mobile Home Permanent Foundation Dear Ms. Edginton, Ms. Mellick, Mr. Mellick: The 433A for your permanent foundation which was recorded on Jan. 02, 2002, has not been sent to H.C.D. yet. We need a letter from the legal owner, Conseco Bank, authorizing you to place a permanent foundation system under your mobile home. This was required during the permit process but was never received. It is required by the state of California in order to process the paperwork for your 433A. Also the application you filled out for Duplicate Registration Card for the state has not been sent yet pending the other required items from you. We also need a check for $22.00 made out to H.C.D. It is the processing fee for the state which we forward with the paperwork. Please remit the required items as soon as possible so we can finish your process for your 433A. If you have questions please call me at 538-7541. Sincerely, Karen E. Jones Plan Application Assistant I RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY -of Document Recorded 02 -Jen -2002 2002-0000124 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE'rnIS 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. NITA DIANE EDGINGTON REAL PROPERTY O%VNER/LESSOR 6100 LAMBERT LANE MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE Z.IP SAME INSTALLATION \TAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP NITA D. MELLICK & RICHARD T. MELLICK UNIT OWNER (ifalso propeny owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 COUNTY STATE ZIP (10jl-3069/� (530)538-7541 G PE MI TELEPI 10NF_ NUMBER /Z 12/20 Ol SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") ' NONE DEALER LICENSE NO. 09534 FLEETWOOD HMS INC. 1985 SANDALWOOD 46031 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL2A/BF501706413 28'X 60' CAL318144/5 SERIAL NUMBER(S) LENGTH x WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #065-100-029 SEE ATTACHED NICD DORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - I ICD PINK - Applicant GOLDENROD - Building Dept. 1 BUILDING PERMIT NUMBER: 01-3069 Address or location of unit: 6100 LAMBERT LANE, MAGALIA, CA 95954 Legal Description of Real Property: A.P.065-100-029 SEE ATTACHED (x) Mobilehome/Manufactured Home O 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: NITA D. MELLICK & RICHARD T. MELLICK Owner's address: 6100 LAMBERT LANE, MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: CAL318.144/5 SERIAL NUMBER OR V.I.N.: CAFL2A/BF501706413 MANUFACTURER'S NAME: 09534 F EETWOOD RMS INC. YEAR: 1985 OFFICIAL APPROVING INSTALLATION DATE: 12/28/01 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. 9065-100-029 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL 2, AS SHOWN ON THAT CERTAIN MAP FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 28, 1976, IN BOOK 59 OF PARCEL MAPS, AT PAGE 92. EXCEPTING THEREFROM ALL THE GOLD AND OTHER MINERALS IN SAID LAND, TOGETHER WITH THE RIGHT TO EXCAVATE AND MINE THE SAME, AND TO USE SUCH PART OF THE SURFACE AS MAY BE NECESSARY FOR MINING PURPOSES, AND NOT OTHERWISE, AS PROVIDE IN DEED FROM O.F. MARTIN TO O.J. MARTIN, DATED MAY 2, 1908 AND RECORDED MAY 4, 1908, IN BOOK 102 OF DEEDS, RECORDS OF BUTTE COUNTY, AT PAGE 21. RESERVING THEREFROM A RIGHT OF WAY 60 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THE PARCEL MAPS, FILED OCTOBER 28, 1976, IN BOOK 59 OF PARCEL MAPS, AT PAGE 92 AND NOVEMBER 24, 1975 IN BOOK 55 OF PARCEL MAPS, AT PAGE 5. . A RIGHT OF WAY 60 FEET IN WIDTH FOR ROAD AND PUBLIC. UTILITY PURPOSES, AS SHOWN ON THE PARCEL MAPS, FILED OCTOBER 28, 1976, IN BOOK 59 OF PARCEL MAPS, AT PAGE 92 AND NOVEMBER 24, 1975, IN BOOK 55 OF PARCEL MAPS, AT PAGE 5. 11/30/01 08:49 BIDWELL TITLE CUSTOMER SERVICE 4 530 365 1051 I—Iftatcigg of ifto F04406*1 of .. ... .... . . ......... I—., .................. 11 ..... . ........... 4@tvm to .............. Erna . orrICIA'. WN0, A "0 Ik2 [kTz4 1271 6V44L 911110 At C�nl)f A 6051S FEE Gram DOW- wmd,4U-1 PXMX VAM NO.742 P002 For v01-0 MCINW Harold .0. Coeburn, Amt.. lor0tv.4 A.., 4L V. aa Joint tenants ... ire GRANT 40 Nita. Diane -Ed41zI9tQ.n,...a,..,widOw oli 'h0f Fool POP" 'gh4to in the County of . Butte........ Stale of CafitwnW. dowibod as loijovnr SO* EXhibit A STATE OF CALIF COUNTY OF Gala County WO. ui IN t unnu reawle, in ....... OrrWJAI, SPAL and 04vp COGRI 0L4NL1ML=. A. KATHY DANCE FOOTASO bushiC CAL1#0It)& tauo.r or "Wo, kaon to.3".10 be tho som Portants) w1wat n@ow(,)AM---fA6ct1b1W to the 1 9 P 6 - linftfit"040:1 I within orw gmwxod 185truinni, executed and dolivow eke Swap. ew ocknow1#4604 to soij offloAt A011bay—executed the @AMR; and *at sold affiant subscelb94 -his.- nome thefeto of a witnobs, sendt-stafrwhio Grantee at addrena above WITNU53LU UT; =F4 T. UUME Dow .... .. Ot-talmr-20 .... cpsk ............. . 6101 of CM1110"" ................ .............................. cvAW &I IL oa I'll ... . ........ . .. . .................. . .............. ........ •160MO IA16 ....,,,,.....,,...........,«.,. .. ............. . .......... . IN 041d CAWIft =41 PM. ownd1p opp, . ......... . ....... twr - I—.. . .... . ... ..................... .'." ...... .......... .. . . ....... . .. . ............. ........... . ... ............. ........... kftm" is id OA WW . WhM 40% wAaWmd Me go sob's OWPAWAV. "d VOJWAV%ftW b 1. do .. 60 wwrind rM Mw. DOCUMENTARY TRANSFER TAX J 16-50 .............. 8 C—Puted — FJ Valwa 91 PMWV+y Co"Yod W: El C"fad on F.8 Value L@bj Loins and In"Wag Therain at Tkft of Sola, hurthweeig�i otle company ...... ....... .... .. Northwestern Titin -C-om—Pa a 7 of — B 0 it t a C 0 0 a c V 11/30/01 08:49 BIDWELL TITLE CUSTOMER SERVICE 4 530 365 1051 f. NO.742 P003 D88oRIPTION �. ,'g1tK181 0. ORMI 80, 21042-P All that oortsin 'roll property aituato In*. the Count California described Y of �+,. ate,:: l::; .. t e - • °a a a � followsr .,� • >, ? ... :: a. Pereol 29 as shown on that cortain.,ift 4 of the County of Hwt :,,y ry .<.., espy •-.. ": • r : 59 of Parooi ! e�; �,: ""i'•:. rt EXOMXNa sib with the surface so rosy be neoeA gd ?�k;;''A' b:• �'` vided In Dpad tro0.' ao� " May 4 190in look 107. of ads 610 2M99 17rlrtIFION a right of w■y 60 feet in widtih for rosi'A"a"pub1 utility purpOseet an shown an the rarest lbpe, filed ootober 200 19769 in Hook 59 of rbrool Usps# of pago 92 and November 24; 1979 in Boole 55 of ftroel loops, At pogo 5. A right of ray 60 feat in width for road.siid public utility purpooes, no ehoell on the throat Mips, !rise October 2a, 19769 in 8001, 59 of Parool Napa, at page 92 4n4 November 24V 19751 in hook 55 of Parcel Nape, at page 5. Ar No. 065-10-0-029.0 m C* 00CLOAN 11/29/01 THU 13:31 FAX 5308940713 BIDWELL TITLE _ STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND MOUSING AGENCY _ _ GRAY DAVI% Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ,�Swc4 Division of Codes and Stencmrds I Title Search �o Date Printed; 11/28/2001 DEQ Decal #: LAH6724 Manufacturer: 09534 FLEETWOOD HMS INC Tradenarne: SANDALWOOD Model: 4603D Manufactured Date: 12/09/1985 Registration Exp: . First Sold On: 12/20/1985 Serial Number CAFL2AF50006413 CAFL21317501706413 Registered Owner: HUD Label / Insignia CAL318144 CAL318145 Use Code: SFD Original Price Code: AKr Rating Year: Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Length Width 60' 14' 60' 14' NITA D MELLICK RICHARD T MELLICK (Joint Tenants with Right of Survivorship) 6100 LAMBERT LN MAGALIA, CA 95954 Last Title Date: 11/15/2001 Last Reg Card: 06/14/2000 Sale/Transfer Info: Price $33,820.00 Transferred on 10/06/1998 Situs Address: 6100 LAMBERT LN MAGALIA, CA 95954-9729 Situs County: BUTTE Legal Owner: CONSECO BANK INC 1400 TURBINE DRIVE RAPID CITY, SD 57703 Lien Perfected On: 04/07/2000 08:56:08 Title Searches: BIDWELL TITLE 500 WALL ST P O BOX 5173 CHICO, CA 95927 Title File No: 198292 -CDL ** * END OF TITLE SEARCH *** 1@ 002 FROM :RONS MHS FAX NO. :530 365 1051 Nov. 13 2001 02:53PM P2 MENT USE ONLYauatNlss, rRANS►ORTATION ANO MOUSING AGENCY OEPARTMaNT Of NOU61M0 ANO COYYUNITr DLVILOPMLNT •omstoN Of Coot$ AND STANOAROa FOCPAATWENT USE ONLT STATE OF CALIFORNIA LanCKIRd REGISTRATION ANOTITUNO ►ROORAYAPPLICATION FOR DUPLICATE REGISTRATION CARD M&AW Iu rude N ILT EAemon Oeta pies) Z Now ^ 9 I OSCAULICENSE 4 MANUPACTURON HNIAL NUMBERM NUG DOLL OR NCO INSIGNIA f AN�7Zy C(3 FL 21AFso17 0 3/k/7 Cf/l Fl- zISt-So170 11, CfI��(81YS DE►ARTMENT USe ONLY u6E COOL EXPIRATION OAT( TAA TYPE ORIG COST COOS YA CLERK'S INITIALS PPF ILT EDIT LPT PIT Af RECEIPT NUMBt/1)SI RECO►T DATE (8) Registered Owner(s) (print true namele)) L••t First Mlddte C, 1� t - MAP PINI e ((,C C ,c1,C,�r C`—,i 1 PeN: 7. Currant Melling Address ltr..l 6 1 D� I It �r j, n (�-t%�N�. �p TAF Clry �/� � County Gal 4s tips i 1' ` L• CL �� L J Lt T00 Future Mailing Address pl OIN•nnl than above) Street DUPT OUPA City county Slats Zip sUBD Situ$ Itocallonl3lnat Address of unit �^ �� ���� V CONI _ City c C— caun (J+'k'e— a ate 1SgS? REPO Lepel Owner plenholovi (pdnl IIVe namelell O ` RR60 RSP Mailing Address First Junior Llenholdvr Ipnnl true namol city slate Lp f�r�, S� 703 PLT 6iT VT° ASP Melling Address Slr•el city Slate ZIp CCP Second Junior Lienholde► IPnlll true A11114) TOTAL Malling Address all••' city S11i Lp Mobllehome Park few Nan.. Operator Nano ItWo certify under penalty of per)u under the laws of the Stale of California that the foregoing Is true and correct and that the registration card ha's been: 1 Xost. ❑ Stolen, b Muuillllated. ❑ Illegible, or ❑ Not itecelved �Eltecuted Dn d /-6 / j 6/ _ at of Applicant STATE OF CALT-F USINESS, TRANSPORTATION AND HOUSING DEN ' B DEVELOPMENT DEPARTMENT OF HOUSING AND COMMUNETs - DIVISION OF CODES AND PROGRAM "^ °Eyed REGISTRA'T'ION AND STATEMENT OF FACTS a: Mobilehome Commercial Coach Th Decal (License) No -(s) Trade Name I/We, the undersigned, hereby state: Floating Home 0 Truck Camper Serial No -(s) Ckf !_ -ZVA, F5011 Ob`( (3 e N FL zg!> i=, -01-7"rlyt3 State I/We further agree to indemnify and save harmless the Director T an °loss they may suffer resulting mmunity Domloegistration of of California, and subsequent purchasers of said unit, f y in California, or from issuance of a California certificate of title covering the same. the above-described unit I/We certify under penalty of perjury that the foregoing is true and correct. C A Executed on L jT—'0 ' (City) at ,(State) (Date) printed name(s) Address City I HCD 476.6 (REV 9/91) State 12/27/01 THU 15:06 FAX 5308940713 BIDWELL TITLE ATTORNW OR PARTY YMOtrr ATMMEY (Nene, amm oer+wmpr, va nnmeW �Reoadlo& teq MMW try and RWM m: JOHN 1 RANK 160490 530-877-2600 ATTORNEY AT LAW 530.877-2601 7050 -SKYWAY PARADISE CA 95969 ArromayFca( Sara Dawn Edgingtoh SUPERIOR COURT OF CALIFORNIJA COUNTY OF BUTTE sTRfiermw m 655 OLEANDER AVENUE wm,v 3Aot>nw:655 OLEANDER AVENUE C YANDZP0002 CHICO CA 95926 erAwmwwe:PROBATE DIVISION _ MATTER OF (Meme): tvr to iJ1PUVC cwnvv vry an NITA DIANE MELLICK ORDER DETERMINING SUCCESSION TO �� G n e REAL PROPERTY (Estates $100,000 or Less) v 52 And Personal Property R003 1, Data of hearing: MARCH 5,, 2001 Time: 3-.00 1r. FOR GOUff U H ONLY DeptJRoom: C11 Judge: WILLIAM O, SCOTT THE COURT FINDS 2. All notices required by law have been given. 3. Decedent Bled on (defe): OCTOBER 30,1999 a [M a resident of the Ca6forrda county named above. b. r-1 a nonresident of California and left an estate in the county named above. Suite Cot n3ly .... SU7f 775—Ujr- r. CZ1 intestate ® testate. t 4. At least 40 days have elapsed since the "of decedents death. S. a. EMNo proceeding for the administration of decedents estate is being conducted ' E MAR 0 5 2001 or has been conducted in California. b. ® Decedents personal representative has filed a consent to use the procedure Sharol :,cnckiand Clark provided In Probate Code section 13150 at seq. Deputy 6. The gross value of decedents real and personal property in California, excluding property described M Probate Code section 13050, does not exceed $100,000. 7. Each petitioner Is a successor of decedent (as defined in Probate Code section 1300M and a sucm3or to decedent's Interest in the real EM and personal property described In item Be because each petitioner is a• E (will) a beneficiary who succeeded to the property under decedents will, b• (no wilq a person who succeeded to the property under Probate Code sections 6401 and 6402. J THE COURT FURTHER FINDS AND ORDERS 8. No administration of decedents estate is necessary in California, 9. a_ The following described real EM and parS" property Is properly of decedent passing to each petitioner (give legal desodofion of real xoov W. ® described in Attachment 9a. b. Each petitiornee3 name and specific property Interest 10. © Other (specft Date: ® is stated In Attachment 9b M is as follows (spe*W: JUD=OF TME 81JDEAM OOURT 11, Number of pages attached; � =RATU6kEF0LLAw8tMTATTAWA1ENr `°" Am"0 odbrCC I°""WeORDEROEilrRMiNING SUCCESSION t Cado. §1S154 Judkw courtworc:aRxroa 00.315IRW. January t, reset TO REAL PROPERTY COB (Probate) 12/27/01 THU 15:06 FAX 5308940713 BIDWELL TITLE ESTATE OF NITA DIANE EDGINGTON also known as NITA DIANE MELLICK ATTACHMENT 9a The following real and personal propels property of the decedent, NITA DIANE EDGINGTON, also known as NITA DIA E GLUCK. passing to the petitioner in the percentage set forth In Attachment 9b hereto: IMPROVED REAL PROPERTY LOCATED AT: 6100 Lambert Lane Magalia, California 95954 , Assessor's Parcel No. 065-100-029 Legal D scriq�: . All that certain, real property situate In the County of Butte, State of California, described as follows: Parcel 2, as shown on that certain Map filed in the office of the Recorder of the County of Butte, State of California, on October 28,1978, in Book 59 of Parcel Maps, at page 92. EXCEPTING THEREFROM all the gold and other minerals in said land, together with the right to excavate and mine the same, and to use such part of the surface as may be necessary for mining purposes, and not otherwise, as provide In Deed from O. F. Martin to 0. J. Martin, dated 2 May 2, 1908 and recorded May 4, 1908, in Book 102 of Deeds, records of Butte County, at page RESERVING THEREFROM a right of way 60 feet in width for road and public utility purposes, as shown on the Parcel Maps, filed October 28,1975, In Book 59 of Parcel Maps, at page 92 and November 24,1975 In Book 55 of Parcel Maps, at page 5. A right of way 60 feet in width for road and public utility purposes, as shown on the Parcel Maps,. Bled October 28, 1976, In Book 59 of Parcel Maps, at page 92 and November 24,1975, in Book 55 of Parcel Maps, at page 5. TOGETHER WITH: a 1985 Fleetwood Mobilehame located upon said real property. Serial Nos.: CAFL2A/BF501708413 Decal Nos.: LAH 6724 PERSONAL PROPERTY. 1976_Toyots automobile, VIN TE51512800, License No. 372PYF 1985 Chevrolet truck, VIN 1GCCT1482F8209983, License No. 4L06373 F-XWP00CSIMELUCM1 TACH.9A ATTACHMENT 9a PAGE 1 OF 1 9 004 12/27/01 THU 15:07 FAX 3308940713 BIDWELL TITLE 1@005 ESTATE OF NITA DIANE EDGINGTON . also known as NITA DIANE MELLICK ATTACHMENT 9b The real and personal property of the decedent, Nita Diane Edgington, also known as Nita Diane Mallick, described on Attachment 9a is to be distributed to the person and in the percentage set forth below: SARA DAWN EDGINGTON: Dated: W •o' 5 W f F-iWM0=MMUC"7TM>j.98 100% interest COMMISSIONER W. SCOTT JUDGE PRO TEM WILLIAM 0. SCOTT JUDGE PRO TEM OF THE SUPERIOR COURT OiNG MUMENT S A CORRECT THE OM"AL 114 FILE AND ON RECORD IN THIS COP ATTEST BATE: _n!�& s,�r.�m��, asuc cF n� C7UNf l P3JD FOA?it8 60F TW CAUF�ANIK DaniTy S ATTACHMENT 9b PAGE 1 OF 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-3069 ASSESSOR PARCEL NUMBER 065-100-029 ZONING 1 BUILDING PERMIT OWNER TELEPHONE 8 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 61(710 I.AMBERT LN, MAGAT-TA 99.954 CONTRACTOR'S NAME TELEPHONE 365-6118 CONTRACTORS MAILING ADDRESS PO 05, ANDERSON CA 96007 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER MAILING ADDRESS F 5QTJJ ST, LONG BEAC-1i CA_ 90805 Plan Checking Fee $ BUILD DRE XXXINEXXNW13 RN 61 QQ I Energy Plan Checking Fee $ AMR ERT LN, MAGALIA $ PERMIT FEE S LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 9 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ufilities ❑ Installation ❑ Other 1Y Describe Work: EX MH EX SITE PERM FNDN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 e0ov OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS In full force and effect. "''� License Class - '7 Lic. No. / 0-2) Z OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. OWE1l ING OCCUP. OR ADDN a ACC. sLDs. S° 3.SItFT: S NOµp°�ID ' MULTI-0UTLET �G 7.50 POWER APPARATUS 8 SIN.. OUT. CIR. Ex. Occup. OUTLET OR FORURES SAL @'.550 Ex. Occup. ouTLEEDTs Ao ,°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Rr I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrieL andp licy number ere: Carrier CL✓ (_Q Policy Number (The above sections need not bd compleite8 if the permit is for work of a valuation of one hundred dollars ($100) or less.) not employ any person in any manner so as to become subject to workers'. compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith cc ply wi F ns. X Date / 01_ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE EE $ D� IMP FLOOD CDP PARCEL PD HD ISS This permit is hereby Issued under the applicable provisions 4 of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �y O1 By D e 1212 PERMIT EXPIRES ON to Receipt No. 5D WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT DAVGO BUSINESS FORMS • (916) 7038511 COUNTY OF BUTTE 337331 1 ���,yy��.y► �0F�yFIC/,�IA�L(Rj EIP%T toRTMENT (..G� SL�NG / EIUT.S%Q� La,,pp �J 20® [� / Received from �� } The Sum of t ( , For is�,.% cS t Received: 'B Received CASH Title CHECK [ By DAVGO BUSINESS FORMS • (916) 7038511 w COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION ' 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P RAyj NO. (Rev. 12/96) APPLICATION AND PERMIT - a� �O� ASSESSOR PARCEL NUMBER / r ^� �� 70NING _ V� BUILDING PERMIT OWNER f/� , , \ �/V ,A 1��(,� TELEPHONE ry Y Vl SCI�f b SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS Aqsyy ELEPHONE CONTRACTOR'S E >�1J IT • 31 s ct CONTRACTORS MAID ' ; DRESS OO ❑s c� ersp 7 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ C: ARC ECT OR ENGINEER' /��r� C ILef C- w LICENSE NO. .Z/ a)� Filing Fee $ 20.00 S CHITECT OR ENGINEERMAILING ADORE �� �b 2ZiJ E - T �^ S Pemit Fee —' 2_ $ C t� Plan Checking Fee $ of BUILDwGAO RESS O\ _ g. L G� L) iJ Energy Plan Checking Fee $ 1%)0W L-044 `ZSM To -Soury 4 X 0400C, $ PERMIT FEE $ cS LAT NO. SUBDN 5 NAME ARCEL MAP '.'t^�, '�_ PLUMBING PERMIT - (ling Fee 20.00 USEOFSTRUCTURE I L AQ, SF ❑ Duplex ❑ MobilehomeAL Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 �o Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ i ' Describe Work: —&V D '— / '�t'�" r b\C� 62S rn If dli r)Bf'vn f /f/!, si 1, 6 Gas piping system 1 - 5 outlets 15 , 00 Building sewer 15.00 .o Mobile Home S G W @20.00 PERMIT FEE S ) COD `aY11 \ 64AL ria C2 L1911S) ELECTRICAL PERMIT Filing Fee 20.00 Main Service "OR LE S 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class C— y% Lic. No. 702' 27 OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. so 3.5¢FT, NON-RESID. MT. ULTI-OUTLETi CIRCUITS @7.50 POWER APPARATUS 8SILET OR FIXTURES Ex. Occup. OUTLET OR FIXTURES 2C@''50 BAL O .SO Ex. Occup. ouXT ED APRES D.UNISOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �J 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 works s' comp nsation insurance carrier policy number are: Carrier �C _._d ' �i��"_A, _ Policy Number /�[� _ _ _ _ 4 .7 _- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw' comply with those provisions. _ X Date (✓'®_� Signature of Applicant - ❑ OwnerContrector ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST. TYPE TO AL FEE $ c P G I HA2. D. FEES _ 1 FLOOD _ CDF p EL HD . , ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By _ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date -� Oat ReceiptNo. qL t/3,3/ Ze ' WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P R No (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDINGPERMIT SQ �. OCC. BUILDING VALUATION J a t' OWNER TELEPHONE OWNERS MAILING ADDRESS , 1 07) ✓� til �Ll /��� �� CJ CONTRACTOR'S E TELEPHONE -. v CONTRACTOR'S MAID ADORESS / CONSTRUCTION LENOER LENDER'S MAILING ADDRESS Fireplace Total Valuatlon $ co ARC ECT OR ENGINEER /' LICENSE NO. Filing Fee $' 20.00 CHITECT OR ENGINEERS MAILING ADDRESS jam, I� ZZ 3 E.s9z 4'- L� '"�-�•`L7 1 �� �`75 Permit Fee r Z. $ C , 01 Plan Checking Fee 5 ue BUILDING ?PRESS Yip ty L -u ` �1 S c Energy Plan Checking Fee S 61/ $ PERMIT FEE LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT (ling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome/L Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 - TYPE OF WORK New ❑ Addition ❑ Remodel -❑ Utilities ❑ InstallationOther ❑ Describe Work: —�'�� `� '— ��i�� , ��� G� ✓J. I -f O (O? Cad G� C.�\ S4 rC, Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home SI GI W1 @20.00 PERMIT FEE $ II (l Q-6 61ALT fC ELECTRICAL PERMIT Fling Fee 20.00 Main Service z..A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, and my license is.in full -force and effect. �� 12 License Class G— C % LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR AoorNS ( a ACC. eLns. SO 3.5¢FT: NEW CONST. MULTI -OUTLET NON -REBID. @7.50 POWER APPARATUS 8 BINDLE OUTLET CIR. Ex. Occup. OUTLET OR FOCTURES 2C Q 1'00 aAL .w Ex. Occup. ouiLEEDrs RES o.1EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �(1 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 works s' comp nsation insurance carrier and policy number are: Carrier Acc,,p , � y 'ry�� . [o. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number /cf'I( 7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) Or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw comply with those provisions. ) X __ ___ Date JO �_ Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TO AL FEE $ C' ' HA2. D. FEES I FLOOD COF P EL HD 6SUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. _ ere Receipt No. c� ' WHITE-D.O.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT k =-:-�C'OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION := + 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 r PERMIT APPLICATION DATA SHEET OWNER: in,11a. ASSESSOR PARCEL NUMBER:Jl� � A/16 - a_Q v{ Proposed Building UseBuilding Inspector: T Date: / - Q-/11 At time of permit application,'I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted............................................................................................................. ❑ 2. 'Plot plans, 3/4 sets, signed by the preparer of plans............................................................................ ❑ 3. ; Complete plans, 3/4 sets, signed by the preparer of plans................................................................... ❑ 4;/, ;Engineered plans and calculations, 3/4 sets, with wet signature on plans. All engineering must be shown on plans............................................................................................. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ............... ❑ 6. Energy Design Compliance and supporting documentation................................................................ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings...................................................................... azardous Material Form.................................................................................................................... Manufactured Home Data and Installation Instructions including Tie Down Specifications .............. 0. Fees of $ 1? 2 0 SO .......................................................................................................... Impact Fees as shown on the attached schedule.................................................................................. ❑ 12. California Department of Forestry Plan Approval/Fees...................................................................... ❑ 13. Flood Elevation Certificate.........................................:........................................................................ ❑ 14. Sanitation and Plot Plan Approval Environmental Health Department.......... ❑ 15. City of Chico Plumbing Permit............................................................................................................ ❑ 16. Plot Plan and Business License Approval from the City of Biggs ....................................................... ❑ 17. Planning Approval for (A) Use: 0 k (B) Parking: ........... ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainagegal Parcel ........................... ❑ 9- ncroachment Permit fox Driveway (construction ap roval prior to occupancy) ............................... Pre -Inspection for �`�% ti c drp%� fired. Request to Building Inspector (Date) 21. Contractor's License Information (Nu ber, Name Style, Classification) ........................................... ❑ 22. Workers' Compensation carrier and policy number.............................................................................. ❑ 23.' Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) ............................................. ❑ 24. Letter of Signature Authorization........................................................................................................ ❑ 25. Recorded Copy of Agricultural Acknowledgment Statement. : ............................................................ ❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................ Q 27. Manufactured Home Utility Clearance................................................................................................ Existing violations and/or expired permits.... i................................................................................... ❑ 433 A, ❑ Grant Deed, ❑ M.H. Titl�(heck to H.C.D. $ ..................... Sen Other !24'a n 3�4—��,a �; C4yro .................... you issue the permit, process as follows: ❑ Mail to Owner, ❑ Mail to Contractor. ❑ Telephone 36il-n 424/8 and hold for pickup at/��Jt l ��. e. liv Inspector. A`pplic Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other Date: By: 1. Index permit Application for the above items numbered: �/� �-�l Q Plan Check List 2. Additional items ed: Contractor, design , owner, as advised of the above required data by: U41e, L]pIF►tt'� B ,bi$frridfe0-'unter, By: 4Z_ Datel D/ Contractor, designer, owner, was advised of the above required data by: Q phone, ❑ mail, Q Building Division counter, By: Date: Contractor, designer, owner, was advised of the above required data by: ❑ phone, Q mail, Q Building Division counter, By: Date: Contractor, designer, owner,.was advised 6f the above required data by: ❑ phone, Q mail, Q Building Division counter, By: Date: Plans reviewed by: Date: Plans reviewed by: i� Date: /b% Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services - Building Division i 31 PORTION OF SECTh?N ll, r,?3N, RJE 6541O • • a. r w - as�,. nacei� roc w r _ raraawu � cam" . ° j r - Cn w 8OD (OD$dAs- Trs �- • swq •r ,WK � i1 I[t r�reas�• 1 aTIK jq"p. W tv • 01 I .,... �. .�r+"�M1i� 4st-�f" DY'�! awr nsrK opo x •7 .r ^_ r., e... nav Vt a Mm mea I LWAC a�K asr�.c .seas 2 P 3&k M 1 I �e oy T :. �: � ZI rJ• - 46o�Ae l�PD1. —�—� — '•7 l.A�aa 2UpreC aWAO . P erne xorva E ' � Assessaer+� Mop Na $ 5 —10 This map may or may not be a survey of the land -depicted hereonr'You should not rehr upon R for any purpose other than orientation to the generale location of the parcel or parcels depleted. B1OWE 1111TLE & F-SOROW 00., expressly disclaims asiy liability for alfteb loss or damage whloh may (null ftom sallspce on this map. 0 ,,-_mvEkNQ AssessorDec Name EDGINGTON SARA DAWN j� Asmt # Fee # 1065-100-029-0001 _ Status ACTIVE �� Status Date Addrl P 0 BOX 6473 ill a Tax IGUO JNORMAL OWNERSH JTRA 093 025 Addr2[LH ICOCA 95927.6473 -_ �i Situs 16100_ LAMBERT_ LN_M_ AG_ Addr3 _ -- - _ - _ �V Base Dt 01!01!1986 ,Addr4 . •— �� Land 23,544! -— - - � AgPres Structure 6,626, r Etal Fixtures0 Comments 6510002900 CONVERTED 09/08/88 - A Notes Growing Creating Doc# 197882337290- Date _0, �� Bonds ITotal L&I 30,170; Current Doc# 12001_R0009948- _�� Date 03!14!2001 Multi Situs ! Fix. R 0 Killing Doc# 1._ � W � �� Date j _____.jI Q1 Flagl i MH PP Q _ C Flagg Asmt Desc 6100 LAMBERT E LAN j SuplCnt�� 4 PP ____AO _ ` �� Exempt 0 Zoning TM1 W Dwell 0 F Asmt PP Pen ,IAcres 0.06 N]C 065 Net 30;170 Tax PP Pen R!C#�- �p I� J }.QlAppeal Pending TIR Dt Qjj Split Pending RIC Stat . 1 -F PHY`i OWN EXP - TAX HON ATT SIT APR, PCL if; MJ ;�► ►� �: Find J91�11�1 IF2001 `sa, 07J25/2001 3;27.21 PM J PRE INSPECTI POD OWNER: nii �G LOCATION: l %- O �� ,b e/'A wo ; a CONTRACTOR: 20,� s (/Vj H 5 PRE-INSPETION FOR: �-- ,Yi DATE TO INSPECTOR: Building Description: Electric Gas: Commercial/Usage:_ Residential/# of Units: Currently Occupied Abandoned/Vacant DATE: 19 y - O A.P. # O -- 4 ZONING: PERMIT HISTORY( )NONEFOLLOWS: BUILDING INSPECTOR'S REPORT . Yes No Electric currently On_ Off Condition of Electric Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: — ACTION RECOMMENDED: ISSUE: HOLD EOR Inspector: Date��� ®!®! Sketch buildings ®n reverse and indicate locati®n on property. S�Z z j 2 =fr4! i - � )J CLI x � l �) S�Z PLANNING DIVISION -BUILDING PLAN APPROVAL Use: Date: Parking: Landscaping: Other: Signature: m -=10= 9G/a9/7 Nita Edgington ' NIS pri.dirt rd.app. 00'W.of Par�fli� Stirling City Hwy, app.k mi.N.of DeSabla Store contr: Tri V Const., Magalia Permit #948-79P,E(uti4.,NNH)� GAS_ �' SUPPORT STRUCTURE REQ. COMPACTION TEST REQ._ r- C ;6m.4/ 4/00/X65-10-29 - Contr: Hilton'Ef MH, Magalia Permit #3775-79MHI Issued / —,0 /—% 9 65-10-29 Contr: Illumination EleP/tA �/17/I- Permit#1437-85E(replace underground ele between pole & pedestal)MH 65-10-29 pl 6100 Lambert Lane, Magalia Contr : Cal Oylers MH 14;1 Permit#3497-85MHI(exist1g site) Issued 065-100-029 01-3069 MELLICK, NITA 6100 LAMBERT LN, MAGALIA CONT: RONS MHS EX MH EX SITE PERM FNDN s� - U v k� OD s � C g 6` X D j vv c � N i ® 0 r) O rn Z s� - U v O cn k� s � 3 g 6` X O cn s � � g 6` rU � N O cn r-1 PLANNING DIVISION -BUILDING PLAN APPROVAL Use: K Date: Parking: Landscaping: Other: - Signature: �SEP=�Z-Z001(WED) VECTOR DYNAMICS FOUNDATION SYSTEM WIND ZONE 7 & 2 l INSTALLATION INSTRUCTIONS For the State of California Release Date 8/13/2001 INDEX PAGE Engineer Approval SECTION NUMBER INTRODUCTION 2 op��� ESSIU� PIER HEIGHTS 3 U GENERAL INSTALLATION 4 SETUP INSTRUCTIONS 5 & 5a Lu 601 METAL PIER & V DRIVE PARTS LIST 7.7A, 61 7B 8 7C Gjxr'3�3i,i �0 1 CONCRETE INSTALLATION 8 SI9 J1 clw. f SCHEMATICS tip: q�F OFCA:1E��\; , WIND ZONE I - SINGLE SECTION 10 _ - SINGLE V DRIVE 11, SYSTM - METAL PIER 12 Mvzh CPDL SEEMON asst taterQva� - DOUBLE SECTION 1� - TRIPLE SECTION 14 WIND ZONE II - SINGLE SECTION 1$ StJ R=To COR-RrCIIONS NUM) • DOUBLE SECTION 1t3 V=H rAt=O=OP.AMOV5An -TRIPLE SECTION 17 ORDEMMONFnaerr4UiRman dsoa LE STURIAWS my RmmAnouS t!aHOUSIDS SOIL CLASSIFICATION 18 Slue arcoomf. adCmm, lyOftelL,MM COMPONENT PARTS AVAILABLE UPON REQUE37- Foundation System BUTTE, COUNTY 3IJILDING DEPARTMEW APPROVED m SI&MA=S No. (-7q- 1 >r ?In Appoval EXPI s .1-10-0.3 For Further Information TIE DOWN ENGINEERING 5901 Wheaton Drlva . Atlanta, GA 30336 404-3"-0000 FAX 404.349.0401 www.11sdown.com Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION INSTRUCTIONS .Introduction These instructions describe the proper use of the Vector Dynamics Foundation System in Wind Zones 1 & 2. Additional installation instruction is available in VHS video, from manufactured housing distributors or from Tie Down Engineering, titled, Vector Dynamics Installation Video. The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone I & II & III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec- tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & 11), are available through local distributors of Vector Dynamics or directly from Tie Down Engineering. General The Vector Dynamics Foundation System provides the support to resist lateral and over-tuming movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these instructions. See manufac- tures Home Installation Manual for other pier & anchoring requirements. The following characteristics apply to both single and mufti section homes: • Main rail minimum spacing of 86 inches or greater. • Nominal 8 foot or less top plate height at side walls. • Main rail depth of 12 inches or less. • Maximum roof slope of 20 degrees (4.4 in. in 12 in.) • Maximum pier height under main rail of 56 inches (see page 3). WIND ZONE I • Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. WIND ZONE II • Maximum single section home width is 15 ft. including eaves, maximum eave width is 6" per side. • Maximum single section home width of 16 ft. including eaves must use two additional vertical ties/ anchors/stabilizer plates (one per side) as listed in the charts on page 15. • Maximum double section home width including eaves 32 ft., maximum 12" eaves per side • Maximum triple section home width including eaves 48 ft., maximum 12" eaves per side The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic pad (s) has two (2) or three (3) square feet bearing area. Piers not used as part of the Vector system shall be located and constructed in accordance with the home installation instructions and/or state standards. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greaterthan 56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806. The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See page 3. Note that a ground anchor is used at each Vector system location in Wind Zones II & III. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or the state. Check with the most recent regulations in California. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations include shear walls, mar- riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the perimeter joist or specified as a location for vertical ties. _ California 8/2001 56 i ma. Maximum Pier Height (Wind Zones I & II only] Figure The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location in Wind Zone 11, and where the pier heights exceed 24 inches on a single section home in Wind Zone. 1. Piers must be constructed in accordance with the manufacturer's installation instructions and/or state requirements: The use of interlocked double stacks of concrete blocks may be required by the home. manufacturer or state. Check with the most recent regulations in your state. 56 i ma: riguru e Unequal Pier Heights ( Wind Zones I & II only 5 in. iax. Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails. The difference between the taller pier and the shorter pier cannot exceed 26".•Note that a ground anchor must be used at each side of a Vector system installation in Wind Zone I and where either of the'pier heights in that location exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. California 8/2001 X L1 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. See manufacturer's home installation manual and state requirements for grading and other site preparation. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See pages 8 & 9. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each (set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe or TDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva- nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust- ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size and pier spacing must be consistent with home manufacturers' instructions and/or state requirements. LUMBER/MOISTURE - TERMITE SHIELD To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con- crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281 must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter bracket is used on top of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture Termite Shield may be required between the lumber and ground. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP TENSION All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight- ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight- ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven- tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con- nectors with welds. California 8/2001 Set -Up. Instructions for the Vector Dynamics Foundation System #59007 (Kit #59007 is interchangeable with Kit #59018) 1. SET VECTOR FOUNDATION PADS Clear all loose vegetation from the immediate area where your Vector foundation pads will rest. Press or hammer pads into the ground. Tip: Place a 3/8" nut on each U -bolt to keep it in place while you position the Vector pads. \ \ \ \ 2. SET BLOCKS (OR PIERS) ON \ \ VECTOR FOUNDATION PADS Center the foundation blocks over the Vector pads. Place the pre-cut 4x4, 2x4's (side by side), Schedule 40 PVC (w/PVC adapter plate, part #59281) or 1 adjustable TDE steel compression member, (part #59043) tightly between the blocks, with ends resting on the Vector pads, and centered on each U -bolt. Long Short Short U -bolt U bolt U -bolt � / \ � / \ \ \ \ 2. SET BLOCKS (OR PIERS) ON \ \ VECTOR FOUNDATION PADS Center the foundation blocks over the Vector pads. Place the pre-cut 4x4, 2x4's (side by side), Schedule 40 PVC (w/PVC adapter plate, part #59281) or 1 adjustable TDE steel compression member, (part #59043) tightly between the blocks, with ends resting on the Vector pads, and centered on each U -bolt. 3. OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of the foundation blocks and ' Vector., pads. .Place one of the short 6"- 2x4's between the bracket and Vector pad. Adjust the short 2x4 so that. it pushes against ' the foundation blocks, removing any space between the piers and center compression section. Tighten the 3%8" bolts. 2 square foot ' pad placement or (1) 3 square foot pad 4. INSIDE BRACKETS AND STRAPS Attach the Inside Tie Brackets to the U -bolts over the pre-cut boards or PVC. Attach a strap with hook to each inside tie bracket. Tighten bracket. When using looped strap and a crimp seal, in place of the hook, place a 3" long section' of strap, folded in half and inserted between the strap and inside tie bracket. Place other end of strap over the opposite (- beam and continue down to outside of the foundation blocks. Attach the strap to the Outside Tension brackets using the slotted bolt' and nut provided. Wind strap a minimum of five times around the bolt. Continue tightening the slotted bolt until all slack 'has been removed and the strap is tight. 5. SET ANCHORS Refer to section home drawings for anchor installation information. Stabilizer plates are required for diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications 2 & 3 only), use minimum of 3 each V -Drive anchors,per side. See drawing on page 6 for placement. California 8/2001 , ' w 3. OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of the foundation blocks and ' Vector., pads. .Place one of the short 6"- 2x4's between the bracket and Vector pad. Adjust the short 2x4 so that. it pushes against ' the foundation blocks, removing any space between the piers and center compression section. Tighten the 3%8" bolts. 2 square foot ' pad placement or (1) 3 square foot pad 4. INSIDE BRACKETS AND STRAPS Attach the Inside Tie Brackets to the U -bolts over the pre-cut boards or PVC. Attach a strap with hook to each inside tie bracket. Tighten bracket. When using looped strap and a crimp seal, in place of the hook, place a 3" long section' of strap, folded in half and inserted between the strap and inside tie bracket. Place other end of strap over the opposite (- beam and continue down to outside of the foundation blocks. Attach the strap to the Outside Tension brackets using the slotted bolt' and nut provided. Wind strap a minimum of five times around the bolt. Continue tightening the slotted bolt until all slack 'has been removed and the strap is tight. 5. SET ANCHORS Refer to section home drawings for anchor installation information. Stabilizer plates are required for diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications 2 & 3 only), use minimum of 3 each V -Drive anchors,per side. See drawing on page 6 for placement. California 8/2001 Vector Dynamics. System V for Concrete Applications Instructions for Vector Kit #59008, (for single stack blocks) Or Vector Kit #59006 (for single or double stack blocks) Page 1 of 2 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" x 24" x 4"(for part #59006 or 59008) or 18" round X 12" deep (for part # 59008 only): The bottom of footers must be below the frost line or a minimum of 4" below finishect grade whichever is greater. Concrete must be a minimum of 2500 PSI and 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 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. i 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 r Vector pa for concret( Concrete footer Wood Cap and wedge Outside Tension Bracket Wedge 'Bolt -California ' , ' 8/2001 i Vector Dynamics System for Concrete Applications Instructions for Vector Kit ##59008 (for single stack blocks) or Vector Kit #59006. (for single or double stack blocks) Page 2 of 2 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors provided -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 into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of,the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite -pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. 16. Wedge the pier set at this time. 17. Using a 9/16" socket wrench, tighten all of the Wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 18. 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 U -bolt Vector pad for concrete Concrete footer California 6/2001 WIND ZONE I I \ Vector Dynamics Systems Required I I \ for Single Section Homes I \ (Materials Required) I \ _ me I -, 1 seCtjol o oy ria a of a I' ra Sp glome°o5ta11atton EXampshOws 9e Jst be 'LO 111�suat%aspao'ln9m - ds an E 'ton Pa c nda Ou - .. t c ' I 1 \ 3 �^' : 0 ,Ev Co N O O I • I WIND ZONE I (not to scale) �2 sq. ft. pad 34 n max a ° rIP Note: Vector systems should be evenly spaced as practicable along the length of the home. Pier spacing must be consistant with the home manufacturers' installations and/or state requirements. Maximum allowable working drag load for the Vector System with the steel compression strut is Soil Classifications: 2, 3, 4A, & 4B 3,150 pounds per K2 Engineering test report. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': 30" with 4" helix anchor (59095,12" stabilizer plates (55292), 1-1/4" frame ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side 0 to 72' 3 2 73 to 90 4 3 * Anchor and stabilizer plate combination Each Vector Foundation System requires Y One Vactor Kit, 2 slotted bolts Y 2 ea. 1-1/4in. ties, length will.vary with pier height (4725 Ib. min. break), Y.1 ea. 4 x 4 pressure treated wood compression member Y or 2 ea. 2 x 4 pressure treated wood compression member Y or 1 ea. 3-1/2" or 4 nominal SCH 40 PVC pipe compression member Y or 1 TDE adjustable steel strut X WIND ZDNE I Vector Dynamics Systems Required Single Section Homes Difficult Soil Conditions �e Ser, ;\O o sY ��a\ gu\de\\nes - _ - - � Z ft si ac -A t - s a\\al\on ma I of a to\sP me In - EXamp`hoWs gest be tooustfOo s 1 \ ads daand Spa IF t o - :X >✓::: > �Fk3: V -Drive anchors a Mi 3 WIND ZONE I >y 1 4 l� Soil Classifications: Soil Bearing Capacity Anchors Required'; OD N 2 sq. ft. pad O 0 34 tt max o.c.HP' Note: Vector systems should be evenly spaced as practicable along the length of the home. Pier spacing must be consistent with the home manufacturers' installations and/or state requirements. Maximum allowable working drag load for the Vector System with the steel compression strut Is 3,150 pounds per 2.31 the K2 Engineering test report. 1,000 PSF minimum "V" Drive Anchor, Part Number 59269 1-1/4" frame ties w/4725 lbs. min. breaking strength. When using "V" Drive Anchors Home Length V -Drive anchors o are used only in 3 WIND ZONE I >y (not to scale) OD N 2 sq. ft. pad O 0 34 tt max o.c.HP' Note: Vector systems should be evenly spaced as practicable along the length of the home. Pier spacing must be consistent with the home manufacturers' installations and/or state requirements. Maximum allowable working drag load for the Vector System with the steel compression strut Is 3,150 pounds per 2.31 the K2 Engineering test report. 1,000 PSF minimum "V" Drive Anchor, Part Number 59269 1-1/4" frame ties w/4725 lbs. min. breaking strength. When using "V" Drive Anchors Home Length Vector Systems Required Anchors Required Per Side 0 to 72' 3 3 73' to 90' 4, 4 Each Vecfor Foundation System requires • One Vector Kit, 2 "V"'Drive Anchors, 4 slotted bolts • 2 ea. 1-1/4 in. tie, length will vary with pier height (4725 Ib. min. break), • 1 ea. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member (center compression member only) • or 1 TDE adjustable steel strut * FFV" Drive Anchor, Part Number 59269 • 2 ea. 2x4 pressure treated wood for "V" Drive Anchor connection. Note: PVC pipe cannot be substituted for wood on the "V" Drive Anchor connections. T/E n W 00 N 0 0 Metal Pier Sets ZONE I 1 `• 1 Vector Dynamics Systems Required for Single Section Homes Up to 7 2 ft., (Materials Required _ - - ' _ - - ' " " ion hom erns. ,`de %nes• s.ng`e socveclat° ymanUa` 9 n " \e °f a er? ta\ s o n me EXamP h°Ws 9 MU be to ° , t11uSSstaJ%o spa°tn9 m and Pa -, °:. , \ Vector Pier Set Soil Classifications: Soil Bearing Capacity: Anchors Required: Note: Vector systems should be evenly spaced as practicable along the length of the home. Pier spacing must be consistant with the home manufacturers' installations and/or state requirements. 2, 3, 4A,&4B 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095 12" stabilizer plates (55292(, 4 ea. 1 1/4" frame ties Each Vector Foundation System requires one Vector Kit, 2 slotted bolts 2 ea. 1-1/4 x 12 ft. ties (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member Home Length Vector Systems Required Anchors Required Per Side 0 to 72' 3 2 73' to 90' 4 3 04..I L. r'a" * Anchor and stabilizer plate combination TIE DOWN ENGINEERING I C7 N 0 Co N O 0 2 Vector for n: WIND ZONE -I homems. a Dynamics Systems Required b`e se VeGtot sYan0a\ 9�`d Double Section Homes _ _ - - = ' - e of a �� radPahome°nsta\\al.on- 1 \ (Materials Reqnuiredl - - �1EXa(nP shows geus< be ,o \\\us51 Lk%0and s\,actn9 Mos Found --- I \ k% n, kip - lea :.ai.<kiki Maximum allowable working drag loa for the Vector System with the steel compression strut is 3,150 pounds pe the K2 Engineering test report. �2 sq. ft. pad/ manufacturers' installations and/or state requirements. Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum - Anchors Required: None (marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required 0 to 48' 2 48' to ,71 ' 3 72' to 89' 4 Each Vector Foundation System requires • One Vector Kit, 2 slotted bolts • 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break), • 1 ea. 4 x 4 pressure treated wood compression member • or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member • or 1 TDE adjustable steel strut w' 11 WIND ZONE 1 Vector Dynamics Systems Required forore %Of S" ntan a19uideUnes o Multi Section Homes - \\ �oj a 6 'ta sp hocn (Materials Required) _ , , 1 e \ " aroPjho ss ge 51 be to I \ �111us«a��o spacing mu -Y.- ad ion pads4H, I \\ rr psi Soil Classifications: 2, 3, 4A, & 48 -" °` Soil Bearing Capacity: 1,000 PSF minimum j':'la �i SV,::>: - i I K WIND ZONE 1 NOTE: Shear wall, ridge beam support posts & marriage wall straps & anchors may be required by the home manufacturer. Vector systems should be spaced as evenly as possible along the length of the home. A two foot variance + or - Is allowable at each system.Pler spacing must be consistent with the home Installation manual: �2 sq. ft. pad' _J111 111-1 e Maximum allowable working drag load for the Vector System with the steel compression strut Is 3,150 pounds per the K2 Engineering test report. Materials: Each Vector foundation system requires One Vector Kit 2 ea. 1-1/4 in. ties (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member or 3-1/2" or 4" nominal SCH40 Pipe compression member or 1 TDE adjustable steel strut Anchors Required Home length Vector Systems Required Per Side Homes up to 48' 2 Vector Foundation Systems 0 Homes over 48' 3 Vector Foundation Systems 0 up to 52' Homes over 52' 4 Vector Foundation Systems 0 up to 76' WIND ZONE 1 NOTE: Shear wall, ridge beam support posts & marriage wall straps & anchors may be required by the home manufacturer. Vector systems should be spaced as evenly as possible along the length of the home. A two foot variance + or - Is allowable at each system.Pler spacing must be consistent with the home Installation manual: �2 sq. ft. pad' _J111 111-1 e Maximum allowable working drag load for the Vector System with the steel compression strut Is 3,150 pounds per the K2 Engineering test report. Materials: Each Vector foundation system requires One Vector Kit 2 ea. 1-1/4 in. ties (4725 Ib. min. break) 1 ea. 4 x 4 wood compression member or 2 ea. 2 x 4 wood compression member or 3-1/2" or 4" nominal SCH40 Pipe compression member or 1 TDE adjustable steel strut VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified as Class 4A 413, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class 5 conditions (above 50 in. lbs.), contact Tie Down Engineering. SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D1586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 in. lbs. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 in. lbs. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275=349 in. lbs sands, firm to stiff clays 413 and silts, alluvian fill 175-275 in. lbs Peat, organic silts, 0-14 175 in. lbs 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gage the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its' resistance to penetration (flow) under load by means of the torque probe and is measured in inch lbs. The test probe has a helix on it. The overall length of the helical section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Information about geographical areas of termite infestations which might require the optional termite and moisture shield when a wood compression member is used may be obtained from the local building official or may be found in the 1995 edition of the One and Two Family Dwelling Code. _ California 8/2001 H.C.D: ATTACH CHECK NAME: aP#: DATE: fc) a9 0/ NOTES RESIDENTIAL 01-3069 PERMIT NO.r-0651-1-00-029 MELICK, NITA_ _ i 6100 LAMBERT LN, MAGALIA CONT: RONS MHS EX MH`EX SITE PERM FNDN J THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature V= OK Card B-1 Date Card B-1 0 = Not OK Card B-1 Date Card B-1 - = Not Applicable MOBILE HOMES * = Not Ready Zoning Requirements -Setbacks -Easements Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch 5. 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./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 /= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (S Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel- Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Hails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AkOven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor Q Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ] Yes ] No/Walks ] Yes J No/Planters J Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date y �r-tard B-1 Date Card B-1 FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing ,ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Hails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive ] Yes ] No/Walks ] Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date CarfL6-1 Date Card B-1 Date rd B-1 Date Card B-1 t\,Date _. y �r-tard B-1 Date Card B-1 ....�.--._-.--,..�..-.,�w--•w.-..'- .,s..r �.....„,,�.....-v•---^---r�„F�•a�'[►maw.:^..�,I.'+�ars»**.v�„rr.,�...s COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �” , . PERMIT`NO. (Rev. 12/96) APPLICATION AND -PERMIT f11—anAq ASSESSORPARCELNUMBER 065-1(X)-029 ZONING ` BUILDING PERMIT OWNER TA MPT.T TELEPHONE 365-6115 SO. FT. OCC. BUILDING VALUATION . . OWNERS MAILING ADDRESS fil nn T.AMRVIRT YN, MAGALIA 9559%. CONTRACTOR'S NAME x. TELEPHONE 365-6118 -- CONTRACTORS MAILING ADDRESS P. x CA a CONSTRUCTION LENDER ' LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER RR f' RA LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 7 fiti'I'idST RA Q C. Plan CheckingFee $ BULLDcyP Y&F. — - - - 11J�L ]bAIM J,AMAER'V MAO -Z T.T Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ® Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK a New ❑ Addition ❑ Remodel ❑ UBlities ❑ Installation ❑ Other El- Describe Work: EI Mtn EX SITEOPM MIN Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '='.vA oa Ess 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.j License Class � ,/ Lic. No. 0�) 2.7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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. A I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are:, Carrier 0 a-ceF1 r_c6.A � C & :X #J d 6—TV �- . 4.QPERMIT Main Service 200A TO 1o00A 46.00 NEW CONST. DWELLING OCCUP. SO OR ACDNS. ( a ACC. eLD.. 3.50 NOµRESID ONST.MULTI.OUTLET @7,50 POWER APPARATUS a SIN.. oun�r CI R. Ex. Occup. OUTLET OR FLxTURLa BAL Q'.00 .50 FIXED APPLNS. OR Ex. Occup. O.RLSID. EA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring r 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation FEL S Policy Number — 1�.1 WI -4 7 (The above sections need not'be completed If thepermit is for work of a valuation of one hundred dollars ($100) or less.) '^ ❑ 1 certify that In the performance.of the work for which this permit is issued-, I shall not employ any person In any manner so as�to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with -those proviions. X � �•• Date 0 i Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. , x Mobile Home Installation Fee Is Energy Inspection Fee s occ CONST. nPE TOTAL FEE $ HAZ. H,, D, EELS IMP .rFEE FLOOD O CDF „D. pggp� ZRC f MD „HD ISSUE i1�u 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. f, �/ �y % �f�' `Pith Ir F.�10/ By Date / PERMIT EXPIRES ON 1 to ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ENDORSE HERE X DO NOT WRITE, STAMP OR SIGN BELOW THIS LINE HESERVED FOR FINANCIAL INSTITUTION USE * ., * FEDERAL RESERVE BOARD OF GOVERNORS REG. CC a! CheckLock Security System: Chemically Reactive Paper, Micro -Print Signature Line, Padlock Icon on the front and Original Document Security Screen on the back. 0 Padlock design is a certification mark of Check Payment Systems Association RON'S MOBILE HOME SERVICE Butte County o oa;Ll , Checking - General Accou Lambert lane ,• 1/28/2002 16005 22.00 fly, 22.00 C_ OUNTV OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (REN. 12/96) APPLICATION AND PERMIT 01-3155 `Sbtr_E` ffy - /Wp BUILDING PERMIT OY`5ARA EDINGTON T 4�+449 SO. FT. OCC. BUILDING VALUATION 420 0: 'M Vdf `DV+ , CHICO 95927 C05tff S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ p: ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $25 MQ BUILDINGADDRESS 6100 ;LAMBERT, MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Iing ee 20.00 USEOFSTRUCTURE y SF ❑ Duplex ❑ Mobilehome Other 6 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 New ❑ Addition O Remodel O Utilities ❑ Installation ❑ Other fY Describe Work: OPEND DECK BUILT W/O PERMIT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 R LES a00Main Service pp.AOR�SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawjor the following reason: �f 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW CONST. DW LUNG OCCUP. W L OR ADONS. ( a ACC. BLD S. SO 3.5Q T. NOµREOSIIDD. MULTI-OUTLETR H CUITS 97,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FIXTURES 20 � , 00 BAL p .50 Ex. Occup. oui,E�°sA RESID.LNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation Of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X � — 1 Date 12J-1 �hj Signature of Applicant - ❑ DNner ❑ Contractor ❑ Agent An 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 $ 109,10 HA2. D. FEES IMP FLOOD COF PARCEL pD HD U This permit is hereby issued under the of the Butte County Code and/or indicated abov for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date /Z G Date Receipt No. 337403/$109.10 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovilld, California 95965 • Telephone (530) 538-7541 PERMIT NO. (haw. 12/96) APPLICATION AND PERMIT Ul 3 ZSS ASSESSOR PARCEL NUMBER _ NO BUILDINGPERMIT OWNER `n! J49 A Ya _ TI!LEPHONV SO. FT. OCC. BUILDING VALUATION OW. A'IERS MARINO ADDRESS 7,10-4 6Y'23 . CONTRACTOR'S NAME r� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ Y ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 2 0.0 0 Permit Fee $ .� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ S 5--,f SUILDINGADDRESS / L 7�r /si z Energy Plan Checking Fee $ $ 'r— PERMIT FEE $ p LOT NO. SUBONISIONSNAME PARCEL. MAP PLUMBING PERMIT Fling Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome'Other sPECIFv Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 00th ❑ r Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2ooA OR LESS 23.00 • - j6q)k) *PERMi► FEE PAlb SRA �♦C 1 SHERIFF ` OTM. 3 �J� 1 bqi� ) U �111AO W RECEMb : / * TO ee Pir mro comim 1 Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. so. OR ADONS. ( a ACC. S.3.5¢FT• NEW CONS MULTI.OIlTLET NON-RES10. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. OCCU OUTLET OR FD(TURES 20 O I.00 BAL p .w FIXED APPLIJS. OR Ex. Occup. 5.00 OUTLETS RES10. EA 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 Ventilation PERMIT FE L= $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ �Z• 0. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Dete) ReceiptNo. wHITE•O.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANi PIz 7)) OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES>< NO ❑ 2. I HA'VF'� HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: ` / DATE: 1 Z LZ I D 1 NOTE. This Owner -Builder Ver cation is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFOR>VIATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, ��� Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE: Tris Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER E.H. USE ON Y , Plot Plan Attached n = Floor Plan Anactied Sant to B.O. 1 1 � TO: Building Department FROM! Environmental Health SUBJECT: Sanitation Clearance C—CA L4 o44 (ate Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Priv Well Clearance for dwelling. Other --—�4 l�i Hold final for: O.K.Final clearance NOTE: AAwalist Date � • 8/96 MOBILEHOME INSTALLATION ACCEPTANCE, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 1 PERMIT NO..JJ��%S? � Address or location of mobilehome 61(x) 'Nza .?Owner's name x U U Owner's address �..,. - r :Insignia or hud number Manufacturer's nameOa,Z�L(ft�-tom r1 ,p f Serial number of V.I.N. LvL�L�CJ ' `� Year of manufacture r (Official Approving Installation) (Date) T NIF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION "'ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE tMOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. t i i513B White - Owner, Yellow - Installer, Pink - D.P.W. ' I\•,. PERMIT NO. 34E97.=85NHI tt?? p existing site PERMIT EXPIRES OWNER DIANE EDGINGTON- CONTR. Cal Oyler NH ASSESSOR PARCEL 65'10-29 LOCATION 6100 Lambert Lane, Magalia-- _. Temp. P OFFICE COPY ` I 1 Call Address Temp. Eli Dated. GAS Meter BY Calle If a ELECTRIC Date j Meter BY 1 Temp. Gas,, — — — Cal led PG&E JOB FINALE[ Signature - , v J = OK Y 0 = Not OK — = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1 Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements 2. oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. war; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Wa r; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing_ 5. Elect 'city; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; L liorrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Door^ 7. Utility Cle ance 7. Elec. r Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILOOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's on'ng Requirements—Setbacks—Easements 1, Setbacks—Easements 2 ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3, as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4 ectricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6 ater; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7� ater and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8 nd Electricity Tagged _ __- 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. , Boxes— Enc losures— Pane lboards—Ins. to Main in Conduit xits; Insp.—Sketch 1((/Gert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date � " 13 la -3 `i rye J = OK ! 0 = Not OK - = Not Appiica .- RESIDENTIA1 (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except N's (Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 1 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 . 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. 8. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic 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 Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail 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. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 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 Perrrit OK except N'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 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. _Size Boxes & No. of Conductors -Stapled 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 E) Yes 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 At 74. Fdn. Vents & Crawl Hole Door=Drainage & Wood -Earth Clearance Looked under Floor El Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes F) No; Walks El Yes []No; Planters El Yes ❑No - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 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 Card B -I ------- Date _- -_Card-BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82, Glass Protection Date MECHANICAL (Permit) OK except rs 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ 31. A.C. Ducts; Insulation & Support 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 _& Overilow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet --35.-Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date --------- - Date__- - _Card -BI Date Date Card -81 Date FRAMING(Plans) OK except #'s Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: 36. Sills; Proper Material & Anchors _ 3_7. 38. 39. 40. 41. 42. 43. 44. walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors CIng. Joist-Rflr. Ties - Purl in -Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat _ 45 46. 47. A Attic ccess: Size &Romex Protection -Draft Stop -Ins. Baffles Bdrm_Win_dows or Exiting Doors -Sill Hgt. & Dimensio_ns_-- -- Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPA,RTMENT OF PUBLIC WORKS + 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PA C NUMBER , ev_ ZO .G )yl BUILDING PERMIT owR, TEL =oryES3 SQ. FT. OCC. BUILDING ION O NE �S MAILIN9 ADDRESS ' _ Cp1•ISRACT R'S N,lq TELEP -412 �j !J/ �,N�)�� CLJON/00-? TOR�(�l//JJ��A`"t C7 ,yam/�J // /U` /Cr( "V ,� f'� G!7`i G v[ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /` co Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DD ESS Permit fee $ ,,S'',D� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME RCEL rMAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehoma Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00 ea TYPE OF WORK New ❑ Addition ❑ Re odeI ❑ Uti lities [:1Inssttal✓lation,< Other F1 Describe work: (/ �O �c 6 a ��� �J p Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): rV I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full forceand effect. License No. ����°�� Classification (1- f,(7 ` ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR ACDNS. (ACC. Blocs. ) 2/z¢sga NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRCUITS2.50 ea (POWER APPARATUS e) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AL@S30ALe Ex. OCCup. OUTLETS P(FIXED RESID )NS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Penult Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, Jwgments, costs, and expenses which may in any way accrue against C ty into ence of the grantin of this permit. %� Date Signature of Applicant — Owner Contractor Agent ❑ An OSHA permit is required for excavations over ?'O' --deep and demolition or construct -IR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE V Qra� OCCUP. CONST.TYPEJ I JF;JPARCELJ PD I _>_r VIU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which R OF PUBLIC e_,, - P IT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date /Z' 17 Receipt No. A-11) I 'aBy WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT f '41V 9 Pin NOTE: --All Materials & Workmanship Shcticalesl in Accordance with Recognized Good Pra! nd of a quality prescribed for the Specified use in he 4� �t :S --� Uniform Building, Plumbing & Mechanical Codes a d the National Electrical Code. A setback of 5 ft. from the property lines and a setback f of 50ft. from the road centerline shall be clear of \ This sle of plans and specifications MUST be structures or equipment except kept on job at all times and it is unlawful to , ^ �: ryn•�r ^��P►�a"'�' Vv�r make an changes or alterations on same without for a 2 ft. eave overhang. written pi irmission from the Department of Public Works, County of Butte. Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. 5 l —"-430,�), 3&/ 9 BUTTE COUNTY BUILDING DEPARYME�� APPROVE , )3--:-7 1 Otl -M PA ri ni ,Ctr) a-,L-oj Ml lltf� 4 lopoi(Om alit :1". It A Cl 17 y- ja I kk. I to ,d 7X11* -A Pr moLi to foz MT 04 -Y! rte iqq� 'In "" .qifus 10 BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroyille,- CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:d,'11,4,JF O 2. Installer's name: (Zt4- ©y 491 /Wow.` T 3. Is the site currently under permit? Yes / / No • (If yes, furnish permit number ) OI`— 6 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 (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 4/06 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ! d V Amps 8. Is there any other electric load to be'served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps). iI 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ---=------------------------- Natural T7 ( LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVEn MOBILEHOME SUPPORT DATA If other than single wide, ``d 3 Mobilehome Mfr.��oop furnish Setup Model No. b`"� Year Width (ft.) Box Length CO (ft.) Tagalong or Expando Size t. 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 (ft.)(in:) (in.) (in.) Center support Center support locations* footing sizes (in.) LL� 1 Zx n (f t.)(in.) (in.) (in.) x,?a 0 ®Z x 30 (ft.) (in.) (in.) (in.) Nv47f•� �Lt. �tP.Po�'�-ts OvlE+v *If center piemard !other than'drawn above, draw in locations, spicing,'and dimensions. Footings (check one) 3.11. Wood either pressure treated or foundation grade. 2. Other: (specify) Supports,(check one) [a—t--concrete' block. E] .2: Other,. (specify) Tagalong or Expando,' show :support details. -- Typical Support .) Footing Size L/ x 6 I -- Max. Pier Spacing (ft.)(in.) 'X0 -- Max. Overhang (ft.)(in..) c{x 30 (in.) (in.) (ft.)(in.) (in.) (in.) 0 ®Z x 30 (ft.) (in.) (in.) (in.) Nv47f•� �Lt. �tP.Po�'�-ts OvlE+v *If center piemard !other than'drawn above, draw in locations, spicing,'and dimensions. Footings (check one) 3.11. Wood either pressure treated or foundation grade. 2. Other: (specify) Supports,(check one) [a—t--concrete' block. E] .2: Other,. (specify) Tagalong or Expando,' show :support details. -- Typical Support .) Footing Size L/ x 6 I -- Max. Pier Spacing (ft.)(in.) 'X0 -- Max. Overhang (ft.)(in..) c{x 30 (in.) (in.) 0 ®Z x 30 (ft.) (in.) (in.) (in.) Nv47f•� �Lt. �tP.Po�'�-ts OvlE+v *If center piemard !other than'drawn above, draw in locations, spicing,'and dimensions. Footings (check one) 3.11. Wood either pressure treated or foundation grade. 2. Other: (specify) Supports,(check one) [a—t--concrete' block. E] .2: Other,. (specify) Tagalong or Expando,' show :support details. -- Typical Support .) Footing Size L/ x 6 I -- Max. Pier Spacing (ft.)(in.) 'X0 -- Max. Overhang (ft.)(in..) 'i" 6UT I[ COUNTY,CALIFCRUTA eturn to DPW AGRICULTURAI, STATEMENT OF ACKNOWLEDGLNENT AT THE REQUE T QF -- FOR RESIDENTIALL DEVELOPMENT �J0a3��® `I, 1�[;,31LO Section 26-8.1 of the Blitte County Code requires this acknowledgement IS85 DEC 13 PH 3 57 be recorded prior to issur.unce of a building permit. r/ The property described herein is adjacent to land or included ELEANOR M. BECKE,RCLERK-RECORDER FEET within an are, zoned iol' .--;i:icultural purposes, and residents of this property mi --y be subject to inconveniences or discomfort arising from the use of agricultur.al chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and the pursuit of agricultural operations including, but not limited to cultivation, plowi.u�.' spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor... Butte Courty has established agricultural zones which have as a priority us- for producti.ve-agr.i.cultural purposes, and residents within said zones and on 1 adjacent property :;i:ould be prepared to accept such inconvenience or disconform from normal, necessary farm operat:icns. 4 All that r.eai proper.•ty Si.tLiatc in the County of Butte, State of California, described as follows: See Exhibit AAttached - PayF Date. %'/,-"?S PROPERTY OWNERS: xta lane Eciging on State of Cali -Fc)rni a ) On this the 10 . day of December , 1985 , before County of(`Dntra CostaSS. me, the undersigned Notary Public, personally appeared ) Nita Diane Edgington- - - - - - Personally known to me. J{x/ Proved to me on the basis _ of satisfactory evidence. OFFICIAL SEAL to be the person(sx) whose names) is subscribed to bIANE M VALENTINE the within instrument and acknowledged that she • a NOTARY PUBLIC - CALIFORNIA executed the same for the purposes therein contained. (ANTRA COSTA COUNTY IN WITNESS WHER.EoFT he.r.c;unto set my hand and official seal . MY Cbniln: 810068 A134 1, 1�$ .. n Notary Public Present AI.P. N, 06-5-10-0-029-0 W5�- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534.4541 APPLICAVON AIND PERMIT ASSESSOR PARCEL NUMBER / ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME _ ,TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Ir .i I/ - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work:_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. , 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@sot and Professions Code and my license is in full force and effect. / License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT' -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. Occup(o XTS OR FIXTURES eAL@300 Ex. OCCUp. FIXEEDD APPLNS. OR OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $1C0.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date / Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AN PERMIT /PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER /V /V TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER' MAILING ADDRESS ✓ CONTRACTOR'S NAME TELE�NE /(� J UJ ~ 3 � ' CONTRACTOR'S MAILING ADDRESS % 0 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS p� 1017/ V C./ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 CN4J 1JJ,,v+0,e1J1A Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome�9_ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: CZ—Z6LAPA5 0�.E�DUiCJ QdMain IA_; jg50 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 10 S 10.00 AMP OR LESS ,1 v Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 1 ZhQsgff CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full f rce and effect. • / y .� License No. � Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTR MULTI -OUT LET NON -RESID. BRANCH CIRCUIT!,) 2.50 ea NEW CONSTR POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. Ex. Occup(o TS OR FIXTURES AL®Q eALe30 IXED PKEA.) 2.00 Ex. Occup. OUTLETS (RESID I Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 $-�� Permit Fee $ Z.9-11 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ih9 I shall not employ any person in any manner so as to become subject o 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot��\ Butte to enter upon the above-mentioned property for inspection purposes. I also agree to ve, indemnify and keep harmless the County of Butte against all liabilities, dgments, cc ts, and expenses which may in any way accrue a Cc ty in copse encO of Ahe granting of this permit. %� Date j�f" Signature of Appli ant - Owner ❑ Contractor 5il_Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ SCJ OCCUP. GROUP 1, TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or wor indicated above for which DIR CT R OF PUBLIC B PERMIT E ES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . BUILDING INSPECTION'RE.CO.QD::..t BUILDING BUILDING (Cont'd) PLUMBING Irewall Ski Plping — - - -- Arapets t .,l\t Floor Re room -Finish , 2nk Floor " Windkvs i f 3rd Noor Sidino Roof Sh thin n I i Roofing- OWater Fdn. Vents s Garage Vents Insulation tr. Heaters Prov. forph sic ly handicaped Conformance of ex. structure Appliances Gas Pi in &Test Tem : Gas Final , Sanitation F E ACE ' Final Footing E ECTRICA Throat ' Rough01 1 Final Fixtures IRE SPRINKLE Motors Test I Water Htr. Final I Sub anel Mesh MECHANICAL Grd. Fat Prot. Scrat Heati Servic Br CoolAg Te p. Pole F ish Du s U der roup In rior Lath V ntilation I ermanent oor Closer anal Inal MOBILEHOME UT LIT ES - - - - - - - - - - - - - - - - - Elec- Service Elec . Pedestal I-/ Water Piping rf U Sewer 7 7Q� Gas Piping 1 E IME NST LLATION--------------Support L j Elea Continuit Water Piping yt, Drainage° Gas Piping j DATE ® j �REMARKS OR CORRECTIONS to aAA V'9-2-- 9 (NOTE: An entry must be made on this form each time you visit the job site.) d' 948-79P,E PERMIT NO. i PERMIT EXPIRES OWNER Nita Edgington CONTR. Tri V Const., Magalia LOCATION (A.P. 65-10-29 NIS pri.dirt rd.,app.1000'W.of Paradise Stirling Hwy, app.4 mi.N.of DeSabla Store a ?t 1's 4R �� xr Temp. Power Pole Called P`,&E• Temp. Elec.. Serv._� 6L Call "PG&E------- Temp�as Serv. Called PG&E OB FINALED / (Date) (� 0 (Sig ture) �J� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, 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 for the following location: 1 , Owner I/ Owner's Address Mobilehome Mfg. + Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOILtiWA1t%,QMOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. r MOBILEHOME INSTALEATION INSPECTION CHECK LIST 1. Is the mobilehome locatedrequired separation from lot lines and'buildings and generally conform to plot plan? Yes�No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as -per approvTed plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes 4. Is the mobilehome level? (.Sec. 5088) Yes-qNo_ 4N.o 5. If m e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes .6. Water `( A> Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) �J Yes_ No_ Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. B fl w - If coach is not State of California approved, does station have backflow device and p ssure-relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule.40 DWV and have flex connectors at each end? Ye,s No B. Does it have minimum 4" per foot slope and is it properly supported? YeNo C)Are any leaks detected in drainage system after runnigallons of water through each fixture including washing machine standpipe?.Yes No: D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Piping and Gas Vents A: Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum 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. s C. Are all appliance vents properly installed? Ye\ �IVo_ 9. Electrical A. Is service large enough to provide adequgte amperage -to mobiletiom (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yesi No_ J� B. Is there proper clearances around panels? Yes No Is power supply cord or feeder assembly properly fused? Yes 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. r 3. 'Switch all breakers and switches in the mobilehome to the "on" position. t 4. Connect one lead of a test instrument. to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. e 5. All non-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 test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for.energizing. , 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length C_ Width_ Vehicle Serial No. 7 , State Identification No. Additional Information or Comments: CH3�3�� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County CentcT,Prive - Oroville, California 95965 Telephone;, 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned propertyforinspection purposes. X Date �- e G^ Signatur of Permitee or Agent Receipt No.�i4:�f/% 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 fo which fees have been paid. D ECT OF PU LIC WORKS ! g B , Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VAL ATION Mailing Address Telephone No. Contractor /fjL ' Mailing Address po •77 Fireplace Total Valuation Telephone No. 1$77-40370 70 Permit Fee Building Addresst Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ I FEE c PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No —fid .—p`2 2 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees I -Seni�tat o FireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W P Improvement each additional outlet .30 Building sewer 5.00 g. Plans Recd Parcel royal Plans royal Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR L LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. AOD•L 100 AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST,( OR ADDNS. ACC. LBLDGS.LING CCUP. Y� r2PSgft 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 f: - i �04?_ NEW RESID,CONSTMULTI-OUTLET NON-RESID BRANCH CIRCUITS 12.50eal IR NEWCONSTR. POWER APPARATUS a NON -RESID• SINGLE OUTLET CIR. 50 Ex. OCCUD(OUTLETS OR FIXTIIRES � BAL�L+12" FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �? License No.�75 Ce2 fl Classification /_� 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 so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ F_EE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee NMI $ $0,0 �C 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 Land Development Fee $ TOTAL PERMIT FEE $ d 0 authorize representatives of the County of Butte to enter upon the above-mentioned propertyforinspection purposes. X Date �- e G^ Signatur of Permitee or Agent Receipt No.�i4:�f/% 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 fo which fees have been paid. D ECT OF PU LIC WORKS ! g B , Date Building permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: � ! � '� 2. Installer's name: , �✓ �7 r� / $- 11e,101 de_ /-/D n --k- 3. Is the site currently under permit? Yes / / 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 / No ( If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 6. What is the mobilehome site service rating?--------------------- 7.What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome % 07D Amps c C� Amps c Q Amps site service? --------------------------------------------------- Yes 77/ No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- A Q N L`. (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 riot required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA YJ ' ''ll If other'' than single wide, Mobilehome Mfr."i�c_o&5"T' aon)1=S furnish Setup Model No. j�-. X� Year Width- -7 _(ft.) Box Length ( (ft.) Tagalong or Expando Size_ _ft. x )'�' ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured a A er 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, othen,7ise specified. Footings (check one) Single U l• Wood either A 4a A pressure treated or foundation grade. x 2. Other (specify) Center s pport Center su ort locati s-' footing s'zes Supports (check one) (in.) Uri. Concrete block. ❑ 2. Other (specify) (in.) (in.) 1 1�Iix 4 411 -Tagalong or Expando, (� show support details. in.) (in.) /a x301 -- Typical Support (it.) (in.) Footing Size x (ft.)('�n.) (in.) (i .) 6 -- Max. Pier Spacing O -- Max. Overhang (ft.) (in.) (in.) (in.) ( •)( > 8UTTE COUNTY q4 8UILDING pEPgRT yid as��� MEN' APPRover *If center iers are other than drawn above, draw in locations, spacing, and dimensions. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ` Tel eQhone•: 534-4541 APPLICATION AND PERMIT Owner OV -1 J � ^ �„ Mailing Address �._-- _ BUILDING /F1 I I/ SQ. FT. I OCC. I BUILDING VALUATION Code which requires every employer to be Insured against liability for Workmen's Compensation. ghave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El 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. I ceration ha I have read this application and state that the above infois co rect.I agree to comply to all County Ordinances and La relatin to building construction, and hereby authre re a tatives of th Count of Butte to enter u on the P Y Pabovtioile p opel�ty or ins ection purposes. X" Signa ure oPermitee or Agent Receipt No. " White-D.P.W. — Yellow -Assessor — Inspector - doldenrod-Applicant Cooling $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 @ $3.00 FEE FEE Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ �6c� TOTAL PERMIT FEE $ !U 16b This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. RE-QT_QjR OF PUBLIC WORKS B Date{. "! Building permi expires Date ���— Telephone No. Contractor G Mailing Address a (.y Fireplace Total Valuation Telephone No. Permit Fee Building Address AfA dO-;' _ 44 ASA �� Plan Checking Fee Vor Penalty Permit Fee &60 PLUMBING ! O� PERMIT FILING FEE Ea ph TraD epair drainage or vent piping A. P. No.��o J1 11�Water Zoning tanning piping Each gas water heater or vent Imes . Sa i o Fire Dept. Fire one U Permit Gas piping system 1 - 5 outlets EQA Parking Parcel Plans Declaration P 60' R/W Improvements Each additional outlet Building sewer Bldg. PAIr. Recd 4- P.,.6::A::�pLrovol Plans Approval Lawn sprinkler system NEW ❑ ADDITION ❑ UTILITIES Ful Jbil OTHER ® Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home 099 Others ❑ Main service EA. ADD'L too AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. DWELLING OCCUP. Y) OR ADDNS. ACC. BLDGS. 1 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: f2se NEW CONSTR. / BRANCH CIRCUITS) I NON.RESI D, 1` BRANCH CIRCUITS/ NEW CON STR (POWER APPARATUS 8 NON-RESID. \SINGLE OUTLET CIR. . Ex. OCCUD(OUTLETs OR FIXT11RES Ex. OCCUp ( FIXED APPLNS. OR OUTLETS (RESID.) EA) Temporary service I Mobile Home Facilities ., License No. 7 X02— '/ U ( Classification 7r/f Misc. Wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor MECHANICAL PERMIT FILING FEE Heating Code which requires every employer to be Insured against liability for Workmen's Compensation. ghave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El 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. I ceration ha I have read this application and state that the above infois co rect.I agree to comply to all County Ordinances and La relatin to building construction, and hereby authre re a tatives of th Count of Butte to enter u on the P Y Pabovtioile p opel�ty or ins ection purposes. X" Signa ure oPermitee or Agent Receipt No. " White-D.P.W. — Yellow -Assessor — Inspector - doldenrod-Applicant Cooling $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 @ $3.00 FEE FEE Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ �6c� TOTAL PERMIT FEE $ !U 16b This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. RE-QT_QjR OF PUBLIC WORKS B Date{. "! Building permi expires Date ���— :y • � �� -- _ _ + '." do � � < _-_ •n FRMuf� z -- �LIP� _ ''x 12',PI • S 2' x 12" STAIR STRINGER. `top. VIEW HRUDRAIL NOT SNOIUtV EOR C A If _/ � rv-jw � %•Y�: �ncw�ur_ � L RITY. z GUhRPRAIL DECKIUG PRECAST oil pigs 14 *I NDN. 'rooTtm6 Y8 BOLT 4: r, Lul c.y ?"x4' MOBILE NOME OR DE�iC M 54 MR. FRMU MAX. CLIP (EA. DE 4!,sV y MIN. v 4'x'4' POST • 2'x 12' I" (31RDER a �'uN. 601TS�R Owe /7A Tr ['- P114.1 -'4•x4" MsT MqK. < (- l� • 9 O — AW(OTF DI460NAI. BRACING. �.-.�. T YPl cAL RF's l DE"wr1w- �/OUNTY OF BUTTE – DEPARTMENT OF PUBLIC AOAKs , - --_ . . - "gx* It AV � I - � .14-11� -.159 i 55 I.rc; ...- - - , -'��. . . . � 124544-4 .. * �- I . ..,. I ..��-O - . ... .. . . .. , - ---- . . ..w � . . . .. .. . .l ,4t . . . , . . . 044-�d.-.,:- . - b.-- - - - --- - ,---- - . , . . . . . . . . I . . I . , b4 , -� - -- , L . - '� -_ 1. : . 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