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6567'WOODWARD,,DR.-;-*ZMAGALI E- A7 01
CONT; JIM FIELDS �'-"
MOBILEHONE-'-INSTALLATION'
".*.01�,:1966
065=1,75=017 ��-
MIHALVOITSIRICIIA
rl-v CAGALIA
65671,WOOD.WARD'•RD-
CONT: JERRY FlATqSON
MH COVE 6'Po
065 -7N
175-0.17.mi j'7.=04-3381 ,
M lHAL0\/l
,-6507Wc;6f5WARD,,iMA(-,'Al"I'Al.'I"
Cont:CHibo"Mi vs',*`
EX MH PERM FN Dx't�—
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.
RICHARD E. MIHALOVITS
REAL PROPERTY OWNER/LESSOR
6567 WOODWARD
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
UNKNOWN
MAILING ADDRESS
DATE OF MANUFACTURE
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
RECORDING REQUESTED BY:
2 0 0.4 —1010 7 8 3 4 1
BrDIN.91PERMIT NO., TELEPHONE NUMBER
Recorded
I REC FEE 10.00
SIt.MTUR.E OF LOCAL AGENCY OFFICIAL
OfficialRecords
M
I CONFOR1.00
Co f.
f.
NONE
DEALER LICENSE NO.
+�
CANDACE J. GRUBBS
I
Recorder
I
AND WHEN RECORDED MAIL TO:
ROSEMARY DICKSON
I
Assistant
I Jason
09:19AM 27 -Dec -2004
I Page 1 of 2
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
SPACE ABOVE THIS LINE FOR RECORDER USE
ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
RICHARD E. MIHALOVITS
REAL PROPERTY OWNER/LESSOR
6567 WOODWARD
MAILING ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
UNKNOWN
MAILING ADDRESS
DATE OF MANUFACTURE
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
04-3381 530
538-7541
BrDIN.91PERMIT NO., TELEPHONE NUMBER
SIt.MTUR.E OF LOCAL AGENCY OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
UNKNOWN
1980
UNKNOWN
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAME/NUMBER
VW4289A/B
60'X 24'
CAL182723/4
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 065-175_017
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
'6-
7-6—
Escn,w No. 301943-MLB
Title Order No. 00301943
EXHIBIT ONE
The South half of Lot 411, as showr,on that certain Map entitled, "Fir Haven Subdivision", filed in the Office of the
County Recorder of Butte County, California, on May 19, 1955, in Book 21, of Maps, atPage(s) 31, 32, 33, 34 and
35.
EXCEPTING AND RESERVING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the
right to mine and extract said minerals, it being agreed and understood that in all mining operations the surface of said
lands will be protected against damage, and that all such mining shall be carried on from tunnels, shafts or drifts having
their orifices outside of the surface area of the above described realty, all as excepted and reserved in the deed from
Magalia Mining Company, a corporation to E. D. Storts, et ux, recorded September 4, 1947, in Book 423, Page 385,
of Official Records.
i
•
0
•
-BUTTE
COUNTY
.DAN 2 5 2005
DEVELLOPNNT
SERVIO
u
I
Rl' ORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DMSION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
27 -Dec -2004 2004-0078341
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR, COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
RICHARD E. MIHALOVITS
REAL PROPERTY OWNEMESSOR
6567 WOODWARD
MAILING ADDRESS
MAGALIA BUTTE CA . 95954
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
04-3381 530 538-7541
B 1N ERMITNO, TELEPHONE NUMBER /
1 1�ugll-,�
SIGNATURE OF LOCAL AGENCY OFFICIAL DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO. ,
UNKNOWN
1980
UNKNOWN
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAME/NUMBER
VW4289A/13
60'X 24'
CALI82723/4
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 065-175-017
HCD FORM 433(A) REV. 8/91
S
I
Escruw No. 301943 -,,ALB
Title,Order No. 00301943 `
EXHIBIT ONE
The South half of Lot 411, as shown on that certain Map entitled,,"Fir Haven Subdivision", filed in the Office of the
County Recorder of Butte County, California, on May 19, 1955, in Book 21, of Maps, at Page(s) 31, 32, 33, 34 and
35.
EXCEPTING AND RESERVING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the
right to mine and extract said minerals, it being agreed and understood that in all mining operations the surface of said
lands will be protected against damage, and that all such mining shall be carried on from tunnels, shafts or drifts having
their orifices outside of the surface area of the above described realty, all as excepted and reserved in the deed from
Magalia Mining Company, a corporation to E. D. Storts, et ux, recorded September 4, 1947, in Book 423, Page 385,
of Official Records.
0
6
1
6
-.
It
BUILDING PERMIT NUMBER: 04-3381
Address or location of unit: 6567 WOODWARD, MAGALIA, CA 95954
Legal Description of Real Property: AP#: 065-175-017
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: RICHARD E. MIHALOVITS
Owner's address: 6567 WOODWARD, MAGALIA, CA 95954
INSIGNIA OR HUD NUMBER: CAL182723/4
SERIAL NUMBER OR V.I.N.: VW4289A/B
MANUFACTURER'S NAME: UNKNOWN YEAR: 1 _ 0
OFFICIAL APPROVING INSTALLATION:
DATE: / - a 19— d1/
PHONE: (530) 538-7541
H.C.D. 513C
FOUNDATION SYSTEM T
CERTIFICgATK OF
..00CUPANCYy
BUILDING PERMIT NUMBER: 04-3381
Address or location of unit: 6567 WOODWARD, MAGALIA, CA 95954
Legal Description of Real Property: AP#: 065-175-017
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: RICHARD E. MIHALOVITS
Owner's address: 6567 WOODWARD, MAGALIA, CA 95954
INSIGNIA OR HUD NUMBER: CAL182723/4
SERIAL NUMBER OR V.I.N.: VW4289A/B
MANUFACTURER'S NAME: UNKNOWN YEAR: 1 _ 0
OFFICIAL APPROVING INSTALLATION:
DATE: / - a 19— d1/
PHONE: (530) 538-7541
H.C.D. 513C
•
RECORDING REQUESTED BY:
Fidelity National Title Company of
California
Escrow No. 301943-MLB
Title Order No. 00301943
When Recorded Mail Document
and Tax Statement To:
Mr. Richard Mihalovits
6567 Woodward Drive
Magalia, CA 95954
2000-043844
Recorded I
Official Records I
County Of
BUTTE
CANDACE J. GRUBBS i
Recorder
ROSEMARY DICKSON I
Assistant
02:40PM 14 -Nov -2000 i
REC FEE 10.00
TAX s5.2�D
Kristv
Page 1 of
GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S
The undersigned grantor(s) declare(s)
Documentary transfer tax is $35.20
[ X 1 computed on full value of property conveyed, or
[ ) computed on full value less value of liens or encumbrances remaining at time of sale,
[ ] Unincorporated Area City of Magalia
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, James W. Strike and Linda A.
Strike, husband and wife
hereby GRANT(S) to Richard Mihalovits, An Unmarried Man
the following described real property in the City of Magalia
County of Butte, State of California:
SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF
DATED: November 2, 2000
STATE OF CALIFORNIA
COUNTY OF - ,'/�"Nf TR/�GG)Gj/
ON P)(-',12-- -71 Z/C,U before me,
g_ KP& personally appeared
k=- IV, sif21 Kc_ &
L ( l\ -,>7e,, A- . S-TtZ.-I rc�
personally known to me (or proved to me on the basis
of.satisfactory evidence) to be the person(s) whose
name(s) ig/are subscribed to the within instrument and
acknowledged to me that /they executed the
same in his4ier/their authorized capacity(ies), and that
by r/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
Witness my hand and official seal.
Signature
0'_ I
LCI
YJes W. Strike
Linda A. Strike
Die
r.,
it
fir. �►%
MAIL TAX STATEMENTS AS DIRECTED ABOVE
FD -213 (Rev 7/96) GRANT DEED
I -
NOTES ' .. RESIDENTIAL
" 065-175-017 04-3381 1
' V.IHALOVi7'S, RICHARD
` PERMIT NO. `— _
w r 6575 WOODWARD, MAGALIA 1
Cont: CHICO MHS
• EX MH PERM FND
THE HCD FORM 433A FOR THIS MH CANNOT BE
{` RECORDED UNTIL ONE OF THE FOLLOWING HAS
" BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
{; INSPECTOR MUST RETREIVE).
(2) STATEMENT CF FACTS (ONLY ON NEW
MH' S).
. INSPECTOR TO VERIFY SERIAL & LABEL #'S.
i.
SPECIAL CONDITIONS
CHECKED
BY
r' SRA
' FLOOD CERTIFICATE REQ:
4 FIRE SPRINKLERS'REQ.
SPECIAL INSPECTION ITEMS w
?VERIFY -
• to
N USE PERMIT CONDITIONS '
SUB -STANDARD HIDUSING'LETTER,
14
. • 13. - , ' • .gyp,
- , t • lir.
�1; • �L�r:r.
JOB FINALED (Da
• y
Signature
J=OK
0 = Not OK
.
NotApplicable
Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test-Wrap; -/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
Date
11.
Card B-1 Date Card B-1
Date
12.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
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
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
Date
11.
Card B-1 Date Card B-1
Date
12.
Card B-1 Date Card B-1
Date
PERMANENT
END SYSTEM (ONLY)
Line
Q,426s; MH last -Be, alve
ncit ; M1•h9L 7
ter; MW-Test'--
ater and Sewer Connected
8ifaas and Electricity Tagged
i #'s with 0ffi6e7`
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
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
t
11.
Light Niche
12.
Enclosure; Fencing -Alarms
k Date
Card 6-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test-Anchors-Regulator-Seryice Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
73.
Card B-1 Date Card B-1
Date
74.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Garage Fire Door; Swing -Landing -Closure
24.
Fixture & Transformer Clearance -Ins. Protection
A.C. Duct in Garage -Damper
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Size Boxes & No. of Conductors Stapled
Plb.; Elec. & Mech. Equip. Listed for Location
27.
Romex Installed Close to Edge of Studs & C.J.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28,
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Guard Rails & Deck Construction -Post Caps
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
Clearance Looked under Floor ❑ Yes
32.
Service -Riser Conductors & Ground Main Disconnect
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
33.
Equip. Clearances Panels-Motors-Mech. Equip.
Stucco Brown -Finish
34.
Clothes Closet Light -Shower Light -Spa Light
A.C. Unit Disconnect, Electrical -Plumbing
35.
Smoke Detector
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
90.
36.
A.C. Ducts Insulation & Support
91.
37.
Vent Fan, Exhaust above insulation
92.
38.
Condensate Drain & Overflow, Size & Grade
93.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
94.
40.
Attic Access & Platform if Furnace in Attic
Date
Address Posted
Card B-1 Date Card B-1
Date
Fire Sprinkler
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41.
Sills Proper Materials & Anchors
Date
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Comments at Final:
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
REGISTRATION CARD
Manufactured Home Decal No: LAR8977
Manufacturer ID/Name
Trade Name
VILLA WEST
{
Model
DOM
00/00/1980
DFS
30/00/1980
RY
Exp. Date
Serial Number
Label/Insignia Number
Weight
Length
Width
SPC SCC I Exempt
Use I Type
VW4289A
CAL182723
60'
12'
04
I
SFD LPT
VW4289B
CAL182724
60'
12'
I I
i
i
i
Issued
I
Total Fees Paid
Dec 06, 2000
1 $132.00 ,
Addressee
RICHARD E MIHALOVITS
6567 WOODWARD
MAGALIA, CA 95954
Registered Owner(s)
RICHARD E MIHALOVITS
6567 WOODWARD
MAGALIA, CA 95954
Situs Address ,
6567 WOODWARD
MAGALIA, CA 95969
Legal Owner(s)
WASHINGTON MUTUAL BANK
31 FOOTHILL BL 2ND FLOOR
UPLAND, CA 91786 -
Lien Perfected On: 11/27/00 10:03:42
1 i `
r
IMPORTANT
O"SING 9,1,
p��� ■u Z
W
3G� Oyu
'yid pEv�v
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST TIRE DESCRIBED UNIT.
THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT.
DTN: 1744348 12062000 553
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netWds
PERMIT NO.
BP043381
LICENSED CONTRACTORS 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
Issued Date: 12/10/2004 APN: 065-175-017-000
the Business and Professions Code, and my license is in full force and
effect.
License Class :`ice a Number: /S
Site Address: 6567 WOODWARD DR MAG
Date:/ Contractor.
Map Index:
Description: EX MH ON PERM FND
OWNER-BUILOAR DECLARATION
I hereby affirm under penalty & perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: MIHALOVITS RICHARD
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
6567 WOODWARD DR
signed statement that he or she is licensed pursuant to the provisions of
MAGALIA, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
-95954
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: DOREMUS, GERALD GLEN
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
P O BOX 4121
provided that such improvements are not intended or offered for
CHICO CA 95927
sale. If however, the building or improvements are sold within one
,
year of completion, the owner -builder will have the burden of
530-895-1774
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: DOREMUS, GERALD GLEN
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
P O BOX 4121
❑ I am Exempt under Article 3 of the Business and Professions Code
CHICO, CA 95927 ,
530-895-1774
Date: Owner:
License #: 445103
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
Architect:
is issued.
Engineer:
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Cartier:
Total Square Ft: 0 S. F.
Policy #:
Valuation: $0.00
Census Code:
all-, certify that in the performance of the work for which this permit is
issued. I shall not employ any persons any manner
become subject to the workers' compensation laws of California, nia,a,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall]
forthwith comply with those provisions.
Date: 4 o
> ! ll
�—{- �g d—S
Applicant:
WARNING: allure to secure workers' compensation coverage is
unlawful, a shall subject an employer to criminal penalties and one
4,74-91
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for. in Section 3706'of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY -
This permit i 'h reby issued -under the applicab p provisions of the Butte County Code. and/or
I hereby affirm that there is a construction lending agency for the
Resoluti o work indicate bov tJor w ' h fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
I /�. /v !I
/
Name:
BY Date: (J
Q
Address:
PERMIT EXPIRES ON:
Da
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is cortect,and that I am t w or the duly authorized agent of the owner. I agree to comply with
that
all county and state laws relating to building construction. I acknowledge it is unlawful to the stance ny official form or document of Butte County. I hereby
authorize representatives of Butte County enter upon the above mentioned property for inspecti S.
ytto%
Print Name:_S��r1f_"i f/d�`((iS Signatur. t
Date:
❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
**PLEASE PRINT CLEARLY**
OWNER
Last NameLY A 1, 12 121D
First Name
Address v l
City
State
Zip
Phone
Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name (�+
C C) &
Address,
r 13ZI, -V r 2 % C
City L+e'o
Fax
State
Zip 7
—Phone
Policy Number
—Fax11.
E-mail
Lic. #a3
Clas1 (1s
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Policy Number
Fax
E-mail
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
For ffice se only:
Flood Zone SRA Yes No
ling
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS .
PERMIT
NO.
BPDL/j
BIN #
Description or cope of Work: -'
C//
Sq. Footage �—
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2'
i� d
Received by�i Amount: Bldg
!/L r7 SRA
Receipt #: Sheriff
L1/ g J `'� SMIP
,Other
Date: ,27L/
%,
Total
REV 7-27-04
LOCATION
/
Property Address
7-5
City
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
-Nam
Address
Description or cope of Work: -'
C//
Sq. Footage �—
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2'
i� d
Received by�i Amount: Bldg
!/L r7 SRA
Receipt #: Sheriff
L1/ g J `'� SMIP
,Other
Date: ,27L/
%,
Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑
1.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑
2.
Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑
3.
Engineered truss details and layouts in duplicate (if required). No faxes!
❑
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑
5.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑
6.
Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑
7.
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑
9.
Site plan and business license approval from the City of Biggs.
❑
10.
Letter of intent for non-residential buildings.
❑
11.
Detached Accessory Building Form filled out by the owner (if required).
❑
12.
Hazardous Material Form (for Commercial Buildings only).
_3—Sanitationand.site-pJariappm-vaLfrom-the_EavlrDnmeDtaLHealthDepadm.ent.
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioners office (if required).
❑
2.
Impact Fees.
. ❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractors license information. (Number, Name Style, Classification).
❑
7.
Workers Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew -action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 RE/ 7.27-04
•, ,. �? _ ., ryv .. -.,,, ;�. .�;. ,. .z :�.. r.;� °`v'ti".�.v -� �� _ ���4..�...c.,N•w�• .-iti....:,,.'R,o,'a ,.< � �.1' .,-w;,,,:r' ... �
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: / r �I DUI ASSESSOR PARCEL NUMBER' / 75 _D17
Proposed Building Use: e --X A114 ALI, / m Counter Technician: Date:
Items required in order to apply for a permit. All box6s MUST be checked OR marked NA in order to apply.
��C". 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. .
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from. Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
t� 8. Manufactured homes: (A) Data sheets and installation Inst, (B) Marriage line info, (C) Floor Plan, (D) Tie downr fnd plans, at in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
p 13. Detached Accessory Building Form filled out by the owner
❑�14. Hazardous Material Form
I4 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville„ as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ 20. Erosion Control Plan Required........................................................................ ........
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: --
❑ 25. Contact Land Development about _ Improvements, _ Drainage ...........:...I.........
❑ 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to.owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization ............................ ...... ..................................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ -35. Existing violations and/or expired permits.........................................................
❑ 36. Deed estriction...................................................................................... v�
❑ 37. rant Deed, OUCH. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑Check to H.C.D. $ '22-
0
2❑ 38. Other:
❑ 39. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Date
1. Index perrt)i appi at& for the aboveite'ms numbered:
2. Additional/items/required
Contractor,/designer, owner, was advised of the above data by Cl phone, ❑ mail, ❑ counter, by
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by
Plans reviewed by: Date: Plans approved by:
Structural reviewed by: Date: Structural approved by:
Note transfer by: Date:
Yellow: Building Division
_ Plan Check Letter
Date:
Date:
Date:
Date:
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER �� i / 2 %C l o 1''^ / A.P. # ®C
PROPROSED BUILDING USE /14 L"R g � , Pl04^A F"o) DATE 0 " k l
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due ..................... $ 7
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............
X $360.00 =$ _
Units
Commercial (sq. ftg.).....
X $0.03 = $
Sq.Ftg.
_
4. URBAN AREA FEES
' (paid at Building Division)
Residential (per unit).....
X = $
# Units
_
Amt.
Commercial (Sq. Ftg.)....
X = $
Sq. Ftg.
_
Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
10. OTHER
At time of perimlication, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be chap&6 d the plan checking process.
APPLICAN DATE -"--
Pursuant to Govern nt Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have beea imposed on your project. You
have 90 days from t e date of approval of the project or from the imposition of the above mentioned items during which you ma} protest. The requirements for a
protest are specified in Government Code Section 66020(a).-
Original-Building
6020(a):Original-Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
. Vector Dynamics
Foundation System
INSTALLATION INSTRUCTIONS
for the State of California
Version 91212003
INDEX'
PAGE RELEASE
SECTION NUMBER DATE
INTRODUCTION
2
9/2/03
GENERAL INSTALLATION
3
9/2/03
PARTS LIST
4 & 5
9/2/03
LONGITUDINAL DEVICES
6
9/2/03
PIER HEIGHTS
7
9/2/03
SET-UP INSTRUCTIONS
8
9/2/03
= FOOTER SIZES
WIND ZONE I - SINGLE
9
9/2/03
- DOUBLE
10
9/2/03
- TRIPLE
11
9/2/03
- HIGH PIER
12
9/2/03
WIND ZONE II - SINGLE
13
9/2/03
- DOUBLE
14
9/2/03
- TRIPLE
15
9/2/03
V -DRIVE & PIER SYSTEMS
16
9/2/03
SOIL CLASSIFICATION
17
9/2/03
- CONCRETE INSTALLATION
18 & 19
9/2/03
COMPONENT PARTS AVAILABLE UPON REQUEST
i
Approval
UArlctFAC341 M Rompi 4lons
PouNDA,noN SYS' m
EMU AND SAFBTY CODE. SOWN t
APPiWM
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CM08MM OR OBVIATION FROM RBQUiRBt► MM
A UCAM STATE LAWS AND RBOUL X0
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Tie Down Engineering, Inc.
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
Introduction
These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer
to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun-
dation system.
General
The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning
movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a
specified wind zone when the system is used as described in these instructions. Please verify state or local wind
load requirements prior to installation of the home.
The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the
two longitudinal main rails. The system is approved to be used on single or multi section homes:
Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater
on center; multi section main rail spacing of 75 inches or greater on center.
Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less.
Maximum roof slope of 20 degrees (4.4" in 12" slope).
Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II
Maximum pier height under main rails -see page 7.
The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con-
sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area.
To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other
widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down
Engineering, Inc. at 1-800-241-1806.
The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500
feet of the coastline.
Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer.
These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates.
Page 2 California 9/2/03
GENERAL INSTALLATION INSTRUCTIONS
SITE PREPARATION
-It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or
flowing beneath the home. '
FOOTINGS AND FROST LINES i
The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured
concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see
pages 20 & 21) to comply with local requirements for footer depth.
FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS
Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square
feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the
home. For pier locations in between the Vector Systems, use the normal foundation pads.
LUMBER/MOISTURE - TERMITE SHIELD
To cut PVC or lumber (2 - 2x4's,1 - 4x4 or 1 adjustable steel commpression member per Vector system) for the
center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis-
tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16".
ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED.
Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the
same, the pre-cut boards will also be the same length in each Vector set-up.
_
STRAP INSTALLATION
All frame ties and diagonal straps must go from the anchor to
the top of the I -Beam. See illustration below.
1. Attach frame hook to top inboard
location of "I" beam. (Frame hook must be
attached to frame at points closest to floor support.)
2. Keeping in line with the hook, wrap galvanized
strap completely around "I" beam. ;
3. Pull strap past anchor head approximately ten inches
before cutting to allow enough strap to give a minimum
of five turns around the slotted anchor bolt.
4. Thread loose end through slotted bolt so that the strap is
flush with the other side of the bolt. '
5. Tighten slotted tensioning bolt a minimum of five full turns.
Page 3 California 9/2/03
Vector Dynamics
Foundation Systems
Lateral Component Parts List
Vector System
Lateral Stabilization Block Pads
#59018 - 2 sq. ft. single/double block pads with
hardware, swivel straps and slotted bolts
Vector System
Lateral Stabilization for Concrete
# 59036 - Single (only) block pads with
hardware, swivel straps and slotted bolts.
# 59049 - Double block pads with hardware,
swivel straps and slotted bolts.
Vector System Lateral Stabilization
For Difficult/Rocky Soils
# 59287 - V -Drive System
Must be used with:
# 59018 - Vector for single/double block pads
3 Sq. Ft. Pad Vector System
# 59271 - Vector 3 sq. ft. pad (2 required)
# 59024 -Vector Lateral Hardware Kit,
includes PVC adapter.
Strap/Swivel Strap Connectors & slotted bolts
not included.
�X'
Page 4 California 9/2/03
.ry ) q-iq
Yector Dynamics
Foundation Systems
Longitudinal Component Parts List.
Page 5
Longitudinal Stabilization
Hardware Kit
# 10733 - (for use with 59018 Vector
.System, single stack block sets.only.
Longitudinal struts not included)
Longitudinal Stabilization
Hardware Kit for Concrete
# 59023 - Includes 2 beam clamps,'
tension brackets, nuts and bolts.
(for use with #59036 & 59049,
longitudinal struts not included)
3 Sq. Ft. Pad Vector Lon itudinal
System g
# 59026 - Includes 2 beam clamps,
2 tension brackets, nuts & bolts.
(for use with #59271, long itudin_ al
struts not included)
i
Struts for Longitudinal Systems
Part No. Length Pier Height
# 59016 30" i, up to 2 Blocks
# 59012 39" up to 3 Blocks
# 59013 44" up to 4 Blocks
# 59014 53'up to 5 Blocks
# 59015 65" up to 6 Blocks
r
PVC Adapter Bracket
# 59281 - For use with Schd 40 PVC
r.
Center Compression Strut
# 48612 - Single'Section, 62"- 108"
# 48613 - Double Section, 34% 60"
(includes short u -bolts, nuts, washers.
and 6 self taping screws)
California 9/2/03
C
Longitudinal Stabilizer Devices
The use of LSD systems on a single or multi section home replaces longitudinal anchors,'
stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector
Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The _
number of LSD required is shown on pages 10-13.
LSD
1. Longitudinal Foundation Pad
2. Beam Clamp (2 per system)
3. Longitudinal Strut (2 per system)
4. Tie Bracket (2 per system)
Combine Vector Dynamics
& LSD
Note: Two struts =1 L.S.D. system.
Can be used on one pad or slipt on
opposite ends of the home.
Examples of Possible Placement:
(Contact TIE DOWN for placment in other Wind Zones)
Wind Zone
I
Single Section
I
I
I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I
I
I
Wind Zone
I
Double Section
18 Ft. Max. 32 Ft. Max.
Forgreater widths use
triple section design.
Page 6
Wind Zone
I
Triple Section
Wind Zone
I
Tag Section
--
f�I�l
48 Ft. Max.
California
9/2/03
----
[-I-]
f�I�ow l
[.I.1
Wind Zone
I
Tag Section
--
f�I�l
48 Ft. Max.
California
9/2/03
50 in
max.
Figure 1 s
Maximum Pier Height
Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier
heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or
both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height
exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used
at each Vector System location with pier heights above 46" with the following exception: double section homes
that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for
double section home high pier set instructions.
50 it
max.
Unequal Pier Heights
Maximum
,
Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier
and the shorter pier cannot exceed 26".
Page 7 California 9/2/03
Set -Up Instructions for
Vector System #59018
Long U -Bolts
1. Set Vector Pads
Clear all vegata ion where pads will rest. Place
a long U -bolt in pad as shown. Press or ham-
mer pad into the. grourd.
2. Set Block or piers, on pads.
Center foundaticn blooks or piers on pads.
Place pre-cut center compression member
between blocks, resting on pads, centers
between U -bolter as shown.
3. Outside Tension Bracket
Attach outside tension Lracket as shown to out-
side of pads.
Page 8
4. Inside brackets & straps
Attach the inside tie brackets to the U -bolts over
the compresion member. :attach a strap w/hook
or swivel strap Wnut & bolt. Place other end of
the strap over opposite I-beam & down to out-
side tension bracket. Cit s.rap 12 - 15 inches
past bracket. Attach strap & slotted bolt in
bracket. Tighten strap until tight with 4-5 wraps
around bolt. Repeat with opposite strap.
Cad -fornia
9/2/03
WIND ZONE I, SEISMIC ZONE 4
1 `
Vector Dynamics Systems Required for
Single Section Homes
(Materials Required)
Se
Al
' 1 ��' <,✓ �.... .' l' ar33N c.3 3 �. � �`�� k 5' ..
y�
.n.
� se-
r
Alp—
CD
r 34 �• to
Note: L.S.D.= Longitudinal' NOTE: Vector Systems should be spaced as'f
Stabilization Device -" symmetrically as possible along the length
See Page 6. of the home. Pier spacing must be
Soil Classifications: 2, 3, 4A, & 46 consistent with home manufacturers'
o instructions and/or state requirements.
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required: 30" with 2-4" helix anchor (59095),
12" stabilizer plates (59292). 1-1/4" frame ties.
Home Length
Vector Systems
Required
Anchors Required
Per Side or 24" Pier
24+" Piers
L.S.D.
Oto 72'
3
2
3
2
73' to 90'
4
3,
4..
2
'
F ,
t«: Each Vector System requires one of the following`
W 1-4x4 or 2-2x4's pressure treated wood compression member, eA; '
Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts.list) `-
�2 sq. ft. pad
C>J
IQ
CD
NOTE: Vector Systems should be spaced as
symmetrically as possible along the length of the
home. Pier spacing must be consistent with home
manufacturers' instructions and/or state requirements.
No anchors required. For
pier heights up to 46" for WIND ZONE
28'-36' wide,
38" for 24' wide.
See Pg 12 for high pier
instructions.
2 sq. ft. pad
Soil Classifications: 2, 3, 4A, & 46
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required*: None (*Marriage wall anchors may be required by home manufacturer)
Home Length
Vector Systems
Required
Anchors Required
Per Side
L.S.D.
0 to 40'
2
0
WIND ZONE I, SEISMIC ZONE 4
41' to 66'
3
0
3
67' to 84'
4
Vector Dynamics Systems Required for
4
85' to 90'
5
0
4
Double Section Homes
�
" "
home
I
I
\
_
(Materials Required) . - -
, _
_ -
,,
sed%p
r
x-
o
NOTE: Vector Systems should be spaced as
symmetrically as possible along the length of the
home. Pier spacing must be consistent with home
manufacturers' instructions and/or state requirements.
No anchors required. For
pier heights up to 46" for WIND ZONE
28'-36' wide,
38" for 24' wide.
See Pg 12 for high pier
instructions.
2 sq. ft. pad
Soil Classifications: 2, 3, 4A, & 46
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required*: None (*Marriage wall anchors may be required by home manufacturer)
Home Length
Vector Systems
Required
Anchors Required
Per Side
L.S.D.
0 to 40'
2
0
2
41' to 66'
3
0
3
67' to 84'
4
0
4
85' to 90'
5
0
4
Each Vector System requires one of the following:
1-4x4 or 2-2x4's pressure treated wood compression member,
Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list)
Note: L.S.D.=
Longitudinal
Stabilization
Device
See Page 6.
Home Length
Vector Systems
Required
Anchors Required
Per Side
LSD.
Main .TAG
0to48'
2+2 on Tag
0
2 '°
1
49'to71'
3+2 on Tag
0,
2
1
72' to 84'
4,+ 2,on Tag „
0".
2-
-85'to90'
WIN® ZONE I, SEISMIC ZONE
.5+2 on Tag
0
2
\;'^, `♦`
Vector Dynamics Required for
etlmse ms
s\Orv?co
ro;aoin9
--�
\ \ `
TripleSeefion Homes
I4,
.
, \
\
(Materials Required)
- - -
-� - - " ExamPhoW S gen
♦ \
, \,
1 . \\Wstratro
£jv%=
�.f
� g£35Y'� � 4,
je Y:f✓i'� m.1
q
£`55
'
- .
'W
� <3 \�
:z� vss
a
! n., •.
F� 'I�
�
�
- .. _
., p
k �
„ €
fir. P� J+, - -
cfl
NOTE:
x
J
C
When a pier height at Vector locations exceeds 46", an
anchor must be used on the outside wall/beam at that
approximate location.♦
\ 1 -
'full triple
-
NOTE: Vector Systems should be spaced as
symmetrically as possible along the length of the
home. Pier spacing must be consistent with home�
Soil Classifications: 2,.3, 4A, & 4B
So
.�
manufacturers' instructions and/or state requirements:
..
Soil Bearing Capacity: 1,000 PSF minimum
_ Anchors Required': None ("Marriage wall
anchors may
o
be required by home manufacturer.)
Home Length
Vector Systems
Required
Anchors Required
Per Side
LSD.
Main .TAG
0to48'
2+2 on Tag
0
2 '°
1
49'to71'
3+2 on Tag
0,
2
1
72' to 84'
4,+ 2,on Tag „
0".
2
2-
-85'to90'
85' to 90'
.5+2 on Tag
0
2
2
CoA Each Vector System requires one of the following:
.2 sq. ft. pad 2 sq. ft. pad 1-44 or 2-2x4's pressure treated wood compression member,
N _ - Schedule 40 PVC Pipe or 1,adjustable steel compression (see parts list)
Iv
cc
CDN
WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets)
I -
Vector Dynamics Systems Required for
I .
Double Section Homes
(High Pier Sets with Diagonal Ties) _ _ - - " " " home ` _J
ja
xample 0
NOTE: Vector Systems should be spaced as
symmetrically as possible along the length of the
home. Pier spacing must be consistent with home
manufacturers' instructions and/or state requirements.
WIND ZONE I
Max. Height Unit Width
See Page 7
ca
p � I -Beam
W Spacing
r
�2 sq. ft. pad/
0 to 48'
2
2
2
49' to 71'
3
3
3
72' to 84'
4
1 4
1 4
85' to 90'
5
1 5
1 4
Soil Classifications: 2, 3, 4A, & 4B
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required': 30" with 2-4" helix anchor (59095), 12" stabilizer plates
(59292) .1-1/4" frame tie with connector
45'
Min. Each Vector System requires one of the following:
1-4x4 or 2-2x4's pressure treated wood compression member,
` Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list)
I
1
1
I
1
I
WIND ZONE II, SEISMIC ZONE 4 (Hurricane)
Vector Dynamics Systems Required for
Single Section Homes
(High Pier Sets with Diagonal Ties) " e
e�t�on \100 emsa\ 9�\de\\nes
e S \jeoto n ani
a 7 2 f ; sP .Inc \n9 e°�sta\\at�o
EXamPsho s 9m�st be to hom
\\Wstratnd sPao\n9
I. ft
F3' F asst. � " 1 � taw " — � jn;:f, - ` (.f - + .. •
1 I y �jy; s9i 2
CD
a NOTE: Vector Systems should be spaced as
symmetrically as possible along the length of the
Soil Classifications: 2,3, 4A & 4B ' home. Pier spacing must be consistent with home
Soil Bearing Capacity: 1,000 PSF minimum manufacturers' instructions and/or state requirements.
Anchors Required*: 30" with 4" helix anchor (59095),
. 1-1/4" vertical ties w/4725 lbs. min. Maximum allowable working drag load for the Vector
breaking strength. System with steel compression strut is 4,000 lbs. per
_ the K2 Engineering test report.
WIND ZONE It
(not to scale)
.2411
amu.
Home Length
Vector Systems
Required
Anchors Equired
per side
LSD
0 to 48'
3
5
2
49' to 60'
5,
6
2
61" to 72'
6
7
2
73' to 84'
7
8
2
85' to 90'
8
9
2
F,
ek
cytvr,
o Each Vector System requires one of the following: FJIM
� �p� j
�2 s ft. pad •1-4x4 or 2-2x4's pressure treated wood compression member,-% r a
Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list)--
0
w
WIND ZONE II, SEISMIC ZONE 4 -
Vector Dynamics Systems Required for - _ - -' ' Sectjon lhom me g��de\'Mes
Double Section Homes - - ' ' " " " dovb�e for �ect�,on rnan� _ , _
0i a 12eta� spa o�me insta\\a
gen e to
��1Wstrand spac'\n9 m ' - `♦ ` `,
tion p ,
s ,
;_ — — I ♦ � ,res./ � �• — `
r'
` Hp.y
NOTE: Vector Systems should be spaced as
symmetrically as possible along the length i
home. Pier spacing must be consistent with
manufacturers' instructions and/or state req
Maximum allowable working drag load for ti
System with steel compression strut is 4,001
the K2 Engineering test report.
son tseanng capacity:
Anchors Required`:
i,uuu rsr minimum
30" with 4" helix anchor (59095),
1-1/4" vertical ties w/4725 lbs. min. breaking strength.
Home Length
Anchors Equired
per side
Vector Systems
Required
LSD
0 to 48'
4
4
3
49' to 60'
5
5
3
61" to 72'
6
6
3
73' to 84'
7
7
4
85' to 90'
8
8
4
Each Vector System requires one of the following:
1-4x4 or 2-2x4's pressure treated wood compression member,
Schedule 40 PVC;Pipe or 1 adjustable steel compression (see parts list)
Anchors Required 3/4 x 30 with 4 helix anchor (59095) 1-1/4 vertical ties
w w//4725 lbs. min. breaking strength.
o
c�-
co
Home Length
Vector Systems
Required
Anchors Required
Per Side
LSD
Main -,TAG
O to 48'
3'+ 2 on Tag '
4
2
WIND ZONE II, SEISMIC ZONE 4
49'to71'
4+2onTag .
6
3.
2
72' to 84'
4+ 3 on Tag
7
3
2
85' to 90'
5+ 3 on Tag
8
3
Vector Dynamics Systems Required for
♦
, -
h°ms
` ^\\
Triple Section Homes
, _ - ems
♦
(Materials Required)
-
_ - - _ _
- ' _ -7g it ma :\T\
ecio�
foc vectO
- "
,
�.♦etaLk
-
- - - -�- EXa shows 9e
Airl
_
fAlm I
"I AIR
I
riamlcs>
A
L
.. '� ♦
,,,�: n. �, a
_.s t�'�i� :�.
E
,
�
\ • i�
�
NOTE:
I .
When a pier height at Vector locations exceeds 46", an
anchor must be used on the outside wall/beam at that
j£
y "" ♦ `."
'
`� I ,�
approximate location.
A,'
NOTE: Vector Systems should be spaced as
cn
. symmetrically as possible along the length of the
home. Pier spacing must be consistent with home
manufacturers' instructions and/or state requirements.
q
Tag ori•
-
{
le
full triple.
Soil Classifications: 2, 3, 4A, & 4B
Soil Bearing Capacity: 1,000 PSF minimum
..
-
Anchors Required 3/4 x 30 with 4 helix anchor (59095) 1-1/4 vertical ties
w w//4725 lbs. min. breaking strength.
o
c�-
co
Home Length
Vector Systems
Required
Anchors Required
Per Side
LSD
Main -,TAG
O to 48'
3'+ 2 on Tag '
4
2
1
49'to71'
4+2onTag .
6
3.
2
72' to 84'
4+ 3 on Tag
7
3
2
85' to 90'
5+ 3 on Tag
8
3
2
CD Each Vector System requires one of the following:
CAD 1-4x4 or 2-2x4's pressure treated wood compression member, .
Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list)
2 sq. ft. pad 2 sq. ft. pad
Vector Dynamics
Metal Pier & V -Drive Installation
METAL PIER FOUNDATIONS
For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U -
bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the
Vector System can only be used on level ground sets.
Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home.
Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements.
To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com-
pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16". Optional Moisture Termite
Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. _
Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut
boards will also be the same length in each Vector set-up.
V -Drive
for rocky soil
V -Drive anchors are used on/v in
Zone 1. single section homes.
V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to
be installed.
Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the
outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board -
should extend from the base of the Vector pier set to 5 inches from the side wall of the home.
Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive
anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete
stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the
strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening
strap until all slack is out and strap is tight.
Page 16 Californias 2/03
' VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
L
Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as
described in the table below:
SOIL CLASSIFICATIONS
Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1)
D2586) Torque Value (2)
1 Sound hard rock...... NA NA
Very dense and/or 40 -up More than 550 lbs - in.
cemented sands, coarse
2 gravel and cobbles,
preloaded silts, clays,
and corals
Medium -dense coarse 24-39 350-549 lbs - in.
3 sands, sandy gravels, very
stiff silts and clays
4A Loose to medium dense 14-23 275-349 lbs - in.
sands, firm to stiff clays
4B and silts, alluvian fill 175-275 lbs - in
Peat, organic silts, 0-44 175 lbs - in.
5 inundated silts, loose fine and lower
sand, alluvium, loess,
varied clays, fill, fly ash.
(1) The purpose of the soil test probe is to gauge the strength of the soil below the surface
and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration
(flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The
overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.;
the pitch is 1.75 in. The shaft must be of suitable length for anchor depth.
(2) A measure synonymous with moment of a force when distributed around the shaft of the
test probe.
Vector Foundation Pads Equivalent to Footer Pads*
Footer Size: Footer Size:
16x16 = 256 sq. in. _ ' 20x20 = 400 sq. in.
or 16x18 = 288 sq. in. - or 17x25=425 sq. in. _ _ '�-
EQUALS - - EQUALS -
2 -Vector Pads # 59275 = -- 1 -Vector Pad # 59271
288 sq. in. or 432 sq. in.
1 Vector Pad # 59130
Vector Pad(s) exceed the surface area required when used as the equivalent listed above.
*Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Engineer miliar with site
conditons
Page 17 California 9/2/03
Vector Dynamics System
for Concrete Applications
Instructions
These instructions are an addendum to the standard Vector Dynamics instructions. Read
and follow all applicable instructions and guidelines in the Vector instructions and home
installation manual. The Vector system for concrete pads applies to concrete footers,
runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round
(min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4"
below finished grade whichever is greater. Concrete must be sufficiently cured and set
to accommodate an anchor bolt to its' full load resistance.
1. Determine location of pier sets where the Vector systems will be located.
2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be
located, centered under the I-beam of the home. Place the upturned edge towards the
center of the home and directed to the opposite Vector pier. Do the same for the opposite
Vector pier.
3. Measure the distance between the two Vector system pads at the base where the Vector
pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1
adjustable steel commpression member, part#59043 this length and place between the
piers as shown.
4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown.
5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The
upturned edge end of the Vector pads should be up against the inside of the pier blocks.
6. Build vector piers but do not wedge at this time.
7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in
the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep.
8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up
the holes in the bracket, Vector pad and concrete pad.
Illustration One
of a Single Section
Set -Up
Vector pa
for
concrete
footer
Page 18 California
Wood Cap
and wedge
Outside
Tension
Bracket
Wedge
Bolt
9/2/03
Vector Dynamics Systema
for Concrete Applications
Instructions
9. Put a washer and nut on one of the 3/8 x 3-3/4" wedge anchors. The nut should be
screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge
end of the bolt into one of the holes, going through the outside tension bracket, metal
Vector pad and into the concrete.
10. Using a hammer, tap the wedge "bolt into the hole. Maximum height for expansion bolt
above concrete is 2".
11. Repeat for the other hole in the outside tension bracket and the two holes on the other
Vector system pier set.
12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the
Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do -not
tighten yet.
13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go ,
over the opposite pier and down to the outside tension bracket, plus 12 inches for "
wrapping the slotted bolt. Repeat for the opposite side.
14. Tighten inside u -bolts at this time. +
15. Use the outside tension brackets to remove any space between the outside tension
brackets, concrete blocks and the inside edge of the Vector pad, by;tapping the brackets
with a hammer. Wedge the pier set at this time.
16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts,, securing -the outside_
tension bracket and Vector pad to the concrete. 4
17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with
end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using
at least five turns on the slotted bolts.
Illustration T
Inside
Tie Brackel
Compressh
boards of
PVC Pipe
9
Vector pad
for
concrete
Y
Concrete
footer
U-boltIna'
Page 19 California 9/2/03
NOTES
I
RESIDENTIAL
065-175-017, 01-1966
MIHALVOITS, RICHARD
6567 WOODWARD RD. MAGALIA !
CONT: JERRY HANSON M
MH COVERED PORCH
I
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
•f
JOB FINALED (Date) 2
Signature
/LI��=ih✓ /�.0
✓ = OK
0 = Not OK
- = Not Applicable =Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
MISCELLANEOUS
Date DECKS, COVE , ARPORTS GARAGES (Plans) OK except #'s
Zo ' equirements-Setbacks-Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
cks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Wood Awn.; Posts- Beams- Rftrs.-Con nectors
Shthg.-Frg-Bracing
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
-e'" Carports; Windows -Doors
EIectric
VO�Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9- 'ding; Nailing -Veneer -Stucco -Mesh
Roof; Shthg-Roofing
fir. Ext.; Steps -Doors -Landings
la -Braced Wall Panels
Date Card B-1 Y 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. Liaht Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
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, COVE , ARPORTS GARAGES (Plans) OK except #'s
Zo ' equirements-Setbacks-Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
cks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Wood Awn.; Posts- Beams- Rftrs.-Con nectors
Shthg.-Frg-Bracing
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
-e'" Carports; Windows -Doors
EIectric
VO�Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9- 'ding; Nailing -Veneer -Stucco -Mesh
Roof; Shthg-Roofing
fir. Ext.; Steps -Doors -Landings
la -Braced Wall Panels
Date Card B-1 Y 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. Liaht 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
46.
Underfloor (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ r' Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
63.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Battle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
73.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
_
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
85.
Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings
Date
86.
Card B-1 Date Card B-1
Date
87.
Card B-1 Date Card B-1
Date
88.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Comments at Final:
40.
Sills 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
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Rolf 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-Mech. 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-Mech. 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 Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Pibg-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
Card B -t Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
•-n--. .. � _ _ _ __...,�--...ti.K,.r„�+t...�rw....:._....--�'�r.• ..�.v Yrr,i1^'TY r ,ny�..rw.<
L
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 Q-19(06
ASSES) Jr" l I./ 17
lA/ R� '
BUILDING PERMIT
OWNERRIOWD MIDIVOITS
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
isu ` •
00
OWN 6g7 Q DWARD RD, MAGALIA 95954
CONfR/1-CTOR'3 n MSON
T p7 ONE
6--0369
CONTRACTORS MAILING ADDRESS
479 BOQUEST BLVD, PARADISE 95969
CONSTRUCTION LENDER
/
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ �� 30
• 00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee $
c
BUILDINOADDRESS
6567 WOODWARD RD MADALIA
Energy Plan Checking Fee $
.r .10
$
PERMIT FEE $
109,010
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome dN 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 ❑ Ulilities ❑ Installation ❑ Other is
Describe Work: pDR("R-. MtiPRipn
r
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
Q20.00
PERMIT FEE S
-
y
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full f rce and effect.
License Class Lic. No. a
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 ADDNS. ( & ACC. BIDS.
SO
3.SQ•FT.
NEW CONS MULTI.OUTLET
NON•RESID.
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET DR.FixTUREs
200''00
BAL 0 .SO
Ex. Occup.OFlxlmt� oR�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is Issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is Issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person In any manner so as to become subject to workers'
compensatio^h,laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date � /
Signature of A�'plicant - ❑ 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.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE ��� ��
TOTAL FEE $
HAZ.
D. FEES IMP
D
COF
PARCEL
PD
HD
ISSUE
x
This perniR is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above .o hich fees have been paid.
p
By Date Ah/a%
PERMIT EXPIRES ON--
�le
Receipt No. ::5 5?-Ct- . - -
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
e
t4
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 01-19(2(a
ASSES^�DjP D BE�17
ZRT 1A/WP
BUILDINGPERMIT
OWNER
RICHARD MIHALVOITS
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
18U C 2,340.00
. OWNERS MAILING ADDRESS
6567.WOODWARD RD, MAGALIA 95954
CONTRACTOR'S NAME
JERRY HANSON
TELEPHONE
876-0369
CONTRACTORSMAILING ADDRESS
BOQUEST
9BLVD, PARADISE 95969
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ e
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee $
20.00
Permit Fee $
5400
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
6567 WOODWARD RD MAGALIA
Energy Plan Checking Fee $
'
$
PERMIT FEE $
109.10
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 1K Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other (A
Describe Work: PORCH— ��TRARD
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
Q20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Feel 20.00
Main Service oa v 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 f c and effect.
License Class I Lic. NO. 0 [, a `= ,r�l
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 =UP.
OR ADDNS. ( & ACC. BLAS.
SO
3.5QFT.
NEW CONS . MULTI.0 JTLEi
NON-RESID.
@7.50
POWER APPARATUS
&SINGLE OUTLET CIA.
Ex. OCCU OUTLET OR Po(TURES
20 1:
B AL @00
OWNER -BUILDER
Ex. Occup..OUTLFIXETS RES D•oEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation Insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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'
compensa ' laws of California, and agree that if I should become subject to the
workers' c mp Zation provisions of section 3700 of the Labor Code, Ishall
forthwith co p i kh those provisions.
I '
X ! / Date
of A licant - ❑ Owner 13Contractor ❑ Agen
SigTOHA
An permit is required for excavations over 5'0" deep and demolition or construction
of res over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 109.10
HAZ.
—
D. FEES IMP
'
CDF
pgRCEI
PD
HD
ISSUE
X
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above ch fees h Is been
By Date
PERMIT EXPIRES ON
ate
provisions
to do work
paid.
Receipt No. —
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT O&DE14BLOPMENT SERVICES - EUILDING DIVISION
7 COUNTY CENTER DRIVt - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-75Al
rC
yP.LE"IT APPLICATION DATA SHEET
OWNER: / > ASSESSOR PARC ER: -// 7
Proposed Building Use: / . L Building Inspector: Date: - At time of permit application, I was advised the following data must be bmitted prior to permit processing and/or issuance:
Date Received _By
1. All items have been submitted .----------------------------------------------------------------------------=-------
ot plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------------
on
plete plans, 3/4 sets, signed by the preparer of plans. ------------------------------------=----------------
4. Engineered plans, 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. --------------------------------------------------------
❑ 8. Hazardous Material Form. -----------------------------------------------------------------------------------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .-----------------
❑ 10. Fees of $ ------------------------------------------------ ------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan ap roval/fees . ---------------------------------------------------------
lood elevation certificate. -------- -- - ---------------------------------------------------------------------
wv)4. Sanitation and plot plan approv alth Department. ----------- -------------------------------
❑ 15. City of Chico plumbing permit.-----------------------------------------------------------------------------------
❑'16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------
'Q 17. Planning approval for (A) Use: (B) Parking: --------------------------
O 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- -----
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
t
❑20. Pre -inspection for required Request to Building Inspector on
(Date)
❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
a'
❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------- -----
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------- -----
❑ 24. Letter of si ature authorization.---------------------------------------------------------
gn-------------------------------------------------------------------------------
,. dr ,� •. .
025.
❑25. Recorded co of Agricultural Acknowledgment PY !'� Statement. --------------------------------------------------
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------
❑ 28. Existing violations and/or expired permits.---------------------------------------------------------------- •-----
❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . ---------------
❑30. Other:
n you issue *,t m;follows 11 Mail to owner, ❑ 6r
�
hone (( and hold for pickup at ,. ❑ iver with inspector.
Applicant: N
Date:
`Y Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
I
E.H. USE ONLY
r
Plot Plan Anachad
' Floor Plan Attached
Sent to
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal ) Water Supply: Public, -4 Private Well
Clearance for dwelling. Oth ct)vces AA �ir�o MICA_ /-�4�0' .
Hold final for:
Final clearance-O.K. for:
(VOTE:
Environmental Health Specialist Date
8/96
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUIL: ING DIVISION
• 7 County Center Drive • Oroville, California 95965 •Telephone (530),538-75 1 -ERMIT
(Rev. 12/96) APPLICATION AND PERMIT - n l 1 � NO.
AEEEitORVMCEL MIYpER / •�7
/ 35TBUILDING PERMIT
owNEq / � /• Tetrr►NDNe SO. B I
�� MAILING ADDRESS _ l ` OCC N
,VALUATION
CONSTRUCTION LENDER ,/
LENDER'S MAILING ADDRESS
AACNfrECr OR ENGINEER
ARCHITECT OR ENGINEER'S MMUNG ADDRESS
eULONO ADDRESS / r- / /7
LOT NO SUaDN910NgNkW /91r
USEEOF8TRUCTURE
SF ❑ Duplex of"Mbllehome a Other
SPECIFr
TYPE OF WORK
New ❑ AdditioniRe�����DtherDescribe Work:
"PERMIT FEE PAID
SRA --
SHERIFF
OTHER -
AMOUNT RECEIVED
'RECEIPT NUMBER 3317 �
* TO BE Pll1' INTO COMPUTER
Fireplace
I �k--
Total Valuation S
Flin Fee S 20.00
Permit Fee S
Energy Plan Checking Fee
S
S
PERMIT FEE
$
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
Solar or hent pump water heater
23.00
Water piping
15.00
Each 9ns water heater or vent
5.00
piping stem 1 - 5 3
15.00
EBts
uildin sewer
15.00bile
Ho e S G W
(q 120.00
—
PERMIT FEE S
ELECTRICAL PERMIT Flin Fee 20.00
-0OR
LFSA
Main Service °
sow oR tEse 23.00
Main Service 200A TO IOOOA 46.00
NEW CONST. DWEJ.LIq �CCUP.
OR ADONS. a ACC. SDS. 3.50_8°.
NONRESID. MULTFOLTLET
@7.50
POWER APPVIATUS
L SINGLE OWLET GR.
EX. DCCU oLmer on PORURES 8 I.00
I
FD(ED 9AL .SO
EX. Occu
I
alp EA 5.00
1
I
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heatin
Cooling
Hood 6.50
IPERMIT FE(` I S
Mobile Home Installation Fee S
Energy Inspection Fee E
I ocN cO'—' - TOTAL FEES _
INAz.O. FEES IMP
J 1 COf I PARCEL I PO I NO
This permit is hereby Issued under the applicable provisions
Of the Butte County Code- and/or Resolutions to do work
t
indicated above for which lees have been paid.
By Date
PERMIT EXPIRES ON
• (0567 UAd kArd r
qj-
��►ironmsntal.Health
- � - .. :. _ - .. - . , • AUG 0 3'200'
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65-67 kw8 UA 0.4 r
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APPROVED
KI
6567 Cvcr,�a1 I�cXird r�
lox
vironrro-Mal Health
AUG U 3 2001
_Chico, Cil
H
-- --5--A _0�-
Date
RESIDENTIAL
93-2286.P,E
f��T065-i7-5-017
RIKE, JAMES & LINDA
6567 E, DWARD AVE, MAGALIA
1 I { zoh�
Q--liow�s
5-0 o o
a� a
JOB FINAIED (Date) c! - 7-q
Signature /1-A
V OK
O = Not OK
NotReabredy MOBILE HOMES
Date/Initials MOQjLE HOME UTILITIES Plans OK except #'a
7,,oning Requirements -Setbacks -Easements:
Soils; Special MH Support Sketch
Sewer; Location -Test -Fell -C/O Concrete
Waver; Location -Test -Easement Needed _(,Sketch) '
&- nclty; Location-Glearences-CIM0 / /Amp -Concrete 4=�fR7
. Gas; Location -Teat -Wrap: / /"L"ft.3 10,/ '/"Nat. or/ /"L"ft./*"LPG 2>'
I Clearance & Disconnect
Utility Clearance'
r
Date/Initials MOBILE HOME INSTALLATION Plana OK except #'s
Zoning Requirements -Setbacks Easements
Footings; Size -Spacing -Marriage Line
,Gas; MH Test-Demand-Valve—Connector
Electricity; MH Test -Crossovers -Breakers -Clearances
. Drain; MH Test -Fall -Flex Connector
. Water; MH Test -Regulator -Connector
Water and Sewer Connected -C/O to Grade -HD Approval
. Gas and Electricity Tagged
11 9' Exits; Insp.-Sketch
J4. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs:Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure. Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
8. 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-Pane Iboa rds-Ins. to Mairi'in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
4
V=OK
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth
3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
S. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor-Naii Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/initials FRAMING (Continued)
45. Hanger§ -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brec-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. KIt.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg: Appliance -Fireplace :Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
PERMIT NO. � '2A7
Address or Location of mobilehome K 567 WOO �LVA (2�1 b,?
Owner's name 57 R I KE
Owner's address
a
Insignia or hud number
Manufacturer's name
Serial number of V.I.N. \1 W 42801 VW 11 A5 Year of manufactu(i,p 19 86
tiJ � GI 7- 9V
(Official Approving Installation) (Date)
IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
R!R A ;
/��l/1%S- 0/7 i
�* 513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE IREPPARTMENT OF PUBLIC WORKS PERMIT NOe_ „
7 County Center -Drive - Oroville, Califorpia 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
065-175-017
ZONI
R� 1A
BUILDING PERMIT
OWNER
James & Linda Strike - 707
TELEPHONE
745-3983
SQ. FT. OCC. BUILDING VALUA ON
OWNER'S MAILING ADDRESS
121 BAnbury Way, Benicia 94510
CONTRACTOR'S NAME
Unknown
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
2e7to XINN
LENDER'S MAILING ADDRESS
Permit Fee
$ 23.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 4r3-66
PLUMBING PERMIT
Filing Fee
�/-7 Woodward Ave.,
C -5(O
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISIONNAMEPARCEL
MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomeak Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I JJ OLW IJ
3 @ 2000 60.00
TYPE OF WORK
Newr__1 Addition D Remodel ❑ Utilities El Installation❑ Other ❑
Describe work: MHU (2 BEdroom) _
Permit Fee
$ 80.00
Contractor
ELECTRICAL PERMIT
Filing Fee -A.R91
Main service 200AORLESS
1 0K%X1 23:00
Main service 200ATO1000AI 1
37.501 1
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUPM
OR ADONIS.( ACC. BLDGS. /r
3.6Q sq.ft.
NEW CON5TR ULT' -OUTLET
NON.RESID BRANCH CIRC ITS
@ 5 00
POWER AFPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 @ 760
FIXED APLNS.❑
EX. QCCUp. OUTLETS (PRESID )REA.1
I 3.00
Temporary service
15.00
Mobile Home Facilities
1 ](`X 20.00
Misc. Wiring
g
'15.00
Permit Fee
$ 63.00
—
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
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sai��d Coo�unty in conseq n e of t granting of this per it.
X421 /I ��r-cam Date
I
Signature of Applicant — Owne� Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEES lvl� O�
HAz
1 DFEES I
IMP
FLOOD F
I PARC
PD
I HD SSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIR C O C
BY
PERMIT EXPIRES Date
applicable provi
resolutions to do
have been paid.
WORKS
a (z S
2
Receipt No. 135569
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
+'�~OU-NTYOF BUTTE DEPARTMENTOF D LOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNER A.
Proposed Building Use �(�(/ �/ Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
All items have been submitted. ....... :................................=��1�..,`
2. Plot plans, 3/4 sets, signed by preparer of plans . ........................
3_ Complete plans, 3/4 sets, signed by preparer 9tplans. ......................
.4. Engineered plans and talcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. ............................................ .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . .......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... r
10. Fees of $ . ....................... ec .
61 11. Impact fees as shown on attached schedule. ..�j� ... ��.� .......... /`
12. California Department of Forestry plan approval/fees. .........................
Flood elevation letter (100 year fl d) by Cal' ornia Engineer. .. ........... : : 7 /3
14. Sanitation and plot plan approval Health Department. ......... .
15. City of Chico plumbing permit. ........ ................. ... .
1.6. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
Contact Land Development about (A) Improvements (B) Drainage. ......... .
eZ�j1-9. Driveway permit (construction approval required prior to occupancy). .. ��`%
20. Pre -inspection for required. .. o s "i[7
(Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23 Owner -Builder Verification (Given to owner , Mail to owner )............
4. Recorded copy of Agricultural Acknowledgement Statement . .................. -
25. Letter of signature authorization . .........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use..........................................-�
28. Mobilehome utility clearance . ..................:...................... .
29. Documentation of legal access . .....................:................. .
30. Documentation of 50% subdivision developed or -(A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list.
0.
.34. .�
When you issue the permit, process as follows: lo"' Mail to owner. Mail to contractor. f .
Telephone and hold for pickup at office. Deliver with inspector.}
-Other'
Parcel Creation
Acreage Applicant Date / T
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. _ I Fire Dept. Other Date By
The following data.must be submitted
1. Index permit for above items No. _
2. Additional items required:
to permit issuance: (Circle new item not checked above).
-7-
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by 7,i, �� Date3
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
•
'c
TO: Building Departllicnt
FROM: Environmental Health
SUBJECT: Sanitation Clearance
) l
�
� ) 1 ,� � is i1, dist: ( .Y
Plot Him Autiched
I It,or Phut Aluiched hS _
Owner Location
Plan Approved for: Sewage DisposalFater Supply: Public
Clearance for t� bedroom mobile home. OthcrCL�}C9
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/92
Q 75� 0(7.
• AP#
Private Well
f -L.,Ic� /,�2—
t
Date
sei otVoe Sod epi I[UOTbe
1*0 Cm the job at ail timoe and it la UnIEWN: 6e
MOM am oUMgea or alterations an Sam *194"
wvtuft PWRAGdon than the Depwtuieft of pow..
ofl9uaa.
Nom: All ]Iia ortals & Y/orM3ao chip 8b1LU He In
A000Pdsuft with Recognized (food Praotices and
of a quaiitjy proscribed for the 8pecifted use r'
In the •Uniform Building, Plumbing & Mechaniaal
Codes and the Nsttional ]6leatriod Coda
. :14 P. a - -7-_bre
The ettadW Fire Sala
requirements must,be c0mpj9W
as specified and approved
by C.D.F.
Psi1 bAquird der MIPMENT INCL01"G .�
ALL GMUM.REg AND F A E i
Of the mab7ehems6
E C Sj
OVERMAN( SHA B u F- .- _
ROM TRE
A BACK OF . FSibl AN 500 SQ. FT..MI
EA .PROPERTY LINES AND
FT. FROM _ INE SHALL BE x FOR MOB
FT. FROM THE ROA CENTCRL
id* OF STRUCTURES AND. EQ
FOR A 2 FT. AVE OVERHANG.
� REVIEWED BY
BUTTE CO. FIRE DEPT.
CALIF. DEPT. of FORESTRY
approved as submitted
} ® approved with conditions
per attached sheets
Signature Date
�R a
r
-6U
WILDING t
q3 22
ATTACHMENT 1� 1
Ce-
677CI , J-9rn6S V GMv04
AP # PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this
permit. These requirements are minimums and will be superseded by
Butte County local regulations which equal or exceed these standards.
Field inspections will be made by the Butte County Building Department
for compliance.
[i<] 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued availabil-
ity, access and utilization of the defensible space
provided for in these standards, annual maintenance must
be provided for by the land owner. •
Driveway Standards
1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other appurtenant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, including
sedans and fire apparatus weighing up to 40,000 pounds.
�] 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius.
] 1. No roadway shall have a horizontal inside radius or
curvature of less than 50 feet and additional surface
width of 4 feet shall be added to curves of 50-100
feet radius; 2 feet to those from 100-200 feet.
[ ] 2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet. c
[ J 1273.05 Turnarounds. If required, will- have a minimum turning
radius of 40 feet from the center of the road.
[ ] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet
long with a.minimum 25 foot taper on each end.
[ 1270.10 Width. All driveways shall provide a minimum 10 foot
j traffic land and unobstructed vertical clearance of 15
feet along its entire length.
- 2 ®,c 3
[ ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more than
400 feet apart.
[ ] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates.
[ 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic land
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
L J 1. All parcels 1 acre and larger shall provide a minimum
30 foot setback for buildings and accessory buildings
from all property lines and/or the center of the
road.
2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable vegeta-
tion and fuels caused by site development and construc-
tion, road and driveway construction and fuel modifica-
tion shall be completed prior to completion of road
construction or final inspection of a building permit.
- 3 BF 3
Other Requirements
(Xl Gv P�f�e- 3o F f OF -L)E FE. g Ifl c .E �P, C�✓.Joy— / '
�P T /��ittlF�.,� S� c.7�.c/L.�S l�n./� /�2r�,P� 2Sy L.� •✓�S'--
dd
P2o�r�Tl ftp �n'1,u cam• Aeo, b -,Pg"
z -q 3r�:;19 - /or�Azll
Date Signature
t r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 -.TELEPHONE (916) 538=7541
OWNER. A.P. #
PROPOSED BUILDING USE DATE
REC. # DATE REC
1. SCHOOL DISTRICT FEES
(paid at District Office) .........................
2. SHERIFF FEES
(paid at Building Department)
Residential...... x =$
unit amt.
Commercial (sqft) x =$
sq.ft. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office) .........................
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division.) ...............
6. SRA FIRE INSPECTION AND PLAN CHECK = $_89.00 ......
(paid at Building Department
7. OTHER
8. OTHER
At time of permit application, I was -advised the above fees are required to be paid
prior to issuance of the permit. --
APPLICANT DATE
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965
James & Linda Strike
121 -Banbury Way- .
Benicia,. CA 94510-
Dear
4510-Dear Mr. & Mrs. -Strike:
With reference"to the above subject:
PHONE: 916-538-7541
DATE July 29, 1993
RE:.BuildingPer mit-_Xppli-cation-#92-2286
_ A - P . #-065-175".017___
f=L Attached is:
Application for permit
Building Plans
Engr. Calcs
Owner -Builder Verification Form
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
OTHER
We need the following information:
Permit -application signed and completed where indicated with all copies .returned. -
XXX Fees of $ 89.00payable to _Butte County Treasurer. -
Certificate of Workmen's Compensation Insurance or check exemption statement...-
Contractor's
tatement..Contractor's License Law information or check exemption statement.
Complete plans in , including plot plans.
Plot plans in -
Structural details in _
Complete plans and calcs in by registered engineer.or._architect.
_Energy designincluding _ _ .
Street and drainage improvement plan approval from Land.Develo.pment Section:(DPW).
sets --.of plans in accordance with.the changes'_maxked .in red
Sanitation approval from Butte County Health.Department at:
1469 Humboldt Road, Chico
7 County Center Dr.,-Oroville
'Skyway &:Elliott Rd.', Paradise*
Planning approval from Butte County Planning Department, -7 County Center Drive,"
. Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
-_Recorded..copy_ of agricultural acknowledgement statement.... _._ _ •_.
LXJL OTHER. SRA Fire Inspection & Plan'Check $89.0077
oQ_
.. ..
Should you have any questions concerning the above, please contact
of this office.
Yours.bery truly,
William Chaff
Director of Public Works
j /J.F. Glander
JFG/aj
Tom Coleman
Return to DPW AGRICULTURAL STATE►`IEr� T OF ACU(OWL.EDGEMENT
FOR RESIDENTIAL, DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
The
property described herein is adjacent
1 601
to
land or included within an area zoned
1
for
agricultural purposes, and residents
Recorded I
of
this property may be subject to incon-
Official Records I
veniences or discomfort arising from the
County of I
use
of agricultural chemicals, including,
Butte I
Butt
but
not limited to herbicides, pesticides,
Candace Grubbs I
and
fertilizers; and from the pursuit
Recorder I
of
agricultural operations including,
10:49am 16 -Jul -93 I
93-30160
Rec Fee 5.00
Cash 5.00
C 9UAJT nOF BUTTE
J U L 2 i 1993
PUBL XX 1
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property. situate in the County of Butte, State of California, described as
follows:
4Ae- -SO(AA Aa/ o -f' .4o -t �// C�.r s�ioWn on �� cer�a�� r1.1a�
F_vi �; (-t' e �� "FlR /fi9UE�✓ c�'U6A/YI Jio/V��� LJf ,c! rl-,�� GJ�s �i It in e
�-A ce -t/e Recora('er 6_� re Covn�y W 3v e� sf��e d
MAY lot 4f a
P L2 S3� 3 ohs 3�
Date:
State of �)
� SS.
County of A 6-4f,)
PROPERTY OWNERS:
!ye_
On this the /C day of i vt. 19 before me, the
undersigned Notary Public, personi,ly appeared
tA.)
Zi H
Ml111mnnnlnnmamnulminleullu,ellunlullunnsnlrind-� Personally known to me. ZProved to me on the basis
of satisfactory evidence.
M
OFFICIAL SEAL
N 973527
Xo be the person(s) whose name(s)
JAMIE CLARK ll v
N
NOTARY PUBLIC - CALIFORNIA $ ubscribed to the within instrument and acknowledged that
Q COUNTY OF BUTTE texecuted the same for the purposes therein contained. IN WITS SS
My Commission Expires Sept. 17, 1996 =WHEREOF, I hereunto set my hand and official seal.
Oflllllll111101111III111IRIIItIIIIIltl1111111111111111110lIIIIIIIIIIII�
Present A.R. No . Q6r— ZZ = D/`%
Notary Public
END OF DOCUMENT
In
i
0011
5-017:,PERMIT# 9'4-2-2 76-
ti STRIKE, JIM
6
5 7,.W00NARD DR.-,1MAGALIA',X%
C*;�,JIM FIELDSI'
MOBILEHOME INSTALLATION
r\
OFFICE COpy;
Address to- 14
`Meter By. Date,
, ELECTRIC,.
M e' ter By—, A
Date
4
OFFICE COPY,
.1
'A _d
h
4
.GAS
Met6r:'B
ELE6�TRIC
Mete B Da"t e
CQUNT,Y,I„OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT !9q - 00) 1 4
ASSESSOR PARCEL NUM BE
—
SRTI
ZONING
A
BUILDING PERMIT
OWNER ("�
l/J� -Q {707
TELEPHONE
745j-3985
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
121 BANBURY MAY BENICIA
CONTRACTOR'S NAME
JIM FIELDS ,,..
TELEPHONE
872-1639
CONTRACTOR'S IAILING ADDRESS
5035 CRCLE LK PARADISE 95969
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
23.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 6557 WOODWAR.D DR HAGALIA
PERMIT FEE $
43.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF O Duplex ❑ Mobilehome
p C Other i
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
20.0(]
TYPE OF WORK
p�
New 1:1 Addition O Remodel Cl Utilities ❑ InstallationX8 Other O
Describe Work:
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. )
3.5C SFTO,.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effe t.
License No. S f %�J(n Classification ; Cy -- I
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
0A0 @ 1.0000
Ex. Occu FIXED APPLNS, OR
p (•• OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of -Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure. Ir
Q I�shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked. '1
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expense w Ich may in any way accrue against said
County in o equence of the granting • tW permit. pr
X t Date G �"%�' �'�j/
Sign�tfrfe of Applicant - Owner O Contractor ❑ Agent
/q 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 $ 0
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEES 143.0
HA2.
D. FEES
IMP
""'
FIOOD
CDF
PARCEL PD
MD
ISSU
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
BY
PERMIT EXPIRES ON
(Date)
provisions
to do work
paid.
Date
/ 7.7
Receipt No. 167318
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
COUNTY OF SUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMITNO.
APPLICATION AND PERMIT 9�._a `7 2
ASSESSOR PARCEL NUMBER
065-175-017
ZONING
RTI A
BUILDING PERMIT
N
OWNER
( 707)
TELEPHONE
745-3985
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
121 BANBURY WAY BENICIA
CONTRACTOR'S NAME
JIM FIELDS
TELEPHONE
872-1639
CONTRACTOR'S MAILING ADDRESS
5035 CIRCLE LN PARADISE 95969
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
23.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 6567 WOODWARD DR, MAGALIA
PERMIT FEE $
43.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome EX Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O Addition ❑ Remodel O Utilities ❑ InstallatiorXiN Other ❑
Describe Work: %%/%� 2 d l�
�
PERMIT FEE 1 $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service( 200AOV OR OR LLESS
SS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 8 ACC. BLDS. )
SO.
3.5C FT.
NEW CONST. MULTI.OUTLET
NON RESID. ( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Coe n y license is in full force a ��}} d eff t.
rr�� e�
License No. � (J Classification �,j-- /
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
( POW ER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 0 .50
Ex. Occup' FIXED APPLNS. OR
( OUTLETS IaESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
ertiticate of Consent to Self -insure.
shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
1 certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expense w ich may in any way accrue against said
County in equence of the granting s permit.
X ` r Date �l ��
Sign a of Applicant - Owner ❑ Contractor ❑ Agent
OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE $ 143.0
HA2.
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HD
I UE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indica ab for 4hich fees have been
.,
BY
PERMIT EXPIRES ON
(Date)
provisions
to do work
paid.
Date-
ate
�,- / ��
Receipt No. 16731$
WHITE-D.D.S.-B.D.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
M
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916)538-7541
-,Rq I . ,f
otz
PERMIT APPLICATION DATASHEET
OWNER 07M e A. P. No. n635 7
Proposed Building Use ge Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ... '....................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 seta, signed by preparer of plans.
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
ees of $ . ............. .
mpact fees as shown on attached schedule. .. ��.%! .. .
12. California Department of Forestry plan approval/fees. ............ ......... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Ude: (B) Parking: . ........
18. Contact LPhd Development.abo t (A) Improvements (B) Drainage. .......... .
�'/x// i >. Yr
19. Driveway permit (construction approval required prior to occupancy). .. .FreansPeoGon request
20. Pre -inspection for required. . to Building Inspector (Date)
21.,, Contractor's license information. (No., Name Style, Classification) . ..............
-22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
`rrzL 27. Letter of intent on building use. .
28. Mobilehome utility clearance;...........................................�
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
t. and (B) Parcel meets zoning area and frontage requirements . ................
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
Whenj,yiu issue the, permit, process as follows:Mail to caner. Mail to contractor.
Telephone 7Zr and hold for pickup at t office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. / Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted r' f
1. Index permit for above items No. -'
2. Additional items required:
issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner was advised of above required d to by _ phone _ mail Counter by _ Date
Plans checked by Dat Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
AP # O 5, 12 5- 5J.'j
OWNER
Prmur #
Ndi UT IL .CLEARANCE DATE�l-��i .�
INSPECTOR�J�i
ELECTRIC
GAS
Support
Struc.
Compaction
Test Re .'
Service
Size
Other
Load
Type
Pipe
Size
Length
YES NO
YESI NOJ,
2Q6
1
(i
�•'���iJ
me"
soon
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538=7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name:
2. Installer's Name:
3. Is the site currently under permit? Yes No
El
(If yes, furnish permit number ) OR
Is the site an existing site? Yes F-1 No .
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach
fields and clear of all setbacks and easements? Yest-`r�No F-1
(If no, clarify
5. What is the mobilehome electrical rating? --------------- �p Amps
2O6
6. What is the mobilehome site service rating? ------------- Amps
7. What is the mobilehome site circuit breaker rating? ----- r0 -c> Amps
8. Is there any other electric load 'to be served by the 'vi%
mobilehome site service? ---------=------------------R:-- Yes F No
.(If yes, identify the load and size (Load) (Amps)
'OIL
9. What .is the mobilehome site gas*pipe size? ------ i ---------; (in.)
10. What is the type of gas service? ------------------- Natural LPG
11. What is the gas pipe length from meter or tank to the
mobilehome? ---------------------------------------------� ,(ft.)
* 12. What is.the mobilehome gas demand? ---------------------- (BTU)
*(This information not required if pipe length less than,6 ft. on
natural gas or less than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. I�TCJ(C� �/l/ PS� furnish Setup Model No. �f2Year
Width ` (ft.) Box Length�(ft.) Tagalong or Expando Size ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setu sheets (if not on file with the County of Butte).
FOOTINGS (check one) /'1. Wood -pressure treated or foundation grade. 2. Other (specify)
SUPPORTS (check one) Concrete block:a 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Line 1 Piers:
Size-Min.------------
Spacing-Max -
-----------Spacing-Max. ---------
From Ends -Max. -------
Line 2 Piers:
Size -Min .------------
Spacing -Max.---------
From Ends -Max .-------
Line 3 Roof Loads:
Size -Min. ------------
Location (From Front)
e 4 Piersw.
:
Size -Min -------------
Spacing-Max ----------
From
------------Spacing-Max.---------
From Ends -Max. -------
Line 5 Roof Loads:
Size -Min. ------------
Location (From Front)
W RIMMOMR2 "S,
Line 1 Openings:
Size -Min. --------------�
x
Each Side of Openings
With Width Over --------- '�
Line 3 Piers: (Under Bearing Wall Only)
Size-Min.------------------
Spacing-Max.---------------
From Ends -Max --------------
e 5 Piers: (Under Bearing Walls Only
Size -Min .------------------
Spacing -Max.--------------- _
From Ends -Max .-------------
r i ,✓.s��vu`a�'� i}r.f� [ l: ty}. tl?�!'n+?hS�CiP?yh'7� SY�� s £ ?;i��?
.• f
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District ,/ �✓ Building Department No.
A.P. Number Q�p`� — 7 — Jurisdiction City d County
Property Owner
Property Location/Address
Subdivison Lot No.
Residential Development
`fr Commercial/Industrial
T
} ,
1. w�
:. Building I
en
41
No. of Living MHI Addition
Units
0
New Addition
f/
ht Representative
^D�trict�ldentification-No.�•
(Floor Plans reviewed by School District Personnel)
Sq. Footage 11 7ye
(Group R)
Sq. Footage
(Including Exterior
Roofed Areas)
r
Date
4
l �
Achool,l), istrict certifies that `
(Applicant)
(City)
has complied with the requirements of Resolution No.
representing square feet.
School Diptrict Rep
(State)
(Phone Numl
e.
(Zip
by payment of $ a3-7.00
Date t
I +._
Paid by -Check Number_ Remarks:
Bank Numft
Paid by Cashes J S
If, subsequent to'the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school, fees to fully mitigate its impact on the school district's schools.
White (applicant),. Yellow (building department), Pink4school district) feeformmkl (4/92)
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