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Home My WebLink About065-175-022(j } 65=17 _ R,. 636-91P, E ,e i .-DAMS '" Al=p.�, "� � � � •' '"�` `, 6587 Grandview ,-Magalla' ,. } t(utilities/mh) 0c, r ♦ n A,r, GAS COMPACTION TEST -REQ o , SUPPORT STRUCT RE 65-175-22 �,..(_instalalta-Win./_inhi t - 65-175-22 2558-91B CAGLE, Roger, & Dorothy 6587 Grandview Ave, Magalia �a { (cov & open decks/mh) ,065-.175-0224,, ;. 4y �$ _a 05-1423" CAGHE, ROGER 6595 GRAND_VIEW, MAGALIA t. ,Cont, CHICO MHS a C �e-3 YEX-MH PERMf FND" j 0 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0034269 Recorded I Official Records I County of I Butte I C<1#QM J. GRUBBS I County Clerk—Recorderl I I 011:42M 15—Jun-2005 I REC FEE 10.00 CO*O1XD COPY LN KL Page 1 of 2 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. RODGER L. AND DOROTHY J. CAGLE REAL PROPERTY OWNER/LESSOR PO BOX 455 MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP 6595 GRANDVIEW AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also propeny 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 0.5-1423 530 538-7541 L G RMIT N • . TELEPHONE NU - R �l SIG AT LOCAL AGENCY OFFICIAL DATE NO DEALER NAM (if not a dealer sale, write "NONE') NONE DEALER LICENSE NO. FLEETWOOD 1977 FESTIVAL MANUFACTURER'S NAME DATE OF MANUFACTURE MODELNAME/NUMBER CAFL2A/B737680375 60'X 24' CAL065195/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-175-022 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. is"• ---+l�t.�' t '' E. � . 8'cc 9p11 A Order No. 38334/P-16268 GQ DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: The South half of Lot 385, as shown on that certain Map entitled, "FIR HAVEN SUBDIVISION", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on May 19, 1955, in Book 21 of Maps, at pages 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 that certain Deed from the Magalia Mining Company, a corporation, to E.D. Storts, et ux, recorded September 4, 1947, in Book 423 of Butte County Official Records,. at page 385. STS L UAk- D7 91?170 tit �. a ` ✓` � „ Ifkri �-x t,' -� .5r _ � ?{. ii3i.7 i � 7 �, ,� FOUNDATION SYSTEM �' ,•y .,,,. - i .CERTIFICATK' OF OCCUPANCY ,ai • ,.� y1 ,l, i. .6 ..� ,� i. - f � � .S� `� ,�� i � �� S 3 i'_r � '•1 , t,,. � �`r; _ • Z, BUILDING PERMIT NUMBER: 05-1423 Address -or location of unit: 6595 GRANDVIEW AVE., MAGALIA CA 95954 Legal Description of Real Property: AP#: 065-175-022 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: RODGER L. AND DOROTHY J. CAGLE Owner's address: PO BOX 455, MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: CAL065195/6 SERIAL NUMBER OR V.I.N.: CAFL2A/B737680375 i MANUFACTURER'S NAME: FLEETWOOD YEAR: 1977 OFFICIAL APPROVING INSTALLATION: DATE: U • ` 4 y 6> PHONE: (530) 538-7541 H.C.D. 513C a RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 15 -Jun -2005 2005-0034269 Has not been compared with original BUTTE COUNTY 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. RODGER L. AND DOROTHY J. CAGLE REAL PROPERTY OWNER/LESSOR PO BOX 455 MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP 6595 GRANDVIEW AVE. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 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 PERKT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS _ OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 9 -1423 530 538-7541 8 G RMIT N • . TELEPHONE NUR V 2*S;� Uc SIG A LOCAL AGENCY OFFICIAL DATE NO DEALER N (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD 1977 FESTIVAL MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUT�MER CAFL2A/B737680375 60'X 24' CAL065195/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIVLABEL NUMBER(S) - "111'iia7 7 �:iii_�7:� 1IJ3y `dill [iAl SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-175-022 HCD FORM 433(A) REV. 8/91 8 c 9pl A Order No. 38334/P-16268 GQ DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: The South half of Lot 385, as shown on that certain Map entitled, "FIR HAVEN SUBDIVISION", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on May 19, 1955, in Book 21 of Maps, at pages 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 that certain Deed from the Magalia Mining Company, a corporation, to E.D. Storts, et ux, recorded September 4, 1947, in Book 423 of Butte County Official Records, at page 385. 13 NOTES J RESIDENTIAL PERMIT NO.)' 065-115-022 05-1423 CAGE, ROGER 6595 GRANDVIEW, MAGALIA Cont: CHICO MHS EX MH PERM FND SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 I JOB FINALED (Date) Y Signature f_� c� C = OK =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 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERIyIANENT END SYSTEM (ONLY) . }zoning Requirements -Setbacks -Easements tings; Size -Spacing -Marriage Line Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9!' Exits 19!I-icense Decals 11. Verify #'s with Office Date/ Card B-1 Date Card B-1 Date • Card B-1 Date Card B-1 A4P:k7 *CN(_010,5-M(9 t.t 5; 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. Frrng.; 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-Uning 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 J=OK 0 = Not OK = Not AppficaWe . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or At Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except Vs 41. Sills Prooer Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-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 -Under it 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 -Meth. 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 -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.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 InstldJDrive 0 Yes 0 No/Walks 0 Yes ❑ No/Planters O 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051423 B. C. Building Permit 01-16-04 pg 1 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: 06/07/2005 APN: 065-175-022-000 the Business and Professions Code, and my license is in full force and License Class : — (. i is/O-7 Site Address: 6595 GRANDVIEW AVE MAG Tnstier: Dater Contractor: Map Index: . Description: EX MH ON PERM FND OWNER -BUILDER CLA ATION I hereby affirm under penalty of pe fury t at I am exempt from the Contractors' State License Law for he following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: CAGLE RODGER L &DOROTHY J permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of P O BOX 455 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 MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 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).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, 'and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: DOREMUS, GERALD GLEN PP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for P O BOX 4121 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA 95927 proving that he or she did not build or improve for the purpose of 530-895-1774 sale.). ❑ 1, 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 not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: DOREMUS GERALD GLEN pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code P O BOX 4121 CHICO, CA 95927 Date: owner: 530-895-1774 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 445103 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy : Valuation: $0.00 - I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thosey�ovisions. _ �I Date: Applicant: WARNING: Fai re to secure workers' compensation coverage is unlawful, and sh 11 subject an employer to criminal penalties and one hundred thous nd dollars ($100,000), in addition to the cost of ,\t compensation, damages as provided for in Section 3706 of the Labor CJ t'� —I �a" code, interest, and attorney's fees. /� G CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is issued 3097 Civ.) Resolutions o ort ndicate bove for which fees have been paid. performance permit (Sec By: — Date: Name: J� Address: PERMIT EXPIRES 0 (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & 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 correct, and that I am the ner o the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the su tance of a official form or document of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspecti• urpos ma-°lwzl Signature: Print Name: z Date: ` ❑ Owner Contractor ❑ Agen for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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 OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY" I APPLICANT NAME I Name Address City Phone E-mail I• uu5-I75-022--�------ • OS I CAGHE, ROGER -1 __ --�05 '6595 GRAND'VIEWrMAGALIA ' Cont;CIIICO.MHS__ _ j EX MH PERM FND I APPLICANT SIGNATURE X For o ice us only: OWNER Last Name /� / First Namel2,,,,,,., Address n /' S— City � Atr State State Zip Phone Fax 5� 7 7 Fax E-mail Lic. # C/YS� I APPLICANT NAME I Name Address City Phone E-mail I• uu5-I75-022--�------ • OS I CAGHE, ROGER -1 __ --�05 '6595 GRAND'VIEWrMAGALIA ' Cont;CIIICO.MHS__ _ j EX MH PERM FND I APPLICANT SIGNATURE X For o ice us only: CONTRACTOR Name Acr) Flood Zone Address � City U No State Zip Phone E921-77 Map Book Fax 5� 7 7 E-mail Planner Lic. # C/YS� ClassC y I APPLICANT NAME I Name Address City Phone E-mail I• uu5-I75-022--�------ • OS I CAGHE, ROGER -1 __ --�05 '6595 GRAND'VIEWrMAGALIA ' Cont;CIIICO.MHS__ _ j EX MH PERM FND I APPLICANT SIGNATURE X For o ice us only: ARCHITECT/ENGINEER Name Flood Zone Address � City No State Zip Phone Map Book Fax E-mail Planner State License Number I APPLICANT NAME I Name Address City Phone E-mail I• uu5-I75-022--�------ • OS I CAGHE, ROGER -1 __ --�05 '6595 GRAND'VIEWrMAGALIA ' Cont;CIIICO.MHS__ _ j EX MH PERM FND I APPLICANT SIGNATURE X For o ice us only: Zon' g Flood Zone ISRA � Yes No Occ. 1. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # Description or Scope of Work: Sq. Footage O S ❑ 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 3 -,year after the date of application. In order to renew action on an # %'plication after expiration, a new application, plans and fee will be uired. i BEQUEST FOR REFUNDS itefunds can only be made upon written request by the person who laid the fee. The request must be made prior to the expiration of the I permit and no construction work has been done. Filing fees, plan 'i check fees for work plan checked and other department costs are not refundable. Page 1 of 2 17 1 Received by- i Amount: L Bldg v SRA Receipt #: / Sheriff I , SMIP Date: 1 Other Total I Y615 REV 2-24-05 LOCATION Property Address � City Cross Street D WORKER'S COMPENSATION Policy Number Carrier ; If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage O S ❑ 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 3 -,year after the date of application. In order to renew action on an # %'plication after expiration, a new application, plans and fee will be uired. i BEQUEST FOR REFUNDS itefunds can only be made upon written request by the person who laid the fee. The request must be made prior to the expiration of the I permit and no construction work has been done. Filing fees, plan 'i check fees for work plan checked and other department costs are not refundable. Page 1 of 2 17 1 Received by- i Amount: L Bldg v SRA Receipt #: / Sheriff I , SMIP Date: 1 Other Total I Y615 REV 2-24-05 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. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) 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). 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 Commissioner's 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. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's 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. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit 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\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 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: _7 �' `�`L� - ASSESS R PARCEL NUMBER Proposed Building Use: C� S,1 T� CY M J , �C p g 1 / Permit Technician: Date: \ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �E7 ( N 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. 8. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these . _must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances: ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required ............................................... 20. Fees as shown on the attached Schedule of Fees Due Sheet............�..�.�..-� ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) .................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... 34. Deed Restriction.......................................................................................... 35. Legal description, ❑ M.H. Title, title search, registration or MCO ......................... 36. Other: ❑ 37. Other: When issued Telephone �/ L`�t� /S S 777 and hold for pickup. I have been inf' rmed of the above items and requirements for obtaining a building permit. C Applicant: Date: � 3 1. Index permit/1ppli54tion for the above items numbered: Plan Check Letter 2. Additional itemsrrquired Contractor, design7r, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner was vised of the above data by ❑ phone, ❑ mail, ❑ counter Date: Plans reviewed by: Date: _ ns approved by: Date: Structural reviewed b . Date: Structural approved by: Dat Note transfer by: Date: Yellow: Building Division 1. 1 r Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/$/2003 FOOTER SIZES WIND ZONE I - SINGLE INDEX PAGE RELEASE Approval UMWACrURED ROMEIMMSRWAS SECTION NUMBER DATE FOUNDATION SYSTEM - HIGH PIER 12 9/2/03 EMU AM SAFETY CODE. SgCr= lWn APPROVED INTRODUCTION 2 9/2/03 14 9/2/03 - TRIPLE 15 10so?g103sn GENERAL INSTALLATION 3 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION A900VALDL188 WO'lAOTIT4AIZB 0ltA4PIWYS A7 PARTS LIST 4 & 5 9/2/03 0Mwwm 0Jt DEWAn0N nom RRWm6MwM Ai'PLiCM" STATE LAWS AND R KWLATIOM LONGITUDINAL DEVICES 6 9/2/03 stmof rnd car Dwd0gwW PIER HEIGHTS 7 9/2/03 COCOAND SET-UP INSTRUCTIONS 8 9/2/03 1 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 it - 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 4 19 Foe, -.s 13if TIEM ,AUI .DING DEPAR T'd�-". 4. P P ROV . rl- co Lq co O N O O 0 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 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 locationsrin-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. ff. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ff. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. Page 4 California 9/2/03 Vector Dynamics ; S Foundation Systems Longitudinal Component Parts List ,r a_ Longitudinal Stabilization r 4 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. R Pad Vector•L6ngitudinal System # 59026 - Includes 2 beam clamps,. 2 tension brackets, nuts & bolts. , (for use with #59271, longitudinal struts not included).,- Struts for Longitudinal Systems Part No. • Length Pier Height - # 59016 30 up to 2 Blocks # 59012 39 up to 3 Blocks . # 59013 44",, up to 4 Blocks . # 59014" 53"A up to 5 Blocks # 59015 65 ' up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section 62"- 108"` LUI a # 48613 -Double Section, 34"- 60"� ; f.= (includes short`u-bolts, nuts, washers www a r wand 6 self taping screws). , Page 5 California , 9/2/03 2 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 Single Section 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 48 Ft. Max. Wind Zone I Tag Section California 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for. single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38.'. See page 12 for double section home high pier set instructions. 50 in max. Unequal Pier Heights Maximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Page 7 California 9/2/03 •Instructionsfor Vector System #59018 Long U-8 1. Set Vector Pads 4. Inside brackets & straps Clear all vegatation where pads will rest. Place Attach the inside be brackets to. the U -bolts over a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook mer pad into the ground. or swive- strap viMut & bo6t. Place other end of the strap over opposite I-beam & down to out - 2. Set Block or piers on pads. side tension bracket. Cut strap 12 15 inches Center foundation blocks or piers on pads. past bracket. Attach strap & slotted bolt in Place'pre-cut center compression member bracket. Tighten strap until tight with 4-5 wraps: between blocks, resting on pads, centers around bolt. Repeat with opposite strap. between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 California 9/2/03 Each Vector System requires one of the following- ,1 ollowin .1-4x4 or 2-2x4's pressure treated�wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) " • ,� � 1 � , ,. �2 sq. ft: pad �' ' ' • � l ` - i , t �- k .._ x ` Home Length Vector Systems Anchors Required' 24+" Piers L.S.D. Required Per Side or 24" Pier, •0 to 72' 3 2._ 3 2 73' to 90' WIND ZONE -1, SEISMIC ZONE 4 - ` Vector Dynamics Systems Required for Single Section Homes _ + (Materials Required) - - home y 1 14 1.0 I J n' , 4 S r( VI co01 i � N. • f �, � a - maX' r % s x• 30• Note: L.S.D:= Longitudinal F y' NOTE: Vector Systems should be spaced as Stabilization Device }' symmetrically as possible.along the length See Page 6 "' . . ' r of the home. Pler.spacing must be C-) w „ , ' consistent with home manufacturers' Soil Classifications: -2, 3, 4A, & 4B Instructions and/or state requirements. ` CD • -Soil Bearing Capacity: 1,000 PSF minimum ' Anchors Required: ' " ° 30" with 2-4" helix anchor (59095), F _ , ,� , � � __ _ _ r 2" s(59292),,1-1/4" •` 1 stabilizer plates frame ties Each Vector System requires one of the following- ,1 ollowin .1-4x4 or 2-2x4's pressure treated�wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) " • ,� � 1 � , ,. �2 sq. ft: pad �' ' ' • � l ` - i , t �- k .._ x ` Home Length Vector Systems Anchors Required' 24+" Piers L.S.D. Required Per Side or 24" Pier, •0 to 72' 3 2._ 3 2 73' to 90' 4 3 • < - . ; 4 . 2 Each Vector System requires one of the following- ,1 ollowin .1-4x4 or 2-2x4's pressure treated�wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) " • ,� � 1 � , ,. �2 sq. ft: pad �' ' ' • � l ` - i , t �- k .._ x ` r' ,. Each Vector System requires one of the following- ,1 ollowin .1-4x4 or 2-2x4's pressure treated�wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) " • ,� � 1 � , ,. �2 sq. ft: pad �' ' ' • � l ` - i , t �- k .._ x ` 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. C-) Iv 0 w No anchors required. For pier heights .up to 46" for WIND ZONE 28'-36wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: Soil Bearing Capacity Anchors Required": 2, 3, 4A, & 4B 1,000 PSF minimum 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 0 4 85' to 90' S ` 0 4 Vector Dynamics Systems Required for - - Double Section Homes- ♦ ' ` h° me , ♦ �`� (Materials Required) . _ ;, eCt1On dO " fw, \ ------- - mP\ 0 v S 421 - 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. C-) Iv 0 w No anchors required. For pier heights .up to 46" for WIND ZONE 28'-36wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: Soil Bearing Capacity Anchors Required": 2, 3, 4A, & 4B 1,000 PSF minimum None ("Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' S ` 0 4 Each Vector System requires one of the following: 1-44 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 Oto 48' 2+2 on Tag 0 2 J 49'.to71' 3+2 on Tag 0 2 1 72' to 84' 4+ 2 on Tag 0 2 2 WIN® ZONE 1, SEISMIC ZONE i 4 - _- . - -home ms, - - 0 2 Vector Dynamics Systems Required for , _ ect,on r S1, - _ - , - - ' mO\t\ Stogy hecto , Triple Section Homes - " -1e o1 a Gera\ spac,n93« - - t avX (Materials Required)Show I ♦ sv; , s w M I � f \ namlcs MIN Z'"��Cu �7L^ y'X.'E Y'A • W H�:b ♦\y t. \ (sf' \ I . Yom^ w r� a3 � "s �`_ ♦ ♦ I - � � ;� x{� K �� • �. � • NOTE: CD When a pier height at Vector locations exceeds 46", an : ffi5 anchor must be used on the outside wall/beam at that rag Or approximate location. I full trl NOTE: Vector Systems should be spaced as ple _ symmetrically as possible along the length of the home. Pier spacing must be consistent with home • Soil Classifications: 2, 3, 4A, &•4B manufacturers' instructions and/or state requirements.' Soil Bearing Capacity: 1,000 PSF minimum " r 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 Oto 48' 2+2 on Tag 0 2 J 49'.to71' 3+2 on Tag 0 2 1 72' to 84' 4+ 2 on Tag 0 2 2 85'to90' 5+2onTag 0 2 2 x, Each Vector System requires one of the following: 2 sq. ft. pad 2 sq. ft. pad - 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list). V !y rn CD .`J WIND ZONE I, SEISMIC ZONE 4 (High Pier'Sets) Vector Dynamics Systems Required for Vector Systems Required Anchors Required Per Side L.S.D 0 to 48' 2 Double Section Homes 2 49' to 71' 3 3 3 (High Pier Sets with Diagonal Ties) 4 4 home 85' to 90' 5 5 4 �♦ - sec�,o� I dOuble ot ♦ _ fF �.. `� ♦ � SLS` , � ,.,YQ '`` , h w� 1 �. �� ♦ ♦ . �� fir. ��3 ��'�� 1 ua M ,<• a ) _ _'�`' 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 cD CD I Beam spacing ,1 \2 sq, ft. pad/ 45' Min. Home Length Vector Systems Required Anchors Required Per Side L.S.D 0 to 48' 2 2 2 49' to 71' 3 3 3 72' to 84' 4 4 4 85' to 90' 5 5 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 r Each Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood. compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) c. , ^ WIND ZONE II (not to scale) 24" Home Length Vector Systems Required Anchors Equired per side LSD,. WIND ZONE II, SEISMIC ZONE 4 (Hurricane) 3 5 Vector Dynamics Systems Required for 49' to 60' - 5 Single Section Homes - 2 61" to 72' (High Pier Sets with Diagonal Ties) 7 2 e se6o\jec o O1 ea Sa` guldel�ne5 * ' - + , - •' u 7 2cadsPg'me°tsa"\ 10nm� �n 2 85' to 90' eo\.a \ ene h EXamPshows mus, be to _ - - 2 -U\asst a��d sPad%n9 . ' � • ' �� nda�wn pad I Fou • i . iv` � - Zl� 4: ;. Eyes � � i ua� � __ 2,A m y CD NOTE: Vector Systems should be spaced as r symmetrically as possible along the length of the Soil Classifications: 2;3, 4A & 4B home. Pier spacing must be consistent with home C- 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 . sv' breaking strength. System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. ^ WIND ZONE II (not to scale) 24" 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 CD Each Vector System requires one of the following: v nomlcsE� W�� 1-4x4 or 2-2x4's pressure treated wood compression member, 4.. w - 2 sq. ft. pad Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) fri ^• s ilg ector : CD Each Vector System requires one of the following: v nomlcsE� W�� 1-4x4 or 2-2x4's pressure treated wood compression member, 4.. w - 2 sq. ft. pad Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) fri co cc CD .A w 0 0 w WIND ZONE II, SEISMIC ZONE 4 _- e ' Vector Dynamics Systems Required for _ _ ' " ct�on \10111 tems' Double Section Homes _ - - ' " " " dovb\e Sor veck o \ mall g' - ' ' ' ♦ ♦ `` a -12 0�a\ spa oR98 msta\1a _ - ' ' ' " ♦ ` ♦ `♦ o{ ko 4 4 3 'd 5 5 , ads a _ - on 6' 6 3 73' to 84' ♦ 7 p 4 85' to 90' I 8 4 s \ a � ♦ 1 ♦ a ♦ ♦ "�� . .,sem"' �, '. ga. I ♦, � .,., 'rn» :. Ev 1 NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' Instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut Is 4,000 lbs. per the K2 Engineering test report. Soil Classifications: Soil Bearing Capacity: Anchors Required*: 2,3, 4A & 46 1,000 PSF 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 p 4 85' to 90' 8 8 4 Each Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE II, SEISMIC ZONE 4 \ Vector Dynamics Systems Required for _ - - _ - - ' "e - Triple Section Homes . " ' ' ect%on horn kerns. - (Materials Required) sec tot Veoto - - -0 I ♦ \ 1 - ';e -o{ a rad sPao , -� ♦ \ ` ♦ \\ 9e a L � `♦\\ � - �� r §.. � �yn,� seg �Z�i r� I :, � \ � � � ` ♦ ` I A. u . NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. C 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. Tag or____�► z ` full triple Soil Classifications: 2, 3, 4A, & 46 p Soil Bearing Capacity: 1,000 PSF minimum C-) Anchors Required':. 3/4" x 30" with 4" helix anchor (59095) 1--1/4" vertical ties w//4725 lbs: min. breaking strength. - co Home Length - Vector Systems -= Required Anchors Required Per Side, LSD Main TAG 0 to 48' 17 .3 + 2 on Tag. _ 4- _ . __ ,2, . . 1,. 49'to71'' _=4+2onTag 6 3 2 72' to 84' �r 4+ 3 on Tag 7 t 3 2 85'to90' '_ 5+3 on Tag' 8 3 2 a , c Each Vector System requires one of the following: w 1744 or 2-2x4 s pressure treated wood compression member, ' Schedule 40 PVC Pipe or adjustable steel compression (see parts list) Y J� 2 sq. ft. pad/ � y 2 sq. ft. pad Vector Dynamics . Metal Pier & V -Drive Installation ilwalb., 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 - 4x4 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 only in Zone 1, single section homes. . V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. 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 California 2/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS ,Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, -r - -- 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. A 3P Vector Foundation Pads Equivalent to Footer Pads* Footer Size: 16x16 = 256 sq. in. or 16x18 = 288 sq. in. Footer Size: 20x20 = 400 sq. in. or 17x25=425 sq. in. EQUALS U,4 _ 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 En sneer amiliar with site conditons <W 4—wam, 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 drillbit, 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 concretf footer Page 18 California Wood Cap and wedge Outside Tension Bracket t Wedge Bolt d 9/2/03 Vector Dynamics System y for Concrete Applications Instructions 1 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 W Vector system pidf-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 r 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. t _ 15. Use the outside tension brackets to remove -any space between the outside tension. brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. j Illustration Ti Inside Tie Bracket Compressh boards di PVC Pipe •U -bolt f Page 19 Vector pad for concrete 4 ' l concrete. footer California 9/2/03 STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITYf�DEVELOPMENT, y! �. REGISTRATION' CARD MOBILEHOME '•�' DECAL No. LAT6089 MANUFACTURER NAME/ID. TRADE NAME MODEL AOM- DOT DFSSPC EXPIRATION FLEETWOOD/ , FESTIVAL. ,:" 00/00/77 11/28/77 • ''EXEMPT U , SERIAL NUMBER I. CAFL2A737680375. LABEL/INSIGNIA NUMBER CAL06.5195, .. ,. ; WEIGHT( .000000, LENGTH" 000720 WIDTH .000144 z ISSUED • SCC 09/19/91 04 USE TYPE SFD LPT. `z CAFL2B737680375 CAL065196, • 000000 000720 000144 .. _ 3; r TOTAL 4 t FEES' s PAID: A CAGLE RODGER Li `. . o DOROTHY. X J°TRS "` ` ,PO' BX '455 R , MAGALIA CA' 95954 1, E r 3 R . CAGLE•.RODGER L/, r , DUPLICATE cove: ' DOROTHY JTFS. _ { ; I G M s` TO BE FILED WITH THE MOSIIEHOME I A -66583 YGRANDVIEW' , T L� PARK OPERATOR AS REQUIRED BV 'LAW +-+ i e MAGALIA A"95954 a' i E' D I' O s 6583 GRANDVIEI C3�gasd`� W" I E u ,MAGALIA ? CA .95954 >`s .. f > �V a BK AMER E SACRAMENTO CONSUMER LN I'r + ' F C A PO BX 2190 • ( 111" j `� ' , RANCHO CORDOVA : CA 95741 ; s� �.. W DATE: 07/12/41 09:'30:00 1 E , !. u F s ! } ! I R Nj T R T N S v A I H y 0 • _. R�"s: IMPORTANT 03-259.-01679 THE OWNER'INFORMATION SHOWN ABOVE MAY"NOT REFLECT ALL LIENS RECORDED WITH THE* y. -DEPARTMENT OF HOUSING•AND COMMUNITY DEVELOPMENT AGAINST THE• -DESCRIBED UNIT.' '; h :2'.' THE CURRENT,TIT,LE STATUS OF;THE.UNIT MAYBE CONFIRMED THROUGH THE DEPARTMENT. 0301417. i •• 91-; 1994 �1 ' a , j—RF.CQRUIN(i RF.QUE.ti'1'h:U 111'l Butte County Title MAIL TAX STATENJENT 1Y0 same as directed, below 1 91-021994 I Rec Fee 7.00 WHEN RECORDED MAIL 1'O I DOC 27.50 Rod Rodger L. b Dorothy J. Cale — 1 Recorded 1 Check 39.50 R Y £ Official. Records I dd— Pn, County of I ca,a�2(1GCt.etc2� Butte I s.. J Candace J. Grubbs I Recorder I 8:00am 5-Jun-91 I CD 2 — SINGE ABOVE Rt;CURUF:R'S USE ONLV ORDER No. P16268GQ , ESCROW NO. 38334 GRANT DEED (JOINT TENANCY) The undersigned granturts) deelnre(s): Documentary transfer tam is S 27.50 { ( X ) Computed on fall value of property conveyed. or ( ) Computed on full value Icss value of liens And eo•umhrnnce.s rewnining ni time of sole. I X ) Unircorpnraied arca 1 ) City of _ __—_— Tai Parcel No. �65-177—�—_—u — i I FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowle(lged. { ALVIN R. DAVIS and JO AN,JE DAVIS, husband and wife hereby GRANTIS) to RODGER L. CAGLE and DOROTRY J. CAGLE, husband and wife ASJOINT TENANTS I I 1 the following described real property in the unincorporated area l County of Butte State orcatifomia. i _ SEE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HERWF ! Dated —May 9 1991 vin avis one, av s 1 1 t 1 i STATEof•cnI 'oRNtn County of r �.LJ1 Sell On thin v day "r—.04/4 I') _ before Inc. the undersigned. a Notary Public in and LK said County and State. personally aptvinred _ • A I V i n R. Davi.-.-, and Jo Anne r 1 pertonolly known ,n me (nr proved to rne+m the :Weis of sati.sfnrtory r:vi(Irnce) to be the person �$ _— whose name S airs jthe ' i wbseritxA to me within ,he inxtnrment and acknitw ledged that __ �•_— —_, — esecu:eJ the same. t i WITNESS myhand anti offieiafrr f+ l,sapl: ' N�1r44Y 1'iN:'.(C ::TA1^ :)a!I+A '/ +) �?v11 �'i 1,1!!t iX1' kA!+• i.1'I�//, i-. .� _ . � . f,• BQf b'.in)h.r,Car'Rt,l. INS. UYq. Nru'rAkY 1' . 1 _ UtfLIC :•'(A 12 OF k1.�4f fjrA `Notar/publiein ndforsaidGnntyIa7tdYtalei NY r:r,"ylaStbti f:%P.!tAw j' igp4 �>�'-GrG•h'� i� _•G . � •`:G�� r; ' � U.u,b!:P ttq+rr:!.1►(f?al„Iry 1;: f�,i� , _ (Notary Sent)'•' •FD•IJD(Nev.yMN) + . MAII.TAXSTATENI NTASUIRia,rEDAQOVE RESIDENTIAL 65-175-22 t 2558-91B " w CAGLE, Roger & da'othy 6587 Grandview Ave, Magalia (cov & open decks/mh) JOB FINALE Signature J=OK O = Not OK Not = Not Readyable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L•'ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance ------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card 134 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 M�E, _LANEOUS I Date DEC ( OVER /CARtORTS, GARAGES, (Plans)OK except #'s oning Requiren nth Setbacks -Easements i ng -Connectors -Steel Joists -Deck tA' Wood Awn.; Posts-Boams-Rftrs.-Connectors Shthg.-Rfg.-Bracing f' 5. Alum. Awn.; Column: -Connections -Splice -Decal -Enclosures 6. Carports; Windows-C5oors 7. Electric 8. Frmg; Sils-Anchors;Studs-Rftrs-Trusses 9. Siding; Nailing -Vender -Stucco -Mesh 10. Roof;.Shthg-Roofing, 1 xL; Steps -Doors-!_ findings Date & -1 rqj Card B-1 G Slj ,k Date Card B-1 Date Card B-1 t Date Card B-1 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining \ 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating -'Equip. -Pool Lghtg Boxes-Enclosures-PanaIboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ■ J=OK t O = Not OK -=Not Applicable RESIDENTIAL (; = Not Ready Date UNDERFLOOR (Plans) OK-exceRj1 N's 1. Zoning-Setbacks-Easementsload-Slope 2. Ftg., Main; Soils-Elec. Grnd.¢/ !/" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Ele Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kIouts-Wrapped 6. Stemwalls, Garage; Steel -BI ckouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped ) 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 W4 C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors -!yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric: Underground ! 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- ----- -------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ----------------- - ----------------- 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -------------------------- -------------- --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ----------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------- - ---------------------------- ---------------------- ------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------------- -------------------------------------- --------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water -------------------------------------------------- --- ---------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----- ---- ----------------------------------------------------------- 28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI 29. Range Circ. ! I ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 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 ------------------------------------------------- ------------------------------ -------------------------------------------------- CardB-1 Date Card -B-1 -Date------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. A.C. Ducts Insulation & Support ---------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------- ----------- ---------------------------------------- -------------- ---------------------------- _________ 36. _Conden=ate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------- __-- - - - --------------------------------------------------- 38, Attic Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- ------------- ------------------------------------------------------------------ Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except k'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 Watts (rat proof) -------- ------------------------------------------------------------------ ----------- - 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ------ ---- ------------------------------------------------ 44. Headers & Beam -Size & Bearing "Ingle & Duplex) Date FRAMING (Contilfued) w ---� - 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47.Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext., Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- ---- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic - 58. Shear Walls: Nailing -Bolts _ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -- ---------------------------------- Date ---------------------------------Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's _____ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------- -------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------- - - ----- 64. Bedroom Exiting ----------------- ------------- -------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa -------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------- --------------- 67. Stairs & Rails 68. Fireplace or Stove: Clearances -Hearth -------------------------------- 69.-Elec. Outlets---- at -Wood Panel: Int. & Ext. ------------------------ ---- 70. Kit Fixt_& Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire 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 -Meeh. Protection 75. Plb. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------- --------------------------- -- 77. Insulation -Foam -Looked in -Attic 0 Yes -------------------------- --- - 78. -Guard -Rails & Deck -Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes --- - - - -- - -- -------------------------------------- 80. Following instld.: Drive 0 Yes 0 No: Walks 0 Yes 0 No: Planters 11 Yes 11 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 ------ ------------------------------------------ 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: .~1E �4. is _ � l ' j * . b sz :3Z 3:. 132 .132 132.00 s3Z.00 , ,iz '32 �! O 2C.G 0. C-5 2' � O fr I -44/0)Oc Int 13 t8 •.�pA� �'EGQvSF u, C(jt _ p 'E? 36d 363 'G 3.'' Q. ,7.^ 3 -T' r FM '.O /9 C' 17' 6 �1 7.00 ' 1 12.00 1 7 1•.00 i. - -�- ---�- - ;J; C' 0D FO z 94 393 392 39/ cr- '1 29 _ i 0 0 %05 •:1I6 4a7 409 409" I a 4;0 aii 4'2 ; • ala \Z11 0912 OIL 2.00 1 3'.Z. Oa 152 00 1 2 00 1 1 Assessor: s Mcp No. (55 - / 7 - l County of Butte, Calif. REVISED: 2-9I a4NUARY, /957 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS V A 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER %AMM11 N ASSESSOR PARCEL NUMBER 65-17-45-022 ZONING R?'l BUILDING PERMIT OWNER ROGER & DOROTHY CAGLE TELEPHONE- 873-1075 SQ. FT. OCC, BUILDING VALUATION 192 OPEN 1344 OWNER'S MAILING ADDRESS P.O. BOX 455 MAGALIA 95954 70 coy 910 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2254 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ -38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS AVE MAGALIA Permit fee $ 67-75 PLUMBING PERMIT Filing Fee 10.00 69,75— Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[q Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition [� Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: CSV & OPEN DECK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI OR ACDNS. ( ACC. BLDGS. 1 /2Osgft NEW CONSTR. U TI -OUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS a (SINGLE OUTLET CIR. ( Ex. OCCup\OUTLETS OR FIXTURES NLO 0Q eALo90 FIXED ALINIS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agaid County in o quence of the granting of this permit. QQ X ns saiDate �25r 7� Signature of Appli ' t Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 67.75 i HD Is This permit is hereby issued unser tete applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIREC OF PUBLIC WORKS BY Date -7 -3 1-p� P IT EXPIRES Date�— Receipt No. 88559 WHITE-D.P.W., YELLOW-ASSE790R. PINK -INSPECTOR, GOLDENROD -APPLICANT Fl i�.J t ,r=rs.�.: :r . , + rt"' "" ri .cty rr+a�^►'{c,l� + ,,,,i, • rF ^- i" �'`vr-:5=�+1"- -r'� , • .•x.., •r'. ,R, .(^••i`T..;�.y r-tN'�"�*" l V *.�;'Yf t Simi ` r'c COUNTY OF BUTTE - DEPARTMENT.:OF -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTEMDRIVE - OROVILL,,E;-e'ALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET r� Permit No. AD � A02t,()0-/V �.� ��LR. s- -17 - Com' OWNER e -d- A. P. No. Proposed Building Use�p� Building Inspector G'�' '� Date At time permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted' ...... . ......r:.......... ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate,'sigried by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... —�- - 7. Statement of Intent for Non -Heated and AC Buildings ............... —60WEnglneered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ....... . .... 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... r 16. Plot plan and business license approval ,from City of (see City for other requirements) 17. Planning approval for (A) Use: (Bj`.Parking: ...... ' = 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) - _ 20. Pre=Inspection for required Pre-Inspec. request to y Building Inspector (Date) 21: Contractor's license information (No., Name Style, Classifications ... -'::-_,:;.*-22-Certificate of Workmans Compensation Insurance .................. f 23. Owner -Builder Verification (Given to owner ❑, Maid to owner ❑) ..... - '24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................... 26. /� v 27. ` -When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone —!f and hold for pickup at office. Deliver w./inspector. Other q�� r� ,/1 1,1';� Applicant Date�� 7--' Copy of Haz-Mat form sent Health Dept. Fire Dept.y Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_lnall_counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_count/by date Plans checked by Copy—DPW Date Plots approved by of plans on hold in File cabinet —L/—AP folder Date TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner LocationE Plan Approved for: Sewaqe Disposal -w Fold final for: Final clearance O.K. for: Clearance for bedroom mobile home. /I t. ' / AP# Water Supply Water Supply Water Supply Other xle44 cc, 40T iz- 2 Cl I - Sanitaria Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Callfornia 95965 - Telephone: 916/538-7541 'APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWN to e©ray �i9 Gc TELEPHONE 73 -/o,�s SO. FT. OCC. BUILDING VALUATION q z 0 1-) i ' OWNER'S MAILING ADDRESS 9s9s CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $'J ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ cv Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water eater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomev Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S j G I W t0.00ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: COQ flees 1%G/L- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): F -1I 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. ElI, 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 oC UP.s OR ADONS. ( ACC. BLOGS. vtsgit NEW CONSTR. ' ULTI.OUT ET N ON.RES,. BRANCH CI C' ITS 2.50ea POWER APP RATUS e (SINGLE OU LET CIR. ) Ex. Occup(OUTLETS R FIXTURES 20®50S e AL9 30 FIXED LNS. Ex. OCCUp. OUTLEA PIRESID )REA.) 2.00 Temporary servic 10.00 Mobile Home Filities 15.00 Misc. Wiring 9 15.00 Permit Fe $ 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. JR 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 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said Co ty i c quence of the granting of this permit. t� X Date / s^ 7� Signature of Appli — Wner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �� ECOF HALCUA 1 PARK scHL FLD PAR Po I Ho, IssuE This permit is hereby issued unoer sionsof the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- rovrsions resolutions to do fees have been paid. WORKS Date Receipt No. y g WHITE-D.P.W., YELLOW-ASB[»OR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF $UTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. -1. I personally plan to provide the ma" labor and materials for construction of the proposed property improvement (yes or no) 2. Iav /have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner A,99;CLI Social Security Number Date ,2,5-- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ns and sp iecicat fions MUST This-setrof-pla l 3zf�� __ .w„ ..,h at all times and it is awful to same with TLS -:A0 Materials o mans p a e n s • :co *-LL __. niit written permission from the De �e�.pa ant ot, r o a; uality prescribed for the Specified use in that Public Works, County of Butte. 'I`U ifo Building, Plumbing 8c Mechanical C— 1 _Codes .r ,N tio�al�Elec+rical Code. 1y w °STS i £ A -('Y K ( L lob eV J// Cod^ . Oppe 01 `A `a ►0 1 I5.6' 5ETBAC. g i4 PRO�IED. S �� 9i tfe Cou Envi r I nme t H alth AT -E R �uMC�� Z s A setback of 5 it. from the { property fines and a setback 01'- 50. f50. from the road u i-� centerline shall be clear of-----�,f structures or equaprnen ex"- - SSs 1 G2A�D�� R fpr a 2 ft. eave overhang. AAIV t J Co- r, e- r/�_/ �P�1o, �S-1�-OS-022- f ZA AD 2 fow— tqg 4%00•: ,WIN ' 0 re adI r „hr , Zro-so- tr-so? .oN .dam - 3'7�7H',� (a39W. LVCYO Q3SOdON { wt)rs j, x r ,bX-)Xi-4 •A-,d Is us x .- - ---- s?13►�► 7'ly �Nrtoo.y in►�c•u?J-�•.,,7 x fi/x t,( – - — �Qo7 ?13�► S 2JrN1 S '� �vr �r7sQ. 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'oN del- --- -- .- —---------- - _—.. _------ -- - - a34.2f xtr X131 Ni j NO-- �o G -- Sas�or ext - -- - X131 Ni j NO-- �o G tzo-SO-LI-s� 'otq did c F --i- j L. -L-, FAII zoo-sO-LI-S� 'ojV cld �X-�iX fil �X JVX /, l m, i, 33 z I � ti-XdOd (23 -Hl 41 Wl z iI so�bd-' I I f -j . .. A�..• a ... _ .. a.. i T._ Pjji ..uynsr. i � ♦ �. �'1' ��- ..r � .. J.o.� � r^, � .�� . 6 .I'il Hj O N O n �N n x to 0 a� r - - a uw LN K BUTTE COUNT Y 3 c t a. F t� � c c r N O n �N n x to 0 a� r - - a uw LN K BUTTE COUNT Y 3 c c a c � 1�` A i -. n A � I V N O n �N n x to 0 a� r - - a uw LN K BUTTE COUNT Y 3 c c a c � 1�` A z N O n �N n x to 0 a� r - - a uw LN K BUTTE COUNT Y 3 c OUILVING D ARTMEN AP0� M c a c � 1�` A I V OUILVING D ARTMEN AP0� M c a c � 1�` A � 1 Yb" Ti G PLYWOOD CC EXT. 6' T YF -f r-,-1 17-71 , ,,1ii4iiAt I "VA210 VNIU UI ly /k i -r% PC C- Y, I IJ (-.i /- G I I? D'I:- R 4 "x -1 " POST p R I- - c, A S7 FIE VN A VE 1 141 MIN. F( )r .,i - 4"x 6" L Zo RMN6. 71 L: STAIR STRINGER. -TDF VIEW HA OVAIL NOT ISHOWM FOV, CLARITY. A� 31o' 13DLT MOBILE nDm L I 09 DELL, ITY- 12" PIEVS , ,,1ii4iiAt I "VA210 VNIU UI ly /k i -r% PC C- Y, I IJ (-.i /- G I I? D'I:- R 4 "x -1 " POST p R I- - c, A S7 FIE VN A VE 1 141 MIN. F( )r .,i - 4"x 6" L Zo RMN6. 71 L: STAIR STRINGER. -TDF VIEW HA OVAIL NOT ISHOWM FOV, CLARITY. A� 31o' 13DLT A)FI) WOOD 1:''.,,117 Nd MIN. T'(PICAL. R COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 538-7541 -- MOBILE nDm 09 DELL, MAX. MTL. FRR 419 J 1) CLIP (ER. SIPE) A , 4',� (D" IL 4'X4" POST -A DOLT5 A)FI) WOOD 1:''.,,117 Nd MIN. T'(PICAL. R COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 538-7541 -- 6 5--- 17 � s C,5/c RESIDENTIAL T&4. •ms's ( 65-175-22 636-91P, Ery' DAVIS, Al 1 6587 Grandview Ave, Nlagalia (utilities/mh) 1. e r, OFFICE COPY Address /^y/ }� GAS i Date a.. ELECTRIC�Z�-4i Meter By (, Date `7 JOB FINALED (Date) — Signature ' f J=OK O = Not OK NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1%Zoning Requirements -Setbacks -Easements Soils; Special MH Support Sketch 3, -Sewer; Location-Test-FallmU6 Concrete 4star; Location-Te6t-Easement Needed (Sketch) . Electricity: Location- Clea rences-Grnd-7?fAmp-Concrate 004. —6r6a YLocation-Test-Wrap: / /" L"ft. Nat. or/ /"L"ft./ /"LPG Utility Clearance Date Card B-1 C, 7 IJ Date Card B-1 Date Card B-1 Date Card B-1 Date MOB LE HOME INSTALLATION Plans OK exce t #'s Zoning Requirements -Setbacks Easements 2'Footings; Size -Spacing -Marriage Line Test -Demand -Val ve=Connector Electricity, H es - ossovers-Breakers-Clearances .b' Drain; MH Test-Fall-Flex_Connector . W er; MH Test -Reg tor -Connector ater and Sewer Connected -C/ to Grade -HD Approval s and Electricity Tagbdd . Exits; Insp.-Sketch lCrCert. of Occupancy Date -"P 4 0911 Card B-1 C3 Date 6A -Q- Card B-1 CS j Date f 5-1Card B-1 e IJ 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors 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 1.1. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. f Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test t - `Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK - = Not Applicable' Not Ready RESIDENTIAL (E ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. 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. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. O.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes D No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'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 & Bearinq ')ngle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps . 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive 0 Yes ❑ No; Walks 0 Yes O No; Planters O Yes 0 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 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: (NOTE: An entry must be made each time you visit job site) y-:.a-•.,n.e..-r--�,.e:+S..'b4:�J'?t�jp a i•;..yyp �'� '^W�X�: �J�WT�4jK�3Y"'f�y+K"�t_+"„�,s'"fLiS'"a�cSti�i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 Jw . 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE die '`S .6 -36- 9y OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this.office immediately. ff, Date �� / Inspector �� L. COUNTY OF BUTTE `•`• DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307' CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance _ exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ma er, or need additional explanation, please contact this office immediately. v,Q Awn 441 -N91 "- �� or A//966C FAO!n, r i m 'Date_ rl ' "I Inspector C�2 �-w...a-. aa^.....!ji•:JYt•�e3`r..r'�"'51..�!7j16%cG`"1NE�i7'yd'�JwT��•.«'�Lr*-i+"+d'�'i4' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. lid oR a Jdt: k4A'yA* 11� c .Aeti C �Je tg 1410A,.i'd irQ�n CRo�c_c�Jeti �Pr of rU L si � pJ�� /,•/ ,y, d� �✓i�C Dt4�sei Ar -d' es Date '5 - H, T/ Inspector COUNTY OF BUTTE r, DEPARTMENT OF PUBLIC WORKS `+ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 i'. 747 Elliott Road, Paradise = Phone: 872-6307 CORRECTION NOTICE �i6 J /S OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office >: when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1oR�Jlllc G/2l1'yoUr ��; � �! ' �-o Coven.. w �0'es✓ /R2. Date t� . / Inspector MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of�mobilehome65 S � ��'9Na✓�1�i.J /j'%ti4�L�� CA Owner's name 1 %J� ✓l f Owner's address Insignia or hud number `CAL Manufacturer's name r L F L ) .7 Serial number of V.I.N. Cq r G Z� 11) 774`-' J -i ` 37y 3� /C� year of manufacture 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. t 51313 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS '7 Cdiinty Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 .APPLICATION AND. PERMIT /PERMIT NO. ASSESSOR PARCEL NUMB R ZON NG PTI AW BUILDING PERMIT O E Al Davis TELE PH ONE 873-075 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6300 SW 27th, Miramar, FL 33023 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee Energy Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6587 Grandview, Magalia Permit fee, $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 385port SUBDIVISION NAME Fir Haven PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[y Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ut' ities ❑ InstallationU,' her ❑ Describe work: 2BR A4 +U tt _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service tOO AMP -OR OR LE SLESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license Is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered ,{ for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason LIN OCCUP.&\ oa ADDNSCONSTDDWEACCLG S./ 2'h¢sgft NEW CONSTR. ULTI.OU.TLET NON•R ESI. BRANCH CIRC ITS 2,50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20@SOS 9AL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 expenses which may in any way accrue again aid County in con equence of the granting of this permit. Date'1171"1_991 Signature Appli ane — wner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ ILs nn. Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ A HAZ -� cuA PARK _ fLD� V/ PAR PD D Issu Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC ByD PEY44 EXPIRES Date__ the applicable provi- resolutions to do have been paid. WORKS ate 'Cj�� 7 Receipt No. / / WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ` 1i, y �y ; f . ,r , +-v-�v Ji.,�-:-•i.%�.{7.KT� . ��.•. . �.i .� �r+l �' _ Y, �y �`� `+`."i`1n,+`wc ...."l4X'�..-...-�.�' - •.• _rt•i:, rpt"f`�'` . COUNTY OF BUTTE - DEPARTMENY.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 .44 PERMIT APPLICATION DATA SHEET 7 D //yy ✓✓11 r Permit No. OWNER AL A. P. No. � �- - 2z Proposed Building Use ,%�ZN / tBui(ding Inspector 5 / Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ...................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans:....... 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form . ............................... ...... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation 30 instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ........ ;i�/��i ...........00l...D.istrict.......fees....paid.................. t� Sch 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection .for required Pre-Inspec. request to Building In ctor (Date) 21. Contractor's license information (No., Name Style, Classifications .. Certificate of Workmans Compensation Insurance ........... Owner -Builder Verification (Given to owner o, Mail to owner/-�� `/ .0 1 1-24. Recorded copy of Agricultural Acknowledgment Statement ......... L j /225 Letter of signature authorization ................................... fi �F�` MW) 27. When ybu issue the permit, process as follows: Mail to owner, x Mail to contractor. r Tele hone 73 " /0�� Deliver p and hold for pickup at office. w./inspector. Other Applicant Date a✓z Copy of Hez-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to er iss ance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contactor, designer, owner, was advised of above required data by_pho �d i _counter bjt t C fitractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date 9 Sets of plans on hold in File cabinet AP folder ` Copy—DPW ww'Vn';Wh'C''r. ..- ,. �.. .r.�-. �..-,.• y..�-..,e s^.. ..- -t.s- �:.r .y r - ,. - -r - ,.:c t. �r. - r'rm, .r;... .: �,,..�_',: }._ i 1 f ' K It�BUTTE COUNTY,SCHOOLS DEVELOPMENT.FEE CERTIFICATION FORM. �+ r (One Form p?r,Building). A. P. Number b �� S-1..ti Building Department No'. C-- School -District )04R/1/013L JCity'= County `Jurisdiction Property Owner Project Location/Address �7 7 ��'�1//fr.,/ %yhB�r1G� Subdivision F(/_- �ifi'.J Lot Number `S�"'o,4 -Residential,Developmeht: r Z ' Sq., Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq.\`Footage New Addition (Inclfud�rig�Exterior Roofed Areas) -` Bui _ "I Depar,tmenf Representative Date (Floor Plans, reviewed�by•School-District Personnel) District Id No. �dJ•=�i �� School District certifies that ` (Ap'lican.-Name) Q (Phone Number) (Street Address) (City r (State) (Zip (Zip Code,) ` has complied with the requirements of.Resolution No. by the payment, -of $ 02 'T�j, Q' "representing /�ko square feet. School District Representative 1Datd PAID BY CHECK NO. REMARKS : BANK NO PAID BY, CASH 1 /'Y2 IA -U 9&A white -applicant, yellow -building department, pink' -`school district SCHOOL.FEE (8/88) r cz BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Diive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 'I?a�&CR . �► �0RDi-i�,y 2. Installer's Name: 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes No - (If o (If no, -,clarify. 5. What is the mobilehome electrical rating? ---------------- "�' /OQ Amps 6. What is the mobilehome site service rating? ------------- 2eD Amps '7. What is the mobilehome site circuit breaker rating? ----- o�ff%Q Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes Ej No L� (If yes, identify the load and size: (Load) .(Amps ) 9. What is the mobilehome site gas pipe size?--------------—"'fT-- (in.) 10. What is the type of gas service? ------------------- Natural LPG I 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,) am OW UM DEPARTME14 � �� CSA �*/doh`/ MOBILEHOME SUPPORT DATA L � � / If other than single wide, �Iobilehome Mfr. Fl D�/furnish.,Setup Model No. 0375 Year Width a'/ (ft.) Box Length ® (ft.) Tagalong or Expando Size P ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of (Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade. U2. Other (specify) SUPPORTS (check one) FV] 1. Concrete block. 1Z2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Main Beams Line T� Main Beams Line 1 Piers: Line 1 Openings: e Size -Min. ------------ °,k „ Size-Min.------------------ Spacing-Max - -----------------Spacing-Max. -•------- , Each Side of Openings From Ends -Max. ------- '_ With Width Over --------- y� I Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min. /�„�,, Size-Min------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- �5 Spacing -Max ._______________ „ From Ends -Max.------- ! '_D / /� From Ends -Max.------------- Line 3 Roof Loads: �� I e r f R 0, It Size -Min ------ ----- "x "x "x "x "x Ix Location (From Front) 31 '_ "157- 6 J Line 4 Piers: IfLine 5 Piers: (Under Bearing Walls Only)— Size-Min -------------- nlySize-Min.------------ nx „ Size -Min ------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- Spacing -Max .--------------- From Ends -Max.------- „ From Ends -Max .------------- Line 5 Roof Loads: Size -Min .------------ - - - - - - ` Locatilon(From Front) • 1454+4 9� aa!}V; `, ��%y� _ was ;Nts'la/1 . �Pev'Ious�s/ asIK /�X9�f �OaciS E; DEPARTMEW. "APPROWD i, ONTRACT:SUPPLEMENT/ADDENDUM - p,", � `��, �<'l Yi'Wcore.., i7�,y THIS IS INTENDED TO BEA LEGALLY BINDING CONTRACT. READ IT CAREFULLY. ; t ;3',( '^ s CALIFORNIA ASSOCIATION OF REALTORS° (CAR) STANDARD FORM � � .tri " • } �� i ,,,,45.� �r a - • �� n :-q+ •vi. - 5...L''.�i•}_. i.�: rift yr .mal r4.-"' as{ ais '( _a 1a 3 y �.•w Nr •..+N�f! 2i L� ..i+/fw. •'i 'k 'q. -, --'y. The following terms and conditions are hereby incorporated in and made apart of the: ❑ Real Estate Purchase Contract and Receipt for.De'osit, EJ Mobile Home Purchase Contract and Receipt for Deposit, 11 Business Purchase Contract and Receipt for Deposit; . ® other .Ce7C' .4 me .(a J �� e X -r P- e'.0 kg T✓n(-% ' Oe -rt vi r '-Lr ��I/OS/ T dated a;z , 19 9 L , on property known as: -So., 7-- h g i-je a 14 3 a S- in in which r is referred to as Buyer: and 7o IN 0#, 11 , c is referred to as Seller.. 2' 0- Ifg ";y c, •�, 2� S i¢ 1rP her f�+tP S yO�t/ 4no� i,✓ �' �� - �d''�+�«�®'�'•CJs.�'A��-SIR'••i��T�l�I'.Jl�ii'tii'I<IZ:a►Z�!S� .i • 7. 4 i. `. _r .+:. '. (:. 1. '+t 'R SPc 4iSII0Ti T •�7,` �• c i - 1 c ! The undersigned acknowledge receipt of a copy o!, --this page, which constitutes Page / of • 5� - . tt.. .. -. + .. Date /� Date r; B441— uyer•• Seller' .i • 7. 4 i. `. _r .+:. '. (:. 1. '+t 'R SPc 4iSII0Ti T •�7,` �• c i - 1 c ! The undersigned acknowledge receipt of a copy o!, --this page, which constitutes Page / of Z.�-- Pages. ;` r 5� Date /� Date r; B441— uyer•• Seller' Buyer... I ,� . Seller The undersigned acknowledge receipt of a copy o!, --this page, which constitutes Page / of Z.�-- Pages. ;` r 5� Date /� Date B441— uyer•• Seller' Buyer... I ,� . Seller This form is available for use by the. ve re lest .industry. The use of this form is not'OFFICE USE ONLY Intended to Identity Ihe'user es a REALTO REALTOR is a registered collective membership markwhich may be used only by real estate licensees who are members of BUYER'S. COPY. _ '•• ' Reviewgd by Broker or Designee the NATIONAL ASSOCIATION OF REALTORS° and who subscribe to its Code of Ethics. �� - Date oarot11N0Uuh11N0r The copyright laws of the United States (17 U.S. Code) forbid the unauthorized reproduction • - , , - MBOOCtJO of this form by any means including facsimile or computerized formats. ; Copyright © 1988, CALIFORNIA ASSOCIATION OF REALTORS° IDS -14 ` e, 525 S. Virgil Avenue, Los Angeles, California 90020 �'•� © COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PA CELNUMBER o -j' - /? - `L 2 ZONI G nG / lJ t -i BUILDING PERMIT OWNERTELEPHONE L 1 ✓I J 4O IA e73 FT. OCC. BUILDING VALUATION ZNER*SO. NERR'/MAILING ADDRESS 3oo s w 2`7�h /17rAAi,-Ik 3362J . CONTRACTOR'SNAME p LJ J CA_ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FllingFee 10.00 6�g� ��pfl7rzt� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. Paxl SUBDIVISION NAME Fm PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USEOF UCTURE SF ❑ Duple.[]Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: 2�2 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP CR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING occuP.4`` OR ADONS. ACC. SLOGS. I 2hQSQft NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50. ea POWER APPARATUS IN SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES zAL@30 .20@030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirin g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate sof 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against County in consequence of the granting of this permit. X Date S'.gna ure o Applicant — Owner tr or ❑ Agent An OSHA permit is requir4d for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ a occ CONST TYPE I TOTAL FEE $ HAz cuA PARK scHL FLo PAR Po Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS Date Receipt No. ?V17/ WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT C� COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMAN. ASSESSOR PARCEL NUMBER _ '7522 ZONING RTI A BUILDING PER o e Al Davis TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6300 SW 27th St., Miramar, FL 32023 CONTRACTOR'SNAME Owner TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN 1 Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ l C goo 1J Ener Plan Checkin Fee gy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6587 Grandview Ave., Magalia Permit fee $15.00 PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 85 por SUBDIVISION NAME Fir Haven PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF F1 Duplex❑ Mobilehome ' Other SPECIFY Gas piping system 1 - 5 outlets 5.00 ' Building sewer 5.00 Mobile Home S G 2 10.00ed TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities XX Installation❑ Other ❑ Describe work: 2BR Permit Fee $ Contractor ' ELECTRICAL PERMIT FilingFee, ` 10.00 Main service 100 VAMP OROR LESS!10.00 Main service EA,. ADD'L 100 AMP NEW CONST.,,DWELLING oCCUP.& OR ADDNS. ( ACC. BLDGS. ) 2.50 2h¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and my license Is In full force and effect. License No. Classification 1, as the owner. Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered- for sale. (Sec. 7044) / I, as the owner, am exclusively contracting with licensed contract- J/UI ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NO N.RESICONSTR. MULTI -OUTLET D BRANCH CIRCITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ' Ex. Occup(OUTLETS OR FIXTURES 20050Q SAL®30 k FIXED APP LNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 t Permit Fee' $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1`17 1 shall not employ any person in any manner so as'to become subject 4N to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation 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 agains said County in copse nce of the granting of this permit. %- Date Signature/f Applicant — Ow r ❑ , Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE OT 'L F $ $ ,5 HAZ cu PA scH FLD PAR PD o Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By APReceipt. PEROOIF EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date /%.-��r No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAR�TM&'OF PUy LIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVEJOVMIJ�sCAL!fORNIA 95965 - TELEPHONE: 916/538-75410PERMITPPLICATION DATA SHEET Permit No. OWNER iA ✓/ S �� A. P..No. A C:::. 5^ Proposed Building Use Zit Building Inspector C5 Date ? 2 r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED II items have been submitted . .................................... Plot plans in duplicate/triplicaate�signed �by preparer of plans ........ 3 J 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 1 Park fees paid .................................................... 3. School District fees paid .............. anitation approval from ^2641Ai 3 5-- Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspectcr (Date) 21. Contractor's license information (No., Name Style, Classifications . . 2. Certificate of Workmans Compensation Insurance .............. ... til Owner -Builder Verification (Given to owner ❑, Mail to owner .... � � tic . Recorded copy of Agricultural Acknowledgment Statement ......... �a'y 25. Letter of signature authorization ................................... oo 27. ; When �cou issue the permit, ,process as follows: Mail to owner. Mail to contra6tor. : Telephone e7.3— /0=and hold for pickup at 14A• office. Deliver w/inspector. Other Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to perm-ruarLce: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phon;tEm/a _counter e C ntractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date S112 Z Sets of plans on hold in File cabinet ro AP folder Copy—DPW ';- - I TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance G Ownei C. Loca AP# .}on Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply ,Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other NOTE C sanitarian Date 93 P 6,5 IER ,4•L _,0,6 v IER'S MAIMNG gppR E� O O .S j,/ TRACTOR'S NAME 0 NnlC-/t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 -*Telephone: 916/538-7541. PERMIT NO. APPLICATION AND PERMIT ZONING hr /3 BUILDING PERMIT TELEPHONE SQ, FT. Q(�L`, BUILDING VALUATION 7 °��s,- ✓h� ��e a2 fL 3302-3TELEPHONE _ :ONSTR UC TION LENDER ENDER 'S MAILING ADDRESS RCHITECT OR ENGINEER RCHITECT OR ENGINEER'S MAILING U I L D I N G ADDRESS UNKNO LOT NO. SUBDIVISION NAME PARCEL MAP USE OF S SF❑ Duplex[] USE Mobilehome�ther SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities LTJ Installation[] Other ❑ Describe work: ZBR . Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each pas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home r; Penult Fee Contractor ELECTRICAL PERMIT Main service 100 AMP ORSLESS CONTRACTORS LICENSE LAW I declare under penalty of Main service EA. ADD'L t.O AMP NEW CONDN perjury (check one): ❑ I licensed ST. ACAVC" G GS. I OCCUP. �` OR ApS. C, BLD am under provisions of Chapt. 9, Div. 3 Of the BUSIneSS and Professions Code and my license NEW CONSTR RANCHUTLET NON.R ESI BRANCH CIRC ITS is in full force and effect. License NO. Classification POWER APPARATUS 6 SINGLE OUTLET CIR. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure E. OCCuptoUTLETS OR FIXTURES FIXED APP LNS, OR Ex. DCCUp. OUTLETS IRESI D.1 for sale. (Sec. 7044) is not intended or offered ❑ I, EA.� Temporary Tem orar service as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities ❑ I am exempt under Sec. ---_, Business and Professions Misc. Wiring for this reason Code Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of Contractor perjury (check one): E]The permit is for $100.00 (valuation) or less. MECHANICAL PERMIT ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Heating Compensation Insurance or a Certificate Consent to Self -Insure. ' 1Of I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Cooling Hood Notice to Applicant: If after making this statement, should you become subject provisions pr the W. C. provisions of the Labor Code, you must forthwith Ventilation comply with such or this permit shall be deemed revoked, Permit Fee C • -,-'•,,r - 1 nave read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains id County in conse uence of the granting of this permit. X Signature Applicant'— O Date Si OSHA V ner ❑ Contractor ❑ Agent permit is required for excavations over 5'0" deep an demolition or construct- ion of structures over 3 stories in height. aeceipt No. 2-71 NNITE-D.P.W.. YELLOW A9DCSSOR, PINK IN9P:CTOR, GOLDENROD -APPLICANT ontractor Mobile Home EInstallation Fee nergy Inspection Fee OCCI CONSTTYPE $ a a F i I i ng Fee 2.00 20.00 5.00 5.00 5.00 5.00 0.00 eE 10.00 10.00 2.00 10.00 15.00 15.00 Filing Fee 1 10.00 TOTAL FEE $ 8 Z So HAZ CUA PARK SCHL FLOPAR PD HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work in above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date t2.5Oeag 2.00 10.00 15.00 15.00 Filing Fee 1 10.00 TOTAL FEE $ 8 Z So HAZ CUA PARK SCHL FLOPAR PD HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work in above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,*Oroville, CA 95965 PHONE: 916-538-7541 Al Davis 6300 SW 27th Street Miramar, FL 32023 With reference to the above subject: / Xg Attached is: Application for permit Building Plans Engr. Calcs XXX Owner -Builder Verification Form OTHER / / We need the following information: DATE kyril r ME' Permit #636-91 & 637-91 for Mobile A Jil�ties and installation 65-175-22 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. 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 design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. XXXXXSanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville XRX 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. /XXIXXOTHER The owner builder forms cannot he signed by Rooer and Dorthg rnnpl i,ntil the property is through escrow and in their name. If they nut the mohilehome utilities on the property now, you krill have to sign the owner builder verification forms. Should you have any questions concerning the above, please contact of this office. Anne Brandel Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector RuLUrI"i to I&W lll�l�J.l,U1��Ulvu, ��n1i..iu.i _ FOR IZES11)EN I-EAL DEW 111,0I'll 1:NT Sec.tl6n 26-8.1. of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 91-007817 Rec Fee 5.00 'File property described herein is adjacent ; Check 5.00 to land or included within an area zoned Recorded ; for agricultural purposes, and residents Official Records ; of this property may be- subject- to incon". County of ; veniences or discomfort arising from the Butte ; use of agricultural chemicals, including, Candace J. Grubbs ; but not limited to herbicides, pesticides, Recorder ; alFd fertilizers; and from the pursuit 10:39am 28 -Feb -91 ; X 1 o[ agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smolce, noise, and odor. Butte County has established sgricul- Lural zones which have as a priority use for productive agricultural purposes, and residents wi.Lhin said zones and on adjacent peoperty should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of - Butte, State of California, described as f ol.lows The South half of Lot 385, as shown on that certain Map entitled, "FIR HAVEN SUBDIVISION", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on May 19, 1955, in Book 21 of Maps, at pages 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 that certain Deed from the Magalia Mining Company, a corporation, to E.D. Storts, et ux, r.ecorded September 4, 1947, in Date: Book 423 of Butte County Official Records, at page 385. Aq8 State of L ) On this the :2�, r" day of 19q./, before me, SS. the undersigned Notary Public, personally appeared County of ) RODGEP 0M& LF CLC �] Personally known to me. P Proved to me on the basis a��sss��ssrs��rrsaess��• ■ of satisfactory evidence. r;EnI QUAYLE to be the person(s) whose name(s) vuhscribed to Llie within instrument and acknowledged that E` .L NOTAFIYPUBLICCALIFORNIAStme Xecuted tm he sae for the purposes ticerein contained. IN OF S; MyCOMMI IonEq*eseDm21,iM 1d11HEOF, I hereunto set my hand and official seal. II E�t��E��E�NAwE�AAwE�E��st■ Present A.P. No. .4S-17-5-021 NoLar}I/Tf I 11 . I t t fWogi2�/d�o •✓ •.rx,fi�:�,; Fr7d•..�. (m:".', y .. v g, CONTRACT SUPPLEMENT/ADDENDUM. #' rt S THIS IS INTENDED TO BEA LEGALLY BINDING CONTRACT. READ IT CAREFULLY y n a F z t CALIFORNIA ASSOCIATION OF REALTORS -(CAR) STANDARD FORM The following terms and conditions are hereby incorporated in and made a part of the: ❑ Real Estate Purchase Contract and Receipt for Deposit, ❑ Mobile Home Purchase Contract an Receipt for Deposit, ❑ Business Purchase Contract and Receipt for Deposit, ® Other Ka7c A v—/ G Ira C F eoAg �? ;?pe - e 4y % A, l�vpor/T dated ;L�t , 191_ , on property known as: . T s in which s,,? s „ & Jnr, i/' r is referred to as Buyer and is referred to as Seller. •S[� 2' a .,s H p- • • -' - i' /�e. T .... Li is S wi CLt f,a-c S /C ✓ P h t I / d/ fP N P o w sl a rt _ L . _ 6._, _ r _ The undersigned acknowledge receipt of a copy of this page, which constitutes Page / of Pages. Date 5 / Date Ir r Buyer `' Seller: Buyer. Sellerhlla This form is available for Use by the a ee re I est a Industry. The use of this form is not I ' •� _ OFFICE_ USE ONLY Intended to identify the•user as a REALTO ° REALTOR° is a registered collective gUYER'S COPY. - membership mark which maybe used only by real estate licensees who are members of_ EReviewqdby Broker orDesignee the NATIONAL ASSOCIATION OF REALTORS° and who subscribe to ita Code of Ethics. The copyrightlews of the United States (17 U.S.Code)forbidthe unauthorized reproduction EQUALPoNfUNRY of this form by any means including facsimile or computerized lormats. - �8oOc7m Copyright@ 1986, CALIFORNIA ASSOCIATION OF REALTORS° 525 S. Virgil Avenue, Los Angeles, California 90020 DS -14 ' y3�z»�~Jm��°= Alvin R. and Jo Amne N. Davis 6300 SW 27th Street Miramar, Florida 33023 7 March 1991 To Whom It May Concern: ^ RE: AP 65-17-5-22 This is to reaffirm that Dorthy and Roger Cqgel are the buyers of the above referenced property and are in escrow as such. The Cagels have our permission to enter the property and to make any improvements to said proprty such as installing utilities, i.e. gas, power, water and telephone. ALVIN R DAVISJO ANNE N. nAVIS -'-~--' ' Jy Alvin R. and Jo Amne N. Davis 6300 SW 27th Street Miramar, Florida 33023 T March 1991. To Wham It May Concern: : This is to reaffirm that Dorthy and Roger Cagel are the buyers of the above referenced property and are in escrow as such. The Cagels have our permission to enter the property and to make any improvements to said proprty such as installing utilities, i.e. gas, power, water and telephone. ALVIN R. DAVIS JO ANNE N. DAVIS '%''c`�c -/'.� ' tic_✓ (\// L ��.�z� r - 20'�-r j-T�-f--�T o ' ► r i _rid et I I t {{ I pp I 1 tim �-� d, unl �l/fl�I lt� i .} r:">;1 l ; -i - -1-L l:} 1 .I � .I I I l I � , t Y I � I i { ( �_l-. :- atloks.O—sar�e'wit{�- M trials acr 1Kdr wnship-t_ d ,ie� I f, I •r } ivit Ie�cbgrtis r c 1 1 :au _ -!perM ss.i�h f m.#heiDepao�lr enf o i Aced d ,-� ! . fed, d�Pe�a Ii �lti1 Ir�d 180,fb�ic�ICunty�af. gutty. { i I I ; ; j 1 I of v iquq+rfl�t .prltesctlb-IfQrl-tHeE ecyfied` usb;rn-Nte F } ( B in , Plumi�Ihg IVtac ` ;tca[- '`�`' Ct#trCgl jC`dc�e 1- j - +L —L �- ).,, �� 1 r. - ! t 1 1 I i, ii 11 I t t y1 t• ^1 1 j !. I I I ; }. f_ I 1 { ^ ! I�.T� !_i--•��-�.t^1 _ -�j _ -�- - 1"{�-: -�-- },'j {.1 '�4s�lSACr5A'u4{,,�.}�-}:t..11,� 160' i I ,- } I_ T- _ +1I..f, j j' '_�j}T�1�_� ti. I#- Intl; -f$ . 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I I i �� .»_ 20� j t �' 1 � •� -l- � j - t � I r_�..±_:. LINE �. G� AI ttt I 1. } j,, A Seth of s ft. from r1�;.�f . t i_ .�T�_ :�' III,lines_And.a setback.gf, +, JF,. r.1�� i -4- 40- '14. frbm tide road ' i \ 3 ID ! I 1 t l centOI a shall,be clear of + ` �structuete`s or equipment exc \ ! t t P r , Leave overhang: IVQ� 1 1 i _ { i for a - + 2 ! 1' �. - - t- C[ EaiZ /a4 c f ► �'^E • ; i i �O ! 1 5 r VIC k -I ED 20,-r 1'T,171 •� .� 1�i1 � f lY1/xE1L i !. I tt t _ SF,r{ ��i h� /'iT.itill C' -1- - - - I _ , 1 � 11p�.iJv1G.1,l� 80' 100'1 40 _ 20 ni u it�ric: cjN-no� sk,cJNV l:, TbhnioM AA 4310. 0 i•S.r3 y+�*al�'3�.'i� D:1U� D,�:iit. '.'J'� � iiiiW' '13`J''l�w..J'�`xn0� • i.i Cit MIS �Z�3L�t;+'`fi •. ° c�f "..i LJ �c:t`,Jdfe 1� A+!$Jokyw Q�3nibiiA MAW c T- 17.E-11- 01 Ll'jvi6?lnji ;j f; i�ry� `< mil JIG is d • +ILt+ :S"!ti2 no 2'10if ti7� }ifi "a 3 :i iat -) yoo sign) 4,0 ir3 ;its; ,ri"j ;10ieli,^j-,j9Lj Mit lW 9uo •t. 4 L A1/.s' l' r AP # /7S- OWNER 7S-OWNER �.L ��✓/� PERMIT 6,3 6 - MH UT IL . CLEARANCE DATE INSPECTOR �,2 L ' ELECTRIC GAS Support Pine S.truc. Tvpe Size Length I YESI NO Compaction Test Rea. Se --vice Size Other Load YESI NO O