Loading...
HomeMy WebLinkAbout065-190-0812 a O �• 1 •f � 1. mmq - M-- BUILDING PERMIT NUMBER: 05-1474 Address or location of unit: 6575 VINE ST., MAGALIA CA 95954 Legal Description of Real Property: AP#: 065-190-081 SEE ATTACHED (x) Mob ilehome/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: GARY A. AND TANYA HOLCOMB Owner's address: 6575 VINE ST., MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: CAL106032/3 SERIAL NUMBER OR V.I.N.: A/B2239 MANUFACTURER'S NAME: FAR WEST YEAR: 1978 OFFICIAL APPROVING INSTALLATION - DATE: PHONE: (530) 538-7541 H.C.D. 513C NOTES ��/) RESIDENTIAL PERMIT_ NO. _ 065-190-081 05-1474 HOLCOMB 6575 VINE ST, MAGALIA Cont: CHICO MHS + MH PERM FND kr E. SPECIAL CONDITIONS, a CHECKED . BY SRA FLOOD CERTIFICATE REQ: ------------ FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS' VERIFY USE PERMIT CONDITIONS - SUB -STANDARD HOUSING LETTER -JOB FINALED (Date) r�—os T Signature �Cs&GLO— l�YYycx__? = OK .Not OK = Not Applicable MOBILE HOMES = Not Readyeady 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) S. 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 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line Date 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-ConnectoP 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 PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. F 'hgs; Size -Spacing -Marriage Line Blocking C_T©fL S T E fY1 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date 10 -(5=Q,CCard B-1 tyeVo Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn., Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK D = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. 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-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Bec. & Mech. Equip. listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstkJJDrive D Yes 0 NoNValks 0 Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to 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. Fre 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: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) .OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GR 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform ff Furnace in Attic Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs-Naiiing 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. Ging. 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-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Bec. & Mech. Equip. listed for Location 79. Elec. Receptacles in Garage (F.FI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstkJJDrive D Yes 0 NoNValks 0 Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to 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. Fre 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: r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds 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 the Business and Professions Code, and my license is in full force and effect. License Class: icen umber:4M-1111-3 Date: Contractor: I hereby affirm under penalty of tlerjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance; also requires the applicant for such permit to filee-a signed statement that he or she is licensed `ptot the provisions of. the Contractor's State License Law (Chapter 9 commencing with'Section 7000) of Division, 3,of the Business and Professions Code) or that he; of - she'is' exempt therefrom and the basis for•.the alleged. exemption. Any violation of`Section.' 7631.5 by any applicant fora permit ,subjects the, applicant to.a,civil,penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not „intended or.offered for_sale,($gc..7944,.Business,and Profession$., Code: The Contractors': State' License Law..does'not apply to an owner of property who;.builds or improves thereon,. and who does such worK himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. tf'however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). .-I- as..owner.,of, the.. property,,. arm, exclusively,.,contracting.,with. licensed contractors to con'structthe .project (Sec. 7044, Business .and Professions Code. The Contractors' State License Law does not applyto an owner of, property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑. I am E,zempt under Article 3 of the Business and'Professions Code Date:. `' Owner: WORKERS'. COMPENSATION DECLARATION ' I hereby, affirm under penalty of perjury one of the following declarations: ❑ I have"and will maintain a certificate of consent to 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. ❑ 'I have and, will �maintainrworkers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work -for which this permit is issued. My workers' compensation insurancelcarderand; policy number. are: Carrier: Policy #: I certify that in, the performance•of the •work for which this permit is issued. A shall not employ. �any - person- in -any manner so -as to • become subject to. the. workers' compensation laws of California, and 'agree • that if' 1 should -become subject to 'the workers' - compensation provisions of Section -3700 of the Labor Code, I shall forthwith, com I _with those provisions. Date:' (fid . Applicant: WARNING!. F ilure o"'secure workers' compensation coverage is unlawful, 'and 1 all s bject an employer `to criminal` penalties and one hundred thousand dollars' ($100,000), in addition - to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attomey's.fees. ? CONSTRUCTION LENDING AGENCY I hereby affirm that there is a:consfruction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BP051474 Issued Date: 06/15/2005 APN: 065-190-081-000 Site Address: 6575 VINE ST MAG Map Index: Description: EX MH PERM FND Owner: HOLCOMB GARY A & TANYA -- ' 6575 VINE ST y, MAGALIA,, CAI �*'�.' 95954 ,. ,Applicant:_-DOREM,U,S„GERALD,G:LEN».,�, P O BOX 4121 CHICO, CA 95927 530-895-1774 Contractor: DOREMUS, GERALD GLEN P O BOX 4121 CHICO, CA 95927 530-895-1774:' License #: 445103 Architect: Engineer: . Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: This permit i hereby is Resolution o do work B� PERMIT EXPIRES ON applicable provisions of the Butte County Codes anfVpr 3 for which fees have been paid. r 9 Date: ❑ .1 hereby c' ry•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 use of hazardous materials. . ❑ Notification in accor&nce with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of tfie required E.P.A. notification forms. I hereby certify.that 1 have.read this application, that the above information is correct, and that I e , the o er or th 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 ' bsta ce a y o 'cial form or document of Butte County. hereby authorize representatives of Butte County to enter upon the above mentioned property for inspectio u Print Name: ��vV` �v `��� Signature: Date: 0 Owner Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT NAME CONTRACTOR OWNER Last Name CDS Address First Na e Address &S 71- 1 */- City G iA I - State /tom C� zi V/ Phone y Fax S 7 7/y Fax E-mail Lic. # yd CCIa APPLICANT NAME CONTRACTOR Name e A / T�r Address City Z / State G- UJ�OX Phone City eff I - Staten, Zip S—CZ7 Phone y Fax S 7 7/y E-mail Lic. # yd CCIa APPLICANT NAME ARCHITECT/ENGINEER Name City Address l City Fax State Zip Phone Address Fax E-mail Lot # State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For offi e u only: AP# �}LOCATION ©(S �%% Zonin Flood Zone Cross Street SRA I Yes I No Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO-. S- 01 BIN # Description or Scope of Work: G Itl Si / Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. AP# �}LOCATION ©(S �%% Property Address —. _ZZZ City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: G Itl Si / Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 REV 2-24-05 Re eive by: Amount: ` ` Bldg SRA Receipt #: Sheriff SMIP Date616/ Other Total Page 1 of 2 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: /-ASSESSOR PARCEL NUMBER�� V� I Proposed Building Use: QZ�nQ�'pe mi > echnician: Date:Q log Items required in order to apply for a permit. All boxes MUST b checked OR marked NA in order o apply. I . l'El- 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan,-(! 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. Sahitation 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....... X� - ❑ .. 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.....................................................................:....................... Cl 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.c_ Legal description,M,H. Title, title search, registration or Iv1C0......................... 11 36.-Flther: ���r ❑ 37. Other: r When issued Telephone ✓' �� and hold for pickup. I have been inf6r 'ed of the above items and requirements for obtaining a building permit. Applicant: Date: (0 1. Index permVapplicAtion fort the above items num red: Plan Check Letter Contractor designer, owner, was advised of the above data by Vphone, ❑ mail, ❑ counter, by Date: flu w o c or, designer, 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, b Date: Plans reviewed by: Date: Z Z Plans approved by: Date: ZZ Structural reviewed by: Date: Structural approved by: Date: Yellow: Building Division Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 91212003 FOOTER SIZES INDEX PAGE RELEASE Approval NAM PAC!'UMMITOMEMKOHBSS iB SECTION NUMBER DATE pOUMATIONSVSM 10 9/2/03 i U T11 AM $An= CODE. OCi I INTRODUCTION 2 9/2/03 - HIGH PIER 12 9/2/03 arm oOR"crscxSxaw GENERAL INSTALLATION 3 9/2/03 - DOUBLE 14 9/2/03 A1IOtCNAL D('}8J NOTAII7HOAIZB Ai AMCM1t6 u PARTS LIST 4 & 5 9/2/03 MONS OR DBvtATtox MOM REQUMIM' 15 9/2/03 ruo.so� 5 AffMCMWSTA7SLAWSMDW*ULUKM LONGITUDINAL DEVICES 6 9/2/03 SaftofCdWon* 16 9/2/03 c rviL 9aF�t�o`'� wd PIER HEIGHTS 7 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 0,5—gpw11a;— oAxblCt SET-UP INSTRUCTIONS 8 9/2/03 _,aA A 1 BUILDING DIVISION FOOTER SIZES WIND ZONE I - SINGLE 9 9/2/03 - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 9ROFE-S& - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 ruo.so� 5 V -DRIVE & PIER SYSTEMS 16 9/2/03 c rviL 9aF�t�o`'� SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 0,5—gpw11a;— BU17E COUNW COMPONENT PARTS AVAILABLE UPON REQUEST BUILDING DIVISION APPROVY —1a 5 c L co O N O O� I� 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 1, 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 locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE - TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16" ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 Vector Dynamics Foundation Systems Lateral Component Parts List Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V -Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ff. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. . Page 4 California�w/ <VL 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 53" up to 5 Blocks. # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut• ® # 48612 - Single Section, 62"- 108" nF # 48613 - Double Section, 34"- 60" r' (includes short u -bolts, nuts, washers . w .F< and 6 self taping screws) Page 5 California 9/2/03 C Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is. used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Combine Vector Dynamics & LSD _ Note: Two struts =1 L.S.D. system. Can be used on one pad or slipt on opposite ends of the home. Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I I I I I 1 I 1 I 1 I I I I I I I I I I I I I Wind Zone Double Section 18.Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Wind Zone I Triple Section Wind Zone I Tag Section 0 48 Ft. Max. California 9/2/03 Aw f.L] LL1 [•L] Wind Zone I Tag Section 0 48 Ft. Max. 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 Set -Up Instructions for Vector System #59018 Long U-8 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside Ja brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/hut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension brEcket. vet strap 12 - 15 inches past bracket. Attach strop & slotted bolt in bracket. Tighten strap u-rtil tight with 4-5 wraps around bolt. Repeat with opposite strap. California '101 94 WE, 9/2/03 Jt/iil y 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside Ja brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/hut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension brEcket. vet strap 12 - 15 inches past bracket. Attach strop & slotted bolt in bracket. Tighten strap u-rtil tight with 4-5 wraps around bolt. Repeat with opposite strap. California '101 94 WE, 9/2/03 CD W r` Soil Classifications: 2,3, 4A & 46 Soil Bearing Capacity: 1,000 PSF minimum - o Anchors Required": 30° with 4' helix anchor (59095), 1-1/4° vertical ties w/4725 lbs. min. breaking strength. ' WIND ZONE II ' (not to scale) 24" / d• f`J C.0 •'� - �2 sq. ft. 'pad F . Home Length Vector Systems Required Anchors Equired per side LSD 0to48' 3 .5 2 WIND ZONE II, SEISMIC ZONE 4 (Hurricane) 1 ` 1 6 Vector Dynamics Systems Required for 61" to 72' 6 7 Single Section Homes 73' to 84'- 7 8 . (High Pier Sets with Diagonal Ties) • 85' to 90' . -8 9 e or sys a %a\ I - sedkoc m ^ ' �1-•- - ' ' of a 72 ra sPa I meot s a\\atw� _ in ho - ; - EXamOP- NS (Je be Sy%to -' - _ z \\\uds aid sPao�n9 . % Found CD W r` Soil Classifications: 2,3, 4A & 46 Soil Bearing Capacity: 1,000 PSF minimum - o Anchors Required": 30° with 4' helix anchor (59095), 1-1/4° vertical ties w/4725 lbs. min. breaking strength. ' WIND ZONE II ' (not to scale) 24" / d• f`J C.0 •'� - �2 sq. ft. 'pad F . Home Length Vector Systems Required Anchors Equired per side LSD 0to48' 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 2 "O.W9 NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Each Vector System requires one of the following: ' 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40^PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE 11, SEISMIC ZONE 4 Vector Dynamics Systems Required for , m - a - �- ' �I, \de\`ne Seplpnr ag---- Double Section Homes ,pvb�e ocVec tman !-- hmista a\p1 anerooget \\ . \ - I - k\\\vsta�� sPac�n9 'tion Paas I ` G unaa F o � - .rid ` I ♦ \ .r' s a u2. NOTE: Vector Systems should be spaced as symmetrically as possible along the length i home. Pier spacing must be consistent with manufacturers' instructions and/or state req Maximum allowable working drag load for ti System with steel compression strut is 4,001 the K2 Engineering test report. WIND ZONE II (not to scale) \2 sq. ft. pad/ aon Isearmg capacity: I,uuu rar minimum Anchors Required*: 30° with 4° helix anchor (59095), 1-1/4° vertical ties w/4725 lbs. min. breaking strength. Home Length Anchors Equired per side Vector Systems Required LSD 0 to 48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 3 73' to 84' 7 7 4 85' to 90' 8 8 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) CD Cn NOTE: , , When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location.¢ , NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the - u home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. rag Or Soil Classifications: . 2 3 4A & 4B full triple ` Soil Bearing Capacity: 1,000 PSF minimum o Anchors Required*: 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties .. w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side LSD Main .TAG 0to48' 3+2 on Tag 4 2 WIND ZONE 11, SEISMIC ZONE 4 - - 1" ♦ ' ' 1 , - Vector Dynamics Systems Required for - - - 72' to 84' ' • `� Triple Section Homes'Sectionto me systems• I ♦ I - - (Materials Required) " _ - "of {� pactn9 tot Vec 3 \ - - a?r - 1,, `` EXa'mPhows 9eneta ♦ \ I ♦ ♦ r 1 NA Am, ' _ ��/ � , ♦ ♦ , � %�. :.;. S fag �'•_ `j. - — — AllIn NOTE: , , When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location.¢ , NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the - u home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. rag Or Soil Classifications: . 2 3 4A & 4B full triple ` Soil Bearing Capacity: 1,000 PSF minimum o Anchors Required*: 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties .. w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side LSD Main .TAG 0to48' 3+2 on Tag 4 2 1 49'to71' 4+2onTag 6 3 2 72' to 84' ' 4 + 3 on Tag •7 3 2 85' to 90' 5 + 3 on Tag 8 3 2 . Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list), 2 SO. ft. Dad 2 so. ft. Dad - Vector Dynamics Metal Pier & V -Drive Installation METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 4x4 or two 2x4's through the piers, centered in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16". Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V -Drive for rocky soil V -Drive anchors are used on/v in Zone 1, single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. Page 16 California 2/03 (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. t Vector Foundation Pads Equivalent to Footer Pads*. Footer Size: Footer Size: 16x16 = 256 sq. in. - _ 20x20 = 400 sq. in.or 16x18 = 288 sq. in. ,v or 17x25=425 sq. in.. - EQUALS - EQUALS 2 -Vector Pads # 59275 = - 1 -Vector Pad # 59271 288 sq. in. or 432 sq. in. ` 1 Vector Pad # 59130 Vector Pad(s) exceed the surface -area required when used as the equivalent listed above. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En ineer Jamiliar with site conditons i Page 17 California 9/2/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS F 7 i ' 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: r SOIL CLASSIFICATIONS " •. Soil Class Types of Soils Blow Count (ASTM , Soil Test Probe (1) " D2586) Torque Value (2) - 1 - Sound hard rock...:.. NA _ NA Very dense and/or 40 -up More than 550,lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals - Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 2.75-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275,Ibs -'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. t Vector Foundation Pads Equivalent to Footer Pads*. Footer Size: Footer Size: 16x16 = 256 sq. in. - _ 20x20 = 400 sq. in.or 16x18 = 288 sq. in. ,v or 17x25=425 sq. in.. - EQUALS - EQUALS 2 -Vector Pads # 59275 = - 1 -Vector Pad # 59271 288 sq. in. or 432 sq. in. ` 1 Vector Pad # 59130 Vector Pad(s) exceed the surface -area required when used as the equivalent listed above. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En ineer Jamiliar with site conditons i 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 (gals. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pa for concretf footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt 9/2/03 Vector Dynamics System * V for Concrete Applications Instructions 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be , screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal ; Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so" that the lip of the bracket is between.the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside -tie bracket, with sufficient length to, go over the opposite pier and down to the outside tension bracket, plus 12,inches for - wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets , with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts,- securing the -outside , tension bracket and Vector pad to the concrete. 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 sing'-at least five turns on the slotted bolts. Illustration T Inside Tie Brackei Compressh boards or PVC Pipe U -bolt Page 19 Vector pad.'',' for concrete, Concrete' footer California 9/2/03 r Iv cc CD N _ _�- - -- WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) Vector Dynamics Systems Required for 1 Double Section Homes (High Pier Sets with Diagonal Ties)n home %.Je `OL otjo 1 NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home C-) manufacturers' instructions and/or state requirements. o W WIND ZONE I 7SeePage Unit Width co 4' MIn. O �Spaclng W �2 sq. R. pad 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 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE I, SEISMIC ZONE 4 C`onhomsems. Vector Dynamics Systems Required for ,mactn9 or vec�°r , Triple Section Homes ' " - , _ - - ' �e of a' eras sp - (Materials Required) K co NOTE: CD When a pier height at Vector locations exceeds 46", an anchor must be used on the'outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. C) 0 Tag i `qlt triple C5 2 sq. ft. pad 2 sq. ft. pad _:;; Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: None (*Marriage wall anchors may be required by home manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 2+2 on Tag 0 2 1 49'to71' 3+2 on Tag 0 2 1 72' to 84' 4+ 2 on Tag 0 2 2 85' to 90' 5+ 2 on Tag 1 0 2 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE I, SEISMIC ZONE_ 4 \ _Vector Dynamics Systems Required for- Single Section Homes (Materials Required) - - - -- _ - e�tion home Xe , h — �i S� n CD ,rz E £ o.c M9 Note: L.S.D.= Longitudinal a . � Stabilization Device � �` NOTE: Vector Systems should be spaced as symmetrically See Page 6. of he home.Pie Pier e length ng must be °i consistent with home manufacturers' o Soil Classifications: 2, 3, 4A, & 46 Instructions and/or state requirements. Soil Bearing Capacity: 1,000 PSF minimum p' Anchors Required: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties WIND ZONE Co . CC4 ala �2 sq. ft. pad Home Length Vector Systems Required Anchors Required Per Side or 24" Pier 24+" Piers L.S.D. 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 Each Vector System requires one of the following: _ 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) • 1 � WIND ZONE I, SEISMIC ZONE 4 Vector Dynamics Systems Required for Double Section Homes (Materials Required) _ - - ' _ -tio NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 46 Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': None (*Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' 5 0 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CAe (530) 538-7541 TOLL FREE (530) 891-2751 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions pertaining to this mailer, or need additional explanation, please contact this office immediately. Date Inspector -REV 10%92; er;: r, STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �stNc a Division of Codes and Standards O 3 ®m Decal #: LAZ 1160 Manufacturer: FAR WEST Tradename: FAR WEST Model: Manufactured Date: 00/00/1978 Registration Exp: First Sold On: 05/26/1978 Title Search nate Printed: 06/06/2005 Use Code: SFD Original Price Code: AEV Rating Year: 1978 Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width A2239 CAL 106033 57' 10' B2239 CAL 106032 57' 10' Record Conditions: PPF Exempt Voluntary Conversion to LPT Registered Owner: GARY A HOLCOMB TANYA HOLCOMB (Joint Tenants with Right of Survivorship) 6575 VINE STREET ` MAGALIA, CA 95954 Last Title Date: 01/16/1999 Last Reg Card: 01/17/1999 Sale/Transfer Info: Price $22,000.00 Transferred on 11/05/1997 Situs Address: 6575 VINE ST MAGALIA, CA 95954-9708 Situs County: BUTTE Legal Owner: . CROSSLAND MORTGAGE CORP PO BX 57909 SALT LAKE CITY, UT 84157 Lien Perfected On: 11/08/1998 09:50:39 Inactive Decal/DMV: DMV SK2644, DMV SK2645, DECAL AAV6529 *** END OF TITLE SEARCH *** fJ RECORDING REQUESTED BY BIDWELL TITLE & ESCROW COMPANY Order # 3-179717 AND WHEN RECORDED MAIL TO GARY A. HOLCOMB 6575 Vine Street Magalia, CA 95954 97-041470, Rec Fee 11.00 l DOC 57.20 Recorded l IHF 2.00 Official Records / Check 70.20 County of I Butte l Candace J. Grubbs l Recorder l 9:00am 5 -Nov -97 / BWTC CA 3 SPACE ABOVE THIS LINE FOR KECURVEK'S USE AP# 065-190-081 Grant Deed THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The undersigned grantor(s) declare(s): Documentary transfer tax is $57.20 - (x ) computed on full value of property conveyed, or ( ) computed on full value less liens and encumbrances remaining at time of sale. ( ) Unincorporated area ( ) UNINCORPORATED AREA FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, MARGUERITE PEUGH, A SINGLE WOMAN , and hereby GRANT(S) to GARY A. HOLCOMB AND TANYA HOLCOMB, HUSBAND AND WIFE, AS JOINT TENANTS the following described real property in the UNINCORPORATED AREA County of BUTTE State of California: SEE ATTACHED SCHEDULE C FOR LEGAL DESCRIPTION Dated: October 21, 1997 MARGUERITE JKEUGH State of California County of I SS. On before me, the undersigned, a Notary Public in and for said State personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted executed the instrument. WITNESS my hand and official seal. Signature (This area for official notarial seal) MAIL. TAX STATEMENTS TO Same As Above , STATE OF CW1�cJ,�/% C� COUNTY OF On �L before me, — \\\\ � , a Notary Public Date personally appeared Name(s) personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature of,Notary signer(s) De Annah L. Epp _ COMM. # 1073965 X ® NOTARY PUBLIC-CAUFORNlA ((A �. COUNTY OF BUTTE W My Comm. Exoms Oet.1. 1999 (This area for official notorial seal) This Notary is attached to that certain �I /G �-( , dated ....,;....4.-„=r•-'�y�,.r.7:`.'+:I-z�a'►'�'l;'CP.'•r,-` -^^�«"'�35�.+.-mm� ;� � ,:�:pRr�er,..p,F;,�.y,.�t.��,.a��.^.r'... .nnv� ,,I, .;xa�.� ,�.9. �"`rtr4t".+L&;Y��!�r�i�iT�y1-.sco"rr«-..wa--�,.,.�y�.... 065-190-081- p RM I T # 9 5-` 19 ti PEUGH, Marquerite `, ra,"• �*r , ` f 6-575 Vine St .., Magaliaf, Cont; Tri -Flame ✓`r°° _F"" " Gas.•Line/MH yr, a.- .. ".— ... 440F.1 X,�.; ..,4,ro.F�,py -�, e.,. •3�M. ' ,�i ' .r1 ��'.,•jr y'77'F. •'�.' `fin. il�:Cc�°a;-'rn' . -'t jri)? 5;`/y . �,'y .„ •. ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVI ION 7 .County Center Drive - Oroville, California X35965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND P5RMIT n / 9S ASSESSOR PARCEL NUMBER �I _ ZONING BUILD itSG PERMIT OWNER J TELEPHONE 1919"62 A24 SO, Fr. OCC. BUILDING VALUATION OWNER MAILING AQIfRESS a oA g-igii/. CONTRACTOR'S NAME r,� TELEPHONE CONTRACTORS MAIUNG ADDRESS _ Fireplace CONSTRUCTION LENDER UNKNOWN 1 Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUI-DIN ADDR s PERMITFEE $ ��-- PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome A Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 i) Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities)q Installation ❑ Other ❑ Describe Work: ,�fi5 C moi(/jG Mobile Home I S G W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 1 20.00 Main Service 500V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _ r License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. L I, as owner of the property, am exclusively contracting with licensed contractors t to construct the project. I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NOWRESID. ( BRANCH CIRCUITS. ) @7.50 ( b POWER APPARATUS ) SINGLE OUTLET C1R. Ex. Occup. ( OUTLET OR FIXTURES ) 20 ® 1.00 aAL .50 Ex. Occup. ( FIXED (RR O EDTS ES D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which.this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation i PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ,Date /= :a Sature of Applicant - ❑' Owner ❑ Contractoi �❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD 6SUE This permit is hereby issued under the applicable provisions of -the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. F 1 Yyi,L4i °-L to 4 %� PERMITEXPIRESON / (D.4) Receipt No. WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 1 95 / PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER r `/^ — `J ZON J BUILDG PERMIT OWNER TELEPH N1ET I SO, Fr, OCC. BUILDING VALUATION IF mit. OWNER MAID SS a 59 CONTRACTOR'S NAME T TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOLOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ IN R BUILDADD s PERMITFEE $ _ 4::a,c-if PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. S UBDNISIONS NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 5, Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities X Installation ❑ Other ❑ Describe Work: _ Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main ServiceOOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencin with Secti7000 of Division 3 of the Business and Professions Code, ( g on ) and my license is in full force and effect. - License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License L or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP, OR ( 8 ACC. BLAS. ) so - 3.50 FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 O ER APPARATUS PSIW(8 EROUTLE T CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL SO EX. Occup. OUTLETS RES D.)E0. ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compertsation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' __ Si ature pplica � Owner ❑ Contr. c r ❑ Agent 4 An OSHA permit is r cared for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. 0. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable he Butte County Code and/or Resolutions indicated above for which fe have been t' PERMITEXPIR SON ( provisions to do work paid. /S e) Receipt No. WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION lDEPARTMENT,Qr F DEtELOPMENT SERVICES,' 1469 Humboldt Road, Chico, CA - (916) 891-2751. 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE fiL.) OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 12nJec e— S �7✓ -t Date 1�1// % % j Inspector REV 10/92 w - , COUNTY OF BUTTE ;DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE " OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with therequirements of the California Administrative Code, Title 25, Chapter 5, under permit number -r!2- Z V" fo the folio in location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. ea, I P&O 3 ' 3 -3 Serial No. 213 It is hereby certified for occupancy at the above described location and may be occupied. Directo f Public Works Date By THIS CERTIFICATE IS VOID WHEF46MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 4- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 7 59- 7 5� for the following location: Owner.,._ Owner's Address 'Mobilehome Mfg. ��-''�''`�-~ Model Year Insignia No. /4.,. L21. t, 'i .3 Serial No. 7 Z 3 It is hereby certified for occupancy at the above described location and may be occupied. Date r 1 Director of Public Works By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. PERMIT NO. -.-289-,78P,E PERMIT EXPIRES OWNER Marguerite Peugh CONTR. Tri -V Const., Paradise LOCATION (A.P. 65-19-81 z 175 Vine St., lot 479, Fir Haven Sub, Magalia .K• y V�t J • it Temp. Power Pole Called/PG&E "I _ a -7 Temp. Elec. Serv. Cafed PG&E �2, 7 Temp Gas Serv. Called PG&E JOB r p FINALED S •� - % 8 (Date) a (Signature) 9. Electrical A. Is service large enough to provide adequate amperage -to mobire.home (must equal rating of mobilehome with a minimum ofj100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes // No B.. Is there proper clearances around panels? Yes VNo C. Is power supply cord•or feeder assembly properly fused? Yes r-�No_ D. Is continuity test satisfactory as per the following procedure? Yes ----No 1. De -energize electrical wiring system of the mobilehome at the pedestal 2. Make sure that the power supply cord or feeder assembly conductors; including neutral conductor,_have been.disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position., 4. Connect one lead of a test instrument'to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of.the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome: Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer'^and/or Namestyle � Length16 �j Width—� Vehicle Serial No. z� 3 State Identification No. Additional Information or Comments: R 0 a MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes �No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Yes°�No 3. Are footings and supports properly sized, spaced, and braced asr approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Ye s�� ,'No 4. Is the mobilehome level? (Sec. 5088) Yes v No_ J� 5. If mor a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes V"'No_ C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ No B. Does it have minimum k" per foot slope and is it properly supported? Yes— No - 3 o C. Are any leaks detected in drainage system after running 3 allons of water through each fixture including washing machine standpipe? Yes No_r/ D. If coach is not State of California approved, does station have required trap and vent? Yes_ No 8. Gas Piping and Gas Vents A. Connector -.Is mobilehome connected to theg supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. to ? Note: All piping is to be at least as large as the mobilehome gas line\iilet wit ut reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure Yes No 1. Open all appliance connector v lues. 2. Shut off appliance burner and p:klot/valves. 3. Air test with manometer to 10"-14' water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in enth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome /with\ onnector, turn on gas, test connections with soapy water. / C. Are all appliance vents properly installed Yes_ No -Ma StemlVall Slab Piers Stemwa I I Slab Carport Footings Slab Patio Footings isonry Wall: Relnf. Stee COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING kRest S0\1 Piping 1 t Floor Finish 2n Floor Windovk Siding Roof Shea in Roofing Fdn. Vents Garage Vents Insulation Prov. for physical , handicaooed Conformance of ex. Footin RE SPR IW 3rd 000 out ater.Pi ewer Fixtures Water Mr. Heaters Appliances Gas Piping & TemD. Gas Sanitation CE Final Stucco Final \ Mesh MECHANICAL Scrat HeatIrA Bro n Coo ng L F Ish D is In rior Lath ntilation �J or Closer anal "MOBILEHOMEUTILITIES ------------- -- Elec_ Service -yg •Z-'� Water Piping. ,T t _ Sewer 1 E ME INSTALLATION, - - - - - - - - - - Support . Water Piping -Zj `.? Drainage DATE REMARKS OR CORRECTIONS Fixtures Motors Water Hit. Subpanel Grd. F It Prot. Servs T p. Pole anal -DD 19 Elec. Pedestal Gas Piping Elec. Continuity - Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) L I. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS Y 7 County Center Drive — Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT above- a tinned property for inspection purposes. X Date ?,pl"110. nature of Permitee or gent Re� t White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I nls permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee DIRECTOR 0 PU LIC WORKS By ilding permit expires Date �-7 7 BUILDING Owner �e T - i5 LA a 14 SQ. FT. OCC. BUILDING VALUATION Mailing Address Z S' a- 4 .mac-, cc )— Tdo%V^•I:- / Telephone No. Fireplace Contractor _U C" iV C:7—eg�w CL6 Total Valuation Mailing Address 6IS � �,c�7?n1 NG_ Permit Fee Plan Checking Fee&/or Penalty eft- 0oS6' CCR97-'34j Telephone No. 3r Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 / s 2, 4 —t L4 �V rto�rfii,g Verificafion Only ft 11r Water piping ,Fg- Each gas water heater or vent 1.50 A. P. No. nl/! Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees` W.0 S t on Fire Dept. Fire Zone Use Permit Building sewer 69g �p EQA Pplanrking s Declarration Parcel— ap 60' R/W Improve ents Lawn sprinkler system 2.00 Bldg. Plans Redd Porca, pproval Plans Approval Permit Fee $ .9,3-061$ NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 '-- Main service 100 AMP OR LES5.00 6— —Main Main service EA. ADD'L 100 AMP 2.50 2,5-0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OE60 Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEWCON5TR. POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business.& Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@tCXa Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 1 2.00 Temporary service 10.00 / Mobile Home Facilities 15.00 License Na ��%a/ Classification �`� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5 ' o $ —7—_,677 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Wor en's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ Jam; I certify th I have read this application and state that the above informati( s correct. I agree to comply to all County Ordinances and StaLaws relating to building construction, and hereby -mithn riv a n1oH.. eye. —1 ♦4... n.....-.. �q 1,.f3K TOTAL PERMIT FEE $ above- a tinned property for inspection purposes. X Date ?,pl"110. nature of Permitee or gent Re� t White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I nls permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee DIRECTOR 0 PU LIC WORKS By ilding permit expires Date �-7 7 h 2005-0035474 klECORDING REQUESTED BY: Recorded I REC FEE 1®, Official Records I County of . I CONFORM COPY Butte I CMM J. GRUBBS I County Clerk—Recorderl AND WHEN RECORDED MAIL TO: I HP 010:16tllp! 21—Jun-200,5 I Page 1 of 2 BUTTE COUNTY BUILDING DIVISION IIIIIIIII"I'I�IIII'�I'I�IIIIIII�I 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GARY A. AND TANYA HOLCOMB REAL PROPERTY OWNEPULESSOR 6575 VINE_ ST. MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (iralso property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE FAR WEST MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-1474 (530) 538-7541 BUIL%NJ PERMIT N0. LEPHONE NUMBER 64, (, (SIGNATURE OF LOCAL AGENICIA - CP ATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FAR WEST 1978 FAR WEST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER A/B2239 57'X 20' CAL106032/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-190-081 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. Order No. 3-179717 ESCROW INSTRUCTIONS SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: THE SOUTH HALF OF LOT 479, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FIR HAVEN SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, MAY 19, 1955, IN BOOK 21 OF MAPS, AT PAGES) 31, 32, 33, 34 AND 35, AND AS SHOWN ON THAT CERTAIN RECORD OF SURVEY RECORDED MARCH 12, 1962, IN MAP BOOK 27, AT PAGES 8, 9, AND 10. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 385. AP NO. 065-190-081 Read & Aonroved X X X I {COUII;TY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT a�ao1�' auu anullec 1VFl IL uvea UI U \oUUIILy UI DUttO IU CIIICI Ut/U11 Ule above -mention ope y for ' spection purposes. X Date Signatureee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have b�eee aid. DIRECTOR ;F BUBLIC WORKS B,Datek 2 -;0Z- � e Al Iding permit expires Date BUILDING Owner U. SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor g^' Mailing Address Vh S CL R 1 Fireplace Total Valuation (j , Tel N Permit Fee Building Address I Plan Checking Fee &/orPenalty Permit Fee PLUMBING No.1 @ FEE . PERMIT FILING FEE $3.00 Each Trap . 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 A. P. No. ! g Zoning & Planning Each gas water heater or vent 1.50 F t_---' -Se�i Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking plans Parcel Declaration Parcel Map 60' R/W Improve m is Each additional outlet .30 Building sewer 5.00 Bldg. P16W. Rec'd I Parcel rovot PI Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family Du lex Mobil Home Others ❑ P ❑ ❑ Main service 600V OR LESS 100 AMP 5.00 -L 00_A Main service E4. ADD'L 100 AMP 2:50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLLING BLDGS.CCUP. s) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div.' 3, of the State of California Business & Professions Code under the name st of le y , , 1 NON-RESID (MULTI-OUTLET, NEW'CONSTR BRANCH CIRCU BRANCH CIRCUITS) 12.50ea NEW CONSTR POWER APPARATUS &, NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD{OUTLETS OR FIXTIIRES .IOAL@ BL@ FIXED APPLNS. OR Ex. Occup.�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License NcFAXQ 7 Lt2'� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE t am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. r-1 have placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. ertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws -wlating to bL, Iding construction, and hereby $ So ave, TOTAL PERMIT FEE $ auu anullec 1VFl IL uvea UI U \oUUIILy UI DUttO IU CIIICI Ut/U11 Ule above -mention ope y for ' spection purposes. X Date Signatureee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have b�eee aid. DIRECTOR ;F BUBLIC WORKS B,Datek 2 -;0Z- � e Al Iding permit expires Date MOBILEHOME SUPPORT DATA If other than single wide Mobilehome Mfr. J� VJ�'��— furnish Setup Model No. — Year v Width (ft.) Box Length(ft..), Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Single ,s rr'l--l. Wood either pressure treated or foundation grade. L J� (ft.)(in:) x (in.) (in.) �.1 ? ' ❑ 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) r71-1: Concrete block. 2-f x3 2. - Other ( specify) (in.) (in.)' Tagalong or Expando, show support details. (ft.)(in.) (in.) (in.) )� x3-01 -- Typical Support (in.) (in.) Footing Size (in.) (in.) (o -- Max. Pier Spacing Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET a 8. Is there any other electric-load,to be served by the mobilehome siteservice? --------------------------------------------------- Yes (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Nati 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? -------------- -'--- No / / (Amps) (This information not required if pipe length less -than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) 1. Owner's name: l r l R Ck u, C.,n 2. Installer's name:��- 3. Is the'site currently under permit? Yes /y/" No (If furnish permit number g� —7� 7-j' G ) OR yes ; Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away. from septic tank and leach fields and clear of all setbacks and easements? Yes No ) (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- © Amps 6. What is the mobilehome site service rating? --------------------- ��� C2 Amps 7 Wh t is the mobilehome site circuit breaker rating? ------------- p Amps a 8. Is there any other electric-load,to be served by the mobilehome siteservice? --------------------------------------------------- Yes (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Nati 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? -------------- -'--- No / / (Amps) (This information not required if pipe length less -than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) PERMIT NO. 4835-78B,E y PERMIT EXPIRES OWNER Marguerite Peugh owner CON TR. ?1: 65-19-81 LOCATION (A.P, ) 175 Vine St.; lot 479,.FH Sub, Magalia ti 1 is Temp. Power Pole Called PG&E Temp. Elec. Serv. i; Called PG&E Temp. Gas Serv. tCalled PG&E Ai JOB t a FINALED (Date) (Signature ' COUNTY OF BUTTE = DEPARTMENT-OF PUBLIC WORKS v BUILDING INSPECTION=RECORD BUILDING BUILDING'(Cont'd) PLUMBING Setback Firewall Soil Piping Forms r Parapets 1st Floor Main dg. Restroom Finish 2nd Floor - Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Shea hIn Water Piping Piers` Roofing Sewer Garage Fdn. Ve is Fixtures Footings Garage ents Water Htr. Stemwall Insulati n Heaters Slab - Prov. I& physically Applian4s i Carport handicapped Gas PI n & Test Conforman a of ex. Footings structure Tem . as i Slab Final Sanit ion Patio FIREPLACE Final 1 -S-FaOiin s Footin ELECTRICAL ' Masonry Walls Throat Rou h 'y ' Relnf. Steel Final Fixtures Bond Bea l{ _ FIRE SPR KLERS Motors j Framing1 Test Water Htr. ! Stucco Final Subpanels Mesh " ME HANICAL . Grd. Fault Prot. Scratch Heating Service , Brown Cooling Temp. Pole Finish Ducts Underground Q `� Interior Latfi Ventilation Permanent Door Closer Final Final yc,y� MOBILEHOMEUTILITIES ------------ J--- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping 1 E ME INSTA CATION - - - - - = - - - - - - - Support Elec. Continuity ' Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTI NS cd 0J\A� r .� (NOTE: An entr)T'must be made on this form each time you visit the job site.) COUNTY OF BUTTE .— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive 1 Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Receipt No. -yX 7 o" q White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ulldlflj permit expires Date Y-2-1— 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION ' D Mailing Address - Q Tee hones No. Contrac or Mailing Address Fireplace Total Valuation S O O Telephone No. Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee PLUMBING @ I FEE —No.1 PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 p A. P. ,7 ��/ — / Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F s I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 6 R/W Improve ents Each additional outlet .30 Building sewer 5.00 BldIons Recd Parcel Approv Plan Approval Lawn sprinkler system 2.00 NEW In ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service ;0000 AMP ORV OR SLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others/nJ Main service EA. ADD'L 100 AMP 2.50. Main service OVER 25.00 100 AMPP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OR ADONS. \ ACC. BLDGO 20 sq ft D CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name $t le of: y NEW CON STR MULTI-OUTL ET NON-RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. (POWER OUTLET CIR- Ex. Occuo(OUTLETS OR FIXT11RES bu A APPLNS. OR Ex. QCCU (OUTLETS p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 / I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. My I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X-� Date Signature of ermitee or Agent _ r % 'on Land Development Fee $ TOTAL PERMIT FEE $ Z This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been 'd. DIRECTO P LIC WORKS c� p Dated Receipt No. -yX 7 o" q White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ulldlflj permit expires Date Y-2-1— 7 P:, .007 ,A""Y License No. 354.166 0. B(3x 668-- , �► io; CA, 95954 COUNTY OF BUTTE Department of Public Works 7 County Center Drive .Oroville-==--534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Location 1 Laundry Circuit ............................ _ 1,500 Mobilehome Installati n termit No. —� FILL IN INFORMATION FOR ITEMS 1 THRU 10 5. Cook Stove Top ............ .............. . Watts 1. Width Hot Water Heater ............................... x Box Length S' O x 3 =T( "i COO Dishwasher & Disposal 2. 2 Kitchen Appliance Circuits = 3,000 3. 1 Laundry Circuit ............................ _ 1,500 4. Ovens 3 a �. ........................................ = a -0 5. Cook Stove Top ............ .............. . _ k4D O d % o. 6. Hot Water Heater ............................... _ `4S;1 D 7. Dishwasher & Disposal -(417 --rd ......�........ _ % S�Q d 8. Clothes Dryer ................................ 9. Other (specify, i.e., motors, exhaust fans, etc.) _ 900 Sub -total - Watts ..... Ps 100 First 10,000 watts @ 100% ......... = 10,000 Remaining ���/ � watts @ 40% 10. Air Conditioner watts @100'/0.. _ ) (y Largest Demand = f 27 ©dS Central Heat System Jai; -SD watts @ 65%.. = ) Q TOTAL DEMAND WATTS REQUIRED ............. 6 "Demand Watts Required" ; 230......l............ _ �� / AMPS 6UM COU N -- De-rate.Mobilehome to ............. ....... Z ., AMPS oUILDING DEPARTM ' ' �,�� APPROVED t ��. --- �' �` J L 1_ i`: ,(' � -. is � Q1y i' . t �.. .. p_ . L� A � U .i 1" 59.3.7:78B ' PERMIT NO. PERMIT'EXPIRES -OWNER Marguerite Peugh CONTR. owner LOCATION (A.P. 65-19-81 ) 175 Vine."St., lot 479, FH Sub, Magalia z g Temp. fiver Pole Calyled PG&E TempAElec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED 3 A (Date) (SignatureV. . J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS stucco Final J Subpanels Mesh MIkCHANICAL Grd. Fault Pr t. Scratch BUILDING INSPECTION RECORD Service BUILD , G BUILDING (Cont'd) PLUMBING Setback Firewall / Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor ,Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Slab Prov. for phsically handica ed Conformance of ex. structure 2 1 Final % z3 •7 cyn cl- Appliances Gas Piping &Test Temp. Gas Sanitation Patio FIR P ACE Final. Footings Footing E ECTRICAI Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Bean FIRE SPRINKLERS Motors Framina i 1 �b 7 S'.il; Toot W.f.. u.. stucco Final J Subpanels Mesh MIkCHANICAL Grd. Fault Pr t. Scratch Heating Service Brown Cooling Temp. Pol Finish Ducts Under rou d Interior Lath Ventilation Pennane t Door Closer Final Final MOBILEHOME UTILITIES ----------• ------ Elec. Service Elec. Pede tal Water Piping Sewer Gas Pipin BI E IME INSTALLATION Support Elec. Con inuity Water Piping Drainage Gas Pipinfi DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNT , OF.F4.ITTE — DEPARTMENT OF PUBLIC WORKS : �• 7 County Center Drive — ,Orovi,lie, California 95965 Tel epVne: 534-4541' APPLICATION AND PERMIT ` BUILDING Owner 2 L' j2� �G[J�i- SQ. FT. OCC. BUILDING VALUATIO Mailing Address i Telephone No. Contractor w, Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 'NL Plan Checking Fee &/orPenalty D Permit Fee 706 (y� b —P PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. S g �- �� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F V<W. S ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel royal Plan rovol Lawn sprinkler system 2.00 NEW DQ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.0cup- s) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTR MULTI -OUTLET NON.RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES B L@; Ex. Occu FIXED APPLNS, OR p•(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 al I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County Df Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ % aumorize representatives or the uounty or t3utte to enter upon me This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. xXof ate�� DIRECTOR 0 U LIC WORKS Signaturele—it ee or Agent - Receipt No. �� � _ '7it L White-D.P.W. – Yello'w-Assessor – Pink -Inspector – Goldenrod -Applicant Bu' ng permit expires Date 'S° YV;CWO �7�'�G11