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065-190-090
a Jeff Saine NIS Deerw d -r. , 2'60'N. of Holmwood Dr., lot 45 -Magalia: Permit #3 40-77P,E(utij,,MH) + - ELEC. /. 6 GAS ' SUPRRT STRUCTURE COMPACTION TEST REQ, l, Y/{ + Permi`.�' Issued • ..�,�•�p 5-19-90 - Peif #733 � 9: E ( upgrade eds .site- _ + util.,MH) S t ELEC. �QOffiu/J ! ooc GAS- -SUPPORT-STRUCTURE-REQ---- r""" COMPACTION TEST RSP, ffongaI1E 6-19-90 Cnntr: Bekch MH1, Chico ` Permit#7296-79MHI issued /a r 65-19-90 Permit #1145-80B(2 ew open decks/MH) _ a 8' } 065-190-090'a«, PARKINSOt 05 1319 ,� N, GRANT t 6575;TALL PINES,' M GALIA"k,�ry2�f{c',• } ,Cont 4CHIC0 MHS,R: 4' 'v "EX MH PERM FN_D " we 7 } t, 1 +,L f 1 f RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I Official Records 1 County of 1 But I CANDAL'E J. GRUBBS 1 County Clerk—Recorderl 1 02:@M 13—Jun—M, I REC FEE 10.00 COVOR1ED COPY 1.00 KH Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GRANT PARKINSON REAL PROPERTY OWNER/LESSOR 6101 BOWMAN AVE. MAILING ADDRESS PARADISE BUTTE . CA 95969 CITY COUNTY STATE ZIP 6575 TALL PINES DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS MANUFACTURER'S NAME OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-1319 530 538-7541 BUI PERMIT NO2. ^ TELEP/HnON NU nBE`R_ W SIGNAf-URE OF LOCAL AGEW O IAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD 1979 BARRINGTON MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMUlNUMBER CAFL2A/B907091616 60'X 24" 140456/7 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-190-090 HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. BUILDING PERMIT NUMBER: 05-1319 Address or location of unit: 6575 TALL PINES, MAGALIA CA 95954 Legal Description of Real Property: AP#: 065-190-090 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: GRANT PARKINSON Owner's address: 6101 BOWMAN AVE., PARADISE CA 95969 INSIGNIA OR HUD NUMBER: 140456/7 SERIAL NUMBER OR V.I.N.: CAFL2A/B907091616 MANUFACTURER'S NAME: FLEETWOOD YEAR: 1979 OFFICIAL APPROVING INSTALLATION: A44/ DATE: �/r/o` — PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 13 -Jun -2005 2005-0033588 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. GRANT PARKINSON REAL PROPERTY OWNER/LESSOR 6101 BOWMAN AVE. MAILING ADDRESS PARADISE BUTTE CA 95969 CITY COUNTY STATE ZIP 6575 TALL PINES DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso Property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-1319 (530) 538-7541 TELE BUT NPESUIT NMX1 SIGNA"OF LOCAL AG O IAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO FLEETWOOD 1979 BARRINGTON MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL 14AMENUMBER CAFL2A/B 070 1616 6or X 2a" 140456 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABBEL Nl1MBER(S) aces PROPERTY LEGAL DESCRIPTION C"C'C A TT A ('T-T'Pn ASSESSOR'S PARCEL NUMBER 065-190-090 HCD FORM 433(A) REV. 8/91 unirrc - r,..,"w R"cnrder CANARY - HCD PINK -Applicant GOLDENROD -Building Dept. i, Sep 14 2000 11:45RM HP LASERJET FAX '15l03i65 OS:46 FAX 530 891 T647 BTEC CUSTOMER SERVECE X1004 OkdcrNo.: Mr. 18825.003 THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE Iii THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS. PARCEL L• THE SOUTH HAL) OF LOT 454 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "FIR HAVEN SiUBDMSION", WHICH MAP WAS RECOi2DEB IN THE OFFICE OF THE RECORDER OF THE CO=UNTY OF BUTTE,'STATE OF CALIFORNIA, MAZE 19,1955 IN MAP BOOK21, AT PAGES 31,32; 33,34 AND 35. AF NO. U65-190-090 EXCEPTING THERYWROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE ARID EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD 1CPLAT IN ALL NUKING OPERATIONS THE S URFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAA1A,GE; AND'fRAT ALL SUCK XNi INC. SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS, HAVING THEIR OIZ nCES OUTSME OF THE SURFACE AREA OF THE ABODE DESCRIBED REALTY, ALL-ASEXCEIPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS ET UX, RECORDED SEPTEMMER 4,1947, IN BOOK 423 OF 6U tE COtINPY OFFICIAL RECORDS, PAGE 385. PARCEL 11: A MIGHT OF WAY FOR ROAD PURPOSES O'VERTHE SOUTH.15 FEET OF LOTS 455 AND 456 OF SAID FIR HAVEN SUBDIVISION. EXCEPTING THEREFROM: Mobile Hoare Nlanuiactured to 1979 by Fleetwood, Tradename: Darrlrfgeoa, Decal #LAL3535, Serial#CAFL2A9070916161CAF2B907091616 p.4 - NOTES. *' RESIDENTIAL r • � ,, �_r_� r� =--t � OS -1319.. . . PERMIT ;065-190-090 PARKINSON, GRANT ' R6575 TALL PINES, MAGALIA ` S *� - (9.'• Cont: CHICO MH, EX MH PERM FND ' ., �'f �'�,� �f ;�..�',. t Gem .. r►r-• •� . ' r SPECIAL CONDITIONS CHECKED BY +SRA. *l FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER. , .JOB FINALED (Date) fr Signature J=OK 0 =Not OK otabte = NReady MOBILE HOMES . =Not Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" LW P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date (p 7Card B-1 h.r t Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 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 Date 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) ,V'Zff ring Requirements -Setbacks -Easements 90 bngs; Size -Spacing -Marriage Line . Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 4lExits 10. License Decals 11. Verify #'s with Office Date (p 7Card B-1 h.r t 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 = OK = 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.-/ r Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth S. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral 0 Yes 0 No 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting -Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55_ Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiftration-Walls-Windows Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, 'Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit_ Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes O No/Walks D Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing, ' 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Duds Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting -Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55_ Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiftration-Walls-Windows Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, 'Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit_ Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes O No/Walks D Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing, ' 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 4 t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051319 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION = I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/07/2005 APN: 065-190-090-000 the Business and Professions Code, and my license is in full force and LcentseClass: 7` L nseNu Sd Site Address: 6575 TALL PINES DR MAG �er /7 _-7�_ Map Index: DateContractor: Description: ex mh perm fndn (1440) OWNER -BUILDER D CL ATION 1 hereby affirm under penalty of per; ry at 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 r7equires a Owner: VANGIESON TODD A &KELLY S permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 733 DAMROW LANE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or PARADISE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95969 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: DOREMUS, GERALD GLEN pp owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for P O BOX 4121 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA 95927 proving that he or she did not build or improve for the purpose of 530-895-1774 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: DOREMUS, GERALD GLEN pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code P O BOX 4121 CHICO, CA 95927 Date: owner: 530-895-1774 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 445103 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: otal Square Ft: 0 S. F. Policy #: Valuation: $0.00 ❑/ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith, comply with those provisions. Date: Applicant: WARNING: Failur to se re workers' compensation coverage is unlawful, and shal subject n employer to criminal penalties and one hundred thousan dollar ($100,000), in addition to the cost of 1 G compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. O CONSTRUCTION LENDING AGENCY This permit is herebyv issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutio _ vork in 'toted above. for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ? b Name: By: Date: -,db Address: PERMIT EXPIRELU. Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the sulzstance an icial form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for ihspectio j rpo s. ` Print Name: ?0A Signature: Date: ❑ Owner Contractor Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 $ OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION BIN # Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" Name Address City Phone E-mail Name Address City ARCHITECT/ENGINEER r State I Zip / t State License Number C,v APPLICANT NA Phone �ti f E-mail APPLICANT SIGNATURE X uy - For ice u e only: OWNER Last Name O I First Name/11 Address 6Pti City `� State State Zip Phone Fax -PS /-77-/ Fax E-mail Lic. # VY /�Clas�y Name Address City Phone E-mail Name Address City ARCHITECT/ENGINEER r State I Zip / t State License Number C,v APPLICANT NA Phone �ti f E-mail APPLICANT SIGNATURE X uy - For ice u e only: CONTRACTOR Name I Address �2 / City I� D State Zip s Phone _ 7 Fax -PS /-77-/ E-mail Lic. # VY /�Clas�y Name Address City Phone E-mail Name Address City ARCHITECT/ENGINEER r State I Zip / t State License Number C,v APPLICANT NA Phone �ti f E-mail APPLICANT SIGNATURE X uy - For ice u e only: Zc in g Flood Zone I SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Tot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Description or Scof Work: 14'IH © ti Sq. Footage c fc'O `r:1 Structure Built without Permits b" Proposed z (Note prev ous use) f EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Amount: C)l I`IT LOCATION AP# _ 0 "90 Property Address T at/ �� 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 Scof Work: 14'IH © ti Sq. Footage c fc'O `r:1 Structure Built without Permits b" Proposed z (Note prev ous use) f EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Amount: C)l I`IT Bldg W SRA Receipt #: Sheriff i?z v�� SMIP Page 1 of 2 Date:61 0 b5 -1 r, :�) , �• Total 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. REQU.E,ST.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 DIVISIOIU; 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ���1 `�7��� %ASSESSOR PARCEL NUMBS Proposed Building Use: _ l ' �Peit Technician: Date: ✓ I + G Items required in order to apply for a permit. II boxes MUST be checked OR marked NA in order t ply. {0 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 Ind 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 fog non-residential' buildings, ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico O 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 ........................................... 0 19. Erosion Control Plan Required........................................................................ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ .. 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: .... heck:............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form.....................................................................:....................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits ...................... .................................... ❑ 34. Deed Restriction.....? .. ...... :......................................::.............................. . ❑ 35. I;egal descriptio.H. Title, title search, registration or MCO ......................... ❑ 36. er. ❑ 37. Other: When issued Telephone gel "': \� I clk and hold for pickup. I have beefl-infor ed of the above items and requirements for obtaining a building permit. Applicant: Date: 19 �1 1. Index permit pplication for the above items numbered: Plan Check Lett r dd Aitional ite s required f- , 9ontra designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: ntractor, 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, by Date: Plans reviewed by: Date:Plans approved by: Date: .- Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Divisio OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 BUILDING USE SCHEDULE OF FEES DUE 1. BUILDING PERMIT FEES Balance Due ....................... $� Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $_ Units Commercial (sq. ft'.) ............... x $0.03=$— Sq. 0.03=$Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x _ $ # Units Amt. Commercial (sq. ft.) ............ —x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) A.P. # S 0 s s DATE G RECEIPT # DATI REC. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changedduring the plan checking process. APPLICANT DATE-5— Pursuant ATE Pursuant to Govefnment Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) d I 1= t Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 - INDEX Approval PAGE RELEASE UMWACMED ROMMOMM RWAS SECTION NUMBER - DATE FOUNDAMONSY97SM FOOTER SIZES INTRODUCTION - 2 GENERAL INSTALLATION 3 PARTS LIST 4_& 5 LONGITUDINAL DEVICES 6 PIER HEIGHTS 7 SET-UP INSTRUCTIONS 8 FOOTER SIZES WIND ZONE I - SINGLE 9 - DOUBLE 10 - TRIPLE 11 -HIGH PIER 12 WIND ZONE II - SINGLE 13 - DOUBLE 14 - TRIPLE 15 V -DRIVE & PIER SYSTEMS 16 SOIL CLASSIFICATION E 17 CONCRETE INSTALLATION 18 & 19 MMU AW SAnrff CODE. 96cnoN fwi Af+1�ROM 9/2/03 t , - 1Uw=70C01U=0M1M 9/2/03 A?WMAL f30 XCYrAtrl R0ffi= Oft Ai+ %M 9/2/03 + orrs Ox Drv'Azcm n ON RSQUisfww5 AffUCAM& 9TAW LAWS AND REOU"> -9/2/03�� 9/2/03 � cAibsrANiffta� 9/2/03 �. _ "- ! 0:3 BP t t 9/2/03 w - 9/2/03 ' /�a�e,✓v� ( �-o be- oa+ 5-1K, 9/2/03 9/2/03 9/2/03 ' 9/2/03 _ �Q1���E M. ,�ki� 2 9/2/03, No, 6024/5 9/2/03 SOFT Dv;a; ' ,- 9/2/03A'", 9/2/03� . • �' �, � �' � ;-- .. `-• ,�,.,Ry y .. so ' ,BUILDING AT' *" COMPONENT PARTS AVAILABLE UPON REQUEST A 0 a 0 r, I C `%. ` T Tie Down Engineering, Inc. T . VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also. refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. (��' VK <K I 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. ft. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. Page 4 California 9/2/03 �a� Vector DynamiCs Foundation Systems _ Longitudinal Component Parts List Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Voctor 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. . (foruse 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" " # 48613 -Double Section,.34 - 60" (Includes short u -bolts, nuts, washers .,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 I I I I I I I I I I I I I I I I I I o Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Wind Zone I Triple Section Wind Zone I Tag Section 9 48 Ft. Max. California 9/2/03 1 T Wind Zone I Tag Section 9 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". �X Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts 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. YI IVY V� W 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Page 8 California 9/2/03 Home Length . Vector Systems Required Anchors Required Per Side or 24" Pier 24+" Piers L.S.D. 0 t 72' 3' 2 3 2 73' to 90' f . 4, , 3 . " . , 4 2 WIND ZONE I, SEISMIC ZONE 4 �� Vector Dynamics Systems Required for _ _ '; - - '• ' `, Single Section Homes (Materials Required) lhoMe 01 a \ / /' F� 3 �'/ f • y£Fft3P` .•`qp �E3 \ \ / •+ i - y - r 1 ;z w. 3 rt CD 6 7`d , Note: L.S.D.= Longitudinal.b� _ NOTE: Vector Systems should be spaced as Stabilization Device y - _- symmetrically as possible along the length See Page 6. of the home. Pier spacing must be consistent with home manufacturers' o Soil Classifications: ' 2 3, 4A, & 4B instructions and/or state requirements. Soil Bearing Capacity: 1,000 PSF minimum .. �. Anchors Required: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties Home Length . Vector Systems Required Anchors Required Per Side or 24" Pier 24+" Piers L.S.D. 0 t 72' 3' 2 3 2 73' to 90' f . 4, , 3 . " . , 4 2 �} i vu11��] Each Vector System'requires one of the following:. 1-4x4 or 2-2x4's pressure treated wood compression member; t• _ M Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) '��2 sq. ft. pad V >y CD 1 C) 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, & 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 L.S.D. 0 to 40' 2 0 2 41' to 66' WIND ZONE I SEISMIC ZONE 4 0 3 67' to 84' 4 0 4 85' to 90' 5 0 4 Vector Dynamics Systems Required for " Double Section Homes _ " " " - - ' " " - " " " _ - _ ' h° me (Materials Required) - - - - - - -�e O tin sep ub _- dO �H \ ---------- ,e Of \, r \ •� � £ ._..:;. f � t fr3�4e f�°�� \ I \ t \ 'k. esar�'ri" � �`\ � ,�✓� �: — � � Lr �, Zn m� �� .w+" ,x`t. i fy'C'eM�z�i'ie 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, & 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 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: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. . Home Length Vector Systems 'Required Anchors Required Per Side LSD, Main TAG 0to48' 2+2 on Tag 0 2 1 49'to71' 3+2 on Tag 0. 2, 1 72' to 84'-',. 4 + 2 on Tag 0 - - 2 2 85'to90' 5+2 on Tag WIND ZONE I, SEISMIC ZONE 4 2 Vector Dynamics Systems Required for " e�t�onhoysert�s ' -' " , - �6 fi� m�t�9 {, �ectO - = I , ♦ \ Triple Section homes - " spa- " " - ' ' " \e of a ♦ ` ♦ ` \` - - - neral amP s 9e ' Eaion ♦ `♦ (Materials Required) - -1 ` sh°W $fit#t = ``311 \\ " - • 1 this3 .F - � m ,... � R €3. '„ ^ 'r ; � ♦\ � ys mm3 - ' 1"F11 omits ;;Mry�,Y35i £ <`£J<s ��'i3£ tEk tl,w y�SY#'":il. _ • ! ��£I ��i�;;5S555In' \ ♦ ♦.rte""'` V/ sY F ♦ ♦ - NOTE: y CD When a pier height at Vector locations exceeds 46", an �?< anchor must be used on the outside wall/beam at that Tag or------V ; approximate location. full triple `♦ I "`�# . NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the t home. Pier spacing must be consistent with home Soil Classifications: 2, 3, 4A, & 4B j manufacturers' instructions and/or state requirements. Soil Bearing Capacity: 1,000 PSF minimum •� . Anchors Required": None ('Marriage wall anchors may ' o i be required by home manufacturer.) Home Length Vector Systems 'Required Anchors Required Per Side LSD, Main TAG 0to48' 2+2 on Tag 0 2 1 49'to71' 3+2 on Tag 0. 2, 1 72' to 84'-',. 4 + 2 on Tag 0 - - 2 2 85'to90' 5+2 on Tag 0 2 2 �o !� Each Vector System requires one of the following: 2 sq. ft. pad 2 sq. ft. pad 1-4x4,or 2-2x4's pressure treated wood compression member, • Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) Vector Dynamics Systems Required for Double Section Homes (High Pier Sets with Diagonal Ties) h me S b1e e�tion 72' dou _ -CD NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. WIND ZONE I Max. Height Unit Width See Page 7 CO �p i•Beam (� Spacing ,1 r R2 sq. ft. 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 45' Min. Each Vector System requires one of. the following: 1-4x4 or 2-2x4's pressure treated wood compression member, L Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE II (not to scale) 24„ L Home Length Vector Systems Required 1 LSD "0 to 48'. 3 5 2 49' to 60' 5 6 • 2 WIND ZONE II, SEISMIC ZONE 4 (Hurricane) 7 2 73' to 84' Vector Dynamics Systems Required for 8 2 85' to 90' Single Section Homes 9 2 (High Pier Sets with Diagonal Ties) <ionean ect%e\anoonm 2 W{9inevbhmeinta We s ee o at oy n00nP F _ - - y x ; NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the - , Soil Classifications: 2,3, 4A & 46 home. Pier spacing must be consistent with home,.. " - �: ; Soil Bearing Capacity: 1,000 PSF minimum _ manufacturers' instructions and/or state requirements. ,y Anchors Required*: 30" with 4" helix anchor (59095), ` - 1-1/4" vertical ties w/4725 lbs. min. Maximum allowable working drag load for the Vector breaking strength.' System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. WIND ZONE II (not to scale) 24„ L Home Length Vector Systems Required Anchors Equired per side - LSD "0 to 48'. 3 5 2 49' to 60' 5 6 • 2 61". to 72' 6 7 2 73' to 84' 7 8 2 85' to 90' 8 ` ` 9 2 "€ dw CD Each Vector System requires one of the following: cs 1-4x4 or 2-2x4's pressure treated wood compression member, f��£�.a • 2 sq., ft. pad Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) ` �M "€ dw CD Each Vector System requires one of the following: cs 1-4x4 or 2-2x4's pressure treated wood compression member, f��£�.a • 2 sq., ft. pad Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) ` Lv 0 w WIND ZONE 11, SEISMIC ZONE 4 Vector Dynamics Systems Required for - _ , - - - ' `e Se�t�ec o s a �a, g��de�`nes Double Section Homes - - - " " dok1b fov v n man t at,o tnP�e Of s 9 2e ae s h m %nsta\� n EXa ►on show most b t adsa �ndation P i 2 n• �,,: - I NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Soil Classifications: Soil Bearing Capacity: Anchors Required": 2,3, 4A & 4B 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Anchors Equired per side Vector Systems Required LSD 0 to 48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 3 73' to 84' 7 7 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) tv" CD Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48'. WIND ZONE II, SEISMIC ZONE 4 • 2 1 49',to 71' 4+ 2 on Tag 6 3 2 72' to 84' Vector Dynamics Systems Required for"e 7. 3 Triple Section Homes 5 + 3 on Tag . 8 _ - _ - ' ection h°m terns When a pier height at Vector locations exceeds 46", an (Materials Required) , _ tee hecto - _ - ' �r fit pay anchor must be used on the outside wall/beam at that - °fi a neral ... r=------- '" E Showsn9 \` - � NOTE: Vector Systems should be spaced as I g cn symmetrically as possible along the length of the,,, home. Pier spacing must be consistent with home . /gl C 1 'rag or full tri le tv" CD Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48'. 3+2onTag . 4 • 2 1 49',to 71' 4+ 2 on Tag 6 3 2 72' to 84' NOTE: 7. 3 2 85' to 90' 5 + 3 on Tag . 8 3 When a pier height at Vector locations exceeds 46", an \\ Y anchor must be used on the outside wall/beam at that .-- ... approximate location. \` - � NOTE: Vector Systems should be spaced as I g cn symmetrically as possible along the length of the,,, home. Pier spacing must be consistent with home . manufacturers' instructions and/or state requirements.. 'rag or full tri le W ' Soil Classifications: 2, 3, 4A, & 4B . p ;;MO Soil Bearing Capacity:- 1,000 PSF minimum c, Wyk Fz Arichors Required": 3/4" x 30" with 4" helix anchor 1-1/4" vertical ties. - 'v .(59095) w//4725 lbs. min. breaking strength. tv" CD Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48'. 3+2onTag . 4 • 2 1 49',to 71' 4+ 2 on Tag 6 3 2 72' to 84' 4 + 3 on Tag 7. 3 2 85' to 90' 5 + 3 on Tag . 8 3 2 C' Each Vector System requires one of the following:IL CD 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel'compression (see parts list) 2 sq. ft. pad I } Y Vector Dynamics Metal Pier & V -Drive Installation = - METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16". Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V -Drive System for rocky soil conditions 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 ;,ice :s+.; -G., �4 M i ; s�...._-�►,-�,ti- VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems maybe used. only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs = in. T cemented sands, coarse - 2 gravel and cobbles, ' preloaded silts, clays, and corals ' Medium -dense coarse 24-39 350-549 lbs. -.in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs = in _ r , Peat, organic silts, 0-44 175 lbs - in., 5 inundated silts, loose fine and lower sand, alluvium, loess, - varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81• in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector. Foundation Pads Equivalent•to-Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in. 0 20x20 = 400 sq. in. - or 16x18 = 288 sq. in. - or 17x25=425 sq. in. EQUALS- _ EQUALS _ " 2 -Vector Pads # 59275 - 1 -Vector Pad # 59271 288 sq. in. or "432 sq. in. 1 Vector Pad # 59130 - Vector Pad(s) exceed the •surface area required when used as the equivalent listed above: *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En ineer miliar with site . conditons Page 17, , 'California 9/2/03 f Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pE for concrete footer Page 18 California Wood Cap and wedge Outside 'Tension Bracket Wedge Bolt *xL! 9/2/03 Ct •L is t.��'.?:N^J.IwnTt�' 4�rt>•y+-JSSI�IY�+�i�s ector Dynamics System for Concrete Applications m �- Instructions r' 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 bo`it: Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration T Inside Tie Bracket Compressh boards of PVC Pipe V U -bolt Vector pad for concrete Concrete footer Page 19 '.'California 9/2/03 Sep 14 2000 11:44AM HP LASERJET FAX p.3 05/03/03 09:46 FAX 550 894-7647. •, BTEC CUSTOMER SERVICE I�003 RECORDING RZQUE8TED BY '.Sidwell 2004--ttdia7�6�6" Title &ZwowCom an P Y . .. Reeordad I Ff� FEE 10.00. . Official Records.. 17AX 79.73 Cow Of AND WHEN RCCORDBDWULTO 1 n.nu Grant Pttrkieon CANDACE J. 8f✓LBBS I dia1 flowman Drive. R09EMARY DICKSON I Aesistat I Travis Paradiae;CA9s969 09 -WA 13 -kc -204 I page I. of 2 urr o,nnwo. . 00219825-003 SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. D6S•I90-0lD olo:ozi.sea• .-GR.ANT.DEED THIS FORM FURNISHED BY BIDWALL TITLE& ESCROW COMPANY -rhe, Undersigned Grtuttar(s) Dmiatc(s) Documentary Transfer Tax Is $72.715 0 Citymwn of iii.: computed on tall value of.intetest or property Conveyed, or . O Un incorporated Area 0 'Nit value lets value of tions orcmumbronces remaining st. the time of sale O Monutxbt Fee ofS 10.00 FOR A VALUABLE CONSIDERATION, mceiprofwhieh is hereby mknowledgcd,. Todd A. VanGieamr and Kelly S,.VaaOiesutt, Kusband and Wife as Joint Tenants. hereby GRANT(s) to Grant Par)Cison.'AIt (lamarried Main..-, she lbtlowing teal property in the O Oty of .. Z Unincorporated Area, County of Butte, State of Celifornio: .. S>EE EXHIBIT. A ATTACHEI) HERETO AND.MADE A PART HEREOF -rod�.�► v 1;. ar a 7 O.M. Kelly S YkAwIleon . OccumentDate: November 23, 2001 State orCallfomia . County of 9uC:C } SS. On (y(Jp � �y ,before etc, the undersigned, a Notary?ublie in ar.d for said County and State, personally appear6d Todd A.'yanGieson and Kelly 5.yamsiemi—v Pcraonally known -to me (ot proved .to me on :he basis of aetisfaeto y. FOR NOTARY SEAL OR STAMP evidence) io be the person(*) wboad norm(a) islare sjbacrited to the.-. within inct,untent and acknowledged to me that helsbeJthey Ckecuted . the Sante in .hWherttheit su1hori2ed' mpad1y(ies), and: that by hWherlt4eu signattire(s) on the instru-mm, the.petcon(s), or the entity JANET CLARK upon b hatfof which the person(*) acted, executed the instrument, . , ' COMM. 4 1473379 as HOTARY vuottC-cA'UFORMA vliTNES5 my land and o.'ticial'aea1.. COUNTY OF BUTTE' COtnM. txpitp . a ch 77, 7002 MNL ?AX STAlEA4ENTS TO : 8ametts Above' READ;&APF+QQ���� p e�ec:rtw+rat<ro ©. a�G�1�:..Oic APPROVED 05/19/05 09:24 FAX BIDWELL TITLE fa001 STA'M OF CALIFORNIA • BUSINESS, TRANSPORTATION AND HOUSING AGENCY ILD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND,--,MMUNITY DEVELOPMENT ING A. Division of Codes and Standards Title Search Date P inted : 01/03/2005 bt u Decal #: LAL3535 Manufacturer: FLEETWOOD Tradename: BARRINGTON Model: Manufactured Date: 00/00/1979 Registration Exp: First Sold On: 00/00/1979 Serial Number CAFL2A907091616 `— ZAF=90709t616 Record Conditions: i Registered Owner: Use Code: SFD Original Price Code: AHD Rating Year. Tax Type: LPT Last ELT Amount_ Date ELT Fee Paid: LLT Exemption: NONE HUD Label / Insignia Length Width 140456 60' 12' PPP Exerapt Voluntary Conversion to LPT GRANT PARKINSON 6101 BOWMAN DR PARADISE, CA 95969 Last Title Date: 12/3112004 Last Reg Card: 12131/2004 Sale/Transfer Into: Price $1,500.00 Transferred on 12/13/2004 Situs Address: 6575 TALI, PINES MAGALIA, CA 95954 Situs County: BUTTE Legal Owner: MANWILL FAMILY TRUST 040697 PO BOX 1733 PARADISE, CA 95967 Inactive Decal/DMV,: I DMV SS4085 Title Searches: BIDWELL TITLE 145 PEARSON RD PARADISE, CA 95969 Title File No: 218825-.I"PC *** END OF TITLE SEARCH *** BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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. r License Class : L\ nsa Nu er: � ll Dale ell Contractor: _ OWNER -BUILDER D CL ATION I hereby affirm under penally of perj ry that I am exempt from the Contractors' Slate 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 file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or . she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions 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. If 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.). d I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt 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: ❑ 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: � I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: WARNING: Failur to �sere workers' compensation coverage is unlawful, and shatsubjeemployer to criminal penalties and one hundred thousan� dolla100,000), in addition to the cost of compensation, damages ovided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097 Civ.) Address: PERMIT NO. BPO51319. Issued Date: 06/07/2005 APN: 065-190-090-000 Site Address:' 6575 TALL PINES DR MAG Map Index: Description: ex mh perm fndn (1440) Owner: VA SOV -66D A & KELLY S 733 PA - . -95969 4� l_i��4 / 9ERALD rvtu LApplicant: DOREMUS, GLEN 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 MP Architect: Engineer: )tal Square Ft: 0 S. F. Valuation: $0.00 Census Code: PERMIT :r the applicable provisions of the Butte County Code and/or above for which fees have been paid. / / Date: G 7 ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance'with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that i have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance an fficial form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspectio purpo s. Print Name: ' 2 w2 % vSignature: C �� Date: ❑ Owner Contractor Agent for Owner ❑ Agent for Contractor n �. nunuinu rennin v i-io-vv vu i Inspection Type Insp. Date Ground work Setbacks Foundabon/Footings Piers Grade Beams Eufer Ground Hold downs Stemwalls Do Not Pour Concrete Until Above Signed Slab - Test Yard 1 e1 Lift 2"�Lifl 5W -Lift Gas Until Above or Butte County Depaftment of Deveao+ament Services inspection Card 24 'HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 535-7541 FAX #: (530)538-2140 Visit our website at: wvwv.buttaccuniy.net/dds ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type Insp. Date Framing Rough Framing Rough Plumbing Rough Mechanical Rough Electrical Rough Gas Roof Sheathing Straps Shear Transfer Shower Pan Rough Sprinkler Do Not Insulate Until Above Sinned Insulation Wall Insulation Ceiling Insulation Do Not Cover Until Above Signed Shear Interior Shear Exterior Shear Braced Wall Wall Covering T -Bar Ceiling/RC Sheet Rock -15 layer Sheet Rock -2nd layer Separation/Location Framing/Openings Gas Test House Pipe Stucco Lath Scratch + Brown Finish Inspection Type Insp. Date Final Plumbing Final Mechanical Final Electrical Final Insulation Certificate Final Sprinkler Swimming Pool Setbacks Pool Steel/Pre-Gunite Electrical Bonding Enclosures & Alarms Plumbing Electrical Gas Test Light Nitch Other Agencies Insp. Date Public Works Sewer Sec Ins ection Fire Department Underground Final Sprinkler Fire Final Temp Elect Auth Elect Authorization Gas Authorization Permit Finaled PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION. B. C. Insp. Card 02-17-04 pg 2 rev 1-19-05 Z ® Zw � w0 M 0 ca F � [LU)W 2 Z W ®zUjZ Z :ja0W CD ® < > ®f Z 0 W ISI 9) LU Z U) a < LU Z ® � w 0 0 wInU- a.UJ w -�® X LU —1 B. C. Insp. Card 02-17-04 pg 2 rev 1-19-05 z PEAMIT NO. 1145-�lOB PERMIT EXPIRES Jeff Saiiie )OWNER CONTR. owner :c LOCATION (A.P. 65-19-90 ) ,•• } 175 rwood Dr., lot 454, Magalia De A u 44� ., L. 1 „ .^...f JF I 4. } ri' � • _tom Temp. Power Pole Called PG&E 10 Temp. Elea Serv. • . Called PG&EE s • '3 Temp. Gas Serv. ' 'Called PG&E J O 7 -" s e. {. s''" ' r •: i' E € sFINA_LED tr'� (Date) ^ ' `, M =a._ t �y A94(���1'��,. �', _�✓� (Signature) A COUNTY OF BUTTE — DEPARTMEN-r OF PUBLIC WORKS r BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor _ Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing. Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances . Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final ELECT Motors est Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ................... Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE AFMAR SOn CORRECONS W`�' - V C i� (NOTE: An entry must be made on this form each time -you visit the job site.) t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 _ • Telepftne' 534-4541 APPLICATION AND PERMIT uuulUnce ICflteSentGUVCJ of the t,ounty o1 tsutte to enter upon ine above-mentioned property for inspection purposes. X r Date3_ FIX — i Ue of P iteeee or Agent ceipt N' .�!l White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR QF PUBLIC WORKS BYG��l � Dated --/4f d" Z?BuiIding permit expires Date 7— / q - P A BUILDING OwnerF- lv& SQ. FT. OCC. BUILDING VALU T Mailing Address 7 Lo49!..,upv0 Telephone No. hone Z Contractor vyt_ Mailing Address Fireplace Total Valuation (j Telephone No. Permit Fee t �1 Building Address w do Plan Checking Fee&/or Penalty Permit Fee -� PLUMBING No.1 @ F E PERMIT FILING FEE $3.00 Each Trap 1.50 dt Repair drainage or vent piping 1.50 Ga A. P. No. Z ningg nning Water piping 1.50 Each gas water heater or vent 1.50 .. F� te S '' ti Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel ap 60' R/W Improvements Each additional outlet .30 .Building sewer 5.00 Bldg. Plans R 'd Parcel Approval Plans Approval✓/ Lawn sprinkler system 2.00 NEW JZ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. 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.DWELING OR ADDNS. C ACCLBLDGS.CCUP. 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 st le of: %� NEW CONST(MULTI-OUTLET NON- R RESID, BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER APPARATUS It NON -RESID. SINGLE OUTLET CIR, Ex. OCCUp(OUTLETs OR FIXTIIRES 5 L� Ex. QCCU FIXED APPLNS, OR Occup. (RESID.) EA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 License No. Classification Mise. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ 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 Land Development Fee $ TOTAL PERMIT FEE $ uuulUnce ICflteSentGUVCJ of the t,ounty o1 tsutte to enter upon ine above-mentioned property for inspection purposes. X r Date3_ FIX — i Ue of P iteeee or Agent ceipt N' .�!l White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR QF PUBLIC WORKS BYG��l � Dated --/4f d" Z?BuiIding permit expires Date 7— / q - P A f (- Cry t ,L PER IT,NO 7337-79P_., a „ PERMIT EXPIRES • _ o ,Jeff_:S"ane ct"� OWNER" - ? 1 CONTR. i owner- ;. 65-19-90 gJLOCATION (A.P. ) 175 Deerwood Dr., lot 454, Fir Haven Sub, agalia �♦ •_• - • jam' ';"��^}_,4�t� �,. r�� J Y • 1 V� �'� •.li+�i •}idrt^r ,. ,. Temp. Power Pole Called PG&E - Temp., G&E Temp.,6 e . Serv. ,Cal`l'ed PG&E V-� Tem Gas Serv. Called PG&E •4 - a '- t� OB •.w - - � ' • ;i FINAALED (Date) (Signatur) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ' l BUILDING BUILDING '(Cont'd) A PLUMBING SAlick Fir all Sok Piping For Para is 1 Floor Mai Bldg. Restro Finish 2nd loor Fo ins Windows 3rd F or Stem alI Siding To out Slab Roof SheathNpg Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab _ Prov. forph sicall handicaooed A liances ex. Gas Piping & T Temp. Gas Sanitation Final Footings \ I Footing / \ I 1°LECTRICAL NICAL Hea Ffnlsh Du is In rior Lath V ntllation or,Closer ina l MOBILEHOME UTI ITIE -- Elec- Service Water Piping !j %4 Sewer I E OME INST L TION --------------Support Water Piping Qom` Drainage DATE REMARKS OR CORRECTIONS ju O Q l� C /\/ J . tl /a, Fixtures Motors Water Htr Sub ane Grd. F ult Prot. Servs e T mp. Pole oder round Permanent Final Elec. Pedestal ' Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville '— Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 8773435 CORRECxTION NOTICE A- n / BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. X :5 rd;146 Inspector �� Date 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 51 under permit number for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE • - DEPARTMENT OF ,PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 n Telephone: 534-4541 APPLICATION - AND PERMIT , authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X r DA/6 , , �iy,�--� Date 0_41'_ %5/ /5'yE�'na�tr of Peimitee or Agent r ceipt NoI/+ �— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisil s f�� the Butte County Code and/or resolutions to do work indic ed above for which fees have been paid. DIRECTOR,6ii PUBLIC WORKS By Date /'z--/ 7--7f B Tiding permit expires Date BUILDING Owner �— S SQ. FT. OCC. -I BUILDING ALUATION Mailing Address Telephone No, Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address '7 v Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 "7 Each Trap 1.50 �e sJyf 1.65— , Repair drainage or vent piping 1.50 A. P. No. � S �' � (� P`' Zoning a Planning Water piping 1.50 Each gas water heater or vent 1.50 Fle--s V4-� S 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 sewer 5.00 ,� �Building P6 Bldg. a�Reo'd Parcel A royal Plans Approval" --Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ , �"S Q( I w 2 S x ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SLE'S 5.00 Single Family ❑ Duplex ❑ Mobil Home M Others E] Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCDWELBLDGS.LING CCUP. 3) 2¢sgft 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 BRANCH CIR T 1 NON -RESIT. BRANCH CIRCUITS/ 2.50ea NEWCONSTR. f POWER APPARATUS S NON .RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES) B L@; Ex. Occup. FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �r 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 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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building_ construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X r DA/6 , , �iy,�--� Date 0_41'_ %5/ /5'yE�'na�tr of Peimitee or Agent r ceipt NoI/+ �— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisil s f�� the Butte County Code and/or resolutions to do work indic ed above for which fees have been paid. DIRECTOR,6ii PUBLIC WORKS By Date /'z--/ 7--7f B Tiding permit expires Date e , COUNTY OF BUTTE — DEPARTM.FNT OF PUBLIC WORKS —BUILDING DIVISION 01: 7 County Center Drive — 0roville, California 95965 — Telephone 534-4541 PERMIT APPLICATIONDATA SHEET OWNER r 1 L�;*/ Proposed Building Use Permit fee based upon: n) plete Contract Price Permit No. ,A. P. No. 5-- /!5' - DPW Valuation Building Inspector �?--�T -_ C-�_. Date >7— �� At time of permit application, I was advised the �Ilowing data must be submitted prior to permit processing and/or issuance: 11/Z DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. � �-- 9. Letter of signature authorization.......................................................... �b`r�42'10. Sanitation approval from �Yt-vi�s.-� Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to bldg.inspector (date), 16. Other When ou issue t he permit, process as follows: ail to owner Mail to contractor. Telephone and hol or pickup at office. Deliver w/inspection. Other Applicant �_/Jj Date �2 " s' 751 Copy of plans sent Health Dept., / ' Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) ' 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Conv/DPW 14,10' . Building Department %A 0m Environmental Health S "17b j P, c t Sanitation %Iftearanc.a .),Omer Hca a yin Plans approved 4Co r Seers" -"o D.-W.'sposal Water Supply _L Hold final for: 14ater supply Anal Clearance f Illeter Supply 1101, 4-", �tu-,.v I ae Clearance f 2-- bae�.-000m (��) COUNTY OF BUTTE rt D'&I?ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 �% -7 7 APPLICATION AND PERMIT ! A a Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP BUILDING 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' y - 9fz^, IC �0�� /oily- I't, Owner J f��/ N� l✓N/y ��N� SO. FT. OCC. BUILDING VALUATION FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA Temporary service Mai I i ng Address Mobile Home Facilities O CIO R. Misc. Wiring IA 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 n's Compensation. placed on file with the County of Butte a certificate of fA�ave omen's Compensation Insurance. I t'If t+I,t • th f f th �7 one No. PERMIT FILING FEE Heating Cooling Contractor �,�C/� O �, �P ��d•!l�y� �', Mailing Address 4/0% $ ��r/��/� Fireplace Total Valuation Telephone No. (- Permit Fee Building Address /�'F testi O®Q Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 A. P. No. 65-19- 90Water Zoning & Planning piping 1.50 Each gas water heater or vent 1:50 / Fetes W 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 Bld c'd s Parcel A r PI I Lawn sprinkler system 2.00 a pprova NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER M 2 517-F Single Family ❑ Duplex ❑ Mobil Home Permit Fee ELECTRICAL PERMIT FILING FEE Main service 6001 OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 @ FEE $3.00 Lj cer y a In a per ormance o e work for wh)ch this Ventilation permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2:00 California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �"' ^ Date ` 3 Signature of Permiteefoor gent Receipt No. ��v 5 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont Land Development Fee $ TOTAL PERMIT FEE $ 410 i 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. 649i�w/ WORKS Date ,Zr�' s Building permit expires Date ���—'�� Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OCCUP. h OR ADDNS, `ACC. BLDGS. 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' y - 9fz^, IC �0�� /oily- I't, NEW RESID*CONST/ BRANCH CIRCUITS T NON -REST D, l\ BRANCH CIRCUITS NEW CONSTR (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURE: FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA Temporary service JS71/ JZ f //��1- y 4w, Gd Mobile Home Facilities License No. 17 Classification 6 Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability n's Compensation. placed on file with the County of Butte a certificate of fA�ave omen's Compensation Insurance. I t'If t+I,t • th f f th MECHANICAL PERMIT FILING FEE Heating Cooling $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 @ FEE $3.00 Lj cer y a In a per ormance o e work for wh)ch this Ventilation permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2:00 California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �"' ^ Date ` 3 Signature of Permiteefoor gent Receipt No. ��v 5 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont Land Development Fee $ TOTAL PERMIT FEE $ 410 i 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. 649i�w/ WORKS Date ,Zr�' s Building permit expires Date ���—'�� MOBILEHONE SUPPORT DATA If other,,than single wide, Mobilehome Mfr. furnish Setup*Model No. Year Widthng "n e ,(ft.) Box Le '-t (ft.) .Tagalong or' Exod do Siz 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 centersupports measured from front of mobilehome unless otherwise -specified. 412 PICA Footings .(check.one) Single —r. Wood either pressure treated or foundation grade. X3 01 (ft.)(in;) (im.). (in.) 02. Other (specify) M 11 Center support Center support locations* footing sizes Supports (check one) (in.) F_4—+ --Concrete block. 2. Other (specify) (ft.)(in.) in.) (in.) - 0 f in. (ft.)(in-.) (in.) (in.) / �LX.30 (,in (?in 4—Tag along-or.Expando, show support details. 7 Typical.Support.... (in.) (in.) Footing Size 8 Max. Pier Spacing (ft.)(in.) q 1.2 x (ft.) (in.) (in.)l (in.) (ft.)(in.) f3uTTP COUNTI 3UILDING DEPARTMENT App F_ D *If center piers are other than drawn above, draw in locations, spacing, and dimensions. hang Max.r.- oC�Veeyn 6161 03(7- byy lQna -10017undZfo 'Idja Vn03 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE:. 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:" 2. Installer's name:/=OrLa-ice 3. Is the site'currently under permit? Yes No (If yes, furnish permit number ) OR 1#5;:, Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Willthemobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / L4` No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 0 Amps 6. What is the mobilehome site service rating? --=------------------ i Amps 7. What is the mobilehome site circuit breaker rating? ------------- / -S d Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No / / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- ir/7 _� / (in.)' 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? /- 0 5A- (ft.) 12. :What is the mobilehome gas demand? --------------------------=--- - ev/✓ 0' 0191--r (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY Vis mobilehome has been installed in accordance with the requirements of" the' California Administrative Code, Title 25, Chapter 51 under permit number, t for the following location: Owner �` 0 Owner's Address Mobilehome Mfg. Model Yeari2 Insignia No. ' ' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Date Director)of Public Works 1B THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 'N't j Av PERMIT NO. 364047P,E PERMIT EXPIRES OWNER Jeff Saine CONTR. owner LOCATION (A.P. 65-19-78 port. N/S Deerwood Dr., 260'N.of Holmwood Dr., lot 454, Magalia Temp. Power Pole Called PG&E EI Q -Y / -*% - -? ? .mF. ec. erv. Called PG&E Temp. Gas Serv. --- /J.NACalled-PG&E OB LEb - 3 FI (Date) p (Signature 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? YesNo B. Is there proper clearances around panels? Yes JNo C. Is power supply cord•or feeder assembly properly fused? Yes _✓No_ D'., Is continuity test satisfactory as per the following procedure? Yes _✓No_ 1. De -energize electrical wiring system of the mobilehome at the pedestal 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 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 theelectrical tests, the lot or site service equipment may be approved for energizing. •10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle. Length 5 y Width Vehicle Serial No. State Identification No.• 42,6 Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit -'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 as per , approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes(/ No 5. If mor, than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No 6. Water A. Is fle}ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes V No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes ✓ No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made 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 C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No � D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes x,/No B. Test OK as per following procedure? Yestlz No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes— No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Selyack ewall S I Piping For Pa ets Nt Floor Mai Bldg. Rest om Finish 2nX Floor Fo ins Windok 3rd Nloor Stem II Siding To out Slab Roof Shea Ina Water PIPNpg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings `' " Garage Vents Water Htr. Stemwall X Insulation 4 Heaters Slab Carport Footings A Prov. for physics handicapped Conformance of ex. structure Appliances Gas PI in &Test oe Temp. Gas Slab Final Sanitation Patio AIREkACE Final Footin s Footing EL&CTFkCAL Masonry Walls Throat Rough i Relnf. Ste Final Fixtures y Bond Be FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Inal MECHANICAL o wn C:0 Ing inlsh I Dufts ' I erior Lath entllation oor Closer Final MOBILEHOME UTILITIES ---•-------------- Elec. Service Water Piping J 0 '7. Sewer MOBILEHOME INSTALLATION - • ...... Support -" 7 Water Piping Drainage DATE S REMARKS OR CORRECTIONS l00 'elf, 34 --7 Grd. FiFult Prot. Servile Tj(mp. Pole oder round Permanent Final Elec. Pedestal Gas Piping ';d Elec. Continuity Gas Piping j / . -4 _ / ) (NOTE: An entry must be made on this form each time you visit the job site.) r 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County tenter Drive — Oroville, Calitornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT _ BUILDING I SQ. FT. I OCC. I BUILDING VALUATION Fireplace at— Total Valuation —II Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL Owner 'Toe fl� 5,4 ! A/ e-- --MaiIing 600V OR LESS 100 AMP OR LESS MailingAddress o k6 Y3 Main service OVER 600V 100 AMP OR LESS Main service Telephone No. Contractor DWELLING OCCUP. & ACC. BLDGS. NEW CONSTR. NON•RESID. Mai I i ng Address � �'~' (POWER APPARATUS & SINGLE OUTLET CIR. Telephone No. Building Address A. P. N 4_5 — 7g uvr% Zoning& Planning PeTes C. &ftrit0+Mnl FireDept. FireZone Use Permit EQA I Parkingli Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Bldg. Plans Rec'd Parcelrovol Pla pproval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER GLA �D ✓ %�-D r ��'M r%� �6 �D - 77' l'��.sT Single Family ❑ Duplex ❑ Mobil Home'4 Others ❑ 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: License No. Classification _ BUILDING I SQ. FT. I OCC. I BUILDING VALUATION Fireplace at— Total Valuation —II Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. & ACC. BLDGS. NEW CONSTR. NON•RESID. (MULTI.OUTLET BRANCH CIRCUITS NEW CONST R. NON -REST D. (POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES Ex. Occup.(OUTLETS ((RESID )REA) Temporary service Mobile Home Facilities Misc..Wiring it I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. PX Date 0_ Si t re of Permitee or Agent Recei t o. r 0 !U � � 7 White- P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant FEE $3.00 1.50 1.50 1.50 1.50 1.50 30 5.00 2.00 FEE $3.00 5.00 2.50 25.00 1.00 TOTAL PERMIT FEE $ 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. IRI�� WORKS Date fLuiold4rAj-permitr it X MOBILEHOME SUPPORT DATA Mobilehome -Mfr-. Pf• "'tom'' Setup Model'No. Year l`e, Width (ft.) Length' (ft.)'Expando Size ft.x ft. (Draw 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). Sin le - ®: Footings (check one) 1 W d th *If center piers are other than drawn above draw in locations, spacing, and dimensions 0o ei J. pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block' 2. Concrete piers 3. Steel piers / [4. Other, specify { Typical Support %Zx j�3 Footing Size I - f Max. Pier Spacing (ft.)('in.) Max. G�� Overhang BUTTE COUNTY BUILDING D PARTMENT APPROVED Center Supporter Center Support A Footing Sizes Locations (in.) i (ft) (in) s x (in.) in.) r i i i I (in.) -A in.) ' p 1 � I _,�. �J (in.) (in.) *If center piers are other than drawn above draw in locations, spacing, and dimensions 0o ei J. pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block' 2. Concrete piers 3. Steel piers / [4. Other, specify { Typical Support %Zx j�3 Footing Size I - f Max. Pier Spacing (ft.)('in.) Max. G�� Overhang BUTTE COUNTY BUILDING D PARTMENT APPROVED i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name:' e- A c s4z J G M f 2. Installer's name: 3. Is the site currently under permit? Yes 777 No (If yes, furnish permit number 3 yQ 7 ) OR Is the.site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and 9. What is the mobilehome site gas pipe size? ---------------------- J7. (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 41 11. What is the gas pipe length from meter or.tank to the mo hg ? 1-3� (ft.) 12. What is the mobilehome gas demand? ------------------------------ )� r,,�C/-� (BTU) e-� (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft.,on,LPG.) ` � 1 clear of all setbacks and easements? Yes / / No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- J 8' Amps 6. What is the mobilehome site service rating? --------------------- �� Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No ZZZ (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- J7. (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 41 11. What is the gas pipe length from meter or.tank to the mo hg ? 1-3� (ft.) 12. What is the mobilehome gas demand? ------------------------------ )� r,,�C/-� (BTU) e-� (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft.,on,LPG.) ` � 1 J COUNTY OF BUTTE;. — ,.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT BUILDING Owner COUNTY OF BUTTE;. — ,.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - V 20 Date 11 Dw ig ture of/Permmitteee or Agent ipt No. / �O Y' 7 7' 9' White-D.P.W, – Pink -Inspector – Goldenrod -Assessor – Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR 0 UBLIC WORKS BY Date Z -X — 7 7 Building Permit Expires Date -.3- %X-- BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Ow Total Valuation Mailing Address Permit Fee Plan Checki ng Fee &/or Penalty Permit Fee $ $ Building Address ����WQ p �ii PLUMBING No. @ FEE 0 PERMIT FILING FEE 00-3- S C a,W ofd J I& LS Each Trap 1.50 W\ W 0C7d �� 1`' y -5y S0 t.7`f/ 1 7 Re air drainage or vent piping 1.50 ater piping 0— p4ninq Verification Onl ,Each gas water heater or vent 1.50 p�-j' eT ,4 oning Gas piping system 1 -5 outlets O— Each additional outlet .50 Fire Zone 'k, re Dept. Sa Planninn Building sewer 5 BlT v P s Q•� FefeS W. (C,/ R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ O;FlIE_R Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 — Main service incl. 1 meter 5— Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) // USE OF STRUCTURE . Single Family ❑ Duplex Range, dryer or water heater 1.00 M SQ. FT. MINIMUM Oven, Cook -top or space heater 1.00 Light fixtures 2 Q MOBILES Receps., switches & fix outlets 20 @25 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 73 $ .3 ✓— WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �4 I certify that in the performance of the work for which this F 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 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 n ee or r n V Ua $ d TOTAL PERMIT FEE $ '� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - V 20 Date 11 Dw ig ture of/Permmitteee or Agent ipt No. / �O Y' 7 7' 9' White-D.P.W, – Pink -Inspector – Goldenrod -Assessor – Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR 0 UBLIC WORKS BY Date Z -X — 7 7 Building Permit Expires Date -.3- %X-- MiJ Valley Title and Escrow Company CHICO OROVILLE PARADISE 183 East 6th Street . 1751 Oro -Dam Blvd., Suite 14 7020-C Skyway 342-8323 533-6680 877.4471 ^ I Recorded at'' he request of I iii i.. M 54 4 ............. Return to i 2'2234 WORM AT THE REQUEST Or oPR �G 191 _ � siw sees `� o dash OFFICIAL RSC0RD5 G KMG COUNTY, =1:01O:" STMEL Ak SSTSS, Cawtr Reasedae a� 0 . ecru## rtscoola" GRANT DESD (Individual) For value received JAMES D. RZAp aad MARGARET J. RYAN i GRANT. ---:.to 9. Q 0. IWESTMENI! COMPANY, a California corporation all that real property situate In the - County. of Batt* . State of California, deeerl, as follow: A rlSt►L at ray for road purpose• sad public utilities over North 15 feet at LmQ& and South 15 last of Lo�AS3,-b5L and Jly�as shorn on that strtain Map entitled, •FIR HA , which l(ap was recorded In the office of the Recorder of the County at Butte State of California, Na 19: 1955, is Map Book 21, at pages 31, 32, 33, R and '35. _ `Access to be provided to Lot 491 by a ri.vht of ray for roar .nurpopis and pablla utilities over North 15 feet of Lots tom, t�L !jjji.nr 450, and access to be provided to Lots 457_, 44,11 454 and 455 by a right orgy ever South 15 feet of Lot 4rA. se'ahowa on that certain Nap.antttled, "FIR SAVFM 39BDIVISION", which -PC* wait recorded in the office ,of the Recorder Of the County of Butte. State of California. Nay 19; 1955, 'in Rep. Book 21, as Vedas 31. 32. 33. 34 and 35. Aooese roads to Lota 451, 452. 4.53. 454 and 455 ire to be installed without .cost to the undersigned. -pit (tQv► `' -..._..._.18.61._ WrATD OF CALIFORNIA P016% as eat ►aid_#. County an$t d ate, pernondtty epybred �.. . hnova► to vw to be the F,r i .Sa_JYDeerlbe9 to 9" 1dMb WhL.nem, and Sekw01aWood sY #Aids NU o9muniMba esptn, __—_--_— Natmy P4Mk OROVILLE TITLE COMPANY 11m NOTE:—AD Materials & Workmanship Shall Be\ in r , Accordance with Recognized Good Practices and This set of 'pleas errd-s n I ut f 8r Of d quality prescribed far the Specified Lse in the kept on the jc6 at aft, times and it. R ORIOWN a;p g . make any Changs alteration§ 80 §8R4e Wiihout ' Un #o Building, f'Iwmbin & Mechanical and th National ElecTrIcul""` 33 ,,,, z, �s r► �rq #jw eq of Pub- lic WDIALS" f}y of Mg, pole �l l� �60011.Rk-I 011*The Bldg. Setback shall be 5 ft. from the gide property line and 50 ft. from the centerline of the road, permitting a maxi' O mum of a-2 ft• eave overhang but entirely ,i out of all easements. Permit will be required for the tallation of the mobilehome. -�_-3&--�O---; 77 All utility connections shall be loco'- ad within 4 ft, outside the rear third section of -the mobile home On tho teff (road) side of the mobile home. Septic system 4` 61 to •be as Eiutte County Health De t. Per quirements, P Re- C^ O BUTTE COUNTY JILDING DEPARTMENT .16 D D Lrl deak0 0 W NO e opmdl\ MINIMUM EOR 1"J -6 b -s- - S-ff -a- T i - ole- w r r 1 - n 1 - 1--- Utility con�–e—cti 4 ft of the mobilehor-00' ' .,either, th directly behind or within. , e_ rear half of the roadside (left) of the t. mobilohome. (3\,S h�` eapc�a wlea\Isec`l- Coaas ?,eG0 e c.03eA .qa�p Te 'C'010%0\ 0ae. ok NO xkofm. uda& Vj0j\S V%O . .0 j4dv%0 C�k*%G One, A s?e A *\k o \OT% �,,r(%e 00 � Y\ons \\ cO,, se} ON 0 C\%\N ev �A%.e -\0,)D Or k 01\ , �`ss10cV\qes k,00 the \,e'P,' C$V\q G r6\1kNe-00 ek ev\0 co \44 0TvS I A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be ment structures or eclu.ipexcept for a 2 ft. eave overhcl'ng* -7 13 -7-�9 BUTTE COUNTY BUILDING DEPARTMENI, appINUVEV .............. ....... ... (p57s T��L 4-�irv�°S