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065-440-001
NOTES RESIDENTIAL _ 4 065-440-001 03-3214 `� -- JOHNSON, DAN PERMIT NOl � (r SPAR WY;1VI�AGALIA CONT: OWNER OPEN DE a;1`0X20 e l4 t� SPECIAL CONDITIONS r CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY 4' USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter.By Date ELECTRIC ✓L� 9� t Meter By Date ti o r' S'iEi r-FE2. a I :r .JOB FINALED (Date) t Signature "2 gn.A j J=OK 0 = Not OK . _, otReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch - Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location-Test-Fall-C/0-Coricrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ /'.LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Braced Wall Panels Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except#'s Date 1. Zoning Requirements -Setbacks -Easements ,Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/0 to Grade -HD Approval 5. 8. _ Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Enclosure; Fencing -Alarms Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) . . Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date , Card B 1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s lt.Zoning Requirements -Setbacks -Easements /2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel `MP3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Con nectors 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 t Date Card B-1 ,Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK Not Applicable . = Not Ready + RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-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/Mech 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 Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 60. Shear Walls; Nailing -Bolts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Date 36. A.C. Ducts Insulation & Support Date 37. Vent Fan, Exhaust above insulation Date 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -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 A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garaoe 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construcfon-Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instid./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 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: la 011 U70- BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE -16H kt, SO N1 C, 32 k OWNER PERMIT NO.. - A routine inspection indicates that the following violations of Butte c6unty 6rdinances exist at v".R� the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need,additional"-Z explanation, please contact the Building Inspector as indicated below. PIAWC A:1 , r Dnp b SL -T Q (A '-t RC) U o E , 10 CTF I M r. AW KKK S i� (�T , PE FC T I P4 - 9()S -T - -7-C) - C, I f2 166 P-- C T/O (Q -s PlAf,-1 Rc UEtZIFICA-T(CA1 of co M Pt C--rto F /voivE n(A-( p1612 H ED, PLO U lb E L) 15(Z-1 F1 CAI to t4 _.Z '�_R Date 2 1 05 Inspector �Ckr"OAA REV 4/05 Phone# S3S_(,)U_Z_ FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 •;z . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 ,,County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12% 6) APPLICATION AND PERMIT �)� i�'? ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNEI JO ,,c ON, DAN TEWP✓— 8400 SO. FT. OCC. BUILDING VALUATION 200 O 1400.0 .OWNERS MAIUNG ADDRESS 331 WEST 11TH AVE QU00 95926 CONTRACTORS pNAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1400.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee. $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 21.45 BUILDING ADDRESS ' SP WAS'' MAGALIA 95954 Energy Plan Checking Fee $ PERMIT FEE $ 74.45 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE vt SF ❑ Duplex ❑Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OPEN DECK (10X20) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service A OR LESS 23.00 t LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. "`License Class LIC. NO. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR a ACC. 3.5QFT: CNS. OUTLET NON -RE ID. T.MULTI.OUTLET 97.50 CIRCUITS POWER APPARATUS 8 SINGLE OUTLET CIR. E(, OCCU OUTLET OR FIXTURES BA.0 O 1 0 OWNER UNS Ex. Occup. OUTLEEDrsA p D,°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood' 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation I of one hundred dollars ($100) or less.) O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall foFthwith comply with those provisions. X /a Date % ! ? /ia Siature of Applicarft - ❑ Owner ❑ Contractor ❑ Agent," gn An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ corer. TYPE TOTAL FEE $ �7(}.45 HAZ. � D. FEES IMP v ✓ Ft00 CDF ,v PARCEL � PD �& HD ISSUE / �/ This permiris 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. By PERMIT EXPIRES ON + 0lzcti oft.-) 4--. t Djfe ReceiptNo. XtQ11 �%Ly• WHITE-D.D.S.-B.D. CANARY -ASSESSOR . PINK -INSPECTOR GOLDENROD -APPLICANT 1.2 RESIDENTIAL 0065=440-001' 0313014 - PERMIT N0, JOHNSON; -DAN - SPAR WAY, MAGALIA Cont: bAN JOHNSON NEW DET. GARAGE r- o o3-2qy� y� o3 -3Z�y a, :3 6:0 DS 7'o 2lii °97 SPECIAL CONDITIONS CHECKED BY /-SqRR FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) 1 1 0 Signature�`� - t tl SPECIAL CONDITIONS CHECKED BY /-SqRR FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) 1 1 0 Signature�`� J=OK 0 = Not OK : = NotReadyable Card B-1 Date MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. -Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test-Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector T. Water and Sewer Connected -C/O to Grade -HD -Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected - 8: Gas and Electricity Tagged 9: Exits 10. License Decals 11. Verify#'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 { L)f Dh, t M SCELLANE 'Date DECKS ERS, CARPORTS, RAGE (Plans) OK except #'s 14King Requirements -Setbacks aseriients aAfootings; 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 t 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures f 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 I 12. Braced Wall Panels Date A r i Card B-1 it 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 fI 4. Elec.; Receptacles and Lighting, Distance -GF] ! 5. Elec.; Pool Lighting;. 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit I 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 L)f Dh, t M SCELLANE 'Date DECKS ERS, CARPORTS, RAGE (Plans) OK except #'s 14King Requirements -Setbacks aseriients aAfootings; 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 t 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures f 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 I 12. Braced Wall Panels Date A r i Card B-1 it 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 fI 4. Elec.; Receptacles and Lighting, Distance -GF] ! 5. Elec.; Pool Lighting;. 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit I 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 rc ' J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL -(Single & Duplex)* Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easements=Flood-Slope -2. ,Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -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/Mech 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 Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform 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) k 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door-, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection, • 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes O No/Planters ❑ Yes ❑ 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: ce . )< • *-, � - '�_ K IIIIIIIIIIIIII'IIII"IIIIIIIIIIIII RECORDING REQUESTED BY: 2004-000 1 93S Recorded 1 REC FEE 10.00 Official Records I CONFORM 1.00 County Of I BUT, 1 CANDAM J. BRUNS I AND WHEN RECORDED MAIL TO: Recorder I ROSEMARY DICKSON I Assistant I Travis 10:41AN 13 -Jan -?004 I Page 1 of R BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 I 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. DAN K. JOHNSON REAL PROPERTY OWNEMESSOR 331 WEST 11TH AVE MAILING ADDRESS CHICO BUTTE CA 95926 CITY COUNTY STATE ZIP 6289 SPAR WAY CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT - BUILD PERMIT NO. TELEPHONE NUMBER MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME NONE UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP 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 03-2945 (530) 538-7541 BUILD PERMIT NO. TELEPHONE NUMBER (Z" � 6�. 1-11-03 St%A URE IACAL AGENCY FFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. T UNIT DESCRIPTION - GUERDON 1998 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODELNAMF/NUMBER GDSTOR 459719538 56'x28' ORE 350283/4 SERIAL NUMBER(S) . LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP # 065-440-001 SEE ATTACHED HCD FORM 433(A) REV. 8/91 r µ WHITE - County Recorder CANARY - HCD PINK —Applicant GOLDENROD - Building Dept. 9 ti 1 scrowrNo. 305347-MLB Title Order No. 00305347 EXHIBIT ONE Lot 192, as shown on that certain Map entitled, "Paradise Pines Unit No. 3", filed in the Office of the County Recorder of Butte County, California, on June 17, 1970, in Book 35, of Maps, at Page(s) 78 thru 82. EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the rights to mine and extract said minerals, it being agreed and understood that in all mining operations, the surface of said lands will be protected against damage and that all such. mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved in the deed from Magalia Mining Company, a Corporation, to E.D. Storts, etux, recorded September 4, 1947, in Book 423, Page 385, Official Records. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 13 -Jan -2004 2004-0001935 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DAN K. JOHNSON REAL PROPERTY OWNER/LESSOR 331 WEST 11' AVE MAILING ADDRESS CHICO BUTTE CA 95926 CITY COUNTY STATE ZIP 6289 SPAR WAY 95965 CITY COUNTY STATE INSTALLATION MAILING ADDRESS, IF DIFFERENT 03-2945 (530) 538-7541 MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME DEALER NAME (if not a dealer sale, write "NONE") UNIT OWNER (if also Property owner, write "SAME') SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-2945 (530) 538-7541 BUILD)r PERMIT NO. TELEPHONE NUMBER " ✓���QQ 1-11-0g S A OF LOCAL AGENCY FFICLAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO GUERDON 1998 UNKNOWN MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAMEINUMBER GDSTOR 459719538 56x28' ORE 350283/4 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNL✓LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION r EGAL DESCRIPTION SEE ATTACHED ASSESSORS PARCEL NUMBER AP # 065-440-001 Tdf T) RnRM 411(A) REV. R/91 BUILDING PERMIT NUMBER: 03-2945 Address or location of unit: 6289 SPAR WAY, MAGALIA CA 95954 Legal Description of Real Property: SEE ATTACHED AP # 065-440-001 (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DAN K. JOHNSON Owner's address: 331 WEST 11TH AVE, CHICO CA 95926 INSIGNIA OR HUD NUMBER: ORE 350283/4 SERIAL NUMBER OR V.I.N.: GDSTOR 459719538 MANUFACTURER'S NAME: GUERDON :YEAR: 1998 OFFICIAL APPROVING INSTALLATION: LladLmi V�7 DATE: 1-11-03 PHONE: (530) 538-7541 H.C.D. 513C 1scrowrNo. 305347-MLS Title Order No. 00305347 EXHIBIT ONE Lot 192, as shown on that certain Map entitled, "Paradise Pines Unit No. 3", filed in the Office of the County Recorder of Butte County, California, on June 17, 1970, in Book 35, of Maps, at Pages) 78 thru 82. EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the rights to mine and extract said minerals, it being agreed and understood that in all mining operations, the surface of said lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved in the deed from Magalia Mining Company, a Corporation, to E.D. Storts, etux, recorded September 4, 1947, in Book 423, Page 385, Official Records. APPLICATION INSTRUCTIONS A separate application must be completed by the new owner(s) when there is a transfer of ownership (except fc releasing lien). Applications are available by calling (503) 945-5000, or in the Portland area call 299-9999, at any DMV offic, and at: www.odot.state.or.us/dmv. Mail vour completed application, title and fee to: DMV,1905 Lana Ave NE, Salem OR 97314 Federal and state laws require that you (seller and buyer) state a vehicle's mileage when there is a transfer of ownership on vehicles 9 years old or newer. Failure to complete an odometer disclosure or providing a false statement may result in fines and/or imprisonment. Under Oregon. law, the offense of submitting a false odometer disclosure is a Class C felony (ORS 815.430). Oregon law requires that an application for transfer of title be made to DM\ within 30 days after you buy a vehicle. Failure to do so within 30 days may result in a late title transfer fee of up to $50. I certify the vehicle described has been transferred to the following si nature certifies to odometer disclosure and releases interest in vehicle BUYER'S PRINTED NAME DATE OF SALE OR TRANSFER BUYER'S ADDRESS ODOMETER READING (NO TENTHS) I certify to the best of my knowledge that th@.'odometer ❑ Stated mileage is in EXCESS of mechanical lim reading is the actual mileage of the vehicle UNLESS one of The odometer reading is NOT the actual mileag the following statements is checked: ❑ WARNINGTODOME E DISCREPANCY All owners shown on the front of this litle, who are relea ing their inter es , Must sign. '• ' ) SEL FEO- A ` ,L r IG T- � - ��0 C SELLER'S PRINTED NAME SIGNATURE 7 SELLER'S PRINTED NAME SIGNATURE SE ADD SIF DIFFER N ;�Ff FF�OPI OF�TIT J _ �1 ` n 1 am aware of the above odometers s�cloostsure made b e seller/age . rl�/ 1 r—!JX / BUYER'S PRINTED NAME SIGNATURE I cerlify the vehicle described has been transferred to the following (signature certifies to odometer disclosure and releases interest in vehicle 6 'S PA91 TE NAME —� 1 7�/�1 DATE OF SALE OR TRANSFER BU tFADDRESS 7 ODOMETEPI READITIG-NO TE TH I certify to the best of my knowledge that the odometer reading ❑ Stated mileage is in EXCESS of mechanical lim is the actual mileage of the vehicle UNLESS one of the The odometer reading is NOT the actual mileac_ following statements is checked: ❑ WARNING- ODOMETER DISCREPANCY SELLER'S PRINTED NAME SIGNATURE SELLER'S ADDRESS DEALER NUMBER TELEPHONE NUMBER. I am aware of the above odometer disclosure made by the seller/agent. BUYER'S PRINTED NAME SIGNATURE I certify the vehicle described has been transferred to the following (signature certifies to odometer disclosure and releases interest in vehicle BUYER'S PRINTED NAME DATE OF SALE OR TRANSFER BUYER'S ADDRESS ODOMETER READING (NO TENTHS) I certify to the best of my knowledge that the odometer reading ❑ Stated mileage is in EXCESS of mechanical Ila is the actual mileage of the vehicle UNLESS one of the The odometer reading is NOT the actual milea( following statements is checked: ❑ WARNING - ODOMETER DISCREPANCY SELLER'S PRINTED NAME SIGNATURE SELLER'S ADDRESS DEALER NUMBER TELEPHONE NUMBER I am aware of the above odometer disclosure made by the seller/a ent. BUYER'S PRINTED NAME SIGNATURE W%:� VEHI . CLE REPOSSESSION CERTIFICATE For "•. e—hi lees repossessed. under Oregon lavii. 3p3aaniEnroaT. Rewsaamrnc+f avEa mm uotaa vortct= sEavrcs l_V aVSf-SALOd OaEW11 GMM 'I INSTRUCTIONS: 1. Complete and sign this form. List all debtor(s) shown on 'the. security agreement. 2. Please attach: ®Tyle properly endorsed for transfer; 9 Title fee; ® Release of interest from any party shown on the title and not on the security agreement, unless the parlty.shown is a lessee. I A i c NUMBER I YEAR ^, ^ I MAKE J i'' (BODY 5 i fL° 2 L HICLF IDENTIFICATION NUMBER i fi LE NUMBER GGi � 4���► �� 0o 7-1 1�(g Asa Q FOLLOWING REPOSSESSION, THE VEHICLE WAS SOLD / ASSIGNED TO: IYER I ASSIGNEE (Print last. first, middle) I OATS OF SALE )DRESS (Street, City, Slate. Zip Code) I CERTIFY I (OR THE COMPANY I REPRES ENT) HAVE A SECURITY AGREEMENT FOR THE ABOVE DESCRIBED VEHICLE WITH (UST ALL DEBTORS ON THE SECURITY AGREEMENT):�- I ALSO CERTIFY THE DEBTORS) DEFAULTED IN THE SECURITY AGREEMENT, AND THE VEHICLE HAS BEEN LAWFULLY REPOSSESSED WiTHOUTJUDICIAL PROCESS. IN ACCORDANCE WITH ORS 79.0601 rrIROUGH ORS 73.0628. . GNATU F SECURITY QdTEREST HOLDER OR REPRE ENT TIVE Qncluding cbmpany name) ^ TITLE OF REPRE ENTATIVEL AT p� 08/06/2003 12:54 FAX 5303434410 Fidelity National Title STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM STATEMENT OF FORECLOSURE/ABANDONMENT SECTION 1. DESCRIPTION 1 R008/009 This unit is a (check one): (� Manufactured Home, Mobilehome, Multi -unit Manufactured Housing Truck Camper Floating Home The Decal (License) Number(s) is: 0381533 The Trade Name.is: The Serial Number(s) is: GDSTOR459719538 SECTION 1. FORECLOSING FORECLOSING CREDITOR STATUS (Check One): Legal Owner []Junior Leinholder. . ❑ Other NAME:' Vanderbilt Mortaaae and Finance Comoanv ADDRESS: .5co . il",3 TXglJ- Mw�yviu-e 77V 3'rSo SECTION III. NAME AND ADDRESS F DEFAULTING PARTY NAME: I. Lee Koster .MAILING ADDRESS: 2155 Robins Lane SE #8 Salem OR 97306 a..ar W lop SECTION IV. PUBLIC -OR PRIVATE SALE INFORMATION ASA RESULT.OF THE PUBLIC OR. PRIVATE SALE HELD ON W/9/03 THE UNIT HAS BEEN (Check applicable box(es) .below): i.. ❑ Sold To: (Name of ftrfW 2. ❑ Retained By Foreclosing Creditor (If subsequently sold, complete A or B below) A. ❑ Placed On Consignment With A Dealer And Sold To A Private Party Dealer Name and Number: Name of Buyer(s): B. ❑ Sold To: at a subsequent sale on roar. SECTION. CERTIFICATION Check Appropriate Box: ❑ I certify that the fair market value of the manufactured hymelmobillome, flootin4 horn or truck camper was one thousand, dollars or more at the time the security interest was created. I certify under penalty of par ury un or the laws o the tete of aliforma that the foregoing is true and correct and that the Notice(s) of Default or Belief of Abandonment, Notice(s) of ale and Distribution of Proceeds from the sale of the described unit has been executed in the manner prescribed by Section 18037.5 of the Health end Safety Code. ❑ I certify upder penalty of pert y that the for going is true and correct sn t tea roan fo the above n ed defeu tjn erEy and the described u it includes the roe property to which t ie unit Is inste�led upon, and, the Noticsale) of�efault and i s Noticels) o gle and bas�i�ut�on of I�rocead9 from t ie sale of the described unit have been executed in the manner proscribed by Section 18039.1 of the Health and Safety Code. Executed on at Signature TITLE MCD 470.1 (71971 Rsproduadon by ACS Systems, Inc., MCD approved April 9, 1999. A7AA4n or21 P. 021 T'5-00 anderbiltMORTGAGE AND FINANCE INC. 4/03/03 ALCOA TRAIL, MARYVILLE, TN 37804 (800) 970-7250. KIMBERLY LEE KOSTER 1200 BARNES AVE APT 148 SALEM OR 97306 Dear KIMBERLY LEE KOSTER ?002 2030 0003 9725 8680 Re: Account#: 950983 Certified Mail#: Ve: Aria o ;'fib Contract Date'�::/: _ �'C2 /00 NOTICE OF PRIVATE SALE This is an -attempt to collect a debt and any information obtained will be used for that purpose_ You are hereby notified that yo.ur� /c��`�;. �,,f /:7,5' manufactured home, will be sold for cash at private sale as folfo& Date: 4/18/03 , after. 11:00 A. M. Place: 2155 ROBINS LN #8. SALEM OR. under the provisions of the Uniform Commercial Code and that Certain Mobile Home Retail Installment Contract dated as above identified and signed by you. Unless the unit was surrendered through a Petition in Bankruptcy, you are further notified that you and all other signers .to the contract will be liable, jointly and severally, for any deficiency balance resulting from said sale including transportation and refurbishing expenses. The money from the sale (after paying costs) will reduce the amountyou owe. If we get less money than you owe, you will still owe us the difference, unless the unit was surrendered through a Petition in Bankruptcy. If we get more money than you owe, you will get the extra money, unless we must pay it to someone else. You can get the property back at any time before we sell it by paying the full amount you awe (not just the past due payments), including our expenses. To learn the exact amount you must pay, call us at (800) 970-7250. If you want us to explain to you in writing how we have figured the amount -that you owe us, you may call (800) 970-7250, and request a written explanation. We may charge ou a fee not to exceed $25.00 for the explanation if we sent you another written explanation of 'the amount you owe us within the last six months. If you need more information about the sale call us at (800) 970-7250. We are sending this notice to the following people who have an interest%in 1998 GUERDON EXPRESS or who owe money under your agreement: SiCacerel Credit Manager C C 17 FR0113 LTR187 151 Office }lours (Eastern Tine): Roadap through Thursdaq 8:30 In - 7:00pn Friday 8: 303" - 5:00pn -'• { C -J Giri�'iC`i ST ! 1L 1-i L�LJi'l rc- • u ' . �-'L' r0 x '51 1 fit,: 1 e33 r'P T' tl_ r'L: ( • 'PERTY i L% tl � 7�i!' T ! >'iLi_ r!'!. �. L AMT Ali INT REST AMT AID M32,%1539, 08r::si 231'7 0�0 .3 f24. 01 :0 0 .. Wi'Iflo 021Fi2•_IWFi I JV It FILE 'f/ - - : t,rLLrrW, vP�v� p, J SER7AL f '_'•�.) 0 138-72i cJJ'/a —v:.0 622.Lu -fOry v r C;---TGR4=r+ 1195; 13 A PERSONAL i ,.r_:I��LE iB (_ RI .3H:,s� _. FIN _ �=_ sL°. rE :L_ > t LN " MARYYYLLE 'TN 37802' 1. DATE PA'D 07/241/03 OPERATOR TAX 1 PA'Y METHOD-, CK 424640 PRINTED v 07/24.1103' • �r4Ti�iEV TC �E �; U� T his instr!umerit Pre -Par -ed by: er�Rc,-+_- TR" J=r:es Burcha-a —S.,.. ,.,,•r:t L'G. GR ;. QpiG �i ^ cnCiSn c. i� i Pad, IiGJtII ICj�, J, �/ �iIC�;-� � I !. ;r Yom! <. N ,;r Yor{ !LTJ `1- CGNiTT 11N GPG�A?`'�iBv 1� d T- =- u 1 _ _ L- d�_- __ ssociate-,1go s __' f C-[L.`c `�.•L. o_�--___=' .',`•'_!�!.Z'i6 1.-'�Q_- L'�.�. 1C'/J-. of DelaY':��e (LnC ���ji ., �1' ._'• C` :.Ci7��' vo_J.•_._�- ?�L appoint Va-nderbilt IyjpSlGAge and rinanC:1n�;,ua�Ct=g 5 (together with ?�y oi_icer on its behalf the ?) C41�„� a1d a� 7, a; -r "Bti��e`f � Jam:. t_ e 1 "vial 2it0-- agent with po'Ner and aut_horivy to do arra and all acts and thi:i`s reasonably r!ecessa t0 transact all business connected to manufactured home loans and land -and -home loans (the "Accounts"). evidenced by installment loan agreements and retail installment sales contracts (the "Contracts"), including those Contracts listed on the Loan Schedule to the Loan Purchase Agreement (as defined below), together with any manufactured home and/or other real or personal property which secure such Contracts, including, without limitation, the related security instrw-nents, financing statements, certificates of title. mortgages and deeds of trust, including those in which Seller or its predecessors are listed as lienholder, beneficiary or the like, which Accounts, Contracts and related security instruments have been assigned to and acquired by Buyer from Seller pursuant to the terms of the Loan Purchase Aareement dated as of November 29, 2001 as amended, supplemented and modified from time to time (the "Loa'n Purchase Ajreement"), entered into by and between Seller and Buyer including, but not limited to the following: a) Endorse, without recourse, pursuant to a stamp approved by Seller: names, checks or other instruments of payments made on the Accounts; b) Execute assignments, without recourse, from Seller to Buyer of the Security Instruments, including certificates of title, mortgages, deeds of trust, and other security and lien -creating instruments relating to'the Accounts; c) Execute releases of liens, security interests, and the like with respect to the Accounts; d) P=rfnrm n -v aam ail cpnoring an(i rnllartinn -fitnr inr.c t-Arith roc-n,Prt to the Accounts; including, without limitation, the servicing hinctiors as contemplated by the Loan Purchase Agreement; a--. ._ el, 'lit =h 1_" � �s=lf td -he !• nh er ^ e �;J 4 �) I✓:�'-�tlt., and Q ver• � b�._a 0- it ..._, t_... ie;_ �Old�. OI r Cord , and./or, Seller, as applicable o-, appropriate, anv and all ir-_�U--Zei_ts of sags=aCtior. or La._1l.v�iaLor �1 Lat 1.1 oS r�itl_ele`�� r i l,- ?? �i i� �' 1` 7l^ �� UIST ' `: l C. C_., ._:1L 1 0 nv_ CL� a iJ_�. tiL•1:_�.__i_ r`= s`=':t t� tli= _ti3Ct_ �- :�, =h' 7171"'=='' �- L1 = '==l Cor LS t ILL 1 oro _ Le 1L pr's= v�.�.t.=n� J� _ ri. �• ����.. :�� S-_�_t '�-_'17n �. ^'1�-�=;-�I•':--- Fi!'10!'!� cil� 1�.-.iiCl�'1:_ _ -=7..._ __ ,�_•1•l n-��� _-_=!^1C ._77 -7 == '. 77071 `- _�,...'_ :. -�-- _• Q n� `�'•-•... `iilrlV tit :r eel v_ _�-�E7L.LvM - +1/+ cii_1!L 1a!io_ �s!:J : _ez-o -rl'. V•%iul,l �'1� may iioli_ timeto li_i!C �Ce:n nGe-CJJaM 10 �— =rdev 1rdJvs '. sAcurl!J ��!eiCs! a11C h� :�C o� � LaJC ..._•-"`.1 L':V30GlI` =- C(? secur nz- suc Contacts.t t C-) Execute and deliver an-? and1 T a1 -is � `��,�ts and :.1;e an all further action in the name of and or, behalf of Seller as may be required or deemed desirable to accomplish any Lid all of the foregoing and carry out the purpose of this Power of Attomey: h) Demand, reduce to possession. collect, receive, receipt for, endorse, comprise, settle,.or assign without recourse (or warranty by Seller) any and all notes, promises to pay, retail installment sales contracts, installment loans, chattel paper, instruments, choses in action, mortgages and deeds of trust, together with all monies due or to become due under said Contracts, including without limitation payaheads, proceeds from any recourse to dealers, and proceeds from claims on any insurance policies relating to such` Contracts and any and all claims, choses in action, and rights and causes of action relating thereto, including without limitation any and all real property and personal property, security instruments, and insurance policies held as security for said Contracts, and all other property of every kind identified in said whole or in part and in connection therewith to execute, acknowledge, or handle any instruments in writing which may become necessary in order to cavy the foregoing powers into effect: and i) Endorse promissory notes which are subject to such Contracts and attach and endorse allonges to any promissory notes subject to such Contracts. Buyer is hereby empowered -to do any and all lawful acts requisite for effecting the transfer of Accounts, the Contracts, and the security interests and liens granted thereby, and Seller hereby ratifies and confirms any and all lawful acts that Buyer 5ua11 do p111.5LLaul LV culu 111 cVtLLVllllll1' VV1tL LL11J 1 V VVGl Cil Z1lVlr1\..y allt.l 11_l6. LOCIII Purchase Agreement. Seller fi i-ther grants unto Buyer and its agents fuH authori—ty and power -to do and perform any and all acts necessary or incident to the execution of the powers herein expressly rzanted. as the Buyer or its agents mila1t or could do ?f personally present. Aissoclates Ho s -Mia rinarlce Sei J1CCs. Inc... a f]ela+v are C0�0=at!on also Operetin� L�: =e_ the re Gs=iered c=SL'n?ed or ECt?tlQus na'le 0 I'orc_ Hous; was lh assiznn o-:*-, vabl s under la �. as I il—.chaser. ano Belg-ra�Ii !"1'^a.�C�a� wL �11.�� .l..l. (..���� �Y•�G •� Q=:'. rel ar �, C•, 1 �0�. �eil �: is the s�uCce_�cr1 L''- --� 1'= 10':J `r - o .S!d'....: ^P:j' i L� p^ % �:V - - i!�:G'.�.1�t�_; -_M. ._cL�. J' ��" �Z ^1 C pEl:� !��. Gi�i1�C :� t7 1!F a _� .-d cop4 o' c .I= r _ ._ _�rL'tllG v ♦ S. JiL1!_♦. of �L's . 'I 0 G!Q�!=='.7I w�!LVJ!?1 be :`♦+ ua_7I unless and Anti! actual noti C.or k_Lolvledgi- of -u r-'+'OC3i':0 or hav! been recel'ved b- such third pasT; grid Selle-r for.'1— anli fOr i.ts hereby reJresentauves successors and , I! r♦ y� :o Lnde'I li- vet s_, m, _ el=b; a ��� a!�dhoid'.a makes_ any s�1Ch t1,1rd dal J by reason of suCll third ?Jal. 113Vin ' relied Oil the -pro-v",ry0-1" �i- __Oias tL.� ins-nt. , The rights; powers and authority granted hereby shall_ comrilence and be in full force and effect on December LL 2001 and shall remain in full force and erect thereafter. Seller has given this Power of Attorney iri connection with a sale of the Contracts and related collateral to Buyer and to induce Buyer to purchase the Contracts and related collateral. This'Power of Attorney is irevocable and it is coupled with an interest. Seller shall execute and deliver such further designations; powers of attorney or other instruments as Buyer shall reasonably deem necessary for its purposes hereof. - Seller executes this Power of Attorney with the intent to be legally bound hereby, and with the intent that the execution shall have the full dignity afforded by the accompanying witnessing and notarization and all lesser dignity resulting from the absence of such witnessinQ and notarization or any combination thereof. (Corporate Seal) ASSOCIATES HOUSG FINANCE. LLC Ily .�T`l S _ = — —:' Robert W. Joven 'v r *, Sterdor Vice Presi ent 21 RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow No. 305347-MLB Title Order No. 00305347 When Recorded Mail Document and Tax Statement To: Mr. Dan K. Johnson F 331 W. 11th Ave Chico, CA 95926 ,. 21fb03---Qie56695 Recorded I REC FEE 10.00 Official Records I TAX 22.00 County Ef j CANDACE J. GRUBBS Recorder i ROSEMARY DICKSON I Assistant I Shauna 09:00AM 22 -Aug -2003 'I Page 1 of 2 APN: U65-440-001 GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE nn d� The undersigned grantors) declare(s), �. Documentary transfer tax is $22.00 [ X l computed on full value of property conveyed, or f ) computed on full valueless value of liens or encumbrances remaining at time of sale, [ ) Unincorporated Area ; City of /unincorporated area FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, W. T. Tyson, A Single Man hereby GRANT(S) to Dan K. Johnson,,a married man as his sole and separate property the following described real property in the City of /unincorporated area County of Butte, State of California: SEE EXHIBIT ONE ATTACHED'HERETO AND MADE A PART HEREOF r q DATED: August 18, 2003 STATE OF CALIFORNIA COUNTY OF Butte ON S/18/03 before me, Marion L. Becker, notary personally appeared lJ T_ TVsnn personally known to me (or proved to me on the basis - of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity0es), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness m0and and official seal.. Signature�r' MAIL TAX STATEMENTS AS DIRECTED ABOVE GRANT DEED W. T. Tyson LL •� •• MARION L BECKERA Q Comm. #1298521 ni NOTARY PUBLIC CAUFORNIA 0 BUTTE OOUNTY -1 )M UnWssim EVIresApr. A 2005 FD -213 (Rev 7/96) 7 h -1scrow No. 305347-MLB • Title Order No. 00305347 EXHIBIT ONE Lot 192, as shown on that certain Map entitled, "Paradise Pines Unit No. 3", filed in the Office of the County Recorder of Butte County, California, on June 17, 1970, in Book 35, of Maps, at Page(s) 78 thru 82. EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the rights to mine and extract said minerals, it being agreed and understood that in all mining operations, the surface of said lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above describedrealty, all as excepted and reserved in the deed from Magalia Mining Company, a Corporation, to E.D. Storts, etux, recorded September 4, 1947, in Book 423, Page 385, Official Records. 1 • i r 1 , . � t 1.. AECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 211799 -JH Title Order No. When Recorded Mail Document To: Dan K. Johnson. 331 W. 11 th Ave Chico, CA 95926 APN: 065-440-001 llllffllllflllllllillllf llllilllfi 20Q�3—rhO56E.9es, Recorded I'REC FEE 10.00 Official Records I CountyBUTTEOf CANDACE J. GRUBBS 1 Recorder ROSEMARY DICKSON I Assistant .I Shauna 09:WAM 22 -Aug -2003 •I Page l,of. 2 INTERSPOUSAL TRANSFER DEED (Excluded from reappraisal under California Constitution Article 13 A Section 1 et seq.) The undersigned grantor(s) declare(s) L Documentary transfer tax is City Tax is LAY\,-COYP0fDt�arrG, ' This is an Interspousal Transfer and not a change in ownership under Section 63 of the Revenue and Taxation Code and Grantor(s) has (have) checked the applicable exclusion from reappraisal: FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Cheree D. Johnson, spouse of grantee hereby GRANT(S) to Dan K. Johnson, a married man, as his sole and seperate property the real property in the City of Magalia, County of Butte, State of California: SEE EXHIBIT "ONE" ATTACHED HERETO AND MADE A PART HEREOF DATED: August 21, 2003 STATE OF CALIFORNIA COUNTY OF eLkXU ON -t "2- '200 3- before me, Prr'r ftonally appeared pii f? h, 0 nS6Y-\ personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official sea). r jl Cheree D. Johnson .. JAMIE? R. NERBER7 M r ``. vi .;�CUt1im. f 1351382 Ca "'� ;k7' ` t WARY PUBLIC-CALIfORMA CC IN OF BUTTE Comm. Expires April 17, 20nG _/'PV"7v-�V�7'J'V'T•7'.i•7•J-C'Vti�'Vti'P'Jt9tC MAIL TAX STATEMENT AS DIRECTED ABOVE UD -13C (R'Lr�) INTERSPOUSAL TRANSFER DEED EXHIBIT "ONE" Lot 192, as shown on that certain Map entitled, "Paradise Pines Unit No. 3", filed in the Office of the County Recorder of Butte County, California, on June 17, 1970, in Book 35, of Maps, at Page(s) 78 thru 82. EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the rights to mine and extract said minerals, it being agreed and understood that in all mining operations, the surface of said lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of. the above described realty, all as excepted and reserved in the deed from Magalia. Mining Company, a Corporation, to E.D. Storts, etux, recorded September 4, 1947, in Book 423, Page 365, Official, Records. Assessor's Parcel No: 065-440-001 RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow No. 305347-MLB Title Order No. 00305347 When Recorded Mail Document and Tax Statement To: Mr. Dan K. Johnson 331 W. 1 1 th Ave Chico, CA 95926 065-440-001 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED., T The undersigned grantor(s) declare(s) ; Documentary transfer tax is $22.00 [ X 1 computed on' full value of property conveyed, or [ 1 computed on full value less value of liens or encumbrances remaining at time of sale, [ 1 Unincorporated Area - City of /unincorporated area FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, W. T. Tyson, A Sin le Man hereby GRANT(S) to Dan K. Johnson, CXY-\aJin C}n the following described real property in the City of /unincorporated area County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND.MADE A PART HEREOF DATED: August 18, 2003 STATE OF CALIFORNIA COUNTY OF ON before me, personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. Signature O W. T. Jae \\ n MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED Escrow No. 305347-MLB Title Order No. 00305347 ' EXHIBIT ONE Lot 192, as shown on that certain Map entitled, "Paradise Pines'Unit No. 3", filed in the Office of the County Recorder of Butte'County, California, on June 17, 1970, in Book 35, of Maps, at Page(s) 78 thru 82. EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the rights to mine and extract said minerals, it being agreed and understood that in all mining operations, the surface of said lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved in the deed from Magalia Mining Company, a Corporation, to E.D. Storts, etux, recorded September -4, 1947, in Book 423, Page 385, Official Records. i ' t HCD 433(8) 4/86 t THIS FORM 'MUST BE COMPLETED . -' BY , THE' OWNER OF A MANUFACTURED HOME M081LEHOME OR COMMERCIAL 'COACH `'AND. FCRWARDED TO THE COUNTY ASSESSOR UPON COMPLETION OF THE', INSTALL_XT10N OF THE UNIT ON A FOUNDA- TION SYSTEM PURSUANT TO SECTION 18551 HEALTH AND SAFETY COOS. ORIGINAL PURCHASE PRIDE FOR: O O O The basic Unit S Type al Exterior wall Cov"ngt (Metal, wood. rtc.) Optional Equipmeni d Upgrades S Type of Root Covering Subtotal . S , (Metol. Wood. Composition, rte.) Heating Types ❑ Forced Air ❑ Floor or Wall Accessories S Accessory Structures S Other (Specify) S Air ConditioningsYES ❑ NNo Toes �e/ ' Evaporative Coolers ❑/YES LJ NO Delivery d bntoilation S buih:n Coaktept lj7 TES C] NO TOTAL SALES PRICE S built•in O o ❑ YES bNO F24S built-in Dishwasher ❑ N DOES THE BASIC PRICE INCLUDE:} _ Built-in wet Ban ❑, Y%E�� No The Tow6ar(s) ❑ YES V-0 ❑ Reirigeraton UTTE ❑ No Tins d Wheels YES O Rool Overhang (Eaves)t YES ❑ N inches Wheeihubs & Axles ❑ YES 10 Furniture Indudedt ❑ YES NO Value S (LENGTH X WTI LIST NUMBER 'OF ROOMS: '2 Caroorss ❑ YES CRr<NQ X _ Awnings ❑ YESNN X bedrooms Dining Room I Porchs Cl YES •'1 NO X . ❑ YES NNO X _ bashs Family Room Storage Storage Sheds F ❑ YES Q'<0 X — l3khen ` Utirtty Room Skirtings ❑ YES G?1'i0 LIN + FEE Uving Room Ottwer Rooms The sales price as shown does not include any amount for any in-place location. The Assessor's Parcel Number of. the installation site is ®� •., �7 CD (0 s� OOOF (Signatwe) • �3� �. '�. vc Address _ rrc� C4 :03 0 � 64 40 me '. Telephone r r 'f NOTES RESIDENTIAL 0065-440-001 03-2945 PERMIT N0. I JOHNSON, DAN r SPAR WY., MAGALIA f kc eC c—Cmz (C Mo &&1!5�Cont: DAN JOHNSON } i NEW MH PERM FND 03-301L( � w I THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS ;BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE j INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S).. , :INSPECTOR TO VERIFY SERIAL & LABEL #'S. z � SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS S VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER gs17 JOB FINALED (Date) Signature )12-7 i + J _♦OK . 0 = Not OK = NotApplicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 'Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 7. Well Clearance & Disconnect 6. 8. Utility Clearance 7. Electric 8. 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 Ext.; Steps -Doors -Landings 2. Footings; Size -Spacing -Marriage Line 12. 3. Gas; MH Test -Demand -Valve -Connector 1 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Card B-1 Date Card B-1 8. Gas and Electricity Tagged POOLS (Plans) OK except #'s 9. Tie Downs -Type -Installation Cert. 1. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERNMcNENT END SYSTEM (ONLY) 6. 'ng Requirements -Setbacks -Easements 2_/Footings; Size -Spacing -Marriage Line (f .r Elec,; Bonding; Metal w/5' -Circulating Equip. -Heater "locking 8. 4. G ; MH Test -Demand -Valve f. lectricity; MH Test Health Department Approval 6. jleter; MH Test 10. Water.and Sewer Connected 8. Gas and Electricity Tagged _ Light Niche 9. Exits 12. Enclosure; Fencing -Alarms 10. License Decals 11. Verify #'s with Office Date s ( Card B-1 ,� l i Date Card B-1 Date Card B-1 Date Card B-1 4-14 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. 'Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec,; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -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 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 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 Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform 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 A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings ` 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Wal Is -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Irt. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meeh. 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 Construct on -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive 0 Yes ❑ No/Walks 0 Yes 0 No/Planters ❑ Yes ❑ 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 9 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P '(Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-440-001 RT -1 ZONINGFFi,,place BUILDING PERMIT OWNER DAN K. . TOMSON TELEPHONE 895-8400 OCC. BUILDING VALUATION R 84 612.00 . OWNERS MAILING ADDRESS 331 W_ 11114 AVE, CHICO 95926 CONTRACTOR'S NAME DAN K, JOHNSON TELEPHONE 1895-8400 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Total Valuation $ 84 672.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 286.00 ARCHITECT OR ENGINEERS MAILING ADDRESS ° Plan Checking Fee $ 23.00 BUILDINGADDRE Energy Plan Checking Fee $ PERMIT FEE $ 329.00 LOT NO. S UBDNISION's NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: INSTALL MANUFACTURED HOtE NEW ON PERM FND. Gas piping stem 1 - 5 outlets 15.00 19.0 Building sewer 15.00 15.0 Mobile Home I S I G I W @20.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Filing Fee 20.00 500V0LES Main Service p A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and*my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OWEUJNG OCCUP. OR ADDNS. ( a ACC. BLDS. s0 3.50FT. NON•AalDSr. MULTI.OUTLET @7,50 POWER APPARATUS a SINGLE OUTIEi CIR. Ex. OCCu OUTLET OR FIXTURES .00 BAL @ 150 Ex. Occup. Dimes Ro )0ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith compl with those provisions. �/ X G.�- Date 7 :� Signature of p cant - ❑ Owner ❑ Contractor ❑ Agent An OSHA per i s required for excavations over 60" deep and demolition or construction of structures o er 3 stories`in hei t. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 437.00 HAZ. .� I D. FEES IMP V ✓ FLoo CDF PARCEL I PO D ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a for which ees have been paid. By Date 'a Z3/0-5 PERMIT EXPIRES ON 29 atf- Date Receipt No. WHITE-D.D.S.-B.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Feb 01 02 08:13a P. 1'. 5, �c ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .' County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT N Ztev.12/96) APPLICATION AND PERMIT ZL2ASSESSORPARCEI PERMIT FEE S NUMBER 0 V I — / / ^ I / 20NIN�-1 BUILDING PERMIT / °N""`��� !c 1 0 TE OWNERS MAILING ADDRESS � ^. _ vG SO. FT. 0 C. BUILDING VALUATION 7_ Main Service CO^ CTOR'S NAME LEPE O� I L {/LS©� - _ COM J15 MNUYDRES$ AV� �U 1c, (W` C O ( OWELLINO OCCUP. \ 8 ACC. albs. / CONS RON (ENDER —� LENDER'S MAILING ADDRESS Fireplace Total Valuation $ J ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHTECT OR ENGINEERS MAILING ADDRESS __—....__.... Permit Fee % $ Plan Checking F $ BUILowGAooaess Energy Plan Checking Fee $ r , ` 9"t1#4 C#4R S $ -- PERMIT FEE LOTNO.1()^ SUBDIVISIONS NAME J _r L PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome F+ Other sxolw Each Tr 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 —' ach as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel 110 Utilities ❑ Installation' ��Other ❑ Describe Work: ,.I` r� '�'TG. �ll/�/�1wit cJ Y ecC Iie_e, as piping system 1 - 5 outlets 15.00 rBuildingsewer 15.00 obile Home S G W @20.00 SNI T to 1957i _57t,/—c> p,4 0-T3 � _,A *PERMIT FEE PAIb SRA SHERIFF OTHER AAbUNT RECEIVED s $ *FLEC907 wip _5965S7) im TO " h!T It" COM1VTEft Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT EX. OCCU OUMET OR FDCTURES PERMIT FEE S Ex. Occup. APPINS. OR OtTE1'0 RE910. EA. ELECTRICAL PERMIT Filing Fee 20.00 Main Service 000v OR LESS a.. aR LEss _ 23.0 Main Service 200A TO 1000A 46.00 NEW cow. T. OR ADONS. ( OWELLINO OCCUP. \ 8 ACC. albs. / 3.54ci i EX. OCCU OUMET OR FDCTURES " p "' SAL a .50 Ex. Occup. APPINS. OR OtTE1'0 RE910. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring i3q nn PERMIT FEE -I S 7 -�— MECHANICAL PERMIT I Fling Fee 1 20.00 I Hood l�l� 6,50 i I PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. nPE TO AL FEE $ w "AZ- I DP 1 00 CDFF I AVCEL H) SSUE This permit is hereby issued Ader the applicable pr6Yi'sioii's r of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. By Date PERMIT EXPIRES ON �xfan.K - - y ,a-•.,...•.v?�.+•`.u'tir�..aeR},...,.,� � .r.r.-..�...... n-....r�•� � -r•rl- •. t .. a ..-.._,.. r ..r.Y .- �. .. i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center brive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: (J� ASSESSOR PARCEL NUMBER �- i �[y� 06 / Proposed Building Use: (m Counter Technician: Date: Items required in order to apply for a permit. Al boxes MUST be checked OR marked NA in ord r- o apply. 1. Site plans, 3 or 4 sets, signed by the prepare of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance desiV and supporting documentation in duplicate. 6. Manufactured homesata sheets and installation in ,._�j Marriage line info( loor Plan, )Tie down or fnd plans, all in duplicate. ❑ 7. Metal Bldgs: (A) Metal Bldg Plans, (B) Fnd plans and cal Gs-'rlri'triplicate, (C) Elevatisfis in triPli�ate. ) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. ti Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate...' ............................ ❑ 19. Site p!arwand.business license approval fro6the City of Biggs .................................... 0,10 L-etter of intent for non-residential buildings....:.................................................. ❑ 1`1..Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form— .............. ............. ❑ 1 . Fire Sprinklers............................................................................................ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by A 0 -I& -0a, ❑ 15. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16.E ees shown on the attached Schedule of Fees Due Sheet ....................................... e of Intent for Non -heated and A/C Buildings ................................. �....` on and site plan approval from the Environmental Health Department i. of Chico Plumbing permit .............................. ................... .,.. .... California Department of Forestry plan approval R7 paid. Sent by: ...t 0 �.CAIT O 21. Planning approval for (A) Use:0 I< (B)Parking: (C) Parcel Check: – ❑ Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 3� NPDES Form............................................................................................. 24. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrieryd Policy Number ............................................. 028. Owner -Builder Verification (iven to owner, El Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... a S 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manu actured home utility clearance............................................................... ❑ 32.z ing violations and/or expired permits ............................................ ❑ 33. Grant Deed M.H. Title4&atement of Facts, ❑ Letter from Legal Owner,�Check to H.C.D. $ ❑ 34. Other: n // When issued Telephone XLb and hold for pickup. I have been informed of the above)tems and requirements for obtaining a building permit. Applicant: 6V4— --- \ 1. Index permit application for th 2. Additional items reqijWecK items numbered: _ Date: �— 2`' e_?.3 Plan Check Letter Contractor, designe, own as advised of the above data by fe9 phone, ❑ mail, ❑ counter, by ��Date: 1 D ai O 3 Contractor, designe , wrier, W s advised of the above data by ❑phone, O mail, ❑ counter, b Date: Plans reviewed by: Date:_ JO •2 '0 3 Plans approved by: Date: , Z Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division { ' ` COUNTY OF BUTTE ' ' DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 aSCHEDULE OF FEES DUE OWNER ' �r \\ll A.P. # ' _t:a U6 PRO OSED BUILDING USE DATE r RECEIPT #. DATE REC. r 1. BUILDING PERMIT FEES �alance Due :........ .i Additional FDue ,, ?� : 1. ...... $ ' Additional Fees Due l.. Revised Plan Checking Fee. .$ ' L 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) ✓�•P.„ O l O �' 1' 6^� 3.. SHERIFF FEES (paid at Building Divisi n) r. Residential ...... . ..... x $360.00 =$ n ✓ lJ c Commercial (sq. ff.) '. ' ..... x $0.03 = $ .. r N '• • Sq. ft. , 4. URBAN AREA FEES (paid at Building Division) 1' Residential .............. . x = $ a i # Units Amt. Commercial (sq. ft.) ........ 4 x. _ $ Sq. ft. Amt. l 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) • 4, < . 9. ' CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) ! 10. OTHER At tune 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 changed during the plan checking process. APPLICANT—' r r DATE Pursuant to Government Code SecVn66020, 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). t Original-- Buidmg Div.'• 2nd Copy.- Applicant }3rd Copy - Owner~ . (Rev. 6/00) _. �•:� ti� �tr n .. -•( it ° ,••``f`�t-.�'•igoq ;__F..�'.-n.,... r� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Y � f� Building Department No. A.P. Number U 1-1 Jurisdiction: City County Property Owner``✓(/(Y \ c" � UPJ^\ Y 1 1--2teY�\. Property Location/Address Subdivision Lot No. f Development Sq. Footage rResidential No'of Living Moile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # €:.................................................................................................................. '(No foundation inspection): Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date / ) (Floor Plans reviewed by School District Personnel) 'cation Distncflde No.��,s,,. School District certifies that (Applicant) (Street (City) has complied with the requirements oj_Rpsolution No. representing School Distri square feet. Paid by Check # �./ Remarks: a / "%`05 (Phone Number) (State) (Zip Code) by payment of $ 0� AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with GovernmentCode Section 66020(a), within 90 days from the date fees are paid. Failure to submit a.timely written.protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm O"ER-DITILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this Verification is received. j. L. I personally plan to provide the major labor and materials for construction of the proposed property improvement ; YES NO ❑ 2. 1 HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: :� , ' , CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but •I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted 'ed the following persons to provide the work indicated: ; NAME ' ADDRESS PHONE ' TYPE OF WORK' SIGNED: PROPERTYOWNER: A 4 44 S eq /-7 SOCIAL SEC14UTY NUNMER: DATE:_ c7 O 3 E. NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and '. returned to our office before we are'permitted to issue thepermit. OVER . . E ,: s OWNER BUILDER INFORMATION Dear Property Owner: 0.B.-1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 9rely, NEJceI C. Vi ira, C.B.O. Mr, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER u National Pollutant Discharge Elimination System (NPDES) Phase II & " SWPPP Non -Certification for Project # for Butte County Storm Water.Permit Compliance By signing below, I, the project arc hitect/engineer of "record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water,Resources Control Board..L additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), .a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources. Control'Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on -storm water quality. 'I acknowledge that it is my obligation to make the project owner and contractor aware that the'selected BNIPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNTs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays.. Signed: Title: + :Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than l acre of land -requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not. disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accoidance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. "Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and. belief, -that the information submitted is true, accurate, and complete. Signed: GLS Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan National Pollutant Discharge Elimination System (NPDES) Phase II & " SWPPP Non -Certification for Project # for Butte County Storm Water.Permit Compliance By signing below, I, the project arc hitect/engineer of "record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water,Resources Control Board..L additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), .a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources. Control'Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on -storm water quality. 'I acknowledge that it is my obligation to make the project owner and contractor aware that the'selected BNIPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNTs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays.. Signed: Title: + :Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than l acre of land -requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not. disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accoidance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. "Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and. belief, -that the information submitted is true, accurate, and complete. Signed: GLS Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan 1-4'1`1-1/2'4. Furnas -IYO'R I Floor Registers F45'0'R F30'4'R I-11'412 I Floor Registers F38b' I Ceiling Light Loc. F50V 1-40'4' F34'4' F25b'F15b' 1-5'8' 1 Geil' Lkjht Loc. F 560' 1- 454' F305 -VY F 20'4-3/4 F-10'6-1/2' I hbll set 1--103' 153-1/2' -- 4-- IOV-3/4' — i 99o -v4 = F— Ioj-In' Room Site F48'4' 1-381614' F331' F2410-3/4' F14-0-3/4' 1 Std. Wall Openings F4514' Vent Root 1-30'8' F206' F 100" I Pones Breaks Egress 30x3AV 4648V 3048V AII39 r+ dents Reired / M" Rn am i K Beth +.L Y — (1 Q 04:2-4I& , SPECIAL 06TRUCTIONS ( If WMCABLE REVISION: Shorten Heat Ducts DRAWN By. I 1 a a Yvxwtl IrJX7Dtt C Egress CATE ORAWIt r "Y4' 1-471' F 34'4' 1-160' 1- lob' I Panel Breaks F31)18-3/4' 1-2410-3/4' F 16'4" 1 Std. Wail OPenclgs F3'4S51-1-53-1/2'+--125-1/7 18'4 -IR' i-53-117 i --10'6-IR' —� Room Size G U E R_ D 1-560. 1-52'215' 1-4611' 1-50'4' 10° + 1-342-1/2" - F 1510' 1- 106-I/2' F 114' S'8' I Wall Set I GeilN Liget LOG. ;kN ...E� R voRat AMERICAN FAMwES 1-544' 1-14'4' I Ceiling Light Loc. S TAYTO N DIVISION F48'8'R 36• eronch tit F51'4"R 18' Broach Duct FM%M I-MVIR F 11WR Flom F Floor Registers I Floor Registers Guerdon Homes, Inc. APPROVED FzSsa 2o'vnnner 1200 Wilco Road ButteEjw P. 0. Box 537 HHealth' �iI:�L6 Stayton, Oregon 97383 t�j¢�®N��IvIT!L �j Phone 503-769-6333 fax 503-769-6022 SEPORAWNG 2 � 203 ' TITLE: CHICOI CALIFORNIA 5i-5641(0 C r k. SITE PLAN REVIEW APPLICATION Date: �- 2L1-®'� AN b65 - 9 yc - OD � Permit Number (if applicable) �3— 2-�y 5 Bin Number APPLICANT INFORMATION Parcel Size: �'BNIJ Owners Name: S( 1� AIJ • Owners Address: Z3 I W. 1 AVE, y C,1 A 7c OCA q 59 21,P Telephone No.: g -' 8 0_0 ^ " Situs Address: A 2 1-J icN�% y Proposed Use: Residential ' ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ® Mobile Home s ❑ Residential Accessory ' ❑ Permanent Second Dwelling - ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential - - ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Other { ❑ Septic f ❑ Well — ❑ Agricultural Exempt Building , ❑ Agricultural Buffer. Form ❑ Applicable ❑ " N/A ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved '` pp ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan, Stamped Approved ' By Date-—�� Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ® Snow Load Area: 2SMb T -b 30Dv -jPT�- ❑ Land Conservation Act Minimum Acreage: E] Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 1�, " 1 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front �� L Side S 3� Side Street Rear S 3O Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 A. Applicable Development Fees: Standard Fees Amount Formula ❑ Fire , ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road " ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other------------ .. - ----------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement. ❑ North Oroville Area } ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination willbe made at the time of the building permit. , Parcel Created By . [1 Deeds: , Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal'Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ElNo ElYes, Road Name: Complies with County Standards for Deed. Creation: El No ❑ Yes Comments: , ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel . ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain'a Lot Line Adjustment ❑. Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page'3 of 5 4 Subdivision Map/Parcel Map: ` P -P— x.D xS & P 11J CS 'S-041 -U2) Map Date of Recording: Lot: b-1-7-70 ) 9 :L- ❑ Use Permit/Minor Use Permit Permit Number: Book: 3 5 Page: 8 2 Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be. prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ❑■ ❑■ Page 4 of 5 I /�O ' .. .. c: •:•:...r*;o.e.,' .rr..±e:r �. ...�' ..rte �._ �,,,�� O`er. �� .�wr _ •� ; ... ' l:tnY.T�i^!:: .::ti'�:::::�.i'(1'.^; :A:':il.�e:::,, ._�':j�::!Ci��,;t�<�n 00 91119.9 -J� �t .: 4: ,7--� On 1 n. f 0 ,� o `� v ;!l �//`.jam 4.. �•/�'�r.�{ ENCROACHMENT PERMIT o 3 - 7,9 q5 County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/pubhcworks/forms.html NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE 7 -Permit Phone (530) 538-7157 Ext. 2016 Number 103 / -Z&7 District % / APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted 1. Applicant's Name:-' ( O�Vv _� �S E? ✓�> 1 a. Company Nam 2. Address: 3. Phone: 4. Assessor's Parcel Number. s 5. Location of Work to be Done p -- co. 6. Applicant's Signature 7, Dam; O ONTRACTOR' S INFORMATION 8. Contractor's Name 9. Address 10. Phone:b r 47 5-._ 11. Fax: �7 12. Contractor's License Number. D 13. Certificate of Insurance: yes ❑ NO: ❑ 14. Contractor's Signature: 14a. Date Signed: y 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check:. Curb: ❑ Gutter. ❑ Sidewalk. ❑ 17. Driveway (List Type): n 18. Other. PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby—granted. 19. Conditions 1 aac L.4 St e a d oY onS+1.3l 14Cf;o n. Z - 633 Z Call 6Zy-s971 Underground Service Alert .SA. must be notified two working days prior to any excavation. 800-227-2600 20. 29 All work shall conform to accompanying: Detail 19 Plans 0 Special Conditions 9 21. Date Issued 9/4 22. Expiration Date: 23 Surety- uretyMike MikeCrump, Director of Public Works By: 7A 'Note; u permits are raxca to any number besides (530) 538-4356, they can be delayed up &one week. Page 1 of 2 General Conditions – See Page 2 MINI y yS Building Permit Number: Owner Name: d o h19 5 p� Residential Construction Requirements IMPORTANT This set of plans,and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. .The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. C'�Owner's Name: A. V., V_- ; `J p "1w�,5 O. ✓l 2. Assessor's Parcel Number: O 1�, 5 0O i 13. Installer's Name- CO (A 54 C'UL4_-AV v\, 4. Is the site currently under permit? Yes[ ] No�x] Permit No. 5. Is the site an existing site? Yes[ ] No (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? Oio Amperes. n 7. What is the mobilehome site circuit breakerlrating? f 20 Amperes. 8. What is the electrical Latin . of the mobilehome site? N 2 DD.' ` Am eres. -• 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating? Amperes. -10. Is there any other electric load to be. served by the mobilehome site electric service = C.e. well, garage etc.)? YesNo[ ] If yes, please identify the load and size: r4 f C a) The mobile home site: Load- .3 © Amperes- 3 D b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[>4 None[,,] 12. Size of gas ipe at the mobilehome site from the-' meter or tank: _ 3 inches., 13. What is the gas pipe length from the meter or tank to the mobilehome?.D (ft.). 14. What is the mobilehome gas demand? '90 B.T.U.* _ *(This information is not required if the pipe length is less than 6 feet on natural gas or less than'50. feet on propane). { THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS. -THIS PERMIT APPLICATION -T-Ta COUNT i t J May 1995 »_ 8.5 J � Mobilehome Manufacturer: 6y,p rd o H Manufacture Year: If other than single wide, furnish Setup Model Number: 1 Z Width:ft.) Length: f_(ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. nn , FOOTINGS: Wood pressure treated or foundation grade[ ] Other: 2 r , INS * / a 1 S <C. SUPPORTS: Concrete block[/] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE Pier Line 1 ITM" ne1 Line 2 Lne 2 ........................................................................................Main Beams A.............. ......T..e 2 Line 2 t.� n .2 2. `► % Lne 3 Line 1 Lne 2 ............................................................................................Main Beams ............................................................................................Lne 2 ne 1 ................................................. .ine 5 Tag or Triple ine 4 ine 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: ` From ends -maximum: ` Line 2 Piers: Size minimum: x ]. Spacing maximum: U` From ends -maximum: (` ` Line 3 Roof Loads: Size minimum Location (from front; Line 5 Roof Loads: Line 1 Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` Size minimum: ) Location (from front), ®;�P�,R-rr� May 1995 8.-4 r- i Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 SECTION INTRODUCTION GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS SET-UP INSTRUCTIONS FOOTER SIZES WIND ZONE I WIND ZONE II INDEX PAGE NUMBER 2 3 4&5 6 7 8 RELEASE DATE 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 SPA] This] - SINGLE 9 9/2/03 -DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 - SINGLE 13 9/2/03 -DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS SOIL CLASSIFICATION CONCRETE INSTALLATION 16 9/2/03 17 9/2/03 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval MANUFACTURED HOMEIMOBTLE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18551 APPROVED SUBJECT TO CORRECTIONS NOTED kPPROVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS Snito of California t P i�enda and Community Duval,1 1 DES AND STANDARDS ATB 0 (iE tee) an D. APPS Expires /03 ©3-Z Iq-5 mc, BUT'T'E COUNri ULDING DEPARTME.N A P P R 0 V.,. 00 Lq co O -ive *Atlanta GA, 30336 O O O Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. 1�� N C D Page 2 California 9/2/0 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 r #59018 - 2 sq. ff. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. #59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils ' # 59287 - V -Drive System Must be used with: # 59018 - Vector for single/douljle block pads 3 Sq. Ft. Pad Vector System t # 59271 - Vector 3 sq. ft. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors I slotted bolts not included. t Page 4 California 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List Page 5 Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. Ft. Pad Vector 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) 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 Combine Vector Dynamics & LSD 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) Note: Two struts =1 L.S.D. system. 3. Longitudinal Strut (2 per system) Can be used on one pad or slipt on 4. Tie Bracket (2 per system) opposite ends of the home. Examples of Possible Placement: Wind Zone (Contact TIE DOWN for placment in other Wind Zones) I Triple Section Wind Zone I Single Section 1 I I I I I I I I I I I I I I I I I I I I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Wind Zone I Tag Section .r: 48 Ft. Max. California r4 9/2/03 s 1 50 in max. Figure 1 t Maximum Pier Height . 1 ' } 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. t All 24" iFigure 2 Unequal Pier Heights 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". N ®: Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 34� ' , C As� W t�ME,'` .` �r ,v IN 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. 4. Inside brackets & straps Attach the inside tie brackets to they 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. �c. Page 8 Californ 9/2/03 r ! r t i WIN Z " - D ONE I, SEISMIC ZONE ,_4� • x _ _- "- , . ♦:lI. �, . ♦ `Vector".Dynamics Systems Require or W "r '`Single Section Homes 4 "(Materials Required) " ;Sect►On h°me - .a ot , •e r s �Y�....a...:r..Y',tir. I+i�+fi.•+-+'.tir+'I�.... ♦, a,\-� .rrtw 1,.:.��.x c. 3`" G�j, < r (�. 7 ♦ , s y. ����d Yom. w - 4 . � ISI '. � X�'i �. , K. .e.Y � 9•K �api • .. � < . • w..'MVM1 -.yF «, .' ti'fi- ^�•"'T e 'fly - ! ,. < - !• x. v 77— Note: L.S.D..= Longitudinal r , t " `. NOTE: Vector Systems should be s aced as, - ` Stabilization Device ` " 3t+ P See Page 6. a symmetrically as possible along,the length ' - , of the home. Pler,spacing must be * `= consistent with home manufacturers!, o " Soil Classifications: �2,• 3, AA,: &,46 ' ` ` instructions and/or state requirements. rY Soil Bearing Capacity ; 1,'000 PSF minimum Anchors Required: '30" -with 2-4":helix anchor (59095), ' W IT stabilizer plates (59292), 1-1/4" frame ties - WIND ZONE I' Home Length Vector Systems Anchors Required 'Piers Required ;Per Side or 24" Pier 24.1 - L.S.D.. 0 to 72'; 3 .. 2 -3 2 :73' to 90' .. 4 .Lr ,F 3 r 4 2 y • �ectox ,, .. .- Qr77/GSI ° \ Each -Vector System requires one of the following '! _ C=) { 1=4x4 or 2-2x4's.pressure treated wood compression member, - C ►� _ � �.� Schedule'40 PVC Pipe or' 1 adjustable steel compression (see parts list) , 2 :sq. ft. pad _ - _ >y CO CD 1 O co N 0 A WIND ZONE I, SEISMIC ZONE 4 \ I Vector Dynamics Systems Required for Double Section Homes I (Materials Required) hplme - _ _ - - ' � , _ _ - � " - " p _ \ _ 1e Sects 21 doubt p� a7 ---K F ' I hr I � v -. + I.S.-a�F'' �: ♦ NOTE: Vector Systems should be spaced as symmetrically as possible along the length o home. Pier spacing must be consistent with manufacturers' instructions and/or state reqs No anchors required. For pier heights up to.46" for 28'-36' wide, 38" for 24' wide. See Pg 12 for high_pier instructions. WIND ZONE I 2 sq. ft. pad Soil Classifications: Soil Bearing Capacity: Anchors Required': 2, 3, 4A, & 46` 1,000 PSF minimum None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 6T to 84' �.— _ 4 _ -- 0 4 85' to 90' S 0 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page 6. v WIND- ZONE I, SEISMIC:.ZO'NE 4 no ' ,. :. .. 1. °-_ Vector Dynamics Systems Required for - . - - t;m� foc _ - t 4 - , .. Triple Section Homes - - , p:e o� ? eca� _ E x y - h, ;(Materials' Required) g - -'* ♦ ♦ ; ' I • , 1 - 1 +f -•,•--�+ �s'•'4`ti+`"''"'1.uR. ,k Sp kl x .� t � r:: .._ . -'S: t ,^ 1 .. � ,, s ...� �'�' iri �� ... k , - 1 4' ff 1 'I . , a f¢� t �,, kti� xl ,� , j \ _ ! \ � �.>. � � vii � ~� I ♦ •�- I z .. ' _ , .. -'.• a5: ...:.v...,e..x' ,fie ��' .,. f-=—. � , ''' ;.. .` �• t ♦•'♦ -1 , ♦ xh5 K A^ z, `�� .... l..a � , • ♦ _ � � "'' r�: • ♦ I <f yrs .::,:,' : ' r :... „ t r - .. - _ - '.., 6 %'' ♦ . " + .. ` 't. : " 3 �. x:`I dv — +.far -. r, - ♦♦ I a- . a� NOTE: When a pier height at Vector locations exceeds 46", an, anchor must be'used-on the outside wall/beam at that Tag or___,�__- xs approximate location. t full triple .NOTE: Vector Systems should be°spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home - ,' 3' ' Soil Classifications: 2, 3,,4A, & 46' '_ , manufacturers' instructions and/or state requirements.: •�n Soii.Bearing Capacity: ; 1,000 PSF minimum Anchors Required*: • " None (*Marriage wall anchors may.' 0 - r - "' .be required by home manufacturer.),, ' Home Length ,Vector Systems Required Anchors Required Per Side` LSD ` Main. TAG 0 to 48' 2 +-2 on.Tag 0 2 • '1 .49' to 71'' ' , - 3 + 2 on'Tag:. °0 2 :, ;` .1 . 72'. to 84' 4 + 2 on Tag ' s p :. F 2 2' . 85'to90' 5+2 on Tag" :0 2 2 CD 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," y:r - 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 I (High Pier Sets with Diagonal Ties) , _ _ - °n h°me I ' ub\e sec,� a 0 I I 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. WIND ZONE I Max. Height Unit Width See Page 7 cfl N I -Beam I W Spacing — J A i �2 sq. ft. pad 4s' Min. 0 to 48' 2 2 2 49' to 71' 3 3 3 72' to 84' 4 4 1 4 85' to 90' 5 5 1 4 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) I I I I I ca CD W il e `WIND ZONE II, SEISMIC ZONE 4 (Hurricane) Vector Dynamics Systems Required for Single Section Homes (High Pier Sets with Diagonal Ties) " Sert�on t sys e MS. l 9\j`dellnes' 2 ft s� ag1e AOT ve\t Nor ma U _ a $P 1n9e insta a _ EXampshoWs geUst be to hom 1ltustr aid sPa°`n9 MUS ads d' Fon i p s ax ryp. I WIND ZONE II (not to scale) _z Soil Classifications: 2,3, 4A & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: 30" with 4" helix anchor (59095), 1-1/4° vertical ties w/4725 lbs. min. breaking strength. . Home Length Vector Systems Required Anchors Equired per side LSD 0to48' 3 5 2 49' to 60' 5 6 2 61" to 72' 6 7 2 73' to 84' 7 8 2 85' to 90' 8 9 2 NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Each Vector System requires one of the following: �2 S ft. pad 1-4x4 or 2-2x4's pressure treated wood compression member, q P Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) n co K 0 - T WIND ZONE II, SEISMIC ZONE 4 ,- Vector Dynamics Systems Required for , " - ' " " " �t�on h°m ems Double Section Homes " ub�e sec �ectOf s man�a1 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. WIND ZONE II (not to scale) \2 sq. ft. pad/ Soil Classifications: Soil Bearing Capacity: Anchors Required': 2,3, 4A & Q 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min Home Length Anchors Equired per side Vector Systems LSD Required 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 1 4 breaking strength. 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) 7WIND ZONE II, SEISMIC ZONE Vector Dynamics Systems Required for ��e rho •Triple Section Homes _ = _ - "Seco° or systems .. �.�. (Materials Required)., for 6 ��n9 _ �of -a eras sPa ,1 ♦ ♦� L.r ani\ gen x ♦• - r I \ - 11Wsirati ,r - , • � .M1 w 'v'.- w• -.,. i�G 5fvs '....v i 4 f C i + �,�s§• I `_ ... � N; ♦' a - I 3 ` '4.�•. a:4.,,• Yrt.1-T�' 'I iiRF•: ` ..-:...w..• �L ► Z:s r�-+�.�-',''.! Y .0 •S . 1 5� `fir" - +i y.L:� - - NOTE: N , , h jYA�• ` 1? - " ---.,When a pier heighYatvector-locations exceeds 46 11 „anchor must be used:on.the outside wall/beam at"that. ti �y " ♦ r, approximate location71 : } \:: fir, \ ., _ ♦.\ i. .. in p .'' awin�'a i NOTE. Vectorsy stems'should be s aced as -Z6- « h -♦ v, . f 'symmetrically as possible along; the- length of the ' home. Pier spacing must be consistent with home t., ♦� . S manufacturers' instructions and/or state requirements.-' , Tag pr_�► `yll • ., s^ _y -SA. ,.'�LL'full,trile-_f:, si ♦\ I *-`�.^..j� r�. z Soil Classifications: 2;'3 .4A, & 46.1 ,� h i . citY , 1;000 PSFminimumSoil Bearing Cap6 , -'Anchors Required': 3/4" 00" with 4" helix anclioc(59095)-1-1/4":Vertical, ties t Q, •,w//4725 lbs. min'. breaking strength. ,•• • .. ... .. of .. ,. '. #, .'.•.. '�- r a r - • t (b Home Length' • Vector Systems Required Anchors Required Per Side LSD. Main TAG 0to48' r- 3+2 on Tag' 4 2 1 49'' to 71' 4+2 onTag - g 3- 2 72".to.841 4-+ 3 on Tag ,,.7 3 2 85'to90'."},5+3yorrTag .- 8� <; 3' 2; 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 - 4x4 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16'. Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V -Drive System for rocky soil conditions V -Drive anchors are used only in Zone 1, single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bol ut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. ont' a tighte ing strap until all slack is out and strap is tight. < H t i Page 16 California `L-' - 9/2/03 VECTOR DYNAMICS INSTALLATION. DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils 'Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cementedsands, coarse - 2 1gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44' 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: _ 16x16 = 256 sq. in. -= - ' ' 20x20 = 400 sq. in. - or 16x18 = 288 sq. in. - -- - _ or 17x25=425 sq. in. - -- _ EQUALS - EQUALS - 2 -Vector Pads # 59275 - 1 -Vector Pad # 59271 = _ 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent list e bove. 'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in ar with site conditons 4 C B Page 17 California 9/2/03 Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pa for concret( footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt -.1 t � - ` • - ` r ' _ � .. , S � � n F � .. t, l C .. � ' � � j, 1 _ ' ' _ _. .. t +' � � � , r � � � . A .. r . � - .. r • r - � ; r �- � • { # .. � a �; ,i 1, � ... .. - • • � �� + . � ,. � � r � • a � - - { � .. � . � � � . f A i , ' � F Vector Dynamics System for Concrete Applications Instructions 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should' be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other. hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on'each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. ` 17. Using a slotted bolt in the outside tension brackets, insert strap through slottedbolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration Tv Inside Tie Bracket Compressh boards of PVC Pipe rage i y Lodi IIUI IIId ad ;e #am U/2/03 CIDF FIRE SAFE REQUIREMENTS AP# PERMIT # N Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1.273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [XJ 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 • p. AP# PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. IN 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [ ] 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [�] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill,site approved by the local jurisdiction, of flammable'vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 aC' AN PERMIT '# TT Other Requirements [V] If Building Setback is 15 to 30 Feet: Class A or B roof and Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed ' Eaves and: Choose any 2 of the following: Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D r, Glass area not to exceed 10 % of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials ANP WHEN RECORDED MAIL TO: �n BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2��3-0066�4�2 Recorded e Official Records I CONFORM 1.00 CoBUTyy I 2��3-0066�4�2 Recorded 1 REC FEE 10.00 Official Records I CONFORM 1.00 CoBUTyy I BUTTE CANDACE J. GRUBBS I Recorder ROSEMARY DICKSON i Assistant I Myles 11:25AM 24 -Sep -2003 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT r FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building, permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations: All that real property situate in the County of Butte, State of California, described as follows: r l`ec A-HAe-htt1. . Date 9 // / /� State of California County of Zuct e ►�ry%m PROPERTY OWNERS: before me, F r 1 O mit R C� personally appeared rl4C)n personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. ' WITNESS my hand and officiaJ seal. AAAAAAAAAA Sig ature l� al: �" JANET R. NEF ERT D COMM. #1351382 NOTARY PUBLIC -CALIFORNIA Q COUNTY OF BUTTE Co A.P. # n Q •. Comm: Expires, April 17, 2006 • i Escrow No: 305347-MLB Title Order No. 00305347 4 EXHIBIT ONE Lot 192, as shown on that certain Map entitled, "Paradise Pines Unit No. 3"; filed in the Office of the County Recorder of Butte County, California, on June 17, 1970, in Book 35, of Maps, at Page(s) 78 thru 82. EXCEPTING THEREFROM all of the valuable minerals beneath the surface of the said lands, with the rights to mine and extract said minerals, it being agreed and understood that in all mining operations, the surface of said lands will be protected against damage and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside of the surface area of the above described realty, all as excepted and reserved in the deed from Magalia Mining - Company, a Corporation, to E.D. Storts, etux; recorded September 4, 1947, in Book 423, Page 385, Official Records. A Y . 1 . r + . 4 ` i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP043546 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of*perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/17/2004 APN: 065-440-001-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number:. Site Address:.6289 SPAR WAY MAG Date: Contractor. Map Index: Description: PERMIT TO REPLACE 03-3014 GARAGE p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec., 7031.5 (576) 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 Owner: JOHNSON DAN K signed statement that he or she is licensed pursuant to the provisions of 331 W 11TH AVE 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 CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95926-2537 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: JOHNSON DAN K such work himself or herself or through his or her own employees, 331 W 11TH AVE provided that such improvements are not intended or offered for CHICO, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95926-2537 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the properly, 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: pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of Pe Business E?d Professions Code Dat _ WORKERS' COMPENSATION LARATION I hereby affirm under penalty of pedury one of We following declarations: , License #: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: EII.have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier: Policy #: Total Square Ft: 0 S. F. Valuation: $0.00 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 Census Code: 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.. / v Date: Applicant: WARNING: Failure to se a workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 41 S pr Q I , 17 • C* CONSTRUCTION LENDING AGENCY This permit i hereby issued under the applicable provisions of the Butte County Cede ?nrVor I hereby affirm that there is a construction lending agency for the Resolutions t do work indicated above for whish fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) °jC•' Date: ( ' 04 Name: BY: PER IT EX IRES ON:f _'2' / Address: r Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 2550 255 , 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 state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document f Butte County. I hereby authorize representatives of Butte County to enter on the above mentioned property for inspection purposes. Print Name: 12 7 — ` Signature: — ,^ Z %, 9 Date: ❑ Owner ❑ Contractor - ❑ Agent for Owner 0 Agent for Contractor VTI"BUTTE COUNTY PERMIT c I I oDEPARTMENT; OF DEVELOPMENT. SERVICES NO. o BUILDING PERMIT APPLICATION O O AND SUBMITTAL REQUIREMENTS o O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 $P �`t 3 O" =_"�� O OFFICE #: (530) 538-7541 C A FEE WILL BE REQUIRED AT TIME OF APPLICATION BIN # �U N� Website: www.buttecounty.net/dds -- "PLEASE PRINT CLEARLY" APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name —� Address City State Zip Phone Fax E-mail APPLICA T SIGNATURE X w For office use only: Zoning Prope0 Address iii4 l — L2, Flood Zone Cross�Sl-met 4-( SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIRE -MEN 15 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 LOCATION AP# P6 S_— `' `k1Q - 0 � Prope0 Address iii4 l — L2, C tY Cross�Sl-met 4-( WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address .Description or Scope of Work: RPLL 03.3014— Sq. Footage 47 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION.`' Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:, Amount: 5" • Q 0 Bldg SRA Receipt #: + I S BtQlo Sheriff SMIP Other Date: 12 . I . Q ¢ 7 54 9 Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply foa a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 �`�,'JSwu�ci'9�a..y'�'j 4�66��2:5•;T�' :d.`'Fy t,Yn. =a.t`"'. ..'r:.�.._.R �Sz�:.a._�•�•v ,»•.✓.L?•,J: "' .d2 .:alc`'iw Attention Property Owner: Y. ,An "owner -builder" building permit has been applied for in your name and bearing,your . signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major, labor and material for construction of this proposed. property improvement: YES [?0 ] NO [ ]. 4- 2. I HAVE_ [,� ] HAVE NOT [ ]signed. an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide.the proposed construction: NAME: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: , ADDRESS: • PHONE: CONTRACTOR'S LICENSE NO: I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: , NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: �— 4 DATE: 12 — 17— O�4/ N NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 1. , Rev'd 11/4/2004 i Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile @71 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. ` Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mic el C. Vieir4 C.B.O. Ma4ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 1 . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO `• 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-440-001 ZONING RT-1 BUILDING PERMIT -JMSON, DAN K. TELEPHONE 895-8400 SQ. FT. OCC. BUILDING VALUATION 576 U 10 368. . OWNERS MAIUNG ADDRESS 331 WEST 11TH AVE. CHICO CA 95926 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 91-90 BUILDINGADDRESS 6289 SM WAY, MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRT DFT GARAGE SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New V Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service Zp.A OR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. s° OR ADONS. & Acc. BLDs. 3.5OFT. 20.16 NEW NON-RESID. r.LTIOUTCIRCULETITS@7,50 POWER APPARATus b SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FIXTURES BAL @ 1.50 ED Ex. Occup. OUT Ro .°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall / not employ any person in any manner so as to become subject to workers' C ompensation 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 fort ith comply it tho provisions. 2 ? X 4 Date �'� /�J Signature of Applica t - Owner ❑ Contractor ❑ Agent An OSHA permit is re ed for excavations over 60" deep and demolition or construction of structures over 3 ries in heig t. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 268.06 HA2. _ D. FEES IMP FLOOD X °DF X PARCEL X 1.PO X HD ISSUE X 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. ey D e /� 03 PERMIT EXPIRES ON d Dat Receipt No. 2.(v SHITE-D.D.S.-B.D. CA RY-AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT , • . •i.. r.-. r`"^*s�`* •" '9f3�i^-tiYY"1' i';..df , n }. '^. ''TrI'��' ,, _ r/. ' C COUNTY OF BUTTE-DsEPARTMENT OF'DEVEL-OPMENT SERVICES -BUILDING DIVISION 7 County Center Dr?ve, Ocoville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 1 PERMIT APPLICATION DATA SHEET ~� OWNER: 'J �'7 ��. \/ (! i l %l.��Jil ASSESSOR PARCEL NUMBER l�� 11-7,5 Proposed Building Use: 67f . (7 _ f G - Counter Technician: ► P Date: Items required in order to apply for a permi r All boxes MUST be checked OR marked NA in order to apply. ' ] 1. Site plans, 3 or 4 sets, signed by the preparer of the plans:,,,, 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ,. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all•in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the -engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ 41y.e plan and businesslicense approval from the City of Biggs .................................... tterofintentfornon-residential buildings......................................................... 1Detached Accessory BuildingForm filled out by the owner ..................................... 2. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Remaining item's needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 17. Statement of Intent for Non -heated and AIC Buildings.....................................y..... Sanitation and site plan approval from the Environmental Health Department inh I r 19. City of Chico Plumbing permit ............................ �j 0. California Departure of Forestry plan approval paid. Sent \. 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: 2. ontact Land Develop ent about ❑ Improvements, EJDrainage ............................... . NPDES Form............................................................................................. 24. Encroachment Permit for driveway from the Public Works Dept ................................. 25. Pre -Inspection for (. :I! required ................ 2/26. Contractor's license inform ation''(Number, Name Style, Classification) ...................... P2927 - Worker's Compensation Carrier and Policy Number .............:............................... . Owner -Builder Verification (C34G ven to owner, ❑ Mailed to owner) ..................... ❑. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance........:.....................:................................ ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ a. ❑ 34. Other: When issued Telephone R C _ ti�� % and hold for pickup. I have been informed of the above it s and requirements for obtaining a building permit. !p �r M Applicant: ice -----1t Date: r 1. Index permit application for the ab � a items numbered: Plan Check Letter - 2. Additional items required 3 Contractor, designer, owner, was advised of the above data by ` phone, ❑ mail, ❑ counter, by Date: (0 Contractor, designer,ow�as advised of the above d to by ❑ phone, ❑ mail, ❑ coter by Date - Plans reviewed by: _C. Date: J Plans approved by: -Datelo j58. Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division OWNER BUILDER VERIFICATION Attention Property Owner:.: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your'earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this cation is received(12� . personally plan to provide the major labor and materials for construction of the proposed property improvement : -YES - NO ❑ I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but,I have hired the following person to coordinate, supervise, and provide the major work:' . NAME: ' ADDRESS: CITY.' PRONE: CONTRACT'OR'S LICENSE NO. 5:! I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: k . NAME ADDRESS PHONE ' TYPE OF WORK SIGNED: SOSECURITYN�TllBER. — DATE. �/ / ^ O NOTE: This Owner -Builder Ver fication is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we arepermitted to issue the permit OVER OB. -I I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. Ifyou-plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. ly, I 1 C. Vi ira, C.B.O. er, Building Inspection NOTE. This Owner-Builderinformadon is required by Sec don 19830 of the California Health and Safety Code OVER 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754 P 1 c ay tyggi APPLICATION AND PERMIT ASSESSOR PARRS, IA SM IV BUILDING PERMIT owNEa � , I BZ O •.SO 1 r NE So. FT. OCC. BUILDING VALUATION Temporary Service 23.00 Mobile Home Facilities 20.00 Wlsc. Wiring --E3'5 "JN3 ADD 6 f i� -11 / o COP1rM HONE "°"`s°" RESS ih l�G' DONS ONIENDEA Fireplace, S LWUNc ADDRESS VT Total Valuation S c cT OR EN6111EDI LICENSE ND Fillno Fee S 20.00 Permit Fee 5 00 - OR ENDwEERs wND ADDRESS Aa R w Pian Checking Fee S �rAIWOPEM- Enargy Plan.Checking Fee t S PERMIT FEE S O Lor SuaDIMIONSN4ME - PARG" MAP PLUMBING PERMIT Fling Fag 20.00 Each Trap U�SE�OFSTRUCTURE 0 SF 0 Duplex O Nbbilehome Other 667 Solar or heat um water heater 23.00 Water piping .15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ®' Addition 0 Remodel 0 1.05as O InstaUafion O Describe Work Other O Gas piping system' 1 - 5 outlets 15.00 Buling sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT 119ifingFeel 20.00 Maim Service �y OR LESS 23.00 Main Service 2MA TO IDDDA 46.00 NEW GONSr OR ADVNS D s � moms. P 3.5¢ Sikh �O , ;:;kk 74 o4ht.�r 4- Aws*PA Teft;Ved 0=,� e?. olf/ (a .2t/ Ab EX. OccU OLMM OR FD:RJAEB I BZ O •.SO 1 EX OCCu FD® AFPLNs. OR OynErs ID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wlsc. Wiring 23.00 PERMIT FEE 13; 6� ( ), ' L- MECHANICAL PERMIT I Firing Fee 1 20.00 1 Hood 1 1 6.501 PERMIT FEt S Mobile Home Installation Fee S Energy Inspection Fee S TOT FEE $ HAZ. I D. FEES IMP FLOOp CDF ARC 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. �-� By Date PERMIT EXPIRES ON ri :ev.12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 APPLICATION AND PERMIT ^ PERMITS NO ASSESSOR PARCEL NUMBER ZO"RN° BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNO ADDRESB =MTaACMRS NAME TELEPHONE CONT:t CTORS MUUNO ADORESS GONSTRUCnON LENDER X31 Fireplace LENDERS muU r. ADORM Total Valuation S .s'r d ARCHtrECT OR ENQNM UCENSE NO. Fillno Fee S 20.00;,. Permit Fee S �' ARCHrtEa'oa ENowEERs wwNa ADDREss Plan Checking Fee S BuLDeIGADDigs Energy Plan Checking Fee S ' $ PERMIT FEE S LOT NO. suaotvstONSNAME PARCEL MAP PLUMBING PERMIT Feng Fee 20.00 ' Each Tra - — --- 7:00 -- USEOFSTRUCTURE SF ❑ Duplex ❑ Mtobilehome ❑- Other Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U696es ❑ Installation ❑ Describe Work: Other ❑ Gas piping systam 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S - G I WT @20.00 PERMIT FEE S ELECTRICAL PERMIT I Feng Fee 20.00 Main Service = OR, LES I 23.00 ` ' SAX 4 • SirS O� AeCe ' e Y4.6 Main Service tom► To LomA 46.00 NEW CONST: OWELLLNo OCCUR 3.5CFST°, OR ADONS. i AGC. EMS. NEW QQND.. MULTwtlTL6T @7.50 . i1ET CI0.' i SMlPOWFFA APPOVj ffW 2D 0 LftL.so . Ex. Occup. OMOR FOCIURFS DAL ®t Ex. Occup. VnFralEs DD 0ER& 5.00 Temporary Service 23.00 Moble Home Facilities 20.00 Misc. Wring 23.00 PERMIT FEE MECHANICAL PERMIT Firing Fee 20.00 Heating Coolie Hood Ventilation I PERMIT FELE S Mobile Home installation Fee S Energy Inspection Fee $ oEc CONST.TYPE TOTAL FEE $ • D. FEES iMP I FLOOD CDi PARCEL PDHD155UE permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work of indicated above for which fees have been paid. By Date ------ PERMIT EXPIRES ON �Y' C COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT r0. (Bev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-440-001 ZONING BUILDING PERMIT OWNEJOHNSON, DAN TE�,t1�NE8400 l� SO. FT. OCC. BUILDING VALUATION 200 0 1400.00 . OWNERS MAIuNG ADDRESS 331 WEST 11TH AVE CHICO 95926 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1400.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 33.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 21-45 BUILDING RESS Il SPAR WAY,` MAGATIA 95954$ Energy Plan Checking Fee $ PERMIT FEE $ 74.45 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OPEN DECK (10X20) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service .(,A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: )6 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO lOooA 46.00so NEW CONST. DWEWNG OCCUP. SO DWE200ALLING OR ADDNS. ( a ACC. BLDS. 3.5¢FT. NEW OESIUT' MULTI.OU CQ @7,50 a OUTLET CIR. OWELER APPARATUS 20 @ 1.00 Ex. OCCUp. ovnET oR FocruREs BAL @ .w Ex. Occu . ouT>Frs .=.) EE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo hwith comply wit T those provisions. or Aof X Date /f9 _ Si lure of App'cat - ❑ Owner ❑ Contractor ❑Agent An OSHA permit is Muired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. 111 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 74. 45 HAZ. D, F ,q ,V/ IMP FLoo cDF PARCEL. PD Ho ISsuE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date I o Z403 IF PERMIT EXPIRES ON 10Z 112 �� Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT Feb 01 02 08:13a T P. 1'... COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 Halt NO. (Rev. 12/96) APPLICATION AND PERMIT 2)1 ASSESSOR PARCEL NUMBER / -. D / ZONING BUILDING PERMIT OWNE(pT �X r� R 1 '^ s� SO. FT. OCC. BUILDING VALUATION owNEll ADD ' s Wit- • PERMIT FEE S COMMCTOR'S=_ CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MARING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MWNG ADDRESS BUILOWO ADDRESS LOT NO. I SUBONISIONS NAME ` �sSAM" LICENSE NO. USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: N "PBtAIT FEE PAID SRA . SHERIFF OTi�R . AA6VNT RECEMb *P 9 5�1��7� A�, trx ORM TO i! IVT IPITp GpMhJTER Fireplace PERMIT FEE S Total Valuation Is Lf Vo Filing Fee - Fling Fee $ 20.00 Permit Fee $ 3 Plan Checkina Fee $ 2 Energy Plan Checking Fee $ SO. 3.5♦✓fT, Ntw NON•REORN . MULTI -OUTLET RANCH CIRCUITS PERMIT FEE $ POWER APPARATUS 6 SINGLE OUTLET CIR PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 FD(ED APPLNS. OR oVTLETa ESID.) EA. Solar or heat pump water heater 23.00 23.00 Water piping 15.00 Misc.Wiring Each gas water heater or vent 15.001 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S 1 (31 W 1 @20.001 PERMIT FEE $ MECHANICAL PERMIT Fling Fee I 20.00 6.50 PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ occ "' nPE TOTAL FEE $1. Ll N0. F IMX FLLOOOD CD PARC PO ND UE ---- This permit is hereby issued under the applicable prrovisioiis of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. By Date _ Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT ' PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service. 00.OR LESS 2ooA LOS. LEss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. OR ADDNS. OWELLINO OCCUP. 6 ACC. S. SO. 3.5♦✓fT, Ntw NON•REORN . MULTI -OUTLET RANCH CIRCUITS 7.501 POWER APPARATUS 6 SINGLE OUTLET CIR —_-. I Ex. Occup. OUnEr OR FIXTURES 10 01'0° - SAL 0 .so EX. OCCU FD(ED APPLNS. OR oVTLETa ESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc.Wiring 1 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee I 20.00 6.50 PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ occ "' nPE TOTAL FEE $1. Ll N0. F IMX FLLOOOD CD PARC PO ND UE ---- This permit is hereby issued under the applicable prrovisioiis of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. By Date _ Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT ' c . = E.H. USE ONLY Piot Ran Attached Floor Ren Aria Sent to 8.0. 7', Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1 kh aq � 0 --o) Owner ocation AP# Plan Approv f Sewage Disposal% Wa r S pply• Publio� Privat Well Clearance fo welling. Other n Hold final for:` Final clearance O.K. for: NOTE: I W" Lim WM��Vffljvkmw�www Environmental Health WN Date COUNTY OF BUTTE -DEPARTMENT OF bEVELOPMENT SERVICES -BUILDING DIVISION NN;7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 A PERMIT APPLICATION DATA SHEET OWNER:M_� �(' ASSESSOR PARCEL NUMB AlProposed Building ' se: • Counter Technician: Date: f/ Pto s r quired in order to apply fora permit. All boxes MUST be checked OR marked NA i order to apply. plans, 3 or 4 sets, signed by the preparer of the plans. omplete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received / Date Received By lz`8. Flood Elevation Certificate, wet -stamped and signed, in duplicate...... 1 .......................... 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 ..................................... ❑ 12. Hazardous Material Form...............................................:............................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent byd ❑ 15. Other • Remaining items needed to issue4he permit. (May require additional plan review upon receipt of the following item . ❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet ...................................'.. . 17 Statement of Intent for Non -heated and A/C Buildings..............r1 , Sanitation and site plan approval from the Environmental Healt�_f _Department in 19. City of Chico Plumbing permit.........................................../(........................... ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. .❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. "Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... i ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired pe'rmits......................................................... ❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ , ❑ 34. Other: When issued Telephone S and hold for pickup: I have been informed f the above ite and requirements for obtaining a building permit. Applicant: Date �� �%� 1. Index permit app ci ation for the abd items numbered: Plan Check Letter 2. Additional items requi Contractor, designer wn , was advised of the above data by phone, ❑ mail, ❑ counter, by Date: I D Lnlo 3 Contractor, designer, ner was advised of the above at by ❑ phone, ❑ mail, ❑ counter,'by Date: Plans reviewed by: Date: o' 9- -07 Plans approved by: U+lf Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division r` t 1 � w .. • .. Building Permit Number: 3_` /9 Q�� — Owner Name:cU h r-1 -,50r) Construction Re uirements � IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code . (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum shown on the attached Flood Elevation Certificatof one foot above the elevation will also be required e. A Post Flood Elevation Certificate Note: We.will normally accept the follo requirements: wing as compliance with the flood elevation 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24"above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. automatic entry and exit of floodwater. 6. The openings may be screened or covered with other devices that will permit ` E Page 2of 2 Building Permit 7h, ber: 0,3-32/, ! Owner Name: U1' so -n f Parcel lies within the State Responsibili rety Area (SRA). quirements. Comply with attached Fire sprinklers are required in this structure. The following parcel ma requirements equirements shall be met: r All structures- . and equipment including overhangs shall be clear of all easements. A setback of ---feet from the side and feet from the rear Property feet (25 feet if Federal Aid Route) from the edge of the right of ay hall be clear of O structures and equipment except for a 2 foot overhang. Expansive soil maybe encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. S'9 " • fila I M &IV_L S 'N/kV,, !C 'xvw _ rfh rfl iH913h 11VWNvH,' !7 5661 ARN LU CL O 1.9 eN � C c 0 u- S318V OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, wouirers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ 'There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific mftmation about your obligations under Federal Law, contract the Intemal Revenne Service (and, ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so brat we can confirm that you are aware of these matters. The budding permit will not be issued until the verification is retmned c 1-C. VAM, C.B.O. er, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER J O.B.- I I OWNER-BUII.DER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit' will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESK NO 0 �I HAVE PC HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: CONIR.ACTOR'S LICENSE NO. 4. I plan provide portions of this work, but I have hired the following person to coordinate, supe , and provide the major work: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide th work indicated: ADDRESS PHONE TYPE OF WORK PROPERTYO NOTE: Thu Owner -Builder Ver*¢tion is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 1 1 • 'Department of Development Services Building Division 7 County Center Drive . o Oroville, CA 95965 cry (530) 538-7541 (530) 538-2140 FAX 015NIC a DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: O S Phone: Mailing Address �.� J , (�• r / (J� �t� t •Cy Site Address: `-z> PC C_ W a.� UV�_eA_ Q e, Assessor's Parcel Number: O 6 y T1(9 Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form `GENERAL INFOILNIATION: 1. Is there a primary dwelling on the property? Yes 1� No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No ❑ 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes. ❑ No. ®� SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes @'INo 40 S. Do, you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ 9. Will the proposed structure encroach within any recorded easement? Yes ElNo CONSTRUCTION FEATURES: - 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No'❑�// .11. Will this building be heated or cooled? . Yes ❑ No L� 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? _ Yes ❑ No ^❑/ .14. Will this building have a ,%2ter'heater? i Yes ❑ No 15: What type.of floor covering %gill the building have? 16. What type of i�-all covering will the building have? /(,4.t� fi OVER 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed – I will be storing in this building and it will not ed for any other purpose (no bathroom and no heating or cooling). 2. ZPrivate Garage – "A building or a portion of a building- not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. t 3. ❑ Residential Carport - A covered structure intended for parking of vehicles. Two or more sides must be entirely open . j 4. 'Cl Residential Occupancy – Structures meant to be occupied, as opposed to a storage shed, garage; or carport If you checked ##W, please check the uses below which best fit this building. ` ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ rHobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office , - _ ❑ Workshop' ❑ Home Occupancy 2 ❑ Other- Use = t. Deunbe type orworLah - +:. Aw be approved by the Butte County'Plwning Division Explanations: This area is for explanation of any '=yes" answers onquestions 2=14. Pleas indicate the question number before the explanation.. } ,� Additional Information: i Plan`eview will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. f I he byffi arm under penalty of perjury that the above information is tue and correct. I understand that any changes tc'the use, oucharacter of use, of this building will require permits from the permitting authority. I understand that �,Real.Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Ownei's Name: Please t 4� ►�l vim, 0 i D Owner's Signature: Date: • �f J, 2 of 2 National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit.. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BNIPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BNTs, the appropriate changes will be made . without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result insignificant penalties and/or delays. Signed: Title: Date: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is'my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land.--I—further; certify that tfiis project will -not -disturb -more -than -l-.'/ acre of lanD This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: �-• G G Title: .> Date: 4 / NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan r O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this informationat your earliest opportunity to avoid unnecessary, delay in processing and issuing. your building permit. No building permit will be issued until this verification is received. 1 personally plan to provide the major labor and materials for construction of the proposed roperty improvement: YES M ' NO ❑ HAVE HAVE NOT b signed an application for a building permit for thero osed work. P P 3. I have contracted with the following person (firm) to providethe proposed construction: NAME: ADDRESS:. CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the inajor.work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME := ADDRESS PHONE TYPE OF WORK NOTE.. This Owner -Builder Verification is required by .Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER