HomeMy WebLinkAbout068-341-04061
-068-341-040 PERMIT#98-0704
ANDERSON, Fred
35 Margaret Dr., roville
Cont: Paul Duante 3'��%
Mobilehome Utilities
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SUPPORT STRUCTURE RE e)
068-341-040 PERM T#98-0705
ANDERSON, Fred
35 Margaret Dr., Oro ille
Cont: Paul Duante
Mobilehome Installation
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068-341-040 PERMIT#98-0704
ANDERSON, Fred
PERMIT NO. , 35 Margaret Dr., Oroville
Cont: 'Pa'dl'Duante
,PERMIT EXPI . Mobilehome Utilities
,
OWNER
�CONTR.
#ASSESSOR PARCEL
LOCATION �_ — �• I
4,
t y
CHECKED.
SRA BY
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS -
VERIFY
YTemp. Power Pole
OFFICE COPY
Address
l GAS -
Meter By /Date f
IELECTRIC
eter By Date
:JOB FINALED (Date)
r Signature
Date E .fCard B-1 Date Card B-1
Dates Card B- Date Card B-1 C
Date MOBIL E INSTALLATION (Plans) OK except #'s
g Requirements- Setbacks Easements.
Size -Spacing -Marriage Line
ss; MH Test-Demand-VaKoe-Connector
city; MH Test -Crossovers -Breakers -Clearances
rai ' MH Test -Fall -Flex Connector
1peWI
ater; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
e Downs -Type -Installation Cert.
�• 10 xits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
Date Card B-1 Date . Card B-1 .
Date Card B-1 Date Card B-1
- 4
10. Roof; Shthg-Roofing
V=OK
.,
r
O = Not OK
Date
NotReady
_ MOBILE HOMES
MISCELLANEOUS - -
Date MOBIXE HOME UTILITIES(Plans) OK except #'s
POOLS (Plans) OK except #'s
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1., Setbacks -Easements •
Zonin equirements - Setbacks - Easements
2. Soils; Compaction -Structure Stability
1. Zoning Requirements -Setbacks -Easements
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
oils' Special MH Support Sketch
4. Elec.; Receptacles and Lighting, Distance-GFI
2. Footings; Soils -Si ze-Dep"paclng-Connectors-Steel
5. Elec.; Pool Ughting;'15 Volts-GFI
Location -Test -Fall -C/O -Concrete
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
7. Elec.; Bonding; Metal w/6 -Circulating Equip.-Heatei
ater, Location -Test -Easement Needed (Ske h) .
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtlq.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
5.
ectricity; Location -Clearances -Gm p ConcreDe
10. Plumb.: Cir. Test -Water Supply Test
Shthg. Afg.-Bracing
11. Light Niche
Gas; Location-Test-Wra ; / /"LYt.
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
/ /Nat. 'L°ft. G
Card B-1 Date ' Card B-1
6. Carports; Windows -Doors
Card 0-1 Date Card B-1
isoonnect
7. Electric '
lily Clearance
8. Fnng.; Sils-AnchorsStuds-Rttrs-Trusses •.
9. Siding; Nailing -Veneer -Stucco -Mesh
Date E .fCard B-1 Date Card B-1
Dates Card B- Date Card B-1 C
Date MOBIL E INSTALLATION (Plans) OK except #'s
g Requirements- Setbacks Easements.
Size -Spacing -Marriage Line
ss; MH Test-Demand-VaKoe-Connector
city; MH Test -Crossovers -Breakers -Clearances
rai ' MH Test -Fall -Flex Connector
1peWI
ater; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
e Downs -Type -Installation Cert.
�• 10 xits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
Date Card B-1 Date . Card B-1 .
Date Card B-1 Date Card B-1
- 4
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 Ughting;'15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip.-Heatei
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtlq.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.: Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date ' Card B-1
Date
Card 0-1 Date Card B-1
✓ = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #s
1. ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
Date
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth
4.
Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-BlockoutsAAfrapped
48.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped.
49.
6a.
Hold Downs and Special Anchors
50.
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
Garage Fire Protection Framing
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Property Line Firewall & Openings
10.
UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
12.
Electric Underground
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Siding -Nailing Veneer
14.
Girders -Sills -Anchor Bolts -Joists Vents-Crippies
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
15.
Access & Ventilation
Glazing Area -Glass Protection -Skylights -Plastic
16.
Insulation
Shear Walls: Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
Date
61.
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
63.
21.
Test Tub & Shower, Second Floor -Tub Access
64.
22.
Gas Pipe; Sixe & Anchors
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
Date
Bedroom Exiting
Card B-1 Date Card B-1
Date
G.F.I. & Bath Fixtures & Tub Access -Spa
Card B-1 Date Card B-1
Date
Elec. Trim & Subpanel, Breaker Sizes & Labels
ELECTRICAL (Permit) OK except #'s
69.
23.
Fixture & Transformer Clearance -Ins. Protection
70.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
71.
25.
Size B es & No. of Conductors Stapled
72.
26.
Romex Nistalled Close to Edge of Studs & C.J.
73.
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
74.
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
75.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
30.
Range Circ. / / ga Cu or Al -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
Plb., Elec. & Mech. Equip. Listed for Location
31. Service -Riser Conductors & Ground -Main Disconect
78.
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
79.
33.
Clothes Closet Light -Shower Light -Spa Light
80.
34.
Smoke Detector
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
Date
Following Instid./Drive 0 Yes O.No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
Card B-1 Date Card B-1
Date
Stucco Brown -Finish
Card B-1 Date Card B-1
Date
A.C. Unit Disconnect, Electrical -Plumbing
MECHANICAL (Permit) OK except #'s
85.
35.
A.C. Ducts Insulation & Support
86.
36.
Vent Fan, Exhaust above insulation
87.
37.
Condensate Drain & Overflow, Size & Grade
88.
38.
Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet
89.
39.
Attic Access & Platform if Furnace in Attic
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
Date
Water & Sewer Connected -C/O to Grade -HD Approval
Card B-1 Date Card B-1
Date
Energy Compliance Certificate -Other Certificates
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls: Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.FI.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instid./Drive 0 Yes O.No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
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:
DESIGN LOADS:
SAC INDUSTRIES
TIE DOWNS
ENGINEERED TIE DOWN SYSTEM
J
GENERAL NOTES
* WIND — — — — — — — — — — — — — — — — 15psf (70 MPH EXPOSURE "C")
* WIND — — — — — — — — — — — — — — — — 25psf (85 MPH EXPOSURE "C")
* SEISMIC ZONE — — — — — — — — — — 4
* SOIL BEARING — — — — — — — — — — 1000 psf NOTE: MAXIMUM SOIL PRESSURE
IS 1000 psf WITHOUT A SOIL REPORT.
*EARTH AUGERS --------- 4750# MIN. TOTAL LOAD CAPACITY
/ 3150# WORKING LOAD CAPACITY
* STABIL—X DRIVE ANCHORS-- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
* CONCRETE SLAB ANCHORS -- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
*TIE DOWN STRAPS ------- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
TIE DOWN STRAPS MEETS FEDERAL SPECIFICATION 00—S-781 H FOR TYPE 1, CLASS B,
GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED.
1. THE CHARTS SHOW THE REQUIRED NUMBER OF TIE DOWNS ON THE SIDES AND
ENDS OF THE MANUFACTURED HOME.
2. COMBINATIONS OF THE.,DIFFERENT TYPES OF TIE DOWNS. -CAN Be USED.
3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS
ARE SHOWN AS 'T BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS
CAN ALSO BE "C" SHAPED OR "RFC" SHAPED.
4. SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE
DOWNS ARE REQUIRED AT EACH.END OF EACH TRANSPORTABLE SECTION OF THE
MANUFACTURED HOME.
END TIE DOWNS CAN BE 'LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM
j AXIS.
,V\LARGER,
THE SIZES, TYPES, LENGTHS, -ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM.
LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY
BE. USED AT THE SAME'" SPACING AND LOCATIONS SHOWN.
7. ALL PARTS ARE COATED WITH RUST RESISTANT INDUSTRIAL SHOP PRIMER.
8. THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUB—
SECTION (a). i
STATE APPROVAL
�ic/�/.t/EE.2E0 T/CAAW/.c/ Sy_4;',�111
A r r K U V E D
SUBJECT TO CORRECTIONS NOTED
'kpprovol !Ines nr•.t oath^r;ze or opprn vn any omission n.
!v.;a Uon /rem of rpp!;:a!sle State law: cne
Mote a! Ca;ifarnia
cl Hnq;i.•g and Community Dcvt•!oprcent i
r�
DV'Si J "CDES AND STANDARDS
Dot
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f!n:,Jtttr C i I'
15 f'l.^n Approval Expires..D.6z2D
SC INDUSTRIES, INC.
3236-C FITZGERALD RD.
RANCHO CORDOVA, CA. 95742
PH: (800) 771-JQ4S
PACIFIC CONRS
2150 BELL AVE. SUITE 145
SACRAMENTO, CA. 95838
PH: (916) 564-6028
SAC IND. EARTH AUGER TIE DOWN ANCHORS
#6005
#6006
I. '
#6001 #6000
91,
#7000 #7001 #7002
prA
NOTE 4
CHASSIS
0
#4002 PIER m o
BOLT -ON TOP
#7002 o e
7' STEEL #7000 7' STEEL
STRAP
W/HOLE STRAP W/BUCKLE
o
o #6005 SPLIT
sa° / BOLT & NUT
#6006
STABILIZER
PLATE
#6000 SERIES
EARTH AUGER
(TYPICAL)
VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL
V
DOUBLE WIDE
U U V
TRIPLE WIDE
AUGER TIE -DOWN
INSTALLATION INSTRUCTIONS
1.
CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
2.
INSTALL GROUND ANCHOR INTO GROUND LEAVING 12"-14" OF SHAFT EXPOSED.
3.
PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS
BEAM, AND DRIVE INTO GROUND.
4.
FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD
PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH
STABILIZER PLATE.
5.
ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
6.
IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
7.
INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
END TIE DOWN END TIE DOWN END TIE DOWN
SEE CHART
SEE CHART SEE CHART
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DOUBLE WIDE
U U V
TRIPLE WIDE
SAC AND. STABIL-X DRIVE TIE DOWN ANCHORS
#6013 #6005 #7000
#7001 #7002
SIDE AND
END OF MANUFACTURED HOME
#7000 or #7002
PIER
7' STEEL STRAP
BOLT—ON TOP
#6005 SPLIT
#7002
BOLT & NUT
7' STEEL
#6013 STABILE "X"
DRIVE ANCHOR
0
STRAP
W/HOLE
i
GROUND LINE—�
4 2 12
t��
/#6002armo
SEE NOTE #7
AND NOTE #8
INSTALLATION INSTRUCTIONS
1. CONTRACTORS WARNING: CHECK FIRST, FOR UNDERGROUND UTILITIES.
2. DRIVE STABILIZER PLATE INTO GROUND.
3. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN.
4. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
5. IF ANGLE OF SIDE STRAP IS GREATER THEN -60', STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
7. #6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE
GROUND SURFACE IS OTHER THAN ROCK OR MINIMUM 2" ASPHALT, USE STABIL-X
ANCHOR OR ENCASE ANCHOR WITH 12"x12"x12" CUBE OF CONCRETE.
8. WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS
MUST BE USED AT THAT LOCATION.
CHASSIS
i
e
#7000 7' STEEL
STRAP W/BUCKLE
e o�� #6005 SPLIT
3d �� BOLT & NUT
�0'
WIND=15 PSF - 70 MPH EXP. "C" - cFISMIC 70NF A
REQUIRED NUMBER OF COMBINED ANCHORS FOR
EACH
SIDE AND
END OF MANUFACTURED HOME
WIDTH
LENGTH
No. OF SIDE No. OF END TOTAL No. OF
TIE DOWNS TIE DOWNS TIE DOWNS
SINGLE
WIDE
0'-78'
4 2 12
TO 16'
DOUBLE
WIDE
0'-78'
4 4 16
TO 28'
t
TRIPLE
WIDE
0'- 78'
4 6 20
TO 42'
WIND=25 PSF - 85 MPH EXP. "C" - SEISMIC 70NF A
REQUIRED NUMBER OF COMBINED ANCHORS FOR
EACH
SIDE AND
END OF MANUFACTURED HOME
WIDTH
LENGTH
No. OF SIDE No. OF END TOTAL No. OF
TIE DOWNS TIE DOWNS TIE DOWNS
SINGLE
WIDE
0'— 78'
8 2 20
TO 16'
DOUBLE
WIDE
0'-78'
8 4 24
TO 28'
TRIPLE
WIDE
0'— 78'
8 6 1 28
TO 42'
SAC, IND. CONCRETE TIE DOWN ANCHORS
#6005
#%000 #700 . #7002
#4002 PIER
BOLT -ON TOP
#7002
7' STEEL STRAP
WITH HOLE -
#6005 SPLIT
BOLT & NUTS
CHASSIS-,,,,,, i
#7000 7' STEEL
STRAP W/BUCKLE
#6004
77
OR
\0 R
#6003
J4002 #6003 #6004
�.• CONCRETE TIE -DOWN A
I CERTIFY THAT I HAVE INSTALLED THE SAC IND., INC. ANCHORING SYSTEM AS
PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS � TO THE
ANCHORING SYSTEM OR TO THE BUILDING, , STRUCTURE.
COMPANY NAME: s'L,�L U��'���' �� CONTRACTORS LIC.# �� 3215
INSTALLATION INSTRUCTIONS
ooa
NEW CONCRETE - #6004
1. PLACE CONCRETE ANCHOR, INTO Witt CONCRETE, AND ALLOW TO PROPERLY CURE.
2. ALTERNATE CONNECTION• REQUIRES #5 REBAR PROPERLY EMBEDDED IN CONCRETE.
EXISTING CONCRETE - #6003
u
1. CONCRETE MUST BE A MINIMUM 3 t/2" THICK AND IN GOOD CONDITION.
2. MINIMUM SLAB. AREA, OF EACH ANCHOR IS 28 SQUARE FEET.
ALTERNATE
3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY SIDE.
CONNECTION
4. EXPANSION BOLT IS 5/8" x 3 1/2" WITH MINIMUM 2 3/4" EMBEDMENT AND
6,180 POUND PULL OUT, 7,160 POUND SHEAR.
CHASSIS CONNECTION
1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
2. IF ANGLE OF SIDE STRAP IS GREATER THAN 60%. STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
NOTE: SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS.
END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION
OF THE MANUFACTURED HOME.
NOTE: A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE USED.
DRILL 9/16" HOLE AT MID HEIGHT/
OF BEAM AND INSTALL
'
1/2" A307 BOLT
' II (TYPICAL) II
SII
�I SIDE VIEW
END VIEW
• • END TIE DOWN
SIDE, VIEW SIDE VIEW
-NOTE: END TIE
"C" BEAM CHASSIS "RFC" BEAM CHASSIS
DOWNS CAN BE
LOCATED WITHIN
18" OF EITHER
SEE GENERAL NOTE #3 SEE GENERAL NOTE #3 SIDE OF CHASSIS BEAM AXIS.
I CERTIFY THAT I HAVE INSTALLED THE SAC IND., INC. ANCHORING SYSTEM AS
PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS � TO THE
ANCHORING SYSTEM OR TO THE BUILDING, , STRUCTURE.
COMPANY NAME: s'L,�L U��'���' �� CONTRACTORS LIC.# �� 3215
I
SAC IND. CONCRETE TIE DOWN ANCHORS
#6005
#7000 #7001 #7002
#4002 PIER
BOLT—ON TOP
#7002
7' STEEL STRAP
WITH HOLE
#6005 SPLIT
BOLT & NUT
CHASSIS �.
#7000 7' STEEL
STRAP W/BUCKLE
#6004
CONCRETE TIE -DOWN
INSTALLATION INSTRUCTIONS
NEW CONCRETE —
1. PLACE CONCRETE ANCHOR INTO WET CONCRETE, AND ALLOW TO PROPERLY CURE.
2. ALTERNATE CONNECTION REQUIRES #5 REBAR PROPERLY EMBEDDED IN CONCRETE.
EXISTING CONCRETE EXISTING CONCRETE
1. CONCRETE MUST BE A MINIMUM 3 1/2" THICK AND IN GOOD CONDITION.
2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET.
3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY SIDE.
4. EXPANSION BOLT IS 5/8" x 3 1/2" WITH MINIMUM 2 3/4" EMBEDMENT AND
6,180 POUND PULL OUT, 7,160 POUND SHEAR.
CHASSIS CONNECTION
1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
2. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
NOTE: SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS.
END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION
OF THE MANUFACTURED HOME.
NOTE: A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE USED.
/SIDE
VIEW
CBEAM CHASSIS
SEE GENERAL NOTE #3
DRILL 9/16" HOLE AT MID HEIGHT
OF BEAM AND INSTALL
1/2" A307 BOLT '
(TYPICAL) _ �I
SIDE VIEW
"RFC" BEAM CHASSIS
SEE GENERAL NOTE #3
OR 1r
#6003
� o0
m
00
<o
ALTERNATE
SIDE VIEW END VIEW
END TIE DOWN
NOTE: END TIE DOWNS CAN BE
LOCATED WITHIN 18" OF EITHER
SIDE OF CHASSIS BEAM AXIS.
CONTRACTORS CERTIFICATION
I CERTIFY. THAT I HAVE INSTALLED THE SAC IND., INC. ANCHORING SYSTEM AS
PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE
ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE.
COMPANY NAMES&l1lCf C41f14;f'7t'o CONTRACTORS LIC.#
SAC IND. STABIL-X DRIVE TIE DOWN ANCHORS
#6013
#7000 or #7002
7' STEEL STRAP—
#6005
TRAP—#6005 SPLIT
BOLT & NUT
#6013 STABILE "X"
DRIVE ANCHOR -
GROUND LINE
G
#6005
#7000 #7001 #7002
10-Ta�—
D E TA I L"A"
CHASSIS
i
#4002 PIER i
BOLT -ON TOP
� � s
#7002 #7000 7' STEEL
7' STEEL
STRAP STRAP W/BUCKLE
W/HOLE J
#6005 SPLIT
BOLT & NUT
INSTALLATION INSTRUCTIONS
1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
2. DRIVE STABILIZER PLATE INTO GROUND.
3. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN.
4. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
5. IF ANGLE OF SIDE STRAP IS GREATER THEN 60', STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
7. #6002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE
GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM 2" ASPHALT, USE
STABIL—X ANCHOR OR ENCASE ANCHOR WITH 12"x12"x12" CUBE OF CONCRETE.
8. WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS
MUST BE USED AT THAT LOCATION.
WIND= 70 MPH — 85 MPH — 100 MPH EXP. "C" — SEISMIC ZONE 4
#6002
SEE NOTE #7
AND NOTE #8
REQUIRED NUMBER OF COMBINED ANCHORS FOR EACH SIDE AND END OF MANUFACTURED HOME
WIDTH LENGTH WIND SPEED SEISMIC No. OF SIDE No. OF END TOTAL No. OF
TIE DOWNS TIE DOWNS TIE DOWNS
SINGLE
WIDE
TO 16'
0'-78'
70
MPH
EXP.
"C"=15PSF
ZONE
4 1
4 1
2
12
85 MPH EXP. "C' =25PSF ZONE 4 8 1 2
20
100 MPH EXP. "C' =35PSF ZONE 4 12 1 2
28
DOUBLE
1 70
MPH
EXP.
"C =15PSF
I ZONE
4 1
4
4
1 16
WIDE
0'-78'
85
MPH
EXP.
"C"=25PSF
I ZONE
4 1
8
4
1 24
TO 28'
36
100
MPH
EXP.
"C"=35PSF
I ZONE
4 1
12 1
4
1 32
TRIPLE
MPH
EXP.
"C"=15PSF
ZONE
4
4
6
20
WIDE
TO 42
0'-78'L:70
85
MPH
EXP.
"C" =25PSF
ZONE
4 1
8
6
28
100 MPH EXP. "C"=35PSF ZONE 4 1 12 6
36
SAC INDUSTRIES'
TIE DOWNS
ENGINEERED TIE DOWN SYSTEM
GENERAL NOTES
DESIGN LOADS:
* WIND — — — — — — — — — — — — — — — — 15psf (70 MPH EXPOSURE "C")
* WIND — — — — — — — — — — — — — — — — 25psf (85 MPH EXPOSURE "C")
* WIND — — — — — — — — — — — — — — — — 35psf (100 MPH EXPOSURE "C")
�k SEISMIC ZONE - - - - - - - - - - 4
�k SOIL BEARING — — — — — — — — — — 1000 psf NOTE: MAXIMUM SOIL PRESSURE
IS 1000 psf WITHOUT A SOIL REPORT.
*EARTH AUGERS --------- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
* STABIL—X DRIVE ANCHORS-- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
*CONCRETE SLAB ANCHORS- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
*TIE DOWN STRAPS ------- 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY
TIE DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ—S-781 H FOR TYPE 1, CLASS 8,
GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED.
1. THE CHARTS SHOW THE REQUIRED NUMBER OF TIE DOWNS ON THE SIDES AND
ENDS OF THE MANUFACTURED HOME.
2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED.
3. FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS
ARE SHOWN AS "i' BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS
CAN ALSO BE "C" SHAPED OR "RFC" SHAPED.
4. SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE
DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE
MANUFACTURED HOME.
5. END TIE DOWNS CAN BE LOCATED WITHIN 18" OF EITHER SIDE OF CHASSIS BEAM
AXIS, AND BOLT—ON TOP CAN BE ATTACHED WITHIN 18" TO 60" FROM END OF CHASSIS BEAM.
6.- THE SIZES, TYPES, LENGTHS, ECT. OF MATERIALS SHOWN HEREON ARE MINIMUM.
LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY
BE USED AT THE SAME SPACING AND LOCATIONS SHOWN.
7. ALL PARTS ARE COATED WITH RUST RESISTANT INDUSTRIAL SHOP PRIMER.
8. THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUB—
SECTION (a).
STATE APPROVAL
—1iVy/A044w PROVO D _wi07,!`I
SUBJECT TO CORRECTIONS NOTED
>pprovol does not authorize or approve any omission o.
le.iotion from require,ne:•-s of applicable State lows' and
regulations.
State of California
Deportment of Housing and Community Development
DIVISION OF CODES AND STANDARDS
Date
(Signature)
SRA NO ------ 1214 _
SAC INDUSTRIES, INC.
3236—C FITZGERALD RD.
RANCHO CORDOVA, CA. 95742
PH: (800) 771-3055
:%VESSjo
.17918 I �o
* Exp I i
—OF -CO
PACIFIC CONSULTING ENGINEERS
2150 BELL AVE. SUITE 145
SACRAMENTO, CA. 95838
PH: (916) 564-6028
ENGIN OVAL
�o,L.
IN
0 I\ ✓! OREGON
y14.
I
UT
wTsW,. �va�u. r�i`.f _ -
14116
,l
)NAI. �•`` �
SAC IND. EARTH AUGER TIE DOWN ANCHORS
.o
Cl
NI
(6001 #6000.
if
#6006
#7000 #7001 #7002
#4002
CHASSIS
y4002 PIER
BOLT -ON TOP
#7002
7'STEEL X7000 7' STEEL
STRAP :i
W/HOLE STRAP W/BUCKLE
o /6005 SPLIT
so° BOLT & NUT
a
65
NOTE 4
VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL
AUGER TIE -DOWN
INSTALLATION INSTRUCTIONS
1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 12"-14" OF SHAFT EXPOSED.
3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS
BEAM, AND DRIVE INTO GROUND.
4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD
PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH
STABILIZER PLATE.
5'. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
6. IF ANGLE OF SIDE STRAP IS GREATER THAN 60% STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
7. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN.
BOLT UNTIL STRAP IS SNUG.
END TIE DOWN END TIE DOWN END TIE DOWN
SEE CHART SEE CHART SEE CHART
X6006
.'STABILIZER
PLATE
x/6000 SERIES
Q
EARTH AUGER
(TYPICAL)
NOTE 4
VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL
AUGER TIE -DOWN
INSTALLATION INSTRUCTIONS
1. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
2. INSTALL GROUND ANCHOR INTO GROUND LEAVING 12"-14" OF SHAFT EXPOSED.
3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THE ANCHOR AND CHASSIS
BEAM, AND DRIVE INTO GROUND.
4. FINISH TURNING ANCHOR INTO THE GROUND APPLYING CONSTANT DOWNWARD
PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL ANCHOR HEAD IS FLUSH WITH
STABILIZER PLATE.
5'. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
6. IF ANGLE OF SIDE STRAP IS GREATER THAN 60% STRAP CONNECTION CAN BE
MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM.
7. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN.
BOLT UNTIL STRAP IS SNUG.
END TIE DOWN END TIE DOWN END TIE DOWN
SEE CHART SEE CHART SEE CHART
l4 6)
SINGLE WIDE
.DOUBLE WIDE
TRIPLE WIDE
N
O
<
Q
w
W
w
d
z
0
W v
W
0
0
;7
6
a
u,
l4 6)
SINGLE WIDE
.DOUBLE WIDE
TRIPLE WIDE
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION ---7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 --PHONE (916) 538-7541
APN:
PERMIT NO.:
Owner's: J-0
Name: ' —`1 " I-
--�
Owners: ....,.. /4��
�`�_3
Address: �/ er lr f'
r
rC�
MobilehomeYear
of
I C�
71
Manufacturer •_� �.. % tit..__.••
Manufacture:
Serial number_�
2- " r3
Insignia or
tx L T_
r �'
or V.I.N. `
HUD number:
Official approving installation:
Date:.
71
7
If the mobilehome is moved or relocated, the mobilehome iristallation acceptance shall become.invalld. This form shall
not be used when the mobilehome is installed on'a-foundation system. .
.518B'. White -Owner; Yellow Installer Pink -Bldg., Gold -Assessor t 3
..�:<. .'4r�>. G.�.., it_':� i. ...`j'._ ..-..:•r.'..t'
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
ER
d9 009
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date���� Inspector 1
REV 10'/92
':�"�' • - i - �' ..``i iv5'w.-'1�`�' °'7' '7+` -c Fr LY' Z-.-L `���,'` � e _ _., r � � rx_ '.,•. ,.
~r COUNTY OF BUTTE
BUILDING DIVISION
j DEPARTMENT OF DEVELOPMENT SERVICES
r �
411 Main Street, Chico, ,CA - (916) 891-2751 -
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
SD a —V7�
O NER PERMIT NO.
i
A routine inspection indicates that the following violations of Butte County Ordinances-exist at i
• the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
plea a contact this office immediately.
Inspector_'4r'4f"
C: COUNTY OF BUTTE
s
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
T 411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
_ CORRECTION NOTICE
bWNER PERMIT NO.
i,.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
Cz above address and should be corrected. Please notice this office when correction of work is
s completed Af you have any questions pertaining to this matter, or need additional explanation,
` please contact this office immediately.
I
2 6t �� i ���5/� //Lt�� -/-®' 4-e,
ji -C 0.cc
a
k' O
Date Inspector
r: REV 1042
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
- 7 County Center Drive'- Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 98 -070 ----
ASSESSOR PARCEL NUMBER
068-341-040
ZONING
AR
BUILDING PERMIT
OWNER ANDERSON, FRED
TELEPHONE
532-4270
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 188 MELODY LANE, OROVILLE
CONTRACTOR'S NAME
PAUL DUANTE
TELEPHONE
589-0505
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 23.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
35 MARGARET DRIVE
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
3
SUBDIVISION'S NAME
PARCEL MAP
98-02
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap'
7.00
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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
p �/
Describe Work: 1'IIII I / �`
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
S
Mobile Home G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoos OR LEss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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 0&Lic. No. `� / y
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( g ACC. BLD..
SO
3.5¢FT.
NON-RESID.T B=OCUTCEUr,
@7.50
PowER APPARArus
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FO(TURES
20 @O 1'50
BAL p .so
UNS
Ex. Occup. ourEiE s RES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
3
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.
AI 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' co pensation insurance carrier and policy number are: l
,Le -T 1'''/o/I/tWSC1,@ �j /��u/J�4
Carried ,2t'�0
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number, 11 '3 5- 3 11 `) 7 - O 9 R O 9%
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and *agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
rthwith r,�omply w' h those provisions.
X ___ •,zc __ Date _o� �^"_%�_
Sig ature of Applicant - ❑Owner Contractor ❑ Agent
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
$ 100.00
Energy Inspection Fee $
OCC
CONST. TYPE
TO AL FEE $ 143.00
HAZ.
D. FE IMP OOD CDF ARCE PD HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte Coun Code and/or Resolutions to do work
Indic ab f hich fees have been paid.
By Date Q KKJJ `
PERMIT EXPIRES ON 7. 70-f I
Date
Receipt No. 236631
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT IVO-
(Rev.12/96) 1.. ' APPLICATION AND PERMIT 0g -n%ff_��
ASSESSOR PARCEL NUMB
�t
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING SS
CONTRACTO 4 E
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENOER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS KWUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 35 M C/.�
Energy Plan Checking Fee $
$
--6
PERMIT FEE $
LOT
SUBONBgNSNAME
P 'A"P-2,--
PLUMBING PERMIT
_
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
sPrCFy
Each Tra
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublites ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
(920.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Feel 20.00
Main Service zoos oa uss
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:
❑ 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
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
O 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
laws of California, and agree that'if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO IooDA 46.00
NEW CONST, OWEWNG OCCUP.
ORA DNS. ( . agss
3.5¢so.
FT.
Mu
NON -REBID. @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR
OUTLET OR FORURES 200 I'50
Ex. Occup BAIL @ .50
Ex. Occu . p TAPP
.=.0Ek 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee S
Energy Inspection Fee $
DCC '
CONST. TYPE
TOTAL FEE $
HA2. p. FE IM
A
Ft00D pF ARC Po
HD ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
provisions
to do work
paid.
fa
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r.,
s
A.P. #,
OWNER �NCiQr,�oyt
PERMIT #- 2 -- 0���
MH UTIL. CLEARANCE DATE p `
INSPECTOR
ELECTRIC
GAS
SUPPORT
STRUCTURE
COMPACTION
TEST REQ.,
SERVICE
OTHER
PIPE
YES NO
YES
NO
SIZE
LOAD
'TYPE
SIZE
LENGTH
1i`�°
ova
LPG-
3�{
��
•BU.TTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One former Building)
r , }
School District . ('�L, �' Building Department No.
A.P. Number Q�� r 'Q`t Jurisdiction: Cityr/•County
Property Owner
Property Location/Address A . A2 Iff -r.
Subdivision �� '
-< Lot No.
Residential Development
No of Living I*kMobile Home' Addition
Units a `installation
.. •y
Commercial/Industrial 5
New Addition
40
Building Department, Representative
(Floor Plans reviewed by School District Personnel)
District Identification No.
School District certifies that
ar
(Street Address)
(City)
1
has complied with the requirements of Resolution No.
representing square feet.
School District Representative
0
Paid by Check # Remarks:
(State)
:r
Sq. Footage
(Group R)
Sq. Footage
(Including Exterior
Roofed Areas)
Date
o
(Applicant)
'(Phone Number)-
.
(Zip Code)
by payment of $ /80 9, (p0
JFBi 2926 $ '
ULL MITIGATION $ \
Date
//--S DI -
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(x), 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 (CEQAI,
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 (2/97)dmm
• , .r,a jt'"n+-ti,•41�r`1(T.+'.y�r�•'6rrn��.rn i�r�n''�°'S��r^ 1rA�j�t�rt.7''H'Z?•ri+i►'""•�`�1Fj�1t�;i}�,'ki;a.r�+�.-y �Fkvr�,f�-;•••�r�v'T'•�i•... r
COUNTY OF BUTTE- DEPARTMENT
� _TMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL•E; CALIFORNIA 95965-- TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: (0-11 ASSESSOR PARCEL NUMBER: (<J --
Proposed Building Use: y�A f .( "T _ Building Inspector: Date:
At time of permit appl kation, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted.-------------------------------------------------------------------------------------
❑2. Plot plans, 3/4 sets, signed by the preparer of plans.
03. Complete plans, 3/4 sets, signed by the preparer of plans. ------------------------------------ :
Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
❑ 6. Energy Design Compliance and supporting documentation. -------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------
anufactured Home data and installation instructions including Tie Down Specifications.
❑ 10. Fees of $------------------------------------ ------------------
Impact fees as shown on the attached schedule. -----------------------------------------------
❑ 12. California Department of Forestry plan approval/fees.---------------------------------------
Ell 3
--------------------------------------
❑13 . Flood elevation certificate. ---------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department.
b 15. City of Chico plumbing permit. ---------------------------------------
\. ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: -------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------
❑ 20Pre-inspection for required Request to Building Inspector on
(Date)
Contractor's license information. (Number, Name Style, Classification). ----------------------=-------------
Workers' Compensation carrier and policy number. ----------------------------------------- ------------ --
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------- -----
❑24. Letter of signature authorization. ------------------------------
025.
-----------------------------❑25. Recorded copy of Agricultural Acknowledgment Statement.
026. Letter of intent on building use. -------
U1 /6.. Manufactured Home utility clearance.
1128. Existing violations and/or expired permits. ---------------------
29: 433 A, ❑Grant Deed, ❑ M.H. Tit , 11 Check to H.C.D $
Other: r ,
ZTnl7you issue the ifermit, processus follows 11Mail to owner, ❑Mail to contractor.
Telephone fT g� -6 S O Wand hold for pickup at off
Applicant:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ A
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other
❑ Deliver with inspector.
1. Index permit application for the above items numbered: 'll ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ ph6ne, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division. ��'%")
y,vy;nyys--,.a.�,•r-iwoa'p"y;'°+Fi9'^^r•°�'S"�"r-`.—�---..r.•-•..o,ra.T--.ws, r----«..s,...-..�^'.tiS++"V'�sr-.q+ "ti.-o„v"*^•"^'nh"l+iii"'.4r"E'..'.i+•.W.^ae..�•.,*'r`. r--�.,r... ..... .. ..
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES .- BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE'CA 95965 TELEPHONE (916) 538-7541
SCHEDULE •OF FEES DUE
OWNER A.P. #46
PROPOSED BUILDING USE DATE _-C;1e' (�
REC # . DATE REC
1. BUILDING PERMIT FEES
- Balance Due ... �..... $ .
-- Additional Fees Due $
-- Additional Fees Due .... •. ..... $
-- Revised Plan Checking Fee .......
SCHOOL DISTRICT FEES
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ........ x $360.00 = $�?
Units
Commercial (sq.ft.):.. x $0.03 = $
Sq. Ft.
FEES (paid at Building Division)
14. URBAN AREA
;Residential (per unit) . X. = $
#Units • Amt.
..Commercial (sq.ft.) .. x =$
Sq. Ft. Amt.
?5. RECREATION DISTRICT FEES
(paid at District Office)
I
6. •THERMALITO DRAINAGE DISTRICT FEES
' $425.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK, �. .
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion . ) .
$200.00 (paid at Building Division)
.
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the .
building permit. These fees may be changed during the plan checking process. ;
APPLICAN ,k - DATE 4111z
Original -Owner Copy -Building Div. (Rev. 12/96)
M
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING VISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 5 -7541^�PERUT NO.
(Rev. 12/96) APPLICATION AND PERMIT ^ C/ (�
ASSESSOR PARCEL NUMBER 068-341-040
ZONING AR
BUILDING PERMIT
OWNER
ANDERSON, FRED
TELEPHONE
532-4270
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
188 MELODY
CONTRACTOR'S NAME PAUL DUANTE LANE, T�DNV505
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 35 MARGARET DRIVEEnergy
Plan Checking Fee
$
'
$
PERMIT FEE
$
LOT NO.
3
SUBDIVISION'S NAME
PA M,GP
L
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap7.00
Solar or heat pumpwater heater'
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: M/H UTIL
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S 80.00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service i..A GOA 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 i infull 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:
❑ 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
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' �cppmpensation insurance carrier and policy number are: �t'o )Y4
Carrier�'%A)-e (= /" eeL _Sg7-/o/Y
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a Acc. BUDS.
SO
3.5,s
LE
NON -R SLNEWCOOT ANCI X2 T
97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
2G @ L'0°
BAL @ .50
Ex. Occup. DLFiIrxELFrs PES,6.DEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Filing Fee 2 .00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number I I a �;- 3 f ) - ey:2 ••0 7 F a%/
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fort wi h comply ith those provisions.
X _ x'�4 Date _�_�C7 9
Signature of Applicant - ❑ Owner Contractor ❑ Agent
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
CONST. TYPE
TOTAL FEE $ 166.00
HAZ.LES
FEIMP
L00 F
CDF ARCS(
pp
HD
t�
ISSUE
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.
Q �1
ByDD e q 7 a
EXPIRES ON
10"t.)
Receipt No.PERMIT
WHITE-D.O.S.- . ANARY-ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT7
r * r'r y�ti+r_.--r"ry�T'�7 -•�*' �ih+'�ro ^.J 1 y. q:tt..a*"r�� v�Y7�'i*'a+E�;r• .�Ra�,..r�r:M,.:'tW .wa+ar,� ,. �. ,�....-.., .dot iir�..•'t... ,.-,+► • 1 � '
Y_ -COUNTY OF BUTTE- DERWRTMENT OFIDEVELOPMENT SERVICES- BUIL ING DIVISION
7 COUNTY CENTER DRIVE - OR6 II , iEALIFORNIA 95965 - TELEPHONE (91 538-7541
PERMIT APPLICATION DATA SHEET.. l
OWNER: al ASSESSOR PARCEL NUMBER:
Proposed Building Use: 1E A (J Building Inspector: Date:
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted ---------------------------------------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $-------------------------------------------------------------------------------------
❑ ❑1. '
pact fees as shown on the attached schedule.
California Department of Forestry plan approve
3. Flood elevation certificate. -----------------------
14. Sanitation and plot plan approval
❑ 15. City of Chico plumbing permit. ------------------
Health Department. --------------------------------------------
f.
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
Planning approval for (A) Use: (B) Parking: --------------------------
�
071ontact Land Development about tImprovements, 11 Drainage, Legal Parcel. -----------===---------
9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
P ❑20. Pre-in3pection for required. Request to Building Inspector on - (Date)
Contractor's license information. (Number, Name Style, Classification). ----------------------=----------
Workers' Compensation carrier and -policy number.--------------------------------------------------------- Z
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 11) - --------------------------------------
4. Letter of signature authorization. --------------------------------------------------------------------------------
ecorded copy of Agricultural Acknowledgment Statement. -- ----------------------------------------------
❑26. Letter of intent on building use. --------------- =------------------------------------------------------------------
❑27. Manufactured Home utility clearance.---------------------------------
Existing-violations and/or expired permits. ---------------------
Q 29 *
--------------------Q!9. 0433 A, ❑Grant Deed, ❑ M.H. Yitle, ❑ Check to H.C.D $
�-t r-iSr
�3 C�
W�Wh you issue the permit, procesrand
llows El Mail to owner, ❑Mail t contractor.
'bTelephoneJ -- d hold for pickup at office. DeAver ver with inspector.
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Datp By.
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: 1 ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by. ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by D te:
Plans reviewed by: Date: Plans approved by: Date: d� -
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
4' LAND 0F•'N'ATU:RAL WEALTH AND BEAUTY
w ,
LOCAL AGENCY FORMATION COMMISSION
t 7 COUNTY CENTER DRIVE OROVILLE. CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530) 538-7785,
June 9, 1998
Mr. Fred Anderson
35 Margaret Drive
Oroville, CA 95966
Re: LAFCo Contractual Agreement File No. CA 2-98 `.
Location: 35 Margaret Drive, Oroville,
Dear.Mr. Anderson:
On June 4, 1998, the Local Agency Formation Commission approved the contract '
authorizing the extenAsion of sewer service to APN No. 068-341-040, in accordance with .
California Government Code Section 56133. Furthermore, if you wish to annex your parcel
to the City of Oroville within six months, the annexation filing fee will be reduced to
$300.00. ,
If you have any questions, please.call Monday through Friday, between 8:00 a.m. and 4:00
p.m..
Sincerely,
Paula Leasure 30
Executive Officer
PL:bd
cc: Melinda Rogers, Lake Oroville Realty =
_ Lisa Purvis -Wilson, City of Oroville Planning Manager.
MM2 ly W Y
P W MM22
MM21
MARGAR 'D 1t
k. > M M 2 0
P 19A w �� e
mm 19 }`f
M 18 ��19
17
MM 16
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M M 15
6.. 0 M M ''G�`
Lji COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
O fid I! �� 7 County Center'Drive Oroville, California 95965 - Telephone (916) 538-7541 PERMIT o.
(Rev. 12/96) ' � APPLI-CATION ANP PERMIT qg + Mat
ASSESSOR PARCEL NUMB¢>7J�� �
L/./'
ZONINGG
BUILDING PERMIT
OWNER
S1` �/j
L� Ol/ KJ "r
TEy�}�ONEA
SO. FT. OCC. BUILDING VALUATION
OWNERS MAID 0 S9
CONTRACTOR'S NAME
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fire lace
Total Valuatlon $
ARCHITECT OR ENGINEER
LICENSE No.
Filing Fee
b 20.00
Permit Fee
S
ARCHITECT OR ENGINEERS "UNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS �� ^
l/.3n�Ae
Energy Plan Checking Fee
$
S
PERMIT FEE
S15
LAT No.
SUBONS10N5 NAME
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel Utilities ❑ InstallalLon ❑ Other 0'
Describe Work: ci [
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home J$_1. qJ W
020.00 00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 66ow .0 RR mss
23.00 3
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.
❑ I 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
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mein Service zouA TO 1000A 48.00
NEW CONST. DWEl1JNG OCCUP. SO
OR ADONS. ( a ACo..0CC 3.52FT.
T.
NON•RES10. MULTI OUTLEITS T 07,50
APPARATUS
.11 NGLE OLIRET CIR.
Ex. Occup. OUTLET OR FDmJRES B20 ®I 0
Ex. Occup. OUTAL
FIXLM (RESID.)OERA-L 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee S
Energy Inspection Fee S
occ
CONST. TYPE
TOT FE S
Z.
D. FEES
IM FLOOD
CDf P C
PO
HD
IssUE
This permit is hereby ssued under
of the Butte County. Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
to
Receipt No.
WHITE •D.D.S.•R.D. CANA Y•A r_SS R PINK -INSPECTOR GOLDENROD•APPLICANT
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95%5
. VIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
1 996-00 1 5483
Recorded I REC FEE 10.00
Official Records 1,
County Of I
But I
CANDACE J. GRUBBS I
I
I -Cindy
-—1#.WN-22-APr-1998--+ Page 1 of 2
` AGRICULAITRAL STATEMENT OF ACKNOWLEDGMENT �i� (1�
FOR RESIDENTIAL DEVELOPMENT S
Section 26-8 of the Butte County Code requires 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 tocultivation,
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
_irnonvenience or discomfort from normal, necessary farm operatioris.
All that real property situate in the County of Butte, State of California, described as follows:
"SEE`DESCRIDTION ON SCHEDULE C ATTACHED HERETO"
' t
Date: April 21, 1998 PROPERTY OWNERS:
F Anderson"
State of California )
County of Butte
On April 21, 199%eforeme,
B.J. Green - Notary Public
personally appeared * * personally
known to me (or proved to me' the basis of satisf ctory evidence) to be the persona whose name() is re subscribed to the
within ' ent and acknowledged to me thafh she/they executed the same in hi er/their authorized capacity(ies), and
that bfhi /her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the persons) acted,
xecuted the instrument. -- - `
WITNESS my hand and official seal AAAAAAAAAAAAAAA
• B.J. GREEN
COMM.t± 1169480-
NOTARY PUBLIC -CALIFORNIA Ca
V
Signature ��d d Seal: a COUNTY OF BUTTE w
Comm. Expires Jan. 15, 2002
--------------
A.p.# 068-341-040
11
NOTE TO RECORDER: DO NOT RECORD THIS SIDE A.A. - I
Instructions for recording Agricultural Statement of Acknowledgment:
1. Insert the legal description of the property in the space provided on the other side of this form.
The legal description is the narrative description of the property - which will be on your deed. If
you don't have access to the deed, the Recorders Office can provide this information. (The
description may be handwritten or typed in the space provided or attached on a separate sheet is
more space Is required).
2. Property owners must sign in the presence of a Notary Public and have the form notarized.
3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County
Center Drive, Oroville (the Administration Center building). The Recorder will record both the
original and copy. They will keep the original and return the copy to you. Just bring the copy
back to the Building Division at 7 County Center Drive.
RECORDER'S FEES: $7.00 - 1 st Page
$3.00 - Each Additional Page
RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday)
Order No: 1-181993
SCHEDULE C
THE LAND REFERRED TO HEREIN IS.DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE CITY'OF OROVILLE, COUNTY OF
BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL I:
PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED IN THE OFFICE OF
THE RECORDER OF,THE COUNTY OF -BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER
28, 1984,.IN BOOK 98 OF MAPS, AT PAGE(S) 2.
PARCEL II:
A 60 FOOT NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS, AS SHOWN
ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 28, 1984, IN BOOK 98
OF MAPS, AT PAGES) 2.
AP NO. 068-341-040x;;
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REVIEWED BY
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CALIF. DEPT. of FORESTRY
❑ approved as submitted
[� approved with conditions
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'Signature Gate
ALL STRUCTURES AND EQUIPMENT INCLUDING
OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
A SET BACK OF 3o FT. FROM THE SIDE AND
FT. FROM THE REAR PROPERTY LINES AND
_ FT. FROM THE ROAD CENTERLINE SHALL BE
CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT
FOR A 2 FT. EAVE OVERHANG.
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C�RE_SAFEu REQUIREMENTS
AP# PERMIT # NAME
Under authority of PRC 4290, the'following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations. which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[ 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in,conformance with these
standards and measures and to assure continued avail-
ability, access and utilization'of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other app-rteaant •'structures which supple-
ment. the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
[/y 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
[ 1. No roadway shall have a horizontal inside radius of
curvature.of less than 50 feet and additional sur-
face width of. -4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[}�,] 2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[1(] 1273.05 Turnouts. Shall be a•minimum of 10 feet wide and 30
feet long with a'minimum 25 foot taper on each end.
[�l .1270.10 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.,
a v.
AP # PERMIT. W. NAME'
1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway.Where a driveway
exceeds'800 feet,.turnouts shall be provided no more
than 400 feet apart.
[�) 1273.10 Turnaround. A'turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
1. Gate entrances shall be at'least two feet wider than
the roadway.it serves.
2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic.on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[�] 1. All parcels l.acre aid larger shall provide a mini
mum:30 foot setback for buildings and accessory
buildings from ul] property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[X] 1276.02 Disposal of Vegetation and. Fuels. Disposal, including
chipping., burying, burning'or removal to a landfill site
approved by the local j.urisdiction,. 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 �r fi.ial inspection of a building
permit.
Page 2 of 3
AP # PERMIT # N E.
Other' Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
Enclosed eaves
[ ] If Building Setback is Less.Than.15 Feet,
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-=
cient. setback
- Class'A or B roof with enclosed eaves
Interior automatic spri.ikler,system per NFPA 13D
- Glass area not to exceed "_0% 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
a
Date Signature
Page 3.of.3
LAND DEVELOPMENT
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. 8- 0 7D
OWNERSA.P. '
NUMBER:,L
NAME:
. PRINT LAST NAME FIRST -
COUNTY ZONING 2"
DESIGNATION: A FLOOD ZONE: - FLOOD MAP:' 3(PSI
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL:
'PARCEL CREATION -BY DEEDS OR ."MAP � •
DEED INFORMATION: ^
DATE OF CREATION: DEED REFERENCE:
LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES ,NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO ,
COMMENTS/CONDITIONS:
MAP INFORMATION:
DATE OF RECORDING ZS '� LOT 3 BOOK J S PAGE Z -
COMPLIANCE WITH OLD SUBDIVI ON LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES V NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW:
A. Construct road to B. Meet parcel size required by zone.. C. Meet current E.H.D. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERW/SENOTED.
1. Maintain a�50 ft. building setback from centerline of road.
_ 2. Maintain a ft.building setback from right-of-way/centerline of
3. Comply with Zoning code for building setback from road.
_ 4. Maintain a 100 ft. leachfield setback from all existing wells.
5. Maintain a ft. leachfield setback from. .
_ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department.
7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
_ 8, • Connect to a public water supply.
9. :Connect to a public sewer system.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures m'accordance ,with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and tw&family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet, Fire, Department
2 specifications, serves the parcel.
11. Pay T.D.D. (Thermalito Drainage District) fee in the amount,of $K,Y-*
12.' Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
_ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated
in the Oroville Area Traffic Mitigation `Fee Agreement. Pbymant to be made to dm Piamakg Division.
_ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic
safety. Mobile'homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3
requirements of the Uniform Building Code.
_ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte
County Code.
_ 19. 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.
20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find
pending examination of the site by a professional archaeologist. This person would then be able to assess the site
significance and suggest appropriate mitigation measures.
21.
22.
23
24.
25.
26.
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LD 7,96
CAWP51 \FORMS.K\BLDGPERM.CLR
LAND OF NATURAL, WEALTH AND BEAUTY
LOCAL AGENCY FORMATION COMMISSION
7 COUNTY CENTER DRIVE • .OROVILLE, CALIFORNIA 95965-3397
''" •` °� TELEPHONE: (530) 538-7601
FAX: (530) 538-7785
June 11, 1998
Mr. Fred Anderson
35 Margaret Drive .
Oroville, CA 95966
AMENDED LETTER
Re: LAFCo Contractual Agreement File No. CA 2-98
Location: 35 Margaret Drive, Oroville
Dear Mr. Anderson:
This letter supersedes the letter mailed to you on June 9, 1998.
On June 4, 1998, the Local Agency Formation Commission conditionally approved the
contract authorizing the extension of sewer service to A ONP 68-341-040,,, in accordance
with California Government Code Section 56133. The approval is subject_ -to a requirement
that an application for annexation will be submitted within two years. Furthermore, if you
wish to annex your parcel within six months, the filing fee will be reduced to $300.00.
If you have any questions, please call Monday through Friday, between 8:00 a.m. and 4:00
p.m.
Sincerely,
Barbra Duncan
Administrative Assistant
cc: Melinda Rogers, Lake Oroville Realty
Lisa Purvis -Wilson, City of Oroville Planning Manager
Mike Vieira, Butte County Chief Building Official