HomeMy WebLinkAbout069-080-036VINCENT DEL ROSSO
88' Greenbrier Dr., lot 13, unit
2A�, Oroville
Permit 411.5 8P,E(y�al, MH)
ELEC
SUPPORT STRUCTURE'?!LLi
COMPACTION TEST
Contr : J . B .- .Mob-ile Service , Par.
Permit #688-78MEiI
Issued
Permit #1730-78B(new garage,carport,
covered p io, deck'&wOR deck/MH)
Permit #10 ;-79E (ele/ 730-78)_
r U
069-080-036 05-0780
MARIANA, DIANE
WGREENBRIER, OROVILLE
:CONT: SIERRA MOBILE VRVIC
-MH PERM FND
LA _Z -0 $
06.9 -080 -03767 -mom 05-0888
MARIANA, DA_ INE
88'GREENBRIER DR,•OROVTT,T:F.
T, Cont: NORTH STATE CONST
DRY-ROT,REPAIR (EX DECK) ---------:-
069=080-036 ,05-1670..
HUFF, WILLIAM
88 GREENBRIER DR, OROVILLE
Cont: PF REILLY & CO3 �f
REPL 2 BAY WNDWS I/�p
n� ' R � • A `j — � J W
L `
r
r.
w
9
a0q -o
U
I r6.
��ci7o �-�1
NOTES RESIDENTIAL
PERMIT NO.
C A -R Ott SCr✓ -- - - -- - -
069-080-036 05-1670
HUFF, WILLIAM
+ 88 GREENBRIER DR, OROVILLE
Cont: PF REILLY & CO
REPL 2 BAY WNDWS
"i
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
SignatureCA/LOC�J2NV�WLP/t'�S
J=OK
O=Not OK
. able
= ldy
Not
HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location-Test-Fall-C/O-Concrete
4. Water, Location-Test-Easement Needed (Sketch)
5. Electricity, Location-Clearances-Gmd-/ /Amp-Concrete
6. Gas; Location-Test-Wrap;-/ ' L'ft.
/ P Nat. or/ /" L "ftJ P LPG
7. Well Clearance & Disconnect
8. Utility Clearance
10. Roof; Shthg-Roofing
11. EM.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements-Setbacks-Easements
Date
2. Footings; Size-Spacing-Marriage Line
3. Gas; MH Test-Demand-Valve-Connector
4. Electricity; MH Test-Crossovers-Breakers-Clearances
5. Drain; MH Test-Fall-Flex Connector
6. Water, MH Test-Regulator-Connectoe
7. Water and Sewer Connected-C/0 to Grade-HD Approval
8. Gas and Electricity Tagged
9. Tie Downs-Type-Installation Cert
10. Exits; Insp.-Sketch
11. Cert of Occupancy
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Date
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
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. EM.; 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. Sec.; 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
I=OK
= Not OK
= Not Appricable
= Not Ready
RESIDENTIAL (Single & Duplex)
Sate UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
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 -Meth. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Fumace-Vent Access -Comb. Alt -Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng.
49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdnn. 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. _514bco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Or 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 Cana B-1
Date Cana B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protect'on
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. Ar Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.El.)-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 InstklJDrive O Yes O No/Walks C• Yes O Na?lanters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ven ' ation Throughout House
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
Dat •i i3 Or Card B-1 Up Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE At: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect. aa rr-.�
License Class: il_ i License Number: t�3
Date: 2 Contractor: FF R67((4 Co EKG
OWNER43UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to ft provisions of,
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis ,for the alleged exemption. Any,
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
1
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended..or offered.forsajg C$@c 7gQ4.—Rygine§.s and..P_rofgssions.
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself. or.herself or, through his or her own employees,
provided that such improvements, are not. intended or, offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as. owner.„.of, the.,.propedy,-am:,exclusively contracting with
licensed contractofs 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
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: Sgka e_
Policy #: t52 355 - ;,Coro
❑ I certify that in the 'performance of the work for which this permit is
issued. I shall not employ any person in any manner so as to
become subject to the workers` compensation laws of California.
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: h/;z, —/A
Applicant: 13:�o+d�db(�t`
WARNING: Failure to secure 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.
PERMIT NO.
BPO51670
Issued Date: 06/27/2005 APN: 069-080-036-000
Site Address: 88 GREENBRIER DR ORO
Map Index:
Description: REPLACEMENT- 2 BAY WINDOWS
Owner: HUFF FAMILY TRUST -
HUFF WILLIAM D & RUTH L
88 GREENBRIAR DR
OROVILLE, CA 95966
�,,•.,- , ,.Applicant: P F REILLY &
3028 ESPLANADE
SUITE F 95973
530-898-0833
Contractor: P F REILLY & COMPANY INC
3028 ESPLANADE
SUITE F 95973
530-898-0833
License #: 711037
Architect:
Engineer: _..�.. �.=_..w.,..._. , .
Total Square Ft:
Valuation:
Census Code:
0 S. F.
$0.00
X389.93
CONSTRUCTION LENDING AGENCY This permit is hereby iss
I hereby affirm that there is a construction lending agency for the Resolutions to do work it
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name: By:
Address:
431 Iq 2
PERMIT EXPIRES ON: (n -/ /-
ipplicable provisions of the Butte County Cody+ andlor
for which fees have been paid.
Date: G - / 3 - 05
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. - I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize represen
/�tatives ofButteCounty to enter upon the above mentioned property for inspection purposes.
Print Name: A -
(15 /R�oxe, Signature:
Date: fi-7 Ze 2ri
❑ Owner 0 Contractor Agent for Owner Agent for Contractor
,I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE`. (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
*`PLEASE PRINT CLEARLY"
OWNER
Last Name '-Lit0,0 o
First Name Fr a�q�
Address $g G re.e.vt br'aXr
City Clrou l le,
State CA
"'g6965
Phone5,,,>_3tS-635i
Fax
E-mail
CONTRACTOR
Name
Address )'t F_ tcwLa
�
City (!Lt i6 o '
State CA
Zip c15gl3
Phone 53v-gqq _ 6g33
Fax,,,_ $qj _jr
E-mail
Lic. #'71103-7
Cl ss H�
APPLICANT NAME
ARCHITECT/ENGINEER
Name
Cityct:0
Address
Zip95q�
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name CW,, 4 550✓te
Address .3p�L? 66 p
Cityct:0
State
Zip95q�
Phone
53D D 33
Fax
E-mail
APPLICANT SIGNATURE
XL
For office use only:
Zoning
Property Address
V G r briar
Flood Zone
Cross Street '
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
BP 0-51 07 0
BIN #
Page 1 of 2
Descriptionggr Scope of Work:
t�e Ie•C.1 2, tGT�e.. i.JCrn�,t,Oc,�S ta�[�
x c��k flows c.tS i 5e Cg l 5
Sq. Foo ge
❑ 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
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: WA Amount: 3gq. q3 Bldg
Receipt #:� 3111 2
Date:
SRA
Sheriff
SMIP
REV 2-24-05
otal
Q�LOCATION
AP# _ �UO _0 3G
Property Address
V G r briar
I City
Cross Street '
WORKER'S COMPENSATION
Policy Number
rsz355q-zoos
Carrier r" , j
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
Page 1 of 2
Descriptionggr Scope of Work:
t�e Ie•C.1 2, tGT�e.. i.JCrn�,t,Oc,�S ta�[�
x c��k flows c.tS i 5e Cg l 5
Sq. Foo ge
❑ 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
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: WA Amount: 3gq. q3 Bldg
Receipt #:� 3111 2
Date:
SRA
Sheriff
SMIP
REV 2-24-05
otal
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). -
0
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
RECORDINGREQLESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
2005-00 1 95 1 -7
Recorded
Official Records
CountyBUTTE f
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
12:15PN 07 -Apr -2005
REC FEE 10.00
CONFORM 1.00
COPIES 5.50
Cheryl
Page I of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
DIANE MARIANA
REAL PROPERTY OWNER/LESSOR
88 GREENBRIER DR
MAILING ADDRESS
OROVILLE BUTTE CA 95966
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MARK I
MAILING ADDRESS
- DATE OF MANUFACTURE
MODEL NAMENUMBER
OROVILLE BUTTE
CA
95965
CITY COUNTY
STATE
ZIP
05-0780
530
538-7541
BUIL PE IT NO.
TELEIJHONrrNUMBE�
�T�T// '' II
SIGNA UR F OCAL AGENCY OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO
SILVERCREST
1977
MARK I
MANUFACTURER'S NAME
- DATE OF MANUFACTURE
MODEL NAMENUMBER
WS3004A/B
65'X 24'
CAL05364/5
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 069-080-036
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept.
' Exhibit A
Grant Deed
Legal description of real property:
Lot 13, as shown on that certain Map entitled, "RESUBDIVISION OF KELLY RIDGE ESTATES UNIT NO. 2-A",
which Map was filed in the Office of the Recorder of Butte, State of California, on May 7, 1974, in Book 43 of Maps,
at Pages 38 and 39.
GD -CA -L. PARENT/CHILD
ReL(11/93) Page 2 of 2 Pages
f1
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
07 -Apr -2005 2005-0019517
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 4escribed 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.
DIANE MARIANA
REAL PROPERTY OWNER/LESSOR
88 GREENBRIER DR
7 COUNTY CENTER DRIVE
MAILING ADDRESS
MAILING ADDRESS
OROVILLE BUTTE
CA 95966
CITY COUNTY
STATE ZIP
SAME
CITY COUNTY
INSTALLATION MAILING ADDRESS, IF DIFFERENT
ZIP
SAME
(530)
CITY COUNTY
STATE ZIP
SAME
UNIT OWNER (iralso Property owner, write "SAME")
SAME
MAILING ADDRESS
NONEF
SAME
CITY COUNTY
STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MARK I
MAILING ADDRESS
DATE OF MANUFACTURE
MODEL NAME/NUMBER
OROVILLE BUTTE
CA
95965
CITY COUNTY
STATE
ZIP
05-0780
(530)
538-7541
BUIL PE IT N0.
TELE HONEMJMB/E�Rr--,+
SIGNA URECAL AGENCY OFFICIAL
O
DATE
NONEF
DEALER NAME (ir not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
SILVERCREST
1977
MARK I
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAME/NUMBER
WS3004A/B
65'X 24'
CAL05364/5
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 069-080-036
HCD FORM 433(A) REV. 8/91
U—TC.r—..,, e""-1— rANAaY-Wr) PINK-Annlicnnt GOLDENROD-Buildine Dent.
AN
D TE:
- _
-
Recordina reauested by and when recorded.
Mail to:
Andrew R. Matteson, Attorney
2151 Professional Drive, Suite 102
Roseville, CA 95661-3761
Mail tax statements to:
Diane R. Mariana
8074 Lockerbie Court
Sacramento, CA 95828
Document number: 3240.BGD
210104-11_!1061 6510
Recorded
Official Records
CountyBUTTEOf
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
11:35AM 06—Oct-2004
REC FEE 10.00
Barbara
Page 1 of 2
SPACE ABOVE THIS UNE FOR RECORDER'S USE -
Assessor's parcel number: 069-08-0-036-0
Grant Deed
The undersigned Grantor declares: This transfer is a gift. Documentary transfer tax is none. Grantor has not received and will not �.
receive consideration from grantees for the transfer made by the attached deed, therefore, under Revenue and Taxation Code §11930,
the deed is not subject to the Documentary Transfer Tax.
For no monetary consideration, but for nonmonetary consideration, Gary D. Huff, as Trustee of the Huff Family Trust dated
October 17, 1990, Grantor, does hereby forever grant to Diane R. Mariana, a married woman, as her separate property, all of the
right, title and interest of Grantor in and to the following described real property in the unincorpiorated area, County of Butte, State
of California. The legal description of this property is shown on Exhibit A, which is attached to this grant deed and is incorporated
in it by reference.
en
Date signed: ^ ;L — C � , at
Gary D. Vuff, as Trustee of half Family Trust
dated October 17, 1990
ACKNOWLEDGMENT
STATE OF CALIFORNIA, COUNTY OF Wx-e Si,"
on before me,a Notary Public in and for the said state,
persondlly appeared y D. Huff or proved to me on the basis of satisfactory evidence) to be the person
whose name is subscribed to the within instrument, and acknowledged to me that he executed the same in his authorized capacity,
and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.
WITN my an and o tcial se SEAL:
Signa ��=JANET M. Bt7RNETT slon 4t 1413139
-� Notary Public - CaUtomla
Rtverslde County
MY Comm. Explres Ap► 22, 2DO7
GD -CA -L. PARENT/CHU.D
Rel. (11f93) Page 1 of 2 Pages
FOUNDATION SYSTEM
CERTIFICATE OF OCCUPANCY
BUILDING PERMIT NUMBER: 05-0780
Address or location of unit: 88 GREENBRIER DR., OROVILLE CA 95966
Legal Description of Real Property: AP#: 069-080-036
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: DIANE MARIANA
Owner's address: 88 GREENBRIER DR., OROVILLE CA 95966
INSIGNIA OR HUD NUMBER: CAL05364/5
SERIAL NUMBER OR V.I.N.: WS3004A/B
MANUFACTURER'S NAME:SILVERCREST YEAR:1977
OFFICIAL APPROVING INSTALLATION:
DATE:
PHONE: (530) 538-7541
H.C.D. 513C
r
STATE OF CALIFORNIA- BUSINESS, TRANSPORTATION AND HOUSING AGENCY, - ARNOLD SCHWARZENEGGER, Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT O,)SING q
Division of Codes and Standards •`2` ,r �Q
O �u Z
Title Search �Gti�� �C
Ty
Date Printed : 03/22/2005 pE�
Decal #:
AAI2983
Manufacturer:
SILVERCREST
Tradename:
SIGNATURE
Model
MARK I
Manufactured Date: 00/00/1977
Registration Exp:
03/31/2006
First Sold On:
03/01/1978
Serial Number
W S3004A
WS3004B
Record Conditions:
Registered Owner:
HUD Label / Insignia
CAL053645
CAL053646
PPF Exempt
Use Code:
Original Price Code:
Rating Year:
Tax Type:
Last ILT Amount:
Date ILT Fee Paid:
ILT Exemption:
Length
65'
65'
WILLIAM D HUFF
RUTH LOUISE HUFF Trustees
C/O DIANE RUTH MARIANA
8074 LOCKERBIE CT
SACRAMENTO, CA 95828
Last Title Date: 04/16/1991
Last Reg Card: 02/24/2005
Sale/Transfer Info: Price $53,500.00 Transferred on 07/13/1987
Situs Address:
88 GREENBRIAR DR
OROVILLE, CA 95966
Situs County: BUTTE
Inactive DecaVDMV:
DMV SJ8302, DMV SJ8303
* * * END OF TITLE SEARCH
SFD
AHX
1978
ILT
$29.00
02/22/2005
NONE
Width
12'
12'
0
c
NOTES
.:'moIT Arffo�pvff
i—�
m
;cam
RESIDENTIAL
PERMIT NO,. - g 6 -7 05-0780
t,IARIANA, DIANE
88 GREENBRIER, OROVILLE
CONT: SIERRA MOBILE SERVIC
MH PERM FND
1
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
CAS ()5_:3Gq(o
c/4L 053W4s
JOB FINALED (Date)
Signature v &L"
CHECKED
BY
J=QAC
D = Not OK
. = Not Readyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/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
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card 8-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
9.
11.
Cert. of Occupancy
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Enclosure; Fencing -Alarms
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Date
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
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 8-1 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- Bloc kouts-Wrapped
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
6.
Stemwalls, Garage; Steel- Bloc kouts-Wrapped
Garage Fire Protection Framing -.RC Charnel
6a.
Hold Downs and Special Anchors
Property Line Firewall & Openings
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
58.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
59.
12.
Electric Underground
60.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
61. Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
I nfi Itration-Wal Is -Windows
16.
Insulation
Card B-1 Date Card B-1
Date
Date
Date
Card B-1 Date Card B-1
Date
64.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Smoke Detector
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Furnace Vents -clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
18.
Water Pipe; Test & Anchor -Nail Protection
Bedroom Exiting
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
G.F.I. & Bath Fixtures & Tub Access -Spa
20.
Shower Pan; Test, First Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
21. Test Tub & Shower, Second Floor -Tub Access
70.
22.
Gas Pipe; Sixe & Anchors
71.
23.
Fire Sprinkler; Test
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
Kit. Fixt. & Appliance; Ground -A r -Gap -Cooking Clearance
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 AI
Insulated Neutral O Yes 0 No
_
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
86.
35.
Smoke Detector
87.
Water Well, Disconnect, Electrical, Plumbing
Date
Exterior Elec. Trim, G.F.I. Receptacle -Underground
Card B-1 Date Card B-1
Date
Ventilation Throughout House
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
95.
40.
Attic Access & Platform if Furnace in Attic
Date
Fire Sprinkler
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41.
Sills Proper Materials & Anchors
Comments at Final:
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-Ccnnectors
48.
Cling. Joist-Rftr. Ties- Purl in- 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 Charnel
53.
Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Stoy, 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-Undarflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
I nfi Itration-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-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 -A r -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 0 Yes
_
83.
Following Instld./Drive 0 Yes O No/Wa ks 0 Yes O No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Ce-tificates
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:
1 BUTTE COUNTY
0 %3T7' DEPARTMENT OF DEVELOPMENT,SERVICES
0 o BUILDING PERMIT
dt i o 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
\C Illega' MediaSource
LICENSED CONTRACTORS DECLARATION . •
I hereby affirm under penally 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 = License Number: q 7 0 aft
Date: ; ' Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Contractors' Stale License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior
to its Issuance, also requires the applicant for such permit to rile a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penally of not more than five hundred dollars (8500).):
❑ 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' Slate License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such Improvements are not Intended or offered for
sale. If however, the building or Improvements,are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or Improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to conslruct.lhe project (Sec. 7044, Business
and PFofesslons Code. The Contractors' Slate License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' Slate License Law.).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Dale: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -Insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Is Issued.
❑ 1 have and will maintain workers' compensation Insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is issued. My workers' compensation
Insurance carrier and policy number are:
Carrier: r
Policy 1f: r y z S7
❑ 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 the workers' compensation laws of California,
and agree that If I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: : - y
Applicant:
WARNING: Fallure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars (8100,000), In addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit is Issued (Sec 3097 Civ.)
Name:
Address:
PERMIT NO.
BPO50780
Issued Date: 04/05/2005 APN: 069-080-036-000
Site Address: 88 GREENBRIER DR ORO
Map Index:
Description: EX MH ON PERM FND
Owner: MARIANA, DIANE
88 GREENBRIAR
OROVILLE, CA
95966
Applicant: SIERRA MOBILE SERVICE
BILL REID
466 CIRCLE DRIVE
OROVILLE, CA 95966
530-534-0599
Contractor: SIERRA MOBILE SERVICE
BILL REID
466 CIRCLE DRIVE
OROVILLE, CA 95966
530-534-0599
License #: 470386
Architect:
Engineer:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
permit Is hereby Issued unaB& the applicable provisions of the Butte County Code and/or
rlullo /o' do work lgdic ed.a ove for "rch fees have been paid.
Dal —
S is
PERMIT EXPIRES ON;
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19627.5 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. 1 acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of B/uitt County to enter upon the above mentioned property for inspection purposes. /J
Print Name: Y ` t Signature:
Date: L I S r0 S
downer , 6K ntractor ❑ Agent for Owner ❑ Agent for Contractor
MmlsllR111111m,
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FF,E 11'ILL BE REQUIRED AT TIME OF APPLICATION
**PLEASE PRINT CLEARLY**
OWNER
.ast Name /,'1,4 14
First Name
kddress
� 8 6- t2 Q t E ,t?
'ity �P-ou
Slate 0,4
ZP
phone
Fax
-mail
APPLICANT SIGNATURE
X 4/1-111 —
For office use only:
Zoning
CONTRACTOR
game
/ ,
4ddress
V66
City
L�
State
Zip
Phone '
DS91
Fax
E-mail
Date Approved:
Lic. # y7615',M
Class /6 _
APPLICANT SIGNATURE
X 4/1-111 —
For office use only:
Zoning
ARCHITECT/ENGINEER
Name
/ ,
Address
V66
City
L�
Slate
Zip
Phone
S 3 q 'OS -6C
Fax
E-mail
Date Approved:
State License Number
APPLICANT SIGNATURE
X 4/1-111 —
For office use only:
Zoning
APPLICANT NAME
Name
/ ,
Address
V66
City
L�
State C –
zip �•S�C
Phone
S 3 q 'OS -6C
Fax
E-mail
Date Approved:
APPLICANT SIGNATURE
X 4/1-111 —
For office use only:
Zoning
' Oib
Bldg
Flood Zone
SRA
Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
UVEB FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BPO 5 07,6
BIN #
I WORKER'S COMPENSATION
Policy Number
Yz� �
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footage
❑ 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.
Receivedby: Amount
' Oib
Bldg
SRA
Receipt #:
Sheriff
�SMIP
LDae: ��� ®�
Other
1A I
Total
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538=7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: Al�'a l � / �`� vv L� ASSESSOR PARCEL NUMBER D6 9 r L r a 36
Proposed Building Use: 10A-al,,wA I /f�A) Permit Technician: v` `� Date: / 2�
Items required in order to apply for a permit. 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. Letter from Engineer or Architect for truss design review.
\❑ 6. Energy compliance design and supporting documentation in duplicate.
O 7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Letter of intent for non-residential buildings
❑ 12. Hazardous Material Form
❑ 13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 16. Fire Sprinklers............................................................................................
❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ...........................................
❑ .Erosion Control Plan Required........................................................................
20 ees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 1. City of Chico Plumbing permit........................................................................
❑ 22. Site plan and business license approval from the City of Biggs ..............................
❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: .............
❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............
❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) .....................
❑ 31. Letter of Signature authorization....................................................................
❑ 32. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephone/�ti P2c-�� �3yb�66 and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant:
1. Index permit application for the above items numbered:
2. Additional items required
Date:
Plan Check
ract r, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date:
ractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by' Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ cou 1e i Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
3/;,S/c 5--
07bO
'• COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER `� r� 1A7VA I �l• �s '
PROPROSED BUILDING USE
l
1. BUILDING PERMIT FEES
--- Balance Due ..................... $ Z
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg
4. URBAN AREA FEES
A.P. #
DATE
RECEIPT # DATE REC.
(paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the Ian checking process.
APPLICANT DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BPO50888
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 04/06/2005 APN: 069-080-036-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : �� �
Site Address: 88 GRE_ENBRIER DR ORO
,LiicenseNumb/erg
Dater .6-� 5 Contractor. /�/ di/,��fh.lo'.:-M :
Map Index:
Description: DRY ROT DECK REPAIRS (EX DECK)
'OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any, structure, prior
Owner: MARIANA, DAINE
to its Issuance, also requires the applicant for such permit to rile a
8074 LOCKERBIE CT
signed statement that he or she is licensed pursuant to the provisions of
SACRAMENTO CA
the Contractor's Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95828
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penally of not more than rive 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
Applicant: NORTH STATE CONSTRUCTION
Code: The Contractors' Stale License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
5523 BAGGETT MARYSVILLE RD
provided that such improvements are not Intended or offered for
OROVILLE CA
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
95965
proving that he or she did not build or improve for the purpose of
530-534-1254
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Slate License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: NORTH STATE CONSTRUCTION
pursuant to the Contractors Slate License Law.).
C3I am Exempt under Article 3 of the Business and Professions Code
5523 BAGGETT MARYSVILLE RD
OROVILLE, CA
Dale: Owner:
95965
530-534-1254
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penally of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for
License #: 851411
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
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Engineer:
insurance carrier and policy number are:
Carrier:—
Policy
Total Square Ft: 0 S.F.
I certify that in the performance of the work for which this permit Is
Valuation: $0.00
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 withthose provisions.
A
Date:
Applicant:
WARNING: Fallure to secure 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or
Resolutions t d rk indicated above for yyhich fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date: -
By..
Name:
-
PERMIT EXPIRES v
Address:
(Date)
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
Cl Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby 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
certify
all county and slate laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any off I form or document of Butte County. I hereby
authorize representatives o Butte County to en pon the ve.mentioned property for inspection purpos
Print Name: h Signature: cc,
Date:
❑ Agent for Owner JKAgenl for Contractor
❑ Owner ❑ Contractor
P.—il n1.1R.04 no 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER
Last Name
First N ,
G,
Address O
City State Zi 2 b
o
Phone
Fax
E-mail
APPLICANT NAME
ARCHI TECT/ENGI NEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
W� ,
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SI TORE
X
office use only:
Zoning
Property Address�� 1�
Flood Zone
Cross Street
SRA I
Yes I
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NO.
S- 0�
BP
BIN #
LOCATION
AP# (71_�V o�6
Property Address�� 1�
Sheriff
Cross Street
SMIP
WORKER'S COMPENSATION
Policy Number 4;
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq. Footage
❑ 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
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: I `� Bldg
SRA
Receipt #:
Sheriff
SMIP
,
o
L
� 9 Other
v Total
Page 1 of 2
REV 2-24-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
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
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
WIND ZONE I - SINGLE
9
9/2/03
- DOUBLE
10
9/2/03
- TRIPLE
11
9/2/03
- HIGH PIER
12
9/2/03
WIND ZONE it - SINGLE
13
9/2/03
- DOUBLE
14
9/2/03
- TRIPLE
15
9/2/03
V -DRIVE & PIER SYSTEMS
16
9/2/03
SOIL CLASSIFICATION
17
9/2/03
CONCRETE INSTALLATION
18 & 19
9/2/03
COMPONENT PARTS AVAILABLE UPON REQUEST
BPA
This
Approval
MANUFACTURED HOMElMOBME HOME
FOUNDATION SYSTEM
HEALTH AND SAFETY CODE, SECTION 18551
APPROVED
SUBJECT TO CORRECTIONS NOTED
kFPROFVAL DOES NOT AUTHORIZE OR APPROVE ANY
MISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
=u of California
nt f2ousin and Community DaMopnu m!
N MDES AND STANDARDS /
!'c (&4-wa)
BUTTE COUNTY
BUILDING DIVISION
APPROVED
0 A
co
Iq
co
0
CV
O
(3)
O
Tie Down Engineering, Inc.
0/ECTOR 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 root 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.
C\�U
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 & 2,1) 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 - 4x4 or 1 adjustable steel commpression member per Vector system) for the
center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis-
tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16".
ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED .
Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the
same, the pre-cut boards will also be the same length in each Vector set-up.
STRAP INSTALLATION
All frame ties and diagonal straps must go from the anchor to
the top of the I -Beam. See illustration below.
1. Attach frame hook to top inboard
location of "I" beam. (Frame hook must be
attached to frame at points closest to floor support.)
2. Keeping in line with the hook, wrap galvanized
strap completely around "I" beam.
3. Pull strap past anchor head approximately ten inches
before cutting to allow enough strap to give a minimum
of five turns around the slotted anchor bolt.
4. Thread loose end through slotted bolt so that the strap is
flush with the other side of the bolt.
5. Tighten slotted tensioning bolt a minimum of five full turns.
Page 3 California 9/2/03
Longitudinal Stabilizer Devices
The use of LSD systerns 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.
3
MM
1. Longitudinal Foundation Pad
2. Beam Clamp (2 per system) N,
3. Longitudinal Strut (2 per system) Ca
4. Tie Bracket (2 per system) of
Combine Vector Dynamics
0 & LSD
Examples of Po55ible Placement:
(Contact TIE DOWN for placment in other Wind Zones)
Wind Zone
I
5ingle Section
I
00 I
I�
I I
I I
I I
I I
I I
I I
I I
I I
I I
I
I
I
00
18 Ft. Max.
Wind Zone
Double Section
32 Ft. Max.
Forgreater widths use
triple section design.
Page 6
Wind Zone
I
Triple Section
T�
I I
I I
I I
I I
I ,
I ,
I ,
I ,
1 I
Wind Zone
I
Tag Section
Ir i',
48 Ft. Max.
California
9/2/03
I
,
I
, ,
�
I
I
,
�
I
, ,
T�
I I
I I
I I
I I
I ,
I ,
I ,
I ,
1 I
Wind Zone
I
Tag Section
Ir i',
48 Ft. Max.
California
9/2/03
I
50 in
max.
Maximum Pier Heinht
Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier
heights (from surface of.Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or
both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height
exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used
at each Vector System location with pier heights above 46" with the following exception: double section homes
that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for
double section home high pier set instructions.
50 it
max.
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". /
Page 7 California
9/2/03
s
Set -Up Instructions for
Vector System
Long U -Bolts
1. Set Vector Pads
Clear all vegetation where pads will rest. Place
a long U -bolt in pad as shown. Press or ham-
mer pad into the ground.
2. Set Block or piers on pads.
Center foundation blocks or piers on pads. Place
pre-cut center compression member between
blocks, resting on pads, centers between U -bolts
as shown.
3. Outside Tension Bracket
Attach- outside tension bracket as shown to out-
side of pads.
Page 8
4. Inside brackets & straps
Attach the inside tie brackets to the U -bolts over
the compresion member. Attach a strap w/hook
or swivel strap w/nut & bolt. Place other end of
the strap over opposite I-beam & down to out-
side tension bracket. Cut strap 12 - 15 inches
past bracket. Attach strap & slotted bolt in
bracket. Tighten strap until tight with 4-5 wraps
around bolt. Repeat with opposite strap.
t
Califor
4
w � D;
9/2/03
CD
C-)
n�
0
� I \
WIND ZONE I, SEISMIC ZONE 4
Vector Dynamics Systems Required for
Double Section Homes
\ I ,
(Materials Required)- - - _ _ _ - -
ome
doUb,e Seck,On \
72
\e � a r ....... \
_
_ r
� � � \FY � �\ �- -y: � 7.. _ �- Vic- ♦ \ I
a
\ ..-.::v::.--...1e�: .:•': \� _ _ �•'" _. ....ill:+..—. }i::5"i'' .. ��.. _.. 1J L
NOTE: Vector Systems should be spaced as
symmetrically as possible along the length of
home. Pier spacing must be consistent with
manufacturers' instructions and/or state requirements.
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
lassifications:Soil Bearing Capacity
Anchors Reouired*:
2, 3, 4A, & 4B
1,000 PSF minimum
None (*Marriage wall anchors may be required by home manufacturer)
Home Length
Vector Systems
Required
Anchors Required
Per Side
L.S.D.
0 to 40'
2
0
2
41' to 66'
3
0
3
67' to 84'
4
0
4
85' to 90'
5
0
4
Each Vector System requires one of the following:
1-4x4 or 2-2x4's pressure treated wood compression member,
Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list)
Note: L.S.D.=
Longitudinal
Stabilization
Device
See Page 6.
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as
described in the table below:
SOIL CLASSIFICATIONS
Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1)
D2586) Torque Value (2)
1 Sound hard rock...... NA NA
Very dense and/or 40 -up More than 550 lbs - in.
cemented sands, coarse
2 gravel and cobbles,
preloaded silts, clays,
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 /iste above.
'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in r kar with site
conditons
Page 17 California 9/2/03
H
t
`PERMIT NO. 1730-78B
PERMIT EXPIRES
•OWNER V.E. DelRosso
CONTR. owner
„Y
LOCATION (A.P. 34-65-36
88 Greenbrier Dr., Oroville
Temp. ower Pole
C lied PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signal re)
a
Steel
Stucco Final A Sub anets
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation an
Door Closer Final Fin aW
MOBILEHOME UTILITIES ----- Elec. Service ec. Pedestal
Water Piping Sewer Gas Piping
M01316EUOME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE %-% REMARKS OR CORRECTIONS
eaa a St
�2 A
BSC ro �6a� 6a+✓i+-G � SL�Q
c)CL
/l
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTIdN'RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
S.—.9-20, Firewall -
Soil Piping
Forms
Parapets
list Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding' r
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents +--
Fixtures
Footings
J.r - 7 L✓ Garage Vents
Water Htr.
Stemwall
Insulation .---
Heaters
Slab
Carport
Footings
Prov. for physically
handicaped
Conformance of ex.
sAawkre
Appliances
Gas Piping & TAS t
Temp. Gas
Slab
Flnal
Sanitation
Patio
FI PLACE
Final
Footinqs
Footina T /
ELECTRICAL
Steel
Stucco Final A Sub anets
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation an
Door Closer Final Fin aW
MOBILEHOME UTILITIES ----- Elec. Service ec. Pedestal
Water Piping Sewer Gas Piping
M01316EUOME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE %-% REMARKS OR CORRECTIONS
eaa a St
�2 A
BSC ro �6a� 6a+✓i+-G � SL�Q
c)CL
/l
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF -BUTT — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Orovi.'ie, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnorize re resentatlVes Ot the County or t3utte to enter upon the
above -men ion property for inspection purposes.
�
7 O s-
' X Date 7
Signature of Peermitee or Agent
Receipt No./ 7 7 rmL6te7 0
White-D.P.W. - Yeilow-Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have ben paid.
DIRECTO OF UBLIC WORKS
BYDate
ilding permit expires Date
BUILDING
Owner
SQ. FT. OCC. -BUILDING VALUATION
Mailing Address��/'
Ov
Telephone N
0
72o 1r4x Q Q
Contractor
I
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee Q
` l
Building Address LN
Plan Checking Fee&/or Penalty
Permit Fee 0v
f
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
',t — L
Repair drainage or vent piping 1.50
A. P. s —��
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F, es
ani-t"ieFt
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvempwts
Each additional outlet .30
Building sewer 5.00
Bldg ans Rec'd
Parcel A roval Pi
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5•00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
(�
....rAi sc
Main service OVER 25.00
100 AMPP O OR LESS
Main service EA. ADO'L 100 AMP 1.00
NEW CONS. I DWELING
OR ADDNST % ACCLBLDGS.CCUP. h) 2¢sgft
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
Y
NEW CONSTR.MULTI.OUTL T
NON-RESID BRANCH CIRCUITS) 2.5Oea
NEW CONSTR. (POWER APPARATUS 6
NON•RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTURES 50@2s¢
BAL@100
Ex. Occu FIXE APPLNS. OR
p•�OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $
$'
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
V:QIcertify that in the performance of the work for which this
ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT
T F
$ L
6
autnorize re resentatlVes Ot the County or t3utte to enter upon the
above -men ion property for inspection purposes.
�
7 O s-
' X Date 7
Signature of Peermitee or Agent
Receipt No./ 7 7 rmL6te7 0
White-D.P.W. - Yeilow-Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have ben paid.
DIRECTO OF UBLIC WORKS
BYDate
ilding permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4-,541
_ APPLICATION AND PERMIT
authorize rep sentatives of the County of Butte to enter upon the
above -men ' ned property f inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No. 18 gig'
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above fo hich fees have been paid.
DI :CTOF KPUBLIWORKS
By ate o ��
Building permit expires Date Y—/9-70
BUILDING
Owner i � ( A � S
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
I
Telephone No.
549-3
Contractor y,�,�✓
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address t�
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
e�c;f' — K Z J A �.� VI /',Q,
Repair drainage or vent piping 1.50
/ �{ %%��
A. P. No. ' C -6 '- /� Zoning Nanning
Water piping 1.50
Each gas water heater or vent 1.50
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
�jdg..P�Fane-ReE�
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $
$
-7 3p —70'
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 .Chi
Main service 600V OR LESS
100 AMP OR Less 5.00
r�
Single Family ❑ Duplex ❑ Mobil Home Q Others
Main service EA. ADD -L 100 AMP 2.50
^ \• --
�(X �./Mh.7- Q J
Main service OVER 25.00
100 AMPP OR LESS O
Main service/ EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ( ACCLBLOGS.LING CCUP Y 20sq ft /0 .
CON ACTORS LICENSE LAW
State of California Business & Professions Code under the name
style of:
NEW NONRESID, BRANMULTI.OUTL T
.CONS ( CH CIRCUITS)2.50ea
NEW CONSTR. (POWER APPARATUS 8
IA.
Ex. OCCUD(OUTLETS OR FIXTIIRES B L�;
FIXED APPLNS, OR
Ex. Occup. ( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25 .�Vg_
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ ,
$ j®
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
kcertify that in the performance of the work for which this
ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ c1
authorize rep sentatives of the County of Butte to enter upon the
above -men ' ned property f inspection purposes.
X Date
Signature of Permitee or Agent
Receipt No. 18 gig'
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above fo hich fees have been paid.
DI :CTOF KPUBLIWORKS
By ate o ��
Building permit expires Date Y—/9-70
COUNTY OFtBUTTE
DEPARTMENT OF PUBLIC WORKS ' 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number (^kk 71E for the following location: 10 -7 'A.(Al-
5/7 r pp/,OC7Fad, p O� 0
Owner 1//alr-CA17`
Owner's Address
Mobilehome Mfg. 4511. Model -' Year �7{
Insignia No.f"At. 06--NO4 ` Serial No.
y,
It is hereby Lertif ed3 for occupancy at the above described location and
may be occupied.
Director
}of PublicWorks
® /
Date ��%� By /[t��Yy��/`—/ 11.u�lA.t ��i
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
I Aol�c-( b - �F- k - 7--91-
PERMIT
.-
PERMIT NO. 115-78P,E
$ PERMIT'EXPIRES
OWNER VINCENT DEL ROSSO
CONTR. owner
LOCATION (A.P. 34-65-36 )
lot 13, unit 2A, 88 Griseenbrier Dr. Oro.
I
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.''j
C lied PG&E
Tem Gas Serv.
PG&E
YINCalled
�
ALED
(Date
(Signature)
,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa I I
Insulation
Heaters
Slab
Carport
Footings
Prov. forphysically
handica ed
Conformance of ex.
structure
Appliances
Gas PI In &Test
Temp. Gas
Slab
Final
Sanitation
Patio
kIREPLACE
Final
Footin s
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Relnf. Steel
Final
Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framinq Test Water Htr
Stucco Final Subaane
Mesh MECHANICAL Gird. Fabit Prot.
Scrat Heati Servi
BroCoo ng TgAp. Pole
Intifflor Lath V ntilation ermanent r
Dior Closer Anal I final
MOBILEHOME UTILITIES ------------------ Elec_ Service .2 Elec. Pedestal
Water Piping ; — . — C-- Sewer — Gas Piping ?V Opp
BI E ME INSTA. ATI N - - - - - - - - - - - - - Support — /" Elec. Continuity
Water Piping t — Drainage Gas Piping
DATE _,)q —71' REMARKS OR CORRECTIONS
�Of7 ANo$ /VD s U cpvtt�S
� 7 --7
L-bcK'v
.0-,;)-9--?k
J'p0s2 COIa#Zi !n/ CocQCla
(NOTE: An entry must be made on this form each time you visit the job site.)
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with ired separation from lot lines and buildings and generally
qu
conform to plot plan? Yes_ No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes/ No
3. Are footings and supports properly sized, spaced, and braced as pe pproved plans? (Note
possible variation at spring shackles.) (Sec. 82 & 5083) Yes` No
4. Is the mobilehome level? (Sec. 5088) Ye:%o
No_
5. If mer than a single unit, are crossover connections properly installed? (Seca 5088)
Yes No
6. Water
A. Is fle le connector of adequate size and properly installed (1/2" ID mdn.)? (Sec. 5566)
Yes_ No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes -r- No_
tkflow - If coach is not State of California approved, does station have backflow device
(}� and pressure -relief valve? Yes_ No
7. Wastes and Drains r4-�
A. Is connection made with Schedule 40 DWV and have flex connectors at each en/d? Yes_ No_
B. Does it have minimum " per foot slope and is it properly supported? Yesil No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes_ No
M
fcoach is not State of Californiaapproved, does station have required trap and vent?
es No
8. Gas Piping and Gas Vents
A. Connq&itor - Is mobilehome connected to the gas supply w'h an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Not • All piping is to be at least as
large as th mobilehome gas line inlet without r ctions other than the mobilehome
connector. i� No
B. Test OK as per foll 'ng procedure? Ye _ No
1. Open all appliance nector valv s.
2. Shut off appliance burner pilot valves.
3. Air test with manometer o 10"- "water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) librated int th pound increments. Test for 10 min. without
drop.
4. Connect gas er to mobilehome with connect turn on gas, test connections with
soapy wate .
C. Are all appliance vents properly installed? Yes_ No
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of Wb amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes C/ No
B. Is there proper clearances around panels? Yes f/ No_
C. Is ower supply cord or feeder assembly properly fused? Yes v O_
P PPY YP P y _N
D. IV continuity test satisfactory as per the following procedure? Yes2o_
X. De -energize electrical wiring system of the mobilehome at the pedestal.
Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
Switch all breakers and switches in the mobilehome to the "on" position.
�. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing.
0As job card signed by Health Department for water and sanitation?
If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle�d.,
Length 6-5- W idth�
Vehicle Serial No.
State Identification No. C-14.1.- i 6A-1
Additional Information or Comments:
COUNTY OF BUTTE ,-- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
" Telephone: 534-4541
1APPLICATION AND, PERMITen 7_11_�
Date
ignoture of/Perrmmiateee or Agent
Receipt No. - (G s7 /
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the tsutte Lounty uoae anaior resolutions to do work indicated
above,for which fees have b paid.
DIRECTOR OF PUBLIC WORKS
BY Date if i 6 ` 7r7
B f (ding permit expires Date �'—�
BUILDING
Owner Vincent Del Rosso
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 1052 Geneva Street
Livermore, CA. 94550
Telephone No.4155
447-6887
Fireplace
Contractor (Owner)
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address KWLXM $$ Greenbrier Drive
PLUMBING No. @ FEEPERMIT
FILING FEE $3.00 3 �
Oroville, California 95965
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50 14,66
Lot 13, Unit 2A — Kelly Rill&g Verification On
YEach gas water heater or vent 1.50
A. P. No. 3'4 — 65 — 36
,�Tor,E g `Gas
piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes I
W. C. S i ion Fire Dept.
FireZone
Use Permit
Building sewer 5.00 /.0,pp
EQA
Parking
Plans
Parcel
Declara '
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
kJ_
Bldg. Plans Recd Parc4lproval
Plan pproval
Permit Fee $ ,5. oe
$ ?.a p�
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 8001 01 000 AMPOP 5.00 , ; &0
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home D-" Others ❑
Main service OVER 1100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
ISM _r MININ41 Ih4NEW
-•
FOR MOBILES
NEW OR ADDNS. ( ACCLBLDGLING OCCUP. &) 22sgft
CONSTR MULTI.OUTLET
NON.RESID. BRANCH CIRCUITS )2.50ea
NEW CONSTR POWER APPARATUS &
NON-RESID.. (SINGLE OUTLET CIR,
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)50 @25q�
BAL@1
Ex. Occu / FIXED APPLNS. OR
P'(OUTLETS (RESIO.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 tea-
No. Classification
Misc. Wiring 6.25
FtLicense
Q'"am exempt from the Contractors License Laws of the State of California.
Permit Fee $ �S..5`O
� o
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorizerf;presentatives of the County of Butte to enter upon the
ahf1VP.-nnP.n 1rPfl nrnnorttv fnr i matin., r,
ChC —�
� 7 �
OTAL PERMIT FEE
$ %, _3
This permit is hereby issued under the applicable Drovisions
of
Date
ignoture of/Perrmmiateee or Agent
Receipt No. - (G s7 /
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the tsutte Lounty uoae anaior resolutions to do work indicated
above,for which fees have b paid.
DIRECTOR OF PUBLIC WORKS
BY Date if i 6 ` 7r7
B f (ding permit expires Date �'—�
LOT 13
=
03004,001, UNIT 2A
• 7Z -7 x.770: 00-- lam. - L ROSS O
O �L _73, ?3' _ -
�
�2' a
Q .- orkrncansl�ip $hall Be it
11 Materials & Good Practices ani
TE: ce with Recdgnized Specified use in th
,0 01 K Q2 cc rda prescribed for the Sp es an
W > of a ua'}y P plumbing &M echanical Cod
uild'�ng�
Unifo rr', al Electrical Code.
Rhe
O aT
fi,�
oe
1side the rear
SET-S%I-C/� O•, , - uiY 4 ft. outs
cated within f the mobile home
MST bt o, ird section o side of the mobile
tans and specif al is nlawful } zo the left (,road)
This set of p zll timeS an me,
on *job at s e wit4`ou�►
?s or alteration o }'of
Chang ac
make anyrmission from the De
written Pe County of Butte.vlo io
. d
Gc Works,
200 AMP. req IobA e.
R ED =STA1
200 /S. < . A pe - of e
o,
o c`�r
sG0
i
13UTT6 UN 1 �c
E ARTMEN�
BUILDING
The • Setback shall be 5 ft. from the /� (� ^ n / ED
line and 50 It. #rom axe ' A
,p
�J 1� V
side property ermitting a m
centerline of the road, p
mum of a 2 ft. eave overhang but entirely
out of all easement6-
f
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
r� Telephone: 534-4541
APPLICATION AND PERMIT n ,
ouu_I_ representat vas UI the %,UUllly UI CSuRe to enter upon the
above-mentioned property for inspecti4�'tV
n purposes.
r
X Date
Signature of P�errtemitee or Agent
R ceipt No. t17Ci 31
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIR TOR OF UBLIC WORKS
,♦ 2
By Date � ` ��
erg permit expires Date
BUILDING
Owner S0
SQ. FT. OCC. BUILDING fALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Addressr
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1,50
' �
Each gas water heater or vent 1.50
A. P. No. *3 4—&,5
ZoningGas
& Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s
""W*M
I Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg.s Recd
Parc pproval
P pproval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
1 ♦
Main service 600v OR LESS
t00 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW LING
OR ADDNST ( ACCLBLOGS. OCCUP. &) 2¢sgft
NEW CONSTR, MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
Style 0 :
Q P 1 C
Ex. OCCUP(OUTLETS OR FIXTURES)'L A"09
BAL
FIXED APPLNS. OR
EX. Occup. (OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
17 Aq e
Mobile Home Facilities 15.00
Y'7�2-- ''J`� /
License No.�`7 Classification C '—G /
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
TJ Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
is correct. I agree to comply to all County OrdinancesTOTAL
State Laws relating to building construction, and hereby
.L
&hlinformation
PERMIT FEEand
i0a
ouu_I_ representat vas UI the %,UUllly UI CSuRe to enter upon the
above-mentioned property for inspecti4�'tV
n purposes.
r
X Date
Signature of P�errtemitee or Agent
R ceipt No. t17Ci 31
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIR TOR OF UBLIC WORKS
,♦ 2
By Date � ` ��
erg permit expires Date
MOBILEHOME SUPPORT DATA
aIf other than single wide, �/�
Mobilehome Mfr./ I �� �S furnish Setup Model No.�= Year 17 7
Width2, qZ: (ft.) Box Length U 5 (ft.) -Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW) -
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets,(if not on-•file>with the County of Butte).
All eenter supports measured from front of
mobilehome unless otherwise specified.
O
(ft.)(in.)
Center support
locations*
o
(ft.)(in.)
FTTTI
(ft,)(in.)
(ft.)(in.)
(ft.)I (in.)
Single '
A -A
119_X101
(in.) (in.)
Center support
footing sizes
(in.)
X�
(in.) (in.)
r7 Te 51 -
(in.) (in.)
rr M � eq l/-
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Footings (check one)
1. Wood either
pressure treated or
foundation grade.
2. Other (specify)
Supports (check one)
P1: Concrete block.
2. Other (specify)
Tagalong or Expando,
show support details.
%1xi -- Typical Support
.) (in.) Footing Size
-- Max. Pier Spacing
(ft.)(in.)
-- Max. Overhang
(it.) (in.) BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
4��
1. Owner's name:
2. Installer's na
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
3. Is the site currently under permit? //5-`-7
Yes No _1
If es furnish permit number I / — 7� ) ORali
;
( y
Is the site an existing site? Yes X/ No
(If yes, furnish two (2) ,plot plans.)
4. Will the mobilehome be located at least 5.ft. away from septic tank and leach fields and
clear of
all
setbacks and easements? Yes / No
No
r
(If yes, identify the load and size: (Load)
)
(If
no,
clarify
10.
What
is the type of gas service? ----------------------------- Natural / /
)
(
What
is the gas pipe length from meter or tank to the mobilehome?
(ft.)
12.
.What
is the mobilehome gas demand? ------------------------------ (BTU)
5. What is
the
mobilehome electrical rating? -----------------------
Amps
or.,less -than 50 ft. on LPG.)
6. What is
the
mobilehome site service rating? ---------------------
Amps
7. What is
the
mobilehome site circuit breaker rating? ----- --------
Amps
8. Is there any other electric load to be served by the mobilehome
site
service? ---------------------------------=----------------- Yes / /
No
r
(If yes, identify the load and size: (Load)
(Amps)
9.
What
is the mobilehome site. gas pipe size? ----------------------
10.
What
is the type of gas service? ----------------------------- Natural / /
LPG
11.
What
is the gas pipe length from meter or tank to the mobilehome?
(ft.)
12.
.What
is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural
gas
or.,less -than 50 ft. on LPG.)
coo
TES
James Glander
Department of Public Works
7 County Center Drive
Oroville, California 95965
ENGINEERING CONSULTANTS
2060 PARK AVENUE
OROVILLE. CALIFORNIA 95965
PHONE (916) 533-6457
CALIFORNIA P. F. NEVADA P. E. OREGON P. E.
February 1, 1978
Re: 78551
Dear Jim:
Compaction test results are enclosed for mobile home site
preparation at Kelly Ridge Estates for:
Del Rosso KRE Unit 2A Lot 13
Representative tests indicate that the 90% relative compaction
requirement has been satisfied.
A location map is attached.
LH/cap
Enclosures
Very
truly yours,
COOK
ASSOCIATES
247&—
J.L
Lew Hiatt
Civil Engineer
DR, LLOYD M. COOK ED, D. JOE E. COOK M. E. DAN J. COOK C. E.
Client Del Rosso
COOK ASSOCIATES Project WUnit 2A, Lot 13
ENGINEERING CONSULTANTS ������� ��— ����� Job No. 78551
2060 PARK AVENUE moisture Densis Test Kimbrell
�
OROVILLE , CALIFORNIA 95965 Operator
( 91 6) 533 —6457
TEST NUMBER
I
2
3
4
5
6
7
6
9
10
TEST DATE
1-25-78
1-31
lstLift
2ndLift
TEST
1' Fill
2' Fill
LOCATION
W. End
W. End
New
FINAL
Curve)
MODE a DEPTH
8" DT
8" DT
MOISTURE
COUNT
1273
1154
MOISTURE
COUNT RATIO
.897
.819
MOISTURE
18.6/
16.80/
PCF
23.25
20.75
DENSITY COUNT
233
243
DENSITY COUNT
RATIO
.892
.923
WET DENSITY
PCF
135.0
133.50
DRY DENSITY
116.4%
116.70
PCF
111.75
112.75
16.0/
14.4/
% MOISTURE
20.8
18.4
OPTIMUM DRY
DENSITY PCF
130
130
% OPTIMUM
10
10
MOISTURE
% RELATIVE90
/
90
/
COMPACTION
86
. 87
DAILY STANDARD
DATE MOISTURE
1-25 1419
1-31 140.8
-ry
COUNT COMMENT:
DENSITY
263
o -3"o 4, o 0
v.F.
o
LOT 13
UNIT 2A
D-:_- L f 0 -S S 0
200 AMP.I ljo
p
200 Al
Car t\ K
o C 4./
1 I
-A chlr-
74
6 MOBIL=- ADDED 10-2-7701).11.
J�
Date _
C1313 ASSOCIATES TEST N0.
1
ENGINEERING CONSULTANTS JOB NO. 78551
OROVILLE. CALIFORNIA
1-31-78
MOISTURE -DENSITY CURVE
AASHO T-180 ASTM D1557
A
Test
1
2
3
B
Mold +
Soil Grams
Soil
4134
4172
4.192
Mold
C
Grams
2018
2018
2018
Net Soil
D
Grams
2116
2154
2174.
Mold 4"
30
30
30
E
.Size
F
Unit Wt.3
Lbs./ft. Wet
139.94
142.46
143.78
'
G
Pon
Number
104
103
106
Pan +
603
591
597
H
Sample Wet
I
Pan +
Sample Dry
570
552
540
Pan
156
150
153
J
Grams
K
Speedy
L
% Moisture
8.0
9.7%
14.7
Unit Wt.
M
Lbs./ft. Dry
129.6
129.9'
125.3
Dave Kimbrell D= B— C = D x E
F
By 453.6
L= H I x 100 M = F
— J L
Client Name and Address Doyle Carter
Job Location
Material Source
Kelly Ridge Estates
Unit 2A, Lot 13
Native -'on site - cut & fill
I
u
mi
N]3'�
L
hie
Ill
= : S
740 -ogo -610
99b5b 47 3I"`o°10
131-9 $�
dNVI'd NVd nd14
0
O
0
�55L-1
000
o 0 w
Fir)CL
w z 0