HomeMy WebLinkAbout069-120-045s - _ 69-12_45.-
RA t PETERSON
462 Silver Dr, Oroville
Permit#3872-88 util, MH)�G`/
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069-120-04511 03-2364
CLARK,-JOHN
! 462 SILVERLEAF DR, OROV_I �A�E
EX MH PERM FND EX SITE
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RECORDING REQUESTED,BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
IIII "III'�I"I�III'�I"III II'�I'I
2003-0®6320'3
Recorded
1 REC FEE 10.00
Official Records
I CONFORM 1.00
Countyy Of
1
OUT Tr
I
CANDACE J. GRUBBS
1
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Shauna
12:12PM 11 -Sep -2003
I Gage 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.
JOHN A. CLARK
REAL PROPERTY OWNER/LESSOR
462 SILVER LEAF DRIVE
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
MAILING ADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
03-2364 (530)5
38-7541
BUILD PERMIT N0. TELEPHONE NUMBER
.9-11-03
SIG ATURE OF LOCAL AG Y OFFICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
FUQUA HOMES INC 1989 FUQUA 750
MANUFACTURER'S NAME _ DATE OF MANUFACTURE MODEL NAME/NUMBER
10341 UX 54'X28' ORE 172704
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER AP # 069-120-045
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept.
r
Order No. 101585
EXHIBIT "ONE"
Lot 107, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT ONE",
filed in the Office of the County Recorder of Butte County, California, on OCTOBER 30,
1970, in Book 38, of Maps, at Page{s} 5 thru 10.
Certificate of Correction recorded March 17, 1971, in book 1663, page 624, Official
Records.
Assessor's Parcel No: 069-120-045
2
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
00P'Y of Document Recorded
11 -Sep -2003 2003-0063209
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
JOHN A. CLARK
REAL PROPERTY OWNER/LESSOR
462 SILVER LEAF DRIVE,
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
MAILING ADDRESS
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
03-2364 530
538-7541
BUILD PERMIT NO. TELEPHONE NUMBER
9-11-03
SIGKATURE OF LOCAL AGENCY OFFICL4L
DATE
NONE.
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
FUQUA HOMES INC 1989 FUQUA 750
MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAMENUMBER
10341UX 54'X28' ORE172704
SERIAL NUMBER(S) LENGTH X WIDTH ENSIGN A/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSORS PARCEL NUMBER AP # 069-120-045
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
EXHIBIT "ONE"
Order No. 101585
Lot 107, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT ONE",
filed in the Office of the County Recorder of Butte County, California, on OCTOBER 30,
1970, in Book 38, of Maps, at Page(s) 5 thru 10.
Certificate of Correction recorded March 17, 1971, in book 1663, page 624, Official
Records.
Assessor's Parcel No: 069-120-045
2
• r,
BUILDING PERMIT NUMBER: 03-2364
Address or location of unit: 462 SILVER LEAF DRIVE, OROVILLE CA 95966
Legal Description of Real Property: AP # 069-120-045 `
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: JOHN A. CLARK .
Owner's address: 462 SILVER LEAF DRIVE, OROVILLE CA 95966
INSIGNIA OR HUD NUMBER: ORE 172704
SERIAL NUMBER OR V.I.N.: 10341UX
MANUFACTURER'S NAME:- FUQUA HOMES INC YEAR: 1989 '
OFFICIAL APPROVING INSTALLATION:
DATE: 9-11-63.
PHONE: (530) 538-7541
H.C.D. 513C
STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
REGISTRATION CARD
Ivlanufw-tured Home Decal No- LAL5180
77 -
Addressee
JOHN A CLARK
462 SILVER LEAF DR
OROVILLE, CA 95966
Registered Owner(s)
JOHN A CLARK
462 SILVER LEAF DR
OROVILLE, CA 95966
Sitars Address
462 SILVER LEAF DR
OROVILLE, CA 95966
WESTERN SUNRISE
PO BOX 7365 \\
SPRINGFIELD, OH 45501
Lien Perfected On: 06/13/00 14:25:
IMPORTANT
TIME OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL, LIENS RECORDED WITH TIME
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE. CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. .
Manufacturer ID/Name
Trade Name
Model
DOM
� DPS RY Exp. Date
09755 FUQUA HM INC
j FUQUA
750
01/13/1989 1 01/15/1989
Serial Number
-
Li6ginalgnla Number
Weight Length
i Width I
SPC: SCC I Exempt
Uae Type
103410
I ORE172704
22,400 54
I 14'
• 04 I
SFO LPT
10341X
!
ORE172705
20,600 ! 54'
j 14'
I Issued
j
Total Feet Paid
jI
Aug 4, 2000
$142.00
77 -
Addressee
JOHN A CLARK
462 SILVER LEAF DR
OROVILLE, CA 95966
Registered Owner(s)
JOHN A CLARK
462 SILVER LEAF DR
OROVILLE, CA 95966
Sitars Address
462 SILVER LEAF DR
OROVILLE, CA 95966
WESTERN SUNRISE
PO BOX 7365 \\
SPRINGFIELD, OH 45501
Lien Perfected On: 06/13/00 14:25:
IMPORTANT
TIME OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL, LIENS RECORDED WITH TIME
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
THE. CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. .
MEMO
7495 New Horizon Way
Frederick, MD 21703
MAC #X3902 -02A
TO: Mr. John A. Clark
462 Silverleaf Drive
Oroville, CA 95966
FROM: Lorna Slaughter
Phone (301) 696-7814
Fax (301)846-8744
DATE: June 17, 2003
RE: 685-3689327/Clark
Dear Mr. Clark:
Please be advised that Wells Fargo Home Mortgage, Inc. has no objection to you filing a 433A
Certificate with your County in order for you to put a permanent foundation under your Modular
Home.
If we may be of further assistance in this matter, please do not hesitate to contact Nanette
Francella at 301-846-8019.
Sincerely,
IrvP64 V41 -711A
Lorna L. Slaughter
Vice President Loan Documentation
Land Transactions and Servicing Support Department
.A
IF
V
i
RECORDING REQUESTED BY:
Fidelity National Title of California
Eeerow No. 101585 -LC
Title Order No. 00101585
When Recorded Mail Document
and Tax Statement To:
Mr. John A. Clark
462 Silverleaf Drive
Oroville, CA 95966
1111 III III I /III I III
200101—el021
III III II I /III II
41 1
Recorded
I REC FEE 10.•00
OfficialRecordsI
TAX 98.45
CauntBUTTf
I
E
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
I
Assistant
I Vickie
09:00AM 12 -Jun -2000
I Page 1 of 2
AM: Uby-'I LU-U4b GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE
' /
. (J�
The undersigned grantor(s) declare(s)
Documentary transfer tax is $98.45
[ X I computed on full value of property conveyed,•or
[ 1 computed on full value less value of liens or encumbrances remaining at time of sale,
[ X } Unincorporated Area , City of
FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Raymond Francis Peterson and
Joann Irene Peterson, Trustees of the Family Trust of Raymond Francis Peterson and Joann Irene Peterson, dated
December 7, 1995
hereby GRANT(S) to John A. Clark, An Unmarried Man
the following described real property in the County of Butte, State of California:
SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF
DATED: May -30,2000
STATE OF CALIFORNIA
COUNTY OF *��v
ON before me,
personally appeared
/LD `!/�^s�it�.O Fitq,VG: •S /�PTc� S c7 ti
�TVA✓�-/ �.2 �� of �s ��
personally known to me for proved to me on the basis
of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and
acknowledged to me that 'he/she/they executed the
same in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
Witness my hand and official seal.
Signature
Family Trust of Raymond Francis Peterson and Joann
Irene Peterson dated December 7, 1995
and Fran Is Peterson
By: -
oann Irene Peterson, Trustee
Trustee
JL 4�
LINDAF "PIVIM
COMMISSiOniC 1265612
Butte county Catitomia '
My Comm. Exp_ MAR 31,2004
MAIL TAX STATEMENTS AS DIRECTED ABOVE
FD -213 (Rev 7/96) GRANT DEED
Order No. 101585
EXHIBIT "ONE"
Lot 107, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT ONE",
filed in the Office of the County Recorder of Butte County, California, on OCTOBER 30
1970, in Book 38, of Maps, at Page(s) 5 thru 10.
Certificate of Correction recorded March 17, 1971, in book 1663, page 624, Official
Records.
Assessor's Parcel No; 069-120-045
NOTES
RESIDENTIAL
PERMIT NO. ?_069-120-045 0372364
CLARK; JOHN
462 SILVERLEAF DR, OROVILLE
EX MH PERM FND EX SITE
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
. _BEEN TURNED IN TO THE BUILDING DIVISION:
R (1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2) STATEMENT OF FACTS (ONLY ON
NEW MH'S).
F INSPECTOR TO VERIFY SERIAL & LABEL #'S.
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
II USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) Z
Signature �9 A
J=OK
0 = Not OK
No Ready
Card B-1 Date Card B-1
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
1.
Zoning Requirements -Setbacks -Easements
Footings; Size -Spacing -Marriage Line
2.
Soils; Special MH Support Sketch
4.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Drain; MH Test -Fall -Flex Connector
4.
Water; Location -Test -Easement Needed (Sketch)
7.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Gas and Electricity Tagged
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
10.
7.
Well Clearance & Disconnect
Cert. of Occupancy
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
.Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking .
4.
Gas; MH Test -,Demand -Valve
5.
Electr' i ; MH Test
atgry_MH Test
Card B-1 Date Card B-1
meter 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
Dates Card B-1 Date Card B-1
17Z
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
Roof; Shthg-Roofing
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card -B-1 Date Card B-1
J=OK
0 = Not OK '
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
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
72. Elec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
_
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
87. Water Well, Disconnect, Electrical, Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
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 -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. I nfi Itration-Walls-Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector -
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor, ❑ Yes '
_
83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410 3 - PER RMIT )�o.
(Aev. lft APPLICATION AND PERMIT - ln,[�
ASSESSOR PARC UMBER
069-120 45
ZONING
rt -1
BUILDING PERMIT
OWNER
Clark Jo 589-2104
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1458 R 78732.00
. OWNERS MAILING ADDRESS
462 Silverleaf Drive Oroville CA 95966
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace '
Fire P
LENDER'S MAILING ADDRESS
Total Valuation $7$ 732.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 272.50
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
462 Silverleaf Drive Oroville 95966
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00 5.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
retro ISI on erin
Describe Work: P
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
15-00
Mobile Home S G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
V OR LESS
Main Service . ...SS23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 he by affirm under penalty of perjury that I am exempt from the Contractors License
La for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00NEW
CONST.owELLING OCCUP. SO
OR ADDNS. ( a ACC. i s. 3.50FT:
NON-RESID. MULTI.OUTLET @7,50
POWER APPARATUS
a SINGLE O`LE7r A.
Ex. Occup. OUTLET OR FDRURES x @ 1.00
BAL O .50
Ex. Occup. DFlxLI EOSA RM DRQ 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
arrier
olicy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
_Z
at r5 0
Pi�n_atureplicant - Owner ❑ Contractor Age
An OSHA rmit is required for excavations over 5'0" deep an demolition or construction
of structures over 3 stories in height,
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
corer. TYPE
TOTAL FEE $ 365.50
HAz
D FEES I HD
S
by issued under the applicable provisions
ty Code and/or Resolutions to do work
r which fees have been paid.
`` T
xypDte
DfoReceipt
ON
e
No. S�� -�
WHITE-D.D.S.-B.D. C RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
CCfUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD NG DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 38-754 PERMIT NC
APPLICATION AND PERMIT ,f 7V
oR PARCE1
7
i
BUILDING PERMIT
Fn A QA5�
TELEAHONE
-�l v
SO. FT. OCC. BUILDING VALUATION
i S'fl
'7
OWNER'S MAI NO AD RMS Q
CONTRACTD/U_ RISO\N4NE `
i ElFANDNE
CONrRACMRS MMJN0 ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MMl1NG ADDRE[:s
Total Valuation S
AkcNRECT OR D4WNMM
UDEME NO.
FGn Fee
$ 20.00
Permit Fee
S %
ARCHITECT •OR ENMNSUM MMUMM. ADDRESS
Plan CheckingFee
S 0 I`
C/
eLfwlNc a G
Energy Pian Checking Fee
S
PERMIT FEE
t 3/ S • S
LOT No.
SUBDIVISIONS NOME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
0 0
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
i 5.D0
\TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UMes ❑ Installation ❑ Othe
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile. Home I S G I WT
@20.00
PERMIT FEE
t Sfi 8
ELECTRICAL PERMIT
Firing Fee I 20.00
Main rvice z�DLar► ca u:SS
23.00
•
3 tP J�
t
SPS
S'hrtr ��
O �
• J
•
•,���
r �V�
Main Se ire 2=4 To 101WA
46.DD
NEW CONST: DwELLYiO DoCUP. 3.5cFT
OR ADDHS. ( A ACC. OLDS.
PIEW CONST. MLnswnmEr 7.50
NON•Rmax
POWEA APPAJi4TU5
EIC. Occup. O OR FDLnMM p I.00
Ex. Ottop. -=11=16101g' L s.DD
Temporary Service 23.Do
Moble Home Facilities 20.00
Mise. Whin 23.00
PERMIT FEE _
MECHANICAL PERMIT Firing Fee 20.00
Heatin
Cooling
Hood
6.50 �
Ventilation
PERMIT FEt S
Mobile Home Installation Fee 5
Energy Inspection Fee S
°"
`D 'TVP£ TOTAL FEE $ S • S�
NAZ.
i
I D. FEES IMP
I F=
I CDF PARCEL
P=
. HD '6svE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date _
PERMIT EXPIRES ON
( acs T -.dr .�i�,,�,,,*r�w.4we+: �1..�' i ,�7'rr—M- 7_ .►:f n�,��n`� _-, `�''"".�,�'�'+�{'P�.27 'Z�•. ,'�'''{3�i1'�x.-.T
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: �� ASSESSOR PARCEL NUMBER 6 /a U O �•�
Proposed Building Use: 220 Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
:50, 1.. Plot plans, 3 or 4 sets, signed ty the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3.` Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4: Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
? 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received 13y
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ..............:........................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot'plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent_ by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
Pre -Inspection for 0 MW required ................
23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier'and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27., Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Ex's ing violati -and/or ex 'red ermits..........
❑ 30. ®'Grantp'ee H. Title/Stateme f Facts,,C�J-Letter from Legal Owne Check to H.C.D. $
❑ 31. Other.
When issued Telephone 5 Fj — C9 / U C and hold for pickup.
I have been inform o e above items d7re `irements for obtaining a building permit.
PP cant: (� ��77 A
1. Index permit ap Zcation for the above items numbered: / Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _
Contractor, designer, owner as advised of the above data b O phone, ❑mail, ❑ ounce , b� Date:
Plans reviewed by: C/ Date: % o Plans approved by: ( Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellnm' Rnildino r)ivicinn
O.B.- I
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit' will be issued until this
verification is received. .
,'I personally plan to provide the major labor,and materials for construction of the proposed
roperty improvement.:. YEV NO 4
HAVE HAVE NOT 11signed anlication for a building emiit
aPP g p for the proposed work.
. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
PHONE -------CONTRACTOR'S LICENSE NO.
4. I plan to provide portio of this work, but I have hired the following person to coordinate,
supervise, and provide the or work:
NAME:
ADDRESS
PHONE:
5. I will provide some of the work but I have
the work indicated:
NAME ADDRESS
'S LICENSE NO.
(hired) the following persons to provide
TYPE OF WORK
SIGNED: �
PROPERTYOWNER•
DATE: D
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Coda This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
I OWNER BUIELDER INFORMATION I
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner builder" you are the responsible party of record on such
a permit Building permits are not required to be signed by property owners unless they are personally performing their
own work If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors; then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ . Vere may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administiation). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
Permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of oris form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely.
hEc 1 C. Vi ira, C.B.O.
er, Building Inspection
NOTE: Yhis Owner -Builder Information is required by Section 19830 of the California Health mrd Safety Code
OVER
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tis'Ide (1 �{ of 'a. qt; it pias `ribed nor jt a ij eci . a n:. fhb
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` fi tly bel in, 8 or th n.tke re�}4ecarda�c® �a+c Rid �h�cz� I P � tic�
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Illli��, Il�l,i Iil! iliillll(I i jiilil !:
1 1W -INSPECT
OWNER:
LOCATION:
CONTRACTOR:
PRE-INSPETION FOR:
DATE TO INSPECTOR. 47 PERMIT HISTORY:( ) NONE
Building Description:
Electric:
Gas:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
AbandonedNacant
A.P.
ZONING:
OAS FOLLOWS:
BUQ.DING INSPECTOR'S REPORT
Yes No Electric currently On Off
Condition of Electric
Natural Propane None,
Obvious Problems:
Sanitation:
Plumbing Working
Currently On Off
Well Working Potable Water
Obvious SewagePcoblems
ACTION RECOMMENDED: ISSUE: BOLD FOR 4/</4v ,fp�—
Inspector. 11�E' Date_
Sketch buildings on reverse and indicate location. on property.
f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NC
ev 12/961 APPLICATION AND PERMIT
- — ,��
/SSESSORPMCEL MJYBER /� � w
(�
zOHtN°
BUILDINGPERMIT
OWNE '
"ME -tome
S� -�� v
SQ. FT. OCC. BUILDING VALUATION
/ '7 3 a
OWNE,R'R'S /M�MUNO ADDRE86 l
` L%7
CONrRAcTORS NAME
TELEPHONE
coNTRAC=AS NAIUND ADOREss
CONSTRUCTION Le DER
Fireplace
•
LENDERS WXJMG ADDRESS
Total Valuation tt
ARCHRECT OR D=NEER
UCEN3E NO.
Firma Fee
S 2 0.0 0
Permit Fee
ARCJIRECT OR ENDOiEERS M-00 ADDRESS
Plan Checking Fee
S - v
avaowc AMRESS6
Energy Plan Checking Fee
$
PERMIT FEE
S 3/5 S
ICT No.
su9oiv5I0NSNANIE
--- ---
PARCEL MAP
- --
PLUMBING PERMIT
Feng Fee 20.00
Each Trap—-—,
7:00 '------'
USEOFSTRUCTURE
SF ❑ Duplex ❑ MoblehomeOther
FY
Solar or heat pump water heater
23.00
Water piping
15.00 )^
Each gas water heater or vent
15.00.
`TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ua"06e13 ❑ InstaQa& n ❑ Othe
�Q 1 JJ
Describe Work: .,/ lX�'�--� � ` "
Gas piping system' 1 - 5 outlets
1 15.00
Building sewer
15.00 J"
Mobile Home I S G W
@20.00
PERMIT FEE
t SD D 0
ELECTRICAL PERMIT
Firing Fee I 20.00
Main S rvice o0 20MOR LESS
23.00
'
tP J J�
iii1� � d
SAX
Otey • �
3 . ,�
AW860A��
t
e, VO4a
777
Cc"���/ •
Main Se ice 2Mk TO IDMA
46.00
NEW CoNs". OwELUNO OCCUP. I CO.3.5¢
OR ADDNS. i ACC. eLDS.
wN Rsm ' muuwun.ET @7.50
POWEA APPAFATTA
S[NCiLE OVTLET CI0.
— qr 1.00
Ex. O=up. OuILET OR FMTURW SAL 0 .50.
Ex. Occup.SxPPLNsro o 5.00
Temporary Service 23.00
Moble Home Facilities 20.00
Miisc. Wring 23.00
PERMIT FEE _
MECHANICAL PERMIT Firing Fee 20.00
Heatin
oo
Hood, 1 1 6.501
Ventilation
PERMIT FEt S
Moble Home Installation Fee 5
Energy Inspection Fee $
D"
rONST' TMPe TOTAL FEE $ S • SZ7
HAZ. D. FEES DAP
FL000
CDP PMCEL
PD
HD i ssuE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
m,. poi
7.
69-12-45
RAYRION-D,PETERSON
462 Silvrlea. Dr, Oroville
Permit#3872-88P (util, MH)
ELEC. Ze>e
GAS
SUPPORT STRUCTURE REQ.p2,e
COMPACTION TEST REQ.
Contr: R Van 69-12-45\
_Sravt3rn
Permit#387,3488MHI
Issusd--:-
ContR: Fred Burns
PErmit#.510-89B(ne
w covered po
rch)MW
PErmit#2484-89B(new 69-12-45
deck/MH)
Perm'i
IE7717"��
51�
Building Permit Number.
Owner Name: CWI.
Residential Construction Requirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 2001 California Building Code
(2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California
Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMPLY WITH ITEMS CHECKED BELOW
Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, .
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also be required
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Page 2of 2
Building Permit Number:
Owner Name: e(/ye.
mi Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
MFire sprinklers are required in this structure..
MThe following parcel map requirements shall be met:
All structures ag-d-equipment including ovefl=gs shall be clear of all easements.
A setback of f) feet from the side and '--? feet from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
A, foundation to be designed by a California registered engineer or licensed architect.
I
A MIS A wor�mansh-
gp ShOil" Be in
ih Gr4ocal P.-acf*
-�W-nlcmoa wl",
of --had cas and
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Ekdrical Cada.
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42
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21
ti�JJJII 4y Uwe CC U
BUTTE COUN 1"t 3UUDIM�
I e �
AULDING DEPARTME�%
R 0 V F-:,ADDQOV
<2041f
S4
I
A It - TO ANN )OF 7
NOTE:
S8e the attached
le
"li �/�a S� C.if�? l SwF o�av111F C',a .
g-y-er
BUTTE COUN'r-t
UILDING DEPAR,rmc-.;I...'
��'°
1. Owner's Name:
2. Installer's Nam
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center.Drive, Oroville CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
3. Is the site currently under permit? Yes No u
2�j
(If yes, furnish permit number ) OR
Is the site an existing site? Yes No
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach
fields and clear of all setbacks and easements?. Yes No
(If no, clarify
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.)
j3UTTE COON i
�101LDING DEPARTME.
.
4 P P R 0 V '
-5.-
What
is the
mobilehome electrical rating? .-------------
Amps
6.
What
is the
mobilehome site service rating? -------------
4521�2a
Amps
7.
What
is .the
mobilehome site circuit breaker rating?
----- c5�
Amps
8.
Is there any other electric load to be served by the
mobilehome site service? ----------------------------
Ell ---- Yes No
I 7A
(If yes, identify the load and size:
(Load) .(Amps)
9.
What
is the
mobilehome site gas pipe size? -��
(in.)
10.
What
is the
type of gas service? -------------------
Natural � LPG
11.
What
is the
gas pipe length from meter or tank to the
mobilehome?---------------------------------------------
(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.)
j3UTTE COON i
�101LDING DEPARTME.
.
4 P P R 0 V '
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. furnish Setup Model No. Z�2 Year
Width g&F(ft.) Box Length�(ft.) Tagalong or Expando Size ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one)1. Wood -pressure treated or foundation grade.2. Other (specify)
t
SUPPORTS (check one)�1. Concrete block.
�2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE
Main Beams
+ne 2
Line 1 Piers:
Size-Min-------------
Spacing-Max -
-----------
Spacing-Max. ---------
From Enda-Max.
------- �-
Line 2 Piers:
Size -Min. ------------
Spacing -Max ------=---
From Ends -Max. -------
Line 3 Roof Loads:
Size -Min -------------
Location (From Front)
Maio Beams
Tag or Triple
MULTI -WIDE
Line 1
Line 1 Openinvs:
Size -Min. ------------------�
Each Side of openings
With Width Over----'----
Line 3 Piers: (Under Bearing Wall Only)
Size -Min -------------------
Spacing -Max----------------
From Ends -Maxx--------------
Line 4 Piers:
Size -Min ------------- k
Spacing -Max. ---------
From Ends -Max .------- „
Line 5 Roof Loads:
Size -Min. ------------
Location (From Front)
e 5 Piers: (Under Bearing Walls Only
Size-Min-------------------
Spacing-Max ----------------
From
------------------Spacing-Max----------------
From Enda-Max--------------
BUTTE
-------------
BUT iE COUNTY.
Lj _ k
U
�A� _,
TTIE
APPROVED"
WIND ZONE 1 & 2
INSTALLATION INSTRUCTIONS
For the State of California
SECTION
INTRODUCTION
PIER HEIGHTS
GENERAL INSTALLATION
SET-UP INSTRUCTIONS
METAL PIER 8 V -DRIVE
PARTS LIST
CONCRETE INSTALLATION
SCHEMATICS
PAGE
INUMBER
3
4
5 8 5a
6
7, 7A, 7B 8 7C
889
WIND ZONE I - SINGLE SECTION
WIND ZONE II
- SINGLE V -DRIVE
- METAL PIER
- DOUBLE SECTION
- TRIPLE SECTION
-SINGLE SECTION
- DOUBLE SECTION
- TRIPLE SECTION
SOIL CLASSIFICATION
10
11
12
13
14
15
16
17
W.]
COMPONENT PART S AVAILABLE UPON REQUEST
p--3- 23(1
BUTTE- CC. -N -I N I
0 V
Release Date 8!1312001
Engineer Approval
L
h v. 250 7 C
19551
SUBJECT TO CCRn :C --ONS TOTED
APPROVAL DOES NOT AUTHOR= OR APPROVE A%Y
OMLSSIONS OR DEVIATION FROM RFQUIREMF:V Tc JF
APPUCARLE STATE LAWS AND REGULA71: �)..s
Stats of Offmis
Depatmm of Housiu= and Conauaity Develc�n.,ent
D STANDARDS
D1,?_10_C)1
N0. !32- Lr
I • For Further Information I I
TIE DOWN EONGIMSERIING
5901 Wheaton Drive
Atlanta, GA 30336
404-344-0000
FAX 404349-0401
www.tiedown.com °
Tie Down Engineering, Inc.
VECTOR DYNAMICS INSTALLATION INSTRUCTIONS
Introduction
These instructions describe the proper use of the Vector Dynamics Foundation System in Wind Zones 1 & 2. Additional
installation instruction is available in VHS video, from manufactured housing distributors or from Tie Down Engineering, titled, Vector Dynamics Installation
Video.
The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone I & II &
III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec-
tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & ll), are available through local distributors of Vector Dynamics or directly from
Tie Down Engineering.
General
The Vector Dynamics Foundation System provides the support to resist lateral and over -turning movement of the home as required by the Federal
Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these instructions. See manufac-
tures Home Installation Manual for other pier & anchoring requirements. The following characteristics apply to both single and multi section homes:
• Main rail minimum spacing of 86 inches or greater.
• Nominal 8 foot or less top plate height at side walls.
• Main rail depth of 12 inches or less.
• Maximum roof slope of 20 degrees (4.4 in. in 12 in.)
• Maximum pier height under main rail of 56 inches (see page 3).
WIND ZONE 1
• Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
• Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
• Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home.
WIND ZONE 11
• Maximum single section home width is 15 fL including eaves, maximum eave width is 6" per side.
• Maximum single section home width of 16 ft. including eaves must use two additional vertical ties/
anchors/stabilizer plates (one per side) as listed in the charts on page 15.
• Maximum double section home width including eaves 32 ft., maximum 12" eaves per side
• Maximum triple section home width including eaves 48 ft., maximum 12" eaves per side
The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic
pad (s) has two (2) or three (3) square feet bearing area. Piers not used as part of the Vector system shall be located and constructed in accordance with
the home installation instructions and/or state standards.
To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than
56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806.
The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See
page 3. Note that a ground anchor is used at each Vector system location in Wind Zones II & III. The use of interlocked double stacks of concrete blocks
may be required by the home manufacturer or the state. Check with the most recent regulations in California.
The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located 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 include shear walls, mar-
riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to
resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must
be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie
Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the perimeter joist or specified as a location for
vertical ties. I
c
Page 2 California 11/2001
56 i
ma;
Figure 9
Maximum Pier Height (Wind Zones I & II only)
The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches
under one or both main rail(s). Note that a ground anchor must be used at each side of a Vector system location
in Wind Zone II, and where the pier heights exceed 24 inches on a single section home in Wind Zone I. Piers
must be constructed in accordance with the manufacturer's installation instructions and/or state requirements.
The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check
with the most recent regulations in your state.
56 i
ma;
Unequal Pier Heights ( Wind Zones I & II only) riyutu c
6 in.
iax.
Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails.
The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be
used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location
exceeds 24 inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber
compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed
in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked
double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent
regulations in your state.
Page 3 California /2001
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. See manufacturer's home installation manual and state requirements for grading
and other site preparation.
FOOTINGS AND FROST LINES
The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose
vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See
pages 8&9.
FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS
Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each
(set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be
spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end
of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended
by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must
follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe
or TDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level
ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva-
nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt
and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and
the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the
vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust-
ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size
and pier spacing must be consistent with home manufacturers' instructions and/or state requirements.
LUMBER/MOISTURE - TERMITE SHIELD
To cut lumber (2 - 2x4's or 1 - 4x4 pet Vector system) for the center compression section, when using con-
crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL
PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC
pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber
as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281
must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter
bracket is used on top of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture
Termite Shield may be required between the lumber and ground.
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 TENSION
All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight-
ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined
as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight-
ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven-
tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation
system. A minimum of two factory 1/4" spot welds must be used when straps are connected'to the swivel con-
nectors with welds.
Page 4 California 001
Set -Up Instructions for the
Vector Dynamics Foundation System
#59007 (Kit #59007 is interchanceable with Kit #59018)
2. SET BLOCKS (OR PIERS) ON
VECTOR FOUNDATION PADS
Center the foundation blocks over
the Vector pads. Place the pre-cut
4x4, 2x4's (side by side), Schedule
40 PVC (w/PVC adapter plate, part
#59281) or 1 adjustable TDE steel
compression member, (part
#59043) tightly between the blocks,
with ends resting on the Vector
pads, and centered on each
U -bolt.
3. OUTSIDE TENSION BRACKETS
Attach an Outside Tension Bracket
to the U -bolts on the outside of the
foundation blocks and Vector pads.
Place one of the short 6"- 2x4's
between the bracket and Vector
pad. Adjust the short 2x4 so that it
pushes against the foundation
blocks, removing any space
between the piers and center
compression section. Tighten the
3/8" bolts.
2 square foot
pad placement
or (1) 3 square
foot pad
4. INSIDE BRACKETS AND
STRAPS
Attach the Inside Tie Brackets to the
U -bolts over the pre-cut boards or
PVC. Attach a strap with hook to
each inside tie bracket. Tighten
bracket. When using looped strap and
a crimp seal, in place of the hook,
place a 3" long section of strap,
folded in half and inserted between
the strap and inside tie bracket. Place
other end of strap over the opposite (-
beam and continue down to outside
of the foundation blocks. Attach the
strap to the Outside Tension brackets
using the slotted bolt and nut
provided. Wind strap a minimum of
five times around the bolt. Continue
tightening the slotted bolt until all
slack has been removed and the
strap is tight.
5. SET ANCHORS
Refer to section home drawings for anchor installation information. Stabilizer plates are required for
diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is
tight. For single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications 2 & 3
only), use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement.
Page 5 California 001
Set -Up Instructions for
Vector System #59018
(Kit #59018 is interchangeable with Kit #59007)
A. c ...
,I
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.
4. Inside brackets & straps
Attach the inside tie brackets to the U -bolts over
the compression member. Attach a strap
w/hook or swivel strap w/nut/washer & bolt
(washers are required). Place other end of the
strap over opposite I-beam & down to outside
tension bracket. Cut strap 12 - 15 inches past
bracket. Attach strap & slotted bolt in bracket.
Tighten strap until tight with 4-5 wraps around
bolt. Repeat with opposite strap.
Page 5a
California N12001
Vector Dynamics
Metal Pii
For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U -bolts, so that the
board(s) overhangs the Vector pads on each side by about 2'. Outside Tension brackets attach the same.Inside tie brackets mount 'upside down' as
shown in drawing. Metal piers using the Vector system can only be used on level ground installations.
Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier capacity rating and spacing
must be consistent with home manufacturers' installation instructions and/or state requirements.
When using METAL PIER STANDS, cut lumber (2 - 2x4's or 1 - 44 per Vector system) for the center compression section, by measuring center to
center frame distance and adding 16'. Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE
TREATED, GROUND CONTACT RATED. Adjustable steel strut (#159043) and PVC Schedule 40 pipe are not permitted to be substituted for lumber
when using metal pier stands.
V -Drive System
for rocky soil
Installation:
conditions
V -Drive anchors are used only with
Zone 1, single section homes.
Soil Class 1,2,& 3.
V -Drive anchors are used only in Wind Zone 1, on single section homes in areas where rocky soil conditions do not allow a conventional helix style
anchor to be installed. For solid rock, Soil Class 1, predrilling of holes for the V -drive rods is recommended.
Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension
brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the
Vector pier set to 5 inches from the side wall of the home.
Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V-Odve anchor rods through
the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap
with hook, buckle or beam clamp to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about ten inches the anchor
head to allow at least five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight.
Page 6 California ST2001
Vector D
.e
Foundation Systems =ics
Component Parts List
.° y T Vector System 2000
® ® go Kit # 59018
0 0 Single piece pads witti straps
and slotted bolts
Pan #'s included: 59310, 59288, 59135, 10925, 59279, 83044z, 59232 & 59732
2
Vector System
s Kit # 59007
I�
Part #'s included: 59275, 59282, 59276, 83044z & 10999
®®® Concrete Vector System
0 0 Fl Fl Ei Kit # 59008
(for single stack blocks)
140 C ®O G
Part #'s included: 59277, 59282, 10530, 83044z, 59279 & 59232
_._._._._.—._._._._._._._._._ ._.=._._._._._._.—._._._._._._._._._.—.—.—._._._._.—.—._.—.—.—.—._.—.—.—.—
l�ll
I�
OR
Part #'s included: 59273, 59282, 10530, 83044z, 59232 & 59279
Concrete Vector System
Kit # 59006
(for double stack blocks)
Page 7 California
8 2001
Vector Dynamics
Foundation Systems Component Parts List
0
Part #'s included: 59281, 59288,10925, 59232 & 83044z
m ❑ o m.:. '
o e
0
Part #'s included: 59269, 59113, 59282 & 10999
Adjustable Steel
Compression Strut
PM 59043
Or
these products available
at your local hardware store
ss�iet<eat�l
1ea4
A 01
I Zea•2x QOQVGQ�Q2
Sc�edv\e
Vector 2000 3 Sq. Ft. Pad
Part # 59271
1 required with 59026 Longitudinal System
2 required with 59024 Lateral System
Vector Lateral Hardware Kit
Kit # 59024
(for use with 59271)
V Drive Anchor Kit
Kit # 59287 (for use with Kit#59007 only)
A. Schedule 40 PVC pipe: 3-1/2" or 4" nominal
schedule 40 polyvinyl chloride pipe or conduit made
from type 1, grade 1, with cell classification 12454
as defined in ASTM D1784. Compound dimensions
and tolerances in accordance to the requirements of
ASTM D1785D. Color can be gray or white. Outside
diameter is 4 inches.
B. Ground Contact Rated Wood: No. 2 yellow pine or
equivalent, pressure treated to AWPACI-1990 mini-
mum, stamped "Ground Contact Rated" on wood or on
label attached to the wood when purchased.
Page 7A Califomia /2001
.Vector Dynamics Individual Component Parts Detail
Vector Dynamics Single Block Pad
Part # 59275 1 Sq. Ft. 12 gauge, used in pairs
16-3/16" X 9"x 2-9/16"
Vector Dynamics 2000 Single Block Pad
Part # 59310 2 Sq. Ft. 12 gauge
18.719" x 15.625" x 3"
Vector Dynamics Single Stack Concrete Pad r
Part # 59277 12 gauge
17-1/4" x 11" x 5-5/16"
Vector Dynamics Double Stack Concrete Pad
Part # 59273 12 gauge
18.75" x 18.625" x 5.188"
Vector 2000 3 Sq. Ft. Pad
Part # 59271 - 12 gauge
22.5' x 19.418" x 3"
® Vector Dynamics Tension Link
o ° Part # 59282
6.25" x 2.52" x 3"
0 �
Vector 2000 Tension Link
p Part # 59288
2.125" x 2.375' x 2.06"
O
Concrete Wedge Anchor
Part # 10530
3/8" X 3-1/2"
Slotted Bolt
Part # 59135
to 3" x 5/8"
Long U -Bolt w/Nuts & Washers
Part # 83044Z
3/8" x 4" (16 Threads Per Inch)
®_ ® Short U -Bolt w/Nuts & Washers
Part # 10999
3/8"x 3" (16 Threads Per Inch)
e Protecto-Strap Carriage Bolt w/Nut & Washer
Part #59276 p Part # 10925
6.3" x 3.3" x 7/8" ® 112" X 2-112"
Strap Protectors ®�® Protecto-Strap
Part # 59232 Part # 59279
6.3" x 3.9" x 7/8"
PVC Adaptor
Part # 59281 ® Carriage Bolt w/Nut & Washer
7.25" x 4/56" x 1.42" Part # 10624
3/8"-16 x 4.5"
SAO MW �
aaq W !411 W
Tie Down Marked &
Certified G60 Galvanized Strapping
Model Part # Length
MS35 59150 35'
MS37 59155 37'
Tie Down Marked & MS42 59160 42'
Certified G120 MS60 59165 60'
Strap w/Swivel Connector MS600 59170 600'
Part # Length
59732 12'
p 59734 14'
o.. 59736 16' Frame Tie w/Hook
8 ft. P/N 59195
10 ft. P/N 59210
Earth Anchors 12 ft. P/N 59211
0 Longer Lengths Available
30" x 3/4" with 24" helix
Black Paint: Part #59095
Galvanized: Part #59079
Earth Anchor Stabilizer
V -Drive Heade % 12" wid
Part #59269-' ':" Black Paint: Part #59292
Galvanized: Part #59294
oe m Drive Rods
o
® Part #59113
e
Factor Dynamics System
for Concrete Applications
Instructions for Vector Kit #59008 (for single stack blocksFeCtor
)
or Vector Kit #59006 (for single or double stack blocks)
Page 1 of 2
These instructions are an addendum to the standard Vector Dynamics instructions. Read
and follow all applicable instructions and guidelines in the Vector instructions and home
installation manual. The Vector system for concrete pads applies to concrete footers,
runners and slabs. Minimum size of concrete per Vector pier is 24" x 24" x 4"(for part
#59006 or 59008) or 18" round X 12" deep (for part # 59008 only). The bottom of footers
must be below the frost line or a minimum of 4" below finished grade whichever is
greater. Concrete roust be a minimum of 2500 PSI and sufficiently cured and set to
accommodate an anchor bolt to its' full load resistance.
1 . Determine location of pier sets where the Vector systems will be located.
2. Place one Vector concrete pad (galv. metal) on the concrete where the pier will be
located, centered under the I-beam of the home. Place the upturned edge towards th=
center of the home and directed to the opposite Vector pier. Do the same for the opposite
Vector pier.
3. Measure the distance between the two Vector system pads at the base where the
pad meets the concrete. Cut two ground treated 2x4's this length and place between th.e
piers as shown.
4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as sho-,:r;.
5. Place the concrete pier blocks on the Vector pad.. Center the blocks under the frame.. The
upturned edge end of the Vector pads should be up against the inside of the pier blocks
6. Build vector piers but do not wedge at this time.
Using a concrete drill bit, drill two 3/8" diameter holes on each side into the concrete
using the holes in the Vector pad as a guide. Drill the holes 3 inches deep.
8 . Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up
the holes in the bracket, Vector pad and concrete pad.
Illustration One
Vector pa
for
concretE
Concrete
footer Page 8
Wood Cap
and wedge
Outside
Tension
Bracket
Wedge -
�o
California 8/20:"
Vector Dynamics System
for Concrete Applications
Instructions for Vector Kit #59008 (for single stack blocks)
of Vector Kit #59006 (for single or double stack blocks) .., Az
Page 2 of 2
9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors provided. The nut should
be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the
wedge end of the bolt into one of the holes, going through the outside tension bracket,
metal Vector pad and into the concrete.
10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt
above concrete is.2".
11. Repeat for the other hole in the outside tension bracket and the two holes on the other
Vector,system pier set.
12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the
Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not
tighten yet.
13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go
over the opposite pier and down to the outside tension bracket, plus 12 inches for
wrapping the slotted bolt. Repeat for the opposite side.
14. Tighten inside u -bolts at this time.
15. Use the outside tension brackets to remove any space between the outside tension
brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets
with a hammer.
16. Wedge the pier set at this time.
17. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside
tension bracket and Vector pad to the concrete.
18. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with
end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using
at.least five turns on the slotted bolts.
Illustration Two
Vector pad
'e oE�'O� for
• , . , :.. Sid_ , .
6:, :•._ a� ,s _ concrete
Inside
Tie Bracket N
N;
l� Concrete
f
Compression -
boards c
U -bolt Page 9 California 6/2001
CD
0
3
W
WIND ZONE I
Vector Dynamics Systems Required
for Single Section Homes
(Materials Required) -
1
,e sec�toGio sy mal,ual
`e of 2 �n to sp c ome ' nsta\tatioo
EXatnPhoWsss 9e t be to
�ttu�s
at Spacing m
\
I I I t I\
11 lust uo Lvl IJiatui It wail flume manufacturers Installation
instructions and/or state requirements.
/ Maximum allowable working drag load for the
Vector System with the steel compression strut is
Soil Classifications: 2, 3, 4A, & 4B 3,150 pounds per K2 Engineering test report.
WIND ZONE I Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required': 30" with 4" helix anchor (59095),12" stabilizer plates (55292),
(not to scale) 1-1/4" frame ties w/4725 lbs. min. breaking strength.
00
N
CD �2 sq. R. padr
C
Home Length
Vector Systems
Required
Anchors Required
Per Side '
0 to 72'
3
2
73 to 90
4
3
Anchor and stabilizcr plalc combination
Each Vector Foundation System requires
Y One \4bclor Kit, 2 slotted bolts
V 2 ea. 1-1/4 In. ties, length will vary with pier height
(4725 Ib. min. break),
Y 1 ea. 4 x 4 pressure treated wood
compression member
V or 2 ea. 2 x 4 pressure treated wood
compression member
V or 1 ea. 3-1/2" or 4 nominal SCH 40 PVC
pipe compression member
V or 1 TOE adjustable steel strut
WIND ZONE 1
Vector Dynamics Systems Required
1 �
Single Section Homes
1
Difficult Soil Conditions - - -- - '
1e Secklon p \Jeckostroe nUa1 9otdettnes
,e of a 0^ rat sPa l me°r slaltallon
to
- - - EXamP h°Ws 9 Usl be to ° -
- tlwslral' d spactn9 m
ds an
dalton Pa
` r
ax,
to
0
W
0
N
V -Drive anchors
are used only in
WIND ZONE I
(not to scale)
\2 sq. ft. pad/
Home Length
NOTE: Vector Systems should be spaced as evenly as
Anchors Required
Is practicable along the length of the home. Pier spacing
must be consistent with home manufaarrers' hstalation
Per Side '
Instructions arxYor state reqAwwts.
Maximum allowable working drag load
for the Vector system with the steel
3
compression strut Is 3,150 pounds per
Soil Classifications:
2, 3, the K2 Engineering test report.
Soil Bearing Capacity:
1,000 PSF minimum
Anchors Required':
••V" Drive Anchor, Part Number 59269
4
1-1/4" frame ties w/4725 lbs. min. breaking strength.
When uslno •'V" Dr ve Anchnrc
Home Length
Vector Systems
Anchors Required
Each Vector Foundation System requires
Required
q
Per Side '
• One Vector Kit, 2'V' Drive Anchors, 4 slotted bolls
2 ea. 1-1/4 In. lie, length will vary with pier height
(4725 Ib. min. break),
0 to 72'
3
3
1 ea. 4 x 4 pressure treated wood compression member
or 2 ea. 2 x 4 pressure treated wood
compression member
or 1 ea. 3.1/2' or 4" nominal SCH 40 PVC pipe compression
73' to 90
4
4
member (center com ression m b I
p em er on y)
or 1 TOE adjustable steel strut
"V'• Drivc Anchor, Part Numbcr 59269 2 ea. 2x4 pressure treated wood for
-V- Drive Anchor connection.
Note: PVC pipe cannot be substituted lot wood on the
-V' Drive Anchor connections.
D�WN
urrrrmaruc
N
to
CD
N
Metal Pier Sets
I ,
ZONE I -
Vector Dynamics Systems Required
for Single Section Homes Up to 72 ft._ -- - "
(Materials Required) - --' �;o� ho 5 ems �idO.%nes.
I
I �
- -
- a �2 it St aging 1o1 s alta ion tnanua1 9
EXamPsho fs 9e5� ee o home in -
_ 11t\3sttatna spacln9 MU
I ndalonpadsa
�ou
I - � max.tYP• �
� �•.. �.v IYn F�
'J 34 tt max. o EYP.
Soil Classifications: 2, 3, 4A, & 46
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required: 3/4" x 30" with 4" helix anchor (59095)
12" stabilizer plates (55292), 4 ea. 1 1/4" frame ties
Materials: Each Vector Foundation System requires
one Vector Kit, 2 slotted bolts
2 ea. 1.1/4 x 12 ft. ties (4725 Ib. min. break)
1 ea. 4 x 4 wood compression member
or 2 ea. 2 x 4 wood compression member
Home Length
Vector Systems
Required
Anchors Required
Per Side '
0 to 72'
3
2
73' to 90'
4
3
Anchor and stabilizer plate combination
NOTE: Vector Systems should be
spaced as evenly as is practicable
along the length of the home.
TIE
DOWN
f flffNf f NIN(:
N
(to
(D
W
3
N
WIND ZONE I _'home es, _
Vector Dynamics Systems Required _ - - ' " �b\e Se �° ;o( sYst m%, 90%de\ n
for Double Section Homes , _ " f 2 72 f< d,ac*\f\1; . Skallal\on m -
(Materials Requiredl - - - - Xa ,g\e s1no s 9enefa "Om,
111 Et3k%0 sQacin9 m� - - - " J\
Sa `♦ 1
'E I dation Pad -
I
n
_
It all. O.G. _ _ ,, •:_;
Maximum allowable working drag load
for the Vector System with the steel
compression strut Is 3,150 pounds per NOTE: Vector Systems should be spaced as evenly as
the K2 Engineering test report. :;;
Is practicable along the length of the home. Pier spacing
must be conslstent with home marufacti ml IrlstallaUon
Irssbuctlons andlor state requh ernetn .
Soil Classifications: 2, 3, 4A, & 4B
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required: None (marriage wall anchors may be required by home manufacturer)
CD
2 sq. ft. pad
Home Length
Vector Systems
Required
0to48'
2
48' to 71'
3
72' to 89'
4
Each Vector Foundation System requires
• One Vector Kit, 2 slotted bolts
2 ea. 1-1/4 in. ties, length will vary with pier height
(4725 Ib. min. break),
1 ea. 4 x 4 pressure treated wood
compression member
or 2 ea. 2 x 4 pressure treated wood
compression member
or 1 ea. 3.1/2" or 4' nominal SCH 40 PVC
pipe compression member
or 1 TOE adjustable steel strut
I
CD
Co
N
O
O
WIND ZONE 1
Vector Dynamics Systems Required " _ - - - - " " - "-p-
)&5- - pyUdecw�sY ta^ a� 9ui0eunQ5 `i.
for Multi Section Homes r` _ _ _ - - - - " " 9�� �ra�mens alta `
for ,.on
Materials Required) _ o'Ns rtes lbe ^°
- ___ --.��® .o® �� •,e®- "® -d®
-
a
WIND ZONE 1
NOTE: Shear wall, ridge beam support posts &
marriage wall straps & anchors may be required by
the home manufacturer.
Vector systems should be spaced as evenly as Is
practicable along the length of the home. A two foot
variance + or - Is allowable at each system.Pler
spacing must be consistent with the home Installation
manual.
\2 sq. ft. pa/
Maximum allowable working drag load
for the Vector System with the steel
compression strut Is 3,150 pounds per
the K2 Engineering test report.
Materials: Each Vector foundation system requires
One Vector Kit
2 ea. 1.1/4 in. ties (4 725 lb. min. break)
1 ea. 4 x 4 wood compression member
or 2 ea. 2 x 4 wood compression member
or 3-1/2" or 4" nominal SCH40 Pipe
compression member or 1 TIDE adjustable
steel strut
Anchors Required
Home Length
Vector Systems Required
Per Side
Homes up to 48'
2 Vector Foundation Systems
0
Homes over 48'
3 Vector Foundation Systems
0
up to 52'
Homes over 52'
4 Vector Foundation Systems
0
up to 78'
WIND ZONE 1
NOTE: Shear wall, ridge beam support posts &
marriage wall straps & anchors may be required by
the home manufacturer.
Vector systems should be spaced as evenly as Is
practicable along the length of the home. A two foot
variance + or - Is allowable at each system.Pler
spacing must be consistent with the home Installation
manual.
\2 sq. ft. pa/
Maximum allowable working drag load
for the Vector System with the steel
compression strut Is 3,150 pounds per
the K2 Engineering test report.
Materials: Each Vector foundation system requires
One Vector Kit
2 ea. 1.1/4 in. ties (4 725 lb. min. break)
1 ea. 4 x 4 wood compression member
or 2 ea. 2 x 4 wood compression member
or 3-1/2" or 4" nominal SCH40 Pipe
compression member or 1 TIDE adjustable
steel strut
WIND ZONE II (Hurricane)
Vector Dynamics Systems Required
for Single Section Homes , _ - - - - " - - " m e '
(Materials Required} - - - " " 1,e sect o �ya�uat 9uldetin s
' ff�1 5Q 9in9e°t s�aNakion - I
>re O eca horn
EXamPshoq, 9e\Js, be t°
oustrak1loI
t's
I doon pa
oun
` _ 1
- -
V
m
Cn
0
N
_» WIND ZONE I1
(not to scale)
N•
7
DD
rV
O
R 2 sq. ft. padj
J
'NOTE: For single section homes 21t max'tYP
- - - ' with eaves that exceed 6 inches
In Zone 2, two additional frame
tie anchors with stabilizer plates
(one anchor and one plate per
``'� side) must be Installed In additon
to the number of anchors listed
In the chart below.
Maximum allowable working drag load
for the Vector System with the steel
compression strut Is 3,150 pounds per
Soil Classifications: 2, 3, 4A, & 4B the K2 Engineering test report.
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required': 30" with 4" helix anchor (59095),
1-1/4" vertical ties w/4725 lbs. min. breaking strength.
Home Length
Vector Systems
Required
Anchors Required
Per SIdA
Eaves 6"
or less
Eaves over 6"
less than or
equal to 12"
0to48'
4
4
5
49' to 60"
5
5
6
61' to 72'
6
6
7
73" to 84'
7
7
8
85' to 90'
8
8
9
Vector Systems should be spaced as evenly as Is
practicable along the length of the home. Pier spacing
must be consistent with home manufacturers'
Instructions and/or state requirements.
Each Vector foundarlon System requires
One Vector Kit, 2 slotted bolls
2 ea. 1-1/4 in. ties, length will vary with pier
height (4725 Ib. min. break).
1 ea. 4 x 4 pressure treated wood
compression member
or 2 ea. 2 x 4 pressure treated wood
compression member
or 1 ea. 3-1/2" or 4• nominal
SC 40 PVC pipe compression
membe r r
or 1 TDE adjustable steel Slnll
C7
O
N
c'
N
o -
G
WIND ZONE II _--
Vector Dynamics Systems Required - - - - " " - - e
for Double Section Homes �e Se��to �ysat
(Materials Required) _ _ - - - - - ,t a �2 s• d°pab;n9 ��s�allation mangy_
Maximum allowable working drag load
for the Vector System with the steel
compression strut Is 3,150 pounds per
the K2 Engineering test report.
NOTE:
Vector Systems should be spaced as evenly as Is pra(
the length or the home. Pier spacing must be conslste
manufacturers' Instructions and/or slate requirements
Soil Classifications:
Soil Bearing Capacity
Anchors Required':
2, 3, 4A, & 4B
1,000 PSF minimum
30" with 4" helix anchor (59095),
1-1/4" vertical ties w/4725 lbs. min. breaking strength.
Home Length
Vector Systems
Required
Anchors Required
Per Side
0to48'
4
4
49' to 60"
5
5
61' to 72'
6
6
73" to 84'
7
7
85' to 90'
8
8
Each Vector Foundation System requires
One Vector Kit, 2 slotted bolls
2 ea. 1-1/4 in. lies, length will vary with pier
height (4725 Ib. min. break).
1 ea. 4 x 4 pressure treated wood
compression member
or 2 ea. 2 x 4 pressure treated wood
compression member
or 1 ea. 3.1/2" or 4- nominal
SCH 40 PVC pipe
compression member
or 1 TIDE adjustable steel.Strul
T
v
ca
co
J
v
n
N
O
C0
WIND ZONE 2
Vector Dynamics Systems Required
3 Section Homes
(Materials, Required)
Maximum allowable working drag load
for the Vector System with the steel
compression strut is 3,150 pounds per
the K2 Engineering test report..
/I WIND ZONE 2
NOTE: Longitudinal stabilization Is required.
Vector systems should be spaced as evenly as Is
practicable along the length of the home. Pier spacing
must be consistent with the home Installation manual.
esl�nve °P s' pn at gu�deUnes ♦i
Qt 1nylUaoing '
11 s%auak
Qte snot a1 `o hole In 1 ` \
I `
` �111sl
ustra s4a,>ng -us'be - ♦ I ` `
a I �\
♦ ♦ Foundation Valls ♦ I ♦ y
\ a
_
r+
♦ I
II � ♦ ♦ I
c' I ♦ 1
♦ ♦1
2 sq. ft. pad
Materials:
'Anchors Required:
Soil Bearing Capacity:
1.000 PSF minimum
Home Length
Vector Systems Required
Anchors Required
Per Side
Homes up to 48'
4 Vector Foundation Systems
4
Homesover 49'
5 Vector Foundation Systems
5
up to 60'
Homes over 61'
6 Vector Foundation Systems
6
up to 72'
Homes over 73'
7 Vector Foundation Systems
7
up to 84'
Homes over 85'
8 Vector Foundation Systems
8
up to 90'
3/4" x 30" anchor (59095),
with vertical straps
Each Vector foundation system requires
One Vector Kit
2 ea. 1.1/4 In. lies (4725 Ib. min. break)
1 ea. 4 x 4 wood compression member
or 2 ea. 2 x 4 wood compression member
or 3-1/2` or 4" nominal SCH40 Pipe
compression member or 1 TOE adjustable
steel strut
0
" VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified
as Class 4A 413, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class
5 conditions (above 50 in. lbs.), contact Tie Down Engineering.
SOIL CLASSIFICATIONS
Soil Class
Types of Soils
Blow Count (ASTM
Soil Test Probe (1)
D1586)
Torque Value (2)
1
Sound hard rock......
NA
NA
Veydense and/or
40 -up
More than 550 in. lbs.
cemented sands, coarse
2
gravel and cobbles,
preloaded silts, clays,
and corals
Medium -dense coarse
24-39
350-549 in. lbs.
3
sands, sandy gravels, very.
stiff silts and clays
4A
Loose to medium dense
14-23
275-349 in. lbs
sands, firm to stiff clays
413
and silts, alluvian fill
175-275 in. lbs
Peat, organic silts,
0-14
175 in. lbs
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 gage 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
inch lbs. 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.
Information about geographical areas of termite infestations which might require the optional termite
and moisture shield when a wood compression member is used may be obtained from the local
building official or may be found in the 1995 edition of the One and Two Family Dwelling Code.
o�
Page 18 California 8/2001
r
2484-89
3026-89B
PERMIT NO. "
PERMIT EXPIRES
RAYMOND PETERSON'
OWNER'
owner
CONTR.
69-12-45
ASSESSOR PARCEL
462 Silverleaf Dr, Oroville
LOCATION
r
t �
Y
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED,(Date)
Signature
= OK -
0 = Not OK
Not Readable
yMOBILE 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-Grnd.-/ / Am
6. Gas; Location -Test -Wrap: / P'L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -131 Date Card -131 Date
Card -61 Date Card -61 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -131 Date Card -B1 Date
Card -B1 Date' Card -61 Date
I9:J
` 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.-Connec.-
Shthg.-Rfg.-Bracing '
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card 131 Date Card -B1 Date
Card -61 Date Card -131 Date
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, Distances-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.
e Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -131 Date
Card -131 Date Card -81 Date
= VK
0 = NotOK
- = Not Applicable RESIDENTIAL ,(Single and Duplex)
' = Not Ready
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Material -Sup prt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration -Wal Is-Wndws
Card -81 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Card -81 Date Card -81 Date
Card -131 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -Bi Date Card -B1 Date
Card -B1 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -131 Date Card -81 Date
Card -81 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -81 Date
Card -131 Date Card -81 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
85. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
8i. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -B1 Date Card -131-' Date
Card -B1 Date Card -131 Date
Card -81 Date Card -61 Date
Comments at Final:
•* COUNTY OF BUTTE - D=PAR TMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
_ Z 0 _ L S
ZONING
BUILDING PERMIT
OW
r
TELEPHONE
Sia
SO. FT. OCC. BUILDING V UATION
z�, t�
a
O LING ADORE R'S AISS
6 5t' I ��
NTR CTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ ..G a
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
l
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
t�fD t/►A ���'
Solar or heat pump water heater
20.00
'LOT NO-
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURGas
.n I
SF [:]Duplex❑ Mobilehome❑ Oth a
SPECIFY
piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ ��I..nstallation❑ Other
Describe work: caa4la--f
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS10010.00
1AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑FIXED
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended. or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.eI) y,¢sgft
OR ADDNS. ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS)
/POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES DA 090
APP LNS. OR
Ex. Occup. OUTLETS (RESIO.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$ '
Contractor
1 certify that I have read this application and state that the above information
is correct. l agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 alsoabgit eso judgments, nify andkeep harmless
s which may ithe n antte against
way accrue
cost
ain said Countyi ons nce of the granting of this permi .
J
X / Date
Sign re of Applicant — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0'• deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ Ob
DECuP.
CONST.TYPc
SLOOD
CNOOL
P
PARCHy
PD
�H1
IsguE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By �
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date /0,3— ��
c
Receipt No.� 7��
WHITE-D.P.W.. YELLOW-ADe(330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
' .� .,. r-+. .h -c ♦, s `,rr-*w•-avr+.::r .-�.9< �;�t^.r �.4wN'•R'.F -�.- �-^-�wi.=.., .�' `_la. :.—�..�s! i .r "tom. :. ".MRS,: '.i ...
b
.s
/ COUNTY OF BUTTE - DEPARTI&ENT-bF PUBLIC WORKS - BUILDING DIVISION P
7 COUNTY CENTER DRIVE - OROVILi[E,-CA0PORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER T A. P. No. el,
-� , /�
Proposed Building Use ,ems .�, I�o:''X- Building Inspector_ Date Z
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
} DATE RECEIVED APPROVED
1. All items have been submitted. .. ...............................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26
27
When the permit, process as follows: Mail to owner. -
Telephone,<8 J-.5_3c_c/ and hold for pickup at office.
Other
�ppl icant
Mail to contractor.
_Deliver w/inspector.
Copy of plans sent Health Dept., Fire Dept., Other Date
The foll.owing data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone--inail—counter by
Contractor, designer, owner, was advised of above required data by_phone_mail_counter by
Plans checked
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
_date-
- date —
Date
COUNTY OF BUTTE.- D.Qpar.tment.of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner.:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest.opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials'for construction of
the proposed property improvement (yes or no)�/
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name g/y1LA&Zzz
Address City
Phone Contractors License No.
4. I plan to provide ,portions of this work, but I have hired the following person
to coordinate,'supervise, and provide the major work:
.Name
Address City
Phone Contractors .License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Securi y Nu r
Date G'
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
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COMPLAINANT °(Ct, fVl P (/' 1 ki F ` i
ADDRESS: h
PHONE NUMBER :.
OTHER COMMENTS:
�-r"�ra=.+-�na`rr 4-.C�r:^+'tiN+"i.r++� t'`�•v�+.�-..�i+e.i�`"r4''►^'•�'R^"�^+.y-^gSi'�l`'+s��.e�v"��^'j
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
jr 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307.
-S
CORRECTION NOTICE
S
VNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspectory/" �� Date ���
l'
PERMIT NO. 2484-89B
s+
PERMIT EXPIRES
�`r OWNER RAYMOND PETERSON
CONTR. owner
1
ASSESSOR PARCEL 69-12-45
462 Silverleaf Dr,•Oroville
LOCATION
,1
I�
Temp. Power Pole
Called PG&E
P
I Temp. Elec. Service '
Called PG&E '
t
Temp. Gas Service
I Called PG&E
JOB FINALED (Date)
Signature
i . ti
= OK •
0 = Not OK " *e ::v '' t•
' = Not Readyable MOBILE HOMES
• i{r� Tobi ' 4
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
ik'zp4ng Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch.
Fo � gs; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec'.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -B1 Date
10. Roof,; Shthg-Roofing
Card -131
Date Card -B1 Date
t.; Steps -Doors -Landings
Date
MOSILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Datq= Q Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged .
4. Elec.; Receptacles and Lighting, Distances-GFI
9. Exits; Insp.-Sketch
5. Elec.; Pool Lighting; 15 volts-GFI
10. Cert. of Occupancy
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 in Conduit
Card -81 Date Card -B1 Date
Card -B1
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -131 Date
Card -B1
Date Card -B1 Date
` uK
0 = Not
Not Applicable RESIDENTIAL (Single and Duplex)
- =
Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope -
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fail -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -81
Date Card -81 Date
Card -81
Date Card -B1 Date
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
85. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
67. Stairs &Rails
Card -B1
Date Card -131 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
72. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
26. Equip. Ground made up w/Mach. Fasteners-Bond,Gas &Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instld.; Drive .❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑ No
33. Smoke Detector
8i. Stucco; Brown -Finish
Card -81
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -81
Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90.Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -61 Date
92. Roofing Certificate
Card -B1
Date Card -131 Date
Card -131
Date Card -61 Date
Card -131
Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
Card -B1
Date Card -131 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit iob site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovilre, Callfornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCELU BER
XS?-- —.4 j
ZO I N G
T1
BUILDING PERMIf
OWNER
.ala a
TELEPHONE
--S 30
SO. FT. OCC. BUILDING VALUATION
0
OWNER' MAILING ADDRESS
CONTR TOR'SN ME
TELEPHONE
CONTRACTOR'S MAIL NG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehomeik Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ OtherPermit
i
Describe work:
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCU1.11 ,
ACC. B �2¢sgft
NEW
CONSTR.( OUTLET
NON.RESIO .BRA C CIRC ITS 2.50 ea
POWER APPARATUS el
ANGLE OUTLET CIR, /
Ex. OCCUp(OUTLETS OR FIXTURES SAL9ALo30
FIXED APPLNS. OR
Ex, OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Co y in consequ n f the granting oft s pe it.
X Date '>
Signature of Applicant — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories In height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
C0NST*TYPZJ
JSC400L
I FLOoo
1/
PARCEL I
PD
ND Su
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR 0 PUBLIC
By.
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date — 2—
Receipt No. //
"i44 �/,
WHITE-D.P. YELLO -ASeES eO R, PILAR-IN9P CCTOR, GOLDENROD -APPLICANT
.1.
. �. .t �.. "'za. ... -a ,:_r: i"yrs""' -.v-: ?'-'R' .e..--y✓P:'C"- «arw �.. .,�,•... ..;. .. ,• ..4.+i:;.'y'•.^t,�r."".x.,x..�;'•;-rr�Y.'"� .,• .-1+.. r. r.n..-� �t ..
} r
COUNTY OF BUTTE - DEPARTMIAITTOW PUBLIC WORKS - BUILDING DIVISION i
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permi , No._1io
OWNER `W /"C A. P. No.
lea
Proposed Building Use- ►�;Buifdi ing Inspector Date '
At time o permit application, I was advised the following data must be submitted prior to permit processing and/d'r issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation..........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing. permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required ..... Pre-Insre n
'Buildingg Inspector
to
(Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25. ~-
26.
When you issue the permit, process as follows: Mail to owner. -
Telephone ^C�4�f=� and hold for pickup at office.
Other
Mail to contractor.
_Deliver w/inspector.
Copy of plans sent Health Dept., Fire Dept,, Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
0
Contractor, designer, owner,
was advised of above required data by_phone---inail_couriter
by
date
Contractor, designer, owner,
was advised of above required data by—phone _mail—counter
r
by
date
Plans checked by
Date Plans approved by
,Date
G
b c;)—
Copy—DPW
Sets of plans on hold in File cabinet AP folder
Y'�F
COUNTY OF BUTTE = Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541''
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete.and return this information at your.earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
�2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the .proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name - -
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons .to provide the work indicated:
Name Address . Phone Type of. Work
Sign
M
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
r �(1rr
s is—�,li me.,erials Workmanship Shall Be in
good Pradfices and
o F a <� S
raciFied Use in the
i.rifc�r ; l;s;, si;i, P:sa`aie:� 5flechaaicol Codes and
t`?e N tional El`�,trical
• a
' 5p�i�iicatiarrts !'UST bt
va so .
Siert on the iob at all fines sand it is unlawful +c
;wke any efionges or on some without
wAtten permission from the Department of Ru
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L or
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MAX.
i
t PERMIT NO. 510' 89B
F PERMIT EXPIRES v
OWNER RAYMOND PETERSON
CONTR. Fred Burns
ASSESSOR PARCEL 69-12-45 _
r LOCATION 462 Silverleaf Dr, OR6ville.
x
i
Temp. Power Pole
4 Called PG&E
Temp. Elec. Service
y { /Called PG&E '
i Temp. Gas Service
Called PG&E
' JOB FINALE (Date) "
i ( Signature
= OK -
0 = Not OK
=NotReaable dyMOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES. (Plans) OK except #'s
Date
DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
UO2oning Requirements -Setbacks -Easements
2. Soils; Special MH Support-Sketch2--footings;
Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. De irders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd -/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
T Elea
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Sidin ; Nailing-Veneer-Stuoco•Mesh
Card -B11-
Date Card -B1 Date
oof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -8
Date] Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date 4��2f rd -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
'
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date '
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability .
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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 in Conduit
Card -B1 Date Card -B1 Date
Card -81
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Data
Card -B1
Date Card -B1 Date
= uK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan;.Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -B1 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic ,
58. Shear Walls; Nailing -Bolts
59. Insulation -Wal Is-Clg.
60. Infiltration-Walls-Wndws
Card -131 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67.Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
59. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive •❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
8i. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection '
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -B1 Date Card -81 Date
92. Roofing Certificate
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
Card -81 Date Card -B1 Date
39. Sills, Proper Material & Anchors
Card -131 Date Card -B1 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit inh sitPl
1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,•Californta 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSO PARCEL NUMB E
�'y�
ZON GIII
BUILDING PERMIT
OWNE 'I:
Aq/MZ2 [/
ELEPHON`E
SQ. FT. %1P. BUILDING VALUATION
O N R' MAILIN ADORE: -%S -
E�l rg, r
CO&v S NAME
T LEPHONE /
72—
CONTRACTOR'S MAILING ADDRESS
Fireplace .
CONSTRUCTION LENDER IUNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
;
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
a
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ a"
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PAEL MAP
�J
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUC RE
SF ❑ Duplex❑ Mobilehome❑ Othe
IV SPECIFY d
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
Ne;A Addition[]Remodel Utilities ❑ Installation❑ Other ❑
Describe work: „�%�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00'
Main service 10Dv OR LESS0010.00
100 AMOR LESS
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
[lam licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
L(�
License No. Classification c'— -61
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ACC. BLDGS. DWELLING occuP.al
OR AODNS. � ,�ZQsgn
NEW CONSTR. MULTI -OU 2,50 ea
NON-RESID BRANCH CIRCUITS)
POWER APPARATUS e
(SINGLE OUTLET CIR.
e20050t
EO
Ex. Ccup(OUTLETS OR FIXTURES ALO 301
Ex. OCCup. OUTLETS FIXED P(RESID.)REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
54 I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
;
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s •d County in consequence of the granting of this permit.
X Date
t
Signature o6 Applicant — Owner El Contractor pal ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPc
1:���JPA
C
PDP4`71
This permit is hereby issued under
sions of the Butte County Code and/or
Work indicated ve for w ich
T R O UBLIC
BY
PERMIT 9XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 3— -
Receipt No. of
WNITE-D.P.W., YELLOW-ASDE330N, NI( -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DE ARTMEN* -.OF;, "p,U,BLIC WORKS - BUILDING DIVISION /
�.,;'-lam•- +�
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORr4IA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
a Permit No.
OWNER A. P. No. _/D
Proposed Building Use �L�i��h= -Building Inspeptiorir� . Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ -
3. -Complete plans in duplicate/triplicate, signed by preparer of plans . .
4.. Complete engineered plans and calcs, with wet signature on plans . .
5.. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation t
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing -permit ......................................
15: Plot plan and business license approval from City of
(see City for other requirements)
16.. Planning approval for (A) Use: (B) Parking: ......... l
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
Pre-Inspec. request to
19. Pre -Inspection for required ..... • Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance .....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment. Statement ............
24. Letter of signature authorization .....................................
25.
26. \
When you issue the permit, process as follows: Mail to owner. \V Mail to contractor.
Telephone and hold for pickup at office. Deliver w./inspector.
Other
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Date
The, following data must be submitted prior to permit issuance: (Circle new item not checked above),
1.•. -Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date
Contractor, designer, owner, was advised of above required data by_phone_mall_counter date2 2
Plans checked by Date Plans approved by v Date
Sets of plans on hold in File cabinet AP folder f
Copy—DPW
,:
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:Full; me• the.Natlon
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property: lirles an ;;� aeic
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cent�rlin shill be ca+; ! 12. .j I �.. I..! ' .L..} j..j , :.1..' j • '
structaresor;�qu�prrr�^''P..
For a 2 fi.ieave overnaTPj
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Aploord �cm wiA Recognized Cnodhf�racfiaesBae�d
J c� fs' t lc""ibod f�*r 4ha .SP acifie use td�$ � ; "1% plumbing a Mechanical Ce
s the
. f� ���t Ele�$ric�il Ceda: odes and
?.'CA�o
BUTTE COUNT)
BUILDING ®EPARTMEN7DID
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i3wTTE COUNTY
30LDING DEPARTMENT
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4
BUTTE COUNTY
3/a
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s��a ell.
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TD3 ,p- G �1-12 -4.5
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00
PERMIT NO. " awl)
PERMIT EXPIRES (f(
OWNER RAYMOND PETERSON
CONTR. owner
ASSESSOR PARCEL 69-12-45
LOCATION 462 2i Iv�rl€af Dr, ORovill e
'i
v
I
e
t
i
Temp. P
Call
Temp. E
Call
Temp. G
Call
JOB FIP
Slgr
=OK
0'= Not OK
- = Not Applicable
= Not Ready
Date MOQH
MOBILE HOMES
HOME UTILITIES (Plans) OK except #'s
3 Requirements -Setbacks -Easements
Special MH Support -Sketch
; Location -Test -Fall -C/O -Concrete
4/5 W r; Location -Test -Easement Needed (Sketch)
4 -5 -'Electricity; Location-Clearances-Grnd.,-UVIY-*mp-Concrete
^� oi -Test-Wrap: / /"L"ft.
77 Utility Clearance
Card -61. Dat — Card -131 Date
Card -81 Date Card -131 Date
Date MOB -EHOME INSTALLATION (Plans) OK except #'s
ZgP,+Kg- Requirements -Setbacks -Easements
Footings; Size -Spacing -Marriage Line
9. est-Demand-Valve=Connector
e icity; MH Test -Crossovers -Breakers -Clearances
Jaifi; MH Test -Fall -Flex Connector
W r;.MH Test -Regulator -Connector
e"r and Sewer Connected -C/O to Grade -HD Approval
G nd Electricity Tagged
xi nsp.-Sketch
ert. of Occupancy
Card -B1 Date _/ and -B1 Date
Card -131 Date Card -131 Date
{ 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- Beam s-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum.,Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -Bt Date Card -131 Date
Card -81 Date Card -131 Date
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, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Ehtries-Terminals-Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -81 Date Card -B1 Date
Card -81 Date Card -131 Date
= OK
0 =Not OK
Applicable RESIDENTIAL (Single and Duplex)
�lbt Heady
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel- Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel -Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1
Date Card -B1 Date
Card -B1
Date Card -Bi Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
67. Stairs & Rails
Card -B1
Date Card -B1 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood .Panel; Int. & Ext.
Date
ELECTRICAL (Permit) OK except #'s
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
22. Fixture & Transformer Clearance -Ins. Protection
71. Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights & Switches at Doors
72. Garage Fire Door; Swing -Landing -Closer
24. Size Boxes & No. of Conductors -Stapled
73. A.C. Duct in Garage -Damper
25. Romex Installed Close to Edge of Studs & C.J.
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
26.E Equip. Ground made u w/Mech. Fasteners -Bond Gas &Water
q P• P
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑Yes
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes 11 No;
Planters ❑ Yes ❑ No
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
81, Stucco; Brown -Finish
Card -B1
Date Card -81 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -61 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -B1 Date
92. Roofing Certificate
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -131
Date Card -81 Date
Date
FRAMING (Plans) OK except #'s
Card -B1
Date Card -131 Date
39. Sills, Proper Material & Anchors
Comments at Final:
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
MOBILEHOME INSTALLATION ACCEPTANCE
'4 COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
` OROVILLE, CALIFORNIA — 534-4541
. ♦�/SIJ .{T/) J./ %JV^� r
a Address or location of mobilehome
S Owner's name o r ' r_t% I.r .� / " :� ? .:,i-�
r Owner's address
Insignia or hud number
I ^ /, -Z2-1 (I q -1." 5r
Manufacturer's name �`��-1A�,✓�
Serial number of V.I.N. r��% 7S / Year of manufacture
lq-
(Official Approving Installation) (Date) • i
a IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION -
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN1.THE
f MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W. X
IL •_-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND, PERMIT
ASSE OR PARCEL N ER
_ � —
ZONI
BUILDING PERMIT
NER
TELEPHON
SQ. FT. OCC. BUILDING VALUATION
OWNE'S MAILING! D E ^
1 r- C�° l ev�tev '2
CON RAC O 'S NAME
ON E
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ --te-.00-_
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty _
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME r
�y
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[:] Mobilehome� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W 1
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation[- Other ❑
Describe work:
Penult Fee
$ 50 6
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
V 01 L
Main service 1°Do AMP ORSLESS
10.00 10,
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.EI
Acc. BI �
New
, h�sgft
CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET cIR.
Ex. Occup( OUTLETS OR FIXTURES200030
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with- the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agapt7said County i o se a the granting of this permit.
�J
Date /
Signal r of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup. CONST.TYP! 177LOODI
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PER EXPIRES Date
PARC P MD seu
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate
-Z_ —I 7
Receipt No.
WNIT!-D.P.W.. YELLOW -ASSESSOR, INK -INSPECTOR. GOLDENROD -APPLICANT
.'�.,»-.r,+w"-s °siz r.,�:;�'�w-`-n;.;,t.r.at3,Y'�:e`,4g-zt�.c*'.�.',; �,.�*"y�;":yw^:i�-~�..-.-..,}-w s=y}--'•x,;�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS,
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify .this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
I'
Inspector /f /. // Date
�4
:.y
1 jJi,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT N0.
7 County Center Drive - Oroville, California 85965 - Telephone: 916/538-7541
APPLICATION AND, PERMIT
ASSE OR PARCEL N BER
_ —
ZONI
BUILDING PERMIT
NER Q
l�
TELEPHON
SQ. FT. OCC. BUILDING VALUATION
OWNE 'S MAILING D E
CON RAC O 'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
LENDER'S MAILING ADDRESS
Filing Fee
$ -te-.00—
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME r
/
PARCEL MAP,
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome� Other
SPECIFY Fv
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G" W
0.00 ea `
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation[] Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00 10'
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON-RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
�- ❑ I, as the owner, am exclusively contracting with licensed con
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING 0CCUP-N
OR AODNS. ACC. BLDGS. )
, h ¢sgft
NEW CONSTR. MU LT'*OUTLET2,50
BRANCH CIRC ITS
ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
2ALO 30
eL0
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00tract-
Misc. Wiring
9
15.00
Permit Fee
s
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
XI shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai said County i o se a the ranting of this permit.
Date
OF I Signo0�" ofApplicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup.CONST,TYP1J JSCIIOOLJ FLOOD
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PER EXPIRES Date
PARC P ND ISsu
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate %L-1
/'Z—I -I-
Receipt No.
WNITE-O.P.W., YELLOW-ASSE350R, INK -INSPECTOR, GOLDENROD -APPLICANT
�a
COUNTY OF BUTTE - DEPARTSME-kf OF P� .�UBLIC WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE—CALIFORNIA 95965 - TELEPHONE: 916/536-7541
PERMIT APPLICATION DATA SHEET �----{
Permit No. .�
OWNERcro(OIAA-YAA. P. No.
Proposed Building Use 'Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/o issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $.............. .
10. Chico Urban Area fees paid ........................................
11. Park fees paid ................................... ":................
12. -_School District fees paid ................ .
13. Sanitation approval from Health Department ...
4. City of Chico plumbing permit ........... �\ ...........................
15. Plot plan and business license approval from,City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required ...... B� lding Inspector tori to (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 1
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization ..................................... ,
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone - and hold for pickup at _office. Deliver w/inspector.
Other
Applica
ate
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitte r' r to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. IZA
2. Additional items required:
Contractor, designer, owner, was advised of above required
data by_phone---nail—counter
by
date
Contractor, designer, owner, was advised of above required
data by—phone
—mal l—counter by
date
Plans checked b Date
Plans
approved b
Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO: Building Department _.
FROM: Encroachment Permit Section
RE: Driveway Clearance
& / n e /P-30, ry 4tlilv" 2-. S,�d2. -/ f 0-, - 12- — L�
owner location AP #
l3 2 has been issued for the above property.
Driveway permit �U
si ature
%2 -l0'gvT
date
It(,turn to UPw AGRICUi•LURAi.. S_CA'ffiMt NC Ul_ ACKNUWI��:UCE�ilrNi `�'.
FOR 1LESIMTAIAL U.EVELortic r F.
�NC)MP^RFD yVtTt�
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building' permit. �4Ct1M►vi
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this
Property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit:'oi.agricultural operations including, but'not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate'dusti
smoke, noise, and odor. Butte County has established agricultural zones which have ad a`"
priority use for productive agricultural purposes, and residents within said zones and on
adJacent property should be prepared to accept such inconvenience or disconform from normal,
necessary lfdrm operations.
All that real property situate in the County of Butte, State of California, described•
as follows:
LOT 107, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT ONE",'WHICH'.'
MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE
CALIFORNIA, ON OCTOBER 30, 1970, IN BOOK 38 OF MAPS, AT PAGES 5 THRU 10. �'•_ ('' ` •:`'^.r :'i'.°'
ACCEPTED FOR 'fiECt3Rt�i
AT 8:01 A.M.
Date: /or-' Lee
State of )
County of )
SS.
Lqweaa+aBoa DOE some
m QA.N(C-.M_A
a. MASTELOTTO a.
11NOTARYPUBLIC-CALIFORNIA
a Butte County a
ommission Expires Sept. 7, 1990 �
■
DEC - 2 1988
r-
�) 4R T S
ii jf.
On this the �_ day of � 19be.fore
5 � '
O 1 1/. ' ;I
VI
me, the undersigned Notary Public, personally,appeared ,•; ..
r .
L/ Personally known to me. Proved to me on'.the basis;
of.satisfactory evidence';
to be the person(s) whose name(s) - subscribed to
the within instrument and acknowledged that
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official eeal.
Notary Public
Present A.P.
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION.
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit .
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) ���
2. I (have/have not) signed an application for a building.permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construct'on:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate,s pervise, and provide the major work:
Name
Address
Phone Contractors License No.
5. I will provide some.of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name � AddPhone Type �of�ork
Signed:
Property Owner
Social Security Nu er --
Date
NOTE: This Owner -Builder Verification is.sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
BLAKE'SAFFORDABLE
HOUSING CONCEPTS
2175 FEATHER RIVER BOULEVARD
Oroville, California 95965
To: k --Butte County Public Works
Butte County Health Dept.
.P• G. & E.
This is to authorize Don or Jolene Blake to -obtain a n permits on my behalf.'
Telephone-
(916)534-8336
elephone(916)534-8336
Name
Cl�titro. ct�tcl: �oLy�L�t'nt Lv .. i
A resa I li n ry�
Da U0 - r
"r
t[
w
' r
AP #
OWNER
PERMIT"
MH UTIL.CLEARANCE DATE 1— O
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compactio
Test Re .
Service
Other
Load
Type
Pipe
Size
Lerith
YES NO
YEsT NO
/S�i�ze/
I
} COUNTY OF. BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT NO.
7 County Center Drive - Oroville, Cglifornia 95965 -Telephone: 916/538-7541
APPLICATION ANO PERMIT ���JJJ O vvv
ASS SS R PARCEL NUM R
—
ZO NG
• J
1091
BUILDING PERMIT
1
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
gWNER
S MAILING r �JSS/�ry�//'�RA
A
TELEPHONE
C NTRACTOR'S MAI I ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
,$' 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 2 n Q
v C 'lam l__.
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
01
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeOther
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑
Describe work:
i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
Fl 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OccuP.el
OR AODNS. ACC. BLDGS. , lz0sgft
NEW CONSTR. U TI.OUTLET 2.50 ea
NON.RESID .BRANCH CIRC TS
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. OCcup�OUTLETS OR FIXTURES 200300
eAL030
FIXED A
Ex. Occup. OUTLETSPLNS (RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
E]I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
X� I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
=
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating.
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai said County in nse n he granting of this permit.
,�y� Date
Signet of Applicant — OwnerSLi Contractor ❑ Agent
An OS A permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCu P.
CONST.TYpC
ISC71
FLOOD
PARCEL
I PD
ND
1 17
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated ab ve for which
IRE OR , PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW -ASS E3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
_ W_ . _ • �. , * � . C j'��,b�++.- ^in-..� .ar�-0✓^tiDG b rt'.,r".-V... ,...+.. ..- -� ... ^rte.. f:f-.� 1..... .. {, ...
COUNTY OF BUTTE - DEPARTMENT.OF PU.B-L-ICty4bRKS - BUILDING DIVISION
v 7 COUNTY CENTER DRIVE - OROVILLE, CAL.RNIAj95965 - TELEPHONE: 916/538-7541
PERMIT APPLIcA bNiDATA SHEET
nom, '( Permit No.
OWNER 1 1 Y N A P. No. - -
Proposed Building Use Mid Building Inspector Date
L/
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions1
.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Parkfees_Raid.....................................................
al , ' 12. (:)(?) . t 1 P 0- -,
School District fees paid ................. �
13. Sanitation approval from Health Department ...
14. City of Chico plumbing- permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use -.-(B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Ins ection for re uired , . , , Pre-Insrequest to
p q 'Buildingg Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
_te,"_ Telephone'�_R334o and hold for pickup_office. Deliver w/inspector.
Other
App
Dat
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted rior to p_ergrlt issuance: (Circle new item not checked above).
1. Index permit for above items No. •
2. Additional items required:
Contractor, designer, owner, was advised of above required data by -phone ---mail
Contractor, designer, owner, was advised of above reggired,data by -phone -mall
Plans checked
Sets of plans on hold in File cabinet AP folder
Copy -DPW
ter by
date
date
Date /_/3
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of 51
b sb;li �o diNt
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j
L
' ,� .i t; j�; li!' ' it '��� '�►
ren
I
4 noW DEVELOPMENT Pfil CUTIPICATION FORM
(One Form per Building)
A.P. NumborBuilding'Department No.
School District i't Count Jurisdiction,'
YQ Y®
Property Owner
Project Location/Address T� ,
Subdivision Lot Number
Residential Development:
L- E Sq. Footage
# of Living MHI Addition (Grow R
Units ,P..
Y ` F
r a
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior';k'
Roofed Areas)
r'
Building Department Representative Date...'
District Id No. 0272L
School
District certifies 4*that. `
jji `}
DL
(APPlicant ;ame)
Phone'4Num
i I
��`
,a
a �k;r., ,I,.' r°+ �•`A5f' ` E
aq y f�+r .
Ere.
av/ ..
( Street Address)
(city) ( State)
Z i p' Code• -_�
:••;=,#ter ��
has complied with the requirements of Resolution No..
nv.,,
by the p ment of $ representing
/t/L/L) square Meet.
'
School Di ct Representative
Date,«,;
1
z .tri
f
PAID BY CHECK NO. RMARKS c'
' h
BANK NO
PAID BY CASH
r'
white -applicant, yellbw-building department,
pink -school district:;,
SCHOOL . FEE ( 5/88)
+�
1. Owner's Name:
2. Installer's Nam
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS , r
7 County Center Drive, Oroville, CA
PHONE: 538-7541
MOBILEHOME INSTALLATION SHEET
5.
What
is the
mobilehome electrical rating? ---------------
u
6.
3. Is the site currently under permit? Yes
is the
mobilehome site
No
���
Amps
(If yes, furnish permit number
)
OR
mobilehome site
Is the Yes
-----
No
F
Is there any other electric
site an existing site?
(If yes, furnish two plot plans.)
,
4. Will the mobilehome be located at least 5 ft. away
from
septic
tank and leach
fields and easements?
Yes
Yes No
No
and clear of all setbacks
(If yes, identify the
load and size:.
(Load)
(If no, clarify
9.
What
is the
5.
What
is the
mobilehome electrical rating? ---------------
Amps
6.
What
is the
mobilehome site
service rating? -------------
���
Amps
7.
What
is .the
mobilehome site
circuit breaker rating?
-----
Amps
8.
Is there any other electric
load to be served by the
mobilehome
site service? --------------------------------
Yes No
(If yes, identify the
load and size:.
(Load)
(Amps)
9.
What
is the
mobilehome site
gas pipe size? - --
- -
(in.)
-------------- ------
Natural
LPG
10.
What
is the
type of gas service?
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.)
MOBILEHOME SUPPORT DATA
If.other than single wide,
Mobilehome Mfr. lid furnish,Setup Model No. �� 2 Year
Width�F(ft.) Box Length—i5iS, (ft.) Tagalong or Expando Size ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade.2. Other (specify)
SUPPORTS (check one)1. Concrete block.0 2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE MULTI -WIDE
Line 1 Piers: Line 1 Openings:
Size -Min. ------------ Size -Min. ------------------
Spacing-Max -
-----------------Spacing-Max. --------- _ „ Each Side of Openings
From Ends -Max. ------- ' With Width Over ---------
Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only)
Size -Min. ------------ ....�Q" Size -Min .------------------
Spacing -Max.--------- _ `. Spacing -Max - ---------------
From Ends -Max.------- _% From Ends -Max .-------------
Line 3 Roof Loads.
Size -Min .------------"
��.o
Location (From Front)
Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only
Size -Min.------------ k Size -Min -------------------
Spacing-Max ----------
------------------Spacing-Max.--------- Spacing -Max.---------------
From Enda-Max.------- From Ends -Max.------------- "
Line 5 Roof Loads:
Size -Min. ------------
location (From Front) _ _ _
BUTTE COUNT
BUILDSnIc-', n7PA17AAFNI"'
APPROVED
Xl_
PERMIT NO: 86-88
Lake Oroville Area -]Public Utility District
1960 Elgin street
OROVILLE, CALIFORNIA 95966
533-2000
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of Public
Works Building Department prior to issuance of a building or occupancy permit,
whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy
of this verification form, signed off by Lake Oroville Area Public Utility District, must
be submitted to Butte County.
Date: December 12, 1988
Applicant: RAY PETERSON (Blake's Affordable Housing Concept
Applicant Address: 129 Avenida Picarro, San Clemente; C9'-92672 -
Applicant Phone No.: r 534-8336
Property Location(s): 462 Silverleaf Drive
Kelly Ridge Estates, Unit 1, Lot 107
A. P. No. (s): 69-12-45
Fees due: $900.00 LOAPUD Regional FAcility Charge
Application for service ap
LAKE OROVILLE AREA
PUBLIC UTILITY DISTRICT
Inspection(s) made and successful test(s) observed:
Location:
M
Date:
Lake Oroville Area Public Utility District release to close permit:
Date: By:
_...DR
as —
a
7-o Ro A D e t A.T E'R
- 7O-.
Yba St CVFW eA
[.c.W, 10_..... .
,�;, ::,. ,:.r � ; {{� - : Vit,• i - �'y �-�s._,�: ,r=:. -.�. �„ �. _..