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069-200-056
- � �+�....`.v'.,+,•- - - �S� --r'... "._ _ ".- ` .-. vr- OM1 ST & JAN CLEMONS 69-20-56 Lodgeview Dr, lot 128,KR#3, Oroville Contr. arter Enterprise Permit#1 - 6P,E(util, MH) GASC _ Kam— SUPPORT STRUCTURE REQ l COMPACTION TEST REQ See '7 i�11 / aC f1 V , - r 69-20-56 Contr: Ger Do'remus Permit] 8-86MHI Is % 69-20-56 Permit#2136-86B(new open decks/2) 69-20-56 /;ru, ��q� Permit#981-88B(new covered dec MH 169-20-56 ,2188-90B CLEMONS, E:D 544 lodgeview ,,Dr', Orovill'e (carport/MH)' +,- r p1 ` 069-200-056 02-18 CLEMONS, ERNEST WALED 544 LODGEVIEW, OROVIL E a - CONT: SIERRA MHS EX MH PERM FND EX SITE 069-200-056 02-1870 IN CLEMONS, I D CLEMONS, F.D. 544 LODGEVIEW DR., OROVILLE 3 `L COVERED DECK CONVERTED W/ i PERMIT i SE? OSS � � �� ' I �� ,a NOTES RESIDENTIAL PERMIT N0. '. 069-200-056 021827 CLEMONS, ERNEST - i 544 LODGEVIEW, OROVILLE CONT: SIERRA MHS 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: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL. CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) ,717 Signature CHECKED BY COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA * (530) 538-7541 CORRECTION NOTICE nyD 4 I -5,4,q- 2 mi-% - /-> PERMIT NO. Ak A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. - / - r J am Date -7111 42 2— — Inspector REV 10/92 J = OK 0 = Not OK - = Not Applicable = Not Ready FRAMING (Continued) RESIDENTIAL (: Date 47. Underfloor (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope Attic Access; Size & Romex Protection -Draft Stop -Ins. Bsffles 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 51. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Property Line Firewall & Openings 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 54. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 57. 6a. Hold Downs and Special Anchors Glazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Watbr 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 FRAMING (Continued) Card B-1 Date Card B-1 Date 47. Card B-1 Date Card B-1 Date Fireplace Ties or Type A Flue -Fireplace Throat Clearanc PLUMBING (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Bsffles 17. Water Htr.; Vent -Access -Combustion Air Baffle 51. 18. Water Pipe; Test & Anchor -Nail Protection Property Line Firewall & Openings 19. D.W.V.; Test Fittings & Anchor -Nail Protection 54. 20. Shower Pan; Test, First Floor -Tub Access Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 21. Test Tub & Shower, Second Floor -Tub Access 57. 22. Gas Pipe; Sixe & Anchors Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts Date Brace Interior/Exterior Wall Panels Card B-1 Date Card B-1 Date 62. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect • 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform it Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connector 47. Cling. Joist-Rftr. Ties- Puriin-Roll Brac.-Truss-Shting.-Rfrg. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearanc 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Bsffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance;.Ground-Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor D Yes 82. Following Instld./Drive 0 Yes 'J NoMalks :] Yes J No/Planters ❑ Yes J No 83. Stucco -Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Cpenings 86. Water Well, Disconnect, Electrical, Plumbing 87. _ Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: J = OK 4. 0 y Not OK 2. = Not Applicable MOBILE HOMES • = Nbt Ready Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. 1. Zoning Requirements -Setbacks -Easements Well Clearance & Disconnect 2. Soils; Special MH Support Sketch 8. 3. Sewer; Location -Test -Fall -C/O -Concrete MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 4. Water; Location -Test -Easement Needed (Sketch) 2. 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 5. 7. Well Clearance & Disconnect Carports; Windows -Doors 8. Utility Clearance 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Rooting Date Ext.; Steps -Doors -Landings Card B-1 Date Card B-1 Date 5. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Enclosures; Conduit Entries -Terminals -Listed 1. Zoning Requirements -Setbacks -Easements Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Footings; Size -Spacing -Marriage Line Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pan elboards-Ins. to Main in Conduit 3. Gas; MH Test -Demand -Valve -Connector Health Department Approval 4. Electricity; MH Test -Crossovers -Breakers -Clearances Plumb.; Cir. Test -Water Supply Test 5. Drain; MH Test -Fall -Flex Connector Light Niche 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Tie Downs -Type -Installation Cert. Card B-1 Date Card B-1 10. Exits; Insp.-Sketch 11. C . of Occupancy LjlPermanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Rooting 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels el - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. ti 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- Pan elboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 el - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE NO (Rev. 12/96) 1 APPLICATION AND PERMIT a� 7 ASSESSOR PARCEL NUMEER 069-200-05 ZONING BUILDING PERMIT OWNER CLEMONS, ERNEST JR. TELEPHONE SO. FT. OCC. BUILDING VALUATION 1344 R 72,576.00 . OWNER'S MAILING ADDRESS 544 LODGEVIEW OROVILLE CA 95966 CONTRACTOR'S NAME SIERRA MHS TELEPHONE 534-0599 CONTRACTORS MAILING ADDRESS 466 CIRCLE DR., OROVILLE, CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $72 576. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 518, QQZ2 $ 959-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 544 LODGEVIE Energy Plan Checking Fee $ $ PERMIT FEE $ 302.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Cy, Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15 * 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublides ❑ Installation ❑ Other X] Describe Work: EX MH PERM FND EX SITE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 t Mobile Home I S I G I W @20.00 PERMIT FEE t 50.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class Lic. No. 7C 3�b -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the ormance of the work for which this permit is issued. Er"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. jcerne�r and policy number are: My workers' compensation insurance Carrier F j Policy Number q 1_9-7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wi those provisions. X Date ? bo G L Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWEL.Ur OCCUP. SG OR ADDNS. ( 8 ACC. BLD S. 3.50FT, T. NON-REOSID. MULTI.OUTLET @7,50 8 OUTLET OWER APPARATUS CIR. 20 Ex. Occup. OUTLET OR FIXTURES SAL @':50 OWNER Ex. Occup. ourEitrs FSIDOE RA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre–Inspection PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 352.00 HAI. — I D. FEES IMP FLOOD CDF PARCEL PD HD E This permit is hereby issued under of the Butte Coun Code and/or indica d above fo ..Nch fees have By �*JILD PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. 7 / to a�v 7 IFDete ReceiptNo. 360464 $ 33 SI– Q Q WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Orovirie, California 95965 • Telephone (530) 538-7541 P m NC (Rev. 12/96) APPLICATION AND PERMIT Va / 7 ASSESSOR PARCEL NUMBER n _ ZONING BUILDING PERMIT OWNER TELEPHONE / l SO. FT. OCC. BUILDING VALUATIC:N OWNER'S "UNG ADDRESS CONTRACTO A NAME / TELEPHONE ecce s CONTRACTORS I NO DRES NCONSTRUCTIONLENDER f LENDER'S MAILING ADDRESS Fireplace ARCHITECT OR ENGINEER Total Valuation $ GO LICENSE NO. Filing Fee $ --270 —00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Permit Fee GCS— Z - $ o-0 BUILDING ADDRESS L/ - Plan Checking Fee $ W IG Energy Plan Checking Fee $ LAT NO. SUBDIVISIONS NAME PERMIT FEE $ PARCEL MAP PLUMBING PERMIT Fling Fee =o 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat um water heater 23.00 SFO Duplex ❑ Mobilehome ❑ Other Water piping 15.00 iJ. c, SPECIFY _ TYPE OF WORK Each gas water heater or vent 15.001 New n Addition ❑ Remodel ❑ UtilitiesGaspiping system 1 - 5 outlets 15.00 ❑ Installation ❑ Other ❑ Building sewer i 15.00 < <� Describe Work: ��.e°1 (Ylh Mobile Home I S I G W @20.00 i -- PERMIT FEE ! ) 1-10 ELECTRICAL PERMIT j Fling Feel -20.00 Main Service O00V OR LESS 200A OR LEss 23.00 -r C.. I• -`�� �v/i' –lv _`-'L . Main Service PGOA TO 1000A _– 466.001.001 _–. I NEW CONST. ( UWEijjNGCOCUP. sO OR ADONS. 8 ACC. BLDS. 3.5CFr. NEW CONS MULTI -OUTLET —' NON -REBID. 1 @7.501 POWER APPARATUS j�---- -SI NGLE OUTLET CIR. I Ex. Occup. OUTLET OR FDLTUREs SAL' 49 L00.50 I EX. Occup. ODUTLrrS REESID OEA 5.00 Tem2orary Service 23.00 Mobile Home Fa ilities 20.00 1 Wirin sR A PERMIT FEE S %�Y S MECHANICAL PERMIT Fling Fee 41 23_00 ®� Heating Conlin Hood _— I 6.50 Ventilation � I-- PERMIT FEI $ Mobile Home Installation Fee $ �� od Energy Inspection Fee $ '��•�,� occ CONST. TYPE FTO;TAL FEE a D. FEESLOOD CDF PARCEL PD HO ISSUE 1 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 pro 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: CI e_ t I rO hS ASSESSOR PARCEL NUMBER `tel ~ oSCJ 0 S Proposed Building Use: GX�nd GX �(FPi Counter Technician: Date: / -02— Items required in order to�apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! �❑ 5. Energy compliance design and supporting documentation in duplicate. .E�/ 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 By ❑ 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.......................................................... 0 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 ....................................... ❑ 5. Statement of Intent for Non -heated and A/C Buildings.....................................r...... (6. Sanitation and plot plan approval from the Environmental Health Department in Xl5-� l ✓L ❑ 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 ............................... 1c,ontractor's croachment Pea,,Lt for driveway frojj t e Public Works Dept. (construction approval prior to occupancy). 22e -Inspection for 10 UeV iii.•( U I I kI eS required ................ 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. Existing violatio and/or expired permits .... ....../...%k....�1�....�.............-.��'�j �u ❑ 30. ❑Grant Dee H. Title/Statement of Facts, ❑Letter from Legal Owner, 0 Check to H.C.D. $ 0 ❑ 31. Other: When issued Telephone t and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: // Date: 1U 1. Index permit application for the above items numbered: —✓ P-��►i Plan Check Letter �5 02 # -42. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owng, was advised of the abve Tta by ❑ phone, ❑ mail, Elcounter, by Date: Plans reviewed by: Date: Plans approved by: _ i Date: b2 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 24 -Jul -2002 2002-0037951 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. ERNEST D. CLEMONS JR. REAL PROPERTY OWNER/LESSOR 544 LODGEVIEW MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS CITY COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE Zip 02-1827 (530)538-7541 BUILD PERMIT NO. TELEPHONE NUMBER 7/22/02 `SIdNATURE OF LOCAL AGEN C DATE NONE DEALER NAME (Knot a dealer sale, write "NONE-) NONE DEALER LICENSE NO. UNIT DESCRIPTION FLEETWOOD 1986 SANDALWOOD MANUFACTURERS NAME CAFLSW2A/BG271707004 DATE OF MANUFACTURE 56 X 24 MODEL NAMENUMBER CAL333330/1 SERIAL NUMBER(S) LENGTH X WIDTH ABEL NUMBER(S) REAL PROPERTYLEGAL DESC DESCRIPTION A.P.INSIGNIM ASSESSORS PARCEL NUMBER P # 069-200-056 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. BUILDING PERMIT NUMBER: 02-1827 Address or location of unit: 544 LODGEVIEW, OROVILLE, CA. 95966 Legal Description of Real Property: A.P.# 069-200-056 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: ERNEST D: CLEMONS JR. Owner's address: 544 LODGEVIEW, OROVILLE, CA..95966 INSIGNIA OR HUD NUMBER: CAL333330/1 SERIAL NUMBER OR V.I.N.: CAFLSWA/BG271707004 MANUFACTURER'S NAME: FLEETWOOD YEAR: 1986 OFFICIAL APPROVING INSTALLATION: DATE: 07/22/02 PHONE: (530) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P.# 069-200-056 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 128, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 26, 1974 IN BOOK 43 OF MAPS, AT PAGES 44, 45, 46, 47 AND 48. Ulf z4/LUUL ic: of 73U0f f00 V7, S1tKh'A I JUl 23-02. 11:$6A Kar ROlfa.►"ts 916-863-382 s h''�we N,e 1!4.14 y/Xr.w•r, N4,orpri !Karen Roberts Empire Mortgage : 5150 Stinrise Blvd., NG I .Fair Oaks, CA 95628 (916) 80 1t $11 (4/6j 863-381: �.• July .23, 2002 Aar: 1901 Reil n�a>'Yllt, .(A 95966 d)enr Bilk Ahm'. If. • and .VOirfey A. Uo&fOn are pre -approved for a. ccvhvenfionol oral a we Anny. !At opprmv!•rrs sub jerr to final umdenrridng apprm'al fiam W„dcnvriirinx' including an oPp. ralsul t✓firth form W frrpj� gybe opproprirde e4marp ornery repnrding, per»r'io, The ntiu a4a>rr ioill hr p/rr;pg nfjr the r a.rwOwf lien holder in fall at rinse of evrrr»v. :Rknuld yrs4-AA01ul,nNy gUWi*MW. pinn.ro food f os fu opnffie l rue. :.Sin�crcly, i ' isrtn Rnj►erts .• ' 'Goon WrIcer f r,_ 02 Since 1913 CHICO $00 Wall St. PO Box 5173 Chico, CA 95927 (530) 894-2612 FAX (530) 894.0713 July 11, 2002 RE: 203538 UROVILLE 1835 Robinson St, PO Box 811 Oroville, CA 95965 (530)533-2414 FAX (530) 533.1589 PARADISE 7126A Skyway PO Box 490 Paradise, CA 95967 (530) 877-6262 FAX (530) 872-5129 PROPERTY 544 LODGEVIEW DR OROVILLE CA 95966 TO WHOM IT MAY CONCERN: GRIDLEY 560 Kentucky PO Box 949 Gridley, CA 95948 (530) 8464005 FAX (530) 846-0584 THE ABOVED NUMBERED ESCROW HAS BEEN OPENED WITH BIDWELL TITLE & ESCROW, AT A SUCCESSFUL CLOSING, WE WILL BE PAYING OFF THE EXISTING DEEDS OF TRUST AND LEGAL OWNER. SINCERELY, CBR ISTY L E ESCROW OFFICER 1835 Robinson Sc. PO Box 811 Orovillc, CA 95965 Phone: • (530)$33.2414 • rox: (530)533-1589 " terL�ed (cev. OT�f o�g8f T06 619 'LAN GoL.op2S E- �n-i i nomn -1-11 T I 1-1=lMfl T A nG : T.T ?GtG? i T T iJ M JUL-19-2002(FRI) 07:13 LAKE OROVILLE REALTY (FAX)530 589 4919 P.002/002. r, 07/17/2002 12:22 5308776875 SIERRA PAGE 02 . i 'i STATIOF CA.I.iFORMA nusINF-IS, TRAN5P0RTA-n0N'ANb ROUSING AGCNCY car-. l7llrPaR7T►iE?4T OF HOUSING AND COMMUN17N. DtVELOPMENT • �. , .•i bNBION OF COI)Fs.AND STAN -DARDS , '+ Rl~GIS7RA710N AND MtING PitOGRAM A., STAMM1e,,N'T OF FACTS 'I'hiir ustit is*.(; I�lobilehote [� Commercial Coeah.Floatin & Horne❑ TNCk Qmpe I�eca!':LirMctisc) IVo.(a). 7"rade Name SerialP+Io.(s) LANZ'i,8 t SA(VDAi_1JOQD CArLSW2AG27I707004 CAPI 5W."RG97T7n7nna und0signed, hereby, state: Decal;. i , LAH-7188 for s the above, mo>a1lihome '.}las been lost. Wk-;Nk-her'a9reelo indemnify aqd save harmless the Dircctor'of•Housing and. Community Development, Sts of--Uifornia..,and.subsegt1cnt purtthascrs ofsaid-unit, for 'slay loan they may suffer resulting from registration thea iye-dcsr.ritied' unit in.Calitgnis, or from issuanw of a California certiCcitc of title covering the s$mc I/ft ccr'.ity under penalty of perjjry that the foregoing is true and correct. {mate} (City) • (State) i A AAr.ot e , . Printed name(s) R° ..,,•';ANG RZOURSIRD BY FIDELITY NATIONAL TITLE CO. RECORDING REQUESTED By Mr. Ernest D. Clemons Jr AND WHEN RECORDED MAIL TO: 544 Lodgeview Drive Oroville, CA 95966 ,y5 IIII Itl 111 I IIII I III III IIII I II I IIII Z0m0—mCage 4-716 Recorded Official -Records CoBU TEf , CANDACE J. 6RUBBS Recorder ROSEMARY DICKSON Assistant 02:MM 30 -Jun -2000 REC FEE 10.00 Maureen page 1 of 2 Above This Line for Rct;order's Use Only A.P.N.: 069-200-056 Order No.: 4265139-40 Escrow No.: 7962-KLE AFFIDAVIT - DEATH OF JOINT TENANT/SPOUSE 1�0 STATE OF CALIFORNIA, } } COUNTY OF Butte } ss. Ernest D. Clemons, Jr., of legal age, being first duly sworn, deposes and says: That Jan Clemons, the decedent mentioned in the attached certified copy of Certificate of Death, is the same person as Jan Clemons named as one of the parties in that certain Grant dated May 16, 1986 executed by Peter F. Carr and Maryon V. Carr, Husband and Wife to Ernest D. Clemons, Jr. and Jan Clemons, Husband and Wife as Joint Tenants as joint tenants, recorded as Instrument No. 86-16726, on May 29, 1986, in book , page(s) , of Official Records of Butte County, California, covering the following described property situated in the City of Oroville, County of Butte, State of California: Lot 128, as shown on that certain map entitled, "KELLY RIDGE ESTATES UNIT NO. 3", which Map was filed in the office of the Recorder of the County of Butte, State of California, July 26, 1974 in Book 43 of Maps, at pages 44,45,46,47 and 48. That the value of all real and personal property owned by said decedent at date of death, including the full value of the property above described, did not then excee a sum of $. __ Ernest D. Clemons, Jr. Document Date June U. 2000 SUBSCRIBED AND SWORN TO before me this % day of JT t -&4e Zy�pO d Signature �' 1/. (This area for official notarial seal) CHARLES H. FROST koT�MM.Ii{lplon9Na V' C��f Det. zoom" f4• 0171 09754 a COUNTY OF BUTTE 18 COUNTY CENTER DRIVE, SUITE 8 OROVILLE, CALIFORNIA 95965 CERTI I—- OR DEATH 3 19 9 80 4 000235 _ I R M twHO F fTAI[ .IL[ MVrt[r W .LAC• .wa ewl•rrt .Y Wwtt. arN//[WTt W KrtA•tbw• .DeA. ..e N•YA•IOw row D{t 1<o Thls is Io certify that the attached is a true and correct copy of the vital record which is on file in this office of which I am lapel Custodian. Ave *r , DATE ISSUED 0 2 0 9 1998 MARK A. LUNDBERG, M.D.• M.P.H. HEALTH OFFICER This copy is not valid unless prepued on engraved border, displaying the dwe, seal and signature of the County Health Officer. . `� ]. w II..rrr r ,�Cj Clemons rarltn t� ,l fin f. •Ol •[• � Nn s:l T, pA,t OI OMTN rwrD D/cc♦r [.MOW 10/24/1944 53 ; 1<o Thls is Io certify that the attached is a true and correct copy of the vital record which is on file in this office of which I am lapel Custodian. Ave *r , DATE ISSUED 0 2 0 9 1998 MARK A. LUNDBERG, M.D.• M.P.H. HEALTH OFFICER This copy is not valid unless prepued on engraved border, displaying the dwe, seal and signature of the County Health Officer. I. r... •• D,•,NnryrYr .O+r•wl ]. r•.•u ]. w II..rrr Jal Nice Iren• Clemons ..... O/Ynw YMIOOrCC •r f. •Ol •[• � Nn •. ti, T, pA,t OI OMTN rwrD D/cc♦r [.MOW 10/24/1944 53 ; O[C[D[N• [• ar•T{ W YnN Ia. aCI {LCUa1n ,10. 11. Yr4•A.I Yt•rCf I1. YartK aTA,u• 1]. a01KATgN--TY[( COrR[iL0 ►a..ONAI oATw OY 573-58-4066 El•n ND144rcied 12 1.. fAtt IL wlt.—•wCIF If. YwK (YIIOYtw Caucasian ❑ •c. la Self IT. ocCY.•TIOw Homemaker It..IrD a DyYrLw• Ovn Homo 10. •Y{• Iw OCCWAnOw 30 ]O. YNMrC •-••wan A,q wYN{/. ow LDLATgw u•VAL 544 Lodgeviev Dr. D[•10[Nc[ V. cl••u colw•rr y.. n. CM• as. 4• Ir cOYr•r sa •TC a rttaYr CouMn Oroville Butte 95966 26 CA St. !—...OATgN•wV [7. YA•JYt AsP0_ 1a1.,n w —_ r a{r awr{ rrr.a4 Orr s w. •r.rS >AI INIO.YANT David Clemons, Jr. - Husband 544 Lodgeviev Dr., Oroville, CA 95966 ]L w or W.M•IrO •w Y•[ -Irl•• 10. ref DLl a0. 4•T hubs. rAY[I • Ernest David Clemons, Jr. trous[ wND at. NAr( or rrNaw-.n.n n. YgwL ». un • - a....n ..nL ►wD[rT •Yrosrwnor Jack John Dias CA ae. r..11. or rmraLrl.•T at. rloau aT..AL• ,ruo•wl at. ,r.. n.n Kathlyn - Curry OK t. DAT. r r , D o. c c • • La rota o. nrK .nro•ngr ea.otmorlal 02/04/1998 Memorial Park Cenet• ry, Oroville, CA 95966 L1. nIt OI rt/OMTIOWr N. WIY1N.• t1 frtw,rtL W. LKaw•[ 1,0. . /VN[rwL Lu1lte.ew BU 7563 AMO LOCAL M• wAwt 0I TNrt11AL DI 00 ••clsT•wD 4 _ `% �0 02/03/199814 101. RK[ O/ O.wM le•. N rMRfl., ttKl•• •,� . nta,Ir aTlq w.r1Tr. IOL. Court• .L.CL o• Oroville Hospital ©,. a1Lw Dow �;;.;. ❑�;•• ❑o«... Butte DawTN los..•.an .awu►-tT.L[. ..o wr•u ow we..low lOt. cm 2767 Olive Hvy. Oroville IOT. oa•rw ..• eAuttD tTr Iarro oar ew. eA,1tt n[• Lr,t b • 4 Aro w rra YNnr los. DtATr .tlolltu q to•OIIY wlYaat ow. 1 Ircrith IYr[wwn cAut. 1w1 Respiratory Failure , "` •" 15 ,a. row• Isa/o.11ao v.. ❑ out To 1.1 Non -Hodgkins Lymphoma, Lar ll Ce, StageNe III Ile. w+ow• ...... cwut[ or out To IC) Tu Ne DtwTN 111. N0 . D[n{r„L cu•t •a. O Me out TO lel ••OYw r IL OTra. twwwlCAwT CDwOnrOr• COwT.IWnM b DtAA rut rrT .tMTaD A t+uaa • w �r IN None 113. r•• ow{•now n.roar{o w..r• cowD.aDl. Ir rttr Im o. ntt P, •.L un nw w Dra.Arrow •wD own. Core bio.sy of anterior mediastinal mass 11-08-1996. 1 /{. I c..N/• Tyl TO Ir( ta•T w n a.o•a IIs. bYTY.t •r• tTTu o/ C Tln{D , I L ,K[N•a N0. 111. e•Ta --c c C cur•■ tacaan •Tn•en .ret �at.D+un,tt: :uw 02/03/1998 ri[•ITIIr1CA• •OrCG T• � ttILL1• ItL ITA At.tIA1 Lat•tYnrt W ADOD[K LII 03/03/1992 1 01/31/1998 Nathan • R MD 2721 0 ' (trn.• 1fYT Ir w MD,oN Dtwltl 1.0. Y•111.• Al w� 111. Ywr• dr Y r / • [, c a • • 1... tell, 1- n.ALt or ruurr OCCY.MO AT T1y Now, d1. ADD .LACI rno •.Dr Twt cw•[t t•ATta 111. r•wwlt or Dt•TN •V YO 1]L. O.KMt rMN DLrIR OCCWMD •t•INTt rNltw .LWL1fD IM IN/y.rr ❑ N..N..L 0.1.[q. ❑ Ne.crD. eo.ow[D•f Itw•ND ceY.D •o+.a �•C<gaMOr.•a V1[ DML• aArgr YrrtO It . —Arrow •{TD[n •,q rwta. a• locnTgr •w0 cm• al•I I YI. ab WTY.. or C—.D O. O.N•• C0110w.• I]1. MA YYOef LT/ IL. nND .AY[. TIRa OI cO.w{w o. D•NT• COtOr[. • •TAIL • C O [ / IAY AYTN. • [r C[Yf 1t ACT .t01.1.A.I• 12-7 1438 1<o Thls is Io certify that the attached is a true and correct copy of the vital record which is on file in this office of which I am lapel Custodian. Ave *r , DATE ISSUED 0 2 0 9 1998 MARK A. LUNDBERG, M.D.• M.P.H. HEALTH OFFICER This copy is not valid unless prepued on engraved border, displaying the dwe, seal and signature of the County Health Officer. STATE OF CALIFORNIA • BUSINESS, TRANSPORTATION AND HOUSING AGENCY GRAY DAVIS, Oovsrflo/ DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT' Division of Coda and SUnduds .,a,• err q Title Search Date Printed : 07/09/2002 Decal #: LAH71.88 Use Code: SFD Manufacturer: 09534 FLEETWOOD HM INC OriRinal Price Code: AHW Tradename: SANDALWOOD Rating Year: Model: 3562L Tax Type: LPT Manufactured Date: 07/01/1986 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 07/23/1986 ILT Exemption: NONE Serial Number HUD Label 1 Insignia Length Width CAFLSW2AG271707004 CAL333330 56' 12' CAFLSW2BG271707004 CAL333331 56' 121. Registered Owner: ERINEST D CLEMONS JR 344 LODGEVIEW OROVILLE, CA 95966-3948 Last Title Date: 11/20/2001 Last Reg Card: 11/20/2001 Sate/Transfer Iufo; Price S.00 Transferred on 02/20/2001 Situs Address: 544 LODGEVIEW OROVILLE, CA 95966-3948 Situs County: BUTTE Legal Owner: AEGIS MORTGAGE CORP 6256 GREENWICH DRIVE #550 SAN DIEGO, CA 92122 Lien Perfected On: OV20/2001 11:09:23 Title Searches: BIDWELL TITLE 1835 ROBINSON ST P 0 BOX 811 OROVILLE, CA 95965 Title File No: 203538•CH * * * END OF TITLE SEARCH * a * " r t : PRE -INSPECTION REPORT OWNER CsI�P l'Y► �iYl.� <, f R , C�����f DATE -2- /6 -CS Z LOCATION: , /-L©C e -Q t _�n'(00-Aln AP. #•�� - -(��/ r /Ve� ^f.168CUX6 CONTRACTOR f� J < o 0'- ZONING: PRE-rKSPET10N FOR. P ( M DATE TO INSPECTOR: PERMIT HLSTORY:( ) NONE (0 -AS- FOLLOWS: BUILDMG INSPECTOR'S REPORT BuUding Description: Conunwcial/Usage: Residential/11 of Units: Currently Occupied Abandoned/Vacant Electric: Yes a No Electric currently On Off Condition of Electric Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working_ Potable Water Obvious SewageProblems _ comments: ACTION RECOMMENDED: ISSUE: HOLD Inspector. '3,/ z Date & l - Sketch buildings on reverse and indicate location on p'ropert. � 91 lo., EANCO- D CLEKON-S V S44 LAOOI�LE (A '7516 E89 - 1435 06Ci - ;Lao - 5C A i,. F- I : 10 MEN 7 r Phi` a ETT BU E UOUNTY BUILDING DEPARTMEW APPS E.D MOBILEHOME SUPPORT DATA If, —that; than single wide, Mobilehome Mfr. �� � ��r�/) furmish Setup Model No. 5-C • Z Z— "Yr Width 24 Box Length_5�O(ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structuralsetupsheets (if not on file with the County of Butte). FOOTINGS (check one)U 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)Concrete block. F]2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams Linesi.ine 2 ♦ tine i --- Line 2 Main Beams — — — _ *-JAB" 2 Line 1 --- — — — — — -- — 4 -Line Tag or Triple — — — — — —' — — — — 11ne Line 1 Line 1 Piers: Size -Min. ------------ Spacing-Max ----------- " Spacing -Max, --------- From Ends -Max.------- Line 2 Piers: ^� Size -Min ------------- Spacing -Max.--------- From Ends -Max .------- �_ d Line 3 Roof Loads: Size -Min ----------- x3Qn „xjpo Location (From Front) C5- n / .', V7. Size -Min, ------------ 'k Spacing -Max.--------- , ti From Ends -Max .------- Line 5 Roof Loads: Size -Min .------------ -- "x "A Location (From Front) IIx 70 „ 36 k30 Line 1 Openings: Size -Min, ------------------ k n Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- IIx ,1 Spacing -Max,--------------- , „ From Endo -Max .------------- 30 ux nl ,k nl ,!x u1 -- , ,_ e *) Piers: (Unaer Bearing Walls only) Size -Min .------------------ ,4 „ Spacing -Max.--------------- ,_ n From Ends -Max.------------- VECTOR DYNAMICS FOUNDATION SYSTEM WIND ZONE 1 & 2 INSTALLATION INSTRUCTIONS For the State of California INDEX SECTION INTRODUCTION PIER HEIGHTS GENERAL INSTALLATION SET-UP INSTRUCTIONS METAL PIER & V -DRIVE PARTS LIST CONCRETE INSTALLATION SCHEMATICS PAGE NUMBER 2 4 5 & 5a 6 7, 7A, 7B&7C 8&9 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 18 COMPONENT PARTS AVAILABLE UPON REQUEST Foundation System _ -Otr-Z—`$a7 BUM COUNTY BUILDING DEPARTMEW' APPROVED Release Date 8/13/2001 Engineer Approval f A Z C �7 e(j ; U. 2570 I Fes/ I�Ac.THA�a�e'-a��l��iassl I SUBJECT TO CO R_':7::CTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMETi-S OF APPLICABLE STATE LAWS AND REGULAT:J::S State of California Department of Housing and Community Devcicprcnt STANDARDS Ix 9-/°'C/ NO. C? 2 — / � Plan Approval Expires 2 1 D' 9-2; . For Further Information TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta, GA 30336 404-344-0000 FAX 404-349-0401 www.bedown.com lie 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 I • 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 II • Maximum single section home width is 15 ft. 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. c Page 2 California /2001 56 i ma Maximum Pier Height (Wind Zones I & II only Figure 7 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 rrgure z 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 Califdrniall� /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 TIDE 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 per 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 N001 Set -Up Instructions for the Vector Dynamics Foundation System #59007 (Kit #59007 is interchangeable with Kit #59018) 1. SET VECTOR FOUNDATION PADS Long snort Short \ U -boIt Clear all loose vegetation from the immediate U-bott area where your Vector foundation pads will � rest. Press or hammer pads into the ground. =� Tip: Place a 3/8" nut on each U -bolt to keep it in place while you position the Vector pads. 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 Califomia 001 Set -Up Instructions for Vector System #59018 (Kit #59018 is interchangeable with Kit #59007) Long U -B C 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. D 1 0 0x 1 � y 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 /2001 Vector Dynamics Metal Pig • : arrifrs;, For metal piers, place the piers in the center of the Vector pads. Set the single 4x4 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 - 4x4 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 start (#59043) and PVC Schedule 40 pipe are not permitted to be substituted for lumber when using metal pier stands. V -Drive System Installation: for rocky soil 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 I, 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 -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook, 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 nW 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. i Page 6 California `8/2001 Vector ® Foundation systems ector namics Component Parts List Part #'s included: 59310, 59288, 59135, 10925, 59279, 83044z, 59232 & 59732 Part #'s included: 59275, 59282, 59276, 83044z & 10999 Vector System 2000 Kit # 59018 Single.piece pads with straps and slotted bolts Vector System Kit # 59007 -------------------------------------------------------------------------------------------------------------- . e ee e Concrete Vector System _ � Kit # 59008 (for single stack blocks) ®0 0 ®0 0 CD, Part #'s included: 59277, 59282, 10530, 83044z, 59279 & 59232 Part #'s included: 59273, 59282, 10530, 83044z, 59232 & 59279 Concrete Vector System Kit # 59006 (for double stack blocks) Page 7 California Vector Dynamics Foundation Systems Component Parts List Vector 2000 3 Sq. Ft. Pad Part # 59271 1 required with 59026 Longitudinal System 2 required with 59024 Lateral System ® e 0 Part #'s included: 59281, 59288,10925, 59232 & 83044z ® O ° ®_.D ®o a ®o 0 Part #'s included: 59269, 59113, 59282 & 10999 Adjustable Steel Compression Strut P/N 59043 Or these products available at your local hardware store cess��e t<eatedl y 4 lP , ea, 4 59 O� 2ea2x QOQ�GQ\Qe SGrp-&A- A° 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 California/2001 Vector Dynamics Individual Component Parts Detail Vector Dynamics Single Block Pad ° e Part # 59275 1 Sq. Ft. 12 gauge, used in pairs 16-3/16" X 9" x 2-9/16" ®0 0 5 05 0 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 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 Slotted Bolt Part # 59282 Part # 59135 6.25" x 2.52" x 3" m 3" x 5/8" Vector 2000 Tension Link Part # 59288 Long U -Bolt w/Nuts &Washers Part # 83044Z 2.125" x 2.375" x 2.06" 3/8" x 4" (16 Threads Per Inch) Concrete Wedge Anchor ® ® Short U -Bolt w/Nuts & Washers Part # 10530 Part # 10999 3/8" X 3-1/2" Lj 3/8" x 3" (16 Threads Per Inch) o Protecto-Strap Carriage Bolt w/Nut & Washer a Part #59276 p Part # 10925 6.3" x 3.3" x 7/8" ® 1/2" X 2-1/2" Strap Protectors oa Protecto-Strap Part # 59232 Part # 59279 6.3" x 3.9" x. 7/8" 0 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" 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' 0 59736 16' Frame Tie w/Hook 8 ft. P/N 59195 Earth Anchors 10 ft. P/N 59210 o _ 12 ft. P/N 59211 x 0 Longer Lengths Available 30" x 3/4" with 2-4" helix Black Paint: Part #59095 Galvanized: Part #59079 Earth Anchor Stabilizer V -Drive Head' 12" wide Part #59269r:;k< Black Paint: Part #59292 ,r Galvanized: Part #59294 o ® Drive Rods=;' e ® o Part #59113 1 Vector Dynamics System for Concrete Applications ctor Instructions for Vector Kit #5900$ (for single stack blocks) or Vector Kit #59006 (for single or double stack blocks) t 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 must 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 the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two 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. Vector p for concret ►ter,- ad ,'r= Concrete footer Page 8 Wood Cap and wedge Outside Tension Bracket edge c California 8/2001 Vector Dynamics System for Concrete Applications .Pr Instructions for Vector Kit #59008 (for single stack blocks) ector or Vector Kit #59006 (for single or double stack blocks) 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. Tum slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration Two Inside Tie Bracket Compression boards Vector pad for concrete Concrete f c U -bolt Page 9 9 California 6/2001 T (v (Q CD C) WIND ZONE I 1 Vector Dynamics Systems Required for Single Section Homes (Materials Required) I � ome ot;on h s steR`s, ` of a l 2 �a; sp a�ome f o manna �Xa(nP5ho\Ns 9e,st be to h - =lustfat;o s ac;n9 and P as ' ' f oundaiton Pa I \ I v WIND ZONE I o (not to scale) 7 w' 00 C) �2 sq. ft. pad 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 K'2 Engineering test report. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": 30" with 4" helix anchor (59095),12" stabilizer plates (55292), 1-1/4" frame ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side 0 to 72' 3 2 73 to 90 4 3 * Anchor and stabilizer plate combination Each Vector Foundation System requires V One \kctor 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 TDE adjustable steel strut -c WIND ZONE I _ I Vector Dynamics Systems Required SinSingle Section Homes J g Difficult Soil Conditions 2 {tsal ga�oroe deGnes sedloosjsen tmau a spg\elot llatton insa o9eso\10Mnsutb- I I , ttludsst aid spactn9 I Foundattoa pa ' - 2 ,nax.tyP 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 oatsistent with home maMachrers' itstdation Per Side Instructions "or state requirements. Maximum allowable working drag load for the Vector System with the steel 3 compression strut Is 3,150 pounds per Soil Classifications: the K2 Engineering test report. 2, 3, Soil Bearing Capacity: 1,000 PSF minimum Anchors Required': "V" Drive Anchor, Part Number 59269 1-1/4" frame ties w/4725 lbs. min. breaking strength. When using "V" Dr7ve Anchors Home Length Vector Systems Anchors Required Each Vector Foundation System requires • one Vector Kit, 2 "V" Drive Anchors, 4 slotted bolts Required q Per Side • 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 73' to 90' 1 4 1 4 • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member (center compression member onl ) Y • or 1 TDE adjustable steel strut * "V" Drive Anchor, Part Number 59269 • 2 ea. 2x4 pressure treated wood for "V" Drive Anchor connection. Note: PVC pipe cannot be substituted for wood on the "V" Drive Anchor connections. N rO CD N v _3 W Metal Pier Sets ZONE I - Vector Dynamics Systems Required for Single Section Homes Up to 72 ft. (Materials Required) _ -' ::.--'' home 5. �i0es• 1e sed%oc °r sjste%n \guide - _"' 1e 0 ?� ra $1 a91 mors 11 t'Oom f a � sP a EXamps00\Ns 9eust be to o 111usrat�dspaG`n9R' _ 1 oundation pads - _ � . 1 _ ax EYP• 34 f< max o c.tyP Soil Classifications: 2, 3, 4A, & 4B 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 7llAlC 1 or 2 ea. 2 x 4 wood compression member _a v„.... ry., S� Home Length Vector Systems Required Anchors Required Per Side ' 0 to 72' 3 2 73' to 90' 4 3 - Hncnor ana stabilizer plate combination NOTE: Vector Systems should be spaced as evenly as is practicable along the length of the home. Of DOWN FfIGINffRING' N M W a N C C .1 ' 1 WIND ZONE I Vector Dynamics Systems Required _ - _ - - - "ie sectio o" m an�a1 g�1ae,`nes 1 , for Double Section Homes _ _ " - - - " " f a it dpa e- 2 orb n9 of ta11a °� m ` ♦ 1 \, (Materials Requiredl - - EXamPsho s ge�stbe to "Om 111aatratlo a6n9m__-,. I ' 1 \ 1; 2R.m , -- \ max, o.c• F 44 � >I r . - 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 a: is practicable along the length of the home. Pier spacing must be consistent with home manufacturers' Installation Instructions and/or state requirements. Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: None (marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required 0 to 48' 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 TDE adjustable steel strut TIE DOWN urrunramc r7 O 3 N Co N O O WIND ZONE 1 Vector Dynamics Systems Rel for Multi Section Homes (Materials Required) Solt Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum uiredoD rQrt>.siems• �idetines• � . I ♦ ♦ Vect0 o ymanual a,h me Inslalla n ,amQhows m�stbe ` 1 (1laasradd sPao`n9 1 . ound0on P . , lFo - I 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. pad 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 (4725 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 f/E DOWN 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 76' 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. pad 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 (4725 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 f/E DOWN WIND ZONE II (Hurricane) Vector Dynamics Systems Required y , for Single Section Homes - _ _ - - - - ' " " " " - me s. n ho ms• eline , (Materials Required} ': _ - -' ' - " " ft s�n9�e fodvecaoton toanua� 9utd ' - - - - - 1e of a erg tat spate me insta\\�` _ EXamP hows 9 must be to 111usstat�d spacln9 to - - - - - • ad aoun- ' t dation P - - CD Cn WIND ZONE II (not to scale) \2 sq. ft. pad/ "NOTE: For single section homes 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 3,150 pounds per st report. compression strut is Soil Classifications: 2, 3, 4A, & 4B the K2 Engineering to 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 Side " 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 2n.m ax 1P- 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 Foundation 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 SCH 40 PVC pipe compression membe • or 1 TDE adjustable steel Strut 0 lv O 3 N 00 N 0 0 WIND ZONE II Vector Dynamics Systems Required _ _ - - " " 0 %, m for Double Section domes _ - - - - " e Secklo t sys eua; guide�ine� (Materials Required) " - _ - - - " " " of a 72 ft do" a �m 1�sta batt°n ma� " " \ 1 1 " koust" "d° spacing m ds a f-oundg%or\ 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. NOTE: Vector Systems should be spaced as evenly as Is prat the length of the home. Pier spacing must be consiste manufacturers' Instructions andlor state requlremenle Soil Classifications: Soil Bearing Capacity Anchors Required': 2, 3, 4A, & 413 1,000 PSF minimum 30" with 4" helix anchor (5905), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side' 0 to 48' 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 bolts • 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 TDE adjustable steel Strut 1 T v co CD 0 R O N� WIND ZONE 2 Vector Dynamics Systems Requiredonm 3 Section Homes010 k be toon mos (Materials Required)ound Maximum allowable working drag load for the Vector System with the steel compression strut Is 3,150 pounds per the K2 Engineering test report. LTINNICNePLWI' 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. sq. ft. pad Soil Classifications: Soil Bearing Capacity: 2, 3, 4A, & 4B 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' Materials: *Anchors Required: 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 TIDE adjustable steel strut t 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 Very dense 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 4B 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. Page 18 California 8/2001 y Temp. Power. Pole Called PG&E .Temp. Elec. Se Called PGI Temp. Gas Sen �. Called PGI JOB FINALED Signature L QK , 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES PISCELLANEOUS Date MOSILE'HOME UTILITIES (Plans) OK except #'s Date DE ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements Zory'a(f-Requirements-Setbacks- Ease men ts 2. Soils; Special MH Support -Sketch ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete ,� �. ks; Girders and/or Joists -Decking -Bracing -Stairs -Fails 4. Water; Location -Test -Easement Needed (Sketch) 4 Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing .5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG _5_Atw►- Awn -CoMmns-Con nections-Splice- Decal-Encicsures 6-Qw endows' -Doors 7. Utility Clearance .Z.-F,4ee. G,-19_frmg; Sills-Anchors-Studs-Rftrs-Trusses rS ,Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -81 Date 9,6. Roof; Shthg-Roofing Card -131 Date Card -61 Date 11. Ext.; Steps -Doors -Landings Date MOSILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date i2r and -B Date 2. Footings; Size-Spacing-Marriage,Line Card -1211 Date,,,!ys- 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 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Condui- Card -131 Date Card -B1 Date Card -1211 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date = OK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDEAFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ , /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -81 Date Card -131 Date Card -81 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -81 Date 66. Stairs & Rails Card -131 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic 0 Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Cl Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 80. Stucco; Brown -Finish Card -131 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -61 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT ER IT NO. f ASSESSOR PARCEL N B R ��� ZONI r BUILDING PERMIT OWNER Zv TELEPHO SQ. FT. OCC. BUILDING VALUATION - ZZ Q OWNER'S �M+-ILIIN/JG• ADDR 5,,��fjZ CONTRACTOR'S NAME ,MAILING TELEPHONE - CONTRACTOR' ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is U Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ e 9 50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 00 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 pas water heater or vent 5.00 USE OF STRUCTU E SF ❑ Duplex❑ Mobilehome❑ Other /1/ SPECT Ff Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10-00 ea TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other El Describe work:/ CE i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 j Main service e00V 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): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. ense 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 OCCUP.61) OR ADDNS. ACC. BLDGS. / , /20sgft NEW CONSTR. 1 TI.OUTLET _NO N.RESID BRA CH CIRCUITS) 2.50 ea POWER APPARATUS e\ SINGLE OUTLET CIR. / Occup(OUTLETS OR FIXTURES Ex. Occu 200e0C eAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.)11 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 onsent to Self -Insure. 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 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. also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue against sai unty in consequence of the granting of this permit. �( X � .� Date � ' � — �v ' Signature of Applic nt - 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 $ o OC cup. CONeT.TYPE JSCH0OT1;JPARPJ P11all This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees E TOR BLIC By PERMIT EXPIRES Date the applicable �rovi- resolutions to do have been paid. WORKS Q D ^�--92- Receipt No.—/. - 95i WHITE-O.P.W.. YELLOW-AEOL000R, PINK -INSPECTOR. GOLDENROD -APPLICANT v> � '..✓'� < .—;. �... _.-.,,,.1. .;,r ,'xHrcr +.. :'. tyj{x..=.�1":,.'.+'[t"[y,L,[ ,� .:7lfi:=..1�;. � .sF � . 4 . , - Eat wsw''•,. �dt ., r ,q 6�/r� COUNTY OF BUTTE - DEPARTME.NT, OF PUBLIC WORKS- BUILDING DIVISION ti 7 COUNTY CENTER DRIVE - OROVIL`LE CALIP;,�ANIA 95965 - TELEPHONE: 916/538-7541 y PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. e-� f Proposed Building U96 �°,6-l) r.��N.� Building Inspector Date f At time of permit application, I was advised the following data must be submitted prior to permit processing and:/Or issuance: DATE RECEIVED APPROVED C1 ,1. All items.have been submitted. . . . . . . . . . . 2.' Plot plans in duplicate./triplicate, signed by preparer of plans. . 13. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑,) =15. Improvements may be required. . . . . . . . . , , , 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to. (Dace) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. 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 rr App Iican tv�� Date 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---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone—mall—co unter date Plans checked by Date Plans approved by Date _4 • % • �� Sets of plans on hold in File cabinet AP folder Coov—DPW 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) V05 2. I (have/have not) v P 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 x,114 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 Security Number , 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. t PERMIT NO. 1648-86P,E(MH) PERMIT EXPIRES —02 3 r`, OWNER ERNEST & JAN CLEMONS CONTR. Doyle Carter Enterprises ASSESSOR PARCEL 69-20-56 LOCATION •'dam Lodgeview Dr, Oroville e e OFFICE COPY Address J-194 40 GAS Meter By Date ELECTRI� Meter By Date 7 Pl j i Temp. Power Pole r Called PG&E % �1 Temp. Elea. Service Called PG&E �� • + Temp. Gas Service Cal led PG&E JOB FINALED (Date) *;'1112--1–// 4�6 Signature I: NOBILDiOME INSTALLATION ACCEPTANCE* COUNTY OF BUTTE - . . DE ARTMENT OF PUBLIC WORKS — 7 COUNTY CFENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. C Address or location of mobi lehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N.— Year of manufacture a (Oificialtpf�raving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. rp COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and El I iott Road, Paradi se — Phone: 872-2961, Ext.- 57 CORRECTION NOTICE 'OWNER 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. f/0 C', I a >( GC, K221 r Inspector Date -7 Aw I COUNTY OF BUTTE DEPARTM&t-'OF PUBLIC WORKS 196 Memorial Way-,, Chico — Phone: 891-2751 7 County Center D ve,'Oro�ville -�---Phone: 534-4541 Skyway and E I I iott Road. Pari6i.sb — Phone: 872-2961, Ext. 57 CORRECTIO-N-NOTICE A 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 pertaini ng to this matter, or%need additional explanation, please contact this office immediately. M04- M. Inspector- (—- — Date— 7 1 / -C — 7,6 J = OK 0 = Not -OK. w - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 2. Zoning requirements -Setbacks -Easements Ftg':;`Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2texits 3. Ftg.,'Garage; Soils -Steel- / /" Ftg: Depth � 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig:', Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6.' Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh-Drip-Screed-Fdn. Vents-Underflr. Access 7 Piers -Fireplace Ft .-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts _ _9. Gas Pipe; size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date (FINAL (Plans) OK except q's N56. Ext. Steps -Door & Sidelight Protection -Landings - Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector Gard -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection D.W.V. Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors Date _Card -BI Date Date -� Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 1 63. Fireplace or Stove; Clearances -Hearth j 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B-1 Card B -I _ 20. 21. 22. 23• 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Coo or AI-A.C. Wire Size / / ga. Cu or Al _ Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral _.Yes _-,No _ ___�_ Service -Riser Conductors & Ground-MainDisconnect_ - - Equip. Clearances: Panels-Motors-Mech. Equip. _ Clothes Closet Light -Shower Light - - ---. __---- ------ Date Card -BI Date -_ - Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic 0Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl '-tole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 75. Following instld.: Drive ❑ Yes E) No; Walks Ejj Yes ❑ No; Planters Dyes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. 83. 84. Glass Protection _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Date MECHANICAL (Permit) OK except N's Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts. Insulation &Support Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air_ Vent -115V outlet Altic Access & Platform if Furnace in Attic Date Card -BI Date - Dale Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates -- -- " --- - Card -BI Date Card -BI Date Card -BI _ ' to Card -BI Date Card -BI C.tte Card -BI Date Date FRAMING(Plans) OK except p's Com encs at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) Fire Stops: _Fgs Furred Ceilin-Stairs=Chases-Tub_ Header & Beam -Size & Bearing Hangers -Post Caps-Anchors-Conneclors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size &Romex Protection -Draft Slop-It1s. Ba_ffl_e_s Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing _ - (NOTE,Anentrymust be made each time youvisit jobsite) L J=OK 0 = Not OK – = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBI OME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except IL's se"zonigg Requirements–Setbacks–Ease ents 1. Zoning Requirements–Setbacks–Easements tl' pecial MH Support–Sketch2. Footings; Size–Depth–Spacing–Connectors ew r; Location–Test–Fall-C/0–Concrete 1 3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails ater; Location–Test–Easement Needed(5ketch) 4. Wood Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rfg.–Bracing Electricity; Location–Clearance d. / / Amp _ 5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures Gas; LocatiorrTest–Wrap:/ /"L"ft. /"Nat. or/ /" /"LPG 6. Carports; Windows–Doors 7. Utility Clearance _ 7. Elec. Card -BI ate —/d, -A Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBIL OME INSTALLATION (Plans) OK except k's Date POOLS (Plans) OK except N's Zo g Requirements–Setbacks–Easements 1. Setbacks–Easements ` 2C,—footings; Size–Spacing–Marriage Line 2. Soils; Compaction–Structure Stability a H Test–Demand–Valve–Connector 3. Pool Structure; Steel–Connections–Thickness–Dead Men–Lining 4 I tri ity; MH Test–Crossovers–Breakers–Clearances 4, Elec.; Receptacles and Lighting; Distances–GFI r �MH Test–Fall–Flex Connector r 5. Elec.; Pool Lighting; 15 volts–GFI 6 r MH Test–Regulator–Connector 6. Elec.; Enclosures; Conduit Entries–Terminals–Listed and Sewer Connected–C/O to Grade–HD Approval 7 7. Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater Electricity Tagged 8. Elec.; Grounding; Equip. w/5'–Circulating Equip.–Pool Lghtg. Boxes–Enc losures–Panelboards– Ins. to Main in Conduit xits; Insp.–Sketch 1 . Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test–Water Supply Test Card B-1 DateNO Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 14 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California 95965- Telephone 916/534-4541 APPLICATION AND PERMIT- /,/, Ile - PERMIT NO. z ASSESSOR PARCEL NUMBER 69-20-56 ZONIN BUILDING PERMIT OWNER Ernest & Jan Clemons TELEPHONE 589-0152 SO. FT, OCC.1 BUILDING VAL N OWNER'S MAILING ADDRESS 1741 Alma Ave. Oroville, Ca. 95965 CONTRACTOR'S NAME Doyle W. Carter , Carter Enterprise TELEPHONE 589-0152 CONTRACTOR'S MAILING ADDRESS P.O. Box 1639 Oroville, Ca. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ .a.Oy Vv LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $TT 0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ f B ILDING ADDRESS '66 Ze 7� ,� PLUMBING PERMIT Filing Fee 1C.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME _ 1A PARCEL MAP L13-43 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF SSRUCTURE eL�-/ SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home S G 0.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities2--Installation[- Other ❑ Describe work: n — `� ✓✓ll// Permit Fee $ 30,07, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMOR S ORLESS 10.0 Main service EA. ADD'L 100 AMP 2.50 1. NEW CONST.// DWELLING OCCUP.&` OR ADDNS. ( ACC, BLDGS. 1 2/20sq ft CONTRACTORS LICENSE LAW I declare u der 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.J�Qa 0 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 CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. Ex. Occup(o Ts OR FIXTURES HALO 300 HALO 30 FIXED FIXED APP LNS. OR EX. OCCUp- OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc.6Viring 15.00 - Permit Fee $ t Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. 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. 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 a ainst said County in con qu of the granting ;ofthis p rmit. Signature Applicant — Owner ElContractor ❑ gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE 7XrJ Yr OCCUP. GROUP I TYPE of CONST. I F PARCEL D HD ISBU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OAF By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. LIC WORKS ? Date 62nQV'- Receipt No. .� n b WHITE-D.P.W., YELLOW-ASSESSORPINK-INSPECTOR, GOLDENROD -APPLICANT , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS a277/_`� 7County Center Drive - Oroville, California 95965- Telephone 916/534-4541APPLICATION AND PERMIT ASSESSOR PA L N ERsZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS . S Q CO, TRACT RSNAM � zooi /_ l/ TELEPHONE 7 Ll C ACTOR'S MAILING ADORESSw i 91—& �/ 1^ & 9' Z 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 Permit fee $ _ PLUMBING PERMIT Filing Fee 1400 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 RUCTURE SF❑ Duplex❑ Mobilehome2l0000 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home T S713 7W 10.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare er penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessionsCodeand my license is in fui force and effect. License No.�-3 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) ❑ 1, 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 OR ADONS. ( ACC. SLOGS. ) 21/20sgIt NEW CONSTR U TI -OUTLET NON_RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. ) 20 9 50t EX. OCCUp(OUTLETS OR FIXTURES eA 030 FIXED APPLNS. Ex. OCCUp. OUTLETS ((RESIO )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): permit is for $100.00 (valuation) or less. 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 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ludg nts, costs, and expenses which may in any way accrue ainst aid C unty in onsequence of the grant) of this permit. Date Sig tine of AP_rant — Owner ❑ Contractor El__ gent ❑ An OSHA perm' is required for excavations over 5'0" deep and demolition or construct- io of structure over 3 stories in hei ht. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ O• OCCUP. CONST.TYPEJ FLOOD PARCEL I PDJ___HD I ibisur This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O UBLIC ,� BY . PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date . Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR• PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OFA Ii+B.LIX WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEC>CAL,LFPRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET -- ,t OWNER- f Proposed Building Use 4. �I) /�Permit No. FSt, 0- E` W! 0 1,1 S A. P. No. Permit Fee Based Upon: Complete Contract Price Building Inspector DPW Valuation 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. . . . . . . . . . . 3. Complete plans in duplicate/tri,plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. 17. request to Pre -Inspection for Required. Building Inspector (Dote) Recorde&ivw fi t� ur Acknowledgment Stateent . ( onstruct n approvalrequired prior to occupancy Io19 ther When issue the permit.ss as follows: Mail o owner. Mail to contractor. 1' Telephone v ` and hold for pickup at VO office. Deliver w/inspector. Other I Applicant �.Qtr� CG Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above al tLme of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by i/TeIephone Mail Other/ t: By A Date G S3 -e� Plans checked by Date Plans approved by ! to - �3 Other: Copy -DPW BUTTE COUNTY DEPARTMENT (:1F' 'PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 3. Is the site currently under permit? (If yes, furnish permit number Is the site an existing site? (If yes, furnish two plot plans.) I— Yes No F] ) OR Yes No 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 P1 1-11 No (If no, clarify 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 ------------------------------- - Yes � mobilehome site service. No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the ty pa of gas service. Natural LPG 'F] 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe.length less than 6 ft. on .natural gas or less than .50 ft. on LPG.) SUITE COUNTY BUILDING DEPARTMEN Y APPROVED (BTU) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. Z`%, �A4/57 furnish Setup Model No. ��' 2 Year "CJ Width (ft.) Box Length c_6 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)Wood-pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one) Ey block.1-1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Lin --- -- -- — — ---- Line 2 - — — — — — Main Beams.� — — — — Line 2 Line 1 Piers: Size -Min. ------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max. ------- Line 2 Piero: Size -Min ------------- Spacing-Max - ------------Spacing-Max,--------- From Ends -Max .------- Line 3 Roof loads Size -Min .-------- x 3O „ Location (From Front) O _ Line 4 Piers: Size -Min .------------ ,k „ Spacing -Max.--------- From Ends -Max .------- Line 5 Roof Leads: Size -Min .------------ x Location (From Front) 0 — -- — — — — — ...o-LiLne w Tag or Triple Line 1 -3 Line 1 Openings: Size -Min. ------------------ „x „ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ „ Spacing -Max.--------------- From Ends -Max .------------- 400, 2 ,x 3a „x „ ,k „ k Line 5 Piers: (Under Bearing Walls Only) Size -Min .------------------ ,yl Spacing -Max.--------------- �_ n From Ends -Max .------------- nx nI ,knl ux a nx n „x u rjDlrm BUILDING IDEPAMNEW-0 A P { Return to DPW 86=19145 . RECORDED IH OFFICIAL RECORDS OF BUTTE COUNTY, CALIFORNIA AT THE REQUEST OF AGRICULTURAL STATEMENT.OF1ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 1986 JUN 17 PN a 27' The property described herein is adjacent to land or includectLEANOR M. BECKER within an area zoned for agricultural purposes, and residents of ClW"RECORDER FEE . 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 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be'prepared to accept such inconvenience or discomfort from normal, necessary farm operations. . All that real property situate in the County of Butte, State of California, described as follows: Lot 128, as shown on.that certain map entitled, "KELLY RIDGE ESTATES UNIT NO.3", which map was filed in the office of the Recorder of the County of Butte, State of California, July 26, 1974 in Book 43 of Maps, at pages 44, 45, 46, 47 and 48. Subject to all easements, rights of way and restrictions of -record. Date: PROPERTY OWNERS: l Ernest D. Clemons, Jr. /' " Janice Irene C emons State of California On this the 2nd day of June 19 86. SS. before me, the undersigned -Notary Public, personally , County of Oroville, ) appeared ***Ernest D. Clemons, Jr. and Janice Irene Clemons**** proved to me on the basis of satisfactory evidence** aaeo®o©©�ac�®®a®aon®mer^cid kA6d IWR6 A to be the person(s) whose name(s) are o �- c :9 r Wit, 9 `1 s� %"•'Ecfs subscribed to the within instrument and acknowledged . t -.. e.:�� )_146-:,�`:_`,;_J�;,;� that they Y executed the same for the purposes 6a ,v:,1c< NOTARY FUR! _f therein contained. ®� NyCernmissicnExF:re3i,'._rchee, Esso IN WITNESS WHEREOF, I hereunto set my hand and official �0€90g-000Ma0aaa0Gna00cSs6a0n seal. / i Notary6'Public Present A.P. N0, f c- •?.^. -• �^ Telephone 533.2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND 34-86 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 North Burbank Public Utility District, must be submitted to Butte County. Applicant: ERNEST & JAN CLEMONS (Doyle Carter) Applicant Address: 1741 Alma Ave. Oroville Applicant Phone No.: 589-0152 5W Property Location (s): Lodgeview. Drive, Oroville, CA. 95966 Kelly Ridge Estates, Unit 3, Lot 128 A. P. No. (s): 69-20-56 Fees Paid: ALL FEES PAID Application for service approved: June 17., 1986 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: 0 Date: North Burbank Public Utility District release to close permit: Date: By: This set of plans and specifications MUST be kept on'the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. ------ ------ NOTE.—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Spe-use1rctbo4 4 0,4 s -r vL Uniform Building, Plum & Mgcbinlcal Codes and the National Electrical Code. _ shall be within ' Utility Gonne either �i 4 ft -of the mobilehome, �i directly behind or withffi of the i N o� _ . half of the roadside (le mobilehome. A setback ofa'ft. from the NJ property lines and a setback � \ of 50ft. from the .road centerline shall .be clear of F�br�ief.R/T I structures or equipment except for a 2 ft. eave overhanq.$ D.E. ,:. CtUx of Al-C.sS Ape mit will _be required for ffie 1 \ instal ation of ' the mobilehome. 00 SQ. FT. MINIM61 FOR MOBIL4 \ h P AT 6' J f BUTTE COUNTY L(.' BUILDING DEPARTME APPROVE - _Darnfiart--Broidn & OJJOc atej A California Corporofion IF 1881 A Robinson Street PQ Box /576 Orovi/ie, CA 95965 9/6/534- 19/1 CIVIL ENGINEERS • LAND SURVEYORS July 2, 1986. Mr. James Glander Chief Bu i_1 d i n.g^In.s_p-e_c t o_r -� Butte County Building Department _t 7 County Center Drive Oroville, CA 95965 Re: Mobilehome Pad Clemens KRE Unit 3, Lot 128 //yam i /^y Alan G. Brown CE 24578 u Richard Barnhart LS 4202 Thomas Odekirk I LS 3991 Michael Evans i' VP Thomas Finlayson LS 2900 II II Dear Jim: Enclosed in duplicate, please find compaction test results taken for Doyle Carter; proposed Mobilehome Pad in Kelly Ridge Estates. Representative tests taken indicate that the average relative- dens.ity is in excess of 900. Also enclosed, for your general information, is a map indicat- ing test locations. Very truly yours, R - OWN &.ASSOCIATES Alan G. Brown Civil Engineer AGB/sd 86-087 D pT COUNT-yo.IC- olz 0/0 JUL 9 - 1986 f "^j(r:{tom 'SQA .•,� �or�...t Y .� �. .'i` \c'SJi''.'�yL ..__ _ ��_ `/a .r.�.;.� a.-� u��F .�.-.� _zti:c=. •��<az _. r ..c �..:= tiv..; :.s, '+' ,_r,_, _ 4 x�_. x ::.r.-> _ ,_.•_. >, ..e�.��..k ,c Ii AND DENSITY TEST 3 PAN NO. TEST NO PAN+WET SAMPLE 7 3. 3 g DATE 6-30-86 6-36=86. MATERIAL LOCATION 69.3 58.5 PAN NO. 1 1 16.1 PAN+SOIL lbs 3.22.' 3.80 PAN lbs .37 .37 SOIL lbs. 2.-8S 3.43- .43-APPARATUS 122.4 APPARATUS+ SAND BEFORE lbs 11.96 10.36 APPARATUS + SAND AFTER lbs 6.19 4.24 SAND CONE + TEST HOLE lbs 5.77 6.12 93 SAND CONE lbs 3.81 3.88 SAND TN TEST POLE 1.96 2.24 SAND DENSITY 90.S 90.S VOL. TEST HOLE .0217 .0248 14ET DENSITY 131.6 131.6 3 PAN NO. PAN+WET SAMPLE 7 3. 3 g 64.1 PAN+DRY :SAMPLE 69.3 58.5 PAN lbs 16.1 16.1g % MOISTURE 7.5% 13.2 0 DRY DENSITY 122.4 122.4 MAX. DEN/OPT MOIST. 131.0 131.0 % REL C%1P. 93 93 - COMMENT: Clemens, KRE, Unit 3 Lot 128 CLIFNT Dovle Carter PROJECT Clemens .TOR NO. 86-087 OPERATOR Lane Green C.LC-A��% LN\ 3 r00 �t�nccTi o ti i C i3 RESIDENTIAL A 2188-90B_ CLEMONS, E.D. 544 Lodgeview•Dr, Oroville l (carport/MH) JOB FINALED (Date) % — Signature J=OK ' O=Not OK - = Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES, Plans OK except #'s mg Requirements -Setbacks -Easements otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. De tcs; Griders and/or Joists -Decking -Bracing -Stairs -Rails 1.4'Wood Awn ;.Posts -Be s-Rftrs.-Coonec ors Shthg�-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Sidi • Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings DateCard B-1 Date Card B-1 Date Card B- 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, 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. Boxes-Enclosures-PaneIboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 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 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES, Plans OK except #'s mg Requirements -Setbacks -Easements otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. De tcs; Griders and/or Joists -Decking -Bracing -Stairs -Rails 1.4'Wood Awn ;.Posts -Be s-Rftrs.-Coonec ors Shthg�-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Sidi • Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings DateCard B-1 Date Card B-1 Date Card B- 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, 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. Boxes-Enclosures-PaneIboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK - = Not Applicable RESIDENTIAL (Single & 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-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows 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 Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - 20. Test Tub & Shower, Second Floor -Tub Access In Garage; Above Floor-Ducts-Mech. Protection 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. In Garage; Above Floor-Mech. Protection Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulated Neutral ❑ Yes ❑ No 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 32. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor ❑ Yes 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Date MECHANICAL (Permit) OK except #'s Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) VCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,10alifornia 95965 - Telephone: 916/538-7541 r APPLI A N AND PERMIT PERMIT NO. 2188-90. ASSESSOR PARCEL NUMBERZONING 69-20-56 �1 BUILDING PERMIT OWNER E.D_ TELEPHONE 1415 SQ. FT. OCC. BUILDING VALUATION n 752 covd 9,520 OWNER'S MAILING ADDRESS 944 T.ndopy leOrnvillp 95966 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10_00 LENDER'S MAILING ADDRESS Permit Fee $ 80.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 40.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ 130.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT/ NO.S UBDIVISION NA E —Z PARCEL ARC EL'M AP / `7 4 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomen Other Carp rtBuilding SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S G W t0.00e TYPE OF WORK New KX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: free standing carport _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 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): ❑ 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. icense No. Classification dill, 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.tk OR ADONS. ( ACC. BLDGS. /vtsgft NEW CONSTR.MULTI-OUTLET NON -R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES zD ®Som eAL030 FIXED APLNS Ex. Occup. OUT ETS P(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. ❑ 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 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 County of 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 aid Cou ty ' ons nee of the granting of thispermit. XN Date c[� -' 2� �� Signature of Applicant — wnerL?" 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 $ Occ CONST TYPE TOTAL FEE HAz cuA PAflK SCHLPP,PD FLD _ Ho I75 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abov for which fees have been paid. IR PUBLIC WORKS BY Date % / PERMIT EXPIRES Date /� Receipt No. 69929 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DE'DARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,alifornia 95965 - Telephone: 916:538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER —� ZONING BUILDING PERMIT .- 0, )WN E ` :aM aem TELEPHONE 58 5 SO. FT. OCC. BUILDING VALUATION 2 .Lcr OWNER'S MAILING ADDRESS 5-44 to c2 2 vzt) n. G 9� CONTRA�.jC)�T �O�R'�S NAME TELEPHONE (/ u 1 1iC/ 1 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 06-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS $ Penalty BUILDING ADDRESS - Permit fee I $ Q? PLUMBING PERMIT Filing Fee 10.00 0 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 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 / SF ❑ Duplex[]Mobilehome(R Other1 SPECIFY Mobile Home J S I G JW 1 10.00e TYPE OF WORK New fV Addition Remodel[]Utilities❑ Installation❑ Other ❑ Permit Fee $ __❑�� Describe work: 1.1 �nA1�(ii re %��� ff x S 6 _U Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING 0CCUP.&) OR AODNS. ACC. BLOGS. l 2yZ¢sgft I declare under penalty of perjury (check one): NEW CONSTR. ULTI-OUTLET 2.SOea ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRCUITS) POWER APPARATUS e (SINGLE and Professions Code and my license is in full force and effect. OUTLET CIR. Ex. Occup(o TS OR FIXTURES 2AL@3 e�00¢ License No. Classification FIXXED APPLNS. OR Ex. Occup. (RESID.I EA.) 2.00 ❑ I, as the owner, or my employees with wages as their sole compen- OUTLETS sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 1+).00 I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating ❑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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California., Ventilation Notice to Applicant: If after making this statement, should you become subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of occ CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $ I36-75 1 also agree to save, indemnify and keep harmless the County of Butte against HAz CUA PARK SCHL FLD PAR PD HD IssuE all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Th;s permit is Hereby issued under the applicable arovi- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 ssttories in height. 1:116C.6� 110 q By Date Receipt No. OC O��IT GVOIOCC 11e10 COUNTY OF BUTTE - DEPARTMEN,, OF PUBLIC -WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE�: ALORNIA 95965 -TELEPHONE: 916/538-7541 O PERMIT APPLICATION DATA SHEET t P •. Permit No. OWNER C I -e MQ V)S n A. P. No. Proposed Building Use (_aAnif it Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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 ......................................... :.......... School District fees paid .............. anitation approval from %2G 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 ........ nas .... ....................... 27. y When you issue the permit, process as follows: Mail to owner. _ CX Telephone 569- I435 and hold for pickup at 600 office. Other Applicant Mail to contractor. _Deliver w./inspector. 11 Date 6-z?7- tnd Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By 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---nail—counter by Contractor, designer, owner, was advised of above required data by—phone —ma ll_coyoeriiyy,. Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder date _ date Date � � 7 /� 0 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 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 woric but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date 2 - NOTE: 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 PERMIT NO. 2136-86B ' PERMIT EXPIRES OWNER ERNEST & JAN CLEMONS CONTR. owner ASSESSOR PARCEL 69-20-56 LOCATION 544 Lodgeview Dr, Oroville Temp. Power Pole_ Called PG&E Temp. Elec. Service_ Cal,- o''° -c Temp. G Cal JOB FII Sigi J - OK 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DEC OVERS, CARPORTS, ETC. (Plans) OK except a's ing Requirements-Setbacks-Eas ments _ Foot' ; Size-Depth-Spacin - nnect rs 3. Sewer; Location -Test -Fall -C/0 -Concrete ecks; G`er /or Jo sts-De ng -Br ng -Stay: 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shing.-Rfg.-Bracin_•3_ 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. Card -BI Date Card -BI Date Card -BI Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except p's 1. Zoning Requirements. -Setbacks -Easements Date P60LS.(Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane Iboa*rds-Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable } = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings _____2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits -_3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4. 5. Ftg., Porches & Decks; Soils -Steel- / - /" Ftg. Depth Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6, Ste_mwalls, Garage: Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-F.dn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric: Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -61 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe`. Size & Anchors - Date _ _ Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B -I Gard B -I 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance - Ins. -Protect ion Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes �No -_ Service -Riser Conductors & Ground -Main Disconnect_ _ Equip. Clearances: Panels-Motors-Mech. Equip. _ Clothes Closet Light -Shower Light _ _ Date Card -BI Date _ Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails &Deck Construct ion -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑Yes E] No; Walks F,' Yes E] No; Planters ❑Yes 0 N 76. Stucco; Brown -Finish 77, - A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --- - 79. Water Well; Disconnect, Electrical, Plumbing 80. ---- Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections _ 84. _ Gas Test -Meters Tagged; Gas -Electric Card -BI Caid-61 Date 31. A.C. Ducts. Insulation & Support _ - _ 32. Vent Fan: Exhaust above Insulation - 33. Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date _ FRAMING(Plans) OK except #'s _ _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates - - - - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Cara -BI Date Card -BI Date Com lents at Final: 36. 37. 38. 39, 40. 41 42. 43. 44. 45. 46. 47. Sills, Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred -Ceilings- tairs-Chases-Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 7 (NOTE Anentry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PIT NO.� All ASSESS �P�®L Nu�Ie�R (O zo"' G ' BUILDING PERMIT NNER 1 C tiV T�E`L PHONE SQ FT. OCC. BUILDING VALUATION O NER'S MAIL E v` J r- ®i,/I o '� COORACTOR'S NAM IV TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER MAILING UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S ADDRESS Permit Fee $ /D, ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ /s .00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ C Permit fee $ �S 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❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5:00 Mobile Home is G W 10.00 ea TYPE OF WORK Newt' Addition Remodel[-] Utes❑ Installation❑ Other❑ il' Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , New ACDNS.A ) h¢sgft ULTB OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES eAL030 FIXED APPL R EX. Occup. OUTLETS (RESID,)EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. tiyirin 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. ❑ 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 FiIingFee 101.00 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. 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 said Coun in conse uence of the ranting of this permit. �L X r Date 7— Z �" ( 19 Signature of Applicant — Owner ❑ Co tractor ❑ 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 $ 35`r� occuP. CONST.TYPE F o P R L PD P.:4•59 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OFF PLJW By PERMIT EXPIRES Date I_ the applicable provi- resolutions two do fees have been paid. C WORKS Date ��® "' ���T Receipt No. 69 WHITC-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT i . .y .• .. .. - � .3' a t,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET ____►1 f/ -' fY Permit No. OWNER ✓ +� E S kn O Y11 . A. P. No. 5 �% Proposed Building Use P Permit Fee Based Upon: Complete Contract Price DPW Valuation Other I i Building Inspector Date 1 At time of mit application, I was advised the following data must be submitted prior to permit processing and/ori uance: 11 DATE RECEIVED APPROVED _A,/1 . All items.have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non-Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner-Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (Da e) 17. Pre-Inspection for Required. Building Inspector 18. Recorded �A�� r I Acknowledgment Statement . 19. Other ll�Y Construction approval required prior to occupancy When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for p)kup at office. Deliver w/inspector. Other Applicant �C��'! Date z Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date* Plans checked by "Date- Plans DatePlans approved by Date ' Other: Copy—DPW 1 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and baring 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 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 Sy Number Date x, 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. of )TE—All Materials & Workmanship Shall Be in cordance with Recognized Good Practices and a quality prescribed for the Spec4:ef useiroFbe4 4 form Building, PlumbTW& Meclidnical_Codes and National Electrical Code. H NOTE:—All Accordonce, of a quaty Uniform Bum No Na Hood. F �Ob�is�►f.,r/�' F N OW I ,6s1r 5 Grin - '+ a0 heir. Coed raetie[ae .,..a ese .in the and SQ. FT. MINIM FOR MOBILES UNIT 3 asZx s� in e, either 4 ft. of the mo directly be or within e half a roadside (left) of the obilehome. 1 I �r A setback of a ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhanq.$ "LUX OF ALC "s4wko /s i 01 i:m couWY ' I 1(/ . , � PPR0VED 13 4l � Mumm,wo fO3WO.A'%A SMIMM" 0 4" %,q Am a *a 05 VIV t 'IPi k t - WROS*11 N 1 W a P O m tl' r _L�, m TO8 'Q y -P mto _ N v m D rn T,3 � rt 4 g° r- P Q N rX K c m m MAX.-. 15 m n71 VARIES 56" MIN. ra D I X (, w x 7C1 � 77Q Q z rnn � 7a v t•= a � o • G p P O m tl' r _L�, m TO8 'Q y -P mto _ N v m D rn T,3 � rt 4 g° r- P Q N rX K c m m MAX.-. 15 m n71 !> >o b t y 4• jiA • ---..... ra I w \ 7C1 G p 30"- 34" I � J, HWDRAIL MEI6HT � N,IAX. 30" MIN. STAIR .- NO n W I DTQ QI Q � k !> >o b t y 4• jiA • ---..... NOTES RESIDENTIAL PERMIT NO. ✓C 4 l9 °t - acz) - 0<2c' UZ -11930 �- C�dVAc& ---A 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS " SUB -STANDARD HOUSING LETTER JOB FINALED (Date -.2, ZZ2_ ' Signature V= OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready 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-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 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 -HO Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rttrs-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 FINAL (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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s eps-oor & idelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle ke4g actor 18. Water Pipe; Test & Anchor -Nail Protection Furnaceyentc_-clearance-Comb, Air -Connector - In Garage; Above-Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access ss -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors s 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s les at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection ing- Land ing-Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors uc m arage- amper 25. Size Boxes & No. of Conductors Stapled e -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meeh. Protection 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels -Motors -Meth. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85 ova oo , g- p lance -Fireplace -Clearance to Openings Date 86. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date L.08 --Ventilation Throughout House MECHANICAL (Permit) OK except #'s j 35. A.C. Ducts Insulation & Support 90. 36. Vent Fan, Exhaust above insulation 9. 37. Condensate Drain & Overflow, Size & Grade 92. 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 9 . 39. Attic Access & Platform if Furnace in Attic ss os e Da� Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s eps-oor & idelight Protection -Landings Ad;- ke4g actor 65. Furnaceyentc_-clearance-Comb, Air -Connector - In Garage; Above-Floor-Ducts-Mech. Protection 67. ss -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels 69.ai s 70. Hearth 17 ec. Outlets at Wood Panel, Int. & Ext. 7 and -Air Gap -Cooking Clearance 7 les at Kit. Counter ing- Land ing-Closure uc m arage- amper e -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meeh. Protection �yY_QrC , Elec. &.h4&eh -2quip. Listed for Location 78 (F.F.I.)-Romex Protection 7 ion -Foam -Looked in Attic 8 ction-Post Caps 81 Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. F . nve Iks 0 Yes 0 No/Planters D Yes ❑ No 84, Plumbing 85 ova oo , g- p lance -Fireplace -Clearance to Openings 86. cal, Plumbing eceptacle-Underground L.08 --Ventilation Throughout House j ss Protection 90. c ions from rewo Inspections 9. Gas -Electric 92. a er & Sewer Connected -C/O to Grade -HD Approval 9 . nergy Compliance rtificate-Other Certificates ss os e Da� 4? 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) 538-7541 07 �PO R►,! (Rev. 121963) APPLICATION AND PERMIT `d ASSESSOR PARCEL NUMBER 069-900-056 2ONING^T f I l BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 180 7380.00 OWNER'S MAILING ADD SS 544 10DGMITEW DR. Qplovii.LE IA CONTRACTOR'S NAME 7 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS $ Total Valuation s7380.00— 0ARCHITECT ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 64-15 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 183.35 LOT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: C'DMFj) npa c,CI�jUm'�'.I�-W110- $ERD41 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 '"OV OR LESS Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L�w,for the following reason: L1% I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 provisio ��� '^ X /L/✓tls �(�GX•Tz�I?� Date 7 ' J Signature of Applicant - Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 10DOA 46.00 NEW CONST. DWELLINGBLDCUP. SO 6.3C OR ACDNS. ( a ACC. s. 3.5¢FT. NON-NNEWONT.muLTI.OUTLET 97,50 8 SINGLER AOUTLET CIR. Ex. OCCU . OUTLET OR FIXTURES 20@''50 SAL @ .SO FIXED Ex. Occup. PUT g qp .°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 26.30 MECHANICAL PERMIT Fling Fee 20.0D Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 209.65 HAZ. p, IMP D CDF PARCEL PD ISSl ,. 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. `�'� ?/0 2, By /y toa / PERMIT EXPIRES ON / �/ 63 Date Receipt No. 360503 $909-65 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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: �.�:X-� ' `CJ �-� ASSESSOR PARCEL NUMBER Proposed Building Use: l_ Ol. — • �.� •-QW)C•r- •cot" Counter Technician: Date: d r 1"" Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 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 By ❑ 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.) V6. ees as shown on the attached Schedule of Fees Due Sheet. �� U � _ ............... V3 A tatement of Intent for Non -heated and A/C Buildings .................................. _ anitation and plot plan approval from the Environmental Health Department in ❑ 17. ty f Chico Plumbing permit .......................... . �I1......�...../..�. . 18. i is Department of Forestry plan approva9 paid. Sent by: S a 9. lanning approval for (A) Use: (B)PAing: (C) Parcel C e ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ..............................1 j ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy) ❑ 22. Pre -Inspection for 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. Existing violations and/or expired permits......................................................... _ ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. A&licant:. �--� D te: 7-/Z -dZ r _ 1. Index permit application for the 2 Additional items re uired A•✓�_kfan Check Letter Contractor, designe was ad d 6 e data by � hone, ❑ mail, ❑ counter, by--��[�Date:Z— Contractor, design , owner was advised of the above data by C�' phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: ( S- 0 Plans arNroved by: Date: 7 / (o —O 2i Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL9, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ..........:...... $ O./evised Plan Checking Fee .............$ SCHOOL DISTRICT FEES O(O v , LL e— -i&,v i a d (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES 67,. $510.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # 066 165 DATE -1- 11 - G RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE U2— /7-d2 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6100) {1C��.. _ .. .y.,. , - . ..+....- ^^•.L�'�xY;•f�•.-vv':;t/���,kp`.��.:+�+,.,xin.SL...'�.tr��.. �. ►� .�..�•;}...•..�K6. _•.,• -., .. •.v`.'..r.., r .....; . .,�, � .. .. _ ,h BUTTE COUNTY SCHOOLS IrPACT FEE CERTIFICATION FORM z (One form pe�Eullding) School District y '�'��L77yD7719D'� •. �9;K-�:• � Building Department No. A.P. Number b�� app — 0,54, Jurisdiction: � City County Property Owner �, f✓• �-C�,r o A-4 g Property Location/Address 59 Lt L O Aa ey Y -e.f r y J r 1 F Subdivision Lot No. .................................................................................................................. Residential Development Sq. Footage r) No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection)' Commercial/Industrial New Addition Building Department (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) � dv Date District Identification No. c School District certifies that (Applicant) (Street Address) (City) has complied with the requirements of Resolution No. representing v square feet. School District Representative Paid by Check # Remarks: (State) (Phone Number) -96 Code) �3by" W' ment of $ A) A ' V!y AB 2926 FULL MITIGATION Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm r CDF FIRE SAFE REQUIREMENTSS d 2 -Cf-7D e"ea"e'Lls�� AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [4 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [ 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [- 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�} 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of .3--, 2-0 - S-4, &A'Iew5 AP # PERMIT # N E [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. j 1273.10 Turnaround. A turnaround shall be provided at all I building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [ 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic -lane I provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ ] 1. All parcels 1 acre azzd larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from u1] property lines and/or the center of the road. [] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:zal inspection of a building permit. Page 2 of 3 ��- zo AP'# o z 2E, i) PERMIT # NAIME Other Requirements [ ) If Building Setback is 15 to 30 Feet: IN, - Class A or B roof - Enclosed eaves Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 cl lc�' uj I 0 . CL 3. ►h I r serpack of JVtt. from the Property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment exoept,- lfor.a.,2 ft. eave overha ncl. �4ND CGE�FQ-o � 6AENu I of plans and specifications MUST be he job at all times and it is unlawful to charges or altcrations on same without ?rmisson from the Department of Publk ounty of Butte. CL 3t�/ _ � vOGEv�EA1 . KELLY RIO&- LC)T ,z8 t4A/tT 3 Via- �y-2o-S� C _O. C L C/ti} O /NS, JA s �d L vOGEVI�u/ OR TE ODUN'I Y BUILDING DEPARTMENT G A t -P APPR0" vF S O f► R C oN.5 7. TYP. A T 0 LL PZooF Sv v0"s W IT R WCT SET PO ST N C40V& 2 NOTE: --Ail Materials & Workmanship Shall Be in uTTE DUNT Accordcnce with Rce4ognized Good Practices and of a duality prescribed for the Specified use in the Uniform Niidin i1'jemb• & M PART 9, eng ec anical Codes and the National Electrical Code. ,AA ` / _ f�•'� P P R O VV M U p wG- L f L o "* . of *0 ftd Veditattons MUST be � i40 on 1ho job at all times and it is unlaV4.ul fa. 1,ke any chasgos or alterations on same 'w- Permismn from the D .rw""t of t*Vbj� Warl. County of &,ft. A sewack of o tt. tc ttihe PVOPerly liners and a setbS& of Soft. from the road Marline shall be Cleer of r8SoreqYAt fora2ft. ev" E�l4R 4F E14S r. Q 1 GASME4 BUTTE COUNI � BUILDING DEPARTMENT APRROVF- /JwG- ( yr Z- i ru w N1� i \ { f , 1 Ao S 11 N A sewack of o tt. tc ttihe PVOPerly liners and a setbS& of Soft. from the road Marline shall be Cleer of r8SoreqYAt fora2ft. ev" E�l4R 4F E14S r. Q 1 GASME4 BUTTE COUNI � BUILDING DEPARTMENT APRROVF- /JwG- ( yr Z- M M o J3 SPECIAL. ROOF COI ►r 16 , Newl AM SSS G N1►►.: o ' ; 1Z. R i -I 5 PN GST g �v�. vis -n� Ca��GFX �� yWac) ) r.4 2 Accordance with Recog;jizedGnod 'Prcmfiaes aW of a quality prescribed for fhe Spnecified un i�n jji+e Unifom. Buit'dirl, Plumbing & MeAcniv-A C&des and E6ab;ocj cods. 2 x 6 j:7A5Z.11q A1'PROIrL,^ /9v5 T T- 0 8 eA pj c v1VjV c T®123 GF0DG SIMPsoO LCS'�i(o oR EQUA►— ��5 BUTTE COUNTY BUILDING DEPARTMENT APPROVED 0, /Vgq 14 Z" CA 2 3 mo&6 140ME -j D R At /V LASMENT 2.o _5E -r- 8AC-,K ALL STRUCTURES AND EQUIPMENT INCLUDING, OVERHANGS SHALL BVCLEAR OF ALL EASEMENT& A SET BACK OF dA ... FROM, THE SIDE ANO Ah4ttWh- FROM THE REAR FROPEKI-Y'LINIES AlHib FT. FROM, THE ROAD CENTERLINE SHALL 13k; CLEAR OF STRUCTURES AIDED EQUIPMEW EXCEPT COR A 2 FT. EAVEP OVEF"'G. N 30 CL op _IVOCIEVIEl-Al I- - . L4 U E L L Y,,Nq[ D fF L 0 7 123 LJ, A/ I T The attached Mm sacs 3 0WWmmwft Diust 66 OmVftd 6 Cf ? 0— 1�0 9PGcWW RM SVPmed C.D.F. CLr1*-j01'%15 .Of) L4 I V 4 ,. " OL - SUM COUNTY 2- -JUILDING DEPARtMW- _5 4 t-,r- RE-VtEVVED BY BUiTEr-'O-FIFjv,-l0,EP-T--- CALIF. DEPT. of,FdR5STI3y ❑ approved az;:rsubmirted I-, * - - A- A conditions approved wiffi r t t a c hn lz �tfl AA Signal. - ti i1 N 0, /Vgq 14 Z" CA 2 3 mo&6 140ME -j D R At /V LASMENT 2.o _5E -r- 8AC-,K ALL STRUCTURES AND EQUIPMENT INCLUDING, OVERHANGS SHALL BVCLEAR OF ALL EASEMENT& A SET BACK OF dA ... FROM, THE SIDE ANO Ah4ttWh- FROM THE REAR FROPEKI-Y'LINIES AlHib FT. FROM, THE ROAD CENTERLINE SHALL 13k; CLEAR OF STRUCTURES AIDED EQUIPMEW EXCEPT COR A 2 FT. EAVEP OVEF"'G. N 30 CL op _IVOCIEVIEl-Al I- - . L4 U E L L Y,,Nq[ D fF L 0 7 123 LJ, A/ I T The attached Mm sacs 3 0WWmmwft Diust 66 OmVftd 6 Cf ? 0— 1�0 9PGcWW RM SVPmed C.D.F. CLr1*-j01'%15 .Of) L4 I V 4 ,. " OL - SUM COUNTY 2- -JUILDING DEPARtMW- _5 4 t-,r- RE-VtEVVED BY BUiTEr-'O-FIFjv,-l0,EP-T--- CALIF. DEPT. of,FdR5STI3y ❑ approved az;:rsubmirted I-, * - - A- A conditions approved wiffi r t t a c hn lz �tfl AA Signal. - s� T-fK. RT tt1--L- WITH, c.WITN, INET SE'T POST kfLI-y/?IOU Loi f2Y Uv/T3 pV. G9 �v.ln -A CONST, "Couwy UILOI GDEPARTMENT uvc-loz APHIOVED VIS cl CZP Vn 71, - 'pe . .......... VJ ri to Lw -J. Q-) V.) ii VIS cl CZP Vn 71, - 'pe . ..........