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HomeMy WebLinkAbout069-210-02769-2/_ 27.. 7----- Arnold L. Koontz l 4 378 Lodgeview Dr., Lot 133,KR#� o. I Permit, 52 76P,E (util./MH I ELEC .gyp, GAS SUPP RT RUC. REQ. COMPACTION TEST REQ. I • contr: James G. Seybert, Concord /f I Permit #3806-`36MHI7 Issued f—wZAM:=-21-7� contra Holmes Mobile Home Service, Bangor _...�..�...`'�_Co - l Permit #438 -%6B-(new open deck/MH) I 97 contr: Holme�s'Mobile Home Serv., Bangorf Q� In l to? Permit 56 6-76B(ew open deck/MH) 069-210-027 02-32 INALED LUCZAK, W. 520 LODGEVIEW DR., ORO Z NEW GARAGE 069-210-027 03-38 LUCZAK, RENE 520 LODGEVIEW DR, OROVILL INAL Cont: OWNER PERMIT TO COMP .A� � ,o Z-3213 069-210-027 � LbDZAK, WALTER 05-71-6 7 520 LODGEVIEW DR, OROVILLE Cont: OWNER _ /J EX MH PERM FND � � � - - _� I,� - -- �I ;�,-_- - RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 rrtrj rjrj .0 & a Recorded I Official Records I County of I Butte I Cf1rm U L BRIIBBS 1 County Clerk—Recorderl I I 010:48AN 18-1ay-2005 I REC FEE 10.00 COWORNED COPY 1.00 KL Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. WALTER J. AND JACQUELINE LUCZAK REAL PROPERTY OWNER/LESSOR 520 LODGEVIEW DR. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE 5-404 MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-1167 530 538-7541 BUILD PEIT N0. TEL HONE NUMBER 1 6s SIGNATURE L CAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. DUALWIDE 1976 5-404 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER A/B5496 62'X 24' 250668/248886 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LARF.I. Nt IMRER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-210-027 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. Preliminary Report Order No. BU -220215-3 CB Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 133, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 26, 1974, IN EOOK 43 OF MAPS, AT PAGE(S) 44, 45, 46, 47 AND 48. APN 069-210-027-000 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 18 -flay -2005 2005-0028099 Has not been compared with original BUTTE COUNTY 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 Cade 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. WALTER J. AND JACQUELINE LUCZAK REAL PROPERTY OWNEWLESSOR 520 LODGEVIEW DR. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS ' SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE 5-404 MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-1167 (530) 538-7541 BUILD . P IT NO TELEPHONE NUMBER \ SIGNATURE AFL CAL AGENCY OFFICIAL DATE NONE DEALER NAME (it'not a dealer sale. write "NONE.") NONE t DEALER LICENSE NO DUALWIDE 1976 5-404 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMENUMBER A/B5496 62'X 24' 250668/248886 SERIAL NUMBER(S) LENGTH X WIDTH MSIGNIA11 ARF -I N('MRFR(91 REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 069-210-027 HCD FORM 433(A) REV. 3/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept ATTACH CHECK _ - NAIVE: AP#: DATE: A A +w.a"t4'•',r'v4'+1kL'yM>,.`,n}yrk5�i'trtr{v�y}i�'ll`�g'yttt"�'a,}'''M'"t :�;a.`fk� F'", +s'e�i �ti�a �1�• sx ;.h k �,�wib',�: v;9fL�C tai � 'l � ti Xyr yS•• '+.. a. t� 'S.'- � 'f �� l P f ��tiEl tx .t% �y ��'!Y �Y r t)II19 r�u r �`.q°t. *- t tx k +Sicy§ih' i iP 't. ��W i 7i �t S.'if� d 'iM.�ii ,z�h'^4sx rs�ti.�ns.S, f. .r,. au„awe,f'R�•n .�.,�1.};'s'. k�eMc a ��" �'7`�'.'a. � rst`rtt{,�, `'ab.0 �y�j�wk,KxN•,ti '>btX4�` }��r � r kSf�E�,y"'L i5n w;Y.xs ,F sVND�ATIO Sok �S E ,� {� a s„�,E� yti f, r�•p,a,�y�styt Iw'�rn'���5.if"�,.gYr3�'"S"Y gg u >• 3 y t m "r�e7 +y y�.� �, 7 �„ �...;� K.. V.'.x i i". �F�h"�i' � •�i iM"'.!1 .��. d5.:t2a�'i. �-�(d Yh?Fl. �. rf•^v � ;t xfGr .w r 'ct � ..•.i �j,�it y a? a •w . jf 6 '' 4 c 7 Y t a as 4 IF�ICAE,{O�F s �C� �? VPS ! }qCY� tit. f NS 37 } 'h' •r•4,j'tt' rr x�t' .Vac'Fy t ...� tlt e''"-r¢���'vi iawA°i`.Ye. �h it �°''``�� ..�"yc'$PV �"( � 'x ,'r ' i'�”. cJ �„tt. v i� }'4�.�r � *r Y. 7. t i �. �?+xA S 1; f ,3 s�;•.,x�.�.ayFt _ u,'G� . �:� } � �.r'hla��; en k,�,q .} r �r }x ti,�r` 6 .i�'t �.+?4u^ de54x eytik l•5� �S',..sr-•i, rf3 ' !.. � i• ;,•s. t, .,..:� � .. _ y. ! .:, ..::ea. , 1� BUILDING PERMIT NUMBER: 05-1167 Address or location of unit: 520 LODGEVIEW DR., OROVILLE CA 95966 Legal Description of Real Property: AP#: 069-210-027 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: WALTER J. AND JACQUELINE Owner's address: 520 LODGEVIEW DR., O.ROVILLE CA 95966 INSIGNIA OR HUD NUMBER: 250668/248886 SERIAL NUMBER OR V.I.N.: A/B5496 MANUFACTURER'S NAME: DUAL WIDE OFFICIAL APPROVING INSTALLATION: DATE: J5 10 d PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: WALTER J. LUCZAK, III 520 LODGEVIEW DR OROVILLE, CA. 95966 A.P.N.: 069-210-027-000 Order No.: 220215CB !IIlttlllttilftltllttltftf IlNfttl z��4—X025824 Recorded 1 REC FEE. 10.00 OfficialRecordsI TAX 49.50 CountOff 1 CANDACE J. GRUBBS I Recorder ROSEMArDIC1(SDN I Assistant I Barbara 09:00AM 04 -May -2004 I Page 1 of 2 Above This Line for Recorder's Use Only Escrow No.: 220215CB/ORO-C GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY ��f � � �} [ X ] computed on full value of property conveyed, or [[ computed on full value less value of liens or encumbrances remaining at time of sale, ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, WALTER J. LUCZAK, JR. AND JACKIE F. LUCZAK, husband and wife k--? OLKG. hereby GRANT(s) to WALTER J. LUCZAK III, a Married Man as his 'Sole _and Separate Property the following described property in the Unincorporated Area of the County of Butte State of California; See Exhibit "A" attached hereto and made a part hereof. IL W1TER J. LUCZAK, G 7 ACKIE F. LUCZAK Document Date: April 23, 2004 CHARITY D. BERRY C/) •Cornrnission #1351358n U Notary Public - Califotrtia l'S Butte County My Comm. Exp. APR. 14, 2008 STATE OF CALIFORNIA )SS COUNTY OF BU=, ) On APRM 23, 2004 before me, CHARSTY D. BFIM. NOTARY personally appeared T.JALTF,R J LUCZAK JR AMID J9CKIF. F LUCZAK personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose namc(s) Warc subscribed to the within instrument and acknowledged to me that lie/slie/they executed the same in his/her/their authorized capacity(ies) and that by [tis/Iter/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature /C6� This area for official notarial seal. Mail Tax Statements to: SAME AS ABOVE or Address Noted Below to a "federally related mortgage loan" even if the Loan does not qualify as a "federally related mortgage loan" under RESPA. (Q) "Successor in Interest of Borrower" means any party that has taken title to the Property, whether or not that party has assumed Borrower's obligations under the Note and/or this Security Instrument. TRANSFER OF RIGHTS IN THE PROPERTY This Security Instrument secures to Lender: (i) the repayment of the Loan, and all renewals, extensions and modifications of the Note; and (ii) the performance of Borrower's covenants and agreements under this Security_.,.lnstrument and the Note. For this purpose, Borrower irrevocably grants and conveys to T sI , in trust, with power of sale, the following described property located in the COUNTY of BUTTE [Type of Recording_Jurisdiction]--____,._ [Name of Recording Jurisdiction] LEGAU— ESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF. ALSO SECUR)D BY THIS DEED OF TRUST IS A MANUFACTURED HOME DECAL NO.:AAZ7811, SERIAL NO.:A5496/B5496 AND HUD NO.: 250668/248886 z Ward #: Parcel ID Number: 069-210-027 which currently has the address of 520 LODGEVIEW DRIVE [Street] OROVILLE [City], California 95966 [Zip Code] ("Property Address"): TOGETHER WITH all the improvements now or hereafter erected on the property, and all easements, appurtenances, and fixtures now or hereafter a part of the property. All replacements and additions shall also be covered by this Security Instrument. All of the foregoing is referred to in this Security Instrument as the "Property. " BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has the right to grant and convey the Property and that the Property is unencumbered, except for encumbrances of record. Borrower warrants and will defend generally the title to the Property against all claims and demands, subject to any encumbrances of record. THIS SECURITY INSTRUMENT combines uniform covenants for national use and non-uniform covenants with limited variations by jurisdiction to constitute a uniform security instrument covering real property. UNIFORM COVENANTS. Borrower and Lender covenant and agree as follows: 1. Payment of Principal, Interest, Escrow Items, Prepayment Charges, and Late Charges. Borrower shall pay when due the principal of, and interest on, the debt evidenced by the Note and any prepayment charges and late charges due under the Note. Borrower shall also pay funds for Escrow Items pursuant to Section 3. Payments due under the Note and this SecuriUIn timent shallbe made in U.S. -6(CA) (0005) Page 3 of 15 Form 3005 1/01 O N FA offffSlD=mlnAl PERMIT IVO. -069-210-027 -- - - y- --05-1167. LJjDZAK, WALTER 520 LODGEVIEW DR, OROVILLE Cont: OWNER EX MH PERM FND SPECS CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Date awvoll el Signature 1 r SPECS CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Date awvoll el Signature J=OK D = Not OK e = Not Ready NotApplicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except R's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fail -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/ P' L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except if's Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. and Electricity Tagged jje'Downs-Type J allation Cert. 10.' Exits; Insp.-S tch 11. CV- ofOccu2gDcy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoninguirements-Setbacks-Easements it 2. Fo ngs; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. _Exits 10' License Decals 11. Verify #'s with Office Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 Yui MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-Stee. 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-Encl.:)sures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-11 Date Card B-1 Date Card B-11 Date POOLS (Plans) OK except Ws. 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 -ghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B -- Date Card B-1 Date Card B-- J=OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftq.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fre Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) .OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 61. Brace Interior/Exterior Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Date 36. A.C. Ducts Insulation & Support Date 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops. Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng, 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051167• PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/13/2005 APN: 069-210-027-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 520 LODGEVIEW DR ORO Date: Contractor: Map Index: Description: EX MH PERM FNDN OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following; reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires aLUCZAK Owner: WALTER J JR &JACQUELINE F permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursyant to the provisions of 520 LODGEVIEW DR the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the -Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966-3968 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the 'structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to anLUCZAK Applicant: WALTER J JR &JACQUELINE F owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 520 LODGEVIEW DR sale. If however, the building or improvements are sold within one OROVILLE, year of completion, the owner -builder will have the burden of CA proving that he or she did not build or improve for the purpose of 95966-3968 sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts far such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). Contractor: O 1 am Exempt under Article 3 of the Business and Professions C de Date: — .3 `� S Owne : WORKERS' COMPENSATION DECLARATIO I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy#: I certify that in the performance of the work for which this permit is pp Valuation: $0.00 Cr/ issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' ^- Census Code: compensation provisions of Section 3700 of the Labor Code, I shall fo_rthwith comply with those provisions. Date: D I Applica / WARNING: Failure to secure workersensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is 16reby issued un a appfi ble pr visions of the Butte County Code and/or I hereby affirm�at there is a construction lending agency for the Resolutions do wo-indicat above for hich es have been paid. performance of he work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: Address: PERMIT IRES ON: Dale ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials_ ❑' Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter theabove mentioned property for inspection purpos s. upon RCC �/ Print Name:' ti Z. �/ ! [ ` Signature. — 6 Date: .3 J ,;d Owner ❑ Contractor ❑ Agent for Owner 0 Agent for. Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE For office use only: OWNER Last Name Flood Zone irst Name Address Sib Q. uiew City State StateG f4 Zip Sj j Phones- _ 3 q Fax Fax E-mail Lic. # APPLICANT SIGNATURE For office use only: CONTRACTOR Name Flood Zone Address No City Type Const. State Zip Phone Lot # Fax E-mail Lic. # Class APPLICANT SIGNATURE For office use only: ARCHITECT/ENGINEER Name Flood Zone Address No City Type Const. State Zip Phone Lot # Fax E-mail State License Number APPLICANT SIGNATURE For office use only: APPLICANT NAME Name Flood Zone Address No City Type Const. State Zip Phone Lot # Fax E-mail APPLICANT SIGNATURE For office use only: Zoning Property Address Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT' NO. 'S I(4` BIN # LOCATION AN0AN (�? qlj0^/V� Property Address City Cross Streeter T� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS It K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: L fu I O a� q. Footage O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are nit refundable. y y0 X05 = 919 q Received by: Amount: Bldg 173cckSRA Receipt #: Sheriff Date:51�1�s SMIP Other Total 2-24-05. SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND 1N INK. Y 1. Site plan GFr4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. lid 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (0)/(ie down 4Ejlans>Il in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑, 10. 11. Recorded -co py of Agricultural Acknowledgment Statement. Grant Deed, [�H. Title/Statement Facts. ❑ 12. of Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made .upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �- `�` - ` ASSESSOR PARCEL NUMBER Proposed Building Use: Mm Permit Technician: i Date: Items required in order to apply for a permit.k All boxes MU T be checked OR marked NA in order to apply. 5 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. f ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan ie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ k20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs ............ :................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ❑ 31. Letter of Signature authorization ............................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement............ 033. Existinq-violations and/or expire mits...... ....... ... ...n ...... ❑ ._ 34' Deed ❑ 35. Le ❑ 36. e ❑ 37. Other: Restriction............................. ...... /.........�...... gal description, . M.H.HTitle, title earc registration or C When issued Telephone 527- - and hold for pic p. I have been informed of the above items and requirements for obtaining a building pe it. �✓ Applicant: _&_.) 4Date: 1. Index permit application for the above i emus• numbered: Plan Check Lett e 2. Additional items required Contractor, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, design was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date:41 Structural reviewed by: Date: / Structural approved by: Note transfer by: Date: Yellow: Building Division 3-6S- 0�Uiz1��� titer:�._w°,>��.y":�t�v_x�,-�..a's�R.......,.,.:..��..:Na?.v�t�.:.._., �:_..c.�.sc:,r.:�<?tr.,;:::z�,.:_;->v:;:r�:re •.a..K�t Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. i-1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES.] NO [ I. �— 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 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,::�2L Z. -A,7_, DATE: 5 ' r3 — 0 5 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services o�uTTFO ADMINISTRATION t BUILDING' GIS `PLANNING 0 0 7 County Center Drive 0 C Oroville, CA 95965 0 - = '• c 0 - - �:. 0 (530) 538-7541 Telephone (530) 538-2140 Facsimile tom` :. �..t.,i+"},'»''_' +++��-- 'a*c-." �;. � �Y�$.4+ .,+'L5'xa.�`.'L�e..•- �..�.FJ�o-.� �:., Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of Califomia and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mil el C. Vieiri C.B.O. M ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER PROPROSED BUILDING USE M _ 1. BUILDING PERMIT FEES --- Balance Due ................... $ --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)... may.. IS. X $0.03 = $ 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP 9. OTHER 10. OTHER 11. OTHER It DATE RECEIPT # DATE REC. b's U1 �� 57� At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby nod that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) If Vector' Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 91212003 INDEX PAGE RELEASE Approval UMWACrURID ROMMOME UWAS SECTION NUMBER DATE FOUNDAmON SYMM - HIGH PIER 12 9/2/03 =a= AM SAFM CODE, SBL7iCti IMI APPROM INTRODUCTION 2 9/2/03 14 9/2/03 - TRIPLE 15 szTOoORRtrrsaMMOM GENERAL INSTALLATION 3 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION A?POWALDOBS NOTA[fTHORiZBOIt AQNWVS A] PARTS LIST 4 & 5 9/2/03 CUMONS Olt EMA3MONMOM RSQUMEM61!T:B+ AMCAMS SiAn LAWS AND RSOM ATMM LONGITUDINAL DEVICES 6 9/2/03 of wW Cir woes PIER HEIGHTS 7 9/2/03 CDMMW STAB SET-UP INSTRUCTIONS 8 9/2/03 - ,_1 tom} , - - FOOTER SIZES WIND ZONE SINGLE 9 9/2/03 - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 WIND ZONE II - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS 16 9/2/03 SOIL CLASSIFICATION 17 9/2/03 CONCRETE INSTALLATION 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST M ti co I o 0 Cq 0 M 0 Tie Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Introduction These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun- dation system. General The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a specified wind zone when the system is used as described in these instructions. Please verify state or local wind load requirements prior to installation of the home. The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the two longitudinal main rails. The system is approved to be used on single or multi section homes: Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater on center; multi section main rail spacing of 75 inches or greater on center. Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less. Maximum roof slope of 20 degrees (4.4" in 12" slope). Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II Maximum pier height under main rails -see page 7. The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con- sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down Engineering, Inc. at 1-800-241-1806. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates. Page 2 California 9/2/03 GENERAL INSTALLATION INSTRUPTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or flowing beneath the home. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see pages 20 & 21) to comply with local requirements for footer depth. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the home. For pier locations in between the Vector Systems, use the normal foundation pads. LUMBER/MOISTURE - TERMITE SHIELD To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis- tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP INSTALLATION All frame ties and diagonal straps must go from the anchor to the top of the I -Beam. See illustration below. 1. Attach frame hook to top inboard location of "I" beam. (Frame hook must be attached to frame at points closest to floor support.) 2. Keeping in line with the hook, wrap galvanized strap completely around "I" beam. 3. Pull strap past anchor head approximately ten inches before cutting to allow enough strap to give a minimum of five turns around the slotted anchor bolt. 4. Thread loose end through slotted bolt so that the strap is flush with the other side of the bolt. 5. Tighten slotted tensioning bolt a minimum of five full turns. Page 3 California 9/2/03 Vector Dynamics Foundation Systems Lateral Component Parts List Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V -Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ft. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. i ,. w/ *_-U) Page 4 California 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List Page 5 Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049,- longitudinal 9049,.longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # 59013 44" up to 4 Blocks # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34"- 60' (includes short u -bolts, nuts, washers and 6 self taping screws) �X<KIM California 9/2/03 C ,Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD Combine Vector Dynamics 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) 4. Tie Bracket (2 per system) Note: Two struts =1 L.S.D. system. Can be used on one pad or slipt on opposite ends of the home. Examples of Possible placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I I I I I I I I I I I I I I I I I I I I I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. Page 6 Wind Zone I Triple Section 48 Ft. Max. Wind Zone I Tag Section California 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 it max. Unequal Pier Heights rlaximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". Page 7 California 9/2/03 Set -Up Instructions' for Vector System #59018 Ay Long U -Bolts 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shcwn. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member.. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. California 9/2/03 Long U -Bolts 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shcwn. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. Page 8 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compresion member.. Attach a strap w/hook or swivel strap w/nut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. California 9/2/03 WIND ZONE I Nt W ;c 2 sq. ft. pad Home Length PPP Anchors Required Per Side or 24 Pier 24+" Piers L.S.D. 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 WIND ZONE I, SEISMIC ZONE 4 I \ Vector Dynamics Systems Required for Single Section Homes (Materials Required) a_ of \ / PRE \ _ / — .4a,,:>,;., � . b3�'� � "`";ate • _ "4 ON/ "m z t ax.tyP CD 34 ft maX Note: L.S.D.= Longitudinal e NOTE: Vector Systems should be spaced as Stabilization Device' - symmetrically as possible along the length See Page 6. g of the home. Pier spacing must be aL consistent with home manufacturers' o Soil Classifications: 2, 3, 4A, & 4B instructions and/or state requirements. Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties WIND ZONE I Nt W ;c 2 sq. ft. pad Home Length Vector Systems Required Anchors Required Per Side or 24 Pier 24+" Piers L.S.D. 0 to 72' 3 2 3 2 73' to 90' 4 3 4 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, 6_£ v" Schedule 40 PVC Pipe or 1 adjustable steel compression (see.parts list)_ _ _ ; CD NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad 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 Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' WIND ZONE I, SEISMIC ZONE 4 3 6T to 84' 4 0 4 85' to 90' 5 0 4 Vector Dynamics Systems Required for Double Sedion Homes (Materials Required) Ct'p(1 hpm bie -�- Of a? -===------- -- rnP�e I \ ♦ 1 �' ' ' :,u+,•,• E w�, ,� +s f� I k I� r i S F� �4 .. _ < 1 — ♦ � a t' <n 3� ,< tt a a .s Y s.< a13: :: ;37s£ y, ;. .. .. L NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad 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 Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 6T to 84' 4 0 4 85' to 90' 5 0 4 Each Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Note: L.S.D.= Longitudinal Stabilization Device See Page S. WIND ZONE I, SEISMIC ZONE 4 -_- ectlo"ys Vector Dynamics Systems Required for , , - - ' ' - " , , _ _ �6 tt mai nsect tot vecto Triple Section Homes _ - ' _ 1e °fi enetat SP - _ �� , +; \ ♦ , ` (Materials Required) - - - -K - ' ' vaa%PhoWs 9 , _ - Via.: � �g=`4 ,6; } y . .. a3 \ •• . i�.3G. Fk A \ I y h _ co NOTE: CD When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. C-) s>, 0 Tag or__-,,, full triple 0 W 2 sq. ft. pad 2 sq. ft. pad 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 Anchors Required Per Side LSD Main TAG 0to48' 2+2 on Tag 0 2 1 49'to71' 3+2 on Tag 0 2 1 72'to84' 4+2 on Tag 0 2 2 85' to 90' 5+ 2 on Tag 0 2 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure_ treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) n w K 0 W WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) - I Vector Dynamics Systems Required for _ - - - ' ' , - - ' I Double Section Homes I ` (High Pier Sets with Diagonal Ties),ect1° n hoMe 2, doubles ----Y-Exam'P\e ° �vm 1 ` I I NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. L Qt�,, WIND ZONE 1 Max. Height Unit Width See Page 7 Iry 45' Min. �I•Beam (� Spacing ,1 �2 sq. ft. pad/ 0 to 48' 2 2 2 49' to 71' 3 3 3 72' to 84' 4 4 4 85' to 90' 5 5 4 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE II, SEISMIC ZONE 4 (Hurricane) - Vector Dynamics Systems Required for Single Section Homes I (High Pier Sets with Diagonal Ties) - I home ms. eines• Sect10 for sYsten�a\ grid _ �Z �t sr ag�n9 iOr S aNatwn ma - - A-•-'' \e o{ a n ra\ sP h me '- '---- _ EXatnPshO*sge be to ° Pad Foy .1 ' 1 ,,dation Pa 1 , � 1 24" I WIND ZONE II (not to scale) C) T� � r� 2 sq. ft. pad' Soil Classifications: Soil Bearing Capacity: Anchors Required": 2,3, 4A & 4B 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Equired per side LSD 0 to 48' 3 5 2 49' to 60' 5 6 2 61" to 72' 6 7 2 73' to 84' 7 8 2 85' to 90' 8 9 2 2nn n,ax.tYP• NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Each Vector System requires one of the following: 1,4x4 or 2 2x4'c pressure treated wood onmprPssinn member. Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 0 W WIND ZONE II, SEISMIC ZONE 4 Vector Dynamics Systems Required for - _ _ - - " " Ct\fin ho s ems. '-de Double Section Homes _ - - - ' " do�b\e fe \jectot n Manua\ 9� NOTE: Vector Systems should be spaced as symmetrically as possible along the length c home. Pier spacing must be consistent with manufacturers' instructions and/or state req Maximum allowable working drag load for It System with steel compression strut is 4,00( the K2 Engineering test report. \e o{ a e�e�a\ sP home insta\\at�o - - - ' - - i \ ♦ i \ I \ I EXam \ shows i ust be to - \\\ustra�10 sPac\n9 m - - - ' ds d I ` ` �oundat\o _ I ..... soil Bearing Capacity: Anchors Required': 1,000 P5F minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Anchors Equired per side Vector Systems Required LSD 0 to 48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 3 73' to 84' 77 4 85' to 90' 8 8 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) w CD cn C') w 0 NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Soil Classifications: Soil Bearing Capacity: Anchors Required": 2, 3, 4A, & 4B 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertica w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' WIND ZONE II, SEISMIC ZONE 4 2 I ♦ 1 ` 4+ 2 on Tag 6 3 2 72' to 84' Vector Dynamics Systems Required for - ' ' - - - ' " �e hom 1 `♦� Triple Sedion Homes S+ 3 on Tag - - , - - '; Sectio �tor syste ms• 3 2 (Materials Required) , - - ' , - - ' Jrfit ma�tn9 for Ve 'j - . , OL mPie °fi Hera\ sP ' �} • ♦ , ♦ , I ♦ K Cron s JS - � '.3a �`, �°� �� ` 1 ♦ � � r fIM♦ k \ M. ter ,�`�:�_ C m � ♦ ♦ � ` i`'. '££ �v �.� �E� 'ie#4�3�'Y��`�'s�� � ♦ 1 �'-��.t'w.... �.^'J. � �z ,� ♦ ` ,r �f i� Z @li.i. Y. t. � u. z, ��. " . .n. w CD cn C') w 0 NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Soil Classifications: Soil Bearing Capacity: Anchors Required": 2, 3, 4A, & 4B 1,000 PSF minimum 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertica w//4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Required Per Side LSD Main TAG 0to48' 3+2 on Tag 4 2 1 49' to 71' 4+ 2 on Tag 6 3 2 72' to 84' 4+ 3 on Tag 7 3 2 85' to 90' S+ 3 on Tag 8 3 2 L co C' Each Vector System requires one of the following: -__ w_ -_4x4 .or 2 2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression see arts list P 1 P ( P ) _2 sq. ft: pad 2 sq. ft. pad Vector Dynamics Metal Pier & V -Drive Installation METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 44 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16". Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V -Drive System for rocky soil conditions V -Drive anchors are used only in Zone 1. single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. _ Page 16 California 2/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class. Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in. a 20x20 = 400 sq. in. - or 16x18 = 288 sq. in. - - or 17x25=425 sq. in. EQUALS - - EQUALS 2 -Vector Pads # 59275 -- - 1 -Vector Pad # 59271 - 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent listed above. *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Ef!gineer Jamiliar with site conditons <ffam Page. 17 California 9/2/03 Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (gals. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. . 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pa for concret( footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt ,�X*jm. 9/2/03 Vector .Dynamics System for Concrete Applications Instructions 9. Put a washer and nut on one of the 3/8" x 3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using a hammer, tap the wedge bolt into the hole. Maximum height for expansion bolt above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration T Inside Tie Brackel Compressii boards of PVC Pipe U -bolt Page 19 Californ a Vector pad . for concrete Concrete footer *am", 9/2/03 NOTES RESIDENTIAL PERMIT NO. 069 210-027. 02-3213 LUCZAK, W. 520 LODGEVIEW DR., 'OROVILLE NEW GARAGE Ir I 1. t R SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f f } , 1 j 1 ' 1 t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature , - } , 1 1 JOB FINALED (Date) Signature , - J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftp. -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Beiffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protecticn 56. Plywood on Roof Overhang -Attic Vents -Rafter Outrigger=_ 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec.,Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearan,-e 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for. Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood-Eartl- Clearance Looked under Floor 0 Yes 83. Following Instld./Drive O Yes O No/Walks O Yes 0 No/Planters O Yas 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not OK r . = otReadyable 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ /" L "ft./ P LPG MISCELLANEOUS Date 7. Well Clearance & Disconnect 491.0"Footings; 8. Utility Clearance 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Card B-1 Date Card B-1 Date Carports; Windows -Doors 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 Date 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval 1. 8. Gas and Electricity Tagged 2. Soils; Compaction -Structure Stability 9. Tie Downs -Type -Installation Cert. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 10. Exits; Insp.-Sketch Elec.; Receptacles and Lighting, Distance-GFI 11. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Date Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card B-1 Date Card B-1 Date Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve Date 5. Electricity; MH Test Date 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC2, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 491.0"Footings; ing Requirements -Setbacks -Easements 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 ric Frmg.; Sills -A chors-Studs-Rftrs-Trusses enee tucco-M - . oof; Shthg-Roofing steps -Doors -Land i ngs 1?.' -Braced Wall Panels Date Card B-1 Date Card B-1 Date Card 1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0211.2/2003 16:58 -FAX 707 864 5726 PRIMESOURCF ! APAIKVV%7 miII11=111111111 'I -I- .., . 'Zoo]. Certificate of Conformance Certificate 05266.2 •, THIS IS TO CERTIFY that the glued laminated timber products,identified with a collective mark of Engineered Wood Systems (EWS) were manufactured .in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products -- Structural Glued Laminated Timber NER•486 Glued Laminated Tmber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members ,were produced in a manufacturing facility -subject to regular audits in accordance with the Engfneere�i Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the m:nutscturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. by Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS is a reiared corooration of APA. 7HE ENGINEERED WOOD ASSOOIATrON 7011Soulh 19th Street • P.O. Box !1700 • Tacoma. WA 9&411.0700 TeleDhons: (2531 :95.6600 ^ Fax Number: (253) 515-7265 lN�w COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 4.11 Main Street * Chico, CA - (530) 891-2751 7 County Center Drive * Oroville, CA * (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. .-,7 /--, /- , , A -.9- /--Vf 11 - - 1-41 DateAl Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 D� ��f�dy�.� J (Rev. 12/96) APPLICATION AND PERMIT G ASSESSOR PARCEL NUMBER 069-210-027 ZONING 'PT– BUILDING PERMIT OWNER IM0500"E _ SO.. FT. OCC. BUILDING VALUATION 7`L"o687 @ 181 13 824.00 OWNERS MAILING ADD ESS CONTRACTOR'S NAME owm TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation 1$13,824.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.0 Permit Fee $ 153.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 99.45 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 272,45 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ NEW GARAGE ' ') Describe Work: (24 X 32 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 a00V OR LE 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: AI, 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 rovisions. Date �� ` – O � �niture Sigof Applicant - ' Owner ontractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zoOA TO lOooA 46.00 NEW CONST. OW EWNG OCCUP. SO OR ADDNS. ( d ACC. BLD S. `3.50FT. 26.88 NON -ID. MULTI -OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FocruREs 20 @ 1.00 Ex. OCCU BAL @ .50 Ex. Occup. ..FIXED Rpuxs ORA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 40.80 MECHANICAL PERMIT Fling Fee 2.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HA D FEES IMP FLOOD CDF PARCEL PD NP SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. _ By ate PERMIT EXPIRES ON 142— O Date Receipt No. 364419 $319.33 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Feb 01 02 08:13a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 �PEIMIT(Rev. 12/96) APPLICATION AND PERMIT�� ASSESSOR PARCEL NUMBER Z �—' BUILDING PERMIT OWNER TIE UKONE - SO. FT. OCC. BUILDING VALUATION P. 1''.. A4. NCONTRACTORS OWNERSADD --1- -- I COMPACTOR' V17 r TELEPHONE MAILING ADDRESS -CONSTRUCTION LENDER LENDER'S MAJUNG ADDRESS —Fireplace Total Valuation Is - ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee b ARCHITECT OR ENGINEERS MAWNG ADDRESS -BUILOINGADDRESS Plan Checkina Fee V Energy Plan Checking Fee S PERMIT FEE S SUBDNLSIONS NAME S USEOFSTRUCTURE - SF ❑ Duplex O Mobilehome O Other SPEOVY TYPE OF WORK Now Or"Ad dition ❑ Remodel ❑ Utilities O Installation ❑ Other ❑ I q Cr�(>0-b ,. X/ J I A./ 1 "PER#.IT FEE PAID SRA • • SHERIFF OTM AMOUNT RECEMb 33 116RECIM WAM _� & �/� L? "* TO " KM =NTD COMKJTER PLUMBING PERMIT Each Trap tblkr or heat pump water heater Water Each gas water or vent Gas pipings stem 1 - 5 outle-tr--- Building sewer Mobile Home S G W PERMIT FEE S ELECTRICAL PERMIT 0V O Main'Service 00 ICe a00A ORR= 1E66 Main .Service 200A TO 1000A NEW LONG r OWELUNO OCCUP. Ex. Occup. ( OUTLET OR PWWRES EX. Occup. ( FI%EMOoO �Rm.APPINS. OR O, EA Temporary Service Mobile Home Facilities 00 fling Fee 20.00 7.00 23.00 15.00 15.00 15.00 0 @20.00 46.00 3.52FT ._ @7.502 �- I o ®�,00 S0 5.00 _ 23.00 20.00 23.00 I PERMIT FEE I i (p x1rd,I I MECHANICAL PERMIT I Filing Fee 1 20.00 1 6.50 PERMIT FM S Mobile Home Installation Fee Energy Inspection Fee S occ CONST. TYPE TO AL FEE $ 3 HAZ. D. O D CDF P ISSUE, This permit is hereby Issued under the applicable pi'MS10M of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been-patd. By Date Receipt No. PERMIT EXPIRES ON - WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT its+�n''�'!7X'�"`'R`�i"�°7�'-�"-'•'�'�!""'�'��"t+1�'`ir>��'!�'�"�1�"'h� �-�; 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: e ASSESSOR PARCEL NUMBER Proposed Building Use: to rT/}/.4 ' C: Counter Technician:7-p- Date:~�- Items required in order to apply for dermit. All boxes MUST be checked OR marked NA in order to apply. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the }ireparer 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. r• 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 .................................... ❑ 19. Letter of intent for non-residential buildings......................................................:.. 1. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet 15. Statement of Intent for Non -heated and A/C Buildings ................................ .r , 6. Sanitation and plot plan approval from the Environmental Health Department in( t' 17. City of Chico Plumbing permit....................../pa ................. ............. I ifornia Department of Forestry plan approvalid. Sent by: 1r.......... 19. Planning approval for (A) Use: PK (B)Parking: (C) P rceI heck: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 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 aid 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. Applicant: LDate: 1. Index permit application for the above tems 1 2. Additional items required red: iQ�a� Gl.e , �- s Plan Check Letter ontractor eslgner, owner, was advised h �-eabove data by D Contractor, designer, o ner, was advised of the above data by ❑ Plans reviewed by: 2AP/ dL.Date: Structural reviewed b Date: Note transfer by: Date: phone, ❑ mail, ❑ counter, byDate: o F1a -L phone, ❑ mail, ❑ ctiter by Date: Plans approved by: 11715Y07-- Date: _Structural approved b . Date: VPllnw• Ruildina Ni idnn COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 / SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (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 $510.00 (paid at Building Division) 7 SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # Q� `7=�GF% tD 7 DATE 11-101752-1 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 %/—/'? —0.2— 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. 6/00) O`VNER-BUILDER VERIFICATION �I Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your , Please complete and return this information at your earliest opportunity to avoid uoneoesagr in processing and issuing your building permit. No building permit will be hwad unlit his verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement :'YES( NO 1 2. I HAVE HAVE NOT 0 signed as application for a building permit for the pe+oposed wiodc. 3. I have contracted with the following person (firm) to provide the proposed C anon c ion NAME: ADDRESS: CITY: PHONE: COtN-MkCTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PH0NNE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAti1E ADDRESS PHONE TYPE OF WORK SIG?YED: P RO P E RTYO WNER. SOCI.AI. SECURM NUMBER: � DATE: -- 11-19 - ,0 R-- iVOTE: This Owner -Builder Verification is required by Section 198.11 acrd 198.11 eiw California Health and Safety Code. This verrication must be cora I&W mrd returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Ce=..- P70CIn-1 Cw--. Aa application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible perry oftuaemedanSir a permit. Building permits are not required to be signed by property owners unless they are persoeWly pe46oetottf�l5eit own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a busim= license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: • If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other toss) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcormctors. then you may be an employer. ♦ I;. you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be F.nancial risks for you if you do not carry out these obligations, and these risks are especially serious With resoev to worker's compensation insurance. ♦ For more scecitic information about your obligations under Federal Law, contract the Internal itevenue Service (and, i(you wish, the U.S. Small Business Administration). For more specific information about your obligations under Sra.c Law, contact :he Department of Benefit Payments and the Division of Industrial Accidents. If the strucrt:re is intended for sa!e, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees.. without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permic, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Infor-nation about licensed contractors may be obtained by contracting the Contractors State License Board in your conununiry or at 10=0 N SQeet, Sacramento, CA. 958 14. Please complete the-O%vner Builder Verification" on the reverse side of this forth so that'we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. X. ice_ otic el C. Vi ira, C.B.O. NI ger, Building Inspection NOTE: Th Lt Owner -Builder Information is requited by Secrlon 19Sj0 of the California Health and Safety CS& OVER Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-75,41 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: Phone: Mailing Address /3 Site Address: 6-1.� O Assessor's Parcel Number: A. RN, Lj (o'7 O - Off'% Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL LNFOR1r1ATION: 1. Is there a primary dwelling on the property? Yes & No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ Nola 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 5. Will anv advertising, on or off site, be associated with the use of this building? Yes ❑ No tR SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No ED 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No IS 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 13 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes tO No ❑ 11. Will this building be heated or cooled? Yes ❑ No j9 12. Will this building have a water closet/toilet? Yes ❑ No f@ 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? Yes ❑ No 15. What type of floor covering will the building have? 16. What type of wall covering will the building have? OVER 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed - I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. 0 Private Garage - "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is reouired. 3. ❑ Residential Carport - A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy - Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office - ❑ Workshop 1 ❑ Home Occupancy Z ❑ Other - Use = 1. Describe type of Workshop : Must be approved by the Buie County Planning Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: r Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to,the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Owner's Name: Please Print 4-, c- 2 R A Owner's 2 of 2 Date: // - -j ? - b '-7---- -4 SPECIFI CA TIONS 1. CONCRETE — f'c=2500 PSI @ 28 DAYS 2. REINFORCING — ASTM A615, GRADE 40 MIN J. LAP SPLICES — 20" MIN 4. FOOTINGS SHALL BE EXCA VA TED INTO FIRM, UNDISTURBED SOIL TO DEPTH D * FLOORS HORIZ BARS VERT BARS T B D 6OIVE"!`�#4@13"O: TWO #4010 "0. C. #4@16 "0. C. 8" 15 18" *Fl MRS RFFFRS To NUMBER DF FLOORS PER UBC Q'_ 1n" A/e v-1"r*Y_ 6" MAX CURB FOR KFILL IN FOOTING AND UNTIL SLAB HAS CURED SEVEN DAYS. B BUTTE Cif OTHER HEIGHTS OR CONDITIONS REQUIRE ENGINEERIMN.DM DEpAME RESIDENTIAL GARAGE FOUNDATION WALL '� a 9r3' l 7; 492 BUTTE COUNTY BUILDING DEPARTMENT z z/ss DWG: WALL2R STD 12.5 may 1995 313 9.16 SPECIFICA TIONS 1. CONCRETE - f'C=2500 PSI 9 28 DAYS 2. REINFORCING - ASTM A615, GRADE 40 MIN J. LAP SPLICES - 20" MIN 4. FDO TINGS TO BE EXCA VA TED IN TO FIRM, UNDIS TURBED SOIL THIS FREE STANDING RETAINING WALL IS DESIGNED TO SUPPORT LEVEL BACKFILL, NO SURCHARGE, AND NO SUPERIMPOSED LOAD BACKFILL TO BE NON -EXPANSIVE, GRANULAR MATERIAL. PROVIDE FOR DRAINAGE - BEHIND WALL BY PERFORATED DRAIN PIPE OR WEEP HOLES THROUGH WALL. 6" MIN a #4 @ 13" 0. C. HORIZ. �b I BACKFILL #4 0 18" O. C. VERT �-� I 14 0" MAX DOWELS TO MATCH VERT UNDISTURBED RE/NF SOIL 12"2" TO FACE OF VERT. BAR, T YP. 1 - -#4 CONT IN F00 TING 0 3" CLR / U 12" Ei MAY OMIT FTG KEY FOR HEIGHT OF 2'-6" OR LESS OTHER HEIGHTS "OR CONDITIONS REQUIRE ENGINEERING REINFORCED CONCRETE RETAINING WALL R EV "CAC£.• ve-r-o' DATE. - 4192 BUTTE COUNTY BUILDING DEPARTMENT WALL4 STD 12.6 may 1995 9.17 CDF FIRE SAFE REQUIREMENTS .2-f 2, 3Z1 S LAe- zA4� AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field, inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards fN� 1273.02 Surface. All driveway surfaces and structures (bridges, ((( 1273.07 culverts and other app-rteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. 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. [�3 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--. & q _ ;_o r z? 'meq a_ 13 10, LL CZ tk AP # PERMIT # NAME ( 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. i�j 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates } 1. Gate entrances shall be at least two feet wider than the roadway it serves. `1, 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. (`- 3. Where a one-way road with a single -traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. ( ] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from i►1] 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. ()N 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_ial inspection of a building permit. Page 2 of 3 �q,zt - -2-7 02"3-,->I3 w L,,-C-Z+K AP # PERMIT # NAME Other Requirements If Building Setback is 15 to 30 Feet: !� - Class A or B roof - Enclosed eaves [ If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10W 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 0-7-0 7-o Date Signature Page 3 of 3 -•.�.,.--..tp:.r.r,..• ry--�`.�..•t°7y"s.�-k,?"''��'.45�.•.•„-.�..y.�....4Mr *r.�c'v• •}.;�-,*� ,.��.. � •...-:, ti_-..=�.•... w- ,may .. _ �-, .. .�-.�+.,,__- -i x y. . f 069-210-027, ;,. 03-3831 LUCZAK,RENE% 520 LODGEVIEW DR, OROVILLE Cont: OWNER ^" PERMIT TO COMP 03-3831 f - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -=' " ►" l J \ I 1 J ASSESSORPARCEL NUMBER Ob —210-027 ZONING BUILDING PERMIT OWNER W & RENE L.UC M 589-5964 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 13 BWE OAK STREET OROVILU CA 95966 CONT �^�••� 344 56.0000 CONTRACTORS NAME 0WW TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 3456.00 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS `520 Lk=WILW DR OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 83.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY I Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PEJMT TO COW= @ 25% Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".A GR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisior s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Gi I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. OR ADDNS. ( a ACC. S. s0 3.5¢FT. =ICONSMULTI.OUI. I 97,50 P.Or APPARATUS a INGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES 20 ® 1.00 BAL 0 .50 Ex. Occup. ou EDA'REslo.OeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X \ � Date �,` L i ` Signaturpplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. / , Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 83.00 HAZ_LDFE EL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicat d above -for which fees have By PERMIT EXPIRES ON applicable provisions to do work been paid. - 7- Date�GY Date ReceiptNo. � 1�� �/�'1't � t.; .l � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA * (530) 891-2751 for 7 County Center Drive * Oroville, CA * (530) 538-7541 CORRECTION NOTICE 7— c>, - OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. -tea An e34— s 4-,-> 4, d"A Date Inspector REV 10/92 J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NII. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 069-210-027 ZONING BUILDING PERMIT OWNER W & RENE LUCZAK 589-5964 TELEPHONE SO, Fr, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 13 BLUE STREET OROVILLE CA 95966 COiVT 3456.00 �OAK X OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 3456.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 63.00 Plan Checking Fee $ BUILDING ADDRESS 520 LODGEVIEW DR OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 83,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PERMIT TO COMPT. 77, @ 29 - Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 000V OR LESS zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9commencin with Section 7000 of Division 3 of the Business and Professions Code, 9(commencing ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: tK 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 Mein Service 200A TO 1000A 46,00NEW CONST. DWEIIJNG OCCUP. ORADDNS. ( yACc. gips. SO 3.50FT; NEW CONST. MULTI.OUTLET NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20 p "00 .50 Ex. Occup. ouTiETs A slD.oE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation t�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 omply with those provisions. ( � X ` Date I n (..`, O'b Signa u of p icant - caner ❑ Con tractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 83, 00 HAz This permit is hereby issued under the of the Butte County Code and/or Resolutions indicate ab o for which fees have By PERMIT E IRES N� applicable provisions to do work been paid. _ Date / J Date Receipt No. WHITE-D.D.S.-B.D. CA V-ASSE R PINK -INSPECTOR GOLDENROD -APPLICANT AMOUNT RECEIVED $�- �a-a� DATE RECEIVED PERMIT FEE 1S Mobile Home Installation Fee $ Energy Inspection Fee $ c ` I CONST. TYPE TOTAL FEE $ HAZ I M FEES I IMP I FLOOD I CDF I PARCEL I PD HD 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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO. APPLICATION AND PERMIT (Rev.12/96) AssEssoRP Me /` _ G ZONING BUILDING PERMIT V owNER HONE SQ. Fr, OCC. BUILDING VALUATION . 4 �u G OWNER'S 16 S //l ------ TELEPHONE CDNTRACTOR'S� CONTRACTORS WJUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ —� ARCWMCr OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 6ULDDIGADDRESS 1 I Energy Plan Checking Fee /, d 7 S PERMIT FEE LOT N0. SUB...... NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00SPECffY15.00 Each gas water heater or vent TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 Mobile Home S G W @20.00 Describe Work: De T PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service�aON 23.00 Main Service 2OoA To IomA 46.00 NEw CONST. Dwairm orxuP. 3.5Q�: OR i aCC. BtDs. C MLILT7-OVRET @7.50 PERMIT FEE PAID $ UMIDDRS. �� POWEI ApPARATl15 6 SPIGLE OUTLET C0. ) __ Ex. Occup. OUnzr OR FwruREs .00 ew @ 1.50 Ex. Occup. vnET:iDts ERA 5.00 SpA ��+ $ Temporary Service 23.00 Mobile Home Facilities 20.00 Mise. Wiring23.00 SHERIFF $ PERMIT FEE $ MECHANICAL PERMIT Firing Fee 1 2 0. 00 OTHER $ Heating —Cooling Hood 6.50 Ventilation $ AMOUNT RECEIVED $�- �a-a� DATE RECEIVED PERMIT FEE 1S Mobile Home Installation Fee $ Energy Inspection Fee $ c ` I CONST. TYPE TOTAL FEE $ HAZ I M FEES I IMP I FLOOD I CDF I PARCEL I PD HD 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 Q.B.- O.B.-1 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. 01.Personally plan to provide the aj or labor and materials for constriction of the proposed roperty impr vement YES NO ❑ 2. I HAVE THAVE NOT ❑ signed an application for a building permit for thero osed work. P P I have contracted with the following person (firm) to provide the proposed construction: NAME: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, \supervise, and provide the major work: NAME: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: DATE: NOTE. This Owner -Builder Verification is required by Section 19531 and 19532 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER . -1 O.B.-I I OWNER BUILDER INFORMATION - I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as `owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to seveial obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. 4rely, C. Vi ira, C.B.O. , Building Inspection NOTE. This Owner -Builder Informadon is required by Section 19830 of the Cakfornia Health and Safety Code, OVER ` PERMIT NO. 0 G 5606-76B PERMIT EXPIRES � OWNER Arnold Koontz CONTR. Holmes Mobile Home Serv., Bangor LOCATION (A.P. 34-73-27 378 Lodgeview Dr., lot 133, KRIP3, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. as erv. Cald•ed PG&E J0B FINALED (Date) � (Signature) . COUNTY OF BUTTE — DEPART4MENT,OF PUBLIC WORKS BUILDING INSPECTION RECORD (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING Setback r— Firewall Soil Piping Forms Parapet 1st Floor Main Bldg. , Restroom Finisill 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handica ed Conformance of a structure Appliances Gas Piping & est Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing / ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures j Bond Beam FIRE SPRAKLERS Motors Framing — Test Water Htr. Stucco Final Subpanels Mesh N,/ MECHA AL Grd. Fault Prot. Scratch Heating Service Brown V Cooling V Temp. Pole Finish Ducts Under ro d Interior Lath Ventilation Perrna ent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) ti COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Orok le, California 95965 Tel ephorre: 534-4541 APPLICATION AND PERMIT author representatives of the County of Butte to enter upon the above- a do d property for ' ection purposes. X Date—:7 7 Sign Lure/of`Permitteee or Agent Receipt No.� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions o1 the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F UBLIC WORKS BY Date B I(ding permit expires Date BUILDING Owner ,�j�L� �!00/L, 1 SQ. FT. OCC. BUILDING VALUATION a TAl zleo. 00 Mailing Address Telephone No. Fireplace Contractor .aL -0 Total Valuation Mailing Address A%d, ,,< /L Permit Fee O Plan Checking Fee &/or Penalty /VG 0/L - 9 �-`l/ Telephone No. -2 3 Permit Fee $ -p 0 Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 /— Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 4:75 %, 7715 Each gas water heater or vent 1.50 �� �j A. P. No.:51 / Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe anitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I ParcelP Declarations el 60' R/W Im r p ovements Lawn sprinkler system 2.00 ' Bldg. Plans Recd S0Parc I�oval Plans Approval Permit Fee $ $ NEW'Z ADDITION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000 AMP OROR LESS5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home fRr Others ❑ Main service OVER 100 AMP O OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 Cyr• /� NEW CONST.( DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 120 sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le Of: style LM �[ /��l ' 1P3 1 l�r ,E S Ex. Occup(OUTLETS OR FIXTURES)50 @250 BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No__8;LJ —3—)Classification � —�o ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j I certify that in the performance of the work for which this 66�Ventilation ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ . C author representatives of the County of Butte to enter upon the above- a do d property for ' ection purposes. X Date—:7 7 Sign Lure/of`Permitteee or Agent Receipt No.� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions o1 the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F UBLIC WORKS BY Date B I(ding permit expires Date I 4 2 PFRMIT NO. 526-76-P,E PERMIT EXPIRES OWNER Arnold L. Koontz owner XRXYMM CONTR. LOCATION (A.P. 34-73-27 378 Lodgeview Dr., Lot 133, KRIP3, Oroville Temp. Power P I Called P E. Temp. El . Ser L Temp. C m ' p '-o 'r we "' Called Temp. E ' I p E . e, - I Ser Call d P(:�E -7 -)L- Temp Gas Serv. ailed PG&E 14 1 INALED 7 %4C-' (S�IgOtureT- COUNTY OF BUTTE —'DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping- 2 Piers Roofing Sewer 6 - Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically n C Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL ���n..... LAhllc 'rk—f C....../. "1 — / -7l F Bond Beam I FIRE SPRINKLERS I Motors DA TE 1 anal Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS 1 Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTjTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in a6cordance with the =ements of the California Administrative Code, Title 25, Chapter 5, permit number- 9934-71—' for the following location: -3 28 Owner— A.,_,-,,�kl Z, 1<oo, 1-7-, Owner's Address Mobilehom- e Mfg. .12anl' &,Ilde Model. Year Insignia No. -7 Serial No. It is hereby certified for occupancy at the above described location and' may be occupied. Director of Public Works' Date 7- 7L B (D y THIS CERTIFICATE IS VOID WH OME IS RELOCATED ZS_zG_7 9. Electrical A. Is service large enough to provide adequate amperage. to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, -etc.? Yes o/ No B. Is there proper clearances around panels? Yes �o C. Is power supply cord or feeder assembly properly fused? Yes -10_ D. Is continuity test satisfactory as per the„following procedure? Yeso 1. De -energize electrical wiring system of the mobilehome.at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on” position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each. mobilehome supply conductor, including neutral, 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water iine),.including fixtures and appliances, shall be tested for continuity from such- equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be, made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle /��/ 11ilC Length� Width Vehicle Serial No. A 5496 133-416 State Identification No. 7-5^046%" ZS'y669 Additional.Informati.on or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST I.; Is the mobilehome located with required separation from lot lines and buildings and generally conform .to plot plan? YesQ! No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes $---No de footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes__ No 4. Is the mobilehome level? (Sec. 5088) Yes <O-- 5. I,f more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes 4-19'o 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes �No B: Test - Does water piping withstand working pressure or.50 lbs, air test? Yes ,--No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 6'14o B. Does it have minimum k" per foot slope and is it properly supported? Yes �i No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes Nodi' D. If coach is not t�a�te of California approved, does station have required trap and vent? Yes No 14 8. Gas P' ing and Gas Vents ve 4 A. Conne or - Is mobilehome connected to the gas supply with an appro" minimum mobileho connector not more than 6 ft. long? Note: All pipi is to be at least as large as the bilehome gas line. inlet without reductions er than the mobilehome connector. Yes No B. Test OK as per following ocedure? Yes_ N 1. Open all appliance Gonne or valves. 2.. Shut off appliance burner an of valves. 3. Air test with manome to 10"-14" war column, or test with slope gauge (minimum 6oz.-maximum 8 0 calibrated in tenth and increments. Test for 10 min. without drop. 4. Connec'f gas meter to mobilehome with connector, rn on gas, test connections with soapy water. C. Are 411 appliance vents properly installed? Yes No COUNTY OF BUTTE — 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive e: 34-45 le, California 95965 Telephone: 534-4541 "SrUx APPLICATION AND PERMIT u ,cc represenLauves UI the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signot a of Permitee or 4gent Receipt No.���d�� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have A,n paid. DIRECTOWOF PUBLIC WORKS BY B � permit expires Date %'�v BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace A. Contractor /rl Total Valuation Mailing Ad , ss SV Permit Fee Plan Checking Fee &/or Penalty �^ ? Tele hone No. 6 p Permit Fee Building Address PLUMING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 YL" A. P. No. 'TT Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ® Setke4ibu Firel ept. Fire Zone Use Permit Building sewer 5.00 EQA Parking PlaBldg. Declare ionParcel Map 60' R/W Improvements Lawn sprinkler system 2.00 P s Recd Parcel royal PI pproval Permit Fee $ EW ❑ ADDITION ❑ UTILITIES ❑ OTHER J A Of ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home KL Others ❑ Main service 10 0 AMP VER OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. 20sq ft NEW CONSTR. MULTI -OUTLET NON.RESI D. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. If OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code ({pder the name St Ie �` Y -14 AN— 597 Ex. Occup(OUTLETS OR FIXTURES) -BA L@1 FIXED APPLNS. OR (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I to an certify that in the performance of the work for which this ermit is issued I shall not em p employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Vee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesTOTAL and State Laws relating to building construction, and hereby PERMIT FEE u ,cc represenLauves UI the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signot a of Permitee or 4gent Receipt No.���d�� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have A,n paid. DIRECTOWOF PUBLIC WORKS BY B � permit expires Date %'�v V ; COUNTY OF BUTTr --DEPARTMENT'O PUBLIC WORKS 7 County Center DrjS a OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT -76 authorize representatives of the County of Butte to enter upon the above-mentio ed property or inspection purposes. X r'% & Date S-11-76 SNnature of P,errmitee or Agent Receipt No. I �Z6 36 C� V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated) above for which fees have been paid. DIRECTnOF PUBLIC WORKS By 2 Date b Building permit expires Date �,7 BUILDING Owne SQ. FT. OCC. BUILDING VALUATION Maili g Address3 pI T lephone N Fireplace Contractor B e,e, Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address 7CI PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 &Z" C D Each Trap 1.50 6�% Repair drainage or vent piping 1.50 Water piping 1 Each gas water heater or vent 1.50 A. P. No. 'J —a /��� I Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S Fire Dept. Fire Zone Use Permit Building sewer f7 EQA Parking Plans Parcel 'a g43cel Ma Declaration P 60' R/W ImprovementsLawn sprinkler system 2.00 � � Bldg. P14r-T<.. d I /�� Parcel Approval Plans Ap royal Permit Fee $ — $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,ojo Main service V OR LE 100 AMP ORSLESS 5.00 0-0 Main service EA. ADD'L 100 AMP 2.50 r �-� Single Family ❑ Duplex ❑ Mobil Home E]/ Others ❑ Main service OVER eooV 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 © .r. NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. &) 22sgft NEW CONSTR. (MULTI.OUTLET NON-RESID, l BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 Ex. Occu // FIXED APPLNS. OR p.(FIXED (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 21�lam exempt from the Contractors License Laws of the State of California. Permit Fee $ $ a -S WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. icertify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentio ed property or inspection purposes. X r'% & Date S-11-76 SNnature of P,errmitee or Agent Receipt No. I �Z6 36 C� V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated) above for which fees have been paid. DIRECTnOF PUBLIC WORKS By 2 Date b Building permit expires Date �,7 BUTTE COUNTY DEPARTMENT. OF PUBLIC° WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 7,7 V 2. Installer's name: 3. Is the site currently under permit? Yes X No (If yes, furnish permit number a �"7� ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobileh'ome be located at least 5 ft.'away from septic tank and leach -fields and (This information not required if pipe length less than 6 ft. on natural gas ' or less than 50 ft. 6n''LPG-.) _i•" r �_ clear of all setbacks and easements? Yes / / No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- ;200 Amps 6. What is the mobilehome site service rating? --------------------- �?Q C Amps 7. What is the mobilehome site circuit. breaker rating? ------------- 4,;Z Od Amps 8. Is there any other electric load to be served -by the mobilehome site service? ----------------------------------=---------------- Yes / / No (If yes, identify the load and size: '(Load) (Amps) 9. What is the mobilehome site gas pipe size?4�,2`- 10. What is the type of gas service? ------------------=--=------- Natural / / LPG 11.' What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ �oy�- (BTU) (This information not required if pipe length less than 6 ft. on natural gas ' or less than 50 ft. 6n''LPG-.) _i•" r �_ '''' ��MOBILEHOME SUPPORT DATA Mobilehome Mfr. �l/li),� lyiQg Setup Model No. Year Width y (ft.) Length (ft.) Expando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on .file with the County of Butte). — i - Sin le --- b Footings (check. one) 7/ 1. Wood either pressure treated or Center Center Support fdn. grade. Support Footing Sizes Locations (in.) 2. Concrete pad. �64-140 O 'V �6 / / 3. Other,: specify in—j.) in.) Cin . -- — — — -- -- - Supports (check one) Concrete block x� 2. Concrete piers ftp 3. Steel piers 77 4. Other, specify Typical Support 17 -'76 Footing Size in. in. —4 in. #in.. ��s�O (in.)(in.) Z *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Max. Pier Spacing ft�.l Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED Jim's Mobile Home Service 50 John Glenn Drive Concord, Calif. 94520 July 19, 1976 County of Butte Department of Public Works 7 County Center Drive Oroville, Calif. 95695 Gentlemen: Please accept this letter as authorization fdr Larry North to sign any necessary papers pertaining to the inspection of the mobile Home purchased by Arnold Koontz and located on lot 133, unit 3 at Kelly Ridge, Lake Oroville. Very truly yours �Lj James G. Seybert JGS:jt NOTE:—All Materials & Workmanship- Shaii • Be -in Accordance with R-!cann17e4 Gnod prc+ntices crnr' of •a quality Prezc:r*-kr,4 fnr `hc S;n P in t(" Uniform BPaildina. & i;�nr ryn'�^! r r•�1es N-.�' the National Electrical ^ade. 30: inns sit of pians t�tlJ� a� (opt on the job at all !imes and it is unlawful to Z0 C mako any chang,,!s or alterations on s&ne wiihout P / wrt�r; parmisson frorn the impartment of Pa.Pi. E��� Works, County of Butte. b- vv N V V o iy 2,.09 LOT 133 UNIT 3' �-fOONTZ /2 ; 330. 00' ,W 4( 7/ The bac'- shall be 5 ft. from the side property Iih and 54 ft, from the centerline of the r -ad, permitting �- a maximum of a 2 ft. ea a overhang. Z k "10� 46 . L 6��o`� 0 t3 -'o 2 0 a P o0 . I� 0 � 1 /res• i �, V) .SET-.B�9_Cfs All utility connections shy II -be., be _ located within 4 ft. outside the. rear - third section of the. mobile h on the left (road) side of 'the mobi' - 0 , home. p, -� _ .�o. 00 O/2A/NAGE � - 0 Efl SEMEN T BUTTE couN-r� .5CAL E zo' BUILDING DEPARTMEN', APPROVPD ?✓� 2 - /6 - 7S: � �� to sp,� W.? . c7Vlo6i1eqion-Le9Expo ii'Lc. July 6, 1976 TO WHOM IT MAY CONCERN: Please consider this letter as authority to allow Larry North, an employee of'Mobile Home Expo, -Inc., 50 John Glenn Drive, Concord, California, to use the license held by James G. Seybert, dba Jim's Mobile Home Service, #270624. This thereby gives him full permission to obtain a mobile home permit for installation of the home of Mr. Arnold Koontz, Unit 3 - Lot 133,'Kelly Ridge. Thank you for your co-operation. JGG:jt 50 John Glenn Drive, Concord, California 94520 (corner of Concord Ave. & John Glenn Dr.) Telephone (415) 689-6240 NAMED INSURED • I,-lobile Home Expo, Inc. 50 John Glenn Drive Concord,, CA .92450 CERTIFICATE County of Butte ISSUED TO . Dept. of Public Works • 7 County- Center Drive Oroville, CA 95965 ,I CERTIFICATE POLICY NUMBER POLICY PERIOD OF COMPENSATION CP -745-8679 INSURANCE STATUTORY CALIFORNIA COMPENSATION— IS PROVIDED EXP 1 O 1 7 6 HE COMPANY THE COMPANY DE.`E . A LIABILITY STOCK COMPANY COMPANY INSURACALLED EACH PERSON EACH OCCURRENCE BODILY INJURY LIABILITY N H (HEREIN CALLED THE COMPANY) COMPANY Industrial Indemnity Company The Company designated above has issued' coverage effective as of the dates and for the periods and limits specified below and subject to all terms, conditions, provisions, exclusions and limitations of the described Binders or Policies whether shown bw endorsement or otherwise. Any requirements or provisions in any contract or agreement between the Insured crud any other person, firm or corporation will not be construed as enlarging, altering or amending the definition of insured or any other terms or conditions of this certificate or the policy designated. KIND OF INSURANCE POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY COMPENSATION CP -745-8679 EFF .10/l/75 STATUTORY CALIFORNIA COMPENSATION— WORKMEN'S COMPENSATION EXP 1 O 1 7 6 EMPLOYER'S LIABILITY --- $2,000,000 PER OCCURRENCE LIABILITY EACH PERSON EACH OCCURRENCE BODILY INJURY LIABILITY AUTOMOBILE$ $ EACH OCCURRENCE AGGREGATE BODILY INJURY LIABILITY--- $ $ EXCEPT AUTOMOBILE EFF EACH OCCURRENCE PROPERTY DAMAGE LIABfLITY --- $ AUTOMOBILE EXP EACH OCCURRENCE AGGREGATE PROPERTY DAMAGE LIABILITY EXCEPT AUTOMOBILE $ $ AUTOMOBILE PHYSICAL DAMAGE $ COMPREHENSIVE EFF $ FIRE, LIGHTNING &TRANSPORTATION ) $ THEFT (BROAD FORM) EXP COLLISION OR UPSET' ACTUAL CASH VALUELESS $ DEDUCTI3LE COMPREHENSIVE, CATASTROPHE EFF $ 000,000 SINGLE LIMIT OF LIABILITY EACH OCCURRENCE - ANNUAL AGGREGATE FOR PRODUCTS HAZARD -EXCESS OF UNDER - LIABILITY EXP LYING INSURANCE LISTED IN POLICY NUMBER INDICATED. Effective any loss under Automobile Physical Damage Coverage is payable as interests may appear to the Named Insured and the Lienholder named below in accordance with Loss Payable Endorsement on reverse side. LIENHOLDER • • As respects the following described outomobile(s): YEAR I TRADE NAME BODY TYPE AND MODEL SERIAL NUMBER DESCRIPTION AND LOCATION OF OPERATIONS - (This certificate of insurance neither affirmatively or negatively amends, extends or alters the coverage afforded by the polcy described herein.) r All Operations of the Named Insured ` This policy shall not be canceled nor reduced in coverage until after 10 days written notice of SL.ch cancellation or reduction in coverage shall have been mailed to this certificate holder. Certified this 6th day of July ' Producer D. W. White & Co., Inc. By 1X031 - R9110.72) es orize epresentatiw 4149 A AUTOMOBILE LOSS PAYABLE s -A_ . -- (CALIFORNIA ONLY`''"`— With respect to the interest of the Lien -Holder indicated on the Certificate of Insurance its successors and assigns, (hereinafter called the Lien -Holder), in its capacity as conditional Vendor or Mortgagee or otherwise, in the property insured under this policy, this company hereby agrees as follows: 1. loss or damage, if any, to the' property described in this policy shall be payable firstly to the Lien -Holder and secondly to the insured, as their interests may appear, provided nevertheless thoL upon demand by the Lien -Holder upon the company for separate settlement the amount of said loss shall be paid directly to the Lien -Holder to the, extent of its interestand the balance, ifany, shall be payable to the insured. 2. The insurance under this policy as to the interest only<sif the Lien -Holder shall not be impaired in any way by any change in'the title or owner- ship of the property or by any breach of warranty or condition of the policy, or by any omission or neglect, or by the performance of any act in violation of any terms or conditions of the policy or because of the failure to perform any act required by the terms or conditions of the policy or because of the subjection of the property to any conditions, use or operation not permi-tied by the policy or because of -any false state- ment concerning this policy or the subject thereof, by the insured or the insured's employees, agents or representatives; whether occurring be- fore or after the attachment of this agreement, or whether before ,or after the loss; PROVIDED, however, that the wrongful coversion, embez- zlement or secretion 'by -the Purchaser. Mortgagor, or Lessee in posses- sion of the insured property under mortgage, conditional sale, contract, lease agreement, or other contract is not covered under this policy, un- less specifically, insured against and premium paid therefor. 3. In the event of failure of the insured to pay any premium or additional premium which shall be or become due tinder' the terms of this policy, this company agrees to give written notice to the Lien -Holder of suth non payment of premium after after sixty (60) days from and within one hun- dred and twenty (.120) days after due date of such premium and it is a condition of the continuance of the rights of the Lien -Holder hereunder that the Lien -Holder when` sc notified in writing by this company of the fail ure•o6the insured to pay such premium shall pay or cause to be paid the premium due within ten (10) days following receipt of the company's demand in writing Therefor. -if the Lien -Holder shall decline to pay said -premium or additional premium, the rights of`the Lien -Holder under this Automobile Loss Payable Endorsement shall not be terminated before ten (10) days after receipt of said written notice by the Lien -Holder. A. If the company elects to cancel this policy in whole or in part for non- poyment of premium, or for any other reason, the company will forward o copy of the cancellation notice to the Lien -Holder at its office specified hereinafter concurrently with the sending of notice to the insured but in such casethis policy shall continue in force for the benefit of the Lien- hotder only for ten (10) days after written notice of such cancellation is received by the Lien -Holder. In no event, as to the interest only of the Lien -Holder, shall cancellation of any insurance under this policy cover- ing the property described in the policy be effected at the request of the Insured before ten (10) days after written notice of request for cancella- tion shall have been given to the Lien -Holder by the company. In the event of cancellation of this policy the unearned premium shall be paid to the Lien -Holder, provided the said Lien -Holder has aalvanced the premium. 9t �� �,t �►��'�� 2I� tI l Qin 6;'��� Via sx�onn �1-tana 3a '��a auns 30 5. If there be any other insurance upon the within -described property, this company shall be liable under this policy as to the Lien -Holder only for the proportion of such loss or damage that the sum hereby insured bears to the whole amount of valid and collectible insurance of similar char- acter on said prop-erty under pol cies held by,.payoble to and' expressly consented to by the Lien -Holder, and to the extent of payments so made - this company shall be subrogated (pro rata with all other insurers con- tributing to said.payment) to all of the Lien -Holder's rights of contribution under said other insurance. 6. Whenever this company shall pay to the Lien -Holder any sum for loss or damage under this policy and shall claim that as to the insured no lia- bility therefor exists, this company at its option, may pay to the Lien - Holder the whole principal sum and interest due or to become due from the insured on the obligation secured by the property insured under this policy, (with refund of all interest not accrued), and this company shall thereupon receive a full assignment and transfer, without recourse, of said obligation and the security held as collateral thereto; but no sub- rogation shall impair the right of the Lien -Holder to nbcover the full amount of its claim, 7. The coverage granted under this policy shall continue in full force and effect as to the interest of the Lien -Holder only, for a period of ten (10) days after expiration of said policy unless an acceptable policy in renew- al thereof with loss thereunder payable to the Lien -Holder in accordance with the terms of this Automobile Loss Payable Endorsement shall have been issued by some insurance company and accepted by the Lien - Holder. In the event of a loss not otherwise covered during the extended ten (10) days period herein referred J6, an annual policy covering the some hazards to the properly insured under the original policy shall be issued and accepted by tfie-Lien-Holder and Mortgagor., 8. Should the ownership and right of possession of any of the property covered under this policy become vested in the Lien -Holder or its agent, this policy shall continue for the term thereof for the benefit of the Lien - Holder (with all incidents of ownership of the policy) but, in such event, Paragraphs two (2), five (5) and six (6) of this Automobile Loss Payable Endorsement shall no longer apply; provided, nevertheless, all privi- leges and endorsements which, by reason of the printed conditions of this policy, are or may be necessary to maintain the validity of the con- tract are hereby granted for a period of thirty (30) days and all notices likewise required to be given to the company by the insured are hereby waived for a period of thirty (30) days with the exception of require- ments applying at the time of or subsequent to a loss. 9. All notices herein provided to be given by the Company to the Lien - Holder in connection with this policy and this Automobile Loss Payable Endorsement shall be mailed to or delivered to the Lien -Holder at its office or branch as indicated on the Certificate of Insurance. All other terms and conditions of this policy remain unchanged. This endorsement is hereby made a part of the policy number indicated on the Certificate of Insurance. COOK ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (916) 533-6457 ar June 29, 1976 James Glander Department of Public Works 7 County Center Drive Oroville, California 95965 Re: 76551 Dear Jim: Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: KoontzUnit 3 Lot 133 %�TIL Representative tests indicate that the 90/ relative com- paction requirement has been satisfied. A location map is attached. AGB:nj Enclosures Very truly yours, COOK ASSOCIATES Alan G. Brown Civil Engineer 0Y3. 9:.L0 Y0 °]. 01C,K F.!', ,Y. .{0," F. C: CG.',r �' ir;.,y n. ,,. F.00.� (:. -�`^��.—....^._—,--...�— V �t��...-� ^. .�..—.^— .. _ .��. .,'� .... � ..�� .1:. .. ..t��Ls-�.r.-!•7::• .Yr Tom: tt •'•.�••�^� !.. .«..^�.-.- —�'_ - • . ._ .'�'�Y .. '!•1.t^`�:/.r.. � - • ... .. rte—... �."�7� �.'.!^.' • .. ,•/' Client Koontz COOK 4SSCOCIATES Project Unit 3 - 133 ENGINEERING CONSULTANTS Nuclear In -Place- 2060 PARK AVENUE ,ob No. 76551 OROVILLE CALIFORNIA 95965 Moisture Density Test,4• , Operator Dave - ( 91 6) 533 -6457. -.- TEST NUMBER 1 2 3 4 5 6 7 8 9 t0 TEST DATE 6-23 6-25 6-29 1st 2nd 3rd TEST Lift Lift and LOCATION East Coi East= Final of Pad side Lift MODE 8 •DEPTH - 8" DT 6" DT MOISTURE' COUNT 869 1047 1015 1073 ' MOISTURE COUNT RATIO .616 .736 .763 MOISTURE 14.75/ 15.25/ 19.25/ 8".0 8.0 DENSITY COUNT 268 221 443 250 - DENSITY COUNT RATIO .992, 1*. 629 .916 WET DENSITY - PCF 130.5 133.5 134.0 ' DRY DENSITY 115.75/ 118.5/ 14.75/ PCF 12.2.5 125.5- 122.9 % MOISTURE 12.0/ 12.0/ 16.,8 /11 C 6.5 6.A 9..2 OPTIMUM DRY DENSITY PCF 135 135 135 % OPTIMUM MOISTURE g 9 9 `/o RELATIVE 88/93 85/91 COIAPACTION 90 i DAILY STANDARD COUNT COMMENT: Used speedy test result to correct f moisture DATE MOISTURE DENSITY because of soil having organic material. 6-23 1409 270 6-25. 1378 '272 Z�o4,c L V 1 3.3 UN IT .3' 1-r 0 0 A,/ -r 0.9'1/2,04 -7-30, 0 00 OS' 0. o 0.4. Z w e&. 70' 9 A t PERMIT NO. 4385-76B PERMIT EXPIRES OWNER Arnold Koontz CONTR. Holmes Mobile Home Service, Bangor LOCATION (A.P. 34-73-27 ) 36 Lodgeview Dr.,lot 133, KR#3, Oroville N Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED-> - 2� -7 C (Date) (Signa * COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 7,4-1 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov, for physically handicapoed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE I Final Footings — 2 Masonry Walls Reinf. Steel Mesh Scratch Brown Finish Interior Latl Door Closer DATE Z& 7 6 - Foot FI Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Om Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent - Final (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRICAL COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive — Oroville, California 95965 Telephone: 5 34-4541 APPLICATION AND PERMIT 4L&F,-5--76 .+u oiice representatives Ur the County UI Butte to enter upon the above -m ntione property for 'ns ction purposes. XXL /1� DateS-3-76 Big ature offPPermit (�r Agent Receipt No. % 7 �4r// White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date ilding permit expires Date BUILDING Owner N SQ. FT. OCC. BUILDING VALUATION �J (� ipe ct', L. Mailing Address Telephone No. Fireplace Contractor Total Valuation / Mailing Address R0 . Permit Fee DO Plan Checking Fee&/or Penalty n r� N ►�U�l. L t %�. Tele n N � �- Permit Fee Building Address V� 45:-"' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 (f v, Each Trap 1.50 Repair drainage or vent piping 1.50 /I, 1,CJT 3 QAJ 1-7— 3 Water piping 1.50 Each gas water heater or vent 1.50 —�� _ y� No. ac, Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 1�AP. Fees W.C. U Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Plans Declaration IBldg. Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Plans Recd Parce proval Plans Approval Permit Fee $ NEW [�J-- ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ©� Others ❑ Main service OVER 600V 25.00 +oo AMP OR Main service EA. ADD'L 100 AMP 1.00 0 AM OP' ` FN Doe# NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS.CCUP. &) 20sgft NON-RESID R. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le Of' Y (� OD LO I -SM I L.IF_ Ex. Occup(OUTLETS OR FIXTURES) BAL2+ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification '� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby .k TOTAL PERMIT FEE $ L .+u oiice representatives Ur the County UI Butte to enter upon the above -m ntione property for 'ns ction purposes. XXL /1� DateS-3-76 Big ature offPPermit (�r Agent Receipt No. % 7 �4r// White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date ilding permit expires Date \N,Luczc� L_. o cJ�c QF�vi l fie. Cc1. 2 14 AP 0�9-2�ao�7 SCE- r Sq C/< /°I o pd ld CE' Mo`/ e7�s7 ApacHe clRCLe- i //,/ 7—d surTE cmc" DEPAR.. �PPR0v` 1 .+i; i d x T z. lz R. la $ee Co 1 a ® I �r1+-o Vow ��s,,.rbe eP F V OT ( &—es (ft-- P z� X 4- S LAlA s 'If- c c- L I N c,— G-ARAC- E A,Dpli/ON Seo ILvDLEviBUTfECOUNTY §VbING DEPS ala APPAOVED �N) 'C 4 O � '� P Q• K Co L. OD.&E V1 E W ,DF , The attached Fire Sab requirements mus11 e c ompkftd is spewed and.apptov®d by C.D.F. �. LF— % = 2-0 ' /, 049-.2/0-o,.7-7 SET GACI< aYtn OF 0 at�nOL oi9+ I/,s Tv c c b R i °MOTE: dee the attached " Resident�a1 Constr tctinri� .,Requirements _ pages AD, P LANNING DVISION• BUILDING PLAN APPROVAL O `f -� Date: og%r i •=' !•� T' ° ng: —�_ Landscaping: ���� M C. REAS. 2 -ii ::�J STu c..0 'A I3lyl Iy F-vN — c. AIVI . N L> . f� r� Cq � Q Q Cl -T Q I�n� nor oElC�Ci��� �L-1CIF-1CTDIL1=f1-1 UD El D 0 0 D 0 F-1 0 FRONT Cer-� GARA(-,:;;-E ,IDDM 770/11V 'OCCo 4X1"fro. a I/,s Tv c c b R i °MOTE: dee the attached " Resident�a1 Constr tctinri� .,Requirements _ pages AD, P LANNING DVISION• BUILDING PLAN APPROVAL O `f -� Date: og%r i •=' !•� T' ° ng: —�_ Landscaping: ���� M C. REAS. 2 -ii ::�J STu c..0 'A I3lyl Iy F-vN — c. AIVI . N L> . f� r� Cq � Q Q Cl -T Q I�n� nor oElC�Ci��� �L-1CIF-1CTDIL1=f1-1 UD El D 0 0 D 0 F-1 0 FRONT Cer-� GARA(-,:;;-E ,IDDM 770/11V