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069-220-008
Rees Jones 10 Skipper ,LOT#2473, IKR#3, Oroville Permit #29 -76 ,E(util.,MH) - ELEC. GAS SUPPORT STRUCTURE REQ. IT ACTIONtEST REQ. -------G 069-22-0-008 00-1.551 MACINTOSH, BILL _ - <,1p 10 SKIPPER CT., OROVILLE �i { CONT: BETTER BUILDERS Q( RETAINING WALL I -008 00-1552OSH, BILLER CT., OROVILLE ETTER BUILDERS ITIES ELECTRIC __'��r- GAS/J� 1 COMPACTION .T_EST.-REQ LY. -O SUPPORT STRUCTURE REQ l7vt) 069-220-008 00-1609 MAC INTOSH, BILL 10 SKIPPER CT., OROVILLE CONTR: BETTER BUILDERS MHI 069-220-008 03-1976 MCINTOSH, BILL 10 SKIPPER COURT, OROVIt7-/ --Ce -' SIERRA MOBILE EX MH ON PERM FND 069-220-008 _ 03-2064 MACINTOSH, SUSAN 10 SKIPPERS CC?IJR�; OV, (j Coat: -SIERRA N1114 01 0� CA H 00 069-220-008 04-2 4 DUGROSSE, JOAN 10 SKIPPER CT, O LL.E Cont: GREE OOFING UPG ELECTRICAL ti NOTES RESIDENTIAL 069-220-008 03-1976 PERMIT NO. _ MCINTOSH, BILL 10 SKIPPER COURT, OROVILLE Cont: SIERRA MOBILE EX MH ON PERM FND J THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. 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) �� 4 .Signature J=OK = Not OK + = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/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 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card -13-11 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. 5. Drain; MH Test -Fall -Flex Connector 4. 6. Water; MH Test -Regulator -Connector 5. 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. 8. Gas and Electricity Tagged 7. 9. Tie Downs -Type -Installation Cert. 8. 10. Exits; Insp.-Sketch 9. 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date - Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zo • equirements-Setbacks-Easements ootings; Size -Spacing -Marriage Line 3. Blocking 4! as; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test a er and Sewer Connected. 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office - - Date Date . Card 13-1,&(aDate Card B-1 Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6.. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card -13-11 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure;, Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 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. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle Card B-1 Date Card B-1 18. Water Pipe; Test & Anchor -Nail Protection FINAL (Plans) OK except #'s 19. D.W.V.; Test Fittings & Anchor -Nail Protection 64. 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Smoke Detector 22. Gas Pipe; Sixe & Anchors 66. 23. Fire Sprinkler; Test 67. 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 Stairs & Rails 25. Elec. Receptacles Spacing -Lights & Switches at Doors 71. 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Elec. Outlets at Wood Panel, Int. & Ext. 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 AI Elec. Outlets & Receptacles at Kit. Counter 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 75. 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 35. Smoke Detector 78. Plb.; Elec. & Mech. Equip. Listed for Location Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 81. 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 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 A.C. Unit Disconnect, Electrical -Plumbing 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. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes O No/Walks O Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Galifornaa 95965 - Telephone (530) 538-7541PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT °®3 "- [?I) ASSESSOR PARCEL NUMBER TONING BUILDING PERMIT OWNER__069-220-008 MT TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 10 SKIPPER (7— DROVITLE, CA- 99966 1160 R 62,640.00 CONTRACTOR'S NAME SIERRA MOBILE TELEPHONE CONTRACTORS MAILING ADDRESS 466 CTRCLE DR- ORD-VITLE 99966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 62,640.00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 255.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 BUILDING ADDRESS 0 SKIPPER Cr. OROVITIR Energy Plan Checking Fee $ $ PERMIT FEE $ 277.25 LOT NO. SUBDN510NS NAMEPARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IR Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EXISTING MFT PERM F'NTl Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S65.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. y70 J 8G OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DW ELLIG OOCUP. OR ADDNS. ( t: ACC. S. SO 3.5Q�' NON- O�,NEW p MULTI -OUTLET 97,50 POWER APPARATUS a SINGLE OUrLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL @ I.00 Ex. Occup. oUTlt°TS Rale.) E 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. ❑ �fhave 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 5W_1 e 7 --la Policy Number 'Z 2- S�7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 7 i 03 _ Signature of Applicant - ❑ Owner 11 Contractor ❑ Agen 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 FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 385.25 HAZ. p, FEES IMP FLOOD A COF PARCEL PD HD ISE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work /) 7 70 indicat d above for which fees h e en paidwte) y PERMIT EXPIRES ON Receipt No. '� 23I 385.25 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �y�7i•�-�-.-.,R-: *.F'-..- •�--•. _ -.�. t -r•.. ,.- , els..,`, . r-'r—r.—.q �-.-.-... � �. T�7'N �,} Zi 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: ASSESSORTARCEL NUMBER 2—Z c o o Proposed Building Use: ,y Counter Technician: Date: It mcks required in order to apply for a permit. All boxes MUST be chemrke ad NA in order to apply. 1. P t plans, 3 or 4 sets, signed�y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. 7 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The -permit will be indexed and returned to the plan review line-up when required items are received. Date Received ,, By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner.......................I ............. ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .............................. :........ ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............... ........................... ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... KEncroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for A�/ Xe �/� required ................ Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 2`7. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance....................................................... ...... ❑ 29. .fisting violati and/or expired permits....................................................... Grant Deed, r M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, Check to H.C.D. $ ❑ 31. Other: When issued Telephone 5-3y - and hold for pickup. I have been informed of the above 'stems and requirements for obtaining a building permit. Applicant: Date: %/Z16 3 Index permit application for thea ove ite s numbered: Plan Qeck Letter C2 Additional items required C &C (,t)I traw Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mai f, ❑ counter, by v Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ coun e , b Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division c ,A Building Permit Number:,3- f �% 7 Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997'U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW aYour parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required - ... - --- -- Note: We will normally accept"the following as compliance with the flood elevation requirements: L. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page I of 2 Building Permit Number: % (o Owner Name: l�G �/Yl ftj�S jr, ❑ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: All structures anWeet u' ment including overh n s shall be clear of all easements. A setback of W from theside andCW from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2 .V i (.,..It I. rn «; ti Pt,AC I tI-1 r. c: d} SOSAP AkAC-7o5H to S�,rPe.I� ; c�vr:i el I60uE(-f..p A (,I SKk2PFC Co0eT' �-� (f Ccrr FOther- SION- BUILDING PLAN APPROVAL Date.Land scaping: 1. Owner's, Name:, 2. Assessor's Parcel Number:: 3. Installer's Name: / 4. Is the site currently under permit? Yes[ 4,j""No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No[ (If yes, famish two plot plans). 6. What is the electrical rating of the mobilehome? '` Peres. 7. What is the mobilehome site circuit breaker rating? o'. Amperes:: 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[If it is, what is the rating?. =' Amperes. _ 10. Is there any other. electric load to be served by the mobilehome site, electric service (i:e. well, garage etc.)? Yes[] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: _ Load- Amperes - Type of gas service at mobilehome site: Natural[ ] Propane[ ] None ;T 12 Size of gas tank: pipe at the mobilehome site from the meter or inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? 'B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). Apt q, I MUST BE UUMPLETED 1M'VKUEK�l 'ERAM APPLICATION "! f U D,MG - A. P P� May 1995 8.5 Mobilehome Manufacturer: �,� ��� Manufacture Y ar: 02 If other tha�single wide, furnish Setup Model Number: �S , Width: % (ft.) Length: (ft.) Tagalong or Expando Size " (ft.) x On all mobilehomes manufactured after. October 7, 1973, furnish manufacturer's installation manual and structural -setup sheets. - .. FOOTINGS: Wood pressure treated or foundation grade[ Other: SUPPORTS: Concrete block/ [ ] Other: / Provide Tie Down Specifications for all Mobilehomes: Pier -Footings `Sizes and SINGLE WIDE 5" ' Line Line 2 ......................................................... Main Beams Line2 ............................... Line 1 ....................................................... Main Beams ....................................................... Tag or Triple ............................................ Line -1 Piers: Size minimum: r 1 x Spacing maximum: I C` From ends -maximum: ` Line 2 Piers: /a Size minimum: ] x [ 30 ]. Spacing maximum: ` p ` From ends -maximum: Q ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Location . MULTI -WIDE eI KLi ne 2 ............................................................ .. e 2 nee 3 Line 2 ................................ Line 2 Line 1 S 4 1 Line'l Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x Spacing maximum: ` From ends -maximum. ` ,9/1" Y11? O t /11" s� OVER ul c MIDDLE ZONE ONLY ® (30# ONLY) SOUTH:AND MIDDLE ZONES `(20#%30# ® OR ABOVE) PIERPIER FOOTING SIZE REQUIRED (S0. IN.) PIER�� PIER FOOTING SIZE REQUIRED (SQ. IN.) p FOOTING SIZE REQUIRED (SO. IN.) PIER CAPACITY FOOTING SIZE REQUIRED (50. IN.) NO. CAPACRY (�) 1000 PSF 1500 PSF 2000 PSF NO' (185.) 1000 P$F 1500 PSF 2000 PSF (LBS.) 1000 PSF 1500 PSF 2000 PSF N0. (UBS.) 1000 PSF 1500 PSF 2000 PSF 1 2000 288 192 144 J 4000 576 384 288 S 6000 864 576 432 7 10000 1440 960 720 2 2500 360 240 180 4 5000 720 480 360 6 8000 1152 768 576 6 12000 1728 1152 864 WAVANG T"TLC: CARPET & PIER raaWr: KARSTEN KS44101P THE - KARSTEN COMPANY 9998 OLD PLACERVILLE RD. SUPPORT LOCATIONS SatIAAC R.: 865 Din:: 11/28/95 SACRAMENTO, CA 95827 (916) 363-2681 Phone (916) 363-4537 Far DRAIM ru an•DmunOW: STANDARD PLAN AS OF REVISION DATE/01136 ow*a+ e,: ' 7 -A " m 2-11-00 VECTOR DYNAMICS FOUNDATION. SYSTEM WIND. ZONE 1 & 2 INSTALLATION INSTRUCTIONS For the State of California INDEX SECTION INTRODUCTION PIER HEIGHTS GENERAL INSTALLATION SETUP INSTRUCTIONS METAL PIER & V -DRIVE PARTS LIST CONCRETE INSTALLATION SCHEMATICS PAGE NUMBER 3 4 5&5a 6 7, 7A, 7B&7C 8&9 WIND ZONE I - SINGLE SECTION WIND ZONE II -S INGLE V DRIVE - METAL PIER - DOUBLE SECTION - TRIPLE SECTION - SINGLE SECTION - DOUBLE SECTION - TRIPLE SECTION SOIL CLASSIFICATION 10 11 12 13 14 15 16 17 W. COMPONENT PARTS AVAILABLE UPON REQUEST Foundation System mc - IL 191 Release Date 8/13/2001 Engineer Approval � :;=f SS/0' T U CLL'��jF :.71, N Nt 2011 OF CA !AUM {i�!'ier-KPrTGPJWN 18551 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIRHM&YTS OF APPLICABLE STATE LAWS AND REGULATtOiaS State of California Department of Housing and Community Development DIMS C SAND STANDARDS Byq-/O.O / (sign ure)C�Q SPA NO. c7 -/D -off For Further Information TIE DOWN ENGINEERING 5901 Wheaton Drive Atlanta, GA 30336 404344-0000 FAX 404-349-0401 www.tiedown.com rye Down Engineering, Inc. VECTOR DYNAMICS INSTALLATION INSTRUCTIONS These instructions describe the proper use of the Vector Dynamics Foundation System in Wind Zones 1 & 2. Additional installation instruction is available in VHS video, from manufactured housing distributors or from Tie Down Engineering, titled, Vector Dynamics Installation Video. The Vector Dynamics foundation system supports the home by anchoring the two longitudinal main rails. The system is approved in Wind Zone I & II & III areas of the Manufactured Home Construction and Safety Standards and Wind Standards; Final Rule 24CFR part 3280 for both single and multi sec- tion homes. Instructions for Class 5, Sub Soil Conditions, (Wind Zone I & II), are available through local distributors of Vector Dynamics or directly from Tie Down Engineering. General The Vector Dynamics Foundation System provides the support to resist lateral and ever-tuming movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in Wind Zones I & II when the system is used as described in these instructions. See manufac- tures Home Installation Manual for other pier & anchoring Muirements. The following characteristics apply to both single and multi section homes: • Main rail minimum spacing of 86 inches or greater. • Nominal 8 foot or less top plate height at side walls. • Main rail depth of 12 inches or less. • Maximum roof slope of 20 degrees (4.4 in. in 12 in.) • Maximum pier height under main rail of 56 inches (see page 3). WIND ZONE • Maximum single section home width is 16 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum double section home width is 36 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. • Maximum triple section home width is 48 feet including eaves; maximum eave width of 12 inches on each longitudinal side of home. WIND ZONE It • Maximum single section home width is 15 It. including eaves, maximum eave width is 6" per side. • Maximum single section home width of 16 ft including eaves must use two additional vertical ties/ anchors/stabilizer plates (one per side) as listed in the charts on page 15. • Maximum double section home width including eaves 32 ft, maximum 12" eaves per side • Maximum triple section home width including eaves 48 ft, maximum 12" eaves per side The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system considering that each set of Vector Dynamic pad (s) has two (2) or three (3) square feet bearing area Piers not used as part of the Vector system shall be located and constructed in accordance with the home installation instructions and/or state standards. To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections or on homes requiring pier heights greater than 56 inches which are not included in these instructions, contact Tie Down Engineering, Inc. at 800-241-1806. The Vector Dynamics Foundation Systems may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). See page 3. Note that a ground anchor is used at each Vector system location in Wind Zones II & III. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or the state. Check with the most recent regulations in California. The Vector Dynamics Foundation System has not been designed for use on exposure "D" homes. Exposure "D" homes are homes located within 1500 feet of the coastline. Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations include shear walls, mar- riage line ridge beam support posts, end frame ties and rim plates. The term end frame ties refers to the longitudinal ties that are attached to a home to resist wind load on the end walls. If longitudinal ties are required by the home installation instructions or other state standards, these longitudinal ties must be installed and connected to anchors that are independent of other ties and anchors. See separate instructions for the use of Vector Dynamics with Tie Down's Longitudinal Stabilization Device. The term rim plates refers to the factory brackets fastened onto the. perimeter joist or specified as a location for vertical ties. ce N_ Page 2 California 8/2001 56 i ma Figure )Maximum Pier Height (Wind Zones I & Ii only) The Vector Dynamics Foundation System may be used on homes which require pier heights not to exceed 56 inches under one or both main rail(s). Note that a ground anchor must be used 'at each side of a Vector system location in Wind Zone II, and where the pier heights exceed 24 inches on a single section home in Wind Zone I. Piers must be constructed in accordance with the manufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the most recent regulations in your state. I 56 ii mai Unequal Pier Heights ( Wind Zones I & II only) Bin. iax. Vector Dynamics may be used on homes with unequal pier heights of 56" or less under one or both main rails. The difference between the taller pier and the shorter pier cannot exceed 26". Note that a ground anchor must be used at each side of a Vector system installation in Wind Zone I and where either of the pier heights in that location exceeds 24. inches on a single section home in Wind Zone I. Only concrete blocks and pressure treated lumber compression members are permitted on unequal pier heights using the Vector system. Piers must be constructed in accordance with themanufacturer's installation instructions and/or state requirements. The use of interlocked double stacks of concrete blocks may be required by the home manufacturer or state. Check with the mo3t recent regulations in your state. Page 3 California-tW2001 GENERAL INSTALLATION INSTRUCTIONS SITE PREPARATION It is necessary that the home site be properly graded and sloped to prevent water and moisture from. standing or flowing beneath the home. See manufacturer's home installation manual and state requirements for grading and other site preparation. FOOTINGS AND FROST LINES The Vector Dynamics Foundation System can be placed directly on top of the ground after clearing all loose vegetation. In areas where frost line/poured footers are required, the Vector system for concrete is used. See pages 8 & 9. FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS Vector Pads must be used in place of conventional foundation pads for each Vector foundation system. Each (set of) Vector Pad(s) provides two or three square feet of pier bearing support. Vector Systems should be spaced as evenly as possible along the length of the home, with one Vector system within two feet of each end of the home. For pier locations in between the Vector Systems, use the foundation pads normally recommended by the home manufacturer and/or state requirements. Pier heights in excess of 24 inches or when unequal must follow instructions printed on page 3 of these instructions. Nominal 3-1/2 inch or 4 inch Schedule 40 PVC pipe or TIDE steel compression strut (#59043) may be used only when the pier heights are similar on fairly level ground. Steel strut and PVC are not permitted when metal pier foundations are used. The adjustable galva- nized steel compression strut, #59043, is attached to each inside pad with a 1/2" X 2-1/2" grade 5 carriage bolt and can only be used with the swivel connector on strap. The grade 5 bolt attaches the swivel connector and the steel strut to the pad. When the swivel connector is used with a wooden or pipe compressive member, the vector diagonal connector should be part #59279 not #59276. After tightening the end grade 5 bolts, adjust- ment bolt is installed through the two square steel compression struts to lock them in place. Foundation pad size and pier spacing must be consistent with home manufacturers' instructions and/or state requirements. LUMBER/MOISTURE - TERMITE SHIELD To cut lumber (2 - 2x4's or 1 - 4x4 per Vector system) for the center compression section, when using con- crete blocks for piers, measure center to center frame (I-beam) distance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16". 3-1/2" or 4" nominal schedule 40 PVC pipe meeting ASTM D1784 or Tie Down's steel compression strut (#59043) may be substituted for lumber as the center compression strut under certain conditions described above. Pipe adapter bracket, part #59281 must be used with PVC pipe simultaneously with the Inside Tie Brackets, part number 59276. The pipe adapter bracket is used on top of the pipe and under the Inside Tie Bracket. In certain regions the optional Moisture Termite Shield may be required between the lumber and ground. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. STRAP TENSION All strapping must be tight upon assembly of the Vector system. Tests have been conducted with "hand tight- ened " strap in the Vector system to remove the need for specific tension specifications. Hand tight is defined as removing all slack with minimum of movement available when pressing on the strap. While subsequent tight- ening of the straps is not required, straps should be checked after any strong wind conditions, just as conven- tional anchor tie down straps should also be checked, to insure the maximum performance of the foundation system. A minimum of two factory 1/4" spot welds must be used when straps are connected to the swivel con- nectors with welds. C Page 4 Califomia 8/2001 Set -Up Instructions for the Vector Dynamics Foundation System #59007 (Kit #59007 is intewhangeabie with. Kit #59018) 2. SET BLOCKS (OR PIERS) ON VECTOR FOUNDATION PADS Center the foundation blocks over the Vector pads. Place the pre-cut 4x4, 2x4's (side by side), Schedule 40 PVC (w/PVC adapter plate, part #59281) or 1 adjustable TDE steel compression member, (part #59043) tightly between the blocks, with ends resting on the Vector pads, and centered on each U -bolt. 3. OUTSIDE TENSION BRACKETS Attach an Outside Tension Bracket to the U -bolts on the outside of the foundation blocks and Vector pads. Place one of the short 6"- 2x4's between the bracket and Vector pad. Adjust the short 2x4 so that it pushes against the foundation blocks, removing any space between the piers and center compression section. Tighten the 3/8 bolts. 2 square foot pad placement or (1) 3 square foot pad TS AND : Brackets to the re -cut boards or _-ap with hook to each inside tie bracket. Tighten bracket. When using looped strap and a crimp seal, in place of the hook, place a 3" long section. of strap, folded in half .and inserted between the strap and inside tie bracket. Place other end of strap over the opposite (- beam and continue down to outside of the foundation blocks. Attach the strap to the Outside Tension brackets using the slotted bolt and nut provided. Wind strap a minimum of five times around the bolt. Continue tightening the slotted bolt until all slack has been removed and the strap is tight. 5. SET ANCHORS Refer to section home drawings for anchor installation information. Stabilizer plates are required for diagonal ties only. Preload anchor against stabilizer plate. Make certain all slack is removed and strap is tight. For Single section homes in rocky soil conditions in Wind Zone 1 only (Soil Classifications 3 only), use minimum of 3 each V -Drive anchors per side. See drawing on page 6 for placement. o N -t Page 5 California 8/2001 Set -Up Instructions for Vector System #59018 (Kit #59018 is interchangeable with Kit #59007) Long U -Bolts 1. Set Vector Pads Clear all vegetation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2. Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. - 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. 4. Inside brackets & straps Attach the inside tie brackets to the U -bolts over the compression member. Attach a strap w/hook or swivel strap w/nut/washer & bolt (washers are required). Place other end of the strap over. opposite I-beam & down to outside tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Page 5a N/2001 California ��: rte• i.:. "=p i .. 0 0 J %2 sq. ft. pad/ y ' R • NOTE: Vector Systems should be spaced as evenly as - i is practicable along the length of the home. Pier sparing must be consistent with home manufact retrs' Installation instructions andfor state requirements. Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required: None (marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required 0 to 48' 2 48' to 71' 3 72' to 89' 4 Each Vector Foundation System requires One Vector Kit, 2 slotted bolts • 2 ea. 1-1/4 in. ties, length will vary with pier height (4725 Ib. min. break), • 1 ea. 4 x 4 pressure treated wood compression member or 2 ea. 2 x 4 pressure treated wood compression member • or 1 ea. 3-1/2" or 4" nominal SCH 40 PVC pipe compression member • or 1 ME adjustable steel strut TIE DDIYIV VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS This Vector Dynamics Foundation system instruction is applicable only on homes set on soils classified as Class 4A 413, 3 and 2 as described in the table below. For separate instructions for sub -soil, Class 5 conditions (above 50 in. lbs.), contact Tie Down Engineering. SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D1586) Torque Value (2) 1 Sound hard. rock...... NA NA Very dense and/or 40 -up More than 550 in. lbs. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 in. lbs. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 in. lbs sands, firm to stiff clays 4B and silts, alluvian fill 175-275 in. lbs Peat, organic silts, 0-14 175 in. lbs 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gage the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its' resistance to penetration (flow) under load by means of the torque probe and is measured in inch lbs. The test probe has a helix on it. The overall length of the helical section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Information about geographical areas of termite infestations which might require the optional termite and moisture shield when a wood compression member is used may be obtained from the local building official or may be found in the 1995 edition of the One and Two Family Dwelling Code. Page 18 California N001 • ,-- W-)> NOTES 00 RESIDENTIAL . 069-22-0-008 00-1552 PERMIT NO.—' MACINTOSH, BILL j 10 SKIPPER CT., OROVILLE i CONT: BETTER BUELDERS r MH UTILITIES { 1 1 ti SPECIAL CONDITIONS CHECKED BY —SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY f. �( Address c { GAS b� ! Meter By Date I ELECTRIC t Meter By Date r JOB FINALED (Date) � 6 ad Signature 4 0 = Nlo<t Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. ng Requirements -Setbacks -Easements ) Soils; Special MH Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel Se ocation-Test-Fall-C/O-Concrete 3. Water; Location -Test -Easement Needed (Sketch) EI ctricity; Location- Clearances-Grnd-/ /Amp -Concrete Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing Gas; Location-Tes -Wrap;-/ L'ft. } / /' Nat. or /"L"ft. /'LPG F t 5. 7. ell Clearance 19 D scorn t 8. Utility Clearance i Date 0� Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE 1JQME INSTALLATION (Plans) OK except #'s Z Requirements -Setbacks-Easements Footings; Size -Spacing -Marriage Line as; MH Test -Demand -Valve -Connector rrfectricily; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector meter; MH Test -Regulator -Connector at6r and Sewer Connected -C/O to Grade -HD ADoroval Installation Cert. Exits; e�ert. of Occupancy `12: Permanent Foundation Only; License Decal Date �� D a Card B-1 Date 3a/0 tj Card B-1 Date Card B-1 Date Card B-1 -r a� � d J 12- 30/.. MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single OL & Duplex) Date Underfloor (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 46. Hangers -Post Caps -Anchors -Connectors 2. Fig., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 47. Cling. Joist-Rftr. Ties- Purl in- Roff Brac.-Truss-Shting.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 51. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 52. Property Line Firewall & Openings 7. Slab, Steel -Wrapped 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Fig. -Steel 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 56. Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground 58. Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. 59. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 60. Brace Interior/Exterior Wall Panels 15. Access & Ventilation 61. Insulation -Walls -Ceilings 16. Insulation 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date FINAL (Plans) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 63. Ext. Steps -Door & Sidelight Protection -Landings 18. Water Pipe; Test & Anchor -Nail Protection 64. Smoke Detector 19. D.W.V.; Test Fittings & Anchor -Nail Protection 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 66. Bedroom Exiting 22. Gas Pipe; Sixe & Anchors 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 69. Stairs &Rails Date Card B-1 Date Card B-1 70. Fireplace or Stove, Clearance -Hearth Date ELECTRICAL (Permit) OK except #'s 71. Elec. Outlets at Wood Panel, Int. & Ext. 23. Fixture & Transformer Clearance -Ins. Protection 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 24. Elec. Receptacles Spacing -Lights & Switches at Doors 73. Elec. Outlets & Receptacles at Kit. Counter 25. Size Boxes & No. of Conductors Stapled 74. Garage Fire Door; Swing -Landing -Closure 26. Romex Installed Close to Edge of Studs & C.J. 75. A.C. Duct in Garage -Damper 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 77. Plb., Elec. & Mech. Equip. Listed for Location 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes O No 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 31. Service -Riser Conductors & Ground Main Disconnect 80. Guard Rails & Deck Construction -Post Caps 32. Equip. Clearances Panels-Motors-Mech. Equip. 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 33. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor O Yes 34. Smoke Detector 82. Following Instld./Drive J Yes ] No/Walks :1 Yes :1 No/Planters J Yes ] No 83. Stucco Brown -Finish Date Card B-1 Date Card B-1 84. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date MECHANICAL (Permit) OK except #'s 86. Water Well, Disconnect, Electrical, Plumbing 35. A.C. Ducts Insulation & Support 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 36. Vent Fan, Exhaust above insulation 88. Ventilation Throughout House 37. Condensate Drain & Overflow, Size & Grade 89. Glass Protection 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 90. Corrections from Previous Inspections 39. Attic Access & Platform if Furnace in Attic 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 94. Address Posted Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date Card B-1 Date Card B-1 j 40. Sits Proper Materials & Anchors Date Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date Card B-1 Date Card B-1 42. Bearing Walls over Girders & Floor Nailing Comments at Final: 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing %s MOBILEHOME INSTALLATION ACCEPTANCE N, P COUNTY OF BUTTE t DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION — COUNTY CENTER DRIVE OROVILLE, CA 95965 — PHONE (530) 538-7541 APN: PERMIT NO.: �9 / Owner's Name: 94 U-, Owner,'s�Address- Mobilehome Manufacturer Year of Manufacture: Serial Number or V.I.N.: Insignia or HUD Number: Official approving installation: Date: r v . n ('::yl 0 h If the mobilehome is moved or/relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B white -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor M COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE r(a C_L /^S' a -/6 0`t 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. n Date Inspector e� REV 1.A CERTIFICA.TE OF ANCHOR INSTALLATION Title 25 CCR Moblehom Parks Act Section 1326 (b)(3) I certify those portions of the tiedown system installed below grade were not damaged prior to or as a result of the installation, were not modified prior to or -during the installation, and were installed in accordance with the manufacturer's installation -instructions, plans and specifications of the engineered tiedown system referenced on this certificate. . Tiedown Systm: 31 Manufacturer. �_ �� /��• �� Model: /t°i" , r 4r.t2 — `/V Installed by: Oct 11 r0'ffi%o'vke_c a–Date: Izzo d ContrAwner. License No.: S 57 I 9 ER COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE a -/-tel 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. 4%J0 �r 4 I&P A o Q_ ar e41 Q Al 17 iDate 2 � ad Inspector X/7— REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above addiess 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 co6tact this office immediately. V :.IJ 9" L Date Z q Od Inspectors /'— REV 10/92 (� 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 ee- ASSESSOR PARCEL NUMBER 069-220-008 ZONING BUILDING PERMIT OWNER BILL MAC INTOSH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 10 SKIPPER CT., OROVILLE 95966 CONTRACTOR'S NAME BETTER BUILDERS TELEPHONE 589-2574 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 10 SKIPPER CT., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S rNP SUBDIVISIONS NAME PARCE P PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome XOther Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 -SPECIFY TYPE OF YVORK New ❑ Addition ❑ Remodel ❑ UtilitiesInstallation Other ❑ Describe Work: MHI f MH UTILITES BP#00-1551 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of ChapterOR 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,N.p61pT. and my license is in f force and effect. ���� License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. So ADDNS. ( & ACC. BLDS. 3.50FT. MULTI-OUTLETCU. 97,50 APPARATUS 8 PSINGLE OUTLET CSR. R. Fac. Occup. oLmFTORFIxruREs 20Q1•0° BAL- @ .w Ex. Occup. O.A� oREA� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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' cc pensation, as provided for by section 3700 of the Labor Code, for the rformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' corTIpention, insurance carrier and policy number are: Carrier U,r w 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' comp nsation provisions of section 3700 of the Labor Code, I shall forthwith cc y with those provisions. X Date �// Signa ure of Applicant - ❑ Owner ❑ Contractor �nt An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TO FEE $ 143.00 HAZ. — D. E P FLooD CLF PARCEL PO HD — a U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica ove for which fees have been paid. (% By / Date ' ?6 vU PERMIT EXPIRES ON (Data) ReceiptNo. 302088 / $143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PVA '� ';�iij�' �N'>��'�`��tii�,l�i7w•rj1� 'q'Y T ;� ' ��tr'�j��t.�'tiiM�p,�q�t��..�r,*`X "'^^sir -'`4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY -CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET GJ :.w;; O;WNER: C - n ASSESSOR PARCEL ER: Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit roc ssmg and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- El 2. Plot plans, 3/4 sets, signed by the preparer of plans. --------------------------L -------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------- ;----------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Fonm. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ OKI. Fees of $ ------------------------------------------------------------------------------------- in pact fees as shown on the attached schedule. ----------------------------------------------------------------- p 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number.----------------------------------------------------------- -P23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑Kanufactured tter of intent on building use. ---------------= " ; Home utility clearance. --------------------------------------------------------------------------- ❑ 28.Existing violations and/or expired permits.--------------------------------------------------------::--------- ❑29. E1433 A, ❑Grant Deed, ElM.H. Title, 1:1 Check to H.C.D $ J- . --------------- E130. Other: Zyou issu e t, ro ss follows ❑ Mail to owner ❑MM 'I to ntractor. ieplone��'" o�� and hold for pickup at �1 O j� office. ❑ Deliver with inspector. Date: Date: Bv: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, advised of the above required data by ❑ phone, mail, flding Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Builder' ivision counter, by Date:,, Plans reviewed by: Date: Plans approved by: - Date: Sets of plans on hold in ❑ Plan Cabinet, 13A.P. folder. Note transfer by: Date Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Copy of plans sent ❑ Health Department, ❑ Fire Department, 13Other: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USEyV Ijj�J: 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES D (D 61-�V� (paid at District Office) 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 (per unit) . x : = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 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. #O��Q� DATE t l 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 Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) o Go I 0, PAP -5B' MBATHAS111 v T'� • LIVING ROOM 19'-8"x9'-4" LINEN II AA JL -WBATHHI 9. 11 1 1 1 1 ft -M co LL)15 filer 2000 SERIES K.34 4 10 I.P 86635 S -)-q. Ft.. 114, THE KARSTEN r5 YEAR COMPANYTCOMPANY Ir COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P eM NO. (Rev. 12/96) APPLICATION AND PERMIT �� ��/.11 ASSESSOR PARCEL NUMBER 069-220-008 ZONING BUILDINGPERMIT . OWNER BILL MACINTOSH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 10 SUPPER CT, ORnyTT.T.F CONTRACTOR'S NAME BETTER— TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS SAME Energy Plan Checking Fee $ $ PERMIT FEE $ 4 0 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 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 IN Installation ❑ Other ❑ Describe Work: A7HII Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 -60. _00 PERMIT FEE S80.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 600V OR LESS 200A OR LESS 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 fuHFce and effect.? License Class 5�Lic. No. . OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 11I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUp. OR ADDNS. ( & ACC. BLOS. so 3.5¢FT. = pESlpT MULTiOLmFT 97.50 POWER APpgRATUS 8 SINGLE OLlfIET CIR. Ex. Occup. oUTLETOR FWURES SAL p �.w OR Ex. Occup. oFlxunEED�q REQS -. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 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' c ensation, as provided for by section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section r which this permit is issued. 3700 of the Labor Code, for the performance of :n�licy My workers' comperr§a on i uranc eyrie d number are: Carrier Policy Number - (The above sections need not be completed rf tAe 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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwi Com I with those provisions. X Date _ of Signature Applicant - ❑ Owner [3 Contractor gen An OSHA permit is required for excavations over 60" 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 FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166.00 HAZ. D. FEES IMP FLOOD FL I X CDFpAR R C0. pD X HD ISS This permit is hereby issued under of the Butte Coul4y Code and/or indicated above fol,which fees have , B /W�--� PERMIT EXPIRES ON RLV101 the applicable provisions Resolutions to do work been paid. �% w" Date [ ate ReceiptNo. 302047$166.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J}-_� �� � r S � "Ar'"t.:�v�>--.,�'L''s'Se. ali�f,!�""t�`S. i :.1°RF+.r�7"�. ^ [.+�'rf�`*' !'g"''C'�' `;i ...M`K>R^ • •v'ti'v`i�:'..�1�i�i� _�ly�'."���.".�g•��' �";••�tvi,,.rs-ri.,.. \_ •qu n' CrOU lh OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET s OWNER: MG /v -F0 S ASSESSOR PARCEL NUMBER: �/ =�qe Proposed Building We: - i Building Inspector: Date: O 0, At time of permit application, I was a vised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- . Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- f 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------- VCorni7a act fs as shown on the attached schedule. - =-- -- --- ----- Department of Forestry plan approv fees. - ------ 13. Flood elevation certificate. ------------==---------- ----------------- J. Sanitation and plot plan4pprovalth Department. igw ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ?19 Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- y2�. f- �. Encroachment Permit for driveway (construction approval prior to occupancff- - ❑ 20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). --------- --------- El 22. Workers' Compensation carrier and policy number.----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- �,Ieetfer of signature authorization. -------------------------------------------------------------------------------- Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- Z7 9 ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. ---------------------------------- ------------------------------------ 1129. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ • --------------- 030. ______________❑30. Other: k When you issue the.pe t, process as fo lows ❑ Mail to owner, ❑Mail to contractor. elephone-" („/wand hold for pickup at office. ❑ eliver with inspector. sP Applicant: �. - Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire POphhonee' Ar Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departme Date: _ » _- By: 1. Index permit application for the above items numbered: El Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above ne, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data, ail, ❑Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by. Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di_v'sion counter, by D tt Plans reviewed by: Date: Plans approved by: Date: Cl, -::Z/ _0D Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: A. P. # 04 c% 2-2-0- () (i) OWNER A� g- PERMIT # . MH UTIL. CLEARANCE DATE a INSPECTOR• ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE SIZE LOAD TYPE ISIZE LENGTH YES NO YES NO BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District p�'CX%1 (lamL� r Building Department N . A.P. Number Ol(�-� Jurisdiction: City County Property Owner " a c,Trl-s r 1 Property Location/Address O 5 L i; ,�pe, r VC -Ar D rzs-Q' Subdivision Lot No. Residential Development ................. :............ .............................................. :...................................... : Sq. Footage S No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # • '(No foundation inspection)' ......................................................................................................... ndustrial New Addition 1 Department tr•ioor Ylans reviewed oy School uistrlct District Identification No. • %t% 1 Sq. Footage (Including Exterior Roofed Areas) Date _) ,AI/ . l e it 12_yr• School District certifies that 6 fj.� Yhac:Tv, 4'a.S`k (Applicant) v (Street Address) (Phone Number) 50116 la (City) (State) (Zip Code) has complied with the requirements of Resolution No. q q —Qy 165 by payment of $ representing S S *.School District*,Rep,&sentative square feet. AB 2926 $ FULL MITIGATION $ r' Date Paid by Check # Remarks: �O b b C�.. � �� f, .-O Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure. to submit a timely written protest will prohibit you from challenging the imposition of the fees in'any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency,that this project is being reviewed under the California Environmental Quality Act (CEQA),' this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow. (building department), Pink (school district) feeform.xls (10/98)dmm bm PERMIT NO: 40-00 Lake Oroville Area Public Utility District 1980 Elgin street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the.Butte County -Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: July 11, 2000 Applicant: BILL MAC INTOSH (Better Builders Censtr. ) Applicant Address: 1045 Shepherd Rd., Walnut Creek, CA 94598 Applicant Phone No.: (925) 274-1629 589-2574 Property Location (s): 10 Skipper Court Kelly Ridge Estates Unit 3 - Lot #273 A. P. No. (s): 69 -22 - Fees due: All fees paid. Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: M Date: Lake Oroville Area Public Utility District release to close permit: Date: By: JUl'-06-00 02:58P John Starr AND WHEN RECORDED v1AIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 2000-002_2-7 Recorded Official Records CountyBUTTE _ f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:07PM 17 -Jul -2000 REC FEE 7.00 CONFORM .00 Fay Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT - FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but -not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, prururig, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: f' Z % 3 a 4VW 0117 0n *ta;0 �LQ578 CJ,*s /1, /7�`�_ /9�� /h max c13 0 sn�s c.d %eck) 4(0(, (Ij5"- 4LG,4CO. "V""- 069- d"zo-- Dob -000 Date D-6 e 0 PROPERTY OWNERS: 7o5 State of California County of 8'e,� ) On _ ;E �Z 2 cOO before me, 2 / o✓D L/f personally appeared k// L C / ii IY1 /i e- /N TV 41 1,ad4® 1'AIA Al M R c /4/ TW/?/ personally (mown to me (or proved to me on the basis of satisfactory evidence) io be the person(&) whose name(s) is/are subscribed to the within instrument and acknowledged to me that helshe/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(&) acted, executed the instrument. WITNESS my hand and official seal. Signature eal: yiRUDY A. RINDLISBACHER { NO.My Comm. #1148759 0 `nNotary Public - California cCxn Butte County tQ A.P. # t'�1p9 — v�o� -- QQ �! QQQ ;< Comm. Exp. July 26, 2001 �i See the attached 7 t` ca��t��rem nts ago 85 S cK 70.00' v Owl�doN�. 2oa f+MP—moi; 1)Fd X LOT 273 UNIT 3 ALL SMUC7URE8AND - OVERHANGS SHALL BE E��'-�AENT INCL�IfDIN(i A GET. BACK OF CLF�R ALL FRO -A-1. -�-� FROM THE SIDE AND * REAR " ROPERTY LINES AND FT- FROt-?E. -'OAD CENTERLINE SHALL BE F STRURES AND EpU1PN1E r_c e 2 EAVE OVERHANG. � EXCEPT BS`42'oO E to V go- REVl'=\"' BI BUTTF. CO. FI.9E DEPT. CALIF. DEPl-. Of FORESTRY ❑ 8PPra,'ed as submitte% �PWOved with conditio?is posy attach Signa;urs-- LF��� ,co �� pn rz���S`•/C � I Ir -7 1Z �� i to V go- REVl'=\"' BI BUTTF. CO. FI.9E DEPT. CALIF. DEPl-. Of FORESTRY ❑ 8PPra,'ed as submitte% �PWOved with conditio?is posy attach Signa;urs-- LF��� ,co �� pn rz���S`•/C � I Ir -7 1Z �� , PIER NO. PIER FOOTING SIZE REWIRED (SQ. IN.) PIE C FILM N0. (LOS.) IPAN LLS.) ,: 1000 PV' N 1500 PSF 2000 PSF 2000 288 192 144 J 4000 2500 360 240 180 4 5000 THE KARSTEN COMPANY WAVAMG SUPPORT LOCATIONS 9998 OLD PLACERVILLE RD. oeArM e,: STANDARD PLAN AS OF REVISION DATE/01136 SACRAMENTO, CA 95627 432 (916) 363-2681 — e pub RLL &WOF (916) 363-4537 For FOOTING SIZE REWIRED (SO. IN.) plER N0. PER FOOTING SIZE REQUIRED CAPACITY (185.) 1000 PSF 1500 PSF 1000 PSF 1500 PSF 2000 PSF 576 t 384 288 5 6000 864 576 720 480 360 6 8000 1152 768 _(200/30 OR ABOVE) j • CARPET do PIER SUPPORT LOCATIONS PIER CAPACITY (LBS.) oeArM e,: STANDARD PLAN AS OF REVISION DATE/01136 1000 PSF 1500 PSF 2000 PSF 1 II II II II I 11 II II I II II ,u L1� cc CC �. MIDDLE ZONE ONLY ® (30# ONLY) SOUTH AN`�D MIDDLE ZONES _(200/30 OR ABOVE) j • IN.) PIER PIER CAPACITY (LBS.) FOOTING SIZE REQUIRED (50. IN.) 2000 PSF 1000 PSF 1500 PSF 2000 PSF 432 7 10000 1440 960 720 576 8 12000 1728 1152 864 PgOdlCT: — YODEL 010-- KARSTEN KS44101P soumE rt.: SMEET: 865 11 DATE: 95 11/28/95 RE"=: � —A 2-11-00 1. Owner's Name: 2. Assessor's Parcel Number:: 3. Installer's Name: z'ry/141 4. Is the site currently under permit? Yes[ t4/No[ ] Permit No. - �— S 5. Is the site an existing site? Yes[ ] No['V]/(If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? " .. peres. 7. What is the mobilehome site circuit breaker rating? o� Amperes. 1 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ J No[ If it is, what is . ; the rating?... :' Amperes. 7 10. Is there any other.electric load to be served by the mobilehome site _electric service (i:e. well, garage etc.)? Yes[ J No[ J If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes- - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None -- 12. Size of gas pipe at the mobilehome site from the meter 'or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION g �. RWoING May 1995 8.5 Mobilehome Manufacturer: Manufacture Y ar: v2 �D�C�CS If other thaVingle wide, furnish Setup Model Number: �S Width: ft.) Length: F (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ Other: SUPPORTS: Concrete block[/ ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier-Footings`Sizes and Location SINGLE WIDE y " MULTI -WIDE Line 1 CI Line 2 Line 2 ...................................:............................................................. Main Beams Line2................................................................................................. e 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams Line 2 Line 1 ............................................. ...rine ine s i Tag or Triple ine 4 1 Line 1 Piers: Size minimum: r 1 x Spacing maximum: 1 4` From ends -maximum: 4` Line 'l Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 2 Piers: /a Line 4 Piers: Size minimum: ] x [ 3o ]. Size minimum: x Spacing maximum: p Spacing maximum: ` From ends -maximum: Q From ends -maximum. ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): X" • -16 County of Butte Oroville, California GENERAL CLAIM CLAIMANT: J.R. DUGrosse ADDRESS: 10 Skipper Court CITY & STATE: Oroville, CA 95965 nATP r)F r`I AIM- 10/28/04 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 069-220-008 Permit No.: 04-2834 PAID RETAINED REFUND Development Services $ 55.00 $ $ 55.00 THERM DRNG $ - $ $ - SMIP $ - $ $ SHR $ - $ $ - SRA $ - $ - TOTAL$ 55.00 $ - $ 55.00 ......................................... .............. ............ .. c ..... a ' . .............................. ............................................. ::.::13it>rAIttiOVS'N :: >:::< .............. .............. :: SIJD:G:Em .:...... . ............. ............. .............. V I` ............. .............. ............. >E11Y107[JNT: 101001 DVLPMNT SVC 440-001 42105001 $ 55.00 1011822 THERM DRNG 1800 280 $ 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 101001 SRA 0100 4617240 $ - TOTAL $ 55.00 $ =55. I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true andcorrectas stated. Dated this / o -7 - day of �Vr¢ L/ , 2004, at !• Cal'rf. C V ` nature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check on or me. Dated this day ofQ2004, at Oroville alit. De me Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE -AUDITOR'S USE ONLY DEPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. WANT: J.R. DuGrosse tESS: 10 Skipper Court & STATE: Oroville, CA 95965 OF CLAIM: 10/05/04 APN: 069-220-008 NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: REFUNDS: DETAIL BLDG Electrical - Taken in error D PROCESS FEE )ING TOTAL APPROVAL Date Reviewed Michael Vieira Building Manager 04-2834 PAID �®s Title BLDG THRM ORNO AUD SUSP SHER DEV FEI SRA Fund 0010 1800 1001 1800 0100 Dept 440-001 rHRM DRN (SMIP) (SHR) (SRA) Accnt 4210500 280 280 280 4617240 Cash 101001 1011822 1011430 1011811 101001 RETAIN REFUND 0.001 0.00 0.001 0.00 :::::::::::::::::::::::::::::::::................ 0.00 0.00 ::::•:::•::::::::: ::::::::: 55.00 55.00 0.00 0.00 ::::::::::::::::: 0.00 0.00'?: }}}}}:........ 0.00 55.00 55.00 :::::::::::::::::::::::::: ::: 0.00 0.00 :::::::::::::::: :: 0.00 0.00 :<:.:«<iii:}}}; ................ 0.00 - 0.00........ .i 0.001: 0.00 $ 55.00 $ 55.00 $ - Is - is - $ - CHECK: $55.00 DIFFERENCE: $0.00 (Should be blank) - GP.S - - _, ,• . Deyelopment:Servi W6dnocday, October 2'; 200 � . _ �-•- - .. ._' - • j{ BUILDING DIVISION ver. 1.0 Counter Tammie Person Payment Date 9/28/2004 Permit Number 04-2834 Receipt Number 1412658 Check Number or Cash 2068 1 Parcel Number 069-220-008 Applicant JJOAN R. DUGROSSE Received From I SAME Total Received Total Fees To Collect Notes: _ ..$55.00 P _ .._$55.00 - - -I Fund 10 (Bldg Permits) SRA Fees (Fire) SHR Fees (Sheriff) SMIP $55.00 $0.00 $0.00 $0.00 ' Copies/ Document Sales $0.00 1 CUA (Chico Urban Area) $0.00 TUA (Therm. Urban Area) $0.00 Water Tender Btln #= $0.00 1 West Chico Fire Station $0.00 Witness Fees $0.00 Recorders Fees (N.O.C) $0.00 Thermalito Drainage $0.00 Oroville Area Traffic NSF (Non Sufficient Funds) $0.00 Notice of Violation NCSP Trails System NCSP Roads/Bridges NCSP Storm Drainage NCSP Fire Station NCSP Parks Value $0.00 $0.00 $0.00 $0.00 $0.00 Type $0.00 $0.00 1 o�UTrFo Butte County Department of Development Services Building Division O O 7 County Center Drive c0— Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other Countv Deoartments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the Check those fees which you wish to have considered for refund: E ' uilding Permit Fees =Other (specify): _ =Sheriff Fees =SRA Fees (CDF Fire Planning) (Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may pick them up prior to that time. ignature K:/Forms/Refund Application 082203 Date `ifR°'�'v��w'�A�B�.k`%�sv�'8""�54�'�1�•�i�-'V+rws.-�t-�.�w..�R�i w:..�`'Si..�R:::r^��ti'��iM�li� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE PERMIT A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Ll!� �� Inspector �!/�� REV 10/92 O. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042834 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date•- 09/2$/2004 APN: 069-220-008-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 10 SKIPPER CT ORO Date: Contractor: Map Index: Description: UP GRADE ELECTRICAL SERVICE OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a OWn@r• DUGROSSE JOAN R permit to construct, alter, improve, demolish, or repair any structure, prior - to its issuance, also requires the applicant for such permit to file a 10 SKIPPER CT signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA 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 95966-3941 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their 14 sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DUGROSSE JOAN R Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor' not apply to an owner of property who builds or improves thereon, . and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy a: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: r-6 G Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY— _ _ _ This rmit_is he eby_is_sued_under the pp'cable provisions of the Butte County Cods ?nrVor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) _ Res lutions to�f work indicated abov�for hich shave been paid. �( Name: BY /y Date: (J PERMIT EXPIRES ON: (� r Date Address: ❑ 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 I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substanc of any official form or ument of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purp es. Print Name: �� NN _R 21 $5' If Signatur . Dater -7- (� Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor s 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 REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name l u r©� nrst Name Jo 2 "z'-, Address cm C/ r City !�0 v ��t� State Cf� �P Sly lv Phone ;2Fax / E-mail SeQ 3 1L) e- —Pi rJ` APPLICANT NAME CONTRACTOR Name. City Address ZP'5'F" City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address ZP'5'F" City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State �� ZP'5'F" Phone S g G is Fax E-mail APPLICANT SIGNATURE X or office use only: Zoning AP# & Flood Zone Property Address SRA Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS T PEFLNHT BP BIN # Description or Scope of Work: 11V:571-1/ /5 /} P, �3rP�-Awk j ocrf%7- C - Sq. Footage ❑ Structure Built Wthout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upgn written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by:_#:�_' Amount: W, W Bldg I I SRA Receipt #: �. 2� Sheriff SMIP Other Date:�/ �� k5,5- . Total 11 LOCATION AP# & - �20-OG Property Address Cr C'dy Cross Street ! lP2'c%?f Citic 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 Description or Scope of Work: 11V:571-1/ /5 /} P, �3rP�-Awk j ocrf%7- C - Sq. Footage ❑ Structure Built Wthout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upgn written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by:_#:�_' Amount: W, W Bldg I I SRA Receipt #: �. 2� Sheriff SMIP Other Date:�/ �� k5,5- . Total 11 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. 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 infomation. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applicationstfor 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 Ketunos 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 KAFORMSSUILDING FORMS\BldgApplSubRgmts.doc Page 2 of 2 REV 7-27-04 I i NOTES I PERMIT NO. V. RESIDENTIAL 03 MACINTOSH, SUSAN • 10�SKIPPERS COURT; OROVILLE_ Cont: SIERRA MH CARPORT/MH I S E t k 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 v rt i f � { ro� 'JOB FINALED (Date) Signature �'�" CHECKED BY J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 T. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L -ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Zoning Requirements -Setbacks -Easements. Card B-1 Date Card B-1 Date Footings; Soils -Size -Depth -Spacing -Connectors -Steel Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 11. 8. Gas and Electricity Tagged 12. 9. Tie Downs -Type -Installation Cert. 10. Exits;.Insp.-Sketch 11. Cert. of Occupancy Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Date Card B-1 Date, Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 4. 1. Zoning Requirements -Setbacks -Easements 5. 2. Footings; Size -Spacing -Marriage Line 6. 3. Blocking 7. 4. Gas; MH Test -Demand -Valve 8. 5. Electricity; MH Test 6. Water;. MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals Date 11. Verify #'s with Office. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements. 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped _ 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace 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 Date FRAMING (Continued) 15. Access & Ventilation 48. 16. Insulation 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Date 51. Card B-1 Date Card B-1 Date Garage Fire Protection Framing -RC Channel Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 17. Water Htr.; Vent -Access -Combustion Air Baffle Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 18. Water Pipe; Test & Anchor -Nail Protection 57. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 58. 20. Shower Pan; Test, First Floor -Tub Access Glazing Area -Glass Protection -Skylights -Plastic 21. Test Tub & Shower, Second Floor -Tub Access 61. 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 71. Fireplace or Stove, Clearance -Hearth Date 72. Card B-1 Date Card B-1 Date 73. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 24. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 25. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 26. Size Boxes & No. of Conductors Stapled 77. 27. Romex Installed Close to Edge of Studs & C.J. 78. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 85. A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing Date 88. Card B-1 Date Card B-1 Date 89. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 36. A.C. Ducts Insulation & Support Corrections from Previous Inspections 37. Vent Fan, Exhaust above insulation 92. Gas Test -Meters Tagged, Gas -Electric 38. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Energy Compliance Certificate -Other Certificates 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date 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 A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive O Yes 0 No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE r: BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Orovill,e, 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. Ity u have any questions pertaining to this matter, or need additional explanation, please co't ct t 's office, immediately. n �,. /./ V I I __ L x A/ Dat Z Inspector REV 10/92 (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICA&IONAND PERMIT 03 -ao(o ASSESSOR PARCEL NUMBERONINGRT-1 069-220-008 Z BUILDING PERMIT OWNER MACINTOSH SUSAN TELEPHONE SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 10 SKIPPER Cr. OROVILLE 95966 8008-00 CONTRACTOR'S NAME SIERRA MIS TELEPHONE 534-0599 CONTRACTORS MAILING ADDRESS 466 CIRCLE DR. OROVILLE CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS - Fireplace Total Valuation $ 8008.00 ARCHITECT OR ENGINEER UCENSF NO. Flinq Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 108-00 Plan CheckingFee $ BUILDING ADDRESS 10 SKIPPER CT OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 151.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome)t] Other sPwlFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 14 X 44 CARPORT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service OOOV OR LESS 200A OR LESS 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 c/70 3,f 6 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation ins rance carrier and policy number are: Carrier 5e 71-0 Policy Number YZ S__7 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp with those provisions. X Date 7110144-3 Signature of Ap licant - ❑ Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service ( 200A TO t000A 46,00 NEW CONST. DWELLING OCCUR SO OR ADONS. ( & ACC. BUDS. 3.5¢FT, = galp MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET FIXTURES BAS @': 0 00 Ex. Occup. ounE s AEESID.DERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 151.00 HAZ. --ft D. FEES IMP ✓ I FLOOD I CDF ._ PARCEL I PD HD ,_, ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / O By (� ate PERMIT EXPIRES ON Q" � 0 94.) ReceiptNo. Jc- WHITE-D.D.S.-B.D. CANARY-ASSE SPINK-INSPECTOR GOLDENRol OD -APPLICANT G�' ��"'�nfi'�'�j'�i�+'�M7JOr"`Wr4R"... .„y�-- t-3rtr--n-�d"m•..... + . .� ..a, u* � 'J, �,. .vF �'�1��;'`r'f�;, . F ,,7'I�t't^ COUNTY OF BUTTE -DEPARTMENT OF. DE ELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, ('!505_599Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: � Gz (• Q 44 �T9 ASSESSOR PARCEL NUMBER V aQ -t /U Proposed Building Use: ( ! (.t/_Q &-t� ' \ Counter Technician: Date: ?/ IU 13 Items required in order to apply for a permitll`bozes MUST be checked OR marked NA in order to apply. 5 1.. Plot plans, 3 or 4 sets, signedty the preparer'of the plaris .:�2. Complete plans, 3 or 4 sets, signed,\Iy thepreparer of the plans. �-Z73. Engineered plans, 3 or, 4 sets, with wet signature on plan AND 2 sets of stamped and signed calculations. 0�4' Engineered truss details and layouts in duplicate. No faxes':., 01.5. Eriergy.bompliance design and supporting documentation in duplicate. 0 6. xManufactured 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 cann6t,proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ...................................... ❑ f5. Statement of Intent for Non -heated and A/C Buildings ..................................... ..... 4'16. Sanitation and plot plan approval from the Environmental Health Department in #17. City of Chico Plumbing permit......................................................................... 1 8. California Department of Forestry plan approva paid. Sent_ by: ...................... 19. Planning approval for (A) Use: DK, (B)Park g: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensati6n Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 3V USTrY and hold for pickup. I have been informed oft• a above items and requirements for obtaining a building permit. ¢-� In licant: Ap , at r 1. Index permit application for the above items numbered: ff ! 4-e Plan Check Letter 2. Additional items required w ontractor; designer, owner, was advised cf the above data by phone, ❑ mail, EObunter, by M Date:Cbirtr t r, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter by Date:_ Plans reviewed by: R�j, Date:$ Plans approved by: / Date: sift? Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellmv' Rnildino nivicinn REFUND CALCULATION SHEET RECEIPT INFORMATION NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: PRIOR REFUNDS: FEES VERIFIED FILING FEES Plumbi Mechanical PLAN CHECI Plan Check INSPECTION Energy SRA - BLDG Building $46 PERMIT FEES Building Plumbing Electric Mechanical OTHER BLDG Overcharge PROCESSFEE BLDG TOTAL SRA - FIRE Fire $43 SHERIFF - $36( OTHER NO 382458 BLDG SRA 07/10/2003 440-001 Sierra MH Services 280 18160 4617240 1011811 $ 287.20 ............... 03-2064 0.00 ::. Yes No X Yes I No Yes No X 0.00 ..................... .............. ............ 0.00 ............. PAID I RETAIN I REFUND 0.00 0.00 0.00 136.20 0.00 0.00 136.20 0.00 0.00 REFUND BREAKDOWN BLDG SRA SHERIFF 440-001 0100 280 4210500 4617240 1011811 ............... 0.00 ::. ..... ...... .............. ............ . .............. .............. .. ............... ....... ................... ..... * * ...... ............ ............... ............................. .............. ............................. ...... ............. ................. 0.00 .................. 0.00 ..................... .............. ............ 0.00 ............. .............. ............... .. ............. ............... . ........ ................ ............... ................ ............... ................ ............. ............ ... ............. ............ ............. ............ ................ ................ ................ ............... ............... ................ ............... ....... ........ ......... ............... ............. ............ ............. .................. ............ ............. 0.00 ................ ................ 0.0 0 ... ............... ............... ............... ............... ................ ............... ...................... ............... ................ ............... ................ ............ ............. ............ ............. ............ ............. ................ ................ ............... ............... ............... ............... ............... ............... . * ......... ................ ............... ................ ............... ............... ................ ............... ............ ............. ............ ............. ............ ........ ............. ............ ............. 0.00 ........ ................ ................ ................ ............... ............... ............... ............... ................ ............... ................ ............... ................ .... ............... ............... ................ ............... ............ ............. ............ ............. ............ ............. ............ ............. ............ ................ 0.00 ................ ................ ................ ............... ............... ................ ............... ................ ............. ............ ............. ............ . 0.00 0.00 :..*..,..,..,..,..,..,.,.,.,.,.,.,..'..* ........... ............ ............... ..*.'.*.'.'.'.'.'.'.'.'.'.'.'. .. *** ........... ............... ........... ............ 0.00 .............. ............... ........... ...... ................ ............... ............ ............ ............ ............. 0.00 ............... ............... ............... ............... ............... ................ . ............... ............... ............... ................ ............... ............ ............. ............ ............. ............ ............. ................ ................ ............... ............... .............. .............. ............... ............... ................ * ............. ................ ............... ................ ............... ................ ............... ................ ............... ................ ............ ............. ............ ............. ............ ............. ............ ............. ............ 136.20 0.00 ............................... .............. ............ ............... ........ ...... ................ ............. ............ ............ 0.00 ............................... ............. ............... ................ ............ SRA - FIRE SHERIFF ............... ............. ............ ............. ............. ................ ............... ............... ............... ............... ....... ................ ............... ................ ............... ................ ................ . $ 287.20 $ 151.00 $ 136.20 -$ 136.20 $ $ $ BLDG SRA SHERIFF 440-001 0100 280 4210500 46172401 1011811 CHECK: $136.20 DIFFERENCE: $0.00 Should be Zero! DATE: 08/26/2003 4 �V�o A7 REFUND CLAIM APPLICATION REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). 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 are not refundable. Fees paid to other County Departments are not covered by this claim CLAIMANT'S NAME: ,.' MAILING ADDRESS: 1(( LAA ASSESSOR'S PARCEL#: — ZZa _ ©og BUILDING PERMIT #: 03 - A o G c/ RECEIPT NUMBER(S): 3 ?- 2e(s S A request for refund of fees paid on the above receipt number(s)�is for the following reasons: . S 9.1 5- -7, -7r Ocrer G�Gf�'e Please refund any applicable fees in the following categories: (Check those fel /)----Building Permit Fees ( ) Sheriff Fees ( SRA Fees (CDF Fire Planning) ( ) Other (specify): ,a Disposition of Plans:c�� ( ) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Please dispose of plans Signature Date �'' (q `03 A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. FOR BUILDING DIVISION USE ONLY: Receipt Information: Number: Date: Issued To: Amount: . 2 0 , { (0 Fees Retained: Processing Fee: $ Bldg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ SRA P/C Fee: $ Other: $ Total Amount Retained: $ TOTAL REFUND DUE: $ Amount from 440-001 $ Amount from $ Amount from $ Amount from $ County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Sierra Mobile Home ADDRESS: 466 Circle Drive �' , Refund: :.:. rt,z. :J .k '.:. IMPORTANT: CITY BSTATE: Oroville, CA 96966 SEE INSTRUCTIONS :r : , No.: ;03 2064 _ AP No 069" 220' �;� ON REVERSE SIDE DATE OF CLAIM: 8/26/2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT g2 ' :' Reason for the P.0 �' , Refund: :.:. rt,z. :J .k '.:. ....,:,,; x.,e..p!> _.... .....:._..... ..,:�:; xG !:::,....r .............__... .. .. ............,...... ... ..._._.... . Bld g ermf PP : _yi;;; :r : , No.: ;03 2064 _ AP No 069" 220' �;� Receipt No. ;382458 ,.xx,.. Receipt Date Bldg Permit Fees ..x,.,.. x7/10/Q3. ...°x..x 5 ........x?....x x < . :Cx;F•xxxr:,;xx;x;x;:.:.":Rs ":•.:x..::x:M".x.....;; xr......rx.. Owner's Name: "Susan A, a.clntosh................ r sE f'`?x 'C TOTAL FEES PAID: 287.20 :, x x.... TOTAL FEES RETAINED (Breakdown Below): .$151.00 ,.:x.,xx.x,:...x„,::::: 4” 2 � Plan heck n Fee: . Checking . .Building Permit Filing Fees 0 00. v..��.:=,.�Fx�•• 3 OO• _ - - - x.x Plumb'n Permit Filing Fees: I Energy Plan Checking ::.. .`.., .:.r x.Electrical Permit Filing Fees: ...,. Refund Processing Fee: .4 -Mix -.::......x.. :.x .....x.x..,....xxxxx.xxxxx..x,xx.x.x.::.x.x.x.x.x.x.x.::.. .xxx ... ::.....,x..xxx.xx.:x :::: x :::::::.::..:Y:.=x . .................... .....::....:"xxx::,:..:,... xL:xx.xx.,xxx,x::::: :.x::xx.::::x,.::x: I s .:.....:.+.. x.::.aacR:.@` .q. Mechanical Permit Filing Fees , ..� nspection Fee ^i^:•:i•:::i"x":zz'r"xGFk:zLL'x'xxxxxxx.exxx.i,.xr,.,.' .xxx.xxxx ,•, .r..x�x.x::Niz.rw•.e — . '..K..:•.�A xxx,. x.x_.xx,x,,,x.x.. :1»0:8':0.0: SRA Fee: it in Permit Fees: H. Bud 136.20 g .,:..,x ......:......:..... x ,, x,x. x I, the undersigned, declare under penalty of perjury that the services or articles claimed have performed or delivered, and that this claim is true and correct as stated pbeen Dated this 1 day of_, 2003, at '� �" Calif. ��— Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval one) for th(e� same. ({� c�(Check Dated this day of 2003, at _Oroville Calie Department Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 C;OI'Y of Document Recorded 21 -Jul -2003 2003-0047633 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM . Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive noti6e as to its contents to all persons thereafter dealing with the real property. WILLIAM H. MAC INTOSH AND SUSAN MAC INTOSH REAL PROPERTY OWNER/LESSOR 10 SKIPPER .COURT MAILING ADDRESS OROVILLE BUTTE CA 95966 CIIY COUNTY STATE ZIP SAME INSTALLATION MAI,IING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER write WNNER (if also property owner, -SAME") SAME MAILINGGAADDRESS SAME CITY COUNTY STATE Zlp UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUINGbII 'PERT eod CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE 03-1976 530 538-7541 BUILD G PERMIT NO. TELEPHONE NUMEER SIGNATURE OF LOCAL AGENCY OFFIZCIAL DATE NONE DEALER NAME (if not a dealer sale, write -NONE-) NONE DEALER LICENSE NO. ANDREW NAME NCO. 2000 KARSTEN VILLA/KS44101P MANUFACTURERS NAME DATE OF MANUFACTURE KCCA01 K0113 6A/B , „ MODEL NAMF�NUMBER SERIAL. NUl BER(S) 58'X 19 8 RAD 1262101/9 ASSESSORSPARCELm-w`EER AP # 069-220-008 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY- HCD PINK. Aoolicant rnt.nFtaunn _ c..:. __ LEGAL DESCRIPTION A.P. # 069-220-008 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 273, 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 BOOK 43 OF MAPS, AT PAGES 44, 45, 46, 47, AND 48. BUILDING PERMIT NUMBER: 03-1976 Address or location of units 10 SKIPPER CT., OROVILLE CA 95966 Legal Description of Real Property: AP # 069-220-008 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section18551. Owner's name: WILLIAM H. MAC INTOSH AND SUSAN MAC INTOSH Owner's address: 10 SKIPPER CT., OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: RAD 126230 1 / 2 SERIAL NUMBER OR V.I.N.: KCCAOIK01136A/B MANUFACTURER'S NAME: THE ANDREW KARSTEN CO INC. YEAR: 2000 OFFICIAL APPROVING INSTALLATION: DATE: 7,16-03 PHONE: (530) 538-7541 H.C.D. 5130 07/01/2003 11:14 FIDELITY TITLE OROVILLE -) 5340709 NO.507 J STATE: OF CALIFORNIA • BUSINESS. TRANSPORTATION ANo MOUSING AGENCY ._. ... GRAY DAMS. Govamor .................... _._. _._......,......._.._...�----.,..._..-.--,-ter.—.•—f__•—.� —:--�= .�_.._-�.t-r,�-----._._ DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DMAlon or Cedes and Standards �strtG q r_ w.wrw Title Search ° Dole Printed; 05/13/2003 baV�y Decal #: LBB9517 Use Code: SFD Manufacturer. THE ANDREW KAILSTEN CO INC Original Price Cade: ATP Tradename: KARSTEN VILLA Rating Year.: Model: KS44101 P Tax Type: LPT Manufactured Date: 04/17/2000 Last ILT Amount: Registration Exp: Date IL•T Fee Paid: First Sold On: 09/12/2000 ILT Exemption: NONE Serial Ntunber FIUD Label / Insignia Length Width KCCAOtKO].136A RAD1262301 58' `. 9,10" KCCAOIKA11368 RAD1262302 58, 9.10" Registered Owner: WILLLIAM i-1 MACINTOSH SUSAN MACINTOSIT (Joint Tenants with Right of Survivorship) 50.0 CANYON CREST DR SAN RAMON, CA 94583 Last Title Date: 11/14/2000 Last Reg Card: 11/14/2000 Salo; Transfer Info: Price $71,100.00 Transferred on 09/12/2000 Situs Address: 5040 CANYON CREST DR SAN RAMON, CA 94583 Sites County: CONTRA COSTA Title Searches: FIDELITY NATIONAL TITLE 455 ORO DAM BLVD SUITE A OROVILLE, CA 95965 Tide File No: 104200 *** END OF TITLE SEARCH *** 0 D01 QW01i2003 11:14 FIDELITY TITLE OROVILLE 4 5340709 RECORDING REQVESTED BY Michael T. Kut=an, Esq. WHEN RECORDED MAIL THIS DEED AND TAR STATEMENTS TO: ''ante William I -I. &Susan Maolntosfi, Trustees Street .A,ddrast 2806 F'Yecudve C omt NO. 507 UO2 City Rxklin S tete CA 21p 95765 ABOVE SPACE FOR RECORDER'S USE DOCUMENTARY TRANW-m. TAx $ _7.ARO RST C`.b® 11925 (d) . — COMPIrMD ON 1'ULL VALVE Or PROPERTY CONVEYED, OR OOWVTHD ON PULL VALUE LM LIENS AND ZNcUW kANC1511MAica'Gdo AYMeOv SALL. ill Trap r MOSSIONM OAAbmQ13fg1 Sipamm of DeeWraor Agmu determialeg sax. firm Namc ns GRANT DEED FOR A VALUABLE CONSIDERATION, receipt ofwhich is lsereby acknowledged, WILLIAM R. MACINTOSH and SUSAN MACINTOSH, husband and wife as joint tenants, hereby GRANTS to THE MAcINTOSH FAMILY 2002 REVOCABLE TRUST, WMLLAM 1I. MacINTOSH and SUSAN as Trustees the following described real property in the unincorporated area of Butte County, State of California; Lot 2 73, as shown on that certain Map entified, "Kelly Ridge Estates Unit No. 3”, which map was recorded in the Office of the recorder of the Counrp of Butte, State of California ort July 26, 1974, in Book 43 of Maps, at Pages 44, 45, 46.47 and 48. COMMON: 10 Skipper Court, Oroville, California APN: 069.220-008 DATED; October 3, 2002 WILLIAM 1i MACINTOSH SUSAIN MACINTOSH Grant Nod - Re Butte County (CA) A P.N. - 069-220.008 Page 1 of 2 0e,-.ription: b'utt'e, CA Document-Year.DocID 2002.60 74 6 Page: 1 of . Order. dd Comment; Ifll�„;lllflil!(i�Iffl(�Ifllll�f Recorded I KC FtE 10.00 Off Coutarl R{fords QONF'ORM , ee BUTTE I CANDRCE J. IRUBDS I ROSEMARYrder DICKSON i v assistant I My1B5 09:02AM 12 -Nov -200 ; Page 1 of 2 v� J City Rxklin S tete CA 21p 95765 ABOVE SPACE FOR RECORDER'S USE DOCUMENTARY TRANW-m. TAx $ _7.ARO RST C`.b® 11925 (d) . — COMPIrMD ON 1'ULL VALVE Or PROPERTY CONVEYED, OR OOWVTHD ON PULL VALUE LM LIENS AND ZNcUW kANC1511MAica'Gdo AYMeOv SALL. ill Trap r MOSSIONM OAAbmQ13fg1 Sipamm of DeeWraor Agmu determialeg sax. firm Namc ns GRANT DEED FOR A VALUABLE CONSIDERATION, receipt ofwhich is lsereby acknowledged, WILLIAM R. MACINTOSH and SUSAN MACINTOSH, husband and wife as joint tenants, hereby GRANTS to THE MAcINTOSH FAMILY 2002 REVOCABLE TRUST, WMLLAM 1I. MacINTOSH and SUSAN as Trustees the following described real property in the unincorporated area of Butte County, State of California; Lot 2 73, as shown on that certain Map entified, "Kelly Ridge Estates Unit No. 3”, which map was recorded in the Office of the recorder of the Counrp of Butte, State of California ort July 26, 1974, in Book 43 of Maps, at Pages 44, 45, 46.47 and 48. COMMON: 10 Skipper Court, Oroville, California APN: 069.220-008 DATED; October 3, 2002 WILLIAM 1i MACINTOSH SUSAIN MACINTOSH Grant Nod - Re Butte County (CA) A P.N. - 069-220.008 Page 1 of 2 0e,-.ription: b'utt'e, CA Document-Year.DocID 2002.60 74 6 Page: 1 of . Order. dd Comment; PRE -INSPECTION REPORT OWNER B,11 /1-7,4 c /nV r c s "-/ DATE: Z/ _1�b LOCATION: �0 S k l a Q-'- CONTRACTORS �- / S ✓� ZONING: PRE-19SPEMON FOR: C �► s r�.r�� DATE TO INSPECTOEL % 3/ PERM HISTORY:( ) NONE ( ) AS FOLLOWS: `f Lf CC>A)eA. (fin% 7z�r- /,O, -j BUILDING VGPZCTOR`S REPORT Building Desetiptiow Coaua-rciaLUsage~ �� Residents" of Units Cc =0jy Occupied AbandonedN ant Electric: . Gu: Yes 4 No Electric curr=t On Off Condition of Mect is Natural Propane None Obvious Problems: Sanitation: Currently On Off Plumbing Working Well Working Potable Watt Obvious SewageProblems ACTION RECOMMENDED: ISSUE: HOLD FORT�� c �=�� �• Inspector. t •- Date Sketch buildings on reverse and indicate location on proper OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 35965 • Telephone (530) 53B754 EgRWT N� 12/96) APPLICATION AND PERMIT �3- ;QSDR PARCEL NJY80r 2t o -006 ZO BUILDING PERMIT TELEPHONE9,=60 So. FT. OCC. BUILDING VALUATION S Ao F �l CA 175_1719 6 `/o ELM -HOME a1mcrvaz wr ar 2►- i� G l ,.� �-Q-c 3 y -0 5' ;s7-w=mw Lamer SA -L ® -:so Ex. Oeeu UTLEErs =ro M)— S.OD Fireplace 23.DD Mobile Home Facilities marc ww.wc A=R=' Total Valuation 5 6 2 c �Q o rrrscT oR ucosE an. Firma Fee S 2D.DD Permit Fee y6 s 23 1 -Zr CPwevr OR EN6urwM ww- AMPM2 Plan Chacicirip Fee n1mrZ5rr=ss !7 S k r Energy Plan Checking Fee s S PERMIT FEES- iNo. 6uaD�rsr?xsNAYE PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap— USEOFSTRUCTURE ❑ Duplex ❑ MobliehomeA Other Solar or heat pump water heater 23.00 Water PoIng 1S.00 . Each gas water heater or vent 15.DD TYPE OF WORK L -w ❑ Addriion ❑ Remodel ❑ ummes ❑ Installation ❑ Other ❑ leseribe Work: �•�� '� ^� �7 , •� � - a�R ' — Fc.t rt c(ia �'i 9.-J Gas p1ping sy6ism t - 5 outlets Tt S.D0 sulfing sewer t 5.0D Mobile Home S G W @20.00 PERMIT FEE S 65 ELECTRICAL PERMIT Filing Fee 20.00 Main Service syn O t= 23.DD Z'5 Main Service ( ""To nmm" ) 46.DD .5D Enc Occup. ovnEr DR FXnms SA -L ® -:so Ex. Oeeu UTLEErs =ro M)— S.OD Temporary Tem or Service 23.DD Mobile Home Facilities 2D.DD Lffinn_ VWrinn 23.00 { PERMIT FEE I s 7 _5 2D.DD 1 Hnnd - I 1 6.50 1 PERMIT FEt S Mobiie Hama• Installation Fee S Energy Inspection Fee . S MOVETOTAL FEE $ 3 ZS r+AL 1 b. FEES I IMP I RDOPV'I MDF I PARCE! 1PU ; 165UE This parmit is hereby issued under the applicable provisions of the Butle County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date in. l.) n k 4 . p C- --� 6, . a c,, OPFe Couy� i l..s tt.l. f!\ n; Pt Su5Ap MhclNlncr. (0 ,�il,(`rfh�, i'vV1:'1 I0L" ^ x fir. • t �.M;,�. ..x"§4 .. ri, T,�` -'�v ✓, +` ;-i,� '`y,�.r>V jv?S,'�Y�4+'e,ati _ : *1F' 069-22-0-008 00-1551. MACINTOSH, BILL IO.SKIPPER CT., OROVILLE ^ CONT: BETTER BiUD ERS RETAINING WALL I - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 O. d�*NO. (Rev. 12/96) APPLICATION AND PERMIT t('(% ASSESSOR PARCEL NUMBER 069 -220 -MR ZONING - BUILDING PERMIT OWNER BILL MACINMSH TE NE SO. FT. OCC. BUILDING VALUATION •00 OWNERS MAILING ADDRESS SKIPPER CT OROVILLE 95966 CONTRACTOR'S NAME BETTER BUILDERS TELEPHONE TELEPHONE 589-2574 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is fin ARCHITECT OR ENGINEER LICENSE No. Filing Fee '$7 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 46.80 BUILDING ADDRESS SAME Energy Plan Checking Fee $ $ PERMIT FEE S 138.80 LOT NO. 273 SUBONISIONSNAME 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: _ RE3ATNTNG WATJj. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..A OR. mss 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. �?? "7 License Class; ����Ci�"hhD- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A L� Q NEW CONST. DWELLING ffUP. OR ADDNS. ( & ACC. BLOB. SO 3.50F7. NON•gESID. MULTI-OUTLEr QG 7.50 POWER APPARATUS 8 SINGLE OUTLET CTR. EX. OCCU OUTLET OR FIXTURES BAL @ I.00 . 0 Ex. Occup. oFlxunErs R LNS f) 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 ormance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performanFeo�work for which this permit is issued. My workers' corrrpvption insura�.ce-cdrrier and policy number are: Carrier ` n - + Policy Number (rhe 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 for�yvwith comply with those provisions. -' << --- --., X �'y h Date_ `! Signature of Applicant - ❑ OVM1rr ❑ Contractor W.OtgVht An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation ;y PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 138.80 HA2. 4.fE� IMP FOOD CyF P�i PQ- Hs ACEL A NU/� This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have .1ff",`{�`� By Y �w PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 7 Nr t Data Receipt No. 302047/$138.80 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California '95965 • Telephone (530) 538-7541 /��` Mlz No. (Rev. 12/96) APPLICATION AND PERMIT �J ASSESSOR PARCEL NUMBER 069-220-008 ZONING BUILDING PERMIT OWNER BILL MACINTOSH TE NE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 10 SKIPPER CT OROVILLE 95966 CONTRACTOR'S NAME BETTER BUILDERS TELEPHONE 589-2574 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MPJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 46.80 BUILDING ADDRESS ' SAME Energy Plan Checking Fee $ $ PERMIT FEE $ 138.80 LOT NO. 273 1 SUBDNIS IONS NAME PARCEL MAP _ 41 PLUMBING PERMIT Filing 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: __jRF.TATNTNi WADI, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service "'.A OR LESS 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 ' full force an effect. License Class ,� IC. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' com ensation, as provided for by section 3700 of the Labor Code, for the rformance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performanc work for which this permit is issued. My workers' co40 insur rrier nd policy number are: Carrier _ Policy Number (The above sections need not be completed if thb 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' comp sation provisions of section 3700 of the Labor Code, I shall fo th cc with those provisions. X Date CJ v Signature of Applicant - ❑ caner ❑ Contractor ent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3,5QF°: OR ( BIBTLEr cDNS. MULACC. NON-RESIDON5. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FIXTURES SAL Q 1: 0 Ex. Occup. ..FLIEDS A� ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 138.80 HAZ. — D. FEES — IMP — FLOOD — COF — PARCEL — PD — HD — UE This permit is hereby issued under of the Butte County de and/or Indic d bov r w Ich�fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. % 2! Date/ 712- Dl ate 302047/$138.80 „'n CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i'UrtY•vY�,T fvtA7+j 7iR('•x, rt COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION " 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 • "` PERMIT APPLICATION DATA SHEET OWNER: SESSOR PARCEL ER: Proposed Building Use: Wilding Inspecto l� Date: �® Q At time of permit application, I was ad ' e be following data must be submitted prior to permit processing and/or issuance: ADate Received By El 1. All items have been submitted.------------------------------------------------------------------------------------- ?' 1p. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ngineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------- =---- --- ❑6. Energy Design Compliance and supporting documentation. ---------------------------- ------------------------ El7. Statement of Intent for Non -Heated and A/C Buildings. -------------- ---------------------------------------❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees- --------------------------------------------------------- El elevation certificate. ---------------------------------------------------------------------------------------- 4. S 'tation and plot plan approvay� Health Department. ------------------------------------------- ❑ 5. ity of Chico plumbing permit.-------------------------------------------------------- f4_41 (/' , pct b Plot plan and businelicens al from the City of Biggs. -----------------------------=------- ------Planning approval e:(B) parking ____,❑ 18. Contact Land Deveabout ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ------- 0 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- El 20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑ 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - ______________________________________ ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ _ --------------- 030. Other: ______________ ❑30.Other: eyou issue the t, proces as to 6ws ❑ Mail to owne/r� o tractor. T,phone O' D / and hold for pickup fit/ office. "eliver with inspector. Applicant: Date: —00 Copy of Haz-Mat form sent ❑ Health Deparl - Copy of plans sent ❑ Health Department, ❑ Index permit application for the above items 2. A al required: �' - ntr , i �er, owner as advised of the above required data by one, ❑ mar , uilding Di ' ron counter, b}�� Date -7 o ontractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Div', ' count y Date: ' /\Plans reviewed by: Date: Plans approved by: ate: Cets of plans on hold in ❑ Plan Cabinet, 0 A.P. folder. Note transfer by: Date: EY .........L.r........DATE ' :4J/cep. suB:ECT.._CMU_..NT/G C�YC'.e� D . SHEer NO..-..��r....OF ................. /6 CHKD. BY .... ....... ......... D:'` , "`._,eeT-41AIA(16_ A1,4LG._.• 4er,4/L l'oc �� D.gO7....4--.._. -- -.._ JOB NO.._._--• _ -- _ BETTF� B U/G aE.�S COIV..Tr. , OROY/G LE, C14. Q�pFESSIONgI No.32434 sj C IV1L qlF OF CA Ni QO ¢ e 3? �a •c, HOR/Z,� k ri �8 — CHU COW <ey r'" M, 4721X:' l- G,eAD Zi40 `4 v L 3 rrCL FifR — e WAZ-cs a g'C, v v /- *4 e !1/,446 X. jj=1A//S11 GREE low*7151.4 .ifs /eEQr0 c. OR o, ; P� 1107E' ' 4 CONT CONC. P'TG. 6 K 6 �C011T. .,rey `t,,4GL C, 0,(Ie y 2 �O Z- A . 2� 8 yE A4444 8. I1ClT1L �ff Xife(�,�ff 127 . /e�ff7 .v. 7. S. NOTES : /, SES/Git/ Cl/TE'R/.4 exrele'/.4 L 19-eie SYIelrl- 2.�fLL C�GGS Sy,4LG .B� GROUTFO .S`G�/o, 40.8A.P 10114, Ole 2¢' sVl /. f �� PE,PPU,e,4TED APA/N P/PG= TO 1DX vZ-16 /T /N L//. JET. 5790 CLARK RD., PARADISE, CA. 95969 (916) 872-0254 ,�Q-e-i vl Tai f tied( Nel-J 4A46�c'�2 l4ame ICHAEL MOONEY, VIL ENGINEERi r RCE 20647 RXPIRES 9-30-97 5A MADRONE AVE OROVILLE, CA 95966 �•(�.� Date: 12/14/98 Page: CANTILEVERED RETAINING WALL DESIGN 41 RLe-T--- 0 L Oe--\ AA tJ i YJ c w*iA_ WALL & FOOTING DATA VERTICAL LOADS LATERAL LOADS Retained Height = 4.00 ft Axial DL on Stem = 0 plf Lateral Load Acting on Wall Ht. above Soi L = 0.50 ft AxiaL DL on Stem = 0 plf Stem Above Soi L = 0.00 Toe Width = 0.75 ft ....Eccentricity = 0.00 in AWL Lateral Load = 0.00 0, Lf Heel Width 1.75 ft Surcharge over Toe 0.0 psf Dist to Load Start = 0.00=ft.'_`•`'.f' Total Footing Width 2.50 ft Surcharge over Heel 0.0 psf Dist to Load End Footing Thickness = 15.00 in Key Depth 0.00 in Key Width 0.00 in SOIL DATA ADJACENT FOOTING Toe to Key Dist. 0.00 ft Allowable Bearing = 1500 psf Vertical Load = 0.0 # SLIDING CHECK Active Lateral 30.0 pcf Load Eccentricity = 0.00 in Ftg/Soil Friction = 0.35 .....Max Press. = 0.0 pcf Footing Width = 0.00 ft SoiL to Neglect = 0.00 in .....Slope Press. = 0.0 pcf Ftg. CL to Wall = 0.00 ft Lateral Pressure = 413 # Backfill Slope = 0.0 :1 Vert. Position of Ftg. - Passive Pressure = 195 # Passive Press. = 250.0 pcf ...Above/Below:[+/-] = 0.0 ft - Friction = 434 # Soil Density = 100.0 pcf Spread Footing ? No AWL Force Required = 0.0 # Soil Ht over Toe = 0.00 in SUMMARY FOOTING DESIGN Pressure a Toe = 940.4 psf Soil Press. Mult. Toe Heel f'c = 2500 psi Pressure a HeeL = 51.3'psf By ACI Eq 9-1 = 1317 72 psf Fy = 40000 psi Allowable Press. 1500'psf Mu -Upward = 335 148 ft-# Min. As Percent 0.0014 Ecc. of resultant = 4.48 in Mu -Downward = 74 483 ft-# Omit SP Under Heel ? No Max. Shear a Toe 0.00 psi Mu -Design 261 -335 ft-# Toe Heel Max. Shear a Heel = -0.10 psi One -Way Shear: # 4 a 12.16 11.20 in o/c Allow. Ftg Shear = 85.00 psi Actual = . 0.0 0.1 psi # 5 a 18.84 17.37 in o/c Factors of Safety: of- Allowable = 85.0 85.0 psi # 6 a 26.75 24.65 in o/c Overturning = 2.52 :1 Cover over Rebar = 3.25 2.25 in # 7 @ 36.47 33.61 in o/c Sliding = 1.52 :1 'd' = 11.75 12.75 in # 8 a 48.00 44.26 in o/c OK -Ru = Mu/bd-2 = 2.1 2.3 psi # 9 a 48.00 48.00 in o/c SUMMARY OF FORCES & MOMENTS Overturning Moments Resisting Moments Origin of Force... # ft ft-# # ft ft-# Active Soil Press. = 413.4 1.75 723.5 0 0 0 Soil over Heel 0 0 0 433.3 1.96 848.6 Soil over Toe -23.4 0.42 -9.8 0.0 0.00 0.0 Sloped Soil a Heel = 0 0 0 0.0 0.00 0.0 Adjacent Ftg. Load = 0.0 0.00 0.0 0.0 0.00 0.0 Surcharge over Heel 0 0 0 0.0 0.00 0.0 Surcharge over Toe = 0.0 0.00 0.0 0.0 0.00 0.0 Axial Load on Wall 0 0 0 0.0 0.00 0.0 Load a Proj. Wall = 0.0 0.00 0.0 0 0 0 Averaged Stem Wts. = 0 0 0 337.5 1.08 365.6 Added LateraL Load = 0.0 0.00 0.0 0 0 0 Footing Weight = 0 0 0 468.7 1.25 585.9 Key Weight = 0 0 0 0.0 0.00 0.0 Vertical Component, of Active Pressure 0 0 0 0.0 0.00 Totals = 390.0 # 713.8 ft-# 39.6 # 007190cmiN 1) Resisting Totals Used For Soil Pressure �OQROF S/ONq 239.6 # 1LDINCPE)F_ PAR TMEN (Vert. Component of Active Pressure Remove ) o i d V le....) e _,p 06 m 2c� Up p VIL \P� ` 0 V4.4C1 (c) 1983-96 ENERCALC MICHAEL MOONEY, KW -0601576 CHAEL MOONEY- VIL ENGINEER.'* RCE 20647 EXPIRES 9-30-97 5A MADRONE AVE Al OROVILLE, CA 95966 Date: 12/14/98 Page: 2 CANTILEVERED RETAINING WALL DESIGN (.....continued) STEM SUMMARY Top Stem: From 4.00 ft to Top of Wall 8.00in Masonry w/ N 4 e 16.00in, d= 3.75in f'm= 1500.Opsi, Fs= 18000.0psi LDF= 1.00, n= 25.78 Solid Grouted, No Spec. Insp. Wall Wt.= 75.00psf, Bar Embed= 12.Oin Mactual = 0.0 - 521.2ft-# Vactual = 0.00 <= 19.36psi Interaction Value = 0.000 Second Stem From 3.00ft to. 4,00ft 8.00in Masonry w/ # 4 a 16.00in, d= 3.75in f'm= 1500.Opsi, Fs= 18000.0psi LDF= 1.00, n= 25.78 Solid Grouted„ No Spec. Insp. Wall Wt.= 75.00psf, Bar Embed= 12.Oin Mactual = 5.0 <= 521.2ft-# Vactual = 0.16 <= 19.36psi Interaction Value = 0.010 Third Stem From 2.00ft to 3.00ft 8.00in Masonry w/ # 4 a 16.00in, d= 3.75in V f'm= 1500.Opsi, Fs= 18000.Opsi LDF= 1.00, n= 25.78 Solid Grouted„ No Spec. Insp. Wall Wt.= 75.00psf, Bar Embed= 12.Oin Mactual = 40.0 - 521.2ft-N Vactual = 0.66 <= 19.36psi Interaction Value = 0.077 Fourth Stem From 1.00ft to 2.00ft 8.00in Masonry w/ # 4 a 16.00in, d= 3.75in l f'm= 1500.Opsi, Fs= 18000.Opsi LDF= 1.00, n= 25.78 Solid Grouted„ No Spec. Insp. Wall Wt.= 75.00psf, Bar Embed= 12.Oin Mactual = 135.0 <= 521.2ft-!1 Vactual = 1.48 <= 19.36psi Interaction Value = 0.259 Bottom Stem From O.00ft to 1.00ft 8.00in Masonry w/ # 4 a 16.00in, d= 3.75in f'm= 1500.Opsi, Fs= 18000.0psi LDF= 1.00, n= 25.78 Solid Grouted„ No Spec. Insp. Wall Wt.= 75.00psf, Bar Embed= 6.Oin Mactual = 320.0 <= 521.2ft-# Vactual = 2.63 <= 19.36psi Interaction Value = 0.614 V4.4C1 (c) 1983-96 ENERCALC MICHAEL MOONEY, KW -0601576 SPECIFICATIONS FOR MASONRY RETAINING WALLS 1) CONCRETE f = 2500 psi at 28 days. 2) REINFORCING ASTM A 615, GRADE 40 MINIMUM 3) BLOCK Grade N, fm = 1500 psi at 28 days 4) GROUT f = 2500 psi at 28 days 5) MORTAR Type S, 1800 psi at 28 days 6) LAP SPLICES 20" Minimum lap. 7) BACKFILL Backfill to be non -expansive, granular material. d LOT 273 ?. UNIT 3 85'42"O O SET-Br4 C%T N, 70.00' AL 15 -51 • 1 4► doNt. H i � 1 i — 20o 7- CIL . 00 IA E I CaRc3 H ,cot Ps! 171e `v I , glL CO Linc' T p ,� ® I X Q 00 �t- 8" VER TICAL STEEL #4's AT 16 "cc. (CENTERED) HORIZONTAL STEEL #4's A T 24 "cc: #4 DOWELS AT 16"cc. 281 14" #5's AT 16 "cc. I ]NO ST( IRRF0 GROUND (2) #4's CONTINUOUS (2) #4's CONTINUOUS 4' RE TA ININ G WA "� 0 Ll I f, PERMIT NO. 2911-76P,E PERMIT EXPIRES. OWNER Rees Jones CONTR. owner LOCATION (A.P. 34-A-8 10 Skipper Ct., lot 273, K03, Oroville ,1 i Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E f, JOB FINALED (Date) (Signature) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION,RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physlcally handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final t I A Footin FI Final MECHANICAi Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS ELECTRICAL Rough 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.) R COUNTY OF BUTTE — nPAAOVMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATIOUND PERMIT au UIUrILe iepresentatives Of the County or Butte to enter upon the above-mentioned property for inspection purposes. LX Dated Signature o e miteeee or Agent Receipt No. 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 UBLIC WOR`KS / PB Date`"7— permit expires Date 6-2-27 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address © O �5 Tele ho_aNo. / C' Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING @ I FEE —No.1 PERMIT FILING FEE $3.00 G!� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 &b Each gas water heater or vent 1.50 A. P. No. % zonl Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Feesd .C. dation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Parcel Ma 60' R/W Plans Declaration P ImprovementsLawn sprinkler system 2.00 �— Bldg. Plans Recd % arca Approval PlAoxpproval Permit Fee $ $ 104 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 T 06 Main service 611V OR LES SLESS 5.00 100 AMP ORSf Main service EA. AOD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 5:60 S77 Amm I N NEW CONST. DWELLING OCCUP, & OR ACDNS. ACC.LN GO 20syft NEW CONSTR, MULTI -OUTLET NON•R ESI D, (MULTI 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 04 FIXED FIXED A PLNS. OR Ex. Occu P (RES( D,) 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. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ au UIUrILe iepresentatives Of the County or Butte to enter upon the above-mentioned property for inspection purposes. LX Dated Signature o e miteeee or Agent Receipt No. 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 UBLIC WOR`KS / PB Date`"7— permit expires Date 6-2-27 This set of plans,..a�ry, MUST be " kept on the job at all times and it is unlawful to make any changes or alterations on same without ' written permisson from the Department of Public Works, County of Butte. 1 -iv 8542--10011E SET.-B�9 CX ° 5 :7rz �. f0: a M C- M. O M M 0 CO�.iVi4� °, o a .� O M�°�� Osco=�v i 0-o MM LOT 273 UNIT 3 I -✓O�/E'S TN., , 6e Wqui ea ��•N!!����7 �► R ins{ rmit will Ilation of the mo ile�m0• I� i r LOT 273 UNIT 3 /E! EE.S -✓O�/E'S TN., , hr O M E / uT 4�:.� The 8%. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of fhe ro d, permitting a ITICAMum of a 2 ft. a ve overhang. 7 NOTE:—All Materials & orkmanship Shall Be in .Accordance- with RAcocan; ,d Good Practices and of a aualitv nrescr*,kFd for fhe Specified use in the Uniform Building. P1-.imlainq & Machanical Codes and the National Electrical Code. d SE T- t3A Cst - _ I . } BUTTE COUNTY 3UILDING -DEPARTMF=W �j PRO ED AP I i AU_ 9MU07tN%S AND EQUIPMENT INCLUONG C6fERMNW SMALL BE CLEAR OF -All EASEMENTS. 5 A SETBACK OF::LLv.,o-1FT. FROM THE SIDE AND 6 k . . FROM THE REAR PROPERTY LINES AND Fr. FROM THE ROAD CENTERLINE SHALL BE. CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT 'eOR A 2 Fr. EAVE OVERHANG.* lob L LI I I fo f" f i I fo is C H I 1; v k P ? F � C o U 9- T - PLANNING DIVISION- BUILDING PLAN APPROVAL Use: 0 K Date: parjdng:Landscaping: Other, Signature: - 77. SUSAP hV& C I ki'l 0, to P cj v 0 I t' o I NOTE: See the attached &aidD—lbal -CA-mmito Reguiremomts 2 pages �ep3 — 'A 0 (- y .'Bumcoum MUM DEPARIN9. EW" APPRO ED h •/.00Pmini _j P;1ch - y4 per re/ Oeck •- Foie% .PLAN PYoriJe hr San /ascla drains AG.;oac�c�b,s --Fatc/O 241 IOL Or j j! 3'0 Co/ v _ inihlf sof. Vert. ELEV. 08SNsM-5-C sle /ap_/�cE �8..SA1Sa14%e:rlde. /.a -Deq: f3 .yi Set Tab Defeil�� Eee/nEGd� rf- nOV a eq •• -BJA?C hi /a P= ! • �Fasc/a 'Fast% / Lj i�''� • e e 9 c-Qeek.r� 8 C e c- Oe�A 43 14 B par to/.��ij,� n ! wn.her-rt $ / r •1 T-B�..I$yace (P, Y•w .' Co%Shoe 11 Shoe t • o.or.0 6o69 -T, A�Pn Per 4 11 Ii. IIG" Y" -Mae-- --,Puep 0/*6 AaoTE; -3Pucr=S A4AY Be.HADe u'l. %y OF MAX Au.o..ND1E F•aa" nre Posr f MnY Nor se PLA -.0 e1J C.".A)T1LEVPrc0 Fba_n aa. y'� ae3uu Sir.: ICT1V14 H8 s.1509h-tktci d8Su9eOC-0=( L+3 4"I-6FAM ne-pea Cel. ".t5 A Per -corn ) •-. GoL.SNa2 I (2%sr Le Y6) -tF1 l%i1 � COL• I SEcr. E, SEE. A, 0, -N _ 4q'- 6t' SEcr /.65min (Enc/osedl Cock 20 .. LDcot .0 Been, CCL Fosda 3QzS-H36 AAm- \0W.Mbfa- r�uv roln"9e1 ? -2-/6 /c"L AwiA bo/t o//4 embrs: Mth a 0.w. pv/lout lVVe Qo..IS i'!(w!K bolt w%1� rmbCQ Crr r B 1. vo/ve a /S4'lonchor. 3 � coI - Sloe Seine.o c SPuce Rana TO ooereenCre mom ' •lrttfe// co) ver/. . ' -ELEV. 12'•••.I •sere R' 7�7iFj)31CIP' 7 SSNIap. NNLS- _COiVJV 1JL....TO ->:ONG�-LAS 171'- -DF PT � P 4x+ 40oD i7s7 to o. o e C. LST EEL E: tb�_9LT�RNHTF3�.. _ .:irs/3i= -HCT i LsR/rt.IJ ¢ CO1CM{ . w TMT&W_.swr.wo OR'El'EGiROPtrtrpD � nSG: Fawr v1E.1• • r SPU! M e1C IP Ne �.,,., La,1,, soucc o1L Z. n.. - --- NO. R li- 00 11 Ii. IIG" Y" -Mae-- --,Puep 0/*6 AaoTE; -3Pucr=S A4AY Be.HADe u'l. %y OF MAX Au.o..ND1E F•aa" nre Posr f MnY Nor se PLA -.0 e1J C.".A)T1LEVPrc0 Fba_n aa. y'� ae3uu Sir.: ICT1V14 H8 s.1509h-tktci d8Su9eOC-0=( L+3 4"I-6FAM ne-pea Cel. ".t5 A Per -corn ) •-. GoL.SNa2 I (2%sr Le Y6) -tF1 l%i1 � COL• I SEcr. E, SEE. A, 0, -N _ 4q'- 6t' SEcr /.65min (Enc/osedl Cock 20 .. LDcot .0 Been, CCL Fosda 3QzS-H36 AAm- \0W.Mbfa- r�uv roln"9e1 ? -2-/6 /c"L AwiA bo/t o//4 embrs: Mth a 0.w. pv/lout oaEL PROs ia.MAY. Na p. OVERHANG i'!(w!K bolt w%1� rmbCQ ii vo/ve a /S4'lonchor. 3 � coI - ' w/th if r/4 yoye woshir -,,,i Rana TO ooereenCre mom ' •lrttfe// co) ver/. . ' -ELEV. SECT DECA'S • 3004-H36 Alva 2/lcx/t S/olted ho •PLAN L .' DECK TO ENO I�RIM oNN. AGtOi:oyr uoLE -- a PLP4X - !1 r HOLE crarzJ � .A¢. .,, _ SECT. F.-- `•I� LrI'.crSo • 'Obi AWN/NG ANCHOA ' • P/ate f He/ir:ASTM_.�SS9�S_ sir I _ v _.SECT: _ - _ - 1"uo�D sL-O.Pl7aN - Rod ;/0•l0 S RN1K [olr 4n'H -� R7 .. _L�?. �S g4B.ksy 7.S r.84Asr:. �: E11DED5177,11 "fn!s '-•�r/eJSo�:.ill' . -LLI � a1L be =uvYe �1➢� '=>assl_z/ric':�7eetr'n:p76tin9., -_-..SE G7•�I n .ECT. G,-frv.ir O.s fa uo ..i.� t/�,e:fhass . _Q700 -F -T omcl 4. 71• /'t *0 Co% /e Co/� 's.-e-rf� / •ems yr8 _ 1ox2sw. TRT__ `J�tJ. AwiA bo/t o//4 embrs: Mth a 0.w. pv/lout oaEL PROs ia.MAY. Na p. OVERHANG i'!(w!K bolt w%1� rmbCQ I N61 vo/ve a /S4'lonchor. A1140 ffto' wdh o//ow. pv!/ov1 F7ATERIPL ^ _..•velve.3o8�onchor _ ' J_ tIJ_LK_Z`.�.:dt:GOL: w/th if r/4 yoye woshir -,,,i Rana TO ooereenCre mom S1H -DG+o.' / rN 3 `4f COL- -•-- - • 7�7iFj)31CIP' 7 SSNIap. NNLS- _COiVJV 1JL....TO ->:ONG�-LAS -DF PT � P 4x+ 40oD i7s7 C. LST EEL E: tb�_9LT�RNHTF3�.. _ .:irs/3i= -HCT i 5EGT•: X, = DI�JPED_ N"qj Hof DIPPERGAlC!PflltEp� . w TMT&W_.swr.wo OR'El'EGiROPtrtrpD � nSG: SCHEDULE • r _ AWN//ya -Ala -0VFR UANG ' ' ' • • - --- MooEL PR0 11l�3....001L:.•. oaEL PROs ia.MAY. Na p. OVERHANG A946 o,' ' /'Or 9'-/!' A" O.Or. 8'2' A1140 ffto' A8-/0 d4' Rana TO ooereenCre mom ...ate. us� �'i' ' by osa1111 • r ESCM NO. R li- 00 A"-" lt'o' 7. - )VFife"Ilse : sraAe o- ara/ior-.veli! " ? //i pfAfirrrs - 0rt 3" 0 Gal. ' "a ' - AKXUMME ACMSOCY BUIlOR10 OR S1EUL,VEE oaEL PROs ia.MAY. Na p. OVERHANG A946 o,' ' /'Or 9'-/!' A" O.Or. 8'2' A1140 ffto' f t I '-Column shx 2 _. ASTM A36 Sttti• .. Z. CoAmn /2 .6'nye._-- 1 ✓ �sz.�L.93.6 sled_ . 1 'ASTM A36 Slee/ < SAFETY STAKE - Comm -COL. T 7%JA.Vr J = AWN/NG ED FoRMEO H.4 3004-HJ6 Alum. -DECK 2 " - 3C04 -H36 A/umi. . - �►� 2S0 faeela optic � • - rnnrib'ei. I' 8�. 4-FASGi4 G4yTTE'R 38 7S - .c 6063-T6 ii/um. ' l34 /OGoge. 2.00 7S c o oe •oe --TAB DETAh _ j p 6063 -T6 Alum, • .. • _- 11 - a /' .vlAc GENERAL /?34 C ^ Des gn /ood r:' Live /cod=/Opsf• (PLAN ' m Wind /cod. /Opsfi Up/i{t rA7ps f. i L M'AwwIRY mey be'sor_ned wild open mesh .nseC screenit9'or wird 75 4 130_ Peas!/ rei06/e t 7• ns/vCenor =--ii y .... le o Leny17S?290' �t>ronSp oienY fyexlb/e p/osfic •scrrenny TM v . ; --� of not, more Jho, 20 rn.%s. lhiclarieis. Alum. COLUMN INSERT 2� aF3 Eoch'ownlny afrucfur-e she// EL EV 606/-T6 Alum, hove ofroehed >'h,P to in o visible • A7GoTio,s on opprprea ide,tif/cetion ' . COL. INSERT lwA ;O 7S lnr :Pie. A A/unri7wn des/y n and s7}-esses Groat A Steel ASTM A 44 6 `^ - M a are foecordin-y'7b ATiins .�ssoc. /966` ' specs w!>!5 o Fodor of safety for 9� m bvi/Sint' prodv�cts. - L 987' {� /s Co vs- Ruc rio,v NorEs 1 1 L Cary o// IrO.H 9S down to f,;sn C3]" 0 y� COLUMN $HOF i !/nolslurbed Soi/ Mor• ceesil ., 6063-T6 Alum pressure= 500pste. . 2. eonceefe Sha!/have a stretyfd PL AN E000 psi.1926 days . 3. Al! !-amity shot/ 6e o/vm7lnum 7-T75 unless otAerwire .Cho-". Smelparrr She!! be 9a/vonlzed or /aolnted I+ fh steal primer and e170end/ finish. f Slee! fosrentrs shot/ 6e SFbin/ess/ .I CFAIM/nun or Cadm.vm pored. - - s S SMS- Sheet met-/ screws. SMS / for roof pone/ she// how_ �'dia. 6�Z ELEeompoS/re meta/rr/egar-te bashers. V. FSCIg ' Ir E r. -Enclosures sho/!not be aflocAed �OLUMN SHOE 2 -- /a eelumts. /L%EMB£R ASTM A36 Slee/ AWN/NG ANCHOR No TES 6LYa3 76. 9/urrl. • Z. AWN/Ni or/c/IOr sho//be os l4 3'e SMS monufocr&red by.;abesco OistriS.lne. S 2 _Neer side 2. AwNiive anchor may be used in the / -For ilee • fol/ow/ny soi/types: /2=%l0! a. -1-Wy gravel oegrovel. _- - - 6. Song s!!ry sends c!oyey sone, s%//y ' ---- - ----- 1 Fascia Spl/ce 9rorel, and clayey grovel. 1 mu.r6eG ma/• 4 'G C/oyrsondy. a oys silly a/oyI and 1 e/ayey sl/f. I ' - AKXUMME ACMSOCY BUIlOR10 OR S1EUL,VEE 42 P FASc/A .SPLlc6•-LL-T .._ - :• NEAITN AND SAFETY C )M 0PASCw 13, MR 2 ( - f APPSOVED Rana TO ooereenCre mom ...ate. us� �'i' ' by osa1111 • r ESCM NO. R li- 00 _..._ 1N.A-Apple.el6aln. /0-//-L,)3 ;CA G-,FSrEiE_e jt',1-_r- CHASSIS BEAM CONVENTIONAL PIERS —, i LOCATE MAXI -PIERS i EVENLY SPACED SCHEMATIC BRACING SYSTEM . PLAP! - P1UL'fl-WIDE BRACE PLACEMENT END VIEW LOCATE MAXI—PIERS EVENLY SPACED D SCHEMATIC BRACING SYSTEM PL. PIER CLAP TYPE 3 I PIER CAP TYPE I t a typical al( Pier caps i 6 10 PERSPECTIVE VIEW OF MAXI -PIER USING CONCRETE FOOTINGS typ 4 s ► Cies nw i Q I I T typ 4 s ► Cies nw i GENERAL NOTES STEEL ALL STEEL :SHALL CONFORM TO A,S,T,M, SPECIFICATIONS FOR MINIMUM YIELD STRENGTH Of 36,000 PSI UNLESS OTHERWISE NOTED; ALL STEEL COMPONENTS TO BE PROTECTED WITH A GALVANIZED, ZINC, 'OR EPDXY COATING APPLIED BEFORE OR AFTER INSTALLATION, CONCRETE 2,500 PSI MINIMUM AT 28 DAYS WELDING WELDING SMALL BE BY QUALIFIED PERSONNEL USING E70XX ELECTRODES BOLTS BOLTS SHALL BE A,S.T,M. GRAD A307, BOLT HOLES IN STEEL SHALL BE EQUAL TO THE BOLT DIAMETER + 1/16' REFERENCE CALIFORNIA CODE OF REGULATIONS, TITLE 25 UNIFORM BUILDING CODE,, 1994 EDITION THIS ENGINEERED TIEDOWN SYSTEM IS DESIGNED FOR USE WITH HUD CODE OR CALIFORNIA HCD CODE MANUFACTURED HOMES OR MOBILE HOMES ONLY. IT IS DESIGNED IN ACCORDANCE WITH THE CALIFORNIA CODE OF REGULATIONS, TITLE 25 SECTION 1336.3, AS AN ENGINEERED TIEDOWN SYSTEM, AND IS DESIGNED TO RESIST ONLY THE WIND LOADS SHOWN ON THE DRAWING. THIS SYSTEM IS NOT DESIGNED TO RESIST SEISMIC LOADS OF ANY KINDI THIS ENGINEERED TIEDOWN SYSTEM IS INTENDED TO SUPPLEMENT THE STANDARD SUPPORT SYSTEM AS SPECIFIED IN THE HOME MANUFACTURER'S INSTALLATION INSTRUCTIONS, THE MANUFACTURER'S INSTALLATION INSTRUCTIONS SHALL BECOME A PART OF THE TIEDOWN SYSTEM PLANS, IN THE ABSENCE OF THE MANUFACTURER'S INSTALLATION INSTRUCTIONS, PLANS AND SPECIFICATIONS SIGNED BY A LICENSED PROFESSIONAL ARCHITECT OR ENGINEER COVERING THE INSTALLATION OF THE PARTICULAR HOME OR PLANS PREPARED BY THE INSTALLER USING THE STATE OF CALIFORNIA, DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT'S PUBLICATION 'MOBILE HOME INSTALLATION GUIDE,' (CURRENT EDITION) MUST ACCOMPANY THESE PLANS, INSTALLATION INSTRUCTIONS OR PLANS MUST SPECIFICALLY PROVIDE FOR THE ACTUAL ROOF SNOW LOAD OF THE LOCAL AREA. SPECIAL SUPPORTS AT THE MARRIAGE LINES, RIDGE BEAM SUPPORTS AND EXTERIOR WALLS MUST BE INSTALLED IN ACCORDANCE WITH THE HOME MANUFACTURER'S INSTALLATION INSTRUCTIONS OR SPECIAL DRAWINGS AS MENTIONED ABOVE, ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE UNIFORM BUILDING CODE (1994) AND WITH ALL APPLICABLE LOCAL CODES AND ORDINANCES, FINISH GRADE MUST BE SLOPED AWAY FROM PERIMETER OF HOME SO AS TO PREVENT WATER FROM SEEPING IN UNDER THE SKIRTING. MEASURE THE LENGTH AND WIDTH OF THE MANUFACTURED HOME. MEASURE THE WIDTH OF EACH FLOOR, DETERMINE THE MAXIMUM PIER HEIGHT 'H' THAT VILL BE REQUIRED AS SHOWN ON THE DRAWING. FOR SINGLEWIDE HOMES, FIND THE MINIMUM NUMBER OF MAXI -PIERS FROM THE TABLES BELOW. MINIMUM NUMBER OF MAXI -PIERS REQUIRED UNDER HOME FOR H=35' AND SMALLER STAND HEIGHTS FOR SINGLEWIDE HOMES I-------------- I ---------- ------------------------------ 1 MAXIMUM I INDIVIDUAL MODULE WIDTH (FT,) , I HOUSE I ----------I------ I ---------- I-----_----I ----------I I LENGTH (FT.) 1 8' WIDE 1 10' WIDE 1 12' WIDE 1 14' WIDE 1 16' WIDE I 1-------------- I---------- I ---------- I, ---------- ,---------- ! I '`,32' MAX. I 6 1 6 1 6 t 6 I 6 1 I ' ++ 6MARI -----6---- 8 6 6 1 6 ---36' _Y---1---------1----. ------ I --------- ----------1 1I 40' MAX, I 8 t 8 I 6 I 6 t 6 1 1-------------- I---------- I---------- 1-�--------- I---------- I ----------i 1 44' MAX, I 8 I 8 I 8 1 6 I 6 I I ----------- 1 -------- i -----g 8 ----i---------I-----� -------------- '---- 48' MAX i 10 8 i i---------__ -1-___ ------1---------- 1 52' MAX. I 10 1 10 I 8 ! 8 I 6 i I--------------I----------I ---------- I---------- 1---------- (---------- 1 �__-56_^MAX. I 10 ; 10 I 8 1 8 1 8 { ---i---------- ----------t---------- 1 60 MAX. { 12 I 10 I 10 I 8 I 8 { 1--------------1----------I-----------I----------i-•---------I----------1 1 64 MAX. 1 12 1 10 I 10 I 10 1 8 { I-------------- I --------- I ----------1----------I -------- 1 68' MAX. 1 12 1 12 1 `I---`-`` I t-------------- I ---------- I ---------- 1---------- I ----18-- -I-----8--- I MINIMUM NUMBER OF MAXI -PIERS REQUIRED UNDER HOME FOR H=25' AND SMALLER STAND HEIGHTS, FOR SINGLEWIDE HOMES .I-------------- I---------------------------------------------------- -.1 '.MAXIMUM__ .r ( INDIVIDUAL-AODULE-WIDTH -t FT -)L-- -__ -i I----HOUS 1-_--------I----------I--------- HOUSE-I----------i--_--___--I ! LENGTH (FT,-.) 1 8' WIDE 1 10' WIDE 1 12' WIDE_1 14' WIDE 1 16' WIDE 1, irr I ----------I ---------- I--------- t ----------- B 32' MAX. 1 6 1 1-""6 t l-------------- 1 ---------- 1-----6----1-----6----y-----6----I---------- 36'6 I MAX , i I 6 1 6 I 6 1 6 1 6 I I--------------I----------I----------I--------- I 40' MAX. 1 6 I 6 I 6 I •6 1 6 I i-------------- I---------- I---------- ( I 44'_ 6 I 6 i 6 MAX. I______ __ __ i'� 6 I 6 I---48' MAXY---I----6-__ 1 �___6----I-----6----1,`----6----i-----6----I . -I- -1- --------I---------- 1 52' MAX, i 6 I 6 I 6 I 6 t 6 i 1---------------{----------I I 56' MAX. I 6 , 6 1 , ---------- 6 I 6 I 6 1 1 60' MAX, I 8 1 6 i 6 1 6. I 6 I I-------------- I ----------I---------_ 1 I I ---------- N---------- I-_-------- 64' MAX. I t-------------- 8 1 6 I 6 I 6 1 6 I J 68' MAX, i 8 I 6 1 6 I 6 { 6 1 I---------------I-----------1---------- MINIMUM NUMBER OF MAXI -PIERS REQUIRED UNDER HOME FOR H=35', H=25' AND SMALLER STAND HEIGHTS --_-� FORDOUBLEAND TRIPLE WIDE HOMES t------------ ------------------------- I l USE A MINIMUM OF 6 MAXI -PIERS FOR HOMES OF ANY LENGTH 5 I ----------------------------- --------------------------------------- LOCATE THE S AS LY LOCATE THE ENDIMAXIRPIERSEATNNO MOREETHAN P/4SOFLTHENDER HOME'SELENGTH FROM PERSPECTIVE VIEW OF MAXI -PIER E FRONT AND REAR OF THE HOME. USE AN EQUAL NUMBER OF MAXI -PIERS ON THE PERSPECTIVE VIEW OF MAXI -PIER IF AND THE BACK AND AN EQUAL NUMBER ON THE LEFT AND THE RIGHT, PADS i HOME'S CHASSIS IS EQUIPPED WITH OUTRIGGERS OR 'Z' CROSSMEMBERS, USING PLYWOOD S USING LUMBER (: i-�liS TRY TO LOCATE EACH MAXI -PIER WITHIN 6 INCHES F (� O THE NEAREST OUTRIGGER p {�' p� VIEW OF ACING SYSTEM ASSEMBLY OR CPOSSIBLEER, IF THERE MARIARE NO OUTER RIGGERS 6OiNCHESSOF ANERIFT IS DRAWING NOTES CROSSMEMBER, INSTALL VEB BRACE STRUTS PER DETAIL, OUTRIGGERDR DESIGN L® S _ TI��'E APPROVAL SPECIFIED IN THE HOME MANUFACTURER THE MAXI -PIERS AT THE SPACING INSTALL NORMAL STEEL PIERS BETWEEN 1 PIER CAP TYPE 1 � 1/8' Thick x 8' long formed steel bracket wr/ 16 18' x 32' x 3/4' pressure treated plywood pad ROOF LIVE LOAD 'S INSTALLATION INSTRUCTIONS [2] 3/8' machine bolts. SNOW20 PSF APPROPRIATE SNOW LOAD, EACH MAXI -PIER CAN REPLACE ONE NORM FOR THE 17 30' x 32' x 3/4' pressure treated plywood pad DEAD LOAD ANY TO 3,864 LB. CAPACITY, IMPORTANT, EACH STANDARD PIER MUST PIER OF UP 2 PIER CAP TYPE 21 (5x6.7, (6x8.2, or (8x11:5 steel channel, 83' DEAD LOAD TO PSF THE HOME'S TRANSPORTER BEAM AND TO ITS H T BE SECURED TO Long w/ [2] 1/8' formed steel gripper plates each connected w/ 18 32' x 32' x 6' Deep concrete footing pad WALL DEAD LOAD 10 PSF ASE PAD IN ACCORDANCE WITH FLOOR LIVE LOAD CURRENT REQUIREMENTS OF THE DEPARTMENT OF HOUSING AND COMMUNITY [1] 3/8' machine bolt, 19 Inspection Hote DEAD LOAD 40 PSF DEVELOPMENT, MASONRY PIERS MAY NOT BE USED, THE MINIMUM BASE PAD SOIL BEARING PRESSURE TO PSF DIMENSION FOR THE STANDARD PIERS IS 24' IN THE DIRECTION PERPENDICULAR TO 3 PIER CAP TYPE 31 (5x6.7, G6x8.2, or C8x11.5 steel channel, 81' 20 141 1/2' diameter anchor bolts w/ 4' min, embedment into VERTICAL CAPACITY OF EACH MAXI -PIER -1,000 PSF THE CHASSIS BEAMS, long connected directly to chassis beam w/ 123 3/8' machine Ibotts LATERAL CAPACITY OF EACH 25' PIER 3,864 LBS concrete. <AL-TERNATE� 1/2 diameter HI ttI HDI -1/2 drop In 825 LBS OBTAIN MAXI -PIE or 121 1/4' self -dr{ t t In TEK screws. LATERAL CAPACITY OF EACH 35• PIER 625 LHS Ei: GINEEkEb 1'iEtJU1NiV SYJRItM R COMPONENTS WHICH ARE APPROPRIATE - g anchors or equivalent, installed per anchor manufacturer's MAXIMUM HEIGHT FROM GROUND TO GRASSES DETERMINE THE PIER BASE HEIGHT TE FOR THE INSTALLATION: nsta l lat i on I nstruct l ons . ) 38 IN. A h N Ct O V E 0 GHT WHICH WILL BE BEST FOR EACH PIER 4 1' dia. x 6' long A572 Grade 42 threaded rod SEISMIC ZONE NIA LOCATION AND INSURE THAT THE HEIGHT TO THE BOTTOM OF THE CHASSIS BEAM 21 [4] 3/8' diameter ameter x 3' ga tv , tag screws Into pine ne pads MAXIMUM ROS- HEIGHT (:VERTICAL PROJECIION) 15 PSF SUBJECT To CokRECTIONSNOTED IS NO GREATER AT ANY LOCATION THAN THE MAXIMUM PIER HEIGHT SHOWN ON THE 5 Double hex nut 4,5 FT, DRAWINGS,. INSURE THAT THE PIER CAPS ARE AP 22 C4] 3/8' diameter x 1-1/2' galy. tag screws Into plywood a {lpprov.;t docs rct ,�r,za or approve ar,y om,ssion or CHASSIS BEAM, PROPRIATE FOR THE TYPE OF 6 2-1/2' x 2-1/2' x 3/$' (min) steel plate with a 1' diameter Ihole P Y pads THE DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS FOR a@v,�f n troy re,;u,:,.;rnts ct oppt,cable State taws and centered In plate. 23 Maxi-Pler location PERMANENT STRUCTURES.. DETERMINE WHICH TYPE OF FOOTING PADS WILL BE USED, IF THE CONCRETE 7 3/8' dia. Set bolt with nut welded to tube 24 Standard pier located as specified i n the home manufacturer's THIS SYSTEM IS DESIGNIED FOR 15 PSF MINIMUM WIND LOADS IN ACCORDANCE WITH S::,e rt 0--. orn,a PADS ARE USED, EXCAVATE A HOLE FOR THE PAD USING FOR THE CALIFORNIA CODE OF REGULATIONS, TITLE 2S, SECTION 1336.3 AS SPECIFIED MS IF NECESSARY 70 Ocpa toren; ci' u.,r,ti cad t:unr un,ty De�e,opcnent INSURE ACCURATE PUS DIMENSIONS, IF ANCHOR BOLTS ARE BEING USED, $ 2' x 2' x 3/ 16' A500 Group B steel tube - minimum 3' tap I ntco Installation Instructions FOR AN ENGINEERED TIEDOWN SYSTEM AND IS NOT DESIGNED TO RESIST SEISMIC ,;;;, .� •pr„r,„ ;IfSiJhf,DS PRE -INSTALL -THEM USING A TEMPLATE TO MATCH HOLES IN PIER BASE. POUR tube #9 25 Chassis outrigger(EARTHQUAKE) LOADS, v CONCRETE AND ALLOW TO HARDEN FOR AT LEAST 24 HOURS BEFORE BOLTING ale MAXI -PIER TO FOOTING. IF THE PLYWOOD OR LUMBER PADS ARE USED, PREPARE By THE PADS BY NAILING TOGETHER W/ C121 10d GALV, BOX NAILS SPACED AS 9 2-1/2' x 2-1/2' x 1/4° A500 Group B steel tube � 26 Steel chassis beat” (type varies) i''�tz1`'`"', / • �7> EQUALLY AS POSSIBLE. SpA N JZ, [ tQ , / (2 NAILS EA, PAD TO PAD OVERLAP FOR LUMBER PADS) , 10 1' dia. x 3' long standard pipe 27 Special pier or pier grouping located as specified In the home manufacturer's Installation l tat l on i nstruct l ons . /Z�jo���o �, ASSEMBLE THE MAXI -PIER ON THE PAD. INSTALL FACTORY -SUPPLIED SHIMS IN 11 1-1 /2' x 1-1 /2' x 1 /8' .,tee L angle � Tni; Plan Approval Ezp,res.___-_____.r THE STEM SO AS TO INSURE THAT THE THREADED ROD WILL NOT NEED TO EXTEND 28 'Z' Crossmember MORE THAN 2 INCHES ABOVE THE TOP OF THE UPPER LOCK NUT, CAREFULLY 12 2-1l2' wide x 3/16' thick steel base plate ALIGN THE PIER ON THE PAD UNDER THE CHASSIS BEAM. '29 1' diameter x 12 GA, x 17' tong (max,) steel tube brace with ends` SECURE THE PIER TD THE PAD USING THE APPROPRIATE FASTENERS AS SHOWN ON THE DRAWINGS, ADJUST 13 2' x 2' x 3/16' A500 Group B steel tube shims crimped to receive attachment bolts. Secure to floor joist w/ [2]' THE PIER CAP TO MAKE CONTACT WITH THE HOME'S 3/8' diameter ameter x 4' long to bo tts and secure to Chassis s beam w/ E S CHASSIS BEAM, AND FASTEN AS 14 C2] 2 x 12 x 3 0' Long #3 southern pine pressure treated pads 9 9 SHOWN ON THE DRAWING, ALTERNATE, FASTEN PIER CAP TO CHASSIS BEAM USING [1] 3/8' diameter machine bolt. (See Installation 'Instructions,)123 3/16' x 2' LONG FILLET WELDS. TIGHTEN BOTH SET SCREWS ON MAXI -PIER 15 C31 2 x 12 x 30' Lang #3 southern pine pressure treated pads ,. 30 Floor joist (Bottom board not shown for clarity) I, REPEAT THIS INSTALLATION PROCEDURE FOR EACH MAXI -PIER, U W.C404 � •k R OF C •e Sheet. Dmvia j ylyw , 043MPETW_REV_042098,DWG Calculauam T11e 043MPPLY,XLS 043MPLUM.XLS 043MPCON,XLS �043MP_ETS_LPC_WIND_2,XLS