HomeMy WebLinkAbout069-310-013o
LftA, SHIVELY ",69-13-13
416 Lo lgeview .Dr, lot .131,KR#l,Oroville• _
Contr: 0—'k—Ridge—Properties Inc.
Permit#166 4P;E(util, MEI)
ELEC ,rIl Op
GAS �Gf3 Wit_
COMPACTION TEST RE
SUPPORT STRUCTUR E p be
69-13-13
Consr: Or idge Properties, Inc.
Perm to-84MHI
Ism— i- 2,1- -��
69-13-13
Contr: J.W. Lancaster Const
Permit#2580-84B(new covered & open decks
& carport/MH) �.4/% /0/��A �I
T
�
__�C
069-130-013 04-3236
BLESSING, KIT
416 LODGEVIEW DRIVE, OROVILLE
Cont: SIERRA MOBILE SERVIC
EX MH PERM FN14;,
13,
.1
i
o
LftA, SHIVELY ",69-13-13
416 Lo lgeview .Dr, lot .131,KR#l,Oroville• _
Contr: 0—'k—Ridge—Properties Inc.
Permit#166 4P;E(util, MEI)
ELEC ,rIl Op
GAS �Gf3 Wit_
COMPACTION TEST RE
SUPPORT STRUCTUR E p be
69-13-13
Consr: Or idge Properties, Inc.
Perm to-84MHI
Ism— i- 2,1- -��
69-13-13
Contr: J.W. Lancaster Const
Permit#2580-84B(new covered & open decks
& carport/MH) �.4/% /0/��A �I
T
�
__�C
069-130-013 04-3236
BLESSING, KIT
416 LODGEVIEW DRIVE, OROVILLE
Cont: SIERRA MOBILE SERVIC
EX MH PERM FN14;,
13,
VAN
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DMSION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
2004-00-7,4 E, 1 9
Recorded
Official Records
I REC FEE 10.00
1 CONFORM 1.00
County Of
BUTTE
I
I
CANDACE J. GRUBBS
I
Recorder
I
ROSEMARY DICKSON
1
Assistant
I Alyce
02:33PM 07 -Dec -2004
I Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
KIT BLESSING AND TERRINA BLESSING
REAL PROPERTY OWNER/LESSOR
416 LODGEVIEW DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95966
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP
04-3Z36 530 538-7541
B T N TELEPHONE NUMBER
. L -. 6
MOF CAL AGENCY OFFICIAL DATE
DEALER NAME (if not a dealer sale, write "NONE")
NONE
MAILING ADDRESS DEALER LICENSE NO.
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
FARWEST HOMES INC
1984
24X50GD3BR
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAME NUMBER
3485AM
24X50
288002/288003
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER AP# 069-130-013
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
Escrow No. 101094 -CW
Title Order No. 00101094
*I- y ,
EXHIBIT ONE
Lot 131, as shown on that certain Map entitled, "Kelly Ridge Estates Unit One", filed in the Office of the County
Recorder of Butte County, California, on October 30, 1970, in Book 38, of Maps, at Page(s) 5 thru 10.
Certificate of Correction recorded March 17, 1971, in Book 1663, page 624, Official Records.
RECORDING REQUESTED BY:
t
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY, BUILDING DMSION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
CORY of Document Recorded
07 -Dec -2004 2004-0074619
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation,of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
KIT BLESSING AND TERRINA BLESSING
REAL PROPERTY OWNEMESSOR
416 LODGEVIEW DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95966
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING. ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE CA 95965
CITY COUNTY STATE ZIP '
04-3Z36 530 538-7541
B T N _ TELEPHONE NUMBER
SIGNA OF CAL AGENCY OFFICIAL DATE
NO
DEALER NAME (if not a dealer sale, write "NONE")
NONE
DEALER LICENSE NO.
FARWEST HOMES INC
1984
24X50GD3BR
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAMEMUMBER
3485AB
24X50
288002/288003
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER AN 069-130-013
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept.
Escrow No. 101094-CW
dile Order No. 00 10 1094
't
EXHIBIT ONE
Lot 131, as shown on that certain Map entitled, "Kelly Ridge Estates Unit One", filed in the Office of the County
Recorder of Butte County, California, on October 30, 1970, in Book 38, of'Maps, at Page(s) 5 thru 10.
Certificate of Correction recorded March 17, 1971, in Book 1663, page 624, Official Records.
DATE
i
GROSS INC. TAX
SOC. SEC.
r
MEDICARE
TAX
CHECK
NUMBER
H.C.D.
I I
90-2267/1211 3827
EXPLANATION
AMOUNT
SIERRA MOBILE SERVICE
18789
SIERRA FOUNDATION
LIC NO 470386
- H16B
466 CIRCLE DR 530-534-0599
OROVILLE, CA 95966
PAY
soNdo ioawrea
AMOUNT,,pp,,
�Ob
inaa.
L IJ ooiai� on ooa.
OF
CHECK
AMOUNT
DATE
TO THE ORDER OF
GROSS INC. TAX
SOC. SEC.
ST. TAX
MEDICARE
TAX
CHECK
NUMBER
I I
DFUM Ba
DESCRIPTION
' US BANK-
_
�- AUTHORIZED SIGNATURE
II°01878911' 1:1 211 2 26761: 153401,4039 2511'
NAME.
AN.
DATE: G
BUILDING PERMIT NUMBER: 04-3236
Address or location of unit: 416 LODGEVIEW DR, OROVILLE CA
Legal Description of Real Property: AP#: 069-130-013
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: HIT BLESSING AND TERRINA BLESSING
Owner's address: 416 LODGEVIEW DRIVE, OROVILLE CA
INSIGNIA OR HUD NUMBER: 288002/288003
SERIAL NUMBER OR V.I.N.: 3485A/B
MANUFACTURER'S NAME: FARWEST HOMES NC YEAR: 1984
OFFICIAL APPROVING INSTAL ATION:
DATE: ) D--- I
. 6 0
PHONE: (530) 538-7541
H.C.D. 513C
NOTES
e
RESIDENTIAL
PERMIT NO.
F41
30-013
04-3236 Y
SING, KIT
ODGEVIEW DRIVE, OROVILLE 'I i
SIERRA MOBILE SERVIC
EX MH PERM FND
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). '.f
(2) STATEMENT OF FACTS (ONLY ON NEW
MH,S)
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
I
II SPECIAL CONDITIONS II
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
CHECKED
BY
J=OK
0 = Not OK
. = Not Readyable
'
MOBILE HOMES
Date
MOBIL; HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements-Setbacks-Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location-Test-Fall-C/O-Concrete
4.
Water; Location-Test-Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp-Concrete
6.
Gas; Location-Test-Wrap;-/ /" L'ft.
/ P Nat. or / /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
Date
11.
Card B-1 Date Card B-1
Date
12.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements-Setbacks-Easements
Card B-1 Date Card B-1
2.
Footings; Size-Spacing-Marriage Line
Card B-1 Date Card B-1
3.
Gas; MH Test-Demand-Valve-Connector
4.
Electricity; MH Test-Crossovers-Breakers-Clearances
5.
Drain; MH Test-Fall-Flex Connector
6.
Water; MH Test-Regulator-Connector
7.
Water and Sewer Connected-C/O to Grade-HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs-Type-Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
Date
11.
Card B-1 Date Card B-1
Date
12.
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements-Setbacks-Easements
Card B-1 Date Card B-1
2.
Footings; Size-Spacing-Marriage Line
Card B-1 Date Card B-1
4,2!Blocking
4.
Gas; MH Test-Demand- alve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Ad 1 2-9 9 a cz3 Z -
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except ft
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
- =NotAApplicable RESIDENTIAL (Single & Duplex)
p�
. = Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning -Setbacks -Easements -Flood -Slope
Card B-1 Date Card B-1
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
Date
7.
Slab, Steel -Wrapped
Date
8.
Piers -Fireplace Ftg.-Steel
Date
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
41.
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
42.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
43.
12.
Electric Underground
44.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
45.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
46.
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
73.
Card B-1 Date Card B-1
Date
74.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Garage Fire Door; Swing -Landing -Closure
24.
Fixture & Transformer Clearance -Ins. Protection
A.C. Duct in Garage -Damper
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Size Boxes & No. of Conductors Stapled
Plb.; Elec. & Mech. Equip. Listed for Location
27.
Romex Installed Close to Edge of Studs & C.J.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Guard Rails & Deck Construction -Post Caps
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
_
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
Date
FRAMING (Continued)
Card B-1 Date Card B-1
Date
Hangers -Post Caps -Anchors -Connectors
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
54.
Card B-1 Date Card B-1
Date
55.
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
41.
Sills Proper Materials & Anchors
Siding -Nailing Veneer
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
43.
Bearing Walls over Girders & Floor Nailing
Glazing Area -Glass Protection -Skylights -Plastic
44.
Draft Stop in Walls (rat proof)
Shear Walls; Nailing -Bolts
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
Brace Interior/Exterior Wall Panels
46.
Headers & Beams -Size & Bearing
Insulation -Walls -Ceilings
63.
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 ❑ Yes
_
83.
Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ 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:
b
G
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BPO43236
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: 11/30/2004 APN• 069-130-013-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: �Licens 3 86
Site Address: 416 LODGEVIEW DR ORO
_ UNber:70
Date: I( kJ U r Contractor.
Map Index:
Description: EX MH ON PERM FND(1200)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: BLESSING KIT TERRINA
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
416 LODGEVIEW DR
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
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
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: SIERRA MOBILE SERVICE
Code: The Contractors' State License Law does not apply to an
BILL REID
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
466 CIRCLE DRIVE
provided that such improvements are not intended or offered for
OROVILLE, CA 95966
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
530-534-0599
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: SIERRA MOBILE SERVICE
not apply to an owner of property who builds or improves thereon,
BILL REID
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
466 CIRCLE DRIVE
❑ 1 am Exempt under Article 3 of the Business and Professions Code
OROVILLE, CA 95966
530-534-0599
Date: Owner:
License #: 470386
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
O 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: 7-4
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
Policy #: l 5
❑ 1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
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 permit is her ry issued under the ay ica le provisions of the Butte County_Cgda_anrVjcw _ _
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.)
Resolutio to d//Work indicated above or wh h fee .have been paid.
Name:
By: Date:
Address:
PERMIT EXPIRES ON:
II Da
O I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, a
handling and use of hazardous materials.
O Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of utte County to enter upon the above mentioned property for inspection purpose.
Print Name: Signature:
Date:
❑ Owner Js(Contractor ❑ Agent for Owner ❑ Agent for Contractor
0
0
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 REQ UIRED AT TIME OF APPLICATION
**PLEASE PRINT CLEARLY**
OWNER
Last Name g I E s S, r J&
Name
First Name
Address 116 % b p VIE k1
City G P, o u cr-F
State
Zip lr 2
Phone
Fax
E-mail
5--7y DS9 9
APPLICANT SIGNATURE
X16-111111
For office use only:
CONTRACTOR
Name
.�2 A��
Address
SRA I
City
State`
Zip 9Si E
Phone
5--7y DS9 9
Fax
E-mail
Planner
Lic. # y76596
Class /s
APPLICANT SIGNATURE
X16-111111
For office use only:
ARCHITECT/ENGINEER
Name
.�2 A��
Address
SRA I
City
State _T
Zp
Phone
S3 q 0S6 6
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
X16-111111
For office use only:
APPLICANT NAME
Name
.�2 A��
Address
SRA I
City
State d
ZP 9.S%66
Phone
S3 q 0S6 6
Fax
E-mail
Planner
APPLICANT SIGNATURE
X16-111111
For office use only:
Zoning
AP#
Flood Zone
Property Address
SRA I
Yes -I
No
Occ.
Type Const.
Subdivision Name Map
Book
I Page
Lot #
Planner
Date Approved:
tJVLK 1-L)K 5UBMITTAt_ REQUIREMENTS
PERMIT
NO. 2
BP J�
BIN #
Description or Scope of Work:
ro�i-mac--- .�Gv�r ,,Q,�;q.�i. • Lv�L
Sq. Footage
❑ Structure Built without Permits O(
❑ Proposed Change of Occupancy ,
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Recei ed by: Amount I V _Bldg
SRA
Receipt #: Sheriff
SMIP
Date: l {� g Other
Total
LOCATION
AP#
_
Property Address
`aE f oua a.v�e,�
City .
bkoV,►`L-
Cross Street
WORKER'S COMPENSATION
Policy Number
Yzs �
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:
ro�i-mac--- .�Gv�r ,,Q,�;q.�i. • Lv�L
Sq. Footage
❑ Structure Built without Permits O(
❑ Proposed Change of Occupancy ,
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Recei ed by: Amount I V _Bldg
SRA
Receipt #: Sheriff
SMIP
Date: l {� g Other
Total
.. - rte.-.+.^r...�A-..-,^_f r. .•. 5+-�..r-r'...---- .. � ..--�.+•�.-.f--�1 r � w>:^-} .:..-.rrw.•.� AwVtIL..`,.� �. s.� �_..:�-_
H�
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
.M 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 C) �( J
PERMIT APPLICATION DATA SHEET
OWNER: C, ASSESSOR PARCEL NUMBER OUR • I ,b ' V ( -5
Proposed Building Use: Counter Technician: ,i Date:
Items required in order o apply for a p'erirtlt. All boxes)MUST be c ecked OR marked NA in order t'apply.
-Q 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. .
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan -,(B) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ 20. Erosion Control Plan Required..................................................................."", ........
❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
0 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. a�
24. Planning approval (A) Use: vV (B)Parking: (C) Parcel Check: 11-7-3-o 01-
25.
25. Contact Land Development about _ Improvements, _ Drainage .........................
❑ 26. NPDES Form............................................................................................
❑ 27. Encroachment Permit for drivewayfro the Public Works Dept ..,........./ j ..
28. Pre -Inspection for �b,�-Le �l 9 04 4114129. Contractor's license Information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy.Number................................ *. *.....
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization .......................................
'*'*"....................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction........................................................................................
❑ 37. Grant Deed q. M.H. Title/Statement of Facts, ❑ etter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Ather:
❑ 39. Other:
When issued Telephone and hold for pickup.
I have been informed,, of the above items and requirements for obtaining a building permit.
Applicant: Date:
1. Index permit application for the above items numbered: Plan Check Letter
items required
15r;actor�.,'designer,
esigner, owner, was advised of the above data by phone, ❑ mail, ❑ counter, b Date:
owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: 112 Date
Structural reviewed by- Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT vStNG q�
Division of Codes and Standards •�`0 Q
p 0 u Z
3
w
��n �.,
Title Search 3Gti,�¢� .
Y
Date Printed : 11/02/2004 DEv
Decal #: LAG2838 Use Code: SFD
Manufacturer: 09945 FAR WEST HOMES INC Original Price Code: AJC
Tradename: FAR WEST Rating Year:
Model: 24X50GD3BR Tax Type: LPT
Manufactured Date: 07/30/1984 Last ELT Amount:
Registration Exp: Date ILT Fee Paid:
First Sold On: 09/10/1984 ILT Exemption: NONE
Serial Number HUD Label / Insignia Length Width
3485A 288002 50' 12'
3485B 48-98 50' 12'
28g�
Record Conditions: PPF Exempt
- An application for title or registration change is pending with the department. For
information regarding this application, please call 1-800-952-8356 and request to
speak with a customer representative.
Registered Owner:
KIT BLESSING
TERRINA BLESSING (Joint Tenants with Right of Survivorship)
416 LODGEVIEW
OROVILLE, CA 95966
Last Title Date: 02/10/2000
Last Reg Card: 02/10/2000
Sale/Transfer Info: Price $45,000.00 Transferred on 08/18/1999
Situs Address:
Legal Owng(r:
416 LODGEVIEW
OROV-ILI E CA 95966
Situs County:
MILA INC A WASHINGTON CORPORATION DBA
11YESTMENT LENDING ASSOCIATES INC
3400 188TH-STRE£T�W-UITE 305
LYNNWOOD. WA�37
02/01/2000
DORRIS MAE GOFF Trustee
2917 YARD ST
OROVILLE, CA 95966
Reg Card: 92�1O�ti90(J
Lien Perfected On: 02/01/2000 08:05:16
Title Searches:
FIDELITY NATIONAL TITLE
455 ORO DAM BLVD SUITE A
OROVILLE, CA 95965
Title File No: 106696
* * * END OF TITLE SEARCH * * *
RECORDING REQUESTED BY:
Fidelity National Title of California
Escrow No. 101094 -CW
Title Order No. 00101094
When Recorded Mail Document
and Tax Statement To:
Mr. and Mrs. Kit Blessing
416 Lodgeview
Oroville, CA 95966
1 999-0035439
Recorded
Official Records
County Of.
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
02:20pM 18 -Aug -1999
REC FEE 10.00
TAX 82.50
Maureen
Page 1 of 2
GRANT DEED SPACE ABOVE THIS LINE FOR
The undersigned grantorls) declarels)
Documentary transfer tax is $82.50
[ X I computed on full value of property conveyed, or
( I computed on full value less value of liens or encumbrances remaining at time of sale,
[ X I Unincorporated Area City of
'S USE
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Dorris Mae Goff, Successor Trustee
of the Art J. Shively and Leota B. Shively Family Trust
hereby GRANT(S) to Kit Blessing and Terrina Blessing, husband and wife as Joint Tenants
the following described real property in the County of Butte, State of California:
SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF
DATED: August 13, 1999
STATE OF CAL FO A
COUNTY OF
0 before me,
rsonally appeared
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that
C. WILLIAMSby his/her/their signature(s) on the instrument the D
COMM. tr 1092339
person(s), or the entity upon behalf of which the c rrorAar PIleu�cw�anu
persons) acted, executed t i strument. COUNTY OF BUTTE
Witness my h d an off'Cipl s al.
Signature
MAIL TAX STATEMENTS AS DIRECTED ABOVE
The Art J. Shiv/ellyy, and Leota B. Shively Family Trust
By:
Dor is Mae Goff, Succ or, Trustee
�
o0)@1
—� N
Q w
My Comm. Expin� Meeh 2/, 2000
ru-213 (Hev 7/96) GRANT DEED
STATE OF CALIFORNIA
BUSINESS, TRSPORTA_nON AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND CONfMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
.. r
REGISTRATION A_ND TJ'11_ING PROGRAM
STATEMENT OF FACTS
This unit is a: � Mobilehome El Commercial Coach 17 Floating Home Truck Camper
Decal (License) No.(s) Trade Name Serial No.(s)
3 cl j? A
h it XB3 FA k w a % 3qe&- r3
I/We, the undersigned, hereby state:
I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State
of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
Me certify under penalty of perjury that the foregoing is true and correct.
Executed on
(Date) (City) (State)
Signature(s)
`P
Address
City
U( -n A-74 4 In IZV 0/01)
Printed name(s)
�. r,0
State
PRE -INSPECTION REPORT
OWNER: IJ�SS
LOCATION: �j .��J �j (,/)
CONTRACTOR:]
REASON FOR PRE- SPECTION
DATE TO INSPECTOR .�l PERMIT HISTORY ( ) NONE (SEE ATTACHED
DATE: O '
A.P.# 6A
ZONING:
Building Description:
Commercial/Usage: _
Residential # of Units:
BUILDING INSPECTOR'S REPORT
Currently Occupied ( ) Yes ( ) No
Abandoned/Vacant:
Electric:
Gas:
Electric Currently ( ) On . ( ) O ff
Condition of Electric
Currently ( ) On ( ) Off
Condition
Sanitation:
Plumbing Worldng ( ) Yes ( ) No
Obvious Sewage Problems ( ) Yes () No
ACTION RECOMMENDED: ISSUE
Hold for permits or verify: t /
Mobile home # of Units:
( ) Yes ( ) No
Inspector: 1-- /Q Date:
69-13-13
4. AIT�J J. SHIVELY
416 L (�geview Dr, lot.131,KR#1,Oroville.
Contr: Ori Ridge Properties Inc.
Permit#1664�84P,E(util, MH) .
ELEC_ ; Oc-)
'GAS---- ��"+.h f< etl
COMPACTION TEST REQp��!C
SUPPORT STRUCTUR{E��77 4--' (,
69-13-13
Contr: Oro idge Properties, Inc.
Permt14fi2313=84MHI
69-13-13
Contr: J.W. Lancaster Const
Permit#2580-84B(new covered & open decks,
& carport/MH) )r-4 1 /o/W9
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
**PLEASE PRINT CLEARLY**
APPLICANT SIGNATURE
X
For office use only:
OWNER
Last NameFirst
6%r_ss�hJ&-
Name
; !,-
Address
Address
City G �, o u < «�
I No
State ZP
Phone
Phone Say
Fax
E-mail
E-mail
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
Name
Flood Zone
Address
Address
City
I No
State`
Zip 9Si E6
Phone Say
oS9 9
Fax
E-mail
Fax
lac. #
Class
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
Flood Zone
Address
Address
City
I No
State
Zp
Phone
ZP 9 s`l66
Fax
E-mail
Fax
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT NAME
Name
Flood Zone
Property Address
Address
Yes-.
I No
City
0_1-2�
State d
ZP 9 s`l66
Phone
S-3 q 0S6 6
Fax
E-mail
C�
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
APPLICANT SIGNATURE
X
For office use only:
Zoning
AP#
Flood Zone
Property Address
SRA I
Yes-.
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
UVctt FUK SUBMITTAL REQUIREMENTS
PERMIT
NO.
BP �•�
012
Description or Scope of Work:
l"a•-�•-�- .u.�,�n �e,�C,,a�.: y�cc-r,�.Ci- Nam.
Sq. Footage `r1�
❑ Structure Built without Permits OC
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no ,construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
5q''9,n
Recei ed by: Amount Bldg
SRA
Receipt #: Sheriff
Ll �/ SMIP
�
Date: Other �. f1 � • ���
Total
LOCATION
AP#
0. 6
Property Address
City
F!!7 et
WORKER'S COMPENSATION
Policy Number
Yzs�
Carrier
C�
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:
l"a•-�•-�- .u.�,�n �e,�C,,a�.: y�cc-r,�.Ci- Nam.
Sq. Footage `r1�
❑ Structure Built without Permits OC
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no ,construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
5q''9,n
Recei ed by: Amount Bldg
SRA
Receipt #: Sheriff
Ll �/ SMIP
�
Date: Other �. f1 � • ���
Total
-,s
Vector Dynamics
Foundation System
INSTALLATION INSTRUCTIONS
for the State of California
Version 91212003
s INDEX
PAGE RELEASE
SECTION NUMBER DATE
INTRODUCTION
2
9/2/03
GENERAL INSTALLATION
3
9/2/03
PARTS LIST
4 & 5
9/2/03
LONGITUDINAL DEVICES
6
9/2/03
PIER HEIGHTS
7
9/2/03
SET-UP INSTRUCTIONS
8
9/2/03
FOOTER SIZES
WIND ZONE I - SINGLE
9
9/2/03
- DOUBLE
10
9/2/03
- TRIPLE
11
9/2/03 .
- HIGH PIER
12
9/2/03
WIND ZONE II - SINGLE
13
9/2/03
- DOUBLE
14
9/2/03
- TRIPLE
15
9/2/03
V -DRIVE & PIER SYSTEMS
16
9/2/03
SOIL CLASSIFICATION
17
9/2/03
CONCRETE INSTALLATION
18 & 19
9/2/03
COMPONENT PARTS AVAILABLE UPON REQUEST
Approval
MANUFACTURED HOME/MOBILE HOME
FOUNDATION SYSTEM
REALTH AND SAFETY CODE, SECTION 18551
APPROVED
SUBJECT TO CORRECTIONS NOTED
kPPROVAL DOES NOT AUTHORIZE OR APPROVE ANY
MISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
State of California
t Plio in and Community Davetopmomt
N DES AND STANDARDS I
SPA• _�
Thi. P Approval E
(aipature)
QROFESSIO q
tF�nne
�'Oy 323 f.
BUTTE COUNTx
BUILDING DEPARTMW
APPROVED
00
Lq
M
0
N
O
M
O
Tie Down Engineering, Inc.
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
Introduction
These instructions describe the proper use of the lateral and longitudinal foundation system. You may also refer
to the home manufacturer's installation manuals that include the Vector Dynamics system as an alternate foun-
dation system.
General
The Vector Dynamics Foundation System provides the support to resist lateral, longitudinal and over -turning
movement of the home as required by the Federal Manufactured Home Construction and Safety Standards in a
specified wind zone when the system is used as described in these instructions. Please verify state or local wind
load requirements prior to installation of the home.
The Vector Dynamics Foundation System resists lateral & longitudinal wind & seismc loads by anchoring the
two longitudinal main rails. The system is approved to be used on single or multi section homes:
Nominally 12 feet to 16' feet wide- (single section) with main rail spacing of 95 inches or greater
on center, multi section main rail spacing of 75 inches or greater on center.
Nominal 8 foot or less top plate height at sidewalls with main rail depth of 12" or less.
Maximum roof slope of 20 degrees (4.4" in 12" slope).
Maximum eave width (roof overhang of sidewall) of 12" for Zone I, 8" fo Zone II
Maximum pier height under main rails -see page 7.
The Vector Dynamics Foundation Systems may be used as a part of the vertical or gravity support system con-
sidering that each Vector Dynamics pad has two (2) or (3) square feets bearing area.
To inquire about the use of the Vector Dynamics Foundation Systems with homes of four or more sections, other
widths, or on homes requiring pier heights which are not included in these instructions, contact Tie Down
Engineering, Inc. at 1-800-241-1806.
The Vector. Dynamics Foundation System has not been designed for use on exposure "D" homes within 1500
feet of the coastline.
Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer.
These locations may include shear walls, marriage line ridge beam support posts, end frame ties and rim plates.
Page 2 California 9/2/0
GENERAL INSTALLATION INSTRUCTIONS
SITE PREPARATION
It is necessary that the home site be properly graded and sloped to prevent water and moisture from standing or
flowing beneath the home.
FOOTINGS AND FROST LINES
The Vector Dynamics Foundation System was designed to be placed directly on top of the ground (or poured
concrete) after clearing all loose vegetation. In areas with frost heave, use Vector for Poured Concrete (see
pages 20 & 21) to comply with local requirements for footer depth.
FOUNDATION/FOOTING SPECIFICATIONS FOR VECTOR PADS
Vector Pads are used in place of conventional foundation pads. One Vector pad provides two or three square
feet of bearing support. Vector Systems should be spaced as symmetrically as possible along the length of the
home. For pier locations in between the Vector Systems, use the normal foundation pads.
LUMBER/MOISTURE -TERMITE SHIELD
To cut PVC or lumber (2 - 2x4's,1 - 44 or 1 adjustable steel commpression member per Vector system) for the
center compression section,when using concrete blocks for piers, measure center to center frame (I-beam) dis-
tance and subtract 16". When using METAL PIER STANDS, measure center to center frame distance and add 16".
ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED.
Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the
same, the pre-cut boards will also be the same length in each Vector set-up.
STRAP INSTALLATION
All frame ties and diagonal straps must go from the anchor to
the top of the I -Beam. See illustration below.
1. Attach frame hook to top inboard
location of "I" beam. (Frame hook must be
attached to frame at points closest to floor support.)
2. Keeping in line with the hook, wrap galvanized
strap completely around "I" beam.
3. Pull strap past anchor head approximately ten inches
before cutting to allow enough strap to give a minimum
of five turns around the slotted anchor bolt.
4. Thread loose end through slotted bolt so that the strap is
flush with the other side of the bolt.
5. Tighten slotted tensioning bolt a minimum of five full turns.
e
Page 3 California 49/2/03
C2
Longitudinal Stabilizer Devices
The use of LSD systems on a single or multi section home replaces longitudinal anchors,
stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector
Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The
number of LSD required is shown on pages 10-13.
Combine Vector Dynamics
& LSD
1. Longitudinal Foundation Pad
2. Beam Clamp (2 per system) Note: Two struts = 1 L.S.D. system.
3. Longitudinal Strut (2 per system) Can be used on one pad or slipt on
4. Tie Bracket (2 per system) opposite ends of the home.
Examples of Possible Placement: Wind Zone
(Contact TIE DOWN for piacment in other Wind Zones) I
Triple Section
Wind Zone
I
Single Section
I
0o I
I
I I .
I I
I I
I I
I I
I I
I I
I I
I I
I
I
I
Wind Zone
I
Double Section
18 Ft. Max. 32 Ft. Max.
Forgreater widths use
triple Section design.
Page 6
Wind Zone
I
Tag Section
:r:
48 Ft. Max.
California
OEM -
9/2/03
Ea
r
T
Wind Zone
I
Tag Section
:r:
48 Ft. Max.
California
OEM -
9/2/03
50 in
max.
Maximum Pier Height
Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier
heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or
both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height
exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used
at each Vector System location with pier heights above 46" with the following exception: double section homes
that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for
double section home high pier set instructions.
50 in
max.
Unequal Pier Heights
4aximum
Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier
and the shorter pier cannot exceed 26".
®r.
Page 7 California 9/2/03
Set -Up Instructions for
Vector System #59018
Long U -Bolts
1. Set Vector Pads 4. Inside brackets & straps
Clear all vegatation where pads will rest. Place Attach the inside tie brackets to the U - bolts over
a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook
mer pad into the ground. or swivel strap w/nut & bolt. Place other end of
the strap over opposite I-beam & down to but -
2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches
Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in
pre-cut center compression member between bracket. Tighten strap until tight with 4-5 wraps
blocks, resting on'pads, centers between U -bolts around bolt. Repeat with opposite strap.
as shown.
3. Outside Tension Bracket
Attach outside tension bracket as shown to out-
side of pads.
Page 8 Califor 9/2/03
co
ND
n
WIND ZONE I, SEISMIC ZONE 4
I �
Vector Dynamics Systems Required for
Double Section Homes
ho
e I
(Materials Required) _ _ - - _ , - - " y "On
1 double se - 1
OL
._ �? -a1 .:_ - .: - rte" " m2x• , ,�" �-
NOTE: Vector Systems should be spaced as
symmetrically as possible along the length of the
home. Pier spacing must be consistent with home
manufacturers' instructions and/or state requirements.
No anchors required. For
pier heights up to 46" for
28'-36' wide,
38" for 24' wide.
See Pg 12 for high pier
instructions.
Soil Classifications: 2, 3, 4A, & 4B W
Soil Bearing Capacity: 1,000 PSF minimum
�� Anchors Required': None ("Marriage wall anchors may be required by home manufacturer)
WIND ZONE I
2 sq. ft. pad
Home Length
Vector Systems
Required
Anchors Required
Per Side
L.S.D.
0to40'
2
0
2
41' to 66'
3
0
3
67' to 84'
4
0
4
85' to 90'
S
0
4
Each Vector System requires one of the following:
1-4x4 or 2-2x4's pressure treated wood compression member,
Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list)
Note: L.S.D.=
Longitudinal
Stabilization
Device
See Page 6.
1j
`I
VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS
Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as
described in the table below:
SOIL CLASSIFICATIONS
Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1)
D2586) Torque Value (2)
1 Sound hard rock...... NA NA
Very dense and/or 40 -up More than 550 lbs - in.
cemented sands, coarse
2 gravel and cobbles,
preloaded silts, clays,
and corals
Medium -dense coarse 24-39 350-549 lbs - in.
3 sands, sandy gravels, very
stiff silts and clays
4A Loose to medium dense 14-23 275-349 lbs - in.
sands, firm to stiff clays
4B and silts, alluvian fill 175-275 lbs - in
Peat, organic silts, 0-44 175 lbs - in.
5 inundated silts, loose fine and lower
sand, alluvium, loess,
varied clays, fill, fly ash.
(1) The purpose of the soil test probe is to gauge the strength of the soil below the surface
and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration
(flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The
overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.;
the pitch is 1.75 in. The shaft must be of suitable length for anchor depth.
(2) A measure synonymous with moment of a force when distributed around the shaft of the
test probe.
Vector Foundation Pads Equivalent to Footer Pads*
Footer Size: Footer Size:
16x16 = 256 sq. in. -- - - 20x20 = 400 sq. in.or 16x18 = 288 sq. in, or 17x25=425 sq. in. - --
EQUALS - _ EQUALS
2 -Vector Pads # 59275 1 -Vector Pad # 59271 "- -
288 sq. in. or 432 sq. in.
1 Vector Pad # 59130
Vector Pad(s) exceed the surface area required when used as the equivalent liste Bove.
'Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional En in tar with site
conditons
C
Page 17 California 9/2/03
2580-84B
-PMMIT NO.
PERMIT EXPIRES
OWNER ART SHIVELY
CONTR.. J.W. Lancaster Const
ASSESSOR PARCEL 69-13.-13
LOCATION .416 Lodgeview Dr, Oro
Temp. Power Pole
Called'PG&E
ti Temp. Elec. Servi
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) /0
Signature
=,OK •
= Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready_
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DEC OVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Zo equirements—Setbacks—.Easements
2. Soils; Special MH Support—Sketch
Footings; Size—Depth—Spacing—Connectors Z).�rC tiL
3. Sewer; Location—Test—Fall-C/0—Concrete
Y,3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
r
PKI 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Locatiort—Test—Wrap:/ /"L"ft./ • /"Nat.or/ /"L"ft./ /"LPG
Carports; Windows—Doors
7. Utility Clearance
Elec.
Card -BI
Date Card -BI Date
dfd=131
Date Card -BI Date
Card -81
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date a Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
Card B -I
'Date Card -BI Date
Card -BI
10. Plumb; Cir. Test—Water Supply Test
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready .
n
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
3.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
49.
50.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel -B lockouts -Wrapped -Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Seryice Test
11.Electric;
Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
24.
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E] Yes
73.
Guard Rails & Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes [:)No; Walks ❑ Yes ❑ No;
Planters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except k's
31. A.C. Ducts; Insulation & Support
83.
84.
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except q's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties -_Purl in -Roof Brac.-Truss_-Shthng.-Rfn_g_.__
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phorya: 891-2791
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
R l PERMIT NO.
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need radditional explanation,, �pleasetact this oJficeImmediately.
I
VVI
A'% f
Inspector / � Date
V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
+ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICAf ION ANO- PERMIT
PERMIT`
�NO
ASSESS R P RCEL NUMB7R
_ _ 3
ZO N
'
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAIL NG AD KESS
1
CON A TOR'S M
a S
TELEPHONE
^ I
CONTRA TOR'S MA LING A DRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 16y1w
ARCHITECT OR ENGINEER
OM
LICENSE NO.
Plan Checking Fee
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
An 'Q_PLUMBING
PERMIT
Filing Fee 10.00
OF
Each Trap
2.00
Solar Water Heater
20.00
F.
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome&—Other
SPECIFY
Building sewer
5.00
Mobile Home I S1 G W
10.00 e
TYPE OF WORK
New Addition Remodel❑ Utilities I tallation❑ Other ❑
Describe work: V s a f —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD•L 100 AMP
2.50
NEW CONST.DWELLING OCCUP.&
OR ADDNS. k ACC. BLDGS.
2I/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ i am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. L�L �'?�0-7 Classification C__61 l
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET 2,50 ea
NON.RESID BRANCH CIRC TS
NEw NON.CONRES D. SINGLE OUTLET CIR. STR. POWER APPARATUS &
Ex. Occu zo@s0m
P�o
XEDTs OR FIXTURES BAL030Q
FIXED
Ex. Occup. OUTLETS PLINIS (RESI D.IREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
consent to Self -Insure.
II shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, a enses which may in any way accrue
agai st said County i consequen oft e g ting of thi permit.
X r� Date —
Sign � e of Appli.c 1 - Owner ❑ Contractor � Agent ❑
An CISH permit is required for excavations over 5'0" deep and demolition or construct-
ion of str cturas over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEEa
OCCuP. GROUP
I TYPE OF CONST.
/
PARCEL
PD
ND
Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
`!
Date�2%jl�� `7
Receipt No. �a �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r
e
J
Temp. Power I V*tll 't'. ` ^ c' `"°It
i r� �-'+ by �,..:";'l •wG4�'•'" d [�n.•�` iv�f i � �-�., 11s
Called r„
Temp. Elec. Se=EL CTR.. III
Called PG!Mete BY
Temp. Gas Ser,'r i
Cal led PG& E
JOB FINALED (Date)
Signature
k
F•664
13
PERMIT NO.
= 4P=, H (MH)
PERMIT EXPIRES-
XPIRES
4:
OWNER ART J.
OWNER
SHIVELY
CONTR. Oro Ridge Properties,
Inc.
�
• Ik
.
�i
ASSESSOR PARCEL
69-13-13
k
q
LOCATION 416
Lodgeview
Dr, lot
131,KR#1,0ro
f
�
"
r
e
J
Temp. Power I V*tll 't'. ` ^ c' `"°It
i r� �-'+ by �,..:";'l •wG4�'•'" d [�n.•�` iv�f i � �-�., 11s
Called r„
Temp. Elec. Se=EL CTR.. III
Called PG!Mete BY
Temp. Gas Ser,'r i
Cal led PG& E
JOB FINALED (Date)
Signature
k
J = OK
0 = Not OK
— = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning equirements—Setbacks—Easeme s
2. Sro ;Special MH Support—Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's
1. Zoning Requirements—Setbacks—.Easements
2• Footings; Size—Depth—Spacing—Connectors
ewer; ocation—Test—Fall-C/0—Concrete L/
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. er; Location—Test— a ent Needed (S tEh)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Lo on—Clearances—Gr / / Amp
i
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; L on—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./
/"LPG
6. Carports; Windows—Doors
7 ility Clearance
7. Elea
i
•
I
Card -B
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Data -",Card -BI Date
. Card -BI
Date Card -BI Date
Date
MOB Hqmg INSTALLATION (Plans) OK except k's ,.•� '` _
Date
POOLS (Plans) OK except #'s
ing Requirements—Setbacks—Easements
1 . Setbacks—Easements
Footings; Size—Spacing—Marriage Line t d
2. Soils; Compaction—Structure Stability
7M—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4 EI ctricity; MH Test—Crossovers—Breakers-Clearances.•
j
4. Elec.; Receptacles and Lighting; Distances—GFI
5 n; MH Test—Fall—Flex Connector
^`
5. Elec.; Pool Lighting; 15 volts—GFI
6. W r, MH Test—Regul r—Connector :�`�
"'w'
~`
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewernetted=C/0 to Grade—HD Approval "`
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gand Elect ' Ity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
. E its; Insp.—Sketch
1 . Cert. of Occupancy
1
g. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date 25 a 31 Card -BI Date
(Card -BI
Date Card -BI Date
Card -I
Date CargCB Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.Water
Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except p's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic El Yes
Guard Rails &Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive E] Yes (-]No; Walks [3 Yes E] No;
Planters ❑Yes 11 No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except p's
31. A.C. Ducts; Insulation & Support
83.
84.
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -81 Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except q's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
45.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.-Rfn_g_._ _
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradises — Phone: 872-29661. Ext. 57
COR ECTI®N' NOTICE
BUILONG OR PROPERTY ADDRESS
A routine Inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office•
when correction of work Is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
nscector__
fi
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location:
Owner
Owner's Address
Mobilehome Mfg. - -= Model Year
Insignia No. ��� Serial No. `
It is hereby certified for occupancy at the above d;cii L location and
may be occupied.
Director of Public Works
Date
By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
'7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
r
PERMIT NO.
vl3-
ASSESSOR PARCEL NUMBER
69 — 13 — 13
ZONING . '
1
BUILDING PERMIT
OWNER
Art J. Shively
TELEPHONE '
S0. FT. OCC. BUILDING VALUA ON'
OWNER'S MAILING ADDRESS
c/o 416 Lod eview Drive Oroville, CA. 95965
CONTRACTOR'S NAME
Oro Ride Properties, Inc.
TELEPHO E -
589-0152
CONTRACTOR'S MAILING ADDRESS
5263 Royal Oaks Drive, Oroville, CA. 95965
Fireplace
CONSTRUCTION LENDER
N/A
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS '
N/A
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
AR H TECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ b
Bul DING ADDRESS
PLUMBING PERMIT
FiIIng Fee 10.00
Oroville California 95965 _.
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
131/ 1 Kelly Ridge Lake Oroville
PARCEL MAP
Each Qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USEOF SyRUCTURE
SF ❑ Duplex❑ Mobilehome /Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
1710.00e
TYPE OF WORK
New El Add ition[](1tiyi
RemodeID U'e t taIIatione/ Other❑
Describe work: '`r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service B00V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
I
2h2sgit
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y J y (check one):
F I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
Y B—Gen.
License No. 295666 Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON.RESID BRANCH clRc ITs
NEW CONSTR. POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR. /
Ex. Occu 20080C
P�o AL®30
OR FIXTURES BLINIS
IXED A OR
Ex. Occup. OUTLETS P(RESID.I EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
® I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
El shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilitiejudg s, costs, and expenses which may in any way accrue
against s Count*
ount pons e e of the granting of this p tmit.
s7
Date P . 11 AN
Sign $ 6C.Asst • Lfrgt�0yitractor ❑ Agent
An OSHA permit is requ' or excavations over 5'0" deep and demolition or construct-
ion of structures over 3 s les in height.
Mobile Home installation Fee $
TOTAL PERMIT FEE $ -110
_=
OCCUP- GROUP
I TYPE OF CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for wh' h
DIR OR OF LIC
/'_
Y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/
Receipt No-,QSDC;? �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OO-Darniiart--Drorvn &' 01joclatei
A ifornia Corporation
/88/ A Robinson Street PO Box /576 Orov///e, CA 95965 9/6/534- /9//
CIVIL ENGINEERS • LAND SURVEYORS
July 24, 1984
Mr. Jim Glander
Assistant Engineer
Butte County Building Department
7 County Center Dr.
Oroville, Ca. 95965.
Re: KRE Unit 1, Lot 131
Dear Jim:
Alan G. Ikrown�..CE 24578
Richard Barnhart
LS 4202
Thomas Odekirk
LS 3991
NanciVonderhoor
CE 37359
Ronald L. Graves
LS 4085
Thomas Finlayson
LS 2900
Enclosed in duplicate, please find compaction test results
taken for Doyle Carter; proposed Mobile Home Pad, Kelly
Ridge Estates, Unit 1, Lot 131 in Oroville.
Representative tests taken indicate that the pad has
been constructed in excess of 90% relative density.
Also enclosed, for your general information, is a map
indicating test locations. nwf
AGB/dh
84-114'
Enclosure
cc,:-. Doyle Carter w/enc.
yours,
own & Associates
4#10
Alan G. Brown
Civil Engineer
File No.
BUTTE COUNTY (For Action 1, 2, 3 )
Public Works Dept. (For Information ✓)
Director
Dep. Dir.
Sec.
Fid. & Br. Mtce.
Shop & Yards
Bldgs. & Grnds.
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Tronsp.
Land Dev.
Drng. /5.1.
Sub. & PCI. Maps
Permits
Add;.
Cp
�
L
b
~O
p
0
..
CO CO
_c
C O
C)
C
as
;a
U
«i
»>
000
yarl V!
l
745
811+
�arn�iart -�rvrdn � Q.uociate�
....-.�.�.�
/66/ • IPob'nfan Sr..N Po Bo. 1176 Orori//�, fa 93963 .91615j4-1911
CIVIL ENGINEERS . L, AND SURVEYORS
SAND CONE
DENSITY TEST
ASTM D-1556
TEST NO
1
2
3
4
5
DATE
7-2-84
7-2-84
7-20-84
7-20-R4
MATERIAL
&Final
LOCATION
West IOT
1st Lift
s/w middle
nd
end 2lif
West cor
Tift
South cor
Final
lift
PAN NO.
S/9
S/9
9
. PAN+SOIL lbs
S.56
5.18
3.62
3.54
PAN 'lbs
.74
.37
.37
SOIL lbs
4,82
4.44
3.25
.3.17
APPARATUS +
SAND BEFORE lbs
13.28
10.56
15.40
12.67
APPARATUS +
SAND AFTER lbs
6.29
3.77
9.36
6.87
SAND CONE +
TEST HOLE lbs
6.99
6.79
6.04
5.80
SAND CONE lbs
3.70
3.70
3.70
3.70
SAND IN TEST HOLE
3.29
3.09
2.34
2.10
SAND DENSITY
0
90.0
90.0
90.0
VOL. TEST HOLE
0.0366
0.0343
0.0260
0.0233
WET DENSITY
131.7
129.3
125.0
135.9
PAN NO.
6
9
A
11
PAN+WET SAMPLE
661.0
918.0
126.2
114.3
PAN+DRY SAIMPLE
652.0
909.8
119.4
107.5
PAN lbs
0
822.0
23.8
23.8
MOISTURE
9.7
9.3
7.1
8.1
DRY DENSITY120.
118.6
116.7
125.7
MAX. DEN/OPT MOIST.
131.0
131.0
131.0
131.0
REL COMP.
92
91
89
96
COMMENT: Imported fill
CLIENT Doyle Carter
PROJECT KRE, unit 1, Lot 131
JOB NO. 84-114
OPERATOR RA/AB
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME'INSTALLATION SHEET
1. Owner's name: Art J. Shively Lot 131', Unit 1
2. ' Installer's name• Oro -i, -Ridge Properties, Inc.
3. Is the site currently under permit? Yes %X/ No
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No / X/
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes / X/ No
( If no, clarify )
5.
What
is the mobilehome
electrical rating? ------------•
------ 200 --
Amps
6..
What
is the mobilehome
site service rating?
--------------------- 200 -
Amps
7.
What
is the mobilehome
site circuit breaker
rating? ------------- 200 -'
Amps
8.
Is there any other electric
load to be served by the mobilehome
siteservice?
-----------------
`---'-'---------------------
�..w,-�--.._.....Yes--
(If yes, identify
the load and size:
(Load) - 0 -
(Amps)
9.
What
is the mobilehome
site gas pipe size?
---------------------- - 0 -
(in.)
10.
What
is the type of gas
service? ------------------------------
Natural / /
LPG
11.
What
is the gas pipe length
from meter or tank to the mobilehome? 0 -
(ft.)
12.
What
is the mobilehome
gas demand? ----------------=---=---------
- 0 -
(BTU)
(This information
or less than 50 ft.
not requ'irea if pipe
on LPG.)
length less t an 6 ft. on natural
gas
BUTTE COUNT
BUILDING DEPARTMEW
APPROVED
MOBILEHOME SUPPORT DATA
E .
If other than single wide,
Mobilehome Mfr. F.&r West Homes, Inc. furnish Setup Model No. GD 3BR Year 1984
NET
Width 24 (ft.) Box Length SO (ft.) Tagalong or Expando Size ---- ft. x ---- ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
*If Tenter piers are other than drawn above,
draw in -locations, spacing, and dimensions.
Footings (check one)
Single
0 1. Wood either
AA
pressure treated or
/Qx3 d
foundation grade.
(ft.)(in:)
(in.) (in.)
2. Other (specify)
Center support
. locations*
Center support
footing sizes
Supports (check one)
(in.)
U1: Concrete block.
E] L Other (specify)
(ft.)(in.)
(in.) (in.)
Mfr --Tagalong or Expando,'
/
show support details.
9111 ✓.
06,
��11
(ft.)(in.)
(in.) (in.)
'l-"-
x Q --
Typical Support
(in. (in.)
Footing Size
(ft.)(in.)
(in.) (in.)
� --
Max. Pier Spacing
(ft.)(in.)
Max. Overhang
(ft.)(in.)
*If Tenter piers are other than drawn above,
draw in -locations, spacing, and dimensions.
�1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
` 7 County Center Drive - OroviIIe, California 95965,P- Telephone 916/534-4541
APPLICATION AND -PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
69 — 13 — 13
Z,O�NIN
ILj
BUILDING PERMIT
OWNER
Art J. Shively and Leota B. Shively
TELEPHONE
SQ- FT. OCC. BUILDING VANWOMICAJ
OWNER'S MAILING ADDRESS
P.6. Box `91 Clark Fork Idaho 83811
CONTRACTOR'S NAME
Oro Ridge Properties, Inc.
TELEPHONE
589-0152
CONTRACTOR'S MAILING ADDRESS
5263 Royal Oaks Drive Oroville CA. 95965
Fireplace
CONSTRUCTION LENDER
N/A
UNKNOWN
Total Valuation Is
Filing Fee
$—10-00—
LENDER'S MAILING ADDRESS
N/A
Permit Fee
$
ARCHITECT OR ENGINEER
N/A
LICENSE NO.
Plan Checking Fee
.$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
N/A
Permit fee
$ 0
BUILDING ADDRESS
416 Lodgeview Drive
PLUMBING PERMIT
Filing Fee 10.00
Californigg 95965
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
131/1
NAME
Kelly Ridge Estates
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 -5 outlets
5.00
USEF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome Other
SPECIFY
Building sewer
- 5.00
Mobile Home G
10.00 e a6, 00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities k Installation ❑ Other ❑
Describe work:
Permit Fee
$
'
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 -00
Main service EA. ADD'L 100 AMP
2.50 ,NEW D
OR ADDNS.r ACCLBL GS.CCUP.&)
21/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
® I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 295666 Classification B—Gen.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2.50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR. (POWER APPARATUS &'
NON- (POWER
SINGLE OUTLET CIR.
Ex. Occu P�o OR FIXTURES BAL0ALe303o
FIXED A
Ex. OCCUp- OUTLETS PLISIS REA.) 2.00
(RESID )
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
® I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that. I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
al liabilities, jud ments, costs, and expenses which may in any way accrue
ag st said my 1 consequence of the granting of this permit.
X Date
Signatu -of 419gsq res)j U Contractor E]Agent❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 st ries in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE ,2 .56
OCCUP. GROUP
I TYPE OF CONST.F�-�PARC
PD ND
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREOF PU
sa
Byr
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
— �Receipt
��`�
No.
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
LOT 131
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful fic —L._e� o...��'vz / 1� ./._�/c� UNIT 1
make any changes or alterations on same with
out written permission from the Departm7p�
CnR we$
Public Works, County of Buttp. Cl VA 54
NOTE:—All Materials & Workmanship ,%a'11 Be in
Accordance with Recognized Good/
aid
of a quality prescribed for the Sp, ified use in the
Uniform Building, Plumbing YMechanicall Codes
and the National Electrical
0
A permit will be rZauired for the
0 installation of t� m/obilehome.
00
A setback of 5 ft. from the
Property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.
0
,D
wit\ -
54 connectl,ons shall be
771 V_ / O O Utility obilehome, either
�O 4 ft. of the' �' d or within the rear
directly beh ads
(left) of the
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NO.T.r - scr�cft BUTTE COUiVITY
BUILDING DEPARTMENT
.APPROVED
Telephone
5332000
North Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95965
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION 24-84
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance of a building or occupancy
permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant: ART J & LEOTA B SHIVELY (Doyle Carter)
Applicant Address: P 0 BOX 91, CLARK FORK, IDAHO 83811
Applicant Phone No.:
Property Location (S). 416 Lodgeview Drive
Kelly Ridge Estates Unit 1, Lot 131
A. P. No. (s): AA.—L'—l'A
Fees Paid: ALL FEES PAID
Application for service approved -
North Burbank
May 29, 1984 Public Utility District
Inspection(s) made and successful test(s) observed:
Location: Date:
M
North Burbank Public Utility District release to close permit:
Date: By:
to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFE1C141> RIS -310
NOT COMPARE.b WITH FOR RESIDENTIAL DEVELOPMENT sU"`T}~ fll1f��� = SkR,I..
ORIGINAL, DOCUMENTARt�3 �EtJI>i�Ii� 1:
DARTY �3M.OWN
Section 26-8.1 of the Butte County requires uires this acknow��i led eme:
q g �0 lu so t�� f9g�
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included GLl Its' RF•%`QtjUR
within an area zoned for agricultural purposes, and residents of PFE
this property may be subject to inconveniences or discomfort arising q
—196224
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and.
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Lot 131, as shown on that certain Map entitled, "KELLY RIDGE ESTATES UNIT NO.. 1",
which Map was filed in the Office of the Recorder of the County of Butte, State
of California, on October 30, 1970, in Book'38 of Maps, at pages 5, 6, 7, 8, 9, and 10.
Date: April 17, 1984 PROPER S;
State of Calif. )
SS.
County of Butte )
L11811 tell IIOn$IIle fill nIIIIIIIN
OFFICIAL SEAL "
LeANNE M. KIBOD.EAUX "
NOTARY PUBLIC
COUNTY CALIFORNIA
Ty OF BUTTE
- Aly Commission Expires July 13. 1984
liuuumunmm�unn�emwmauuuwwn�m0
Art J. iv ly
Leota B. Shively
On this the 17th day of April 1984
before me, the undersigned Notary Public, personally
appeared
ART J. SHIVELY and LEOTA.B. SHIVELY
known to me to be the person(s) whose name(s) are
subscribed to the within instrument and acknowledged
that they executed the same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
. o
Notary Public
Present A.P. NO. 069-13-0-013-0
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