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Home My WebLink About071-190-048071-190-04S BURR, RICHARD 04 2696 T EDGEI-IILL DRIVE,N OROVILI MFIt1 � ALL CON,STRUCI'IO ' •RM FIND —17— aS B07-0730 071-190-048 . MISCELLANEOUS Ag Exempt AG. BLDG (1008) 4 EDGEHILL DR BURR, RICHARD E B08-1599 MISCELLANEOUS NEW ELECT SERVICE 4 EDGEHILL DR BURR, RICHARD 071-190-048 LAND DEVELOPMENT SHEET 2-i 7-0S- ��o�/ 26%6 b�s - � N, c) i 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 LICENSED:CONTRACTOR'S DECLARATION:'w� ' Contractor (Name) State Contractors License No. / Class / Expires BERGER CONSTRUCTION 397316 / B / 12/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. J X 05/11/2007 Contractor's Signature Date '.{•. WORKERS'.COMPENSATION'DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: FI 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier. Policy Number: Exp. Dale: (This section need not be completed if the permit is for one is dollars ($100) or less.) �I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS • ISSUED, I shall not employ any person in any manner so as to become subject to 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. X 05/11/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY' `"► I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City - State Zip Balance Due: $0.00 Receipt No: B2537 'OWNER /BUILDER: DECLARATION A j,41 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or 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]; Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). I AM EXEMPT under Section B. & P.C. for this ❑ Owner's 05/11/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use r occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ty to enter the above mentio�d property for inspection purposes. I hereby certify that I am the pro y er ram authorized tgract on the property o rs behalf. /l �'/7/c6F,g,�t,0 „�X/L 05/11/2007 caner Contractor OR;Agent for Owner DAgent for Contractor ) FILE COPY r :PROJECT INFORMATION , ? 7 •. ��,, , Site Address: 4 EDGEHILL DR Owner: ` Permit No: B07-0730 APN: 071-190-048 BURR, RICHARD E Issued Date: 05/11/2007 By KCG Permit type: MISCELLANEOUS 228 CHERRY ST Subtype: Ag Exempt VACAVILLE, CA 95688 Expiration Date: 05/10/2008 Description: AG BLDG (1008) , (707) 455-0879 Occupancy: U-3 ' Zoning: FR -5 Contractor Applicant: Square Footage: BERGER CONSTRUCTION BURR, RICHARD E Building Garage RemdUAddn P O BOX 5304 228 CHERRY ST OROVILLE, CA 959660304: • VACAVILLE, CA 95688 Other Porch/Patio Total (530)589-4205 (707)455-0879 - . FEE INFORMATION=, t DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $109.98 Total Charged: $185.68 Fees Paid: $185.68 LICENSED:CONTRACTOR'S DECLARATION:'w� ' Contractor (Name) State Contractors License No. / Class / Expires BERGER CONSTRUCTION 397316 / B / 12/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. J X 05/11/2007 Contractor's Signature Date '.{•. WORKERS'.COMPENSATION'DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: FI 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier. Policy Number: Exp. Dale: (This section need not be completed if the permit is for one is dollars ($100) or less.) �I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS • ISSUED, I shall not employ any person in any manner so as to become subject to 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. X 05/11/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY' `"► I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City - State Zip Balance Due: $0.00 Receipt No: B2537 'OWNER /BUILDER: DECLARATION A j,41 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or 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]; Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). I AM EXEMPT under Section B. & P.C. for this ❑ Owner's 05/11/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use r occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ty to enter the above mentio�d property for inspection purposes. I hereby certify that I am the pro y er ram authorized tgract on the property o rs behalf. /l �'/7/c6F,g,�t,0 „�X/L 05/11/2007 caner Contractor OR;Agent for Owner DAgent for Contractor ) FILE COPY r 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 AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 4 EDGEHILL DR Permit No: B07-0730 APN: 071-190-048 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: FR -5 Description: AG BLDG (1008) Required Setbacks: Applicant: BURR, RICHARD E Front: 20' Side: 20' Rear: 20' 228 CHERRY ST Type of Construction: VACAVILLECA95688 (707) 455-0879 Type of Siding: T-111 Owner: BURR, RICHARD E Est. Const. Cost: $ 35,000.00 228 CHERRY ST Roof Covering: Compostion VACAVILLE, CA 95688 (707) 455-0879 Floor Type: Concrete I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and prior to occupancy. Signature of owner: FILE COPY Date: 04/06/2007 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530).538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment LESS THAN 1 ACRE Reference Number: B07-0730 Date: 04/06/2007 Location: 4 EDGEHILL DR By: KEJ Parcel Number: 071-190-048 Sub Type: Ag Exempt Owner Name: BURR, RICHARD E Phone: (707) 455-0879 Description: AG BLDG (1008) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land'and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board: I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. . Si ed:(� Date: 04/06/2007 l Title:V��-1� FILE Btitte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out.these obligations,'and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perforin their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (.1'E OR NO) I OMAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: AG BLDG (1008) Reference Number: B07-0730 Applicant Name: BURR, RICHARD E Owner's Name: BURR, RICHARD(�� Signature of Property Owner: AP # : 071-190-048 Date: Wi&� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name Firs me Mailing Address City l9LAV r I/F Stat A. Zip rJjj� Ph �$1f D9—/%9 Fax E-mail CONTRACT R NameIII Re �hu�Tlo�► Address r o, 130V CityStairA Address Zips �� Phon Sm �� Fax E-mail Lic. # g� Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City RCAVI 4 f Address Zip9_<6� City Fax(, State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name 1,2, (ffAlw y" Address i g aivoy S T City RCAVI 4 f Stated + Zip9_<6� Pho ,, 15�8,o%� Fax(, E-mail 12t co -6&" Z , 6:tm APPL ANT SIG ATURE X "'llb i 1 PERMIT NO. G -I . oq?)o PROJECT LOCATION AP# 07 - 1170 -018 Property Address N ell) bm/� City a2Z V1 //( 64 , CIS BIN # 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: x r Sq FT- Living OCe Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I es I No Occ. Type Const. 71 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT. INFORMATION ' Site Address: 4 EDGEHILL DR Owner: Permit No: B08-1599 APN: 071-190-048 BURR, RICHARD Issued Date: 08/08/2008 By KCG Permit type: MISCELLANEOUS 228 CHERRY ST Subtype: Electrical VACAVILLE, CA 95688 Expiration Date: 08/08/2009 Description: NEW ELECT SERVICE (707) 455-0879 Occupancy: Zoning: FR -5 Contractor Applicant: Square Footage: BURR, RICHARD Building Garage Remdl/Addn 228 CHERRY ST VACAVILLE, CA 95688 Other Porch/Patio Total (707) 455-0879 FEE INFORMATION DBE Single Phase Service-Resid $59.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 08/08/2008 Contractor's Signature Date I WORKERS', COMPENSATION DECLARATION • I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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. Policy Number: Exp. Date: (This section need not be completed if the permitis or oncehundred dollars ($100) or less.) 9CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS LLLJJJ 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' compensa . provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s. 08/08/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING'AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip ees Paid: $59.00 Balance Due: $0.00 Receipt No: B8222 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or 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]; Please check one of the following: ) I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE lYJ COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ 1 AM EXEMPT under Section B. & P.C. for this { 1, `Z/ �� 08/08/2008 Owner's Signature Date I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte C to enla 1 bove mentioned rope for inspection purposes. I hereby certify that I am the rop ovufer r a authorized t n the property owner's behalf. 1 3/M f, ZAe 08/08/2008 0116wner ❑ Contractor OR. DAgent for Owner ElAgent for Contractor FILE COPY P BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name1402 First Nab Mailing Address Z?_ g cGi y S r City t �IV-Atl State / l� Zip 11seg Phoney � 09,71 Fax E-mail /2 /?u,M 6 g4,9,—,to J APPLICANT SIGNATURE X I/ k� / �E PROJECT LOCATION AP# Property Address 14 City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name IGf/A,tir� A4 Address S,gMZ City No State Zip Phone Fax E-mail Lic. # Class APPLICANT SIGNATURE X I/ k� / �E PROJECT LOCATION AP# Property Address 14 City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name IGf/A,tir� A4 Address S,gMZ City No State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X I/ k� / �E PROJECT LOCATION AP# Property Address 14 City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name IGf/A,tir� A4 Address S,gMZ City No State Zip Phone Fax E-mail APPLICANT SIGNATURE X I/ k� / �E PROJECT LOCATION AP# Property Address 14 City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ZoningT Flood Zone SRA I Yes I No Occ. Type Const. "Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. YES R NO) 2. �VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CI PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: NEW ELECT SERVICE Reference Number: B08-1599 Applicant Name: BURR, RICHARD Owner's Name: BURR, RICHARD AP # : 071-190-048 Signature of Property Owner: �Date: A/ r NOTESRESIDENTIAL 090-048 04-2.696 `PERMIT'-' •''BU. R lUCHARD', i . _ ..� ..... p /� Q� �, � EDGEHILI' DR�NE,.ORCIVILLE V GC .'Cont: HALL: CONS TR.L1CTi01\ r. L��=} MH PERM FIND ` _ r 12,5 J�,q� �...� �� _ tiL ` '�`• . vvp 4o _HE HCD FORM 433A FOR THIS MH CANNOT BE ,RECORDED UNTIL ONE OF THE FOLLOWING HAS ' tBEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE . INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW E,'gSPECTOR,TO VERIFY SERIAL &.LABEL -#'S:'`- ` •r _ yiSP CURL COMMONS r-_ CHECKED BY _ SRA FLOOD CERTIFICATE REQ. r A - FIRE SPRINKLERS REQ. ,'SPECIAL INSPECTION ITEMS` ` �t VERIFY j USE PERMIT CONDITIONS } - SUB -STANDARD HOUSING LETTER: • OFFICE COPY Address ---L- \ � Opo✓ti/e r GAS ` r Meter By Date !A ' ELECTRIC ;. Meter By Date �0 90716 JOB FINALED (Date) -- �,. Iv _ ;s . Signature°�� . ",� ' J=OK 0 = Not OK = Not Applicable Not Ready BILE HOMES . = Date moOLE HOME UTILITIES (Plans) OK except #'s Z ing Requirements -Setbacks -Easements S ' ; Special MH Support Sketch Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas; Location -Test -Wrap; -/%.D/' L'ft. / P Nat. or / /" L -ft.9 /'(0g:> 7. Well Clearance & Disconnedf 8. Utility Clearance Date L' lJ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 1 Date Card B-1 We Card B-1 Date Card B-1 Date Card B-1 Date PERM6NENT END SYSTEM (ONLY) Zo ing Requirements-Setbacks:;Easements _ ootings; Size cing-Marrige Line 3--olocking G ; MH Test -De and -Valve 5. lectri9i ; MH T st Watef, MH Test 7. Water and Sewer C nnected 8. Gas and Electrici Tagged Exits 10. License Decals 11. Verify #'s with Office Date 1 � Card B-1 Date Card B-1 Date Card B-1 - Date Card B-1 Udje vv_lw� L104 I H,,4,.W Grp MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s t 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- Panelboards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test. -Water Supply Test 11. Light Niche E. 12. Enclosure; Fencing. -Alarms Gate _ 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 Bogs-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htc; 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 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date • Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 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 El 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 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade - 39. • Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) - 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-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-Underilr. 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 -Meth. 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 O Yes 83. Following InstldJDrive 0 Yes 0 No/Walks 0 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: 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.neAdds PERMIT NO. BP042696 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: 11/03/2004 APN: 071-190-048-000 the Business and Professions Code, and my license is in full force and effect. License Class: 9 -1_ License Number: LPRd2 S Site Address: 4 EDGEHILL DR FFS Date: 3 O Contractor. Red U of I nS+rt l ICCF O Map Index: Description: NEW MH PERM FND NEW SITE(1188) OWNER -BUILDER DECLARATION 1 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: BURR, RICHARD E. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 205 LUZENA AVE. the Contractor's State License Law (Chapter 9 commencing with Section VACAVILLE CA 95688-4434 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any (707) 455-0879 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: RED LINE INSTALLATIONS INC 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: RED LINE INSTALLATIONS INC 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.). 13407 GARNER LANE CHICO, CA 95973 ❑ I am Exempt under Article 3 of the Business and Professions Code (530) 895-5543 Date: Owner: License #: 848025 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit s issued. Engineer: 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: --II Carrier�1�2- F=ct_ tnU Total Square Ft: 1188 S.F. Valuation: $77,220.00 S —I Policy #: O I — Census Code: ❑ I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the 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: Lo WARNING: FailurePo 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' hereby issued under the applicable provisions of the Butte County Code. ?nrvor I hereby affirm that there is a construction lending agency for the Resolult ns - do work indicated above for which fees have been paid. performance of the work for which this permit is issued" (Sec 3097 Civ.) r L Date: By: Name: PEROTPIRES ON: Address: Date ❑ 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 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 Butte County to enter upon the above mentioned property for inspection purposes. Print Name: ' ` t a- Signature: Date: I(P2, ) C-) ��e 0 0 Owner ❑ Contractor 0 Agent for Owner _A--XCg-ent for Contractor I 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" OWNER Last Name rriirstD t me h Address ,;'- LU Zel'i CowA City ` jtL11 /r6 Statel� I Zip Phone rfv7 _ _ ��p (Jc) Fax E-mail CONTRACTOR Name ' a // Address Q 7 ( i6v- J ,,, City r State-/ Zipa6�V ` JJ Phone D vn Fax 7 5, E-mail Lic. #�Q Class or ffice use on ARCHITECT/ENGINEER Name ,/n./ n? Address L �o City Policy Number State Zip Phone State Fax E-mail Phone State License Number or ffice use on APPLICANT NAME Name ,/n./ n? l�� ,/ „ L �o Address 3 D Policy Number No City lr State /1 1•�� Zip 2 Phone Q _ Fax �` /L/ E-mail Date Approved: or ffice use on AP# /1 —1-f(� / - oning City % _G'G*/ Ea Flood Zone L �o SRA Policy Number No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO 2(a 9' BP BIN # n/ LOCATION AP# /1 —1-f(� / - Property Ad s City % _G'G*/ Ea Cross Street L �o WORKER'S COMPENSATION Policy Number Carrier l� „ lcz,k_ / , 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 Descriptiono Scope of Work: q. Footage ❑ Structure Built without 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 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. l Received by:� Amount: cs'" /• `O Bldg Receipt #/- / 252-6 (fes . c_6 Sheriff L �o �-7 ' P7 2' SMIP OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Date: q' / 3 _ n hod Total REV 6-16-04 SUBMITTAL 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. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. • Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 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: t tG�CO� ASSESSOR PARCEL NUMBER [J / Proposed Building Use: II JU l�f' 1 /%� i�r►�l Counter Technician: - T -P Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 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. 7 8. Manufactured homes: %)_ Data sheets and installation inst, 0�Marriage line info, Floor Plan, jp.) Tie downQ fid -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 -t5- 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico 0-OF'o`ville, as applicable. ❑ 1 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 ............................... I........... ❑_ 20. Erosion Control Plan Required........................................................................ ........ 111 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. 22. City of Chico Plumbing permit.................................................................. 23. California Department of Forestry -'plan approval 9�p2id. Sent by: ............. 24. Planning approval (A) Use: 6r-: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... IL26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. 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 a .................................................. ❑ 36.. Deed Restriction�,,,..�. ............................................................- 37.rant Deed,�IV1.H. itlelStatement of Facts, ❑ L er from Legal Owner, ❑l(?heck to H.C.D. $ . G 38. Other: . 39. Other: 5 I G N 1q 6 r= -rH Fe-O*o t -p E74 WEST When issued Telephone X'6/ - S /% and hold for pickup. 1� � I have been informed of the above items and requirements for obtaining a building pe it. Applicant: yri rt �,r. �` +` �'4 r��R(� vw 1. Index permit application for the above items numbered: Check Letter e' 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by " Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: C� Date: • Zg• 0 Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division:, j . ae t �E.H. USE ONLY Plot Plan Attached ✓ Roos, Plan Attached Saw to G.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance lei a WA 0,e, AO t4_0 71 /,9 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for ✓ dwelling. Other C -e--/ A-) 9 Hold final for: 7-�AC 14-i,.,1ae-- - Final clearance O.K. for: NOTE:12 . Environmental Healt ecialist Date 8/96 OWNER PROPRO COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES Q0 r0 -V L L LP_, l (paid at School District Office) (form available after Plan Chb c) 3. SHERIFF FEES (paid at Building Division) Residential............ X 60.00 Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. A.P. #j/ - l DATE RECEIPT # DATE REC. 1016 •04- 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7—T/t 7. SRA FIRE INSPECTION AND PL^AN� HECK FEE cc B (paid at Building Division) f;') U'�• I S J 2C) 8. WATER TENDER FEES BATTALION # $200.00 (paid, at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. 9-/3rf�i Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. n 10.OTHER-1—SM/40 - / At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees maybe chang=d' the plan the king process.APPLICANTn? ,;� DATE Pursuant to GovWment Code Section 66020, you aW 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 Division Yellow -Applicant Pink -Owner (rev. 2/2003) STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCYa"' DEPARTMENT OF' HOUSING AND COMMUNITY DEVELOPMENT B DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM °F1° STATEMENT OF FACTS This unit is a: WMobilehome 0 Commercial Coach 0 Floating Home Truck Camper Decal (License) No.(s) I Trade Name Serial No.(s) I/We, the undersigned, hereby state: cl-h e. rn h (,( ra G4-u-�-e-d & ;�-n e - (,U -D wnd a4i`� . 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. I/We certify under penalty of perjury that the foregoing is true and correct. r Aa Executed on 3 at 1 co (Date) (City) (State) Signature(s) Printed name(s) /reV .1 I / O 6 1 1w /% Address State C City Redline Installations, Inc. 530-895-5540 530-895-5544 Fax • License # 848025 To Whom It May Concern: I, Rodney Marple (Corporate officer) of Redline Installations, Inc. grant permission to the following representative, Cheryl Marple of Golden West Homes to act on my behalf for obtaining permits and any oth necessary forms to complete a construction job. j y Signature �!�� Date State of California ) County of ) On before me Personally appeared doC personally known to me (or proved to me on the basis df satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she /they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and- official seal Seal: wpi" A_8 L_tEYER W)NOTARY PUBUC-OREGON COMMISSION NO. 372909 My COMMISSION EXPIRES DECEMBER 4,2007 13407 Garner Lane Chico, California 95973 BUTTE COUNTY, SCHOOLS IMPACT FEE CERTIFICATION FORM. r (One form per Building) School District ( ri,/1• I� 1p, Jn r 11) n A'th' Building Department No. A.P. Number el)% ��/� (fes!' /) Jurisdiction:v City ®County Property Owner. / Property Location/Address Subdivision Lot No. ..........................._.................................. :... . ................................ Residential Development 0 Q Q Q S4• Footage % • No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # E *(No foundation Inspection) ......... ............................................................................................. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification, No. 0150 + 3 uV Y\� pV\ l a)L\ School District certifies that \ 4A A e L` r (Applicant)+t }` 4� (Street AddressT (Phone Number) q -t,- r A - (City) (State) (Zip Code) has complied with the requirements of Resolution No. 0:5 � 1 Q 0 by payment of $ a representing O v square feet. 2926 $ FULL MITIGATION $ 101 yY Sch of District Reoresentativel Date Paid by Check y Remarks: No dc You may protest the Imposition of the fess Identified above by submitting a written protest to the District. In compliance with Govwnmmemt Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest wlll'prohlbit . you from dm dWVing the Imposition of the hes in any court action. If, subsequent to the School District Representstlw signing this Butte County Schools Impact Fee Certlflestloe Form, the 8ehool Dlstrtet is r ON by the applkebls Local Planning Agency that this project Is being revNwed under the California Environmental Queltiy Act (CEQ4 4 Urals peojsat may be subject to additional school fen to fully m idgate.lts Impact on the school distrletle schools. -----White (applicant), Yellow (building department), Pink (school district) feefomn.rdp (I0/03)dmm Fire Prevention Bureau Butte County Fire Rescue White Copy - Business 176 Nelson Avenue California Department of Forestry Yellow Copy — Occupancy File Oroville, CA 95965 and Fire Protection Pink Copy — Station File Telephone 530-538-7888 Facility Inspection Report Occ. Class. R--3 Fax 530-538-2105 Address: Business Name: Owner/Mamger: Bus: Hm: Fax: Assistant Manager: Bus: Hm: Building Owner. Bus: Hm: Address: AN INSPECTION OF YOUR FACTUTY REVEALED TAF, FO1f LOWYNG- 1. Fire Extinguishers: Required, service due 10. Exit(s) obstructed, inadequate 2. Extension cords: Excess use, defective 11. Exit sign(s) required, illumination 3. Excessive rubbish, trash, debris 12. Exit sign lights need replacing 4. Fire alarm system defective 13. Exit lighting: Required, defective 5. Sprinkler system: Service required, defective 14. Smoke detectors: Required, defective 6. Kitchen hood extinguishing system service due 15. Wiring: Exposed, damaged connectors, etc. 7. Fire walls, ceilings, fire doors, draft stops 16. Heating system: Defective appliance, flue combustibles 8. Knox Box keys 17. Address posted and visible from road 9. Fire Drill Witnessed Yes ❑ No ❑ jC 18. Other DETAILED EXPLANATION AND CORRECTIONS: CORRECTED: Date: 2 Discussed with: Signed: (Print) Inspe in Office Battalion 1 2 3")6 7 Station: B ,, FIRE PREVENTION SAVES LIVES, PROPERTY, AND BASS. YOUR COOPERATION iVIV CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: 08,26,4 15:33 ILII III III I ilii i 03 III I III! III I III III ,%?M WHEN BtECORDEA MAIL TO: ded rRecords I REC FEE 11.00 SUITE COUNTY BUILDING DIVISION Official I CONFORM I CoUm CgKmR DRIVE . County Of I COPIES. 2.50 OROV1LLE, CA 95%5 , CANDACBUTTE GRUBBS I Recorder I ROSEMARY DICKSON Assistant I Kathyh 01:18PN 28 -Oct -2004 I Page 1 of 2 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, pruning, 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: Date � �%I �`1 PROPERTY State of California County of On ( before me, personally appeared K,,h o--c.X r-- !6 u -r r V`'— -J linewfflu-me (or proved to me on the basis of satisfactory evidence) to be the person whose nameW islan subscribed to the within instrument d acknowledged to me th�gshe/they executed the some i hi er/their authorized eapfxacity(ies'�and that b h' er/their signature(4on the Wtrument, the person(e)'or the entity upon behalf of which the rson(djacted, e:ecirCed the instrument. W1TKZ hand and amicial seal l Seal: DIANE C. NEWMAN Sigaeture .. Comm. f 1315801 N =•e NOTARY PUBLIC CALIFORNIA .. e Contra Costa County / , 120 , N toy Comm. Expires August 8, 2005 r° A.P. 0 U% EXHIBIT "A" A.P. # 071-190-048 Burr to Burr Parcel One A: The Southeast quarter of the Northerly 660 feet of the West half of the Northwest quarter of the Southeast quarter of section 29, Township 20 North, Range 6 East, M.D.B. & M. Parcel One B: The Southwest quarter of the Northerly660.00 feet of the West half of the Northwest quarter of the Southeast quarter of Section 29, Township 20 North Range 6 East, M.D.B. & M. Together with an easement 60 feet in width for road and public utility purposes over the following described centerline. Commencing at the Northeast corner of the herein described parcel of land; thence South 89 degrees 32' 37" West along the North line of said parcel 314.49 feet to the centerline of an existing dirt road and the true point of beginning for the herein described centerline; thence North 32 degrees 46'46" West along said centerline, 112.70 feet; thence South 74 degrees 58' 26" west, 99.69 feet; thence North 62 degrees 05' 22" West, 86.35 feet; thence North 07 degrees 22' 42" West, 27.73 feet; thence North 21 degrees 00' 03" East, 73.82 feet; thence North 06 degrees 13' 24" West, 32.19 feet; thence North 52 degrees 02' 09" West 15 feet to Lumpkin Road. Parcels One A and One B are the result of a boundary line modification approved by the County of Butte and cannot be sold separately. RECORDIY ;;REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 ilii oo� iio o ioio i ii iooi io � loo iu ioi 2005—cam 1 2688 Recorded I REC FEE 10.00 OfficialRecordsI CONFORM 1.00 Count 1 BUTTEOf I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathy 10:04AM 07 -Mar -2005 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 1 its contents to all persons thereafter dealing with the real property. F1_ RICHARD E. BURR REAL PROPERTY OWNER/LESSOR 15.02 CASA LOMA WY. MAILING ADDRESS SUISUN SOLANO CA. 94585 CITY COUNTY STATE ZIP 4 EDGEHILL DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT FEATHER FALLS BUTTE CA. 95966 CITY COUNTY STATE ZIP. SAME UNIT OWNER (if also propeny 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 04-2696 530 538-7541 UILD G PERMIT IF'O. TELEPHONE NUMBER "41, - r/ -o,5 GN TURE OF L CAL DATE GOLDEN WEST HOMES DEALER NAME (if not a dealer sale, write "NONE") 93-103-2273 MAILING ADDRESS - DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION CMH MFG WEST, INC. 2004 8396/GE443F MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GIOR23N29065A/B 44'X 27' ORE467511/2 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 071-190-04$ HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK -Applicant GOLDENROD- Building Dept. EXIO KA" A.P. # 071-190-048 Burr to Burr Parcel One A: The Soutlw= quarter of the Northerly 660 feet of the West half of the Northwest quarter of the Southeast quarter of section 24, Townsbip 20 North, Range 6 East, M.I.B. & M Parcel One B: The Southwest quarter of the Northerly660.00 feet of the West half of the Northwest quarter of . the Southeast quarter of Section 29, Township 20 North Range 6 East, M.D.B. & M. Together with an easement 60 feet in width for road and public utility purposes over the following described centerline. . Commencing at the Northeast comer of the herein described parcel of land; thence South 89 degrees 32' 37" West along the North line of said parcel 314.49 feet to the centerline of an existing dirt road and the true point of beginning for the herein described centerline; thence North 32 degrees 4646" West along said centerline, 112.70 feet; thong South 74 degrees 58' 26" west, 99.69 feet; thence North 62 degrees 05' 22" West, 86.35 feet; thence North 07 degrees 22' 42" West, 27.73 feet; thence North 21 degrees 00' 03" Last, 73.82 feet; thence North 06• degrees 13' 24" West, 32.19 feet, thenoe North 52 degrees 02' 09" West ,15 feet to Lumpkin Road. Parcels One A and One 8 are the result of a boundary line modification'appmved by the County of Butte and cannot be sold separately. J RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 07 -Kar -2005 2005-0012688 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. RICHARD E. BURR REAL PROPERTY OWNER/LESSOR 1502 CASA LOMA WY. MAILING ADDRESS SUISUN SOLANO CA. 94585 CITY COUNTY STATE ZIP 4 EDGEHILL DR. INSTALLATION MAILING ADDRESS, IF DIFFERENT FEATHER FALLS BUTTE CA. 95966 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 04-2696 530 538-7541 UILD G PERMIT NO. TELEPHONE NUMBER SIGN TURF OF L CAL AGENCY OFFICIAL DATE GOLDEN WEST HOMES DEALER NAME (if not a dealer sale, write "NONE") 93-103-2273 DEALER LICENSE NO. CMH MFG WEST, INC. 2004 8396/GE443F MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GIOR23N29065A/B 44'X 27' ORE467511/2 SERIALNUMBER(S) LENGTH XWIDTH INSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER 071-1907048 SEE ATTACHED t HCD FORM 433(A) REV. 8/91 Mar 02 05 02:16p Redline Installations 1-530-891-6720 p.l Redline Installations, Inc 13407 Garner Lane Chico, Ca 95973 530-891-6719 530-891-6720 (fax) Date: 2 Q S To: CCk- Y -4i -S From: P_:1' V YlO�.r RE: JSP *f- 0-71- Number of pages: (including cover) CID Subject: �,u� m C C) Mair 02 05 02:16p Redline Installations 1-530-891-6720 p.2 —1eLilbi2'2.1 - : Ti tj .. vob .. r' • VSL'1�1C j 10 a �..•-- ' � lITto STATE OFCALIFORNLS- �'.. NUMBER: QUSINESS. TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT " l O O • A • :'.' DIVISION OF CODES AND STANDARDS.%.8724872 a' v v MANUFACTURED HOUSING PROGRAM . 7f .;:. .:SE's'..::::•_::;::; .. .. .:... .. :.. ;.. �...:,.:.,.1:.:;_ MANUFACTURER:CERTIFICATE:OF ORIGIN DISTRIBUN: NK) TIOORIGINAL (PIJ FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE; -THEN FORWARD TO.THE PURCHASER (DMER,OR TRANSFEREE). COPY t (WHITE) FORWARD TO THE DEPAtiMENTAT P.O.604 t 52$, SACRA MENTO, C,495612-1528. WITH- (5) DAYS OF RELEASEE COPY 2 (YELLOW) DECNF-A TO TN? TRANSPOR RTO ACCOMPANY THE U_ NR TO ITS piSTINATK)N.._ .. _ ..-, .. ... . COPY 3 (GOLDENROD) 10 BB RETA4ED BY THE eD1TtUFACTURER 0. 'THIS CHECK IF IS A DUPLICATE MCO•ENTER ORIGINAL MCO NO. :. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING ' :. ; . .. ' NUMBER OF LY O. SFD (SINGLE FAMILY DWELLING) 0 11AUMH (MULTI-UN)T MANUFACTURED HOUSING TRANSPORTABLE SECTIONS COMMERCl/11�Q ACK: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: MNINM MANUFACTURER ADDRESS: a. t_ ..w.. , .... .a, :.._..:..-._. ,�. ..;.. .., ? -_ SUGGESTED RE -TAIL -PRICE:- StTie' S.` RACIFIC BOULEVAM ALM, OR 913221(City) State MANUFACTURER TRADE NAME: MODEL NAME ANDIOR NUMBER: GATE OF MANUFACTURE: MOI)EL YR IcT AW, 6E443F 2085 12/i?2!04 -iuw OF O&EIRWOR TRIIANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: TRANSFEREE DESIGNATION: 93=183-2213 SOLCUN WEST WAS.CHIC•0 DEALER OR TRANSFEREE AOORESS: - ' PACIFIC-na—S LLC CHICO, CA 9597 c Stale (Zip) INVENTORY REDITOR,NAME INVENTORY CREDITOR ADDRESS: (Stree Ci State SECTION MANUFACTURER SERIAL NUMBER NCO INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH. WEIGHT 1b INCHES INCHES (POUNDS) 1 6IGR2? Te2?0E5i N CK 467511 5c7 1E2 J790 2 61010 WrMc B ORE 4675512 5E8,:. 16^c 17P20 TRANSPORTER NAME: TRANSPORTER ADDRESS =. C .., r'.. Slate DESTINATION FOR UNIT DESCRIBED ABOVE EOI.1}EN NEST HOMES CHIM GD.D I FOCIFIC JAWS LLC CHICO, CA 95973 INA .. . . .... . ... .... S .. C ... - Slate . ..... .. ME r I ceety,edw pwuufy d perjury wxW aro Imre d ft Ste of CeVante that Nr obwe fam are trw end w, 1c/ cl34 ALBO14Y , LINN , OR EaeoAeAen M ... .- (Stats) .. . pp OLI SIGNATURE OF AUTHORIZED AGENT: DISTRIBUN: NK) TIOORIGINAL (PIJ FORWARD TO THE INVENTORY CREDITOR. UNLESS THERE IS NONE; -THEN FORWARD TO.THE PURCHASER (DMER,OR TRANSFEREE). COPY t (WHITE) FORWARD TO THE DEPAtiMENTAT P.O.604 t 52$, SACRA MENTO, C,495612-1528. WITH- (5) DAYS OF RELEASEE COPY 2 (YELLOW) DECNF-A TO TN? TRANSPOR RTO ACCOMPANY THE U_ NR TO ITS piSTINATK)N.._ .. _ ..-, .. ... . COPY 3 (GOLDENROD) 10 BB RETA4ED BY THE eD1TtUFACTURER V 1 r iV: V•! 1V •!V f A:1 VJV O 1 1 ,)140 _ C7 - ` RECORDING REQUESTED BY Mf}•fL T/}x AND WHEN RECORDED MAIL TO NAME STREET 6VY ADDRESS ErnSTATE / ZIP L WJVVa m U1 40102-10Ja9REa977 Recorded OfficiaiRecords ' County BUTTE CANDACE JT 6RUBBS Recorder RDSWRY DICKSON Assistant 11:f! MA 24 -Kay -M2 TkS. INTERSPOUSAL TRANSFER DEED INDIVIDUAL GRANT DEED (Excluded From Reassessment Under Proposition 73) ' The Grantor herein declares that the Documentary Transfer Tax is $ There is no consideration for this transfer. This is an Interspousal Transfer under §63 of the Revenue and Taxation Code ❑ from joint tenancy to community property. ❑ from one spouse to both spouses. 12 from one spouse to the other spouse. A '�r kec /11flil7 ❑ from both spouses to one spouse. 0t'R4-r?a1,f6C ❑ other REG FEE 1B.N MaPiLIMEN id.®tif Kathy Page 1 or e The undersigned Grantar(s), VIOLET H. BURR hereby grant($) to the following real property situated in the Fq=unincor orated area County of iR11:[ L- . State of Gartfornia; which premises are particularly described as follows. to -wit: See Exhibit "A" attached hereto and made a part herof; Assessor's Parcel Number o7 t--190-nus Dated VIOLET M. BURR STATE OR COUNTY Or O efore me, 1 'tii/ot personally appeared personally known to r6e (or proved to me on the basis of satisfactory evidence to txe the pdrson(s) whose nam(s) isfare subscribed to the wlihin Instrument and acknowledged to me lnat helshelthay executed the same in hWhedtheir authorized c2pso[Wsres). and shat try hislhedoW sig tures) on the insi< =mit the pemon(s), or the entity upon behalf of which the person(s) acted. executed thREM � WITNESS my hand and Official seal. AA UM urdy tafptres. 2a05 80i0reyou U19B tiffs forrrl, Min 311 t><9nks, arta askB Don. C cite es era' I� e opeTam and m your your purpose a and�n. CanIcons ta.ryer 4 WOLcoTTs FORM 753 - iclass:IA) you klaubt u,e torte's fr�as9 fa your purpose and vaa. wctk�tts mewes �r 1NTEMWOUS,AL DEED - Rev_ SM no represeras*n or warranty, ertprese a k0ed. wltll helped to the W909 WOLCATTS FGRM&. INC merchan>ebnity ar fift 8 aF �a lams t9r art tnoanded uae or purpose. T 7775 3975 6 Description: Butte,CA Document- Year. aoc2D 2002.26977 Page: I of 2 Order: Commant: 07/15:04 1"&43 FAX 530 8773443 EX Mff KA" A.P. # 871-190-048 Burt to Burr Parcel One A: The Southeast quarter of the Northerly 660 feet of the West half of the Northwest quarter of the Southeast quarter of section 24, Township 20 North, Range 6 East, M.D.B. & M. Parcel One B: The Southwest quarter of the Northerly660.00 feet of the West half of the Northwest quarter of the Southeast quarter of Section 29, Township 20 North Range 6 Past, M.D.B. & M. Together with as easement 60 feet In width for road and public utility purposes over the following described centerline. Commencing at the Northeast comer of the herein described parcel of land; thence South 89 degrees 32' 37" West along the North line of said parcel 314.49 feet to the centerline of an existing dirt road and the true point of begiruting for the herein described cenerline; thence North 32 degrees 4646" West along said centerline, 112.70 feet; thence South 74 degrees 58' 26" west, 99.69 feet; thence North 62 degrees 05' 22" West, 86.35 feet; thence North 07 degrees 22' 42" West, 27.73 feet; th=e North 21 degrees 00' 03" Last, 73.82 feet; thei+ce North 06 degrees 13' 24" West, 32.19 feet; thence North 52 degrees 02' 09" West ,15 feet to Lumpkin Road. Zoos Parcels One A and One $ are the result of a boundary line modification'apptoved by the County of Butte and cannot be sold separately. Building Permit Number: OwnerName: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. (,0(Dj Page 2of 2 Building Permit Number: Owner Name: &UY-Y-- E _ Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 �- Fire sprinklers are required in this structure. 0 The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of � feet from the side and �30 feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. - = Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 4arlmnim 0 2 L Due to continuing Improvements, specifications and designs are subject to change without prior notice or obligation Square footage Is approximate and does not Include covered porch areas. t I. Owner's Name: /W l G'./' QtA/2/ Aj o h , 2. Assessor's Parcel Number: )� 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No[ 4"Permit No. 5. Is the site an existing site? Yes[✓] No[ J (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?c;?bLJ " Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site? —gR,U O Amperes. 9. Is the main service remote from the mobilehome site? YespQ No[ J If it is, what is the rating? p`?Ob Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoO 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[ J Propane[)] None[ J 12. Size of gas pipe at the mobilehome site from the meter or tank: -A V inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?,ZS�(ft.). 14. What is the mobilehome gas demand? a 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 ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED j SHALL COMPLY WITH CURRENT EDITION O NEG, UMC AND UPC. May 1995 8.5 Mobilehome Manufacturer: &OIdgIJ L(�P�o I _Manufacture Year: If other than single wide, furnish Setup Lfodel Number: (j 11g3 i Width: (ft.) Length: �_(ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobllehomes 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 Mobilehornes: Pier Footings Sizes and Location SL`1GLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Maw Bearns ............................................................................................. ine 2 Line 2 Line 3 Line 1 Line 2 ................................................................................................ Main Beams Line 2 Line i M .................................................ine 5 Tag or Triple ine 4 !inc 1 Line 1 Piers: Size minimum- Spacing x 30 Spacing maximum: 6 D ` From ends -maximum: � ` � ` Line 2 Piers: I Size minimum: [ /01 ] x Spacing ma�cimum: 6 O ` From ends -maximum. / ` O Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 Line 1 Openings Size minimum: [ ] x [ ] Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ] Spacing maximum: ` From ends -maximum: ` YXZy �.yx34 I;txLy I;XZV 1�ay JaxLy lo�xty �.�30 o la'7y�" /5:5� Ig'9%y 11:2X2,L1 112�A2y 33V 36 9 t3U T-1 E G JUN r t -AUILDING DEPART''°-� PPR V 8.4 (03 i 0 T-4' 4'-0' 3'-I• T•1 3/4' 3'-0 48' i 3'-0 5/5' T -B 3/4' - 3'•5 VP 3'•4' 2'•9 3/4' Q'•1 VP I i r STANDARD CARPET i uve+G ROM DKK RXM KUTEIe BED12D019 13-6 N 23-0 Lw LINO 8.6�-0_} I iTOTAL BEDROOM Q MA51F.ISAII1 TOTAL C 1111011 t' i r i - — - -- '1- I 20 POP I 70 PBFI CL 3o 1 30 � �I 20 PEP �I 20 PDF 9 20 PSF so PDFf 3 20 OPTIONAL . CARPET 2 PeP 2 PSF. . , , I �P�o3m�g30P�, urur PATW SCRAP �a�er BATM GOT 5CRlW P"7 j L 03.6 ■ 460 ��/ - - L0� —� — ----- I II . �_ ® (30# ONLY) 9` Q (20 do 30 ONLY) 13'-8' CARPET LAYOUT PIER IACm FOOTING SIZE REOUIRED (S0. IN.) PIER N0. NO. C ACHY FOOTING SIZE REQUIRED (SO. IN.) PIER CAPAQTY FOOTING SIZE REQUIRED (SO. IN.) NO' ppT PACI FOOTING SIZE REQUIRED (SQ. W:) LBS.) 1000 PSF 1500 PSF 2000 PSF LBS.) 1000 PSF 1500 PSF 2000 PSF (LBS.) 1000 PSF 1500 PSF 2000 PSF NO. 1000 PSF 1500 PSF1 2000 PSF 1 2000 288 192 144 3 4000 576 364 288 6000 864 576 1 432 1 7 10000 1 1440 960 1 720 2 2500 360 240 .180 4 5000 115 720 480 360 6 8000 1152 1 768 1 576 8 12000 1 1728 1152 B64 ALOLDEN A D nrvcsiorEiST HOMES TITLE No TITLE CARPE T �C' PIER PRODUCT COUNTRY MANOR YODEL NO. GE443F-04 �= 2445 S.W. PACIFIC BLVD. SUPPORT LOCATIONS sc 1,188 ogre 12-03-04 ALBANY, ow,wwc rna wrolaunoN ALBANY DMSION ' WALLS oIuwN er : S. nNSTER sNEn % —A2. REVISED — 6- 631 541) 926=8631 Phone Boo 858-3552 Fox Vector Dynamics Foundation System INSTALLATION INSTRUCTIONS for the State of California Version 9/2/2003 SECTION INTRODUCTION GENERAL INSTALLATION PARTS LIST LONGITUDINAL DEVICES PIER HEIGHTS SET-UP INSTRUCTIONS FOOTER SIZES WIND ZONE I WIND ZONE II INDEX PAGE NUMBER 2 3 4&5 6 7 8 RELEASE DATE 9/2/03- 9/2/03 9/2/03 9/2/03 9/2/03 9/2/03 spa TN - SINGLE 9 9/2/03 - DOUBLE 10 9/2/03 - TRIPLE 11 9/2/03 - HIGH PIER 12 9/2/03 - SINGLE 13 9/2/03 - DOUBLE 14 9/2/03 - TRIPLE 15 9/2/03 V -DRIVE & PIER SYSTEMS SOIL CLASSIFICATION CONCRETE INSTALLATION 16 9/2/03 17 9/2/03 18 & 19 9/2/03 COMPONENT PARTS AVAILABLE UPON REQUEST Approval tdAlMAC"MED ROMPA10 a E RWAS FOUNDATION SYSTEM M4M AND BffM CODS. &BCf= trill App SUN= 70 CORP=OM NOM AWROVALD=NOTAUTHMMORA"VAM Mn OMMONS tut WVIATION FROM RBQUMEMO i8 CN AffUCAMS STATE LARDS AND RBOULAflNM sate ofaN"fia .d c4mmew vwdop rte cam ANDsTANDAM trMAFpto!ndtypd�.:.........._.. a GOUN IL.DING DEPAR p P R 0 V X0 -3 r- 00 0 co 0 N O O 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 9/2/03 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. Page 3 California 9/2/03 Vector Dynamics Foundation Systems Lateral Component Parts List Vector System Lateral Stabilization Block Pads #59018 - 2 sq. ft. single/double block pads with hardware, swivel straps and slotted bolts Vector System Lateral Stabilization for Concrete # 59036 - Single (only) block pads with hardware, swivel straps and slotted bolts. # 59049 - Double block pads with hardware, swivel straps and slotted bolts. Vector System Lateral Stabilization For Difficult/Rocky Soils # 59287 - V -Drive System Must be used with: # 59018 - Vector for single/double block pads 3 Sq. Ft. Pad Vector System # 59271 - Vector 3 sq. ft. pad (2 required) # 59024 -Vector Lateral Hardware Kit, includes PVC adapter. Strap/Swivel Strap Connectors & slotted bolts not included. Page 4 California 9/2/03 Vector Dynamics Foundation Systems Longitudinal Component Parts List Page 5 Longitudinal Stabilization Hardware Kit # 10733 - (for use with 59018 Vector System, single stack block sets only. Longitudinal struts not included) Longitudinal Stabilization Hardware Kit for Concrete # 59023 - Includes 2 beam clamps, tension brackets, nuts and bolts. (for use with #59036 & 59049, longitudinal struts not included) 3 Sq. Ft. Pad Vector Longitudinal System # 59026 - Includes 2 beam clamps, 2 tension brackets, nuts & bolts. (for use with #59271, longitudinal struts not included) Struts for Longitudinal Systems Part No. Length Pier Height # 59016 30" up to 2 Blocks # 59012 39" up to 3 Blocks # S9013, 44" up to 4 Blocks # 59014 53" up to 5 Blocks # 59015 65" up to 6 Blocks PVC Adapter Bracket # 59281 - For use with Schd 40 PVC Center Compression Strut # 48612 - Single Section, 62"- 108" # 48613 - Double Section, 34"- 60" (includes short u -bolts, nuts, washers and 6 self taping screws) w/OL California 9/2/03 C Longitudinal Stabilizer Devices The use of LSD systems on a single or multi section home replaces longitudinal anchors, stabilizer plates and straps. The Longitudinal Stabilization Device (LSD) is used with the Vector Dynamics System to resist loads in the longitudinal direction (short dimension) of home. The number of LSD required is shown on pages 10-13. LSD Combine Vector Dynamics 1. Longitudinal Foundation Pad 2. Beam Clamp (2 per system) 3. Longitudinal Strut (2 per system) . 4. Tie Bracket (2 per system) Note: Two struts =1 L.S.D. system. Can be used on one pad or slipt on opposite ends of the home. Examples of Possible Placement: (Contact TIE DOWN for placment in other Wind Zones) Wind Zone I Single Section I I I I I I I I I I I I I I I I I I I I I I Wind Zone I Double Section 18 Ft. Max. 32 Ft. Max. Forgreater widths use triple section design. - Page 6 Wind Zone I Triple Section 48 Ft. Max. California 9/2/03 .. -- -- 48 Ft. Max. California 9/2/03 50 in max. Maximum Pier Height Vector Dynamics Foundation Systems may be used on single section homes in Wind Zone I which require pier heights (from surface of Vector pads to top of concrete or metal pier) not to exceed 50 inches under one or both main rail(s). Note that a ground anchor must be used at each Vector system location where the pier height exceeds 24 inches for single section homes. On multi -section homes in Wind Zone I, an anchor must be used at each Vector System location with pier heights above 46" with the following exception: double section homes that are 24' wide, in Wind Zone I, have a maximum pier height without anchors of 38". See page 12 for double section home high pier set instructions. 50 in max. Unequal Pier Heights rlaximum Homes with unequal pier heights are limited to 50" maximum pier height. The difference between the taller pier and the shorter pier cannot exceed 26". ;-- Page 7 California 9/2/03 Set -Up Instructions for Vector System #59018 Long U -Bolts 1. Set Vector Pads Clear all vegatation where pads will rest. Place a long U -bolt in pad as shown. Press or ham- mer pad into the ground. 2.- Set Block or piers on pads. Center foundation blocks or piers on pads. Place pre-cut center compression member between blocks, resting on pads, centers between U -bolts as shown. 3. Outside Tension Bracket Attach outside tension bracket as shown to out- side of pads. 4. Inside brackets & straps Attach the inside toe brackets to the U -bolts over the compresion member. Attach a strap w/hook or swivel strap w/rut & bolt. Place other end of the strap over opposite I-beam & down to out- side tension bracket. Cut strap 12 - 15 inches past bracket. Attach strap & slotted bolt in bracket. Tighten strap until tight with 4-5 wraps around bolt. Repeat with opposite strap. Page 8 California 9/2/03 cc CD a Note: L.S.D.= Longitudinal Stabilization Device C-) See Page 6. 0 WIND ZONE I �2 sq. ft. pad Soil Classifications: Soil Bearing Capacity: Anchors Required: 34oc.HP ., NOTE: Vector Systems should be,spaced as symmetrically as possible along the length of the home. Pier spacing must be. consistent with home manufacturers' 2, 3, 4A, & 4B instructions and/or state requirements. 1,000 PSF minimum 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties Home Length Vector Systems Required Anchors Required. Per Side or 24" Pier 24+" Piers L.S.D. O to 72' 3 2 3 2 73' to 90' 4 3 4 2 I, SEISMIC ZONE 4 --" I WIND ZONE -'-"--- I \ Vector Dynamics Systems Required for ' Single Section Homes (Materials Required) INOMe edkon -" --- a of ai r.... �. IF s - , \ � - •' Ma sb:x ni �� , xis;.;.' I . y - r.;.� - ., r c cc CD a Note: L.S.D.= Longitudinal Stabilization Device C-) See Page 6. 0 WIND ZONE I �2 sq. ft. pad Soil Classifications: Soil Bearing Capacity: Anchors Required: 34oc.HP ., NOTE: Vector Systems should be,spaced as symmetrically as possible along the length of the home. Pier spacing must be. consistent with home manufacturers' 2, 3, 4A, & 4B instructions and/or state requirements. 1,000 PSF minimum 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292), 1-1/4" frame ties Home Length Vector Systems Required Anchors Required. Per Side or 24" Pier 24+" Piers L.S.D. O to 72' 3 2 3 2 73' to 90' 4 3 4 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) Sy cc CD C) 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. Iv No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: 2, 3, -4A,& 46 Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 WIND ZONE I, SEISMIC ZONE 4 41' to 66' 3 0 3 67' to 84' 4 0 4 85' to 90' S 0 4 Vector Dynamics Systems Required for Double Section Homes `\ me %,Ome \ (Materials Required) CtiOn se double -------- -'' ""- mph 1 -K- a EXa _rr xx :ti '2.'F.. �• N 3 L'��Z��3aa Sy cc CD C) 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. Iv No anchors required. For pier heights up to 46" for WIND ZONE 28'-36' wide, 38" for 24' wide. See Pg 12 for high pier instructions. 2 sq. ft. pad Soil Classifications: 2, 3, -4A,& 46 Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": None ('Marriage wall anchors may be required by home manufacturer) Home Length Vector Systems Required Anchors Required Per Side L.S.D. 0 to 40' 2 0 2 41' to 66' 3 0 3 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. WIND ZONE I, SEISMIC ZONE 4 ,.--- "" "nhomeems' _ Vector Dynamics Systems Required for , _ - - ' , , , - - t mU�t\ sect%�ect°� s15 .� Triple Section Homes ' " , - mP�e of a 1 e t` spa6`n9 , (Materials Required) \on shows gen to co NOTE: C When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. C-) a K 0 2 sq. ft. pad Tag ori: full trl ple 2 sq. ft. pad Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required`: None ('Marriage wall anchors may be required by home manufacturer.) Home Length Vector Systems Required Anchors Required Per Side LSD' Main TAG 0to48' 2+2onTag 0 2 1 49'to71' 3+2onTag 0 2 1 72'to84' 4+2onTag 0 2 2 85'to90' 5+2onTag 0 2 2 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, . - Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) w CD N Iv ZONE I; SEISMIC_ ZONE Vector Dynamics Systems Required for Double Section Homes (High Pier Sets with Diagonal Ties) w, rie,r-Sets) I home 2 1 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. WIND ZONE I Max. Height Unit Width LICE See Page 7 CO n� 1 -Beam W Spacing"sqft. 2 pad 45' Min. 0to48' 2 2 2 49' to 71' 3 3 3 72' to 84' 4 4 4 85' to 90' 5 1 5 4 Soil Classifications: 2, 3, 4A, & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: 30" with 2-4" helix anchor (59095), 12" stabilizer plates (59292) 1-1/4" frame tie with connector Each Vector System requires one of the following: 1-44 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE II, SEISMIC ZONE 4(Hurricane) \ , Vector Dynamics Systems Required .for Single Section Homes (High Pier Sets with Diagonal Ties) - - Sertiono s1 em Ja19�ideUnes'- ' g of a -7 rat sP gV meot s a1lat�overWn man -1 1n I I EXampshows gust be to o Uust(abo SPac*%n9 \ I\ 1 ds and \ , Found tc V W cc co W w WIND ZONE Il (not to scale) Soil Classifications: 2,3, 4A & 4B Soil Bearing Capacity: 1,000 PSF minimum Anchors Required*: 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Vector Systems Required Anchors Equired per side LSD 0to48' 3 5 2 49' to 60' 5 6 2 61" to 72' 6 7 2 73' to 84' 7 8 2 85' to 90" 8 9 2 NOTE: Vector Systems should be spaced as symmetrically..as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. R Each Vector System requires one of the following: \2 sq. ft. pad 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) WIND ZONE II, SEISMIC ZONE 4 --"" Vector Dynamics Systems Required for , _ , - ' _ - " ti°� h° s ems• ' \de\\nes ` _ _ '�♦ Double Section Homes _ - - ' " " " dovbke foo\Jer-10' man OL g;' - - - - ;e °f a e2e` \ soh n e insta\\a n m i `\ i ♦♦ E"LM shows mistbet___ _ _ \ oUndg%oOLV\d SP n NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Maximum allowable working drag load for the Vector System with steel compression strut is 4,000 lbs. per the K2 Engineering test report. Soil Classifications: Soil Bearing Capacity: Anchors Required*: 2,3, 4A & 4B 1,000 PSF minimum 30" with 4" helix anchor (59095), 1-1/4" vertical ties w/4725 lbs. min. breaking strength. Home Length Anchors Equired per side Vector Systems Required LSD 0 to 48' 4 4 3 49' to 60' 5 5 3 61" to 72' 6 6 13 73' to 84' 7 7 4 85' to 90' 8 8 4 Each Vector System requires one of the following: 1-4x4 or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) ,v cn CD CX i NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Tag or__ --,r Soil Classifications: - 2, 3, 4A, & 46 PUTT triple Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required ' Anchors Required Per Side �--- ------- __� WIND ZONE II SEISMIC ZONE 4 2 1 49'to71' 4+2 on Tag 6 3 2 72' to 84' 4 + 3 on Tag 7 Vector Dynamics Systems Required for " - - ' , _ - ' " 5+3 on Tag 8 ♦ \\\ Triple Section Homes osys ems, eve `;, (Materials Required) _ - " , , - _ mseo �� - - - g fit Ing f - _I- ♦ ♦ ' , ---------- - e�alspac`,♦♦\ ' i -' EXan`Phows9e \ aE Aill . ...... , o. .. ♦ .. ., � .,, a .g: g - ._.. , .,x I 'h K. ,v cn CD CX i NOTE: When a pier height at Vector locations exceeds 46", an anchor must be used on the outside wall/beam at that approximate location. NOTE: Vector Systems should be spaced as symmetrically as possible along the length of the home. Pier spacing must be consistent with home manufacturers' instructions and/or state requirements. Tag or__ --,r Soil Classifications: - 2, 3, 4A, & 46 PUTT triple Soil Bearing Capacity: 1,000 PSF minimum Anchors Required": 3/4" x 30" with 4" helix anchor (59095) 1-1/4" vertical ties w//4725 lbs. min. breaking strength. Home Length Vector Systems Required ' Anchors Required Per Side LSD Main TAG Oto 48' 3+2 on Tag 4 2 1 49'to71' 4+2 on Tag 6 3 2 72' to 84' 4 + 3 on Tag 7 3 2 , 85'to90' 5+3 on Tag 8 3 2 Each Vector System requires one of the following: w 1-4x4or 2-2x4's pressure treated wood compression member, Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list) 2 sq. ft. pad 2 sq. ft. pad Vector Dynamics Metal Pier & V -Drive Installation METAL PIER FOUNDATIONS For metal piers, place the piers in the center of the Vector pads. Set the single 4x4 or two 2x4's through the piers, centered in the U - bolts. Outside Tension brackets attach the same, Inside tie brackets mount "upside down" as shown in drawing. Metal piers using the Vector System can only be used on level ground sets. Conventional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home. Pier spacing must be consistent with home manufacturers' installation instructions and/or state requirements. To cut lumber (2 - 2x4's or 1 - 4x4 per, or 1 adjustable steel commpression member, part #59043 Vector system) for the center com- pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16". Optional Moisture Termite Shield may be required in certain regions. ALL WOOD MUST BE PRESSURE TREATED, GROUND CONTACT RATED. Tip: Pre-cut your lumber and mark as to brand or model of homes you will be installing. If frame widths are the same, the pre-cut boards will also be the same length in each Vector set-up. V -Drive for rocky soil V -Drive anchors are used only in Zone 1. single section homes. V -Drive anchors are used only in Zone I, single section homes in areas where rocky soil conditions do not allow helix style anchors to be installed. Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x4 boards used with the outside tension brackets are discarded. In place of the short 2x4's, a longer 2x4 is used as per the diagram above. This 2x4 board should extend from the base of the Vector pier set to 5 inches from the side wall of the home. Place the V -Drive head over the end of the longer board. Using a heavy hammer or electric hammer gun, drive the three V -Drive anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods must come to a complete stop on the V -Drive head. Attach a strap with hook or buckle to the frame and attach to the V -Drive head with a slotted bolt. Cut the strap end about 12 to 15 inches past the anchor head to allow at least four or five wraps around the slotted bolt. Continue tightening strap until all slack is out and strap is tight. Page 16 California 2/03 VECTOR DYNAMICS INSTALLATION DESIGN INSTRUCTIONS Vector Dynamic Foundation Systems may be used only on homes set on soils classified as Class 2, 3, 4A and 4B as described in the table below: SOIL CLASSIFICATIONS Soil Class Types of Soils Blow Count (ASTM Soil Test Probe (1) D2586) Torque Value (2) 1 Sound hard rock...... NA NA Very dense and/or 40 -up More than 550 lbs - in. cemented sands, coarse 2 gravel and cobbles, preloaded silts, clays, and corals Medium -dense coarse 24-39 350-549 lbs - in. 3 sands, sandy gravels, very stiff silts and clays 4A Loose to medium dense 14-23 275-349 lbs - in. sands, firm to stiff clays 4B and silts, alluvian fill 175-275 lbs - in Peat, organic silts, 0-44 175 lbs - in. 5 inundated silts, loose fine and lower sand, alluvium, loess, varied clays, fill, fly ash. (1) The purpose of the soil test probe is to gauge the strength of the soil below the surface and near the anchor's helical plate. The strength of the soil is estimated in terms of its resistance to penetration (flow) under load by means of the torque probe and is measured in Ib -in. The test probe has a helix on it. The overall length of the helical Section is 10.75 in.; the major diameter is 1.25 in.; the minor diameter is 0.81 in.; the pitch is 1.75 in. The shaft must be of suitable length for anchor depth. (2) A measure synonymous with moment of a force when distributed around the shaft of the test probe. Vector Foundation Pads Equivalent to Footer Pads* Footer Size: Footer Size: 16x16 = 256 sq. in. _ 20x20 = 400 sq. in. or 16x18 = 288 sq. in. - or 17x25=425 sq. in. = EQUALS - a EQUALS _ 2 -Vector Pads # 59275 - - - 1 -Vector Pad # 59271 288 sq. in. or 432 sq. in. 1 Vector Pad # 59130 Vector Pad(s) exceed the surface area required when used as the equivalent listed above. *Foundations in soil with a bearing capacity of less than 1,000 PSF must be designed by a Registered Professional Egineer Jamiliar with site conditons Page 17 California 9/2/03 Vector Dynamics System for Concrete Applications Instructions These instructions are an addendum to the standard Vector Dynamics instructions. Read and follow all applicable instructions and guidelines in the Vector instructions and home installation manual. The Vector system for concrete pads applies to concrete footers, runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round (min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4" below finished grade whichever is greater. Concrete must be sufficiently cured and set to accommodate an anchor bolt to its' full load resistance. 1. Determine location of pier sets where the Vector systems will be located. 2. Place one Vector concrete pad (gale. metal) on the concrete where the pier will be located, centered under the I-beam of the home. Place the upturned edge towards the center of the home and directed to the opposite Vector pier. Do the same for the opposite Vector pier. 3. Measure the distance between the two Vector system pads at the base where the Vector pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe, or 1 adjustable steel commpression member, part #59043 this length and place between the piers as shown. 4. Place a long u -bolt under the 2x4's and through the holes of the Vector pad as shown. 5. Place the concrete pier blocks on the Vector pad. Center the blocks under the frame. The upturned edge end of the Vector pads should be up against the inside of the pier blocks. 6. Build vector piers but do not wedge at this time. 7. Using a concrete drill bit, drill two holes on each side into the concrete using the holes in the Vector pad as a guide. Drill the 3/8" diameter holes 3 inches deep. 8. Place an outside tension bracket on the Vector pad as shown in Illustration one. Line up the holes in the bracket, Vector pad and concrete pad. Illustration One of a Single Section Set -Up Vector pa for concretc footer Page 18 California Wood Cap and wedge Outside Tension Bracket Wedge Bolt 4xim, 9/2/03 Vector Dynamics. System for Concrete Applications Instructions ` 9. Put.a washer and nut on one of the 3/8" x-3-3/4" wedge anchors. The nut should be screwed on enough to have 1 or 2 threads showing on the top of the bolt. Place the wedge end of the bolt into one of the holes, going through the outside tension bracket, metal Vector pad and into the concrete. 10. Using .a hammer,,tap.the wedge bolt into the hole. Maximum height for expansion bolt , above concrete is 2". 11. Repeat for the other hole in the outside tension bracket and the two holes on the other - Vector system pier set. 12. Place an inside tie bracket over the u -bolt so that the lip of the bracket is between the Vector plate and concrete blocks. Place washers and nuts on each U -bolt. Do not tighten yet. 13. Attach a strap with hook or crimp seal to the inside tie bracket, with sufficient length to go over the opposite pier and down to the outside tension bracket, plus 12 inches for wrapping the slotted bolt. Repeat for the opposite side. 14. Tighten inside u -bolts at this time. 15. Use the outside'tension brackets to remove any space between the outside tension brackets, concrete blocks and the inside edge of the Vector pad, by tapping the brackets with a hammer. Wedge the pier set at this time. 16. Using a 9/16" socket wrench, tighten all of the wedge/anchor bolts, securing the outside tension bracket and Vector pad to the concrete. 17. Using a slotted bolt in the outside tension brackets, insert strap through slotted bolt with end of strap aligned with outside edge of bolt. Turn slotted bolt until straps are tight using at least five turns on the slotted bolts. Illustration Ti i Inside Tie Bracket Compressh boards of PVC Pipe .0 -bolt' Page 19 Vector pad for : concrete Concrete . footer California 9/2/03 CDF FIRE SAFE REQUIREMENTS 071-019-048 . BP-04-2696 Burr AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail-ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner., Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures 1273.07 (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional - drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. - [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. _ pq 2. the length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.11 Gates [X] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with, a single traffic lane provides entrance, a 50 foot turning radius shall be used: ' 1 ,: . CDF FIRE SAFE REQUIREMENTS 071-019-048 BP -04-2696 Burr AP# PERMIT # NAME Fuel Modification 1276.01 Setback for Structure Defensible Space [X] 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See other requirements below. [X] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet.— Class A or B roof with enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on side toward property line with insufficient setback Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback Siding from the following list: Stucco — 3 coat Hardi-Board or Plank Masonry Masonry Veneer Metal Other Butte county Fire Department approved materials 09/22/2004 Darren Read Date Signature 2 s. E9b/fib/�t9�4 15:.S.S AFV WHEW RECORDED MAIL TO: BUTTE COUNTY pUIL01NG DMSIOM T couNTY cENTER ZDR1X oROV1LLE, CA 95965 . Nil I'I'J COPY of Document Recorded 28 -Oct -2004 2004-0066298' Hae not been compared with original. BUTTE COUNTY RECORDER 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 frorn the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, 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 Califomia, described as follows: hate 2%��`1 PROPERTY State of California County of .ZocL.j personally appeared_ r-- LS ;,,r r — — I memrrta-m (or proved to me on the basis of satisfactory evidence) to be the person fd) whose to the within instrument d acknowledged to me tharFoshehhey executed the some iml capaeity(iesj, and that b h' er/their signatureW on the` truttmeae, the person(a$or the en the personWacted, exec d the instrument. W-11710 hand and ot'ficial seal. �,,— �, , DIANE C. NEWMAN §ignature - Seal: a �� Comm. I1315801 rrnn :•A NOTARY PUBLIC CALIFORNIA Ul a Contra Costa County MY Comm�Expires August 8, 2005 d A.P. p (.� % 9v�- v�vvoaoovd isiam subscribed hier/thsiv authorized upon behalf of which &W, EXHIBIT "A" A.P.# 071-190-048 Burr to Burr Parcel One A: The Southeast quarter of the Northerly 660 feet of the West half of the Northwest quarter of the Southeast quarter of section 29, Township 20 North, Range 6 East, M.D.B. & M. Parcel One B: The Southwest quarter of the Northerly660.00 feet of the West half of the Northwest quarter of the Southeast quarter of Section 29, Township 20 North Range 6 East, M.D.B. & M. Together with an easement 60 feet in width for road and public utility purposes over the following described centerline. Commencing at the Northeast corner of the herein described parcel of land; thence South 89 degrees 32' 37" West along the North line of said parcel 314.49 feet to the centerline of an existing dirt road and the true point of beginning for the herein described centerline; thence North 32 degrees 46'46" West along said centerline, 112.70 feet; thence South 74 degrees 58' 26" west, 99.69 feet; thence North 62 degrees 05' 22" West, 86.35 feet; thence North 07 degrees 22" 42" West, 27.73 feet; thence North 21 degrees 00' 03" East, 73.82 feet; thence North 06 degrees 13' 24" West, 32.19 feet; thence North 52 degrees 02' 09" West, 15 feet to Lumpkin Road. Parcels One A and One B are the result of a boundary line modification approved by the County of Butte and cannot be sold separately. r%M 0 7 IM .T.IMP%l 0 Due to continuing improvements, specifications and designs are subject to change without prior notice or obligation. Square footage is approiimate and does not include. covered porch areas. Department of Public Works C o u n t y o f B u t t e 0 . LAND DEVELOPMENT DIVISION o J. Michael Crump, Director Storm Water Management Program 0 7 County Center Drive Oroville. CA 95965 �5 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement ILESS THAN 7 ACREI Project Description: Project Location andlor Parcel Number:f (�-1�I' `�� l Ls l— lq6- By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information' or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre.or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program LAND DEVELOPMENT OROVILLE / CHICO BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE OWNERS NAME 1( fZ F_ IAA Zj PRINT LAST MAKE FIRST ADDRESS/LOCA Building Permit No. A.P. G NUMBER 91" COUNTY ZONING r DESIGNATION: t-- 5 FLOOD MAP: FLOOD ZONE: K APPROVED: CONDITIONALLY APPROVED: RE OLVE PROBLEMS PRIOR TO APPROVAL- DEED PPROVALDEED INFORMATION: PARCEL CREATION BY DEEDS OR MAP - - , //II f '• DATE OF CREATION: DEED REFERENCE: �l Z LEGAL ACCESS PROVIDED: YES - NO LEG L ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: % 1- e 91-4-7-2S-7 MAP INFORMATION: DATE OF RECORDING: LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DMSION UNLESS OTHFJ WISENOTED. X"1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from right-of-way/centerline Comply with Zoning code for building setback from road. Maintain a 100 fL leachfield setback from all ebsting wells. Maintain a ft. leachfield setback from Pay water tender fees in the amount of $ to Battalion Number . of the Butte County Fire Department. Meet the FireSafe Regulations of Butte County and P.R.C. 4290. Conned to a public water supply. —9. Conned to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance withthe National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. RECEIVED SEP 2 5 1998 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ od0P4 AF Ri ffTF LAND DEVELOPMENT DIV. _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) —13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. —16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. —20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. 23.-- 25. 3...25. t5 ` 26.- LD 6._ LD 6/98 FORMS\BLDG PERMIT CLEARANCE SITE PLAN REVIEW APPLICATION Date:q/o1 y/0 AP# 7/ ` /?0 Permit Number (if applicable) (—,2eo 9jP r .1 4 Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: (TION Parcel Size: ( Q- S Zo '- Zo,.a av-� �/Q_ ca &zM ef V 95Z. S7 4 27- q�5�-ag79 /V1ve /_.D 0 Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel [� Mobile Home f e /M . 04-1. Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ' ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel ❑ Industrial Remodel ... ❑' Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Approved. ❑ Conditionally Approved ❑ •Resolve Problems Prior to Approval Site Plan Stamped Approved* By C•C Date p{ ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: IN Snow Load Area: - 02000 'FO .2!5;00 �{ ; ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) -OW ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: O&oo7cO OL Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit �� M ❑ Agricultural Worker Affidavit ❑ Agricultural Aclmowledgement Statement Zoning: FP - 5 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan, • ❑ CDF approval needed �encrhments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Sbkffivision Map Front Side. 0 Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan, • ❑ CDF approval needed �encrhments into SRA setbacks. t ri Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ----------------------------------- Subdivision Map Special Fees - ❑ Water Tender ❑ Road Improvement. ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By . ❑ Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Cre Co ents: % .2 S �f L Acyl 4-91 -D y 7J -;�_7 Legal Access Provided: Legal Access Required El No F1 Yes, Road Name: n: No ❑ Yes �('rU 7 ❑ No ❑ Yes ❑ No ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements P ❑ Subdivision Map/Parcel Man: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pre§surized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. ,Approved.dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required.. ❑ Property owners responsible for roa 01 u C Summary of Specific Requirements: This information provided in this summary is based on the application in of review. formation and on the best available data at the time C:1LarrysSuilding Permit Site Plan Reviewl.&C RICHARD BURR, BOUNDARY LINE MODIFICATION, AP 71-19-08, 35 and 36, 2 parcels locatd at the intersection of Lumpkin Road and Dollar Road. Feather Falls area. Engineer: Ron Graves Public Works conditions: Prepare necessary deeds for recordation. Submit to Department of Public Works for checking. Verify that partial reconveyance and/or modification of trust deeds has been accomplished, if necessary. i,eCtzvz OA-rL---o I%/ -J/-)5- GG �'✓7i-y Verify that there are no delinqudt taxes due prior to recording deeds or map. Prepare a map showing approved boundary line modification and submit to Department of Public Works for checking, approval and recording. Cy— 50 After recordation of deeds, contact the -Assessor's Office and request that the necessary parcels be combined so that no new parcels are created. /~6 j Show all easements of record on the map. A j I cs # y� CL Ofo �.� �i> � t� � f _ •�1, �l �'� �, ice, - vim, � � t� )p r •t.,.. � � 1, � a~� y �� .s. l A/`. �` °� j • ; j �" �\fig -.>. ' 1 `�" .�� r: - ./" • �..� J... � ,..._M �:— •. i. . : «.�... 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