HomeMy WebLinkAbout071-400-043071-400-043 0.5-5264 SITE PLAN REVIFNI'
BEMNGER. PLOYD
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RESIDENTIAL
PERMIT NO. !071-400-043.`--p5-1264
I
BERRINGER FLOYD
Cont: D&A CONST
NEW MH PERiIM FND
OFFICE COPY
Address
GAS6�j 3,
Date
Meter By
ELECTRIC
Meter By Date
-
_104 0
SPECIAL CONDITIONS
CHECKED
BY
SRA
r
FLOOD CERTIFICATE REQ.- _
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
r
VERIFY
USE PERMIT CONDITIONS
�i
SUB-STANDARD HOUSING LETTER
Sr-alq L +.1 OAF-'470 ti21
x%3`1 OA 6 X 70 `i tL
0A,,c- 117o H2
'
Psv,ren
IOFF.ICE.COPY
t�
Q
)t
Address
�
1
i
GAS
Meter By Date
ELECTRICr 1 _`
LlJ Date
i Meter By
JOB FINALED ( e) c
Signature
J=OK
0= Not OK
- = NotRcaGle
. =Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L W P LPG
7. Well Clearance 1£ Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water, MH Test -Regulator -Connector'
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Cana Bx Date Card B-1
Date PERNJAENT END SYSTEM (ONLY) S"' L-
7/1 g Requirements -Setbacks -Easements
oadrigs; Size -Spacing -Marriage Line
n
a H Test -Demand -Valve
ectric' H Test
6. Water, Test
7. W d Sewer Connected
and Electricity Tagged
ts
License Decals
11. Verify #'s with Office ,
Date ---j ,,,KCard B-1 Date Card B-1
Date Card B-1 Date Card B-1
0 J�, W � v� 0�t iJ akQ/,,,� U e.QkU t -o
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except Vs
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 Voles-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. -Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
i=OK
= 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. Gmd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng.
49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrrn. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Dud 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.El.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following InsIldJDrive D Yes 0 No/Walks D Yes O No/Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fre 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:
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card 8-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) .OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
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. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng.
49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrrn. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door, Swing -Landing -Closure
76. A.C. Dud 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.El.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following InsIldJDrive D Yes 0 No/Walks D Yes O No/Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fre 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:
',.
STATE OF CALIFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF MOUSING AND COMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
MANUFACTURED HOUSING PROGRAM
NUMBER:
8735354
MANUFACTURER CERTIFICATE OF ORIGIN Cad -°`-I
018TRIBUMON: ORIGINAL (PIN* FORWARD TO THE INVENTORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE),
COPY 1 ITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1928, SACRAMENTO, CA 858124828, WITHIN FIVE (6) DAYS OF RELEASE,
COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION.
COPY 3 (OOLDENR00) TO BE RETAINED BY THE MANUFACTURER
MC0483.0-S1de1-(7/87) - .
T00/T0Q 931990 VA (4(- samog SIN201ul ZEUUtKs gvj V:5T Hfls SOOv/OT/90
❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO.
MANUFACTURED HOME OR MULTI -UNIT MANU
ACTURED HQU$ING _
NUMBER OF
Q SFD (SINGLE FAMILY DWELLING) ❑
MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS 3
COMMERCIAL COACH:.
OCCUPANCY GROUP
MANUFACTURER NAME:
MANUFACTURER LICENSE NUMBER:
CME; Manufacturing West,
Irlc. (Marlette)
MFI126458
MANUFACTURER ADDRESS:
SUGGESTED RETAIL PRICE:
400 W. Elm/PO Box 910
Hermiston Oregon 97838
$167,827.00
(Street)
CI state(ZIP)
MANUFACTURER TRADE NAME:
MODEL NAME ANDIOR.JbIUMBER: -•
DATE OF MANUFACTURE:
Marlette
Pacifica -8239
4-J8-05.
NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO):
CALIF, DEALER NUMBER OR
DATE OF TRANSFER:
TRANSFEREE DESIGNATION:
Integrity Homes,.Inc.
1067714
4-28-05
DEALER OR TRANSFEREE ADDRESS:
,.U.4 830 Feather River Blvd.
CI Ororville stagy
CA 95965
INVENTORY CREDITOR NAME:
- Bortlbardie:r Capital
-
INVENTORY CREDITOR ADDRESS:
261 Mountain Vie1.1 Dr.
Colchester
VT 05446
street
CI state
Zi
SECTION
MANUFACTURER SERIAL NUMBER
MCD INSIGNIA OR HUD LABEL NUMBER
LENGTH
WIDTH
WEIGHT
16
INCHES
INCHES
POUNDS
I
BER0241240PA
ORE 470421
828"
160:
44,436
2
HER0214124ORB
ORE 470422
816"
160"
43,792
HER024124ORC
ORE 470423
816"
'160"
43,792
TRANSPORTER NAME;
'TRAWWWiMbDRESS:
1 60 Industrial Way
Woodburn OR
97071
Str
C State(ZIP)
DESTINATION FOR UNIT DESCRIBED ABOVE:
Homes, Inc.
1830 Leather River Blvd. Orov Sl�le
CA 95965
N,�ntegrity ro-�
I car* under oanatry of Perjury undoe the Iare of Bye State of Caldomla that the above tact* aro twe and correel
Exemedon 4-28_05 at
Hermiston Umatilla
Oregon
(Oats)
(County)
(Stele)
/%�
/1) (I '
C.F
SIGNATURE OF AUTHORIZED' AGENT: it
.4 •C•1
018TRIBUMON: ORIGINAL (PIN* FORWARD TO THE INVENTORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE),
COPY 1 ITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1928, SACRAMENTO, CA 858124828, WITHIN FIVE (6) DAYS OF RELEASE,
COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION.
COPY 3 (OOLDENR00) TO BE RETAINED BY THE MANUFACTURER
MC0483.0-S1de1-(7/87) - .
T00/T0Q 931990 VA (4(- samog SIN201ul ZEUUtKs gvj V:5T Hfls SOOv/OT/90
Integirty Homes
a DuPar and Angel Company
STATEMENT OF FACTS
This unit is a : X , Mobilehome Commerical Coach Floating Home Truck Camper
Decal (License) No.(s)
Trade Name
Pacifica
Serial No.(s)
TBD
I / We, the undersigned, hereby state that the unit described above:
be placed on a permanent foundation at : Schrader Road, Oroville
California, 95966 by authorization of Integrity Homes
a Dupar and Angel Company. 071-400-043
Affiant further agress 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, of 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.
Executed on 2/3/05 at: Yuba City , California
14850 (City)
Signature of each affiant 'Print name of each affiant
lle Freel. On Site Director
Address: 868 W. Onstott #J City: Yuba City State: California
HCD 476.6.(Rev. 11/86)
BUTTE COUNTY .
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530)'538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP051264
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: 07/14/2005 APN: 071-400-043-000
the Business and Professions Code, and my license is in full force and
effect. L 1G �,/ �
License Class: (I i ) License Number:Lq JD�7,, J"►
Site Address: 843 SIMMONS RD BCK
Li Contractor: c
Date:_J 'D qA Cbarz- C 700
Map Index:
Description: new mh, new site, prm fnd
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: BERRINGER, FLOYD S. JR.
permit to construct, alter, improve, demolish, or repair any structure, prior
-" 7409 TROON WAY
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
SACRAMENTO., CA
the Contractor's State'License Law (Chapter 9 commencing with Section
95822
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
(916)947-8050.
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
inters d.9C.offered for.saler(Sec..,7,o,4,4•,.Business.and..Frofession5,,
.,. , Applicant: DU PAR & ANGEL INC y
Code: The Contractors' State License Law does not apply to an
MICHELLE FREEL
-owner,of-property who builds or,improves thereon, and who does
such work himself. or, herself or through his or her own employees,
2532 SANTA ROSH AVE
provided that such improvements are not. intended or offered for
.SANTA ROSA, CA 95404
sale. If however, the building or improvements are sold within one
530-821-5850 530-821-5854 fax
(fax)
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
michellef88@sbcglobal.net
sale.).
❑ I, as owner of Ahe,aproperty_ am •.exclusively. contracting with,
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor: DU PAR &ANGEL INC
not apply to an owner of property who builds or improves thereon,
MICHELLE FREEL
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
2532 SANTA ROSA AVE
SANTA ROSA, CA 95404
LI I am Exempt under Article 3 of the Business and Professions Code
530-821-5850 530-821-5854 (fax)
Date: owner:
michellef88@sbcglobal.net
License #: 457364 '
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
,
workers' compensation, as provided for by Section 3700 of the
Architect:
Labor Code, for the performance of the work for which this permit
is issued.�.. ....,
Engineer:
. ., .. workers' compensation insurance, as
I have and will maintain..... e compensation
o insurance,
required by Section 3700 the Labor Code, for the performance of
the work for which, this permit is issued. My workers' compensation
insurance carrier,and policy number are:
Carrier. � �-ak rj nd
�
Total Square Ft: 2733 S.F.
Valuation: $177,645.00
M yg6L4:a_
Policy #:
Census Code:
..1....... .,., ...... _ ..
❑ 1 certify that in the performance of the work for which this permit is
issued. 1 shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'b`-'1
M
compensation provisions of Section 3700 of the Labor Code, I shall
7 w
forthwith/ comply with those provisions.
Date: itf '— M -06
]
r,— 1 5r[
1 c
Applicant:��1LQ�4 k CQL�
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code,Jnterest,.and attomey's fees.....;R.- ...
,...,.... ,
CONSTRUCTION LENDING AGENCY,.
This permit is hereby issued under the applicable provisions of the Butte County A a
CodnrV0r
affirm a6e-r
I hereby arm that there is a construction lending agen-,cy for the
Resolutions to do work ilndicated, ove for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
`� i_,•
Name:
it A
BY:_T(� D11/ rry Date:
l n A Nn 7 I� �5
PERMIT EXPIRES ON: / p ..QCQ
Date
Address:
O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct• and that I am the owner or the duly authorized agent of the owner.. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the 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.
�/� l,, �J Dp ` b
\:e
PrintName: 6 W \kc \P l C Signature: w Q 1..0 K QQ
Date: C 1�
❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
OWNER
Name --6- Z
Address
City Ct
State
Zip 9 �) as
Phone C�1
Fax
E-mail
CONTRACTOR
Name Q n _ ,Pts�moiksn
Address -A:V-j
City 1 f a
State CA
FZ'p9S9(7(
PhoneJ 0?Q_1 j$SU
Fax 5w y
E-mail
Lic,i�6-_�3(Cq
Clas(,�L,7
APPLICANT SIGNATURE
X
LL
For office use only-
nl :Zoning
ARCHITECT/ENGINEER
Name
Address
tam Q_
City
State
Zip
Phone
C
Fax
E-
ei C 8 '?'Q%
State License Number
APPLICANT SIGNATURE
X
LL
For office use only-
nl :Zoning
APPLICANT NAME
Name
Address
tam Q_
City
State
Fzip-
Phone'g
w 52
C
Fa)192,%
E-mail Mt
ei C 8 '?'Q%
APPLICANT SIGNATURE
X
LL
For office use only-
nl :Zoning
Zoning
Flood Zone I SRA
K Yesj No
Occ.
Type Const,
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
BPp._/
BIN #
LOCATION
AP# 4 Go - C;L 3
Property Address
Cross Street5
WORKER'S COMPENSATION' _ 1
Policy Number � _7
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
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Description or Scope of Work:
In k� '
Warm
Sq. 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.
Received 3y:
tl
Receipt #: '5171
Z_D�
Date: r,-,
?_0 L/" v
Total
5-y? � o
_ REV 4-30-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
fora 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 GRAPHPAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to
mobile or modular homes.)
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 8. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 9. Sanitation and site plan approval from the Environmental Health Department.
❑ 10. 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 GRAPHPAPER!
❑
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 4-30-04
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT'SERVICES-BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-21'40
PERMIT APPLICATION DATA SHEET
OWNER: // f ASSESSOR PARCEL NUMBER
Proposed Building Use: NEW0491
IU &-A 9/%�� PfA4/1 i"' permit Technician: 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.
/ tv 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
❑ 11. Letter of intent for non-residential buildings
\ ❑ 12. Hazardous Material Form
IN 13. Acknowledgement of building permit application without required clearances.
❑ 14. Other
Reer dining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 16. Fire Sprinklers............................................................................................
❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 18. Soils Report and/or Engineered Foundation required ...........................................
o. Erosion Control Plan Required........................................................................
SiV &Rees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 21. City of Chico Plumbing permit........................................................................
\ 22. Site plan and business license approval from the City of Biggs .............. 4..►�F�-
23. California Department of Forestry flan approval QIpal'd' Sen -�►- '_
......... .
24. Planning approval for (A) Use: B)Parking:(C) Parcel Check:...... o�
❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................
�p ►AJ 26. NPDES Form.............................................................................................
❑ PKEncroachment Permit for driveway from the Public Works Dept ...........................
.�Contractor's license information. (Number, Name Style, Classification) ...................
❑ 29. Worker's Compensation Carrier and Policy Number ..........................................
❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) .....................
❑ 3 Letter of Signature authorization....................................................................
�1TI Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
1335. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephone�0and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
�
Applicant: ( `x Date: / / i �_�-�
1. Index permit application for the above items numbered: Plan Check Letter
aornal
items required
designer, owner, was advised of the above data by ❑ phone, ❑ mail, counter, by Date:designer, owner, was advised of the above data by ❑Yphone, ❑ mail, ❑ counter, by Date:
designer, owner, was advised of the above dala by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by Date: tructural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140
SCHEDULE OF RECEIPT OF FEES
Website: www.buttecounty.net/dds
OWNER C1%�%Z��IIi'� A.P. #
PROPROSED BUILDING USE #6W M���N�w ��'y`'tDATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES L g�%
---- Balance Due ..................... $ i-05
--- FEMA Flood elevation review ... $ '� 7 ewl' btC
- Additional plan checking Fee.... $
2. SCHOOL DISTRICT FEES 6� '7 /14 X05
(paid at School District Office) (form available after Plan Check) K6'
SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
C mercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. RECREATION DISTRICT FEES �CF/I-1"L—'72 f2t VL -Z- /2&—_C-
paid
2L—Zpaid at Recreation District Office) (form available after Plan Check)
5 RESIDENTIAL DEVELOPMENT IMPACT FEESU C.
Ll C�Hr'Li
7
COUNTY WIDE (per dwelling) $
VI -7 —7
CHICO URBAN AREA (per dwelling) $ 7
EL MEDIO FIRE DISTRICT (per dwelling) $
RTH CHICO SPECIFIC PLAN (per dwelling) Zoning
6. SRA FIRE INSPECTION AND PLAN CHECK FEE
$204.98 (paid at Building Division)
7. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
_ SMIP
�7&
9. OTHER
10. OTHER
11. OTHER
�3gsrm
T 14.05
7 -
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE
Pursuant to Government Code Section 66020, you are hereby 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. 3/05)
G:
i
D a-ad A Constmettoll
A Dupar & Angel C.on7pany
Insured - Bonded - California State Contractors
License 457364
July 8, 2005
o Ia�'�
To Plan Checker for 0-5-t246 MFH
4
Dear Plan Checker:
psi ac�y
Please revise the foundation plan for permit number 05146 for customer
Floyd Berringer.
. z
We are no longer.planning on using the Gus Guard Foundation System 40-F
and DO plan on using the Vector Dynamics Foundation System 99-1F.
Respectfully Yours
Michelle Freel
On Site Director
DuPar & Angel Construction
Please find two (2) Vector plans enclosed!!!!
868 W. Onstott #J, Yuba City, California Phone (530) 821-5850 Fax (530) 821-5850
I -
School District
A R Nu tier
Property Owner
BUTTE TY SCHOOLS IMPACT FEE CEIRTIFICATIO M
r% 9- Building)
Im 1411 . " "
/* 6 Building Department No.
3
Jurisdiction: 0 city County
lvl6c5z
Pmperty'Location/Address Se
Subdivision Lot No.
Residential Development Q Q Q Sq. Footage
No of Living MobilePme Addition/ *Supplemental to (Group R)
Units Installation Conversion Permit #
*(No foundation Inspection)
.....................................................................................................
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/industrial F I Q Sq. Footage
New Addition (Including Exterior
Roofed Arias)
S—
Building Depart6enrRepresentative Date
D-®rrict Identification No. 0 6 0-0-1.1
School District certifies that
(Applicant) 40�
(Street "Addregs) (Phone Number)
(City) (State) (Zip Code)
has complied with the requirement's of Reiolution No. by payment of $
ng -7 sqUare feet. $
representing IAB 2926
PFULL MITIGATION
School District Representative Date
Paid by Check # Remarks:
Notice: You may protest the Imposition of the fen Identified above by submitting a written protest to the District, In compliance with
Gov ornment Code Section 66020(a), within 90 days from the cW9 fen am paid. Failure to submit a timely written protest wtll'prohlbft
you from challenging the Imposition of the fees In any court action.
N, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School Dft#W is
notified by the applicable Local Planning Agency that this project Is being reviewed wWw the California Environmental QuWlty Act (CEQAh
tins project maybe subject to additional school fees to fully millgete.ft Impact onthe school schools.
'-- 7--
White (applicant), Yellow (building department), Pink (school district) feeformads (10/03)dmm *%W
�Q PgTMENT
� ° �v T r�
//.
° -
\0
� cOUNI.
o� Department of Public Works
C o u n t y o f B u t t e
° 1. Michael Crump, Director LAND DEVELOPMENT DIVISION
O / Storm Water Management Program
7 County Center Drive
Orovtlle. CA 965
A� 1c vYOR�S 95(530) 538-7266
(FAX) 538-7171
'Natiorzal Pollutant Discharge Elimination System (NPDES) Phase li
Construction Storm Water Permit and Storm Water Pollution. Prevention
Plan (SWPPP) Acknowledgement ILESS THAN 9 ACRE]
Project Description: I !/t 61 d-&/ I r1-±: ���L� d`�ryA.
r*r GL'd/1 - W S"k-
- Project Location and/or Parcel Number: :f >;M/Y)mgJ
9x- DL/3
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. Phased projects that contain
multiple site build -outs 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 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. V
Signed:
Title:
Date:
Less than l Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
�QP�SWENT
O0 Tr
/ °°
1 ° ,
\°
� cO t ► nl'(
o� Department of Public Works
° C o u n t y o f B u t t e
° J. Michael Crump, Director LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
A 9 Orowlle, CA 95965
'L/`�yVO (530) 538-7266
(FAX) 538-7171
a
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Storm Water Permit and Storm Water Pollution_ Prevention
Plan (SWPPP) Acknowledgement rLESS THAN 1 ACREI
Project Description:
Project Location and/or Parcel Number:
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. Phased projects that contain
multiple site build -outs 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 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. V
Signed:
Title:
Date:
Less than I Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
Butte County Department of Development Services0�0T
1,
7 County Center Drive
G"'" "- o
,t:1,� , . -
Oroville, CA 95965
538-7601
O O
o ''"' 0
(530) Telephone
,o
(530) 538-7785 Facsimile
cOUN�y
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES
I request and authorize the Building Division to process this building permit application through the plans
examination process WITHOUT first obtaining all .necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby acknowledge:
• I need to submit applications for septic and/or well to Butte County Environmental Health
immediately.
• I am required to bring the approved Environmental Health site plan and approved sanitation
clearance to the Building Division as soon as clearance is obtained
• I am responsible for notifying Development Services, in writing, to stop processing of the
application and to arrange for disposition of plans
The Building Division will process the application through the plans examination process, as submitted,
without input from other regulatory entities that could prohibit issuance of the building permit or require
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
Typically other required permits/clearances include, but are not limited to, verification the parcel was
legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture
buffer zones, and habitat/species).
Please print:
Applicant Name: 0141 __ �f1. APN;
M 43
Building site address: i` -6y'l Ile Permit No.:
I have read, understood and accept the terms and conditions as expressed herein as indicated by my
submission of the above -referenced building permit application and my signature below:
SIGNATURt OF APPLICANT DATE
Copy to Applicant/EH/File K:Fonns/BldgPennitwithoutClearances 020705
BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD)
❑ PARADISE RECREATION AND PARK DISTRICT (P,RPD)
! ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s).0 71.— L/00 ^ t -
Building Permit Number 2 6 /
Property Owner (s)
Project Location /Address
Subdivision Name Assessable Sq. Ftge
Type of Residential Development (check one)
New Development
Alteration/Addition(s)
Mobile home
Demo Permit (date issued
Comments:
Single Family -Detached
Non -Residential to Residential
Mobile home replacement
Single Family -Attached
Multi -Family Dwelling
verified by Assessor Department
verified by Building Department
/FWD ❑ CARD ❑ PRPD ❑ DRPD certifies that:
D PA x /o3
Applicant Name Phone Number
Address
City
State Zip
Has complied with requirements of the'Butte County Board of Supervisors Resolution No.
by Payment of:
i Dwelling Units @ $ Ka
.. 00 per unit for a total of $ � a D , 0
Square Feet @ $
Remarks:
Paid by Check No: /� 4113 Paid by Cash:
Recreation and Park District Representative
K:\FORMS\BU1LDrNG FORMS\park-rec standard form rev Ldoc
per sq foot for a total of $
Receipt No: 16 6 9 g-
nril�i�nn4 tn:�� 1b41bbI1484 MARLETTE HOMES PAGE 07
V
DIMENSIONS SHOWN ARE ACTUAL FLOOR BOX SIZE: �
DOES .NOT INCLUDE SIDING AND ANY SET UP VARIANCE. a
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0 38'-0"
2
GAS X -OVER CB
® 54'-2"
0 26'-8"
3
DRAIN OUTLET0
23'-0"
0
4
DRAIN X -OVER BA
0 23'-0"
0 17'-4"
5
DRAIN X -OVER CB
0 23'-0"
® 34'-0"
6
WATER INLET
0 30'-0"
® 39'-2"
7
WATER X -OVER CB
® 23'-0*
0 26'-8"
8
WATER X -OVER BA
0 23'-0"
0 13'-4"
9
MAIN ELECTRICAL
0 19'-0"
0 38'-5Y4"
10
ELECT. X -OVER CB
® 8"-4"
0 26'-8"
11
ELECT. X -OVER BA
® 8'-4"
® 13'-4"
12
DUCT X -OVER AB
® 5-10" & 65'-10"
® 13'-4"
13
DUCT X -OVER BC
0 5'-10" & 63'-2"
0 26'- 8"
14
DRYER VENT
0 26'-1'°
0 39'-0"
15
DOWN DRAFT
0 57'-3"
0 7'-1"
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3731
4975
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5599
7465
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Vector Dynamics
Foundation System
INSTALLATION INSTRUCTIONS
for the State of California
Version 9/2/2003
INDEX
PAGE RELEASE
SECTION NUMBER DATE
INTRODUCTION
2
9/2/03
GENERAL INSTALLATION
3
9/2/03
PARTS LIST
4 & 5
9/2/03
LONGITUDINAL DEVICES
6
9/2/03
PIER HEIGHTS
7
9/2/03
SET-UP INSTRUCTIONS
8
9/2/03
FOOTER SIZES
WIND ZONE I - SINGLE
9
9/2/03
-DOUBLE
10
9/2/03
- TRIPLE
11
9/2/03
- HIGH PIER
12
9/2/113
WIND ZONE II - SINGLE
13
9/2/03
- DOUBLE
14
9/2/03
- TRIPLE
15
9/2/03
V -DRIVE & PIER SYSTEMS 16
SOIL CLASSIFICATION 17
CONCRETE INSTALLATION 18 & 19
COMPONENT PARTS AVAILABLE UPON REQUEST
imurn.conie-a
Approval
MANUFACTURED HOMEIMOBTLE HOME
FOUNDATION SYSTEM
HEALTH AND SAFETY CODE, SECTION 18551
APPROVED
SUBJECT TO CORRECTIONS NOTED
ROVAL DOES NOT AUTHORIZE OR APPROVE ANY
MISSIONS OR DEVIATION FROM REQUIREMENTS OF
APPLICABLE STATE LAWS AND REGULATIONS
State of California
-Dbputment,9fnou8L7 and Community Development
N DES AND STANDARDS
kyr DATE
' (signature) /
SPA
This Pan Approval Expires tJ
QKOFESS/p V4,
M.
No.6 245. �
\ n. ie ,/04 *
clv1�- _,��
9/21103 gTfof cnuEo�
9/2/03
9/2/03
COM1�
DAEPAR7,r
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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 vdind zone when the system is used as described in these instructions. Please verify state or local wind
load requirements prior to installation of file home.
The Vector Dynamics Foundation System resists lateral & longitudinal wind & seisr-nc 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" to 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 vihich 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.
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.
x
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 FORVECTOR 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 - 4x4 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 ivill 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.
C 6
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.
Vector Dynamics
Foundation Systems J�ro�-
Longitudinal Component Parts List
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
301,
up to 2 Blocks
# 59012
39"
up to 3 Blocks
# 59013
44"
up to 4 Blocks
# 59014
53"
up to 5 Blocks
# 59015
65"
up to 6 Blocks
PVC Adapter Bracket I
# 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)
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
& LSD
Exa m pled of Possible placement:
(Contact TIE DOWN for placment in other Wind Zones)
Wind Zone
I
Single Section
I
o I
j
I
I 1
I I
I I
I I
I I
I I
I I
I 1
I I
I
Wind Zone
I
Double Section
18 Ft. Max. 32 Ft. Max.
Forreater widths use
triple section design.
nn,,,, r.
Wind Zone
I
Triple Section
Wind Zone
Tag Section
48 Ft. Max.
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
Unequal Pier Heights
t
24'
1
26" Maximum
Homes with unequal pier heights are luniled to 50" maximum pier height. The difference hetween the taller pier
and the shorter pier cannot exceed 26". _ l' l
Set -Up Instructions for
Vector System #59018
A
Long U -Bolts
D
1. Set Vector Pads 4. Inside brackets & straps
Clear all vegetation where pads will rest. Place Attach the inside tie brackets to the U -bolts over
a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook
mer pad into the ground. or swivel strap \/V/nut & bolt. Place other end of
the strap over opposite I-beam & down to out -
2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches
Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in
pre-cut center compression member between bracket. Tighten strap until tight with 4-5 v,!raps
blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap.
as shown.
3. Outside Tension Bracket
Attach outside tension bracket as shown to out-
side of pads.
P)nn R
1. Set Vector Pads 4. Inside brackets & straps
Clear all vegetation where pads will rest. Place Attach the inside tie brackets to the U -bolts over
a long U -bolt in pad as shown. Press or ham- the compresion member. Attach a strap w/hook
mer pad into the ground. or swivel strap \/V/nut & bolt. Place other end of
the strap over opposite I-beam & down to out -
2. Set Block or piers on pads. side tension bracket. Cut strap 12 - 15 inches
Center foundation blocks or piers on pads. Place past bracket. Attach strap & slotted bolt in
pre-cut center compression member between bracket. Tighten strap until tight with 4-5 v,!raps
blocks, resting on pads, centers between U -bolts around bolt. Repeat with opposite strap.
as shown.
3. Outside Tension Bracket
Attach outside tension bracket as shown to out-
side of pads.
P)nn R
0
WIND ZONE I, SEISMIC ZONE 4
Vector Dynamics Systems Required for
Single Section Homes
(Materials Required)
Note: L.S.D.=
Stabilization I
See Page 6.
\2 sq. ft. pads
of the home. Pier spacing must be
consistent with home manufacturers'
Soil Classifications: 2, 3, 4A, & 4B instructions and/or state requirements.
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required: 30" with 2-4" helix anchor (59095),
12" stabilizer plates (59292), 1-1/4" frame ties
Home Length
Vector Systems
Anchors Required
Required
Per Side or 24" Pier
24+" Piers
L.S.D.
0 to 72'
3
2
3
2
73' to 90'
14
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)
ector
nami cs
s
h
WIND ZONE I, SEISMIC ZONE 4 - \
Vector Dynamics Systems Required for
Double Section Homes
(Materials Required) - _ - - - " .00 -
Sects
600,0\e
--- ,-- _, --"- � 272)
1 e o AY
I - �p�. 1Y Ai' t' �Y'L• � - - - - y I
NOTE: Vector Systems should t
symmetrically as possible alon
home. Pier spacing must be c!
manulacturers' instructions and/or state requirements.
JO anchor, required. FOr
pier heioh;s up to 116" for WIND ZONE I
;R.. '01..2 '., ,.•Nide
See P; 12 for Nigh pier
,n IrU"IIOnS.
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.
0to40'
2
0
2
41' to 66'
3
0
3
67' to 84'
4
0
4
85' to 90'
5
0
Each Vector System requires one of the following:
'1-1x4 or 2-2x4's pressure treated wood compression membe-r,
Schedule 40 PVC Pipe or 1 adjust,-Ible steel compression ;see part:, hii!
Note: L.S.D.=
Longitudinal
Stabilization
Device
See Page 6.
WIND•ZONE I, SEISMIC ZONE 4 - - "--
e° ° hr°S,
Vector Dynamics Systems Required for ' , _ - a I6 �k t�-\U sor vp`�o - -
Triple Section Homes
g
(Materials Required) - - - -s - Axa Shops
3k \onrZ
ector
namics
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.
E
Tag or__-,
full triple
I1
2 sq. ft. pad 2 sq. ft. pad
Soil Classifications: 2, 3, 4A, & 4B
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required': None ('Marriage wall anchors may
be required by home manufacturer.)
Home Length
WIND ZONE I
Anchors Required
Per Side
LSD
Main TAG
0to48'
2+2onTag
I1
2 sq. ft. pad 2 sq. ft. pad
Soil Classifications: 2, 3, 4A, & 4B
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required': None ('Marriage wall anchors may
be required by home manufacturer.)
Home Length
Vector Systems
Required
Anchors Required
Per Side
LSD
Main TAG
0to48'
2+2onTag
0
2
1
49'to71'
3+2onTag
0
2
1
72'to84'
4+2onTag
0
2
2
85'to90'
S+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 steal cornpreSSion (see parts list)
WIND ZONE I, SEISMIC ZONE 4 (High Pier Sets) "- -
Vector Dynamics Systems Required for
Double Section Homes
(High Pier Sets with Diagonal Ties) - - " ��OV�)
ector
noetics
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.
+ MIND ZONE I
Max. Height i Unit width
See Page 7 —•-
'Ain.
3 -'—
x � I -Beim
Spacing
' 2 sr. t; ....:7
Home Length
Vector Systems
Required
I Anchors Required
Per Side
L.S.D
0 to 48'
2
2
2
49' to 71'
3
3
3
72' to 84'
4
4
4
85' to 90'
S
5
4
Soil Classifications: 2, 3. 4A, & 4B
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required': 30" with 2-4" helix anchor (59095). 12' stabilizer plates
(59292) 1-1/4" frame tie with connector
Each Vector System requires one of the following:
1-4x4 or 2 -2x -,I'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) _ - - "
Ok
' S�n9\e s oG\je� ° S� See ru21 gu dell �e -
A"
\2 o\ es 9 eo be c\a1 sP2ho9e �s1211�\�0
10
amP ,rk
Shy �;�Us�.--
n
)000
Y
WIND ZONE II
(not to.scale)
�2 sq. ft. pads
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
0 to 48' 3
5
2
49' to 60' 5
_ 6
2
61" to 72' 6
7
2
73' to 84' 7
8
2
85' to 90' 8
9
2
5
1 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:
1-4x4 or 2-2x4's pressure treated wood compression member.
Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list)
eCtor. .
namics
WIND ZONE II SEISMIC ZONE 4
Vector Dynamics Systems Required for
Double Section Homes - 60ou1e socvectocsy}����„
1e 0� e2ef at sP ho
EXa0op s11oW s ,9 ust be to - -
11U� s r2�d
59ac�n9
- on
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 stale requirements.
Maximum allowable working drag load for the Vector
System with steel compression strut is 4,000 lbs. per
the K2 Engineering test report.
2 sq. ft. pads
Soil Bearing Uapacily: 1.000 F'Si- minimum
Anchors Required': 30" with 4" helix anchor i59095).
1-1/4" vertical ties %--!/4725 !)s. rein. hreakinc;
Home Length
Anchors Equired
per side
Vector Systems
Required
LSD
0 to 48'
4
4
3
49' to 60' .
5
5
3
61" to 72'
6
6 _ --
3
- 73'to84'
7
7
4
85' to 90'
1 8
8
1 4
Each Vector System requires one of the following:
1- 1x4 or 2-2x4's pressure treated wood compression
Schedule 40 PVC Pipe or 1 adjr.rstahle steel compression
�C i.Ci1"
namics
WIND ZONE II, SEISMIC ZONE 4 _- -
I
Vector Dynamics Systems Required for
1`1 SgCk\0 r prOs`1 2e„�s
Triple Section Homes - '
(Materials Required) _ - ” - - - i �g �; 5` �c�r,g for
.,.
ector
r�omics
I _ ;filaI
L
I 1 I� � s .. •i' \ \ I
r
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 ---
full triple
Soil Classifications: 2, 3. 4A, & 4B
Soil Bearing Capacity: 1,000 PSF minimum
Anchors Required': 3!4" x 30" with 4" helix anchor (59095) 1-1/11" vertical ties
%Wl 1725 lbs. min. breaking strength.
Home Length
Vector Systems
Required
Anchors Required
Per Side
LSD
Main TAG
0t048'
3+2onTag
4
2
1
49' �o 71'
- 2 on Tag
v
3
2
72' io 8-"
3 on Tag
7
3
2
85' to 90'
5 3 on "fag
8
3
2
Each Vector System requires one of the following:
CD 1-4x4 or 2-2x4's pressure treated wood compression member,
= Schedule 40 PVC Pipe or 1 adjustable steel compression (see parts list)
n
v
2 sq. ii. pad cr fi. pad
Vector Dynamics
Metal Pier & V -Di
METAL PIER FOUNDATIONS
For metal piers, place the piers in the center of the Vector pads. Set the single 44 or two 2x4's through the piers, centered in the U -
bolls. Outside Tension brackets attach the same, Inside tie brackets mount *upside down' as shown in dravAng. Metal piers using the
Vector System can only be used on level ground sets.
Conveniional pier adjusters must be placed under beam with upturned edge directed towards the outside of the home.
Pier spacino must be consistent wilh 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 rhe center com-
pression section, when using METAL PIER STANDS, measure center to center frame distance and add 16'. Optional Ivtoisture 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-1
for rocky sc
re used only in
tion homes.
V -Drive anchors are need only in Zone I, single section homes in areas where rocky soil conditions do not a(br:r ;tyle anchors to
he in slalled.
Vector Systems are set following the general set up instructions provided. With the V -Drive anchor, the short 2x:1 boom(; used with the
outside tension brackets are discarded. In place of the short W's, a longer 2x4 is used as per the diagram above. Thr; 2x4 board
should extend from the base of the Vector pier set to 5 inches from the side wall of the home.
Plane the V -Drive head over the end of the longer board. Using a heavy hammer or electric hanuner gun, drive the Ihrr;r; V -Drive
anchor rods through the V -Drive heads at an angle of approximately 45 degrees under the home. The rods rnusl corny; to a complele
stop on the V -Drive head. Atlach a strap with hook or buckle to the frarne and attach to the V -Drive head wilh a slotted bolt. Cut the
strap end about 12 to 15 inches past the anchor head to allow at least four or live wraps around the slotted boll. Ccnrl ufl'(�'tighte ng
strap until all slack is out incl strap is tight �'^ !•l H � p,;
P;itic 16 Cilifornia `' '(-" yl)rt►'t
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. Tlie shaft must be of suitable length for anchor depth.
(2) A measure synonymous lith moment of a force when distributed around the shaft of the
test probe.
Vector Foundation Pads Equivalent to Footer Pads*
Footer Size:
16x,16 = 256 sq. in.
or 1608 = 2.88 sq.
Footer Size:
20x20 = 400 sq. in.
or 17x25=425 sq. in.
EQUALS EQUALS
2 -Vector Pads # 592.75 = - - - 1 -Vector Pad # 59271 -
288 sq. in. or 132'sq. in.
1 Vector Pad # 59130
Vector Pad(s) exceed the surface area required when used as the equivalent liste Bove.
Foundations in soil c11111 ;1 ht':11111(l capacily of In—, !11;111 1.000 PSr must ht: dw;igrn:d b"'.1 Itelj;t'11!wd I'iu;esr,innal LJmr{✓' i�[ wish Situ
condilons ✓
pack' 1 CaIIIoII1G1 9/2/
03Hc��
l
Vector Dynamics System
for Concrete Applications
Instructions
These instructions are an addendum to the standard Vector Dynamics instructions. Read
and follow all applicable instructions and guidelines in the Vector instructions and home
installation manual. The Vector system for concrete pads applies to concrete footers,
runners and slabs. Minimum size of concrete per Vector pier is 24"x24" x 4" or 18" round
(min) x 10" deep. The bottom of footers must be below the frost line or a minimum of 4"
below finished grade whichever is greater. Concrete must be sufficiently cured and set
to accommodate an anchor bolt to its' full load resistance.
1. Determine location of pier sets where the Vector systems will be located.
2. Place one Vector concrete pad (gals. metal) on the concrete where the pier will be
located, centered under the I-beam of the home. Place the upturned edge towards the
center of the home and directed to the opposite Vector pier. Do the same for the opposite
Vector pier.
3. Measure the distance between the two Vector system pads at the base where the Vector
pad meets the concrete. Cut two ground treated 2x4's or Schedule 40 PVC pipe. or 1
adjustable steel commpression member, part #59043 this length and place betv,/een 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
concretE
Concrete
footer
Page 18 California
Wood Cap
and wedge
Outside
Tension
Bracket
Wedge
Bolt
l It*2iC:_L
Vector Dynamics System
for Concrete Applicationsor....,.. k
Instructions - '
9. Put a washer and nut on one of the 3/B.. 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 wedg
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 Tv
Inside
Tie Bracket
Compressic
boards or
PVC Pipe
Vector pad
for
concrete
Concrete
footer
U -bolt
Pane 10 (:;1lilnrni;1
E.H. USE ONLY
Plot Plea Anachod
Floor Plan Anachad
Sena to B.D. !
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
rriA1 �=� �Ga�ieR,ar'.� /eon . Olt -loo - o�
Owner Location AP# .
Plan Approved for: Sewage Disposal A/ Water Supply: Public Private Well ✓
Clearance for 'dwelling. Other c9
Hold final for:
Final clearance O.K. for:
NOTE:
A
6
Environmental Health Sp ist Date
8/96
FIRE SAFE REQUIREMENTS
Butte County Fire Department
California Department of Forestry and Fire Protection
176 Nelson Avenue, Orovillrola 95965 • (530) 538-7888
Property Owners Name: 6l /y��. n Inspector: spection Date:/ Building Permit # /
Property Location: Z 3 �lGyi/�,D W, City: Phone: �%b ?lb —. C�a'C% C6'LG
✓
~27Z QO'AIAII,f10ENANCE' 1F}DEFENSII3I.E SP XCE
2Y 16`;'+Pc Eh+ k' far,
.
.� �.
E`.7 ��'x'.�'�Yw,'Si .. �i
To ensure continued maintenance of properties in'conformance •
with these standards and'measures re and to assucontinued
availability, access, and utilization of the defensible space provided
for these standards during a wildfire, provisions for annual
maintenance shall be included' in the development plans and/or
shall be provided as a condition of the permit, parcel or map
approval.
Public Resources Code 4291 informationprovided?' Yes ❑ No ❑
I understand it is my responsibility as the property. owner to annually •
�
< .
provide defensible space on my property as required by law (PRC 4291).
Property Owners S'
which conforms to that jurisdicuioit's'overall address system.
(a) All new driveway construction or an extension of an existing
driveway shall comply with Public Resources Code 4290 roadway
uirements.
Is the driveway new or was it extended? Yes No ❑
(b) All driveways shall provide a minimum 10' traffic -lane and
unobstructed vertical clearance of 15' along its entire len
Driveway width: 15 Vertical Clearance:
(c) Driveways excee ' g 150' in length, but less than 800' in
length, shall.,provide a turnout near the midpoint of the driveway.
Where the driveway exceeds 800', turnouts shall be provided no
+/
.more than -400' apart
Driveway le
(d) A turnaround shallbe provided to all building sites on
driveways over 300' in lengtli.and shall be within 50' of the
building. s
Turnaround distance'from burl '
1,7142' ROADWAY S.IIRFA
The surface sball provide unobstructed access to conventional drive.
vehicles, including sedans and fire engines. Surfaces' should be.
established in conformance with local ordinances, and be capable
of supporting a 40,000 pound load. 4" of class 2 aggregate base
shall be required for all drivewa tumouts and.tumarounds:
th ofaggregate base:
Flwn1273:63
ROADINAYGR:ADES
The grade for all roads'streets; private lanes and driveways shall
not exceed 15%.'All'gracles over l5% shall have 4" of class 2
aggregate and 2" (if halt concrete. No driveways.altowed in,
excess of 20"/°.
Percen a of sl ..:: %.
`/,�
1213 04 ROADWA;Y.RADIUC�' k° l'Ry� �r sNyy�
1::.��'� VEZN�:4. "Y�
(a) No roadway shall haye�a horizontal inside radius of curvature
of less than 50' and additional surface'width of 4' shall be added to
curves of50-100'.radius 2'to'those from 100 200'. .
Questionable horizontal curve radius:
(b)': The length of vertical 'curves in i'oadways,-=exclusive'of gutters,
�%SAMEPRACfICAIETtFECT«RE"
ditches, and drainage structures designed. to hold ordivert'watei,
:shall be not less than 100
Questionable vertical curve 1
227303ROADWAXTURI!tAROU1VDS.
Turnarounds are required ondnveways as specified m this amcle:::.;
The mini um turning radius fora turoaround'shall be 407 m'the the:,:
center line of the road If a hi mmerhead-T is,used, the top of tbe',
"T" shall be a ruinimum of 60'>m den
T e of roadwa tumaround used? : . ;' Measurements?
+®•
13s73�`0.6ROADWAYT,URNO.fJ`)rS �. " ,� �, �.:
Tumouts shall be a minimum of. 10' wide and 30' long with a:
minimum 25' taper on each end.
Roadway turnout measurements and location.
r
X1273 07ROAMAYSI`RQCT[TRESc�,�: ,
:-
(a) All driveway, road, street, and private lane roadway structures
(Bridges,nother apmihich.
. nt,,.•
supplement the roadway bed or sh6blders) shall be constructed to . .
carry .ai least the,maidmum load ind provide the mmiiiienuvertical ..
clearance as required by Vehicle'Coda Secfions'35550, 35750'aad'
35250.,';
Bridge certified by re iered civil en ineer? .Yes ❑ . No..❑
(b) Appropriate signitig;•iriduding but not -limited to .weightor'
i%
vertical clearance limitations,•one=way road or single lane
conditions; shall refl6athe `li " of each bridge.'.:,'....
instaled? Yes,❑ NoOCorrect signss
,(c) A bridge with only one traffic lane may be oii
anthied by die_
local jurisdiction;°however; it :shall provide for unobstructed " ..
visibility "from one end to the other and turnouts at both ends. ..
Turnout measurements on each d
Re -Ins 'ection Dates lnipMor
15
2
3
No `:Violation/Remarks Cleared
Distribution: White – Building Department Yellow = Fire Prevention Pink – Property Owner
127311GAEN .__'' .:t G1�3.
(a) Gate entrances shall be at least two feet wider on both ends then
the width of the traffic lane(s) serving the gate.
Gate measurements on ends:
(b) All gates providing access from a road to a driveway shall be
located. at least 30' from the roadway and shall open to allow a
vehicle to sto without obstructing traffic on that Woad.
Gate distance on driveway from road: :
(c) Where a one-way road with a single traffic lane provides access
to a gated entrance a 40'. turning radiusshall be used.
T'radius'measurements:-
�
< .
s
`'Y2 408�ADDRkSSES'FOR�B,UiI:DiNG-. '
xii. ti£"1SlY sY
%�
AlLbuildings shall be issued an address by the local jurisdiction,
which conforms to that jurisdicuioit's'overall address system.
Accessory buildings will not be reguffe.d to have a separate address;
however, each dwelling unit m a building shall be separately
identified.
Is address correct? Yes No ❑
274 SILEOi:ETTERS; N EFtSANDSXMBO
E5
pIZ. ADD,RES3 -
Size of.letters, numbers and symbols for addresses •shallb
minimum 3" letter height, 3/8". stroke, reflectoriied, c trasting
with the background color of the si
Letters, Numbers and Symbols correct?. Yes ff No.❑
+/
12�f4)lUR5 "',� ATION.- 0GATION ItND Y[SIB I:Tt1'OF
ADDRESSES.0 �, ��W
(a).. A11 buildings' shall have a permanently posted address, which
shall be placed at each driveway entrance and visible.from both
directions of travel along the road. In all cases, the address shall be
posted at the beginning of construction and shall be maintained
dtereafter,'and the ad shall be visible and legible from the road
on which the,addudis located.
Correct? ,:Yes 4T No ❑
(b) Address signs alo one-way roads shall be visible from both
the intended diieo of travel and the opposite.direction.
Coirect? : Yes No ❑
(c) Where multiple addresses are requited at a single driveway, they
shall be mounted on a single post.
Correct? Yes ❑ No ❑
(d) Where. a•roadway-provides access solely to aaingle commercial
or industrial birsiness; the address sign shall be placed at the nearest
road intersection rovidin access, to that site.
Cor ect?.':Yes ❑ No ❑
�/
`1�t76i01�S1�+TBACKIF�OR�S�TRU��3 gREDEF�ENSIBI, ,;SPACE
(a) All parcels I were and larger shall provide a minimum 30'
setback for buildings and accessory buildings, from all property
lines and/or the center of the road.'
(b) For parcels less than l acre, the local jurisdiction shall provide
for:the same, hcat:effect
�%SAMEPRACfICAIETtFECT«RE"
tJ7REMENTS
If a Building Setback is less then 30 from all pr perry lines and/or
the center. of the roads the following shall:
• •Cla'ss A roof.-; Correct? Yes ❑ No.
•Full enclosed ea"ves on entire structure -Correct? Yes o ❑
•'Metal doors.ioward insufficient setback Yes O. No ❑
• : Siding from the following. list:,
(a).Stucco-.3 coat
(b)Non combustible Har&Bo'"Plank or similar siding
(c) Masonry
(d)`Metal
(ey Other Butte County Fireent approved materials
...Correct sidinused on entire structure?: Yes ❑ :::No' ❑
`��/ �
""7,276 03 DISP<?SA'IU�OF'FL�AMIIIABLE`VEGET`ATION�AND°
Disposal, including chipping, 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
..
<buildin it
Coni leted? :Yes ❑ _. No E3
i%
osHEB REQUIRE11IErTrSuYs� ALaTIUrroF ih '
'°rRESiDEN77AiFI�;SPRII!TKIERS,., #.` 5. _ .
If your propertywas pail of a parcel splitafter January. ], 1991, you
are required to install residential fire'sprinklers."It is; the property
,
owner's responsibility to review the official 1 -map to.confirm
if s ers are: .. ired
Are sprinklers required? Yes ❑ No Er
Ares rinklers.installed? Yes ❑ No
No `:Violation/Remarks Cleared
Distribution: White – Building Department Yellow = Fire Prevention Pink – Property Owner
RECORDING REQUESTED BY:
!i'
OF
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
Recorded I
Official Records I
County of I
But I
CRME J. GRUBBS I
County Clerk-Recorderl
I
1
09:15AM 25-4lay-2006 I
REC FEE 13.N
COPIES 2.5@
COWORNED COPY 1,00
JC
Page 1 of 3
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 J
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.
FLOYD S. BERRINGER JR
REAL PROPERTY OWNER/LESSOR
7409 TROON WAY
MAILING ADDRESS ,.
SACRAMENTO SACRAMENTO CA 95822
CITY COUNTY STATE ZIP
843 SIMMONS RD.
INSTALLATION MAILING ADDRESS, IF DIFFERENT
BERRY CREEK BUTTE CA 95916
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
PACIFICA
MAILING ADDRESS
DATE OF MANUFACTURE -
OROVILLE BUTTE CA
95965
CITY COUNTY STATE
ZIP
05-1 530
538-7541
BU ING IT TELEPHONE NUMBER
ATURE OF LOC AGENCY OFFICIAL
DATE
INTEGRITY HOMES
DEALER NAME (if not a dealer sale, write "NONE")
1067714
MAILING ADDRESS DEALER LICENSE NO.
SAME
CITY COUNTY STATE ZIP
UNIT DESCRIPTION
MARLETTE HOMES
2005
PACIFICA
MANUFACTURER'S NAME
DATE OF MANUFACTURE -
MODELNAME/NUMBER
HER024124ORA/B/C
69'X 26'8"/68'X 13' 4"
ORE470421/2/3
SERIAL NUMBER(S)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER 071-400-043
HCD FORM 433(A) REV. 8/91
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept.
059 I Z
w
ORDER NO. BU -137591-3
DESCRIPTION `
ALL THAT.CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA,
COUNTY OF BUTTE, DESCRIBED AS FOLLOWS:
PARCET, I:
PARCEL 11 AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
ON JULY 2, 1981, IN BOOK 83 OF MAPS, AT PAGE(S) 38.
PARCEL II:
A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON
THAT CERTAIN PARCEL MAP RECORDED NOVEMBER 4, 1977, IN BOOK 63 OF
MAPS, PAGE 7.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
RCEL III:
- A PERMANENT NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY
PURPOSES, BEING A STRIP OF LAND 60 FEET IN WIDTH, SAID STRIP LYING
30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE:
BEGINNING AT A POINT ON THE EAST LI4E OF SECTION 20, TOWNSHIP 20
NORTH, RANGE 5 EAST, M.D.B. & M., FROM WHICH THE SOUTHEAST CORNER
OF SAID SECTION 20 BEARS SOUTH 00 DEG. 521 46" EAST, 11065.33 FEET,
SAID POINT ALSO BEING THE POINT OF COMMENCEMENT, AS DESCRIBED IN
THAT CERTAIN DEED DATED APRIL 20, 1965, AND RECORDED APRIL 22,
1965, IN BOOK 1369, PAGE 546, OFFICIAL RECORDS; THENCE FROM SAID
POINT OF BEGINNING, LEAVING SAID EAST LINE, ALONG THE CENTERLINE AS
DESCRIBED IN SAID DEED NORTH 75 DEG. 08" 40" WEST, 208.98 FEET;
THENCE SOUTH 68 DEG. Olt 00" WEST, 203.53 FEET, THENCE SOUTH 53
DEG. 191 30" WEST, 110.29 FEET; THENCE SOUTH 38 DEG. 27,' 00" WEST,
141.91 FEET; THENCE LEAVING SAID DEED CENTERLINE SOUTH 12 DEG. 221
15" EAST, 72.81 FEET; THENCE SOUTH 25 DEG. 0911 58" EAST, 133.49
FEET; THENCE SOUTH 07 DEG. 001 38" EAST, 196.85 FEET; THENCE SOUTH
89 DEG. 031 28" WEST, 239.11 FEET; THENCE SOUTH 47 DEG. 171 -35"
WEST, 270.64 FEET; THENCE SOUTH 12 DEG 4811 15" WEST, 325.19 FEET;
THENCE NORTH 72 DEG. 531 45" WEST, 193.35 FEET; THENCE SOUTH 27 DEG
441 06" WEST, 173.71 FEET; THENCE SOUTH 05 DEG. 471 01" WEST,
164.14 FEET; THENCE SOUTH 85 DEG. 431 5511-WEST'216.81 FEET; THENCE
SOUTH 27 DEG. 021 45" WEST, 100.38 FEET; THENCE SOUTH 31 DEG..031
24" EAST, 270.18 FEET; THENCE SOUTH 06 DEG. 11' 15" EAST, 123.26
FEET; THENCE SOUTH 62 DEG. 021 03" WEST, 205.31 FEET; THENCE SOUTH
38 DEG. 551 53" WEST, 150.35 -FEET; THENCE SOUTH 13 DEG. 05,1"1611
EAST, 121.46 FEET; THENCE SOUTH 57 DEG. 501 40" EAST, 240.90 FEET;
THENCE SOUTH 68 DEG. 21' 16" EAST, 188.10 FEET; THENCE NORTH ,
CONTINUED ''
93-4059!-
3
. ,
ORDER NO.. BU -137591-3
PARCEL III: CONTINUED
84 DEG. 03* 10" EAST, 118.56 FEET; THENCE SOUTH 22'DEG. 38,1 3111. i
EAST, 137.37 FEET; THENCE SOUTH 25 DEG. 44' 47" WEST, 388.61 FEET;
THENCE SOUTH 45 DEG. 14" 51" EAST, 145.03 FEET.; THENCE SOUTH 71.'�.',
DEG. 49" 54" EAST, 128.47 FEET; THENCE NORTH 88 DEG. 15" 14" EAST, '
131.33 FEET; THENCE SOUTH 44 DEG. 331 43" EAST, 133.40 FEET; THENCE
SOUTH 49 DEG. 391 07" WEST, 260.43 FEET; THENCE SOUTH 88 DEG. 12'
44" WEST, 200.66 FEET; THENCE NORTH 73 DEG. 211 32" WEST, 142.00
FEET; THENCE NORTH 80 DEG. 06" 43" WEST, 335.18 FEET TO A POINT
FROM WHICH THE SOUTHEAST CORNER OF SAID SECTION 20 BEARS NORTH 39
DEG. 121 06" EAST, 2,644.84 FEET SAID POINT BEING THE END OF THE
HEREIN DESCRIBED CENTERLINE.
EXCEPTING THEREFROM ANY PORTION OF SAID ROAD LYING WITHIN THOSE
CERTAIN PARCELS OF LAND CONVEYED IN DEED FROM'PEARL E. SIMMONS, A
WIDOW, TO THE STATE OF CALIFORNIA, IN DEED DATED NOVEMBER 6, 1962,
AND RECORDED MARCH 8, 1963, IN BOOK 1231, PAGE 548, OFFICIAL
RECORDS. '
r
3EARINGS AND DISTANCES IN THE ABOVE DESCRIBED CENTERLINE ARE BASED
ON "'HE CALIFORNIA COORDINATE SYSTEM ZONE II, AND THE ZONE II.
CV..RDINATES FOR SAID POINT OF BEGINNING ARE Y=694,628.22 AND
X=2,161,621.50.
PARCEL IV:
A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES AS SHOWN ON
THAT CT..: -A=N PARCEL MAP RECORDED IN THE OFFICE OF THE RECORDER OF
TH.' COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 2, 1981, IN BOOK
83 OF MAPS, PAGE 38.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HERE.T.N.
END OF DOCUMENT
BUILDING PERMIT NUMBER: 05-1264
Address or location of unit: 843 SIMMONS RD., BERRY CREEK CA 95916
Legal Description of Real Property: AP# 071-400-043
SEE ATTACHED
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: FLOYD S. BE.RRINGER JR.
Owner's address: 7409 TROON WAY, SACRAMENTO CA 95822
INSIGNIA OR HUD NUMBER: ORE470421/2/3
SERIAL NUMBER OR V.I.N.: HERO24124ORA/B/C
MANUFACTURER'S NAME: MARLETTE HOMES YEAR: 2005
OFFICIAL APPROVING INSTALLATION. �---J
DATE: _�5- — 2
PHONE: (530) 538-7541
H.C.D. 513C
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08/2'6/04 12: YAg 530 894 '647 BTEC'. CUSTOMER SRRVICF i' BTEC ORO Q005
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Otter No. -
Escraty No. 13,1581-9 DH
Lose No.
C� i I
WHEN Rl iOADED MNL TO.
9 3-0405 "' + 1 Ric Few 11.00 .
1 Vac V6, 79
FLOYD S. BERRINGER. JR.
IZ`'c`u d`' I Cnu.k S7.75
JULITA L ['ADA
of:.Icsal gocards I
County of I
8TRUJILLO WAY
038
Bvtis I
SACRAMENTO, CA VWG
Candra� .7. l3ruAbp I
Recoi•Qvr 1
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8100nm='-5ep-93 I ISM JR 3
MAIL TAX STA-MMENM T(Y
000UWWARV MUMFER TAX $jib
}i Ca�w+ua m tn. aan,tarriw tr •�. N I.opR ovay�L RI1
BAMS AS ABOVE
Oortedl0 In R ambtrrwm at Va iW 6m , VoAtft wa
1woamty r Ince of MAX
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SOL%.* u evataM+ a, AQ4M ffr. WMJp e.. rye team
GRANT SEED
APO OTI-4 2-ws
FOA A Vl UMLE OOWUMM710N. Ie eW a .ern to Wft IantnMMfted.
HENFIV T. AUNGE, JR. and CYNTHIA A RUNGS, husband and wife
haraby ORAWO In
FLOYb 8. DFIVIINGM IFL, un unmerrlad man, as to an undl0fed 1/2 Interest AND JUMA L CADA,
an unmarrled wanwra, 89 to tan undivided 112 Inletoat
IDo real a1CDt 41 6-2 the unlawrpotalad N08 of tv
c4u.Ir of HUy'CE ,91SedC�'Ord9 tea
Oa
WE ATr•A NEO LEGAL MCRIPTION
f
t
Dated SaWNAbar-A 1QQ3
STATE OF CAL MDMA
COUNW OF Butte )�
Septefober 20. 1993 rAar
1• �
nice a A.� fer
1 omwed _ HenrV T. Runge, Jr.
P040 -,v wo.m to ftV Its awes to me an ar sato of 54mud"
mooch) W m dm p a 13) +n.— par, -*a) yue "W*4 tp11n
�vtl9 mWm#W Aid kcknpalac A to fuo eta{ ow.4 1 pw
ra-.r to bammeamo W= mc- cumd"OftL am owl w woMw
2 bgrAW 4ly CA NY Itntn?csrj Vp pw77S1 IN " r` Wwh Wo ea
MTNESS ny Itrnd End Wal; 5"t
'izz
Description: Butte,CA Document—YBar.nocXD .2999,d0591 rage. 1 01:-3
order: Vhaus commd=t:: I I .
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08/26/04 12-18'FA$ 530 894 "'47 BTEC CUSTOMER SERVICE '4 BTEC ORO 16 006
1— —
4
1
e
QRDER NO. 9U-132591-3
ALL THAT CER'(`11IN REAL PROPERTY SITUATE IN THE STAT$ OF CALIFORNIA,
COU11TY OF EUT , L1':aCR78E0 AS FOLLOWS:
P74RCHL T s
PARCEL 1, AS EMOWH ON THAT GAIN PARCEL MP, IIEWRDED IN IZM
OFFICE OP `nM RECORDER OF M COUNTY OF ss WE, STATE OF CAI.IFORHTA,
DN JULY 2, 1981, IN HOOK B3 OF MAPS, AT PAGE(S) 32,
pecan xzi '
A RIGHT OF WAY FOR ROAD AND PIIM C tMMTY PUR80SEB AS SH6VN ON
THAT CMAlli PARCEL. MAP RECORDED XQVPllM 4, 1977, IN BOOK b3 OF'
MAae' PAGE 7. • I I • --
EXCERMG T7=MOH MA THAT 3'MION LYXIM WIMUN TU 90DHDS OF '
PARC•81, x, D)ZSCRXBED HBRE.N, i
A RmiL NF.Ha NON-EXCLU6xvz EASE[3ENT -poli ROAD_ AND i?iJBLSC UTILITY
1PCRPOW23. BRING A STRIP OF LANG 60 FEST IN WIUTli, P%ID STRIP LYING
30 F= ON EAUiI STDs of THE FOI.WQlNC DESCRIBED CENTERLINE:
l3WlNNING AT A POINT ON TIM EAST LINE DA 6EMION 20, TOkMSHIP 20
NORTH, PMROE S EAST, M.D.D. S ii-. FROH WHICH THZ SOUTHEAST CORNER i
oP SAID SECTION 20 BEARS SOMI 00 DEG. 520 46- MT, 1,065.33 FRET,
SAID FOXNT Also �B=G THE rnINT OP COMMB'JCFitPNT, A8 DESCRIBED IN
THAT CER&AiN DEED DATED APRIL 20, 1965, AIM REti7=Eb APRIL 22, '
1965, IN BOOM 1169. PAGE 54E, OPPICIAL RMOBDS; MMNC8 FROH SAID
?OUT OF BEGINNING, LEAVING SAID ZhS'T LINE, AUWG THE CENTERLINE A..
uSSCRYBED IN SAID DEED NORTH 75 DEts. 08' 40F WEST, 2013.98 FEErl
MIENCE SOUTH 60 DEG. 01' 00" WEST. 203.53 PEEL': THENCE So= 53
DCO• 19P 30° >iU:ST, 310.29 FEET; TH=CE SOMH 38 DEG. 27' 00° FTFST,
141.91 FEET': THENCE LEAVING SAI13 DEED CENTERLYRZ MUTE la Dl c. 22,
15" IST', 72.81 FEET; THENCE SOUTH 25 DEC. 09' Seg ?.ABT, 133.49
FEET; TUNCE MOUTH 07 Dln- OD' 38° EAST, 196.aS FEST; THENCE SOUTH
89 DEG. 03' 280'WEST, 339.11 FEET: THEM SAr1TH 47 DEC. 17' 35"
WEST, 270.64 FBGT1 T$ENCE SOUTH 27 DEG 484 15" Wl;ST, 325.19 FEET;
TRFXCE NOJM 12 DE0. 53' 45" :LEST. 193-35 FEET; 'rHF.Ncz SOUTH 27 DEG
44' 0611 REST, 173.71 FEET; THENCE SOUTH 05 DEG. 47' 01" IfFST,
164.14 FF.R'rr THEtCE SOWIR 8S MG. 43' 5511 WEST MAX FEET; TzlwtcB
SOUTH 27 DEC. 02 45" u6$i, 700.38 FLVTg IMCE SOUTm 31 DEC. 03''
24„ WT, 270.16 F=Tt THENCE SOUTH 06 DEG. 110 iSP EAST, 123.36 �
FEET; TRENCE SOUTH 62 DEG. 021 03" WEST, 206.31 FElra'r TU=- CE SC)UYH
38 DEC. 55' 53" NEST, 150.35 Pal=m THERM SOlrril 13 DEE. o5 a 16u
EAST, 121.46 FEET: THENCE SOUTH 57 DEG. 50' 40° MT, 240.90 FERT;
THE.°NC& SOUTH 68 DEG. 211 a6" EAST, 188.10 YEET; IMNCE NORTH '
. CONTINUED
DeaczlprIon: autto,Cg 11ooTrmsnt-Y�ar,boclD 1993.40591 Pagm. 2 of 3
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ORDER N0. BU -137591-3
F31RLxL CoMma
84 DEG. 090 YO° BUT, 119.56 FECTI WHENCE SOUTH 22 DBP, 381 31- '
xacTj 197.37 114=1 THUM SOUTH 25 ABG. 44' 4711 WE63'4 308,61 FRUI
THENCE SCIUM 45 nM. 14• 51- FA6',[', 145.03 FEET1 TMXCB ZCtM 71
DEG. 491 540 EAST, 128.17 FESP1 THENCE NORTH 88 DEG. 15' 14" EAST,
131.33 FPETJ THPNCE SOUTH 44 AEc. 33• 43" EAS9C, 131.40 FEST? THENCE
SOUTH 49 DEG. 391 6711 WNST, 260,43 MtTt THENCE SOS1 M Be UEG. 12-
4411 WEST, .200_66 Ya r; THENCE Nmnm 73 PEC. ii• 3a" WEST, 142.00
FEET: 711ENCE NORTH B'0 MG. 06' 430 WEST& 375.1E FSE1• TO A POINT
ruali macH THE Sol)mwhm CORNER OF sAX0 S=XoH 20 HEARS NORTH 39
DEG. 121 06P EMM, 2,644.84 "E7' SAID PC= MING THE IIID OF THF.
NEMN nzSCRIBED CBNTET27.N E.
EYCEt-.IXNG TIORZY 0?[ ANY PORTION OP 'SAZD ROAD LYING WITNXN THm
CER7AMA FMCHLS OF LAM CONVFnD XR DUEb PROM P'SARI, E. SYMMS, A
WlbOW, -. ir1G G'YAiL Ol VAAak' 1NNIA. 1N IIRl'd1 VAITO N0MMara 6, 1962,
AND RECORVED MACH B, 1969, XV BOOR 1231, FACE 548, OFFICIAL
R'ECOIiD6. .
)aM4XNW AND MT"C88 IN THE AMM DE5== CAMP== AH$ HA6n
OH TIM C1►LIFORRIA COORDYN]►1!E SYSM ZONE II, AND MM ZONE ZZ
COORDINATES FOR SMD POINT OI' SEGINNING ARE Y-694,628.22 AND
XQ2,161,671.50.
. 911RCE2, i93
! A RIGHT OF WAY POA ROAD MD MULZC UTILITY FMkPOSBS A8 SHOWN ON ,
THAT CEATATR PAUSE HAP RECORDED IN THE OPFZCE OF TRE RECGRD'EX OF
THE COUN9'Y OF BUTTR. STATE OF CALIFORNIA. ON JULY 2, 1981, 3H BOOR
83 OF ?ZAPS, FAGS 38.
EXCgMNG T11p. PRGK ALL THAT PORTION LYING WITHZ2i THL BOUNDS 08
PARCEL S, DESCRIBED HEREIN.
PEW or D%um ,'ir
Description] Butl:a,ca Docameat-Yeas.DocXD 1993.40591 Page: 3 of 3
On3eS: a&aW= C7pQMMebt: , . .
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
v 7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
14 -Jul -2005 2005=0040983
Has not been.compared with
original
BUTTE COUNTY 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 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:
.�
5ze- Rt+Ox-h,c0
Date.*Dom PROPERTY OWNERS:
State of California )
County of STM )
On MW c4e , a.005 before me,
personally appeared F lo.1el sg, . (>y_rri
known to me (or proved to me on the basis of ,%
to the within instrument and acknowledged
capacity(ies), and that by ' • hei signatui
the person(s) acted, executed -the instrument.
WITNESS my hand and official seal.
Signatu
A.P. QJ I — O y,3
�� Ju�.ITr� L, cAoA•
,Ar eAnd -.14 w.t: +o_ L. U"ka personally
factory evidence) to be the person(s) whose name(s)a a subscribed
me that _he� executed the same ine authorized
l on the instrument; the person(s) or the entity upon behalf of which
MICHELLE LEE FREEL
Seal: - Comm, # 1435881 ,n
N ' NOTARY PUBLIC -CALIFORNIA
Bulle County
My Comm. Expires August24,2007"
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE
OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS
FOLLOWS: .
PARCELI:
PARCEL I, AS SHOWN ON THAT CERTAIN PARCEL MAP,
RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 2, 1981,
IN BOOK 83 OF MAPS, AT PAGE(S) 38.
PARCEL II:
w
A RIGHT*OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES
AS SHOWN ON THAT CERTAIN PARCEL MAP RECORDED
NOVEMBER -4,1977, IN BOOK 63 OF MAPS, PAGE 7.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN
THE BOUNDS OF PARCEL I, DESCRIBED HEREIN.
PARCEL III:
A PERMANENT NON-EXCLUSIVE EASEMENT FOR ROAD AND
PUBLIC UTILITY PURPOSES. BEING A STRIP OF LAND 60 FEET
IN WIDTH, SAID STRIP LYING 30 FEET ON EACH SIDE OF THE
FOLLOWING DESCRIBED CENTERLINE:
BEGINNING AT A POINT ON THE EAST LINE OF SECTION 20,
TOWNSHIP 20 NORTH, RANGE 5 EAST, M.D.B. & M., FROM
WHICH THE SOUTHEAST CORNER OF SAID SECTION 20
BEARS SOUTH 00 DEG. 52'46" EAST, 1,065.33 FEET, SAID POINT
ALSO PEBING THEPOINT OF COMMENCEMENT, AS
DESCRIBED IN THAT CERTAIN DEED DATED APRIL 20, 1965,
AND RECORDED APRIL 22, 1965, IN BOOK 1369, PAGE 546,
OFFICIAL RECORDS; THENCE FROM SAID POINT OF
BEGINNING, LEAVING SAID EAST LINE, ALONG THE
CENTERLINE AS DESCRIBED IN SAID DEED NORTH 75 DEG.
08'40" WEST, 208.98 FEET; THENCE SOUTH 60 DEG. 01'00"
WEST, 203.53 FEET; THENCE SOUTH 53 DEG. 19'30" WEST,
110.29 FEET; THENCE SOUTH 38 DEG. 27'00" WEST, 141.91
FEET; THENCE SAID DEED CENTERLINE SOUTH 12 DEG. 22'
15" EAST, 72.81 FEET; THENCE SOUTH 25 DEG. 09'58" EAST,
133.49 FEET; THENCE SOUTH '07 DEG. 00'38" EAST, 196.05
FEET; THENCE SOUTH 89 DEG. 03' 28' WEST, 239.11
FEET;THENCE SOUTH 47 DEG. 17'35" WEST, 270.64 FEET;
THECE SOUTH 12 DEG. 48'15" WEST, 325.19 FEET; THENCE
NORTH 72 DEG. 53'45" WEST, 193.35 FEET: THENCESOUTH 27
DEG. 44' 06" WEST, 173.71 FEET; THENCE SOUTH 05 DEG. 47'
01" WEST, 164.14 FEET; THENCE SOUTH 85 DEG. 43'55" WEST,
216.81 FEET; THENCE SOUTH 27 DEG. 02'45" WEST, 100.38
FEET; THENCE SOUTH 31 DEG. 03' 24" EAST, 270.18 FEET;
THENCE SOUTH 06 DEG. 11'15" EAST, 123.26 FEET; THENCE
SOUTH 62 DEG. 02' 03" WEST, 206.31 FEET; THENCE SOUTH 18
DEG. 55' 53" WEST, 150.35 FEET; THENCE SOUTH 13 DEG. 05'
16" EAST, 121.44 FEET; THENCE SOUTH 57 DEG. 50'40" EAST,
240.90 FEET; THENCE SOUTH 68 DEG. 24' 16" EAST, 188.10
FEET; THENCE NORTH 84 DEG. 03' 10" EAST, 118.56 FEET;
THENCE SOUTH 22 DEG. 38'31- EAST, 137.37 FEET; THENCE
SOUTH 25 DEG. 44' 4T' WEST, 388.61 FEET; THENCE SOUTH 45
DEG. 14'51" EAST, 145.03 FEET; THENCE SOUHT 71 DEG. 49'54"
EAST, 128.47 FEET; THENCE NORTH 88 DEG. 15'14" EAST,
131.33 FEET; THENCE SOUTH 44 DEG. 33' 43" EAST, 131.40
FEET; THENCE SOUTH 49 DEG. 39' OT' WEST, 260.43 FEET;
THENCE SOUTH 88 DEG. 12' 44" WEST, 200.66 FEET; THENCE
NORTH 73 DEG. 21' 32" WEST, 142.00 FEET; THENCE NORTH 80
DEG. 06'43" WEST, 335.18 FEET TO A POINT FROM WHICH THE
SOUTHEAST CORNER OF SAID SECTION 20 BEARS NORTH 39
DEG. 12' 06' EAST, 2,644.84 FEET SAID POINT BEING THE END
OF THE HEREIN DESCRIBED CENTERLINE.
EXCEPTING THEREFROM ANY PORTION OF SAID ROAD LYING
WITHIN THOSE CERTAIN PARCELS OF LAND CONVEYED IN
DEED FROM PEARL E. SIMMONS, A WIDOW, TO THE STATE OF
CALIFORNIA, IN DEED DATED NOVEMBER 6, 1962, AND
RECORDED MARCH 8, 1963, IN BOOK 1231, PAGE 548, OFFICIAL
RECORDS.
BEARINGS AND DISTANCES IN THE ABOVE DESCRIBED
CENTERLINE ARE BASED ON THE CALIFORNIA COORDINATE
SYSTEM ZONE II, AND THE ZONE II COORDINATES FOR SAID
POINT OF BEGINNING'ARE Y=694, 628.22 AND X=2,161, 621.5.
PARCELIV
A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES
AS SHOWN ON THE ERTAIN PARCEL MAP RECORDED IN THE
FFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, ON JULY 2, 1981, IN BOOK 83 OF MAPS, PAGE
38.
EXCEPTING THEREFROM ALL THAT PROTION LYING WITHIN
THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. .
(V
SITE PLAN REVIEW APPLICATION
Date: 1-,'- 3 O r AP# 7/ " w —0 (-1,3
Permit Number (if applicable)
Bin Number
APPLICANT INFORMATION Parcel Size: '211-07
Owners Name:
Owners Address:
67
Telephone No.: ��a��� D Email:
Situs Address:2,�;?.r(� '
Proposed Use:
Residential
❑. New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ 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):
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
❑ Agricultural Buffer Form ❑ Applicable ❑ N/A
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site Plan Stamped Approved
By _ / Date 5— r(1)
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
Snow Load Area: 7b oZOOO'�t.
❑ 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)
SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: '<
• Flood Panel No.: 1,4)&60'7C— QK,2.5-G Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the Cal fornia 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)
❑ Oroville Enterprise Zone
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
--------------------------------------------------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning:
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
D--- 11 -r c
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
� �
�Q ,
Side
S !
Sol
Side Street
/of
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
D--- 11 -r c
Applicable Development Fees:
Standard Fees
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
Subdivision Map Special Fees
❑
'Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
Amount Formula
* 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
F] Deeds:
Date of Creation: Legal Access Provided:
Deed of Reference:. Legal Access Required
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
.❑ No ❑ Yes
❑ No ❑ Yes
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance/Notice 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
'M Subdivision Map/Parcel Map:
Map Date of Recording: �l
Lot: /-I
❑ Use Permit/Minor Use Permit
Permit Number:
Book: 'F 3 Page:
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None
❑ 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 pressurized
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 road maintenance, and stop sign maintenance.
❑D
Page 4 of 5
0
0
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
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oEPNTr Ph.(9/6) 534-/9// B0-049
PLAN REVISION/RETURN
Owner's Name:►-�' 1
BP#: O� �a
Date: '-Il1. l C)s—
Contact Person & Phone Number:
AP#: U '� I — TV t I — OYB
Received By: * M
Time:
PURPOSE OF RE -SUBMITTAL OR REVISION
❑ Permit Application Data Sheet Item
❑ *Engineering
Ian Revision
�/*'/Z�ecq4/urested,Building Inspector's Correction Notice — Inspector's Name:
❑ Requested by Plan's Examiner — Plan Examiner's Name:
❑ Other: _
*If revising a plan which has already been issued, submit two (2) drawings reflecting the revision
for plan review along with your approved plans. If engineering is involved in this revision, the
engineer must put his requirements on these drawings and wet stamp and sign two sets of
engineered drawings. Revised drawings must clearly show changes proposed and locations
involved.
WHEN APPROVED, PROCESS AS FOLLOWS:
❑ Mail to Owner/Contractor at this address:
❑ Call and hold for pick-up.
o Deliver with next inspection.
Minimum revised plan check fee to be collected at time of submission of revision, plans
examiner will determine if additional plan checking fees are needed:
Minimum $54.99 Receipt #: `i 3� 52 5 7/(w X05
❑ Fee not required for revisions requested by plans examiner prior to issuance of permit.
❑ Additional Fee Amount: Receipt #:
Revised 2/04
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FL OYD S. BERRINGER JR.
SIMMONS ROAD
OROVIL.L.E, CA 95966
APN: 071-400-043
11, iso' .
LIINy,G DIV -SION � BUIL DING PIAN APPROVAL
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