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HomeMy WebLinkAbout073-380-002Eric L. ickland N/S Black Tail Rd., app.1500'W.of�/ Rob�iInson Mill Rd., app.2 mi.S.of Oro. Forbes town__Rd.,,,.OroviIle conte Hunt Sanitation, Oroville i Permit #6515-79P,E(util. MH) ELEC . GAS SUPPORT STRUCTURE REQ. ,rip COMFACTI,ON TEST REQ. ' •'''=�;--,ate Contr: Lincoln Village , _ Permit##7204-79MHI Issued C•nfr Carre•11_.ros Chico PNirmit#7493-79MHI ' IsVed o / 2999-89B STRICKLAND, Eri & o Z 182 Blacktail Rd, Oroville 3��0 �'''" ' ContR: Lawson Const (reroof & residing ,& repairs)SF� -150-0 6 PERMIT#98-0774 STRICKLAND, Eric ` 182 Black Tail Rd.., Oroville;: Cont: George Roofing . Reroof/SF I B07-0422 073-380-002 RESIDENTIAL SFD-Mobile Home RET, E - EX MH, EX SITE, PERM FN_ D 720) . i 182 BLACK TAIL JACOBSEN, DAVID B & NANCY L , A • 1 f f A Ml1 i -- T - _ _ � ��r �� - �� RI%%ORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2007-001 4928 Recorded I REC FEE 13.00 Official Records I County of I LWOM COPY 1,00 Butte 1 CAN aE J. GRUbBS I County Clerk-Recorderl 1 I JC Iby:WM 21 -tar -M/ 1 Page 1 of 3 k, . SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be: indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JACOBSEN, DAVID B & NANCY L BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 182 BLACKTAIL RD 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE , CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 182 BLACK TAIL RD B07-0422 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT NO. TELEPHONE NUMBER OROVILLE BUTTE CA 95966N;��4z 3/16/2007 CITY COUNTY STATE ZIP SIGNATUR 0 LOC&L AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME U I Y UUUNI Y SIA -IE GIP UNIT DESCRIPTION SKYLINE 1980 HILLCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER C2740198N 60'X 12' 284832 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 073-380-002 HCD FORM 433(A) REV 8/91 WHITE — County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. Order No. 00213978-00 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 2 AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA ON SEPTEMBER 28,1979 IN BOOK 73 OF PARCEL MAPS, AT PAGE 37. EXCEPTING THEREFROM ANY MOBILE HOMES ON SAID PROPERTY, AP NO. 073-380-002 PARCEL II: EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE SOUTHERLY 60 FEET OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 29, LYING WESTERLY OF THE ROBINSON MILL ROAD AND_OV_ER THE_WESTERLY 30 FEET OF -T -HE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 29 AND OVER THE EASTERLY 30 FEET OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 29 AND OVER THE NORTHERLY 60 FEET OF THE EASTERLY 60 FEET OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 29, ALL IN TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M. PARCEL III: BEING A PORTION OF THE WEST HALF OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M., BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE. COMMENCING AT THE NORTHWEST CORNER OF SAID NORTHEAST QUARTER; THENCE SOUTH 01° 56' 03" WEST, ALONG THE WEST LINE OF SAID NORTHEAST QUARTER 717.49 FEET; THENCE SOUTH 830 56'48" EAST, 37.79 FEET; THENCE SOUTH 33° 28'54'9 EAST, 116.28 FEET; THENCE SOUTH 660 57'47" EAST, 46.80 FEET; THENCE NORTH 77° 09'41 EAST, 41.05 FEET; THENCE NORTH 090 16' 12" WEST, 30.79 FEET; THENCE NORTH 300 06' 28"EAST, 56.28 FEET; THENCE NORTH 250 39102" EAST, 166.08 FEET TO THE CENTERLINE Of ROBINSON MILL ROAD AND THE END OF THIS DESCRIPTION.. PARCEL IV: Order No. 00213978-00: BEING A PORTION OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 29, TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M., BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHEAST CORNER OF SAID NORTHEAST QUARTER; THENCE SOUTH 010 56'03" WEST, ALONG THE EAST LINE OF SAID NORTHEAST QUARTER, 717.49 FEET; THENCE THE FOLLOWING COURSES: NORTH 83'564811 WEST, 93.08 FEET; THENCE SOUTH 700 13' 14" WEST, 124.96 FEET; THENCE NORTH 59° 56' 02" WEST, 89.59 FEET; THENCE SOUTH 890 15' 57" WEST, 107.69 FEET; THENCE NORTH 740 45' 22" WEST, 83.40 FEET; THENCE NORTH 620 58'4511 WEST, 61.97 FEET; THENCE SOUTH 89° 54'1611 WEST, 788.98 FEET TO THE WEST LINE OF SAID NORTHEAST QUARTER OF SAID NORTHWEST QUARTER OF SAID SECTION 29 AND THE END OF THIS DESCRIPTION. J RiCORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 27 -Alar -2007 2007-0014928 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be: indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JACOBSEN, DAVID B & NANCY L BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 1 R? BLACKTAIL RD 7 COUNTNI' CENTER DRIVE MAILING ADDRESS MAILING ADDRESS OROVILLE BUTTE CA 95966 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 182 BLACK TAIL RD B07-0422 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDING PERMIT N0. TELEPHONE NUMBER OROVILLE BUTTE CA 95966 , 3/16/2007 CITY COUNTY STATE ZIP SIGNATURIff LOCO& AGENCY OFFICIAX DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE 1980 HILLCREST MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER C2740198N 60'X 12' 284832 SERIALNUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 073-380-002 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. ILI BUILDING PERMIT NUMBER: B07-0422 Address or location of unit: 182 BLACK TAIL RD OROVILLE CA Legal Description of Real Property: 073-380-002 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: JACOBSEN, DAVID B & NANCY L Owner's address: 182 BLACKTAIL RD OROVILLE CA 95966 INSIGNIA OR HUD NUMBER:284832 SERIAL NUMBER OR V.I.N.: C2740198N MANUFACTURER'S NAME: SKYLINE YEAR: 1980 OFFICIAL APPROVING INSTALLATION: 61 DATE: PHONE: (530) 538-7541 H.C.D. 513 BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 2 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0422 Issued: 03/05/2007 Address: 182 BLACK TAIL RD Area: OROVILLE Owner: JACOBSEN, DAVID B & IAPN: 073-380-002 Applicant: JACOBSEN, DAVID B & :Map Page: Permit Type: SFD-Mobile Home RET Description: EX MH, EX SITE, PERM FND (720) Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed .Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Fin a -I 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 ' d Inspection Type I IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Sk_h ting/Steps/Landings 610 Coach Info Al Manufactures Name: ' rF Date of Manufacture: Model Name/Number: Serial Numbers: �� Z I Cl Length x Width: Insignia: C Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final * *PROJECT FINAL 801 rrulect anal is a %-erruicate of occupancy for (xesiaennai uony) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy -- j AW I'2 .y' STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: ABI9008 Manufacturer ID/Name 1048975 SKYLINE Trade Name HILLCREST Model DOMDFS 00/00/1980 00/00/1980 RY 1980 Exp. Date Jan 31, 2008 Serial Number Labellinsignia Number , Weight Length Width SPC SCC Exempt Use Type 02740198N 284832 60' 12' ACK 04 SFD ILT Issued Total Fees Paid Mar 06, 2007 $26.00 Addressee DAVID B JACOBSEN 182 BLACKTAIL RD OROVILLE, CA 95966-8957 Registered Owner(s) DAVID B JACOBSEN NANCY L JACOBSEN Joint Tenants with Right of Survivorship 182 BLACKTAIL RD OROVILLE, CA 95966-8957 Situs Address 182 BLACKTAIL RD OROVILLE, CA 95966-8957 &)SING q. .�0 pZj ati0 DEv� ATTENTION OWNER: THIS IS THE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE PLACE WITHIN THE UNIT. .. INSTRUCTIONS FOR RENEWAL: REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE INDICATED ABOVE IN THE BOX LABELED "Exp -Date". THERE ARE SUBSTANTIAL PENALTIES. -FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN 10 DAYS PRIOR TOTTHE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS. IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 4627091 R 03062007- 539 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 PROJECT INFORMATION Site Address: 182 BLACK TAIL RD Owner: Permit No: B07-0422 APN: 073-380-002 JACOBSEN, DAVID B & NANCY Issued Date: 03/05/2007 By KCG Permit type: RESIDENTIAL 182 BLACKTAIL RD Subtype: SFD-Mobile Home RET OROVILLE, CA 95966 Expiration Date: Description: EX MH, EX SITE, PERM FND (720) (530) 589-5578 Occupancy: Zoning: A5 0( Contractor Applicant: Square Footage: SIERRA PACIFIC MOBILE HOME SE JACOBSEN, DAVID B & NAN, Building Garage RemdUAddn P O BOX 1570 182 BLACKTAIL RD VACAVILLE, CA 95696 OROVILLE, CA 95966 Other Porch/Patio Total (707) 446-7550 (530) 589-5578 FEE INFORMATION DBF MH Plan Check $219.96 DBMSC Mobile Home $329.94 'l. Total Charged: $549.90 Fees Paid: $549.90 Balance Due: $0.00 Receipt No: B2137 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SIERRA PACIFIC MOBILE HON 399504 / C47 B C39 / 02/28/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 03/05/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and The Contractor's License Law dows not apply to an owner of the property who builds or improves policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: Majestic insurance (Policy Number: Exp. Date:02/11/2008 Contractofs License Law.). (This section need not be completed if the permit is or one hundreddollars ($100) or est s.) ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' 03/05/2007 compensation provisions of Se 3700 of the Labor Code, I shall forthwith comply with those provisions. Owne s Signet Date X 03/05/2007 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to builcing Signature Date WARNING: FAILUR O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage arising out of, or in any way connectedwith DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledgedge that is issuance of this permit does not authorize the use or occupancy of an idewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the ab a entioned property for inspection purposes. I hereby certify that I am the rop y owner ora a th rized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY A) I HEREBY AFFIRMQ UNDER PENALTY OF PERJURY that there is a construction lending agency for Of P ee IGNI Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR: Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 07- 0q,;v A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds BIN # **PLEASE PRINT CLEARLY** OWNER INFORMATION L st Name nob soel First Ngm 'v Mailing Address ✓3/&xV E &. City �rOM�`/Q /` State Zip r5,Vl6 Phone b 5-5— 7 Fax _ E-mail k 10- c-Kf s'r A ra. ►n t� � n Utz Pio, r -e. APPLICANT INFORMATION CONTRACTOR Name S l FoZfdr',4Ci F/ C,L 1� Address © f.6- 76 CitypCj V U L� State Phone Fax r 4 // 76g E-mail Lic. # 39 ci Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City U -Z Sta Address Phone a ^ ax City State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address ! 2— -g .T. 0 City U -Z Sta Zip Phone a ^ ax E-mail 4 PPLIC NT SIGNATURE X PROJECT LOCATION AP# 073-312.0- X09 - Property Address Z r3/&c* t$" oodi� City ®r. f/61 C—f t -' &-G WORKER'S COMPENSATION I Policy Number Carrier anyone other than license contractors, a certificate of worker's sation must be shown at the time of permit issuance. LENDING AGENCY Name DESCRIPTION OR SCOPE OF WORK: Pap,malahn,J Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. ORTATION AND MOUSING AG&(4:i' DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �i.won a taa� aea ateb.nte al #: i;rlu ABI900t; acturer: SKYCINC Tradename: MLLCKES'r Model: ILT Manufactured Date: 00/00/1980_ Registration Exp; 01/31/2008First Sold On: 00/00/1980 Serial Number 0274019#N Record Conditions: Registered Owtiee: r x• AftNOLD 800AMNE116ER, Oover SINC e l i •� Title Search �y o Datc Printul' 6312annip -01 Use Code: SFD Original Price Code: ACK Rating, Year: TO Type: ILT Last ILT Amount: 510.00 Date ILT Foe Paid: 03/02/1001 ILT Exemption: NONC HUD Label / InsiRni 284832 Ppp exempt Length Width 60, 12' DAVID B JACOBSEN NANCY L 1ACOOSEN (Joint Tenants with Right Of Survivorship) 182 SLACkTAu, Ito OROVILLE, CA 95966-8957 Last Title Date: 07/20/1604 Last tttg Card: 03/06/2007 sate/ Transfer lnro: Ptti0e 51,000.00 Transfected on 05/1 snow Situs Addfess: 182 BLACKTAIL RD OROVILLE, CA 95966-89.5.7 Situs County: BUT tDl/DI�iV:DMV ST6219. Y iT\l OF TITLE SEARCH •a• A Z d 6£9Z6fillO5'ON/9l:€l'tS/tl:Et 1002 9Z E (NOW) k311VA 0IW WOaj' STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal No: ABI9008 Manufacturer ID/Name 1048975 SKYLINE . Trade Name HILLCREST Model DOM 00/00/1980 DFS 00/00/1980 RY 1980 Exp. Date, Jan 31, 2008 Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type 02740198N 284832 60' 12' ACK 04 SFD ILT Issued Total Fees Paid Mar 06, 2007 $26.00 Addressee DAVID B JACOBSEN 182 BLACKTAIL RD OROVILLE, CA 95966-8957 Registered Owner(s) DAVID B JACOBSEN NANCY L JACOBSEN Joint Tenants with Right of Survivorship 182 BLACKTAIL RD OROVILLE, CA 95966-8957 Situs Address 182 BLACKTAIL RD OROVILLE, CA 95966-8957 0,351NG O DEv�' ATTENTION OWNER: THIS IS THE REGISTRATION CARD FOR THE UNIT DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE PLACE WITHIN THE UNIT. INSTRUCTIONS FOR RENEWAL: REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE INDICATED ABOVE IN THE BOX LABELED "Exp. Date". THERE ARE SUBSTANTIAL PENALTIES FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS. IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 4627091 R 03062007- 539 Page 1 of 1 Keiser, Mary From: _ Hubert_L._Pethel@hud.gov Sent: Thursday, March 22, 2007 9:11 AM To: Keiser, Mary Cc: Kevin Cimini; DMapalo@hcd.ca.gov Subject: Label numbers Mary, as I started to explain to you, the certification label (picture attached) on the rear of the home is the. one that California gave to the manufacturer to complete the home. At that time they were serving under HUD's approval. They were an approved State Administrative Agency and a In Plant Inspection Agency (IPIA). I believe that they have records still of those numbers, and since you also have a decal issue, they may be able to help you with that. If HCD is not able to help you on the certification label issue, I do have another way to resolve that, but the homeowner would have to initiate that. I do have a call from Nancy Jacobsen and I plan on calling her back shortly. Any other questions, feel free to call me at my direct number (for your use only, not for the public) 202-402-5600. Thanks I am copying CA/SAA with this also in the event they may want to contact you as well. Kevin or Dennis, it seems that Butte County inspections have conflicting information on the Jacobsen unit in regards to the certification label, I believe I understood that right. Their number is 530-538-7541, ask for Miles or Mary. Lane Pethel Manufactured Housing Specialist Phone: 202-708-6423 extension 5600 FAX: 202-708-4213 Click on link below to go to Manufactured Housing @ HUD http://www.hud.gov/offices/hsQ/sfh/mhs/mhshome.cfni For Missing Labels go to http://www.hud.gov/offices/hsg/sfh/mhs/mhslabels.cfm Or for other HUD Program offices click on http://www.hud.gov 3/22/2007 RECORDING REQUESTED BY. ;' Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Name David B. Jacobsen Street /9,) Q,t.jG.g0,,/ �- � ^ Address GJ !-' City, State 1' Zip Order No. 00213978-001 2124-0005602 Recorded I REC FEE:. 13.12 Official Records I TAX 115.5 County Of I PCOR-PR' 20.12 BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:00PM 30 -Jan -2004 Jason Page 1 of 3 SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. 073-380-002 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY r The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $115. 50 ❑ City/Town of Q computed on full value of interest or property conveyed, or 0 Unincorporated Area O full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Char 90d;wn( Eric L. Strickland, An Unmarried Man sbip�N Fled. PC 480 R hereby GRANT(s) to Code) sentto-mal David B. Jacobsen and Nancy L. Jacobsen, Husband and Wife as Joint Tenants 8ddressondocum the following real property in the O City of © Unincorporated Area County of Butte, State of California: Eric L. Strickland SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF BUTTE COUNTY MAR 0.5 2007 — ERVICES Document Date: January 23, 2009 NTS State of C-alifem:a l(Cniutk•J County of Tay 1 o it SS. On huQrtJ ��� 2004 , before me, the undersigned, a !Votary Public in and for: said County and State, personally appeared Eric L. Strickland Personally known to me ( FOR NOTARY SEAL OR STAMP evidence•) to be the person(j) whose name(4 is/ate subscribed to the within instrument and acknowledged to me that he/sM/they executedi .�:1 ' the same in his/hqr/their authorized ca acit and that b '01§6.. " !t,': %• his/hir/t eir signature(s) nature on the instrument the erson 4� g (�) P (8)> or the entity `�;„;� a °�'a ;• :..: :°°^,.,�;...•. upon behalf of which the person(y) acted, executed the instrument.° WITNESS hand and official seal. A• Signatur omni ,one ire 2ooi{ ,;;..;��-��,,;.,:�;.,:•`,, C x-(1757 MAIL TAX STATEMENTS TO: Same as Above RTFrM_DA WTnFFn Order No. 00213978-00 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 2 AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE OF THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA ON SEPTEMBER 28,1979 IN BOOK 73 OF PARCEL MAPS, AT PAGE 37. EXCEPTING THEREFROM ANY MOBILE HOMES ON SAID PROPERTY. AP NO. 073-380-002 PARCEL II: EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE SOUTHERLY 60 FEET OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 29, LYING WESTERLY OF THE ROBINSON MILL ROAD AND OVER THE WESTERLY 30 FEET OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 29 AND OVER THE EASTERLY 30 FEET OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 29 AND OVER THE NORTHERLY 60 FEET OF THE EASTERLY 60 FEET OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 29, ALL IN TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M. PARCEL III: BEING A PORTION OF THE WEST HALF OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M., BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE. COMMENCING AT THE NORTHWEST CORNER OF SAID NORTHEAST QUARTER; THENCE SOUTH 01° 56' 03" WEST, ALONG THE WEST LINE OF SAID NORTHEAST QUARTER 717.49 FEET; THENCE SOUTH 830 5614811 EAST, 37.79 FEET; THENCE SOUTH 330 2815411 EAST, 116.28 FEET; THENCE SOUTH 66° 57' 47" EAST, 46.80 FEET; THENCE NORTH 77° 09141 EAST, 41.05 FEET; THENCE NORTH 09° 16112" WEST, 30.79 FEET; THENCE NORTH 30° 06' 28"EAST, 56.28 FEET; THENCE NORTH 25° 39' 02" EAST, 166.08 FEET TO THE CENTERLINE Of ROBINSON MILL ROAD AND THE END OF THIS DESCRIPTION. PARCEL IV: Order No. 00213978-00' BEING A PORTION OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 29, TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M., BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: A 60 FOOT RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHEAST CORNER OF SAID NORTHEAST QUARTER; THENCE SOUTH 01 ° 56' 03" WEST, ALONG THE EAST LINE OF SAID NORTHEAST QUARTER, 717.49 FEET; THENCE THE FOLLOWING COURSES: NORTH 83° 56'48" WEST, 93.08 FEET; THENCE SOUTH 700 13' 14" WEST, 124.96 FEET; THENCE NORTH 590 56' 02" WEST, 89.59 FEET; THENCE SOUTH 890 15' 57" WEST, 107.69 FEET; THENCE NORTH 740 4512211 WEST, 83.40 FEET; THENCE NORTH 620 5814511 WEST, 61.97 FEET; THENCE SOUTH 890 5411611 WEST, 788.98 FEET TO THE WEST LINE OF SAID NORTHEAST QUARTER OF SAID NORTHWEST QUARTER OF SAID SECTION 29 AND THE END OF THIS DESCRIPTION. L9 PERMIT NO. 6515-79P,E . PERMIT EXPIRES Eric L. Strickland i OWNER CONTR. Hunt Sanitation, Oroville �i r LOCATION (A.P. 73 tt NIS Black Tail Rd., app.1500'W.of Robinson Mill Rd., app.2 mi.S.of Oroville Forbestown .K Rd., Oroville x S Temp. Powef'Pole CalledfPG&E Temp. lea Serv. cc ,ailed PG&E AtO�Fr_ T mp. Gas Serv. [Called P *,I0 JOB `0/�— � G FINALED /_- ' COtATY OF BUTTE — DEPARTMENT OF,PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING SeIUVCK FI wall SNI Piping Forffk. Par ' ets 1 t Floor Maln•Bldg• Restr om Finish 2n Floor Foo ins Window, 3rd Foor Stem all Siding 11 To out Slab Roof SheAlng Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsicall handica ed Conformance of ex. structure Appliances Gas Pip ng & Test Temp. Gas Slab Final Sanitation Patio JAREPtiACE Final t-ootin s Footing ELECTRICNIL Masonry Walls Throat Rough Reinf. Steev Final Fixtures Bond Bea FIRE SPRINKLE Motors Framing _ Test Water Htr- meso MECHANICAL Grd. Fa it Prot. Scr ch Heatin Servl !Ow- I CoollAq T p. Pole Inish - Duels linderground terlor Lath V tllationermanent be -00.r Closer anal inal MOBILEHOME UTILITIES ------------------ Elec- Servide ®UIQ a.,-)c-Pcv Ped l Water Piping d ' Z Sewer l / C/— y4 Gas Piping =E OME INSTALLATION -------------- S�-Pp-rt 01Elec. Continuity Water Piping— Drainage Gas Piping , DATE ZZ` - Gt20 moa REMARKS OR CORRECTIONS �! ` ` �G'' /�c0 C.o't,, <' Aso (NOTE: An entry must be made on this form each time you visit the job site.) +'1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE C— S7xi C-I(Ld'-/i 0 BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. v 7-4 /2S 72.E Q �-" AtZp L.,,) ! r -14-g</ Inspect Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY E*T•ER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 71' for the following location: r A�1--) f" Owner t .f 1 c '!,I rf'.Z Owner's Address Mobilehome Mfg. Model Year ' 0' �lnsignia No. Serial No. -- It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal ratin*,-of--- mobilehome with a minimum of 190' amp)- and other, facilities on, lot, i.e., water'pumpa; garage, cabana, etc.? Yes No— . B. Is there proper clearances around panels? Yes 4,110-- C. Is power supply cord or feeder assembly properly fused? -Yeses No D. I'/s continuity test satisfactory as per the following procedure? Yes 1�_ No �• De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor,*have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5 All non-current, carrying meta- parts.of the'mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. - - Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services.- MOBILEHOME DATA Manufacturer and/or Namestyle Length © Width � Vehicle Serial No. State Identification No. C•A 1_ 1,5V 7.5—' Additional Information or Comments: t MOBILEHOME INSTALLATION.INSPECTION CHECKLIST 1. Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec 5082.& 5083) Yes' No 4. Is the mobilehome level? (Sec. 5088) Yes_ No— �rYf'more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fLleelble connector of adequate'size.and properly installed (1/2" ID min.)? (Sec. 5566) Yes V No B: Test - Does water piping withstand working pressure'�or 50 lbs. air test? Yes.,,"/No . Backflow - If coach is not State of California approved, does station have backflow device 1`l and pressure -relief valve? Yes— No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes`s No B. Does it have minimum 4" per foot slope and is it properly supported? Yes Y No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes— No—�- }�f coach is not State of California approved, does station have required trap and vent? Yes— No 8. Gas'Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" mialami•' mobilehome connector not more than 6 ft. long? Note: All piping is to.b'i'.wt last ae: large as the M'obilehome gas line inlet without reductions other than the mobilekciea connector. Yes C B. Test OK as per following procedure? Yes_ No Open all appliance connector valves. 2/e Shut off appliance burner and pilot valves. 3 Air test with manometer to 10"-14" water column, or test with slope gauge (minimum' 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes E/ No_ BUTTE - COUNTY DEPARTMENT ' OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE::534-4541 MOBILEHOME'INSTALLATION SHEET 1. Owner's name: Ze!G oil AlAleG-76 771 IGkL/OAl/10 2. Installer's name: Clgeloec-CL 8/x05 Poe/tc 1-t C- CS 3.? Is the site currently under permit? Yet / /; No (If yes, furnish permit number ) OR Is.the site an existing site? Yes / / No (If yes, 'furnish two (2) plot plans.) '� ! 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of'all setbacks.and easements? Yes 7/1�7/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- AmpsA 6. What is the mobilehome site service rating? --------------------- ��� Amps 7.. What is"the mobilehome site circuit breaker rating? ------------- /(Z -U Amps ' 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No'/ �--/ (If yes, identify the load and size: (Load) (Amps) 9. What.is the mobilehome site gas pipe size? ------- --------------�• 10. What is.the type of gas service? ----------------•------------ Natural / / LPG 1 W` 11. What is the gas pipe length from meter or tank to the mobilehome? O -Z/ (ft.) 12. :What is the mobilehome gas demand? --------=--------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) �, MOBILEHOME.SUPPbRT. DATA 0 If other than single wide, nO Mobilehome Mfr.. / furnish .Setup Model No. Year d Width (ft.) Box Length 66(- (ft.) 'Tagalong'or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7,.1973,•.furnish manufacturer's installation. manual and structural setup sheets (if not on`fi.le-with'the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) 13UTTE COUNTY BUILDING DEPARTMENT APPROVED *If centerP iers are other than drawn above,/ q-43 7 draw in.-lncations. snacine. and dimensions. A IBM' Single ® 1. Wood either pressure treated or foundation grade. 2. Other (specify) x Center s pport locati ns* Center su port footing izes Supports (check one) (in. © 1: Concrete block. Lx❑ 2: Other (specify) (ft.)(in ) (in (in.) 4 ----Tagalong or Expando,' show support details. u 11) (ft.)(in.) (in.) (in.) x 24 -- Typical Support (in.) (in.) Footing Size X (ft.) in.) (in.) ( .) �" -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)(in.) 13UTTE COUNTY BUILDING DEPARTMENT APPROVED *If centerP iers are other than drawn above,/ q-43 7 draw in.-lncations. snacine. and dimensions. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS County Center Drtve = 10roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT AJ Iy authorize representatives Ot the county of Butte to enter upon the above-mentioned property for inspection purposes. v X Date 1a�3 7 Signature of Permitee or Ag t Receipt No. i�29:Iek White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f r which fees have been paid. 71 DORE-G4QO OF PUBLIC WORKS Building permit expires .. i BUILDING PrI 7/7 Owner 'TRIG ER / Q,Q /y�j/z 67 SQ. FT. OCC. BUILDING VALUATION Mailing Address -19F /�%& A6A- 55 � D,�O V/ t LAP09 L/�. Telephone No. Contractor ELL Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee W-XIDLOW- dZZM RTE. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 0 Repair drainage or vent piping 1.50 !� A. P. No.Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe 44. Sarrit� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel royal I Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ �/ —' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service •100 A MP eoovOR LESS 25.00 100 A Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLDGS.Ccup- 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR. MULTI.OUTL T NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON -RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES 50@254t 100 Ex. Occu FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 //�� (�412,e.�Lt- Ale0S Mobile Home Facilities 15.00 -TA)C7 License No. %9/0q-_0? Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �i I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 12.00 Hood Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 4U $ TOTAL PERMIT E FE $ �1)/�1 ` 1Y authorize representatives Ot the county of Butte to enter upon the above-mentioned property for inspection purposes. v X Date 1a�3 7 Signature of Permitee or Ag t Receipt No. i�29:Iek White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f r which fees have been paid. 71 DORE-G4QO OF PUBLIC WORKS Building permit expires .. i Y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. IJ42�_, Date. ,0 9 Signature of 4. Xt.eor 79ent Receipt No. Soo0 -z— White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT,GR OF PUBLIC WORKS BY Date /o- 2 -J -Z LO ? 4�u`iiding permit expires Date /0— zCf �� BUILDING Owner ERI L 5 -1 -R1641 -01,)b SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor A(j1 9,gAJ 1 _r14T 10V Mailing Address 1675 (..'5 /]-R11S /AV E Fireplace Total Valuation �1S-Ilogj� it T7-4?JS Permit Fee Building Address N15 At -Re -k_ P— Plan Checking Fee&/or Penalty Permit Fee APP,/57-42o/ GJ. O� e19,61�S'O� /�-r</(�L PLUMBING No. @ FEE �A /f p 2 "/• � 0. - /y / L/ PERMIT FILING FEE $3.00 .DO Each TraD 1.50 /�,� /gyp ` ;8�/ �(/ �lJ, �(JILQ�/ (�i'a� epair drainage or vent piping 1.50 A. P. No. ~i� 3 �O Zoning & Ian g Water piping 1.50 6,60 Each gas water heater or vent 1.50 Sa Fire Dept. Fire Zone I Use Pe It Gas piping system 1 - 5 outlets 1.50 16,6V EQA Parking PlansI ParcelEach Declaratio a t3 60' R/W Improvemen additional outlet .30 Building sewer 5.00 , Bldg 49 s ec'd arce EErovol Plans kipproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ®OTHER ❑ Permit Fee $ GK! $IGIZ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0 �� 600V OR LESS N /� Main service 100 AMP OR Less 5.00 V✓ Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L loo AMP 2.50 Z) Main service OVER 6 O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. /DWELING OOR ADDNST %ACCLBLDGS.CCUP. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR (MULTI-OUTLET,HCIRCUITS) NON -CRESID,ONST BRANCH CIRCUTS) 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES) g IL' ,M 1 Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 17- 7, License No. -7 ,3/ Classificationilr _y� Mobile Home Facilities 15.00 , OO Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. MI certify that in the performance of the work for which this �[J permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood I J 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee 0-0 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. IJ42�_, Date. ,0 9 Signature of 4. Xt.eor 79ent Receipt No. Soo0 -z— White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT,GR OF PUBLIC WORKS BY Date /o- 2 -J -Z LO ? 4�u`iiding permit expires Date /0— zCf �� t r'^ d GOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ _PERMIT NO. Aunty Center Drive - Oroville, California 959CL5 - Telephone: 916/538-7�4 t APPLICATION AND PERMIT AS.S ES}SOR PA CNUMBE L. C S ZONING BUILDING PERMIT O E ��' �} r, �r, ' TELEPHONE SO.F�IT. OCC. BUILDING VALUATION i�p✓) / OWN.F 'S MAI 'IN�� RE S 7 f ^� 16* Y CO TRA C TO 'S NAME /� Q r1 f1 �I I T HON C MTR ACTOR'S iLING ADD S V 94sFirepla%ce; CONST_R UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ AR 'HIOEC OR ENGINEER LICEN5E N O. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS J(��. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 rQ V 41 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE (�✓)�c1 SF,�J Duplex❑ Mobilehome❑ Other / iJ �C SPECIFY + Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 10.00e TYPE'OF WORK New❑ Addition Remodel Utiiliitties install a op❑ Other Describe work: r f _ FQ 1 r� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one P y P 1 y( . ) KSI IF��I I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode an my license is in full rce and effect. License No. Classification �/ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ACDNS. ( ACC. BLDGS. I 2/20sgft NEW CONSTRULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. / Ex. Occu pt OUTLETS OR FIXTURES 20®50e SAL@30 FIXED PR Ex. Occup. OUTLETS (RESID.)EA.1 2.00 Temporary service 10.00. Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ®I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certifythat I have read this a lication and state that the above information is corret. I agree to comply to all County Ordinances and State Laws relating ' to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequen a of the granting of this . ermit. r� ��� '.. /I.. 0 X ------ ,,�� Date Signature of Applicant — Owrier ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA I PARK I SCHI FLD I PAR JPDrJ ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fee DIR OF PUBLIC Z� PERMIT EXPIRES Date the applicable provi- resolutions to do =have been paid. ORKS Date —r A Receipt No. WHITE-D.P.W.. YELLOW-ASSE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,California 95965 - Telephone: 916/538-7541 APPOCATION AND PERMIT PE MI,T�O. AS S R PA CE,,NUMBE ZONIN BUILDING PERMIT tr ` TELEPHONE SQ. FT. OCC. BUILDING VALU . ION OW'S MA N AD RE v� Q C TRACTO 'S NAMEJf v TEL ON CO TR TOR'S LING AD 5 Fireplace COT UCTION END R UNKNOWN Total Valuation4$_ Filing Fee $ 10.00 LENDER'S M LING ADDRESS Permit Fee $ AR I ECT OR ENGINEER I/Vdi 11,16- LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 11 Penalty $ BUILDING ADDRESS Or],. Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME CEL MAP ffPR Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFZ Duplex❑ Mobilehome❑ OtherA SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e . TYPE OF WORK New❑ Addition Remodel UtilitiesInstallat op❑ Other Describe work: V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP V OR ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions. Code and my license is in full f rce and effect. License No. r '� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensedcontract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& New CONSTR.(A ) , ft h¢sga MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS Q (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20060Q BAL®30 FIXED APPLNS. OR Ex. Occup- OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. © I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 4 ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor , MECHANICAL PERMIT Filing Fee 1.0.00 Heating Cooling g Hood 3.00 Ventilation - Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequen a of the granting of this ermit. X /j_ �C Date Signature of Applicant — Ow er ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ AL"D. rlssu HAZ CUA PARK PAR NHD This permit is hereby issued under sions of the Butte County. Code and/or work ted above f r which fee DIR F PUB AI 'm B PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT '.! 4. 073-150-026 PERMIT#98-0774 STRICKLAND, Eric rr` 182 Black Tail Rd., Oroville .,T �... Cont-.* Geor..ge. Roofing Reroof/SF ! f t , 1•t t t tq "(7 . 1 i• s r t' , • t' !1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/ PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT g' IIII/7U ASSESSOR PARCEL NUMBER D L G r ZONING BUILDING PERMIT r1C Strickland 589-1137 SO. FT. OCC. BUILDING VALUATION 400 qUIR 520-00 ER162 WJNNGNWR k Tail Rd, Oroville, CA 95966 CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 6N,rTOR`S AYIV'Blvd, Oroville, CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 520,00 ARCHITECT OR ENGINEER LICENS1. NO. Fee $ 20.00 —Filing Permit Fee $ 17.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ U!LQING ADOAESS �t 13 rick Mail Rd, Oroville, CA 9596b Ener Plan Checking Fee Energy g $ $ PERMIT FEE $ • LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF}3 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O: Installation ❑ Other ❑ Describe Work: B.U.R. Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PowEPPARATUS License Class C-39, C-14 Lic. No. 452266 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO ,oaoA 46.00 NEW CONST. OWELLMIG OCCUP. OR ADONS. ( a ACC. BIDS. so. 3.50F7_ NE CONST. -RSD. MULTI -OUTLET NONES.. 97,50 a SINGLR AE OUTLET CIR. Ex. Occup. ourLETORFIXTURES Bay@ l.w Ex. Occup. ounEEDTs RESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 H^reby affirm under penalty of perjury one of the following declarations: — I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are• Carrieri,egion ins. Co. C/o American Patriot Policy Number U.J.J I fi 9 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith co ply with t �P pfovisio / X !�l� to �� Sldnature��of Applicant - ❑ ner ❑ Oonfractor D Agent An OSHA ermit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 37.00 HAZ. D. FES IMP I FLOOD CDF PARCEL I PD I HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have `��,�1 ByA6, �3G+t(7 .' PERMIT EXPIRES ON %y/ I the applicable provisions Resolutions to do work been paid. Date (0j") r Receipt No. T ', �,l, i) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIof 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. 1*7 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ ZONING BUILDI G PERMIT OWNER Eric Strickland TELEPHONE 589-1137 SO. FT. OCC. BUILDING VALUATION W EAS MAILING ADDRESS 182 Black Tail Ld, Oroville CA 95966 CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTORS MAIUNG ADDRESS 6810 Lincoln Blvd, Oroville, CA 95966 CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 520-0 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ -00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 182 Black Tail d, -)roville, CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFS] Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities fk Installation ❑ Other ❑ Describe Work: B -IJ _R _ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class `` - C-1 4 Lic. No. 4 5 2 2 6 6 r OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION l,`tereby affirm under penalty of perjury one of the following declarations: f I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: CarrierLegion Iris. Co. c/o American Patriot Main Service 200A TO IOOOA 46.00 NEW CONST. DWELLING OCCUP. s OR ADDNS. ( a Acc. BLDs. 3.52FoT; NEW CONST. MULTI -OUTLET NON-RESID. C cl cul 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL @ ':50 Ex. Occup. ouT RESIOOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring +� M PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 6UCI 0537019 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fortbwIth co r ply with t rps ovisio X_ to__ Signatur pplicant - ❑ ner ractor•Ag t An OS=t is required for excava ver 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 37.00 HAZ, I D. FEES I IMP I FLOOD I COF PARCEL I PO I HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date �f a PERMIT EXPIRES ON I le Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Vl G 73. ?o u . p11t{/t A1wu.N'n.neT.noi..n.'.rFy.1►ryp.N.,yt... r '• , • Y NOTE. ---All Materials & Workmanship 'Shall Be inv .Accordance with Reco anized Good Pr `ctices and of a quality prescribed for the Specified�useg in the Uniform Building, Plumbing & Machanical Cod'es and the National Electrical Code. k& PQ O° f W SQ. F7.wM11i�A0M FOR MOBILES~`. t All utility connection hall bb . located within 4 ft. outs ile the rwt third section of the me ild hova on the left (road) side of the 1 o6age dome. t 1 t 1 ISI '60and specl�ilcatlons ,�{u1 to This set of plans ps and It is Un ttko%A kept on the lqb a'.orlcwer. ions On sago pubne an Chang {he P?e �a�rlrc+ent �+ mwrt{en �ess�oof moo. The Bldg. Setback shad] be 5 ft. from the side property line and 50 ft. from the centerline of the read, permifting a maxl- mum of a 2 ft. eave ova: sang but antimly out of all easements. 6441". it/ •M�•^PrM'�w..yWrM�.M'w...Af-'..arM.nwW.urw.y�.•i!a^..M1t.'xrynw...tpi'•..TrY .u...r -Mie. BUTTE COUNTY BUILDING DEPARTMENT APPROVED ' � a OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Lincoln Village Mobile Homes ADDRESS: 2628 Lincoln Blvd. CITY & STATEN OrOVille, CA. 95965 IMPORTANT: December 19' 1979 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT .RECEIVING GOODS OR'- SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE- FULLY TO AVOID DELAY) ! AMOUNT Owner (Erick L. Strickland) decided not to have contractor. (MH Installation Permit#7204-79 - Receipt'#32661.- AP.73-15-3) Mobilehome installation permit fee ----- $40.00 Retain 1/3 of fee ---------------------- $13.33 AMOUNT OF REFUND DUE ------------------- $26.67 $26.67 � I TOTAL � $26 t 67 - I, the undersigned, declare under penalty of: perjury that the services or articles 'claimed hav been rformed or delive d, and that this claim is true and�c/q ect a stated. p Q ( /y Y -� Y Dated this .�C7C/�( �de of ��: 1 I, at t/ "� �� ►,"� ,Calif. ......... .XJ4Cl.. ... ... ...... ....... ..... . ......... . ignature f Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation❑ or Specific Board Approval (Check one) for the same.- Dated this.......... 1.9th.............. day ofD.ec.eMber........ 19.79, at .Qromi.lz...... . Calif.........:...................:.............................::......................... Department Head or Authorized Deputy Dept. Exp. Code......... Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR. CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE ( DATE DISC.. GROSS AMOUNT ENCUMB. I SUB -DIST., I I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Dri4 - Oroville, California 95965 •� V Telephone:y534-4541 �D -,/, _ / APPLICATION AND PERMIT / BUILDING Owner � �Y S/��� SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor �L� /JIL&�'o e Mailing Address la )lf1 & k aLVu, Fireplace Total Valuation (_ ^ , ® pJtl C1(' t_._J,4-L 9.J %., Telephone No. �7 77�/ Permit Fee BuildingAddress 9 tom N•l�rjT�i �I�t /.�L17�1 %13t�- PI an Checki ng Fee &/or Penalty Permit Fee %o /.s—ob f locg— PLUMBING No.1 @ I FEE dQ N �' �j, A UCS PERMIT FILING FEE $3.00 Each TraD 1.50 9 Repair drainage or vent piping 1.50 A. P. No. — +` Zonin tanning Water piping 1.50 Each gas water heater or vent 1.50 Fb,eg' Wre Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pla s Recd Parcel A Plan pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERM Permit Fee $]is %]j)p A f L,t: . /-�J T)*U_)9--/1 ►►1 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLLING BLOGS�CUP. 4') 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: jjj /// I w' �l t 1)1 "�� ) �?,L ,�l U /•-` '9°��x..�� NEW RESICON SC. BRA_NCOUTL T NON -REST D, � BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS&J NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES) B L1� (FIXED APPLNS, OR Ex. Occup. p• \ OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1,, / -, f// License No. sk�(.1a.2 �7 Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I 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 Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -m ntioned property for inspection purposes. k .owe Date1;2iV1;1' Si gnat a of Permitee or Agent Receipt No. ;52'e -"al White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Coo I i Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee j* H - T' $ ;&.— TOTAL PERMIT FEE $%�8 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f which fees have been paid. D IJQ7 OF PUBLIC . WORKS W I YJ 01 Dat —747+ Building permit expires Date �! 1 V r ......- _ ... _ . _ . _, LAN s 't . �. r - j..... :{......................... .. ...:............ ........ ' Shed _ 106 rc IN 'C3 4 ItSe AE&S V! 9 _..._.z • a -v 14 e 4 bream ? 3 - --et_.z. - - - Assessot's Parol Number ®® -� 1 ®`� 10I ®� Scale: 1 °' _ coo Ower Name f av-,J NA v -.r -y Address / Phone No. 91;L' YV&-,: Kt aiie Location a�'`3�� �p 9 5T i BUTTE COUNTY BUILDI-NG DIVISION APPROVED - �—1 (je�.. - -- . • -- �Y, FOR OFFICE USF ONLY PROVIDE FOR ALL . ADJACENT PARCELS SIZE (AC): 70NING: GEN PLAN - Zoning: General Plan Desig: Size, Ams r SIZE, TYPE AND LOCATION Or MARRIAGE [ANE STANDARD PIER: SIZE. TYPE AND N'�I-„ nNrc�� A^� �`�^ SNI•. s SUPPORT PIERS MUST BE INSTALLED AS LOCATION MUST BE INSTALLED AS APPROVED TD.DOWN) 2800 111. CAPAC[Cf. NUYHIDT PER TA811:. SPECIE® IN THE HOME INSTALLATION SPECTIED IN HOME IN SPACE 1ST ROW 2 FT FROM END TREK SPACE EVENLY MANUAL MANUAL FOR HOMES LOCATED WITHIN 2KM OF A TYPE A FAULT• + INSTALL. 2 AUGERS AT EACH ENDW FOR TRIPLE WIDE �(� I I 1 PLACEW5S Fwd SR 85 ' Q0V'FULA I , I 0 0 j{ , '�j1 1 1 lL I 14 , 4 4 4 4 4 P O O fNTATION U T I [ 1 7 1 ! PAD OVIYNTAT ON 1 4 dam- $i�01STM HOBIL ITT CCii ISTING MOH1 iii PAD MUST BE EYISFING NOH(LE E%ISTtefu ImHILE' E:DSDrf, �tL EXISTUG MOHRE PAD MUST BE CN BEAKS HFANS ! LMCN BEAnS�I rcwa ac -s I = Yova BEANS y . KCOACH BEAHs�I I WITHPLACED LT SHOWN I Y`p" - - y �°i �I j PLACED BOLT HOLES I O � ❑ i � WITH HOLT ROLES a O a Q PERPENDICULAR SO a a s a I V PERPENDICULAR TOI : t, cHAssls BEAM CHASSIS BEAM N� In iL�;�j ❑ jL��jJ ❑ 'F''['1I II'[�jf FLj;''JI FL��J� I " '' J' I© LF�J1 © ID I 4 • 4 I • I 1 ! FOR DOUBLE WE! I I PLACE SEISMIC PIERS' I I I I I I IN ROWS OF �I-A I I I I I I ® O ® /PER TABIEi Y Ill ® ® ® ® i lI I I I I I , IIA I I I I I I I • C� L1J. fit] �7 � � i � � i � � � � fit] Im I mI I Q Im mI j mI Im Q mI I I II I rn T. [ T T T T i T T T I a T T ; a m I I I I I 1 i WHEN T®oWS REQ..•. I I ! I I ii�jj PLACE C.P. ANCHOR ! L) L_.I a � ' PIER ON OUTER j L'J j a L�i ' or i W I I I I I I • CHASSIS BEAM IN I I I I I I [PLACE OF SEISMIC PIER' ! C PER TABLE ISnL Cape A? -2B40 Ia: • •IBJ ` L -LI � �+ • SEL=AD C PIER & & 3170 Uplift)-+Ui ❑ I FOUNDATION PAD I ! I I I '� I I ❑` I I I I I I I I( p PER TABLErg I OUTLINE OF ' j�j OUTLINE t -I-1 j�'I I -FT I'1"'1 HOME I � L�-I_ OF MOBILE MOBILE ' X30'-4846�T��T� �O'-32' PLAN Scale: 1" _ 10' PLAN Scale: 1' = 10' PLAN Sale: I' _ TRIPLE WIDE HOME DOUBLE WIDE HOME . TABLE NOTES ! TO USE TABLE, FIND HOMEWIDTH THEN LENGTH & ROOF PITCH. FOLLOW ROW ACROSS TO DESIGN LOAD. READ TOTAL NUMBER OF C.P. SEISMIC PIERS AND TIEDOWNS (SINGLE VIDES) OR ANCHOR PIERS (DOUBLE & TRIPLES) REQUIRED. SEE PLAN ABOVE FOR PLACEMENT OF C.P. PIERS AND TIEDOWN SPECIFICATIONS. HOME SIZES REFER TO NOMINAL SIZES THAT ARE COMMONLY MANUFACTURED. I THE EXACT S12E OF THE HOME IS NOT LISTED. CHECK THE NEXT HIGHER OR [OWER. SIZE- AND USE THE ONE THAT REQUIRED MORE PIERS. THE EARTH ANCHOR TIEDOWNS (OR EQUIVALENT) SHALL BE LISTED & APPROVED BY HCD &-THE INSTALLATION INSTRUCTIONS SHALL BE ON SITE AT TIME OF INSPECTION.. SEISMIC ZONE 4 IS BROKEN DOWN' INTO TWO CATEGORIES. TYPE A FAULT REFERS TO THE CLASSIFACTION OF FAULTS LOCATED,NEAR THE PROPERTY (2001 CBC TABLE 16-U). THE DISTANCE REFERS TO THE i DISTANCE OF THE PROPERTY WHERE THE ROME WILL. BE INSTALLED TO THE NEAREST KNOWN FAULT(S). FOR I EXAMPLE TYPE A. WITHIN 2 KM REFERS TO A HOME SITE WITHIN 2 KM FROM A TYPE A FAULT. IF THE SITE IS LOCATED MORE THAN 2 KM FROM A TYPE A FAULT. USE THE 'ALL OTHERS COLUMN. 1 -FOR SINGLE WEDES, WHERE TIEDOWN COLUMN IS SPLIT AS SHOWN. INSTALL 2 EARTH ANCHOR TIEDOWNS AT EACH ENDWALL . TOTAL ® OF ENDWALL TIEDOWS PER HOMO: IS INDICATED IN TABLE BY •. d TOTAL / OF siDEWAEL TIFDOWNs j a• TOTAL B OF ENDWALL T®OWNS '. No MORE THAN 1/3 OF THE TOTAL NUMBER OF C.P. SEISMIC AND ANCHOR PIERS MAY BE EXTENDED ABOVE MAX HT ABOVE CLAMP 3 IN FOR THE 6 IN PIPE 7IN FOR THE 10 IN PIP 12 IN FOR THE 15 IN PIPE 14 IN FOR THE 18 IN PIPE TUBE MUST EXTEND 3' MIN IN TO CLAMP BASE HEIGHT 7 INCH SMALL 11.5 INCH REGULAR 18.5 INCH EXTRA LARNE SINGLE WIDE HOME GENT?RAL NOTES: REVISIONS REFERENCE:CALIFORNIA CODE OF REGULATIONS. TITLE 25 AND C.B.C. 2001, CHAPTER 16. f 1. DESIGN .LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 1I( - 2. FOOTINGS ARE TO BE SUPPORTED BY EITHER FIRM, UNSATURATED, UNDISTURBED SOD. OR COMPACTED FILL, ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY AND SHALL BE' COMPATIBLE WITH LOCAL SOD, CONDITIONS. ALL FOOTINGS SHALL BE FOUNDED IN ACCORDANCE WITH - 4 3. STRUCTURAL STEEL a. SHALL CONFORM TO ASTM A38 Fy - 38 KSI MDGANM. b. SHALL BE FABRICATED ACCORDING TO ALSC SPECIFICATIONS. SEISMIC ZONE 3 iii. BOLTS: STANDARD ASTM A307 TYPE A FAULT iv. THREADED ROD: COLD DRAWN LOW CARBON WELDABLE- d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE ^ F -I I PROTECTIVE COATED. 4. THE C.P. SEISMIC PIER SHALL BE LISTED & LABELED BY BSK ASSOCIATES FOR THESE ULTIMATE LOADS: A. 7' THRU 18 INCH PIERS: 3203 LBS. (STRONG DIR), 2273 (WEAL( DDR). 16.000 VERTICAL B. 19 INCH X -LARGE PIER: 1553 LBS. (STRONG DDI.) 1462 (WEAK DIR), 16,000 VERTICAL j 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED HOMES CONSTRUCTED WITH LONGITUDINAL OR z1 CROSS JOISTS. 6. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO E snNGI w SOIL PROBLEMS. SEE NOTE 2 AND TRIS 25. SECTION 1334(b). ALL OTHERS PER MANUFACTURER'S INSTALLATION MANUAL WITHOUT MANUAI, SPACING OF STANDARD PIERS TO BE �--I a DET8RIINGED BY Tn LE 25, SECTION 1335.5. Q NOBS: FOU�ATION PAD NOTES: 1. TWO FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE CUSTOMER MAY CHOOSE �y WITHIN 2 KM* 2. FDTN PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) 3. THE FOUNDATION PADS SHALL BE ORM4TED AS SHOWN ON THE PIAN VIEW DRAWING WITH THE BOLT I j HOLES PERPENDICULAR TO THE CHASSIS BEAM. SEE PLAN VIEW. ROOF LIVE LOAD (PSF) 4, f.ONC PSP[ FOUNDATION PADS 60 A 3000 PSI AT 28DAYS AS TESTED AND MANUF. BY STARLTTE WEIGHT CONCRETE. E- e D FOUNDATION P n 5. PRESSORF TR_ATF 30 A- 3/4 INCH A.PA. 48/24 EXTERIOR P.S.I.-83 CC. PLUGGED, NER-QA397,PRP-108. , HM 6. ATTACHMENT TO EXISTDIG CONCRETE SLAB 30 THE C.P. SEISMIC PIER MAY BE ATTACHED TO AN EXISTING COMPETENT CONCRETE SLAB OR CONCRETE V FOOTING ACCORDING TO THE FOLLOWING CRITERIA: WIND LOAD(MPH.EXP) 70C 80C 70C 80C 70C 80C ' COACH SIZE C TIE SYJSYIC TIE SE C TIN S05MLC TIE C TWE 50.900 T2 WIDTH LENGTH ROOF PITCH ILLS DOWNS PIERS DOWNS PIERS DOWNS PEEPS DOWNS PIERS DOWNS PIERS DOIINS w UP TO 60 FT 3:12 6 4' 6 8 6 4 q• 6 8 qe 6 4 6 8 10'-16' � 80'-78' 3:12 8 4 8 10 8 4 4. 8 1 q, 8 4 8 30 U � UP TO 80 E'C 4:12 8 4 6 B 6f4-4- , 8 8 , ,1 8 4 6 8 n 10'-16' 60'-79' 4:12 e 6 e 12 e d• 6 21: 6 s 6 12 COACH SIZE BOF 0 OF 0 OF / OF / OF 'I OF / OF 0 Or p OF ► OF 6 OF / OF C ANCHOR SEISMIC CHOW C ANCHOR SEISMIC ANCHOR C ANCHOR SEISMIC ANCHOR WIDTH LENGTH ROOF PITCH UP TO 48 FT 2Yi:12 8 0 4 4 4 4 4 4 8 0 4 4 UP TO 78 FT 21n:12 12 0 8 4 8 4 8 4 12 0 8 4 20' UP TO 48 FT 4:12 4 4 4 4 4 4 4 4 4 4 4 4 e UP TO 78 FT 4:12 6 4 8 6 6 4 6 6 8 d 8 8 24'-27' UP TO 48 FT 4:12 8 0 4 4 4 4 4 4 8 0 4 4 c 28'-32' UP TO 44 FT 4:12 12 0 4 4 4 4 4 4 4 4 4 4 UP TO 86 FT 4:12 12 0 8 4 8 4 8 4 12 0 8 4 24'-29' UP TO 78 FT 4:12 16k4l 4 12 4 12 4 16 0 12 4 UP TO 60 FT 4:12 12 4 8 4 8 4 12 0 8 4 30'-32' UP TO 78 FT 4:12 16 4 12 4 12 4 16 0 12 4 UP TO 60 FT 4:12 16 4 12 4 12 4 8 4 8 4 m 30'-36' IIP TO 78 FT 4:12 12 4 14 4 14 4 18 0 12 4 UP TO 60 FT 4:12 12 4 14 4 14 4 16 0 12 4 37'-48' UP TO 78 FT 4:12 1 18 14 16 4 1 20 1 4 20 4 18 4 18 1 4 . TABLE NOTES ! TO USE TABLE, FIND HOMEWIDTH THEN LENGTH & ROOF PITCH. FOLLOW ROW ACROSS TO DESIGN LOAD. READ TOTAL NUMBER OF C.P. SEISMIC PIERS AND TIEDOWNS (SINGLE VIDES) OR ANCHOR PIERS (DOUBLE & TRIPLES) REQUIRED. SEE PLAN ABOVE FOR PLACEMENT OF C.P. PIERS AND TIEDOWN SPECIFICATIONS. HOME SIZES REFER TO NOMINAL SIZES THAT ARE COMMONLY MANUFACTURED. I THE EXACT S12E OF THE HOME IS NOT LISTED. CHECK THE NEXT HIGHER OR [OWER. SIZE- AND USE THE ONE THAT REQUIRED MORE PIERS. THE EARTH ANCHOR TIEDOWNS (OR EQUIVALENT) SHALL BE LISTED & APPROVED BY HCD &-THE INSTALLATION INSTRUCTIONS SHALL BE ON SITE AT TIME OF INSPECTION.. SEISMIC ZONE 4 IS BROKEN DOWN' INTO TWO CATEGORIES. TYPE A FAULT REFERS TO THE CLASSIFACTION OF FAULTS LOCATED,NEAR THE PROPERTY (2001 CBC TABLE 16-U). THE DISTANCE REFERS TO THE i DISTANCE OF THE PROPERTY WHERE THE ROME WILL. BE INSTALLED TO THE NEAREST KNOWN FAULT(S). FOR I EXAMPLE TYPE A. WITHIN 2 KM REFERS TO A HOME SITE WITHIN 2 KM FROM A TYPE A FAULT. IF THE SITE IS LOCATED MORE THAN 2 KM FROM A TYPE A FAULT. USE THE 'ALL OTHERS COLUMN. 1 -FOR SINGLE WEDES, WHERE TIEDOWN COLUMN IS SPLIT AS SHOWN. INSTALL 2 EARTH ANCHOR TIEDOWNS AT EACH ENDWALL . TOTAL ® OF ENDWALL TIEDOWS PER HOMO: IS INDICATED IN TABLE BY •. d TOTAL / OF siDEWAEL TIFDOWNs j a• TOTAL B OF ENDWALL T®OWNS '. No MORE THAN 1/3 OF THE TOTAL NUMBER OF C.P. SEISMIC AND ANCHOR PIERS MAY BE EXTENDED ABOVE MAX HT ABOVE CLAMP 3 IN FOR THE 6 IN PIPE 7IN FOR THE 10 IN PIP 12 IN FOR THE 15 IN PIPE 14 IN FOR THE 18 IN PIPE TUBE MUST EXTEND 3' MIN IN TO CLAMP BASE HEIGHT 7 INCH SMALL 11.5 INCH REGULAR 18.5 INCH EXTRA LARNE SINGLE WIDE HOME GENT?RAL NOTES: REVISIONS REFERENCE:CALIFORNIA CODE OF REGULATIONS. TITLE 25 AND C.B.C. 2001, CHAPTER 16. f 1. DESIGN .LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 1I( - 2. FOOTINGS ARE TO BE SUPPORTED BY EITHER FIRM, UNSATURATED, UNDISTURBED SOD. OR COMPACTED FILL, ASPHALT OR CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY AND SHALL BE' COMPATIBLE WITH LOCAL SOD, CONDITIONS. ALL FOOTINGS SHALL BE FOUNDED IN ACCORDANCE WITH H.C.D. GUIDLINES AND TITLE 25. 3. STRUCTURAL STEEL a. SHALL CONFORM TO ASTM A38 Fy - 38 KSI MDGANM. b. SHALL BE FABRICATED ACCORDING TO ALSC SPECIFICATIONS. c. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: L. ELECTRODES: E70 ii. PLATES: ASTM A36 iii. BOLTS: STANDARD ASTM A307 iv. THREADED ROD: COLD DRAWN LOW CARBON WELDABLE- d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE ^ F -I I PROTECTIVE COATED. 4. THE C.P. SEISMIC PIER SHALL BE LISTED & LABELED BY BSK ASSOCIATES FOR THESE ULTIMATE LOADS: A. 7' THRU 18 INCH PIERS: 3203 LBS. (STRONG DIR), 2273 (WEAL( DDR). 16.000 VERTICAL B. 19 INCH X -LARGE PIER: 1553 LBS. (STRONG DDI.) 1462 (WEAK DIR), 16,000 VERTICAL j 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED HOMES CONSTRUCTED WITH LONGITUDINAL OR z1 CROSS JOISTS. 6. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO E snNGI w SOIL PROBLEMS. SEE NOTE 2 AND TRIS 25. SECTION 1334(b). 7. THE SIZE, TYPE & LOCATION OF STANDARD VERTICAL SUPPORT PIERS & FOOTINGS MUST BE INSTALLED PER MANUFACTURER'S INSTALLATION MANUAL WITHOUT MANUAI, SPACING OF STANDARD PIERS TO BE �--I a DET8RIINGED BY Tn LE 25, SECTION 1335.5. Q NOBS: FOU�ATION PAD NOTES: 1. TWO FOUNDATION PADS ARE AVAILABLE FOR USE WITH THIS SYSTEM. THE CUSTOMER MAY CHOOSE �y ONE OF THE PADS FOR THEIR COACH. 2. FDTN PADS SHALL BE PLACED ON FIRM, LEVEL UNDISTURBED SOIL (SEE GEN. NOTE 2) 3. THE FOUNDATION PADS SHALL BE ORM4TED AS SHOWN ON THE PIAN VIEW DRAWING WITH THE BOLT I j HOLES PERPENDICULAR TO THE CHASSIS BEAM. SEE PLAN VIEW. , U 4, f.ONC PSP[ FOUNDATION PADS T_l A 3000 PSI AT 28DAYS AS TESTED AND MANUF. BY STARLTTE WEIGHT CONCRETE. E- e D FOUNDATION P n 5. PRESSORF TR_ATF 1 A- 3/4 INCH A.PA. 48/24 EXTERIOR P.S.I.-83 CC. PLUGGED, NER-QA397,PRP-108. , HM 6. ATTACHMENT TO EXISTDIG CONCRETE SLAB I O THE C.P. SEISMIC PIER MAY BE ATTACHED TO AN EXISTING COMPETENT CONCRETE SLAB OR CONCRETE V FOOTING ACCORDING TO THE FOLLOWING CRITERIA: 1. ATTACH WITH TWO 'A" DIAM. ITW RAMSET/ REDHEAD TRUBULT WEDGE ANCHORS I 2. MINIMUM EMBEDMENT = 2.5' 3. MINIMUM CONCRETE THICKNESS = M- 4. MINIMUM EDGE DISTANCE = 2" 10' COACH SIZE NOTES: I O 1. UNLESS APPROVED BY ROCK SOLD) ENGINEERING. INC.. THE ROOF PITCH SHOULD NOT EXCEED: > I---1 A SINGLE WIDES: 3:12 OR 4:12 AS SHOWN IN TABLE B 20 FEET WIDES- 2-/.'12 OR 412 AS SHOWN IN TABLE I i 5/6'x3' I\.`ID C. ALL OTHER DOUBLE VES: 4:12 FLANGED PLASTIC D. TRIPLE WIDES: 4:12 ANCHOR INSERTS j 2• FOR ANY HOME SIZE OTHER THAN AS SHOWN ON THIS PIAN OR REFERENCED IN THE TABLE, THE ! ' i (Q LAYOUT SHALL BE REVIEWED & APPROVED BY ROCK SOLID ENGINEERING. INC. io I I I T� INSPECTION REQUIREMENTS: I 1. THE DESIGN OF THIS SYSTEM IS BASED ON STANDARD MANUFACTURED HOMCES AS BUILT BY THE MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES AND SECONDARY ROOFS HAVE NOT BEEN 3' INCLUDED IN THIS DESIGN. 4' 5/8'x3' 2. ALL DQ@ISIONS INCLUDED ON THIS PLAN. INCLUDING COACH SIZE, ROOF HEIGHT AND PIER HEIGHT. FLANGED PLASTI SHOULD BE FU3.D VERO= BY THE LOCAL BUILDING OFFICIAL ANY DISCREPENCIES SHOULD BE ANCHOR INSERTS IMAfEDIATELY BROUGHT TO THE ENGINEER'S ATTENTION. 13.5 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT PROPER SOIL CONDITIONS AND DRAINAGE 4x4 -4x4 VVF 4' 1.1 PATTERNS HAVE BEEN ESTABLISHED IN ACCORDANCE WITH TITLE 25 & THE HOME I4SATI.IATION ! MANUAL PRECAST C.P. PRO PADOVR FEs3J ,� MANUFACRIR-D IIOMTlIdOBILE NOMI - r�'�'���C, M. My `i ' HOLES FOR FOUR DATIONSYSTEM I.1 I/2'%HOLES C.E. HEALTH ANDSAFETY CIU -,SECTION..... ¢ s 7 APPROVED 0.60. 2q5 ' z C v SUBJECT TO CORRECTIONS NOTED Crm I APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OF CA0 i U) Lam- OMISSIONS OR DEVIATION FROM REOUIREMFNTS OF _ VN l r� APPLICABLE STATE LA'ASAND REGULAnoNs C.P."ANCHOR PIER TIEDOWN. WHERE REQUQRED q• -J Sl,�eruBro�.' FOR DOUBLE & TRIPLE WIDES, SEE TABLE IxP,ry 'er H_iag_d Ceo..ft D..Wpp rner•u t Or Au FOUNDATION -BOLT'4ITH 2 - 3/8' x I' BOLTS VASHER 6 NUT FIELD DRILL HOLES OPTION OF 2' DIA 4-1114 SELF TAP SCREWS STD PIPE 4 - 3/8' BOLTS TIGHTEN TO 1/4' 180 IN -LBS ANGLE 3 (15 FT -LBS) TORQUE .3/16' PLATE CLAMP -3/4' THREADED ROD 4 - 3/16' PLATE LEGS BE TYP OF 2 STEEL INSERT - 5/81 2.5'OLT OR BOLT WITH HARDENED WASHER _-1/4' PLATE m� SEISMIC PIER Not to Scale r P CF.LSI lr PTERO1-PATENT #5595366 COACH C OR J BEAM 3' x 3' PLATE SPACER AS NEEDED FOR J - BEAM BEAM CONNECTION Not to Scale STANDARD STEEL PIPE (SCHEDULE 40) 10', 12', 18', OR 24' LENGTH WHEN CONDITIONS REQUIRE, PRE -DRILL 8-10 IN. WITH A 112' DIAM. BIT FOR ANCHOR Y