HomeMy WebLinkAbout078-270-061James W. Porter
V-6 Rd,, Oroville
�� - 02-0� IN LE
DAVIDSON, Jim & Gloria
aKsa V-6 Rd., OroviIie
Cont: Executive Homes M14
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a36 075-- 6�' V 02-0974' _-
DAVIDSON, Jiin & Gloria
3 4 5 a V-6 Rd., Orovi l le
Cont: Executive Hoines .
Mobilehoine Installation ELECTRIC ELECTRIC
,GAS Al • GAS
COMPACTION TEST REQ. X!O
SUPPORT STRUCTURE REQ.1V0
AM@ CO- Mv. of Env. Neditb
3 1979
�17
Cleo
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17
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September 4, 1979
Mr. James W. Porter
213 Uhden Street
Santa.Cruz, California 9-3060
Property on V-6 Road
Oroville, CA
A.P:
Dear Mr. Porter:
Thank you for advising this department that you now own or.control the above
property and that you intend to comply with our letter of August 3, 1979.
.You indicated that on or about September 8, 1979, you plan to attend to the.
matter of the dilapidated dwelling on the property. Please advise me of your
progress towards compliance. Any safety hazards must be corrected at once.
Time extensions for complete compliance may be granted provided there is
reasonable progress.
If I can answer any questions or be of assistance,.please contact me at the
above address and telephone number.
Very truly yours,
Thomas Reid, R.S.
Division of Environmental Health
TR : bws
LAND
OF NATURAL WEALTH AND BEAUTY
1l it j
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Address O 695 Oleander Avenue, P.O. Box 1100 (A 7 County Center Drive ❑ 747 Elliot -.Road
R.ply
to Chico, California 95927
Oroville, California 95965 Paradise. California 95969
Telephone: 916
Telephone: 916/534.4281 Telephone: 916/872-2961.. Ext. 58
891-2727
September 4, 1979
Mr. James W. Porter
213 Uhden Street
Santa.Cruz, California 9-3060
Property on V-6 Road
Oroville, CA
A.P:
Dear Mr. Porter:
Thank you for advising this department that you now own or.control the above
property and that you intend to comply with our letter of August 3, 1979.
.You indicated that on or about September 8, 1979, you plan to attend to the.
matter of the dilapidated dwelling on the property. Please advise me of your
progress towards compliance. Any safety hazards must be corrected at once.
Time extensions for complete compliance may be granted provided there is
reasonable progress.
If I can answer any questions or be of assistance,.please contact me at the
above address and telephone number.
Very truly yours,
Thomas Reid, R.S.
Division of Environmental Health
TR : bws
NOTES
RESIDENTIAL
rvwutfciiviii�
PERMIT NO. ?
036-073-005 -02=0974 ' 091; 1
DAV IDSON; .lim & Gloria
ay��y-6 Rd., Oroville
i Cont: Executive Homes YY1.�{�
cc?
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFFICE COPY
Address
GAS
Meter By
/
Date
ELECT
Meter By
Date
t
Li
JOB FINALED (Date)
Signature IL.�
J/ = OK'
0 = Not OK
= Not Applicable
= Not Ready,
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
9.
1.
Zoning Requirements -Setbacks -Easements
10.
'2.
Soils; Special MH Support Sketch
MOBILE HOME INSTALLATION (Plans) OK except #'s
3.
Sewer; Location -Test -Fall -C/O -Concrete
Zoning Requirements-Setbacks;Easements
4.
Water; Location -Test -Easement Needed (Sketch)
Footings; Size -Spacing -Marriage Line
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Gas; MH Test -Demand -Valve -Connector
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ /'LPG
Electricity; MH Test -Crossovers -Breakers -Clearances
7.
Well Clearance & Disconnect
Drain; MH Test -Fall -Flex Connector
8.
Utilitv Clearance
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
Date
9.
Card B-1 Date Card B-1
Date
10.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Ext.; Steps -Doors -Landings
1.
Zoning Requirements-Setbacks;Easements
Braced Wall Panels
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
Card B-1 Date Card B-1
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Card B-1 Date Card B-1
5.
Drain; MH Test -Fall -Flex Connector
FINAL (Plans) OK except #'s
6.
Water; MH Test -Regulator -Connector
Setbacks -Easements
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Soils; Compaction -Structure Stability
8.
Gas and Electricity Tagged
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
9.
Tie Downs -Type -Installation Cert.
Elec.; Receptacles and Lighting, Distance-GFI
10.
Exits; Insp.-Sketch
Elec.; Pool Lighting; 15 Volts-GFI
11.
Cert. of Occupancy
Elec.; Enclosures; Conduit Entries -Terminals -listed
12.
Permanent Foundation Only; License Decal
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
- 4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (;
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Ring.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
I nfiltratio n -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
EM. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
Guard Rails & Deck Construction -Post Caps
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes ❑ No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor D Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive:I Yes ] No/Walks ❑ Yes ❑ No/Planters p Yes ❑ No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
87.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Date
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Tingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
I nfiltratio n -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
EM. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor D Yes
82.
Following Instld./Drive:I Yes ] No/Walks ❑ Yes ❑ No/Planters p Yes ❑ No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION — COUNTY CENTER DRIVE,
OROVILLE, CA 95965 — PHONE (530) 538-7541
APN:! //
b — b� �itJ w`
PERMIT NO.: (�
Owner's Name:
`_1 I t - Q- f L" V
Owner's Address:
G;7 U`--7 is
Mobilehome Manufacturer:
Year of Manufacture:
Serial Number or V.I.N.: +
Insignia or HUD Number:
Official approving installation:
Date:
If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This
form shall not be used when the mobilehome is installed on a foundation system.
5138 White -Owner, Yellow -Installer, Pink -Bldg, Gold -Assessor
' NOTES RESIDENTIAL ✓�G
PERMIT NO. —f �✓
1 l 036-073-005 --- - 02-0973 -- 4
DAV IMON, Jim & Gloria
` 10�5, 16,A�V-6 Rd., Oioville
Cont: Executive Homes
i.
It
�a
y
9 '
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date
Signature
N
s = OR -
0 = Not OK
= Not Applicable
= Not Ready
. MOBILE HOMES
Date MOBILAoAOME UTILITIES (Plans) OK except Ws
L41ZO-DiRg
Requirements -Setbacks -Easements
.
Soils; Special MH Support Sketch
Card B-1 Date Card B-1
ewe ; Location -Test -Fall -C/O -Concrete
J 4.
ater; Location -Test -Easement Needed (Sketch)
5. EI ricity; Location -CI ances-Grnd- /Amp -Concrete
as; Location -Te p;-/ /" L'
/ P Nat. or/ L"ft./ /'LPG
e rance Disconnect
A city Clearance
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except ft's
Date
?,? d ?Card B-1 Date Card B-1
Date
2.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except q's
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Frg-Bracing
2.
Footings; Size -Spacing -Marriage Line
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
3.
Gas; MH Test -Demand -Valve -Connector
Carports; Windows -Doors
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Electric
5.
Drain; MH Test -Fall -Flex Connector
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
6.
Water; MH Test -Regulator -Connector
Siding; Nailing -Veneer -Stucco -Mesh
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Roof; Shthg-Roofing
8.
Gas and Electricity Tagged
Ext.; Steps -Doors -Landings
9.
Tie Downs -Type -Installation Cert.
Braced Wall Panels
10.
Exits; Insp.-Sketch
w_.
11.
Cert. of Occupancy
Card B-1 Date Card B-1
12.
Permanent Foundation Only; License Decal
Card B-1 Date Card B-1 j
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except ft'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- Bea ms- 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
w_.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1 j
Date
FINAL (Plans) OK except #'s L
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
= OK
0 = Not OK
- = Not Applicable = Not Ready
RESIDENTIAL (;
Date
FRAMING (Continued)
Underfloor (Plans) OK except #'s
46.
1.
Zoning -Setbacks -Easements -Flood -Slope
47.
2.
Ftg., Main; Soils-Elec. Grnd.-/ F Ftg. Depth
48.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
49.
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Fig. Depth
50.
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
51.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
53.
7.
Slab, Steel -Wrapped
54.
8.
Piers -Fireplace Ftg.-Steel
55.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
56.
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
57.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
58.
12.
Electric Underground
t
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
60.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
+
15.
Access & Ventilation
t
1
16.
Insulation
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
PLUMBING (Permit) OK except #'s
63.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
64.
18.
Water Pipe; Test & Anchor -Nail Protection
65.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
66.
20.
Shower Pan; Test, First Floor -Tub Access
67.
21.
Test Tub & Shower, Second Floor -Tub Access
68.
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card B-1
Date
Elec. Outlets at Wood Panel, Int. & Ext.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
ELECTRICAL (Permit) OK except #'s
73.
23.
Fixture & Transformer Clearance -Ins. Protection
74.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
75.
25.
Size Boxes & No. of Conductors Stapled
76.
26.
Romex Installed Close to Edge of Studs & C.J.
77.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
78.
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
79.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
80.
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral O Yes O No
81.
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
82.
33.
Clothes Closet Light -Shower Light -Spa Light
83.
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date.
Card B-1 Date Card B-1
Rate,
Card B-1 Date Card B-1
Date,
MECHANICAL (Permit) OK except #'s
Exterior Elec. Trim, G.F.I. Receptacle -Underground
35.
A.C. Ducts Insulation & Support
Ventilation Throughout House
36.
Vent Fan, Exhaust above insulation
Glass Protection
37.
Condensate Drain & Overflow, Size & Grade
Corrections from Previous Inspections
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Gas Test -Meters Tagged, Gas -Electric
39.
Attic Access & Platform if Furnace in Attic
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Ratter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
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
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Insild./Drive J Yes 0 No/Walks 0 Yes O No/Planters 0 Yes ❑ No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to O?enings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 EMI NO.
(Rev. 12/96) APPI—ICCATION AND PERMIT D
ASSESSOR PARCEL NUMB X36-073-005 ZONING BUILDING PERMIT
OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION
DAVIDSON JIM & GLORIA 534-7494
OWNER'S MA[13'4ADD sL02 V-7 Rd., OROVILLE CA
CONTRACTOR'S NAME. TELEPHONE .
EXECUTIVE HOMES 891-6992
CONTRACTOR'S MAILING3042 ESPLANADE CHICO CA
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS Fireplace
- - w -e _: lace
COUNTY OF BUTTE$
20.00
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1 cingFee
$
3 nn
411 Main Street • Chico, CA • (530) 891-2751 :
, n Checking Fee
S
7 County Center Drive • Oroville, CA • (530) 538-7541
_
$
1
PERMIT FEE
$
Lr
CORRECTION NOTICE
BING PERMIT
Fling Fee 20.00
7.00
77 3
at pump water heater
23.00
��.
?5.00
PERMIT NO.
NER
T� g
f ater heater or vent
15.00
�
'tA routine inspection indicates that the following violations of butte county Ordinances exist at the
system t - 5 outlets
15.0015.00
above address and should be corrected. Please notice this office when correction of work is
er
completed. if you have any questions pertaining to this matter, or need additional explanation,
e S G W
20.00
P
please contact this office immediately.
'
PERMIT FEE
L PERMIT
$
Fling Fee 20.00
a 600V OR LESS
20.. OR LESS
23.00
e 200A TO 1000A
D C
46.00
BE11LING
ACC. BLDS.UP.
3.52x.
MULTI.OUTLET
@7.50
r
POWER APPARATUS
I
& SINGLE OUTLET CIR.
h._
20 Q 1.00
OUTLETOR FD(TURES
aAL Q .SO
Ji
- FLEDAPPLNS. OR
OUTLETS REBID.) EA
5.00
Service
23.00
e Facilities
_
20.00
j
23.00
Y
PERMIT FEE
S
fid.
.;1 NICAL PERMIT
Filing Fee 20.00
- .4.
•i
6.50
Date2
REV 1
PERMIT FEE $
• Installation Fee $
r , ction Fee $
i' T. TTPE TOTAL FEE $
143.00
µ D. FEES FLOO CDF ClPAPD ISSLI
r . _� IL
ereby issued under the applicable provisions
unty Code and/or Resolutions to do work
a for which fees have been paid.
uV
ate 1 D z
1
Inspector
ON
E�
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �In,
O•
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 036-073-005
ZONING
BUILDING PERMIT
OWNER
DAVIDSON, JIM & GLORIA
TELEPHONE
534-7494
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRES�202 V-7 RD., OROVILLE CA
CONTRACTOR'S NAME
EXECUTIVE HOMES
TELEPHONE
891-6992
CONTRACTORS MAILING ADDRESS
3042 ESPLANADE CHIM CA
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR' ENGINEERS MAILING ADDRESS
/
Plan Checking Fee $21-00
BUILDINGADDRESS
�..•
ROAD.01R(AZI11E CA 95966
Ener Plan Checking Fee $
9Y 9
$
--_ —_ _ _. - - - - -----
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: M H UTILITIES
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home
@?20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ioov. oA L s
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 (I u o 5 ��
(� �� Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 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
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
/performance of the work for which this permit is issued.
I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insuran_cJ� carrier and policy number are:
Carrier 5 QJ4 , F-t,L.b'1GY
Policy Number I !{!5 153 - D I
(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
employ any person in any manner so as to become subject to workers'Haz.
compensation laws of California, and agree that if I should become subject to they
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
''A nn s�
X V�� Date q' -(�-
Signature of Applica ❑ Owner ❑ Contractor gent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction0of structures over 3 stories in height.
Main Service zooA To ,oaoA
46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. BLos. 3.5QFT;
NOµHEOSID. muLTI.OUTLu, 97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
'
Ex, Occu OUTLET OR FOCTUREs BAL @:w
Ex. Occup. oFlxurLEtDTSA RM.DEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
TYPE
TOTAL F E $not
EOCCONST.
D.FEES IMP
CDF
—
PARC
This permit is hereby issued under the applicable
of the a Counode and/or Resolutions
indic ved%lidh fees have been
By).�An D
PERMIT EXPIRES ON
D
provisions
to do work
paid.
e � 2
w7
to
ReceiptNo. -00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
..�,q„t .. T.,.. `M7v1: r-��+• Farv-`.I�M'I�,r.r-„y�{•,.nr,,,y,�,hw„ �.-w,r•e,.�,...�-..n.r�...,--_-.�,r.-....-T--- r--. .--s r �. -.y . .�.+--r..+ �
? . i
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (5ffi38-7541 Fax (530)538-2140
PERMITrAPPLICAT.ON DWTAI, SHEET
OWNER: ��ASSESSOR PARCEL NUMBER
nn S ., U ^�
Proposed Building Use: I r \ � 7 �"� a ” ounter Technician: 7 `� Date: 1 P 3
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
.. Plot 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. Energy compliance design and supporting documentation in duplicate.
Manufactured homes: (A) Data sheets -and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or,
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed.
indexed and returned to the plan review line-up when required items are received.
' , Date Received
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Rlovp.lan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings....... If, ..........................................
❑ 11. Detached Accessory Building Form filled: out by �ewner.......rl ............................
❑ 12. Hazardous Material Form ................... ...: - \..� ... .. .! ...........................
13. Other
,q
Remaining items needed to issue the permit. (May
The permit will be
ire additional plan review upon receipt of the following items.)
IM
Fees as shown on the attached Schedule of Fees Due Sheet .......................................
Statement ofIntent for Non -heated and A/C Buildings ................................... u.`�
Sanitation and plot plan approval from the Environmental Health Department in
#-5.1
7. City of Chico Plumbing permit.......................................................................: <;
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by:
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 0. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification)........- .............
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
7. Recorded copy of Agricultural Acknowledgment Statement ....................................
8. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed M. T*tle/Statement of Facts ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other: – �q, '] %0 'A
When issued Telephone — and hold for pickup.
I have been infor ed of the above items and requirements for obtaining a building permit.
Applicant: d�G`', Date:
Al
1. Index permit application for the above items numbered:
2. Additional items required
Contractor, designer, owner, was advised of the above data by
Contractor, designer, owner, was advised of the above data by
Plans reviewed by: Date:
Structural reviewed by: Date:
Note transfer by: Date: .
Plan4Check Letter
❑ phone, ❑ mail, ❑ counter, by Date:
❑ phone, ❑ mail, ❑ count by Date: as it
_ Plans approved by: Zcl�l Date:
_Structural approved by;=: Date:
une
Yellow:Building Division fi bztr�K
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: � �—' (� C;' � ASSESSOR PARCEL NUMBER b
Proposed Building Use: Counter Technician: C\� Date:
Ite s required in de t a y for a e �bojcesMUST be checked OR marked NA in order to apply.
.Plot plans, 3 or 4 sets, signed by the preparer of the plans.
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!
❑ Energy compliance design and supporting documentation in duplicate.
Manufactured homes: ( ata sheets and installation instructions, (lage line information, ( oor Plan, ( e down or
foundation plans, allin duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ig neer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
0. 10. Letter of intent for non-residential buildings.........................................................
''❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
.11
❑ 13. `Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
'14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
Statement of Intent for Non -heated and A/C Buildings .......................................
Sanitation and plot plan approval from the Environmental Health Department in
17. City of Chico Plumbing permit........................................................................
018. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: O 1< (B)Parking: (C) Parcel Check:
❑�'0. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
Its Z1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection fbn required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
Letter of Signature authorization..................,......::.........................................
/ Recorded copy of Agricultural Acknowledgment Statement ...................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone 1 and hold for pickup.
IhDAppli
ve been informed of thea .eve items and requirements for obtai 'ng a building permit.
ant: �..• Dat .
oL,�!N v
1. Index permit application for the above items numbered: GPlan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, mail, Pl counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date:
Plans reviewed by: Date: Plans approved by:� Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:.
Yellow: Building Division
M
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
SCHEDULE OF FEES DUE
OWNER. C. U n A.P. # S603 — 60 57
PROPOSED BUILDING USE I" t^ DATE
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--Balance Due ........................................................ $
--Additional Fees Due ............................................ $
--Additional Fees Due ............................................ $
--Revised Plan Checking Fee .................................. $'
2. SCHOOL DISTRICT FEES
(paid at District Office) O� J 0
3. SHERIFF FEES (paid at Building Division)
Residential .................................... x $360.00 = $ 31�0.CA,"
Units
Commercial (sq. ft.) ...................... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES
Residential ............................ x = $
# Units Amt.
Commercial (Sq. ft.) ............. x = $
Sq. ft. Amt.
5. RECREATION DISTRICT FEES
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE -
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
APPLICANT
DATE 0 Zi
Pursuant to Government.Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00)
L _ :... .., .^+.�cZ... r-.•.:�wPRvc?sf�"K.r.'s.`{V'...:"'.ci:;FYj.••iA►/:iA).'v(r�t�.+:afY„j •.t?'v:, i..,
♦ � Ff...IR". ,ice
. M�•
•
BUTTE COUNTY SCHOOLS
IMPACT FEE CERTIFICATION FORM
e
(One form per Building)
t
School District
Building Department
No.
A.P. Number 7 3 ` 05 Jurisdiction:
City
County
Property Owner,
(� �Q, j�^•y�
Property Location/Address
Subdivision
Lot No.
}
..............................................................................................................
ResidentialDevelopment
*Supplemental
Sq. Footage n
No of Living MopAme
Addition/ to
(Group R
Units Installation
Conversion Permit #
'(No
`x�Q rn
..................................................................................................................
foundation inspection);
✓� ) /J
_ t -to — �P la
Commercial/Industrial
S Footage
q
New Addition
(Including Exterior
%^� n
a
Roofed Areas)
Buil in 'Department RepresentativeDate
e
(Floor Plans reviewed by School District Personnel)
Di0-�=MA4-4-4-e
trict Identification No. ®� �S^o? 6,3
f
Et al 1u ,.� c_ School District certifies that
(Applicant)
V -<R -
.(Street Address) (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolutj`anztJp. of q— QQ —�,� by payment of —,
i
representing square feet. AB 2926 $
FULL MITIGATION $
�-�y-a ,1 -
School District Representative Date
L
Paid by Check # Remarks: �j'E�Q'�J.{,QQ_ d e
03(- 023 - UU - a
+ R
1
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with r
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written Pr6' t will prohibit 4� /
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, tie School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully_ mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/981dmm
Je
}, �,•T,. .�--"-•:./,T r^- no'rfy.,..•-.rb.. ;',..•.+�.J\«..•.'^... ..�� .,• / ch'7�r:.s"r.r.•�y-,�:�.,r:.,f`'�•..,,t,,..,.,�. r„ ^i� �.-, ...•r •-- n^ ,. .
..i f
rL �' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(Onefform per Building)
School District f � / Ltr yoAmik Building Department No.
A.P. Number �,—�j�—(j�j'� Jurisdiction:' City County
Property Owner i 1 CY] kit 1 r" 5 In 16114
Property Location/Address 6faIzl
Subdivision 41Lot No. /
�' 00 11
............................................................................................... /
Residential Development 0 Sq. Footage
No of Living Mo ile Hdme Addition/ *Supplemental to (Group R)
Units Installation Conversion Permit #
'(No foundation inspection):
um
Commercial/Industrial
l New Addition
Plans reviewed by School District Personnel)
Sq. Footage
(Including Exterior
Roofed Areas)
1-/-
Date
,District Identificabon No.
�-
CfwU^ L�C�C .fit C� ly;�cr�c.IC School District certifies that
(Applicant)
(Street Address) (Phone Number)
(City)
has complied with the requirements of Resolution No.
representing --;2,&ASY square feet.
School District Representative
Paid by Check # Remarks:
(State)
7%1 74
(Zip Code)'
9/ -ad -y J by payment of $ I. -IIA
IAB 2926 $
FULL MITIGATION $
• i r
o� -- f,lJ ;L
Date cN
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls 110/98)dmm
Jun�03 02 02:19p LORPUD 5305331750 p.l
PERMIT 0.? -02 08-02
Lake Oroville Area Public Utility D
1960 Elgin Street
OROVILLE, CALIFORNIA 95966
533-2000
C DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
istrict
0
This verification form must be submitted to the Butte County Department of Public Works Building
Department prior to issuance of a building or occupancy permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification
form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County.
Date:
Applicant:
Applicant Address:
Applicant Phone No.:
Property Locations(s):
A. P. No.(s):
Fees due:
February 4, 2002
Jim and Gloria Davidson
2202 V-7 Road
Oroville, CA 95966
530-534-7494
Lot 9, Villa Verona Subdivision, #12
036-073-005
$6819.92,Total. LOAPUD Connection Fee $575.00
rApacity Chg $1503.89 and construction costs
$4741.03 �o�A �c�uAIL Te.cr p�-� 553p
Application for service approved:
WAKE OROVILLE AREA
PUBLIC UTILITY DISTRICT
Inspections) made and successful test(s) observed:
Location:
By.
Lake Oroville Area Public Utility District release to close permit:
Date: By:
Date:
AND -WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95%5
• iii�eeiiieeiieiiuieeieeiiieieiiii
2002-0023658
Recorded I REC FEE 10.00
Official Records I CONFORM .00
Co UTT Of
CANDACE J. GRUBBS 1
Recorder I
ROSEMARY DICKSON I
Assistant 1 Kathy
02:12PM 08 -May -2002 I Page 1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The
property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to
herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established
agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date u' 2q - OZ
-,'please see attached
y- a
TY OWNERS:
Ri
imp Davidson
Gloria Dean Davidson
State of California )
County of 6kk*- )
On y - 2.9 - 0 Z before me,
(mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the
instrument.
WITNESS my^ nd and official seal.
A.P
�� CHRISTY L. HINKLE
COMM. ! 1258485
NOTARY PURS-CAUFOBMIA
COUNTY OF BUTTE
Comm. Expires March 27, 2004
•
Attachment to: Agricultural Statement of Acknowledgment
for Residential Development
Property Owners: Jim Davidson and Gloria Dean Davidson
All that certain real property situate in the County of Butte,
State of California, described as follows:
A portion of Lot 3 of Block 16, in Villa Verona, Butte County,
California, as said Lot is shown on -the recorded Map of said
Villa Verona, filed as Wall Map Number 12 in the office of the
Recorder of Butte County, California, being more particularly
described as follows, to wit:
Commencing at the Northwest corner of Lot 3 of Block 16 of
said Villa Verona, thence running South along the Westerly
boundary of said Lot 3, a distance of 30.00 feet to the
Southerly boundary of the 60 foot wide road as shown on the
aforesaid recorded Map of Villa Verona, thence South 89° 43'
East, along the Southerly boundary of said road, a distance of
50.00 feet to the True Point of Beginning of the parcel of
land herein described; thence, running South, a distance of
266.64 feet to a point on the Southerly boundary of the
Northerly 2.25 acres of said Lot 3; thence, running South 89°
43' East along the said Southerly boundary of said Northerly
2.25 acres, a distance of 50.00 feet; thence, running North,
a distance of 266.64 feet, to a point on the Southerly: -boundary
of aforesaid road; thence, running North 890 43' West, along '.
the Southerly boundary of said road, a distance of 50.00 feet
to the point of beginning.
SITE PLAN REVIEW APPLICATION
Date:* AP# ®3 013- D�rj
Permit Number (if applicable)
APPLICANT INFORMATION Parcel Size: D t Z-9 A �
Owners Name:
Owners Address: ZZO`Z �—� j(ZD_ ��U, L--,"--6,-
Telephone
_LL
Telephone No.: t-% sac)— 64 S
Situs Address:
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
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
Other
❑ Septic ❑ Well
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):_
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 — 16— .PO sL,
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ 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 attachy)
• Flood Zone:
• Flood Panel No.: Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: A
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Impact
❑ Other
Amount Formula
------------------------------------------------------------------------------------------------------------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map) .
' Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
S Deeds:
Date of Creation: pp'1pvz T -0 Legal Access Provided: ❑ No IM Yes
Deed of Reference: 1 Legal Access Required ® No Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ® Yes, Road Name: V
Complies with County Standards for Deed Creation: ❑ No ❑ Yes
Comments:
1§ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to:. ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
❑ Subdivision Map/Parcel Map:
Map Date of Recording:
Lot: Book: Page:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile .homes, NFPA Standard 13D, unless a 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 on slopes steeper than
30%. 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.
❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing
on-site mature trees, located in any area proposed for buildings and vehicular access, and
provides for methods to protect the trees identified to be preserved, shall be provided to and
approved by the Planning Division prior to the issuance of building permits and/or prior to
grading or vegetation removal. The removal of mature trees shall be minimized, where
possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in
diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1
ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a
circular zone (minimum 40 -foot radius) identified by an orange fence during construction
activities. No vegetation removal, soil disturbance, or other development activities shall
occur within the fenced area.
❑ 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
NNlanagement 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.
Page 4of5
• El
x
x
x
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.
CAMy Documents�Building Permit Site Plan Reviewl.doc
Page 5 of 5
Painter, Larry
From: Parker, Betty
Sent: Monday, May 06, 2002 11:33 AM
To: Painter, Larry
Subject: RE: 036-073-005
I don't have a reference for this AN but it has been in existence as it is at least since 1952. It shows
on our oldest map but there is no ref. in the old mpr.
-----Original Message -----
From: Painter, Larry
Sent: Monday, May 06, 2002 10:38 AM
To: Parker, Betty
Subject: 036-073-005
Hi there!,
,Can you tell me how this parcel was created?
Thank you!
LP.
I
NPL - REV.5/94
RECORDING REQUESTED BY AND RETURN TO:
PACIFIC GASAND ELECTRIC COMPANY
Land Depaninent
460 Rio Undo Avenue
ChiCo, California 95926
Location: City/Uninc
Recording Fee
Document Transfer Tax $
(X) 'Phis is.a conveyance where the consideration and
value is less than $100.00
] Couputed on Full Value of Property Conveyed, or
( ) Computed on Full Value Less Liens & Encumbrances
Remaining at Time of Sale.
Signature of declarant or agent determining tax
C U P Y of Document Recorded -
02 -Oct -2002 2002-0051647
Has not been compared with
original
BUTTE COUNTY RECORDER
(SPACE ABOVE FOR RECORDER'S USE ONLY)
JIM DAVIDSON and GLORIA DAVIDSON, husband and wife,
hereinafter called first parry, hereby grants to PACIFIC GAS AND ELECTRIC
COMPANY, a California corporation, hereinafter called second parry, the right from time
to time to construct, reconstruct, install, inspect, maintain, replace, remove, and use
facilities of the type hereinafter specified, together with a right of way therefor, within a
strip or parcel of land or along a route as hereinafter set forth, and also ingress thereto and
egress therefrom, over and across the lands of the first parry, situate in the County of Butte,
State of California, described as follows:
(APN 036-073-036)
The parcel' of land described
Davidson and Gloria Davidson,
1989 and recorded as Recorder
Records.
Said facilities shall consist of -
in the deed from Joe T. Yates to Jim
husband and wife, dated November 10,
Recorders Serial Number 89-47528, Butte County
Such underground conduits, pipes, manholes, service boxes, wires, cables, and electric
conductors; aboveground marker posts, risers, and service pedestals; underground and
aboveground switches, fuses, terminals, and transformers with associated concrete pads;
and fixtures and appurtenances necessary to any and all thereof (underground easement), as
second parry deems necessary for the distribution of electrical energy and communication
purposes; and one or more underground pipes with suitable service pipes and connections, as
second party deems necessary for the conveyance of gas (gas easement); located within:
P.G. & E. CO
COPY
A strip of land of the uniform width of 5 feet, lying contiguous to
and westerly of the easterly boundary- line of said Parcel, and
extending from the northerly boundary line of said Parcel (also being
the southerly boundary line of V-6 Road), southerly 60 feet (measured
along said easterly boundary line). The location of which is
delineated by the heavy dashed lines shown upon second party's map
EXHIBIT "A", attached hereto and made apart hereof.
Second parry shall have the right to trim, cut down, and clear away or otherwise control any
trees or brush on said strip, of land, as hereinbefore set forth, whenever considered necessary
for the complete enjoyment of the rights hereby granted.
First party fiuther grants to and confirms in second party all necessary rights for second
party's existing poles, wires, and other appurtenances located on said lands.
First party shall not erect or construct any building or other structure or drill or operate any
well under or within said strip of land.
First parry acknowledges that they have read the attached Grant of Easement Disclosure
Statement (Exhibit "B"), which by this reference is made a part of this Grant 'of Easement
Deed.
The legal description herein, or the map attached hereto, defining the location of this utility
distribution easement, was prepared by Pacific Gas and Electric Company pursuant to
Section 873O(c) of the Business and Professions Code.
The provisions hereof shall inure to the benefit of and bind the successors and assigns of
the respective parties hereto.
J
Dated 20 j 2
North Valley Division
Chico office
PM 30225590 Mm Davidson
Plat No. 1909 F-6
Dwg No. A 19-4-21
T19N, R4E, MDB&M
SEC. 21: NE1/4 OF SW1/4
File No. 2002-35-30225590a.ugGE.doc Gloria Davidson
62.4202 Notary (Genera() Rev.8/91
STATE OF 1 1�'' n � a
COUNTY OFi� i� SS.
O • 2 *�uZ before me, the undersigned, a Nottaaryy Public for said State, personally
appeared 3 ':>)v(d s's vt�
[ J personally known to me -OR- [ proved to me on the basis of satisfactory evidence to be the person(s) whose
name(s)JsTare subscribed to the within Instrument and acknowledged co me that bds6tr/they executed the same In
hf4TboHtheir authorized capaciry(les), and that by hirfttw- their signarure(s) on the instrument the person(s),
or
the endry upon behalf of which the person(s) acted, executed the Instrument.
SHAWN I. NELSON
WITNESS my hand and official seal. Comm. 01363163
NQAlY
NOTARY PUBIIC•CALIFORNIA N
Yuba County
Comm. Expires June 30.2006 ie
Signature
624202 Notary (General) Rev.8/91
CAPACITY CLAIMED BY SIGNER I
ndividual(s) Signing For Onesell/Themselves
[ ) Corporaee Officer(s) of the Above Named Corporations)
[ ) Guardian of the Above Named.lndividual(s)
[ ) Panner(s) of the Above Named Partnership(s)
( ) Attomey(s)-in-Fact of the Above Named Principal(s)
[ ] Trustee(s) of the Above Named Trust(s)
[ ]Other
STATE OF CAPACITY CLALNffD BY SIGNER
SS.
COUNTY OF [) Individual(s) Signing For Oneselfnbemselves
On before me, the undersigned, a Notary Public for said State, personally I Corporate Officer(s)of the Above NamedCorporation(s)
appeared
[ 1 Guardian of the Above Named Individual(s)
[ J personally known to me -OR- [ J proved, to me on the basis of satisfactory evidence to be the person(s) whose [ 1 Panner(s) of the Above Named Pannership(s)
name(s) is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same In
his/her/their authorized capacity((es), and that by his/her/their signarure(s) on the Instrument the person(s), I 1 Anomey(s)-in-Fact of the Above Named Principal(s)
or
the entity upon behalf of which the person(s) acted, executed the Instrument.
[ ] Trustee(s) of the Above Named Trust(s)
WITNESS my hand and official seal.
- I [ ) Other
Signature
62-338 Rev. 5/85
Right of Way Map
APN 036-073-036 APN 036-073-005
JIM DAVIDSON JIM DAVIDSON and
and GLORIA DAVIDSON, GLORIA DEAN DAVIDSON,
husband and wife husband and wife
1989-47528 k 2530—OR-633
V-6
tt
0
APN 036-073-003
APN 036-073-004
1909 F-6
SEC. 21: NE1/4 OF SW1/4
ROAD
LOCATION OF 5 FT. STRIP
APN 036-073-035
APN 036-073-024
EXHIBIT -A
OROVI LLE EXT. TO: DAVIDSON NONE OB 29' 02
SECTION TOWNSHIP RANGE MERIDIAN
21 19N 4E •MDB&M
COUNTY OF.- BUTTE
CHG DATE DESCRIPTION I AUTHBY CH F.B.: DR.BY: J6SL CH.BY: rs 4
PM 30225590 p &E N. VALLEY A 19-4-21
C 2002-56-3022559nn_unGF H,,rl .�„� .....
Pacific Gas and Electric Company
EXHIBI'['-B
GRANT OF EASEMENT DISCLOSURE STATEMENT
This Disclosure Statement will assist you in understanding your rights as a property owner
when granting an easement to Pacific Gas and Electric Company (PG&E) to accommodate
your, or your neighbor's, new utility service extension. Please read this disclosure
carefully before signing the Grant of Easement.
• You are under no obligation or threat of condemnation by PG&E to grant this
easement.
0 The granting of this easement is an accommodation to PG&E's applicant
requesting the extension of PG&E utility facilities to the applicant's property or
project, pursuant to the Line Extension Rules 15 and 16, as authorized by the
California Public Utilities Commission. As this is an accommodation to a single
customer or group of customers and not PG&E, the California Public Utilities
Commission has not authorized PG&E to purchase such easements.
• By granting this easement to PG&E, the facilities installed within the easement
across your property may be used to serve additional customers in the area.
• Removal and/or pruning of trees or other vegetation on your property may be
necessary for the installation of PG&E facilities. You have the option of having
PG&E's contractors perform this wort: on your property, or having the applicant or
the applicant's contractor perform this work. Additionally, in order to comply with
California fire laws and safety orders, PG&E or its contractors will periodically
perform vegetation maintenance activities on your property as provided for in this
grant of easement.
• The description of the location in which the PG&E utility facilities are to be
installed upon, in, on, or across your property must be satisfactory to you.
0 The California Public Utilities Commission has authorized that the installation of
certain utility facilities for utility service may be performed by the applicant. In
addition to granting this easement to PG&E, you will need to give your consent to
the applicant, or applicant's contractor, working on your property. Upon completion
of the applicant's installation, the utility facilities will be inspected by PG&E. When
the facility installation is determined to be acceptable the facilities will be conveyed
to PG&E.
By signing the Grant of Easement, you are acknowledging that you have read this
disclosure and understand that you are granting the easement to PG&E of your own
free will. Please return the signed and notarized Grant of Easement and this
Disclosure Statement to PG&E. The duplicate copy of the Grant of Easement and
this Disclosure Statement is for your records.
FROM.,:.. RADIOMART ELECTRONICS PHONE N0: : 5305338001 Apr. 19 2002 11:39AM P2
fim�pECAL HU. LN
STATE OF CALIFORNIA —I)E . RTMnENT
OF HOUSIN MKivu ������wvl... • s sic E
• E 001A 001 03!91
TRADE NAME MODEL 04/30191 04/30/91 45%
MANUFACTURER NAME/10 OAK. 11A�IOR 010{6500H
.�. SKYLINE HM Dr/90002
�� 1/18EVINSR:NIA NUMBER WFlGHT LEN61H WID1N ISSUED 5� ���
91 04 SF
U SERIAL NUMBER UL1334179 Ob9860 000576 000144 067207
013600 000576 000144
0670064780 UL1334180 T TA
S
2 06700647AD
5 - PAID- i
A $60.00
s
s
A DAVIDSON JIM/GLORIA D JTRS
D 2455 V6 RD
o OROVILLE CA 95966
A
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A DAVIDSOH JD1/6LORIA D JTRS y
Q N
X A 2455 V6 RD
E L OROVILLE[ 95966
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IMPORTANT 03-176-01097
THE OWNER INFORMATION SHOWN APOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSINO AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
.s
THE CURRENT T[TLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300751
7
Mobilehome Manufacturer: -3 6 1 i n Manufacture Year: %
If other than single wide, furnish Sdup Model Number:
Width:(ft.) Length:_(ft.) Tagalong or Expando Size _{#}i�
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade[ Other:
SUPPORTS: Concrete block[ t -f Other:
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 f140
1
Line 2 e 2
.............................................................................................
Main Beams
Line2............................................................................................2
Line 1 e 3
e 2
............................................................................................Main Beams............................................................................................e 2
e 1
................................................. tine
e 5
Tag or Triple e4
I
V
Line 1 Piers:
Size minimum: r 1.;- i x r3a
Spacing maximum: 5- ` O `
From ends -maximum: j ` O `
Line 2 Piers:
Size minimum: [ ] x [ ].
Spacing maximum: I`
From ends -maximum] `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
Line 1.0penings
Size minimum: [ ] x [ ].
Each side of openings
with width over: I I`
Line 4 Piers:
Size minimum: [ J x [ ].
Spacing maximum: `
From ends -maximum: `
VVIZ;;r
,Z A -v
yeay
L4'x
,;,c -�k 1
).2x 3,
/3v
Z,/0
�D���i
� i,
101
r ; [),'N-433 DEPA �- .
OVER 0 V
1. Owner's Name: 31, ern -,- (c,� IO r I o--Da� ,ds cvn�
2. Assessor's Parcel Number: 0'& % - 1 -7 3 - y0
3. Installer's Name: 06U"-'(VIL I
v
4. Is the site currently under permit? Yes[ ] No[ (/Permit No.
5. Is the site an existing site? Yes[ ] No[ (If yes, furnish.two plot plans).
6. What is the electrical rating of the mobilehome? 100 Amperes.
7. What is the mobilehome site circuit breaker rating? Amperes.
8. What is the electrical rating of the mobilehome site?,
'Z 0,0
Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] No�4 ] If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ ] No[li]�f yes, please identify the load and size:
a) The mobile home site:
Load- Amperes -
b) The main service:
Load- Ainperes-
11. Type of gas service at mobilehome site: Natura'IN] Propane[ ] None[ ]
12. Size of gas pipe at the mobilehome site from the meter or
tank: -3 H% inches.
13. What is the gas pipe length from the meter or tank to the mobilehome? 5 (ft.).
14. What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF 'CHIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
May 1995 8.5
A.P. #
OWNER
PERMIT #yZ •— 7:Z
MH UTIL. CLEARANCE DATE
INSPECTOR
ELECTRIC
GAS
SUPPORT
STRUCTURE
COMPACTION
TEST REQ.
SERVICE
SIZE
OTHER
LOAD
TYPE
PIPE
SIZE
LENGTH
YES
NO
YES
NO
a=
�lor�aDa ol �
V- 6 "Roo -a
04o-7-3-oo_v i-)
s�
E -Z TIE DOWN_ SYSTEM
DESIGN LOADS:
*WIND LOAD -- 15 PSF
1. THIS TIE DOWN SYSTEM . IS DESIGNED TO BE CONSTRUCTED ON A
FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS.
MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM
SOIL BEARING CAPACITY OF 1000 PSF.
2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS
AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS".
3. IN AREAS WHERE DIFFERENTIAL SETTLZMENT (DS) • CAN OCCUR,
MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1-/4",
OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT.
4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES
UP TO (3) SECTIONS. 1N WIDTH. CONTACT THE DESIGN ENGINEER
FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE.
• 5. STRUCTURAL STE=L: FABRICATED ACCORDING TO AISC SPECIFICATION.
WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -_770 PLATED -ASTM
A36. BOLTS -ASTM A307.
6. THE E -Z ,TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS:
HEIGHT HORIZONTAL VERTICAL UPLIFT
18" 2010 (lb) 5000 (ib) 891 (lb)
21 " 1825 (Ib) 6000 (Ib) 801 (Ib
25" 1510 (lb) 5000 (Ib) 564 (Ib�
28" 1419 Ob 5000 (Ib) 629 (lb)
36" 867 {Ib� 6000 (lb) 385 (Ib)
7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE
COATED.
8. WHERE STAND S PLACED ON EXISTING CONCRETE SLAB, 1/2' SLEEVE
ANCHOR BOLTS MAY .BE USED TO SECURE PIER BASE PAD.
9. ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. =2.
10. i HE LONG DIRECTION OF THE E -Z TIE. PAD (37") MUST BE INSTALLED
PERPEND3CUU�k?u
'A
jli'' �Cini/..• '• ti
? ABESCO-GUS GUARD CONTANY
Nm 17913 i :ss Et 5851 7-CRIN - ; SUCI 1S ROAD
SACRAMENTO CA 95823
(800) 382-88311
s FAX: (916) 383-5207
SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES
E= Z' MIN. / 8' MAX. E= 2' MIN. / 11 MAX.
i C
-- .VARIES 10'-70'
EVENLY SPACED BETWEEN ti
E— ---... _..
r Fri
i❑ O
3 +r
RIDGE bEA►A . SUPPORT AS �a •`
REQUIRED BY MANUFACTURER
❑ 0 , (TYPICAL) ❑ ❑
�❑ ❑^❑
E—Z TIE SUPPORT PAD --
r-� (TYPICAL)
• CHASSIS BEAM SUPPORT PIERS—=SIZE AND SPACENG.
AS REQUIRED BY THE HOME MANUFACTURER. .
LENGTH f 6110143 -LR
OF HOME Fl8" H721 " If T
OF E'77_' TIES
25" HT) 28" HT 36" H
40' 1 4
4 I
4
1 4
•6
50' 1 4 I
4 I
4
4
6
60' 4 1
4
4III
6
8
_66' i 4
1
4
L. � .._8
0
10
V4--
70' 1 4 I � -) 6 1
SIAA II E APPRC)VAi_
ENGINE -RED TIEDOWN SYSTEM
APPROVED
SU BA CT TO CORRECTORS P:OTED
Aocroval does..nct authorize or aorove arty omission or
deviation irom•rsoeirements of applicable State I.—as arfl ,
regulatruns.
Si.-.tcc of CaGf�rrJa
Decarlumt of tHsu> .- anG _: •^ty Dcv:! ;rmt
'If 3n: e: CODES>•a;r, st -DS
lg•5tautr�
SFA NO
This Plan Amari Expires )1 l03
.... __
THIS TIE DOWN SYSTEM MEETS. THE REQUIREMENTS
OF SECTION 1336.3 SUBSECTION (o).
WAYNE T. OlVAQO, PE -L !SFINu NO. 996o
SKEET 1 of
4.
w
m
w
cn
n;
0
T
'n
0
CH.ASSTS FRAME
2"x2"x3/16" STL. ANGLE
3/8" CAD PLATED BOLT, NUT & WASHER 1 /2 DLA. HOLT. (8) PLACES
COUNTER BORED FLUSH WITH BOTTOM
(8) REQUIRED
_ I 1/4" STAND BASE b
_I ABESCO ABS PAD 1503
10.50
/ 18.75
3/4" DIA. x 18" LG.
(4) REQUIRE]) $ 4 ¢
DcTAIL A - T
STEL Lr"RAME —�
TOP vlEw -,
VVV - 1 1/2"xl 1/2;"x3/16 x2" .:..5...
36' MAX(4) R:EQUIREQ
TQ BOTTOM
OF PAD
SIDE VIEW: /
1/4" GRIPPER PLATE
(2) REQUIRED
1/4" GRIPPER BASE:
i/2-13UNC-A307 x 4
BOLT WITH NUTS
(4) REQUIRED
e1 1/2" SCH 40 PIPE RISER WITH
01/2" ADJUSTER HOLES AND 3/8"
THICK TOP PLATE
m
02' SCH 40 PIPE STAND WITH TWO
01/2" ADJUSTER HOLES
ABESCO ABS PAD X50.3
STEEL FRAME
01/2'x 3' C.R.
LOCK PIN WITH
01/8" BRIDGE
PIN
{ 0 o
1 W(—) I
10.00
09/16 HOLE (TYP)
sAr1� aASE
TOP VIEW
1/4"xt-1/4
TEK STS
(2) REQUIRE]
1/4" GRIPPER
BASE
1/2" A307 BOL'
(4) REQUIRED
5851 FLORIN • PF_RKINS ROAD
SACRAMENTO, CA 95523
PH: (800) 382-8831
FAX: (916) 383--5207
C—S—EA M
AT AACHMEN T
;:H "-C•• FRAME
"oRIPPE
ATE
1N N EL
I "J" FRAME
/4'x1-1/4"
TEK STS
$) REQUIRED
2" A307 BOLT
REQUIRED
1/4" GRIPPER
BASE
1/2" A307 BOLT
(2) REQUIRED
J—BEAM
A TAC.LiM ENT
7-7 TIE DQWN SYSTEM
VAYNE T . POLVAob,' PE—L!S T fNG NO. 99001
SHEET 2 of 5
0
4
INSTALLATION INSTRUCTIONS
E -Z TIE DOWN SYSTEM
I. PIERS MUST BE PLACED ON BEAM WITHIN 24"' OF AN OUTRIGGER OR CRC
S.S MEMBER, -
2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL
3. THE PAD MUST BE CENTERED .BELOW THE CHASSIS BEAM. OTHERWISE INSTALL WEB STIFFENER ON CHASSIS BEAM,
4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE ,STUD BOLTS IN THE PAD 'AND PLACE T ~
WILL UNE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN,
HE PIER. THE HOLES IN THE BASE PLATE
I_BEAM ,
5. REMOVE THE TWO 2 li;i.t-- ...._.., . .
( ) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT ADJUSTMENT BY RE
PINS, PIERS CAN THEN TELESCOPE, RAISE THE 70P 'OF THE PIER UNTIL THE PLATE
POSSIBLE. PLACE ADJUSTMENT PIN -THRU ADJUSTMENT HOLE AND SECURE. WITH THE COTTER PIN, MOVING THE COTTER AND ADJUSTMENT
LATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIG J5 AS CLOSE TO THE BOTTOM OF' THE CHASSIS BEAM AS
6. RAISE THE TOP Pi
7. PLACE THE GRIPPER PLATES OVER THE FLANGE. OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH THE TOP S
HT AGAINST THE BOTTOM OF THE CHASSIS BEAM.
C -BEAMS AND J -REAMS Nt1r_.
8. HEAD OF PIERS REQUIRES THAT TWO (L) TE{ SCREWS 3E PLACED THRU THE SIDE OF THE 8EAM IN ADDITi
9. FOUR (4) STEEL STAKES (Si1PPL1ED) ARE TO BE DRIVEN THRU GUIDES INTO SOIL UNTIL STOPS ARE FL
GN 70 ONE: IDE. R' PLATE.
• FLUSH WITH THE GUIDE.
BE
•
ALTERNATIVE; (2) f 1 Z S.M.S.OR WELD
(2) 412 Q.M.S.
ANGLE IRON
I?�2'zlh'z3hs" �
NUSE STiFFNER IF OUTRIGGER W
CROSS MEMBER. DO NOT OCCUR
WITHIN 24" OF STANCHION (TVP)
WEB STIFFENER DETAIL
ABES GUS
L GUARD CO1vL�'AW
5851 "ORIN - PERKNS ROAD
SACRAMENTO, CA 95823
PH. (800) 382-8831
FAX: (916).383-5207
WAYNE T.. POLYAUO, ?E.-,:LIS71I.NG,..N0...990Q1
SHEET 3 a!
m
0
Lu
LL:
CT.
ti
FILE No.674 05/29 '02 AM 07:24 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 4
111111 rl.
P •-
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FROM RADIOMART ELECTRONICS
PHONE NO. 5305338001 Apr. 19 2002 11:40AM P3
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