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z - F , t t r Branley, Bryan S. 21-71 Oak// Knoll Way, Oroville. ,, )0,--r"ni7 4, M 6 / I 15iG6- PERMIT#95-0739 BRADLEY, Scott ?--i-�Oak Knoll Way, Oroville Cont; Sharp Electric Ele se -r for pump station/LOAPUD PERMIT$95-1060 BRADLEY, Scott �y.Zp�° '2-775'Oak Knoll Way,ome Utilities Orovill Cont; Harold Balaz ��i%i1Qs Mobileh -... g-)3 ELECTRIC o)OO GAS LINE t)OA p COMPACTION TEST REQ - i SUPPORT STRUCT REQ _ A C, '1 PERMIT#95-0708 BRADLEY lBr�yan S. 2ZZI-Oak Knoll Way., Oroville Cont; Jim Fields q Mobilehome Installation 04-1704 BRADLEY, BRIAN 2775 OAK KNOLL \YY, OROVIL Cont: GREENE ROOFING_ INA�E� EX MH PERM FND 0 Y ' f jo ' RECORDING REQUESTED BY: AND WHEN RECORDED MAIL- TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 I t SPAC&ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ONA FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health•and Safety Code' 'Section.] 8551. 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. _ BRYAN SCOTT BRADLEY AND LINDA SUSANNE , ELLIOTT BRADLEY BUTTE COUNTY BUILDING DIVISION. REAL PROPERTY OWNER/LESSOR - , LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY _ 2775 OAK KNOLL WAY 7 COUNTY CENTER DRIVE MAILING ADDRESS - ' r, MAILING ADDRESS " OROVILLE BUTTE CA 95966-7106 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP - SAME ! 04-1704- Q INSTALLATION MAILING ADDRESS, IF DIFFERENT 530 538-7541 BUILDM PERMIT NO. - TELEPHONE NUMBER SAME CI'fYY�`•is`i ,COUNTY ` STATE ZIP t 17 3 SI TURF OF LOCAL AGEN Y OF CI DATE ' ;SAME NONE UNIT OWNER (if also property owner, write "SAME") DEALER NAME (if not a dealer sale, write "NONE") SAME , . MAILING ADDRESS DEALER LICENSE NO. SAME CITY _ s COUNTY STATE' ZIP UNIT DESCRIPTION SKYLINE 1977 MHOMETTE. " MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER B/A7788 24x60 CAL038362/1 SERIAL NUMBER(S) LENGTH X WIDTH - INSIGNIA/LABEL NUMBER(S) •REAL PROPERTY LEGAL DESCRIPTION i9' Yra SEE ATTACHED. ASSESSOR'S PARCEL NUMBER:* _"_036—[_4_0-0_ 10 HCD FORM 433(A) REV. 8/91, , WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building'Dept. Z0iO4—ej042291 Recorded I REC FEE 10.00 OfficialRecordsI CONFORM 1.00 Count Of I BUTTE CANDACE'J.-GRUBBS I Recorder ROSEMARY DICKSON, Assistant L. Jason 12:38PM 13 -Jul -2004 I Page 1 of 2 I t SPAC&ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ONA FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health•and Safety Code' 'Section.] 8551. 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. _ BRYAN SCOTT BRADLEY AND LINDA SUSANNE , ELLIOTT BRADLEY BUTTE COUNTY BUILDING DIVISION. REAL PROPERTY OWNER/LESSOR - , LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY _ 2775 OAK KNOLL WAY 7 COUNTY CENTER DRIVE MAILING ADDRESS - ' r, MAILING ADDRESS " OROVILLE BUTTE CA 95966-7106 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP - SAME ! 04-1704- Q INSTALLATION MAILING ADDRESS, IF DIFFERENT 530 538-7541 BUILDM PERMIT NO. - TELEPHONE NUMBER SAME CI'fYY�`•is`i ,COUNTY ` STATE ZIP t 17 3 SI TURF OF LOCAL AGEN Y OF CI DATE ' ;SAME NONE UNIT OWNER (if also property owner, write "SAME") DEALER NAME (if not a dealer sale, write "NONE") SAME , . MAILING ADDRESS DEALER LICENSE NO. SAME CITY _ s COUNTY STATE' ZIP UNIT DESCRIPTION SKYLINE 1977 MHOMETTE. " MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER B/A7788 24x60 CAL038362/1 SERIAL NUMBER(S) LENGTH X WIDTH - INSIGNIA/LABEL NUMBER(S) •REAL PROPERTY LEGAL DESCRIPTION i9' Yra SEE ATTACHED. ASSESSOR'S PARCEL NUMBER:* _"_036—[_4_0-0_ 10 HCD FORM 433(A) REV. 8/91, , WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building'Dept. to � ; -s --o- - �t ..riaiia ' 'u" _ _ :_:�"- - •:� - -- Recorded &I Ow Rt"st aIia valley rrli. a Escrow company 93- 1843s. Ordw No. Escrow No. 134TJP-3 OH. j Loan No. 93--01.8438: R.c Fee ,. 00 1 WHEN RECORDED MAL TO. 1 DOC 46.75 R:corved 1 Check 51.75 ; j BRYAN AND LINDA BRADLEY Of f notal ' Records 1 4520 VENTURA WAY County of 1 UNION CITY. CA 84587-3854 Butte 1 Candace J. Grubbs 1 Recorder 1 8800ala ll-Nar.'- 93_ 1 MVTC MO- 1 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $an GAME AS ABOVE X CarryruNO on M aOraidration a `atua a pwPay pa• ara4 Ott ` • - • Camlwfad., Ot M eome4welon or wkm baa iwa.at W0,0 va, t farm" Y Wax al Gala. ThA -A • ' ' 6pnakrre. of Declarem a Apra aalenninl+p.ku, - Fara Mama GRANT DEED APi.a>d�o-oto. , FOR A VALUABLE COKSIDERATION. f406W Of which Is haeW ackrwMGedped. HENRY T. RUNGE. JR. and CYNTHIA A. RUNGE. husband and wHe heresy GPANT(S) BRYAN SCOTT • BRADLEY and UNDA SUSANNE ELUOTT BRADLEY, husband and wHe, as Jolrtt Tlertanb the real Property In the unhtcorporated area of the Courcy of BUTTE ' .Stateo(Cemoutkdriopad LOT 31N BLOCK 26; AS SHOWN ON THAT CERTAIN MAP ENTITLED; } -13 COUNTY, CAiJFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE �OFTHE RECORDER F VILLA a F THE COUNTY OF BUTTE, STATE OF CAUFORNIA, ON JANUARY 17, 1889. Dated --Apra -->q 19Q4 .STATE OF CALIFORMA ^/�/' , 1 154. / / , / �..4� COUNTY OF Butte •� )�J.<., lw.'-�T,_ On May 9' ..1993 +'n'rl A ow. Michelle w_ Miller _ Personalty' appeared Henry TRUnQe Jr .' .. .Pefsonaftf known to me rACMtKMCC 10KQWftX3C0l76dtWWolq "Ww) to be the person(s) whose'name(s) islare subscrow to the wilhw instrument and ai:knowted9od to me that he/she/they.. executed the - same in his/her/their aulhoizod capyaty(icsl. and that by hisft*frheir ' slgnalure(s) on the instrument the persons) or the entity upon behaff of which the Person(s) acted. executed the instrument WITNESS my hand and official seal • OFFICIAL SEAL MICHELLE A. MILLER -�• � r`U NOTARY PU3UC-C- CAL��IFOAt11A Pnndpai Sgnature ' / / j U Comm. OCT b,l99p5 • rtii'chelie A. i.1 ler ENO OF DOCUFS-" T 4 ZECOADING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 r 006::).Y of Document Recorded 13 -Jul -2004 2004-0042291 Has not been compared with original BUTTE COUNTY RECORDER + SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at .the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the.real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. BRYAN SCOTT BRADLEY AND LINDA SUSANNE ELLIOTT BRADLEY BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR - LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 2775 OAK KNOLL WAY t 7 COUNTY CENTER DRIVE MAILING ADDRESS I I MAMING ADDRESS OROVILLE BUTTE CA 95966-7106 OROVILLE BUTTE CA 95965 CITY COUNTY STATE - ZIP CITY COUNTY STATE ZIP SAME 04-.1704 53.0 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT - BUIIDIN PERMIT NO. TELEPHONE NUMBER SAME ` %� 3r CITY COUNTY m.. STATE ZIP - SIG11KTURE OF LOCAL AGENCY OFFICIAL. DATE SAME NONE • UNR OWNER (if also property owner, write °SAME") - DEALER NAME (if not a dealer sale, write "NONE") SAME , MAILING ADDRESS • DEALER LICENSE NO. , SAME CITY COUNTY STATE ZIP ' UNIT DESCRIPTION SKYLINE 1977. HOMETTE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINIIMBER B/A7788 24X60 CAL038362/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AT # 036-440-010 SEE ATTACHED HCD FORM 433(A)•REV. 8/91 r WHITE , County Recorder CANARY - HCD • PINK -, Applicant GOLDENROD - Building Dept. t { 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. BRYAN SCOTT BRADLEY AND LINDA SUSANNE ELLIOTT BRADLEY BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR - LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 2775 OAK KNOLL WAY t 7 COUNTY CENTER DRIVE MAILING ADDRESS I I MAMING ADDRESS OROVILLE BUTTE CA 95966-7106 OROVILLE BUTTE CA 95965 CITY COUNTY STATE - ZIP CITY COUNTY STATE ZIP SAME 04-.1704 53.0 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT - BUIIDIN PERMIT NO. TELEPHONE NUMBER SAME ` %� 3r CITY COUNTY m.. STATE ZIP - SIG11KTURE OF LOCAL AGENCY OFFICIAL. DATE SAME NONE • UNR OWNER (if also property owner, write °SAME") - DEALER NAME (if not a dealer sale, write "NONE") SAME , MAILING ADDRESS • DEALER LICENSE NO. , SAME CITY COUNTY STATE ZIP ' UNIT DESCRIPTION SKYLINE 1977. HOMETTE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINIIMBER B/A7788 24X60 CAL038362/1 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AT # 036-440-010 SEE ATTACHED HCD FORM 433(A)•REV. 8/91 r WHITE , County Recorder CANARY - HCD • PINK -, Applicant GOLDENROD - Building Dept. t Atitoordw as the pwqueej of A(Ad Valley fto A Escrow Ci"igtiarty 18438 Order NO. Ewrow No. 134TZV-3 04 Loan NO. 3-01.8.438 Rvc fee 5.06 WHEN RECORDED MAIL TO: I DOC 46*. 75 Recorded I Check 31.73 BRYAN AND LINDA BRADLEY Official Records I 4520 VENTURA WAY County of I UNION CITY. CA 94587-3858 Butt. I Candace J. Grubbs I Recorder 880060 11--Nay-93 I NVTC ND I MAIL TAX STATEMENTS TO. DOCUMENTARY TRANSFER TAX $41ILM SAME AS ABOVE x Ccinvullid On tw-cOm"AWn or vale, of property am 69 C—v-w on - mtWealion or vaiui Im am. 0 OW04"Wom a " of soft. GRANT DEED, API 0X_"0_M0 FOR A VALUABLE CONSIDERATION. rocelpi of Which a hereby &CknoW Adged. .HENRY T.-RUNGE. JR. and CYNTHIA A. RUNG'E. husband and wffe thereby GRANTS) to BRYAN:SCOrT BRADLEY and LINDA . SUSANNE ELUOTT BRADLEY, husband and -wife, as Joint Tenants rhe Mal property In the WUMOqrraled,am of the countrolf BUTTE State of C40xrk l4rioreed LOT 3 IN BLOCK 26; AS. SHOWN ON THAT CERTAIN MA . P ENTITLED, "APAP OF VILLA VERONA, -BUTTE COUNTY. CALIFORNIA", WkItH'.MAP WAS, -RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CA.LIFO R_NIA,,ON JANUARY 17, 1889. Dated .April _29_j_qq3__ STATE OF CMiFORMA COUNTYOF Butte _:ro On May 9,' 1993 b*m- vie. - Michelle it- Miller personally illerPersonally appeared Henty T. -Runge- —ir- personally known to me qWpt(dqXjK log VKVWbMq(jdXXWW0jg "9M) to be lho'person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that be/she/they executed the • Same in hisftrAheit authorized ca0&aty(ios). and that by his1herPheir signature(s) on the instrument the person(s) Of the entity upon behalf 4DI which the person(s) acted. executed the instiument WITNESS my hand and official seal. Signature Michelle A. Miller -77, I - eL — -7V NDHIAA RUNGE • OFFICIAL SEAL • MICHELLE A. MILLER NOUAY PUKIC•CALIIFORWA • pt! My ENO OF DOCUP77"T 06/ 14/2M4 1G: 04 ri 1 L VrtLLC 1 I . f �t U"U-. �w ARNOLD SCMNARZ_ENEGGER, Gave nu► STATE OF CAUFORNW • ausINEss. TRANSPORTATION ANC HOUSING AOENCV 1NG DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT '��• Dlvlalan or Codas aridStandards ' Y n ' W ® 3 u W Title Search No Date Printed: 06114/2004 Decal #: LAW8421 Use Code: SFD } Manufacturer: SKYLINE Original Price Code: AEB Tradename: HOMETTF Rating Year: Model: Tax Type: LPT Manufactured Date, 00/00/1977 ' 'Last ILT Amount: Registration l;xp: Date ILT Fee Paid: First Sold On: 04/19/.1917 ILT,Exemption: NONE Serial Number HUD Label / Insignia Length Width , B7788 CAL039362 60 12' A7788 CAL038361 60' Record Conditions: Voluntary Conversion to LPT Registered Owner: 81LYAN SCOTT BRADLEY . s LINDA S ELLIOTT-BRADLEY (Tenants in, Common Or) PO BX 5123' ' OROVILLE, CA 95966 Last Title Dst¢:' 09/07/2000 Last Reg Card: .09/07/2000 5aIolT�aosft r lrtfo: Price i.00 Transferred on 0821/2000 Situs Address: 2775 OAK KNOLL WY OROVILLE, CA 95966 Situs County; BUTTE i , Inactive Decal/DMV: DMV 5135289, DMV SB5315, DECAL AAW9446 �* END OF TITLE SEARCH .S h n a r • • i 1 '1440wded &I aw A*("st of A#Ad Veney rit)o a Escrow cor"Ps ny 93-18438 Order No. Escrow No. 134TJP-3 DH Loan No. 93-01.8.438: Rwc fee 5.00 WHEN RECORDED MAIL TO: I DOC 46*. 73 Rfacordod I Check 31.73 BRYAN AND LINDA BRADLEY OffLcLsl Records I 4510 VENTURA WAY County of I UNION CITY. CA 94587-3850 Butte I .Candace J. Grubbe I Recorder I 8800&0 11--may-93 1 HVTC RD I MAIL TAX STATEMENTi'TO: DOCUMENTARY TRANSFER TAX San X Ganwied on the owniaostion w "a popow SAME AS ABOVE C-q-Ud on OW CM&WONAn 0 "&A bft &WO. a Tba -i i idanad ndaq ranfnr dAeqArv,m Sqnatum.ot IDSCUm-4 w AWO detarminN.61611 "bus GRANT DEED APO 036-4WO10 FOR A VALUABLE CONSIDERATION. foceW of which is hetaW "noWAdg" HENRY T. RUNGS, JR. and CYNTHIA'A. RUNGE. husband and wife hereby GRANT(S) to BRYAN SCOTT BRADLEY and LINDA SUSANNE ELUOTT BRADLEY.- husband and wife, as Joint Tananta me few prop" in the unincWpocated- area Q1 tM BUTTE LOT 31N BLOCK 26; AS SHOWN ON THAT CERTAIN MAP ENTITLED, -MAP OF VILLA VERONA,-BUTTE COUNTY, CALIFORNIA-, WHICH MAP WAS RECORDED IN -TWE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CAUFORNIA, ON JANUARY 17, 1889. Dated _ri 'CALIFORNA I .STATE OF COUNTYOF Butte on_ May 9, '1 93 beb ffl*."' Michelle A. Miller personalty appeared Henry T. -Runge, Jr. personally known to me WWOMI to be the person(sl whose name(s) is/are subscribed to the *ithn rnstrurnent and ficknOwledgOd to me that he/she/they executed the Same in hi~heif authorized caoacsty(ies). and that by hisftmr.Wr 3ignalute(s) on the instrument (he person(s) of the entily upon behalf 01 which the person(s) acted. execuled the instrument. WITNESS my hand and official seat. signatur Michelle A. Puller C,YNTR9 A RUNGE •- - - - - - - - - - - - OFFICIAL SCAL • WHELLE A. MILLER Iv! 0 NOTARY PUKIC-CALIFORMA • en UR P. C!pa10tfWeI.I8 NCO.. • 14 Comm. Ex 0.1995101 L rMO OF DOCLIFST"'T NOTES RESIDENTIAL 036-440-010 04-1704 _ ,PERMIT NO. � � _ _. _. a . _.. : BRADLEY, BRIAN 2775 OAK KNOLL WY, OROVILLE Cont: ALL AMERICAN EX MH PERM FND THE HCD FORM 433A, FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE / INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY -- SRA FLOOD CERTIFICATE REQ. —FIRE SPRINKLERS REQ. ' SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS M SUB -STANDARD HOUSING LETTER .4 y1 f1 a " i I� .l JOB FINALED (Date) Signature _y, J=OK 0 = Not OK = No Readyable 1. IV . BIL.E HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements-Setbacks-Easemerits Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 2. ' Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity;.Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1' Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) -,Zoning Requirements -Setbacks -Easements �s2! Footings; Size -Spacing -Marriage Line ,? Blocking moi! -Gas; MH Test -Demand -Valve Electricity; MH Test -' Water; MH Test --* Water and Sewer Connected -51 Gas and Electricity Tagged .it: Exits License Decals 11 Verify #'s with Office Date, and B-1 Date Card B-1 Date Card B-1 - Date Card B-1 (A7o-r (73936Z, o�s8sbL,17 71 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness s Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI' 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche y' 12. Enclosure; Fencing -Alarms ,Date Card B-1 Date Card B-1 1 Date ' Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable s = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation 47. Hangers -Post Caps -Anchors -Connectors Date 48. Card B-1 Date Card B-1 Date 49. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 17. Water Htr.; Vent -Access -Combustion Air Baffle Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 18. Water Pipe; Test & Anchor -Nail Protection Garage Fire Protection Framing -RC Channel 19. D.W.V.; Test Fittings & Anchor -Nail Protection Property Line Firewall & Openings 20. Shower Pan; Test, First Floor -Tub Access Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 21. Test Tub & Shower, Second Floor -Tub Access Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 22. Gas Pipe; Sixe & Anchors Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 23. Fire Sprinkler; Test Siding -Nailing Veneer 58. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 61. 24. Fixture & Transformer Clearance -Ins. Protection 62. Insulation -Walls -Ceilings 25. Elec. Receptacles Spacing -Lights & Switches at Doors Infiltration -Walls -Windows 26. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 71. Fireplace or Stove, Clearance -Hearth Date 72. Card B-1 Date Card B-1 Date 73. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 36. A.C. Ducts Insulation & Support Garage Fire Door; Swing -Landing -Closure 37. Vent Fan, Exhaust above insulation A.C. Duct in Garage -Damper 38. Condensate Drain & Overflow, Size & Grade Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Plb.; Elec. & Mech. Equip. Listed for Location 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 82. 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 83. 43. Bearing Walls over Girders & Floor Nailing 84. 44. Draft Stop in Walls (rat proof) 85. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 86. 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shling.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA - (530) 891-2751 County Center Drive - Oroville, CA * (530) 538.-7541 CORRECTION NOTICE �\-j r3A- IIN OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041704 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/25/2004 APN: 036-440-010-000 the Business and Professions Code, and my license is in full force and effect. (% !/ License Cla s : — C13 Lice n umber til (� l Site Address: 2775 OAK KNOLL WAY ORO AgyContractor Date: Map Index' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: EX MH EX SITE PERM FND(1344) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BRADLEY BRYAN SCOTT & LINDA S to its issuance, also requires the applicant for such permit to file a ELLIOTT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 2775 OAK KNOLL WAY 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966-7106 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ALL AMERICAN FENCE & MOBILE HOME such work himself or herself or through his or her own employees, SPECIALIST provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 3122 CLAREMONT DR proving that he or she did not build or improve for the purpose of sale.). OROVILLE, CA 95966 ❑ 1, as owner of the property, am exclusively contracting with (530) 534-1943 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ALL AMERICAN FENCE & MOBILE HOME ❑ I amkptArticla usi ss and Professions Code SPECIALIST Date: ne 3122 CLAREMONT DR OROVILLE, CA 95966 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (530) 534-1943 ❑ 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 License #: 321671 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy nu er are: Carrier: Engineer: Policy #: i O I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Sec3700 of the Labor Code, I shall forthwith comply with those pro Bions. Date: 2— e -"Z Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor 403.7` C� Gl G? d -6:,- 1 4 . e>+ code, interest, and attorney's fees. - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolution to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �� // 6 'S Name: By: (� Date: PER XPIRES ON: % ' a S ' OS Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the ow r the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the subst ce of an fficial rm or document of Butte County. I hereby authorize represea Count to enter upon the abov mentioned property for inspection p os Print Name:-7Signature: 7 Date: r) ❑ Owner 2' Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY oo DEPARTMENT OF DEVELOPMENT SERVICES ° ° BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS o -` =�� ' 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 cOUN'�� OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT NAME OWNER Nae / Addr s/ S -�'-> City �7Lv— Fax States Zp"_�S__5. Phone � Fax E-mail APPLICANT NAME CONTRACTOR Name City Address, S -�'-> City O iL� Fax Stat Zi Phones � Faxes 3 _ 4ifT6 7 E-mail Li # Z �c % Class d - 3 -'AU APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPo4- 7o4-1 BIN # LOCATION AP# 03 &. Property Address Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Cx r --s !LK 5 ITE Peq2_1( FnLD Sq. Footage 3 44 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can .only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: � ` Amount: _44�. 90 Bldg SRA Receipt #: 46,3 76 Sheriff SMIP Date: (�/� l��Di l S�I.90 Co Total SUBMITTAL REQUIREMENTS .1. 1.- The : The following drawings and specifications must be submitted to the Building Division in order to -apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan.approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: Cl 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2.. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-signedy the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form.. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additiorial information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 430-04 .w.w :it=..n CJI '=C v�'�+i. , .• i'`�.�� _ '^`£'.Y' .ai"*.'ri,�f+$.�f , -. ; .n ti. ai"� i. w. .�'. d,,., ,. ,� _ }Je � �l r� .'«. f... !'.'J J. UNTY 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: 7ER2 LC -1/ ASSESSOR PARCEL NUMBER 0.34,. 4'4--e5 • n 10 Proposed Building Use: E X l� H x 5 I -T-E aEQ � G�o r ter Technician: K► Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in -order to apply. :f 19' 1. Site plans, 3 or 4 sets, signed by the preparer of the plans, . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan,-dTie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate . ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ....................:...................... . ........ ❑ 20. Erosion Control Plan Required........................................................................ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ "22. City of Chico Plumbing permit........................................................................ 4/23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 1 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept .......................... 28. Pre -Inspection for EX f4 F -s N x ./zF 17FM T� PAJ required.... 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Vefification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ...................................... :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ . 35. Existing violations and/or expired permits......................................................... 36. Deed Restricti........................................................................... IX ...... .37. rant Dee.H. Title/Statement of Facts, ❑ Letter from Legal Owner'eck to H.C.D. $ ❑ 38. 6Ver ❑ 39. Other: When issued Telephone 5 9A A and hold for pickup. I have been i ed of the above items and requirements for obtaining a building permit. Applica G�/ -- Date: - dd�a 1. Index it application for the above items numbered: t I Plan Check Letter 2. Additional items required ' Contractor, designer, owner, was advised of the above data by ❑ Owone, ❑ mail, ❑ counter, by Date: Contractor, designer, owne s -advised of the bove da by phone, ❑ mail, ❑ cou t by Date: Plans reviewed by: �i'� l� Date: 0 Plans approved by: _Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division a ouT::TF Building Permit Number: Owner Name:�� Residential Construction Requirements . IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte.. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code' (2001 U.B'.C), 2000 California Plumbing Code ( 2000 U.P:C.), 2000 California' Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100-year floodplain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation. shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate - will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. 'Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100-year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3.' Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. ' 4. At least 2 openings in exterior walls,' located on opposite or adjacent walls with a total ' net area of not less than 1 square, inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. • Page 2of 2 Building Permit Number: 0 7 0 y r Owner Name: S r . Parcel lies within 'the State Responsibility Area (SRA). Comply with attached requirements. � r Fire sprinklers are required in this structure. , The following parcel map requirements shall be met: r r All structures and �equipment including overh�gstshhallbe clear of all easements. A setback o ' �� i"eet from the side and�4�om the e8�4'rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of,the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name:. 2. Installer's 'Name: 3. Is the site currently under permit? Yes F-1 No (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two 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 No 7 (If no, clarify 5. What is the mobilehome electrical rating? ------- ------ -- % �0 Amps 6. What is the mobilehome site service rating. ---- Amps 7. What'is the mobilehome site circuit breaker rating? ----_- �s D Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes a No. (If yes, identify the load and size: (Load) 9. What- `is, the mobilehome site gas pipe size? ------ -=-- 10. What is the type of gas service? ------------------- Natural (Amps ) 11. What is the gas pipe length from meter or .tank to the mobilehome? ------------------------------------------ 12. What is the mobilehome gas demand? ---------------------- U) H -^(This information not required if pipe length less natural gas or less than 50 ft. on ' LPG. ) ��� �''-`��� € �•- NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT AP Mi. MOBILEHOME SUPPORT DATA If other'than single wide, Mobilehome Mfr. ,�k 1-f' furnish Setup Model No. Yead7> Width19�1_1_(ft.) Box Length�(ft.) Tagalong or Expando Size ft. x ft.. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer`s installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)�1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) Ell. Concrete block. 1-12. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 y .� Line 1 _ _ Main Beams _ _ _ _ _ _ _ _ _ -� _ _ _ _ Line 2 2 TireLin line 3 ine 2 Main Beams Line 2 Line 2 — — — — — — — +-Line 4 Tag or Triple Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ k „ Size -Min. ------------------ x '-- ' _ Each Side of Openings:. From Ends -Max. ------- '_ " With Width Over --------- E=j Line 2 Piers: Size-Min-------------- Spacing-Max - ------------- Spacing-Max.--------- -4 4 „ From Ends -Max .------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ x Spacing -Max. --------------- From Ends -Max.------------- _ Line 4 Piers:. Size -Min .------------ k ' Spacing -Max.--__---_- , From Ends—tax -------- Line------- Line 5 Roof Loads: Size -Min. ------------ Location (From Front) e 5 Piers: (Under Bearing Walls Only.) .. Size -Min ------------------- Spacing-Max ----------------- From ------------------Spacing-Max.--------------- From Ends -Max .------------- 2"x 2"x 3/16" STEEL ANGLE DETAIL "A" CHASSJS FRAME 1/4" GRIPPER PLATE . (2) REQUIRED 1/4- GRIPPER BASE 1/2-13UNC7A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME SEE DETAIL "A" 3/8" CAD PLATED BOLT, NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 1/4" STAND BASE /- ABESCO ABS PAD #503 36" MAX TO BOTTOM OF PAD . 8 I 37" 18 1/2" 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN •-1 COACH "C" FRAME COACH "J" FRAME. 2" CHANNEL 1/4- GRIPPER L(41) 4'"x 1-1 /4" PLATE EK STS 1/4"x1-1/4" REQUIRED TEK STS (2) REQUIRED 1/4" GRIPPER \- 1/4" GRIPPER AnBASE BASE 1/2" A307 BOLT 1/2" A307 BOLT (2) REQUIRED (4) REQUIRED 3/8"x 6"x'6" STEEL PLATE C -BEAM J -BEAM 1/2" A307 BOLT (2) REQUIRED ATTACHMENT ATTACHMENT 10.00 --{ o o g" 1/2" DIA. HOLE (8) PLACES 10.00 O 09/16 HOLE. (TYP) r 30" STAND BASE STEEL FRAME TOP VIEW TOP VIEW •BAL1B AIS 8AF81'Y OdD>� 88Crtlaf !ice '� j cr► . - A�CTSOOOS:R>sCTl01tS11dl8p ate• ' �. 17918 0MVALW0MTAt1TR0 =ORAffftMAIR nor .T •. aiaS3rM OR DMATM PROW RS�SMOM a Exp. : .... � = APHXAMB STATS LAWS AIiD �AT1Wi� �Pc� CRS-1�®� .oecti....�►■�+ TUF-1 PERMANENT e /I FOUNDATION SYSTEM a A�Q, 7 ABESCO-GUS GUARD COMPANY Q C-�A 5851 FLORIN PERKINS ROAD 8 a IN }- SACRAMENTO, CA 95823 PH: (800) 382-8831 WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 1 of 3 u FAX: (916) 383-5207 GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE "4" *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS". 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR. WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7, THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS: HORIZONTAL VERTICAL GUS GUARD TUF-1 2200# 6000# GUS GUARD MGP PAD 2200# 6000# GUS GUARD E -Z TIE PAD 2200# 6000# 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. t t. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. ' (SEE SHEET #3)...*. 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT 16. FOUNDATION BLOCKS 16"x I6"02" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) -' E �-- — S S i SE i U � U ❑ ❑ u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a E] (TYPICAL) a ❑ ❑ E] ❑ T ❑ ❑ ❑ ❑ 8' NOM. ❑ 2' NOM. PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES. OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) �xp.� T� OF CW® REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF-1 PERMANENT FOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES L�JOVV ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PERKINS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95823 ONE BASIS. PH: (800) 382-8831 WA PC FAX: (916) 383-5207 STATE APPROVAL MANUFACTURED HOMEIMOBUS MOMS FOUNDATION SYSTEM HEALTH AND SAFETY CODE„ SECTION 19"1 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REQULAT1ONS State of Califotd Dep t of Housing and CommmEW Developmd O CODES AND ST lanpprov'I E pits& t, . [k0�; AV LII TING NO. F94249 SHEET 2 of 3 O 3/4" DIA. x 18" LG. 1/2"x 3 1/2" 1/2"x 8" LONG (4) REQUIRED EXPANSION ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT & WASHER (4) REQUIRED (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED ��d �AI��I�a11�11�U�1 11 1 1 1 jr 1�.—,�i�•-11���—'� ...1. pIL yl _IIS CONCRETE PAD INSTALLATION POURED IN PLACE 16x 16x 12 CONCRETE �1 1p1 1 11 Iplpll�ll�lp Ilpl Ipl �1' FOUNDATION INSTALLATION �i , 11�— r�11�11�r�111u�t~I1 CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC—A307 x 4"_"�_ BOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 STEEL FRAME —\ E - Z TIE PAD 01/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN LIGHT HEAVY—WEIGHT PLASTIC PAD INSTALLATION MULTI—AIDS UNITS SINGLE HIDE UNM LENGTH OF I HOME 1 24 WIDTH OF HOME 26 28 44 UP TO 44 1 8 1 8 18 12 44'-1- to 66-1 12 1 12 1 12 18 1 66'-1' to 801 20 1 20 1 20 24 LENGTH OF I HOME 1 10 WIDTH OF HOME 12 14 16 UP TO 44' 6 6 6 6 44•-1'.10 66' 8 8 8 8 66'-1' to 80 10 10 10 10 NUMBER OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED NOTE: SINGLE WIDE UNITS REQUIRE (4) E—Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL ti - 1991 EXp- �P� c1Veo. P STATE APPROVAL MANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM $EALTH AND SAFETY CODE, SECTION 18551 �y APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF / APPLICABLE STATE LAWS AND REGULATIONS OF cam State of California DwfiiQbf Housig and Co --Only Dwelop-ent T U F -1 PERMANENTS n �0 DES AND STANDARDS / FOUNDATION SYSTEM 6s '�-- r '$ ABESCO-GUS GUARD COMPANY SPANO:'+' " 5851 FLORIN - PERKINS ROAD ThiwPlan Approval Expires SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 of 3 0 ELECTRICAL, MECHANICAL, AND lPLUii BtNC- CONSTRUCTION ( NOT PLAN CIHECKEL SHALLCCjMPLY WITH CURREN, ECITBt OF NEC, UMC AND UPC. U) �j�/1-�2nas z I } 0 V) PRE -INSPECTION REPORT OWNER:DATE: LOCATION: 7-'775 �i� � OQo . A.P. # 03�•4�S •8� p CONTRACTOR: ZONING: REASON FOR PRE -INSPECTION, Ex M t# E.x S1TE ` DATE TO INSPECTOR: / S D 4' PERMTr HISTORY ( ) NONE . (-I-SEE ATTACHED r BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: f ' Residential # of Units: f • Mobile home # of Units: Currently Occupied (. ,) Yes ( ) No "- Abandoned/Vacant: ' LL l Electric: ' Electric Curently ' : ( )`On ( ) Off ` Condition of Electric Gas: L Currently ( ) On ( )Off ' r Condition Sanitation: Plumbing Worldng ( ) Yes ( ) No r Obvious Sewage Problems ( ) Yes ( ) No r r ACTION RECOMN[ENDED: ISSUE ( ) Yes, ( ) No i If Hold for permits or verify: - n Inspector• LA2 Date: - CYT7TT rird"yT TITTTT 7'1TATd"ci n�T TT.1r]TTf•IT • gra.. T�•-r�in . .�.� �,. __ _ _ _ _ _ _ _ _ — _._ _ , 036-440-010 Branley, Bryan S 2771 Oak Knoll 1Way, Oroville,, 036-440=010 PERMIT#95-0739 BRADLEY, Scott _ 2771 Oak Knoll Way,' Orovil /9 " Cont; Sharp Electric Ele ser forpumpstation/LOAPUD r 036-440-010 PERMITJ05, 1060 BRADLEY, Scottvr�ti�'" 2775 Oak Knoll Way, Oroville Cont; Harold Balaz Mobilehome Utilities ELECTRIC ) U o -GAS LINE Voi%0 COMPACTION TEST REQ SUPPORT STRUCT REQ' 036-440-010 PERMIT#95-0708 BRADLEY, Bryan S. ' 2771 Oak Knoll Way, Oroville� Cont; Jim Fields -'5� q Mobilehome Installation /% q MOBILEHOME INSTALLATION ACCEPTANCE' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE BUILDING DIVISION OROVILLE, CA 969657 -PHONE (916) 538-7541 APN: IRMIT. NO.: Ownee,s: Name: Ownees: Address�'�-775— 616"K, k -61-o A 7T/Yeauc �earMobilehome 1/7 Manufacturer M, Ma'nufacture: Serial number, Insignia or L T --3 or V.I. N. HUD number: Official approving installation: Date - 41 - If the mobilehome is moved or relocated, the mobilehome initallation acceptanceshall become� invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -installer, Pink -Bldg., Gold- - Assessor COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - O;oville, California 95965 - Telephone APPLICATION ANDPERMIT BUILDING DIVISION (916) 538-7541 PF_RMnN.,Q � ASSESSOR PARCEL NUMBER 036-440-010 ZONING AR BUILDING PERMIT 7/ OWNER BRYAN S. BRADLEY (5101z,89-2351 TELEPHONE z,- SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS OWNER'S 4520 VENTURA UNION CITY, C� CONTRACTOR'S NAME JIM FIELDS872-1639 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 9771 QAX PERMITFEE $ 43.00 r PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO.SUBDNISDN'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 9 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ %Installation IN Other ❑ Describe Work: A1HI l q,5 —� 4��/ Mobile Home IS I GI W1 920.00 PERMITFEE q Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service eOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO ,°°°A ) 46.00 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 f rce and effect. License Class ✓ Lic. No. 5ll �D� 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 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLAS. ) SO. 3.50 FT. NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ,POWER ( POWER APPARATUS ) OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 p 1.00 B^L S° Ex. Occup. ( OUTLETS (RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ e Contractor WORKERS' COMPENSATION DECLARATION 1 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. ❑ 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: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) fir 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with tho a ovisions. i X _ Date . Signat of Applicant - ❑ Owner ❑ Contractor ❑ Agent - An O HA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 143.00 I HAZ. D. ES IMP FLOOD — CDF PARCEL i PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. S'O i Date 2. �p�e FReceipt No. 175857 ITE•D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _ \.; —.� --•. r.r,a--•. •-"r'�i ��.. _.y.'„f�...�j�'yry.YM'^-9t�[I"'F+'iV�jy'��-��tFj�►Y���j*+�v'..�.--,..� �. . .n � .v . .. -� COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSE�RVICES -BUILDING DIVISION h w — � 7 COUNTY CENTER DRIVE - OROVILLE, CACIEORNt1�t95965 -TELEPHONE (916) 538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector j� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1 • All items have been submitted. .... . 2. Plot plans, 3/4 sets, signed by prepare, of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 1. Impact fees as shown on attached schedule . .............................. �. 12. California Department of Forestry plan approval/fees. ........... ........... . Flood elevation letter (100 year flood by lifornia Engineer ................... 1 nitation and plot plan approval �00 Health Department . ............ 15. City, of Chico plumbing permit . ............. :........................... r - 16. Plot plan and business license approval from City of Biggs/Gridley. ••••••••••••• `' t 17. Planning approval for (A) Use: (B) Parking: '. !Contact Land Development about (A) Improvements (B) Drainage.` 9. Driveway permit (construction approval required prior to occupancy).; .. .....s... . rePre4nque�s 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 3. 22,Ortificate of Workmans Compensation Insurance . .......................... wner-Builder Verification (Given to owner Mail to owner _). ........ . M'. Y 4. Recorded copy of Agricultural.Acknowledgement Statement . ..................� 25. Letter of signature authorization .. ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . —Letter of intent on building use.................................�...... . t Mobilehome utility clearance . ..................:....................... �S 4 . 29. Documentation of legal access . ..................... :.................. !_ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. .....r.`.......... - t. 31. sting violations/expired permits . ........................... ........... . 9. . Plan the k lift.) .................................................... 34.[/ When you issue the permit, process as follows: Mail to owner. Mail to contractor. telephone - 2!YO5 and hold for pickup at office. Deliver with inspector. �— OtherrN Parcel Creation Acreage Applicant Date F Copy`of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy*of plans sent Health Dept. Fire Dept. Other Date By The following data�ust be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Add itional-items. req ui?Od: Contractor, designer, owner, was advised of above required data by phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by G I %S oiy5 Date 6 - Q -OL!� Plans approved by Date ? Sets of plans on hold in File cabinet )C AP folder Copy - Department of Public Works COUNTY Of BUTTE `- DEPARTMENT OF D] VN L PWNT SERVICES - BUILDING,DIVISION 7 COUNTY:CENTER DRIVE, OROVILLE'CA 95965-'TELEPHONE.(916) 538-7541 ' OWNER A.P. PROPOSED BUILDING USE DATE " REC. # DATE REC V SCHOOL DISTRICT FEES _ 4 t` (paid, at. District Office)... ..... ... .. SHERIFF FEES (paid at Building,Department) Residential.. T unit, amt. j ' Commercial (sgft) x _$ sq.ft. amt. . 3.- URBAN AREA FEES ••(paid at Building -Department) ' Residential (per unit). _P x _$ # units amt. , + Commercial (per sq:ft) x _$ '. sq. -ft. amt;-IVA' . x 4. RECREATION DISTRICT FEES _ - z - (paid at District Office)..:. .. ... :... .. 5. DRAINAGE DISTRICT FEES ~ (Contact Land Development,Division)::............. ' SRA FIRE INSPECTION. AND. PLAN CHECK _ $89.00,....., 1 (paid at Building Department) ^•- . ` 7. OTHER -8. OTHER At time of permit application,,, I was,advise&'the above fees are required to be paid' prior to issuance of the permit. .' A DDT T!i A 71TT-- a. BUTTE COUNTY DEPARTMENT OF 'PUBLIC WORKS 7 County Center Drive, Oroville, CA ; PHONE: 538-7541- MOBILEHOME INSTALLATION SHEET 7. What is the mobilehome site circuit'breaker rating?..-----. 1-,50 Amps 8. Is there any other electric load to be served by the - mobilehome site service? -------------------------------- YesNo (If 'es,,•identify the.load.and size: (Load) (Amps) -9. What is the mobilehome site gas pipe size? -----------+-- (in.) 10. What is the type of as service. ? ------ ------------- Natural 11. What is the gas pipe length from meter or tank to the mobilehome?-----------------------------=---------------- 12. What is the mobilehome gas demand? --------- -'- --- ----U) o *(This information not required if,pipe length less RVAC natural gas or less than 50 ft. on LPG.) BUILDING �d0 I"T NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT AP ,-RT ON °J 1 •�Y, y . ,, � 5 0 �bg OFFICE [°_o e lf 1. Owner's hName: ids 2. Installer's Name:' e�%yf�f �fri 3. Is the site currently under permit? Yes F. No (If yes, furnish permit number ) OR Is the an existing site? Yes No site (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5'ft, away from septic tank and leach fields of Yes No and clear all setbacks and easements? (If no, clarify 5. What is the mobilehome electrical rating? --------------- / J Amps 6. What is the mobilehome site service rating? -=----------- �Q Amps 7. What is the mobilehome site circuit'breaker rating?..-----. 1-,50 Amps 8. Is there any other electric load to be served by the - mobilehome site service? -------------------------------- YesNo (If 'es,,•identify the.load.and size: (Load) (Amps) -9. What is the mobilehome site gas pipe size? -----------+-- (in.) 10. What is the type of as service. ? ------ ------------- Natural 11. What is the gas pipe length from meter or tank to the mobilehome?-----------------------------=---------------- 12. What is the mobilehome gas demand? --------- -'- --- ----U) o *(This information not required if,pipe length less RVAC natural gas or less than 50 ft. on LPG.) BUILDING �d0 I"T NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT AP ,-RT ON °J 1 •�Y, y . ,, � 5 0 �bg OFFICE [°_o e lf MOBILEHOME SUPPORT DATA If other 'than single wide, w A�w q Mobilehome Mfr. ' furnish Setup Pfodel No. �2%s� Year/7>2 s z Width cam/ (ft.) Box Length�(ft.) Tagalong or Expando Size ft. x -ft. On all mobilehomes manufactured after October 7,1973, furnish manufacturer's installation manual and 'Structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)Zi. Wood-pressure treated or foundation grade.❑ 2. Other (specify) SUPPORTS (check one)l. Concrete block.❑ 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE LineI Line I Line 2 Main Bea..---_—,,,, Line 2 Main Beams — — — — --.------Line w Tag or Triple - — — — — — — — —.— — — �• T.in� 4 .. Line 1 Line 1 Piers: Size-Min.------------- Spacing-Max.-:-t7--4':- From -----------Spacing-Max.= 4 --From Ends -Max. ------- " Line 2 Piers: Size -Min. ----=------- .. x Spacing -Max ---------- ---------From From Ends -Max.------- Line 3 Roof Loads: Size -Min .------------ Location (From Front) Line 4 Piers:. Size -Min ------------- Spacing-Max ---------- From ------------ Spacing-Max.--------- From Ends -*tax -------- Line------- Line 5 Roof Loads: Size -Min .------------ Location (Flom Front) Line 1 Openings: Size -Min. -------------------- Each --- --------- ' Each Side of Openings. With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- .Spacing-Max ---------------- From ------------------ Spacing-Max._-------------- From Ends -Max .------------- Jel M 9t - j� v on7 1 7 76 1 e 5 Piers: (Under Bearing Walls Only) .. Size-Min------------------- Spacing-Max ----------------- From ------------------ Spacing-Max.--------------- From Ends -Max.------------- " • F • R p�08 u0 er Of Ttedowns' For- Each Side And Each End Unit, hen �h 20'• 30" 40' 50' 56' 60' 62' 66' -70' Ttedow4n ° omens Side End Side End Side End Side End Side End Side End Side End - Side End Side End Single`Wld 4 -4 • 4 4 5 4 6 4! 7 4 7 4 8 4 .. 8 4 8 4 Totg��N� bgr 'OF T'.t.4- s � � 16 16. 18 20 22 22 24 24 24 m �w. k r: eda m �w. k r: Engineering Calculations 85 MPH Wind EXP 'C" 85 MPH Wind EXP "C" Vs, Seismic Zone 4 P LAT=(1,06)(1.3)(17)(1)=25,6 PSF 333 PLF=0,186 C(32.5)( �b ,h)+160] W LAT=(25,6 PSF)(13')=333 PLF L;;µ =50,8'=D 51' Seismic Zone 4 V=0.186(DL) th V=0.186 [(10 PSF)(`,`, )+(dih � +10 Psf)(th ;; r )+(2 WALLS)(8')(10 PSF)] Wind - Zone 1 (85 MPH - Exposure. "C") Seismic - Zo.ne 4 Width Length Lond /Loud Trans Trans Total Lond (Trans) Total Loud (Long) it Trans T.B. Side lies n Long T.D. End Ties 40 FT. 333/333 13,320 LBS. 4,662 LBS. 5 2 Single 50 FT. 333/333 16,650 LBS. 4,662 LBS. 6 2 Wide 60 FT. 333/392 19,980 Lbs. 5,488 LBS. 7 2 To 14' 70 FT, 333/453-T23,310 LBS. 6,342 LBS. 8 2 40 FT. 333/333 13,320 LBS, 9,324 LBS. 5 4 Double 50 FT, 333/333 16,650 LBS. 9,324 LBS. 6 4 Wide Wi28' To 60 FT. 333/392 19,980 Lbs. 10,976 LBS. 7 4 70 FT. 333/453 23,310 LBS. 12,684 LBS. 8 4 40 FT. 333/333 13,320 LBS. 13,986 LBS. 5 6 50 FT, 333/333 16,650 LBS, 13,986 LBS. 6 6 Triple a Wide 60 FT. 333/392 19,980 Lbs. 16,464 LBS. 7 6 TO 42' 70 FT. 333/453 23,310 LBS. 19,026 LBS. 8 6 'Quad 40 FT. 333/333 13,320 LBS. 16,650 LBS. 5 8 50 FT. 333/333 16,650 LBS. 16,650 LBS. 6 8 Wideide W TO 50' 60 FT. 333/392 19,980 Lbs. 19,600 LBS. 7 8 70 FT, 333/453 23,310 LBS. I 22,650 LBS, 8 1 8 .d S TIE DOWN ENGINEERING, INDEPENDENT TESTING RESULTS ULTIMATE . MODEL NO. DESCRIPTION OF TEST STRENGTH TEST DATE MI2H 'VERTICAL: PULL-OUT IN MOIST SILTY CLAY. 6,133# 9/15/92 (5/8-&3/4") TEST PROBE TORQUE VALUE BETWEEN (AVG.) .200-34 9 INCH POUNDS MI22 ,. VERTICAL PULL-OUT IN SILTY SAND AND GRAVEL , . 5,733# 9/15/92 (5/8"&3/4") TEST PROBE TORQUE VALUE 550 INCH POUNDS (AVG.) AND MORE -- MRA VERTICAL PULL-OUT IN LABORATORY FDCrURES 5,567# 3/2/93 FOR SIMULATION. UNCONFIRMED ROCK WAS NOT AVAILABLE. MICS2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200; 3/24/94, CONCRETE. TEST STOPPED'AT 5,200 POUNDS. MIJ2 VERTICAL PULL-OUT IN 2500 PSI CURED 5,200#; 3/30/94 t CONCRETE. ,TEST STOPPED AT 5,200 POUNDS. MIT2 VERTICAL PULL-OUT IN 2,500 PSI CURED 5,200# 3/30/94 CONCRETE. TEST STOPPED AT 5,200 POUNDS. MLH64 VERTICAL PULL-OUT INSILTY CLAY. TEST PROBE 5,200# 10/6/93 (59250) TORQUE VALUE BETWEEN 200-340 INCH POUNDS ML 45 DEGREE PULL ON STABILIZER PLATE IN SILTY 6,067# 8/5/92 (59292) CLAY. TEST PROBE TORQUE VALUE,BETWEEN_ (AVG.) 200-349 INCH POUNDS - NOTE:' ALL ABOVE TESTS WERE CONDUCTED BY ATEC ASSOCIATES, PRODUCT"TESTING, INC. AND GALLET & ASSOCIATES. THE'INDIVIDUAL TEST RESULTS'WILL BE MADE AVAILABLE . UPON REQUEST. PLEASE FORWARD.—YOUR REQUEST FOR THIS INFORMATION TO TIE DOWN ENGINEERING 5901 WHEATON DRIVE a ,ATLANTA, GEORGIA 4,30336 29 � NT PAGE 7 TIE DOWN ENGINEERING ANCHORING SYSTEM o0 00 LATERAL STABILIZER PLATE BUCKLE/W STRAP (SIDE FRAME TIE) STRAP BOLT & NUT \ MI22 (5/8"-3/4") (� 30" LONG ANCHOR MI2H "-3/4") 5/8 ( M 48" LONG ANCHOR l . ee ee MRA (ROCK ANCHOR) MLFT (END FRAME TIE) 40' to 50* .sroN�RAI �M44YIMiRCt SIDE FRAME TIE i (MBS \--MBU7 V1 z a END FRAME TIE NO „r (MLFT)� a J PAGE 8 �' IL TIE DOWN ENGINEERING ANCHORING SYSTEM o0 00 LATERAL STABILIZER PLATE BUCKLE/W STRAP (SIDE FRAME TIE) STRAP BOLT & NUT \ MI22 (5/8"-3/4") (� 30" LONG ANCHOR MI2H "-3/4") 5/8 ( M 48" LONG ANCHOR l . ee ee MRA (ROCK ANCHOR) MLFT (END FRAME TIE) 40' to 50* .sroN�RAI �M44YIMiRCt SIDE FRAME TIE i (MBS \--MBU7 V1 z a END FRAME TIE NO „r (MLFT)� a J PAGE 8 �' i , 1 'TAU I . TEST G SERVICES, INC. September 28,199.4 LISTING NUMBER:' TIE -942609 Mr. Locke. M. Jones Tie Down Engineering 5901 Wheaton Drive Atlanta, GA 30336 Dear Mr. Jones: , Having completed the .in-house audit of quality control, quality assurance, procurement, welding procedures, etc., Tri-State Testing Services -in compliance with the rules and regulations of the Department of Housing of California lists the following products: . MODEL,NUMBER PART NUMBER DESCRIPTION M121-15/8 59080 5/8" X 58" DOUBLE HEAD ANCHOR W/6" AUGER M12H3/4 59085 '3/4" X 48". DOUBLE HEAD ANCHOR.W/6";AUGER M1225/8 '59090 5/8" X 30 DOUBLE HEAD ANCHOR W/2=4" AUGERS M1223/4 59095 3/4" X 30 DOUBLE HEAD ANCHOR W/2-4" AUGERS MIT2 59115 3/4" X.8" DOUBLE HEAD THREADED ROD PATIO ANCHOR MIJ2 59120 5/8" X 12" DOUBLE HEAD J -ROD SLAB ANCHOR MICS2 59125 PATIO ANCHOR W/EXPANSION BOLT 59250,- 59250, 3/4",X.36" DOUBLE HEAD ANCHOR W/6" & 4" AUGER CjRA - 59110 ECROSS DRIVE ROC CK 3/4" X 30"wROD� . MIC2 59096 5/8" -X,30" CORAL ANCHOR 59292 59292 LATERAL STABILIZER PLATE -• `MGRB 59145 GALVANIZED ROOF BRACKET MIDH' 59100 DOUBLE HEAD ONLY MIS2 b9105 SWIVEL ADAPTER HEAD BUM. "I foR Apr EU 67 56 LUCKLES CGVE MEmpi-�iS, TN 38 1 33 ,, 90 1 -385- 1 1 99, F'Ac 90'1 -386-6614, PAGE 10 1, TRI-STATE TESTING -MEMPHIS, TENNESSEE A CALIFORNIA APPROVED"LISTING AGENCY it:':Starss ;z.: TIE DOWN ENGINEERING CALIFORNIA APPROVED ANCHORING PRODUCTS MANUFACTURED HOUSING AND COMMERCIAL COQ \ 2\ l , INCLUDES SCHEDULES DIAGRAMS FOR ` z — SINGLE/DOUBLE/TRIPLE/QUADRUPLE WIDE UNITS Zen, PRODUCTS 'DESIGNED FOR A. SOIL ---1,000-4,000 AND UP PSF SOILS (CLASSES 1-4,200-550 INCH POUNDS AND UP TORQUE VALVE (CLASSES. 1-5, UBC -CALIFORNIA) Solt. CLASSIFICATION — "If 7 GENERAL DESCRIPTION OF SOILS Blow Count ALLOWABLE PRESSURE (Pounds Per Square Foot) SOIL TYPE No allowance made for overburden based on the unified pressure, embedment depth, water classification system table height or'settlement problems rock or hard an x,000 and u Send,Gravel or Gravel 2.000 Sand, Silty Sand. Clayey Sand, 1.500 Silty Gravel, or Clayey Gravel preioaded silo. and clays Clay, Sandy Clay, Silty Clay, or 1.000 Clayey Silt Uncommitted Fill Special analysis is required. Peat or Oroanic Clays I Soacial analysis is required. B. WIND—ZONE 1, 85 MPH EXPOSURE'nC- ,!5AJ4/N4451lffJ J�E�GiyN sysr,�in APPROVED .tt°1E; 7 TO COFPECTICf1.*S NOTED . Approv-1r{on!. no! c• lF.ari:e at oporcve any omission o: dv ;C:tion ;:ow regv rornenis o! applicable State lows and •rrhulaii�ns. State of Co'ifornio Dn,,crtr.hr.ir o! Ila ,s;ng ct-i Comrthvnily Develepmrni DIV -10-,/ t_(1C S AOD STANrARDS tsiJrtuJu: e) .SPA NO-----47-�<e7 f�.11'� "S Expires./. C. SEISMIC—ZONE 4 Types of Suit Blow Count Test Probe I (ASTM 015861 Torous Value 2 1 Hard rock NA NA ' 21al Very -dense and'or Caman.d .ands. coa.•te gravel and cabbies. more than preioaded silo. and clays 40,p SW its. 4¢h .. more than (b) Corals 40a0 S50 ro.. loci 3 Medium -d -s. coarse .ands. Bendy 7_1.. _v. 350 to tiff t_ts & days 24.39 549 its. inch 4 Leas. to medium dense sandc fin to ada day. & 200 to .las. atuvium 8➢ I: 23 339 lb,. h6 5 Concrete slab Tensbni ng davkes for use in ca =at* pad. runner. etc...hall be tested (same as anchor.) and sped8cailons as; PS: and acre time o! cont.... r.nforc-1. site. and thickness of cants. tit. and ", of bou hok, type and kind of shkld if p—ible. hlinhntm distance at which tensia-.6ng d.vica can be installed from edge or and of slab. pad. runne. ase. shelf be sped5d bs=c ions shipped with each tensioning davic. that ncb,d. the above. (a) The test probe b a device for me,u-ng the mrPre value of sells to assist in wduatirg the hadng capability of the soil In which tM anchor Is pbcad. The real probe hes a beta can It. Th. overall k,,Wh of the baked schen Is 10.75 inches: the major diameter It 125 inches: the minor diameter is 0.81 tadrs: the pitch 1.75 1.&.. Thr shaft must be of s.habk length for anchor de,:hh. AI A mee.une synunymaus with mimeo: of a torte when distributed around the shah of the test probe. Iel Below these value.. professional e V shw)d be consuhed or addition) anchors added. Desion Wind -load Zones:. Standard Wind Zone 1 15 psf Horizontal 9 psf uplift' Hurricane Zone II t39 psf Horizontal 27 psf uplift Hurricane Zone III =47 psf Horizontal 32 psf uplift a net uplift Note -- psf: pounds per square foot Reference -- Manufactured Home Construction and .Safety Standards (MHCSS) 24 CFR 3280.305(c)(2), latest edition 2. CAPACITY OF ANCHORS - EACH GROUND ANCHOR, WHEN INSTALLED, SHALL BE CAPABLE,y OF RESISTING AN ALLOWABLE WORKING LOAD AT LEASE EQUAL 3+'3!501POVTNDS,P�USw A 50 PERCENT OVERLOAD (4,725 POUNDS TOTAL) WITHOUT FAIL 1 + d .- ING DIE 3. CAPACITY OF STRAPPING - TIE DOWN ENGINEERING GALVA j--ZE:DA1loo �E-EL STRAP SETS OR EXCEEDS THE NCSBCS/ANSI 225.1-1994 AND THE ASTM -D 3953-9SP€CIFI,CAIO_NS EOR 1-1/4"X.035 (MIN.) TYPE 1, FINISH B, GRADE HOT DIPPED GALVANt2lD�STRAPPING. CONFORMS TO SB -750 REQUIREMENTS SECTION 1336.3 OF THE CALIFORNIA CODE OF REGULATION TITLE 25, 18613.4 OF THE HEALTH AND SAFETY CODE. PAGE 1 WARNING . BEFORE BEGINNING GROUND *ANCHOR INSTALLATION, MAKE SURE .THE ANCHOR, "LOCATIONS WILL NOT BE CLOSE TO ANY UNDERGROUND • ELECTRICAL CABLES, WATER •LINES, - SEWER LINES OR GAS LINES. ' FAILURE TO DETERMINE THE LOCATION .OF ELECTRICAL CABLES OR GAS -LINES MAY RESULT IN SERIOUS INJURY, OR DEATH: , 1. PARTIALLY INSTALL'APPROPRIATE'GROUND ANCHOR ALLOWING TENSION HEADTO MAINTAIN APPRO)MAATELY 14", TO 16" MINIMUM GROUND CLEARANCE. . 2. _ USING OVERSIZED HAMMER, VERTICALLY INSTALL STABILIZER PLATE BETWEEN FRAME AND ANCHOR. - THE TOP, SECTION OF THE STABILIZER PLATE MUST BE DRIVEN FLUSH WITH THE GROUND TO INSURE SURFACE SOIL COMPACTION. ' 3. FULLY INSTALL GROUND -ANCHOR UNTIL•TENSION HEAD BOTTOMS OUT AGAINST STABILIZER PLATE.. r rb INSTALLER/CONTRACTOR. CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE TIE' DOWN ENGINEERING ANCHORING SYSTEM AS PER TIE DOWN'S INSTALLATION- INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO'THE ANCHORING SYSTEM OR BUILDING STRUCTURE: COMPANY NAME: CONTRACTORS LICENSE # `DATE: SIGNATURE . + r PAGE'9 I Qtl N; 1.. R a ' STATE OF CALIFORNIA - BUSINESS. TRANSPORTATION AND FkOUSINQ AGENCY_ PETE WILSON. Goverrcr DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT. DIVISION OF CODES AND STANDARDS m 1800 THIRD STREET, Suite 260 P.O. Box 1407 opt SACRAMENTO, CA 95812-1407 (916) 445-9471 FAX (916) 327-4712 TDD 800-735-2929 September 29, 1994 William E. Jackson, Manager Tri-State Testing Services, Inc. 6756 Buckles Cove Memphis, TN 38133 Dear Mr. Jackson:- F CT05 1994 —iL�D"l:i 14 -3- --------------- This This is to confirm that the California Department of Housing and Community Development has approved your f=s application to become an approved testing and listing agency for load bearing supports and structural components used with manufactured homes, mobilehomes and commercial coaches. This approval is for the listing and labelling of structural components used in the manufactured housing industry in accordance with the standard established by your firm. - Please note the Department may require design calculations and test data be submitted to substantiate a design when the listed system or component does not appear to conform to your approved standard. We may also request this information for the purpose of routine monitoring or complaint investigation. Revisions to your approved standard as well as listed designs may be necessary in the future as a result of amendments to current statutes and/or regulations. Thank you for choosing to become an approved listing and testing agency. If in the future you have any questions or need to discuss a particular issue, you may contact either myself at (916) 445-9471 or Mike Rosenberg at (916) 255-2501. S incerely, Chris L. Anderson Mobilehome Parks Program Manager cc: Mike Rosenberg PAGE 12 "� �'�'w.," J"";y�"a..r't..q[RrF��*'���.5»+�`"+"�j!"6{*a'�`•�'�'S�:4�3i'S��j'�`k�F+��F�l°S�`' tai'`°�yt�o''?`�=�'�.ry9�"�'�p,�.cj����•i�z��'Y.:ca.� rr;rsr4 �`.,�. ' ` BUTTE COUNTY" SCHOOLS .IMPACT, FEE CERTIFICATION FORM (One Form Per Building) School District (7-- Building Department. No. . A.P. Number �� — �(� � Q� Jurisdiction City unty Property Owner 'Property Location/Address / i Subdivison Lot No., Residential Development 0 ©'� Sq. Footage 3 No. of Living MHI Addition (Group R) Units d` ;.. Commercial/Industrial / ✓)Sq. Footage New /Addition (Including Exterior oofe Areas) f- Buildin Department a resents ive "Date r (Floor Plans reviewed by School District Personnel) District Identification No. �yS� School District certifies that �. (Applicant) 97 (Street Address) ' , (Phone Number) (City). (State). .. (Zip Code) has complied with the requirements of Resolution No. ! -� - 9X- 69 by payment of $ representing �J� T 7 square feet. 0 Check here if fee received represents "Full Mitigation". _ L - /_3 - 9.S School District Representative Date Paid by Check # Remarks: Bank Number Paid by Cash 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'chools b s s White (applicant), Yellow (building department), Pink (school district)feeform.wkl (4/94) RESIDENTIAL _� 036-440-010 PERMIT#95-1060 1 BRADLEY, Scott 2775 Oak Knoll Way, Oroville Cont; Harold Balaz Mobilehome Utilities i t' . a �p P OFFICE COPY Address I GAS Meter By Date ELECTRIC Meter By Date JOB FINALED ) _ Signature i J=OK O = Not OK 'Not A:ppricable ' =Read Not Ready MOBILE HOMES - , MISCELLANEOUS Date MOB LE HOME UTILITIES Plans OK except #'s Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zoning Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements L,---2. Soils; Special MH Support Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel 3• Sewer; Location-Test-Fall-C/O Concrete 3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Rails Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing Electricity; Location-Clearences-Grnd-/ /Amp-Concrete ocation-Test-Wrap:/ /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures , 6. Carports; Windows-Doors 7. We I-Clearance & Disconnect 7. Electric Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh 10. Roof; Shthg-Roofing Date - Card B-1Sj;e Date Card B-1 r 11. Ext.; Steps-Doors-Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 4!Zoning Requirements-Setbacks Easements l Date Card B-1 Date Card B-1 ootings: Size-Spacing-Marriage Line Date Card B-1 Date Card B-1 Demand-valve—Connector Date POOLS (Plans) OK except #'s lectricity; MH Test-Crossovers-Breakers-Clearances 1. Setbacks-Easements MH Test-Fall-Flex Connector 2. Soils: Compaction-Structure Stability _ Y ater; MH Test-Regulator-Connector 3. Pool Structure; Steel-Connections-Thickness Dead Men -Lining ter an ed-C/O.to Grade- HD'Approval nd Electricity T 4. Elec.; Receptacles and Lighting, Distances-GFI !� xi sp.- a ch t, 5. Elec.; Pool Lighting; 15 volts-GFI C rt. of Occ a cy 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. Date Card B-1 Date Card B-1 ;i — Boxes-Enclosures-Panel boards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 . 9. Health Department Approval i 10. Plumb.; Cir. Test-Water Supply Test Date Card B-1 Date Card B-1 Date 1' Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except it's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 1E. Water Htr.: Vent -Access -Combustion Air -Baffle ----------------- --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection ------ --------- 18. D.W.V Test -Fittings & Anchor -Nail Protection ------------------ ------------------- 19. Shower Pan; Test. First Floor -Tub Access ------------- ------------ ----------------- 20. Test Tub & Shower. Second Floor -Tub Access ------------------------------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except k's 22. Fixture & Transformer Clearance -Ins. Protection --------- ------------------ -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. ----------- ----------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water -------- ---------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI --------- -------------------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! / ga. _Cu or At - ---- --- - ---------------------------- 29. Range Circ ! / ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------------- ------------------ 30. Service -Riser Conductors & Ground -Main Disconnect -------------- ------------------------------------------------------------------- -31-.- -------------------------- -- 31_ Equip_ Clearances Panels-Motors-Mech. Equip. - ---------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ------------ ------------------------------------------------------------------- 33 Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except 4's 34. A.C. Ducts Insulation & Support ------------------------------------------------------------------- -------------- 35. Vent Fan: Exhaust above insulation ------------------------------------------------------------------------------ 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet 38 Attic Access & Platform if Furnance in Attic -------------- ------------------------------------------------------------ - Date Card B-1 Date Card B-1 -------------- ------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors - - -- -- - --------------------------------------------- 40..- ------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------- -41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) --------------------------------------------------- ----------------------- ------------- 43.. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing r Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings -------------------------- 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Head room -Rise-Run-Landin Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------------------- -- 57. Glazing Area -Glass Protection -Skylights- Plastic ____________ 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings ---- - ----------- 60. Infiltration -Walls -Windows ----------------------------------- Date Card B-1 _ Date Card -B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- 62. Smoke Detector --------------------- ___- - 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection -------------------- 64. ----------- 64. Bedroom Exiting -- --------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa _ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs & R_ails 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt & Appliance; Grnd -Air Gap -Cooking Clearance - -- .-- - - -------------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer -------------------------------------- --- - 73. A.C._Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection -------------------------------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------- 7-,. Insulation -Foam -Looked in Attic ❑ Yes ---------------- ------------------------ - 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ----------------------------------------- ---- 81. Stucco: Brown_Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ------ ---- - ------------------------ ---- - 83. Vents Above Roof: Plb9 _ A pp liance-Firep lace. -Clearance to - - Openings -- - ----------- --------------------- 84. Water Well: Disconnect, Electrical, Plumbing ---------- ------------------------- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- --- - --- ------------------------------------ 87. Glass Protection 88. Corrections from Previous Inspections - -------- -------------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric --------------------- ---------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ---- ------------------------ 91. Energy Compliance Certificate -Other Certificates ------------------------------------------- ---- 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, CAliforriia' 95965 - Telephone (916) 538-7541 PERMIT ITNQ. 95___10&0 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36-44-10 - ZONING R BUILDING PERMIT OWNER SCOTT BRADLEY TELEPHONE SO. FT. OCC. BUILDING VALUATIO OWNERS MAILING ADDRESS CONTRACTOR'S NAME HAROLD BALAZ TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation is LENDER'S MAIUNG ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - PERMITFEE $ 2779 0AK KNnTL WAY PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE Each gas water heater or vent 15.00 SF ❑ Duplex ❑ Mobilehome j(3 Other Gas piping system 1 - 5 outlets 15.00 SPECIFY Building sewer 15.00 TYPE OF WORK r Mobile Home I 1XI G 11 920.00 zLn nn New ❑ Addition ❑ Remodel ❑ Utilities Cf Installation ❑ Other ❑ Describe Work: 3 BEDROOM HUD PERMITFEE g • Contractor ELECTRICAL PERMITFilin Fee 20.'00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BUDS. ) SO. 3.50 FT. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, - ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. and my license is in f I force and effect.' !� Ex. Occup. (OUTLET OR FIXTURES ) 20 @ I.00 License Class Lic. No. "I ' Ex. Occup. (OFIXEDOR .,a BAL .00 OWNER-BUILDER DECLARATION OUTLETS 5.00 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Temporary Service 23.00 Law for the following reason: I Mobile Home Facilities 20.00 20.00 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, - Misc. Wiring will do the work, and the structure is not intended or offered for sale. 23.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. PERMITFEE $ 63.00 ❑ 1 am exempt under Sec. Business and Professions Code for this Contractor reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 I hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. PERMITFEE $ My workers' compensation insurance carrier and policy number are: Carrier Contractor Policy Number Mobile Home Installation Fee Is (The above sections need not be completed if the permit is for work of a valuation Energy Inspection Fee Is of one hundred dollars ($100) or less.) Ik I certify that in the performance of the work for which this permit is issued, I shall occ CONST. TYPE TOTAL FEE $ 146.00 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 HA2. D. FEES M FLOOD COF C PD HD sSU workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. This permit is hereby issued under the applicable provisions ' X-- Date 2Z.S-7' of the Butte County Code and/or Resolutions to do work indi ed abo fees have been paid. Signature of Applicant - ❑ Own Contractor ❑ Agent )hich An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. �I Byate .J FReceiptNo. 180108 PERMITEXPIRESONITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Date) i s 'COUNTY OF BUTTE -DEPARTMENT OF DIVE-LOPMENTSERVICES -BUILDING DIVISION '= 7 COUNTY CENTER DRIVE - OROVILLE, CALIFPRIVIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER k )(G Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ! DATE RECEIVED BY 1. All items have been submitted. ...... j................................ 2.' Plot plans, 3/4 sets, signed by preparerof plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet`signature on plans . ............. 5. Hazardous Material Form...............Ir ............................. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...... ................ . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ....... _ California Department of Forestry plan approval/ ees. S a3: Flood elevation letter (100 year flood by California ngineer. ................... 14. Sanitation and plot plan approval L Health Department. G s' 95� ............ 15. City of Chico plumbing permit . .........................:.............. . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.a bout (A) Improvements (B) Drainage. " �19. Driveway Permit (construction approval required prior to occupancy). 'qndLepenrz-_ 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. ` . ). ......... , Mail to owner 23. Owner -Builder Verification (Given to owner __ . . 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 5 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. 'Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access ............... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed ' and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone -53q-267&d hold for pickup at Or-guL4office. Deliver with inspector. Other AV Parcel Creation L� Acreage Applicant to Copy'of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by (; t 3a oris Date -� Plans approved by G I G t3o.,i S Date 6-7Z,11 Sets of plans on hold in • File cabinet ')C AP folder Copy - Department of Public Works This set of plans +girl specii icat9�ns MUST br kept on the job at all times and it Is unlawful tc make any changes or alterctions on game withoul, written permission from the Department of Pubo.' Works, ,County of Butte. NOTE:—All Materials & Workmanshifi Shaii be in Accordance with RecognizeJ Good I ractices and of a quality prescribed for ti•se Specifil-d use in the Uniform $uiiding, Plumbing & Moc;hanic�! Codes and Jt a National Electrical Code. I ALL STRUCTURES AND EQUIPMENT INCLUDINQ i OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS, A SET BACK OF _30 FT. FROM THE SIDE AND ?v E=T. FROM THE REAR PROPERTY LINES AND FT. FROM T SIE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT, EAVE OVERHANG. Locution of structures & equip,ment shall be as shown A dzar oz all o aomrft. 'ZOO REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ,approved as submitted jC approved with conditions per attached sheedS' 9 signature Date (Dn fC K, V-10 r R5-(06 Q Gi eav /k oFF,cf, Coey n CDF FIRE SAFE'REQUIREMENTS y o 95 - i o 6 0. (e y, _Scoff AP# PERMIT #- NAME Under authority of PRC 4290,;the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which" equal or exceed, these standards. Field inspections will be,made•by the Butte County Building Department for compliance. •1272,.00,Maintenance of Defensible Space. To ensure continued . maintenance of properties in conformance with these standards and measures and "to�assure continued avail-. ability, access, and utilization of the defensible space provided for in these standards, annual -maintenance must be provide for by the land owner.n Driveway'Standards [�(f 1273.02 Surface.'All driveway surfaces and structures (bridges, 1273:07 culverts and other.app -,rteaant structures which supple- ' ment the roadway bed or shoulders) shallprovide unob structed access,'to conventional drive vehicles, includ-' ing sedans and fire apparatus weighing up to 40,000 pounds. [�(J 1273.03 Grade.- Not to exceed 16 percent unless paved. / 1273.04 Driveway Radius ' [�1 1. No roadway shall 'have •a -horizontal inside, radius of curvature of less than 50 feet and"additional sur- face width of 4 feet shall be added to curves of 50- Y, 100 feet radius; 2 feet to those from 100-200 feet. [ 2: The length of verti^i�l'.curves in roadways exclusive of gutters; ditches "and drainage structures designed to hold or -divert water shall be not less than 100 feet. [� 1273.05 Turnarounds. If required; will have a minimum turning radius of 40,feet from the•center of the road. [xl '1273.05, Turnouts. Shall beta minimum of'10 feet wide and 30 feet long with a minimum'25 foot taper on each end. [I`] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane. and unobstructed" vertical clearance -of 15 feet along its entire length. Page 1 (4(4 -la 95,_/060. Brad fey , Scoff AP # PERMIT # NAME 1273.10 Turnouts.'.Driveways exceeding 150 feet in length, but less than 800'feet in length, shall provide a turnout, near the midpoint of the driveway. Where a, -driveway exceeds 800"feet; turnouts shall be .provid'ed no more than 400 feet apart. Y -[] 1273.10 turnaround, shall Turnaround.' A turnaround shall be provided at all building sites. -on driveways feet ,in length and shall be within 50 feet'of the building. '1273.11, Gates ] 1. Gate entrances shall be at least'two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and. -shall open to allow .a ,vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way,road with a single traffic lane provides entrance,•a 50 foot 'turning radius shall be used.., Fuel Modification - k . 1276.01 `Setback for Structure'Defensible Space. { 1. All parcels -1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines ..'and/or the center of the road. - [.] 2.. For -parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements,below. ` 1276.02 Disposal of Vegetation and Fuels. Disposal, -including 1 chipping, burying, burning or•removal to a landfill site` approved by.t.he local j,urisdiction','of flammable vegetation grid fuels caused: by site development _and construction, road and driveway .construction and fuel modification shall be completed prior to completion of road construction ,r f`i�ial inspection of a building permit. _ Page 2 of 3 , LILf -/ 0 9S- 106 AP # PERMIT V. NAME Other Reduirements [ ] If Building Setback is -15 to 30 Feet Class A or B roof Enclosed eaves [ ] If _Building Setback is'Less'Than 15'Feet Choose any.3 of the following:° Metal or'no doors on side. -toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA-13D Glass area not to exceed 10t of wall area toward•property line with insufficient. setback Siding from the following list: 'Stucco 3 coat-' •Hardi=Board or.Plank Masonry , Masonry veneer ` Metal Other'Butte County Fire Department approved materials INSTALLER/CONTRACTOR CERTEFICATION, I CERTIFY THAT I HAVE INSTALLED THE TIE DOWN ENGINEERING ANCHORING., 'SYSTEM AS PER TIE DOWN'S -INSTALLATION INSTRUCTIONS AND THAT NO MODIFICATIONS HAVE BEEN MADE TO THE ANCHORING SYSTEM OR BUILDING STRUCTURE. # COMPAN-Y NAME CONTRACTORS LICENSE DATE: SIGNATURE PAGE9 '`"if'i'�.t�.�"S'sY�:.:�"r.��,-wRi�c.`,.,-s�+g'torr:.'%"�,�%["'S,y^�e•?ar`k+`:.S'-.'�*`vTtiw.r"'�r�%'ii-.�i�yja":'s�.�..Ak�.,��.a �.;.•::Cp-'fii"s 'ti"•:p �::;,f•..-^r�. ca`.Yti.�''4r�v.',:w�`.-�r-.+„r�.-+1::-ti:•..,.-^.;,.+-.f`�.:��.,,,..�-,...�:.. .. .. 036-440=0;10 PERMIT#95=Q739 • BRADLEY, Scott 2771 Oak Knoll ��?ay, OroviTle .Cont,'.Sharp Electric•..r „Ele ser. for pump' station/LOAPUD ' j . .I � Y � 1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County.Center Drive-'Oroville, CaliWnia 95965 - Telephone (916) 538-7541�,r, PERMIT NO. APPLICATIORAND PERMIT 15 07, ASSESSOR PARCEL NUMBER 036-440-010ZONING BUILDING PERMIT OWNER SCOTT BRADLEY/LOAM (510) T489 -2351 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4520 VMMJR. A WAY UNION CITY 94587 CONTRACTOR'S NAME SHARP ELECTRIC TELEPHONE CONTRACTORS MAILING ADDRESS PO X OROVILLE CA 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 2771 OAK KL40U WA PERMITFEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCt MAP Solar or heat pump Water heater 23.00 USEOFSTRUCTURE # SF ❑ Duplex ❑ Mobilehome ❑ Other POWER POLE I SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OFWORKMobile New ❑ Addition ❑ Remodel ❑ Utilities I? Installation ❑ Other ❑ Describe Work: SERVICE FOR PUMP STATION LOAPIJD I Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 • 1 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 i full force and effect. f� License Class C –!;� Lic. No. � OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ 1, 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 • ( POWER APPARATUS ) & SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 I•00 BAL . FIXED ETS(NIS.OR Ex. Occup. (ORE A) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PRE INSPECT PERMITFEE $ 73.50 Contractor WORKERS' COMPENSATION DECLARATION ereby 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: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number ! (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 workets-_,compensation provisions of section 3700 of the Labor Code, I shall for Thi y with those provisions. X Date /� — SignkLu,rarofWplicantl ❑ Owner J� Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 73.50 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the in the Butte County Code and/or indicated above for which fees have ^t•7 ,� r---- , By ''9"� /` PERMITEXPIRESON applicable provisions Resolutions to do work been paid. _ 1s' Date n / /! 19.4 t (Date) �t Receipt No. 175882 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION 6-EPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541, '747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Z",(Ie,v lZOARCLP OWNER PERMIT NO.' A routine inspection indicates that the following violations of Butte County Ordinances exist at' the above address and should be corrected. Please notify this office when correction of work - ' . is completed. ou have any questions pertaining to this matter, or need additional, explanation, — i please coi' cktthis office immediately. 4, I A 4-1 &:j!� &0k 40 e az, 4-� 4 ol 4,re,� ,V7 Al <j Date Inspector REV 101Y2 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN—SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATIQN:QN�.PERMIT-%- ASSESSOR PARCEL NUMBER 036-440-010 ZONING BUILDING PERMIT OWNER SCOTT BRADLEY/LOAPUD (510) ELEPHO T4 9.2351 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4520 VENTURA WAY UNION CITY 94587 CONTRACTOR'S NAME TELEPHONE SHARP ELECTRIC CONTRACTOR'S MAILING ADDRESS PO BOX 1390 OROVILLE CA 95965 Fireplace CONSTRUCTION LENDERUNI<NOWN I; Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS PERMITFEE $ 2771 OAK KNOLL WAY PLUMBING PERMIT Filing Fee 20.00 Each Trap1 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE Each gas water heater or vent 15.00 SF ❑ Duplex ❑ Mobilehome ❑ Other POWER POLE Gas piping system 1 - 5 outlets 15.00 SPECIFY Building sewer 15.00 TYPE OF WORK Mobile Home I S I GI W 1 @20.00 New ❑ Addition ❑ Remodel ❑ Utilities 6 Installation ❑ Other ❑ Describe Work: SERVICE FOR PnI P STATION LOAPUD PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service ( 20ov OR LESS OR LESS ) 200A 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter NEW CONST. DWELLING OCCUR OR ADONS. ( a Acc. BLDs. ) sO. 3.52 FT. NEW CONST. ( MULTI.OUTLET ) NON RESID. ISCIRCUITS ^ 7.50 l 7 5l) 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect. /9} / /y� c/1 1 1 I 3 License Class —%il Lic. No. cJ ! OWNER -BUILDER DECLARATION ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL .50 Ex. Occup. ( OUTLETS RES D.)EA) 5.00 Temporary Service 23.00 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: '1/6I, 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. Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PRE INSPECT E] I, as owner of the property, am exclusively contracting with licensed contractors PERMITFEE S 73.50 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this Contractor reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 ereby affirm under penalty of perjury one of the following declarations: Heating 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. Cooling Hood 6.50 Ventilation ❑ 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: /Carrier PERMITFEE $ Contractor /Policy Number Mobile Home Installation Fee $ (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 Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 73.50 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE worke ' compensation provisions of section 3700 of the Labor Code, I shall efo�!-Twith with those provisions. This permit is hereby issued under the applicable provisions X Date l� the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. _ — tu Sign r of plicant - ❑ Owner_2- Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. /r BY ---u- I/- PERMITEXPIRESON -7;w9,1 (Date) Receipt No. 175882 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A I is y' COUNT_YOF BUTTE -DEPARTMENT OF DEVE.LOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOFA,9,i965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER l%/4 D. '.. / oz-&, / -0 / Proposed Building Use S Building Inspector Date At time of permit application, I was advised the following data must`lie submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All iiems•have been submitted. ...., ......................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer'of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... g. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... . Driveway permit (construction ap roval required prior to occupancy). .. Fre-Inspection re.qu.-eT- - Pre -inspection for lot__ G- required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification).. .............. 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner'). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ............................x ............ 28. Mobilehome utility clearance . ............................: ; ............ 29. Documentation of legal access . ..................... :............ :..... 30. Documentation of 50% subdivision developed-.or(A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. . : ............ 31. Existing violations/expired permits . ....................................... 32. Plan check list......................-�:*............................. 33. 34. - - / When you issue the permit, process as follows: Mail to owner. - ail to contractor. Telephone and hold for pickup at ffi®e--, Deliver with inspector. Other Parcel Creation Acreage Applica t Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy'of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans,on hold in File cabinet AP folder Copy - Department of Public Works , May 11, 1995 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 ATTENTION: SCOTT RE: VILLA VERONA WASTEWATER- PROJECT, To Whom It May Concern: The Lake Oroville Area Public Utility District has employed Sharp Electric Company of Oroville, California to install pump meter boxes for' the subject project. Mr. Sharp .is presently working on an installation of ythis:.type at 2771 Oak Knoll Way, and has requested a final from your office. The intent of this letter is,to,clarify with your office the useage of these 100 amp boxes. At various locations throughout the subject. project, it is necessary to install a 1/2 hp. pump which is rated 9.6 amps for the purpose, of'p'roviding flow from the holding tanks., Although this is an 100 amp box, the Lake Oroville Area Public .Utility District will will have no further installations in it other -than the 9.6 amps necessary for the pump. The District has a lock on these particular meter boxes and no one else is .allowed access. , If further information is necessary for clarification' of this matter please'contact the undersigned. Sincerely, VILLE AREA PUBLIC :UTILITY DISTRICT Carol A. Hill, General Manager LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT 1960 Elgin Street 9 Oroville, CA- 95966 ' 916-533-2000 FAX 916-533-1750 A�� ES U ZT• - BUILDING INSPECTOR'S REPORT Building Description: [ ] Commercial/Usage: [ ] Residential/# of Units: Mobile Home: Yes[.,]: No[ [ ] Currently: Occupied. [ ] Abandoned/Vacant: lect'ric: [ -] Yes [ ]: No Y Electric is currently : [ ]. On, [ ] Off ' Condition of electrical? Gas: Natural [ ] Propane[ ] None[ ] Currently On[ ] O ] k ♦ , Obvious problems: anitation: Plumbing working' Yes[ ] No[.,j ] Well: Yes[ ] No[ ] Potable water Yes[,- ] No[ ] ' Obvious Sewage Problems: ction Recommended: [ ]Issue [ ]Hold for: inspector: Date: LAND DEVELOPMENT -BUILDING PERMIT CLEARANCE 2Building Permit No. 5_ OWNERSsc&WL Imoh - NAME: 18c�, NUMBER: / PRINT LAST NAME r -►RST V COUNTY ZONING//�� v DESIGNATION: A R FLOOD ZONE: ✓� FLOOD MAP: & �S 40 APPROVED: �� CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL PARCEL CREATION BY DEEDS DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED:. YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: - io il� �oT3 vtLLf+ 146XC vv A) W ALL *I2 PARCEL CREATION BY MAP X 40A/ v S R o W 114..11 -1 -a - DATE OF RECORDING - LOT COMPLIANCE WITH OLD SU DWISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES i NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY T0, MAP: ALL FEES TO BEPA/D TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NO TED. _ 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a building setback from right-of-way/centerline of ' _ 3. Pay water tender fees in the amount of $ to. Battalion Number of the Butte County Fire Department. _ 4. Automatic fire suppression .sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation` of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized -community water system, with hydrants that meet Fire Department specifications, serves the parcel. 5. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 6. Maintain a 100 ft. leachfield setback from all existing wells. 7. Maintain a ft. leachfield setback from 8. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. 9. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area'Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. 10. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety., Mobile homes shall be constructed on a permanent' foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 11. Deer Mitigation fees are to be paid,' if such fees have been adopted by .the Butte County Board of Supervisors. 12:. "� � - • ' tiff{�i'. CHECK APPROPRIATE REQUIREMENTS YES OR NO OR CONDITION NUMBER. LD 12194 C:\WP51%F0RMS.K%8LDGPERM.CLR ' -3aSju9wdOj9A8CI P" -- 5-6a t 010 ULM 10 ELECTRIC GAS Support Struc. Compaction est fest eq. rvice Zd Other Load Type Pipe Size Lerigth YESI-NO YES NO CoNt4MION PM11T APPLIc TION r• oR Sg-7M Cor1Nn TION AND SEWICE FROM LAK)✓ ORWILr E AR)M PUBLIC UTILITY DISTRICT �C_z-tL• �6-Yo_a hereinafter referred to as "Appal icant" , being U�c pl:open y owner oz_ owner' agent desiring se�,�er service, hereby requests Lake Orovillc Arca Public Utility District, hcrcin- after referred to as "District-", to connect Applicant's sewage disposal line to District's sanitary sewer system arr_1 to provide sewerage service. Location of property: A - P. 1[: Lot iF =_ Block subdivision: `1uc Property Annexed [ Property Not Annexed [ j Property Annexation in Progress KirjO of: Service Residential Residence of Owner_ [ Rental (single family) [ J Rental (duplex) [ ( ] Industrial ( ] Commercial Remarks: No. of E.D.U.'s this pcnmit: Multiplication. r3ctor: **Monthly Charges:�D t°��e :y� -cowabd Conn P, o0 �6,�)q s7 Apartment ces, rule-, regulation, Total Nnount Payable -This Permit- : (ng8-15- he service applied or hereby shall be in accordance with the corYlitions here - T the ser. set forth and the ordinanand policies adopted, or to be adopted, by the Board of Directors of District, all of: cahich Applicant agrees to abide by and fully perform. Applicant- agrees to pay for such service at rates arY3 charges as are established by District from time to time. �gnatuNeOt Applzc� Name of owner ii not Applicant 5Mailing Address 1 Applica t 9V:�% Mai:l 'Ling Address of Owner , Phone # of Applicant://;5769- Phone it of r,,Yner: CONDITIONS OF ACCEPTANCE OF SLS�TM' AGE'SERVICE 1. In accepting this application, District clots not hold itself liable to Applicant• for failure to perform any of the obligations imposed upon it or as- sumed by it under_ this application if such failure be caused by accident, Act. of God, fire, strikes, riots, war_, lack of capacity in E7' -OR treatment/disposal plant- or District -'s lines to handle the sewage or any other_ cause beyond rea- sonable control of District 2- installation of the. sewer service line pertinent to this application shall conform in all respects to District's specifications. 3. . Applicant- shall secure permits) as necessary from the. County of Buttc prior to doing any work, jncl&3'1ng encroachment- 'permits when work is within county right- of way. 4. Installation of the subject sewer service line shall be at the sole cost and expense of Applicant.. S. Actual connection of the subject sewer service line to District's sewer mainline sliall be accomplished by District staff. G. All wor_lc shall be inspected and approved by District. 7. This permit is valid for one.year. If work is not completed within said year, permit- renewal will be required, together with POY-nent of• any in- crease in connection fee and/or Sr -OR Facility Charge. £3. District verification form must be issued with this .permit. Payment of Tees/Charges required prior to final inspection. Payment rete vccl by [ )cash tgcheck $ l P S59, 151 Date 3 3 II LAKE OROVILLE ARCA P.0 -D- By : Date: �J I Permit * PayabJ_e in t -he amount current at time P, fncnt i made . NOT COMPARED WITH 95-017658 --� AY31199 AGRICULTURAL STATEMENT OF ACICNOWLEDGMENT ' R FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte Countv Code requires 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 Countyof Butte. State of California, described as folloNy LOT 3 IN BLOCK 26,iAS SHOWN ON THAT CERTAIN.MAP ENTITLED, "MAP OF VILLA VERONA, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE -N , OF THE RECORDER OF THE_COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 17.., 18 8 9 . , Date: May 31 , 1995 _ . PROPERTY.OWNERS: ?i'.( .%(1•LLr(("y l BRYAN SCOTT BRADlitY `LINDA SUSANNE BRADLEY ; State of California ) County of Butte ) On May 31, 199b%fore me, Michelle A. Mil ler z personally appeared Bryan Scott Bradley and Linda Susanne Bradley .personally known to me (or proved to me on the basis of satisfactory evidence).to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that 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. R F� = n G r. rA WITNESS m} hand and official seal. frFFVALSEAL MICHELLE A. MILLER WTARY PUBUGCALIFORNIA 0 ?ftkol Cft In BUTTE Co Signatur �` % i, �! , i/) ` 'f ;�i,C- �Acal: "�®S y ; , l C.cAtom. Exo. OCT. 20,1995 - . ' -Ogg - r 11 1". . It 11 1". . It