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079-240-068
I 92-1736 P,E nJ DAVISu,].forri RT,yn' n X2780 Pinecre .,. Rd,Oroville - contr: MH Cente mh .utilities a y� ELEC"t6®,4, a GAS COMPACTION TEST R SUPPORT STRUCT REQ `C 96 3i 92-1679 MHI DAVIS, Gu' ord & Lynn ) , 2780 ' ecrest LN, Oroville f9 r con MH CEnter F09- 2�410JI 17auis, G u ISI{d Ta )s4- 2 ceresf Rd, . Or0Jl I te. . Sierra, rrl6bde 5ar✓iNe',, M obl;OcmzQrm fnc!1)4 (��l� 1 f 'f u t {. 1r 1 I . 1 , k l L1)U 9 C, -`N BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line (IVR) : (530) 538-4365 Office: (530) 538-7541 Fax: (530) 538-2140 Website for Online Permits/Renewal Pavments: www.buttecountv.net/dds Permit No: B08-2404 Issued: 12/04/2008 Address: 2780 PINECREST RD Area: OROVILLE Owner: DAVIS, GUILFORD REV LIVING Applicant: SIERRA MOBILE SERVICE & SUPPLY Permit Type: SFD-Mobile Home RET APN: 079-240-068 Description: MOBILE HOME PERM. FOUNDATION RE Flood Zone: None SRA Area: Yes SETBACKS for Zonine. AG. SRA. PW Front: Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:+ ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type 1 IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre- Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 1 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: p-5 L/ —/ {o Public Works Final 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 801 \ I I Z --;K-' -rrolect r mai is a i-ernncate of vccupancy for (xesiaennai umy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2780 PINECREST RD Owner: Permit No: BOg-2404 APN: 079-240-068 DAVIS, GUILFORD REV LIVIN Issued Date: 12/04/2008 By TMP Permit type: RESIDENTIAL 11889 84TH PLACE NORTH Subtype: SFD-Mobile Home RET MAPLE GROVE, MN 55369 Expiration Date: 12/04/2009 Description: MOBILE HOME PERM. FOUNDAT (763) 772-5957 Occupancy: R-3 Zoning: ARMH Contractor Applicant: Square Footage: SIERRA MOBILE SERVICE & SUPPLY SIERRA MOBILE SERVICE & Building Garage Remdl/Addn 466 CIRCLE DRIVE , 466 CIRCLE DRIVE OROVILLE, CA 95966 OROVILLE, CA 95966 (530)534-0599 (530)534-0599 Other Porch/Patio Total FEE INFORMATION DBF MH Plan Check $241.16 DBMSC Mobile Home Permit Fee. $361.74 Total Charged: $602.90 Fees Paid: $602.90 Balance Due: $0.00 Receipt No: B9280 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors License SIERRA MOBILE SERVICE & S 470386 / C47 B / 03/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 12/04/2008 penalty [$500]; Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himseif or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I]L.HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED u Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the State Fund 046-0004257 01/01/2009 Carrier. Policy Number:Exp. Date: Contractors License Law.). (This section need not a completed if the permit is or on7 a hundred dollars ($100) or less.) I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 12/04/2008 compensation provis' ns of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. / X12/04/2008 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the use or occupancy o1 any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the prop y CONSTRUCTION LENDING AGENCY 2,nebehalf. f(9 ' 12/04/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] P nt Date the performance of the work for which this permit is issued. (3097 civ. code) 1:1 Owner Contractor OR 0Agent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE 4:(530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. F,gy, BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. CONTRACTOR OWNER INFORMATION Last Name ✓ V r�' First Name Mailing Address S y 64/11CF lUO '76' City M IIPLC (•r`ov i" State ti/ A) Zip ss -s G % Phone Lic. # L170 3 96 Fax E-mail CONTRACTOR Name tE ieve,4 µo 61 _E 6EteutcE Address c�G G C t2C/�E P 9 t U E City 0r�00l I- L E Statel fj Zip 9896 6 Phone53o Say 0S'99 Fax 53o Say 0709 E-mail Phone Lic. # L170 3 96 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name CityORo vi �� E Address Zip i rn 0 City Fax -,, 6-3 Y o 7 o -7 State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address y� 6 e / Rc i P URwE CityORo vi �� E State `A Zip i rn 0 Phone 530 53y p S9 9 Fax -,, 6-3 Y o 7 o -7 E-mail APPLICANT SIGNATURE X '&� PROJECT LOCATION AP# Dig 4/0 0w,? Property Address ;2 7 90 e,CE s 7 - city city v,4' o �/, ,-OL F rH 96 - WORKER'S COMPENSATION Policy Number 3oeY3xk - Moog Carrier Sl-ArE If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit Issuance. i LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: /Nsr•*A.A /CETeo FIT Flu N DA %!-A) i i Sq FT- Living Garage Open Cov i O . Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): For office use only: Toning FloodZone SRA Yes No IOcc. Type Const. G X12 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 �{ By Tie Down Engineering 2jo UTTE COUNTY BUILDING DEPARTMENT APPROV w x� Xi2 Ground System Xi2 Concrete System /26 �� FGF Engineer Approval y StWte Approval MANUFACTURED HOMEIMOBTLE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18431 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of Califomin Dgmtmd of Rminy and CommuaitY Davebpmeat D ISIO' OF CO ES AND STANDARDS BY' �z8 0 SPA NO. 07 �� (aigoatate) This Plan Aprwg E*m Page 1 of 8 0 T) 0 o Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS 1 1 • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 121—F-Aop S1t4,/oj Installation of Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. .4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6. Press or drive pan into ground until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) 8. jAttach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9. /Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) ;�10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-314" Tube 1 >#12 ral Otruts 1-112"Tube mounting q q W910 LOM Bracket Figure 1 end °f "Or"e ZA r J -Bolt Nut & Washer I Strut (flag end) 1I� I -Beam Figure 2 11. Install frame bracket clamps to I-beam on in I side of block/pier. Do not tighten nuts at this time. 12. Attach longitudinal strut to U -bolt in pan using nuts provided. 13. Insert strut in the frame bracket clamp, attach with nut I and bolt. Do not tighten at this time. 14. Pull the frame bracket clamp with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. { Page of 8 anta GA, 30336 (404) 349-0401 DOWN ENGINEERING m t" C 0 0 0 I f Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems I- Additional Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 J TIE DOWN • ENGINEERING • Installation of Xi2 Concrete Systems i ioentity the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5, 1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1 " tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. Page 5 of 8 / zr-FAop ;30336Z TIE OWN GINEERING Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & Washer Figure 1 Beam Clamp /-' Bracket J -Bolt Lone Beam �, r Longitudinal Strut Xi2 Concrete System 5 b Concrete Longitudinal Hardware Kit f Hoge r1l, o Xi2 Installation Placement Page 6 of 8 TIE DOWN ENGINEERING Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62' 3 Xi2 Systems` 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page i T►E DOWN ENGINEERING s Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 112" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 3 full thread Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 3 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 112" SS 4 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 Lateral Hardware Kit Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 Carriage Bolt 1/2-13 x 1-1/4 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 m 0 0 0 0 1 1 Sid Atio i[ 0 SIMPE F 3�m p,Ne cRcar ,�o�a PAVIS i,V,tiS- TR4Js7- QI?ovtti�e Gp 9.6166 D� 9 allo 068 sj-o�ovl *pfa4c��c� Mob I& 0 P(L s 6 I BUTTE COUNTY BUILDING DEPARTMENT APPROVED ,.,j,,t iorME decor Rona pAVI'S Fo t ekesr. 0v I`► E GR -7T ;F 07 9 off 068 5 , l = to ��;�ti c•�cs� 361 P(L PrMf- CA&. r KOA.C> VIS (y✓(tFotD LtVlu� TRusT FO �,NE- 0 V 0V C C!+ 95966 0�9 aHo v6B 5 f l = lO 36f STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT °OS1NG y Division of Codes and Standards �`N0 men �O� ��m �., W Title Search ���°a� Date Printed : 11/25/2008 y �e Decal #: LAS6558 Use Code: SFD 'Manufacturer: 90086 CHAMPION HM BUILDERS Original Price Code: AKA Tradename: WOODLAKE Rating Year: Model: SW653W Tax Type: LPT Manufactured Date: 09/13/1991 Last ILT Amount: Registration Exp: Date ILT Fee Paid: First Sold On: 06/26/1992 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width 09926533040A RAD608546 52' 11' 8" 09926533040B RAD608547 52' 11' 8" Y Record Conditions: PPF Exempt Registered Owner: GUILFORD F DAVIS LYNN M DAVIS (Community Property) 2790 PINECREST RD PALERMO, CA 95968 Last Title Date: 07/30/1992 Last Reg Card: 07/30/1992 Sale/Transfer Info: Price $35,167.00 Transferred on 06/26/1992 Situs Address: PINECREST RD OROVILLE, CA 95966 Situs County: BUTTE Legal Owner: GREEN TREE FINANCIAL SERVICING CORP C/O VANDERBILT MORTGAGE & FINANCE INC PO BOX 9800 MARYVILLE, TN 37802 Last Title Date: 07/30/1992 Lien Perfected On: 07/08/1992 16:43:00 * * * END OF TITLE SEARCH MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' — 7 COUNTY CENTER DRIVE M1 OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 y it 310 07/IAPER IT NO. !/U Address or location of mobilehome 5 7. ••Owner's name G Q I L�pQ 0 ✓ c/o, -� Owner's address�`*--- Insignia or hud number Manufacturer's name �, Serial number qa.I.N. s (Official Approving Installation --7 _3 o Year of man f cture 40k, (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED,/ THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME.INVALID THIS F•ORM'SI�ALL NOT BE USED WHEN THE I MOBILEIIOME IS INSTALL'.ED`ON A FOUNDATION'SYSTEM. I►E=-S,WOwner.•Yelow-Ir'talP0P. W.. .5138 =* _ ,RESIDENTIAL r`92-1736 P,E ` 36-31-74 ' DAVIS, Guilford & Lynn -2780 Pinecrest Rd,Oroville contr: MH Center + mh utilities . y A 4 JOB Sig] i J=OK O=Not OKNot Not Readyable MOBILE I-I O M ES Date MOBILE HOME UTILITIES (Plans) OK except #'s oning Requirements-Setbacks-Easements oils Special MH Support Sketch ewe Location-Test-Fall-C/O Concrete ateL�,Location-Test-Easement Needed (Sketch) ectricity; Location-Clearences-Grnd-/ /Amp-Concrete s; Location :Test-Wrap: / /"L"ft. 0a y -L"ft. --7k" G Well Clearanc Ee Disconnect tility Clearance Date -_f-Af�Card B-1 bto 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK, " = Not-Ready RESIDENTIAL ' =Not Ready , Date UNDERFLOOR (Plans) OK except #'s i 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- Bloc kouts-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 ti's 16.- 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 6-1 -------------------- --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a'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 wrMech. Fastners-Bond Gas & Water ----------- --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----- - --------------------------------------- 28. Subfeed Wire Size i r ga Cu or AI-A.C. Wire Size / ! ga. - Cu or AI ------------ ------------------------------------ 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. Equip. Clearances Panels-Motors-Mech. Equip. ------------- - - ----------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------- -Smoke-Detector --------- SmokeDetector ------------------------------------------------------------------------------- Date Card -B-1 Date Card B-1 ------------------- --- - - - - -------------- ---- -------------- ----- -- - - - - ------------ Date ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a'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 ------------------------------ -----------------Date Card. -B-1 Date Card B-1 ------------ -- ----------------------------------- --- ----------------------- - Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - - - ------------------------------------------------------------- - - 40. Walls Studs -Nailing. Spacing & Bracing-Plates-Sound --------------------------------------------------------- 41. ------------------------------------------------------ 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 jingle & Dkliplex) 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 -Headroom -Rise -Run -Landing -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 ti's 61. Ext. Steps -Door & Sidelight Protection -Landings --- ------------------- 62. Smoke Detector --------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting ---------------------------- ---------- - ---- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------ 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------- 67. Stairs & Rails _ 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 -Meeh. 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 -Const ruction- 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.0 Unit Disconnect. Electrical, Plumbing ------ ------ -- ------------------------ ---- ----- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ------------------------------------------ -- - - - -- 84. --ater -W-ell; -Discnnect, Electrical, Plumbing - - - W ------ ------o--------------- - 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 Comments at Final: ------------------- Date Card B-1 Date Card B-1 Date Card B-1 1 -.Il OWNERy, PERMIT -it MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YESI NO YESI NO 8L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovHle, California 95965 - Telephone: 916/538-7541 -APPLICATION AND PERMIT C PERMIT NO. ASSESSOR PARCEL NUMBER 036-310-074 ZONING ARMH 5 BUILDING PERMIT OWNER GUILFORD DAVIS 510) TELEPHONE 443-7718 S0. FT. OCC. BUILDING VALAJATIONJ OWNER'S MAILING ADDRESS 745 HAYES COURT LIVERMORE 94550 CONTRACTOR'S NAME MOBILE HOME CENTER INC TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR �ETNGINEER NOE LICENSE NO. Plan Checking Fee $ 20.0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2780 IN EST LANE OROVILLE Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Inst IiationX Other Describe work: 3 BDRM MH T 14— U Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SS 200AORV OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): krb1U( 1 am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Profession Code and my license is in full orce and effect. �,V/n License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20GATO1000A, 37.50 NEW CONST. (DWELLING OCCUPM OR ADONS. 1 ACC. BLDGS. 3.64sq.ft. NEWCONSTR ULT' -OUTLET NON.RE51D BRANCH CIRC ITS @ 5.00 POWER APPARATUS a, (SINGLE OUTLET c1R. ) Ex. Occup(OUTLETS OR FIXTURES 20 75 Ex. OCCUp. OUTLETS PI RESID )REA.) I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on lile with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self- nsure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read th s application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili ie7,1 Audgments, osts, and expenses which may in any way accrue against sai C unty in c s que ce of the granting of this permit. X Date Si nature of Applicant – 0•vner 9 pP ❑ Contractor ❑ Agent ��� Aon OSHA rupermit over 3req storJr aeso. ex I fat I ` s ovt{tdl3" deep an emolition or construct- Mobile Home Installation Fee $ 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz DFEES IMP FLOOD cD PAR EL PD HD Is This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees TO OF PUBLIC By PER E IBES Date�- applicable provi- resolutions to do have been aid. WORKS p Dat4' '42 Receipt No. rr` © WHITE-D.P.W., YELLOW- S[S aR, NIt-I..PECTOR, 60LDEHROD-APPLICANT -,-COUNTY OF BUTTE,'i PARTM. *r .ie 7 COUNTY CER1-VOROV1 'e— PERMIT APPL 4 OWNER 6 U Proposed Building Use T OF PUBLIC WO BUILDING DIVISION, a:"'CA _J_IFORNIA 95965 =TELEPHONE (916) 538-7541 CATION DATA SHEET Building Inspector A. P. No. ,36 – 3 (k- Y ' 1 JZ 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 preparer of plans . .......................... I 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. ............................ *: 1 6. Energy Design Compliance and supporting documentation. .......... ... . 7. Statement of Intent for Non -Heated and A/C Buildings .................. 8. Engineered truss details and layout duplicate (required prior to plan check). �. � obilehome data and manufacture'r's installation instructions, 2 sets. .......... 10. Fees of $ . .......... . 11. Impact fees as shown on attached schedules?.UY1«?�^.`��............ l 1r'� 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 busint'ss license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ......... ry 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . 20. Pre -inspection for Pre -Inspection request 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 . ........................................ - Copy of recorded deed�of..parcel creation and 60 right of way to a public road. ..... Letter of intent on building use. ............................... Mobilehome utility clearance .................... Documentation of legal access . .................. _ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ _ 31. Existing violations/expired permits . ..................................."... _ i 32- Plan check-list.,-......�. W you issue the r it, r'oc s as follows: Mail to owner Telephone 'r `►0 nd hold for pickup at Other Parcel Creation Acreage Applicant Mail to contractor. ice. =, Deliver with inspector 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. Add't� Tonal 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 C er _Date Plans checked by C a✓ Date Plans approved by Date Sets of lad h, Igi \ File cabinet AP folder F ^/ Copy - Departmen(oflPulb e orks ♦'..�, '+t".•yr;'�j��i=.•fn•P'A1C4'-r -r.,.�r..,r ti����T'��T�r�q'Yi�"Yi'r�4Kp+'flM:7:' *��'����'`�'7��rt�Kkt'i'�Gt+��� O3(o 31 D v7 bRa�ooD "` • BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM Fes, (One Form Per Building) '�.•...}, ,�r t .„,qty.--.•, f .� School DistricLon ��I. k-" " _ —_ Building Department No. E • � 1 A.P. Number 36--30—:70A diction --- J City County Property Ownercx_A V1 5----- Property Locatiori/Address2.�Q_ Subdivison Residential Development Commercial/Industrial Building ent Rep District Identification No. Lot No. - � ---- ---- I. -- l � Sq. Footage /9 No. of Living XI Addition (Group R) Units v 0 Sq. Footage New Addition (Including Exterior Roofed Areas) e Date lff--h'WA MM MA --------- �----=---- /y'-Achool District certifies that / (Applicant) (Street Address) (Phone Number),:," ow 9:rq (City) (State) (Zip Code) / has complied with the requirements of Resolution No. ;. by payment of $ /OQ g 4-1 ,re resenting s uare feet..# School District Representativef " :�, Date Paid by Check Number _ --- - - - -- Remarks: /� % �C W 73 D Bank,Number�• Paicl;ly'C4ah'"' - - ---- - If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certificati . Form, the School Districttis.,notified by the applicable Local Planning Agency that this project is being revieWbdjunder the California Environmental Quality Act (CEQA), this project may be subject to I. additional school fees to fully mitigate its impact on the school district's schools. feeformmkl (4/92) Vt 1 White (applicant), Yellow (building department), Pink (school district) 4 '00 tot ^04. r - 4 5t .1c) to �f4 'qua JI -194 �id 014 I . .1 A QfjOl*f D1U21U—:HOME SUPPORT DATA If other than single wide, 2 )obilehome Mfr. e''ly/� m�AJAJ furnish Setup Model No. ��J Year l Wid,,th � ,-_—(ft..) Box Len th 2- �.. g �,(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)E1. Wood -pressure treated or foundation grade.2. Other (specify) SUPPORTS (check one [I. Concrete block. F1 2. .Other (specify) Pier Footing Sizes and Locations su Luam � rine CO(fNDNG BUILOF BU1 r DEPT Y q QQ( a in 2 " `� Multi Reams Line Line 1 — _ — — .r - Line Tag or Triple —• — — — — — — — — — ..� rine 4 Line 1 Line 1 Fiero: Size -Min. ------------ Spacing -Max- -•----- From Ends -Max -------- eine z Biers: Slzr-Min.------------ „ 3c� x -Spec Ing -Max, From Ends -Max ........ „ I,_ing 7,ItnoL Sise-Mio...... .... Location (From Front) +V s•� F�: i n i ri, jane9 riga ; T 4. .- Size -kin :---•--•---•- ,k , Spring -Max.--------- „ From finds -Max.------- „ Line 5 Roof Loadu r ' Slse-Min.------------ Location (From Front) Lino 1 Openings: Size -Min ................... Each Side of Opening@ With Width Over -••------ Line 7 Piero: (Under bearing Wall Only) Size -Min... ................ 'k Spacing -Max._ .............. From Endo -Max .............. ,- _„x e > riare: tuner Bearing Walla only) Size -Min. .................. 'k Spacing -Max ---------------- From Enda-Max-------------- E pRTM BUTTE�L%T BUILDING DSP ApP ft .0 NJ ED 1. Owner's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center"Vrive, Oroville LCA PHONE: 538-7541 " MOBILEHOME INSTALLATION SHEET J 2. Installer's Name: m 6,6` Lf /,-&"4--yc 7,v c- 3. Is the site currently under permit? Yes 01 No F-1� (If yes, furnish permit number V �� L c T/ ) OR Is the site an existing site? Yes —1 No (I£ yes, furnish two plot plans,) 4. Will the mobilehome be located at leapt 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No F1 (If no, clarify 5. What Amps is the mobilehome electrical rating? --------------- /O U 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating?----- , 6 d Amps 8. Is there any other electric load to be served by the mobilehomesite service? -------------------------------- Yes No (If yes, identify the load and size:/ �400Cst (Load) 2 (Amps) 9. What is the mobilehome site gas pipe size? -------------- 10. What is the type of gas service? ------------------- Natural � LPG 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- Yv (£t.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) a Outrigger 2- Sd is Tyr. 'e.. 5'. IG, 4"4, 6l.oGi�S ,?x415 -TYI:- W000 S f' G�12S fo�tJ�l'L �-I�od�s Floor Motetiol Floor Joist Wood Wedges For Leveling Tyr. TYI.: - 2r x 12r x 24r P f PAv 2-Zrx 12 x 2+ P�aS _ l ��l 'I• . flll s' IIII�fII!t 11�! I = Pr�QS MAY Qc _DtFPi�:_:RF_ AJT. T'HPor N 5HC9 H ElZ E o N- R E F o6 l C 7-D l 1 �t�lJu FR G7til !ZE SCS SET- u P -MA} -0U A L. FO r2 SI F— / A,2 II �G• i _,-1/Z 2x4 4055 - PFAa5 roe v��w aclTo -/6�9 UTTE COUNTY BUILDING DEPARTMENT APPROVED, PACIFIC CONSULTING ENGINEERS p2t C+seo �. hitt A 2 S+cr�EI rti, iailit. %' Vul Ibn:116 -482.7371 A.'s-Hopi 1:EHoK5 ;:5wier cwrT : 10-14-.91 I.J,015; 7/- 7-,3? AL -r. S50r'Dr_-r P-rL, . as COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT N0. Z ?7--�. ASSESSOR PARCEL NUMBER 36-310-074 ZONING BUILDING PERMIT OWNER GUTLFORD & LYNN DAVIS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 745 HAYES ICT �VERMORE CONTRACTOR'S NAME TELEPHONE CONTRACTOR7 ;'�0 IFEATI�ERERIVER BLVD OROVILLE 11 [F Fireplace CONSTRUCTIONNON ENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2780 PINECREST ROAD OROVITLE 95966 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home ks) @ 15.00 45.00 TYPE OF WORK New V Addition ❑ Remodel ❑ Utilities PO Installation❑ Other ❑ Describe work: 3 BDRM MH Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50E -18.5C CONTRACTORS LICENSE LAW I declare der penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode and n ense is in full f ce a d effect. License .Jo. Classification �t1� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A1 37,50 NEW CONST. / DWELLING OCCUP.&) OR ADDNS. ( ACC. BLDGS. 3.6Q sq.ft. NEW CONSTR MULTI -OUTLET _NON ESI D= BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET cIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 76d A FIXED APLNS. EX. Occup. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring g 15.00 Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitiedgments, sts, and expenses which may in any way accrue against sai C Qnty in c s ue a of the granting of this permit. X Date Signature of Applicont Owner Contractor ❑ Agent An OSHA permit is re /red For excavations over 5'0" deep and demolition or Construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ iTOTAL CONST TYPE FEES 128.20 HAz DFEES IMP FLOOO CDF PARC PD HO ISS WE This permit is hereby issued under the sions of the Butte Cou y Code and/or work i icated ov or wh h DI E F P ELIC By PERMIT EXPI h ES applicable provi- � resolutions to do I s have been paid. ORKS Date 6 6' — Receipt No. 116130 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance �1'57 ZI S-A &L O? �l P-Iny--erd-A R[`• Owner Location AP# Plan Approved for: Sewage Disposal _ 'dater Supply ;! Water Supply Hold final for: ^'final clearance O.K. for: Water Supply Clearance for �— bedroom mobile home. Other NOTE * * * Sanitarian Date "'"°""'�'�"Orrril+'��F'iFfi�'„7r�'?"j ' '"� "` �6 r�y�9Fr5+4,•'��,s*t^E:,�yih�"•,•�'•-'�+Yt�.�.-.n....�'•,,� S .iF.' COUNTY OF BUTTE'3� PART.K4ENT-OF PUBLIC Wqf - BUILDING DIVISION 7 COUNTY CENTMORIVE 5 OROWLLE, GALIFO:RN4A-."-95965 TELEPHONE (916) 538-754i1 PERMIT APPLICATION DATA SHEET OWNER U (A i Proposed Building Use_ VordV IS ��- o. 036Building Inspector Date 90 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED g 1 • All items have been submitted . .......................• ... • • • • • +�a ; 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). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10.•Fees of$ .......................................... I' 11. `Impact fees as shown on attached schedule . .........................%.... . 12. California Department of Forestry plan approval/fees. ........................ Flood elevation letter (100 year flood) -by California Engineer. ......... , 'Sanitation and plot plan approval ✓'O . Health Department. ... ;.... r Z 'City of Chico plumbing permit . ........................................ 1141 . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. II 17. Planning approval for (A) Use: (B) Parking: . ........ 1; 18. Contact Land Development about (A) Improvements (B) Drainage. .......... I T19. Driveway permit (construction approval required prior to occupancy). .. I Pre -Inspection reque-fs- 20. Pre -inspection for required. .. to sui,ding Inspector (Date) I 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... I 23. Owner -Builder Verification (Given to owner Mail to owner )..... .... Il 24. Recorded copy of Agricultural Acknowledgement Statement. ......... •....... • to�"Ij 25. Letter of signature authorization ......................................... 1 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... ?� 27. Letter of intent on building use. .....' .................................... if 28. Mobilehome utility clearance . .......................................... II 29. Documentation of legal access . ........................................ I' 30. ,Documentation of 50% subdivision developed or (A) Road improvements completed {j and (B) Parcel meets zoning area and frontage requirements . ............... I 31. Existing violations/expired permits . ....................................... I 32. Plan check list . ...................................................... 33. II 34. h When you issue the permit, rocess as follows: Mail tw _ Telephone.� 33'y� and hold for pickup at o i Other 'Parcel Creation Acreage Applicant Mail to contractor. -office. Deliver with inspector Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Oate Copy of plans sent Health Dept. Fire Dept. Other Date By _j 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 unter by _ Date Plans checked by Date Platys approved by Date Sets of plans on hold in File cabinet AP folder i Copy - Department of Public Works {� X ' ISO 0 APPROVED Outte County Environmental Health �-n;-a-te Signature IY c M . a E .-'D L) a� H c m U E N 00 V_ N a I N m 0 �o c� a�M I STATE OF CALIFORNIA Butte Iss. COUNTY OF I On May 22, 1992 , before me, the undersigned, a Notary Public in and for said State, personalty appeared Diana Johnson ,personally known to me (op yrs]Cetl7ft?04�4Q?DlLS3sI�f}tlpe3f7{xxxxxxxxxxxxxxxxxxxxxxxxxxxx. 3�J?r�f{bt@4ip�pTSQiDBbtTIDUtYe) to be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly sworn, deposed and said ThatXofshe resides in Oroy i l l e , CA , that hX/she waspresentandsaw Guilford F. Davis and Lynn M. Davis -, personally known to-tiT/herto be the same person(s) described in and who executed the within instrument, as a party(ies) thereto, sign, seal and deliver the same and that said party(ies) duly acknowledged in the presence of said affiant, that he/she/they executed the same, and that said affiant, thereupon at the party's(ies') request, subscribed his/her name V a witness thereto. WITNESS-1i ITNESS y n Signature &,A' a. Michelle A. Miller OFFWAAL MICHELLE A. MILLER • NOTARY PURUC-CALIFORNIA s Cofnin � 201 • (This area for official notarial seal) Return to DPW AUiQLTURAL STAT! -'M1 -NT ' R RESIDENTIAL OF ACKN: 0WLCDCF:`''NT OCVLI.OPMI NT� 92—'22740 'Section 26-8.1 of the Butte County Code r.equ [res : this ocknowledgement' ke ' recorded prior: to issuunce of a building permit, -- —740I The described r�yy--�0GGr�—r�yy— G property herein i.s adjacent Rec Fee 8.00. LU land or included within an area zoned I Check 8.00 for agricultural purposes, and residents Recorded I of' this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of -agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit I Recorder I of agricultural operations including, 11:54am 22 -May -92 1 PUBL XX 2 but not limited to culti.valion, plowing, Spraying, pruning,. and .harvesting which l occasionally generate dust, smoke, noise, and odor. Butte County has Lural zones which have esLablishvtl agr•ic•ul-- as a priority use for productive agricultural purposes, and residow s within said zones and on adjacent property should be prepared to accept or disconform from normal, necessary farm operations. such iiic•c�nvc,nic�nc•� All. that real property situate in the County of Butte, State of Californi.u, dosc•ribed ;is follows: , '00��-�D o �T COUNTY OF BUTTE DEPT. OF PUBLIC WORKSe 1-f7i%6ffz�9 Date; State SS. County of ) Present A.P. MAY 2g 1992 PRP TY WNER : _.. day of , 19 beFory mc-. the undersigned Notary Public, personally appeared ❑ Personally known to me. ❑ Proved .to me on the basis Of sutisl•actory evideirccl. Lo be the person(s) whose names) subscribed to the within instrument and acknowledged that executed the some for the purposes therein contained. IN WITNI-;SS, WHEREOF, I hereunto set my hand and official seal. No. Notary Public END OF DOCUMENT EXIIIBIT "A",92-22740 92-227/,o fir ,,Being a portionof Section 3.1, Tov:ns0p 19 North, Range 4 East, !1•D•B, r SI„ and more particularly described as follows: f Corsn;ncin g at a point on the West Hilo of said Section 34; which point hears 'North 0°,Z'00" fast, 1003.40 feet from the Southwest corner of said Section; -thence North 69°25'30" East, along the Northerly boundary of Subdivision No. 2 of the P. C. Drescher Tract, according to the Official Ntap thereof, filed in the office of the Recorder of the County of Butte, Stale of California on May 3, 1809 in "1" Map Book page 23; 1405.65 feet to the true point of beginning for the parcel herein described; thence from said true point of beginning, North 0011100" East, 770.46 feet to the centerline of a 60,00 road easement; thence along said centerline, North 09°25'30" East, 281.13 feet; thence lraving said centerline, South 0011'00" Nest, 770.46 feet to the Northerly boundary of said Subdivision No. 2 of the P. C. Drescher Tract; thence South 89125'30" Nest along the Northerly boundary of said Subdivision, 281.13 beginning, feet to the point of TOGC•f11ER WITH a non-exclusive casement for road purposesand public utility purposes over a strip of land 60,00 feet in width, lying 30.00 feet on each side of aline beginning at a point on the Nest line of said Section 34, which point bears North 0136100" East, 1781,06 feet from the Southwest corner of-said Section; thence from said .point of beginning, North 09025'30" East, 710.00 feet "A"; to point thence continuing North 89025130" East, 976,78 feet; thence North 00120'04" East, 525.34 feet; thence South 40024'52" East, 94.27 feet; thence along the arc of a 130.00 foot radius curve to the right, whose tangent at this point bears North 49=35'08" Fast, through a central angle of 31005109" an arc distance of 70.53 feet; thence North 80°40'17" East, 204,70 feet to the beginning of a 200,00 foot radius curve to the left; thence along the arc of said curve, through a central angle of 83°35130" an arc distance of 291.81 feet; thence North 2055'33" Nest 312.79 feet to the center line of Lower Wyandotte Road. ALSO TOGETHER WITH a non-exclusive easement for road purposes and public utility purposes over a strip of land 60.00 feet in width, lying 30,00 feet on each ,side of a line beginning at above mentioned point "A"; ther,cr. from said point of beginning, North 0007'00" East 910.00 feet; then+,e North 27041'00" West, 270.00 feet "B"; to point thence continuing North 27041'00" hest, 240.00 feet; thence South 79139'00" West,?40.00 feet; thence South 70°49'00" West, 250,OD feet; thence South 89025" " Nest, 454,00 feet; thence South 85125115" West, 430,57 feet to the end of said easement. ALSO TOGETHER WITH a non-exclusive easement for road purposes and publicutility purposes over a strip of land 60,00 feet in width, lying 30.00 feet on each side of a line beginning at above "B"; mentioned point thence from said point of beg- inning, North 62°06'00" East 540,04 feet; thence North 75002'59" East, 220.26 feet; thence North 48159'03" East, 457,98 feet 'to the centerline of Lower Wvandotte Road, RESTRICTION: The'land herein described shall not be subdivided or split into smaller parcels for' a period of 20 years from September 26, 1973, • UU 00 W . Jv END OF DOCUMENT