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HomeMy WebLinkAbout079-380-050rsm LEM 0-79- X80- off. 060 ENVIRONMENTAL HEALTH CLEARANCE Oi6-lH=H59 02-1224 DATE -.2 CJ 1 KNIGHT, LEE & MARGARI 1- MUNSON WAY, OROVILLE �; CONI: EXGCUIL�.S ` •••� MIiU e ELECTRIC GAS LINE- COMCOMPACTION TEST REQ . �... SUPPORT STRUCT REQ O36m9lvA KALPAKOFF, RONALD 45 MUSON WY, ORO ILL ON5-tb-0 Cont: D&A CONSTRUCT!MH ON PERM FND NEW 036-246-850 04-0323 KALPAKOFF, RONALD ) 45 MUNSON WAY, 0 OVILLE - CONT: SQUYRES, WILLIAM FIhHLED 4 WTR SUPPLY FOR FIRE SPR S-� d 04-0234 pp&jtp F, RONALD KAL� WAY, OROVILLE 45 MUNSON Cont: D&A CONST F; rQW IOX25DECK c �p Otl COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 04.Os3¢ ASSESSOR PARCEL NUMBER 036-240-050 ZONING BU I LDI NG P ERM IT OWNER RONALD KALPAKOFF TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUT MUNSON WAY OROVILLE CA 250 0 1750.00 CONTRACTORS NAME D & A CONSTRUCTIBON TELEPHONE °ONTRACTa�6WILING W ONS= #J YUBA CITY CA 95991 CONSTRUCTION LENDER Fireplace LENDER'S MMUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 ss_ _^N_SON WAY OROVILLE BUILDING '4MU L� Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fullforceand effect.1 License Class / Lic. NO. Q5-7 /� OWNER - DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 2O0A TO 1000A 46.00 NEW CONST. OwELLNo occuP. sO OR ADDNS. ( a ACC. ffs 3.5QFT; µq ° I -T MULTI -OUTLET @7.50 POWER APPARATUS a SINGLE OurLET CIR. 20 p I.00 Ex. Ex. OCCU . OUTLET OR FOCTURES BAL so Ex. Occup. our�is AEsID.LNS°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 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' conDpensation Mance cqrrier and policy number are: Carrier Policy Number — (The above sections need of a competed ' e permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _J_—a&-6q Signature of Appl cant - ❑ Owner 96ontractor ❑ Agent An OSHA permit is required for excavations qypr 60" deep and demolition or construction of structures over 3 stories in height.By MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 84.00 I�AZ. D FEES IMP FLOOD CDF pgRCEI p0 HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �J Date PERMIT EXPIRES ONrwReceiptNo. ate HITE-D.D.S.-B. AN R-ASSESSO PI -I PECTOR GOLDENROD -APPLICANT TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Rot Plan Anacho� ` i+l. �1aas Man Attselsad Banda ®.D. ! t�� Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: /--N 8/96 Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: /--N 8/96 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING 61VISION 7 County Center Drive, Oroville, CA 95965'Phone;(530)538-7541 Fax (530)538-2140 PERMIT APPLICATIOP ;TA SHEET L OWNER: `', l \ (Low, ASSESSOR PARCEL NUMBER Proposed Building Use: }--. Counter Technician: Date: ms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t ply. 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. 0 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and�calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. 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 Cliic6RIumbing permit........................................................................ ❑ 23. California. Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 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 required....... ❑ 29. Contractor's license information. (Number, Name Style,' Classification) ................... a, ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ 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 Restriction...................................................... ............. ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other- <0 ;1 When issued Telephone �cS� and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. CO 1L_ .-- Applicant: Date: tc l - _ 1. Index permit application f r the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the ab4e d by phone, 11 mail, O'`counter, by Date: Plans reviewed by: /2lt". Date: C � Plans approved by: Date : Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 pERhtl' %,^ 12/961 APPLICATION AND PERMIT �° BUILDINGPERMIT ,,f /�TEL�NONE SO. FT. j OCC. BUILDING V N �irlQ Id &Io/� AirbATION EAS MA-UNO ADDRESS I--- MC*OAS NAVE T— I TELEPHONE OFTI W. ADOES,teas �r�a 95� i - aUCTgN LENOER ER SS .wuNO ADDRESS Fireplace Total Valuatlon S ECT OR ENGINEER LICENSE NO Filing Fee I S 20 C: AaCNITECr OR ENGINEERS MAU1,4 ADDRESS Permit Fee S + Plan Checkin Fee I:$ a�aDyTcADoaEA Energy Plan Checking Fee b tC�►I G' By ReceiptNo. PERMIT EXPIRES 6N WHITED -n S .a n cAwARv.A**C*6 ft -- -- --- - Date S PERMIT FEE S WrNo. sueolvSONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.G0 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other �%� �� JCrY1� SPECrtv Each Trap 7.00; Solar or heat pump water heater 23.001 Water piping 15.00 TYPE OF WORK `e•- O Addition ❑ Remodel O Utilities O Installation O Other Describe Wo(k: �ka'sy ad a)nd hr�< 6) Each gas water heater or vent I � t 5.001 Gas piping system 1'- 5 outlets I I 15.001 Building sewer ! 15.00: Mobile Home !Si C' I W1 I @20.00' PERMIT FEE I S ELECTRICAL PERMIT I I Fling Fee: 20.0 Main ServiceOA.( eoovO''s5s' ) 1 200A 1E5 23.00 • • /� leo//• "'PER�4aT FEE PAIS y SRA �/1 * SHERIFF � OTR t T AAk6VP1T RECEXWt> S �� I. U RAU NVlR A TO ' ter/– ,. Mein Service 200A TO IIOOA I j 46.00 NEW CONST, DWSLN0 OCCUP. SO, --_ OR AooNs. a Acc. Sins. j O.Scrt.: N « uuLrl-ovTLET wN aEs o g7.50; vowER APPARATUS 1 SrIOLE OUTLET CIR EX. Occup. OVT ET OR FIXTURES nXEO AYPUESb. OR EJC. OCCU OUTLETS RIO EA. 1 I 5.00: . Tem Temporary Service i 23.00! Mobile Home Facilities I 20.00 Misc. Wirinq 20.00. i I 'PERMIT FEE s MECHANICAL PERMIT Fling Fee j 20 G7 Heating j Cooling Hood 6.50: _ Ventilation I ' ' PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Foe S «� `°VT ""` TOTAL FEE $ j HA Z. o. TEES urr noon cor pt� P0as,r This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ReceiptNo. PERMIT EXPIRES 6N WHITED -n S .a n cAwARv.A**C*6 ft -- -- --- - Date 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 flood plain. 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: Owner Name: Ei Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and feet from the 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. , 1 S'9 V 0 d Lu Q J a Y ° a14p yip ;;-L. aa.s O m • file IM tv ,� •XYw . . z F o IF ccr . t I ; r v' 3 189 MH llvzlamHz. ° uj N o •, LLI zqm I . F- C m J u. .I L m :. • • O i. r 0• Q F OGC.] . • � • . x = J c � � x N � F- •XYW ;^ r m p N a ? a p LU • s c °• c� r � c IIS — LLJ ,c W t - O O LU N • • 9 [l� Lu ti 7r i s v N W .9 Z o U- W o` a _x L1C C9 c C D; =�'ih MEQ �r•Niw:,g : s318VA ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAIN CHECKED' SHALLCOMPLY WITH. CURRENT EDlTKXJ Of NM. UMC AND UPC. .Nr NOTE: J V� let, NO B E. we" loot - 0���� She attached 30' . p, n le�....d....---P Pages es l � i aveaax F Y; ,4 AOSiD 7 2 3 i'nc BSE CONN V BUILFINE ® PA RTMEE y V, i 1 I < z l ♦ '�V7 V� -, .� �� _,2y0, oS� D3� __E:: y Y� ,._ ��.2G/G� ���� ._ .. ..• � . ;.� -s �:.c.r �, .,�;, �y�r { ... .. i.� �,;{.`w'�ht ,aa►: as�� t;y�,'�.: T.C.. - . - s fi `ra COUNTY -OF BUTTE -.DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541,' PERMIT Q10. (Rev. 12/96) ' APPLICATION AND PERMIT C4- o- .1 ASSESSOR PARCEL NUMBER �0C,� ,w✓l(~•�/j � ZONING BUILDING PERMIT OWNER Q�A, M A p TELEPHONE SQA/ FTS.[, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CO_NTRACTOR'S�� SME °� - ELEPHONE r LINGI CGNTG,RS, MA .!� ADDRESS J V • i� Y 7 �� — CONSTRUCTION\ LENDER y?� LENDER'S MAILING ADDRESS �- Fireplace Total Valuation $ ARCHITECT OR ENGINEER - LICENSE N0. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 17,j L) BUILDING ADDRESS l I ;^ C l �. Vl Y ►J wri Energy Plan Checking Fee $ (� -? PERMIT FEE $ % (� %, U LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee ` 20.00 USEOFSTRUCTURE X, SF ❑ Duplex ❑' Mobilehome Other Vii. XSPECIFY Each Trap 1 7.00 Solar or heat um water heater 23.00 Water piping 15.00 .� Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition �❑ Re/model [3Udlifies ❑ Installation ❑ Other [3 AA Work: y►V A G ( 3t& V*0 r Q1t+n 0 M++ . i is �l`�#' (� s0, +"l� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.0,0 `• PERMIT FEE $ v ELECTRICAL PERMIT Fling Fee 20.00 4 Main Service 200A OR LESS 23.00 r 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 i �in�fUll fo ce and effect. '') W.F License Class f 10 Lic. No. o / -zo 6- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. - ,461 ❑ 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 w WORKERS' COMPENSATION DECLARATION K 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 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.) I certify that in the performance of the work for which this permit is issued,) shall 1\1 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 forthwit comply with-sthose p ovl ions. X 1 Date v� Signature of Applicant ❑ OwnerEl Contractor ❑ Agent.r An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. = - Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNo OCCUP. so OR ADDNS. 8 ACC. S.3.5¢FT. NEW CONST. MULTI -OUTLET NoµgESID. @7.50 POWER APPARATUS t A SINGLE OUfIET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @''50 fl4L @ .50 .Ex. Occup. ouTE s PR D.oen -5.00 (Temporary Service 23.00 • IMobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i % MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling" Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy' Inspection Fee $ OCC-• CONST. TYPE i ! " 0-1 TOTAL FEE $ �!�� HAz FEES IP FLOOD COF PARCEL -` PD HD^ ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /�jy�. / [� >.+�<�Y" �/ By Date Q %1. PERMIT EXPIRES ON .f Receipt No. WHITE-D.D.S.-B.D. . CANARY -ASSESSOR PINK. -INSPECTOR GOLDENROD -APPLICANT COUNTY.OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Cathforni4t 95965 • Telephone (530) 538-754RMITNO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -- r\ hAQ ZONING BUILDING PERMIT OWNER l A j f K TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS I NTRACT R' ^ E JA SCS lFP E 1N 0 CONPiF<37;AR ADDRESS V CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome kOther SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Re/model ❑ Utilities ❑ Installation ❑ Other ❑ � Describe Work: W Ajc { S IeLJ� fiw �(�r V., J 1C __ Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Filing Fee 20.00 500V SS Main Service .A OR 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i 'R�fulI fa c and effect. r License Class Lic. No. �� �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service PGOA TO 1000A 46.00 NEW CONST. DWELLING °COUP. OR ADDNS. 8 ACC. S. S° 3.50Fr. NEW CONS MULTI-OUTLiT NON.RESID. C @7.50 POWER APPARATUS 6 SIN.. OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 00 BAL @':50 Ex. Occup. ORXED APPOER.,5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 PERMIT FEE $ 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.) 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 shalllss� forthwi comply os p ovI ions. G X Date � Q Signature of Applicant - ❑ Owner AContractor ❑ 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 $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. _ p, FEES IMP FLOOD CDF PARCEL po HD 5S _ This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have v75 By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date �— Dae Recei tNo. P WHITE-D.D.S.-B.D. CA ARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT w `cam r.r COUF,VNTY OF BUTTE -DEPARTMENT OF DLOP,MENT SERVICES -BUILDING DIVISION for,t 1"4"' w, , yew." " �- .. 7 County Center Drive, Oroville,"C956-Shone{530)538-754,1 Fax (530)538-2140 ERMIT APPLICATION DATA SHEET OWNER: ..r ASSESSOR PARCEL NUMBER nn Proposed Building Use: Counter Technician: Date: botJ Items required in order to pply for a pirmit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2_sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. 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........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 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 required....,.. ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ 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 Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone- t1 n ! and hold for pickup. I have been informed of the above items and requirements for obtaining abuilding permit. Applicant: _Q Date: C 1. Index permit application (or the, a vveeiitems numbered: Plan Check Letter 2. Additional items required 4� (� I- )�i l Contractor, designer, owner, was advised of -tFe -above data by ❑ phone, ❑ mail, b counter, by Date: Contractor, designer, owne wa ,advised of the a ve d to by phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division �'1 Fire ��w^-��°"a Building Permit Number: b� b 3 z 3 Owner Name: �a tpr0 >% 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 flood plain. 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: Owner Name: `, (pa og Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of NA- feet from the side and /V,+ feet from the 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. Q 061 0. 1 P0, C, S r I I INUce S I 51-C .1 Rklovv)c' WO WILLIAM F. SQUVRES, JR. Fire Protection Lic. No. 275206 NOTE: 13ae the attached flog0rements Pages k .1 D() g . I ]on e f ( S VA 0% ip Ir S%kt'k :5 vevi) -Yb v VNC 0 LjTr 1E 0 C u N T ELECTRICAL, klIECHANNICAL, AIND PLWi?-' A C0NSTAIJ',,'T10'-,! �v*A'.,%T PLAN! qUILDNNIG EPA RT M� r' K '7 SHALLCMijiPLY CU'�-�fENT E' OF N 'U00% D UPC. P . .0. Box 3176 - Chico, California 95927 - (916) 345-1012 0�6- __l (VIA11\4 :,VC..., Vl-\I-.vi:::.. AUILDi- -G 41 A P P PVC WHITE SCHEDULE 40 FITTINGS, UNIONS AND SADDLES J ovlkl SPEARS QUALITY POLICY r•. It is the policy and objective of Spears Manufacturing Company to produce a superior quallty product suitable for its intended use, with regard to functionality, structural Integrity, and conformance to established industry standards and practices. 11 Is the commitment of this Company to do so in a manner which provides consistency of product quality, optimum availability, and superior customer service, while maintaining 6111clency of operations and profitability necessary to perpetuate product improvement and customer sellsfaction. Furthermore, It Is recognized that the attainment of these objectives le the responsibility of all Company operations and personnel according to their respecilve functions. LIMITED WARRANTY Except as otherwise mandated by law, Spears Manufacturing Company warrants that the goods which have been directly manufactured by them shall be free from defects in material and workmanship for a period of one (1) year, from the date of shipment, CUSTOMER AGREES THAT THIS WARRANTY SHALL BE EFFECTIVE SO LONG AS THE GOODS ARE USED SOLELY FOR THE NORMAL PURPOSES FOR WHICH THEY ARE INTENDED AND IN CONFORMANCE WITH INDUSTRY ESTABLISHED ENGINEERING, INSTALLATION, OPERATING, AND MAINTENANCE SPECIFICATIONS; RECOMMENDATIONS AND INSTRUCTIONS. VIOLATION THEREOF SHALL VOID THIS WARRANTY AND RELIEVE COMPANY FROM ANY OBLIGATION UNDER THIS WARRANTY. COMPANY CANNOT AND DOES NOT ASSUME RESPONSIBILITY, AND EXPRESSLY DISCLAIMS ANY LIABILITY, DUE TO CUSTOMER'S, ANY INSTALLER'S OR END USER'S FAILURE TO COMPLY WITH SUCH SPECIFICATIONS, RECOMMENDATIONS AND INSTRUCTIONS. If Customer receives any goods that appear to be detective, upon receipt of a Return Authorization (RA#) Issued by Spears Customer Services Department, Customer may return such questionable goods. The material must be returned prepaid to Company at 15853 Olden Street, Sylinar, California 81342 alung with completed Return Authorization documentation. After examination if the goods aro determined to be defecilve In materials or workmanship directly provided by Company, Company, at its sole option, may either repair or replace the detective goods, or reimburse Customer for the cost of such goods. This shall be Customer's only remedy. All costs of shipping such questionable goods and any replacements thereof to and from Company's facility shall be borne by Customer. Customer agrees that Company will not be responsible for other parts or labor in connection with repairing, replecingi or returning such goods while goods are In possession of Company for analysis, nor for any delays beyond Company's reasonable control (including, with Ilmltation, delays due to unavailability of materials, equipment, other supplies or labor, strikes, governmental regulation or other acts of God), provided that any delay shall loll the warranty period for the same amount of time as the delay itself. COMPANY EXTENDS ONLY THIS WARRANTY AND EXPLICITLY WAIVES ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, ORAL OR STATUTORY (INCLUDING ANY IMPLIED WARRANTIES OR AFFIRMATION, SUITABILITY, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE) APPLICABLE TO THE GOODS. NO AFFIRMATION BY COMPANY OR ANY OF ITS REPRESENTATIVES, BY WORDS OR CONDUCT, SHALL CONSTITUTE A WARRANTY. THIS WARRANTY MAY NOT BE EXTENDED, ALTERED OR OTHERWISE MODIFIED EXCEPT BY WRITTEN AGREEMENT SIGNED BY COMPANY. BY ITS ACCEPTANCE OF THE GOODS, CUSTOMER HEREBY SPECIFICALLY AND EXPRESSLY WAIVES ALL OTHER LIABILITY OR OBLIGATION OF ANY KIND OR CHARACTER OF COMPANY, INCLUDING WITHOUT LIMITATION LIABILITY PREDICATED UPON STRICT LIABILITY OR TORT, AND ALL DAMAGES AND LOSSES AS A RESULT THEREOF, INCLUDING BUT NOT LIMITED TO ALL KNOWN; UNKNOWN, FORESEEABLE, UNFORESEEABLE, ABSOLUTE, CONTINGENT, LIQUIDATED, NON -LIQUIDATED, COMPENSATORY, GENERAL, SPECIAL, CONSEQUENTIAL, INCIDENTAL, On PUNITIVE DAMAGES, AND WITH RESPECT TO THE. GOODS, THEIR RETURN, REPAIR, RESTORATION AND REPLACEMENT. WITH RESPECT TO SUCH WAIVER, CUSTOMER HEREBY EXPLICITLY WAIVES CALIFORNIA CIVIL CODE §1542 WHICH STATES "A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW Op SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF EXECUTING THIS RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY ADVERSELY AFFECTED HIS SETTLEMENT WITH DEBTOR" AND ALL OTHER SIMILAR STATUTORY, COMMON AND CASE LAW RIGHTS, DEFENSES AND LIMITATIONS. Having independently Inspected a sample of the goods as fully as desired or having relused to make such examination upon acceptance of delivery of the goods, and except as otherwise herein provided, Customer hereby accepts the goods in its "AS IT condition "WITH ALL FAULTS" without any other warranty, expressed or implied, and hereby accepts and assumes the entire risk and cost of all necessary servicing, repairs and remedy thereof. STANDARDS & SPECIFICATIONS xttuw.t�.' Standards provide greater assurance of product performance and consistency, and are available to assist design engineers in system specification. The most frequently referenced industry standards for plastic piping systems are ASTM Standard Specifications and Practices. Along with ASTM Standards, additional product specifications and certifications form the basis of product conformance to which Spears products are manufactured. ASTM D 2466 POIy (Vinyl Chloride) (PVC) Plastic Pipe Fittings, Schedule 40. ASTM D 1784 Rigid Poly (Vinyl Chloride) (PVC) Compounds and Chlorinated Poly (Vinyl Chloride) (CPVC) Compounds. ASTM D 2609 Plastic Insert Fittings for Polyethylene (PE) Plastic Pipe. National Sanitation Foundation (NSF) Standard 61 and/or 14 Plastic Fittings for Potable Water. Spears Schedule 40 Fittings are produced from PVC Type I, Cell Classification 12454. AIS Fabricated Fittings Spears Fabricated Fittings conform to Spears Manufacturing Company Special Engineering Specifications. Prices subject to change without notice. Possession of this price schedule shalt notbe,construedrsts (art offer to -sell the products listed. Product drawings and/or photographs are representative and may not fully ramcC,pioduct configurations. 1 Age 1 (7)V Made In the U.S.A. Drnr.rneelun IDrndnAte (frnm Onn& 12nnnaiin5and`TaAhnninnu DNI-nIdQ NOS '8 GIAVa TBSEVE50ES Z5:L0 E00Z/ L/3-0— W''I'll • Qawanlaae Water Tanks 61ack Tank• . $Gist Tanks • Range tdlorn • Hal Watur T•nat �„� � . Cvatmr. 4ahanlrmp 11C. • 8te.1 A awrnlnuT `..✓ ��✓✓ StamO...gi • • 9tlt ^.tal bulpO it TAn4• n•. tl:,.a •:Iq :e:r;J-NA.l r..4 � r•1' °A' . . DRAWDOWN EOR STANDARD pRgsSUREar AND TANK SIZES FOR TANKS WITHOUT A,PRECHARGE TANKw Pump OPERATING RANGE (PSIG) VOLUME - (GALS) 20-,40 30-50 40--60 50-10 60-60 _ 12 �1.9 1.2 0.9 0.6 0.5 18 2.8 1.8 1.3 1.0 .0.8 21,. 3.3. 2.1 1.5 1.1 0.9 30 4.6 3.1 2.2 1.6 1.3 42 6.5 4.3 3.0 2.2 1.8 120 43.9 12.7 8.4 5.9 4.4 3.4 .82 120 18.6 12.2 8.6 6.4 510 2.20 34.1 Zz.4 :15.8 11.9 9.2 315 48.8 32.1 22.7 17.0 13.2 480 74.4 49.0 34.6 25.9 20.2 925. 81.4 53.6 37.8 28.4 22.1 900 139.5 91.8 64.8 48..6 37.8 W DRAWDOWN FOR STANDARD PRESSURES AND. TANK SIZES rOR TANKS WITH A ?RECHARGE TANK PUMP OPERATING RANGE (PSIG) VOLUME (GALS) � 20-4n �30-50 40-60. 50-70 60-80 12 j 4.4 3.7 3.2 2.8 2.5 18 6.6 5.6 4.8 4.1 3.8 21 7.7 6.3 5.6 4.8 :4.4 30 ; 11.0 9.3 8.0 6.9 6.3 42 1 15.4 13.0 11.3 9.7 8.8 8.2 30.0 25.3 22.0 18.9 17.2 120 43.9 37.1 32.2 27.6 25.2 720 i 80..5 68.0 59.0 50.6 46.2 315 115.3 97.3 84.4 72.5 66.2 480 i 175.7 148.•3 128.6 110.4 100.8 525 192.2 162.2 140.7 120.8 110.3 see i 329.4 278.1 241.2 207.0 189.0 Please noTe that dzawdown figures are theoretical -- your actual drawdown may differ, Figure$ for precharged tanks were baased.,on a precharge of 2 psi less than. the pump. i cut -in pr.essure, ie,.with a pump range of 2040, the pre - charge was 18 psi. \era\drawdown 9-25"91 1nM Ia50. �nnn..•.nnq, th.,tp•.)v. r)nn '!t. ...., j . nit 90 39Vd 9NI11ING NOS W QIAVG 189£0£50£5 Z5:L0 £001/£1/90 {1 03 LO J m GOm LO N t!'1 N m m m . 04 M V ILn I U CK 5TOCKPOf 640 LBS 2I ALS N/A woo MODELS 04BOV QW SIZE 4OM-1 75 P511 INT GALV EXT GALV Omm A,PPROX 86?Q _1 loorin -32 lit i- PART W J FINISH SHIP BUILT c ; JAMS. 236?1YS 2 .►' y ,r('- � 114 WM t 1/209M MIM 11-19-M � -i - OESCRIPTION CAPL UG 1-1/4 CAPLUG 2 . 1T PART NO DESCRIPTION A 1 104100 SHaL TOGA 72 X 132-1/8 PO r>.x <14 S 2 224200 HEAD 2 X 3116 CO FD. N C 1 340603 SPUD 1-114 FAB ��� .9 2 300801 SPLA 2 FAD '%ND. �c E 1 30.0801 SPLID 2 FORGM THREADED clin 1 30100/ SPUD 3 FORGED MO. a 1 340800 PIPE PLUG 2 SO H© GALV H 3 376405 RING SASE_10GA XS XL12-3/8 PART W J FINISH SHIP BUILT c ; JAMS. 236?1YS 2 .►' y ,r('- � 114 WM t 1/209M MIM 11-19-M � -i - OESCRIPTION CAPL UG 1-1/4 CAPLUG 2 . I : . RLccl� �.s-/ u��sQ�a Irl r �� `� / state;of California teF r T �� 4 4L' Business, Transportation and Housing Agency •-•• N Department of Housing and Community Development ; -•° • ��? Division of Codes and Standards ®� �J `' "� y ItCo&*j�t-APPLICATION FOR:. "ry 4'�, Alteration/Conversion❑Approval to Remanufacture 13 Alternate Approval ❑Technical Services ❑Replacement Insignia ❑odi I • sp2tr>Stion (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) / f. CONTRACTOR/OWNER BUILDER DECLARATIONS SECTION 1 - UNIT INFORMATION DEPARTMENT USE ONLY I Not required for Special Purpose Commercial Coaches or -2j, Recreational Vehicles I/We are requesting services for the following unit(s): COL N0. J -) 1 3 I 1. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7.000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. pZ'-// License Class ? '� to Lic. Noo..^) 5 Ito Exp. Date I' i1 Contractor \r.l - 3 °t %A. 4: r= 'S Date 1 2. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors 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 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any, violation of Section 7031.5 by, any applicant, for a permit subjects the applicant to a civil penalty of not more. than"live hundred doilars($500):) i [ 1 1, as owner of the property, or my employees with wages as their sole compematioh,'will do the work, and the structure is not intended of offered for sale (Sec. 7044, Business and Professions Code: 'The : Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself" ' or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). [ 11, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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 tothe. Contractors License Law.). [ 1 I am exempt under Sec. B. & P.C. for this reason Owner 3. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 11 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I Xihave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Policy Number 0 tc+ I tJ (This section need not be completed if the permit is for one hundred dollars ($100) or less). [ I 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Applicant _.Date WARNING: FAILURE TO SECURE WORKERS-COMPENTA-MR- COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4. CONSTRUCTION LENDING AGENCY Ihereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec.3097, Civ. C.). Lender's Name I 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 and state laws relating to building construction, and hereby authorize representative stot this county to enter upon the a'be-meniio edp rope,rty for I spection purposes. Signature oTApplicant or Agent I ° ' Date' HCD 415, Side 1 (02/96) DISTRIBUTION: YELLOW - DEPP (Check Appropriate Box) WIManufactured Home/Multi-Unit 11 Manufactured Housing Manufactured Home/Multi-Unit Mfg. Hsg. Component Structure Recreational Vehicle Commercial Coach (Occupancy Group _J Special Purpose Commercial Coach Decal or License No. Manufacturer f Model Name All FEE RECD / DATE AA NO. i C RT TO L2 RT BY ' tv, Year of Manufacturer1A a2 ...�., t. '-jf,l.J'f�•�ry%i Teti r Insignia/HUD Label Nutnberls)..:� SECTION 2:- OWNER/APPLICANT INFORMATION Owner I2AL D -kL PYNV OFi t ATelephone No. " ( Address nq City MOV-'fli A-VAiAlt-Af1& County Zip_ Location of Unit if Dif Brent Than Above 44ML1A1_<"14 (4)AV , 9DR611?;1/4' 64 qua r&(a Applicant •�`g}/'' (.U����� Address'' . A-""' 4� e n!`.' CaTT' 'Jj . y city f (!� k+! x �/ I'. Zip / 7. ¢ 1 Telephone No. �+�w'�.45916056 SECTION 3 Contractor's Name r`+te. Address \- J 1Z)C3 )X fes 1 7 y �h ti r 8 l 14 a �)'4 Architect/Engineer Name ,N 7 (1 License No. ,r Address ARCHITECT OR ENGINEER INFORMATION ,� I e, n•, F `_z�fl AND Describe the proposed work/activity in detail. Attach additional pages if necessary. If structural alterations or remanufacturing are proposed, complete plans, specifications, details, and calculations must accompany this form. Check box O if plans accompany this application. Provide the make and model of any appliance to be installed and provide complete electrical calculatigns foLr.any electrical alterations or additions.- -4- t I G.i�r=1(� I `•k %r t !l. Fel% r l: )1t-•t>i 0 k Indicate the Total Cost of the Work to be Performed I/We hereby make application for the services designated above. If applying for replacement of a lost insignia for the unit described in SECTION 1 above, I/we certify that there have been no alterations, additions, or modifications to the unit that would affect the unit's compliance with California or federal law or the rules and regulations of the Department. (If alterations, additions, or modifications have been made, a coding inspection must be obtained.) n (, Signature V _� .f ` Date '✓ (Owner of unit must sign, when a replacement insignia is being reauested). UEPARTIVIENT Us ❑ CONDITI N (see reverse side) iature of Department Representative , 1 - AREA OFFICE PINK - C ❑ Disapprove) (30 (s reverse side) / D/t-e fr IrANT 1 NOTES RESIDENTIAL___ • 03050 03-3245 PERMIT NO. KALPAKOFF, RONALD 45 MUSON WY,"OROVILLE Cont: D&A CONSTRUCTION MH ON PERM FND NEW SITE 3a; 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. m SPECIAL CONDITIONS /SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. Oil -032 �L SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address Meter By Me Dot I ELECTRI Date M Y ELECTRIC Meter By p' JOB FINALED (Date)�G% i Signature CHECKED BY J=OK " 0 = Not 0K1 = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soil ecial MH Support Sketch 3. CAwoMocation-Test-Fall-C/O-Concrete t ocation-Test-Easement Needed (Sketch) e city cation -Clear -Grnd /Amp -Concrete es - rap;-/ /" L 'ft. / Nat. o /" L "ft./3& LPG Wood Awn.; Posts-Beams-Rftrs-Connectors _ Shthg-Frg-Bracing 7. Well Clearance & Disconnect 5. 8. Utility Clearance 6. Carports; Windows -Doors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 9. 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Roof; Shthg-Roofing 3. Gas; MH Test -Demand -Valve -Connector 11. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector Braced Wall Panels 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date 11. Cert. of Occupancy 1. Setbacks -Easements Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date RSBMANENT END SYSTEM (ONLY) ings; Size -Spacing -Marriage Line Blocking 4. Gas M Te emand-Valve ectricity; MH Test 6 a • MH Test er and Sewer Connected and Electricity Tagged Exits jo=t��enst: Decals @j_Alerify #'s with Office Date Card B-1 Date Card B-1 Date ' Card B-1 Date Card B-1 'a32, T! F" 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 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 -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 • Date Card B-1 Date Card B-1 Date Card B-1 J=OK - = Not Applicable ,RESIDENTIAL (Single . = Not Ready & Duplex)..,' , Date UNDERFLOOR (Plans) OK except #s. Date FRAMING (Continued) ' 1.. Zoning -Setbacks -Easements -Flood -Slope 47. Hangers -Post Caps -Anchors -Connectors „2. Ftg., Main; Soils-Elec. Grnd.:/ _/" Ftg. Depth 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. .,3.-,Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance , 4. Ftg:, Porches & Decks; Soils -Steel-/ /" Ftg. Depth 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles a'_'5.1 Stemwalls, Main; Steel-Blockouts-Wrapped 51. Bdrm. Windows or Exiting Doors-Sill,Ht. &Dimensions 6. Stemwalls, Garage; Steel-Blocliouts-Wrapped -52. Garage Fire Protection Framing -RC Channel _ 6a. Hold Downs and Special Anchors 53. Property Line Firewall & Openings ; . 7. Slab, Steel -Wrapped 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 57. Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground 59. Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. Shear Walls; Nailing -Bolts i 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. Brace Interior/Exterior Wall Panels 15. Access & Ventilation t 62. Insulation -Walls -Ceilings I 16. Insulation 63:. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 . Date i , Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s - + Date PLUMBING (Permit) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. Smoke Detector { 18. Water Pipe; Test & Anchor -Nail Protection 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mecl . Protection 19.. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 67. Bedroom Exiting r 21. Test Tub & Shower, Second Floor -Tub Access ' ' 68. G.F.I. & Bath Fixtures & Tub Access -Spa 22. Gas Pipe; Sixe & Anchors 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 23. Fire Sprinkler; Test 70. Stairs & Rails -: ` 71. Fireplace or Stove, Clearance -Hearth' 4 - Date Card B-1 Date Card B-1 72. Elec. Outlets at Wood Panel, -Int. & Ext. _• Date-, +..r Card B-1 Date Card B-1 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance e- t . Date -ELECTRICAL (Permit) OK except #'s 74. Elec. Outlets & Receptacles at Kit. Counter: 24. Fixture & Transformer Clearance -Ins. Protection 75. Garage Fire Door; Swing -Landing -Closure 25. Elec. Receptacles Spacing -Lights & Switches at Doors 76. A.C. Duct in Garage -Damper 4�-y 26. Size Boxes & No. of Conductors Stapled 77. Wtr. Htr.; Vents -Clearance -Comb: Air. Connector-P.R.V. in Garage; Above Floor-Mech. Protection 27. Romex Installed Close to Edge of Studs & C.J. 128. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 78. Plb.; Elec. & Mech.- Equip. Listed for Location to' 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 80. Insulation -Foam -Looked in Attic 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 32. Service -Riser Conductors & Ground Main Disconnect , ` Clearance Looked under Floor; O Yes A 33. Equip. Clearances Panels-Motors-Mech. Equip. 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 34. Clothes Closet Light -Shower Light -Spa Light 84. Stucco Brown -Finish 35. Smoke Detector 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Card B-1 ' Date Card B-1 87. Water Well, Disconnect, Electrical, Plumbing t Date Card B-1 Date Card B-1 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date MECHANICAL (Permit) OK except #'s 89. Ventilation Throughout House ,. 36. A.C. Ducts Insulation & Support 90. Glass Protection r , 37. Vent Fan, Exhaust above insulation 91. Corrections from Previous Inspections 38. Condensate Drain & Overflow, Size & Grade 92. Gas Test -Meters Tagged, Gas -Electric 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 93. Water & Sewer Connected -C/O to Grade -HD Approval 40. Attic Access & Platform -if Furnace in Attic 94. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 95. Address Posted Date Card B-1 Date Card B-1 96. Fire Sprinkler Date FRAMING (Permit) OK except #'s Date Card B-1 - ' Date Card B-1 41. Sills Proper Materials & Anchors Date Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing Comments at Final: ' 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs + 46. Headers & Beams -Size & Bearing - i� 0 COUNTY OF BUTTE a BUILDING DIVISION .1 DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 �r CORRECTION NOTICE 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. ntv iuiaY COUNTY OF BUTTE .; BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 _ 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE pr: r fay (ZC-1-- -4- 6WNER - 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. e..e_ t%7 Date/2.7 /US' Inspector REV Z 0/92 W' COUNTY OF BUTTE BUILDING DIVISION s DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 17 County Center Drive - Oroville, CA - (530) 538-7541 't, f r CORRECTION NOTICE a ba) 0- 0 t '-C c>-3 -3 2- `IS = OWNEV PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the s. 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, lease contact this office immediate) P Y• A -,-Date �%� Inspector REV X10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT.OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE . /�A cirs 1eoIze, 3zVJ- 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, r. please contact this office immediately. OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0-16-240-050 ZONING AR- 5 BUILDING PERMIT OWNER RONALD KALPAKOFF 91 TELEPHONE -348-3417 SQ, FT. OCC. BUILDING VALUATION 1948 R 105;192.00 .OWNERS MAILING ADDRESS 45 MU. MI WY OROVILL7 80 C 1 040.00 CONTRACTOR'S NAME L' D & A CONSTRUCTION TELEPHONE 821-5850 CONTRACTORS MAILING ADDRESS 868 W. QNS= #J, YUBA CITY 95991 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 332.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 45 KJN,(;ON WAY, MOVTTIR$ Energy Plan Checking Fee $ PERMIT FEE $ 179-0 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK Utilities ❑ Installation ❑ Other ❑ New ❑ Addition ❑ Remodel 13 Utilities Describe Work:, INSTALL MH ON PERM M- NEW SITE Gas piping system 1 - 5 outlets 15.00 15.00 sewer 15.00 Mobile Home S G w +�4 PERMIT FEE $ 69-00 ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service OR LESS23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. /�`, L62 License Class �_L� 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: ❑ 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. ❑ 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 Main Service s00A TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. 3.5QF'f. OR ADDNS. NEW CONST. MUL71Cou�TLS. NON RESID. U 97.50 POWER APPARATUS d SINGLE OUTLET CIR. Ex, Occup. OUTLET OR FDnURES 20@'•00 BAL o .so Ex. Occup. OUTLETS � Ra D.o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring EE !!� PERMIT FEE $ 43.00 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' c m e satin , nsuran_ge carrier and policy number are: Carrier CJ Policy Number r (The above sections need not 66 atrmpleted if We rmit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Coof _ Date � X 0�� Signaturb Vf Ap icant - ❑ Owner Ig'Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 483.00 HAZ D FE IMP FLOOD OF PARCEL PD HD U This permit is h y issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. t By Date 0 PERMIT EXPIRES ON Defe Receipt No. �° WHITE-D.D.S.-B.D. CANARY•AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT >t COt1N7Y OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 959XPhon," (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:4A SESSOR PARCEL NUMBER LJ J (e �y4 v — SO :4 —L Proposed Building Use: Counter Technician. Date: Items required iq oiler to apply for a permifi All boxes MIJO be !checked OR marked NA in order to apply. El"1. Site plans, 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and,layouts in duplicate. No faxes! / ❑ 5 Energy compliance design and supporting documentation in duplicate. ET 6. Manufactured homes: (A) Data sheets and installation inst, (B),'Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. 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. ell Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed And returned to the plan review line-up when required items are received. 1, ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate..., ❑ 9. Site plan and business license approval from the City of Biggs......., ❑ 10. Letter of intent for non-residential buildings ................................ ❑ 11. Detached Accessory Building Form filled out by the owner......... ❑ 12. Hazardous Material Form ....................................................... ❑ 13. Fire Sprinklers...................................................................... ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner ❑ 15. Other Date Received By ...................... Sent by -Re raining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 16. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Slow 117. Statement of Intent for Non -heated and A/C Buildings ............................................. 18. anitation and site plan approval from the Environmental Health Department in City of Chico Plumbing permit....................................................................... 0. California Department of Forestry Ian approval ❑paid. Sent by: 'LCi ...r.Q.'29.'Q.. 21. Planning approval for (A) Use: W (B)Parking: (C) Parcel Check: , ❑ 22. Contact Land Development about ❑Improvements, ❑Drainage .............................. ❑ 23. NPDES Form ..................................................... •.................................... •.. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 25. Pre -Inspection for required ................ ❑ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... n ❑ 29. Letter of Signature authorization.................................................................... ,0/30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑3 . Existing violations nd/or expired permits ................................................... ... 3 rant Deed, LH. Title/Statement of Facts,�tetterfrom-L�gah®wne eck to H.C.D. $ d 5 D Other: I r rinCJer _ en issued Telephone — and hold fo pickup. I have been informed of the above items and requirements for obtaining a building permit. 4e tom, rex r Ck0a,��.� Applicant: — t V 1101, te: V'OL 1. Index permit application fo the above items numbered: etier 2. Additional items required 195LU..2 Contractor, designer, owner, was advised ofithe above data b ho e, C3mail, ❑ counter, by ate:I U -o?(' / ' 03 Contras o , designer, owner, was advised of the above ata b ❑ phone, ❑ mail, ❑ count , by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division V0-# red W- -4rc- 5pr-melee r-,wwl , E.H. USE ONLY Plat Plan Attacha� May Plan Anachad Sent to 6.0 -12 -:Ag TO: Building Department 03 - FROM: 3 -FROM: Environmental Health MIN SUBJECT: Sanitation Clearance e— AIpAKo�-f "16- ly?0,06 0,16) Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other 3 23� e- e, x-) Hold final for: Final clearance O.K. for: " NOTE: �(titit3 C .Q �.la.�i Environmental Health %- cialist Date 8/96 N• - door dans reviewea oy bcnool uistnct District Identification No. 6 *-1 R' ��� �•��-ala( (Applic nt) 5 4 S Ld &,-� (Street Address) O , . . (Phone Number) (City) '' `•� (State) (Zip Code) -72— has 12_has complied with the requirelments.of Resolution No. --6 0 by payment of $ 4 t b �.. representing 0."s square feet. 2926 $ FULL MITIGATION $ School District Paid by Check # $ $� Remarks: d'es> 0 I t -t R,-03 Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. 'Failure to submit a timely written,protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is `4 -notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 00/98)dmm J Y SITE PLAN REVIEW APPLICATION Date: -) y }- D2 AP# 036- 2.9 0 - 4 50 Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: IS A c— Owners Name: K)JI &H -r , 2 -es � h -3,R 2&A 2 d t Owners Address: 1 Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition Mobile Home Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved U Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attach • Flood Zone: • Flood Panel No.: 1 aru;17 Index Date: 4 -q-0— 0 0 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front �S o 6A_ Side' *l6 (D Side Street RearD 1J 0 2� It D. Cr,6 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 e� Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ® Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees K Water Tender --FE E S ❑ Road Improvement ter ;4L'A a.,.J #- (p ® North Oroville Area 4�ES ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Deeds: Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards for Deed Creation: Comments: Legal Access Provided: ❑ No Legal Access Required ❑ No ❑ No ❑ Yes, Road Name:. ❑ No ❑ Yes ❑ Yes ❑ Yes ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 J1 Subdivision Map/Parcel Map: Map Date of Recording Lot: 2-2b--93 ❑ Use Permit/Minor Use Permit Permit Number: Book: 2� Date of Approval: W Comply with the following Conditions of Approval: pr� / ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on. slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." E Engineered foundations are required. -'0 2E S i sx L A-rGnA LS- ❑ Class A roofs are required. Page 4 of 5 IS. AL'TOMQT/G 51,R/1vK[ER SYsram5 SN444 ac /h'57AGGE'/� /,V' ALL h'Eft/ �'ESf4�EI,"TIAL STRUCTURES /,t,'.4CLL�.P/)q,,t,'C6' A11M MAO n:Ar1ee.;4L AI&E 5r,4A*IA4R/J A,*t 7,v4& 11.s rAL LA7'1e v or spR'lovxL See 5Y57,6M5 /h' &1'PA'e AIVO 7Wo AAM14Y /7W c41ib'G5 Ait I) 44e� 14.6 AlCbAl,Es, /1,'F/04 57"A11r'/PAR/) 1317. 7NE /-'Y1,,"C%516 CF THE 1,OV574ZZ,47/0i41' G+F' 3Ysr-sr1.5 /"w A/>'PIT/on:44 --1,1.1rE7Y Aho) PRclt^F,CrY /A, %f!4' -=v-,W7 C''F e4l511>e,oL'7/44 F/.PL'S. TH/S /4'S74ZZ ,a 7'ie7h' WIZ t Iffl>Z/CE Me AeR /'-'Ioe PROTe ,- rAv1V .SERVICES /.L' 7".4-4t5E /.t STfilil CES 1<11 0'Me 271/EY Ae,- IA'S7,441-6-4 �Pfi/I7Y0 tJ dF joi4l, Z OAV lV'C'TE� /. TH/s M,,4P SHEe7 5NCG4'S .40D17-167A,,,4L /5 FC'R 1A, ,-OXM-4 7.1 ?AAA— PLf, P/-'05ES Gin "L Y l�ESCR/fJ/h"G COIV/)17'10An 5 As' PF T,NE /TATE cVd+- AhA /5 /V07 AFFECT RECOREIJ 7"/74E /it,'746&S5T. 2. ,edf Ems' 70 SHEET 1 FG',e X6COR12 fPATA 3. 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R"17' /h• Ce*WVEC 71,0MV W1 r,"' C4ov l7eZ47E/7 70 THE/R c'.sC 1'j!FW1* 1T 7r /SAY SG'�A/ TR17�t.'s/'C>,f'T47%Csn /,ciliID.4CT �9li1EAY1C'IY' FEE5' A5 hWY ,BE IMR6 eP ,aY Ah' CR/a/,1;gh'CE Oc' <56W6'R4G o41'P4L1CA710t'v- A3Y THE /94'AR/� CF SG'/�ERb'/SOPS 47W 7AS/ CL'Uti'TY C'F BG'77E- - ,A5 7r /7/5C,PE 7.100 i41PY Z4/09 U5E EA'7/T1-E,A4eA!75 REVIeWeI7 441/p A!'n/?C'bE� fay 71`16 ifOe- '7y. IT /5 4WOER-S7TC'017 7N1/7 541Cfil FEES W,44Z OL- /PE/P.5/76-/7 ,3Y 771E GOG'ti•TY /R'7c, A SE/',4/?.4TE/7 /JEs161 i,W-4w 4741z'ti•7Y , 644N'P L1M1TE1I TG° 41-5E AC'R 7//E /A,'rEib'/)E/7 1741RAC?SE5 c'F MI71&A711v'6- o/v' rN-c 7R,,4A,51Poe.471o1., Sys7EM W17,q/.sr- 71lE &7APoki44E AR674 LA,,Y"rr 4Is4F /-t-4/d A,eEA, IA.4C60,e'/)A VC E WIT/Y 7Wr .9,6,e�CE+ ME -A,7- S/6n'E/J d,4b'L44,ey 9 /992 ,BY ALBERT A MUN50X . 7 SHC'G'La Su/�SCQG'Eh'7 COA'5;rR4'C716'h' C>R /aEL'E 6 6'/r/99E1�,'7 /1GT1Y/7/ES EXPCSE 044,R/E/7 AR71FAC75 Oo? G'T/S'ER E�//�Eh'CE O` /�rPE11/57L�I�/G OR e,4/r4Y /✓/sT0R1C 0GCUP47119A x 7zo 44IAMW 4RCfl.4 6704 c &/,s7 ,%ge7t-'e /> Os ce'N TAc r4'1/ IM/b0114)—Ly 1/4' G'R/)E/7 rr 4:556-55 7✓iLr f'PyEitr'7/.4G /M/'4cT5 eV' PVC eRv✓ec7 7'C' r. s 6-41[%t'/PAG 1�65ouecE-s eNCe-'unrT-r-',ee1/• PARCEL A r FrRAt.A- Pay. -7 I"""" ANI.? ;r6 luz tee, . 4�4 Re5""C' 7,'Ye /,;k $eRvle 00 4,ne.,o rwAle,- 6X,A�,;r. PeWAP dry 'r P CYA, 4PIVOPMATE � Z17CA710A OF 50'WMe 6ASCFM6A�7 AOR IVWre 7,e,4NSW15SYe% IINE 5, Age 11410. R. 9&' q AS ReACA"Vd!r� e� • APPROVED $a" -County Enyi n bntal Health Oo- ?9,0 3 112 0 U t -1 -1 -vv- -d 1iu17z By Cha Ipn Home Bt ilders Co. - Lindsay. GaGfomia A_ Sr1Atl. 5rc�u�y-r ISPC(Hff? . C,_ 2.., -FLWP-ESOT` LlG4M k -11C I Living Room a i5r`er l3tl�m DWng Room `1 oomIt 1 Mary nii l�,r t:,lamllurH;lrh n 1� Jt rr.-1r��1w,.Fnlo • IJ 1h.►w.• � +>r>Ham���on 1KvL1: f ave -4 H�uncSmfJrr way:• �• �any.umhvmi•� nus o - Uw, 11 --------------- V4�� .1 Ii1 T Denockm 42 C!'-10' qu li+n aL%*4"C" N Model #581 1.902 -, ,ware Feet Il'ui1I. rrrr.lRk<b 44YA f* -'i , ii1'-U 90 39Vd ONI S3WOH JE893INI ) (1 _ ! !) Z`I 25' ow In LAsep4e +.CT i 1 � r -c o d Q APPROVED cJ) Butt® County (� En Butte Health /.— 9—d:�& l01'4" �b !2-2 aw go 3 L tl loo' 6d�oC' WAD W �u►SSo� � A�� t�� ,o, -.b -- �'^ job c.� 106.. !e. l01'4" �b !2-2 aw go 3 L tl loo' 6d�oC' WAD W �u►SSo� � A�� t�� lo'Z cc 67 u A i i 00 I QYJ • � @� yol f w � n ` � n 1 Lij LWLJ � -2 1 72 Lo � O ca w LLJ cV U O � MP � SLS VA cV U Z � O U W ti VA Building Permit Number: 0,:5 - �3o2�S Owner Name: Ka Ipeof" Residential Construction Re uirements 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 flood plain. 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. .. r Page 2of 2 Building Permit Number: 0�i'p�aT Owner Name: toParcel lies within the State Responsibility Area (SRA). Comply with attached requirements. , Fire sprinklers are required q in this structure. The followin g parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of nts. feet from the side and feet from the rear Property feet (25 feet if Federal Aid Route) from the edge of the right of ay hall be clear of O structures and equipment except for a 2 foot overhang. Expansive soil ma be encountered on this site. This condition may require the y foundation to be designed by a California registered engineer or licensed architect. i Southwood 13UBZ By Cha ton Home Oulders Co. - Lindsay. California 'FPEE-ZfP— f tc ' LAII I -M D. PAO= FW tL 16 err- M J R, Living Room • . -• y Bdrm 63 i 7� --------------- K-' I Masrer l3dm DMg Room Den Bchn 42 Ow ti+n -� -moo GV 44. Fes, F J, i l?iit ClarrxturBath �. n ..w. een.►,,.,rna. - u Maw.. e c"ampian ►1;erL1� Lu•►v H�unehndJi r wwr a langa.mhnml .nee .mpmh." a Model #581 1 902 S wire feet 11'181 (1 n e 19. .. %FJLttl 4p',c61•-4 , r -;f -U" 90 30Vd ONI S3WOH AiIdMiNI SZZ0EESOE9 L0 :L0 FAA7. // S // a MOBILEHOME INSTALLATION DATA 1) Owners Name:C,J fV e 2) Assessor's Parcel Number. 3) Installer's Name: INTEGRITY HOMES, INC. 4) Is the site currently under permit? Yes [ ] No [-4] Permit No. 5) Is the site an existing site? Yes [ ] No[ A] (If yes, fumish two plot plans). 6) What is the electrical rating of the mobilehome? _I.C�Amperes. , 7) What is the mobilehome site circuit breaker rating? 0')60 Amperes. 8) What is the electrical rating of the mobilehome site? CPOO Amperes. '9) Is the main service remote from the mobilehome site? Yes [ ] No If it is, what is the rating? Amperes. 10) Is there any other electrical load to be served by the mobilehome site electric service (ie well, garage, etc.)? Yes [.t] No[ ] If yes, please identify the load and size. - a) The mobilehome site: Load- 1nW-" Amperes - b) The main service: Load- Amperes - 11) Type of gas service at mobilehome site: Natural [ ] Propane [<] None[ ] 12) Size of gas pipe at the mobilehome site from the meter or tank: 3/4" : 13) What is the gas pipe length from the meter or tank to the mobilehome? o� (ft-) 14) What is the mobilehome gas demand? B.T.U. * *(This information is not required if the pipe length is less than 6 feet on natural gas or less then 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION 9 MOBILEHOME -SUPPORT DATA Mobile Manufacturer: (✓V `(,1.mpk' 0("� Manufacture Year: If other then single wide, fumishSetuo Model Number: Width: colo (ft) Length: Ul 4, Tagalong or Expando Size t3 L¢'' On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood. pressure treated or foundation grade Other: SUPPORTS: Concrete block [ec] Other: Provide Tie Down Specifications for all Mobilehomes:��i,I�C�r� Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1. . I Line 2 Line 2 Main Beams Line2...........................................................................................:.... e2 Line 1 Line 3 Line 2 ....................................................... Main Beams Line 2 ....................................................... Line 1 ............................................... 'Line S Tag or Triple e4 ine 1 Line 1 Piers: Line 1 Openings Size minimum: x Size minimum: I ]XI Spacing maximum: Each side of openings " From ends -max: with width over: " Line 2 Piers: X 30 Line 4 Piers: Size minimum: x Size minimum: x Spacing maximum: S' o " Spacing maximum: " From ends -max: a.' O " From ends -max: " Line 3 Roof Loads: Size minimum Location (from rear): Line 5 Roof Loads: Size minimum Location (from rear): 1 X 30 ?1,1D I W 1,1/2" Ol 8" I aq 7 3a 1 " I ^ J -.EI J/1 OE— 2/1 66 .HI O[ ON3 HJ1IH JIMA J -AI .1/1 0E. .LI 66 r/I OE l]N3 HJ1IH jldH-8 a a A l -i I o a�- I o u Y o I �•--•--.-._._.�l I I i I e - I I I I I S I I S I I o L J l J r I ' m u o v o p I I I I 1•------•---•1 I �» t" A- I J.1 z r l, r W o W o r o I I g l I j j I p_ o - I I I I L J l J .b/1 QE O. E e .; S o LTJ - I I I I I .211 66— ra m d d e I - e I — ------- __ 4. .b/I OE L I I I I moo, I j I Ic_I o pp`E "Tt gIr•-�•-t $'t•T—? $ I 11 MMIS o 1-1021, I L ^J L ILi;� I / \ I I I I I j—1 i .b -,b �.1.-.-.-._-._._J_� I I I I L J L J L i J l i J I I I I I I j I 1 I r_.__ r o-, I I I op I _ m I c I I I—I o, l� j �• _ m._ • L� J I I I I I I N 1_ _� I� IZa , I$ I r I L I J — L I J L �'IT I I I ^oII I I I I r o I I o f Ir I� l --f o, IMI TO,I I I I l� J l I I I I I -- J 1�4130I5 I I I I I 1 -• I.. r XOl r of I 131—_N I$S,I ISI IrC,I I. l J L J L J l J' v r.t N J Q Z O tJ• CC W � o g Z O –r RPS � �.Y p U5 z 1 O 9) L` ® w w 'u .lila 2'+x 2'x S/ 16' STEEL ANGLE CHASSIS FRAME T(2) REQUIRED 1/4" GRIPPER SASE 3jo` C1w FLATccu SCC. muT : W.'.SHE.4 CQRCc� 'C" FRAME COUNTER BORED FLUSH W[TH BOTTOM 2" CHANNEL AT 8" O.C. (8) -REQUIRED 1/4"x1-1/4" 1/4" STAND BASE TEK ST'S ABESCO ASS PAD #503(2) REQUIRED a BASE e DETAIL_ A 1/2" A307 SOLT (2) REQUIRED 3/8"x 6"x 6. STEEL PLATE 1/2' A307 BOLT (2) REQUIRED 1/2-13UNC-A307 x 4"--- BOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER Wl' 01/2' ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND YATH TWO 01/2" ADJUSTER HOLES ASESCO ABS PAD #503 y STEEL FRAME SFF DE 36" MAX I I -- TO 80T AL- - ....... _ ......... 37" 18 1/2" 10.00 01/2"x 3" C.R. LOCK PIN WITH st/8" BRIDGE o PiN 49/16 HOLE (TYP) STAND BASE TOP VIEW K- 17416 TUE-1 PERMANENT FOUNDATION SYSTEM ABE$CO-GUS GUARD COWANY 5851 FLORIN - PERKTNS ROAD 3ACRAUE M. CA 45323 PH- (800) 382-8831 TAX: (916) 383-5207 1/4- GRIPPER PLATE COACH "J" FRAME � TEK STS (4) REQUIRED C -BEAM J -BEAM ATTACHMENT ATTACHMENT " GRIPPER 1/2' A307 BOLT (4) REQUIRED El" 8" 1/2" DIA. HOLE (8) PLACES �— 30' STEEL FRAME TOP VIEW STATE APPROVAL w SA, X ^'� y avw lz 41 F4_ % ,f }i ,<__. UYom-. 'im•4•' G9 SrC� Q Qf!7 CA w C 5 7; , � z � WAYNE T. POLVADO, PE -LISTING NO. F94249 SKEET 1 of 3 CD Ln r v N CS) CS) N W Ln m w m w Ln N m D G7 m (1 O D a) m m 6 GENERAL NOTES GUS GUARD TUF— I 1. DESIGN LOADS: LIVE LOAD - 30 I.A. 16. FOUNDATION BLOCKS 16"x 16'02' POURED Rf PLACE AT GROUND LEVa MAY � FLOOR LIVE LOAD - 40 PSF BE USED AT INSTAU ERS DISCRETION ALTERNATIVE TO PADS- r: WIND LOAD - 80 MPH EXPOSURE 'C" ¢ SEISMIC ZONE '4' i¢.• *SNOW LOAD 100 PSF (SEE NOTE #15) SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES 1=•-2'--WN:— I 1 MAX:-------•-----•--•-.----• - -- ¢ 2- THIS• FO--UNDATId•N-SYSTE-A1 1� DESIGPdEbTO B£ CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 5= 6' MIN. /16' MAX. S= 6' Mild. / 22' MAX. U 3. CHASSIS BEAM SUPPORTS SHALL-BE LOCATED AND SIZED FOR THE LOADS cr AS SHOWN IN THE `UOBH.E HOME INSTALLATION INSTRUCTIONS'. VARIES 10'-70' (SEE TABLE ON SHEET 03) - — 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, E S S — _____s ' E � 4 MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4', cc OR WHEN R WILL ADVERSELY AFFECT MOBILE HOME UNIT.v K 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL FOOTINGS RIDGE BEAM SUPPORT AS ¢ ARE DESIGNED FOR 1.000 PSF TOTAL LOAD SOIL PRESSURE, 'AND REQUIRED BY MANUFACTURER SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND (TYPICAL) 1:1 El 0 MAY BE USED TO FILL L13M VOIDS UNDER PADS. S. STRUCTURAL STEEL- FABRICATED ACCORDING TO AISC SPECIFICATION. - - WE13-i MTORC W AWS- SrL F10TUS. --ZLLLCiRODES3J0 A36, BOLTS-SAE GR 5--ASTM AA49=ASTM- A372S. 8' NOW. 7, THE GUS GUARD ASSEUBM SHOWN ON THIS PAGE SHALL BE LISTED AND LABELED BY M AND ASSOCIATES FOR THE FOLLOWING LOADS: 2' NOIJ. ALLOWABLE LOADS: SORiZONTAL VERTICAL PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES GUS GUARD TUF-1 2200# BODO# OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT GUS GUARD MGP PAD 2200# 6000# AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) GUS GUARD E-Z TIE PAD 22004 6000# D 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT>.:�; m MOBILE HOME CHASSIS BEAUS ARE OF STANDARD SECTION. _ e`ag�,.,, - N cl 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY+ STATE APPROVAL IN57AWNG GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL F9kftCBA•T1AN• -P-L•AA1S.• 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIT AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. 13. r' O z i t1. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED ' coo� - R — ,rte- 65C5 c _? e THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS [a z THE SAME AS SHOWN REQUIRED PER EACH UNIT. :� •,,,' --c r'�`; -�` �Q � � �i � � < = � � � > l2. SINGLE-VADE UNITS REQUIRE ADDITIONAL RESTRAINT. * (SEE SHEET #3) _ z < ' W '� : Qat •-4 O '. r: -r p 13. ALL METAL COMPONENTS AND ATTACHMENTS ITUIS SHALL BE PROTECTIVE COATED. eO O p'3 14. WHEN CONCRETE SLAB 1S IN E:XISTANCE. PAD IS NOT p °i <� H "' o' REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH TUF —1 PERMANENT x 5 0 2 FOUR (4) 1/2"x 3 1/2" EXPANSION ANCHORS. � Q W .7 FOUNDATION SYSTEM <, o 6 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES 0 t3 c _� S z ALLOWABLE SNOW LOAD TO 190 PSF WHEN INSTALLED ARF.SCO-GIUS GUARD COMPANY GGp.• V D WITH EXISTING STANDARDS REQUIRED BY COACH5851 FLORIN -PERKINS ROAR "" m MANUFACTURER OR REPLACE THEN ON A ONE TO SACRAMENTO, CA 45823 ONE BASIS. PH: (800) 382-8831 m FAX: (916) 383-5207 WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 N v 1/2'x 3 t/2" - EXPANSION ANCHOR (4) REQUIRED CONCRETE PAD INSTALLATION CHASSIS FRAME (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 ARS PAD #503 STEEL FRAME --\ f t 3/4" nIA.. g 1 g' G. t/2'x S' LONG (4) REQUIRED ANCHOR BOLT 3/8" CAD PLATED BOLT, HUT & WASHER (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM 1 AT 8" O.C. 1 (8) REQUIRED 1oo POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION 2000 _.a ME 36' MAX _.. PAD..... I 01/2"x 3" C.R. LOCK PIN WIN 01/8' BRIDGE PIN 1 I T LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION rvwmo`n %x iur-i KLWI)CW NUMBER OF TUF-I REQUIRED SME WIDE VNFTS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-t PIERS ARE TO BE PLACED AT APPROXIMATELY EOUAL INTERVALS A XwG EACH FRAM R.ij_ TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 TATE APPROVAL Ar z g ffzz++H Q* d �y z E "'T ¢ Fig d o 7..� O i) 'A U O } `• ad N ' rj 5 c � m � E a °� _ sas ^ gad � m C to c Q go cm WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 of 3 9 ELECTRiCAL, kll ECHANICAI,, AND PLUMBIN0, CONSTRUCTIO q ( N& PLkN Cl-Jm-02D ) SHALLCOMPLN WITH 'CURRENT EbITIO!m OF 'NEC, MCI, AND UPC. r4 i NOTE: See the attached I Q n ru to Pages W-- I Y-� SXJrrn r I /o(. -4s 20 0 u C) ot . r4 i NOTE: See the attached I Q n ru to Pages W-- I Y-� SXJrrn r I 3- 7ai0� J I lu z 6Y 00 10A" BME COUNt'i 61UILDING DEPARTMF.-.�'- P R 0 V u C) 3- 7ai0� J I lu z 6Y 00 10A" BME COUNt'i 61UILDING DEPARTMF.-.�'- P R 0 V CDF FIRE SAFE REQUIREMENTS _3 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. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent --unless paved. 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 AP# .4 cam. PERMIT# NAME [X] 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 provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates IN 1. Gate entrances shall be at least two feet wider than the roadway it serves. IN 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. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all 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 on page 3. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 3 AP# PERMIT # NAME Other Requirements [ J If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to exceed 10 % 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 (d31ro) Date Signature Page 3 of 3 C Cn 2711 cc CL 59 . or ip�LD kLAK�� I 45 Wx� 0 rhtij U. fAy X z UJ LU z }U J CL gUU, �--�z wont gyRUCTUREfS AND EQIJIP�eAE_L EASE% ITS. OVERHANGS SHALL BE CLEAR O SET SACK OF _ FT. FRO' THE SIDE AND -�)'D FT,. pFioM THE REAR PROPERTY LIMAES AIT Ft°tOw•4 THE ROAD C 11TERLINE SHALL Et l! pW, ENT EXCE�� CLEA OF STRUCTURES A ND r 10 A 2 FT- EAVE C VER"- "lia, a h�r-+an�zo REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY (� approved as submitted 7approved with conditions a attar deat. (013l 03` ` gnature Date y I. F SION - BUILDING PLAN APPROVAL � Date:Landscaping: q Ar PROJECT PROCESSING RECORD Applicant: Owner: A.P. #: _DVIU ` `�`�(� —Q Permit M Work Description: Date Description of Step or Status LGA/ Pot ck-)14 Cep R Stete1of Pallfamia Business, Transportation and Housing Agency u Fry Department of Housing and Community Development D iVr Islon of Codes and Standards APPLICATION ,RAIteration/Conversion[] Approval to Remanufacture 13 Alternate Appioval 13 Technical Services 13 Replacement Irisignia"'13 odifl I tion (SEE REVERSE SIDE OF FORM FOR INSTRUCTIONS AND ADDITIONAL INFORMATION) CONTRACTOR/OWNER BUILDER DECLARATIONS SECTION 1 - UNIT INFORMATION DEPARTMENT -USE :ONLY- Not ONLY-Not required for Special Purpose Commercial Coaches or Recreational Vehicles..I/We are requesting services for the following unit(s): COL No. . 1. LICENSED -CONTAACTORSiDECLARAtION .(Check Appropriate Sox) .I hereby affirm under penalty of perjury that I am licensed under 41 provisions of Chapter 9 (commencing with Section 7,000) of Division 3 PManufactured Home/Multi-Unit Manufactured Housing ur of the Business and Professions, Code, and my license is in full force and Manufactured Home/Multi-Unit Mfg. Hsg. Component Structure FEE REC7i� . e 9V effect. j Recreational �icle 0 (0 ❑Exp. Data 05 E] Commercial ' ?iadp (Occupancy Group License Class' C Lic. No. Special Purpose,Commercial Coach 1A DATE Contractor Nat yy� 4i� Date 1- 3 1 k Decal( oj�Llce7e No. 2. OWNER -BUILDER DECLARATION AA NO I hereby affirm under penalty of perjury that I am exempt from the Serial'� Number(s Contractors License Law for the following reason (Sec. 7031.5), d Professions Code: Any city or county which requires a FIT TO Business an permit to construct,, alieri Unprove, demolish, or repair any structure, prior to its issuance, -also requires the aplilicant, for such perrhit to file a sidnA 'stateiiie�n' t !U. 'h• h lis'licensed pursuant to the'provisioris of; Mipufacty!er Nan! -6 the'C66traict Li(Chapter with Section Model NameA 7000) of Division 3 of the usindss and Professions Code) or that he or she is exempt therefrom 'and 1fie'basis f6ftalleged' xemption-Any J: -.a " " , Year of iilii;r;iufac.turpr." Section ;5,byi A4�� violation ofi a I gn !,qr,a permit subjadts,the,,-1- wopplic applicant to e civil pdrialtv of not mord, 1vbhuhdrdddoIlaii('$, 00 .',.J)ni niaA61) gQel�th(sj, 32Z s STATE OF CALIFORNIA 0 Department of Housing & Community Devel6pment 4% riON,2­1OWNER/APPLICANr INFORMATION C Di,4i' sion'ofCodes and Standards _bL4 C2 3y i l 13 ar Q�%At 0 Telephone No.q; .0 FINAL INSPECTION C-.FRTIF:dATION 'ass QAJ if 0 . q5W8 V BY: DATE: I (Disincf Repre§entative) -M �( MOP -1-V arcb Zip (ID No.) . County Ition of,Unit if LAI;OR DATA: AREA: R North _44"'Au C 0 South Courk-4 �Io: OT' i Above AJSC" WA 1��V! mr _44 ---- 9-517 41 ta. I lic.nl VOA C I1CAJACT000E Mko! kt7� TR M!LES I I ress O&t-zrr &t—r TIME: INSP/ACT TRAVEL TIME4 - - WIVIT - - 'A' Zip Telephone No. 14S?ECTION DATA: Private Property ❑ MI -1 PARK # HOMEUNIT FLOORS :fi6N 3 adibNtRACT61`11 ARCHITECT OWENGINEMINFORMATI[OW itractor's Name. C,'yl�, VIOLATION DATA: TCTAL 6GRA ECTIONS: 4y—'- - -- ­ - , - - - 0 C R Iress Q) _X C S—F—E M F G/O N hitect/Engineet. Name LicenseN.. 040 7 FEE COLLECTION AND OTkERlN`1;6RMA-IjON- ress EE $ =,l . .... ATi: ITE- ASMSPED: 1i Gas 01 0. M. I i�. 'TION'4 -.DESCRIPTION OF WORK/ACTIVITY-AND VALUATION­ AITACHMENTS- 0 Tledovin Cori. 6r C, ;tribe the propdsbd work/activity in detail, Aftaich, additional pages if necessary. If-structural'alteratiolhs Lh . emmufacturing are proposed,. completii plans,' specifications, details,.and calculations must accompany PERMIT NO:.l 13l - 0-7 ED form; Check box 13 if plans accompany this application. Provide the make and model -of anY.appliance lectrical calculatigns for,any electri installed and provipe complete a chi alterations or additi I ons:ll-- is iss ed"srrw,,­r_ ' compensa_�a that: it 11 subject to workers' 7 compensation laws of California,Cilifornia, on- agree of should become subject to workers' compensation pro�dsions Sectio 3700 of the Labor.Code, I shall forthwith comply W*th't osi-provWons. py Applicant - WARM PENSATION, i indicate the Total Cost of the Work to be Performed J _ COVERAGE IS UNLAWFUL], AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL'PENALTIES AND CIVIL FINES UP TO ONE HUNDRED._ MAGES THOUSAND DOLLARS ($100,000) IN ADDITION TO "THE COST OF �SE N 5 - SIGNATURE AND CERTIFICATION COMPENSATION; DA S PROVIDED FOR IN 6ECTION 37,06 OF SECTION . I . I ., " . . il )" 11 air I? o THE LABOR'CODE INTEREST AND AT -TO NEY's I / j 1. J) ' I I i, /W I e hi make application for the services designated above. If applying:f6r replacement of a OSS L 4 11, 4 CONSTRUCTIONI I insignia Hidescribed:in SECTON I at,there-have been n; LE I I insig -for the unit ;i6ov6,`IAe certify th nal t I ka a Is i construction'. I hereby affirm under pe "a additioh§ or modificati6A,to the unit thatw6uld affe'ct the unit's, compliant 4.th�,d6jiforiiiabr.f; ral I once perjury 1 `6 6 6 a nFi -on's Vthe Department. I !uim, u, I ifications have b . I I - - . U, eA !inFdirg:ageFiicy fo perf)r ance of.the i iork for which th's permitis. eiulati irtMent. (If.yai,dri is i"ad a iLiedl(Sec. 7 C, I L is 309 Lenders N6me I It 141 co ing ins e6ii in m 4; �sigature '/ N, Ldnder's Address & 9 AL tE VlOwnw of,L it must sigh, Whena,replAcumentTi is 14 being requesie'd). ater ti W.. CERTIFICATIONf �7 1011V AtAPIPM %V'-61ps w. I Lce if 'thatil have read th s applk a hat the f b�v. "p DEPARTMENT USE ONLY 'and s6te, la'we'relatin '�' �`01',�ildin'g­c_ __ e-. r - 9 1 �.,; R4. o �om S ON ordinances 4!f IN04m. ; ku- I It* ; I I I r afl6rili correct. t , 'T, -0, itifiAl 1:,Lz;-_::i -m. PPRO 16: -,!1171 1 P om�!_ _14_ NDITI 17771 r3i I , epresen nature of Deparli R I I V13. _�* = . I "I t Zgignaiure of Applicant lf�,, D I !;'-1 0- I IF_ '14 NCD 415'Side -1 .(02/96) f DISTRIBUTION:'! --.11i YELLOW' DEPARTMENjI T� i. -WHITE, AREA OFFICE 4- PN 10 1(i! - WNER/APP, LICANT Or. it RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1111111111111111111111111111111111 2004-0031 847 Recorded I REC FEE 13.00 Official Records I CONFORM 1.00 Countkof I BUT I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathy 02:10PM 27 -May -2004 I Page 1 of 3 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code 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. RONALD W. KALPAKOFF JR. AND JANET R. FURR-KALPAKOFF REAL PROPERTY OWNER/LESSOR 45 MUNSON WAY MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-3245 530 538-7541 UILD7t PERMITI:O. TELEPHONE NUMBER , l,-0-� MAIVRE OF LCCAEAGTE14CY 0 FICIAL DATE D & A CONSTRUCTION DEALER NAME (if not a dealer sale, write "NONE") 1067714 DEALER LICENSE NO. CHAMPION HOMES 2001 SOUTHWOOD NT SN581-2 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 0902-581-13260A/B/C 26'8°x13'4°&58'8°x13'4"&61'4°x134° RAD1350431/2/3 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 036-240-050 HCD FORM 433(A) REV. 8/91 WHITE - CountyRecorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. 3 Fc- 07/.07/03 13:25 FAX 530 877 3443 1:51: 0005 Order N o. 00203529-001 THE LAND REFERRED TO HEREIN IS DESCRIBED AS'FO.L'LQWS: ALL TI3A,T Cr.RTA V REAL PROPERTY• SITUATE THE COYJNTY•OF BUTT, STATE OF CALIFORNIA., DESCRIBED AS FOLLOWS: PARCEL A: PARCEL D AS SHOWN ON THE PARCEL MAP IN SECTION 25, TOWNSHIP 19 NORTH, RANGE 4 -EAST, M. D. M., D FEBRUARY 26,1993, I N BOOK 129 OF MAPS, AT PAGES 26 AND 27. AP NO. 036-240-050 PARCEL B: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH, OVER LOT 4 AS SAID EASEMENT AND LOT 4 ARE SHOWN ON THAT CERTAIN PARCEL MAP OF A PORTION OF THE NORTH HALF OF THE SOUTHWEST QUARTER OF SECTION 25, TOWNSE' 19 NORTH, RANGE 4 RAST, NX::b. B. & M., WHICH MAPWAS 'FYLEED IN THE OFFICE OF THE RECORDER OF THE COiJN'X'X OF BUTTE, STATE OF. " CALIFORNIA, APRIL, 30,1980)T BOOK 76 OF MAPS, AT PAGE 67. SAID EASEMENT IS MORE SPECIFICALLY DESCRIBED ON PARCEL MAP FID MARCH 6,1974, IN BOOK 49 Or MAPS, AT PAGE 25. PARCEL C: A. NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC 10TILM PU"OSES ON, OVER AND UNDER A STRYP OF GROUND 60 FEET IN WIDTH LYWG 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A POINT ON THE NORTH LW OF LOT 22 -.AS SHOWN ON THAT CERTAIN PARCEL, MAP MED IN BOOK 76 OF N(09, AT PAGE 671.00M WHICH TUE NORTHEAST CORNER OF SAID LOT 2 BEARS NOR'T'H 88°SS' I]"'EAST 114.Sz ' i ET; THENCE SOUTH 430 03' 42" EAST 166.79'FEET TO THE EAST LINE OF SAID LOT 2; THENCE SOUTHERLY ALONG SAID EAST LINE SOUTH 00° 17' 13" EAST 844.0. ! ET AND THE END OF SAID LINE. PARCEL D: A NON-EXCLUSWE EASEMENT FOR ROAD AND PUBLIC..UTiLTTY PURPOSES ON, OVER AND UNDER A STRM OF MOUND 60 FEET IN WIDTH, LYING ON RACK SIDE OF THE FOLLOWING DESCRIBED LINE: 13EGINNING AT A POINT ON THE WEST LINE OF LOT 2; AS SROWN ON THAT CERTAIN PARCEL MAP FILED IN BOOK 76 OF MAPS, AT PAGE 67;.FROM 'WRTCH THE SOUTHWEST CORNER OF SAID LOT 2, BEARS SOUTH 000 08'25" WEST'A DISTANCE OT 308.29 FEET; Description: Butte, CA Document -Year. DoclD 2002.45119 Page: 2 of 3 Order. 211587 Comment [a 006 07/07/03 13:25 FAX 530 877 3443 Ordeir No. 00203528-001 THENCE NORTH 84° 54' 13" EAST 664.01 FEET; THENCE NORTH 86° 05' 43'' EAST 330.95 FEET; THENCE NORTH 88° 25' 05" EAST 330.95 FEET TOA POINT ON THE EASE " IlVE OF LOT 3, AS SHOWN ON SAID MO AND TITS END OF SAID LINE. PARCEL E: .A. NON-EXCLUSIVE EASEI1'XENT FOR ROAD AND PUBLIC UTILT'I°'Y PMOSES 60 FEET IN WIDTH OVER PARCEL 1 AS SAID EASEMENT AND PARCXL I ARE SROWN-ON TEAT CERTAIN PARCEL MAP RECORDED MARCH 6, 1974, IN tOOX 49 OF PARCEL MAPS, AT PAGE 25. PARCEL F; AN EASEMENT FOR INGRESS, EGRESS AND PUBLIC U`i' nU% 60 FEET IN WID'T'H OVlEllt THAT PORTION OF M*UNSON WAY' X.MG VaTEM(PARCEL C, AS SAID MUNSON WAX A -ND PARCEL C ARE SHOWN ON TEL PARCEL MAP FILED FEBRIJARy 26, 7.993, IN BOOR 129 OF MAPS, AT PAGES 26 AND 27. Description: Bufte,CA Document-Year.DoclD 2002.45999 Page: 3 of Order: 211567 Comment 7 ��"�Lyy�rr r �'r: +r}a T "='f{.x'' Fis ai i -.� F',\ `'R. €yr��+...`�Y * iFS'ak'* L V •i4 M�$��-jr4.p.,+x��3�,c.dx'�6•'t .„w. +''.-'iiA' i7ss °lrr�4'.y �s.;�'€ti let-, r 'T 'J�aT.d'.Lay'�^Ay,"—i'w: » t{' r �:'• ii ' 4s^�,y Seat, l{3 �cv �sg{ni �":, M xG..^ - t t o ,�` a: •s x 90 t 4 �; ,i I � r�,FqV r ��5 x�`iy �t�s� rPiK . t.%*r V 5 WAN �CERTIF T—E- - k� =FyOtCCUYPANCY� ,� .;;.,� n-4.• ,,p�.x:`{r�iit i - {J4 r .. cy �,,,,_ 3Yyy?�;;. ), *din : i.i� a r j a • .r"` T a»<a�ilFe..� a,..[;.r fCy; .;s tl +'. �+^ �i.y ^•-l.^: .'i y .Y.. 4 BUILDING PERMIT NUMBER: 03-3245 Address or location of unit: 45 MUNSON WAY, OROVILLE CA 95966 Legal Description of Real Property: AP # 036-240-050 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: RONALD W. KALPAKOFF JR. AND JANET R. FURR-KALPAKOFF Owner's address: 45 MUNSON WAY, OROVILLE CA 95966 INSIGNIA OR HUD NUMBER: RAD1350431/2/3 SERIAL NUMBER OR V.I.N.: 0902-581-13260AB/C MANUFACTURER'S NAME: CHAMPION HOMES YEAR: 2001 OFFICIAL APPROVING INSTALLATION: e DATE: 5- a &- O PHONE: (530) 538-7541 H.C.D. 513C 01/07/2002 08:14 5305330125 INTEGRITY HOMES TNC PAGE 17 9TATV OF CAL* OP"ft OF ok WM$pCRTA'n0NANWW8MAW4Y I as �b8201 4 D"Wnr_W OF MUSiW AW&SWOM Ko MANUFACTURER CERTIFICATE OF ORIGIN• CHECK IF THIS 13 A OUPUCATE M22= ORIGINAL MCO NO MAVUE&MBED NUMBER OF i-. TRANSPORTABLE SECTIONS - 3 LMANNG SFO (SINGLE FAM1LY-PVWWW)-, MUMH ppLII.W UFAqnfi;ED.K0UP14G COMMERCIAL OCCUPANCY -GROUP W&ANUFACTURERWEINSE NUMBEW- Champion gome Builders CO. W-605TED RETAIL PRIG ; unr-K AUUf%Qo1j,, P.O. Box 429 Lindsay (ctm CA '93MZ&) ,-.-12-03-01' SOUTWADM NT 12 -26 -t -01 - DBA J Ag—EgL7— 9M, INC. l 771 )EALER OR TRANSFEREE ADDRESS, 3130 -i�LPJMB19t2W CA Diem -ORIGffM(PfNM- -.-- PORYWARD-TO-714E IN WO UdUWTA6-1;?M& TMEN FQWqWT0 THE PUMMER (DRAIM OR TWMFERE4. COPY I Vmmip FORWARD TO THE DEPARTMENT AT P.O. WXIBXBSACRAMENTO, CA MIX -IBM WM41N FrA (5) DAYS OF RELEAWL COPY 2 MUA" DEM TO THE TPM5POKTER TO ACCOMPANY THE UNIT TO ff$ DESTINATION. COPY 3 (dOLDENROD) TO BE RETAINED BY 'THE MANUFACTURER NCD 483.0 - Vft i - (7197) INVENTORY CREOfFORADDPES& 7711 Bc"HommE AVr,1 SUITS 600 ST. L=S (CRY) mo 63105 MANUFACTURER SERIAL NW851t HCO INSIGNIA OR HUI) LADEL NWBER UENM VVIDTH ( INCHES) MIGHT (POUNDS) --gtLmE9L— [ESEMCrON 0902-581-132600 RAD1350431 320 160 11746 2 RAV135W2 704 160 24113 WE 736 , 1660"o 24579 This 1A a trug (jild iG..(..�p.v.-Ol'ilie"Ci�rtificate of Origi 7 TRANSPORTER NAME umv 11aers TftANSPORTER ADOREW (w"I P.O. Box 17 ftft) CA lz*5938 DESTINATION FOR UNrr MkRiib (Cft) (SW Zzmzmd an Y •nm SIGNATURE OF AUTHORM0 AOCNr T� Diem -ORIGffM(PfNM- -.-- PORYWARD-TO-714E IN WO UdUWTA6-1;?M& TMEN FQWqWT0 THE PUMMER (DRAIM OR TWMFERE4. COPY I Vmmip FORWARD TO THE DEPARTMENT AT P.O. WXIBXBSACRAMENTO, CA MIX -IBM WM41N FrA (5) DAYS OF RELEAWL COPY 2 MUA" DEM TO THE TPM5POKTER TO ACCOMPANY THE UNIT TO ff$ DESTINATION. COPY 3 (dOLDENROD) TO BE RETAINED BY 'THE MANUFACTURER NCD 483.0 - Vft i - (7197) STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is a: Mobilehome Commerical Coach Floating Home Truck Camper Decal (License) No. (s) Trade Name Serial No. (s) pGoa-S�S9-lIauoe"6e�c I/ We, the undersigned, hereby state that the unit described above: i,,tsw-m cut- L45 (Lt uA90rL �P� = ONO - aL-t®- oso b� o.n Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above- described unit in California, of from.issuance of a California certificate of title covering the same. I / We certify under penalty of perjury that the foregoing is true and correct. Executed on <Zlac,ln at: oroville ,California (Date) (City) (State) Signature of each affiant Printed name of each affiant Address 1740 Feather River Blvd. City chelle Freel, Office Manager Oroville , State California HCD 476.6 (Rev 11/86) ( 7/47/03 13:24 FAX 530 877 V "+ RWORDING REQUESTIM RY Viawell Title & Escrovt Company AND WW ,Ni RjCORDZD L TO Name Ronsid W. V41pe1coffJr names 383:1 LankenhimW y North Mand, CA 95660 ay,5'bu uQ ..A—w. 00203528.001 Recorded Official Records County Of BUTTE CMEE J. GRUgBS Recorder Iti EMARY DICKSON Assistant Meem 3"q-ame 0004 I REC FEE 0.00 I TAX 55.00 t i I i I Andrew I Page 1 of 3 .SPACE ABOVE'LH1S LiNn rux ncwwon a uu., ParoeLNo. 03G•240-056 GRA l DEED 3 Tms FORM rultmsRBD BY BIDwa L 11T1.B & E8CROw COMPANY ')be ilnd=jgacd G-utor(s) Dedare(s) Doaumea* Trt ndk TAX is $ 55.00 ElCity/To'wnof X. txwputedonfulLvAl�ofintzresrorp,nperryconveyed.or x Unincorporated Area L3 fu1L mduo ICU Volue of Ii— or encumbrmn= neuraidng c0. theltmt ofsole O Mo".0ROFree Of $10-00 I'OR A VALU,ABI E CONSIDERA'11C1N, receipt 0f which is hereby nftowleA 4 Margaret K. %night and L.V. Enicfht lwroby GRANT(e) to Ronald w. ruilpakoi£ Me and Janet R. FuVr--Ka1Fak02fr husband and wife as Joint Tenants the following real property in the 0 City of x Unlncotpbtsted Ates Cmmty of Iiatte, State of Culifbmia SEE Ii IT A ATTA.CRED HERETO AND MA7fA APART HEREOF Dated; Annst 21 7002„ , Margarc E TGu t L.V. Knight STATE OF CALIFORNIA COUNTY ON Bum r(V SS: On Au9ust1f, 2002 before me, the. undersigned, a Notary public in and for said County and State, personally appeared Mazaaret R. Might. and L.V. Imight-- -- Petaonally known to me (or proved to me on the basin of satisfactory evidence) to bo the person(s) whose name(o) 5.9/are subscribed to the within instrument and acknowlcdotd to me that he/she/they executed the same in hi:/bar/their authorit6d capacity(ies), and that by his/her/their signatures) on the instrument the person(s), or the entity upon behalf of Which the peroon(e) aoted, executed the instrument. rtITNBSS my h. nd official seal. Sign EoR NOTARY SEAL, OR STAMP CHRISiY L. HINKLE comm. 0 1258465 m NOTARY �tPTt16L�C-CAA(1. ORNIA . •< .f. COUNTY IVVT f� F f E Comm. exp',rar trFatch 27, 2009 MAIL TAX STATEMENTS TO - dam as Ahmm _ Description: Butte, CA Document-Year.DoclD 2002.45119 Page: 1 of BTEClOmntaee Outer' 211587 Comment , .07/07/03 13:25 FAX. 530 877 3443 @005 Order No. 00203528-001 1AN-1.11-awl THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOilQWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THS CONY. OF B CJ I°TE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL. A: PARCEL B AS SItOWN ON THE PARCEL MAP Il`i SECTION 25, TO'WN'SHIP 19 NORTH:, RANGE 4 EAST, N. D. NX,, FILVD IFMIMARY 26,1993, BN BOOK 129 OF MAPS, AT PAGES 26 AND 27. AP NO. 036-240-050 PARCEL B: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 60 FEET IN WIDTH, OYER LOT 4 AS SAID EASEMENT AND LOT 4 ARE SHOWN ON THAT CERTAIN PARCEL MAP OF A PORTION OF THE NORW HALF OF THE SOUTHWEST QUARTER OF SECTION 25, TOWNSHIP 19 NORTH, RANGE 4 EAST, W-li. X & M., WHICH MAX WAS FILED IN THE OFFICE OF THE RECORDER OF THE COT JN'T'X OF BUTTE, S'TA'TE OF. ' CALIFORNIA, APRIL 30, 1980 I.N BOOK 76 OF MAPS, At PAGE 67. SAID EASEMENT IS MORE SPECIFICALLY DESCRIBED ON PARCYL MAP F&D MARCH 6, X974, IN BOOK 49 OI! MAPS, AT PAGE 25. PARCEL C: A NON-EXCLUSIVE EASEMENT POR ROAD AND PVBLiIC-UTILM PURPOSES ON, OVER AND UNDER A STRIP OF GROUND 60 FEET IN WIDTH LYING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: BEGINNING AT A PONT ON TSE NORTH LINE OF LOT 4:AS SHOWN ON THAT CERTAIN PARCEL MAP FnED IN BOOK 76 OF MAPS, AT PAG)g 67,;kROM WSICH THE NORTE EAST CORNER OF SAID LOT 2 BEARS NORTHi 88° 58' Iz" EAST 114.Szi � LT; TBENCE SOUPS 4P 03' 42" EAST 166.79 FEET TO THE EAST LINE OF SAID LOT 2; THENCE SOUTHERLY ALONG SAID EAST LINE SOUTH 00* 17'1311 EAST 844.01 • ET AND THE END OF SAID LINE. PARCEL D: A NON-EXCLUSWE EASE MINT FOR ROAD AND PUBLIC.UTLL�i1' PURPOSES ON, OVER AND [ANDER A STRIP OP GROUND 60 FEET AN WIDTH L'YWG bN'EACR SIDE OF THE FOLLOWING DESCRIBED LINE: UE GINNING AT A POI NT ON THE WEST 11NE OF LOT 2; AS SRQWN ON THAT CERTAIN PARCEL MAP FMED IN BOOK 76 OF MAPS, AT PAGE 67.' FROM WMCH THE SOUTHWEST CORNER OF SAID LOT 2, BEARS SOUTH 001, 08'25" WEST'A DISTANCE OF 308.29 FEET; Description: Butte, CA Document -Year DoclD 2002.45999 Page: 2 of Order: 211587 Comment 07/0'7/03 13:25 FAX 530 877 3443 �I006 order No, 00203528-001 TIUNCE NORTH 840 54'13" EAST 664.01 FEET; THENCE NORTH 860 05' 43" EAST 330.95 FEET; THENCE NORTH 88° 25' or EAST 330.95 FEET TO A POINT ON THE EASE "'INE OF LOT 3, AS SHOWN ON SAID M" AND TirIE END OF SAID L w PARCEL E: A. NON EXCLUSIVE EASEMENT)'OR ROAD AND PUBLIC UTILITY PTWOSES 60 FEET IN WIDTH OVER PARCEL 1 AS SAID E,ASEI ENT AND PARCEL I ARE SHOWN -ON T1Efi'I CERTAIN PARCEL MAP RECORDED MARCH 6,1974, IN BOOX 49 OF PARCEL MAPS, AT MAGE 25. PARCEL F; AN EASEMENT FOR INGRESS, EGRESS AND PUBLIC U`i'ILTT %'60 FEET IN WIDTH OVER THAT PORTION OF MUNSON WAY LYING WI's PARCEL C, AS SAID MUNSON WAY &ND PARCEL C ARE SHOWN ON TIME PARCEL MAP FMID FEBRUARY 26,1993, IN BOOK 129 OF MAPS, AT PAGES 26 AND 27. 4 Descripfion: Butte,CA Document -Year. Doc]D 2002.45119 Page: 3 of 3 Order. 211567 Comment COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: KNIGITT; U.E & ME1RQUtEl' ADDRESS: 11 GiN ClllIJE, O.OVILLE U€► 95965 _. CITY & STATE: URUVILLE Gi 95965 DATE OF CLAIM: IMPORTANT. • SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT (XM&I fk�S Ctrl( LL M PRWEGT. (AP # 036-240-050; REM9,17 # 353616, 24 DATED 5-15-02 OWNER: LEE & MARGAREr KNIGHT. ., , 2 2-2r TOrI m, 1 SMO lu PMD :,309 00 'Wr1;I. 1"Iff TO ��E i'.E1 J*. D FUit P`ROCESSI1113 FEE 25.00 .EMJN PLUMBING PERMITILL F4W FEE 20 OU tEIN ECEI�ICE,�FLIIIG E - 0�00- 1bNr TO BE IIETAM- 65 x'U 65TUT1:L 1X71'„L 1)14AJ Ti TO f;E REEWDED 244. 0 0 TOTAL 2.4 4 . 00. as stated. ��” LC�fJ Q- I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performEki Dated this a q day of —a r'LP 20�,at(�✓� 6Me- Calif. s claim is true an 1, the undersigned, hereby certify that, to the best of my knowledge, the services or article pe i d above hav Budget Appropriation ( ] or Specific Board Approval [ ] (Check one) for the same. Dated this 14t,11 day of JUNE 2Q! , at 911V= Calif. Departmel n pct 'ornied or delivered and that t Head or Authorized Deputy Dept. Code 4<!�—UU2 Exp. Code 4210500 PAYABLI FROM C(h19i11UCTI(x4 ix;::utt`I1S Dept. Code Exp. Code PAYABLE FROM Dept Code Ex . Code PAYABLE FROM DO NOT WRITE BELOW THIS UNE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. A. FOR BUILDING DIVISION USE. Receipt Information: Number: Date: Issued To: 0-L— 2 Amount: H Gam{ l jl,{ E{-( Fees Retained: v Processing Fee Bldg Filing Fee: Plbg Filing Fee: ✓ Elec Filing Fee: Mech Filing Fee: Energy P/C Fee: Plan Check Fee: Inspection Fee: SRA Fee: Total Amount Retained TOTAL REFUND'DUE �q $ill.°`' $,26, $ CLAMANT S AN ME MAILING ADDRESS AS-SESSOR=PARCEL # RN- UMBERS) REFUND CLAIM APPLICATION 11 GLEN CL::CL E 9 OIROiIIUE Ch 036-240-050 353616 1 Request a refund of fees paid on the above receipt number(s) for the following reasons: PHWECr W -.S .BEEN CANCELLED. Please-refund-any,applicable fees in the following categories: (Check those categories which -you -wish to have refunded.) Building Permit Fees ( ) SRA Fees (CDF Fire Planning) Disposition of -Plans: ( ) Plans returned to me at counter ( ) Sheriff Fees ( ) Urban Area Fees (XQ Please mail plans to me at above address. ( ) Please dispose of plans. PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. June 4,. 2002 Karen Oroville Elementary School District 2795 Yard Street Oroville, CA 95966 Dear Karen: BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVII_LE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: Refund of Building Permit #02-1224 A.P. #036-240-050 Location: 45 Munson Way, Oroville "1 0c; project on the above mentioned property has been cancelled and a refund has been requested for building permit fees. The owner would like to request a refund on School District Impact Fees paid. If you have any questions concerning this matter, please contact me at 538-6861. 5irlcerely, Alice Mefford Supervisor, Staff Support Services for Michael C. Vieira Manager, Building Inspection cc: Lee & Margaret Knight, 'l I Glen Circle, Oroville, CA Executive Homes, 3042 Esplanade, Chico, CA 9592 95966 -� Serol 40 •s® HOME CENTER June 4, 2002 Butte County Bldg. Dept j Alice*Mefford 7 County. Center Drive 1 Oroville, CA 95965 ' I REF: APN 036-240=050 (Lee;Knight) Executive Homes 3042 Esplanade . Chico, CA 95973 530-891-6992.800-346-6992 Fax 530-891-8753 E-mail: exhomes@sbcglobal.net On May 14, 2002, Executive Homes made application for a mobile home utility permit as well as' un installation' permit for the home. On the 30th of May, we :were advised that the parcel map required a permanent foundation and`an in-house sprinkler system. After discussion with our client, it was mutually decided that the permits would be canceled and the home would be returned to our, inventory. Please cancel the permit applications and return funds to the", at 11 Glen Circle., Oroville.CA 95966. WouldP Y ou lease fax a n otice of our cancellation to the Oroville Elementary School'. District, Attn: Karen Cl avei at 532-3030 in order to release the school'fee money back to the buyers. Thanks for your help. Kathleen Leverom i Cc: Lee & Margaret Knight i . i hv.IlrNri) \41 1-1 PA 11-11A I ION /kill 1.)11VI Ihlll I O Sp J� Tvr,rra P— S� iat.rn.1)Irar.; PERMITow1An EE IC1d^P`R 6,A �T __.___.... __.__.. 'sz-ot23 sa. Fr. oc;c. 11u11D111 rnnrm>t 1.•• 10:1 For.^-e� ....___...._. __..._..-------.......... ................... . ' -'- ---—'-.__....----' ---'- - t— ---- ... - ---- ----- COIIIMrtOn* 11 1— �9Z .... -- '---.._......... — — - .._.._- r corrrnnrtOnn lae)1n rpon-.� — COI/S TTIl/C110111/.IR,En ...... ._....—_._--.-... lflgUlf IlNlar t N!OrR,t _____._. _.__-...._....—_......... Mcllnecr on ri-JIHEEn MCIe1ecT on Uroner.ow.9 M•.Srr Kl mon!.sS MAD - 1f) roue/:Sf — 7S Lento. � j mk�nfvnrgf}� \R 1 ^ a LISFprSlflll(:11.Ir1F1-j SF LI t)uplox IA Mobil-homIX Olhor I YPF OF Wont" Now C1 Addition U !191110lP4 L.1 llliGiton lSc btst.,Aollrt I.1 ciih.r I'.1 Uaecrlbw Work:-- -- nf\ _Lk 539 sy,c+ "PERM11" FEE PAP) SRA 51 11 -HUFF vTI' IER AMOVhft" FtECE-CL fi ::"RECE;,.PT NUMPER � 1-0 PVT INTO COMPUTER �-- Ilei) nco Tole) Veluntioll t —..—.__.__........... .---._...__..._._.... __....___. .___._ ...... ..... . 2.0.M Permit 1 e9 ('Inn Ghecic61S1 Fee ..C -S -�Enyolpy T'Inii Checitiny rt+e R f EMM, rEE ' .UF:111111G PE11R11"r 1-ilinp r•,1 2n•1)U Each Tint __-- 7.nn Soler or hont pump water hunter 23.00 Wnlnr piphly 15.nn Each pas vrnler Renter cr vent 15. no _ Gas ping nyslenl 1 _ 5 pullets 1 S.OQ 1 5.00 ---' -- 1.lobiio 1101119 t• g 20.0tt � I'E[iml r FEE x ELECTFUCAl_ f Er1Mir - - _ r"iing rr.� ?o.rttl --- .............—... ------- -- eontESS'-'--"'-'-' "- lvtalrt Sorvlce roovoan on tEss 23.00 Merin Sorvlcq]e0., ro tenrA 4a.UU r:rrl111q OCCUn, on run. 3.5P.so --(� w es� �cc_rans�...— -- -•- rr. Iran nEsln. ..... ct) I.5() II MlvEn N'rnMT VS --...._ __..... .. .... EX. OCCUp, omv on r[<tun Fy 'B a r.t7 rain irrve,. on _ . . _.._.... Ex. Occup. oultEts tnEs,o. EA 5.oU .—Temporal.-Jempormly Service Mobilo 1101119 Facilities 2000. 24 fvlisc, Wir6111._... .23.UU 1'EllR11T' FEE R fAECI IAlllcnl rrnrarr ill 118 ren 20.00 enlin(f SOU III I loud Vontllnllon 1'Erlr,117_rEt t frktbilo Ilcnlo hlstnllolion 1`oa � �CO,") almtyy I'1sp9cUo11 roe 1 OCr. rW•S t. l/rE O. IECIS ,- -�'� CPI ' - — --•— Tole permit In hwreby Innllwd Under thw orrll-:n.bh rrnvl+ir,11• of Ula 11utle Cotlrlly Code and/or (leaolnllon+ In Ilrt work Indtcvind nhovq for which lona 11av9 bn-n rnld. ay _-- ... --'—' ---- I)nlw . 1'r-11MIr FXI'Irlrs 011 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: I T ASSESSOR PARCEL NUMBER V­�­'� w ~ O SO Proposed Building Use: �l c w ryi f4 t c Counter Technician: -TIe- Date:5- / "/ `v 2- Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. _aOl - . Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings.......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form..............................................................................._ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings .................................... ........ .I I 116. Sanitation and plot plan approval from the Environmental Health Department in 1 Qt/I I r ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: 01(B)Parking: (C) Parcel Check: ❑ X20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... Lk'21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:..:........................... ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... f§'17. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone A and hold for pickup. I have been informed a above'tfyis and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: a phone, ❑ mail, ❑ counter, by phone, ❑ mail, ❑ counter, by Plans approved by: _Structural approved by: Yellow: Building Division Plan Check Letter _Date: _Date: Date: Date_ NOTES RESIDENTIAL 036-240-050 02-1224 PERMIT NO. =,KNIGHT, LEE & MARGARET MUNSON WAY, OROVILLE CONT: EXECUTIVE HOMES M HU II SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY ✓ = OK 0= Clot OK - = Not Applicable. MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s Shthg.-Frg-Bracing 1. Zoning Requirements -Setbacks -Easements Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. Soils; Special MH Support Sketch Carports; Windows -Doors 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Siding; Nailing -Veneer -Stucco -Mesh 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Roof; Shthg-Roofing 7. Well Clearance & Disconnect Ext.; Steps -Doors -Landings 8. Utility Clearance Braced Wall Panels Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements 2. 2. Footings; Size -Spacing -Marriage Line 3. 3. Gas; MH Test -Demand -Valve -Connector 4. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. 5. Drain; MH Test -Fall -Flex Connector 6. 6. Water; MH Test -Regulator -Connector 7. 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 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Pan alboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ,/ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., 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/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes 0 No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing iingle' & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rfir. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)=Romex Protection 79. Insulation -Foam -Looked in Attic t 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Z) Yes 82. Following Instld./Drive 0 Yes Q NoMalks 0 Yes ❑ No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date. ; Card B-1 Comments at Final: i COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required Inspections are made and building Is approved for occupancy. Plans must be available on the job site. u A.P. No. _ 036-240-050 02-1224 KNIGHT, LEE-& MARGARET Owner _ MUNSON WAY,-OROVILLE- Contractor_ CONT: EXECUTIVE HOMES Permit No. _MHU -4 PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE. I INSPECTOR Piers Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Frarnin Slab Rough Electrical Rough Mechanical Framing Shower Pan ................................. .. Insulation >'>< ................................ Fireplace Footings Fireplace Throat Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final Revised 7/94 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541����? RMI_T yo. (Rev. 12/96) APPLICATION AND PERMIT 7-24 ASS ESSOR PARCEL NUMBER 036-240-050 ZONING BUILDING PERMIT OWNER KNIGHT LEE P, WRGP, ,Fr TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 11 GLEN CIRCLE, ORUVTLLF,99966 CONTRACTOR'S NAME =CU.i IVE HODS TELEPHONE - CONTRACTORS MAILING ADDRESS 3042 FMA' �' CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS T WAY, ORMTTILF. Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities It Installation ❑ Other ❑ Describe Work: KI[J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V 0' LESS Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,NOµH and my license is in full f0 ce and effect. License Class L — `511 Lic. No. b� 5 $ 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. W OR ADDNS. a AcC. S. SO 3.5¢FT: N,D ' MULTI.OUTLET @7,50 OWER APPARATUS 8 PSINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 00 BAL @':550 Ex. Occup. O�LEEDTSA PESIp.OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 polic,y number are: Carrier S -T -A -Te t(L 'Pt— d Policy Number N V![3 7 r, O 1 (The above sections need not be competed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 fo with comply with those provisions. -- .5 \ 3 0 '1.. X Date — Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 3616 •.166.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I lolki mki I.) 1)� IDS 0 (Nil 7- frolni"m C, topilnArtone tvmj NI 4!7[ F— et %o, -T I costinw,Ton " Pt ...... ...... . . ... ... . .10 ... ... .. 1:)1111 011-10 PRIM 1 -1 - SO. r r. OCIC. VALLIA11011 .... .... ..... ........ llopInco 117� I mcill"! onrimppF.En - - ------- lotill Valklitilloll t I AmiozcT on mcmir.owit wi,op, trrirr.s, Poloill I've S'O Ellolay ""all yieciaou rot, ................. Lot No. Pit �M.1`1111.11 PERMIr r -r -r-. s pEIlF'l1r 1-011101", 911,1111 ... �ach Tfrlp Voo Solnr or howl SF CIDuplox U.1 Mobil-hooin lienler 23.00 011i -r iilMi WAln 1 15. no . . .................. . ....... I YPF of: VVOFIIO, 1198ler Cr Voill 15.00 Now U Addilloo UJ flqlll(ylf4 ('I Lqjrjj.tt rl 011%-r 11 t)aeclll)q WOO(: "IT -11M:1-.1_ ITE' VATV) 5311A 01TIER AMOU11'J" Jjr-cL--.jVj:: .1) 1-0 m—: -0 COMPUTER Ons 1)!p savior 15.00 Mobile I 320.0o r -EE ELEC1111CAL rP-IIMlr I-illoy rnq Milo Main SaIVIC9 40011 on His QaA on tEs� .......... _j 23.00 113.00 Ry, Eare ,"I'UP&i occur. an mmis. MR rarer...._....._......_-_._._ C(P7.50 MvEn Art-AmitA cin. L A -00 lentpornry Service_ 2301 Mobile I 101110 Facilifigg 20.00 Iolisc.Willi ijl' . ....... ..23.00 r -EE IAECIIAI I- I - CAL 20.00 'oo 0110 110 Od 1 0.50 rEt _!Mobilo j 101119 josInlInficill F11131gy ljlr.pqcU'),, rag Or.m rcvKr.InE VVn000 Ie hereby knoold under Iliq ripplIf:nNg pinilooln;vt of 11140 taints County Cod" nod/or 11 P!i(ilj I q in rin Virill't 111(ficollod nl. ovq for V111101 loom linve I )n -o paid. fly I,rnmir nu-mr...q ON f .. 53....'1'+', : � � ' .--�.......... r5 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:I ASSESSOR PARCEL NUMBER J6 (O 41 CJvy Proposed Building Use: ! t I f I Counter Technician: Date: 5 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 0, - -Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss -details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. '54. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b tengineer. Items required for initial plan review. If checked itemshave not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑r 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other 4' Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in H 0 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: ®k (B)Parking: (C) Parcel Check: .20 d2 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed.to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... WO Recorded copy of Agricultural Acknowledgment Statement .................................... 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Qaed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Le al Owner, ❑ Check to H.C.D. $ 31. Other: en issued Teleph e , (. and hold for pickup. I have been informed of t above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: ❑ phone, ❑ mail, ❑ counter, by ❑ phone, ❑ mail, ❑. counter, by _ Plans approved by: _Structural approved by: Yellow: Building Division Plan Check Letter _Date: _Date: Date:_ Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 OWNER erl-I 0 &L SCHEDULE OF FEES DUE PROPOSED BID U ING USE LA 141 -u�i M 4+0 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ...... ......$/' —� 2. SCHOOL DISTRICT FEES (n)a le, Untoll (paid at District Office) (Available after Plan Check) V 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.0 $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. . Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA—FIRE INSPECTION AND PLAN CHECK $89.0 aid at Building Division) 12 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) A.P. # -656 DATE RECEIPT # DATE REC. 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) '' 1� 10. OTHERAt time time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plaq checking process. d— APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6100) COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required Inspections are made and building is approved for occupancy. Plans must be available on the job site. 036-240-050 02-1225 A. P. No.. KNIGHT;LEE & MARGARET — Owner_ _ MUNSON WAY,-OROVILLE Contract CONT: ,EXECUTIVE HOMES Permit N.MHI PERMITTEE MUST, CALL FOR INSPECTIONS Piers Conduit Underfloor Plumbing Underfloor Electrical. Underfloor Mechanical Underfloor Franiin Slab Electrical Mechanical Shower Pan Throat Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildinq orM.H. Final Revised 7/94 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT p y-/ Z7, 5 - AS SESSOR PARCEL NUMBER 036-240-050 ZONING BUILDING PERMIT OWNER T IGHT LEE & WkQt2ET532-0123 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 11 GLEN CIRCLE OROVILLE , CA 95966 CONTRACTOR'S NAME EXECUTIVE HOMES1891-6992 TELEPHONE CONTRACTORS MAILING ADDRESS 3042 ESPLANADE, CHICO, CA 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation M Other ❑ Describe Work: ME Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 e00VOR LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class C,— n n Lic. No. b 9 5 $ 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurapce carrier and policy number are: Carrier STaRT£ I --,S 11A -`RA rNLS 1�Y�� Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BLDS. SO 3.50FT. NEW aa,oT. MULTI.OUTLET @7,50 APPARATUS A SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 SAL p .50 FIXED APPLNS. OR Ex. Occup. OUTLETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number \ -01 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ep — 3 .0. _ X "'� Date Signature of Applicant - ❑ Owner IxContractor ❑ 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 $ Energy Inspection Fee $ occ CONST. TYPE $ FEES ETOTALE CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 353616 $143.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1. Owner's Name: 2. Assessor's Parcel Number: �.3 �o _ "L `-j O — 0 5 0 3. Installer's Name:xE 4. Is the site currently under permit? Yes[ J No ] Permit No. 5. Is the site an existing site? Yes[ J NoN ] (If yes, furnish two plot plans). 6.. What is the electrical rating of the. mobilehome? �� Amperes. 7. What is the mobilehome site circuit breaker rating? 10 Amperes. 8. What is the electrical rating of the mobilehome site? ZO'D Amperes. 9. Is the main service remote from the mobilehome site? Yes[`% ] No[ ] If it is, what is the rating? 'Z-WZ� Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? YesN J No[ J If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- W £ %,%., Amperes- 3� 11. Type of gas service at mobilehome site: Natural[ ] Propa e[ J ] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: '" inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 4 2(ft.). 14. What is the mobilehome gas demand? Y -A -A B.T.U.*.. *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 Mobilehome Manufacturer: Manufacture Year: "ZDO I If other than single wide, furnish Setup Model Number: 15100'p" K Width: Zb' (ft.) Length: 60' y(ft.) Tagalong or Expando Size_=:&, (ft.) x_ -�tjjft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[X] Other: SUPPORTS: Concrete block[X] Other: Provide Tie Down Specifications for all Mobilehomes: 'lr14TG+4-f-b Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Main Beams Line2................................................................................................ e2 Line I Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................. Line 2 Line 1 .................................................ine S Tag or Triple ine 4 rl ine 1 Line 1 Piers: Size minimum: �t� x -1-4 i. Spacing maximum: $ ` O ` From ends -maximum: O ` Line 2 Piers: Size minimum: x Spacing maximum: From ends -maximum] O ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: ] x [ I. Each side of openings with width over: ` Line 4 Piers: Size minimum- ] x [ ]. Spacing maximum: ` From ends -maximum: ` 3bx�o tiHx3n 3by"3o 3tix3o 3bx�o OVER Pc���os�n S E�-T-iC IQ �S Lse zi m—A P- G A�2. - Y� YY\ 0 VSo ?q"x \ 3o) �0 t1 Ck-. o 329 ' 2b--,bv • PLANNING DIVISION. BUILDING PLAN APPROVAL use: Date: Parking: Landscaping; Signature: I P -4k I ION AND IIV I HVII I rEE 0 SV dart Checldnq LOP . ....... . ...ow,r... II r in va 11,19111 $9FArm "t" 10 IOPIA w coils I on ninns. tv,lrup" occur FEW r OF;l r.– s 0 nz ML11-o,jltFj DG UILDII VALU/1,11(111 VIL C,j I l'ifillp Vn, Each limp OUIM on r"iunFl .. ...... ...... 1;9-x LCI 23,00 Fncilltias Wntnl ... coponAriono ot ---- -- Each tenter healer c( vent Is no Ing nysloill I OtIlIgI3 C.... H A Ismo ........ .... . .. Fw . ....... ... Oq 2 0( rirnpinco 1111c, on rpmp-r.m rO 011 V&ILIAIIOII 2 Nlcrntct n- -FY -PO-i I —F! n --w -P� -k I- I —Pj; i t I —ro! I t 7.0 . 0 S us F or s,i rmc-it im sr CI Ul M01311-110111 I—K 0111or I YrF OF! VYL)rl I'l NO- Cl Addition Ci f191110-114 (j Onecribco WOO(: V� a F.F. 51 ...... .. .. - u 11 ICR . ........ . .. . AMOVI,1'1" JtF-CU.IViz(.) NUIMPE-11 1-0 V(-: COMPUTI-At --l'Emmu rEE ELECIMICAL rElIMir . ... ........ — dart Checldnq LOP E C-3 blvilly 1,4111 ('hocking r;%,, 11,19111 $9FArm "t" 10 IOPIA w coils I on ninns. tv,lrup" occur FEW r OF;l r.– 11 E It hl I I- r. E- r ML11-o,jltFj PERMIT "01"En rA11,11- l'ifillp Vn, Each limp OUIM on r"iunFl 1.01 SOW of11901 uj�llp WAIq 1191401, LCI 23,00 Fncilltias Wntnl -- -- ---- -- Each tenter healer c( vent Is no Ing nysloill I OtIlIgI3 Ismo eavl9f ---'15.00 Fw . ....... ... Oq 2 0( --l'Emmu rEE ELECIMICAL rElIMir . ... ........ — 1111.141 SOIVIC4 egav on i iss on tist 11,19111 $9FArm "t" 10 IOPIA w coils I on ninns. tv,lrup" occur FEW r OF;l r.– ML11-o,jltFj "01"En rA11,11- OUIM on r"iunFl Temporary SLj! LCI Ivlobilo 1404440 Fncilltias 14-1c. WHO III .............. PE111,117' FEE I 23.00 4-3.00 ((07.50 7- 'a I 23.00 20.00 23.00 -.IA.ECI IA.11fCAL ... 2U.0f) ----------- —f, FF I V1,4 _._1:==::_ _.. _.�___ ---I-- I_.1 r� n. l of Ihw hulls C.()tl,,ty Coln fund/or lIP!1011111-FIR In if') V-10fl( for whicil linve bqn1l rodr). Dy Mj C a TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. use ONLY Riotea Atesh Rear �9Ma ttashod Sam to ®.D. 151— Owner Owner Location AP# Plan Approved for: Sewage Disposa�_ Water Su ply: Public Private Well Clearance for dwelling. Other _s 2pdd Hold final for: Final clearance O.K. for: NOTE: J'a- A&L Environmental Health Specialist Date 8/96 Emg:•c51 Hil i�:i, �a- APPROVED Butte Countv 391Jd 8SZ8 168 OES:xa-� S3WOH 3nI1n03X3:QI 61:LO Wd ZO, 6z-/90 SL9'ON 3-1I3 40' 20' APPROVED Butte County 20' 40' 60' 80' 100' 120' 140' 160. 200c_.. 180' • 1 L 1209- 20'.100' 100, 60'- 40' 20' APPROVED Butte County 20' 40' 60' 80' 100' 120' 140' 160. AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2002-0027922 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:20AM 30 -May -2002 REC FEE 7.00 CONFORM .00 PENALTY 3.00 Fay Page 1 of i AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of die Butte County Code required this acknowledgment to be recorded prior to issuance of a building property described herein is adjacent to land or included within an area zoned fora agricultural s permit. The � 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, - nlowing, spra;�i:,a, p "�ug� and'harvesting which occasionally generate dust, smoke, noise, mid 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 die County of Butte, State of California, described as follows: '�% 14- 03& APN: DW -240-050-000 PARCEL B, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDEr) IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 26, 1993, IN THE BOOK 129 OF MAPS, AT PAGE(S) 26 AND 27. Date 5—g, — o;2 PROPERTY 1 �i.►. i ti.t i � 6 ►u : � .J..\ State 4 California ) County of ) On �b �a�betore me, 4 v Y_° FORD, Notary Pwollp. personally appeared ���a known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribedi 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) ac ed, executed the instrument. WITNESS my hand and o is sea . Signature 3�- A.P. A C '=-, Seal: "� Y. FORD COMM. 11198886 NOTARY PUBO iq Comm.COUAnY OF &nTE Expires kt 98, 2002 t! r-- State 4 California ) County of ) On �b �a�betore me, 4 v Y_° FORD, Notary Pwollp. personally appeared ���a known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribedi 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) ac ed, executed the instrument. WITNESS my hand and o is sea . Signature 3�- A.P. A C '=-, Seal: "� Y. FORD COMM. 11198886 NOTARY PUBO iq Comm.COUAnY OF &nTE Expires kt 98, 2002 t! G`PT N� i7F1 ort c ��o!•( 3�•(,_ F-Agg'J'S co °S 07 _ avr 5WWF1 E Cir D7oh S.-14 r pr/aV/Y�// I e 6 O BEbtz,OGM vF� 'OPT FiRtP�AI f- \ -1—�-� (ice KI Tom.-{L� -- 5 c,L.i vJ� Z �Fa �01'r bUPFE� _ �crr :�) I r I I ►1= 6.LE_A+ 7 J � c�lo7G j. KV— �LrJ'Lov I l 1. n I �Q. r MIN. 30#LL 100D. L PIER 12C• MAX �L -o" ,1 SRI, - LOAM ED 1R■ "m wZi Z—Q /L.BS'1 LOAD NO. UPLFr �+/oRs•r oo/s r.Elc ��� i 1-9 (Z G�t� LT 1� r� l G}�-t-- D -I I - s3oo , B •-0• 3t• 100 lh � Y1 5 0-v, �,,) ,q� - s.00 2 B ,ism s 1.) ThI5 f wr Plat! Rte be butt In an == fiffTa, . o f— O �/ 1 �.1..� 7500 3 A 13.4• 7 1lr6V-- abilalL .`hC:Cnph mWor WICft aim B 03, \,a - Z%1,D - WS o 7500 4 A 13-41 7 WINDOW/DOOR SCHEDULE �.! SIZE I OESCRtnT10N GLAZIvE!!TI.NO.I scm P EKC24 2M7 DOvuPr1ON GLA2:, VENT LEGEND: () SEE ELECT. Gk SPE= S SWITCH LUGRIT FIXTURE THERMOSTAT EXHAUST i CFIL FAN ® SmOXE DETECTOR ® DOOR BELL TRANSFORLUM Fc�c AL I•-AANUFAC TLI;EJ SUPPLY AIR GPU LE/REG p t OUS,NG CC. ;STP\ :CT ION I I I ® CEILING REGISTER Q SHEARWALL ❑ SUPPORT POST UC,k RETURN AM GRXAZ Irldicate5 2' 5carrV is reglnred LEE7W Fi==1iYTr 000 hJAGDl0AND ��• ore FLO SHT 1 1, % ,' A CZ=ta x�opa' B tZN lo'z ro-o'� OF 1 SALES UNE oRAlwer.CW' �jl.ItJ.G�1`✓�1__ }_REV it I MIK 30MLL. ,OND.L PIER 114' MAX 1 DADS 01— —1 wz1 (LES) Inao No. uasT >. � A 4•Q' 5300 1 132' B a�aaa¢ 16 2h 9400 2 A I 16-d• 8 33, 6" 7500 I ,3-t• 7 jJ 3 9 l ay"sBtes W751*'4 2- 5canna is rwul rd MIN. 30#LL 100D. L PIER 12C• MAX �L -o" ,1 SRI, - LOAM ED 1R■ "m wZi Z—Q /L.BS'1 LOAD NO. UPLFr �+/oRs•r oo/s r.Elc ��� i 1-9 (Z G�t� LT 1� r� l G}�-t-- D -I I - s3oo , B •-0• 3t• 100 lh � Y1 5 0-v, �,,) ,q� - s.00 2 B ,ism s 1.) ThI5 f wr Plat! Rte be butt In an == fiffTa, . o f— O �/ 1 �.1..� 7500 3 A 13.4• 7 1lr6V-- abilalL .`hC:Cnph mWor WICft aim B 03, \,a - Z%1,D - WS o 7500 4 A 13-41 7 WINDOW/DOOR SCHEDULE �.! SIZE I OESCRtnT10N GLAZIvE!!TI.NO.I scm P EKC24 2M7 DOvuPr1ON GLA2:, VENT LEGEND: () SEE ELECT. Gk SPE= S SWITCH LUGRIT FIXTURE THERMOSTAT EXHAUST i CFIL FAN ® SmOXE DETECTOR ® DOOR BELL TRANSFORLUM -AN 1 SUPPLY AIR GPU LE/REG I P72-5-75 2-5- tz I I I OM MAW 013TRIBUTION PANFl Q SUPPLY AIR GPU LE/REG 4 a 10 TYP 5700 AYR 3UPPL.Y ® CEILING REGISTER Q SHEARWALL ❑ SUPPORT POST UC,k RETURN AM GRXAZ B 5700 5 B S.• 31• Irldicate5 2' 5carrV is reglnred LEE7W Fi==1iYTr 000 hJAGDl0AND ��• ore FLO SHT 1 1, % ,' A CZ=ta x�opa' B tZN lo'z ro-o'� OF 1 SALES UNE oRAlwer.CW' �jl.ItJ.G�1`✓�1__ }_REV SCALE Vjr . T• a• I �1°_ ' FH,EA f J'5- AE:EO? citOPT DFA�r1pE of P-0colk 4 FRE]=ZJJ,N �LJW �� SFiMJ%I I CPT x�r, ea, -r4 C 13 13 LO 9(0 orr c$ L GF Z GA ,ZR. No til�� r-oo�;, y.. lu ;� OPT -,4,1� OPT FfRE.PL4v— 14 9 15 c- O III 13EDR100M b.A-T 4I ,! L 7 i 21-,+✓ 02 v ;p0-1 t so- 5 5>z.FT • L . �1 11 f , �,� ,LT 7 O EER=: S - I t3 13 t3. Ib oPt.ICic_ �.JtR7 111 -hu � v1:�d � rr, 171_d'I I• 1 2_ O" !-Off. ZZr 4.0/op-r voxfAe& IEEE •P1�C� ET I� Y� 164T 10$ W NATES: Z,/Z\ , V`1nS 0 i 1A n . 3001-L, 10//O.L mu'W zx= the length and/or width au.v�- /orr aurrE� _ { LOADS I r1 1 rlt.7 6 -LEA \IN ,� r � � c:Lo7LT b.A-T 4I ,! L 7 i 21-,+✓ 02 v ;p0-1 t so- 5 5>z.FT • L . �1 11 f , �,� ,LT 7 O EER=: S - I t3 13 t3. Ib oPt.ICic_ �.JtR7 111 -hu � v1:�d � rr, 171_d'I I• 1 2_ O" !-Off. ZZr 4.0/op-r voxfAe& IEEE •P1�C� ET I� Y� 164T 10$ W NATES: Z,/Z\ , V`1nS 0 13z FcD7:; AL 1AANUF.-�Z i Linc) O H10US NG cO' 1;57R;C.71>>N r::> 0— r 4 E-" " �— L) Thbfloor Pla'1 may bJ; bcrift In in J+XiC: mirror • 1A n . 3001-L, 10//O.L mu'W zx= the length and/or width au.v�- 114. MAX 1000.E LOADS I tae rosy wZ i ,� r 12c• IMAX (Les)taw NO. I traF'r 1 WINDOW/DOOR SCHEDULE 5300" 1 A I S4' 32• �• F; LOADS Mo. i SIZE DESCRIPTION GLdIZ VENT .NO. I St2E I DOGAIIr10N GLAZ V@!T LEND: i MAIN OISTAIeunON PANEL >< L .BAIN �� 0 SEE ELECT. CI0. SPECS I D R GRILLE/AE0 IZ I OI'x Ao.l W. SLIDEDi, 2 5 137-" " A/K �_ _ S SWITCH to 44 a toy' X /011 - 1 -0. LIGHT FIXTURE 2 9 AIA SUPPLY 1 4 >< <I 1, 'E7=4 8 THERMOSTAT ® CMUNG REGM71M f 3 46d' ,d a II t N. S- I DER 2 5 I m t T a CEIL FAN I I Q sHEAAwALi 4C." A '"Cl ` 1 SG / A� f 7 1 ® SMOKE DETECTCM I ❑ SUPPORT POST s57005 .2 I ® DOOR BELL TRANSFORhOM RAGN RETumd AM GRC1E E444I24 7ld7 ' lndicatc5 2' 5armg is ragwrcc Tr"LL � /�IFIt fIZ-10d1c `o-,o I OT 1r1Q0 t 13z FcD7:; AL 1AANUF.-�Z i Linc) O H10US NG cO' 1;57R;C.71>>N r::> 0— r 4 E-" " �— ODt 4/12 MIK 3001-L, 10//O.L PIER 114. MAX 1000.E LOADS I tae rosy wZ i 12c• IMAX (Les)taw NO. I traF'r 1 PIER 5300" 1 A I S4' 32• �• F; LOADS — roar Wzi lLBS1 2 tfi-t B uMa N0. LPtiT B 33 ' to 7500 3 I 13-t• 7 - 9400 2 9 B yz' 1, 'E7=4 A 13.4• 7 7500 3 e 131-41 e bn1 ,h y 7500 A 9$ 32- 17-C 7 5 e s57005 B ' indicates Scanna :5 reawri d FL:t TWOCG [Nrlp.m.gam me SALES LINE SCALE ytr . r.4r ODt 4/12 Hoof MRL 300LL- 1000.E 12c• IMAX PIER LOADS — roar Wzi lLBS1 uMa N0. LPtiT 5300 1 A B Ir -P 31 • us 4 f > - 9400 2 9 ir-r 9 7500 3 e 131-41 7 7500 4 9 17-C 7 s57005 B s e• 31' ' lndicatc5 2' 5armg is ragwrcc Tr"LL � /�IFIt fIZ-10d1c `o-,o I OT 1r1Q0 t 01uw» Br. C�,/. -JL1t.jc -:' cr _ REV 5LG3� �i DATE -7/1o/rl; �J N a no Vf T L-`41 0 RADGO T NVQ • 1 - N k :' - x K Q m 0 6 O r ou C v ) � K1 t ��S i l 7J h _ "Z to Z V to { W D G � J m D N 33 UO 133 -- cn o= In rJ - hl C m 0 � opo 4 > l O � � — — — �•1 (fel '®p®e a¢"o r j L 00� iiiR (v iy�\ � mO�gZIns p a -, hl9rA �• J r P o I � �✓ = ''nn D z Ln V 0 C w — 0. ap . � � 4 o �o° �J N a no Vf T L-`41 0 RADGO 1 :' =„ z a 6 O r ou C v ) � j ZIJ 7J "Z ni L Z V to ♦ W D ro m D J m D N 33 cn o= Off �J N a no Vf T L-`41 0 RADGO T c- :' =„ z a C v ) � j ZIJ 7J "Z ni L K, ;2N 'nvA 0-6Vitt le> s� E -Z TIE DQ%�SYSTEM DESIGN LOADS: *WIND LOAD -- 15 PSF 1. THIS TIE GOWN SYSTEM. IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SAIL. WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. -2.--CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) • CAN OCCUR, MANUFACTURED HOME SNALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4.- THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS. IN WIDTH. CONTACT THE DESIGN- ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. 5. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATED -ASTM A36. BOLTS=ASTM AZ07. 6. THE E -Z 71E ASScM8LIES ARE CAPABLE OF THE FOLLOWING LOADS: _IEIGHT HORIZONTAL VERTICAL UPLIFT 185" 2010 (Ib) 5000'(1b) 861 (Ib) 21 " 1825 (Ib) 8000 (lb) 801 (Ib 25" 1510 (Ib) 6000 (lb) 6664 (Ib� 28" 1419 (Ib 6000 (Ib) 529 (Ib) 36" BE {Ib� 6000 (lb) 385 (Ib) 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTNE COATED. 8. WHERE STAND IS PLACED ON EXISTING CONCRETE SLAB, 1/2' SLEEVE ANCHOR BOLTS MAY BE USED TO SECURE PIER BASE PAC. 9. ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. #2, 10. THE LONG DIRECTION OF THE E -Z T . PAD (37") MUST BE INSTALLED PERPENDiCU %T • = A IS M, rrf101 x:31$ � :cs .. �� CAS-��' I •-V=LU-c:U5 GUARD C11MP v 595Ir I.0 RLN - PELX. 4S ROAD SACRAMENTO, CA 95823 PH: (800) 382-883", FAX: (916) 383-5241 . SINGLE 'NIDE COACHES DOUBLE/MULTIPLE COACHES E= V MIN. / a' MAX. E= 2' MIN. / 11' MAX. VARIES 10'-70' EVENLY SPACED BETWEEN E-_ ---... _.. �..-�1:.- E r r i I I i i G L_J l—J RIDGE BEAM - SUPPORT AS REQUIRED BY MANUFACTURER ❑ ❑ (TYPICAL) 0 0 AVC y ❑^C E—Z TIE. SUPPCRT PAD — ❑ (TYPICAL) -, 0 0 H CHASSIS BEAM SUPPORT PIERS -=SIZE AND SPACING AS REDUIRED BY THE HCUE MANUFACTURER. LENGtm OF HOME 18" HT NUWB4 rZ OF E -Z" TIES 21 " HT 25" HT 28" HT 36" HT 40'4 4 4 4 I 6 50, 4 4 I A 4 6 60' 4 4 4 6 8 60' 70' 4 4 6 16 I 6 10 01 L STAT` APPROV % ENGINEERED TIEDGININ SYSTEM APPROVED MWECT TO CORREC70US NOTED Amovaf does net authorize or aDerovo asy omission or deviation from raceirements of apwicahie State Icrrs and reguiat uns. of C. -Orn -ria Deoartmsat of Hausirn and •'. _ , ;tv Ocve F;neat 0" CODES ANT; BY lgsrature) EPA NO `� ..._.._ This Plan Anormi Expires t4k -a T_.• THIS TIE DOWN SYSTEM MEETS. THE REQUIREMENTS OF SECTION1336.3 SUBSECTION. (a). WAYNE T. POL`IADO, PE—L 1SFING NO. 99001 SHEET 1 of H (A) m w Ln N; O �1 Q M En n T Jl M - - -- Z'x2"x3/16" STI_. ANGLE 3/8" CAD PLATED BOLT, NUT & WASHER 1/2" OfA. HOL:*(8) PLACES COUNTER BORED FLUSH wrM BOTTOM (8) REQUIRED - 1/4" STAND BASE b ABESCO ABS PAD #503 10.50 18.75 r 3/4" DIA. x 18' LC. OETAlL "A" (4) REQUIRED $ ¢ ¢ CHASSIS FRAME-. STEEL FRAME TOP YiEW 3Q•j 1 /Z"x 1 t/2"x3/16 x2"..5... ...._.�..._ (a) P s- 1 /4 GRIPPER P� 36' MAX �} (4) REQUIRED� Z�'S , :i (2) REOUIRED E 7O BOTTOM __:__:...___..-_--- OF PAD - 1/4" GRIPPER GRIPPER BAc YIEYI ^!� 13UNC-A307 x d / \ m1/2'x 3" C.R. BOLI 'HiTH NUTS LCCK PIN WITH (4) REOUIRED 01/8" BRIDGE PIN e7 1/2" SCH 40 PIPE RISER WITH 91/2' ADJUSTER HOLES AND 3/8" THICK TOP PLA'T'E 1 m 92' SCH 40 PIPE STAND WITH TWO J X1/2" ADJUSTER HOLES ABESCO A6S PAD 1503 � a STEEL FRAME-.., \ 37 ABESCO-GT S C r-- 10.00 ---1 101.04 Loy \ OS/16 HOLE (TYP) � jTAND BASE TOP VIEW 1/4x1-1/ TEK STS (2) REQUfRF 1/4" GRIPPER BASE 1/2" A307 BO (4) REQUIRED E 5851 FLORIN - FF,RKM ROAD 1 SACRAMEiV'I'C), CA 91m PH: (800) 382-8831 FAX: (416) 383-3207 �H G" FRAME COACH "J" FRAME 1/d"x1-1/4 GRIPPER TEK SFS ATE (A) REQUIRED %NNEL 1 t 1/2" A307 BOLT (2) REOUIRED 1/4" GRIPPER SASE L7 -y I_ I L 1/2" A307 BOLT �J (2) REQUIRED C-T_EA M J -BEAM ATTACHMENT a i TACHME,VT 5YST-FM `NAYPlE T. POLVACC, FE -LISTING N0. 99001 5zHEET 2 of 3 - -� - INSTALLATION INSTROCTIONS E—Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON .• • _ ••--• • . • • n. REAM WITHIN 24"' OF AN OUTRIGGER OR CROSS MEMBER, c 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN 70 UNDISTURBED SOIL OTHERWISE INSTALL WEB 3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. STIFFENER- 4N CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THESTUD BOLTS IN THE PAD AND PLACE THE 'PIER. _THE HOLES IN THE BASE PLATE � WILL LINE UP WITH T14E STUD BOLTS. REPLACE THE BUTS AND WASHERS AND TIGHTEN DOWN.. � I=BEAM 5. REMOVE THE TWG i�:...,i:rs.ii';� " ;�i=- ¢: (2) GRIPPER PLATES ON THE TOP OF v: THE PIER. START THE HEIGHT ADJUSTMENT BY REMOVING ~ 1NS, PIERS CAN THEN TELESCOPE, RAISE THE 70P OF POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE. WITH THE COTTER PIN. THE COTTER AND ADJUSTMENT THE- PIER UNTIL THE PLATT IS AS • CL05c TO THE 84T701v1 OF' THE CHASSIS BEAM AS 6. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UN' Tit THE PIER TOP IS TIGHT AGAINS THE EOTTOM OF THE CHASSIS BEAM. .7. PLACE THE GRIPPER PLATES' OVER THE FLANGE. OF THE BEAM AND TIGHTEN DOWN FIRMLY WITH- THE T OP NUTS. C—BEAMS AND J—REAMS 8. HEAD OF PIERS REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THRU THE •SIDE OF 9. FOUR (4) •STE- SAKES (SUPPLIED) ARE TO BE DRIVEN THRU HE BEAM IN LUSH ADDITION TO ONE 'GREPPE • GUIDE_ INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. R PLATE. ALTERNATIVE: (2) T t 2 S.M.S. OR WELD (2) r 12 S.M.S. ANGLE IRON 1 11hxihx3h6" NOTE; USE STiFFNER IF OUTRIGGER OR --- CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL FABESCU-GUS GCOMPANY51 FLORIN - Fw-iiiCIN3READ CR�0, CA 45923 : (800) 382-8831 X.' (918).383-5207 WAYNE T. POLVADO, PE—:LfSTi.NG..NO.. ,9o0Qt SREEi 3 of M v 1 ` 14-5 E -Z TIE DOWN SYSTEM DESIGN LOADS: *WIND LOAD -- 15 PSF 1. THIS TIE DOWN SYSTEM.IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH IJO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. 2: CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACTURED. HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) • CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 4., THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS. IN WIDTH. CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. s. STRUCTURAL STE=L: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. El 17CTRODES-370 PLATED-AST1d A36. BOLT S=ASTM A307. 6. THE E -Z Tl€ ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: HEIGHT HORIZONTAL VERTICAL UPLIFT 188" 2010 (lb) 5000 - (ib) 891 (Ib) 21 1.18Z5 (Ib) 6000 (Ib) 801 (lb) 25" .1510 (lb) 6000 (Ib) "064 (Ib) - - 28 -. 1419 (Ib 6000 (Ib) 529 (Ib) 36" 857 {Ib� 6000 (1b) 385 (Ib) 7. ALL METAL COMPONENTS AND ATTACNME14T ITEMS SHALL 9E PROTECTIVE COATED. 8: WHERE STAND IS PLACED ON EXISTING CONCRETE SLAB, 1/2" SLEEVE ANCHOR BOLTS MAY BE USED TO SECURE PIER BASE PAD. 9. ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. f2. f 0. THE LONG DIRECTION OF THE E -Z TIE. PAD (37") MUST BE INSTALLED PERPENDICU 15' m. tim 11,7113 I -Y% Ac=LU-UU8 U-JARD 00WANY 5851 rr-T.CR N - PERKINS ROAD SACRAMENTO, CA 95823 PH:- (800) 382-8831 FAX. (916) 383-520 SINGLE 'WIDE COACHES DOUBLE/MULTIPLE COACHES E= V MIN. / 8' MAX. E= V MIN. / 11' MAX. -- VARIES 10'-70' •-W EVENLY SPACED BETWEEN RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑ ❑ (TYPICAL) 00 /may❑ '❑^0 E -Z TIE. SUPPORT PAD -- a (TYPICAL) r_, :i 0 ❑ -- CHASSIS BEAM SUPPORT PIERS -=SIZE AND SPACING AS REQUIRED BY THE HOME MANUFACTURER. . LENGTH OF HOME ' 18" HT I�il]A�S7=r7 Z 1 " HT OF E'-� TIES 25" HT 28" HT 36" H7 40'` 4 4 4 4 I 6 50 4 4 4 4 �6 60' d 4 I 4 6 8 66' 70 +—A 44 --,L— ",4 d 6 6 0 10 STATE APPROVAL ENGINEERED TIEDOWN SYSTEM APPROVED MWECT TO CORRECTIONS NOTED llmovai does net authorize or aDarovo aay omission or deviation irom ractoements of aDwicahie State 17its and regulations. S:-ae of C..-r',,!,1Ua Departlna¢t of Itousisg enG ': _ .ah, Dcv"; ;neat 1V Vo0: CODES AND S!;. `PDS By SPA NO 14 . _ .. TNN. Plan Aavromi Expires 1,l THIS TIE DOWN SYSTEM MEETS. THE REQUIREMENTS OF SECTION 1336.3 SUBSECTION (a). WAYNE T. POL`IADO, RE -LISTING NO. 99001 SHEET I of 2"x2"x3/16" ST1. ANGLE T ^3/8" CAO PLATED BOLT, NUT do WASHER 1/2� D1A. HDL; (8) PLACES r COUNTER BORED FLUSH WITH 80TTOM (8) REQUIRED r 1/4" STAND BASEb y, c ABESCO ABS PAO #503 10.1-0 18.75 3/4" DIA. x 18" LG. (4) REQUIRED ¢ DETAIL =A" J� 4 CHASSIS FRAME �.LiSTEEL FRAME a TOP VIEW 1 1 /2"x 1 i/2"x3/ 16 x2". - V (4) REQUIRED S 1/4" GRIPPER PLATE 36' MAX t V7 1 i • (2) REOUtRED __:�:......... -- ---- >a OF PAD _ 1/4" GRIPPER BASE -------- - - \ii 1 SIDE VIEW 1/2713UNC—A307 x 4" • / 01/2"x 3" C.R. BOLI WITH NUTS LOCK PIN WITH o 0 (4) REQUIRED 01/8" BRIDGE - � PIN 01 1 10.00 /Z" SCH 40 PIPE RISER WITH 01/2' ADJUSTER HOLES AND 3/8" COACH "C" FRAME t� THICK TOP PLATE s2" SCH 40 PIPE 09115 HOLE (TYP) STAND WITH TWO , COACH "J" FRAME C J ID1/2" ADJUSTER HOLES STAND BASE TOP YIEW PLATEt1/ 4" GRIPPER 1/ L,xi-1/4" • ABESCQ A85 PAD 1503 --� �r TEK SFS STEEL FRAME CHANNEL (4) REQUIRED 1/4"x1-1/4" 1/2" A307 BOLT TK STS `, (2) REQUIRED (2) REOUfRED 1/4" GRIPPER 1/4" GRIPPER BASE BASE 37" 1/2" {4) REQUIRED (2) `- 1/2' &307 BOLT (2) REQUIRED C—TEAM J—BEAM A I FACHMENTATTACH fE,VT �� r1BESCG-GL*S GUARD CCvff'AN?' 5851 FLORIN - PERKM RCS _ — 7TIEf i p > �. c Y C T _ �A SACRAMENTO CA 95823 — v PH: (8a0} 38Z-8831 •. `NAYI NE T. POLVADQ, FE— IC o FAX: (8 o L. T[NG NO. 99001 ^' ? 383-207 SHEET 2 of 3 INSTALLATION INSTREJCTIONS -- E—Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON $Eqpt WITHIN 24"' OF AN OUTRIGGER OR CROSS MEMBER, 'On 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL Ste, DOWN TO UNDISTURBED SOILTHERWISE INSTALL WEB STIFFENER- ON 'CHAS7BEAM.3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM.REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLA4.CE THE Wfl_L UNE UP WITH TOTE STUD BOLTS. REPLACE THE NUTSANO PEERTHWASHERS AND TIGHTEN [)OWN..IN THE WN.. z OLES BASE PLATE IAB EA M , 5. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEIGHT, ADJUSTMENT BY REMOVE P)NS, PIERS CAN THEN TELESCOPE. RAISE THE TOP OF THE PIER UNTIL THE PLATE IS AS -CLOSE TO THE BOTTOM POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE. WITH THE COTTER PIN, NG THE COTTER AND ADJUSTMENT5. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT E CHASSIS BEAM. AGAINS'i THE EOT' OF M OFA: THE CHASSIS BEAM AS 7. PLACE THE GRIPPER PLATES' OVER THE FLANGE. OF THE BEAM AND TtGFfTEN GOWN FIRMLY WIT h H THE TOP C—BEAMS AND J—BEAMS 8. HEAD OF PIERS REQUIRES THAT TWO (2) TEK SCREWS BE PLACED THRU THE SIDE OF THE '8 9. FOUR (4) STEEL STAKES (SUPPLIED) ARE TO BE DRIVEN THRU GUIDES INTO, SOIL UNTIL STOPSAARE FLUSHM IN WTITHO ONE GRIPP� _ R -';'LATE. THE GUIDE. ALTERNATIVE: (2) T12 S.M.S. OR WELD (2) -11, s.M. S. ANGLE iRoh ]�h'kl3hs" N_ USE STIFFNER IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL ABESCG-GUS GUARD COWAW k 5851 Fi.GRA1- prg�C1N3 ROAD SACRAMENTO, CA 9503 PH. (800) 382-8831 FAX: (918).383-5207 WAYNE T. POLVADO, Pc' - STI.NG:..NO.. ,9?OQt SHE:; 3 a W. cc LL U f,. - m 0 w n b- 2 o- 0 50 _ E -Z TIE DOWN SYSTEM DESIGN LOADS: *WIND LOAD -- 15 PSF 1. THIS TIE GOWN SYSTEM.IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. MINIMUM SOIL PARAMETERS: TYPE 5 COHESIVE.SOIL, WITH MINIMUM SOIL BEARING CAPACITY OF 1000 PSF. 2. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 3. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DS) - CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT, 4. THIS PLAN IS INTENDED TO BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS. IN WIDTH. CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURED HOMES OVER (3) SECTIONS WIDE. S. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. EL FCTRODES-370 PLATED -AST, A36. - BOLTS=ASTM A307. 6. THE E -Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLOWING LOADS: HEIGHT HORIZONTAI VERTICAL UPLIFT is" 2010 (lb) 5000 - (ib) 891 (lb) 21 " 1825 (lb) 6000 (lb) 801 (lb 25' 1510 (lb) 6000 (lb) 664 (lb� 28" 1419 (lb6000 (lb) 629 (lb) 36" 857 {ib� 6000 (lb) 385 (lb) 7. ALL METAL COUMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTNE COATED. 8. WHERE STAND IS PLACED ON EXISTING CONCRETE SLAB, SLEEVE ANCHOR BOLTS MAY BE USED TO SECURE PIER BASE PAD. 9. ATTACHMENT METHODS FOR "C" & "J" BEAMS SHOWN ON SHT. #2. f 0. THE LONG DIRECTION OF THE E-ZTIE. PAD (37") MUST BE INSTALLED PERPENDICU . -�4 A f1tA 7; DT i3 :xs Et ABESCO-GUS GJARD CONTANY - 1 r 585I FI.CRIN. PFERX_NS ROAD SACRAMENTO CA ?58^ PH: (800) 382-883 FAX: (916) . 383-:247 SINGLE 'NIDE COACHES DOUBLE/MULTIPLE COACHES -E= 2' MIN. / 8' MAX. E= Z' MIN. / 11' MAX. -- VARIES 10'-70' EVENLY SPACED BETWEEN EE -ern+I --- - •.:..� .—..-. . u r , r , i i i I ❑ ❑El RIDGE BEAM. SUPPORT AS REQUIRED BY MANUFACTURER ❑^❑ (TYPICAL) ❑ ❑ may❑ y ❑^0 E -Z TIE SUPPORT PAD -� ❑-, (TYPICAL) ' _ i ❑ ❑ CHAS SiS BEAM SUPPORT PIERS --:SIZE AND SPACING AS REQUIRED BY THE HQUE MANUFACTURER. . + LENGTH OF HOME 18" HT NUMBER OF E -Z- 21 " HT 25" HT TIES 28" HT 36" HT 40' 4 4 1 4 4 6 50' 4 4 f A 4 6 60' a a 4 6 8 66' 4 A J d b_�.._8_-.. 70' 4 6_j _1. 6 � 6 10 STATE APPROVAL ENGINEERED TIEDOWIN SYSTEM APPROVED SUBJECT TO CDRRECT:OKS NOTED Amoval does not authorize or approvo aay omission or ueviation from ragvirements of apoicable State Imus and regulatiuns. SSa.Vc of C.I:ic.-ria Departtftsat of Hausisg ?n6*-­.-'-^tv 0mc! 4ment pf ati ' O CODES a:i1.5t '?S By I�s�acure) SPA NO P!l ( s This' Plan Aaprovai Expires I -- -_-... THIS TIE DOWN SYSTEM MEETS. THE REQUIREMENTS OF SECTION 1356.3 SUBSECTION. (a). INAYNE T. POLVADO, PE_ -L ISTING NO. 99001 SHEET 1 of Za W Ln KI; 0 D m LO I� 'J 1 m _ - ---- - Yx2'x3116' STI_. ANGLE _ 3/8" CAD PLATED BOLT, NUT do WASHER 1/2" 01A. HOLc (a) PLACES COUNTER BORED FLUSH WITH BOTTOM ` (8) REQUIRED 1 ; 1/4" STAND BASE � d 4BESCO ABS PAD #503 . 10.50 3/4" DIA, x 18' LC. 18.75 {4) REQUIRED $ ¢ _ oErAr= 30-00 ` CHASSIS FRAME STEEL FRAME ` TOP VIEW Z.S... ...._._....r (a30• `5• (4) REQUIRED 1 PtCgl 1/4" GRIPPER PLATE 36' MAX C . (2) REQUIRED TO SoTTOii _. ... _/ OF PAD --=-------- --- I % 4" GRIPPER BASE GIDE YIE`f! /. 1/2— 13UNC—A307 BOLI WITH NUTS (4) REQUIRED 9s1 1/2" SCH 40 PIPE RISER WITH 01/2' ADJUSTER HOLES AND THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWQ 01/2" ADJUSTER HOLES �� ABESCO AGS PAD 1503 STEEL FRAME 01/2'x 3" C.R. LOCK PIN WITH 01/8' BRIDGE PIN J y ABESCC-GL*S GUA; �-- 10.00 04/16 HOLE (TYP), ,ANQ BASE TOP VIEW 1/4"x1-1/4 TEX STS (2) REQUIRE] 1/4" GRIPPER BASE CH "C" FRAME GRIPPE ATE INNEL COACH "J" FRAME 1/d"xl-1/4" TEK STS (4) REQUIRED ./2" A307 BOLT (2) REQUIRED - 1/4" GRIPPER SASE 1/2" A307 BOLT -44L ( \-:-1,72" A307 BOLT (A) REQUIRED �I (2) REQUIRE D 5851 FLORIN. PER.FCVS ROAL 1 SACRAME M, CA 95823 PH: (800) 382-8831 FAX: (916) 383=5207 C_ J - _BEA M ATTACHMENT A I TACHMENT nC�NN_-SYST.F.M `+YAYNE T. POL',/ADC, FE—LISTING NO. 99001 ]] SHEET 2 of 5 i 1 I`NSTALLATION INSTRUCTIONS E—Z TIE DOWN SYSTEM . t, PIERS MUST BE PLACED ON BEAM WITHIN 24"' OF AN OUTRIGGER OR CROSS WHERE 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, MEMBER, OTHERWISE INSTALL WEB STIFFENER ON CHE CHASSIS BAM, 3. THE PAD MUST BE CENTERED BELOW THDOWN TO UNDISTURBED SOIL E. CHASSIS BEAM, 4- REMOVE THE FOUR (4) NUTS AND WASHERS. FROM THE . WILL LINE UP WITH THE STUO BOLTS. REPLACE THE NUTS ANO WASHERS AND TIGHTEN ACEDOWT. STUD BOLTS :IN THE PAD AND PLACE THE. PIER. THE HOLES IN THE BASE PLATE hBEAM - • s. RE1rIavE THE TWO(2) GRIPPER PL - .-. - .., . ,.a�:_.>�:�;�i��;;;•-;,;;=--=-':�_... . ATES ON THE TOP OF THE PIER, START THE 'HEIGH.T ADJUSTMENT BY PINS, PIERS CAN THEN TELESCOPE, RAISE THE TOP OF THE PIER UNTIL THE PLATE I5 AS - CLOS;` TO THE POSSIBLE. PLACE ADJUSTMENT PIN -THRU ADJUSTMENT HOLE AND SECURE. WITH THE COTTER PIN HE130REMOVING THE !:OTTER AND ADJUSTMENT S. RAISE THE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL THE PIER TOP IS TIGHT ACOTTE THE BOTTOM OF TOM OF' THE CHASSIS BEAM AS THE CHASSIS BEAM. ,7• PLACE THE GRIPPER PLATES' OVER THE:FLANGE. OF THE BEAM AND TIGiFMN' DOWN FIRMLY WITH THE E i OP NUTS. ... . C—SEAMS AND J—SEAMS 8. HEAD OF PIERS REQUIRES THAT TWO (2) To SCR E�+/S BE PLACED THRU THE SIDE OF THE BEAM IN ADDITION TO ONE: GRIPPER."PLATE. 9. FOUR (4) STEEL STAKES (SUPPLIED} ARE TO BF DRIVEN THRU GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. r 10 ALTERNATIVE. (2) *}2 a M.S. OR WELD (2) S.M.S. ANGLE IRON 11h' x I !,t k h s" NOTE: USE SrFFNER IF OUTRIGGEROR CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL ABESCO-GUS GUARD COMPANY 5851 FLOP N - PEERKNS RCAD 3ACI AMENTO, CA 4582.3 PH: (8D0) 382-8831 FAX: (910-383-5207 WAYNE T, POLVADO, PE-LISTI.NG,..N0..,990a1 SIdF: ii 3 a! I.. a a Lr. K M D m m c: c m 0