HomeMy WebLinkAbout027-140-032M VAN V'JLEET 27-14-32
3478 Flue -her Rd., Oroville fI
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027-140-032. PERMIT#96-1455
VANVLIET, William
3478 Fletcher Rd., Oroville'.
Cont': Integrity ' Mobile Homes�,�:
Ex MH on Perm Fnd e��rr�(�
B07-0558 027-140-032
' MISCELLANEOUS Ag Exempt
AG BUILDING - r +;
3478 FLETCHER RD
HINKLE, DALE LEE REVOCABLE. ] ��
B07-1104 027-140-032
MISCELLANEOUS Ag Exempt
AG CARGO CONTAINER: STORE TRS i
3478 FLETCHER RD
HINKLE, DALE LEE REVOCABLE L
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 3478 FLETCHER RD
Owner:
Permit NO: B07-1104
APN: 027-140-032
HINKLE,
DALE LEE REVOCAB
Issued Date: 06/19/2007 By KCG
Permit type: MISCELLANEOUS
3478 FLETCHER RD
Subtype: Ag Exempt
OROVILLE,
CA 95966
Expiration Date: 06/18/2008
Description: AG CARGO CONTAINER: STORE'.
(530) 533-8896
Occupancy: U-3 Zoning: A-5
Contractor
Applicant:
Square Footage:
HINKLE,
DALE
Building Garage Remdl/Addn
3478 FLETCHER RD
320
OROVILLE, CA 95966
Other Porch/Patio Total
(530)533-8896
320
FEE INFORMATION
DBEH Building Review Fee $75.70
DBOMSCF Ag Exemption Permit $109.98
Total Charged: $185.68 Fees Paid: $185.68
Balance Due: $0.00 Receipt No: B3150
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
also requires the applicant for such permit to file a signed statement that he or she is licensed
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a
06/19/2007
civil penally of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
Law does not apply to an owner of the property, who builds or improves thereon, and who does
❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
the 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
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued,
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑❑
Section 3700 the Labor Code, for
1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
of the performance of the work for which this permit is issued.
My Workers' Compansation insurance carrier and policy number are;
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Cartier: Policy Number: Exp. Dale:
Contractor's License Law.).
(This section nee not be completed if the permit is or one hundred dollars ($100) or less.
under Section B. & P.C. for this reason:
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
a1EMPT
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
ensation laws of Califorri , d agree that if I should become subject to the workers'
06/19/2007
compe alion provisions of a to 3700 of the Labor Code, I shall forthwith comply with those
rovision
Owner's Signature
Date
06/19/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
Signature
Date
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for
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,
personal
including death, and property damage caused arising out of, or to any way connected with
te
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
isry,
the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the
se or occupancy of y sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
C my to enter thea 1' m mooned property for inspection rposes. I hereby certify that I am the
pro rty owner ho zed to act on he property owner' behalf.
CONSTRUCTION LENDING AGENCY
/19/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR. Agent for Owner ❑Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net/dds
AGRICULTURAL BUILDING EXEMPTION STATEMENT
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house
farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of
human habitation or a place of employment where agricultural products are processed, treated or packaged, nor
shall it be a place used by the public.
Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for
an agricultural exemption.
Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any
requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte
County Environmental Health, or any state and federal agencies.
Initials] AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
Initials 0 AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence,
10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings
InitialsAG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a
Oresidence and a manufactured home, and 40 feet from a commercial/industrial buildings'
Site Address:
3478 FLETCHER RD
Permit No:
B07-1104
APN:
027-140-032
Square Footage:
320
Permit Type:
MISCELLANEOUS
Occupancy:
U-3
Permit Subtype:
Ag Exempt
Zoning:
A-5
Description:
AG CARGO CONTAINER: STORE TRACT,
Required Setbacks:
Applicant:
HINKLE, DALE
Front: 50' Side:
20' Rear: 20'
3478 FLETCHER RD
OROVILLECA95966
Type of Construction:
(530) 533-8896
Type of Siding:
Metal
Owner:
HINKLE, DALE LEE REVOCABLE L
Est. Const. Cost:
$ 3,000.00
3478 FLETCHER RD
OROVILLE, CA 95966
Roof Covering:
Steel
(530) 533-8896
Floor Type:
Wood
I declare under penalty of perjury that the building will be used as stated above, and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the
requirements in a at that time and rior to .occupancy.
a�
Signature of owne : Date: 05/21/2007
FILE COPY
Butte County Department of Public Works
J.,MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
((C
0 p
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
(LESS THAN 1 ACRE 1
Reference Number:
B07-1104
Date:
05/21/2007
Location:
3478 FLETCHER RD
By:
KCG
Parcel Number:
027-140-032
Sub Type:
Ae Exempt
Owner Name:
HINKLE, DALE LEE REVOCABLE L
Phone:
(530) 533-8896
Description:
AG CARGO CONTAINER: STORE TRACTOR, MOWERS, EQUIP(320)
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
v �
Signed:
aL2e—
Title: 0 l,k%A--k r�Z
FILE
Date: 05/21/2007
Butte County Department of Development Services
T,IM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLYP9ORNO) TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMEN .
2. �VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: AG CARGO CONTAINER: STORE TRACTOR, MOWERS, EQUIP(320)
Reference Number: B07-1104
Applicant Name: HIN E
Owner's Name: WIN E, DAL LEE REVOC L AP # : 027-140-032
Signature of Property Owner. Date: MAY u 1 d
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
O Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
very permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or comp hin one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite num-nT-er-of4imei, rovided construction progress has been documented by the Building Division during
each year during scheduled inspections. No change made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee s a w full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this pe ase contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the built which this permit is
issued without a final inspection. I�
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at hitp://municipalcodes.lexisnexis.com/codesibutteco/
Reference Number: B07-1104
Location: 3478 FLETCHER RD
Parcel Number: 027-140-032
Owner Name: HINKLE, DALE LEE REVOCABLE L
Description: AG CARGO CONTAINER: STORE TRACTOR, MOWERS,
Signature of Property Owner".,ee_'_'2
FILE
Date: 05/21/2007
Phone: (530) 533-8896
Date: 05/21/2007
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name i
First Nan�eTd
Mailing Address
Cit , �/ t ��
St
zip��
Phone g�p
Fax
E-mail
CONTRACTOR
Name Owlimpa. a V I
Address
City
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Addt68s
71p
City
Fax
State
Zip
Phone
Fax
E-mail
Garage Open Cov
State License Number
APPLICANT INFORMATION
Name
Address
City
State
71p
Phone
Fax
E-mail
`•�
L
PROJECT LOCATION
AP# LI)2--7 + 4J c>3?_
Property Address
11`City
PERMIT
NO.
607 41
BIN #
WORKER'S COMPENSATION
Policy Number
Carder
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
L3
LA4W-2� c�
0.0"l Ai
:E 4Z
SRA�_
c.
owmz,s
lA I t
r ! GJ-� t
3
/Lu
J Y
Sq FT- Living
Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
ZoningA.
Flood Zone
I Kj
SRA�_
No
Occ.
Type Const.
i
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buttecountV.net/dds
www.buttegeneralplan.net
ADMINISTRATION * BUILDING * PLANNING
May 9, 2007
Dale Lee Hinkle Trustee
3478 Fletcher Rd.
Oroville CA 95966
RE: Formal Warning Notice Case#: bce06-0114
Building Code Violation
Location: 3478 Fletcher Rd. Oroville CA 95966
AP #: 027-140-032
Dear Dale Lee Hinkle:
Through our courtesy notice on February 23, 2007 you were notified pursuant to Section 41-2 of
the Butte County Code of the presence of code violations on your above -referenced property.
According to our records, the courtesy notice has not resulted in the correction of the following
violation(s). The failure to obtain the required permits, inspections and approvals from this office
for the following:
Construction/installation of two (2) storage units one (1) masonry and one (1) metal
cargo container. -
1. Section 106.1 Permits Required
2. Section 108.1 Inspections Required
3. Section 108.4 Inspection Approval Required Before Use or Occupancy
4. Section 3405 Change in Use Requires Conformance to Code
The above violation(s) shall be corrected or abated by you by submitting three (3) complete sets
of plans, applying for the required permits, and paying the appropriate fees, including penalties.
After permit issuance and field authorization to proceed, the work must be completed and
approved by this office within the permit specified time.
This is your final warning. Unless you contact this office and make the proper
arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the
date of this letter, enforcement shall be pursued through the issuance of a citation (ordering
you to appear in court) for the violation(s) and for failing to comply with this warning
letter.
"� Dale Lee Hinkle
AP#: 027-140-032
Case#: bce06-0114
May 9, 2007
Page 2
Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose
penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County
Code Section 41-7. The Notice of Violation shall include a description of the premises the
violation concerns, a description of the violation, the date of your conviction and the action
necessary to correct or abate the violation(s).
Should you have any questions concerning this matter, please contact Bill Barron at 538-5367. Or
visit our office at 7 County Center Drive in Oroville. Our office hours are Monday through Friday
7:30 a.m. to 4:30 p.m.
Sincerely,
Bill Barron
Supervising Building Inspector
BB: mjs
2
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buttecounty.netldds
www.buttegeneralplan.net
ADMINISTRATION * BUILDING * PLANNING
February 23, 2007
Dale Lee Hinkle Trustee
3478 Fletcher Rd.
Oroville CA 95966
RE: Building Code Violation Case#; bce06-0114
Location: 3478 Fletcher Rd. Oroville CA 95966
AP#: 027-140-032
Dear Dale Lee Hinkle:
This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above
referenced location for the failure to obtain the required permits, inspections and approvals from this office
for the following:
I. Construction/installation of two (2) storage units (1) masonry and (1) metal cargo container.
Since permits and inspections are required for the above work, please submit three (3) complete sets of
plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits
are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made
until.the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should
be advised that Butte County has an active Code Enforcement Program which provides an effective means
of enforcement if'voluntary compliance is not obtained. Enforcement may be pursued through the issuance
of citations, fines and the recording of a Notice of Violation including a description of the action necessary
to abate the violation.
You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan
for abatement or corrective actions to be taken by you. Should you have any questions concerning this
matter, please contact Bill Barron at 538-5367 or visit our office located at 7 County Center Drive,
Oroville. Our hours of operation are from 7:30 a m. to 4:30 p.m.
Sincerely,
Bill Barron
Supervisor, Building Inspections
BB:
Cc: Assessor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 3478 FLETCHER RD
Owner: Permit No: B07-0558
APN: 027-140-032
HINKLE, DALE LEE REVOCAB
Permit type: MISCELLANEOUS
3478 FLETCHER RD Issued Date: 04/19/2007 By KCG
Subtype: Ag Exempt
OROVILLE, CA 95966 Expiration Date: 04/18/2008
Description: AG BUILDING -
(530) 533-8896 Occupancy: Zoning: A-5
Contractor
Applicant:
Square Footage:
HINKLE, DALE LEE REVOC7
Building Garage Remdl/Addn
3478 FLETCHER RD
OROVILLE, CA 95966
Other Porch/Patio Total
(530)533-8896
FEE INFORMATION
DBEH Building Review Fee $75.70
DBOMSCF Ag Exemption Permit $109.98
Total Charged: $185.68 Fees Paid: $185.68
Balance Due: $0.00 Receipt No: B2268
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 04/19/2007
the applicant to a civil penalty of not more than five hundred dollars ($5001;
Please check one of the following:
Contractor's Signature Date
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Conlractofs License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
ple
(This section need not a cornted if the permit is or one hundred dollars ($100) or less.
IAM EMPT under Section B. & P.C. for this reason:
1i
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
1 _J
I
SUED, I shall not employ any person 'n any manner so as to become subject to the Workers'
ensation laws of California, and a roe that if I should become subject to the workers'
comp salion provisions of Sectio 0 of the Labor Code, I shall forthwith comply with those
04/19/2007
Owner's Signature Date
rovisio U� !)
04/19/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Sign -516 -re Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION
injury, including death, and property damage caused arising out of, in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
t is
of this permit. I ereby acknowledge that issuance of this permit does not authorize the
a
pancy of any si ewalk, street or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
aC.un nter the a o eruon property for inspection purposes. I hereby certify that I am the
CONSTRUCTION LENDING AGENCY
ner ora rI to ct nth a propertyownee' behalf.
(-!,4 9/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner [:] Contractor OR. Agent for Owner DAgent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net/dds
AGRICULTURAL BUILDING EXEMPTION STATEMENT
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house
farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of
human habitation or a place of employment where agricultural products are processed, treated or packaged, nor
shall it be a place used by the public.
Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for
an agricultural exemption.
Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any
requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte
County Environmental Health, or any state and federal agencies.
Initials AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
Initials AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence,
10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings
Initials AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a
residence and a manufactured home, and 40 feet from a commercial/industrial buildings
Site Address:
3478 FLETCHER RD
Permit No: B07-0558
APN:
027-140-032
Square Footage: 0
Permit Type:
MISCELLANEOUS
Occupancy:
Permit Subtype:
Ag Exempt
Zoning: A-5
Description:
AG BUILDING -
Required Setbacks:
Applicant:
HINKLE, DALE LEE REVOCABLE
Front: 50' 1 Side: 20' Rear: 20'
3478 FLETCHER RD
Type of Construction:
OROVILLECA95966
(530) 533-8896
Type of Siding: Other
Owner:
HINKLE, DALE LEE REVOCABLE
Est. Const. Cost: $ 1,000.00
3478 FLETCHER RD
Roof Covering: Steel
OROVILLE, CA 95966
(530) 533-8896
Floor Type: Concrete
I declare under penalty of perjury that the building will be used as stated above, and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the
requirements in Jffeictiat that time a, d rior to occupancy.
Signature of owner: ` k - Date: 03/22/2007
FILE COPY
BUTTE COUNTY FEE SUMMARY
7 County Center Drive
Oroville, CA 75965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B07-0558
Job Address: 3478 FLETCHER RD
Contractor:
Printed: 03/22/2007
9:42 am
Fee Description Account Number Fee Amount Paid Date Pmt Amt
DBOMSCF Ag Exemption Permit
0010-440001-4210500-1010 $109.98 03/22/2007 $109.98
DBEH Building Review Fee
0021-540013-4614901-1010 $75.70 03/22/2007 $75.70
Printed By: Gwyn Benedict
185.68 $185.68
Balance Due: $0.00
lance of the permit. These fees may change during the plan
Date: 03/22/2007
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
$utte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY PO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (YES R NO)
2. I (HAV HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
S. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: AG BUILDING -
Reference Number: B07-0558
Applicant Name: HIN LE LEE REVOCAB E
Owner's Name: HIN E DAL LEE REVD B E,16? AP # : 027-140-032
Signature of Property Owne Date:
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
PERMIT APPLICATION DATA SHEET
Reference Number: B07-0558 /e/22/2007
Location: 3478 FLETCHER RD B
Parcel Number: 027-140-032 Exempt
Owner Name: HINKLE, DALE LEE REVOCABLE 0) 533-8896
Description: AG BUILDING -
The above permit application has the following Clearances required prior to permit is ance. Please contact each department
indicated below regarding specific requirements pertaining to your permit applicatio
Yes No DRAINAGE DISTRICTS
❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 (530) 533-0740
❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000
❑ r-1City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-47 1
❑
A95926-(530)895-4711
Chico Area Recreation District, 545 Vallombros/Dam
❑
Durham Park & Recreation District, 9447 MidwCA 95938 - (530) 345-1921
❑❑Feather
River Recreaction & Park District, 120eet, Oroville CA 95966 - (530) 533-2011
❑❑
Paradise Parks & Recreation, 6626 Skyway, Par969 - (530) 872-6393
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
Biggs Unified School District, 300 B Street, eggs CA 95917 - (530) 868-1281
Chico Unified School District, 1163 East Street, Chico CA 95926 - (530) 891-3006
Durham Unified School District, 4920 utney Drive, Durham CA 95938 - (530) 895-4675
Gridley School District, 429 Magno a, Gridley CA 95948 - (530) 846-4723
Marysville School District, 1919 Street, Marysville CA 95901 - (530) 741-6000
Oroville Elementary School strict, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000
Oroville Union High, 221 ashington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105
Paradise Unified Scho District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400
OTHER
Recorded copy of gricultural Acknowledgment Statement- See Attached Instructions
City of Biggs P nning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447
Other:
Other:
Othe
Signature of Property Owner:
FILE
Date: 03/22/2007
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year, from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are.
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http://municiDalcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-0558
Location: 3478 FLETCHER RD
Parcel Number: 027-140-032
Owner Name: HINKLE, DALE LEE REVOCABLE
Description: AG BUU.Dd NG -
M
Signature of Property
FILE
Date: 03/22/2007
Phone: (530) 533-8896
Date: 03/22/2007
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 75965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
p:.=
0
•
O
tic Z: s
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
(LESS THAN 1 ACRE 1
Reference Number:
B07-0558
Date:
03/22/2007
Location:
3478 FLETCHER RD
By:
GLB
Parcel Number:
027-140-032
Sub Type:
Az Exempt
Owner Name:
HINKLE, DALE LEE REVOCABLE
Phone:
(530) 533-8896
Description:
AG BUILDING -
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
6LL�Signed: Date: 03/22/2007
Title:
FILE
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name
t yarns
r s
Cityeavov, i5�
Statita
Zip
Ph
Fax
E-mail
FMM
I J�i�iME
►S`af/
0% ! 1 $?,p wor"I
47 g'
PERMIT
NO. b
BIN #
PROJECT LOCATION
1,44!5>
Prop `tom
Cit ! ` :a
WORKER'S COMPENSATION
Policy Number . /f
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
lei
Sq T- Living G. rage Open
❑ Structure Built withou P rmits
❑ Proposed Change of cupancy . b
(Note previous use):
For office u e o _'_ __
Zoning Flood Zone SRA 'es Yl�o
Occ. Type Const.
CONTRACTOR
Name
exo"
Address
City
State
Zip
Phone
Fax
E-mail
Lic. #
Class
FMM
I J�i�iME
►S`af/
0% ! 1 $?,p wor"I
47 g'
PERMIT
NO. b
BIN #
PROJECT LOCATION
1,44!5>
Prop `tom
Cit ! ` :a
WORKER'S COMPENSATION
Policy Number . /f
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
lei
Sq T- Living G. rage Open
❑ Structure Built withou P rmits
❑ Proposed Change of cupancy . b
(Note previous use):
For office u e o _'_ __
Zoning Flood Zone SRA 'es Yl�o
Occ. Type Const.
ARCHITECT/ENGINEER
Name
010 n
Address
City
State
Zip
Phone
Fax
E-mail
State License Number
FMM
I J�i�iME
►S`af/
0% ! 1 $?,p wor"I
47 g'
PERMIT
NO. b
BIN #
PROJECT LOCATION
1,44!5>
Prop `tom
Cit ! ` :a
WORKER'S COMPENSATION
Policy Number . /f
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
lei
Sq T- Living G. rage Open
❑ Structure Built withou P rmits
❑ Proposed Change of cupancy . b
(Note previous use):
For office u e o _'_ __
Zoning Flood Zone SRA 'es Yl�o
Occ. Type Const.
APPLICANT INFORMATION
Name
010 n
Address
City
State
Zip
Phone
Fax
E-mail
FMM
I J�i�iME
►S`af/
0% ! 1 $?,p wor"I
47 g'
PERMIT
NO. b
BIN #
PROJECT LOCATION
1,44!5>
Prop `tom
Cit ! ` :a
WORKER'S COMPENSATION
Policy Number . /f
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
lei
Sq T- Living G. rage Open
❑ Structure Built withou P rmits
❑ Proposed Change of cupancy . b
(Note previous use):
For office u e o _'_ __
Zoning Flood Zone SRA 'es Yl�o
Occ. Type Const.
0
t
PERMIT NO.
PERMIT EXPIRES
OWNER WILLIAM Van VLEET
CONTR. MOBILE HOME CENTER
ASSESSOR PARCEL 27-14-32
LOCATION 3478 Fletcher Rd., Oroville
S
1
I
I ,
OFFICE COPY ;
Address !
GAS
Meter, By Date
ELECTRIC I•
Meter By ` Date `
r n
OFFICE COPY !
-
Address
GAS Date" r
j Meter By
k
Pt
ELECTRIC'. Date
Meter By
t
Temp. Power Pole
Called PGf
+ Temp. Elec. Se
Called PGf
Temp. Gas Ser
s
Called PGf
iJOB FINALED
Signature
= OK
0 Not, OK
Not Not Reaable
dyMOBILE HOMES
Date M0,8fCE HOME UTILITIES (Plans) OK except #'s
61�Z ning Requirements -Setbacks -Easements
Soi s; Special MH Support -Sketch
er; Location -Test -Fall -C/0 -Concrete
f Location -Test -Easement Needed (Sketc
46,—Electricity; Location-Clearances-Grnd.-/ / Ai
as; Location- est-Wra ' // P'L"ft.
/ P'Nat. orPV'ft:l P'LPG
tility Clearance
Card-B1�J Date�f/-' Card -81 Date
Card -Bim Date Card -81 Date
Date MO ILEHOME INSTALLATION (Plans) OK except #'s
ning Requirements -Setbacks -Easements
F tings; Size -Spacing -Marriage Line
as;IMH Test -Demand -Valve -Connector
E tricity; MH Test -Crossovers -Breakers -Clearances
rain; MH Test -Fall -Flex Connector
jNater; MH Test -Regulator -Connector
V'YVater and Sewer Connected -C/O to Grade -HD Apprc
as and Electricity Tagged
RI -Exits; Insp.-Sketch
Cert. of Occupancy
Card -31 Date Card -61 Date
Card -81 Date Card -81 Date
f F -,s 10 829
1487
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.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors .
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -61 Date Card -B1 Date
Card -61 Date Card -81 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -81 Date Card -81 Date
Card -81 Date Card -B1 Date
= OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= Wt Ready
Date UNDERFLOOR (Plans) OK except #'s
Da?e FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
_ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel- Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Mated al -Su pprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -131 Date
Card -131 Date
Date
Card -61 Date
Card -61 Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -131 Date
Card -131 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -131 Date
Card -81 Date Card -81 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
8i. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
9i. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -81 Date Card -131 Date
Card -81 Date Card -131 Date
Card -61 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
MOBILEHOME INSTALLATION ACCEPTANCE
f' COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT NO.
Address or location of mobilehome
Owner's name
Owner's address
Insignia or hud number
Manufacturer's name'^.-,r'�
Serial number of V.I.N. K
(Official Approving Installation
Year of manufacture
(Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 -
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE.
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional. explanation, please contact this office immediately.
Inspector Date
_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califbrnia 95365 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCNU�MBER
d)�
Z I
BUILDING PERMIT -:;7
Ow ER I'
ELEPHONE
SO. FT. OCC. BUILDING VALUATION
O�MIyER'Sa AI LI ADDR SS
' 1rn` e
C O,ILrI ® NA n, 'V
t�•_•[J
TELEPHON
63-3-35W
CONTRACTOR'S MAILING AD�D(/RESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation Is
Filing Fee
$ ID -M
LENDER'S MAILING ADDRESS
Permit Fee
$ S d�
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESSQ,
14L
�
Permit fee
= (710
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PA CEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF VRUCTURE
SF [1 Duplex❑ MobilehomeE-� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S W
0.00 ea.
TYPE OF WORK
New[:] Addition Remodel[]Utllities Installation❑ Other E:1
Describe work: ��� •
Permit Fee
$ C7 L00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
r
Main service 100 AMP ORSLESS
10.00 1Q.190
Main service EA. ADO'L 100 AMP
2.50 �t
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio Code and m� license is in full force and a fect.
Q
License No. Classification
❑ I, as the owner, or my employees with wages as their sore compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.51 ,/=¢sg ft
OR ACDNS. ACC. BLDGS.
NEW CONST R. LET 2.50 ea
NON-RESID .BRA NCCH CIRC ITS a
POWER APPARATUS e
(SINGLE OUTLET CIR. I
Ex. OCCUp(OUTLETS OR FIXTURES Z0050t
ewL930
FIXED APLNS
EX. Occup. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
9 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
=
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, Inde if and keep harmless the County of But agains
all liabiliti g ent , co ts, and expenses which may in any ay acc e
agains id n in on ue a of the granting of this per '
Signature of Applicant Owner Contract Agenwork
X Date2Z�",,'
An OSHA permit is required for excavations over 5'0" deep andnstruct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
coNST.TrPE
SCNOOL
PLoo
PARCE
PD ND Iseu
This permit is hereby issued under
sions of the Butte County Code and/or
Indicated above for which
IRE 0 PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date _6 e 7— 00it,
Receipt No.
WHITC-O.P.W., YELLOW-AODEe30R. PINK -INSPECTOR, GOLDENROD -APPLICANT
_ .., w. ... .. ..r y.s'"" - +� !.-1.}''l`r•%C'i..••1'',:.•i"�r,++•:.�.k-H+�}•""'.`.I"i.. .�i...�.- �iirr-..«�',. 1. ...
a.r lea
COUNTY OF BUTTE - DEPARTMENT O ! PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLI<,. CAL-IFGRNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET -
`' W-eo
Permit No.
OWNER V .1� - . P. No.
Proposed Building Use N rn �� Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
E
1.
2.
3.
4.
5.
6.
7
8.
9.
11.
12.
13.
14.
—15.
16.
17.
18.
19.
20.
21.
22.
All items.have been submitted. . . . . . . . . . . .
Plot plans in duplicate. /triplicate, signed by preparer of plans. .
Complete plans in duplicate./triplicate, signed by preparer of plans.
Complete engineered plans and calcs, with wet signature on plans.
Plans with Energy Design Compliance Statement. . . . . .
School District "Fees Paid" Stamp on Floor Plan.
Statement of Intent for Non -Heated and AC Buildings.
Fees of $ , . • . . • ,
Letter of signature authoriz ion. , . , • ,
Sanitation approval from I DO 1•� Health Dept. �� �a �-
Planning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner❑, Mail to owner ❑•)
Improvements may be required. . . . . . . . . . . .
Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to
Pre -Inspection for Required. Building Inspector (Dote)
Recorded copy of Agricultural Acknowledgment Statement. ._
Driveway Permit.
Plot plan approval from city of
Engineered trusses in duplicate (required prior to plan check).
—
When u issue the_eermit, process as follows: Mail to owner, Mail to contractor.
Telephone 53�.yi.lO3 and -hold for pickup atbry offs e, " De4iver w/inspe
Other //
Applicant �'�/ �/� Date
Copy of plans sent Health Dept., Fire Dept., Other Date /
The following data must be submitted prior t permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2• Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_-nail counter by date
Contractor, designer, owner, was advised of above required data by_phone_malip counter by f date
Plans checked by Date Plans approved by Date
Copy—DPW
Sets of plans on hold in
File.cabinet AP folder
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
-7? fi�L--e V -
Owner, Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for c bedroo mobile home. Other
NOTE ***
Sanitarian
/a
Date.14
r�
( Witness)
STATE OF CALIFORNIA 1I COMMONWEALTH LAND®
T ) SS. FLI TITLE INSURANCE COMPANY
COUNTY 'OF Butte /1
'ren May 4, 1988 ,before me, Geri Quayle
a Notary Public in and for said State, personally appeared Angelika Ruiz------ personally (known to me)
(or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within Instru-
ment, as a Witness thereto, who being by me duly sworn, deposes and says:
That S resides in Butte County , and that She was present and saw
Willem 0. Van Vliet----------------------- personally known to her
to be the same person -described in and whose name is subscribed to the within and annexed Instrument as
parties thereto, execute and deliver
the same, and he acknowledged to said affiant that
he.-. executed the same; and that said aff iant subscribed ®■ e ■ ■ ®■ ■ r ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ d
her name thereto as a Witness. GERI QUAYLE
4ITNESS my and official se NOTARY PUBLIC CALIFORNIA
e ■ Butte County
Signature IN Commission Expires Oct. 23,1889 ■
®�®8*vooeo■m00aMEMaasaMaee®
Form 3214 (CA 12.82) (This area for offeiat notarial seal)
���
"�v���w
^ Return to DPW
��\'
Section 26-8.I of t"1ve�
_uyt'� Coun�� Co: requires this acknowledgement
'
' �!
be recorded prior to iqouance of u building permit.
. .'�'..�'
be ~ptoperty deacri6ed herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this ''
'
property may be subject to inconveniences or discomfort arising from
!
'
the -use of agricultural chemicals, including, but not limited to herbicides, pesticides,
'
and te.rtil1zero; and from the pursuit of agricultural operations including, but not limited
`
to cultivatiou, plowing, spraying, pruning, and harvesting which occasionally generate dust,
.
smoke, noise, uod odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said couaa and no
a7djacent property should be prepared to accc,L such inconvenience or diucooform from normal,
necessaryfarm operations.
All that real property situate in the County of Butte, State of California, described
asfullowo;
�
��
~� e- �l ' --- -----'
Date:
State of )
) SS
County of )
|
Beo Fee 7.00
|
Cash 7.00
Recorded |
'
Official Records |
County of |
Butte |
Candace J. Grubbs |
Recorder |
18:35am 5 -May -88 | JJ 2
11K) 83:
3rZa
-' this -- _k� -~/ of 190 C), before
�c, d`e vndcraigned Notary Public, appeared
�
Personally known
to mc. --' Proved to
me on the basis
of satisfactory
evidence.
to
be the person(s) whose
hame(a)
subscribed to
the
within instrument
and acknowledged,
`
euecoted
the same for
the purposes therein
contained.�
.
IN
WITNESS WDCKCOF` I
hereunto set my hand
and official* seal.
`
,
.
...Notary
Public-'....--_ ~
'
Present A.P. Bn.
0
�
Order No. 3-85477
Escrow No.
Loan No.
WHEN RECORDED MAIL TO:
ur. and Mrs willem Van Vliet
7 Greenwood Lane
Redwood City, CA 94063
88-14
-r4ECORDED
86-03898
IN OFFICIAL WO11 11t[VALLEY 'T= CO.
1336 FEB -3 PK 10 33
EANOR K BECKER
K; -RECORDER FEE
.3898
SPOCE APOVE THIS LINO FQR RF97n$* ER'S
MAIL TAX STATEMENTS TO: DOCUMENT F t �N•—•• —• - ---
same As above ...... Comput on he consl o tto o vol of property convoyed; OR
...... Corn o the co qtl n ry a la» liens or oncumbrence
rem a time o
61p tura a oeolerent or Ap, nt Oa rmininp ua — /Irm Neme
GRANT DEED
..
FOR A VALUABLE CONSIDERATION, receipt of which is hereby ntkuowledyed,
HENRY T. RUNGE, JR. and CYNTHIA A. RUNGE, husband and wife
hereby GRANT(S) to
WILLEM 0. VAN VLIET and JO,HANNA E. VAN VLIET, husband and wife,
as Joint Tenants
the real property. In the Qi/Y/,f11lf� unincoporated area of the State of California, described as
County of 'Butte
PARCEL; -I:
Par cel.
l!:1; "a8 19988 shown on that certain Parcel Map entitled, "lying in Section
11,..TIj8N., RAE., M.D.M.", said Parcel Map -was filed in the Office the ;.
Recorder.of the County of Butte, State of California, on August 3, 3, in ;;•f
Book:93.;6f:Parce1 Maps, at Page 35.
RESERVING%THEREFROM a non-exclusive easement for ingress and egress for
road 4nd public utility purposes lying within the bounds of the above
described parcel, as shown on said Parcel Map..
PARC_ EL IIT
A non-exclusive easement for ingress and egress and for and and public /
utility purposes over Parcel 2; as shown on that certain Parcel Map
entitled, ".lying in Section 11, T.18N., R.4E., M.D.M.", said Parcel Map
was filed in the Office of the Recorder of the County of Butte, State of
California, on August 3, 1983, in Book 93 of Parcel Maps, at Page 35.
AP No.' 027-14-0-A-0 i
�OmA.
Dated January 24, 1986 -
T Run a Jr
STATE OF CALIFORNb. IaIL
COUNTY OF I
On_...._—.----...
before me, the undersgne4 a Notary Public In and for said State. OF,
sonalty appear
SEE ATTACHED
peraonsiy known to me (or proved to me on the baole o1 satisfactory
evidence) to be 1118 pereon(e) whose name(e1 to/ate subscribed to the
wlthln Inatrumenl end scknowiedped to me that he/she/they eseculd
the earn&
WITNESS my hand and olllalel 6081•
S�anafura `—
Henry g
Cynthia A. Runge /
<i
(Till. eta. in, offlo.l nowlat N.0
MAIL TAX STA'IEMENTS AS DIRECTED ABOVE
1002 (8/82)
END OF DOCUMENT
0
411
d
AP #
OWNER V6&71 V C,w-e�
PERMIT
MH UTIL.CLEARANCE DATE 3 7
INSPECTOR��
ELECTRIC GAS
Support
Struc.
Compaction
Test Req.
vice
:e
Other
Load Type
Pipe
Size
Length
YES NO
YES NO
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATI,QN AND PERMIT
ASSESSOR ARCEL BE
rqr
Z0&1 G
BUILDING PERMIT
OWNUJall
o�
C•
TELE oNE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAI NG A ES
r �V
C SNAM•
CO TK61;R D
TELEPHONE
CONTRAC OR'S M N ES ADDRx
;' 0 � �% � t ` 4
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ^
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
IJt 1
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
0.00 ea'
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one): -
I am licensed under provisions of Chapt. 9, Div. 3 of the Business -
T and Professions. Code and my license is in full force nd effect.
License No. Classification C
F] 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.si
OR ADDNS- ACC. BLDGS.
,/20sgft
WCOCONSTR LOUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
SA O30
FIXEDLINIS
Ex. 1JCCUp. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the abo tioned property for inspection purposes.
I also agree ve, in mnify an keep harmless the County of Butte against
all liab' ' es ' dgmen .s, cos and expenses which may in an7ay acc eage' s oun in q nc a granting of this permit.
Date g
ignature of /Pp lica — Owner❑ ContraC Agenr❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ov r 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPE
SCHOOL
PLoo ARC! PD
ND
Is
This permit is hereby issued under
Sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY 1
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date - —
'� r•
Receipt No.
WNITE-D.P.W.. YELLOW-A"PINK-INSPECTOR. GOLDENROD -APPLICANT
.-. r,- ,� .v ,.. � Y � , ,,6....... j.,..,,.�: �►-.-v ., -vsyr:;,��,�yyy.i:y.� ice..-.. .r ,..�.�....:�,y,....�,w.fy,r�r;. ;,.,.,r �.,_.,..�..� +4-..;v.- ��ay"•f` r •
4
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING'DIVISION /
7 COUNTY CENTER DRIVE - OROVILLE, CAI .-FOVNIA 95965 - TELEPHONE: 916/538-7541;1 /
PERMIT APPLICATION DATA SHEET
1A' VaIA-VI Permit No.�1 OWNER \►`�M � l A, P..No. c` �"'�`t
Proposed Building Use ' ► "` Building In's'pector— Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items.havebeen submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plans. .
r
3. Complete plans in duplicate./.triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . , , ,
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑.)
5. Improvements may be required. .
6. Mobi lehome Installation Data. • . , . • .
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
When>oirissue the ermit, r ess as follows: Mail to owner, Maif to contractor.
Telephone S`�33–� �� and hold for pickup at office, ---- eliver w/inspector.
Other_
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_--nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date
(Date)
Plans checked by Date Plans approved by ez Date 3=24 -0-
Sets of plans on hold in File cabinet AP folder
Copy—DPW
s ,
.'' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville,• CA
PHONE: 538-7541.
MOBILEHOME INSTAI,I'ATION SHEET
1. Owner's Name: _
2. Installer's Name:
3. Is the site currently under permit?
(If yes, furnish permit pumber
Yes
F-1
No
_) OR
Is the site an existing site? - Yes No
(If yes, furnish two plot plans.)
4. Will the mobilehome be located at least 5 ft, away from stE1
nd leach
fields and clear of all setbacks and easements? Yes
septic
(If no, clarify
5. What is the mobilehome electrical rating? --------------- ID C> Amps
6. What is the mobilehome site service rating? ------------- Amps
7. What is the mobilehome site circuit breaker rating? ----- /49 U Amps
8. Is there any other electric load to be served by the
mobilehome site service? ------------------------------'-'Yes`, No F]
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? -------------- G ( n•)
10. What is the type of gas service? ------------------- Natural LPG
11. What is the gas pipe length from meter or tank to the
mobilehome?= --------------------------------------------
* 12. What is the mobilehome gas demand? ----------------------
(ft.).
(BTU)
*(This information not required if pipe length less than' vY➢n'�p 1
natural gas or less than 50 ft, on LPG.) Q �
MOBILEHOME SUPPORT DATA
f other than single wide,
Mobilehome Mfr. furnish Setup Model No. Year
Width (ft ) Box Leng 5t _(ft.) Tagalong or Expando Size ---, ft. x ft.
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.2. Other (specify)
SUPPORTS (oheck'one) Concrete block.2. Other•(specify)
Pier Footing Sizes and Locations
SINCLE-WIDE
MULTI -WIDE
Main Beams
Line 2
Main Beams — — — —
=2
Tag or Triple
r- —• — — — — — — — — — — � � Line 1
Line 1 Piers:
Size -Min. ------------ �
r
Spacing -Max. -----;-- ,
Fr-., Ends -Max. ------- "
Line 2 I'iers-
size -mill ------------Spacing-Max.--------- „
From Ends -Max:--.-----
0
r
Line 3 Ruoff Loads:, ,
Slze-Min.--------- --
LAwation (From Front)
Line 4 Piers:
SIZ.-Min -------------
Spa, Lig-Max. ---- -----
Prom Ends-Frx.-------
L1ne/� Koof Loads:
l
S1zc-Min �-..---------
lucaLion (F o• ont)
Line 1 Openings:
Size -Min- ------------------
x
Each Side of Openings
With Width Over -------' "
Line 3 Piers: (Under Bearing Wall Only)
Size -Min------------------- nx 1.
'Sp.Acing-Max----------------
From Ends -Max.-----------
"x "x I. "x x "x "x — "z
Line 5 Piers: (Under Bearing I
Size -Min.------------------
Spacing -Max.--- --------
From Ends -Max. ------------
RESIDENTIAL
027-140-032 PERMIT#96-1,455
t VANVLIET, William
3478 Fletcher Rd., Oroville
Cont: Integrity Mobile Homes
Ex MH on Perm Fnd
� GG
ro /� - i f .J"'�• -ral (OC(C el,OlV
j IBE
E HCD. FORM 433A'FOR THIS MH CANNOT
RECORDED UNTIL ONE OF THE FOLLOWINGwww-
VE BEEN TURNED IN TO THE BLDG DIV:
i 2 LICENS DECAL
?3
F Q
JOB FINALED (Date) r "
Signature
E
ENGRACIA SIMMONS +`° ' ''" 568
VENERANDA GATON
268 OLD MT. IDA RD - 916- 9131 90-78/1211
OROVILLE, CA 95966v 19t, pu
/O d
PAY TO THE F r ,. �• _ z
C � . /
ORDER OF �'�', ,. / �
..a. s f D 0 -1 t (may #.._ ._ _...V.,C/'';
3 tY: '
-�'.i�"E • • (/� /,} 'd �'"Y �' ' �DOLLARS . ®mcivasa.
Oro Dam OE 4eje
2616 ORO DAM BOULEVARD
H
OROVIL E, CALIFORNIA 95966 •' "a f,
BANK&WHT 1-800 488-2265 A,1:
7b f o�1,33/�YzeovbG�( y !�fr far �f -¢:
+�` �z
FOR '^i�xa''�-s�s�� F ;�,�` �,��;� +,�`.��'� �:L':�i''�� 4���+t�•��G%����;'lw .,r1s:
1: 121 i�'_ .07B 2 3,0`5
C '
CwW WJ0 ,e85 r�'r:�
>V T, -j�_ ��� O !i LJ : •fit :.
%% r \ 4 ocil � J rot
1•i2'4'� tel. 8-.
if
r'
r.rz
• •��j tib' ..
)
` RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DMSION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY . of Document Recorded
19 -Jun -1998 1998-0025518
Has not been compared with
original
Butte COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the un# 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.
WILLEM O. AND JOHANNA E. VANVLIET
REAL PROPERTY OWNMIESSOR
3478 FLETCHER ROAD
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
VnLLEM O. VANVLIET/MYRNA GERNLER
UNIT OWNER ('rf also property owner, write'SAME•)
3478 FLETCHER ROAD
BUTTE COUNTY BUILDING DMSION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
96-1455 530 538-7541
BUILDING PERMIT NO. TELEPHO E NUMBER
SIGNATURE OF LOCAL AC CIAL IIATE
NONE
DEALER NAME fur not a dealer aale, write 'NONE')
MAILING ADDRESS DEALER LICENSE NO.
OROVILLE, BUTTE, CA 95965,
CRT c ffrf CA" W
UNIT DESCRIPTION
KAUFMAN/BROAD HOME SYS.
1987
SAHARA
MANUFACTURER'S NAME
DATE OF MANUFACTURE
MODEL NAME/NUMBER
KBCASN87321643
56'X14'
PFS 141829
SERIAL NUMBER(S)
L.FNGTII X WIDTH
INSIGNIAILABEL NUMBER(S)
BEAL PROPERTY LEGAL DESCRB>I70N ASSESSOR'S PARCEL NUMBER
SEE ATTACHED LEGAL DESCRIPTION.
A.P. # 027-140-032
HCD FORM 433(A) REV. 8/91
WHITE - Canty Recorder CANARY - HCD PINK - Applin" GOLDENROD. Building Dep.
LEGAL DESCRIPTION
A.P. #{027-140-032
PARCEL I:
Parcel 1, as shown on that certain Parcel Map entitled, "Lying in Section 11, T. 18N, R.4E. ,
M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte,
State of California, on August 3, 1983, in Book 93 of Parcel Maps, at page 35.
RESERVING THEREFROM a non-exclusive easement for ingress and egress for road and
public utility purposes lying within the bounds of the above described parcel, as shown on
said Parcel Map.
PARCEL II:
A non-exclusive easement for ingress and egress and for road and public utility purposes
over Parcel 2, shown on that certain Parcel Map entitled, "lying in Section 11, T. 18N.,
R. 4E, M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of
Butte, State of California, on August 3, 1983, in Book 93 of Parcel Maps, at Page 35.
BUILDING PERMIT NUMBER:
96-1455
Address or location of unit: 3478 FLETCHER ROAD, OROVILLE
Legal Description of Real Property: A.P. #027-140-032
SEE ATTACHED LEGAL DESCRIPTION.
[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: WILLEM O. VANVLIET/MYRNA GERNLER
Owner's address: 3478 FLETCHER ROAD, OROVILLE CA 95966
INSIGNIA OF HUD NUMBER: PFS 141829
SERIAL NUMBER OR V.I.N. KBCASN87321643
MANUFACTURER'S NAME: KAUFMAN/BROAD MHI(EAR : 1987
OFFICIAL APPRO G INSTALLATION:
DATE: 9�' PHONE: (916) 538-7541
H.C.D. 513C
STATE OF -CALIFORNIA-DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
DCCTCT.DATTnm PADn mnUT1 cunmu DECAL NO. 1 AI 4748
MANUFACTURER•NAME/ID
TRADE NAME
MODEL
DOM
DOT
DFS
SPC
EXPIRATION
KAUFMAN/BROAD HM SYSTEMS INC/0
SAHARA
1857
04/15/87
04/16/87
08/18/88
9578
t
U SERIAL NUMBER LABEL/INSIGNIA NUMBER
L KSCASN87321643 PFS141829
WEIGHT
021989
LENGTH
000672
- WIDTHISSUED
000168
09/13/88
SCC
04
EXEMPT
USE
SFD
TYPE
LPT
2
3
TOTAL .
q
FEES
5
PAID:
6
$19.00
A VANVLIET WILLEM 0/
o GERNLER MYRNA
o .TENCOM OR
R 3478 FLETCHER RD
E OROVILLE CA 95966
s
s •
E
R VANVLIET WILLEM 0/
E GERNIFR MYRNA
G M TENCOM OR
I A 3478 FLETCHER RD
sI
T L
E OROVILLE G1
R
E
D
o s 3478 FLETCHER RD
WI
N T
E; -U-1 OROVILLE
R S
IN
Co
or -
DUPLICATE COPY
T:,d"BE FILED WITH THE MOSIIEHOME
PAR OPERATOR AS REQUIRED BY LAW
END
L SEC PAC HOUSING SERVINC
�"�������%�
E id
& s3gta�4ti F x t r ksr
G z�r x�w
A 2001 GATEWAY PL STE10 �r��
o SAN JOSE CA 95110s� d r m
W DATE: 08/22/88 09:21-6b. =3N..' y
NA
E
J
U F
N I
I R
O S
R T
L
I
E
N s
H E
0 C
L O
0 N
E 0
R
IMPORTANT 03-252-00030
THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT.
2 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300010
WHEN RECORDED,
PLEASE MAIL THIS INSTRUMENT TO
WILLEM 0. VAN VLIET
3478 Fletcher Rd
Oroville, CA 95966
Order No.
Escrow No
Loan No.
93-'490I.6
93-0490 1 1 Rec Fee' 8.00
I Cash 8.00
Recorded I
Official Records I
County'of I
Butte I
Candace J. Grubbs I
Recorder I
2:06pm 3 -Nov -93 I PUBL XX 2
SPfiCE"ABOVE JHIS'LINE 'FOR -RECORDER'S USIE
AFFIDAVIT -DEATH .OF JOINT TENANT,
STATE OF CALIFORNIA,
County of Butte ss
WILLEM 0. VAN VLIET of legal age, being first duly sworn, deposes and says:
That JOHANNA E. VAN VLIETthe decedent mentioned in t'he attached certified copy of
Certificate of Death is the same person as JOHANNA E. VAN VLIET
named as one of the parties in that certain GRANT DEED dated January 24, 1986
executed by HENRY T. RUNGE., JR._.& CYNTHIA A. RIME., Huasband and wife
to WILLEM 0. VAN VLIET_& JOHANNA E. VAN VLIET husband and wife as Joint Tenants
as joint tenants, recorded as Instrument No.. 898_. on Feb- 3, 1986 in
Book 93 Page 35 —of Official Records of Butte County, "California, `4 Tt
covering the following described property situated in the County of Rlltte _, State of California:
DESCRIPTION:
PARCEL I:
Parcel 1, as shown on that certain Parcel Map entitled, "Lying in Section•11,'T:18N,
R.4E., M.D.M.", said Parcel Map was filed in the Office of the!Record'er of.the
County of'Butte, State of California, on August 3, 1983, in Book 93 of Parcel Maps,
at page 35.
RESERVING THEREFROM a non-exclusive easement for ingress and egress for road and
public utility purposes lying within the•bounds of the above described'parcel,, as
shown on said Parcel Map.
PARCEL II:
A non-exclusive easement for ingress and egress and for road and public utility
purposes over Parcel 2, shown on that certain Parcel Map entitled, "lying in Section
11, T.18N., R.4E., M.D.M.", said Parcel Map was filed in the officelof the. Recorder
of the County of Butte, State of California,'on August 3, 1983,; in Book.93.of Parcel
Maps, at Page 35.
APN 027-140-032-0
Dated: November 1. 1993
Willem 0. Van Vliet
®®esai��000a�r.moa®v®se®eso�®
SUBSCRIBED AND SWORN TO before me, theam�y
JUDITH M. WILLIAMS
undersigned a Notary Public in and for said State, a
NOTARY PUBLIC -CALIFORNIA
eButte County a
Conxnisftn Expires March 11. 1994 a
This 1st day of November _1993 _. ®wapaa�aaiao�����a,eosNaa�®
WITNESS my hand and official seal.
. __ •86=03898 .
RECORDED IN OFFICIAL-RECORQ5
Order No. r OF BUTTE COUNTY.CAUFORS
Escrow No. 3-85477 AT THE REQUEST OF
Loan No. '
AMD VALLEY TITLE CO. .
W
1986 FEB. -3 PM -•4: 33
WHEN RECORDED MAIL TO:
Mr, and Mrs Willem Van Vliet -.ELEANOR BECKER• '
7 Greenwood .Lane CLERK=RECORDER . FEE
Redwood City, CA 94063
SPACE ABOVE THIS LINE FOR RE• ORDER'S"USE Pa
MAIL TAX STATEMENTS TO: v�Ni'
DOCUMENTA RANSF T".....; .......................................
same as above Compute on naconsi a do oval of'prbpertyconveyed; OR
:. Comp e o the co ati n r v e lest liens or encumbrances
Signature of Declarant or Agint deterrnlning tax — Firm Name
GRANT DEED '
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
HENRY T. RUNGE, JR. and CYNTHIA A. RUNGE, husband and wife
hereby GRANT(S) to
WILLEM O. VAN'VLIET and JOHANNA E. VAN VLIET, husband and wife,
as Joint Tenants
the real property in the gify/�y unincoporated area of .the
County of Butte State of California, described as
PARCEL I:
Parcel 1, as shown on that certain Parcel Map entitled, •"lying•in Section
12. _ T__1 ?'. 1 .,.. ._.��'.._, ca;-.. Parr -o1 MaZ �aac f' led -min thP. Of-fi ce`nf.' the
e
Recorder of the County. of Butte, State. of California, on, August' 3;.•;..1983, in
Book 93 of Parcel Maps, at Page 35.
RESERVING THEREFROM a non-exclusive easement for ingress.and`egress for
road and public utility purposes lying within the bounds of the.above
described parcel, as shown on said Parcel Map.
PARCEL II•
A non-exclusive easement for ingress and egress and for:road'and public
utility purposes over Parcel 2; as shown on that certain•Parcel�Ma.p-
entitled, "lying in Section 11, T.18N., R.4E., M.D.M."., said.Parcel-Map
was filed -in the Office of the Recorder of the County ofButte',,: State 'of
California, on August 3, 1983, in Book 93 of Parcel Maps,'at Page''35.
AP No. 027-14-0-032-0
comp.
January.24, 1986
STATE OF CALIFORNIA
COUNTY OF
I
)ss.
before me, the undersigned, a Notary Public in and for said State, per-
sonally,appeared
SEE ATTACHED
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same.
WITNESS my hand and official seal.
Signatu
Exec :.\
x/✓ .
Henry. T."Runge, Jr.
I
Cynthia A. Runge I 4-N
(This area for official notarial 'seal) .
.1002 (6/82)
MAIL TAX STATEMENTS AS DIRECTED ABOVE
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
41'1 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
V A / /y55
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
/t
0Z Ale
al
c yam, , 11Z) -v
,yrs
Date df/'F2 Inspector [&55ell /J,
REV 10/12
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307 j
CORRECTION NOTICE
1/1
RMIT
A routine inspection indicates that the following violations of Butte County Ordinances exist at A
the above address dnd should be corrected. Please notify this office when correction of work
is co f 1yZ have any questions pertaining to this matter, or need additional explanation, 41
pie a cont /this office immediately.
f
\-74'jZ,6 Soi j'o -r-d A61,0z'u.ti b ,
Date % — — Insp
REV 10192
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO.
APPLICATION AND PERMIT 9�'`I _ (5
ASSESSOR PARCEL NUMBER 27-140-032
ZONING
BUILDING PERMIT
OWNER
WILLIAM VAN VLIET
TELEPHONE
533-2746
SO. FT. OCC. BUILDING VALUATI
784 42 336.00
OWNERS MAILING ADDRESS
3478 FLETCHER OROVILLE
CONTRACTOR'S NAME
INTEGRITY MOBILE HOMES
TELEPHONE
CONTRACTORS MAILING ADDRESS
OROVILLE
Fireplace
CONSTRUCTION LENDER
UNIw0WN
Total Valuation $ 42_336.00
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 184.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 93-00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
FLETCHER
PERMITFEE3478 S
XXXTOCHN OROVILLE
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: MH PERM FOUNDATION EXISTING SITE/
EXISTING M/H
Mobile Home I S I GI W @20.00
PERMITFEE t 65.00
Contractor
ELECTRICAL PERMIT Filina Fee 20.'00
Main ServiceOooV OR LESS
( 20 A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class IL 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.
I, as owner of the property, am exclusively contracting with licensed contractors
-` to construct the the,
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. s0.
OR NS. ( 8 ACC. ) 3.50 FT.
NEW Ci
CONST. MULTI.OUTLETLE
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( POWER SINGLE APPARATOUTLET SUS )
8
Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00
BAL .50
Ex. Occup. ( OUTLEEDTS ((RRESID.).eA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23 , 00
23.00
PERMITFEE S 43.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing
9 Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Ct�6� ee Le/Date _ 7 Z_
Signature of Applicant - AOwner O Contractor KAgenttoo ;va!!
'f
An OSHA permit is required for excavations over 5'0" deep and demolition or cons ruction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 335.50
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL
PD HD E
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 (9 Da I/
PERMITEXPIRESON d
(Date)
Receipt No. 201961
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
�'��• 3°1�.,.:�R.y�;'�V%h.'Ci+x."<i4""'.7°=�'t'�7T-t'.?:-Tfi`YP',.�r. r .ere^,::�gi���eR!^r7r'+a9�4:wr�[rai..ew mt{sFar�+.sr�.'es�:..i°FeA:'RTi .. r'. .. :t._ .. I -
.
COUNTYOF'BUTTE - DEPARTMENTOF6EVELOPM ENT SERVICES - BUILDING DIVISIONt,
b4,�,� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
"�`�+
r
OWNER GUI 4 -
Proposed Building Use
PERMIT APPLICATION DATA SHEET �
IF -T -A. P. Ndr-"' / ` ` O -C� 2
/7 Gx� Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All items have been submitted . ........................................
.
Plot plans, 3/4 sets, signed by preparer of plans. .......................-
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ..................... .
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ......................................... .
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ........................
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department._ ........... .
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. ... .
st
-20. Pre -inspection for P��"�ng Inspector
required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ............. .
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ...........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
1; ..............G 2c.?
When you issue thepergi�p�oce¢s as follows: Mail too er. Mail to contractor.
(f Telephon / and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
-7Acreage Applicant �'A�ZDate � b
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. ether Date By
The following data must be submitted prior to permit
1. Index permit for above items No.
2. Additional items required:
new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Count by _ Date
�,�
Plans checked by Date Plans, approved by - Date _'
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works tp �`
COUNTY*OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER d -0 J 2 rl
ZONING
BUILDING PERMITELEPHONEOWNER
+ / �
V_
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING E
CONTRACTOR'S NAME
I L
TELEPHONE
CONTRACTORS MAILING ADDREss
L—
'
Fireplace
CONSTRUCTION LENDER
UNXNOWN
Total Valuation $
Filing Fee /^
$ 20.00
LENDERS MAILING ADDRESS
Permit Fee
$ -5-j
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMITFEE
S 7� -
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO. SUBDNIS ONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00 /s—
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00 /
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ In la
Describe Work: ❑ Other 0
��/C
!� ��C
�jTf/V co
Mobile Home S G W
@20.00
PERMITFEE
_
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main ServiceWOO OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A To I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
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
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 -inSUTIEk for workers'
compensation, as provided for by section 3700 of the LaborI%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.)
❑ 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
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.
NEW CONST. DWELLING OCCUR
OR ( a )
SO.
3.5¢ FT.
CNS.
LTI-ACCUTLEBILDS
NEW CONST. MULTI -OUTLET
NON•RESID. ( BRANCH CIRCUITS ) 97.50
WER
(a SIINGLE OUTLET CIA. )
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1•00
BAL .SO
Ex. Occup. OUTLETS PLNS.OR ) 5..0
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
g
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 3 3 S1 5D
HAZ. .D. FgEfsf IMP
'
FLOOD I cDF PARCEL I PD I HD I ISSUE
This pe ml isAhereby issued under the
of the Butte CountyhCode and/or
indicated above for whichlEes have
By
PERMITEX_PIRESON
applicable provisions
Resolutions to do work
been paid.
Date
IAufd
ReceiptNo. '
r_ni ncucnn_APPI Ir`ANT
I
a
or✓� o rr"This1
set Of Plans and speW
ton the. job at all times ax
ci1�¢ /N .Cid ake ?r�or alterati,
QP�rht3, Cour from the'
��
Itsons
It 18 unlai
B on gam M •• /
e ►.ped
ilr-1
N®TLY: An Materials & Tor
.Accordance with Reco P ela�Y y'e't
Of a Quality ionized ..I actices and
ty Prescribed for tape �►� ilfieci use
in the Uniform Building, ply
Codes and the Nati�l 0
u "Sso-
0?Gd
�v
0
O� �PG� PQM
F
V
� J
C
ri
8 I
��DOIoY
.I Y� K J nuc c, rrP —
lyG000yG%Q „4 64)
pt,P n eel q
JO. 4>_AZ �'c .
z
GN� �
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 CoAnty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER%
ZONING
X4-5
BUILDING PERMIT
OWNERTELEPHONE
W i ly an•. UQ' A/ (
3 �Y(s
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
i s ��- v ✓,` r l
Oeq
CONTRACTOR'S NAME
TELEPHONE '
CONTRACTORS MAIUPP�aADD�RESS
C +� / � L
CONSTRUCTION LENDER
IFNDER'S MAILING 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 $
Oro a! fle
$
PERMIT FEE _
LOT NO.
SUBONISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 0 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 11 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other C�
Describe Work: 6/4 /,eeio, ."I— ZV
az" -e
C/
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service Don oA mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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 LIC. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjurythat 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.
❑ 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
Main Service 200A TO 1000A 46,00
NEW CONST. DWELLING OCCUR so
OR ADDNS. ( & ACC. BIDS. 3.50R.
INmN.UUNN1. MULTI.OUTLEi 97,50
APPARSATU
d SINGLE OUTLET c10.
Ex. Occu OUTLET ORFIXTURES X0':00
FIXED OR
Ex. OCCU oULETS (RESTo. EA 5.00
-L
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
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.)
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 :
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.
Mobile Home Installation Fee s
Energy Inspection Fee s
occ
CONST. TYPE
HAz
D FEES IMP
FLOOD
CDF
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.
By Date
PERMIT EXPIRES ON
0Ta
ReceiptNo.
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
S USDNIS ION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each oas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
vLES
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.
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 200A TO IDDDA
46.00
NEIN CONST. DWELLING OCCUR
OR ADONS. ( & ACC. BLDS.
So
3.50FT.
ONS
NON-RCS DT MULTI CIRCUITTS
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDRURES
BA20L .: I'DD
SO
UNS
Ex. Occup. GFlin Ers ..16,DFR.w
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
Fling 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.)
❑ 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
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.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
0. FEES
IMP
FLOOD
COF
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.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
V=OK
0 = Not OK
==No=Not
tReaApplicable ' MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements - Setbacks - Easements
Footings; Soils-Size-DepthSpacing-Connectors-Steel
2. Soils; Special MH Support Sketch
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer; Location -Test -Fall -C/O -Concrete
,4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
4. Water, Location -Test -Easement Needed (Sketch)
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete -
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap; / /'L'ft.
/ /Nat. or/ /"L"ft./ /LPG
7. Electric
7. Well Clearance & Disconnect
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
8. Utility Clearance
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION Plans OK except #'s
Card B-1 Date Card B-1
oni uirements- Setbacks Easements
' gs Si pacing -Marriage Line
; MH Test Demand VaKe-Connector
f lectncity; MH Test -Crossovers -Breakers -Clearances
Card B_1 Date Card B-1
Drain; MH Test -Fall -Flex Connector
PO S lans OK except #'s
r6. Wates "lest -Regulator -Connector
tbacks-Easements
Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
W rand SevQ Connected -C/0 to Grade -HD Approval
4. Elec.; Receptacles and Lighting, Distance-GFI
nd Electricity Tagged
5. Elec.; Pool Lighting; 15 Volts-GFI
Tie Downs -Type -Installation Cert.
1Q. sinsp.-Sketch
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
1 Cert of Occupancy
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Date
Card B-1 ' 92 te Card B-1
Dat -S
Card B-1 ate Card B-1
)
T
. n
'MISCELLANEOUS
Date
DgZKS, COVERS, CARPORTS, GARAGES Plans OK except #'s
1. Zoning Requirements -Setbacks -Easements
i2.
Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
I
,4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B_1 Date Card B-1
Date
PO S lans OK except #'s
tbacks-Easements
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/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date UNDERFLOOR (Plans) OK except N's
1, Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 ' Date Card B-1
Date PLUMBING (Permit),OK except #'s
---------16.-Water Htr.: Vent-Access-Combustidn Air -Baffle
-------------------------- ------------ - ---- - - - - - -----
17. Water Pipe: Test & Anchor -Nail Protection
-------------- ------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
--------------------------------------------------- ---
19. Shower Pan; Test. First Floor -Tub Access
--- ---------- ----- ---- ---------- - - - - - --- -- - -
20. -Test -Tub & Shower. Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
-------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
------------------------ ----------------------------------- -------- ---- - - ---- -
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
------------------ -- ----------------- ---- -- ---- - -
23. Elec. Receptacles Spacing -Lights & Switches at Doors
--------- ---- ------ - ------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
------------------------------------------ ----------------------------
25. Romex Installed Close to Edge of Studs & C.J.
--------- 26. Equip Ground made up wrMech. Fastners-Bond Gas &. Water
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
-------------------- ------------------ --........... _.
28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size • / ga.
Cu or At
-------------------------------------- - -- ---..... ..
29. Range Circ. / ' ga. Cu or AI -Oven Circ. ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------------------------------------..._ -----._..._. ..
30. Service -Riser Conductors & Ground -Main Disconnect
-------------------------------- --... ....... .......
31. Equip Clearances Panels-Motors-Mech. Equip.
------------------ ----- - ---- - --._.-...... ....... ..
32. Clothes Closet Light -Shower Light -Spa Light
---------------------------------------- --------
33. Smoke Detector
-------------- ...- .... ....--- _...------..... ............
....... ..
Date Card B-1 Date Card B-1
.......................................
------------...._._..._.............. ... ----------- -. --- ....... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL.(Permit) OK except n's
34. A.C. Ducts Insulation & Support
---- ----------- - - -- - - -- ------ -. _. _.. 1 .. --- ----. .............. ... ....... ..
35. Vent Fan: Exhaust above insulation
---------- ....... _ ...- ......... .. ... ... ..
36. Condensate Drain & Overflow: Size & Grade
----- ............... .. .................... ....... .. .
37. Furnance-Vent: Access -Comb. Air -Return Air vent -115 outlet
---- - ---- -------------- --- - _... ... ... ..
38 Attic Access & Platform it Furnance in Attic
------ ------ ---------- -- --
Date Card B t Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except P's
39. Sils. Proper Material & Anchors
....... ... ... . . _ .. ... ... ..._... ... ... ... ..
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
...... ....... ... ... .. ............... - -- -- - -
41. Bearing Walls over Girders & Floor Nailing
- - -- -............. ... ..
42. Draft Stop in Walls (rat proof)
...... ._. ...._._ ....... .._..... ._........ ... .._
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
................ ....... ... _ _. _.
44. Headers & Beam -Size & Bearing
"Ingle & Duplex) .
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
------------- 49. --Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
-----------
-------- ----- -
50. Garage Fire Protection Framing
------------------
51. Property Line firewall & Openings
---------------------------------- - -
52. Ext. Doors -One 3' -Check Garage -3rd Story. 2 Exits
-------------
-------------
------------_____________ 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
------------
55. Siding -Nailing Veneer
--------------------------- ------
__ _ 56. Stucco Mesh-Drip
Screed-Fd. Vents-Underflr. Access
____________ 57.- Glazing Area -Glass Protection -Skylights -Plastic
5a. Shear Walls: Nailing -Bolts
-------------------------------------
59. Insulation -Walls -Ceilings
--------------------------
60. Infiltration -Walls -Windows
----------- ---_--------------------------- -
Date Card B-1 Date Card B-1
- - -------------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except k's
61. Ext. Steps -Door & Sidelight Protection -Landings
--------------------- - --
62. Smoke Detector
-- ------------------------------------- --- - -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection'
----------------------------------------
64. Bedroom Exiting
----------------------------------
65.
..------ ----------65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
----------------------------
67. Stairs & Rails
......
68. Fireplace or Stove: Clearances -Hearth
_..-------------------------------
69 Elec. Outlets at Wood Panel: Int. & Ext.
...... ------------------
70.
-----------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
_.....------------------------------------ --
71. Elec. Outlets & Receptacles at Kit. Counter
...... -- ----------
72. Garage Fire Door: Swing -Landing -Closer
- -- - - - - - - - - -- ------- ---- -
73. A.C. Duct in Garage -Damper
_-.-------- - ---------------------------- ----
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection
..... ------------------------------- ----
75. Plb.. Elec. & Mech. Equip. Listed for Location
...... -1 ----------------------------------
76.
--------------------------------76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
.. --- ---------------------------------------------------
7,. Insulation -Foam -Looked in Attic ❑ Yes
------ ----------------------------------------------------------
78. Guard Rails & Deck Construction -Post Caps
. ... --- - --------------------------------------------------
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes_
80. Following
instldl Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No.
Planters ❑ Yes ❑ No
----------------------------------------------------------------
81. Stucco: Brown -Finish
.. .---_......._.._...---------------------- --------
-------
82 A C Unit: Disconnect. Electrical. Plumbing
... ... ... ... ..............----------------------- --- -----
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
............ --------------------------------
84
------------._..---------------84 Water Well:Disconnect. Electrical. Plumbing
. .....--------------------- --------- -----
85 Exterior Elec. Trim: G.F.I. Receptacle -Underground
86 Ventilation Throughout House
87 Glass Protection
- - ---------------------
88 Corrections from Previous Inspections
89 Gas Test -Meters Tagged: Gas -Electric
-- - -- -------- ---------------------------------------
90 Water & Sewer Connected -C/O to Grade -HD Approval
---.._..----------------------------------
91. Energy Compliance Certificate -Other Certificates
------ - ------------------------
Date Card B-1Date Card B-1
... ----- .- ---------------------------------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
- Sl -E PRS
__________________ _. _ __ -.............____ __ ____.-_........ _.____._._.______................... -
(19
l
g'k
3 1 111(1 �c1
» oro
9J, I
f
773.8 -- - -- _
Assessor's Parol Number: M. ® 0 m lr-]> N 0 scale: 1
Address / Phone No.
Site Location�'�u
Contact Name Phone
Zoning:
General Plan ®esig:
Size, Acres
'ICE WE ONLY _ PROVIDE FOR ALL
ADJACENT PARCELS
SIZE (AC):
70NING:
GEN PLAN:
4.0cT USES:
Si -E PLAN
...------ -- - - - --- - ------ - ---- ------------ ... - _ .. _ .. - .. _ -----------
-----------.
o. "K
.v\j 5
............ ------ ..... . ..... ....... ...................
_ PLANNING DIVISION -BUILDING PLAN APPROVAL
_ \Date:
Use: QK
Parking: Landscaping:
Other.
Signature: '
. --173. 72 �
Assessor's Parcel NuMber: 0 e 01® a m L:1 0 F21- Scale: v
Owner Name 114,1�
Addr-ss / Phone No. 4L7g --tet 2 6fZES)r LL� q9366 Sim (Q
Siie Location ,
FOR OFFICE U81E ONLY
�e,a�"�q:
General Plan Desig:
Size, Ams
PROVIDE FOR ALL
ADJACENT PARCELS
SIZE (AC):
70MNC:
GEN PLAN:
USES:
toPi IL 0
,.AE ADPAOTEC
u-I1T' SHEET
ETA; -FORu i
-
I.— - OVER
PAINT DIs TIw CTI
COLOR
r
ST+ND »EIC»T u
BE REDUCED : r T
•� CAc�EH rS 5
I DESIRED-wIN,
TaAST si.AwD EICHr..)-
,AINT rD coN
PRo.ECTO2 O .:
FOUR 7116•NB AT
STAND JUNCTION' - TVP.
PROVIDE LOCK 'AASHER
EACH BOLT
;116. -DIA. - TYP,
,
CENTER ON A -C' E
iLEC-:RESLIC!I:L7
OVERSIZE
WE vLA7c
/ 1YPICAL
RL L' E -
SEE DETAIL
O I O I RIC,IT TYv
MI 70' .Tj • QLD ALL AROUNo -
SEE DETAIL 11 JJ ..
-7 EACH
L �5-.2 BARS TR SVERSELY.T O.C.TAEINFOP,CINC D'TAILS
A - ,l REELARS 0 S'O C. -i-
GUS-GUARD BP -7 - SIDE VIEW
NO SCALE
O
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7, IL J I I T _
ii
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0-7 5;.1;iD ,sr 1Y2�
LW BASE PLATE DETAIL
FOR LIN, LWC-, LN -L.& LWC-L PADS
NO SCALE
1 11
LppE pll
T
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DCAIPoEI PLATE
_--�Cv1it�r•,
PER
BASE
1S.O-» .IT -OUT I1 I17 -DIA. t1uB TYv:,REAo vROC:D91�SEL
e
CAV PLATE- T-0 t•tt-t'IA• T I I;_ --I ;
-E_-EO TOCE THER •SEE
[A, PLA rE DETAIL i I 11'A•�'-
i IC 1/16' ANILE • —�
rYrIcAL • eo r» s: •»Ds V01 xou.-- I I
l w 0 JA �+
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GRIPPER BASE PLATE
o
C _ UPPER STAND CA:^ PLATE DETAIL DETAIL
NO SCALE ND SCALE
o i
t
I
10-E. STA »0.1 I c - 7716" PLAT:
1-• � 1/R -PL.
.. ., 1 ^ I 1
BASE 711
GLfS5ET SUPPORT iiA.ROO-»•E�pE
11 - \ - PLAIT.E DETAIL
COHCRETE SUPPOP.7 PAD - PP -i -ND HV ,CAL
L GRIPPER PLATE DETAIL
NO SCALE
GUS -GUARD BP -7 - FRONT VIEVI
NO SCALL
CC.;C�i SCPPC3r
cl3sa (rf?)
;�, i?`:
,41 TH .L:a 3A5E °LAT'
T
P
9/!6,, :'r. 3DI.,C =?" TCP A' -:O I
?OT TOM - SEE Is,r= 17
Ir
3/4" EXT.PLYWCCIO -
, OLMA'l*!ZE3 - SEE NOT; 13—
TYPICAL END ELEVATION
NO SCALE
Li;C SHOWN
: ro�PORr#,On_C ACH
S C DC-
•' � T�?=AO P'?r=Crc3
Et (Opri,- +AL )
A I L
CL•S-GUARD 37-7 jTr,.']D
fiI' 3
f �
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NO SCALE
U.S. PATENT #356416 - OTHER PATENTS PENDING.
0c5IC.'1 LI�r_D AhD r-cSrco v ai< S
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4cte of Cc,",Fc.;Q
D+por .xr7 o1 H-,--;rg Ord Co -m .,n y DexkF-ne 7t
Ct`'1SiGrr
COO -5 AND SUNDARDS
Dote
lw6.�•'a /
SPA NO.11=--
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I, . Ex;- 3.31.97 >!r
sjA C I V
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PER�NL=.\,TENT FOUNDATION SYSTEM
GUS- GUARD BP -7 STA:`-) and GUS -GUARD PADS
PP -1 HD, BP -7f -W, BP-7LWC, 130-7LW-L, and BP-7LWC-L
JOE N. OZOA , . CIVIL ENGENTER
2721.CKA-FEL COURT , %1036
P.E. # 27219 ���.��VlPlZ8FAQ9,3_ftMj
3 02 OUNTY
MARCH 1996
%
j1.•� II
I I II
r
HD BASE PLATE DETAIL
FOR PP -1 -HD
.PADS
NO SCALE
1 11
LppE pll
T
ES E
DCAIPoEI PLATE
_--�Cv1it�r•,
PER
BASE
1S.O-» .IT -OUT I1 I17 -DIA. t1uB TYv:,REAo vROC:D91�SEL
e
CAV PLATE- T-0 t•tt-t'IA• T I I;_ --I ;
-E_-EO TOCE THER •SEE
[A, PLA rE DETAIL i I 11'A•�'-
i IC 1/16' ANILE • —�
rYrIcAL • eo r» s: •»Ds V01 xou.-- I I
l w 0 JA �+
OILO
GRIPPER BASE PLATE
o
C _ UPPER STAND CA:^ PLATE DETAIL DETAIL
NO SCALE ND SCALE
o i
t
I
10-E. STA »0.1 I c - 7716" PLAT:
1-• � 1/R -PL.
.. ., 1 ^ I 1
BASE 711
GLfS5ET SUPPORT iiA.ROO-»•E�pE
11 - \ - PLAIT.E DETAIL
COHCRETE SUPPOP.7 PAD - PP -i -ND HV ,CAL
L GRIPPER PLATE DETAIL
NO SCALE
GUS -GUARD BP -7 - FRONT VIEVI
NO SCALL
CC.;C�i SCPPC3r
cl3sa (rf?)
;�, i?`:
,41 TH .L:a 3A5E °LAT'
T
P
9/!6,, :'r. 3DI.,C =?" TCP A' -:O I
?OT TOM - SEE Is,r= 17
Ir
3/4" EXT.PLYWCCIO -
, OLMA'l*!ZE3 - SEE NOT; 13—
TYPICAL END ELEVATION
NO SCALE
Li;C SHOWN
: ro�PORr#,On_C ACH
S C DC-
•' � T�?=AO P'?r=Crc3
Et (Opri,- +AL )
A I L
CL•S-GUARD 37-7 jTr,.']D
fiI' 3
f �
TYPICAL INSTALLATION DETAIL
NO SCALE
U.S. PATENT #356416 - OTHER PATENTS PENDING.
0c5IC.'1 LI�r_D AhD r-cSrco v ai< S
,4AYNE T. PCL` ADO, PE L 15 r I tiG NO. F'; ; F
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++FA1t4 ANO Sj.i—,y COoc• SZCT;cl# 13,51 ,
A P P R O v E D
NOT�0
1PC'ovvt 'joss •,c1 ihorire cr cp;;n„- cly crnisrr.� o. Cev�pr?�
io•r+'cal:.r..,..,+i of "LI;, ale 5rc;-_ !o -•t or,d
4cte of Cc,",Fc.;Q
D+por .xr7 o1 H-,--;rg Ord Co -m .,n y DexkF-ne 7t
Ct`'1SiGrr
COO -5 AND SUNDARDS
Dote
lw6.�•'a /
SPA NO.11=--
`164 Pton A irora{ lxpireS
J
E3sroy,
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c N 27219
I, . Ex;- 3.31.97 >!r
sjA C I V
TF OF C�l�`� r
PER�NL=.\,TENT FOUNDATION SYSTEM
GUS- GUARD BP -7 STA:`-) and GUS -GUARD PADS
PP -1 HD, BP -7f -W, BP-7LWC, 130-7LW-L, and BP-7LWC-L
JOE N. OZOA , . CIVIL ENGENTER
2721.CKA-FEL COURT , %1036
P.E. # 27219 ���.��VlPlZ8FAQ9,3_ftMj
3 02 OUNTY
MARCH 1996
TOP VIEW - LW S LWC SERIES PADS
NO SCALE
2"X25"X1/8" STRAP - 2 EA - TYP
!
ON,
0 0 0 1
- PLYWp00
Ext .
..4-66
I TYP-1
i
i n n o
BOTTOM VIEW - LW SERIES'PADS
NO SCALE
O�Oo Oo 0
_ " - `'CPQ- : /' •<
BOTTOM VIEW _ LWC SERIES PADS
NO SCALE
11:0 FILLE
-EACH SID
1/2" CADMIUM -PLATED
CARR I ACE BOLT - 8 EA - TYP
STD IFI -128 HEX COUPLI:vC NUT
1/2"X 1-1/2' - PPFI-112 (1 EA)
3/+"X2 -•1/u" - PPFI - 3/4
PPFI DETAIL
"a ace le
• i2 X 8-1/u"
GUS -GUARD PP -1 -HD CONCRETE FOUNDATION PAD
NO SCALE
SEE SHEET 1 FOR REINFORCING DETAILS
w
112" CADMIUM -PLATE
CARR IACE BOLT - s EA
TYPICAL - BOTH PADS
l- I� 1-1/F" LW
24 "TYP"r
2" WASHERS
CADMIUM -PLATED END VIEW - LW & LWC SERIES FADS
8 EA - TYP
NO SCALE
NOTE: ALL BOTTOM METAL SURFACES TO BE COATED
WITH "SNOW ROOF" OR APFROVED EQUAL = SEE NOTE 15
2" CLIP @ 450 TYP
1"X2"X1/8„X28"L•TYPICaL
I 1-1/8" EXT.PLYN000 -
WOLMANI ZED - SEE NOTE 16
32/36" TYP
SIDE VIEW -.LW h -LWC SERIES PADS
NO SCALE _
U.S. PATENT #356416 - OTHER PATENTS PENDING
DESIGN LISTED AND TESTED BY BSK a ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F94249
QRpcESS/pry
i
Ca f 1
LLJ
�3 - 5 / 16" E;` p. c.1
AN
•
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o: �No. 27219
Exp. 3-31-97
3��41sl9lEC IVI E���\�
a43� OF CIa��
J
PERMANENT FOUNDATION SYSTEM
3
GUS- GUARD BP -7 STAND and GUS -GUARD PADS
PP -1 HD, BP-7LW, BP-7I7tjMY P-7LWC-L
JOE N. OWtDD Nq
272 P.E.H 2721OU (2g' E09) SZ4-8302�355V
MARCH 1996 SHEET 2 OF 5 SHEETS
32" LW 6 LWC
36" LW -L 8 LWC-L
C 1-1/2"TYP
1-1/2"7ti'Pl
a
8„
8„
8,1
O
0 0
_-
s _
N
0 \_
N
N
0 e G
1
0
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TOP VIEW - LW S LWC SERIES PADS
NO SCALE
2"X25"X1/8" STRAP - 2 EA - TYP
!
ON,
0 0 0 1
- PLYWp00
Ext .
..4-66
I TYP-1
i
i n n o
BOTTOM VIEW - LW SERIES'PADS
NO SCALE
O�Oo Oo 0
_ " - `'CPQ- : /' •<
BOTTOM VIEW _ LWC SERIES PADS
NO SCALE
11:0 FILLE
-EACH SID
1/2" CADMIUM -PLATED
CARR I ACE BOLT - 8 EA - TYP
STD IFI -128 HEX COUPLI:vC NUT
1/2"X 1-1/2' - PPFI-112 (1 EA)
3/+"X2 -•1/u" - PPFI - 3/4
PPFI DETAIL
"a ace le
• i2 X 8-1/u"
GUS -GUARD PP -1 -HD CONCRETE FOUNDATION PAD
NO SCALE
SEE SHEET 1 FOR REINFORCING DETAILS
w
112" CADMIUM -PLATE
CARR IACE BOLT - s EA
TYPICAL - BOTH PADS
l- I� 1-1/F" LW
24 "TYP"r
2" WASHERS
CADMIUM -PLATED END VIEW - LW & LWC SERIES FADS
8 EA - TYP
NO SCALE
NOTE: ALL BOTTOM METAL SURFACES TO BE COATED
WITH "SNOW ROOF" OR APFROVED EQUAL = SEE NOTE 15
2" CLIP @ 450 TYP
1"X2"X1/8„X28"L•TYPICaL
I 1-1/8" EXT.PLYN000 -
WOLMANI ZED - SEE NOTE 16
32/36" TYP
SIDE VIEW -.LW h -LWC SERIES PADS
NO SCALE _
U.S. PATENT #356416 - OTHER PATENTS PENDING
DESIGN LISTED AND TESTED BY BSK a ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F94249
QRpcESS/pry
i
Ca f 1
LLJ
�3 - 5 / 16" E;` p. c.1
AN
•
1
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o: �No. 27219
Exp. 3-31-97
3��41sl9lEC IVI E���\�
a43� OF CIa��
J
PERMANENT FOUNDATION SYSTEM
3
GUS- GUARD BP -7 STAND and GUS -GUARD PADS
PP -1 HD, BP-7LW, BP-7I7tjMY P-7LWC-L
JOE N. OWtDD Nq
272 P.E.H 2721OU (2g' E09) SZ4-8302�355V
MARCH 1996 SHEET 2 OF 5 SHEETS
f
GENERAL NOTES — GUS—GUA R U BP' -7
1. DESIGN LOADS: ROOF LIVE LOAD --AS. SHOWN ON SHEETS 4 E 5 FLOOR
LIVE LOAD --40 PSF "'IND LOAD --SO M.PH EXPOSURE 'C' SEISMIC ZONE --4
2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A
FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEM'S.
3. 'CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS
AS SHOWN IN THE MOBILEHOME INSTALLATION INSTRUCTIONS.
4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S_) CAN OCCUR,
NIANUFACTURED HOIAE SHALL BE READJUSTED "'HEN D.S. EXCEEDS 1/4",
OR 11;HEN IT WILL ADVERSELY AFFECT MANUFACTURED HOt.tE UNIT.
5. CARRY ALL FOOTINGS DOWN TO.FIRM, .UNDISTURBED SOIL. FOOTINGS
ARE DESIGNED FOR 1000 PSF=TOTAL LOAD SOIL PRESSURE AND SHALL BE��
COt.IPATIBLE WITH LOCAL SOIL CONDITIONS.
6. .COt4CRETE f.c' = 3000 PSI @ 28 DAYS.
7. STRUCTURAL STEEL: FABRICATE ACCORDING TO AISC SPECIFICATIONS,
WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES --370
PLATES--AST.M A36 BOLTS --SAE GR.5 = ASTM A449 = ASTMt A3725
c
E. THE GUS -GUARD ASSEMISLIES ,SHOWN BELOW SHALL BE LISTED AND LABELED a
BY BSK E ASSOCIATES FOR THE FOLLOWING LOADS:
LOA DS s
ASSEMBLY LOA
VERT.
GUS -GUARD SP -7 STANDS 1062= 5900
GUS -GUARD PADS PP -1 -HD, BP-7LW-L L BP-7L%,'C-L 1061= 59004 -
GUS -GUARD PADS LW AND LWIC 9115t 5250=
9. DURING PRELUMNARY INSPECTION, THE ESTIt.1ATOR SHALL ENSURE THAT
MOBILEHOt.1E CHASSIS BEAMIS ARE OF STANDARD SECTION EQUAL TO OR
GREATER THAN WSX10".
1EXISTING COACHES MAY BE RETROFITTED TO RESIST SEIS.miC FORCES BY
INSTALLING GUS -GUARD BP -7 UNITS AS SHO'r;td ON SHEETS 4 1; 5 AND THE
TYPICAL FOUNDATION PLAN.
11. THE GUS -GUARD SP -7 SYSTEMS ,ARE SAFE FOR INSTALLATION IN FLOOD
PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT
OF 2.3 -FEET.
12. MULTIPLE -UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF
GUS -GUARD SP -7 UNITS MEETS THE REQUIREMENTS SHCt'.N ON SHEETS 4
& 5 AND THE PLACEMENT AND INSTALLATION PROCEDURES ARE FOLLOWED
PROPERLY.
13. FOR LONG DURATION SNO'I� LOADS. USE APPROPRIATE NUL:BER OF
GUS -GUARD BP -7 UNITS AS SHOWN ON' SHELTS 4 E S.
1C. ALL METAL CO'.1PON.ENTS AND ATTACH.'.IENT..•IIEMS SHALL BE PROTECTIVE
COATED.
15. MIETAL SURFACES IN CONTACT WITH THE EARTH SHALL BE COATED Y;ITH
OREGON RESEARCH AND DEVELOPt:IENI COMPANY RUBBEP.IZED PROTECTIVE
MIEt: BRAKE "SNOW ROOF SPRAYABLE GRADE" OR APPROVED EQUAL.
16. FOR BP-7L'J E LW -L PADS, USE 1-)/5" EXTERIOR PLY%'IOOD 171714 WOLmANIZED
TREATMENT TO �3 PCF RETENTION %';ITH DRYINIIG AFTER TREATIAENT.
FOR BP-iLN'C E 0',C -L PADS', USE TWO LAIERS OF JAM -CS HARDIE BUILDING
PRODUCTS, INC., 9/16" "HARDIBACKER." SOt,D TO PLYWOOD WITH
CONTECH BRANDS "PL 500 DECK AND TREATED LU%IBER" ADHESIVE
OR APPROVED EQUAL.
5. FOR SP-7L1';C E LWC-L PADS, USE 3/4" EXTERIOR. FLY%';OOD AS MIDDLELAYER.
BOND TO "HARDIBACKER" LAYERS AS PER NOTE 17. TREAT PLYWOOD WITH
WOLMANIZED TREATMENT TO-z;z.t PCF RETENT ION.
PADS IN ANY PAIR
6AAYT
BE ROTATED
90• TO AV,.OaID
C�EARAL�NPROLLEMS
I
I I �—
.J i
I
I
RIOCE BE;"A. SL,lPORT
S RE"OL•:RED BY
E -_J w;. , uFACTURER - TYP.
I I
DESIGN LISTED AND TESTED BY BSK A ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F94249
-,US-GUARD PP -1 -ND, LW OR LWC
:EF.IES SUPPORT FALS - TYP
Tot:EIARD vH FOU•'`•',)^T'C,,
iERS-:•s RECO—ENDED BY
HE mAtNUFAC%RER OR THE
NCI'�EER - TYPICAL T HROIlC)40UT
ELCCATE AS NECESSARY -TYP.
TYPICAL PERMANENT FOUNDATION PLAN
I III = 8f
E = 2'min./6'max. S = 6'min./24'rttax.
Q?,OFESS,
<60 � -S PO4`
Z
j11110
Exp. 01 j
civII_
qTF OFC �,L1r
o31y9gI y6
ESSI
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No. 27219
Exp. 3.31-97
OF
PERMANENT FOUNDATION SYSTEM
GUS -,GUARD BP -7 STAND and GUS -GUARD PADS
PP -1 HD, BP-7LW, BP-7LWC, BP-7LW-L, and BP-7LWC-L
• i
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1
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E�R
2721 C i
ON
P.
MARCH 1996 EEV 3 : - FSHEETS
[PATENTS PENDING]
DESIGN LISTED AND TESTED BY BSK At ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F94249
QROFESS/a��
�E1. POtGy���
1 m
1 �
a No. C 051110
Exp. �l 3
�� , Cil%l� �P
r
OF ?'; tf d
I 56-7 10 1� TO 27 6 46-_4 I 54-57' 28
WIDTH LENGTH UNIiS V `
5E-67' 12 23-37' 8 55-64' i4
10' TO 28' 4 i2' E3-76' 14 38-46' 10 12' E5-73' 16 5r:OW LOAD = E0=/FTI I 58-62' 30 (� {
I 11 63-66' 32 ,P
29-43' 6 47-5=.' 12
44-58' 6 13' TO 3C' 6 57-E6' 14 13' TO 24' 6 RO. CF 2c' 67-70'
10' 59-73' 10 WIDTH LENGTH UNITS
31-41' 8 13' 67-75' 16 25-33' 8 �
42-52'' 10 34-42' 10 10' TO 28' 6 [c' TO 26' 14
12' TO 37' 6 I 53-63' 12 14' TO 25' 6 43-50'�� 12 29-3"0' o' 27-30' 16
I 3350' '31-34' -is
8 13' 64-71
51-63' 1 14 8 5 1-59' . 1� 39-48' 10 35-38' 20
12' 64-76' 12 35-52 10 60-77' 16 49-56' 12 39-42' 22 PERMA1�iENT FOUNDATION SYSTEM
14 TO 28 6 44-52 12 13 69-77 13 59-68 14
29-38' 8 53-61' 14 10' 69-78' 16 I 43-46' 24
13' TO 34 6 -c t t 4' TO 23' 6 I 47-50' 26
3-31-97
I v i\P
AV cz
3
35-46'
I
NUMBER
s.-48
49-59'
OF UNITS REQUIRED
14 62-70
FOR VARYING
LONG-TERM SNOW
8
LOADS - CUS-GUARD
6
51-54'
PP -1 -HD,
BP-?LW-L,AND
BP-7LWC-L PADS
10
60-65'
NORMAL LOADS
10' TO 24'
8
32-39'
10
25-32'
&
1 55-57'
30
32
PP -1 HD BP-7LW BP-7LWC BP-7LW-L and BP-7LWC-L
60-71'
12
14' 70-79'
16
25-31'
10
40-47'
11
SNOW LOAD
= 0
20#/FT2 (continued)
3.^.x/FT2 (continued)
40#/FT2 (continued)
5C#/FT2 (continued)'
60k/FTI (continued)
SNOW LOAD =
801?/FT2
80#/FT2 (continued)
12
48-55'
NO. OF
N0. OF
12
NO. OF
34
NO. OF
NO. OF
6
20' TO 27'
NO. OF
38-44'
NO. OF
56-64'
NO. OF
WIDT4 LENGTH
UNITS
WIDTH LENGTH
UNITS
WIDTH LENGTH
UNITS
WIDTH LENGTH
UNITS
WIDTH LENGTH
UNITS'
WIDTH ' LENGTH •
UNITS
WIDTH LENGTH
UNITS
WIDTH LENGTH
UNITS
i0'
TO 37'
4
20' TO 23'
6
24' TO 24'
8
24
TO 26'
10
20' TO 22'
8
13'
TO 22'
6
10' TO 24'
6
24 TO 25'.
14
1
38-58'
6
24-31'
8
15-29'
10
27-31'
12
23-28'
10
16
23-30'
8
25-33'
8
25-25'
16
10'
S9-78'
8
32-40'
10
30-35'
12
32-37'
14
29-34'
12
31-38'
1v
34-41'
10
30-33'
18
20
41-48'
12
36-42'
14
32-43'
16
35-40:'
14
39-46'
12
42-50'
12
34-37'
L0
12'
TO 32'
4
49-57'
14
43-48'
16
44-48'
18
41-46'
16
47-54'
14
51-58'
14
38-41'
22
I.
'
49-54'
18
49-54'
20
47-52'
18
55-62'
16
59-67'
16
42-45'
24
51-68'
8
20' 67-74'
18
5S-61'
20
55-60'
22
53-58'
20
13'
63-70'
18
10'• 68-75'
18
46-49'
26
12'
69-85'
10
62-67'
22
61-65'
24
59-64'
22
50-52'
2a
24' TO 26'
8
24' 68-74'
' 24
24'
65-71'
26
20' 65-70'
24
i4'
TO 23'
8
12'. TO 27'
8
53-56'
30
13'
TO 30'
4
27-33 ,
10
29-35'
10
2,_35'
10
57-60'
32
i
31-47'
6
34-41'
12
26' TO 27'
10
26'
TO 24'
10
24' TO 24'
10
36-43'
12
36-42'
12
61-64'
34
48-64'
8
42_48'
14
28-33!
12
25-29'
12
25-28'
12
44-50'
14
43-49'
1.4
65-68'
36
13'
65-60'
10.
49-55'
16
34-39'
I
14
30-34'
14
29-33'
14
51-58'
16
50-56'
16
24' 69-72'
38
56-63'
18
40-45'
16
35-39'
16'
34-38'
16
59=65'
id
57-64'
18
t4 '
TO 28 '
4
24' 64=70'
20
46-51'
18
40-45'
18
39-43'
18
i4'
66-73'
20
12' 65-71'
20
26' TO 24'
14.
29-44'
6
52-56'
20
46-50'
20
44-48'
20
2'_17'
16
!j
45-60'
8'
26' TO 31'
10
57-62'
.22
51-55'
22
49-53'
22
20'
TO 25'
10
13' TO 25'
8
18-31'
13
14'
61-76'
10
_
32-38'
12
.63-68'
24
56-60'
24
54-58'
24
26-31'
12
26-32'
10
32-34'
20
39-44'
14
26' 69-74'
26
61-66'
26
59-63'
26'
I
32-36'
14
33-39'
12.
35-38'
22
20'
TO 31'
6
45-51'
16
26'
67-71'
28
64-68'
28
37-42
16
40-46'
14
30_41
24
33-44'
8
52-56'
t8
28' TO 25'
10
24' 69-74'
30
'
43-47'
18
47-52'
16
42-45
26
i
45-56'
10
59-65''
20
26-30'
12
28'
TO 27'
12
46-52'
20
53-59'
18
45-4&'
28
57-68'
12
26' 66-72'
22
31-36'
14
28-32'
14
26' TO 26'
12
53-56'
22
60-66'
2.0
49-52'
39
20'
69-60'
14
37-42'
16
33-37'
16
27-31'
14
59-63'
24
13' 67-73'
22
53-56'
32
28' TO 29'
10
43-47'
18
38-42'
18
32-35'
16
64-69'
26
57-59'
34
.24'
TO 37'
8
30-35'
12
48-53''
20
43-46'
20
35-40'
18
20'
70-74'
28.
1.4' TO 24'
8
60-63'
36
I
38-48'
10
36-41'
14
54-58'
22
47-51'
22
41-45'
20.
-
1 25-30'
10
64-66'
38
49-60'
12
42-48'
16
59-64'
24
52-56'
24
45-49'
22
24'
TO 26'
12
31-36'
12
26' 67-70'
40 I
24'
61-70.'
14
45-54'
18
28' 65-70'
26
57-61'
26
50-54''
24
27-30'
14
37-43'
14 ,
55-60'
20
62-66'
28
5^_59'
26
I
31-35'
16
44-49'
16
28' TO 25'
16
26'
70 34'
8 -
61-E7
22
23
67-71
30
28
9
28'
18
35-44
10
28' Eo" -73'
24
5'.r,W LOAD = 4C=/FT I
64-65'30
40-4
20
507-62
20
29-32'
20
k5-54'
12
26' 69-73'
31
45-48'
22
63-68'
22
33-35
12
I
55-64.'
14
NO. OF
SNOW
LOAD = 50#/FT2
49-53'
24
14' 69-75'
24
36-38'
24
26 '
65-73
16
SNOW LOAD = 30-/FT2
WIDTH LEvGTH Ur11T5
28 '
I
'
,,[0'
26
10' TO 34'
6
NO. OF
250_29'
14
59-E2'
28
TO 26'
12
43-k5'
28
26'
TO 32'
8
N0. OF
WIDTH
LENGTH Ur:1TS
30-33'
16
�
63-67'
30
27-30'
14
46-48'
30
I
33-41'
16
WIDTH LENGTH U':ITS
I 47-58'
10
10'
TO 31'
6
34-37'
18
14'
68-71'
32
31-35'
16
44-52'
32
42-50'
12'
10' TO 24'
4
10' 59-70'
12
32-42'
8
38-42'
20
36-40'
13
53-55'
34
51-59'
14
25-38'
6
I
43-53'
10
43-46'
'-[2
26'
TO 24'
12
41-44'
20
56-56'
36
60-60"
16
39-51'
6
12' TO 29'
6
54-E4'
12
47-50'
24
I
25-28''
14
45-49'
22
59-62'
38
[E'
69-77'
18
52-65'
10
30-39'
6
10'
65-75'
i4.
51-55'
26
19-32'
16
50-53'
24
E3-65 '
40
10' EE -78'
12
40-5ru'
I
12
56-59'
18
I
33-36'
18
54-58'
26
66-68'
42
51-60,
'
60-64'
30
37-40'
20
59-63'
28 23' E9-72'
44
SNOW LOAD = 20"/FT2
12'' TO 32'
6
12' 61-70'
14
270-35'
8
65-68'
32
� i
41-45'
22
64-67'
30
33-44'
8
36-45'
10
28' 69-72'
34
I
46-49'
24
20' 68-72'
32
N
Of
,,
c
12
•
50-53'
26
DESIGN LISTED AND TESTED BY BSK At ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F94249
QROFESS/a��
�E1. POtGy���
1 m
1 �
a No. C 051110
Exp. �l 3
�� , Cil%l� �P
r
OF ?'; tf d
I 56-7 10 1� TO 27 6 46-_4 I 54-57' 28
WIDTH LENGTH UNIiS V `
5E-67' 12 23-37' 8 55-64' i4
10' TO 28' 4 i2' E3-76' 14 38-46' 10 12' E5-73' 16 5r:OW LOAD = E0=/FTI I 58-62' 30 (� {
I 11 63-66' 32 ,P
29-43' 6 47-5=.' 12
44-58' 6 13' TO 3C' 6 57-E6' 14 13' TO 24' 6 RO. CF 2c' 67-70'
10' 59-73' 10 WIDTH LENGTH UNITS
31-41' 8 13' 67-75' 16 25-33' 8 �
42-52'' 10 34-42' 10 10' TO 28' 6 [c' TO 26' 14
12' TO 37' 6 I 53-63' 12 14' TO 25' 6 43-50'�� 12 29-3"0' o' 27-30' 16
I 3350' '31-34' -is
8 13' 64-71
51-63' 1 14 8 5 1-59' . 1� 39-48' 10 35-38' 20
12' 64-76' 12 35-52 10 60-77' 16 49-56' 12 39-42' 22 PERMA1�iENT FOUNDATION SYSTEM
14 TO 28 6 44-52 12 13 69-77 13 59-68 14
29-38' 8 53-61' 14 10' 69-78' 16 I 43-46' 24
13' TO 34 6 -c t t 4' TO 23' 6 I 47-50' 26
3-31-97
I v i\P
AV cz
3
35-46'
I
8
s.-48
49-59'
10
12
14 62-70
16
1
24-31'
8
12' TO 24'
6
51-54'
28
GUS- GUARD BP -7 STAIND and GUS -GUARD PADS
47-59'
13'
10
60-65'
14
10' TO 24'
8
32-39'
10
25-32'
&
1 55-57'
30
32
PP -1 HD BP-7LW BP-7LWC BP-7LW-L and BP-7LWC-L
60-71'
12
14' 70-79'
16
25-31'
10
40-47'
11
33-41"
10
-61
32-37'
12
48-55'
14
41-50'
12
62_65'
34
4' TO 31'
6
20' TO 27'
8
38-44'
14
56-64'
16
5i-58'
14
E•6 -E9'
28'
36
JOE N. OZOA, CIVIL ENGMER
33-43'
6
2S-35'
10
45-51'
16
1Y' 65-72'
18
59-67'
15
70-73'
.38
44-55'
10
36-42'
12
52-64
10"
12' 68-75'
18
2721 CHAPEL COURT , NIODESTO, C.A. 95355
56-67'
12
43-50'
14
58-E4'
20
P.E.#27219 (209) 5248302
14' 68-78'
14
51-57'
16
zo' 65-71'
22
58-65'
18
MARCH 1996 SHEET 4 OF 5 SHEETS
20' 66-72'
20
DESIGN LISItU ANU Ita�cu o. own s r+»v�.,„,c�
W'AYNE T. POLVADO, PE - LISTING NO. F94249
QRpf ESSI
1. Ppb
co
a No. C 051110 �
Exp.
7�
qlF Of C;�t�����
•
I 25-s8 6 49-6C'' 12 '
I 45-53' 12 F.G. Of 26 66-70 34 4-47' 24 55-58� 40 ��% r 5� � 2,
35-65' 8' 12' 61-i0' 14 WIDTH LE!:CTH UNITS , f" 14 TO 21 8 59-6C 42 +1 m
54-62 14 28 TO 21 12 I 14^-51' 26 22-27' 1') ,7
10' 66-78' 12 13' TO 26' 6 12' 63-71' 16 10' TO 27' 6 22-26' 14 5:-55' 28 20-32' 12 61-64' 44 �7 �`� Qj9
27-36' 6 2s-37' $ 27-29' 15 54-60' 3C 33-30" 14 65-67' 46
12' TO 33' 6 37-46' 10 13 TO '24 6 I 36-47' lb 39_44, 16 28' 68-70' 48�y�e� �'q Exp.331.97 \
30-33 18 51-63' 32
34-44 8 25-33' 8 48-57' 12 ' '
I , 47 -SE 12 34-41' 10 I 34-37 20 c4-67 34 45-50 18 Q s%' C IVB\- <l��
45-56 10 57-65' 14 4 58-67 14 38-41' 22 24'' 08-71' 36 51-55' 20 9Tf OF ���\E�
57-67' 12 13' 66-74' 16 42-�0 12 10' 68-75' 16 42-44', 24 56-60' 22 PERMANENT FOUNDATION SYSTEM �, t
12' 68-79' 14 51-59 14 45-49' 26 26 TO 21� 12 / '�
13 TO 30 6 14' TO 24' 6 60-6 16 16 ' 61-67' 24
' 8 5 18 12 240-31' 8 50-52' 28 X6_25, 76 14' 68-72' 25 3
31-41'
8
25-34
35-4Z '
10
13 67-7
32-40'
10
53-57 ,
30
_ o
29-32 ,
18
20' TO 23'
12
GUS -GUARD BP -7 STAt�1D and GUS -GUARD PADS
42-52 ,
I
10
43-52'
12
14 TO 22
23-30'
6
8
41-48'
12
"
NUMBER
OF UNITS REQUIRED
FOR .VARYING LONG-TERM
SNOW LOADS -
GUS -GUARD
BP-2i_W_ AND BP-7LWC
��
53-63'
13' 64-74'
PADS
53-61
14
31-38 ,
NORHA 5
20+2/FT2
(continued)
304/FTz (continued)
36
40x/FT2 (continued)
50#/FT2 (continued)
28-31' .
SN0'ri LOAD =
6GX/FT2
6O#/FT2
(continued)
14 62-70
80a/FT2 (continued)
,
39-46'
12
SNOW LOAD
_ 0
OF
, �
28 69-72
NO. OF
41-44
45-47'
NO. OF
NO. OF
18
NO. OF
NO. OF
,
20 TO 24
8
NO. OF
14
N0. Or
NO.
WIDTH
L=N 'TH
U.'JITS WIDTH LENGTH
L?.ITS
W!DTH LENCTH
LIN
WIDTH
LENGTH
UNITS
W1074_' LE'1CTH UNITS
WIDTH LENGTH
UNITS
WIDiH LENGTH
UNITS
=:s-51'
52-55'
MOTH
LENGTH
'
U!:ITS
20'
TO 20'
6
20'
5P-57'
18
20' TO 21'
8
13'
38-44.'
12
10' TO 24'
6
25'
60-62'
34
20' S7 -E0'
30
10
r0 33
4
6
13' 30-37'
21-27'
8
I
58-64'
20
22-27'
10
45-52'
14
20' 45-50'
25-34 '.
8
1
63-66'
36
61-64'
33
I
34-51'
8
28-35'.
10
20'
65-70'
22
28-33'
12
I
53-60'
16
35-43'
10
26'
67-70'
38
65768'
34
10'•
52-70'
36-43'
12
24
,
TO 21�
8
34-39'
14
61-68'
d
44-51'
12
28'
TO 23'
14
20' 63-72'
35
12'
TO 28'
4
44-50'
14
22-25
10
40-45'''
16
13'
69-75'
20
52-60'
14
24-27
16
� �
24 TO 22
14
I
29-44'
6
51-59 ,
15
26-31'
12
46-50'
to
14'
TO 20'
S
10' S7-70'
16
28-30'
18
23-26'.
15
10
32-371
14
51-57'
20
21-17'
8
12' TO 21'
6
31-34'
20
27-29'
13
12'
61-76•'
10
20'
66-73'
38-42
16
58-63
22
28-35'
10
22-28'
8
35-37'
22
30-33
20
13'
TO 26'
4
TO 23'
8
43-48'
18
64-68'
24
35-42'
12
2 9-3b
10
38-41 '
24
34-36'
2.
27-41'
6
t
24-29'
10
49-54
20
20 69-74
25
43-49'
14
37-44'
12
42-44'
26
37-40'
2
I
42-56'
8
30-36'
12
55-59'
22
24' TO 23'
10
50-57'
15
45-51'
14
45-48'
'28
41-41'
26
13
57-71
10
37_42'.
14
60-65'
2424-27'
12
58-64'
12
52-60'
16
49-51'
30
45-45'
23
25'
4
43-49'
15
24'
66-70'
26
2x-33'
14
14'
65-71'
20
1-67'
18
52-54'
32
47-50'
30
14'
TO
26-37`
6
SG -55'
1s.
26'
TO 2+'
10
3'-3a'
16
20'
TO 20'
8
12' 6c"•=74'
20
55-58'
34
51-53'
32
40-53'
8
57-62'
20
25-29'
12
39-43'
18
21-25'
10
73' TO 20'
6
59-61'
62-65'
36
38
54-57'
58-50'
34
35
'
54-67'
10
63-68'
22
3C-34'
14
44-48'
49-53'
20
22
26-30'
12
+ 21-27'
8
65-68'
40
61-64'
33
14'
68-81'
12
24'
69-75'
24
35-40 ,
16
54-56'
24
31-36'
14
28-34'
10
28'
69-72'
42
65-67'
43
20'
T.0 28'
6
26'
TO 27'
10
41-45'
18
59-63'
26
37-41'
15
35-41'
12
2°y 60-71
42
'9-39'
8
'8-34'
�
1.2
46-50'
20
64-67 ,
za
42-45'
18
4Z-45'
�
14
-Jc�
S
LOAD = 8C=1FT 2
2c' TO 21'
14
I
40-50'
10
35.-39'
14
51-55'
22
r r
24 6a-72
30
47-52'
10
49-55'
156-62'
16
NO. OF
22-24'
16
57-50 '
1 2
4C-45'
16
56-60'
24
53-57'
22
18
25-28'
18
14
46-52'
18
61-65 i
2670
1,61 21 r
10
58-62
Z+
t3 53-70
20
WIDTH
LENGTH
UNITS
,
20'
61-71'
53-58'
20•
26
66-70'
28
22-26'
12
63-67'
25
10'
TO 21'
6
29-30�
20
24'
TO 33'
8
59-64'
22
28'
TO 22'
10
14
20'
68-72'
28
14' TO 24'
25-31'
8
10
202 269
8
31-34
22
34-42'
10
2b'
65-70'
24
23-Z6
12
31-35'
16
14'
TO 21'
10
3:-30"'
i
12
30-36
10
35-36'
37-40'
24
26
1
43-51'
12
28'
TO 25'
10
27-32'
14
36-40''
18
22-2'S''
12
1
39-44'
14
37-44'
12
41-43'
28
24'
52-60'
X51-70'
14
t6
27-31'
12
33-37'
16
45-49'
220
26-Z9'
14
I 45-S1'
16
45-52'
14
44-46'
30
}7030'
32-36'
14
38-42'
18
50-53'
24
30-34'
16
, 52-58'
18
53-60'
16
47-50 ,
32
26'
8
37-43'
76
43-47'
20
54_59,
26
35-38''
18
S -6j'
20
61-67
la
,
34
31-39j
10
44-48'
18
40"-52'
22
60-63'
28
39-43'
20
1-' ;c-7?'
22
10'
68=75'
20
53-56'
35
40-47"
12
45-53'
20
1
53-57'
24
64-67 ,
30
44-47'
22
n 70 22
10
�'
1,
TO 24
8
'
57-59'
38
48-56'
14
54-6)
22
56-62
26
26' 68-72'
32
48-52'
9 52
24
23-27'
12
25-31
10
60-6�
4�
57-65'
16
61-65'
24
63-56'
28
53-56'
25
3
14
,38-44'
'
42
26'
66-73'
18
23'
66-70'
26
28'
67-71'
30
28' TO 24'
12
57-60'
28
533-37'
16
14
66-68'
44
28'
TO 28'
8
25-28'
14
61-66'
30
1
,38-42'
18
45-50'
16
26' 69-71'
46
19-36 '
10
SNOW
LOAD = 3,),/FT
SNG'R'
LOAD = 40a/FT2
29-33'
16
24'
67-70'
32
3-45
20
51-57'
18
t6
37-44'
12
1:0. OF
F:O.
OF
34-37'
18
26'
TO 23'
12
=7-51'
22
58-63''
20
1.8' TO 22�
23-25
18
45-52'
14
WIDT;
l.�- �.
LE..iN' U. ITS
WIDTH
LENCTH UNITS
32-41
42-45'
20
12
24-21
14
I x:2-56
24
12'
64-70'
22
25-28
20
,
53-60 .
16
70'
TO 21'
4
4c -SO'
24
28-31'
16
+ 57-61'
26_
13'
TO 22'
8
29-31'
22
61-6&�
18
22-3='
6
l0'
TO 30'
6
51-54'
26
32-36'
18
62-66'
28
23-Z8'
10
32-34'
24
28
69-76
20
35-,5
8
31-41
8
55-59 ,
28
3i-40'
20
2G' 67-70'
30
29-35'
12
35-37'
26
46-57'
10
I
42-51 ,
10
60-63'
30
41-44 ,.
22
24, i0 21'
12
•36-41�
14
'
38-40�
2"
5!•:GN
LOAD.= 20�/fT2
70"
5s -7G'
12
52-61'
12
64-67'
32
45-48'
24
'
25_27,
14
42-46
16
41-43
�o
0
N,
.O.
_
10
63-73
14
28 68-71
34
49-52'
26
15-{31 ,
16
47-52'
18
44-46'
32
WIDTH
LE•".GTH UNI
S
12'
TO 28'
6
IV
TO 26
6
53-56'
2c
j
__
2-3j
is
53-59'
2C
47-49'
3;
1C
,
70 24
4
29-39'
a
27-35'
8
SNOW L 0 A 0 = 50=/FT2
)
57-60'
30
5.
r36-39'
20
60-65'
22
50-52'
36
-
I
40-4a'
10
36-44. ,
10
61-65'
32
; !4 n-43
22
13'
66-71'
24
53-55'
3a
DESIGN LISItU ANU Ita�cu o. own s r+»v�.,„,c�
W'AYNE T. POLVADO, PE - LISTING NO. F94249
QRpf ESSI
1. Ppb
co
a No. C 051110 �
Exp.
7�
qlF Of C;�t�����
•
I 25-s8 6 49-6C'' 12 '
I 45-53' 12 F.G. Of 26 66-70 34 4-47' 24 55-58� 40 ��% r 5� � 2,
35-65' 8' 12' 61-i0' 14 WIDTH LE!:CTH UNITS , f" 14 TO 21 8 59-6C 42 +1 m
54-62 14 28 TO 21 12 I 14^-51' 26 22-27' 1') ,7
10' 66-78' 12 13' TO 26' 6 12' 63-71' 16 10' TO 27' 6 22-26' 14 5:-55' 28 20-32' 12 61-64' 44 �7 �`� Qj9
27-36' 6 2s-37' $ 27-29' 15 54-60' 3C 33-30" 14 65-67' 46
12' TO 33' 6 37-46' 10 13 TO '24 6 I 36-47' lb 39_44, 16 28' 68-70' 48�y�e� �'q Exp.331.97 \
30-33 18 51-63' 32
34-44 8 25-33' 8 48-57' 12 ' '
I , 47 -SE 12 34-41' 10 I 34-37 20 c4-67 34 45-50 18 Q s%' C IVB\- <l��
45-56 10 57-65' 14 4 58-67 14 38-41' 22 24'' 08-71' 36 51-55' 20 9Tf OF ���\E�
57-67' 12 13' 66-74' 16 42-�0 12 10' 68-75' 16 42-44', 24 56-60' 22 PERMANENT FOUNDATION SYSTEM �, t
12' 68-79' 14 51-59 14 45-49' 26 26 TO 21� 12 / '�
13 TO 30 6 14' TO 24' 6 60-6 16 16 ' 61-67' 24
' 8 5 18 12 240-31' 8 50-52' 28 X6_25, 76 14' 68-72' 25 3
31-41'
8
25-34
35-4Z '
10
13 67-7
32-40'
10
53-57 ,
30
_ o
29-32 ,
18
20' TO 23'
12
GUS -GUARD BP -7 STAt�1D and GUS -GUARD PADS
42-52 ,
I
10
43-52'
12
14 TO 22
23-30'
6
8
41-48'
12
58-60
61-64'
32
34
33-35'
20
24-27 '
14
PP -1 HD, BP-7LW BP-7LWC BP-7LW-L and BP-7LWC-L
53-63'
13' 64-74'
12
14
53-61
14
31-38 ,
10
49-57
58-65
14
16
65-68 '
36
35-40'
,
22
28-31' .
16
'
14 62-70
16
,
39-46'
12
12' 66-73'
18
, �
28 69-72
38
41-44
45-47'
24
26
32-36•'
18
14' TO 28'
6
,
20 TO 24
8
47-54'
14
37-39'
20
JOE N. OZOA, CIVEL ENGINEER
c9-38'
8
25-31
10
55-62
16
13' TO 21'
6
=:s-51'
52-55'
28
30
40-44'
22
2721 C"EL COURT , 95355
524-
39-49
10
35-37'
I
12
14' 53-70'
18
I 22-29'
8
56-59'
32
45-47'
24
(209) 02
P.E. 1 27219 (209) 52t 8302
13' 30-37'
10
26'
48-52'
26
lr' 610-70'
14
20' 45-50'
16
20' 53-56'
28
MARCH 1996 SHEET 5 OF 5 SHEETS