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027-350-190
0 027-350-190 PERMIT#94-3053 STOCK, DOUGLAS & DENISE1,�:,.-•�`� 1660 COX LN., OROVILLE MOBILEHOME UTILITIES l7,A'A ELECTRIC ZO 0 GAS LINE LPf, 3%4 e L� COMPACTION TEST REQ N o SUPPORT STRUCT REQ____ja 027-350-190 PERMIT#94-3075 STOCKS, DOUGLAS & DENISE 1660 COX.LN., OROVILLE MOBILEHOME INSTALLATION GERTIBUT-E, OF ABC -H -OR INSTALLATION - Title STALLATION Title. 25 CCR Mobilehorne Parks Act Section 1326 (b)(3) I certify those portions of the tiedown system installed below grade were not damaged prior to or as a d result of the installation, were not modified prior to or during the installation, and were installed in accordance with the manufacturer's installation instructions, plans and specifications of the engineered tiedown system referenced on this certificate. -Tiedown System: Manufacturer: =�k�C-0 Model: Installed by: s#6)jZ6g5-A M-14, �,P(56 Date:2,3 -7 4l (�or /Owner: M , License No.: RESIDENTIAL 027-350-190 PERMIT#94-3053 STOCK, DOUGLAS & DENISE 1660 COX LN., OROVILLE MOBILEHOME UTILITIES _- -- - i JOB FINALED (Date) Signature ,/=OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOBI HOME UTILITIES (Plans) OK except #'s Zoni �( equirements-Setbacks-Easements oil c'al MH Support Sketch er; cation -Test -Fall -C/O Concrete eg2at Location -Test -Easement Needed (Sketch) ctricity; Location-Clearences-Grnd-/ /Amp -Concrete as; Loco -6 -Test -wrap: / /"L"ft. / /" or/ /" L" ft./ /"LPG i ell learance 8 Disconnect tility Clearance Dateand 8-1&f Date Card B-1 Date Card 8-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector ectricity; MH Test -Crossovers -Breakers -Clearances 5. ; MH Test -Fall -Flex Connector Wat ; MH Test -Regulator -Connector at r and Sewer Connected -C/O to Grade -HD Approval owand,Electricity Tagged s; 'sp:-Sketch 10 eq of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -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 Applic No Readyable RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except ft's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" 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------------- - 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 a's -16.-Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ----- ---------- ------------------ 19. Shower Pan: Test. First Floor -Tub Access ----------------- --------------------------------- 20. Test -Tub & Shower. -Second Floor -Tub Access ----------------------- ------------------- - 21. Gas Pipe; Size & Anchors Date Card B-1- Date - Card B-1 -------------------------- ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection - ----- ----------------------------------------------------------------- - - - 23. E-lec. Receptacles - Spacing -Lights & Switches at Doors - ------- --- --------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ---- -------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------- ------------------------------------------------ 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ---------- ------------------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI - - ----------------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size i ! ga. Cu or At ----------------- --------------- -------------------------- ---- 29. Range Circ ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------- --------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect Equip Clearaces Panels-Motors-Mech. Equip. ----------- ------------------------------------------------- --- 31. ---------------n ------ 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 a's 34. A.C. Ducts Insulation & Support ----------- ------------------------------------------------------- _____ 35. Vent Fan: Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- - ------------------------------------------------ -------------- 38.. Attic -Access-&. Platform if Furnance in Attic ------------------------------- -- - -- --- ------------------------------------------ Da - te Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h'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) -----------------I----------------------------------------------- 43. Fire Stops: Furred Ccfilings-Stairs-Chases-Tub --------------------------------------------- ------------------------------- 44. Headers & Beam -Size & Bearing 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings 52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ----------- ---54.--- plywood on Roof Overhang -Attic Vents -Rafter Outriggers --- _____________ 55. Siding -Nailing Veneer ------------ 56.---- Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --- - _ 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls: Nailing -Bolts --------- ----------- 59. Insulation -Walls -Ceilings -- ----- -- -- -------------- 60. Infiltration -Walls -Windows --------------------- ------------- - Date ------ -----Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 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.--G.-F.I. & Bath Fixtures & Tub Access -Spa -------------- 66. Elec_ Trim & Sub-anel_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 Protection 7-. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------ - 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor- ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ----- -------------------- 81. Stucco: ------------------------------------BrownFi-sh ----- 82. A.C. Unit: Disconnect. Electrical, Plumbing ... ------------------------------- 83. ----------------------------83. Vents Above Roof: Plbg.-Appliance-fireplace.-Clearance to Openings -------------------------------------------- -- 84. Water Well: Disconnect, Electrical, Plumbing - - - - - - - - - - ------- ---------------------------- 85.-.Exterior-Elec.-Trim: G.F.I. Receptacle -Underground ------------------------------- --- 86. Ventilation Throughout House - - ---------------------------------- 87. Glass Protection -' . ---------------------- 88. Corrections from Previous Inspections - -------- -------------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ------ ------------------------------- --------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval --------- 91. .-------91. Energy Compliance Certificate -Other Certificates ------------------------------------------ --- --- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 027-350-190 PERMIT#94-3075` STOCKS, DOUGLAS & DENISE 1660 COX LN:, O.ROVILLE. MOBILEHOME INSTALLATION.''' 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 q y ! X075 ASSESSOR PARCEL NUMBER 5 ZONING A BUILDING PERMIT OWNER DOIJs;LAS & DENISF, STOCKS 10 TELEPHONE 370-7980 SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5 b PAU IS DR CA 94553 CONTRACTOR'S NAME OTvT3ER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1660 CYA LN, F PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome'! Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities ❑ Installation Q Other O Describe Work: 2 BEDROOM (14 R 66) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOvOR"I ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( S ACC. BLOS. ) So. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underp provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) 1:11 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occu FIXED APPWS. OR ( ) p' OUTLETS (REBID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring �23. WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Q I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in;conseque ce the ranting of this permit. XA� ,I Date ir Signatture ovApplican - Owner ❑ Contractor 1:1—Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ A UV Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES 143.00 I HAZ. 1 D. ¢PES IMP FLO9p- CDF PARCEL PD I HD I ' 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 /iy�/��"�""Z(.`�. Date } PERMIT EXPIRES ON /betel ' 170613 Receipt No. i WHITE-D.D.S.-B.D. CANARY=ASSESSOR.... - PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVFLGPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53841 J APPLICATION AND PERMIT Jam- () ASSESSOR PARCEL NUMBER 7/ r, 7... _3f5 o M b/ `�� f ZONING BUILD NG PERMIT OWNER (TELEPHONE SQ. �. OCC. BUILDING VALUATION OWNER'S MAILING [ c / `'7 i/ /MJF c7 CONTRACT 'SN{U yff N / TE EPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ , Permit Fee $ 3,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESSO PERMIT FEE $ ;Z31 d PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISIO S ggMM�� ,L`k Gild r PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ DuplexMobilehome l� Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home G @20.00 17 r C? 0 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities Installation LI Other Other ❑ Describe Work: FEE $ 0 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service800V OR LESS 200A OR LESS ) 23.00 , Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) SO 3.50 FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON REBID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 0 1.00 BAL. .50 Ex. Occup.FIXED APPS. OR ( OWUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20, OD Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 3 (� Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities ' dgments costs, and expenses which may in any way accrue against said County In nsequ c of a granting of this permit. X Date Sigrfartrre of Ji1plicant - r Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories iin1 height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FE $ r �% �/ / HAZ. I D. FEES I IMP I F1 0 C P CE)D I HD UE This permit is hereby issued under the ae provisions pp a l of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By D to PERMIT EXPIRES ON (Der 1 / 7V ,S�Z� Receipt No. 7 l%! WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPEC OR GOLDENROD -APPLICANT M 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 CORRECTION NOTICE TON-- le- K-� 3 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 contac his office immediately. ,4 i r#1 r L?DTff t t�5 -E< 41VD Date �I l `� Inspector REV 10192 .�t.'.{,...n+�...-,.--•ti..,-.'..v.�.r-n„-*w:-trw.%�►.M,'+r'�✓�ri�r`r.+�i'I""'-►`v.fu^t`+Jj'.r":"f%�"4'G.;n'`''1+'t`i•off'ri^✓Y�"^'=�'�`'�'`a�{�����+'r..iN 11`., .-y..`. y, �- . v ,COUNTY OF BUTTE -DEPARTMENT OF DEV' LOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (96 38-7541 \ // V PERMIT APPLICATION DATA SHEET OWNER A. P vZ 7 Proposed Building Use Building Inspector Date [� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome at and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... 41. Impact fees as shown on attached schedule. . . 1-2. California- Department of Forestry plan approva ee ... /j Flood elevation letter (100 year flood) Eby C.�lifor ' ngineer. ............ . jl`LC/ 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). ..'. . Freanspedion request i. 20. Pre -inspection for required. .. to Building inspector, * (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. ertificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner Mail to owner_). ......... I! Q 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. ..��./.� 97. � .......:.................. 30. Documentation of 50%subdivision ev oped or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to ow r. Mail to contractor. Telephone and hold for pickup at ©`2> office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 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 Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works t � + ' •y Imo. E.H. USE ONLY Plat Plan Attached Floor i%. Attached Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance U7/Y A7 -YJ -17d Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for _ bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Qi47 �w 7--7 Date COUNTY. OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. �;7no) ally plan to provide the major labor and materials for construction of the proposed property improvement 2. I 69ave 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 Contractor's License No. 4;. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's 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 Signed: Property Owne /_,�Ze,�- Social Security Number Date NOTE: This Owner -Builder Verification is sent to you. as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTi1v1ENT OF DEVELOPMENT SERVICES, BUMDING DIVISION 7 County center Drive, Oroville CA 95965 Phone: 916-538-7541 DOUGLAS & DENISE STOCKS 576 PALMS DR. MARTINEZ, CA 94553 RE: BUILDING PERMIT APP FOR MH UTILITIES DATE: 11/8/94 A.P. # 027-350-190 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes.Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) by California Engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Develcpment (a) Imprcvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of ticr as Compen at_Vn Insurance. Owner -Builder Verification Form. Recorded _cpy of Agricultural Acknowledgement Statement.. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. —Documentation of legal access. Documentation of 50%s subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. • - 11 J. t1 � •1 C . � : � • : :1:1 Should you have any questions concerning the above, please contact SCOTT RUTHERFORD of this office. MCV:ahb Y rs very tr ly, Mic.ael C. ieira, C.B.O. Manzger, Building Inspection "= MOBILEHOME INSTALLATION ACCEPTANCE ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 / PERMIT 1,�Nl0. ,b Address or location of mobi lehome Z, �!�y y Owner's name�-N 1 O t is Owner's address z Insignia or hud number Manufacturer's name_ Serial number of V.I.N. pprovin9M-nst6l lation c ll�� Year f anufac"c�u�e J/1� IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE i MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. V I COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 0 :5.7 County Center Drive - Oroville, Itbiffarnia 5965 - Telephone (916) 538-7541 _ E© IT APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER n?7-15n-19n ZONING A5 BUILDING PERMIT OWNER STOCKSDOUGLAS & DENISE 1 TELEPHONE 370-7980 SO. FT, OCC. BUILDING VALUATION DR OWNER'S MAILING ADDRESS r . JJ CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1660 COX DROVILIF 7 PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeXX Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20•00 TYPE OF WORK New ElAddition O Remodel O Utilities O Installation Other O Describe Work: 2 BEDROOM ( 14 X 66) PERMIT FEE $ Contractor ELECTRICAL PERMIT Filin� Fee 20.00 Main Service ( 101 OR LESS ) 200A OR LESS 23100 Main Service ( 200A TO 1000A ) 46'00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FTSO,, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification fid I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 11 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL. .50 FIXED APPLNS. OR Ex. OCCup. ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities20.00 Misc. Wiring JE23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Iiii I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor i I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities •udgments, costs, and expenses which may in any way accrue against said Count In onse e e e ranting of this permit. i X Date % Sign a of pelican - Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE - TOTAL FEE $ 143.00 HAZ• I D.S IMP Flo CDF PARCEL PD HD I 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 1���/'✓ Date PERMIT EXPIRES ON �� Z l etel Receipt No. 170613 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT M i� l"""y�."L-,,•5. r;.:s..r:-„rA.r:sf.J+C6r..�,'�.��`�'-.. ��rnlr •ay.� Wnh3Y"r.�i�y%tt ,.; >r'A±..'1�'.�.ei'f �L y..�},-:�.�:��'+•^'v11^'�e*�,+..w....,.,,,,�,{' .^V�-.r ',.ry,�.n ' 0 COUNTYOF BUTTE - DEPARTMEWTOF, QE PMENTSERVICES - BUILDING DIVISIO 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORN�95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION D ATA SHEET OWNER U /a cl- C1 n t` 0,9- Proposed Building Use � ' Building Inspectpr Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted............:'.4................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ............................ 3.,�Complete,plans, 3/4 sets, signed by preparer of plans. ....s..: .............. . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form.........:...........I.......................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... . Engineered truss details and layout in duplicate (required prior to plan check). .... 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 pri& to occupancy). . . PreBanspectJon- re, u at aA�" 20. Pre -inspection for required. . to „adin9 ynspeYr (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement. ... `.............. . 25. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ........................................ 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. ................. . Plan check list . ............ ........................ . 33. i�t91�t9 Y� �11 t� -hI� 34. When you issue the permit, process as follows: Mail to owne Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other 16, 1- Parcel CreationPP.V -.01,lf�e ?Z/ Acreage Applicant Date / 77 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou ter by _ Date Plans checked by Date Plans approved by ��� Dated Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works J l,1 J COUNTY OF BUM - DEPARTMENT OF DEVELOPMENT SERVICES.' BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965- TELEPHONE (916)*538-7541 OWNER A.P..#-,.7-7- -39i-' PROPOSED BUILDING USE _ MH DATE - /7 # 3. SCHOOL DISTRICT FEES OX -0 OW /'� S (paid at District Office) ......................... SHERIFF FEES (paid at Building Department) Residential...... x _$ unit amt. Commercial (sqft) x _$ sq.ft. amt. URBAN AREA FEES (paid at Building Department) Residential,(per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. RECREATION DISTRICT FEES. (paid at District Office) ............................ . DRAINAGE DISTRICT FEES (Contact Land Development Division)...'........... SRA FIRE INSPECTION AND PLAN CHECR.= $89.00...... (paid at Building Department) 7. OTHER REC. # DATE REC 00i At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUN-' -OF"BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your. signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) Lk 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 Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's 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 Signed: Property Owner Y O Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 77 c, Co -A Zl� (-:;.A VAU M orplaw Wd eWVV11 &MM ALI 10 MiT be kept on the job at all times and it j5 unlgwful t9 Make MY d4wiges or alto maome on came vjUh" written permission from the DapextmeRt of ftbUo 'Works, County of Butte. 60rd=00 with Bwognlwd Gooq Pro, qu81ZY Prescribed for the SpAaMd(use the Unffarm Building, Plumbing & MoohanioaJ des and the IxTational Mwtrioal code, ALL STFdjoTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EAS EMEM EO FT. FROM THE SIDE AND A SET BACK OF -- LINES AND 30 FT. FROM THE REAR PROPERTY FT. FROM THE ROAD CENTECLEAR RLINE SHALL BE OF STR �A 1. UCTURES AND EQUIPMENT EXCEPT 112- FOR A 2 FT. SAVE OVERHANG. P, 0 S FT aftcted Fife S& MOBILE completed I pirements moat be 4,:: specified and WPB 14 1� eel C.D.F. tip1 V- wv—C-.- �700 0 —),t -\, j;,c) urr \,k (rtec;��" A-, v,2 APPROVED Butte County Environmental Health -7 e ------------ Signature al O V, � VX M"T C �I L� GO P`1� MOBILEHOME SUPPORT DATA 1 % , If other than single wide, Mobilehome Mfr. [d,r%V furnish Setup Model No. Year Width (ft.) Box Length_ 6_(fti.) 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). al - FOOTINGS (check one 3� �1. Wood -pressure treated or foundation grade . 2. Other (specify) .SUPPORTS (check one)��/'�l. Concrete block:R- Othert(specify) ��----�� F t, - S jxee,, and ions pow SINGLE -WIDE. 'a; /�-T+; / L[_�� MULTI -WIN Line 1 Line 2 4- — — — — — ® Line 2 ain Beams a Line 2 Main Beams —_---_—_— a line 2 �' --- —--------- — Line 1 Line Tag or Triple •m Line 1 ' Line 1 Piers Line 1 Openings: Size -Min- ------------ rrx Size -Min. ------------------ S pac I ng -Max. -----------------Spacing-Max. Each Side of Openings From Ends -Max. ------- With ,Width Over--------- Line ----""-Line 2 Pierer:. Line 3 Piers: (Under Bearing Wall Only) Size-Min.------------Size-Min ------ ------------- .rrx u "x Spacing -Max. --------- ,_ n Spacing -Max ._-------------- From Ends -Max.------- From Ends -Max .--------- Line 3 Roof Loads: Size-Min.-------------F�.,,x Location (From Front) 'Line 4 Piers: Size -Min .------- Spacing -Max.--------- From Ends--,t4Eut.�------ r_ o Line 5 Roof Loads: ' Size -Min .------------ x Location (From Front) nx Ix rl_ H x 11, U rrx 1.1 I rr Line 5 Piers: (Under Bearing Walls Only) Size-Min.------------------ rk „ Spacing -Max ---------------- from---From Ends -Max.------------- x k rr x „I k x k n "x rr i'i�i4 ► fi ��a nt1, L 1. Owner's Name: 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7_County Center Drive, Oroville; CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET � SToc.k,s 3 3. Is the site currently und�erpeimi.t? Yes' No F] (If yes, furnish permit number /�-% ) OR Is the site an existing site? Yes F] No a (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes IM No F-1 (If yes, identify the load and size: (Load) (Amps) .3 U 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural ❑ LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) M1 b i AON 1d30 JN1011ne lune -10 Amnon (BTU) (If no, clarify 5.- What is the mobilehome electrical rating? --------------- �(J V Amps 6. What is the mobilehome site service rating? ------------- / Amps 7. What is the mobilehome site circuit breaker rating? ----- �c..� J Amps' 8. Is there any other electric load to be served by the •" --------------------------------- Yes No mobilehome site service? (If yes, identify the load and size: (Load) (Amps) .3 U 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural ❑ LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) M1 b i AON 1d30 JN1011ne lune -10 Amnon (BTU) ABESCO ENGINEERED TIE: -DOWNS MANUFACTURED HOME AND COMMERCIAL COACH TIEDOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE AND QUAD-WIDES GENERAL. NOTES 1. DESIGN LOADS: * WIND-=- 85 MPH EXPOSURE "C" * SEISMIC - ZONE 4 * SOIL --- 1,000 LBS. PSF LOAD BEARING ABESCO EARTH ANCHORS #601 OR #602 MAY BE USED FOR BOTH SIDE AND END TIEDOWNS. 2. ANCHOR DESIGN PULLOUT: * 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 7,000 LBS.) x 3.150 :LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) TIEDOWN STRAPS ARE TO BE ABESCO'S STEEL STRAPS #606 AND #614. THESE STRAPS MEETS FEDERAL SPECIFICATION 00-S-781 H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. 3. STRAP DESIGN TENSION: * 4,750 LBS. -MINIMUM TOTAL LOAD CAPACITY (TESTED 5,900 LBS.) * 3,150 LBS. -WORKING LOAD CAPACITY (1.5 SAFETY FACTOR) SIDE TIEDOWNS ARE LOCATED ALONG THE OUTSIDE CHASSIS BEAMS. PLACE AN ABESCO EARTH ANCHOR AT 2' IN FROM EACH END OF EACH OUTSIDE CHASSIS BEAM. DISTRIBUTE THE REMAINING TIEDOWNS EVENLY ALONG THE CHASSIS BEAMS. 4. END TIEDOWNS ARE LOCATED AT BOTH ENDS OF EACH UNIT(S). THEY ARE TO BE .PLACED AT EACH END OF CHASSIS BEAMS, OF -EACH TRANSPORTABLE SECTION OF THE BUILDING. 5. THE NUMBER OF TIEDOWNS REQUIRED ON EACH SIDE/END OF UNIT(S) ARE BASED ON THE LATERAL LOADS DUE TO 85 MPH WIND EXPOSURE "C" OR SEISMIC ZONE 4 --WHICHEVER IS GREATER. esu ITE COUNTY ENGINEER APPROVAL ,�� Q� � ogy��2ti2 1 O Na 17918 � Exp � C1 .% qlE OF CAL�E�� THIS TIEDOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3. SUBSECTION (a) PACIFIC CONSULTING ENGINEERS 4020 EL CAMINO AVE. SAC. CA. 95821 PH: 916-482-7378 JUILDING DEPARTMENT PppOVFh . ABESCO INC. 5851 FLORIN-PERKINS RD. SACRAMENTO, CA. 95828 (916) 383-8831 (800) 382-8831 FAX (916) 383-5207 < < < TYPE QS SEE CHART ` TYPE OE SEE CHART l2.1 EVENLY(SPACED �2•� LENGTH VARIES SINGLE WIDE TY E V SEE CHART ` ITI SE CH �2'IEVENLT SPACEDIEy[Nlr SPACED(EVENLY srAaol2'I ENGTN VARI DOUBLE WIDE 12 EVENLYISPA ED EVENLY ED 2' SPAC I LENGTH VARIES TRIPLE WIDE L2 1 EVENLYLSPACED ( EVENLYLSPACED 12'1 LENGTH VARIES QUAD—NIDE WIND= 85 m.p.h. Exp. "C" SEISMIC= ZONE 4 REQUIRED NUMBER OF TIEDOWNS FOR`FACH SIDE `AND EACH END LENGTH OF UNITI 20' 1 30' 1 40' 1_5n. -5�, ^gin,_ "" �' AA" I�n WIND= 85 m.p.h. Exp. "C" SEISMIC= ZONE 4 ,E 0 REQUIRED NUMBER OF TIEDOWNS FOR EACH SIDE AND EACH END ART LENGTH OF UNIT 20' 1 30' 1 40' 1 50' 1 56' 1 60'H62' 70' TIEDOWN LOCATIONS E S E S E S E S E S E Jj6j6' E I S I E SINGLE WIDE UNITI 414 1 4141 514 1 6141 714 ,914 1 8 4 8 4 WINO= 85 m.p.h. Exp. "C" EE OE SEISMIC= ZONE 4 IART WIND= 85 m.p.h. Exp. "C" SEISMIC= ZONE 4 PE QE E ART ABESCO TIEDOWNS 2; #601 30" #606 7' STL. #614 7' STL. T.D.A. T -STRAP W/BUC STRAP W/HOLE #602 48" T.D.A. #406 BOLT- ON TOP ENGINEERING CALCULATIONS #616 STABILIZER PLATE 85 MPH WIND EXP "C" 85 MPH WIND EXP "C' Vs SEISMIC ZONE 4 FLAT=(1.06)(1.3)(17)(1)=25.6 PSF 333 PLF=0.186R32.5)(WO HH)+160 WLAT=(25.6 PSF)(13')=333 PLF �HDRTM=50.8'=D 51' WIDTH SEISMIC ZONE 4 V=0.186(DL) V=0.186 E(10 PSF)( WIpTM )+( ;s +10 PSF)( WIDTH )+(2 WALLS)(8')(10 PSF]) WIND= 85 MPH EYP "C" AND SEISMIC ZONE 4 WIDTH LENGTH LOAD LOAD TRANS LONG TOTAL LOAD TRANS TOTAL LOAD LONG #TRANS T.D. TYPE 'S" I #LONG T. D* TYPE 'E" SINGLE WIDE TO 14' \'40 FT. 333/333 13,320 LBS. 4,662 LBS. 5 2 50 FT. 333/333 16,650 LBS. 4,662 LBS. 6 2 60 FT. 333/392 19,980 LBS. 5,488 LBS. 7 2 70 FT. 333/453 23,310 LBS. 6,342 LBS. 8 2 DOUBLE TO 28' 40 FT. 333/333 13,320 LBS. 9,324 LBS. 5 4 50 FT. 333/333 16,650 LBS. 9,324 LBS. 6 4 60 FT. 333/392 19,980 LBS. 10,976 LBS. 7 4 70 FT. 333/453 23,310 LBS. 12,684 LBS. 8 4 TRIPLE WIDE TO 42' 40 FT. 333/333 13,320 LBS. 13,986 LBS. 5 6 50 FT. 333/333 16,650 LBS. 13,986 LBS. 6 6 60 FT. 333/392 19,980 LBS. 16,464 LBS. 7 6 70 FT. 333/453 23,310 LBS. 19,026 LBS. 8 6 QUAD WIDE TO 50' 40 FT. 333/333 13,320 LBS. 16,650 LBS. 5 8 50 FT. 333/333 16,650 LBS. 16,650 LBS. 6 8 60 FT. 333/392 19,980 LBS. 19,600 LBS. 7 8 70 FT. 333/453 23,310 LBS. 22,650 LBS. 8 8 PITTSBURGE TESTING LABORATORY RESULTS TEST #1: Pull Out Test in SANDY SOIL. A3, having a Density of -124.90 lbs./cu.ft. RESULTS: Actual Pull Out=7,000 lbs. Average Deflection measured in inches=1.448 TEST #2: Pull Out Test in ROCKY SOIL, Al. having a Density of -133.65 lbs./cu.ft. RESULTS: Actual Pull Out=7,000 lbs. Average Deflection measured in inches= .771 TEST #3: , Pull Out Test in ADOBE SOIL. A6, having a Density of- 87.23 lbs./cu.ft. RESULTS: Actual Pull Out=7,000 lbs. Average Deflection measured in inches= .624 SEE DETAILBCHASSIS TYPE Q TIEDOWN7 CHASSIS #614 STL. STRAP — – SEE DETAIL "A" TYPE QTIEDOWN TIE GOWN #606 STL ANCHOR STRAP (TYP) r' SEE DETAILC (TYPICAL) DETAIL"A TYPE Q SIDE TIEDOWN i; .S . j SIDE VIEW END VIEW DETAIL TYPE Q END TIEDOWN SPLIT BOLT # NUT aeouNo LINE --- CONTRACTORS - DETAIL`C" (TYPICAL) NOTE: VERTICAL OR ANGULAR INSTALLATION IS OPTIONAL CONTRACTORS WARNING: 1. CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTIL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST. LINE. 3. ATTAC:-i STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 4. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. 5. ABESCO NAME IS STAMPED IN ANCHOR HEAD. vV INSTALL GROUND ANCHOR '.''''?•> ='' ' '' INTO GROUND, LEAVING --B'-12' OF SHAFT EXPOSED. 02 PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. - CONTRACTORS VERIFICATION - 0 FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INS ,'ALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME:CONTRACTORS UC.# DATE:_____ _ SIGNATURE:— `"�C, ,{ d;'"h:� 'tti a� yn` '� r .r�,. �• _ i�-e,-'� _rs,fr---. A.y i k'_T. tis�fSL',-rc�;.. ,:K�t; BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District �%� ` _s'1 tQji / T ,� Building Department No. A.P. NumberD SD'� Jurisdiction City County Property Owner /J0 bf Property Location/AddressV. A14n ( ha r? e-., Oro V I Ile Subdivison Lot No. Residential Development[0 Sq. Footage � L No. of Living MZHI Addition (Group R) Units Commercial/Industrial 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ;•=.r (Floor Plans reviewed by School District Personnel) Identification No,95 0 OF "' CCS School District certifies that k kb a (Applicant) (Street Address) (Phone Number) V,/� F (City) (State) (Zip Code) has comp w' the requirements of Resolution No.. I ��—.9y by payment of $ �0 ; q representing /L s uare feet 7 School District Repr sentative Date Paid by Check Number # -+ Remarks: Bank Number /4, -6� Paid by Cash r ' If; subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this.project may be subject to additional school fees.to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) COMPLETE THIS INFORMATION: RECO•RD_ING REQUESTED BY: AND WHEN RECORDED MAIL TO: C401�' CC �Qor'o o;61ta� a BUTTE CCU€QTY REdO, ODER THIS SPACE FOR RECORDERS USE ONLY Document Title(s) THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) Return to DPW AGPIr-I 11 11 IPA' STATFMFNT OF ArICN()wl EDGEMFNT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomform from normal, necessary farm operat-ions. All that real property situate in the County of Butte, State of California, described as follows; Z- Lot,y6, according to that certain map entitled, " Official Map of the Valencia Tract, Subdivision No. 1, Butte County, California, which map was filed in Office of County, Recorder of County of Butte, State of California, Aug. 1 1, 19 13 in Book 7 of Maps at page 58. Date: //� 'c State of On this the day of n�J' 19�, before me, the undersigned Notary Public, personally appeared P RTY W IE; County of _thuma S S4 -ticks and Oeni sg_ V. S E ocks Proved to me on the basis Personally known to men of satisfactory evidence to be the person(s) whose name(s) ares subscribed to the within instrument and acknowledged that the - executed the same for the pur es th rein contained. IN WITNESS/ WHEREOF, I hereto set my and and o ficial seal. Present A. P. Nn Nbrrlary Pul5lic - JULIE PEARLSTEw a COMM. # 102+6316 Z Notary PUbllc — Ca1iPallo Z CONTRA COSTA COUNTY MY Comm. Expires MAY,l 1. 1998 State of /n A l'f (TnaG� County of On 1-g — IN (DATE) personally appeared before me, _ Ju l i e A Q r i S +e I h I < (NAME. TITLE OF OFFICER - I.EE./..��-JANE DOE, NOTARY PUBLIC-) I(LS M S+bCkS a nd ?J2i1iSe V. S 4o�{CS (NAME(S) OF SIGNER(S)) ❑ personally known to me - OR - CYproved to me on the basis of satisfactory evidence to be the person(s) whose names jd are subscribed to the within instrument and acknowledged to me that t)d/she/t_gy executed the same in leis`/ Fhr/M= authorized ca acit ies , and that by JULIE PEARLSTEIN . signature(s)-on the instrument the COMM. i 1026316 Z erson s or the entity upon behalf of which the Zamy Notary Public — CcBfomla persons acted, execut a instrument. CONTRA COSTA COUNTY Witness m hand a official s al. Comm. Exphes MAY 11, 1998 y (SEAL) ATTENTION NOTARY: The information requested below is OF CAPACITY CLAIMED BY SIGNER(S) ❑ INDIVIDUAL(S) ❑ CORPORATE_ OFFICER(S) (TITLE(S)) ❑ PARTNERS' ❑ ATTORNEY IN FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: (NAME OF PERSONIS) OR ENTITY(IES)) It could, however, prevent fraudulent attachment of this certificate to any unauthorized document. THIS CERTIFICATE Title or Type of Document MUST BE ATTACHED Number of Pages TO THE DOCUMENT DESCRIBED AT RIGHT: Signer(s) Other Than Named Above Date of Document WOLCOTTS FORM 239 --ALL PURPOSE ACKNOWLEDGMENT WITH SIGNER CAPACITY/REPRESENTATION-Rev. 12.92 C199P WULLUI IJ VPMmb. INS,. ,GOP%PLETE THIS INFORMATION: RECORDING REQUESTED BY,: AND WHEN RECORDED MAIL TO: 046879'1 Rec Fee COP 12. 00 Recorded I Check2.00 �I Official Records I 1.4.00 County of Butte Candace J. Grubbs I Recorder B:Olam: 14 -Nov -94. I : PUBL ;gip. FII._ _ 3 Document Title(s) 46Cr-Cx.1J /� cis• � L ��� ��c� \ ��c� M � ^�" p� THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE'FOR RECORDING INFORMATION (Additional recording fee applies) Lot rj/l, according to that certain map entitled, " Official Map of the Valencia Tract, Subdivision No. 1, Butte County, 'L California, which map was filed 1n Office of County, f t fa. - a ,t, fr.s �::...i i ..11'c. .'*+, t xJ,r -i'?. , ... ♦i r"' .�..�o. t 'ivA. � ;�,•a...., Jyr• �!T .s r .•S••MM!?NJ••M' •at dfj�,v,:rx { �.Y.K:°�„; "�� � �I ' �� r °• ° f�'a�Ftecorder of County of Butte,State o"f Califo�nia;`A g. 1'1, 1913 r.,.% ,1 �' ry.-�" :*.. x +#.,S � �^„ k♦ �#`� .�+', 11 �♦�.,f_��7:if 3♦t �:4.+��.��'X7 :A� fS. :..:.2'�- t 1 . ,-`in Book T.of Maps ' 9 at page 58. K' � ��+•� fy };. ' -� lb A. Date: P WZ7 E; - r7�r/_l k . 2 s State of Count of �•On^this the 2 day of nl��; 19 , before me, yi _. •.the,undersigned Notary Public, personally appeared Shcks '-aKe OenrS� V• S4-ocks ! • i ' f;%. -}`'1 sT' "' ,ei to 1?gs *V`41 `. • : to a - t: Asir, ` +•• - _ ""+ ' `'` Proved to me on the basis � r `Personally known to meE ,,• - �,• °of satisfactory evidence to tie the person(s) whose name(s) `ctr� r ��'tt_ .. a" ,t . � ii tom• ��� t .. :,, .s.., .+'• k -thy fi �-4r, o �•r:. 1i�t,� - subscribed "*the within instrument and acknowledged that j' - 'r "'M' .t: Y•ifc;. �:. iysi.a.,x.i,rv�..w ' ;44ti.:.+. ,> ., r. ♦ n ---.i %/ ...,-__.... '.�: .: executed the same for the pur est rein contained.'IN WITNESS WHEREOF, I here�o set my and'and o ficial seal. Present A. P. Na p ry Public AIM PFAIMIN .COMM. # 1026316 Z �, Notary PU:dc — CaBfomta CONTRA COSTA COUNTY b' My Comm. moires MAY 11. 1999 Return to.DPW AGPI rl II TIIPAI STATFMF IT OF Af K InWl Fnr,FMFttiT ', •,' -FOR RESIDENTIAL DEVELOPMENT -`-- Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded _.' -;•. _' prior to issuance of a building permit. The property described,herein is adjacent ' Y; to land or included within an area zoned 4. for agricultural purposes, and residents = ' of this property may be subject to ancon- 4 venlences or discomfort arising from the -� - `-: _• r:" �•;, use of agricultural chemicals, includin 9 r. but not limited to cultivation, plowing, ==. - spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows; •`,' Lot rj/l, according to that certain map entitled, " Official Map of the Valencia Tract, Subdivision No. 1, Butte County, 'L California, which map was filed 1n Office of County, f t fa. - a ,t, fr.s �::...i i ..11'c. .'*+, t xJ,r -i'?. , ... ♦i r"' .�..�o. t 'ivA. � ;�,•a...., Jyr• �!T .s r .•S••MM!?NJ••M' •at dfj�,v,:rx { �.Y.K:°�„; "�� � �I ' �� r °• ° f�'a�Ftecorder of County of Butte,State o"f Califo�nia;`A g. 1'1, 1913 r.,.% ,1 �' ry.-�" :*.. x +#.,S � �^„ k♦ �#`� .�+', 11 �♦�.,f_��7:if 3♦t �:4.+��.��'X7 :A� fS. :..:.2'�- t 1 . ,-`in Book T.of Maps ' 9 at page 58. K' � ��+•� fy };. ' -� lb A. Date: P WZ7 E; - r7�r/_l k . 2 s State of Count of �•On^this the 2 day of nl��; 19 , before me, yi _. •.the,undersigned Notary Public, personally appeared Shcks '-aKe OenrS� V• S4-ocks ! • i ' f;%. -}`'1 sT' "' ,ei to 1?gs *V`41 `. • : to a - t: Asir, ` +•• - _ ""+ ' `'` Proved to me on the basis � r `Personally known to meE ,,• - �,• °of satisfactory evidence to tie the person(s) whose name(s) `ctr� r ��'tt_ .. a" ,t . � ii tom• ��� t .. :,, .s.., .+'• k -thy fi �-4r, o �•r:. 1i�t,� - subscribed "*the within instrument and acknowledged that j' - 'r "'M' .t: Y•ifc;. �:. iysi.a.,x.i,rv�..w ' ;44ti.:.+. ,> ., r. ♦ n ---.i %/ ...,-__.... '.�: .: executed the same for the pur est rein contained.'IN WITNESS WHEREOF, I here�o set my and'and o ficial seal. Present A. P. Na p ry Public AIM PFAIMIN .COMM. # 1026316 Z �, Notary PU:dc — CaBfomta CONTRA COSTA COUNTY b' My Comm. moires MAY 11. 1999 State of el A CAPACITY CLAIMED BY SIGNERS)_ County of ❑ INDIVIDUAL(S) . -r ❑ 'CORPORATE . On ItPc7 9y before me ju 1"e, Pea r Is +e, i nOFFICERS) (DATE) (NAME, TITLE OF OFFICER - I.E., JANE DOE, NOTARY PUBLIC-) (TITLE(S) ) 1I ❑PARTNERS S +o c h ❑ ATTORNEY IN FACTpersonally appeared �u k� (NAME(S) OF SIGNER(S)) ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: ❑ personally known to me - OR - Cproved to me on the basis of satisfactory evidence to be the person(s) whose me s WLarr&subscribed to the wlihin instrument and acknowledged to me that Id/re/they executed the same in F K- l I�r/tW authorized capacitv(ies), and that by SIGNER IS REPRESENTING: JULIE PEARLSTEIN =erson 'signature s)pon the instrument theCOMM• i 1OW16 Z or the en upon behalf of which the (NAME OF PERSON(S) OR ENTITY(IES)) Z-. Notary Public - Ca9fomb persons acted, execu instrument. CONTRA COSTA COUNTY Witness m hand a officials al. MY Comm. Expires MAY 11;1998 y F .12 I ., ATTENTION NOTARY: The information requested below is OPWONAL It could, however, prevent fraudulent attachment of this certificate to any unauthorized document THIS CERTIFICATE Title or Type of Document MUST BE ATTACHED TO THE DOCUMENT Number of Pages "' Date of Document DESCRIBED AT RIGHT: Signer(s) Other Than Named Above WOLCOTTS FORM 239 --ALL PURPOSE ACKNOWLEDGMENT WITH SIGNER CAPACITY/REPRESENTATION-Rau. 12.92 01992 WOLCOTTS FORMS. INC. ,.C,MPLWE THIS .INFORMATION: RECORDING REQUESTED BY': AND WHEN RECORDED' -MAIL TO: r 0,4_46879 194-0468791'Rec Fee 12.00 I COP 2.00 Recorded I Check 14.00 Official Records I County of I Butte I Candace J. Grubbs I Recorder I 8:01am ,14 -Nov -94..1 =PUBLFM '4 Document Title(s) f ti Gam\—\ ,�.G�At��^� ©� � � c,� THIS PAGE ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) e -94-46879 Return to DPW AGPIC'IlI TIIRAI STATEMENT OF Af KNO WI EDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to cultivation, plowing, spraying, pruning; and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows, Lotl, according to that certain map entitled, " Official Map of the Valencia Tract, Subdivision No. 1, Butte County, California, which map was filed in Office of County, Recorder of County of Butte, State of California, Aug.,1 1, 1913 in Book 7 of Maps at page 58. Date: //_ q—,? _NE.:/k L�1 AN fil I I W� State of �L✓�Clzlrr�4 On this the day of OW • , 19-qq-, before me, County of the undersigned Notary Public, personally appeared _Qoualas 14 • Shc.ks and Denise— V. S4-oc_ks Proved to me on the basis ❑ Personally known to me of satisfactory evidence to be the per_ sons) whose name(s) are— subscribed to the within. instrument and acknowledged that fh�y executed the same for the pur ses th rein contained. IN WITNESS WHEREOF, I here' to set my and and o ficial seal. Present A. P. No ary PuZSlic �-3 X90. JULIE PEARLSTEIN a COMM. #)026316 Z Z '• '' Notary Public — CoNfomla a CONTRA COSTA COUNTY MY Comm. Expires MAY 11, 199& I .94 46,S79 3 (SEAL) (SIGNAT011F OF NOTARY) I ATTENTION NOTARY: The information requested below is O ONAL. It could, however, prevent fraudulent attachment of this ce fificate to any unauthorized document. THIS CERTIFICATE Title or Type of Document MUST BE ATTACHED Number of Pages Date of Document TO THE DOCUMENT DESCRIBED AT RIGHT: _ _ _Signer(s) Other Than Named Above ni000 wnl rnrrq rnRMS INC OTTS FORM 239 --ALL PURPOSE ACKNOWLEDGMENT WITH SIGNER CAPACIIYIHtFKtbtN 1AnuN-nev. icyc — .� _END OF bOCUMENT CAPACITY CLAIMED BY SIGNER(S) State of `I �f ��� W `4'i ❑ INDIVIDUAL(S) County of , ❑ CORPORATE (1-g " `7 �-{ �U I iP P 11 r I S fe-1 ✓1 OFFICER(S) (TITLE(S)) On before me, . (DATE) , I (NAME, TITLE OF OFFICER - I.E.. 7JANE DOE. NOTARY PUBLIC-) 10Pnfs y• S { ❑ PARTNERS U C personally appeared laf, tt • S+b C ks o "d e•.oGk_S ❑ ATTORNEY IN FACT (NAME(S) OF SIGNER(S)) ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: O personally known to me - OR - [Yproved to me on the basis of satisfactory evidence to be the person(s) whose names are subscribed to the wl In instrument and acknowledged to me that I6/she/tom executed the same in �06/ I-0r/their authorized ca acit ies , and that by SIGNER IS REPRESENTING: JUltl PEARLSTEIN # 1026316 h' /h /�L1E1L si natures on the instrument the g (1 PIrson the behalf of which the (NAME OF PERSON(S) OR ENTITY(IES)) COMM. z s or entity upon Ze '_® . , Notary PubCalCaliforniaZ CONTRA Public lic — COUNTYPersons •" My Comm. Expires MAY 11, 1998 acted, ut execa instrument. Witness my hand ar officials al. r n (SEAL) (SIGNAT011F OF NOTARY) I ATTENTION NOTARY: The information requested below is O ONAL. It could, however, prevent fraudulent attachment of this ce fificate to any unauthorized document. THIS CERTIFICATE Title or Type of Document MUST BE ATTACHED Number of Pages Date of Document TO THE DOCUMENT DESCRIBED AT RIGHT: _ _ _Signer(s) Other Than Named Above ni000 wnl rnrrq rnRMS INC OTTS FORM 239 --ALL PURPOSE ACKNOWLEDGMENT WITH SIGNER CAPACIIYIHtFKtbtN 1AnuN-nev. icyc — .� _END OF bOCUMENT