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028-140-013
28-14-%106 W. E. Billings x,028-140-013 800 off E/S. Tennessee Lane, app.700'S.of B07 1781 c . LaPorte Rd. Bangor 'MISCELLANEOUS '� Ag Exempt +AG:EXENIPT BUILDING FOR TRAC�T(7 Per 95-78P,E(ul. ELEC. ' 69 TENNESSEE LANE < <' AS ' NORMAN RUSSELL' `: �} ` .,a SUPP RT STRUCTURE HQ..-�zv COMPACTION TEST REQ. d ' 28-14-0% IS d Contr: Lincoln Village MH s Permit #4671 78MHI 7f Issued e 28=14-011 ' 69 Tennessee Lan, Bangor '� !awyn Contr: Aluminum Builders 42PErmit#219-88B(new cabana, s eps & ing)MH - d ., BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES AGRICULTURAL BUILDING EXEMPTION 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: 69 TENNESSEE LANE Owner: Permit NO: B07-1781 APN: 028-140-013 NORMAN RUSSELL Issued Date: 09/17/2007 By TMP Permit type: MISCELLANEOUS 5266 HOLLISTER AVENUE SUI1 Subtype: Ag Exempt SANTA BARBARA, CA 93111 Expiration Date: 09/16/2008 Description: AG EXEMPT BUILDING FOR TRAII (805) 964-9375 Occupancy: U-3 Zoning: A-5 Contractor Applicant: Square Footage: NORTH VALLEY BUILDING SYSTEMS NORTH VALLEY BUILDING: Building Garage RemdUAddn 30 SEVILLE COURT 30 SEVILLE COURT CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530)345-7296 (530)345-7296 FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $115.98 Total Charged: $191.68 Fees Paid: $191.68 Balance Due: $0.00 Receipt No: B4310 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License NORTH VALLEY BUILDING SY: 812173 / B C8 / 09/30/2008 Law for the following reason (See. 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 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 09/17/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE 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, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 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. a 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 REDWOOD FIRE AN W6936902 09/01/2007 Carrier: Policy Number: Exp. Date: Contractors License Law.). (This section need not be completed if the permit is for ons a human red dollars ($100)_6r less.) ❑ IAMXEMPT under Section B. & P.C. for this reason: (�_ ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS / / ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' �w X DYt� 09/17/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those 0 ers Signature Date provisions. X 09/17/2007 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 Slate laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND us or occupant any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Co my to enter th a ove mentioned property for inspection purposes. I hereby certify that I am the prc Deny owner or m uthorize t act on t e property own behalf. CONSTRUCTION LENDING AGENCY g.1 t 09/17/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for of Per ittee [SIGN) P int Date the performance of the work for which this permit is issued. (3097 civ. code) r(I Contractor OR; Agent for Owner ❑Agent for Contractor wner El If FILE COPY Lenders 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 G Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. InitialsG 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: 69 TENNESSEE LANE Permit No: B07-1781 APN: 028-140-013 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: A-5 Description: AG EXEMPT BUILDING FOR TRACTORS Required Setbacks: Applicant: NORTH VALLEY BUILDING SYSTEMS Front: Side: 20' Rear: 20' 30 SEVILLE COURT Type of Construction: CHICOCA95928 (530) 345-7296 Type of Siding: Metal Owner: NORMAN RUSSELL Est. Const. Cost: $ 38,000.00 5266 HOLLISTER AVENUE SUITE 23 Roof Covering: Steel SANTA BARBARA, CA 93111 (805) 964-9375 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 effect at t at time and for to occupancy. Signature of owner: Date: 08/21/2007 FILE COPY 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" APPLICANT INFORMATION OWNER /NFORMATIO Last Name17 V 5 � t t First me ity Zi State eA P one Al Fax E-mail Phone APPLICANT INFORMATION CONTRACTOR Name o�-T•� � v Address 5 O N, City City State Zip .2 Phone ,�EFax-3y Phone _ E-mail , b QU Lie. #1 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address,7 Address N, Tr� c J City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name S Address,7 City n _ Staten^ l� Tr� c J Phoney Fax E-mail IN— NO. BIN�� PROJE T LOCATION AP# Property Address44L City )�,�zj CA WORKER'S COMPENSATION Policy Number Z1 0,91Carrier - WV (1 " �iS �" `�h v,L,4j If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. L.ENDLNG AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Zoning J I Flood Zone SRA N Yes No V n 0 Sq FT- Living Garage ❑ Structure Built without Permits ❑ Proposed Change of Occupa (Note previous use): Open Cov rn I v 4 I . For office u I : Zoning J I Flood Zone SRA N Yes No Occ. Type Const. 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 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 carry 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. 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) 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 EXEMPT BUILDING FOR TRACTORS AND EQUIPMENT 30X50 Reference Number: B07-1781 Applicant Name: NORTH VALLEY BUILDING SYSTEMS Owner's Name: NORMAN RUSSELL AP # : 028-140-013 Signature of Property Owner: Date: 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: • Make sure your application is complete. • 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://muniCipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1781 Location: 69 TENNESSEE LANE Parcel Number: 028-140-013 Owner Name: NORMAN RUSSELL Description: AG EXEMPT BUI�;) Signature of Property FOR TRACTORS AND EQUIPMENT 30X50 FILE Date: 8/21/2007 Phone: (805) 964-9375 Date: 8/21/2007 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 -que- -0-00FS 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: B07-1781 Date: 8/21/2007 Location: 69 TENNESSEE LANE By: GLB Parcel Number: 028-140-013 Sub Type: Aa Exempt Owner Name: NORMAN RUSSELL Phone: (805) 964-9375 Description: AG EXEMPT BUILDING FOR TRACTORS AND EQUIPMENT 30X50 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 Ca' 1 ornia Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in tepcation of grading and/or other permits or other santions provided by law. Title: FILE Date: 8/21/2007 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 PERMIT APPLICATION DATA SHEET Reference Number: B07-1781 Chico Area Recreation District, 545 Vallombrosa, C co CA 95926 - (530) 895-4711 Location: . 69 TENNESSEE LANE ❑ LB Parcel Number: 028-140-013 /Dae/21/2007 � Exempt Owner Name: NORMAN RUSSELL SC OOL DISTRICTS 805) 964-9375 Description: AG EXEMPT BUILDING FOR TRACTORS AND EQUIP The above permit application has the following Clearances required prior to perm issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit applica 'on. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 9 65-(530)533-0740 ❑ E] LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-20 0 E] E] City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 8 -4711 ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, C co CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midw , Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1 0 Myers Street, Oroville CA 95966 -(530) 533-2011 ❑ ED Paradise Parks & Recreation, 6626 Skyway aradise CA 95969 - (530) 872-6393 SC OOL DISTRICTS Biggs Unified School District, 300 B S et, Biggs CA 95917 - (530) 868-1281 ol District, 1163 ast 7th Street, Chico CA 95926 - (530) 891-3006 Chico Unifi/olDistrict, Durham Uhool District, 20 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley Schtrict, 429 M olia, Gridley CA 95948 - (530) 846-4723 Marysville District, 1 19 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elry Scho District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Unh, 2 1 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Uc of District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded cgricultural Acknowledgment Statement- See Attached Instructions City of Biging Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: ❑ ❑ Other: Signature of Property Owner: Date: 8/21/2007 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1781 Job Address: 69 TENNESSEE LANE Contractor: NORTH VALLEY BUILDING SYSTEMS 30 SEVILLE COURT CHICO, CA 95928 Printed: 8/21/2007 11:46 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBOMSCF Ag Exemption Permit 0010-440001-4210500-1010 $115.98 8/21/2007 $115.98 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 8/21/2007 $75.70 Printed By: Gwyn Benedict 191.68 $191.68 Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 8/21/2007 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). PERMIT NO. 219-88B PERMIT EXPIRES OWNER W.E. BILLINGS "CONTR. Aluminum Builders, Rancho Cordova ASSESSOR PARCEL 28-14=01 LOCATION 69 Tennessee Lane, Bangor ' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E J0B FINALED (Date) Signature = OK 0 = Not OK = Not Readyable MOBILE HOMES 'MISCELLANEOUS Date- MOBILE HOME UTILITIES (Plans) OK except #'s ' Dae DEC S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements Ing Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete t . ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) Awn Posts- Beam s-Rftrs.-Connec.- Shthg:-Rfg.-Bracing ' 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft.um. / /"Nat. or/ P L" ft./ P'LPG Awn.; Columns -Connections -Splice -Decal -Enclosures s -Doors 7. Utility Clearance ; 7-E1ee— - mg; Sills-Anchors-Studs-Rftrs-Trusses in Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date oof; Shthg-Roofing Card -B1 Date Card -B1 Date �.?f Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Dat and -.B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date NJ 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel - Dead Men -Lining Connections -Thickness -.8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK = NotOK RESIDENTIAL (Single and Duplex) = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -61 Date Card -B1 Date Card -61 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -81 Date 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -61 Date Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) ? COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -tet 7 County Center Drive • Oroville; California 95965 -Telephone: 916/538-7541 " APPLICATION AND PERMIT 0 ll. ASSESSOi A�gCEL. NU BER / OG/a(/ !/ ZONING BUILDING PERMIT OWNER ^� ` TELEPHONE ,SQ. FT. OCC. BUILDING VALUATION O NERS ILING DDRESiS TELEPH /6e T CO TRAC MAILI G A ESS 11 Fireplace CONS RUC IO LEN ER UNKNOWN Total Valuation $ 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 Fl ling Fee 10.00 Each Trap 2.00 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 OF STRUCTURE SF ❑ Duplex❑ MobilehomeET--'Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New Addition Remodel❑ Utilities❑ Innstallation❑ Other[E] Describe work: —la� - 1��'�.�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 q Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de,;,r _under penalty of perjury (check one): IU� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 6'1 d-4 d3p ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.911 ,�2¢Sgft OR ADDNS. ACC. BLDGS. I/ NEW CONSTR. I.OUTLET 2,50 ea NON.RESID BRANCH CIRC S POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp\( OUTLETS OR FIXTURES 200509 SALO 30 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ^❑ The permit is for $100.00 (valuation) or less. LLT 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. 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. 1 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 agains s 'd County in�con ekquence of the granting of this permit. X Date r �' �� Signature of Applican Owner ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE x $ t103-7 occOP. CONST.TYPE ISCHOOLIVrIPNELI PD HD sOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -- Receipt No. v 3 WHITE-D.P.W.. YELLOW-A3e[55OR, PINK -INSPECTOR, GOLDENROD -APPLICANT =.Wv-y`... :;�;u4 ,�-.:.,r.'.. t,.b�`'.`:�✓,„r„�i'rl,���i�,..i+>.�..w•:'y �Jr'� tiY�-4re:w�e�Lu.$. .;=�i'~.;�, � / .c, .; �... .� .. COUNTY OF BUTTE - DEPARTMENT`OF PUBLIC WORKS - BUILDING DIVISION s 7 COUNTY CENTER DRIVE - OROV,IbLE-G IFORNIA 95965 -TELEPHONE: 916/538-7541 ` PERMIT APPLICAl-IdN'•DATA SHEET _ Permit No. OWNER — A. P. No. 02 Proposed Building Use � � _ Building Inspector t 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 have been submitted. . . . . . .. . . . . — 2. Plot plans in duplicate./.triplicate, signed by preparer of plans. . Complete plans.�n duplica a/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. Sanitation approval from fid_ Health Dept. hZ_EX0. 4 1 .. -2. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. f; 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _._-..__15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre-Inspec. request to (Dot_) Pre -Inspection for _ .. -.-._- _ Required. Building Inspector r 18. Recorded copy of Agricultural Acknowledgment Statement. y 19. Driveway Permit. _ 20. Plot plan approval from city of 21 Engineered trusses in duplicate (required prior to plan check) 22. — — — When you issue the permit, process as follows: Mail to owner, Mail to contractor - Telephone and hold for pickup at office, Deliver w/inspector. Other A p p I I c a 112fw Date_ Copy of plans sent Health Dept.; Fire Dept., then Date The following data must be submitted prior top t issu 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 c? above required data by—phone —ma iI—counter by date Plans checked by Date Plans approved by,11V T Date -Sets of plans on hold in File cabinet AP folder T- Copy.—DPW TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance NOTE * * * S i(se Date Af -06 Owrier Location lot AP# Plan Approved for: Sewage'Disposal Water Supply Hold final for: Water Supply Final clearance O.K..for: Water Supply Clearance f or bedroom mobile home. Other 0 .A NOTE * * * S i(se Date ✓4! • ; j QCr setback of 5 ft. from tYte property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment exceP9 for a 2 ft. eave overhand_ ca - my RW ---I €ion. Run Run measured too to tog. I%" max. tolerance betV eGn I&rgest & smallest rise/run. /by, AFfia @ovC/L 3.5" " -0 Top. rail .$o be 36 In. high; 1i! intermediate rails to be not over�n. apart,. -�'JQTE--Alt Materials & Workmanship Shall Be i►f Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans and specifications MUST beJ kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. 0OXr BUTTE tO R= 0 � � o my RW ---I €ion. Run Run measured too to tog. I%" max. tolerance betV eGn I&rgest & smallest rise/run. /by, AFfia @ovC/L 3.5" " -0 Top. rail .$o be 36 In. high; 1i! intermediate rails to be not over�n. apart,. -�'JQTE--Alt Materials & Workmanship Shall Be i►f Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans and specifications MUST beJ kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. 0OXr BUTTE tO R= Np 3 _4 V_:_ OZ MXNF 1% z 6611 z Ac f i IE vl$� 1 IP m Elk. 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P '13 f:F: ,=,�E<p i r=mcs� Com, So •vita - --__- _ �l `�." zz 70 -imiQ 01 6 ] N Mr�bo '3 d �., �r€ � �L rf i1 u{ II I A HVIi DFlo •CbS [ a � Np.► i;�,E �6[[I• tm- �------ � a- � otoltz> iii h I• Z° P L N n Z 21 ] I J � b � •O D@z p'� '�' �� ^ESP V^-1105 •P�gR h N ZcMv p �^ rz� V Alk N SR Vti. c I I ;. inn• ; . — o IJ x Naz Sar r Z � 7. a A A,; C N T Y B &TT OU k.. �DEPARTMENT OF PUBLIC WORKS�- .7�,CQUN TY -CENTER DRIVE OROVILLE-CALIF; 534-4541 an 'CERTIFICATE OF Q PA i mo i e r a i h h ":This b ' I h' h- been',i"i4lW in ka�6,co d n66, wit, t .9me- as,, - ;V t�'�e'��'C�lit6rnia;,Adi�in"ls'tr-at*ive T416:25,., Ch'a0.ter'Zun,eK,,pprmit-" 'th'e It f o lfcw . i ig' l8catl�bili ji; Y A; n J or, zy:. 74 41) e" �0 wrier 'N f s Owner" V Wdress y Mo 10 i- F�t c bilegonie"Afg. Model— ear, CA v L'I V 3 117 nsigniaTo..— N 0 Ser.ial,N.o. e 'h escri eA�Ioc 6n�afid` for ov,e, lt,is' 'r�eby�,��ertified _,�Atj e,,Ab" d occupancy e. o-c-cu,pi�e"a.� :may �4 'Dir, rpubli`�:*8�k ertor..O: S�7 .13y �D at� 44' THIS:CERTIFICATEAt VOID. WHEN. MOBI LEHOMEA& RtCOCAI-ED! mite &wner, Y llow�:Ilnstaller?i k D., A. - A, ;r 41 ' `s ERMIT'NO. �• PERMIT EXPIRES - :.:(OWNER -W.E. Billings NTR: Owner . 28-14-1 LOCATION (A.P. ) 800'off E/S Tennesse Lane, app.700'S.of -'�' LaPorte Rd . , Bangor • w. t •'"+ 'jr "IA ira , l+ Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E W :o Temp. Gas Serv. d ` Called PG&E r JOB = 3 01 FINAL ED (Date) F (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION'RECORD ` BUILDING BUILDING.(Cont'd) PLUMBING Set ck F ewall it Piping Form PAPets t Floor Main Idg. Restr m Finish 2 Floor Foo • s Windo 3rd loor Stem II Siding To out Slab X Roof Shealkina Water PlAng Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Prov. for 1)sical Appliances Carport handica ed Po Conformance of ex. Gas PI Ing & Test Footings structure Temp. Gas Slab Final Sanitation Patio - IREP CE Final Footings Footina E CTR( L Masonry Walls Throat / Rou h Reinf. Steel Final X Fixtures Bond Beam FIRE SPRINKLEFk Motors Framing Test Water Htr. Stucco Final pbane Mesh MECHANICAL t Prot.Scra h Heat B n Coong Pole ish D is round 1 rior Lath ntilation ent oor Closer anal MOBILEHOME UTILITIES - - --- - - - - - - - - - Elec. Service0c� Elec . Pedestal Water Piping Sewer —2tf Gas Piping M;T w .' BILE OME I STALLATION - - - - - - - - - - - - - - Support Z Elec. ContinuityV2 91-74- Water PipingDrainage v Drainage Gas Piping DATE ! Jr3 ✓7 0 REMARKS OR CORRECTIONS 04 Pa S,� �1" �; A 57 /0 ` -cam e'c 5 eAvl MlY l 7-6 044 acoX &,4.5S A/o .5416P (NOTE: An entry must be made on this form each time you visit the job site.) --�a...._r . - - - G1'ZZ"Q."iJCTt76i`Gl�c•1 cYli --- - -- ; - --- L. ---- - ---.--,.-_ e _ _ - - �zocz=� ; 'Eaeirbi�aental.. Health. • � `' • �7- Sewage �/or; Water gnc2/or Additi 6m, Clearance ( S ) - - '- r o r R LCcrIION A.P. No. (Mans, are •appra4ea farz"Sewage Dispo,.m 'Nater Supply' Water S res Fi [tiaClearan'ce'oK or: - ., Mater Supply . Clea...: ce is OJ , a bedroom-- (hone or so�i. e h s) . Other .T�anadditioa�s} wii�.:be• - ..^ ' - i ' ; Oita h 13 - r , 9. Electrical." A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_Lnf o_ B. Is there proper clearances around panels? Yes . C. Is power supply cord or feeder assembly properly fused? Yes -4 No_ D. Is continuity test satisfactory as per the following procedure? Yes( No 1. De -energize electrical wiring system of the'mobilehome at the pedestal_ 2. Make sure that the power supply cord or.feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in•the mobilehome to the "bn" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to .each mobilehome supply conductor, including neutral. S. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, -,water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the"site service equipment. A further continuity test shall then be made between the•grounding electrode and the chassis of the mobilehome. Upon satisfactory completion.of the electrical tests;.the lot or site service equipment may be approved for.energizing. 10. Is job card signed by health Department for water and sanitation? 11. If everything okay, sign off card,and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle ,_e� LengthWidth 4k -?A Vehicle Serial No. % -X P-3 Al %/ fvG'a' State I''gentification No. �' 1 Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome. have required clearances above ground? (Sec. 5085.) Yesl,/ N0- 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesQ/iVo 4. Is the mobilehome level? (Sec. 5088) YesNo 5. If mo than a single unit, are crossover connections properly installed? (Sec. 5088) Yesy No 6. Water A. Is flex' e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test?- Yes&, ---,No_ C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes— No_�l 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum 4" per foot slope and is it properly supported? Yes t/1Go C. Are any leaks detected in drainage system after runnjng 3-gallons'of water through each fixture including washing machine standpipe? Yes VNo— D. If coach is not State of California approved, does station have required trap and vent? Yes No IVA 8. Gas.Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. .Test OK as per following procedure? Yes v --'No 1. Open all appliance connector vj.lves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"rl4" water column; or test with slope gauge (minimum ® 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehoiqe.with connector, turn on gas, test connections with , soapy water. / C. Are all appliance vents properly installed? Yesr/ No_ to COUNT -Y OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Ceriter Driv6 - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Permitee or Agent Receipt No. 17 7 144 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR BLIC WORKS By Date- l� - 7> BtriIding permit expires Date 6—( BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address O OTelephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee f Building Address 900 ,� Plan Checking Fee&/or Penalty - Permit Fee r PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , Each Trao 1.50 y,, 10 Repair drainage or vent piping 1.50 A. P. No. �� -._ A"5 Z Water piping 1.50 1 Each gas water heater or vent 1.50 F s Sa ' n Fire Dept. Fire Zone Use'Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plan Parcel Declaration Parcel p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 n 00 Bldg. P s Rec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP 00V OR ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING O1 OR ADDNST ( ACCLBLDGS,CCUP. 51)20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI -OUTL T NON-RESID ( BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS a NON.RESID. (SINGLE OUTLET CIR. Ex. Occui)(OUTLETS OR FIXTIIRES Ig L FIXED APLNS. Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 , 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 'FEE MECHANICAL No @ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 , Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ OZ TOTAL PERMIT FEE $ 3r_-3 14Z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Permitee or Agent Receipt No. 17 7 144 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIRECTOR BLIC WORKS By Date- l� - 7> BtriIding permit expires Date 6—( The . Setback shall be 5 ft. from A-4 side proper fy line and 50 #f. frerrt �@ of'ihe rocid, perniifta l 19 MI t rnun-i of a 2 it. eave overhang but anti�t t 60.01 a!1 easements. i a _FPc system A permit will be required for the to be installation of they nnobilehome, Butte County Health as pe :f } q irements. dept- Re_ F -7 All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road). side of t home. he mobile BUTTE COUNTY BUILDING DEPARTMENT APPROVFD.. ��r A ` 1Sy ; .11M11 Be in phis set- of. -plans -and specifications -MUST be ill 0.1 Cl1!^ Ii't'� �. ,<. ,'! ,t .: g""''Aces and sept on the job at all times and it is unlawful to. al , :tie �1.n'i xt. Cuildinn. Pl+ml in �' Machariical -anal use !� the Codes make any changes or alterations on same without - 1!i �s 5 -Electrical Code. and written_",,permisson- from the Department of Public _ W rksi -County of 81I+tq, j pl The . Setback shall be 5 ft. from A-4 side proper fy line and 50 #f. frerrt �@ of'ihe rocid, perniifta l 19 MI t rnun-i of a 2 it. eave overhang but anti�t t 60.01 a!1 easements. i a _FPc system A permit will be required for the to be installation of they nnobilehome, Butte County Health as pe :f } q irements. dept- Re_ F -7 All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road). side of t home. he mobile BUTTE COUNTY BUILDING DEPARTMENT APPROVFD.. ��r i COUNTY -OF BUTTE t_DEPARTMENT OF PUBLIC WORKS 7 Z ,&7nty Ceriter DFive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT above-mC representatives e t nedproperty for inspection to enter upon the purposes. Datey / Signatu of P/e'rmitee or Agent/ Receipt No. `7gaU4 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECT R PUBLIC WORKS � By Date 9—/0-70, p Iding permit expires Date BUILDING Owner WAC U G-5 SQ. FT. OCC. BUILDING VALUATION Mailing Address 6 e� t Cc cj� /� �/ A (� Telephone No. Fireplace Contractor ©Ct-4 V L �v '�'� Total Valuation Mailing Address lyL `u Permit Fee Plan Checking Fee &/or Penalty Tele ho77oi Permit Fee $ Building Address �� C� `/` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 n/ �= ! 40 Each Trap 1.50 ARepair drainage or vent piping 1.50 Water piping 1.50 Ip� Each gas water heater or vent 1.50 A. P. No. p� — �% ��Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W. . ,&enfteiien Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rove is P Lawn sprinkler system 2.00 Bldg. Plans ec'd Parcel A provol PI Approvol Pe•mit Fee $ $ EW ❑ D lTION ❑ UTILITIES Q OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service io00V OR o AMP ORLESS5.00 ly Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVR 600V Main service 100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP j 1.00 �. NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID, ( BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under t e name style f: `- �`l�,i�ca " L Ex. Occup(OUTLETS OR FIXTURES)�� BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.a&t3 ` 9 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor n's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 B TOTAL PERMIT FEE $ O m above-mC representatives e t nedproperty for inspection to enter upon the purposes. Datey / Signatu of P/e'rmitee or Agent/ Receipt No. `7gaU4 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECT R PUBLIC WORKS � By Date 9—/0-70, p Iding permit expires Date 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- (If yes, identify the load and size: _(Load) Yes / T: No / / �oJ (Amps) 9. What is the mobilehome site gas pipe size? --------------- ------ (in.) 10. What is the type of gas service?"------,; --------------- ------ Natural / / LPG br,'l 11. What is the gas pipe length from meter or tank to a mobilehome? (ft.) 12. :What is the mobilehome gas demand? -------------- --------------- (BTU) (This information not required if pipe lengt less *an 6�onnaa�jgas or less than 50 ft. on 'LPG.) ♦J( rye BUTTE COUNTY DEPARTMENT SOF PUBLIC WORKS '7 County -Center Drive, Oroville, CA. I PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET c 1. Owner`'s name: �� Ce LN V ! LL 4 C�F IM a 61 2. Installer's name: 1 3. Is the site currently tinder permit? Yes./ % No ( If yes, furnish permit 'number R �i 1 ��' �) OR Is.ihe site an existing site? Yes / / No 777 - /(If (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft.. away from septic tank and leach'fields and clear of all setbacks and easements? Yes / / No (If no, clarify ) ( ) 00 5. What is the mobilehome electrical rating? ----------------------- l0 U Amps 6. What is the mobilehome site service rating. .----------- rx 0 0 Amps 7. What is the mobilehome site circuit breaker rating? "------------- ) ®y Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- (If yes, identify the load and size: _(Load) Yes / T: No / / �oJ (Amps) 9. What is the mobilehome site gas pipe size? --------------- ------ (in.) 10. What is the type of gas service?"------,; --------------- ------ Natural / / LPG br,'l 11. What is the gas pipe length from meter or tank to a mobilehome? (ft.) 12. :What is the mobilehome gas demand? -------------- --------------- (BTU) (This information not required if pipe lengt less *an 6�onnaa�jgas or less than 50 ft. on 'LPG.) ♦J( rye MOB ILEHOME SUgPpRT ,DATA ' _ If other than single wide, Mobilehome Mfr. is �Ccofo(i1) furnish ,Setup Model No.Xear�)(J? WidthZc;?, (ft.) Box Length (p (ft.) Tagalong or Expando Size. ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after Octobc17 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with thy, y of But All center. supports measured from front of ,rN✓-��`y`I�t mobilehome unless otherwise specified. Foott s (cher one) Single 1. Wood either i pressure treated c foundation grade. ( 2. Other (specify) in:) (in (in.) -F Center suppor enter support locations* oofing sizes (in.) x (ft.)(in. \ I / P r r . f (ft -)(in.') ( .) (in.) 1 . (ft.) (in.) Supports (check one) Concrete block. 2. Other (specify) Tagalong or Expando, show support details. (CC,e x03 -- Typical Support in.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) -- Hin. ` -- Max. Overhang ) (ft.(in.) N),* BUTTE COUNTY BUILDING DEPARTMEN.' _i APPROVED *If center piers are other than drawn above, �r draw in -locations, spacing, and dimensions. 2 T 1 Oic of pi.- I /ocP gin/n 1 I — '7e,[ hjlA'r.,IOdJ'i7c, v:_. - '- -- - �`. -•_ .r•,�'._.+,j�: .i:. t: 1 ..,: .�-, _ .. •••od,2•K/ fl►r'II•td., �t[P_. f` ..,,t; .. ti��•.�i'Sa ;'.rte, [.'b� � _iti �� fJw/.•111 pest det • • `-• s. �' �7u_�: f�•Sr(JIO>10:AAT.► �•8SMS•a,Aldi -- ,+• X* ItCG{ aw/`���•, w/»sem I S r.. pet"( f40t '.f.: -c: _ �� •.�t3' • >K i golos•Hsq /.so. t I r. K ;•� �_��^ � ': it.•s•, -s. r AL UM HANORA/L ' /•rtA/1 yt�h t".�:� jy r:,, . St',.c•. u.. sv KSC Ittvoe�sfvrw�fi'-9S � I 'B SMS ew 1.Ar ' _ I • 2X/tX/�O Rwd.� Q (6 tohrq 1 . Dov -9 • �r , Q EiJra►" .• fbsf BofC ` % } Ga e) L Arr red to pail, di/.d! (p M) • �' I I �!! ss • sfexi t.' : sBt r,7l7^ (lOpi- r36 -- POST /NSERT a :`•� -01fl ), At7l[A[d /ti r f -e/A? 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Poatlo Pncr R.e -� ry�o - I"" 1�URALUM '/IVC= e•ji'. co ocltJ of 2000. /Os 9 0/)Fr L /-•J.i.l.KIJrt17JmwFsofo•e%L,/•..arfae:d .►••0,�.lJ/C-!ryf, .- i --- -- °w- ...•.v.- , r•dC1'•1 t i9 -5i • _F' L_�: 9 .t_�t :6 ,! �iCtAS7M� S j r 0 C - Z nCRETle 2 • /d o 7 i ^'�•GU.cJ= - 19r•fC ?4T:'. ^ .�o ts. 1• ,�_rJ.T /'.- c.»__ --- - - !� } COUNTY pr „- DEPT. pE PUBLIC WOKS VAIN 2 81988 L' .4 •[tn Ast65Pnso(tpe/Ntd p•.!t Lt >tieLl9werw6Fwe/et�1% Gts!/ , - Len Wh.1.63own fEncletio0/ Lie.CAW. o -.•. lteylE•/.IOPnrn! _�E ' il oe• . d fi J I. Der It I i YP� Y , rr ,Mar. [ Fasria -� _ __ _ f; Sfs7IfNRlEN Masr �i fa Bt Qm VOC-AtM Atte". 2•/ 9- / ~log ' • i PLAN' .,3A �� col. mar .` cd. /l -0- mar. PAmv*Ar- AWA; LAN dI o ^ t -- - Pis✓iee for / $dea��s _f__9 U- Btom It, Mo S 're AII-V =o' .. ::.D.' r yam; i..•N'• �N :. .`,� ikntcr. OP1' � . . , I .aa 11' TTTdJ11NNN _.n , a3c,a dro,ns t • _mac s �- - �1 ThkA,sess..0/LO b • � Foscio � 7•Ir !a1• � I � •�• -- - '---•- --' - • ; 5 :o% I -wI 3 � co/ �• ' I � I I � O 1�r 1 �� � h• Insta// cot. vert, /nsfo/1 col Vert 33l' t 33 ELEV. SECT ELEV. I'•25 ;?S •�I 5� i =BSNSC9c{sde /op-tE! _ SfIT ;fes? 2 +fh' b ••B SNSo Itcesde /oP-Oeckt{3 •3 S .2 '1J25•'• j' !PS•j 13.00 See Tab Defoi•�.� Enc%sed O / Dfc4 t� 3.75' Awnny� roil I . DECK 2:: If3r SOEca • 2.930 3004 -/436 A/um D_ 6�•/j f �/A V bean . 3-SOUAR£ COLUMN'' P' FW.- sacsd./.P- kl 7S - ' /s4 ,to' ,s41 6radtCASTM-A446MinXP..40o' -� :� Z sea / 6Sr+l Cr./e /=P -D. kL�9 , \ I00'1• 'B.,: .-:dor -:r •n Cx 3 06s .. SMS �, /6 C. !o erre/e 1 3004-H36 Alum. ei .,•, fescio P•r �soUo wood m. t 'B SM:@•w'. Ewsf. 2.50 ),4"ia $,bet (,-BEAM, o! moSa =rf Aso6r/ehone I Fascia _ k Er,rf /nod./e,fo+.e Z ma wbar 6063-T6 Alum. .G7+ L,3• 4 FA3cio GUT rfR 1 sq ,,6 B F 9 C. - Deck I /f9iI re' -)(&%L � Slotted holes / - .3B •O�y'• B ra e c"c- Oeck 23 s� �1 • B Per CO/ washer Tit A + Col. Shoe 1 (2f/ons) r►.8 ,I I I pc. -cc). I: i/-2-/�lCol . 1 I CoL /nserf 5EcT. A, 1 , Deck ' B SM5 e !)`C.- OL-, aB Sk/S a+ 6"c -Pink U Beom r %ABprrco% I I Secr. F,, y.B d 7T 1.17 1"! 1= - 2- ii'8 on d'ogonoL f Da<k ` NIIf Ijt� h (o• 6063-T6 A/um. II�eBS.vSC9c-Dakl +-- P/-7Ga (/80'l - ' .7�S-lj' --rte r.60Y t - - _ Deck t l e sMSC6$-Oek P,, �- 13Q !0 Goge. 2•DO U BEAM SPLICE MfMBfdf sa I' 1 B 85NS@9�-Deck/ 5 [ J PLAN I I b /So t + -- '8 SMS 362 _ Errnded hun a of O LS bi. .0�� - D i �i T o1 TAB DETAIL 6063;T6 Alun (esnssee�- cut 21i � 9 ( � � I jl 3.1ro�O' fo/%I for.+ /v yer, ' SEC:,,C, C - • � n, I 6063-T6A(urn' I' rrdrs F '{IILLL _lllllll'li a /- ,dt SECT. B. SECT A, Dcc k 4f'. 6- 5Ecr. D, Col. insert / h%s IT SECT. C, y�Ro/k./ re,•�..cs Adw9er AD- O,Z d-o_f I i � / ~log AS-40. 1-` .,3A �� Stab.. jlatbsi! o ^ t -- - / Ci ENE Rr1L IV07-ES �ssti n /p ods: [r✓G load+/DPe f; _f__9 AII-V =o' 26 Rod 74 aso• / = .I /25 .9 Wind /aod=/OPsf) L/Plife=/Ops f. i -p -,S-• KLAN Z. Awning OI LLJOLel'sm N "-".7S' - 2.30 ' �---� 2.30' ,smy be screenitd wilA� c?P•nrm[sh �.rntecr--s C!een n9�br wLMa � aoA%�rsmovobke Yfions/ucenT or�3 6rCAr f/er/b/e END TRIM Lfron,sp P/ostr'c �S-rdtniny; oi( notmore-4r, 6063-TSAlum. COLUMN INSERT L Eoth or+7in9 dfrvCYL>•e ShoU BECK TO ENc'TR,m CON/! I fLEV 606/-T6 Alum. Ao✓e orfochsd I%ereto in o t.lsi6le O Ig � COL. INSERT I HC/ir - 9 6o.CrsO G/adeA 511 ASTM A446 n N .075 ,bCoriOn, an..�y4oroyod .d[nrificorior,' ins,9nia. '---• 4. A/v. lr' M def/y n or,d sh-es3 t3 ora oeeOrd/ny >o Alvn Assoc. /976 j .SECT. F SSt�- 9'Oiamefer EIEv. 9, {I--- - I.cB7- I zzI ,�i bl ---'L-- Specs; wily a focfor of solely {y. b ri/o' n9 Products_ CoNSTRuc NOTES lS + rroN AWN/NG fiNL'NOfi p COLUMN SHOE I 1! /. Corryoi//toofi.rys afavn fb ljw7 t. I e, :ASTv ASG9 YS�2SksidT•5:.45ksi Foa :1040 t ; rsTS :4B kS.� = 841m;.2. rn�e Q 0 6063-T6 Alum. d/S rarO@d SO%/ Nor-desryn s0/I. f pressure'= SOO.Psf. -}-- r� Finish: Anchor shall De 'tooted-w,M -Class / zinc rJJecrro P/o ting, PLAN i1 conr.tr[ Sha./ have a1:Sdk t 2000 si. v -18e day �+ fieas to /O M,;,✓c rAk•✓xss -75, 7.5- 75 j• A// framing sAo//be a/ 7� N----a-y /t'0 I C i 4 v co/ ?,7S' _ �---- - I I ^. m ���JJJ ��� unless ofherw4ro shown. SYra/parfs Shall oe 9a/✓ani:d ar Pousfed wrm .. Stas/ priA°er ono erronrN F.✓a%ah. -� o Col 27s'i 1 t a �.1� / B ; t I ' I y'B p e -_ - m - I - }- 4. Stew/ fosrenat-i sho// be s!Wsl o/u.,inyn or eodrrr.um oted. S SMS- Shear .n@fe/�arra'Wj 3wtC �"4 embed. %i /(wiA boff wj24l embed Ilou1 ; w//ri allow put/out rhor. - `valve •3arB%nchor . with 40 r N yoye washer W/TM 2-41P COL. LV/TH_.3 `db COL. C_oA/Ao, - 'Cot. ro Coevc. S4AB -,. • _ _ . .. SAW: ' . Safcfy' stoic shall bs . hat Ore✓ .V -I- ost _ SCNEDVL E Aw/Y/NG =>VD OVER HANG St,vEnL//F-Awvws =- W rAe Yi MODEL Pq Oj L- OR aV COL No. 10 SPAAI. � , _SQ4N. F7iS. AD- O,Z d-o_f �4 SPA L FT6. AS-40. Nlvu ItAt t: Gee of vAe o-aeni olio' sv,M ♦. I' + u+ 1�1 -&eI6 F Column shoe i i ASTM 036 Steer. i I- Z Ca/umq/ /2 Eos a I �' AS7N.A3e S/te/ i Gi / f3: fP! 11 • /2 Go. j ASTM A36 S/re/ SAFETY STAKE C ONN. - CUL. MODEL PAI No. P MAX.' OvERNAN6 SPA L FT6. AS-40. Stab.. jlatbsi! AMO S -O' l' -o• A•1" _f__9 AII-V =o' 74 aso• / = - -� 01moo' for roof pons/ sho//hove 'Sia: 1 ♦-A L .0 01� V. /� �'n comPOSlrt EL intro/ f .,cgoren[ sroshV;.' &Z 45C[oJ",Ire 6 Encfosurss shd/not be o¢lacAed Tb co/v,aln3. �Co/umn snoe2 0 COL M Lf A 3G Stool SN2 As A MEMBER Awwlva Aych,o4 NOTES Q.' d 6069 76 A.i-ttoo I' Awgis9 Anchor /4• /. AwNirwo+sc%Or sho//bC as •,,' 3'BSMS moot. fo crared by Aeresco-LJi+trlb: Joc. 12 -,versiaF 2. Awwp,.s dvrcnor r»oy bt.'used In 9A! ROLLED FORMED HA/vpER t i / - Far side' fol/owinysoi/ types: 3004 - A/Jc Alum. I '. i i i I I/?- Total ' o. • Sondv grorsf or yrorl�: _... • i . _ 0. Sy � sirty:sandr. 7lysy se'ribAsllrr , ------ ------ girt/,'ano.e/oytylb✓eJ ��:^ I + , Fascia Splice + T + rneader, ono Op[ GLoy,-sandy a cioysy ' ------+ +- 1 ;--woo'1'Ati'd •....moo _r,a TO AwN.N6 ANC N� R L/ 89w"COUNTY SoGf.0 AAarnAar 44 " L./ 4PL/CF GFr. --•- ` "' ' DEPARTMEN • I + Z�' � �'��' �i .•�.�,o.�oaaa eat : , . -..►w,.M�rew�[i8d1 pl - � ._ I�T.ZArnrE�!,N1isLL.CKoy►CJIwA!ieY.i�j7(�u, . r uaed�dlbraela '�/ f�sMot•!Aw•�i1n `_ •• !'.:•!' ^�'•: , +• 220 Ii�TAUDe:c 't . aoas.rs .� `$err. SOL 6 -Or F,Sgo SAUCE Qrr Assessors Parcel Numbe ® ®® — ®on — 0 Q ® Scale: 1" Owner Name - ® Address/ Phone No: 526 �NMILVS-rfma&,, Avm,Lvrm Site Location s5CA Contact Name 7M � LITCg 7 Phone ':;;.:S U FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres h 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: .. .. ... ... .: ... .: .......... ......... .... ........ .- .. .. .. .. .. -... ... .. .. .. .. .. ... .. ... ... - .. ... ... .. .. ..... ... :.....:.....:..........:... ........!..3......:...:,....:. -.. �.:...:.......... ......... Kp Assessors Parcel Numb- e ® IN ®- Q ® no - Q Q ® Scale: 1" _ oa Owner Name 4 R-dN tl-.J •� Address / Phone No. 65 -4t -9 3 Site Location Contact Name w� �i'tiTl-� Phone 3 U - '-M 02 0&mbw 2& 2Ob3 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00* 1111797ffoo PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: