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HomeMy WebLinkAbout030-110-078r� .. 'a RECORPING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 24b10f+-1010 %E38 1 S Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:55AM 28—Dec-2004 I REC FEE 10.00 I CONFORM 1.00 I I t I 1 I Mark I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RANDY DARLING AND TERRI DARLING REAL PROPERTY OWNER/LESSOR PO BOX 1645 MAILING ADDRESS OROVILLE BUTTE CA. 95965 CITY COUNTY STATE ZIP 1485 14TH ST. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA. 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-548 530 538-7541 UI ING PERMIT N0. TELEPHONE NUMBER ,- / -ate i AT RE OF LOCAL AGENCY OFFICIAL DATE TOMS MOBILE AND MOTOR DEALER NAME (if not a dealer sale, write "NONE") 91097 DEALER LICENSE NO. UNIT DESCRIPTION THE KARSTEN CO. 2004 44003F MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER KC-CA-01-K31829A/B 44'X 27' RAD1404573/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 030-110-078 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. a Order No. 00217351-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OF LOT 5, BLOCK 104 OF THERMALITO, WHICH WAS FILED IN THE OFFICE OF THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 16,1972, IN BOOK 44 OF PARCEL MAPS, AT PAGE 29. SAID EASEMENT IS APPURTENANT TO THAT PORTION OF LOTS 3,4 AND 6 OF BLOCK 104, ACCORDING TO THE MAP OF THERMALITO, DESCRIBED AS PARCEL 2 IN THE DEED TO DAVID A. BRIGGS RECORDED MAY 11, 1979 IN BOOK 2398 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 645, AND TO ANY PORTION THEREOF. AP NO. 030-110-078 n s BUTTE COUNTY JAN 2 5 2005 IDEVELOPMNT SERVICES RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 oPlV of Document Recorded 28 -Dec -2004 2004-0078815 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, t INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This.document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RANDY DARLING AND TERRI DARLING REAL PROPERTY OWNER/LESSOR PO BOX 1645' MAILING ADDRESS OROVLLLE BUTTE CA. 95965 CITY COUNTY STATE ZIP 1485 14TH ST. INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE BUTTE CA. 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also properly owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA. 95965 CITY COUNTY STATE ZIP 04-2548 (530) 538-7541 /BUII,DING PERMIT NO. l� . S TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY OFFICIAL DATE TOMS MOBILE AND MOTOR DEALER NAME (if not a dealer sale, write "NONE") 91097 DEALER LICENSE NO. THE KARSTEN CO. 2004 44003F MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER KC-CA-01-K31829A/13 44'X 27' RAD1404573/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 030-110-078 SEE ATTACHED HCD FORM 433(A) REV. 8/91 Order No. 00217351-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:. ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OF LOT 5, BLOCK 104 OF THERMALITO, WHICH WAS FILED IN THE OFFICE OF THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 16,1972, IN BOOK 44 OF PARCEL MAPS, AT PAGE 29. SAID EASEMENT IS APPURTENANT TO THAT PORTION OF LOTS 3,4 AND 6 OF BLOCK 104, ACCORDING TO THE MAP OF THERMALITO, DESCRIBED AS PARCEL 2 IN THE DEED TO DAVID A. BRIGGS RECORDED MAY 11, 1979 IN BOOK 2398 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 645, AND TO ANY PORTION THEREOF. AP NO. 030-110-078 ER�T=IFICwATE SOF -OC ,,tUJP !"'?:, ::�, w�ur-•'E« '}}':'d�?[„� ..iar 4t7'�h .. +%Y.i✓� v. _'", �.19ra 3 'w v�«:s .. ,�..: v` +a . ,, ; Ya v;x,.'"-+�+x�. �?. -g "',�.' ��? BUILDING PERMIT NUMBER: 04-2548 Address or location of unit: 1485 14TH ST. OROVILLE, CA. 95965 Legal Description of Real Property: AP#: 030-110-078 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach . Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: RANDY DARLING AND TERRI DARLING Owner's address: PO BOX 1645 OROVILLE, CA. 95965 INSIGNIA OR HUD NUMBER: RAD1404573/4 SERIAL NUMBER OR V.I.N.: ' KC-CA-01-K31829A/B MANUFACTURER'S NAME: THE KARSTEN CO. YEAR: 2004 OFFICIAL APPROVING INSTALLATION:imvz, DATE: /°2 -mf o/,/ PHONE: (530) 538-7541 H.C.D. 513C _4�l7TOF -, � - � STATEOF'CALIFORNIA' NUMBER: BUSINESS. TRANSPORTATION AND:HOUSING AGENCY sDEPARTMENT OF. HOUSING AND COMMUNITY. DEVELOPMENT.". III/ DIVISION*OF CODES AND STANDARDS 1s sd :,MANUFACTURED HOUSING PROGRAM Ty MANUFACTURER MANUFACTURER CERTIFICATE OF ORIGIN DISTRIBUTION: ORIGINAL (PINI) FORWARD TO THE INVENTORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 IGOLDENRODI TO BE RETAINED BY THE MANUFACTURER IfICHECK IRTHIS ISA DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING 2 NUMBER OF :. EI .SFD (SINGLE FAMILY DWELLING) 0 MUMH-(MULTI-UNIT MANUFACTURED HOUSING., ,� ..TRANSPORTA .. :.. .... BLE SECTIONS COMMERCIAL COACH:.,.. OCCUPANCY°GROUP ' MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: " THE KARSTEN COMPANY 90153 MANUFACTURER ADDRESS: SUGGESTED RETAIL PRICE: :9998 OLD PLACERVILLE ROAD SACRAMENTO CA 95827 68,225.00 (Street) (City) (State) (zip) MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER:. DATE OF MANUFACTURE: VILLA 44003F 05-10-04 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER •NUMBER' OR ' DATE OF TRANSFER: ` TOM`S MOBILE AND MOTOR- TRANSFEREE. DESIGNATION:.. . 91097 05-14._0.4... .;,DEALER OR TRANSFEREE ADDRESS:. 6366 LINCOLN BLVD OROVILLE CA 95965 (Street) (C4) (State) (zip) INVENTORY CREDITOR NAME: INVENTORY CREDITOR ADDRESS: (Street) (City) State) .(Zip) SECTION MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT 1.6 (INCHES) INCHES (POUNDS) 1 KC—CA-01—K31829 A RAD 1404573 528 162 23760 2: KC—CA-01-K31829 B RAD 14045.74 528 162 .23760 TRANSPORTER NAME: D &'R TRANSPORT TRANSPORTER ADDRESS: �sl<eet� • BOY 179 DGRHM-4 CA 95 GV (State) (z DESTINATION FOR UNIT DESCRIBED ABOVE: TOME'S MOBILE AND MQT SRat) 6366 LINCOLN BL C) OROVILLE CAs,te>95965 'I car* under penalty of perjury under the taws of the State of California that the above rads are true and correct Ewcutedon 05-14-04 at SACP.At4ENT0 SACRA IENTO CA (Date) (City) (County) (State) SIGNATURE OF AUTHORIZED AGENT: DISTRIBUTION: ORIGINAL (PINI) FORWARD TO THE INVENTORY CREDITOR UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE). COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANY THE UNIT TO ITS DESTINATION. COPY 3 IGOLDENRODI TO BE RETAINED BY THE MANUFACTURER Y✓ ? o . RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Name Mr. & Mrs. Randy Darling Street Addrm P.O. Box 1645 City, state OrCville, CA 95965 Tip Order No. 00217351-001 2104!4--10tm48423 Recorded Official Records County Of BUTTE CANDACE I GRUBBS Recorder ROSEMARY DICKSON A5si statlt 09:00AM 10 -Aug -2004 REC AX 5 FEE 01. 0 Kathy Page 1 of 2 LINE FOR RECORDER'S USE Parcel No. 030-110-078 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $51. 7 0 ❑ City/Town of ✓ computed on full value of interest or property conveyed, or ✓ Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, David A. Briggs and Pamela K. Briggs, husband and wife hereby GRANT(s) to Randy Darling and Terri Darling, husband and wife as joint tenants the following real property in the ❑ City of ✓ Unincorporated Area County of Butte, State of California: SEE EXMBIT A ATTACHED HERETO AND MADE A PART HEREOF Davi A. Briclgd I Document Date: July 21, 2004 Pamela K. Briggs State of California County of zla- z `- ISS. On Z ,2 /—d C/ , before me, the undersigned, a Notary Public in and for said County and State, personally appeared David A. Briggs and Pamela K. Briggs Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my and official seal. Signature FOR NOTARY SEAL OR STAMP • w. JANIE CLARK _r O Comm. #1312686 NOTARY PU9UC CALIFORNIA Q ♦ BUTTE COUNTY ..i My commmon Eoft Jul,9,2005 MAIL TAX STATEMENTS TO: Same as Above eTECIGWA — r=ED Order No. 00217351-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP BEING A PORTION OF LOT 59 BLOCK 104 OF THERMALITO, WHICH WAS FILED IN THE OFFICE OF THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 16,1972, IN BOOK 44 OF PARCEL MAPS, AT PAGE 29. SAID EASEMENT IS APPURTENANT TO THAT PORTION OF LOTS 3,4 AND 6 OF BLOCK 104, ACCORDING TO THE MAP OF THERMALITO, DESCRIBED AS PARCEL 2 IN THE DEED TO DAVID A. BRIGGS RECORDED MAY 11, 1979 IN BOOK 2398 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 645, AND TO ANY PORTION THEREOF. AP NO. 030-110-078 STATEMENT OF FACTS This unit is a: 0 Mobilehome 0 Commercial Coach 0 Floating Home 0 Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) I/We, the undersigned, hereby state: R I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may.suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on \ a—d at (Date) (City) (State) Signature(s) Address Printed name(s) City , State ... _ .ni i /r r.V n/nt\ �tV � NOTES 6. a• RESIDENTIAL _' 030-110-078 PERMIT NO. .04.2548 DARLING, RANDY 1485 14TH ST., OROVILLE Cont: NEW MH ON PCRM 1'ND i THE HCD FORM 433A FOR THIS MH CANNOT BE i RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). t ii (2) STATEMENT OF FACTS (ONLY ON NEW MH'S).` 'INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS OFFICE COPY A FLOOD Address FIRE S� SPECIE GAS Date j Meter By /� VERIFY ELECTRI Date Meter By USE PE SUB -ST. ' //' /� GAS DaYv v G Meter By ELECTRIC Date Meter, By o u n Lrc, -1 q 4 ��a�f ConS-h�u-c�i-i o�n �1ood_ Cir y7ot `tctll� 1 JOB FINALED (Date) h Signature 4 '" ��� J=OK 0 = Nit OK 'P . = Nit Readyable` ' MOBILE HOMES Date MOBIS,E-HOME UTILITIES (Plans) OK except #'s Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. V"Zo ' -Requirements-Setbacks-Easements 10. Roof; Shthg-Roofing ; Special MH Support Sketch Ext.; Steps -Doors -Landings k!Sgw�r, Location -Test -Fall -C/O -Concrete ater; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 Date Electricity; Location-Clearances-Grnd-/ /Amp -Concrete ;Date POOLS (Plans) OK except #'s 6. as; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or / P' L "ft./ P LPG 2. 7. Well Clearance & Disconnect Pool Structure; Steel -Connections -Thickness Dead Men -Lining 8. Utility Clearance 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed { 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Date 9. Card B-1 Date, Card B-1 Date Plumb.; Cir. Test -Water Supply Test Card B-1 Date Card B-1 Date MOBIL ME INSTALLATION (Plans) OK except #'s oning Requirements -Setbacks -Easements 7 2. Footings; Size -Spacing -Marriage Line 3. Gas � Test -Demand -Valve -Connector lectricity; MH Test -Crossovers -Breakers -Clearances 5. Draja, H Test -Fall -Flex Connector ater; MH est -Regulator -Connector 7 Water d Sewer Connected -C/O to Grade -HD Approval 8: nd Electricity Tagged Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of O upancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END -SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size- pacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6, Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 'Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS 'Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing + 5 Ahem AM - 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ;Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed { 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval Y 10. Plumb.; Cir. Test -Water Supply Test 11, Light Niche J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies r Date FRAMING (Continued) 15. Access & Ventilation 48. 16. Insulation Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Date Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Card B-1 Date Card B-1 Date 53. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 55. 17. Water Htr; Vent -Access -Combustion Air Baffle Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 18. Water Pipe; Test & Anchor -Nail Protection 58. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Glazing Area -Glass Protection -Skylights -Plastic 20. Shower Pan; Test, First Floor -Tub Access 61. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date 73. Card B-1 Date Card B-1 Date 74. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 24. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 25. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Size Boxes & No. of Conductors Stapled Plb.; Elec. & Mech. Equip. Listed for Location 27. Romex Installed Close to Edge of Studs & C.J. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Guard Rails & Deck Construction -Post Caps 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No Clearance Looked under Floor O Yes 32. Service -Riser Conductors & Ground Main Disconnect Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters D Yes D No 33. Equip. Clearances Panels-Motors-Mech. Equip. Stucco Brown -Finish 34. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 35. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 90. 36. A.C. Ducts Insulation & Support 91. 37. Vent Fan, Exhaust above insulation 92. 38. Condensate Drain & Overflow, Size & Grade 93. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 94. 40. Attic Access & Platform if Furnace in Attic Date Address Posted Card B-1 Date Card B-1 Date Fire Sprinkler Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing r Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in- Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OR except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Cleargpce-Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor O Yes 83. Following Instld./Drive 0 Yes 0 NoMalks 0 Yes 0 No/Planters D Yes D No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above-address.and should -be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. n Date �' ,;Inspector! REV 10/92 �; COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to ttiis matter, or need additional explanation, lease contact this office immediately. I Pov, i cue !�►�,����, �kC�-1'i�v► -1061-1C4, VVAc r(e-- - Pe HDDJ- .�PtlG�� tNl (-e ✓ h -f I c 64-r- -tb (JOSS bJ -oc 1,I --i n 4 --t' 7' Date ` `" Inspector REV 10/92 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Importartt Read the ins rudions on oam 1- 7. SECTION A - PROPERTY OWNER INFORMATION For ka rance Company Use: BUILDING OWNER'S NAME Policy Number Randy and Tem Darling BUILDING STREET ADDRESS (Including Apt, Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 148510 St CITY STATE ZIP CODE Oroville CA 95965 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 030.110-078 BUILDING USE (e.g., Residential, Nonfesidential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATTTUDEA-ONGTTUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): ( rr - AW - ##.#If or ##.##H##°) ® NAD 1977 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER BZ COUNTY NAME B3. STATE Butte County Urhkmporaled Areas Bulla I CA B4. MAP AND PANEL 176. A(m) B7. FIRM PANEL NA . B9. BASE FLOOD ELEVATIONS) NUMBER B5. SUFFD( B6. FIRM INDD( DATE EFFECTIVE4EVMED DATE B8. FLOOD ZONES) 90MAQ use depth olBoo ft) 1 0600700790 C Jun 8,98 Jun 8,98 AE 171.5 n hu. inacare me source or me base moog tlevmon (tart) aorta or case nwa aepih entered in 89. ❑ FIS Prdile ® FIRM ❑ Community Determined ❑ Other (Describe): — 811. Indurate the elevation datum used for the BFE In B9: ® NGVD 1929 ❑ NAVD 1986 ❑ Otiher (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPAYt ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building under Construction' ® FIntslhed Construction 'A new Elevation Certficatee will be required when construction d the building is oorhplele. C2. Building Diagram Number 6 (Select the building diagram most similar to the building for which this oertifirate is being completed- see pages 6 and 7. If no diagram aocurately represents the building, provide a sketch or photograph.) C3. Elevations —Zones Al AW, AE, AH, A (with BFQ, VE, V1430, V (with BFE), AR, ARIA, ARIAS, ARIA1-A30, ARIAH, ARIAO Complete Items 0.a -i below according to the building diagram specified in Ivan C2- State the drum used. 9 the datum is dhffiarent from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Co Tmerts area of Section 0 or Semon G, as appropriate, to document the datum conversion. Datum ngvd 29 ConvasbVComments NA Eevalion reference mark used TID VC 20 Does the elevalion reference mark used appear on the FIRM? []Yes ®No o a) Top of botan floor (including basement or enclosure) 176. A(m) o b) Top of next higher floor NA . rn o c) Bottom of lowest horizontal structural member (V acres only) _t(m) NA. is o d) Attached page (top ofd) _k(m) NA. fl. (m) � 9 o e) Lowest elevation of machinery and/or equipment LU M servicing the building (Describe in a Cornments area) NA . _k(m) E W o f) Lowest adjacent (finished) grade (LAG) 175.50Il. (m) z' . / r w o g) Highest adjaoerht (finished) grade (HAG) 177. R(m) C 9r cl o. o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade NA OF CALIF Q o Q Total area of all permanent openings (flood vents) in C3.h NA sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION - This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Franc James Pursell LICENSE NUMBER 60924 TITLE RCE COMPANY NAME Jim Pursell Er*heering ADDRESS CITY STATE ZIPCODE #R5 Madrohe Ave. Orovile CA 95965 SIGDATE TELEPHONE 7�— 530533.2131 FEMA Form 81-31, January 2063 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, Copy the conhesponding information from Section A For Inswarim Company Use: BUILDING STREET.ADDRESS (Induav Apt, Unit Sti e, witor Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky Number 148514TH STREET CITY STATE ZIP CODE Cam" Number CttNie CA 95966 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation CeAi irate for (1) ==unity official, (2) instrranoe agmt1bompany, and (3) bung COMMENTS The building site is in Zane X 3.5 feet above the B.F.E. Check here ff attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFEI For Zone AO and Zone A (without BFE), complete Items E1 through E4. ff the Elevatim Cadcate is intended for use as supporting in mhabon for a LOMA or LOMR-F, Section C must be oorrhpieted. E1. Building Diagram Number _(Select the building diagram most sirrular to the building for which this oertifrcxte is bung completed – see pages 6 and 7. If no diagram accurately represemsthebuilding, provide asketch orphotograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft(m) —in.(crn) ❑ above or ❑ below (check one) the highest ar$acernt grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (seepage 7), the neX higher floor or elevated floor (elevation b) d the building is _ ft(m) _in.(an) above the h4vh st adfaoent grade. Compete items C3.11 and C31 an front of form. E4. The top of the platform of machinery and/or equipment servicing the building is T ft(m) _in.(an) ❑ above or ❑ below (check one) the highest adfacent grade. (Use natural grade, if available). E5. For Zone AO only: K no flood depth number is available, is the top of the bottom floor elevated in acoadanoe with the community's floodplain management ordinance? Yes U No LJ Unknown. The local official must w* this irhformation in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAwissued or oanmunity- issued BFE) or Zone AO must sign here. The statenhanis in Sedont A, R C, and E are oared to fhe best ofmy kmtdge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here ff attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authonnzed by law or ordinmoe to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G d this Elevation Cafficate. Complete the applicable tem(s) and sign below. G1. ❑ The intormatien in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation infomhation. (Indicate the source and date of the elevation data in the Ca Timents area below.) G2. ❑ A community choral competed Section E for a building located in Zone A (without a FEMA4ssued or community BFE) or Zone A0. G3. ❑ The following inforadon (Items G4 -G9) is provided for community floodplain rnanagemerd purposes. G7. This perr nithas been issued for. q NewCorutrucbm ❑ Substantial Improvement G8. Elevation of a&WI lowest floor (including basement) of the building is: _t(m) Datum: G9. BFE or (m Zone AO) depth of flooding at the building site is: _ ft(m) Datum: _ LOCAL OFFICIAL'S NAME Tru COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here ff attachments rtMA roan tsl-31, ,ranuary zoos Replaces all previous editions JIM PURSELL, Civil Engin 5 Madrone Avenue, Suite B Oroville, CA 95966 Ph. INVOICE TOTAL DUE $80.00 Date 12/15/2004 Job Number 104-08-160 Job Description Elevevation Certific SOLD TO Name Randy and T Job Address 1485 14th St Job A.P.N. 03-110-078 City, State or Province Oroville, CA Postal Code, Country 95965 Phone Cell Phone Please make checks payable to: JIM PURSELL R.C.E. 60924 1) 533-2131, FAX (530) 534-0902 Date Hours I Description UNIT PRICE I TOTAL 15 -Dec 1 Field inspection 30.00 30.00 Senior Enaineer Review 1 50.00 50.00 Sales Tax %I 1 0 Please Pay This Amountl 80.00 I 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.netkii PERMIT NO. BP042548 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/20/2004 APN: 030-110-078-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1485 14TH ST ORO Date: Contractor. Map Index: Description: NEW MH PERM FND NEW SITE(1188) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: DARLING, RANDY 8r TERRI permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of PO BOX 1645 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA 95965 she is exempt therefrom and the basis for the alleged exemption. Any 530-534-3426 violation of Section 7031.5 by any applicant for a permit subjects the dadin95@peoplepC.0011'1 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: DARLING, RANDY 8r TERRI Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: DE CANN, PHIL not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 169 BARDOLINO LANE ❑ OROVILLE, CA 95966 I am Exempt under Article 3 of the Business and Professions Code (530) 534-7670 Dateb�( �� -'9/�- Owner>�� -1 License #: 670920 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carver: Total Square Ft: 1188 S.F. Policy #: Valuation: $77,220.00 Census Code: 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, q -J� and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Date: Q d\ Q�A �J l Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pelt is ereby issued under the ap Iicab a provisions of the Butte County oda a rt/or I hereby affirm that there is a construction lending agency for the Resol i s o do4iork indic a abov r w h fees have been paid. 7 performance of the work for which this permit is issued (Sec 3097 Civ.) 7n - o�V Name: /J Date: PERMIT EXPIRES Address: ON: W ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. c )Print Name: cl, Signature: Date: 0 Owner 13 Contractor 0 Agent for Owner 13 Agent for Contractor COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �j PERMIT APPLICATION DATA SHEET OWNER: r // �/) C? , �Y)jC-f F/ 9 (t ASSESSOR PARCEL NUMBER Proposed Building Use: 1,460 rh t� 7g'/Y� ��J Counter Technician: Date: O - ~ 6'7 Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order to apply. - 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . O 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes:`%�Data sheets and installation inst,"(@B-f.Marriage line info,T.Floor Plan, I -D) Tie down or fnd�lans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ig neer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) P 0 17. Fire Sprinklers............................................................................................ _ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of For s ry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: G 0 ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... S_:_ ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... 0 32. Letter of Signature authorization.................................................................... 33. Recorded copy of Agricultural Acknowledgment Statement ................................. d ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed estriction .. 37. rant Deed,Ffl.F�i I Statement of Facts, Legal caner, n 610 38. Other: ❑ 39. Other: When issued Telephone a4/2 2 -one( and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date• �� ��, of � 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, as dvised of the ove data b ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: tib Plans approved by: Date Structural reviewed by: rDate: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division /.b Applicant: Date• �� ��, of � 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, as dvised of the ove data b ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: tib Plans approved by: Date Structural reviewed by: rDate: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEESr;� A I/� np� OWNER 1 I f A.P. # i Scho6I District 4-A.P. Number Property Owner Property Location/ Subdivision 10, BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM` DrDVO� LAAI I or\ (One form per Building) jo Building Department No. /"j r73." Jurisdiction: City County Lot No. Residential Development ............. ..................... a ............. . ....................... Sq. Footage No of Living Mobile Home Addition/ *Supplemental'to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) ....................................................................... ! ............................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q, Sq. Footage Addition (including Exterior aNew Roofed Areas) Bu�i =ng Department Representative Date District Identification* No. 050065 -y j Tie r r C Ir I r\� (AmorN School District certifies that RaNd - - I f� — (Applicant) S4. 53 kA 3' (Street Address) (Phone Number) r I V C Ci S -q L" —s (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing 1, O square feet. A School District Paid by Check # Remarks: OS – -q TO by payment of $ JAB 2926 $ PFULL MITIGATION $ Date Notts: You may protest the Imposition of the is" Identified above by subnftlrtg a written protest to the District. In compliance with Government Code Section 66020(a), within 90 days from it* date ton are paid. Failure to submk a timely written protest will'prohiblt yoti'ftm cludleonging the Imposition of the fen In any court action. 9, sub"quard to the School District Representative signing this Butte County Schools Impact Fee Certification Form, do tiehool Dleb Is rrotlllsd by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA) this project rraybesubjeettoadditionalecanni fossio fully mldgde,fts Impact on the school districrs schools. White (applicant), Yellow (building department), Pink (school district) 11 feeform.xls (10/03)dm.m AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 20 -Sep -2004 2004-0057971 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to 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 inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said.zones and on adjacent pr6perty should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: o,3 �� �o0mc2Ai Scs A, cxS P � 3G- s`'e-Cas f c>j(-'A� A -c cxri� per- -�I or\% .x-; 04 Date �� -CJ -. C}l j PROPERTY OWNERS: State of California County of On C**;l - before me, personally appeared b d. personally known to me (or proved to me on the basis of sa ' ctory evidence) to be the person(s) Mose name(s) is/are subscribed to the within instrument and. acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Seal: D. MCQUIRK COMM.# 1433346 0 tdOTARY PUBUCrCIWFORNIA COUNT`( OF BUTTE comm. Ex it®s Au 2.2007 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 IZ0'Zi 7971 Recorded Official Records I REC FEE 7.00 I CONFORM 1.00 County Of BUTTE I COPIES 2,00 CANDACE J. GRUBBS I Recorder ROSEMARY DICKSON I Assistant I Kathyh 09:30AM 20 -Sep -2004 I Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to 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 inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 0-c- C e'\ ck4 SV"oU� on 0- � tion cam' 8v.� Cn d c�-e'\Q vo 1 m z Jwk off, � � o.n..�, �O 2- 3q% < er CC &S a�- ?cs-� �- (oL�-S 1 �L A -o cm'k Date IA- ao PROPERTY OWNERS: pca� 0 State of California County of 3V4+1e_ On "-.—'L0 • (. LN before me, personally appeared�d. personally known to me (or proved to me on the basis of sa ' ctory evidence) to be the person(s) Wose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Seal: D. MCQUIRK COMM. 1433346 NOTARY pUUjc- AUF0RNU1 COUNTY OF BUTTE M Comm. Ex ires Au 2.2007 C0(/y�` 'BUTTE COUNTY SSP 16 20 AGRICULTURAL BUFFER NOTIF UNUSUAL CIRCUMSTANCES RE Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: %i2"N N, ,fi,r\c. Mailing Address: �®-/� ��� �C ��� Q_ Sams - E -Mail address �C C ��s� S� S e C, C S M Assessor's Parcel Number: e Reason you believe you qualify for the unusual circumstances exception: Owner or nature q 3c�L%A Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of ig3fWoot buffer zone. COUNTY qZ LOW— S ITE-RL-AWREQUIREM ENT= submit-4_copiesiwith thiis,form SEP Z ZQ� Z � a Refer to the Site Plan Submittal handout forspspecific requirements ..............................................................................va�Y;Cimw ........................ Internal Dept. Contact Info: SERVICES ❑ Env. Health ❑ Planning ❑ Building ❑ Other Contact Person: Phone: ......................................................................................................................................................................................... For Agricultural Commissioner office use only: (to be completed after submittal) DISCRETFONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ❑ Exception Recommended ❑ Exception Granted with the ❑ Exception NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: _?6CIC—L Wrtt rLat S -pa -rt 2 Skiu�a I�t� fgstS.� 131a,c_L_,� DbL� Agricultural Department Signature: Date: eq -Z-f- LO YMC 7/1/03 0 030-11 0 110-042J030-110-014 A -R - 10=015 A=R A -R 030-110-078 LDR 030-610-079 030-140-018 A -R 030-110-019 LDR 110-072 LDR 0 0 0 030-350-030 A -R 30-350-111 0 A -R 0 0 0 0 0 0 ,s o 0 0 0 0 0 L 0 THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA, 95965 TELEPHONE: (916) 533-0740 i I FAX: (916) 533-9243 N' 2263. U1 SEINER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1485 14th S t e e t Owner's Name: Randy Dai li g Date: August 31, 2004 Address: P 0 Box 1'045 Acct. No.: Orov-ille, CA 95965 A.P. No.: 030-110-078 Phone: 530-534-3426 New Unit: 1 Applicant/Agent: Adding Units: Address: Fees: Phone: Permit: $ 50 00 T.I.D.: 1705 00 Preliminary Review By: Date: Ext. Fees: Remarks:' CONNECTION FEES WILL BE THOSE APPLICABLE AT SC -OR: 1000 00 TIME OF CONNECTION TO THE SEWER COLLECTOR SYSTEM. Lateral: 75 00 CLEAN OUT UP TO GRADE REQUIRED AT PROPERTY LINE. Other: SEWER CHECK VALVE REQUIRED. SEWER PERMIT FEE INCLUDES ONE CONSTRUCTION INSPECTION ONLY. INSPECTION WILL BETotal Fees: 2830 00 BILLED $50.00. Amount Paid: 2830.00 Collected By: cc,p Finaled By: Date: ' Location: Size Line: :.� A I l "I q 3., Signature of Owner/Agent: (u - MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File: Blue Book: (R.F.C.) Paid SC -OR: Meter Book: (S/C HG's) Rev. 6/96 5 WOP� Department C o u n t s J. Michael Crump, Director of Public o. f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE1 Project Description:' Cj%-' lig �'�j•f f • &a� Qd - Project Location and/or Parcel Number: A P-4 686 "1GU "(1 '7 11 By signing below, I, the project owner/owner's 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. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 SITE PLAN REVIEW APPLICATION Date: q& & AP# �•��— /AQ -07? �j Permit Number (if applicable) O� o? -5 Ii APPLICANT INFORMATIO Parcel Size: o. Owners Name: Owners Address Telephone No.: Situs Address: Proposed Use: �D. 80x 5-,3'1 -3 Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel Mobile Home #I/M / ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial . ❑ Industrial Addition ❑ Industrial Remodel Other ❑ Septic ❑ Well , ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): i . DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) i Approved ❑Conditional) Approved EJ Resolve Problems Prior to Approval Oil Site Plan Stamped Approved' By vv��_ �Z i Date !? l0 D ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ® Expansive Soils (Test for expansive soils'and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) . • Flood Zone: &C —F7X • Flood Panel No.: .0600 -ROC, Index Date: Q� ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ----------------------- ------- --------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Papre 2 of 5 L. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 11.9-0 , Side 5r Side Street Rear J Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Papre 2 of 5 L. Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ----------------------------------------------; -------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * • Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel '❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Subdivision Map/Parcel Mar): Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: ' 14 q Date of Approval: Page: o'`-'.1 Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa E AarrPdnff l 0 C Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALairys\Building Permit Site Plan Reviewl.doc 1 m n —�— I s L_ Sd SETOtK.M- l.IN6 � go - Mw' O n ➢i T Tv.lg Pa I� TSag3'Ie. m L l90'CIDfL]NOiZTM �� TSO' (A[HG) � II7. «j(p. in ➢F Ai� ?£ b74 70� ca n�Z q 0_ D D Q y f 1 =0'z Jpf p v 3to I> > � f' p •� 3 D � D 10 i r 0 .: ° IF p tq n 1. 4A 8$ A «Z uL Fes► ` P� � O Fn IO TK � ry Z nLe l ® I s L_ Sd SETOtK.M- l.IN6 � go - Mw' O n ➢i T Tv.lg Pa I� TSag3'Ie. m L l90'CIDfL]NOiZTM �� TSO' (A[HG) � II7. «j(p. in ➢F Ai� ?£ b74 70� ca n�Z q 0_ D D Q y f 1 =0'z Jpf p v 3to I> > � f' p •� 3 D � D 10 i r 0 .: ° F a 0 «Z D � O 8 IO TK Z-3— I s L_ Sd SETOtK.M- l.IN6 � go - Mw' O n ➢i T Tv.lg Pa I� TSag3'Ie. m L l90'CIDfL]NOiZTM �� TSO' (A[HG) � II7. «j(p. in ➢F Ai� ?£ b74 70� ca n�Z q 0_ D D Q y f 1 =0'z Jpf p v 3to I> > � f' p •� 3 D � D 10 Building Permit Number: Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit .automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: f77 0� S�g Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. MThe following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of 5 feet from the side and 5 feet from. the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. t.. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. Villa 1188 SQUARE FEET * 2 OR 3 BEDROOM * 2 BATH MODEL 44003F revised 12/27/02 Cr 10-9, Oet.-Vindow I Com I maiii SENNA INN EINIC MEN 111CII BEDROOM 2 c 11111111 NEMESES MCI ■ON 0 1 MASTER BEDROOM - 1' BEDROOM 3 Cr 0' MODEL 44003F revised 12/27/02 1. Owner's Name: O.^^ 2. 'Assessor's Parcel Number: 3. Installer's Name: 4. Is the site currently under permit? Yes[ ] No�<] Permit No. 5. Is the site an existing site? Yes[ ] NoK] (If yes, furnish two: plot plans). 6. What is the electrical rating of the mobilehome?1 7 . Amperes. 7. What is the mobilehome site circuit breaker rating?,��Aiimperes: S: What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] NoK] If it is, what is the rating? - Amperes: - ;r 10. Istthere any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoV] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: _ Load- Amperes - 11. Type of gas service at mobilehome site: Natural[(] Propane[ ] None[ . ] 12. Size of` as pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?_�_(ft-). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SEDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT.APPLICATION ELECTMCAL, MECHANICAL, AND PLUhMNfG CONSTRUC T1.0 { i G'7 PLAN CHECKED SHALLC01` PLY WITH CURRENT EDITION OF NEC, UMC - AND UIO. Mobilehome Manufacturer: � C-c-s\y cam .. Manufacture Year:2c)o furn If other than single wide, ish Setup Model Number: Width:_QL(ft.) Length:.. ' . .) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated ,or foundation grade[] Other: [ .` SUPPORTS: Concrete blockOther: Provide Tie Down Specifications for all Mobilehomes: . Pier-Fobtings Sizes and Location SINGLE WIDE R?MTY WIDE Line 1 Line 2 � t. •. • • -, . . .......................................... ...................................................... Main Beams Line 2 Line 1 Main ........................................... • ine 5 Tag or Triple e4' el Lille 1 Piers: Size minimum: x Spacing maximum: I I` From ends -maximum: ` Line 2 Piers: Size minimum: x [ 30]. Spacing maximum: O ` From ends -maximum Lane 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): -Line 1 Line 2 .Lme 2 Line 3 Line 2 Line 2 Line 1 Line *l Openings Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum ` ggxX 0 ;7X IRLQx 0 1aYX3b I 3*X,;b x --:t OVER l MZ `\ "v �I �— �^% 44'•0" ® MIDDLED O E ONLY SOUTH AND MIDDLE ZONES b ' (20#/30# OR ABOVE) PIER Pim FOOTING SIZE REQUIRED (SQ. IN.) piER jC;A FOOTING SIZE REQUIRED (SQ. IN.) PIER OAPIER FOOLING SIZE REQUIRED (SQ. IN.) p1m CAPACITYF007ING SIZE REQUIRED (SO. IN.) NO. ILBS.) 1000 PSf 1500 PSF 2000 PSF NO'(LBS.) 1000 PSF 1500 PSF 2000 PSF N0. (LBS.) 1000 PSF 1500 PSF 2000 PSF NU' (LBS.)1 1000 PSF 1500 PSF 2000 PSF 1 2000 288 192 144 3 40DO 576 384 288 5 6000 864 576 432 7 10000 1440 960 720 2 2500 360 240 180 4 5000 720 480 360 © 8000 1152 768 576 8 12000 1728 1152 864 ® DRAWIND _ PRODUCT: YODEL NO.: CARPET & PIER KARSTEN SERIES KS44003F HOMH8 SUPPORT LOCATIONS SQUARE R.: DATE, 9998 OLD PLACERVILLE ROAD 1,188 12-29-97 S"Aacramento, CA. 95827 DRAWING rILE INFORMATION: DRAWN BY: SNEETt REVISED: Phmw 12-29-02 (918) 363-2681; Fax; (918) 363-4537 rwv.lAekontenao.eom RUN#628/31829 1 —A ?"x 2"x 3/ 16" r, r- j1"EEL ANGLf m W (!3 DETAIL "A' CHASSJIS FRAME 1/4- GRIPPER PLATE Z (2) REQUIRED O 1/4- GRIPPER BASE LO Q 1/2-ISUNC-AS07 x 4" 5 BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE' RISER WITF 01/2" ADJUSTER HOLES AVD 3/8" THICK TOP PLATE O2' SCH 40 PIPE STAND WITH TWC, 01/2- ADJUSTER HOLES CABESCO ABS PAD #50.3 SFEEL FPAME-L-\ N m SSE DETAIL "A" m m � LD rn 0 — 3/8- CAD PLA -ED BOLT, NUT & WASHER COAL -1 "C" FRAME COUNTER BORED FLUSH WITH 3OTTOM AT e" D.C. (8) REQUIRED 2' CHANNEL i/4"xI-1le- Ile STAND BASE TEK STS ABESCO ABS PAD J503 (2) REQUIRED 36' MAX TO BOTTOM OF PAD 01/2'x 3" C-R. LOCK PIN WITH 01/8- BRIDGE PIN J 1/4- GRIPPER PLATE 1/4." GRtFPER-f BASE 1/2- A307 BOLT (2) REQUIRED 3/8-x 6'x 6" STEEL PLATE 7C—BEAM1/2" A307 BOLT (2) REQUIRED ATTACHMENT 10.00 -moi 10.00 09/16 HOLE (TYP) STAND BASE TOP VI EW 17918 culry&; III L � OFc TUF-1 PERMANENT FDUNDATIOK SYSTEM ABESCO-GUS GUARD C014PAW 5851 FLOMN -PERKINS ROAD SACRAMR,rrO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 COACH "J" fRAME 1/4'3-1-1/4" TEK STS (4) REQUIRED . 1/4' GRIPPER BASE 1/2- A307 BOLT (4) REQUIRED J—BEAb4 ATTACHM: NT 8- 1/2' DIA. HOLE (8) PLACES r 30` STEEL FRAME TOF VIEW �`• S T . . _ . �tALt1RJ1iiD i11€i'TY OCb4 iBC><faf !R1» *ROmi000R�'atCi'JA m r-.>dQ1la11l1l1Wi'HOl�OB/I1rP1tfIIVlls .}a_ : •. • Ot DeBYfA!!0!1 F1tOSE > a/1!!L)Uf6LfCMIAWSAIWiDWIAUM - r 0-(F WAYNE 7. POLVADO, PE—LISTING NO. F94249 5HEET 1 o1 3 GENERAL NOTES GUS GUARD TUF-1 DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE '4" 3E SNOW LOAD 100 PSF (SEE NOTE 115) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CCNSTRUCTED ON A FA RLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAN SUPPOPTS SHALL BE LO; ATI D AND SIZED FOR THE LOADS AS SHOWN IN THE 'MOBILE ROME INSTALLATION INSTRUCTIONS". IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED NOME SHALL BE READJUSTED WHEN DS EXCEEI-S I/4", 0& WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FDDTINGS DOWN TO FIRM. UNDISTURBED SOIL FODTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COWPATBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. E. STRUCTURAL STEEL: FABRICATED ACCORDING TO A1SC SPECIFICATION. WELD ACCORDING TO AC'S SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR $_ASTM A"S=ASTM A3725. 7. THE "CUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BF LISTED AND LABELED BY FISK AND A33SOCIATES FOR THE FOLLOWING LOADS: AILOWABiE WADS: HORIZON'T'AL VERTICAL G'JS GUARD TUF-1 2200'# 60001 GUS GUARD MGP PAD 22001 6000# GUS GUARD E -Z TIE PAD 22001 60001 S. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAI MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY . INSTALLING GUS GUARD TUF-1 LNITS AS SHOWN ON" THIS PAGE OF TYPICAL FOUNDATION 2LANS. 1(q.'1 THE CUS GUARD TUF-I SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD ?LAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF.ITHREE FEET. l.i� MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED T4E NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS SHE SAME AS SHOWN REQUIRED PER EACH UNIT. ` 12 -*J' SiNNG,LE-WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. s (SEE SHEET 13) .• 1,311 AX, METAL COMPONENTS JHD ATTACHMENTS ITE41S SHALL BE PROTECTIVE OOATED. i�WJ EN CONCRETE .SLAB 15 IN EUSTANCE, PAD IS NOT 16. FOUNDATION FLOCKS 16"x 16'xl2' POURED IN PLACE AT GROUND LEVEL WAY BE USED AT INSTALLERS DISCRETION ALTEPNATIVE TO PADS. SI'tGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. £c 2' MN. / I V MAX. S= S' MIN. /16' MAX. S= 6' MIN_ / 22* MAX. VkRIES 10'-70' (SEE TA3LE ON SWEET #3) E S �+ -- S S —=—+T E ui U u ❑ ❑ u RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER El a (TYPICAL) ❑ a F-1 � El ❑ Ela a .n 8' NOM. f��„ F] a ;1 PADS IN ANY PAIR MAY BE I STANDARD M.H. FOUNDATION - ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROS -EMS. ENGINEER. TYPICAL THROUGHOUT PAD (7YP) X Y �lgra� F!� I�a4�`� `"""REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH -:UF-1 PERMANENT =Z0FO(lk (4) 1/2"x 3 l '2— EXPANSION ANCHORS. " I5 $GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES FOUNDATION SYSTEM ALLOWABLE SNOW LOAD TO 101 PSF WHEN INSTALLED ABRSCO-GUS GUAM CflWALNY WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLONN - PEPYJNS ROAD (MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMENTO, CA 95923 ONE BASIS. .1o.,,.. :e., .... STATE APPROVAL MANU°FACMRDTROMW0mmJ! W" FOUNDATION SYSTEM HBAL'TiFf "D SATM CODA, SSi'n= IM APTAOVDD SUBMMr TO 001P.BC71cM BIC= AT''nOVALDOESNOTAID HOMMMAMOYEMY OMISSIONS OR DEMnON PROM RrQUU3S![ PMQY APPLICABLE STATS LAWS AND pjioaLU>M State cf Cxj&rois JJe of HoazisX Dad Cotte _ - . CODES ANDS , BY SPA NO. ICJ 5 Tl is Plan Aomnval fisnir� WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 1p N m CV L0 m CID m LO Q) v m m CV C'4 L0 m 3/4" DIA. x ta" LG.� 1/2"x 3 1/2" 1/2"x 8" LONG (4) REQUIRED EXPANSION ANCHOR _ ANCHOR BOLT 3/8" CAO PLATED BOLT, NUT & WASHER ;4) REQUIRED (4) RECUIRED COUKTER BORED FLUSH WITH 80T -OM c••. AT B" O.C.` (a) REQUIRED ;:. CONCRETE PAD INSTALL4T10N CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED t/4^ GRIPPER BASE 1/2-13UNC-A307 x 4' BOLT WITH NUTS (4) REQUIRED 01 1/2" SCH 40 PIPE RISER WITH 01/2" ADJISTER HOLES AND 3/$" THICK TOP PLATE 00 02*A SCH 4A PIPE STAND . WITH TWO 0172" ADJUSTER HOLES U rABES O ABS PAG #503 y STEEL FRAME -� 7 'm POURED CONCRETE (-�tt- ilc�`^c tri ti�r�Sy�.►�_cs FOUNDATION INSIALLAT• i tt�� ��_ 1L1r cStr1li L c LIGH_ HEAVY -WEIGHT ! • 36 MAX mmm-wwx uKrrs SINGM WIDRi BOTTOMTO GTFi OF HOLEE 24 WM TH OF H04iE 2 26 44 UP TO 44 6 8 1 8 1 12 44'-1' to 66' 12 12 1 12 1 18 8•'-1' to 80 20 20 1 2D 1 24 01/2"x 3" CR. j LOCK PIN WITH s01 /8" BRIDGE PIN i ( 4A 1 I J e 4J E - Z T! E PAD LENGTH F10ME 10 WIDTH OF HOME 12 14 16 UP TO 44' 1 6 1 6 1 6 6 44'-1 10 firl 8 1 8 1 8 8 65'-t' to gol 10 I III I *a 10 NUMBER OF TUF-1 REQULRED NUMBER OF TUF-1 REQUIRED NOM SINGLE 1YMDE UNITS REQU,RE (4) E -Z TI. PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL WT'ERYAfS ALONG EACH FRAME RAR. IR TUF-1 PERMANENT FOUNDATION SYSTEM( ABESCO-CM C71TARD COMPANY 51951 FLORIN - PBRKINS ROAD SA.CRAA4EWM, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL FCdTNDATION SYS M ANC SAFETY CODE, SBCnON WJl APPROVED SUJBISCTi TO OORREMONB NOTED APPROVAL DOTS NOT AUMORM DR AP'PRDVE ANY t' OMISSIOMS OR DRVIATiON FROM REQUIREMENTS 02 APPUCAT LE STATE LAWS AND REGULATi0N6 . -State of C117ifosoi•... .. . v sad Cozocmos4>;p>s-AV-aA iS AND STAND % 13Y SPAVO. j This RmApPAV9Tixphet la WAYNE T. POLVADO, PE-JSTING NO. F94249 SHEET 3 of 3 �-'• ''` FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM NA. —t(m) ELEVATION CERTIFICATE NUMBER Important: Read the instructions on pages 1. - 7. B6. FIRM INDEX DATE SECTION A - PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME (Lone AO, use depth of tbo ft Randy and Tem Darling C BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1485 le St AE O.M.B. No. 3067-0077 Expires December 31, 2005 For Imuranoe Company Use: Policy Number Company NAIC Number CITY STATE ZIP CODE Oroville CA 95965 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, eta) 030-110-078 BUILDING USE (e.g., Residential, Non{esidential, Addition, Accessory, etc. Use a Comments area, iF necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( W - #W - ##.##" or ##.h' ##) ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP COMIAUNITY NAIVE 8 COM N UNITY NUMBER 132 COUNTY NAME B3. STATE Brutle County UnehowporaW Areas Dille CA B4. MAP AND PANEL 178. 5 it(m) 67. FIRM PANEL NA. —t(m) 139. BASE FLOOD ELEVATIONS) NUMBER 65. SUFFD( B6. FIRM INDEX DATE EFFECTNE41EVM DATE 68. FLOOD ZONE(S) (Lone AO, use depth of tbo ft 06007CO790 C Jun8,98 Jun 8,98 AE 1715 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B_12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ® Construction Drawings' ❑ Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required when eoasfiKtion of the building is complete. C2. Building Diagram Number 6 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, ARIAH, AR/AO Complete Items C3.-aA below according to the building diagram specified in Rem C2. State the datum used. ff the datum is deferent from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum navd 29 Co nversion/Comments NA Elevation reference mark used TID VC 20 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (including basement or enclosure) 178. 5 it(m) o b) Top of next how floor NA. —t(m) o c) Bottom of lowest horizorrtal structural member (V zones only) o d) Attached garage (top of stab) NA. t(m) E o e) Lowest elevation of machinery ardor equipment hn a� servicing the building (Describe in a Comments area) NA . tt(m) E o f) Lowest adacent (finished) grade (LAG) 175.50 it(m) Z.0 o g) Highest adlaoent (finished) grade (HAG) 177. ft (m) N o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade NA 8 o ) Total area of all permanent openings (flood vents) in C3.h NA sq. in. (sq. ern) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Frank James Pursell LICENSE NUMBER 60924 TITLE RCE COMPANY NAME Jim Pursell Engineering ADDRESS CITY STATE ZJe CODE - fi5 MadroneAve. Oroville i4R f TCA J= SIGNATURE 8 DATE O/ l A U I LD `��t 2131 a T `�' FEMA Fo 81-31, anuary 2003 See reverse side for continuation. W R Replaces,all previous editions IMPORTANT: In these spaces, copy the corresponding hftffnation from Section A Far huaroe Company BUILDING STREET ADDRESS Qndudig Apt, Und, Srite, milor Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 148514TH STREET CITY STATE ZIP CODE Company NAIC N7nW— • Orouie CA 95966 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) . Copy both sides of this Elevation Certi&xfe for (1) community official, (2) insurance agenUoompany, and (3) building owner. COMMENTS The building site is in Zone X 3.5 feet above the B.F.E. ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete items E1 through E4. 9 the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft(m) _in.(an) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagram 6-8 with openings (seepage 7), the reed higher floor or elevated floor (elevation b) of the building is _ ft(m) _in.(crm) above the highest addaoent grade. Complete iterms C3.h and C3.i on front of form. E4. The top of the platform of machinery andlor equipment servicing the building is _ fL(m) _in.(am) ❑ above or ❑ below (check one) the highest a4acent grade. (Use natural grade, 6 available). E5. For Zone AO only: If no flood depth number is available, is the top c the bottom floor elevated in accordance with the community's floodplain management ordnwoe? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAmissued or community - issued BFE) or Zone AO must sign here The statements in Sections A, B C, and E are correct to the best ofmy knowte W. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY SIGNATURE DATE COMMENTS STATE ZIP CODE ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordnance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. GL ❑ The information in Section C was taken from other documentation that has been signed and embossed by a lionised surveyor, engineer, or architect who is authorized by state or local law to oer fy elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMAmissued or community4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIRCATE OF CONPLIANCEMMIDANCY ISSUED G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-buill lowest floor (including basement) of the building is: G9. BFE or (n Zone AO) depth of flooding at the building site is: LOCAL OFFICIAL'S NAME COMMUNITY NAME TELEPHONE SIGNATURE DATE _ft(m) Datum: _. _ ft(m) Datum: COMMENTS be ) E WON � o ^ E3 Check -here rf attachments 41 FEMA Form 81-31, January 2003 Replaces all previous editions --------------- --- ........ ..... . . . ......... ................. ..... )lC ho r -(D I ," — (� C� I �te, Do -C .. :`_C............__....... i. - ---- -------- -- - �' � �"`l � � � tt'.. 1. , "'i _ . _ ___ _ _. _ ___ _................ 11 9nN -yo .-,q- ELECTRICAL, MECHANICAL, AND PLUMBING CONS SITRUC'ION ( NOT PLAN CHECKED ) HALLCOMPLY WITH CURRENT EDITION OF NEC, UMC AND UPC. Od b✓(D ce_ NOTE: See Itm at'sched F IMM -C oirofflont-5 -Pages �NING DI'V ISI()fq - BUILDING PIAN APPROVAL Date: 11 Use: -0-- k __ _44 0- Parking: --- Landscaping: Other. Signature: dUTTE COUNT-* -lu- ILDING DEPARTM, F -P, A PR V E� T ELECTRICAL, MECHANICAL, AND PLUMBING CONS SITRUC'ION ( NOT PLAN CHECKED ) HALLCOMPLY WITH CURRENT EDITION OF NEC, UMC AND UPC. Od b✓(D ce_ NOTE: See Itm at'sched F IMM -C oirofflont-5 -Pages �NING DI'V ISI()fq - BUILDING PIAN APPROVAL Date: 11 Use: -0-- k __ _44 0- Parking: --- Landscaping: Other. Signature: dUTTE COUNT-* -lu- ILDING DEPARTM, F -P, A PR V E�