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030-430-004
AP 30-43-4195, Tj-e-.MQJ LEM�BIUSKI E� Leta L a rre--�Tj� ermai"to 4ermit# 291-6- — p JI-E- lutil.,;MH) 30;-43-4 -NEW ARTH YOUN,*,-%Al 91-3119a, UF1 16 W Leta Lane, Oroville Contr": B i6h Mobile Home Sales, Chico Permit 4043-78MHI(existing site) Issued 30-43-4 Permit #4688-78B(new open de'ck/MH) 4" 3- 30 43 44 s Chico contr: Lassen, ,wnfngs Permit #4918-7 .�ne nings 30-43-4 Permit #50060010-78B(new open dn/NH) 030-430-004 01-0797 'S PARONS, CHARLE,&-4�AINNE 162-5 LETA L,��JKUVILL 'IV CONT� ZiNRS�REMODEL FNDEXSITE *(Pro �MH PERM -z -.Z7 BUTTE COUNTY INTER -DEPARTMENTAL CORRESPONDENCE .,DELIVER TO LAST PERSON NAMED DAT E NAME DEPT. DATE, NAME DEPT. __T NOTES T RESIDENTIAL -430-004 01-0797 Rt)SS, CHARLES & JOANNE 5 LETA LN. OROVILLE NT: ZINKS REMODEL I PERM FND EX SITE THE H CD FORM A 33A FOR THIS,MH CANNOT HCD FORM BE RECORD UNTIL ONE OF THE FOLLOWING HAVE XB TURNED IN TO THE BLDG DIV: LICENSE PLATE(S),or DECAL(THE INSPECTOR MUST RETRIEVE) �(2) STATEHENT OF FACTS(ONLY ON. NEW MH'S) INSPECTOR TO' VERIFY SERIAL & LABEL.#'S SPECIAL C OND17IONS CHECKED BY SRA. FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) b - Signature i Ok 0 = Not OK - = Not Applicable MOBILE AOMES -MISCELLANEOUS = Not Ready Date MdBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requ irements-Setbacks- Easements t 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3.' Sewer; Location -Test- . Fall-C/0-Co6crete 3. -Decks; Girders'and/or Joists- Decki ng -Bracing -Stairs- Rails 4 'Water; L catiori-Testjfasem6nt Needed (Sketch) 4. Wood Awn.; Posts -Beams- Rftrs. -Connectors 0 '61ear�nces-Grncl-/ /Amp -Concrete S hthg. -Frg- Bracing, 5. Electricity' Locatiori- 6. Gas; Locatiori�Test-Wrap--/ /,L'ft. 5. Alum. Awn.; Columns-Connecti6ns-S plice- Decal- Enclosures /'Nat.or/ IVU 6. Carports; Winclows-Doors T- We'll Clearance &,DisGo'nnect 7: Electric 8. Utility Clearance 8. Frmg.; Siils-Anchors-Studs-Rftrs-Tr I usses 9. Siding; Nailing -Veneer -Stucco- Mesh' 10. Roof; Shthg-Roofihg Date ..'Card B-1 Date Card B-1 11. Ext.; Steps- Doors -Landing's Date Card B-1 Date Card B-1 12. Braced Wall Panels Date MOBILE HOME INSTALLATION (Plans) OK except Vs 1. Zoning Requirements- Setbacks- Easements Date Card B-1 Dale Card B-1 2. Footings; Size -Spacing -Marriage Line Date. Card B-1 Date Card B-1 3. Gas; MH Test-Derriand-Vatve-Connector Date - FINAL (Plans) OK except #'s 4. Electricity; MH Te�t-Crossovers-Breakers-Clearances 1. Setbacks- Easements 5. - Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction7Structure Stability 6� Water; MH Test- Regu lator-Connect6r 3. -Pool Structure; Steel-Conneciions_Thi�kness 17,tl Water a nd Sewer Connected -C/0 to Grade -HD Approval De - ad Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distance-GFI '9. Tie Downs -Type -installation Carl. 5. Elec.; Pool Lighting; 15 Volts-GF1 10. E�its; Insp.-Sketch 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 11. Cart. of Occupancy 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 12. Permanent Foundation -Only; License Decal- 8. Elec.; Grounding; Equip. w/5'Circulating Equip.- Pool. Lghtg. Boxes-Enclosures-Panelboards-ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval Date Card B-1 Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 -7 Date Card B-1 Date Card B-1 3 V= CK 0 = Not OK - = NotApplicable * = Not Ready RESIDENTIAL (%'c Date 46. Underfloor (Plans) CK except #'s 1 . Zon ing-Setbacks- Ease ments- Flood -Slope 2. Ftg., Main ' Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage, Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ f' Ftg. Depth 5. Sternwalls, Main; Steel-Blockouts-Wrapped 6. Sternwalls, Garage, Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.1 Fall- Fitting -Test -2 Way C/0 -Sewer Test 10. JF, Gas Pipe, Size Anchors - Yard Gas Piping, Size Test 11. Water Pipe, Test -Anchors -Regulator -Service Test 12 Electric Underground 13. Plenums & Ducts, Clearance -Material -Support- Ins. 14� Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 -Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17.' Water Htr., Vent -Access -Combustion Air Baffle 18. Water Pipe. Test & Anchor -Nail Protection 19. D.W.V:; Test Fittings & Anchor -Nail Protection 20. Shower Pahl Test, First Floor -Tub Access 21. Test Tub & Shower, Second Flbor-Tub Access 22. Gas Pipe, Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) CK except It's , 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 2T Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / ga. Cu or Al-A.C. Wire Size / / ga Cu or Al 30� Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral D Yes U No 211. Service-Risei Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34, Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86, Card B-1 Date Card B-1 Date 87� Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except It's 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Finali 40� Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates- Sound 42� Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings- Stairs -C hasers-Tubs 45. Headers & Beams -Size & Bearing I 'Oingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51, Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs, Width -Headroom- Rise -Run -Landing- Fire Protection 55, Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57, Stucco Mesh -Drip Screed -I'd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights- Plastic 59. Shear Walls; Nailing -Bolts 60� Brace Interior/Exterior Wall Panels 6 Insulation -Walls -Ceilings 62� Infiltrati on-Walls-Winclows Date Card B-1 -Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) CK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage, Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67, G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69� Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance, Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door, Swing -Landing -Closure 75. A.C.Puct,in-Garage-Damper 7& Wtr. Htr., Vents -C lea rance- Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79, Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction-Posl Caps 81, Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor �] Yes 82. Following Insild./Drive j Yes :1 No/Walks J Yes :j No/Planters :i Yes :1 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical- Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86, Water Well, Disconnect, Electrical, Plumbing 87� Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89, Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Finali BUILDING PERMIT NUMBER: 0 1 -0797 Address or location oTunit- 1625 LETA LANE, OROVILLE CA 95965 Legal Description of Real Property: A.P.030430-00.4 SEE ATTACHED (x).-Mobilehome[Manufactur'ed Home Commercial Coach Has been affixedto the real property above by installation.on a foundation system pursuant to Health and Safety- Code Section 18551. Owner's. name: CHARLES G. PARSONS Owner's address: 1625 LETA- LANE, OROVILLE, CA 95965 INSIGNIA OR HUD NUMBER: CALI 17398/99 SERIAL NUMBER OR V.I.N.: 04750218A/BH MANUFACTURER'S NAME: SKYLINE YEAR: 1978 - OFFICIAL APPROVING INSTALLATION DATE: 6/7/04 PHONE: (530) 538�-7541. H.C.D.- 513C '.COF:,3Y of Document Recorded RECORDING REQUESTED BY: 07 -Jun -2001'- 2001 -0024244 - Hae n6t'been compared,with ''original 'BUTTE COUNTY RECORDER AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILbING DIVISION 7 COUNTY CENTER DRIVE OROVILI,E CA 95965 NLY SPACT ABOVE THIS LINE FOR RECORDER USE O.N ,NOTICE OF MAN.UFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,' INSTALLAI [ON ON A FOUNDATION SYSTEM Recording of th.is docurnent at the request of the local agency indicated is in accordance with '(�alifornia Health and Safe ty Code Section .1855 1. This docurnent is evidence that such local agency has is ' sued a certificate ofoccupancy for installation oitthe unit' described licreon, upon the real property described with certainty below, 'as of the date of recording. When recorded, this d6curnent shall be indexed by the county recorder to the narned owner of the real property and shall be d eeined to give constructive notice as to its.contents to all persons thereafter dealing with'the real property. - CHARLES G. PARSONS & BETTY F.*PARSONS: BUTTE COUNTY BUILD ING D'IVISION- REAL PROPERTY OWNEWLESSOR LOCAL AGENCY ISSUING PERN41T and CERTIFICATE OF OCCUPANCY 412 HEATH 7 COUNTY. CENTER DRIVE %IAILING'ADDRESS JNG ADDRESS MAIL MILPITAS, SANTA CLARA, CA 95035 OROVIL -LEI BUTTE;*CA 95965 - CITY COUNTY STATE.- CITY COUNTY STATE ZIP 1625 LETA LANE INSTALLATION MAILING ADDRE - SS. IF DIFFERENT .01-0797 .,(530)538-7541 BUIL I PFRNIIT-NO. TELEPHONE NUMBER OROVILLE, BUTTE, CA 95965' "'U". 1'. X/1 f- 1 6/7/01 CITY COUNTY STATE ZIP — - LO�Al' GF/fOFFICIAL (_ SIGNMUR I E or A DATE CHARLES G.- PARSONS NONE UNIT OWNER (ifalso property o%%mer. xvifle"SAME") DEALER NAME (if not a dealer sale. rite "NONE") 1625 LETA NONE MAILING ADDRESS DEALER LICENSE NO. OROVILLE, BUTTE, CA 95965 CITY COUNTY STAI E ZIP UNIT DESCRIPTION SKYLINE 1978 BUDDY MANUFACTURER'S NAME DATE OF MANUFACTURE NIODEL NPUME/NUNIBER 04750218A/BH 52' CAL 117398/99 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNI&LABEL NU.1,IBER(S) REAL PROPERTY LEGAL DESCRIP1 [ON ASSESSOR'S PARCEL NUMBER A.P. #030-430-004 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY- I ICD PINK -Applicant GOLDEN ROD - Bui Iding Uept� LEGAL DESCRIPTION A.P. #030-430-004 All that certaii i,real property situate in the Co'unt� of BLItte" State o r f California, described as follows: Lot 4, as showil on that certain map entitled, "GOLDEN KNOLLS SUBDIVISION", which map was recorded, in the Office of tie -Recorder of tile COLII)ty of BLItte, State of'California, oil August. 18, 1964, Book 32 -of M.aps�, at pages 17 and 18. 05/03/01 16:16 BIDWELL TITLE CUSTOMER SERVICE 4 916 532 4768. NO.320 P005 Itecording req aiDied by 93-09708. -Mid Valley Tit le WHEN REGURUbU M1041j;4641 C) PLIA60 MAIL IN111i 1'.hatlafi 0. parsoad 1625 Lot& Lane. 93-0097061 Repo ?we 0 r Oville, CA 95963. 1 Chwak a. 00 Rocarded I Offlatal Rocards I County of I 0,*r No. Butte Cscra-v No 6339) Rp Caftdam6 J. Cjr%xbbe I Le Umn No. Ll -mar -93 I KVTC, CD 2 APR 030-430-004-000 AFFIDAVIT DEATH OF JOINT, TENANT, STATF nF rAl lFfWNIA Cavnfv of Butie Ch a it I e a rp Pirsofis _of fqplaW, boing6ril duty sworn, deptsm and That_ k4kt.Y XT.Onc iS. .?OfGO"D the dogedent men i toned in the a" ached tort lfkd copy of Certificate of veolh Is the some person as, A&fA*d 06 one Of thei p4rtlog in thAf and %&tbR1gqjft jk, Agidib"Oft 66 joinf, tenards, recorded at 111itrurnens No,.--- OR q /a. 'Peg@ -...:.n 0 Qftia'l Reectrds of cownty, colitornle, r 'I" fw"u"I.-V Owb%pitmki wwb-mly 0%,V4.104 1" 0.9 104'U"tr wt ------ *AOALU C_ &,.To of cftlkf�-19' LOT 4. AS 66OWN ON THAT CIRTAX1111 XAV RNTIML1111b. 116OVORN IKKOLLS qURnY- VISION",'WHECH 14AP WAS RECOR090 IN T09 OFFICS Olf THE RECORDER OF THE rnfln-Pir nV,1111TTR. STATE OP CALIrORICIA. ON AUGVST 18. 1964. %it ROOIC 32 Or MAra,- AT r.-053 I? AND, 10, Wadi CRARLES G. PARSONS 9VOICAtOiD A040 '.1LWQQN -76 underrigmad a Nolmy F�ublfe in and (oi wid State, =F& ihia../40. day at. .:W4Qqv A IirvT3, kv W -1 AAW JAA f 0 0"&' hrry thpw 0. 64�t_ft W Ar, f..... I I "o STATE OF CAI,)F:OR( -'.,DEPARTMENT OF HOUSING AN. .4,OlMMUNffY DWE MEW LO 0WALM... LAld, TRAM kWE mm mmy u movam" flu me z -CALU7399 000000 000624 P144 PAIDI SUM A PAWNS CHARLES 0 o 1623 LETA Lit v DROVILLE CA 9396S R OUPLZCATO COPY PAVA�M CIMLAS Q To no PZL". wxr" T" plausumblons Z A JL625 LUA IX Ic "4=RQ0 OV LAW ORMLLE 'o 8 1625 L"A LK w I T w u OMWILLE CA 9506 L K44MKL POLL Dom NOLLINGSHM Po One Wpqv Cm= CA 1 '9: 'Y w DATEI to.,9?:80 N it R T tt 11 F tA7H OW RE L Demovini Tm THE OWNER INFORKAT10H.3"OWN ABOVE KA T FLECT ALL ZENS-RECOW OF *WUSINO AND COMMUNITY DEVELOPMENT AGAINST THE DE=IBED UNIT.. 3517 T X27"UpiR R"EMPT T I T L a STATUS OF THE VNIT NAY BE..CONFIRMED THROWN TIT DePART14Z"T TO 3DVd 39VEJI�M 3NIdW3, SOL6668 GZ:60 TOOZ/i7T/90 05/03/01 16:17 BIDWELL TITLE,CUSTOMER'SERViCE 916 532 4768 NOmMO POO? �ECORDTNG, REQUESTED BYs Mid 4alley Title M%, MIN Loan No. I Rac -Fegp 5.00 WHEN RECORM MAL TO: DOC 32.45 Recorded. chook 37,45 MA A kAQA rj4AQ1 OR A PAAC%nNq Ofticial Records 412 HeaM . County,of fthaA. CA 95M Butte' Recorder 4 -Jan -91 A ij 11 MNLTAX STATEMENTS TO: DOMMMARY IMNSPER TAX &MM f X &MVAW CA ft MIMAINGAM of %%kM 41 1310111b COWWOOt ON ow* as above GMVWW on ft mormweraft & "A* wo ftr& at ffawfamm The lodma6ped Gawlix dadamp Ab..k� AP nk,&#&,d dw Awd dulanft" bm FW OMM GRAWIMED ZAMMMM F014 A YNAO&E COMMMAMN. "A of 10 hPuby AL EVIMYNYOU1,41M. a vAda., aM W.L ANDOW30 and KATHALM L ANOMON.,huabwd MW w1fe hweby GRMff(q to CHOMLE'S 0. PARSONS MW OEM It. PARSOM hmb" OW VAIS, as J01M.Tenoft f" ""ft/ in am CRY of uninm n0d wu oftwityof Buft JOAN LOT 4, A2 2W*iM ON THAT CERTAIN MAP ENTMED, @'(IOLDKN KNOLLS SUBDMSION', WHICH MAP WAS RECORM IN TKE OFFICE OF THIt PROORDER 01' IM COUM OF BUTM STAm CALIFORMI& ON AU12UST 12. IM, IN BOOK 32 OF MAPS, AT PAGES 17 AND IL STAMOFCAUronNIA COUNTY OF_ Butte 1990 tatim ma.1ho w"dorm"CL a Notify F"FIC mono 1w W. goo Vsm paremuth, sawarad "b"M" to VWL*Wft kWno~ m"ho "C"i" 1" peat of m. Evel n Youns, bfkd saknowleo"o to me that ft"ho aMOCO" I" MMM) OFFICIAL 81111L JAMM STEVEND OMAN Otlux - CALOP"m lhgmlo so a" ht&ftf or 867" Fi. C*F^ to 1#0 ff. Im WITNIS9 my hahisnil #MOO (Tw a" IN am" N%rwl ff" STATC Cf MWOMA 14116 wi- q .5 Gowly 00 0 7" Utte Qmcember 21, 1990 AMMMMIN gooWn" t h ME n MA , -A n ff,- Or q n n pmvd on Be bob of &Fkbfxo to he NO Palo" k1jo an "a balowma" am aw tmwmmw mmod dw owft FrI101AL SGAI; Va"Am wl twd mind oMd&t waL I J1 . IAF#IIE GTMMNS PUMW Puna - GAM"Ift p 914A 6"L fit "as L Janie Stevens A, P-mt) OF wCUMEXT xwxm" 1''I Via: j 112 05/03/01 16:16 BIDWELL TITLE CUSTOMER SERVICE + 916 532 4768 NO.320 P006 CERTIFICAT0 c2sw nPFAT&4 33 —092 0- mr-to w, CAL11"C"NIA SIAIAJP� Pwj%mrj!- - -8 8LAq"_V.4 UGG SOL NAWC op ofteummy-Fixer talwoo IA. OATE (W 13CA90O.-Mo, Oay. V*I'M. mom 6Ff'", BETTY RANCIS agat; Able F L IL *%U"mqS__ DAI'm Cw so" I H-106. 0 ISM T"I ?'. "10A I n w 3ANUA 0. C41IMPt CW 1914AIP. I" FVLL rg^bm all phi Vw 11104ve 19 A STATE �," I Iff" 9*. -=me I ? OF MOT14110t U.S.A I b^TA 3OHN SLA-CXRON OR'R`1 ALLIE-CII'DATE _JJL Tft 1-2 CHARL62 PARSONS IS& tjtjjpFj� JIM op tooft kA ft"FL"A IOIL "&as W occwArm" SUPERVI$OR MAigl"U'FACT61110 SIGNETICS 12 j Alm fam,406 r- A rm.� UPUAL LANE 1625'LETA:' OROVILLE ! 9596S mmme"Ca I;;. Mtck aft P.Oww"w"ma. qwv— go, "011% rftA#alw_. mmw ^Dpm" Ahm MO Com m 0~""T CHARL CALIFORNIA CHARLES PARSOR5 -111153ARD 19A. ftAC9 9W 02ATH 890, 11, "Oom arw&T 1 9 COUnty 1626 1626 LETA LANE F"Cp OROVILL5 110SPITAL 801E GAR sp mingot, #"m#wmS--w"w ARMISM W ".Ah� INATH 10L GM 11000141*6 TO tAMONIM 1CLAIJAR 19 CAM.S . al. OWN kw1m& V 61,112 Mwl�nvm Ircm L Cl IM Wpio Map" "areqMtol, Cardiac arrest 1�11( Voa Y GAUM Z1. M. Probable ventricular arrhythmias 1111,0111 To, 110."( 1�d In tw CwATm DIM we an Cororwry arteg clise"a ear '20"mear —0.m MIL PIM -1111 11141WMAnt aawn"p Cgwr"~ 10 011AT10 *W NOT ASAWID To Z= to 41 It 0 "a" IF I cot EST I Gaon" 7%4? To I'm Ifter Va out" OCCWPM AT Twit tin^ &a= =01Alft, pftmw Tw# Wiwi, 110—m CFJ% U a WrArm I 1117A. Demon At"Pumim OW68060MR LAN an* "'m C-36657 - _92 MOM OA9. "d,% ft"4w. VINAR RTC "04 01IF"MIS"ll I?l4l%"LSAl#P "4009 A%#oj%P9WR6V I TOO" 12117/21 /92. HATIM R. FINE P.D. 2721 OLIVE 11101MAY OM,Ltf. Ar.. 10122 I w -l" T"k, 0, m, op In'llf 0GOW11" At wk "m Am Tr -4 W_ a* DINW11 utpuly col,cmCR-m omnq� Pw 811104 PU RJU" 7 �N= or Isma. "Amir A# woft 600, 0099 OP INAIM', wftkmftft*q ,-v&-Owividluo . I win OVILY .1 PON 1% bA% %4j CAUSES , [] m MAL A�Glnv Am lmw� em PAWAUM am mm -w" quww ?**wm0 "rwomm vown monmes Win m—A-mwT—. 0-1,11VIIIIIAL. olSISORS"o"m SOIL rLacm or on CHICO pq MIS. o4k%, ""Pro ENTONOMENT CHICO . C m. 161 "Z 11 OR FM L "code Ad. III IFTRAY0014 DATE *I) ORDVIL�F FUNERAL HOME 01)464' j V I A: 0=1rXCAT10X:8TA7VUMT This is to certify that the attached J6 o ttUeLand correct copy. of the vital record uhich is an filal-in.thin of f Ici and'of whichl am the legal custadlen. ROGISTRAR OF -,VITA L STATISTICS -SIUMURS CF CUfrMiK; Off7CDL DEC 0 Butte County Vepartm4nt of Public Health 18 b County Cencer Drive, Oroville, CA 95905 ftlKz Ur t1rjw1VfiIUV 9M'0F WGUMENT )NTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive * Ciroville, California 95965 * Telephone (530) 538-7541 -PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-0.,n7- AssEsSO R PARCEL NUMBER ZONING 030-430-004 AM R - BUILDING PERMIT OWN . ER P TELEPHONE BM= SWES & JOANM 53-3-8016 SO. FT. OCC. BUILDING VALUATION 1152 R 62,208.00 .OWNEWS MAJUNG ADDRESS 1625 LFrA' LN. 0-ROVILLE, CA 95965 CONTRACTOR'S KUM ZINKS REMOT)M - TELEPHONE 898-8155 CONTRACIWS MAJUNG ADDRESS PQ�BQX 9281 CHIM, CA 95927 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 62,208.00 ARCHITECT OR ENGINEER UCENSE NO. Flina Fee $ 20.00 Permit Fee 473.00/2 $ 236.50 ARCHrrEcT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 1 625 LE7A LN. OROVILLE, CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ 279.50 LOT No- 4 SUBDfVtMV_Nff/J8 8-8-64 PARCEL MAP PLUMBING PERMIT Filing Fee 1 20.00 Trap 7.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome IN Other SPECFY —Each Solar or heat pump water heater 23.00 Water piping 15-00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 13 Installation 0 Other)CI Describe Work: EX MH PERM END EX SITE Gas piping system I - 5 outlets 15.00 15.00 Building sewer -Mobile Home ISIGI PERMIT FEE ELECTRICAL PERMIT MllndVd�" 20.00 ( 800V OOR LES Main Service . R LES: 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. NO. 53,1565- OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason ___ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performanceof workforwhich this permitis Issued'. My workers' compensation InAurance carrier and policy number are: Carrier STRIE FV Ali) Policy Number Y307= (The above sections need not be completbd If the permit is for work of a valuation of one hundred dollars ($100) or less.) 1:1 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall r� Ifoilth corlty wjl�those provisions. X __Y ate 17 X 1,AA, A AUa= t Owner 0 Contractor Signature of Applitil An OS permit is required for excav tions over 60"deep and demolition or construction of structures over 3 stories in heig ;7 Main Service 200A TO 1000A 46.00 NEW CONST. so. OR ADDNS. DW= OCC.Up- 3.50FT. NEW GUMT. NOWRESID. MULT.110CU.TM @7.50 P,0=AP=L C& EX. OCCUp. OUTLET OR FWTURES 20 0 "00 BAL @ .50 .=D APPLNS OR Ex. Occup., ETS E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation - I PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEE$ 3�9.50, HAZ 10. FEES 19CEL IT This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions Indicated bove for which fees have been . B PERMIT EXPIRES ON I (Datif provisions to do work p aid. te ReceiptNo. 324435/63�.0O �LFS3.SWI, (a i SZ) WHITE-D.D.S.-B.D. CANARY-A2EPSOR PINK -INSPECTOR GOLUENROD-APPLICANT FAr t;,VUN,l Y OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION iCountY"Center,Drive. *.'Orovillej Californ Telepho ia,.95965 he (530) 538-754 (Rev. 1'2/96) PERMIT NO. APPLICATION AND''PERMIT ............. ....... b, :7 ASSES SOR PARCEL NUMBER 3, zof�r BUILDI14G1!',1!!!!RMIJ* OWNER T So. Fl. oc-ic". OWNERS co A. QONSTRuCT*N LENDER . ... .......... .............. ................ LENDER'$ MAJUNG ADDRESS _LE!P_,ac6 ARCHITECT OR EN131NEER Total. Valuation —7 $ UCENS Filina Fee ARCWTECT On ENGINEERS MAILING ADDRESS P 20.00 ermit Fee BUIL001r, I ADO SS Plan Checking Fee Energy Plan Checking Fee LOT NO. SUBDIVISIONISWAW (,;I PARCEL M06P PERMIT FE $ PLUMBING PERMIT Filing Fee 20.00 LISEOFSTRUCTURE Each Trap 7.06 Solar or heat Dump water h --ter 23.00 SF 0 Duplex 13 MobilehomeKOther SPECIFY Water piping 15.00 TYPE OF WORK Each cas water heater or vent 15.00 New. Addition 0. Remodei 0 ulilities stalla, Gas piping system I - 5 outlets 15.00 Building sewer ---15.00 De r' e Mobile Home S G W 020.00 PERMIT FEE ELECTRICAL PERMIT Main Service-.( 800V OR LESS 20.00 20" OR LESS 23.00 Main Service 200A TO 1000A 48.00 __W_ —CONST. - OCCUP — DW OR ADDRS. :�r OLDS. __RI!WU63x1r_ MULTI-OUTI Er NO" 310, 07.50 FOWER APPARATU3 A SINGI E DIM ET C'R_ Ex. Occup. OUTLET OR Fxrums 20 (& 1.00 SAL@ .50 FOCEDAPPI.M. OR Ex. Occup. I OUTLETS I!ESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities Misc. Wiring 20.00 23.00 PERMIT FEE $ *PERMIT FEE PAM MECHANICAL PERMIT Filing Fee 20.00 S . RA Heating Cooling� SHERIFF Hood 6.50 OTHER Ventilation PERMIT FEt Mobile Home Installation Fee $ Energy nSpection Fee occ jCONSOT..TY PE T AL F1 EE $ 4� AM10VNT RECEIVED D. FEES I'LOOD I COF Hn 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. *RECEIPT Wmest TO BE PVT INTO COMPUTER By Date PERMIT EXPIRES ON Pole) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALEFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT APPLICA ]YON DA TA SHEET cp:��Ep_ OWNER: ESS R Proposed 11' se: N =XP� :r': Date: 0 L4�uj 5 Attin =application, I was advised the foHowing data mus�he slth= prior to permit proZissinj anrorlssuance:. Date Received By 1 items have been submitted- -------------------------------------------------------------------------------------- ot plans, 3/4 sets, signed by the preparer of plans - ------------- — --------------------------------------------- I omplete plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------- E Engineered plans, 3/4 sets, with wet signature on plans. AII engineering must be shown on plans - -------- 1 0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. 117. Statement of Intent. for Non -Heated and A/C Buildings. ---- El8. Hazardous Material Form - ----------------- w ------------------- Manufactured Home data and installation instructions including Tie Down Specifications ------------------- I---------------------------------------------------------------------------------- 91 0. Fees of $ 0 11. Impact fees as shown on the attached schedule - ----------------------------------------------------------------- El 12. California Department of Forestry plan approval/fees. �W. Flood elevation certificate - ----- ,�F 4. Sanitation and plot plan appro,, El 15. City of Chico plumbing permit. Department. El 16. Plot plan and business license approval from the City of Biggs. El 17.. Planning approval for (A) Use: (B) Parking: ------------------- 1�_ 0 18. Contact Land Development about E01 4�nprovemen El Drainage,-ff4,egal Parcel - ---------------- 0 rov Znj p or Encroachment Permit or ay, c lion a rov prior to occupancy) - --------------------- *0.- Pre -inspection for 4 iirea Request to Building Inspector on v _ Cl, 'ifi El 2 1. Contractor's license information. (Numb , Name Style, Classification) - ----------------------------- El 22. Workers' Compensation carrier and policy number - ---------------------------------------------------- E123. Owner -Builder Verification (Given to owner El, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization - -------------------------------------------------------------------------------- E125. Recorded copy of Agricultural Acknowledgment Statement - -------------------------------------------------- E126. Letter of intent on building use - ------- El 27. Manufactured Home utility clearance. Existin ired per 433 a Thff 30. Other. to H.C.D S ;�� When you issue the DeWr;w5as follows El Mail to owner elephoneSq and hold for pickup at6m Applicant: Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department 11 Air Copy of plans sent 0 Health Department 0 Fire Department Vther� G -!q, 0 [ - - : 4 (Date) inspector. I —Date: 7 0/ Zr Date - 1. Index pmnit application for the above items numbered: El Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, El mail, 0 Building Division counter by Date: Contractor, designer, owner, was advised of the above required data by 0 phone, o mail, o Building Division counter: by Date: Contractor, designer, owner, wa§ advised of the above . Ared datalby c3 phone, 0 mail, 0 Building Division counter, by Date: Plans reviewed by: mri Date: _fj Plans approved by: Da_t�.� Aq Sets of plans on hold in 0 Plan Cabinet, o A.P. folder. Note transfer by: Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE al� Z13� OWNER A. P. # %PROPOSED BUILDING USA14JL0J J/' DATE RECEIPT # DATE REC.' 1. BUILDING PERMIT FEES --Balance Due .................................... ................... $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ..................................... x $360.00 $ Units Commercial.(sq. ft.) ...................... x $0.03 $ Sq. ft. 4. URBAN AREA FEES Residential ............................ -x-=$ # Units Amt. Commercial (Sq. ft.) ............. - x Sq. ft. Amt. 5. RECREATION DISTRICT FEES -6. THERMALITO DRAINAGE DISTRICT FEES $5 10.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may -be changed the plan checking process. APPLICANT DATE ctio Pursuant to Government Cod ection 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project: You have 90. days fr ' om.the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The�requirernents for a protest are specified in Government Code Section 66020(a). Original - Building Div:, 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) i;;Z ... . . .... PE 1'. .... ...... CT .... . . ...... ..... .. .. .. ............ LOCATION: 1 V2 Z--J�j U-- ( a. Lf U CONTRACTOR:Zt,n/6-�; b-nolu-11., PRE-INSPETION FOR:( 1U\L- DATE:' A P.,# ZONING: DATE TO INSPECTOR- PERMIT tHiSTORY:( )NONE (4AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential/# of Units:–,P1t-/.# Currently Occupied AbandonedfVacant Electric: Yes No Electric currently On. -Off Condition of Electric Gas: Natural --/—/Propane None Currently On. off Obvious Problems: Sanitation: Plumbing Working—� Well Workin Potable Water Obvious SewageProblems Comments: AC7nON RECOMMENDED: ISSUE: Inspector. HOLDFOR Date Sketch buildings on reverse and indicate location on property. fulul"'lufie (OJU) OJI:5-7541 PERMIT 'N'' APPLICATIONAND PERMIT EIUIEDINGPE�RMIT OWWA OWNIER'S So. Fj� OCC. BUILD NG TION 90 W"s CO,4TAVC TMUMM EA'S 0 AWP"s Fireplace ARCHITECT E&Na3tweR Tots I Valuati n uc 0SE"O. Filing F Oft DIONEM's WJUNO ADDRESS 20.00 Permit F ,e .2 ee ou -a )RESS Plan Checking Fee Energy Plan Checking Fee A LOT 0. 91.1801VISION'S mum PARCEL MAP PERMIT PLUMBING PERMIT Filing F USEOFSTRUCTURE Each T 7 0 SF (3 Duplex 0 MobllohGme/KOther Solar or heat p water heater 23.00 Water piping 15.00 TYPE OF WORK Each gas water heater or vent 15.00 New.� Addition 0 model 0 Utilities 811111111jon 0 Gas piping system 1 - 5 outlets 15.00 Do r* Bui I* in ju sower 15.00 9 Mobile Home S G W '(020.00 PERMIT FEE S ELECTRICAL PERMIT Filin Fee 20.00 Main Service I OW OR LESS A OR UESS 23.00 Main Service 200A TO i00QA 46.00 NEW CONS �nAAYG OCCUP. OR AD A ACC 13M. NEW C *4 MUM.0"UTUET NO"ESIO. (&7.50 POY"A APPARATM UTUET CIAL A. Ex. Occup. otr�Lrr on Fwmw 20 1 00 GAL so "F Ex. Occu 3. -0 APPLN8- OR OUrUETS ESIO. FA 5.60 FA Tempora Service 23.00 bile Ho e Facilities S tMo .0 m 20.00 tWirin Misc Misc. 23.00 PERMIT FEE *PERmrT FEE PAID MECHANICAL PERMIT Fee 20.00 SPA Heat! --Filing Cooling SHERIFF Hood 6.50 OTHER Ventilation PERMIT FEt Mobile Home'ln'stallation Fee 'Energy nspection Fee . OCC CONST. TYPE :T� TOTAL FEE $ -AMOUNT R EeEIVEO $ 0. Fen IMP I R=0 I CDF PARCEL po This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work *RECEIPT NVMSER Indicated ab ove for which fees hav . 9 been paid. TO PVT INTO '.COMPVTE;tr . By. Date PERMIT EXPIRES ON � �. 7 . .. .. I . I ": ��*777�� :,," . �.'_, !�,, W; 1. , _ d. �-%-.._ . .z . ;� , -, . I 1. . - . I , . ,:, , � .1 � , i . * . .1 .. I _._.t,.. i : .: _ , J., 1�,.._I, - �, - , , - - I , - , -4 _ - �, .., �J_'Ili, 1,", 1; .". . , , __ "'111,41 ,� -,. . 'I , "'. -1 -1 - ,. ,_�,.., � "I '�a.1:1!",�1;_.V1 - � . ", , - -r v_;j " � , -, �_4, __ 1�t - - - __ i"'.. %��,_��v ,-': . . 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(Wb) 9MLAW(530).332�9810 OURGENT *Ml;:ASAr. YVZASERLVZW GFYI COMM& 1+ VAUC',- 05/22/01 09:42 0916 532 4768 ZINKS REMODEL SUN Al 4C ba I -N A00017' WS chak otha bakmeg 2958 low nlis &&Wk othff bal 2959 003 rol Charles Joanne.Parons 1625 Leta Lane PLOT MAP' Oroville, CA 959651'' (530) 533-8076 APN 0304430-0-04-000 70 Ff- P(operiq Lrvl(�_ A ..... 00 2o SFt IoR A 306 loft, ioPL. 4214 F Yft BI'Le cn F _r [OF -6 Vu N .114 on 06 > n lb NOTE: 90 See the aitached Ld P,_ �_iii P, ig�� -_.,Pages I#JrrE oam'I. DERAMWENT - - - --------- APPROVEr).. L ETA', L c.x vi e— 0 a CD CID z Q z C) 2 01 z I C) z > 0 NOTE: 90 See the aitached Ld P,_ �_iii P, ig�� -_.,Pages I#JrrE oam'I. DERAMWENT - - - --------- APPROVEr).. L ETA', L c.x vi e— PERMIT NO. P E M MH UTIL.' PERMIT NO. 2916-74PIE, PERMIT EXPIRES OWNER Victor V. Golembuski CONTR. LOCATION (A.P. 3 0-43 -4&5 1631 Leta Lane, oroville It Temp. Power Pole Called PG&E Temp. Elec. Serv-12 -2 Called PG&E Temp. Gas Serv. Called PG&E JOB !FINALED (Da - (Signature) COUNTY OF BUTTE DtPAR-WIiNT1!'OF PUBLIC WORKS BUILDINGINSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setbaqg�!� Soil Piping Firewall Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq Topout Slab Roof Sheathing Wa te r P I p I n g Piers Roofing Sewere5�-�� Garage Fdn. Vents Fixtures Footings Garaae Vents Water Htr. Stemwa I I Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas C--- -- Sanitation Slab Final'25f q Patio FIREPLACE Final ey" Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh ME CHANICAL Grd. Fault Prot. Scratch Heating Service S� —z— —� Brown Cooling Temp. Pole Finish Ducts Undergroundeg;� t5" �Z[ 7 V Interior Lath Ventilation PeffnWnr Door Closer Final Final -7 DATE REMARKS OR CORRECTIONS ..-COUNTY-OF BUTTE-. DEPARTMENT �OF PUBLI.C�WO K.. 7 County- Gente.r,Drive Orovi I le, Calif orn i a 95965 - Tel 6p)i6ne:.53�$-4541. AP LICATIONAND PERMIt'.- .auinorize representatives OT ine uouniyot.t3uiie to enier.upon ine above-mentiondd property foe inspection purposes. Oatey_g 3 Sig;ature'of Permitee or Agent� R,eceipt':No.' White-D.P",.W. '—'Y,-�llo�w-'Asses's'or.'—.Pink-,I�spector Goldenrod Applicant Thi s. permi t. i s hereby i ss u ed under the applicable pro'visjons of the,Butte County Code and/or resolutions to do wo.rk indicated - above fof.which fee� have been' 'paid. 'P :DIRECT -PR OF�_ UBL11C WORKS - By'. Date Buil.ilding,perrhit 6 p i res' Date ..... 1/00". ........... BUILDING�- " - &5? . OAine,�&. e'- Zi z SQ. F —BUILDING 'VALUATION* T:: OCC. Mailing Address Telephone No. Fireplace hti�actor ----------- Tot al�Valuati Mailin Address 9� Permil Fee 'an Checking PI Fee Vor Penal ty Te I e ph'one No.., . . Te rmi t F ee' $ Bu i ldi.ng�Ad.dre..ssty PLUMBING NO. @ FEE PERMIT FILING FEE. $2.00' V C __-- Each Trap 1.50 j;7;10 Repair drainage or vent piping Waterpiping 6-6 Zo!!_I� EaCcti�'gas water heater or. vent 1.50 P: N Gas piping system 1 .1 5 outlefs -.50 Each additional outlet M F S n' FireD*ept. FireZone Use Permit Building sewer 5.00 EQA Parking] Parcel Plans Declaration Parcel'M�pl 60, ,.R/W I -Improvements Lawn sprinkler system' f:::gjgaP I �a H`lrs�l �ec 6 Plqe�pproval Permi t Fee $ $ NEW ADDITION E] UTILITIESfK: 0 T HE Ri ELECTRICAL- No. @ -FEE 'PERMIT. FILING FEE o.00 Main servi ce,-incl. meter/ro _31 b'O- Additional meters, each .1.00 Sub -panel (12 w less) (more th on.1 2) Singl e Family 0 Duplex E] M16bi I Honie Others Rangp, Cook -top or Oven 1.00' Water� Heater. or Space'H e*ater .11.00, Light,fixtures 20%2 bal 10 switches & fix oi Rbceps., itlets 20M. CONTRACTORS LICENSE LAW I -am licensed under the provisions of Chapter 9, Div.'3, 'of the State of Califorhia Business.*& Professions Code under:the'name style of: Hood"Ex. FanorF A. Fu�n. Motor 1 .00 Evap. cooler, gar:dis r -1.00 , 0, o D. W. . Air conditioner or heat pump.. - Water pump Mobil Home Facilities 5,00 6.0 Temp'. power Pole 5.00 LicenseNo. C14ssificatio'n misc-.,wiring I am ei6mpt from the Contractors. L i cerise Laws of the State o f. Cal i fomia., Permi't F60. f $ WORKMEN'.S . COMPENSATION INSURAN '. CE, I arri aware of the provi si6ns cif Section 3706*of, t�e Californi'a *Labor Code whi'ch re.quires every employer to be insured against liability .for -Workmen's Compensation. hayp.placed on file with the County of Butte a certificate 64 ,W6rkmbn's Compensation Insuran ce. ertify that in ' the performance of the work for which this plercmit-is issued I shall.not' bmploy.any person in any manner so'as*to become,subject to the Workmen's Compensation Laws of California. , .,.r. . . . . MECHANICAL N0.1 I FEE PERMI-T FILING FEE 1-$3.00 Heating. Cooli Venti lation _77- Hood, 2�ofl Permit Fee . $,i I - $ I certify that I have read this application and state that the.ab6ve information.is correct. I agree to comply to all County Ordinances and St aite Laws . relating to bui Iding construction, .,and hereby- TOTAL PER M) T' FEE % .auinorize representatives OT ine uouniyot.t3uiie to enier.upon ine above-mentiondd property foe inspection purposes. Oatey_g 3 Sig;ature'of Permitee or Agent� R,eceipt':No.' White-D.P",.W. '—'Y,-�llo�w-'Asses's'or.'—.Pink-,I�spector Goldenrod Applicant Thi s. permi t. i s hereby i ss u ed under the applicable pro'visjons of the,Butte County Code and/or resolutions to do wo.rk indicated - above fof.which fee� have been' 'paid. 'P :DIRECT -PR OF�_ UBL11C WORKS - By'. Date Buil.ilding,perrhit 6 p i res' Date ..... 1/00". ........... wool AM - NO W 10 'IS 14 71 w �4 S, lit I u: 7" 7� :'�'-�:7 . q -,e A �U' '�I' lwq�q T 4- 1 W A 7�` -7- A, �j*V fl, "j:7 ;j "4�� 7 Yl 4 -0 "T motto 1 nww AM" o , , i�) i�� " PASS loss 7. TIA re m Ou I I r - P, PM I ENT PROVE.D. Temp. Power Pole Called PG&E *e"p--Elec. Serv. ;Y� Called PG&E Temp. Gas Serv. Called PG&E JOB FINALFD f\ 41 MOBILEHOME,INSTALLATION INSPECTION CHECK LIST 'io n� from, lot, lines and buildings, and,generaily, 1. Is,the mobilehome-located wit%required separat conform to plot plan? Yes— No - 2. Does the mobilehome have required clearances above-gtound? (Sec.5085)"Yes /-/No 3. Are footings and supports properly sized,* -spaced, and braced a r approved -plans? (Note possible variation at spring shackles.) (Sec. 082 & 5083) Ye s ZN 4. Is the 'mobilehome level? '(Sec. 5088) Yes --:>N/o5 5. If more"than a single unit, arecrossover connections properly installed? (Sec. 5088) Yes::X 6. Water A. Is flexible 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 tes , t? Yes �o C. Backflow - If coach is not State of California approved,�does station have backflow device and pressure -relief valve? Yes— No 7. Wastes and Drains A. Is connection made with Schedfile 40�DWV and have flex connectors at each end? YesZNo B. Does it have minimum 14," per foot slope,and is it properly supported? Yes V No— C. Are any1eaks detected -in drainage system after running 3- allons of water throvgh each fixtiire,-including washing madhine standpipe? Yes No D. If coach is not State of Californiaapproved, does station have required trap and vent? Yes No 8. Gas. -Piping and Gas,Vents A. Connector Is�mobilehom'e 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 mobil��ome gas line inlet without reductions Pt�er`than the mobilehome connector. Yes No B. !Tes�t OK as per'following,procedure9 Yes --�No Open all appliance connector v�Llves. 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 iAcrements. Test for 10 min. without 4.- Connect gas meter to mobilehoiAe.with connector, turn on gas, test connections with .soapy Water. ve' p Y e s_JIN C. Are all appliance nts �ro erly installed? 0 9, Electrical A.- Is servicelarge enough to provide adequate amperag&to mobilehome (must equal rating of mobilehome.with a minimum of �00 amp) and .6therfacilities on lot, i.e., water pumps, garage, cabana, etc.? Yes --' No INO Is there proper clearances around panels? Yes C. Is power supply' cord or feeder assembly properly fused?, Yes c-,"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. Make sure that the power supply cord or feedler assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. .4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the oLher lead to each mobilehome supply conductor, including neutral. 5. 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 b6tween the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theclectrical tests, the -lot or site, service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sahitatiOn.?._.,, 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Nam estyle Length Width, ;2 Vehicle Serial No. .0 47 State Identification No. eAL 1Z 22 uL 2 Additional Information or Comments: 6 R COUINTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY.' This mobilehome has been installed in accordance with the re ements of the California Administrative Code, Title 25, Chapter .5, nXirr permit number —,for the following location: 31 Z - Owner Owner's Address < I-- V ;7;; Mobileh9me Mf g. Model Y e a r Insignia No.(?,-qL:- Serial No. C It is hereby certified, for occupancy at the above described locaiion and may be occupied. Director of Public.W.orks Date 3y Z. THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS* RELOCATED White - Owner, -Yellow:- Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF.PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroorn Finish 2nd Floor Footings Windows 3rd Floor Stemwa I I Siding Topout Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn.,Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicap e --- Conforrnance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation 'Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rouah ReInf. Steel Final Fixtures Bond Be'am' FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Coolina Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping fA013ILEHQML2h%TA6LA1WN Sewer ............... Suppo t Gas Piping Elec. Continuity Water Piping DATE Drainage Gas Piping REMARKS OR CORRECTIONS (NOTL: An entry must be madb',on this form each time you visit the job site.) 4 7- 'N PUBLIC�VORK COUNTY -OF'- BUTTE EOARTMENT OF County 0 6n te'r� D r i'v 6 — drovi I le Caljtorni a'959L65 f6l ephon6:,534-45471 '�"AP ION. REMIT' TLICAT AND authorize representatives of the County ot Butte to enter upon the This permit ls.hdr7e'by issu'6d'under.'the a" ppl'icab e.provisions of ab.6ve-pentioned property for ibspection purposes.- the. B County, Code and/or., resolutibris �to do worl< indicated utte v b e "d above for which J66s ha e n I E R,'O: F 6� DIR P,U] ORKS.- Date Signoture-of PermiteelodfoAge6t By, -7 Date .7 3 Receipt. No. 77 7 White-D.P.W. -'Yello.'W'-Asses�or - Pink-lnspec't'or�' Gokdenrod-Appli �anf B ding permit e'�Vires Date 71F BUi'LDINGr.. IDwner 0 U.A.,.) c� SQ.F.t. OCC.' BUILDING'VALLIATION Mai,l,ing Address'. A�7_�A:lAj ofi 4 0, 1T 00— .1 . . �-: z Ij 0 *.n 0, N 0', "3 07. Fireplace Contractor 661-C 11C,4 'oo�vo TO t a I a 'a I'u tion Mai I i,ng-Addres�s -4) S7 a 0, Permit Fee: 'P Van Checki rig Fee Vor Penal ty ViIt Te�ephoneN6. Fee. Perm I i $ .=,7 F building Aldt?t- 4 %��y PLUMBING, No. @ FEE PERMIT-.FILINGFEE sp.06" f"': tach'Trap 1'.50 R . epair . drainage or vent -piping. 1.50'. Waterpiping 1�50- Each7,gds Atater:h4ater or Vent 1. 5�0, A. P. No. Zoni g & PlanAing �G p I ip , Ing - syiifer� 1 -5'. outfets'� 1.50 as Each addifloinal outlet .30. FIZ r ire' D.ept. FireZone] U se..F;6rmi t Bu i I d i,hg sewe r. 5:bo Parking' Parcel EQA Plans Dec I arat on Parcel Map' 601. R/.W 'Improvement. Lawn' sprinkler system �.00 :Bidg: P(.� R..'d Rarc provol� F p.rovo. Pl.n kPPr.V.I mni t, ee', Pe F $ NEW ADDIfIbN UTILI�fIES OTFfE ECTk1CAL-,�-1_..'- No. L FEE RMIT FILIN FEE '$3:60 P E G aly AV0771,; �F/JZT_ rNo.^. AMP OR L .00 Main'service 600V OR-L.SS.,�� 0M Main service EA. ADD'L.100 AMP 2.80 OVER GOOV Main se.rvic(i . 100 AMP OR LESS Sin'gle Family DuplexE] Mobil,Ho'me Others Main serv,1ce EA'.' ADD. -L 100�AMP X NEW CONST. I DWELL-ING-0c.cyp. s�q ff OR AODNS. X ACC. BLDGS. NEW CONSTR (MULTI -OUTLET NON-RESID._ BRANCH:CI:RCUITS) 2.5Oe4 --7 NEW CONST.R., f POWER APPARATUS-& NON RESID.-I SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW. I am licensed under the provisions of Chapter 9; Div.' 3,� -of the State of,Cal,if6rnia'business & -Profess i ons"- Code! under the' name style of 6 A4.1ir, Ex. 0bCUp(OUTL,E'TS 6R" �I'X'TURES) '50' @-25,�t BAL@10q FIXED APPLNS,OR 2;00 Ex. (OUTLETS (RES D.) EA Temporary -service 10.00 J: Mobile.Home.Fa.cilifies 15.00 L i cense. N6A. V/ ci, "y 'of Cla§sif cation misc.,:Wiring 6.2 '5 Ell, am exempt fr*dm.th e Contrdbto I r s License Law� of th6 State of California. Permit Fee'. .,'MECHANICAL�,, No. FEE: WORKMEN'S COMPENSATION, INSURANCE I am aware of the provisions of Section3700 of the California Labor. Code which requires every employer to be insu�ed against liability for Workmen's.Compensat ion., 1 -Workmen's Compensati6n,ln'surancb. 9 1 . -have placed or� file .'with the County of Butte a c erti f i cate',.of- :1 -certi that in the. performance. of the. work for. which' this fy n1permit is issued,l shall not empipy,'any person in any -manner SO as to b6come s6bject to the Workrrien!s* Compensation Laws,of -California.' PERMIT I'L I*N G F E E-` Mpo Heating Coo I irnj 'Ventilation Hood -)A vX.,-WW-` 16 0 TM 1, ��rtliy that. 1. have,.read-.this 'application and. sfate,,that Ahe abo�e i n1f ormat i on i s correct. I 'agree 4o; comp I y to al I County Ord i In ances and, State �.Laws , rel ati nq : to building construction; and hereby tfOTAL PERMI,T,'�,CE $ authorize representatives of the County ot Butte to enter upon the This permit ls.hdr7e'by issu'6d'under.'the a" ppl'icab e.provisions of ab.6ve-pentioned property for ibspection purposes.- the. 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' - ' �. . _�" ':' �- � .11'' ._ � , �,�,"l � I � I , - . �' -t "_,_� I, I �:�._ �'r" �' - *" "�_ " .,III: .- - - -1 '!, �, ,%, , I. - �" � " : ' T 'i"' " �'( ' �' I.T I . . � �,., " I ., � I ": � " '�' Ir' -"C"."! " "" I � , I - � . -1 , , - . S' cOuNyv OF BUT" PUBLIC WORY5 n 18 Owner" name: 4 ie 0'0 A/ -Cl /V 2. Installer's:name: SA /C 3'. Is the s ite currently under permit? Yes No (If yes,, furnish permit number OR L/ Is the site an existing site.? Yes No (If yes, furnish two (2) plot plans.) 4. Will the m . obilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes L4 - No (If no,- clarify 5"' What is t . he mobilehome electrical rating? ----------------------- Amps 6. What'is the mobilehomesite service rating? -------- ---- Amps 77 . 7. Wha . t is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any',other electric. . load' -6o be served by the mobilehome site service? ------------- 7 ------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is -the mobilehome site gas pipe.size? ---------------------- _(in.) 10. W . hat is the type of gas service? ----------------------------- Natural, 77.7 LPG 11. What is the gas pipe length.from meter or tank to the mobilehome? -(ft.) (BTU) 12. What is the- mob ilehome gas demand? -r ------------------------ (This information not required if pipe length less than 6.ft. on natural gas or less than 50 ft. on LPG.,) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome furnish Setup Model No. Year Width. L( (ft.) Box Length (ft Tagalong or Expando Size ft ft. (SHOW SUPPORT DETAILS BELOW) - On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. /9 f t7c ii; (in (in. I I Center upport Center support loca ions* footing sizes (in.) F 36xi (ft.)(in.) (in.) (in.) (in.) (in.) I 3_1�xl 10 1 (in.) (in.) f t in. iri,'. in. *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Footings (check one) 1'. Wood either pressure treated or foundation grade. 02. Other (specify) Supports (check one) li Concrete block. E] 2. Other (specify) Tagalong or Expando, show support details. ) �2,y,?b , laftw Typical Support —(in.) Footing Size Max. Pier Spacing 1 /.6 _ Itit7!j - - Max. Overhang (ft.)(in.) 8U-V-f� couvjl� BUILDING Dp�gqPNI �\ppROVED a';oLop? THERMALITO IRRIGATION DISTRIG 410 GRAND AVENUE OROVI L LE. CALIFORNIA 95965 TELEPHONE 533-0740 1438 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: t 4.. Aller 1� Date: Address: — 44 Acct. No: A.P. No.:,:�e'- Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application Arrearage Preliminary Review ByL., Date: le,— CSA 26 Remarks: SC -0 R 1st Mo. S.C. Other Total Fees Collected By: Field Review By: Date: Date: 70 Remarks: n, A- fs MONTHLY. SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: D Date of TID approval of completed building sewer (early connection). El 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONRECORD BVILqINd BUILDING (Cont'd). PLUMBING Setback It> Firewall Soil Piping Forms Parapets 1st Floor Main Bldg- Restroorn Finish 2nd Floor Footings Windows 3rd Floor Sternwall Siding Topout Slab Roof Sheathin; Water Pipin g Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Sternwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically ndicappi V Conformance of ex. structure Appliances . Gas Piping & Test Temp. G s Slab Final Sanitation Patio /FIREPLAC`E Final Footin6s Footing ELECTRICAL Masonry Walls Throat Rouah ReInf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault -Prot. Scratcl� Heating Service Brown Cooling Temp. J Finish Ducts -Pole Underground interior Lath Ventilation Permanent Door Closer Final Final .MOBILEHOME UTILITIES ---- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping M2L6MME INSTALLATLM, --- 7 ------ Support Elec. Continuity Water Piping, Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF.PUBLIC WORKS 7. County Center Drive Oroville, Cali forni a 95965 TZ�,�pho,n_p.: 534-4541. Z,IAPPLIGATION AN D P i ERMIT authorize representatives oT -ine Uounly OT butte to enter upon ine above-rifentioned property for'inspection purposes. X J YA 4 A SiVn_.tu'r"e`of-P-ermVee oYAge'n1y�'7 7 Receipt No. z Z 419a X r 01! White-D.P.W. - Yellow -Assessor - Pink -Inspector Got/enrod-Appli cant 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 OF BLIC WORKS 010, V te Kil ing" permit expires Date BUILDING I A owner SQ., F T, OCC. BUILDING VALUATION Mailin g "Addres S. , J/ Tel ephon e No. Contracto,r-' 7 dty of ei;_"2 7 Mailing Address C -Fireplace Total- Valuation Off T. lephone No. Permit Fee ;Y1 -jo— Building Address Plan Checking Fee.&/or,Penalty. Permit'Fee $ PLUMBING No. @ PEE o9 PERK41T FILING FEE $3.00 Each TraD -50 Repair drainage or vent piping. 1.50 A. P. No., Zoning & Plannin g., Water,piping 1.50 Each gas water heater or vent 1.50 S �.Fj.re Dept. Fir Zone U 'sePermit Gas piping system 1 - 5 outlets 1.50 EQA Parking Pians arcel�l ep , D ciaration Parcel Map' R/W ...Improvempts Each additional ou let .30 Building sewer 5.00 I3Id9.'PIa4n:311_ec'�d Parcel Anrovalv Plans Approval Lawn "sorinkler system 2.00 NEW ��DIJITIONQ UTILITIES[:] '.'OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 -700V OR LESSESS Single Family El Duplex El - Mobi I Home Others Main service 00 AMP OR 12 5.00 Main service EA. ADD -L 100 AMP 2.50 OVER 600V Main service. 100 AMP OR LESS 25,00 Main. service E A. A . OD -L 100 AMP 1.00 NEW CONST DWELLING OCCUP. 51 - OR 'ADDNS, -,'( ACC. BLDGS. 20sq ft CONTRACTORS LICENSE LAW. I am licensed. under the provisions of Chapter,9, -Div. of the State of California Business & Professions Code under the name style of: NEW CONSTR -OUTLET ..RES'D. (MULTI I BRANCH CIRCU T5) 12.50ea ..N NEW C,ONSTR.. (.PNOWER A�PPARATUS 11 NON-RESID. GLE ,TL ET CIR* 50 @ 215C Ex. Occuo (oLjTL* ETS OR FIXT11RES BAL @ IWI FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Faci lities 15.00 License No.-Classifip on M(sc. Wiring 6.25 �9.1 am exempt from the Contractors' License Laws of the State of Cal ifornia. Pe'rmi t Fee -,,WORKMEN!S COMPENSATION, INSURANCE I am aw6re of, the provisions ot Section 3700 ' of the California Labor Code. wh i ch. requ i res every employer to be in.sur6d against liabili'ty. for. Workmen's Compensation. E] I have� placed'on file with the County of Butte, a certi f icite'of Workmen's Compensation Insurance: c rtify that in the performance:of the work. for which this I e permit is issued I shall not employ any person, in any manner so -as to,becom6 subject to the Workmen's Compensation Laws of California.,_. MECHANICAL NO. FEE PERMIT FILING FEE $3.00 'Heating, Cooling Venti I ati on Hood 2.00 'Permit Fee I . c6rt . ify that I hay.e'read thi§ application and state that I the abov I e information 'is,,correct. I agree to -comply to all County Ordinances' and State Laws relating to building construction, and hereby Land, Development Fee $ TOTAL PERMIT FEE -$S- authorize representatives oT -ine Uounly OT butte to enter upon ine above-rifentioned property for'inspection purposes. X J YA 4 A SiVn_.tu'r"e`of-P-ermVee oYAge'n1y�'7 7 Receipt No. z Z 419a X r 01! White-D.P.W. - Yellow -Assessor - Pink -Inspector Got/enrod-Appli cant 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 OF BLIC WORKS 010, V te Kil ing" permit expires Date 77- 0 00 NOWN LOW?% KNOW CO. 7 04 Vol K OW QQ On n: 'N. 1, JI PERMIT NO. PERMIT EXPIRES OWNER Arthur Young 30-43-4 CONTR. Lassen Awnings & Serv., Chico LOCATION (A.P. 1625 Leta Lane,, Oroville Temp. Power Pole Called PG&E Temp.. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB, FINALED (Dat (Signature),' COUNTY'OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONLRECORD BUILDING BUILDING (Cont'd) PLUMBING Setback �,2 4r . ..... 1100r," —Firewall toll Piping Forms Parapets 1st Floor Main Bldg. Restro'om Finish 2nd Floor Footings Windows 3rd Floor- 8t6mwa I I Siding Topout Slab Root Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwall Garage V nts Insulation Water Htr. Heaters Slab cag2rt 'Is Footings Prov. for p� sically handicap e.1 Conformance of ex. structure Appliances Gas Piping & Test Tern . Gas Final- Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough ReInf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing ;09-, Test Water Htr. -ld Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping . Sewer Gas Piping MQ116EHOME INSTALLAIM. ------------ Support Elec. Continuity Water Piping Drainage Gas Piping DATE —REMARKS OR CORRECTIONS' (NOTE: An entry must be made on this form each time you visit the job site.) 7" ..0 0 U-� -T Y F -BUTTE DEPARTMENT. OF PUBLIC WORKS County Center Drive. Oroville,.California95965- Tel ep�on.le: 'ti6l-45�41 APPLICATION- AND PE.RMIT_ cant BUi din pe exp _r D -D' P.W. Y.I�o Recei pt No. Whi te w-Allsessor Pink lns�ector ''Goldenroi-App'li. I g. rmi i es a e BUILDING 0 . wher U. Avlii r- 00*h Q.. SQ. FT. OCC. BUILDIN& VALUATION Mai I ing Address �Tjelephone`No.' Contractor S's Q�rl A oL) I& 1:,Y\o Mailiog Addms"sp+ (-�Q_(&j F i reol ace.' Total Valuation 61 �p�o n N Permi�t Fee Building',Address A, Plan Checking Fee &/or Penalty Permit Fee, $ elb h PLUMBING. No. FEE PERMIT FILING FEE $3.00 Each TraD 1.50 V gepair drainage or vent pip ing 1.50 A. P.'No. Zo ing �-Planning Water piping 1.50 Each gas water heatw or vent 1.50 i De t FAes re p, F ire Zone Use Permit.* Gas piping system 1 - 5 -outlets 1.50. EdA parking ians P9-1 Parcel , Declaratio'n -Parcel Map 60'.R/W Improvements Each ad ditional outlet .30 . IBuilding sewer- 5.00 Bldg. PI 00000 Parcel Zeroval:, Plans4 pprova kpr_o��al Lawm sprinkler system 2.00 ''NEW ff' AD61TION'E] UTILITIESE]'_ OTHER Permit Fee $ ELECTRICAL No. - @ FEE PERMIT FILING FEE $3.00 Main. servic 800V OR LESS e 100 AMP OR LESS 5.00 .Single Family El Duplex E] -Mobil H 0 -me Oth'ers El -Main* service- EA. ADD'L 100.AMP rv� Main ��ervice OVER 600V -�5.00 100 AMP OR LESS Main servlce EA. ADD -L 100 AMP 1.00 NEW CONST. DWELLING OCCUP.. 5.) OR ADDNS. ( ACC.BLDGS. 120 sq f t CONTRACTORS LICENSE LAW I am licensed under. the. provisions of Chapte�r,9,,- Div. of the- State of . California, Business & Professions Code under the name- style -of: k A C<,j OTJ NEW CONSTR. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS)i 12.50ea NEW CONSTR. (POWER APPARATUS.6, NON-RESID. SINGLE OUTLE,T CIR Ex. 06CU13(OU,TLETS OR FIXT!IRE;) [WBA@L4%1X Ex. ObC6p. ( FIXED APPLNS. OR, 2.00 , I OUTLETS (RESID.) �:A) Temp6rary 10.00 Mobile Home Faci lities 15.00 . License No.*,;?So'e��6 Classification to' Misc.,Wiring 6.25 rI am exempt,from the Contracto . rs L i cehse Laws of the State of.Cal i forn i a Permit ee F $ J$_ MECHANICAL No. @ WORKMEN'S COMPENSATION IN ' SURANCE I am aware of the provisions ot Seclion3700 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 C�f Butte a certificate of Workmen's Compensation Insurance. -1 certify that in the performance of the, work for' which. this _perm it is'issued I sh6l) not employ any person in any manner so as�to be.come.subject to the Workmen's Compensation Laws of -California. PERMIT'Fl-LING FEE t3.00 Heating Cooling Venti lation Hood Permif Fee $7-7— .1 bertify,ti-fat,I have read this appl.ication and state that the above inform'6tipn�i& c6rrect.'I agree to comOly.to all County Ordinances e 'Laws relating bu construction,- and. hereby ut orize entatives 6f!oth P_ "n. unt of Butte to. enter upon the % ;��ab,ove_me'nti ri6d property for pe�cfi pu.rposes. Pate, st 4,7 - Signature of Permilee or Agent Land Development Fee - $ �TOTAL PERMIT FEE e Cr this permit is hereby issued under the 'applicable.proi�iSlons of the Butte County Code and/or resolutions to do,work, indicated above for which fees have been paid. E2fjt�OFF �PB.LIC_WORKS��/ Date z cant BUi din pe exp _r D -D' P.W. Y.I�o Recei pt No. Whi te w-Allsessor Pink lns�ector ''Goldenroi-App'li. I g. rmi i es a e '. '' . 11 ", : , '. I , . . :� - ..,. � . - � � -1 I I . . I . I I I I ,, I . - - . , 'e" , -1 � . I . . � . - . � . . � . - - . - . . 11 .. 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Called PG&E JOB FINALED (Date)/e COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION'RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish. 2nd Floor Footings Windows 3rd Floor Stemwa I I Siding Topout, Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handlcappe Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final C) Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rouah Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown, Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES .................. Elec. Service Elec. Pedestal Water Piping -------------- Sewer Support Gas Piping Elec. Continuity Water Piping Drainage Gas Piping DATE -REMARKS OR CORRECTIONS (NOTE: An must be made on this form each time you visit the job site.) COON P�`017'13.UTITE --DEPARTMENT OF PUBLIC WORKS 7 7,.Cbunty Center Drive Orovi Ile; California 95965 Tel VhQr36* , _534-4541-_ APPLICATION AND PERMIT. 4. BUILDING Owner SO.' Ft. OCC. BUILDING VALUATION Lt- F Mailing Address 4 C, Telephone -No 7 _7 -- Contractor 4 Mai I ing Address Fireplace - Total� Val u6t ion :.JTeIeph-o'ne.No. Fee' Building Address —'Permit Plan,.C.hecki g Fee&/o'r'Penalty P Fee $ PLUMBING" No. 'FEE PERMIT -FILING FEE -�.bo Each'Trap 1-.5Q Repair-'drairiage"or vent piping 1.50 A.'P. Kin, q- Zoning & Monining Water piping: 11.50� -Each gas water heater or Vbnt.' 1,50 1'* 5' :i re Zone - U S16 Permit Gas piping systeni'll 7 5 outlets 1.60 bQ A Parking Plans Parcel . n Deciaratio Parcel Map 60' R /'W lmprove'r�e rts. Each additional'outlet .30 Building sewer - 5.00.. . Bldg. P 4rr._c'_d_ Parcel Appioval Plans ApEroval 0( Lawn sprinkler system IL2.00 0 NEW ADDITION UTIL`ITIES,'[ THER'E] - Permit Fee. ELECTRICAL NO -1 @ FEE PERMIT FILING FEE J$3.00 600V OR LESS Main service 100 AMP,OR LESS 5.00 Single Family Duplex Mobi I Home 6thers,E] jai Main service :EA.'AbD-L 100 AMP 2.50 Main service OVER.800V 25.00, .100 AMP OR 'LESS Main service EA. ADDIL 100 AMP 1.00 NEW CONST. ( DWELLING OCCUR. . N). 20sq ft OR ADDNS. ACC.BLDGS. CbNTRACTORS LICENSE LAW I am licensed. under the provisions of Chapter 9, Di - v. 3, of the- State of California Business & Professions Code under the name style of* 1111 CCN�Tl (MULTI-OITLIT,T I_D . BR ANCH CIR CU s 2,.50ea .,L4,0,N:,RE 5 A .T R_ (SPOWER APTPARATUS 5 NON-RESID. - .LE 0 L. T CIR. J 150 - @ 250 Ex. Occur)(OUTLETS. OR F.IXTIIRES', IC4 �x. Occup. ( FIXED APPLNS 'D OR OUTLETS (RESI E A) 2.00 Temporary service 10. GO Mobiie-Home Facilities 15.00 License No. Classification Mi sc. Wiring 6.25' I am exempt from the Contractors License Laws of the Stat.e.of California. Permit Fde . $ MECHANicAL N o. FEE WORKMEN'S C*OMPENSATION INSURANCE. I am aware of the provisions ot Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. EjI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Ocertify that in the performance of the work for which this p'ertnit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation- Laws of California. I certify. that I have read this application and . state th a ' t the above 'information is correct. I agree to comply to al,l County. Ordinances and hereby and State, 'Laws relatinq to building construction, I PERWT FILING FEE $3.00 Heating' Cooling Ventilation Hood =2.O 0 Permit Fee Land Development Fee $ TOTAL'P ERMIT FEE $ authorize -representatives of the County ot t3utte to enter upon tne above-mentioned propdrty'for inspection purposes. . > Date'_y/0/`�``eP/._ Signature -of Pdrrn' itee (rJAg.nt Receipt No White-D.P.W. Yellow -Assessor Pink-Inspect6r,'-*,Goidtinrod-'Appli.c'ont This'peimit is hereby issued - u6de�-the'.applical:II6 provisions of the Butte County Code.and/or to do work indicated above for which fees, have beea aid _p, �K.F,/F)UBLIC- WORKS DIRECTO A, B 'Dat Vl-�-)7- . -7 77 Z. Building permit expires Date 4 't Ij 41 A, A� 41 le qr, t:: RUC 0 1. 11 10: 51a Integrit�j Homes_ (530) 5.33, 0125 p. 3.: 2006 0050413': 7 RKtriled in Fa� Off icial Recairds' i TAX I PCDR- MINM 20110 coo. Of e CFNM J. RECORDING. REQUESTED BY County Clerk—Recardtfl mid Valley Title & Esmw Company AND WHEN RKORDED MAIL TO: 8q. -M 27 -SIO -3116 I-Pq1 I Of 2: .13etLy Hanner 1625 LeM Lane orwille, Ca. 95%-5 SpM AbMe Th Is Une for RecordGes u- only File No.: 0403-2487385 (CB) OL A.P.N.: 03G-430-004 GRANT DEED -me woemlp� &mtw(s) Dedare(Q. DOCUMDErARY TWSMR TAX W&W, a7Y IPANSFM TAX $WW, Chu" d SU;tVEy MOMJPIENT FU $ diP%*vWMWT I OR P10&(S6t4WR&t x cm;nftd on the euviderom or MR vakm Or PmPe"Y cwwey0d comutbmlft or fiA vahm kn vubje of kni wdlcw ennbranas rernWrilng at Ume of sale, Mandoaxnent cmputed an the axidderadon x un4=rporaW arW I I CtY of. and FOR A VALUABLE CONSWERATION, receiPt of wtgch is hereby acknowledged, F13 . M11Y Financial Solutions ... A Way Ott, a Callf0mia Limited Uability ComPanY hereby GRANTS to Beft Hanner, an Unm8flied.wOrnan the fbllovWng deSCribed property In the UninCYPMted Area of County of Butte' State of California: LjDT 4, As SHOWN ON THAT CERTAIN MAP EN17TLED1 -GOLDEN KNOLLS SU13DrJMON WHICH MAp WAS RECORDED IN THE OFFII;E.OF THEAECORDER OF THE COUNTY OF BUM PAGE(S) 17 AND OFCALIFORNLkON AUGUST jq,-jq64,IN0O0;(32OFMAPS,-AT STATE is, Dated: 0911512006 Family Financial Solutions ... A Way Out.'3 California Urnited 1-fability ComPOnY r rrimon, Member eirnon, Member pw 2 or.2 r% r- I %.�p %a -3, r-- r% a NO SCALE R P2007 S-rAND HT 121" 19" RP2), Q 1 3 S-. rAND � HT 1811 -.30" ) - R P 2- 0 2'1 S-rAND ( HT 25" - 37" ) ell, i \N, CD 4 -3/8" CADMIUM- PLATED.Gk.5 . AB TYP. �INTO.CAST-IN-PLACE FERROL INSERTS _3' 12" TALL 21" XTALL 112" MB CONNECTION- TYP. SIDE YIEW FRONT VIEW RP2028 PAD WITH SER I ES. STAND NO SCALE Aej - CP " 12 r- k -,P L- Y F-1 t= m ZQQQ 5YSTEMS- rolav�'Esslo RP1900 SERIES STANDS RP2000 SER,IES STANDS P2.028, - RP2029 AND RF -2029B POLYMER C0NQR_tjfgE� RADS 91 v rz,xlpx DEPAR d>1 ElYX .OF C S�HEET OF 3' SHEETS DESIGN LOADS: WIND.LOAD, 80 MPH FXP05UKt: "C" btibmir- LuNt:..q SNOW LOAD AS REQUIRED BY BUILDING:OFFICIAL. 2: THIS FOUNDATION, SYSTEMAS. DESIGNEb.tO..BE- CONSTRUCTED ONAN LEVEL SITE. �APPROXIMATELY .3. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED'FOR 1000 psi ALLOWABLE SOIL PRESSURE. -'bEAM'SUPPORTS SHALL BE LOCATED AND'SIZED FOR' THE LOA - DS -.7AS SHOWN,IN THE MOBILEHOME MANUFACTURER'S 1NSTALLATION INSTRUCTIONS., 5. IN AREAS -WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR_ MANU- FACTURED HdME SHALL BE READJUSTED WHEN D.S. EXCEEDS.1/4". OR WHEN IT WILL ADVERSELY 'AFFECT' MANUFACTURED HOME-UNIJ. ..STRUCTURAL STEEL:: FABRICATE ACCORDING TO AISC SPECIFICA - TIQNS. ..WELD ACCORDING TO.AWS SPECIFICATIONS. ELECTRODES.,,370.'. PLATES_ ASTM A36 BOLTS, SAE GR.5 ASTM A449 ASTM A3725 7. ALL EX�OS'ED STEEL SURFACES OF,COMPONENi PARTS TO BE FINISHED IN,DURABLE,.'INDUSTRIAL7GRADE.PAINT,- OR CORROSION -IR ' ESISTANT: PLATING. BEFORE DELIVERY7TO THE�MO61LEHOME'�SITE.. Nd. STEEL SURFACES TO BE IN. DIRECT, CONTACT WITH SOIL SUBGRADES.. I ES 36"-77', DES I GN'L I STED -AND TESTED BY BSK �&�,ASSOC I ATES:, WAYNE T -.m POLVADO, PE LISTING NO.� FO'1601053' -LOADS'' SEE -TABLE:1 -,.NORMAL OW LOAD S E N .0 WIDTH LENGTH 2!_ NOM. 10,! 37, 4- ell 8 NOM. 38-58- 59-781 6 8 CN - 9 CD, CZa RIDGE BEAM SUPPORT AS "REQUIRED BY MANUFACTURER:-TYP. 12' 1, . TO� 32'. 33�50 :-'S 7 ANDARb MH -FOUNDATION P I ERS, - AS RE , C . OMMENDED I M. I ij 1-7 1 1':0 BY�41!E KANUFACTURER OR THE _ENG I NEER- TYP I CAL 'NECESSARY: 51-68,1 8 ('1kHROUGHOUT. *RELOCATE AS -iTYP. 131 TO 30" 4 ',PiWS'IN ANY PAIR KAY BE ROTATED L_�'o .90 ct TO AVOID CLEARANCE PROBLEMS v 3,1-471 WIDTH LENGTH NO.- OF; UNITS 10,! 37, 4- ell 101* 38-58- 59-781 6 8 CN - 12' 1, . TO� 32'. 33�50 4 . ., 6 M. I ij 1-7 1 1':0 12�1' 51-68,1 8 131 TO 30" 4 v 3,1-471 6 48-64' 8 Gf. C. 13 W-801 io 14' TO 28' 4 29-44'. 6 45-601 8 61-76' 10 M0BUMOME,FnTjNnA'MAW-e 20', TO 32' , 6 - - a 0 1 rid RECOMMENDED, PLAN FOR 12 -SUPPORTS HEALTH AND SAFETY CODE, 8. THE STAND- AND. PAD ASSEMBLIES'SHALL BE LISTED AND.LABELED BY 33-4.4' 8 SEMON 18551 BSK & ASSOCIATES FOR.THE FOLLOWING LOADS: HORIZONTAL 1075#. 45 - VERTICAL '597611. 681 12: 20' -80' 16' APPROVED 69 0 9. THESE S . TAND . AND I PAD UNITS,ARE' I DESI I GNED TO,BE USED,WITH MOBILE- CTI . ONS NOTED HOME CHASS . IS BEAMS OF STANDARD SECTION EQUAL TO OW -GREATER, 241 TO 37' 8 SUBJECT TO C RRE THAN WBXIO#. ANY OT . HE R . SECTIONS SHALL BE FIELD ENGINEERED TO 1 38-601 12 ADAPT TO SECTIONS ACTUALLY- ENCOUNTERED. VAR I ES jO'-77' SEE' -TABLE 24'_ 61-70' 16� APPROVAL DOES NOT AUTHORUMOR APPROVE ANy OMMIONS OR DEVL43ION FROM PEQUMWMM E: ,.S, S E Oli 10. 1 EXISTING COACHES.,MAY. BE RETROFITTtD'TO_RESIST SEISMIC'FORCES"- 4 S - - -BY' INSTALLING THESE,,'UNITS A5'SHOW . N,'ON'THE:TYPICAL',FdUNDAT:I I ON 26' TO 341 8 APPLJCABLE STAXE LAWS AND REGULATIONS% 1 35-54' 12 PLAN. 26' 55-73' 16 D'pmuwwofHmimg=dC=mmkDm4mmt 11'. MULTIPLE -UNIT INSTALLATION IS*AtCEPTABLE PROVIDED THE NUMBER OF FOUNDATION UNITS MEETS,THE REQUIREMENTS SHOWN ON THIS 28' TO 32' 8 2' NOM. SHEET AND THE PLACEMENT AND INSTALLATION PROCEDURES ARE CMES AM SIAMARDS 81 NOM. 33-501 FOLLOWED.PROPERLY., 12 51-681 ,16 -DURATION SNOW LOADS_ USE APPROPRIATE NUMBER, OF 28' 69-771 18 FOR LONG� ADDITIONAL UNITS AS.-DETERMINED_�EiY THE'FOLLOWING FORMULA: R I DGE, BEAM SUPPORTAS REQUIRED BY HLONC TERM SNOW 'COAD'11/1`72.) X' (ROOF AREA SQ.FT.)) —* 5970. 9&-1 F MANUFACTURER-TYP. VANa USE EVEN. -NUMBER OF -UNITS ARRANGED 50% EACH DIRECTION.- .(NOTE:,' - DESIGN SNOW LOAD CAN BE REDUCED.UP TO 75% WHEN APPROVED BY ,',BUILDING OFFICtALl.:'__ . %.PbnAffFovmdEqj= FOR POLYMER� CONCRETE PADS, USE CONCRETE, MATERIAL CONSISTING Art OF SAND AGGREGATE BOUND TOGETHER WITH POLYESTER RESIN AND. REINFORCED WITk.CONTINUOUS W I OVEN- GLASS�'STRANDS. -THE CONCRETE STANDARD MH FOUNDAT I ON P I ERi - AS IE60MMENDED PRODUCED MUST HAVE THE FOLLOWING MINIMUM MECHANICAL BY THE MANUFACTURER OR THE-ENGINEERl'-1,'TYPICAL --PROPERTIES-.. TkROUGHOUT. RELOCATE AS' -NECESSARY -,lYP.� OM PADS IN ANY PAIR MAY C PRESSIVE STRENGTH, -,.',201,300'psi BE ROTATED 900 TO TENSILE STRENGTH 9,000 psi AVOID CLEARANCE -;FLEXURAL MODULUS X 10, Psi TENSILE MODULUS'� .5.9 X,10" psi 0 PROBLEMS, -7 PACIFIC C ONULTING INGINFEn 14. THE MANUFACTURER MUST CERTIFY THAT THE -MATERIALS HAVE 13EEN TESTED TO -THE REQUIREMENTS 'O'F'� ASTM METHOD'D-54j', -SECTION 7,' -RECOMMENDED.�RLAN FO 2m IMP Avom #145 ph., :91 1-" OR 16 SUPPORTS PROCEDURE 1..� SAiD.'CERTIFICATIOiN WILL GUARANTEE THAT'-fI4E.CON-, Sm P r r ftz e 916-564k,4M -at*& Ch.;* - 954m CRETE HAS CHEMICAL -RESISTANCE AGAINST THE.FOLLOWING CHEMICALS IN THE CONCENTRATIONS NOTED: Typ 1, CA L PERMANENT FQUNDAT I ON PLANS PERMANENT FO UNDATION SYSTEM�' SODIUM CHLORIDE St - . I.. . SULFURIC ACID OAN AO SCALE D El SODIUM SULFATE 0.1N POLLYMER 2LOOO SYStt S'� DMNISIEZES AND S �� �D 'T� By TH� HYDROCHLORIC ACID' 0 2N S 6' MINI 26'. MAX' ttSS140 E 2' MIN 6' 1MAX SODIUM HYDROXIDE OAN RP1 900 S'ER I E 5 STANDS ACETIC ACID ..5% . . . . RP2000 SER I E S STANDS KEROSENE PER ASTM D-543 . TRANSFORMER OIL PER ASTM,D-543 P2028,- RP202' A, I- RP2029B': POL-YMER j C R 15., IN LIEU OF RP20298 PAD THE RP2021 �STANDCAN BE*INSTALLED USING RP2029 PAD AND APPROPRIATE DIAGONAL BRACING PER SHEET 2. No tur"n'. EAP OV P SHEET 3'0130HEETS