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035-215-004
MARY PARR A.P. 35-215-4 y� 4619 Baggett Marysville Rd., Oroville Permit 536-73P,E FINAL Z Iy-qr (Utilities for mobile homy _ _O1QE35-215-4 14F PAX HART RHOR N� 4619 BaggeMarysville Rd, Oro Contr: Oroville Trailer Sales Permit 4f2359-78MHI (existing site ssued ----- -----------------,4 035-215-004 04-3428 HARTSHORN, FAY 4619 MARYSVILLE, OROVILLE Cont: CHICO MHS EX MH PERM FND ^ ' (`. VI J RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 .� IIII lil III I Lill I �IIOi l 11 II 11111 l II 2�04—'f�i�76987 MAILING ADDRESS Recorded Official Records I REC FEE 10.00 I CONFORM 1,00 1sUTTF County Of I COUNTY BUTTE I _ J. GRUBBS I JAN 19 2005 Recorder SIGNA OF L AL AGENCY OFFICIAL ROSECANDACE MARY DICKSON DATE ' DEVELOPMENT Assistant I Mark t SERVICES 10:57AM 17 -Dec -2004 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 2 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. FAY HARTSHORN AND CAROLYN M. HARTSHORN REAL PROPERTY OWNER/LESSOR 4619 BAGGETT RD. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property 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 04-3428 530 538-7541 BUILD IT NO. TELEPHONE NUMBER 1�) SIGNA OF L AL AGENCY OFFICIAL DATE ' NONE ti DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. SANDPOINTE 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE - MODEL NAME/NUMBER 2111 26'x 12' 104882 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 035-215-004 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. 1i FROM 0_11C0 YAID +`. I N Of1i No a E—N°- 306016 Loan Vo. WEN RECORDED MAIL TO: MA. AND MRS. PAY BARTS$Olw BOX 4619 MARYSVILLE-BAGGETT RD. OROVILLE, CA 9S96S MAIL TAX STATEMENTS TO: AS ABOVE (T:IU) 12. 2' 04 0;25/ST. 0:2:;./N0. �05�_704:97 P OJTT[�CUI;f:' Y • •;SLS/, R""' _` FA - .b 17 2 41 PN 199 CLARK l y--LSOY ;OyOAGER -9 TM18 1,106e FOR RECOAOER•L Uir 00MJiBfTARV TRONSFEA TAX A NONFr MG -- Ce1tIF111ra e. mw co,aide+atio. w Frew at 4roftvM Csaa.r4: OA --c—Nd-ate earo..tion p rr/w 1..1{,04 flr oaymbr�n �Tr.rmr s tYfl.ol t0a.� GRAFT DEED FOR A VALUABLE CONSIDERATION, receipt 01 whkh is Vat aa4e t. PAY SARTSBORN, A )a== MN Aeby ORAMTISI w FAY HARTSHORN AND CAROLyN M. RhRTSBORN, HUSBAND AND WIFE AS JO=T TSMTS 4h* r.at property in the . County of BtE . St•ta of California" dt7triEed as Lots 19 and 20. as the @ me are designated and delineated on thatecortAn Map entitled, OFFICIAL !slap OF M BAWgTT TRACT NEAR OROVILLS, BUTTS COUMTY, CALIFORNIA', which Nap was filed in the office of the Recorder of the county of Butte, APs, at page el. State Of California, June 14, 1909, in Book 6 of 74%. d o..a,. slip Slalyn,-t I'40f F.1,4, is.;. 44i Q & I cavlo (amt ro mo.1.n0 nddma a 6acm..N. Dated JANE � n (TATE OF CALI.ORNIA �R ' COUNTY Oi ---- �- - 0. l4fwe Ine, th1 uMw.lpl.d, . NW4ry FuNic i. and IP pis stau, 0«wnwr 41500040=_HARTSHORN.- _ ew.n CA FA .. Y HARTSHORN. _—.-- - - OFF1Cf0L stAL t DANIEL F. HUNT –J knot to .., to h. the - - .... • . • oW", RRut – e•utouaa 1 w1R/M "'ate _. .s . —_ — L 'S^�.,'1� 1hPltuat ORtel N rte AfMtraed t0 NF I'mwffil 0~40 (110 Ihw CaWtn a RRt4 r. C.se. a.a OO. L lve� �t .nTNESi ns, h 1 4glt.d &I WhIp tenIOL.. .. ... —. __. fr.. MM ,a 0"419 ao U.id Yid! / MAIL TAX STATEMENTS AS DIRECTED ABOVE Sjp OF P=M" 4 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CORY of Document Recorded 17 -Dec -2004 2004-0076987 Has not been compared vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the 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. FAY HARTSHORN AND CAROLYN M. HARTSHORN REAL PROPERTY OWNER/LESSOR 4619 BAGGETT RD. MAILING ADDRESS OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP ►]"Ui.� UNIT OWNER (if also property 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 04-3428' 530 538-7541 BUILDIN T NO. TELEPHONE NUMBER co -` SIGNA OF(LOCAL AGENCY OFFICIAL DATE / NONE �1 DEALER NAME (if not a dealer sale, write "NONE') NONE DEALER LICENSE NO. SANDPOINTE 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2111 26'x 12' 104882"' SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 035-215-004 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. 11VM t. )ll.'V YAALl fj Order No • —No- $06016 LOIn N9. WHEN AECORDEO WAM TO: MR. AND MRS. PAY BARTmrs SOX 4619 !I{mMVrLLB-gAGCgTT ppe OROYSIJZ, CA 45965 .� 1 MAIL TAX STATEMENTS TO: AS ABM (T:IC) 12. 2' 04 0:25,'ST. 0:2:;/N0- 405�-104 9^ -1- �(C SAL q:.17�JJ� BUTTE COCt:!T-':1U4r. mm"R S A£;�( J917 243 PP. 199n ewltt a !04 19OAD:R — wva ie.la LIbC fOw wECOwpFNY usf CMUMMMY TRAWEA TAX g_aiONE- IHC P -- --r-- r--Wp a, ma eatw de.xfo. ee a tLe ea eta �.w.d: oa ad aw tws eant4«aGen a rd., I.m t� d `.- — GRANT DEED FOR A VALVA@LE CONSIDERATION, receipt of WtdtA a hate,, y °°a°=fid. PAY SARTS;EORN. A XAMna My hereby GRANT{SI b FRY HARTSHOW AND CARALYN X. MRTSWIW, HOSED AND WIFE AS J01]RT TATS etre nal property in the County c1 8ff°1'a!g . Stege of &'i(tXnia, dc=ibed a7 iOts 19 and 20, as the same are designated and delineated on that ce Map entitled, 'OFFICSAL HAp OP TRZ DAGGETT TRACT, rtain COM;TLi- CALIPORNIA`, which Yap waif filbTEAR ORD1ltLE.g. $pig ed in the office of the Recorder Hthe county of Butte, State of CalffO nia, Jane 14, 1909, is gook 6 of a Pae at paq® g3. �'w Slatryne-r not Call-) 5<4 to nvJm9 adman m 6RvrneN. t Oared 3tJ8&8 27, 1goo1—__— C> �A 1 OF CALIFORWA qj __ talus me, the uMonittnae, a NOtai Puhl'e in Heal rw tNd Star, PIM10t1/ty aDOWef eP91CIF,L SIAL Carl OANIEL G. HUNT to -9 to he the whoa n0,4— wt.nt wwtX _24"Cf-bW 10 the tlrn • eeeeC�ofwj 10 1WE t i.rnent rwvMedgm the ` e,.et. ata oc. r. r9I12 cit WITNESS nri h t� .0. ectR1/[p$ Ca •ter,e. t�rawtnuaonwtmuepnwm..tawwrae "Nome . .� II;L F, HW _... —. _. fTMa wa Ip 6PICiI mte•itl ero11 MAIL TAX STATEMENTS AS DIRECTED ABOVE ENO OF V=Wjk4i � r F h UNDA=TION SYSTEM CERTIFI'CATEOF OCCUPANCY BUILDING PERMIT NUMBER: 04-3428 Address or location of unit: 4619 BAGGETT RD. OROVILLE, CA 95966 Legal Description of Real Property: AP#: 035-215-004 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: FAY HARTSHORN AND CAROLYN M. HARTSHORN Owner's address: 4619 BAGGAETT RD., OROVILLE, CA 95966 INSIGNIA OR HUD NUMBER: 104882 SERIAL NUMBER OR V.I.N.: 2111 MANUFACTURER'S NAME: SANDPOINTE A :1978 OFFICIAL APPROVING INSTALLATION: DATE: I ) C, . o4 PHONE: (530) 538-7541 H.C.D. 513C NOTES RESIDENTIAL PERMIT NO. 035-215-004 _ _ _ �04-3428_vl HARTSHORN, FAY 4619 MARYSVIL LE, OROVILLE Cont: CHICO MHS EX MH PERM FND THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature 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/0 -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 15. Access & Ventilation 16. Insulation Date 24. Card B-1 Date Card B-1 Date Elec. Receptacles Spacing -Lights & Switches at Doors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Romex Installed Close to Edge of Studs & C.J. 17. Water Htr.; Vent -Access -Combustion Air Baffle 29. 18. Water Pipe; Test & Anchor -Nail Protection Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 19. D.W.V.; Test Fittings & Anchor -Nail Protection 32. 20. Shower Pan; Test, First Floor -Tub Access Equip. Clearances Panels-Motors-Mech. Equip. 21. Test Tub & Shower, Second Floor -Tub Access 35. 22. Gas Pipe; Sixe & Anchors Date 23. Fire Sprinkler; Test Date FRAMING (Permit) OK except #'s Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date -Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 49. 36. A.C. Ducts Insulation & Support 50. 37. Vent Fan, Exhaust above insulation 51. 38. Condensate Drain & Overflow, Size & Grade 52. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Property Line Firewall & Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 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 Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-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) OK except #'s r 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 . f 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -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 O No/Walks O Yes 0 No/Planters 0 Yes 0 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/0 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: J=OK 0 = Not OK . = NotReadyable DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location -Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date 12. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line LI-erb-cking Sc, g 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 DateA, ,/ p lard B-1 2V Date Card B-1 Date Card B-1 Date Card B-1 C-0- L. � (-?-f 9� 2- 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. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO43428 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: 12/10/2004 APN: 035-215-004-000 the Business and Professions Code, and my license is in full force and ` S` Site Address: 4619 BAGGETT RD ORO License Class: (. LiceRsa, Number: Date-.,/ Contractor: Map Index: Description: ex mh, ex Site, prm fnd OWNER$UILDE DECLARATION I hereby affirm under penalty of 4erjury 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: HARTSHORN FAY & CAROLYN M JT 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 4619 BAGGETT RD 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 she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the 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 Code: The Contractors' State License Law does not apply to an Applicant: DOREMUS, GERALD GLEN Pp 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 P O BOX 4121 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA 95927 proving that he or she did not build or improve for the purpose of 530-895-1774 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 not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: DOREMUS, GERALD GLEN pursuant to the Contractors' State License Law.). P O BOX 4121 ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95927 Date: Owner: 530-895-17.74 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 445103 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: 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: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 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 Census Code: become subject to the workers' compensation laws of California, T 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- a ,Q �( / !J Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, a 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 perm is reby issued under the applicable provisions of the Bette County Cody enrunr - I hereby affirm that there is a construction lending agency for the Resoluti s do work indica abo r ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /� Name: B ate: PERMIT EXPIRES ON: a" D e Address: ❑ 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 8 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 th wn r the ly 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 sub to a of a ffi 'al form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection p ses Print Name: (// Signature: Date: ❑ Owner 5 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name O first Name L Address C 7 - City State zir Phone Fax E-mail APPLICANT NAME CONTRACTOR Name �- Address P4 aG L -L -L City State Zi -Phon` a /tW4 E-mail Lic. # �3 Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail Ki&WAPPLICANT � SIGNATURE For ffice se only: Zo ing Flood Zone SRA Yes No Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPO' BIN # **LOCATION AN �_s r G/ -5 V Property Address Ci 02U rLLe Cross Street 3� �T 120 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY -Name Address Description or Scope of Work: Sq. Footage . � rj ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. _ OVER FOR SUBMITTAL REQUIREMENTS it K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 Received by: Receipt M�t6 b 6 Amount: Date: f 7-16 /6 t/ REV 7-27-04 SUBMITTAL &'PERMIT REQUIREMENTS - The following drawings and specifications must be sulimitted to the Building Division in order to apply, for a permit . INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLdNS MUST BF [MIRI F_ ANn IN CNK ❑ 1. Site plans, 3 or 4 sets, signed by the, preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes:) , ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. 'Manufactured homes: (A) Data sheets and insta__llation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. . ❑ 7. 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 engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required): ❑ 9. Site plan and business license approval from the City of Biggs., ❑ 10. Letter of intent for non-residential buildings. ❑ 11.' Detached Accessory Building Form filled out by the owner (if (equired). ❑ 12.. Hazardous Material Form. (for Commercial Buildings only). n13_ S�nitationand s�lan:j. h . EnvimnmentaLHealtb_De��doient. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag- Commissioner's office (if required). ❑ 2. Impact Fees. ❑ • 3. California Department of Forestry plan approval (if required). ❑ 4.. NPDES Form. ' . r 4. . ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Workers Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if,required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed; ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would 'like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541.. . • EXPIRATION OF APPLICATION Applications for which.a permit has not been issued'will expire one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. - REQUEST FOR FEE REFUNDS Refunds can only be made -upon written4equest by�the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, -on issued permits refunds can only be made if no construction work has beenAone. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc. Page 2 of 2 " REV 7.27_04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SER.V.ICES-BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 ` PERMIT APPLICATION DATA SHEET OWNER: % ��� J �GLf�/ ASSESSOR PARCEL NUMBER D S z 7 % ` Proposed Building Use: /moi/ , �X S/?�{ Y /r?^"�1 Fi' " -Counter Technician: CSL Date: �� . l Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ttJE?0*'_ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . l 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 AIC for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation Inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd piQans, ill 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 engineer. ❑ 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.) ❑ 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 Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form....................................................................................:........ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 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) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ' ❑ 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed estriction...�.V................................................................................. ,N GK' 37. rant Deed, ❑H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ O 38. Other: .--� ❑ 39. Other: When issued Telephone and hold for pickup. I have been i or ed of the above items and requirements for obtaining a building permit. �r Applicant:- Date: Z 1. Index permit applicati�r ove ite s n m eyed: Plan Check Letter \ 2. AdditionalMems required \ Contractor, designer, owner, w/Mradvised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: `1L */4 . Plans approved by: .�..c Date: 2 Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: a z Yellow: Building Division 30-ZOOT-r,f0 immarozzm-r zmzao amsm-im-omm ON 1- O 402 C2, C, -a F- 41, M Do. cpk 20. ON 0 0 1.0 zs V.- (a cm r -:x (a X: I- c Cr c 4?t M M OD 39 ._-w 00 oil C, two cl pa 3ip ry g z z IN CA C2 P too am PIZ —4 -43 C2 to all rA /61ARY5:�®.2/tJtV A-V 44,11 This set of plans and specifications MUST be kept on the joa at'all rimes and nt isunlawful to make any chG„g-::�s or alrerations on same without j, wri0en permission fromfile Department of Pub- .- i i The Set ba side ck shall be Property line and 5 ff from the centerline 50 ft, from Of the road permittin m the mum of a 2 ft. eave overhan BUTTE COUN out of all easements. , but nti ely ' BUILDING DEPARTMENT F County of Butte. Al,utility connewtions shall be loc ate? w;iii:in 4•t at,e reat ihi d section of ;I:c mobile home on the left (road) side of the mobil* ho e, j U ����� gAPPROVED MOBILEHOME SUPPORT DATA v, -44 If If other than single wide, �� Mobilehome Mfr. furnish Setup Model No. Year O' Width 1_(ft:) Box Length(ft.) Tagalong or Expando Size ft. x 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. - Footings (check one) ` • � . Single I. Wo od either ^ . pressure treated o foundation grade. x (f .)(in.) in. in. El 2. Other (specify) Center upport Center su port locati ns%� footing izes Supports (check one) (in.) Ej�,- Concrete block. _ 2-. Other (specify) (ft.)(i .) (in. (in.) 4 -Tagalong or Expando, (� show support details. (in.) (in.) A X30 -- Typical Support (in.) (in.) Footing .Size o x in.) (in. (in.) -- Max. Pier Spacing x --.Max. Overhang (f) (in.) (in.) (in.) BUTTE COUNTY BUILDING DEPARTMENI APpROV_:a' *If center piers are other than drawn above, G E draw in locations, spacing, and dimensions. 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / / No (If yes, furnish permit . number ) OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away/from septic tank and leach fields and clear of all setbacks and easements? Yes 777 .No ( If no, clarify 5. What is the mobilehome electrical rating? --------------------(:0P) 6. What is the mobilehome site service rating? -----------------7. Whaf.is the mobilehome site circuit breaker rating? ---------- 8. 1s there any other electric 'load to be served by the mobilehome site service? --------------------------------------------------- Yes / / w (If yes, identify the load and size: (Load) y 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What.is the type ofgas service? ----------------------------- Natural / / LPG BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / / No (If yes, furnish permit . number ) OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away/from septic tank and leach fields and clear of all setbacks and easements? Yes 777 .No ( If no, clarify 5. What is the mobilehome electrical rating? --------------------(:0P) 6. What is the mobilehome site service rating? -----------------7. Whaf.is the mobilehome site circuit breaker rating? ---------- 8. 1s there any other electric 'load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What.is the type ofgas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter.or tank to.the mobilehome? (ft.) 12. What is the mobilehome gas demand? =----------------------------- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 4 CUUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 524-4541 � 9— " APPLICATION AND PERMIT author eprese tives f t County of Butte to enter a e-menti0 ro er Inspection purposes. Date 5O Sig ature Permitee or Agent Receipt No. / K g4 / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have beenaId. DIRECTOR O PUBLIC WORKS ol ding permit expires Date . BUILDING Owner ; SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Ove U_ 57 rL Mailing Address ✓ Fireplace Total Valuation r T Tlhe No. ee on y ,z 1.g Permit Fee Building AddressPlan Sde '� Checking Fee &/or Penalty Permit Fee o PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 �.. A. P. No. ` Zonin 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 QS ion Fire Dept. Fire Zone L:3 s Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration I Parcel Map 60' R/W I Improvements Each additional outlet .30 wilding sewer 5.00 Lawn sprinkler system 2.00 �, � Bldg. Pp�s Recd Parcel roval Plans proval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ 7 -ALL , b� r► i �e2 ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home �( Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 600 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLOGS.CCUP. Oi� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Ch ter 9, Div. 3, of the State California Busines & Professio Cod under the name Styl ofzo, _,/z 4-- MULTI.OUT NEW CONSTR LET NON-RESID ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS a NON-RESID.SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIPRES 5 L� FIREB—A—PIP17NN. OR Ex. Occup.(OU LETS (RESIDJEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License Not�4 !O 4E Classification ` Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code w 'ch requires every employer to be insured against liability for W men's Compensation. t have placed on file with the County of Butte a certificate of Wor rt's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agre omply to all County Ordinances and State Laws relating to b ding construction, and hereby $©G TOTAL PERMIT FEE author eprese tives f t County of Butte to enter a e-menti0 ro er Inspection purposes. Date 5O Sig ature Permitee or Agent Receipt No. / K g4 / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have beenaId. DIRECTOR O PUBLIC WORKS ol ding permit expires Date COUNTY 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 requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 2 754for the following location: JLA� /lrA_J, ti9 /T_ l ^ J._l�� fiTi fig Owner A. Owner's Address (7�'�'�""' MobilehomeMfg. Sr ��r , p Model/—'% V-(- *2Year'_ Insignia No. ���1 SS.s�- Serial No. �'A It is hereby certified for occupancy at the above described location and may be occupied. DateBy VI/ Director of -Public Works THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White -Owner, Yellow - Installer, Pink - D.P.W. PERMIT NO. 2359-78MHI (existing site) PERMIT EXPIRES rl -- OWNER FAY unumc ORN CONTR. Oroville Trailer Sales 'LOCATION (A.P. 35-215-4 ) 4619 Baggett Marysville Rd, Oroville Temp. Power Pole Called PG&E Elec. Serv. %0 _,7 o Called PG&E jTe'GasServ. S%7Talled PG&E _✓lC' FINALED (Date) (Signature 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 Stemwall Siding To out Slab Roof Sheathing Water Piping Piers. r Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicap ed Conformance of ex. structure Appliances Gas Piping & Test Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam_ FIRE SPRINKLERS Motors Mesh MECHANICAL Grd. 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 Gas Piping BI E ME INSTALLATI N - - - - - - • - - - - - - upport , P Elec. Continuity Water Piping ` 0c 2 Drainage Jo . ,=7 Gas Piping DATE REMARKS OR CORRECTIONS t (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST r 1. Is the mobilehome located with''equired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Ye/ No 3. Are footings and supports properly sized, spaced, and braced as er pproved plans? (Note possible variation at spring shackles.) (Sec./5082 & 5083) Yes— o 4. Is,the mobilehome level? (Sec. 5088) Yes— No - 5. If more than a single unit, ae Kover'connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fl'eble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes V No B. Test - Does water piping withstand working pressure or 50 lbs. air test? YesA/ No C. Backflow - If coach is not State of Califpproved, does station have backflow device and pressure -relief valve? Yes_ No - 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum " per foot slope and is -it properly supported? Yes-- No - C. Are any leaks detected in drainage system after running l;�gallons of water through each fixture including washing machine standpipe? Yes— No D. If coach is not State of ia approved, does stationhaverequired trap and vent? Yes No " 8. Gas Piping and Gas Vents A. Connector- Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping,is to be at least as large as the mobil ffhome gas line inlet without reductions other 'than the mobilehome connector. Yes No ,-~ _•s ' • •, B. Test OK as per following procedure? Yes— No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes/ No — 9. Electrical 1 ` A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Ye$ No V B. Is there proper clearances around panels? Yes/o_ C. Is power supply cord,or feeder assembly properly fused? Yes" No D. Is continuity test satisfactory as per the following procedure? Yes L No 1. De -energize electrical wiring system of the mobilehome at the pedestal_ 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3.. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 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 between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the'lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off, and tag services. MOBILEHOME DATA r Manufacturer and/or Namestyle c�4m Length Width Vehicle Serial No.J�/ State Identification No. Additional Information or Comments: � - / -7 -7 -!f �� 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Orovi lie, California 95965 Telephone: 533-1230'ExtM259 534-4.541. e APPLICATION AN PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � � !/ ,r , A Mie.2'/21/ 9 3 Date r / Signature of Permitee or Agent Receipt No. /n c,l 2 O — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By—, Date Building Permit Expires Date BUILDING r Owner ,i e`,,,z,_,�`1` SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Fireplace Contractor s Total Valuation Mai I i ng Address Permit Fee— Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address i � / 9 PLUMBING No. @ FEE PERMIT FILING FEE _ $2.00 Each Trap 1.50 / Repair drainage or vent piping 1.50 Water piping 1.50 �3v 114 Each gas water heater or vent 1.50 A. P. No. 3 �-� .2%j'�� [Zoning M Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation ✓ PIa ning ;rq re Building sewer 5.00 S' Plans ✓ Fees / W. C. ✓ R/W Encroachme7� nt Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑' Permit Fee '_ $ /p Ua $ 4 /��ae�e�. • •i/i�s�`=.��ry►..t— ELECTRICAL No. @ FEE PERMIT FILING FEE -- $3.00 Main service incl. 1 meter j Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 ,, A/- t''�^` "'tom— `' Oven, Cook -top or space heater 1.00 Light fixtures 20025 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification J aI am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer .to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 0 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE - PERMIT FILING FEE $3.00 Heating ' Cooling Ventilation Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby PPermit Inst umentaoi $trp groo^ion $0.07/$1000 Evaluation $ TOTALY PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X � � !/ ,r , A Mie.2'/21/ 9 3 Date r / Signature of Permitee or Agent Receipt No. /n c,l 2 O — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By—, Date Building Permit Expires Date J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �� 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541- APPLICATdON AND PERMIT Owner Mailing Address Contractor a Mailing Address Building Address , A. P. No. 3 (ZJoning Fire Zone Fire Dept. Sanitation e� Planni os� Plans ✓ Fees / W. C. R/W I Encroachmei NEW ❑ ADDITION ❑ OTHER ❑ —2— USE OF STRUCTURE . Single Family ❑ Duplex ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Sign re of Permitee or Agent —/ Receipt No. White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant BUILDING SQ. FT. OCC. BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, dryer or water heater Oven, Cook -top or space heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water,pump Misc. wiring, Permit Fee MECHANICAL PERMIT FILING FEE Heating Coo I i Ventilation @ FEE $2.00 ,Z 1.50 1.50 1.50 f 3� 1.50 1.50 /3v .50 5.00 2.00 _� 1$ J'111' @ FEE $3.00 4-0 Permit Fee $ $ Ststrumentation rogate Fee for Strpng ram Motion. $0.07/$1000 Evaluation $ In TOTAL PERMIT FEE$ ,Z 0 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. DIREC OR OF PUBLIC WORKS BY = e Date f /S ButtM IDermit Expires Datef� g r - -- _ _-- - - 8UTTE-co JtVTY - - -FP A p,gRrMeNT -- - - -- - -- - - P ---- - - ti ED - - --- - - - SL - - ----- --- --- -- Ilk II 'utility connections shat �\ cated within 4 ft. outside the re=—-- ird section of the mobile h n the left (road) side of the m bi e — - - -`- - ome. The Bldg. Setback shall be 5 ft. from Ae side property line and 50 -ft -from - --` ---- - - _ Aw-centerli-r_ie. of the road,. permitting is mwximum of a 2 ft. eave overhang. fhis set of_plans_ and. specifications. -MUST .be. _- kept on the job at all times and it is unlawful to make any changes or -alterations -on -same -without written permisson from the Department of Public Works; County -of -Butte. - Z i I f `s rul Al 1 • T::'�1 ►� � :�L fit>t1•: �gr►fJC .z%hECs �t?+ �, Jt G ""nu-- FX►tNits,z:}� t Pnl%"Q �t Eu�lnsincs �i ti bno eWnit E'a i� ct�j arlt nn ir,�t + Ald,jq }� trlsrrjhr jsO sd; MO -11 na3Jtr09c; tlJttilw %ltrvq lu v t - - I r � r March 6, 1973 r Mary Parr 2525 D Street Oroville, Calif. 95965 Dear Ms Parr: It has recently come to our attention that you have made application at the County Building Department for a permit to allow utility hook-ups to a home in an "M-2" (Heavy Industrial) zone. A you may know, a requirement of the "M-2" zone is that you obtain a use permit from this office for any resi- dential use. In order to obtain such a permit, you should contact this office for application forms and information regarding plot plans and filing fees for use permits. If you have any other questions, please feel free to contact this office. DRH/hd cc: Public works ,r Very truly yours, DAVID R. HIRONIMUS Planning Technician 0 k' MA U '4�* ' - 30', 38', 42', 48' PLAN TRIPLE' WIDE MANUFACTURED HOME .. ... Scale: 1" = 10' INTERIOR RIDGE & VAIN BEAM SUPPORTS AS SPECIFIED BY MANUFACTURER TYPICAL OF DOUBLE AND TRIPLES WIND 'AAD MPH EXP) 70B &..BOB 70C 1 SOC 41 Ql�2 4 - 3/8' BOLTS COACH SIZE {. SEISMIC TIE- SEISMIC TIE-11E- PD3BS DO*ICS Pts[tS DOIINS PNP.PS' DOTINS LENGTH ROOF PITCH ROOF HIVE 'AAD INSTALL (OR WHEN 2 FT FRObeEND MINUTE MAN. EARTH AUGERS EQUIV.) 2900 Lbs CAPACITY THEN SPACE EVENLY.CE IST �W ['•- 2 r 80 PSF (MAX)' GAIJ ACCORDANCE WITH H.C.D. GUIDUNES AND TITLE 25. UP TO 48 FT 2%:12 8 0 8 0 8 4 3. STRUCTURAL STEEL a. SHALL CONFORM TO ASTM A36 Fy. = 36 KSI MINIMUM. b. SHAII I, UP TO 78 FT 2%.-12 12 0 12 0 12 4 UP TO 48 FL' 4:12 8 0 8 4 B 4 UP TO 78 FT 4:12 12 0 12 4 12 8 FOR TRIPLE T T EJ T T UP TO 78 FT 4:12 12 0 12 0 ' 12 1 4 g40 WIDTH LENGTH ROOF PITCH ROOF UVE LOAD PSF (MAX) x�CO E-co IIA T �j � TO 68 "FT 4:12 12 0 12 0 le 0 rr'7�-� �y �c11yc�� 'If IN ROILS OF 4 NUMBER PER TABLE FWD COACH SIS:£, THEN ROOF PITCH. FOILOW ROW ACROSS TO DESIGN LOAD. READ TOTAL NUMBER OF C.P. SEISMIC PIERS & TOTAL NUMBER OF TIEDOWNS REQUIRED. SEE PLAN ABOVE FOR PLACEMENT OF PIERS & TIEDOWNS. AUGER TIEDOWNS SHALL BE LIS'T'ED & INSTALLATION INSTRUCTIONS SHALL BE ON STIE AT TIME OF INSPECTION. 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED HOMES CONSTRUCTED W WITH LONGITUDINAL OR 'CROSS JOISTS. S. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL w SITE WITH NO EXISTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) a a BEAMI� waNr � y � ACH'If I :-I r ►� ; EXISTING oLVnW BENIS� Ex1STOG BEAMS FOUNDATION PAD NOTES• Ef ST. �CIAI" BEAHI 1. IN -GROUND CONCRETE FOUNDATION PADS . IJ I��I*��I I( I.j�I_,�,,,JIUy._, O SPECIFICATIONS MAY BE USED TO ATTACH EACH C.P. SEISMIC PIER TO THE CONCRETE SLAB: [6. O 2. MINIMUM EMBEDMENT = 2V4" a L -N 4� LI.J 4J I� �-1--I 4J LIJ yJ LVA �i•� a LFA LI -I 4 4 4 T T. 4 4 4 T T 4 T I i o I m I m i I I I I I I I 4-� L•1 -I � I I I TT I T I I Tj I I T I T I T IMAIN T BEAMmo®IERS 11AI[UPACTURENi 4 � LT I �T 1= I � U In FOR DOUBLE WIDE I I U PLACE bS3 LIJ I I I L I I d2 IN ROWS OF Z / PER TABLE I I ( I SEISMIC PIER FOUNDATION PAD A PER TABLE d � a o 1 I a• 1 a a a � � j � � � � � 1 I I OUTLINE OF I I I I c I I HOME _ OUTLINE I OF HOME � Com' ;i J ' - 30', 38', 42', 48' PLAN TRIPLE' WIDE MANUFACTURED HOME .. ... Scale: 1" = 10' -20'. PA'. 28'. 28'. OR 32'---� .PLAN DOUBLE WIDE MANUFACTURED HOME Scale: V = 10' O',12'.14'.0R li PLAN GENERAL NOTES: SEISMIC ZONE . 3& 4 3& 4 3& 4' WIND 'AAD MPH EXP) 70B &..BOB 70C 1 SOC N FOR THE IS IN PIPE 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 4 - 3/8' BOLTS COACH SIZE {. SEISMIC TIE- SEISMIC TIE-11E- PD3BS DO*ICS Pts[tS DOIINS PNP.PS' DOTINS LENGTH ROOF PITCH ROOF HIVE 'AAD WIDTH COMPACTED FDI., CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY AND 80 PSF (MAX)' 180 IN -LBS ACCORDANCE WITH H.C.D. GUIDUNES AND TITLE 25. UP TO 48 FT 2%:12 8 0 8 0 8 4 3. STRUCTURAL STEEL a. SHALL CONFORM TO ASTM A36 Fy. = 36 KSI MINIMUM. b. SHAII I, UP TO 78 FT 2%.-12 12 0 12 0 12 4 UP TO 48 FL' 4:12 8 0 8 4 B 4 UP TO 78 FT 4:12 12 0 12 4 12 8 8 24'. 26' UP TO 48 FT 4:12 8 0 8 0 8 4 iv. THREADED ROD: COLD DRAWN LOW CARBON WELDABLE 28'. 32' UP TO 78 FT 4:12 12 0 12 0 ' 12 1 4 g40 WIDTH LENGTH ROOF PITCH ROOF UVE LOAD PSF (MAX) x�CO E-co 30',38' 42'.48' UP TO 48 FT' 4:12 8 0 12 0 12 0 TO 68 "FT 4:12 12 0 12 0 le 0 UTo 7e FT 4:12 16 0 16 0 16 4 .3/16' PLATE LEGS b. VERTICAL : 16000 LBS ULTIMATE LOAD FWD COACH SIS:£, THEN ROOF PITCH. FOILOW ROW ACROSS TO DESIGN LOAD. READ TOTAL NUMBER OF C.P. SEISMIC PIERS & TOTAL NUMBER OF TIEDOWNS REQUIRED. SEE PLAN ABOVE FOR PLACEMENT OF PIERS & TIEDOWNS. AUGER TIEDOWNS SHALL BE LIS'T'ED & INSTALLATION INSTRUCTIONS SHALL BE ON STIE AT TIME OF INSPECTION. -20'. PA'. 28'. 28'. OR 32'---� .PLAN DOUBLE WIDE MANUFACTURED HOME Scale: V = 10' O',12'.14'.0R li PLAN GENERAL NOTES: REVISI REFERENCE:CALIFORNIA CODE OF REGULATIONS, TITLE 25 AND U.B.C. 1994 EDITION. N FOR THE IS IN PIPE 1. DESIGN LOADS SHALL BE CONSISTENT WITH LOCAL REQUIREMENTS WHERE INSTALLED. 4 - 3/8' BOLTS 2. FOOTINGS ARE TO BE SUPPORTED BY EITHER FIRM, UNSATURATED, UNDISTURBED SOIL, COMPACTED FDI., CONCRETE. FOOTINGS ARE DESIGNED FOR 1000 PSF BEARING CAPACITY AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. ALL FOOTINGS SHALL BE FOUNDED IN 180 IN -LBS ACCORDANCE WITH H.C.D. GUIDUNES AND TITLE 25. • 3. STRUCTURAL STEEL a. SHALL CONFORM TO ASTM A36 Fy. = 36 KSI MINIMUM. b. SHAII T Co BE FABRICATED ACCORDING TO AISC SPECIFICATIONS. c. SHALL BE WELDED ACCORDING TO AWS SPECIFICATIONS: 1 I. ELECTRODES: E70 y ii.PLATES: ASTM A36 iii. BOLTS: STANDARD ASTM A307 iv. THREADED ROD: COLD DRAWN LOW CARBON WELDABLE E- d. ALL METAL COMPONENTS INCLUDING NAILS & SCREWS ETC. ARE TO BE Tr�� PROTECTIVE COATED. V x�CO E-co 3/4' THREADED ROD 4. THE C.P. SEISMIC PIER SHAJI BE LISTED AND LABELED BY CERTIFIED TESTING AND CONSULTING SERVICES (CTC)FOR THE FOLLOWING LOADS: H a. LATERAL :X -LARGE PIER: 1907 IDS. ULT. LOAD LARGE PIER: 2423 LBS ULT. LOAD .3/16' PLATE LEGS b. VERTICAL : 16000 LBS ULTIMATE LOAD O 5. THIS FOUNDATION SYSTEM IS FOR PLACING MANUFACTURED HOMES CONSTRUCTED W WITH LONGITUDINAL OR 'CROSS JOISTS. S. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL w SITE WITH NO EXISTING SOIL PROBLEMS. SEE TITLE 25 SECTION 1334(b) a 7. STANDARD PIER &. FOOTING SPACING PER HOME MANUFACTURER'S INSTALLATION MANUAL. 1/2' ANCHOR BOLT WITHOUT MANUAL, SPACING OF STANDARD PIERS TO BE DETERMINED BY r ►� TITLE 25. v FOUNDATION PAD NOTES• W 1. IN -GROUND CONCRETE FOUNDATION PADS . A. MINIMUM COMPRESSIVE STRENGTH: 2000 PSI AT 28 DAYS. B. MINIMUM .PAD SIZE IS 24 INCHES SQUARE. I --I E- 2. WHEN THE ENTIRE HOME IS TO BE FOUNDED ON A CONCRETE SLAB, THE FOLLOWING O SPECIFICATIONS MAY BE USED TO ATTACH EACH C.P. SEISMIC PIER TO THE CONCRETE SLAB: 1. ATTACH WITH TWO %' DIAM. ITW RAMSET/ REDHEAD TRUBULT WEDGE- ANCHORS O 2. MINIMUM EMBEDMENT = 2V4" 3. MINIMUM CONCRETE THICKNESS = 3% 4. MINIMUM EDGE DISTANCE = 2 -9/16 - COACH SIZE NOTES: I. UNLESS APPROVED BY ROCK SOLID ENGINEERING, INC., THE ROOF PITCH SHOULD NOT SINGLE WIDE MANUFACTURED HOME EXCEED' Scale: i" = 10' A. SINGLE WIDES: .3:12 OR 4:12 AS SHOWN IN TABLE ANCHOR BOLT 1/2"x8 OR 1/2" x 3-1/2" ITW RAMSET/REDHE TRUHOLT WEDGE ANCHOR COACH I BEAN AD 24" MIN 3' x 3' PLATE 4 - 3/8' 2 - 3/8' x 1' BOLTS BOLT WITH FIELD DRILL HOLES WASHER M. NUT OPTION OF I MAX HT ABOVE C{AMp 4-#14 crI F TAP crvrvc-1 I s "MIN MIN ANCHOR BOLT 1/2"x8" OR 1/2" x 3-1/2" ITW RAMSET/REDHEAD TRUBOLT WEDGE ANCHOR °12" MIN. :a 1 IN -GROUND CONCRETE FOUNDATION PAD Not to Scale N FOR THE1N PIP V F T IN PIP 2' DIA STD PIPE N FOR THE IS IN PIPE 4 - 3/8' BOLTS N FDR THE 18 IN PIPE TIGHTEN TO 180 IN -LBS TUBE MUST EXTEN • (15 FT -LBS) TORQUE 3' MIN IN TO CLAMP... r- E- Cl00 3/16' PLATE BASE HEIGHT CLAMP 7 INCH SMALL x�CO E-co 3/4' THREADED ROD 11.5 INCH REGULAR C\2 x .3/16' PLATE LEGS 18.5 INCH EXTRA LARGE A r� U) w TYP OF 2 1/2' ANCHOR BOLT 6 WASHER 1/4' PLATE SEISMIC PIIER Not "'to Some C.P. SEISMIC PIER#1-PATENT #5595366 1/4'x2'x4' ANGLE 3' WIDE 4 - 3/8' BOLTS COACH C OR J BEAM 3' x 3' PLATE SPACER AS NEEDED FOR -J-BEAM SEISMIC PIER TYPICAL BEAM CONNECTION Not to Scale B. DOUBLE WIDES: 2%:12 OR 4:12 AS SHOWN IN TABLE C. TRIPLE WIDES: 4:12 ' 2. FOR ANY COACH SIZE OTHER THAN AS SHOWN ON THIS PIAN OR REFERENCED ABOVE, LAYOUT SHALL. BE REVIEWED AND APPROVED BY ROCK SOLID ENGINEERING, INC. INSPECTION REQUIREMENTS' 1. THE DESIGN OF THIS•SYSTEM IS BASED ON STANDARD COACHES AS BUILT BY. THE MANUFACTURER. SITE BUILT ADDITIONS SUCH AS GARAGES AND SECONDARY ROOFS HAVE NOT BEEN INCLUDED IN THIS DESIGN. 2. ALL DIMENSIONS INCLUDED ON THIS PIAN, INCLUDING COACH SIZE, ROOF HEIGHT AND PIER HEIGHT, SHOULD -9E FIELD VERIFIED BY THE LOCAL BUILDING OFFICIAL. ANY DISCREPENCIES SHOULD BE IMMEDIATELY BROUGHT TO -THE ENGINEER'S ATTENTION. 3. THE BUILDING PAD SHOULD BE INSPECTED TO ENSURE THAT PROPER DRAINAGE PATTERNS HAVE BEEN ESTABLISi'IED IN ACCORDANCE WITH TITLE 25 & MANUFACTURER. U�BffoUTTE COUNTY 'm'Av ��EM IILOING DIVISIOR 8WL7H.dND BAPETY COOT; SBCTTON�BS3) I.. ,.,.Tj'O CORR5ClTQNSti(G APPROVED APPAOv4LW.W. OT A t A V7HORIZP oft APrRw6NT ,�`• . QM MONS 0R 08VIATION FROM REQ111Rfl,1F):T1g OP APPUC46 STATDLAWSANDRtQULAT)ONS ^.6Namd Lklde OpROFCSS/pay 'ol. Comaai6bpCa M. µ•�'Y e4y ' STANMiDS . INTERIOR RIDGE BEAM PIER AND FOOTING PER NANUFACTURER'S INSTRU( SEISMIC PIER AND INGRDUND CONCRETE PAD bT,OPt NON PNC Maps MIN Px GRADE LOT PER ELEVATION INSTALLATION MANUAL 32.5' MAX. S I BY CQ I O C`7 a in SCALE: AS SHOWN DRAWN: YMW.- JOB #: W03002. - SHEET; 1 OF 1 SHEETS W U) Z �0 O O U) r- E- Cl00 x�CO E-co W C\2 x Z0 A r� U) w tx O z¢ DATE: 02-25-04 SCALE: AS SHOWN DRAWN: YMW.- JOB #: W03002. - SHEET; 1 OF 1 SHEETS