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040-140-063
f 040-140-063 PERMIT7798-0735 WILLIAMS, Alfred L. 9241 Es4uon Rd., Durham Ex MH on Perm Fnd �e pOH i ±1 • AP 40-14- w/s Esquon Rd, approx. 1700' S/0 Durham Hwy., Durham 4 (VARIANCE for minimum parcel size reqs. to allow three 4.65 acre parcels on A-5 property) 40-14-63-. Tim AL IAMS 9241 Es�Rd, Durham ?Ermit#396 - P,E(util, MH) ELEC ZOO - 0 tu �• GAS 31 Zo SUPPORT STRUCTURE RE '2S' COMPACTION TEST RE �'�/.. 40-14-63 / Permit#39 -87MHI / Z ssue 040-140-063 PERMIT7798-0735 WILLIAMS, Alfred L. 9241 Es4uon Rd., Durham Ex MH on Perm Fnd �e pOH i ±1 When is Engineering Required for Residential Buildings? Pursuant to California Business Code Sections 6737 and 5537: 1. Plans for wood -frame dwellings of three stories or more must have the plans prepared, stamped and signed by a registered civil engineer or licensed architect. See U.B.C. Section 420 for definition of "story". 2. Multiple dwellings of wood -frame construction where there are more than 4 dwellings on a legally divided lot require that plans be prepared, stamped, and signed by a registered civil engineer or licensed architect. 3. If a dwelling or any portion of a dwelling of wood -frame construction deviates from the conventional construction requirements of U.B.C. Section 2517 the building or that portion of the building which deviates must be designed by a registered civil engineer- or licensed architect. Appropriate plans, specifications, and calculations must be prepared, stamped, and signed by the engineer or architect. 4. All residential dwellings which are not of conventional wood -frame construction, such as steel, concrete, masonry, or other material must have the plans prepared, stamped, and signed by a registered civil engineer or licensed architect. Whenever engineering is required by any of the above, appropriate plans, specifications, and calculations must be prepared, stamped and signed by the engineer or architect. References: California Business and Professions Code Section 6737.1 and Section 5537. U.B.C. Section 2303(a), U.B.C. Section 2517(a), U.B.C. Section 2517(g) and U.B.C. Table 25-V. ob I 1� i v � P ob I j i ^I V ©_ _j v J j COUNTY OF BUTTE- DEPARTME T OF DEVELOP SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT g�"�6?M- IIES6O�i CfrLflUlr ER063 ZONING —5 BUILDING PERMIT OWNEIL�,FR1ECDF LL WILLIAMS TELEPHONE SO, FT, OCC. BUILDING VALUATION ` 353 OWNE1S24r99QUON ROAD, DURHAM CA 95938 CONTP6T,y Sn ME TELEPHONE ' CONTRACTORS MAIUNG ADDRESS CONSTi�UOCilO LENDER iiMAA�I LENDERS UNG ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 40.95 BUILDING ADDRESS 9241 ESQUON ROAD, DURHAM' Energy Plan Checking Fee $ PERMIT FEE $ 123.95 LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [R Other SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition CX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COV DECKS 12 X 16 & 8 X10 Gas piping system 1 - 5 outlets 15.00 Building sewer .15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V 0' Main Service 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.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f the following reason: 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service. 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADD S. ( I ACC. BLDS. s0 3.51tFT. NON•RESIDCONS.T MULc, cU TLE @7,50 APPARATUS I SINGLE OUTLET C1 R. Ex. OCCU OUTLET OR FDRURES 20 Q 1.00 BAL @ .50 PUYSR Ex. Occup. OUTELETSPRESOOEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) Ml -*, 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, 1 shall forthwith comply with those provisions. -� "a Apr X a _ Date �2°" 7 Signature of Applicant - ❑. Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 123.95 HAZ. D. FEES IMP FLOOD CDF PAR L Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMRC ZONING n� BUILDING PERMIT ' OWNER TELEPHOONNE,/ SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING A00 ss l u� Qs COMiyTDR's NAME /V� J F 1� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTR ON LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHTOR ENGINEER LICENSE NO. Flina Fee $ ` 20.00 . ARCHITECT OR ENGLNEEERS MAILING ADDRESS Permit Fee $ Plan CheckingFee $ C7 , su1LOwGADOREss D ki 40/ Energy Plan Checking Fee S T '►C( S PERMIT FEE S Lar No. sueolvsaNSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome yOther SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition K Remodel ❑ Utilities ❑ Installa' E3 Other C3 Describe Work: (�60 Vk /0 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 I PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 800V ORLES Main Service zo.OR LESS 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 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: ❑ 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation Of one hundred dollars ($100) or less.) ❑ 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'HAz. 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 forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height Main Service 20" TO 1000A 46.00 NEW CONST, owELLING OCCUP. SO OR3.5¢x; AOoo� MULTI -OUTLET DSS. NON gESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIA. Ex. Occup. OUTLET ORFDnLRES s�i ®':50 Ex. Occu . o Ts sio.°REA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring :fI 2!d PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE TOTALFEE$ EocCONST. o. FEEs IMP FL000 coP PARCEL Po HD ssuE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. re ReceiptNo. 75 375,77 . WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . o ! `';�`t+L- �ti•ts�-�'-►'`:�5 V µ'+�", � � •�a�,?' a���r-.��r�k"�`°Cs`"''�-���f�i . ,�t • • � r •a�q COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: JXASSESSOR PARCEL ER: Proposed Buil mg Use: uilding Inspector: Date: At time of permit application, I was advise the &Mowing data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems hav been submitted.------------------------------------------------------------------------------------- 4ZPlot plans, sets signed by the preparer of plans. ------------------------------------------------------------ C�3. Complete plans, sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- t , ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ W ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- `' ' ❑ 7. Statement of Intent for Non -Heated and A/C Building's. -------------------------------------- 08. Hazardous Material Form. ----------j-------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees.-------------- ❑ 3. Flood elevation certificate. --------------------------------------------- ^14. Sanitation and plot plan approval 'C Health Department. Ell 5. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Bailder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. 026. Letter of intent on building use. ---------------------------------- 0 27. ---------------------------------027. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. -------------------- 029. )433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) When you issue the permit, process as follows ❑ Mail to owner, RMail to co iAactor. AfTelephone j-y,s -c�3 S Sand hold for pickup at 1'0 f/ office. El Deliver with inspector. ti APPlicant�if/�c>Date: 5'-12 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your -building permit. No building permit will be issued until this verification is received. (DI personally plan to provide the ajor labor and materials for construction of the proposed property improvement : YES NOD = 2.I HAVE 0. HAVE NOT O signed an application for a building permit for the proposed woik. I have contracted wit4 the following person (firm) to provide the proposed construction:.-,_;; CrrY:. CONTRACTOR'S LICENSE NO. I plan to provide portions of this -work; but I have hired the following person t supervise, and p Ovide the major work: " NAME: coordinate, ADDRESS: CITY: PHONE: ONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the w rk indicated: N ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER•r v SOCIAL SECURITY NUMBER: DATE•- 9 NOTE: - --- This -Owner-Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER M OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you planto subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. • . ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contactprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +irely, Vi iia, C.B.O.,uilding Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code OVER '. RESIDENTIA 0.40-1407063 PERMIT#98-0735 WILLIAMS, Alfred L. ' 9241 Esquon Rd., Durham PERMIT NO. Ex MH on Perm Fnd PERMIT EXPIRES ' OWNER G�G C`3 13 c J q CONTR. -. ASSESSOR PARCEL LOCATION HE HCD FORM 433A FOR.THIS MH CANNOT E RECORDED UNTIL ONE OF THE FOLLOWING AVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSP C OR MUST RETRIEVE Y ,r s NSPECTOR TO VERIFY SE RTAT,&_LBEL #'S CHECKED SRA BY FLOOD CERTIFICATE REQ. • FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS - - VERIFY J_ Temp. Power Pole - Called PG&E r Temp. Elec. Service Called PG&E L Temp. Gas Service r Called PG&E JOB FINALED (Date) Signature � 4 V=OK 0 = Not OK =Not t Applicable yble NoRMOBILE 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/O-Concrete r ' 4. Water, Location-Test-Easement Needed (Sketch),, +s ; 5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete ' 6. Gas; Location-Test-Wrap; / tUft. / /Nat. or/ / L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card 0-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 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 O upancy anent Foundation Only: License Decal Oat -:�2-45�Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric ' 8. Frmg.; Sils-AnchorsStuds-Rttrs-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/S Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ /'Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ PFtg. 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. Pienums & 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 DateCard B-1 Date 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 Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. R eptacles Spacing -Lights & Switches at Doors 25. Size Bokes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits 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 -Chasers -Tubs 45. Headers & Beams -Size & Bearing RESIDENTIAL (Single P. De.. -Ilex) Date ^ta;?ING (Cont; --'-;cd) Card B-1 Date Card B-1 F �x•?ostCaps-A„cborsionnectors 47. C, �. Joisi ^y ^: din-roff Br, , -7 ;s-Shting: Rfng. c-aplace Tie.. , .e A Flr!e-Firepl. ca Throat Jearance 49. Attic A. as; Size & Rome Frotecion-Draft.. .p -Ins. Baffles 63. 64. 'drm. vYuI'-ws or Exiting u. ars-Sill Hgt. & Du: ensions Cire Protection Framing ( Firewall & Openings 66. .oc _-,ie 3-Clheck Garage 3rd Story, 2 Exits 5,, eirs; Wrou,-H:.a.' mon' ' : • -Hur-Landing-Fire Protection 55. - Plywood on GU �f Ovjrhar,y ^ttic Vents -Rafter Outriggers s L 56. - Siding -NP' ,,_neer _ . 57. Stucco M, ;h -Drip S-- '-Fd. Vents-Underflr. Access 58. C'azir 1 Area -Glass Protection -Skylight; -Plastic. 59. bhear Walls; Nailing -Bolts 60. Brace Interior / Exley or Wall Panels 61. Insulation•Wa rs-Celli ,b 62. Infiltration -Walls -W indcws Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (PI ns) OK except #'s 63. 64. Ext Steps -Door & Sidelight Protection -Landings Smoke Dete 'or 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Emoting 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 & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Insdd./Ddve 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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 Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: plot NIa�Is h/>/gS-" COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californ;a 95965 - Telephone (916) 538-7541 RMI o• (Rev.12/96) J APPLICAT[ON AND PERMIT ASSE$$4V- .l!BEb63 ZON1NO A_5 BUILDING PERMIT °W"E�ALFRED LJ 'WILLIAMS TELEPHONE SO. FT. OCC. BUILDING VALUATION 1392 75,168 IlNlqrf'`�7ffiN RD, DURHAM 24 X 58 CONrMJrME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee 531.50 $ 265.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDI DRE ���1 �SQUON ROAD, DURHAM Ener Plan Checking Fee Energy s $ $ PERMIT FEE $ 308.75 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 12 Other SPECIFY Each Trap 7.00 - Solar or heat pumpwater heater 23.00 Water piping 15.00 5.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ X Describe Work: MOBILEHOME/PERM FDN/ -- Gas piping system 1 - 5 outlets 15.0019 on Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 - R LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f r the following reason: 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OW EWNG OCCUP. OR ADDNS. ( & Acc. BUDS. S° 3.52 FT. NON-RESIDT ANCNEW CONS.I CIRC @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.OUTLET OR FIXTURES 20 @ 1.00 SAL @ .50 Ex. Occup. OUTELETS RES D.°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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, Ishall forthwith comply with those provisions. X Date�Qi� Signatu of Applic nt - ❑ ner Contractor ❑ Agent An OS permit is required for excavations over 60" deep and demolition or construction of strLoures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 373.75 HA2. r 1 0. - FEES IMP FLOOD A cDF _ PARCEL PD e HD HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ` 9 ata ReceiptNo. 9166.64 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT tk'r`d .`hi��{� .�'.ci�...,,:�' � ��' ��Yl.:'�`"A`bi1J��f"?`—ti,4TR'•}'t'S �1. � �-i� �.r:�.�. `'-,i�'C- � �.. �! r,..�� ' • � x' COUNTY OF BUTTE DEPARTMENT OF DEVElOPMENT SERVICES UILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAL . (QRNIA 95965-4,ELEAHONE (916) 538-7541 / PERMIT APPLICATION DATA SHEET OWNER: / JASSESSOR PARCEL NUMBER: Proposed Building Use: - Building Inspector: Date: At time of permit application, I was ad ' ed t e following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1-A11 iiems hav been submitted--------------------------------------------------------------------------------------- Cplot plans, 4 sets, signed by the preparer of plans.------------------------------------------------------------ omplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans; 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- C3 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. -------------------------------------------------------- ❑8. Hazardous MateriAl'Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- `Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- El -------------------------------------------- ❑ 17. Planning approval for (A) Use: t (B) Parking: "-------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 111. 9. ---------------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. -----------------------------------------,------------------ ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 13) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- E126. ------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- 8 xi"s�tir�g vi a ' and/or exp' permits. --------------------------------------------------------------------------- 9. 3 A ant Deed, H Titl eck to H.C.D $ �CV, V(/ .--------------- b -�� ❑ 3 0. Other: ------- When you issue the permit, process as follows ❑ Mail to owner,❑�j ail to cpptractor. KTelephone 3 �S - �S`S S and hold for pickup atUrOVVIL office. ❑ Deliver with inspector. APPhc4(' G/�ii LQ�cd Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑Air Pollution Date - Copy of plans sent ❑ Health Department, o Fire Department o Other: la e: By: Index permit application for the above items numbered: 6x- ,, 6W kT _ ❑ Plan Check List 2. Additional items required: - / -%—. t/1, Contractor, designer, owner, was advised of the above required d&a by o phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: �S_ Date: < Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building D�rsien` OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the or labor and materials for construction of the proposed property improvement : YES NO D 2. I HAVE HAVE NOT 13 signed an application for a building permit for the proposed work. 3. I have contra ed with the following,person (firm) to provide the proposed construction:z. NAME:1�f7 „l if / / / Its c . ADDRESS: 2��SG��-j, �� CITY:_G��c-n , Q� A,— PHONE: PHONE,CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following,person to coordinate; supervise, and providemajor work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the m irate . NAME ADDRESS PHONE TYPE OF WORK, SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER:_ DATE:_ 4d&& NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Buildin; permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!qrs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE: This Owner -Bu ilder,lnformation is required by Section 19830 of the California Health and Safety Code OVER COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, ,California 95965 -'Telephone (916) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ® 3 ASSESSOR PARCEL ! �/4� zom"o U v BUILDING PERMIT OWNER _^..TELEPNONE �h',UIIA'A( SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNO ADDRESS r0U l CONTRACTOR'$ NAME kJkt TEUEWWNE CONTRACTORS MAYJNG ADDRESS CONSTRUCTION LENDER LENDER'S MMUNG ADDRESS Fireplace Total Valuatlon $ ARCNrrECT OR ENGINEER LICENSE NO. Flin Fee S 20.00 ARCWTECT OR ENOWEEAS MAILING ADDRESS Permit Fee J S Cams / Plan CheckingFee b BUILDING ADDRESS /� Energy Plan Checking Fee E ` PERMIT FEE S LOT No. SUaDNIS10NS NAME PARCEL. MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome O Other 3PE0WV Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities ❑ Installation O Other O Describe Work: ,,Q "m 4et�Fxf7— 517-1- lop' J 6 Sl Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 /S d Building sewer 15.00 S Mobile Home I S 1 (31 W 1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service �w ORR 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. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 ry P Law for the following reason: O 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 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: O 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation. insurance carrier and policy number are: CarrierPERMIT Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 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, 1 shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in hei ht. Main Service 20" TO 1000A 46.00 NEW CONST. DWEILM OCCUP. SO. OR AODNS• ( a ACC. GLos. 3.5¢FT_ NEMWMULTFoin @7.50 NON•RESID. rowEA APPAR a saxsLe ounET CIR Ex. Occup. OUnETORF=URES ew®'.w Ex. Occup. APPL!!S. oR OVTLETS ESLD. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNST. nPE _ TOTAL FEE $ v NAz. I D. FEES IMP o coF PARCEL. PO NO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date m„ -I ReceiptNo. wHITE•D.O.S.•TO CANARY•AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 01 -Jun -1998 1998-0022549 Has not been compared with original Butte COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 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 descnbed hereon, upon the real property descnbed 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. ALFRED L. WILLIAMS REAL PROPERTY OWNER/LESSOR 9241 ESQUON ROAD MABJNG ADDRESS DURHAM, BUTTE, CA 95938 CITY COUNTY STATE ZIP SAME INSTALLATION MAM24G ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP DONALD L. AND CINDY J. BALL UNIT OWNER Cd also property rover, write "SAME') 3904 COSBY AVENUE MAD.ING ADDRESS CHICO, BUTTE, CA 95928 an coutm RATA EP BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MABJNG ADDRESS 1979 OROVILLE, BUTTE, CA 95965 MANUFACTURER'S NAME CITY COUNTY STATE ZIP 98-0735 530 538-7541 BUII.DING P R N HONE NUMBER SERIAL NUMBER(S) 5/28/98 SIGNATURE OF LOCAL AGENCY O DATE NONE DEALER NAME (d not a dealer sale, write 'NONE') DEALER LICENSE NO. UNIT DESCRIPTION CHAMPION 1979 MANATEE MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 0901313054DA/B 56'X24' CAL173550, 173551 SERIAL NUMBER(S) LENGTH X VADTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 040-140-063 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 28, 1980, IN IN BOOK 76 OF MAPS, AT PAGE(S) 35. HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. BUILDING PERMIT NUMBER: 98-0735 Address or location of unit: 9241 ESQUON ROAD, DURHAM, CA 95938 Legal Description of Real Property: A.P.# 040-140-063 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 28, 1980, IN BOOK 76 OF MAPS, AT PAGE(S) 35. (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: ALFRED L. WILLIAMS Owner's address: 9241 ESQUON ROAD, DURHAM CA 95938 INSIGNIA OR HUD NUMBER: CAL173550, 173551 SERIAL NUMBER OR V.I.N.: 0901313054DA/B MANUFACTURER'S NAME: CHAMPION YEAR: 1979 OFFICIAL APPROVING INSTALLATION: DATE: 5/28/98 PHONE: (530) 538-7541 H.C.D. 513C Recorded at to Request d MW Vilby Tffa i Order No. APN 040 -140 -M -Opp Esaow Nm 14030SMC I= No. WHEN RECORDED MAIL TO.- ALFRED O. ALFRED L WILLIAMS 0241 ESOUON ROAD DURHAM. CA 95= MAIL TAX STATEMENTS TOt Es"wCampwy 94-05627 94-00362-7: Rec Fee 6.00 I Check 6.00 Recorded I Official Records 1 County of 1 Butte 1 Candace J. Grubbs 1 Recorder 1 6100&0 7 -Feb -94 1 MVTC JR 1 DOCOMENTARY TRANSFER TAX tl-a_ daa on b oolwWwraoon a aw d ptopary �wMrR 011 Cor PAW on ow awwwwo mi W v", baa Sana • eMa�leaM wnralYq al IkOy d aalw GRANT DEED Thn arvinrol �� � - . t+N d OainarN a ApMMalitiffitift d - pbo tam FOR A ViALUAKE OONSIDERATWN, feaw of WrkA M tnfr0y dutorMdp� -ALFRED L WILLIAMS. AN UNMARRIED MAW. WHO ACQUIRED TITLE AS ALFRED L WILUAMS, A MARRIEp MAN AS HIS SEPARATE 'PROPERTY hefty OMWp) fo ALFRED L WILLIAMS, AN UNMARRIED MAN B1 I" p10mv to to City d UNINCORPORATED AREA Ctxngr of a BUTTE . Stab of CWtifomft e�arptr0 PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CAUFORNIA. ON MARCH 28, 1980, IN BOOK 76 OF MAPS, AT PAGE W. 1 THIS CONVEYANCE CHANGES THE MANNER IN WHICH TrTLE IS HELD. GRANTOR AND GRANTEE REMAIN THE SAME AND CONTINUE TO HOLD THE SAME PROPORTIONATE INTEREST. R dl T i 1911 Dated $TATE OF CAUFQpj&A1 OMwn OF Butte 1 on Feb. 4. 1994 eabw We. Mary H. Crt Ow-c•r v«smwry appeared A 17 r r• r 1 L. W 1 l i 1 17 m p010onmv known b nW (m proved to nw on IM Lula of utbf0dmy wAw«+cp b to the pwwn(a) wAY9wa namaf0l Ware aubserlbed to the vwVln OWrwrWrr and 4*n0wr1ed9ed to nW 11101 ho/OhNlhoy alaaaed UW 54" n W WrAha/ Whorltod capauty(Ioa), and 001 by MaA+wAhair wlprWw0(w) on the insb M Lha palwn(s) of the &Maty won bahaM of "h1 -. UW Palaan(a) aded, *WuAed the lrlaln+mat VATNESS my hard ane of el seal. if ALFRED L. WILLIAMS Fm/011.w11mw1ua.rmr.nanunl/.nn/w.wlwn...YwO MARY R. CASEaEER 9 • I.3• 1/Ut AY. PUaI II 1. A. II 44M041A y t 'Clam .U1 P6111 r, i 1••, Commission r wpua♦ MA. T. ty47 ti �111.Y111111 W 11411n111Y1 IYI W II IIIY411YIIY11 Y W 14r If W Order No. 7t,-, e'`2 ` a Escrow No. 1 18082—M 9 1 -04267 This is an Interspousal Transfer and not a change in ownership under 663 of the Revenue and Taxation Code and Grantors) Aas(havy checked the applicable exclusion from reappraisal O A transfer to a trustee for the beneficial use of a spouse, or the surviving spouse of a deceased transferor, or bya lmstes of tfuch e trust to the spouse of the trustor. Qt A transfer to a spouse or former spouse In connection with a property Settlement agreement or decree of dissolution oll a 1 marriage or legal separation, or O 'A creation, transfer• or termination. solely between spouses, of any co-ownees interest O The distribution of a legal entifys property to a spouse or former spouse in exchange for the interest of such spouse In the 1 nW ' entity in connection with a property settlement agreement or a decree of dissolution of a O 011ier marriage W legal separatfort FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ALSO KNOWN AS CYNTHIA A. WILLIAMS CINDI WILLIAMS,/wife of the Grantee herein, hereby GRANT(S) to ALFRED L. WILLIAMS, a married than as his separate property the real property in the GgMm& unincorporated area in the, County of Butte State of California, described as "SEE SCHEDULE "C" ATTACHED HERETO AND MADE A PART HEREOF FOR LEGAL DESCRIPTION." AP# 40-14=063 Dated -Intt1t1.rdl"N'lV 771 19 q / STATE OF CAL,FOf�ltl COUNTYgqO//F1t,.II,, AA[[,,77(i �� •� On before me. the under.pned• a Notary Publ.0 In and for sa-d Slate• Per* Personally anpr,n to ma for plotted to me on the bass of saUf'actory Pttrd. nr.f to ov Me per",, who,, namet M rs. M subacr.bed to the wdhm msfrun.ent andacano,.tedged to me Inat*e'ane: t►,y e.eCuted K Me Mme WIt Nr C. ,�...w ,.w ...n .•..,, / CINDI WILLIAMS - --- orrlCiAL SZ" Connle Shepherd NOTatte fsutlC CA.IFOMeA `j✓ an I'll OOurrtr M C4- sa es .tats &I. son 111h...... for nF,r,,al'ofar.al Ma. 91-004267- Rec Fee 7.00 WHEN RECORDED MAIL TO: I Check 7.00 Recorded , Mr. Al Williams ' Official Records County of C/O Gilbert F. Jones Butte Law Corporation Candace J. Grubbs t 525 Wall Street Recorder Chico, CA 95928 8tO0am 4 -Feb -91 JJ 2 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX S... NONX Albert L. Williams .... Computed on the consideration or value of property conveyed: OR •••• Computed on the consideration orvalue less hens Orencumbrances ' 9241 Esquon Road remaining at time of sale. is Durham, CA 95938 .... exempt from imposition of the Documentary Transfer Tax pursuant to Revenue and Taxation Codeytt9271a1.ontranafeF - ring community. Quasi -community, or Quasi -marital property, assets between spouses pursuant to a judgment an order• or a written agreement between spouses in contemplation of any j such judgment or order. Signa tof of I declaring grantee ' INTERSPOUSAL TRANSFER GRANT DEED (Excluded from reappraisal under t California Constitution Article 13 A § 1 et seq) This is an Interspousal Transfer and not a change in ownership under 663 of the Revenue and Taxation Code and Grantors) Aas(havy checked the applicable exclusion from reappraisal O A transfer to a trustee for the beneficial use of a spouse, or the surviving spouse of a deceased transferor, or bya lmstes of tfuch e trust to the spouse of the trustor. Qt A transfer to a spouse or former spouse In connection with a property Settlement agreement or decree of dissolution oll a 1 marriage or legal separation, or O 'A creation, transfer• or termination. solely between spouses, of any co-ownees interest O The distribution of a legal entifys property to a spouse or former spouse in exchange for the interest of such spouse In the 1 nW ' entity in connection with a property settlement agreement or a decree of dissolution of a O 011ier marriage W legal separatfort FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ALSO KNOWN AS CYNTHIA A. WILLIAMS CINDI WILLIAMS,/wife of the Grantee herein, hereby GRANT(S) to ALFRED L. WILLIAMS, a married than as his separate property the real property in the GgMm& unincorporated area in the, County of Butte State of California, described as "SEE SCHEDULE "C" ATTACHED HERETO AND MADE A PART HEREOF FOR LEGAL DESCRIPTION." AP# 40-14=063 Dated -Intt1t1.rdl"N'lV 771 19 q / STATE OF CAL,FOf�ltl COUNTYgqO//F1t,.II,, AA[[,,77(i �� •� On before me. the under.pned• a Notary Publ.0 In and for sa-d Slate• Per* Personally anpr,n to ma for plotted to me on the bass of saUf'actory Pttrd. nr.f to ov Me per",, who,, namet M rs. M subacr.bed to the wdhm msfrun.ent andacano,.tedged to me Inat*e'ane: t►,y e.eCuted K Me Mme WIt Nr C. ,�...w ,.w ...n .•..,, / CINDI WILLIAMS - --- orrlCiAL SZ" Connle Shepherd NOTatte fsutlC CA.IFOMeA `j✓ an I'll OOurrtr M C4- sa es .tats &I. son 111h...... for nF,r,,al'ofar.al Ma. 91-04267 SCHEDULE C ORDER NO. BU -118082 KC DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA; COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN TED; OFFICE OF THE RECORDER OF THE COUNTY OF. BUTTE, STATE OF CALIFORNIA, ON MARCH 28, 1980, 'IN BOOR 76 OF MAPS, AT PAGE(S) 35. I STATE OF CALIFORNIA- DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT RFnTCTOATTnm PAon Mn4T1cunme MANUFACTURER NAME/ID CHAMPION/00 -- TRADE NAME MANATEE MODEL 131 DOM 00/00/79 OOT 11/12/79 UeL;ALNU. GFS 07/07/81 SPC LAC1091 EXPIRATION U SERIAL NUMBER 0901313054DA ttAABBp SIGNIA NUMBER CAL173��� vyEIG�T 010720 GG OW81% OT O�d144 03�is� % � D EXEMPT SF1 E U 2 0901313054M CAL173551 009040 000672 000144 Eh >s'' . TOTAL 3 o s w I' 9241 ESQUON' FEES s E U DURHAM :or CA 95938-0000 PAID: 6 r $30.00 A WILLIAMS ALFRED L 0 9241 ESQUON 0 DURHAM CA 95938-0000 R E S S E R HILLIAHS ALFRED L G M 9241 ESQUON iffiw .41 r s I L E R DURHAM CA 95938-0000 Eh >s'' . 0 'aI o s w I' 9241 ESQUON' N. T �, s,.� 1 �,.a0,0, E U DURHAM :or CA 95938-0000 R S _ .._..... r L E G A L O w N E R J U -F N I I R O S R T L I E N S H E O C L O 0 N E 0 R DONALD L BALL?` CINDY J BALL JTRS 3904 COSBY AVE`-`' a; CHICO CA 9,5 DATE 02/16/94 10=18:00 01 yrs r -'h - j4 Mimi NAt'1 IMPORTANT 03-067-01824 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. i THE CURRENT TITLE STATUS. OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0301304 1 MAR -18-1998 12:27 a916 224 4817 P.01i01 •••••• ••� �.+.....-ouaneaa,IKAMMItrAMONAND HOUSINGA;ENCY PETEW1tSON-Governor ,DEPARTMENT OF HOUSING ANp COMMUNITY DEVELOPMENT DMelon of Codes and StandardsTOF r� Title Search41, Date Printed : 03/18/98 Decal #: LAC1091 ' Use Code: SBD Manufacturer: 00 CHAMPION Original Price Code: AEE Tradename: MANATEE Rating Year: Model: 131 Tax Type: LPT Manufactured Date: 00/00/79 Last UT Amount: Registration Exp: - Date ILT Fee Paid: First Sold On: 07/07/81 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width 0901313054DA CAL173550 56 12' 0901313054DB CAL173551 56' 12' Record Conditions: PPF Exempt Registered Owner: ALFRED L WILLIAMS 9241 ESQUON DURHAM, CA 95938 Last 71tle Date: 03/11/94 Last Reg Card: 03/11/94 SalePTransfer info: Price $11,000.00 Transferred on 12/04/87 Situs Address: 9241 ESQUON DURHAM, CA 95938 Situs Courtty: BUTTE Legal Owner. DONALD L BALL CINDY J BALL TIT S 3904 COSBY AVE CHICO, CA 95928 Lien Perfgcted On: 02/16/9410:18:00 ***END OF TITLE SEARCH **" TOTAL P.01 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 17 -Aug -1998 1998-0035019 `Has -not been compared with original Butte COUNTY RECORDER ' SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, 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. JAMES BARNES & ANN HOLMES , BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 6486 PONDEROSA WAY 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS MAGALIA, BUTTE, CA 95954 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP SAME 98-1635 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILD44G PERMIT NO. TELEPHONE NUMBER 8/12/98 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AG O DATE LAWRENCE & GERALDINE VITTORI NONE UNIT OWNER (d•also Property owns, write'SAME7 DEALER NAME (d trot a dealer sale, write 'NONE,) 14864 MAGNOLIA DR - MAILING ADDRESS DEALER LICENSE NO. MAGALIA, BUTTE, CA 95954 e¢r Mr." ST= UNIT DESCRIPTION GUERDON 1976 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2797A/B 48'X 24' CAL099540/1 SERL4I. NUMBER(S) LENGTH X WIDTH INSIGN WLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #064-510-052 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applieant GOLDENROD - Bwldoig Dept LEGAL DESCRIPTION -- A.P. #064-510-052 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: LOT 226, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 8", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 21, 1970, IN BOOK 38 OF MAPS, AT PAGES 1,2,3, AND 4. CERTIFICATE OF CORRECTION WAS RECORDED DECEMBER 2, 1970, IN BOOK 1648, PAGE 5, OFFICIAL RECORDS. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER. HYDROCARBON SUBSTANCES, WITHOUT, HOWEVER, THE RIGHT OF SURFACE ENTRY TO RECOVER SAME TO A DEPTH OF 100 FEET BELOW THE. SURFACE OF SAID LAND IT BEING UNDERSTOOD AND AGREED THAT IN ALL EXTRACTING OPERATIONS, SUCH SHALL BE COMNIENCED ON LANDS OTHER THAT THAT HEREINABOVE DESCRIBED. PARCEL II: A NON-EXCLUSIVE EASEMENT OVER LOT 1(THE COMMON AREA) OF SAID PARADISE PINES UNIT NO. 8, AND THE LOTS DESIGNATED FOR COMMON AND RECREATION AREAS, AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS IV AND VI. ON...........................................................f s��::::::.:::.......:. ......::::::::::::::::::::::::::::.....:::::::::::::::::;::;:::.::: Address or location of unit: Legal Description of Real Property SEE ATTACHED BUILDING PERMIT NUMBER: 98-1635 6486 PONDEROSA WAY, MAGALIA, CA 95954 A.P., #064-510-052 (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: LAWRENCE & GERALDINE VITTORI Owner's address: 14864 MAGNOLIA DR., MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: CAL099540/1 SERIAL NUMBER OR V.I.N.: 2797AB MANUFACTURER'S NAME:GUERDON YEAR: 1976 OFFICIAL APPROVING INSTALLATION: DATE: 8/12/98 PHONE: (530) 538-7541 h H.C.D. 513C T)Lj,e-,- 9 5 -1 4 7 2 1 -5" Escrow. No. 15 1 029VG 95-0422751 Rea Fee, -J"'.po pt 11 I DOC 91:70 Loan No. I-V Rerordi-d I Chock 60.70 WHEN nEconm MAIL TO: Off iciml Rivicardis I County of I MES Butte JAMES BARNES and ANN HOL 6486 PONDEROSA'WAY Cpndece J. Grubbs I KAGAI. tA, CA 95954 Recorder F1100mm 4 -Dec -95 I HVTC HP 2- SPACt APOVE n18 LINE FOR 141001101" USE DOCUMENTARY TPLANSFER TAX $611- MAIL TAX STATEMENTS TO: ow"Aad an " mwmw~ of vv&W CO PoPelty MW*Y*4 0" CmMood an I* moldemlloO W WAIS 10" larOf SAME AS ABOVE erlolltaenoee 101minho al IhW of IWO. _Tba-LaidoMig�ra 01nonr dect-01rat--6, 84noth" of Dedersm at Ao" ~4" INX 10 a GRANT DEED FOR A VALUARLE CONSIDERATION, rfoc-10 of which IR horeby acknowledged. LAWRENCE n. vrffoRtend GEnALDINE M. ViTTORI, husbalid Pnd wife )p hereby GRANT(S) to bAnd and wife, as Joint tenants .j JAMES BARNES and ANN HOLMES, hus uNINconponATIED AREA the (Poll r"0PwtY In lh*BUTTE &J" of caftr* d"CrIbed cY County Of JpTiON ATTACHED SEE LEGAL DESCR I e Datod LAwnp4ris n .qTA'TF CW r -Al IFM"'k • COUNTY OF 10111717TH 29, 1995 on FRANCK.Al F()KI) rpy*rTA*fW1..---J.A11R KAIp1.NF...K..—V1T0R1.-- (or prc,-,d 0 '0'.1 oil Itsm V*W") to bo pof1kon(al, *41o" nm,,pj-%) Klotf- I() rrA Ij%Aj hp1nhnA'-y nv-';Idml Wei 1,100 '040*1 ir*trurnw-A and OrVICIALSM dtyprAj. and thAl Iv 0"'lov-11W 103m -s SAMp In I*VVw/tI`*F 50"fl"A CAP" -Irv-in N't-0 Of v vkI of tho an'ily Fono ES E. AL i. gig"tillo(i) on tho lt"Itilmmt thO P'"r�n rSANC NOtAnyptinUC-CAU iv� 4� rk1fVf.A 0 *Wh tho pm*on(%) 0410d. C;0t)NjvQrI%UTTE pu 'W U D SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF ALL THAT CERTAIN LAN - - BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: 11PAgADISE PINES AS SHOWN ON THAT CERTAIN t�iAP ENTITLED, LOT 226, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER UNIT NO. g"1 ON OCTOBER 21, . OF THE COUNTY OF BUTTE, STATE , 2, CALIFORNIA, 4. IN BOOK 38 OF MAPS, AT PAGES 1, � KATE OF CORRECTION WAS RECORDED DECEMBER 2, 1970, IN BOOK CERTIFICATE OFFICIAL 1648, PAGE .5', RECORDS. OIL, GAS, ASPHALTUM AND OTHER EXCEPTING THEREFROM ALL NERAMINERALS, HOWEVER, THE RIGHT OF SURFACE HYDROCARBON SUBSTANCES, ENTRY TO RECOVER SAME TO A DEPTH OF AND LANDS OTHER THAN T E THAT ET BELOW IN ALL EXTRACTING HA SAID LAND IT BEING UNDERSTOOD OPERATIONS, SUCH SHALL BE COMMENCED ON HEREINABOVE DESCRIBED. PARCEL II: OF SAID A NON-EXCLUSIVE EASEMENT OVER LOT A (THE COMMON AREA) GNATED FOR PARADISE PINES UNIT NO. 8, AND THE LOTS DATION OF ANNEXAL ON OR RECREATION AREAS, AS DESCRIBED IN T HE UNITS IV AND VI. PAGE 5 LO ti S pL� S J PAGE 5 LO ti S pL� S ,02/25/2000 02:21 9168776164 PARADISECCNfECTION PAGE 03 waaaaa� 1 STATE OF CALIFORNIA- DEPARTMENT OF HOUSING AND COMMUNITY. DEVELOPMENT REGISTRATION CASR MOBILEHO F KCAL MD. A 3344 MMUFMIUREN NAME110 IAAUE NAVE i Lom ppm 001 IKS SIC tX11 1104 GUEIMOW GUEMON 00/001]6 11/17176 U SCRfAINU 1 2797A L/118 N mBE CAL099540 IITY 000000 IOWA M 6001"0 I AGI: 0610 /96 04 EYd-1 USE IYvT SFD lPT 1 27976 CAL099S41 000000 000576 009144 -- 3 „� TOTAL .a' t 4 FEES 6486 POWEr MA W W I PAIDS e FL u tMALIA CA 95954 $46.00 a BARNES JAMEVHOLMES ANN JTRS 0 6486 PONDEROSA 14Y o MAOALIA CA 95954 A e 9 a a R BARNES JAHES/ROLHE$ ANN .iiiiS I A 6486 PONDEROSA WY Y to E HAGALIA CA 9599! •..� ; R „� .a' t o a 6486 POWEr MA W W I FL u tMALIA CA 95954 r. L LAIMENCE R. VITTORI/ E GERALDINE H VITTORI J1R5 A 14864 M HOLIA DR i j �•';' t + , �1► :• tt... .�f ,1 L I �4��.i• �� ( • 'r. � �:•.�• r w .• i MAGALiA ; . CA 95954 I i 1 a �`f Pi'�°F,'IJ�;t•�r ,t DATEt 11/22/95 09:09s001 .�'''' 0 0 • THE OWNER INFORMATION SHOWN ABOVE APYWRIT WITH REFLECT ALL LIENS RECORDER WITH THE DEP •1 THE CURRENT TITLE STATUS OF THE UNIT NAY E C CONFIRMED ST THE THE DESCRIBED UNIT. 0300032 3 01'/25/2000 .02:21 9160776164 PARADISECONNECTION PAGE 02 James Barnes 8 Ann Holmes (JTR3) 6486 Ponderosa Way Magalla, CA 95964 APO 064-510-052 . August 17," 1998 _ RE: Missing HCD sticker on mobile home To Whom It May Concern: The tag on our.mobile home was removed for painting and subsequently lost. The label/insignia numbers are CAL099540 (SIN 2797A) and CAL099541 (S/N 27978) as shown on the riveted tags on each half of the home and on the attached registration card. Please call us at 530.873-4940 if you have any further questions. Thank you in advance for you help with this matter. Sincirely, r r. James Barnes 2 COUNTY•OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P MI o. (Rev. 12/96) APPLICATION AND PERMIT q9- / ASSESSOR PARCEL NUMBER 064-510-052 ZONING BUILDING PERMIT OWNER JAMES BARNES & ANN HOLMES TELEPHONE SO. FT. OCC. BUILDING VALUATION 1040 R 56,160.00 . OWNERS MAIUNG ADDRESS PONDEROSA AY MA ALI CONTRACTORS646 NAME BRUCE BRODERICK TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flln Fee $ 20.00 Permit Fee $ 223 .00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6486 5185 PONDEROSA Energy Plan Checking Fee $ $ PERMIT FEE $ 266.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeOther SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 1 5-0c Each gas water heater or vent 15.00 - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Qy� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 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. .-�7i/ / License Class /) LIC. NO. cJ �< O/ . OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELUNG OCCUP. OR ADDNS. ( & ACC. BUDS. S° 3. *FT. NON-RESID. T. MULTI.OUTLET 97,50 POWER APPARATUS b SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 Q I.00 BAL p ,50 Ex. Occup. R6 D.°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 forthwith comply with those pmovisions. �j X Date 4 2 — Signature of Applican - ❑ Owner ❑ Contractor jd`Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 316.00 HAZ. _ D. FEES IMP FLOOD CDF PARCEL ro HD NSSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By r� /�Datet�Q PERMIT EXPIRES ON d f Date provisions to do work paid. j7 44P �/ Receipt No. 244644 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 15.( II ��^liFs'�d..r,.v����ri;�^C�+�1!'.yS�,,c�i�eirli".'YY'�7M'r�°'►�'�:', s�y�.�.��~.�;. . r,:bM.�ynr+'• -+�{. ,7§,"` �7e'`♦i. *'1.�V`��''3r.. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �. 7 COUNTY CENTER DRIVE - OROVILLE, t' LT�'O NIA 95965 - TELEPHONE (916) 538-7541 :PERMIT APPLICATION DATA SHEET OWNER:r�PS�- 1 `UlynPS ASSESSOR PARCEL ER: O(aq-S��D- Osa Proposed Building Use: 0'\ Building Inspector: Date: At time of permit application, I was advised t e following data must be submitted prior to per proce9sing and/or issuance: . , I Date Received By ❑ LAII items have been submitted -------------------------------------------------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- . 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- El10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- ' 1-2. California Department of Forestry plan approval/fees--------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. 1115. City ,of Chico plumbing permit. -------------------- ------------------- 0 ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- j ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ; r ❑ 18: Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- y ( approval P .=-- ;_------- :`-- ; --- ❑ 1.9. Encroachment Permit for driveway construction royal nor a to occupancy) ;------ El 20. Pre inspection for required Request too Bu ding In pector'on, r (Date) 112 1. Contractor's license'infonnation. (Number, Name Style, Classification). ------------------------------------- El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- El 23. Owner-Builder ---------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization.---------------------------------------------------------------_ -== --------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement.---------�=-; ,y; �--,------------------------------- ❑26. Letter of intent on building use.------------------------------------------------------------------------:---=----- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- * i �❑ 9 ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- ther:PJ-&-r AP_ d hArk J(?-- 0 e. you issue a permit, processasfollows ❑ Mail to owner, ❑Mail to ntractor. UTelephoney 1 / — �`7�7� and hold for pickup at ��`'Ji t office. ❑ Deliver with inspector.�� Applicant: L%�/`/l j���'/ Date:/ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: F' 1. Index permit application for the above items numbered: ❑ Plan Check List, 3 2. Additional items required: kA C Q uln Contractor, designer, owner, was advised of the above required by ❑ phone, ❑ mail, ❑ Building vision counter, Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, w d of the above data by 13phone, ❑ mail, ❑ B ildin i ter, by Date: Plans reviewed by: Date: 1$ - `� Plans approved by: Date: Sets of plans on holdA ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: V Date: Yellow Copy - Department of Development Services, Building Division. s � 'PERMIT NO. 3960-87P, E(MH) PERMIT EXPIRES. OWNER AL WILLIAMS CONTR. owner ASSESSOR PARCEL 40-14-63 LOCATION 9241 Esquon Rd, Durham f Addresses GAS• Meter By4 ELECTRIC Meter B Temp. Power Pok Called PG&E Temp. Elec. Service Called PG&E Temp. Gey a - I-- Caller JOB FINA Signal 712 OFFICE COPY a at ate = OK 0 =,Not OK Not = Not Ready MOBILE MOBILE HOMES . �" ►, � _ y MISCELLANEOUS Date • MOBILE HOME UTILITIES Plans OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans) K exce t #'s Zoning Requirements -Setbacks -Easements . Zoning Requirements -Setbacks -Easements .Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts:Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing Electricity; Lo tion -Clearances -G .-/ / Amp -Concrete as; Location -Test -Wrap: / /"L"ft. i 1 IVV/ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors � . Utility Clearance 7a 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -B1 Date 10. Roof; Shthg-Roofing " Card -81 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION Plans OK except #'s Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date Footings; Size -Spacing- mage Card -131 Date Card -B1 Date Mas; MH Test -Demand- ave- onnector Electricity; st-Crossovers- kers-C earances Date POOLS (Plans) OK except #'s Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements ater; MH Test -Regulator- onnector 2. Soils; Compaction -Structure Stability Card -131 Card -131 !y4tor-aad Sewer Connected- to Grade -HD Approval 9—Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy ate/ and -B1 Date Da Card -B1 Date 40 Card -B1 Card -131 3 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card -131 Date Date Card -81 Date = OK 0 = NotOK RESIDIENTIAL (Single.pnd Duplex) - =Not Applicable = Not Ready . a I Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning req ui rements,Setbacks- Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped - 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card=131 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card Date Date PLUMBING (Permit) OK except #'s -B1 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -81 Date 66. Stairs & Rails Card -131 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72• A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. In Garage; Above Floor-Mech. Protection Air-Connector-P.R.V.- 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. &Mech. Equip. Listed for Location 28. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Cu or AlA 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79• Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -61 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -61 Date Card -81 Date Card -131 Date Card -61 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -81 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. (Official Approving Installation) PERMIT N0. _ i Year of manufacture (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE &��d - S7 OWNER PERMIT NO. A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector -Date Q v. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE )WNER PERMIT NO. A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. 1�7,-�V" //UST7�-LL '0D Ti2Y /moi 57�iG j�D� '�91124) V4!J� e-Q7r--5 T e�?/lJ 1�'2 / e..6 D 1! U �/e EIRS M09. s M rlrll /MOP W me - ea, � i Inspector Date d COUNTNPOF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile - Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE OWNER PER NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertalning.to this matter, or need additional explanation, please contact this office immediately. s f Inspector Date s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATI©ICAND PERMIT AssES$OR P-AR�,EL r�U ER //T/ (/� ZO"� /L BUILDIN PE M IT oL�.(E 1 T �` E SQ. FT. OCC. BUILDING VA ATION O . NER'SMAILIN& ADDRESS C-Sallant u r 9519 CO RA TOR'S NA W r TELEPHO CO TRACTOR'S MAILING ADDRESS Fireplace W© UCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCyi/TECT OR ENGINEER A16 P76— LICENSE No. I Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 In Solar or heat pump water heater 20.00 NO LO T�N Of ] SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeRl Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities R Installation❑ Other ❑ Describe work: i Permit Fee $ Contractor ELECTRICAL PERMIT FiiingFee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification l� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP,a OR AODNS. ACC, BLDGS. , /20sgff NEW CONSTRMULTI-OUTLET I2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup( OUTLETS OR FIXTURES .200930 Ex. OCCup. OUTLETS FIXED PRESTO IISIS K EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ I Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Courityot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X � �� ®®� ,7 Date �Lsions Signature of\Applicant — Owner EI Contractor ❑ Agent ❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct- n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE Occup. CON ST.TYP! I S C.4 o 0A FLOO PARS P11 ND IS U This permit is hereby issued under of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY _ P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date v �RecelptNo. �WNIT!-D.P.W.. YELLOW-Aeel.2e0R. PINK -INSPECTOR° GOLDENROD -APPLICANT 1, COUNTY OF BUTTE - DEPARTMENtT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNI,� 95965 - TELEPHONE: 916/538-7541 r PERMIT APPLICATION DATA SHEET . � Permit No. N OWNER �v(1lvlvf l Cl �: A. P. No. 14-4 Proposed Building Use r1 G Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submit te — 2. Plot plans in duplicat triplicate signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. _W5. PI s wit Energy Design Compliance Statement. 6. us q. j School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. ' . . . . 8. Fees of $ . . . . . . . . w Letter of signature authorizaatWp_.�. . . . . . . . 10. Sanitation approval from— � Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . , 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) _._-..._15. Improvements may be required. . . . . . . . . . . . � 16. Mobilehome Installation Data. . . . . . . . . . . f ? �� Pre-Inspec. request to ;Pre -Inspection forty squired. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment tatement. Iriveway Permit.2ot plan approval from city of 21. _ — 22. — When you issue the permit, process as follows: Mail to owner, ,Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Appl icano i .Lam'/ , XacDate V Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. --- 2. Additional items required: —_— .�, Contractor, designer, owner, was advised of above required data by_phone_–rnail—counter by date Contractor, designer, owner, was advised c' above required data by—phone —ma il—counter by date ` Plans checked by Date Plans approved by � Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinv Department " FROM: Environmental Health SUBJECT: Sanitation Clearance Oovner%ocation `t AP# Plan Approved for: Sewage Dis Hold final . for: Final clearance O.R. for: Clearance for -`^Z:)— bedrooqCiazNhome. NOTE Lm witarian posal Water Supply Water Supply Water Supply Other wo" Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit ,will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 41&--< 2. I (have /mot) �/�J�J-� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction Name - Address V City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name _10L_ Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work _40=== Signed: Property Owner ' vc. Social Security Number_ ^— Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Kecurn to Dpw AGRICULTURAL, STATEMENT OF ACKNOWLEDGEMENT RECORDED BUTTE COUNTY FOR RESIDENTIAL DEVELOPMENT OFFICIAi_ RFCOpDS v Section 26-8.1 of the Butte County Code requires'thip acknowledgement Pxr-m SHOWN be recorded prior to issuance of a building permit. 87-149. 5 1`187 DEC -8 P1 4: 10 - The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this CANDACE J•GRUBBS property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE the use of agricultural chemicals, including, but not limited`to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,.,. smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from norma _N,,`;, necessary farm operations. - All that real property situate in. -the County of Butte, State of California, described as follows: /:2i4 FCe Z A24 2 c c .0 h N p o .Q /a /O o,� e� T14 .Swgcl� vis TIt� ST4r� <./}rJ� 5 e7'T�c ►v►e v� �1 �c h �akc,�_, L /��q� uJ�4s �,��� �,J T -/4e ea,eA e� o� � e o._.NT.y e �u-i�eJ ,ST6-'-t e� �► �o,�� f'Y1 a A/ -e- .3 s• Date: PROPERTY OWNERS: State of C`al i fc�rnia ) On th-is the 8-th day of December , 19 87 , before SS. me, the undersigned Notary Public, personally appeared County of RuttP ) Alfred L. Williams & Cynthia A. Williams m®®°°°®®®®®®a°°® /x/ Personally known to me. / / Proved to me on the basis LAURIE JEANLOOF80URROIAI® of satisfactory evidence. w •�, ° to be the person(s) whose names) are subscribed to • NOTARYPUBLIC-CALIFORNIA ° the within instrument and acknowledged that ey o Butte County _ n MycorrxnlssionExpiresMay3,196a a executed the same for the purposes therein contained. ®°°se®®®°®om°onm°°■a°°°R ® IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notay Pu is IX) - ) � Present A. P. No. _ ` AP #� �r OWNER / J G/ i197�9- \ PERMiT J .4- 7 MH UTIL.CLEARANCE DATES INSPECTOR ,�i•%y%�.r�.9 y. ELECTRIC GAS Support Struc. Compaction Test eq. iervice Other Pipe YESI NO YES NO iize Load Type Size Length 20 �' -4p /?ll COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 0,RRM1 0. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSE s R PA PhiL`;�j (p ZONING .— BUILDING PERMIT Ow TE HONE SQ. FT. OCC. BUILDING VALUATION OO ER MAILING/DRESS CO TRACTOR'S NAMETELEPHONY w )i e—, V"N ! CONTRACTOR'S MAILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1.00 LENDER'S M (LING ADDRESS Permit Fee $ ARCHI ECT OCR ENGINEER A16 il LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , 'Penalty ; BUILDING ADDRESS w� (/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome�] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation4 Other ❑ Describe work: � i ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 DOOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.9 OR ADDNS. ACC. BLDGS. / , /20sgfi NEW RESID,MULTI-OUTLETCHCIRCUITS) NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS D (SINGLE OUTLET CIR. EX. OCCup(OUTLETS OR FIXTURES 20050t DAL@ 30 FIXED ALNS Ex. OCCUp. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with -the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, 'udgments, costs, and expenses which may in any way accrue against i unity in co equence qf the granting of this permit. X Date G�� Signature f Applicant — Owner Contractor ElAgent❑ An OSH permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �or0 OCCuP. CONST,TYPEJ ISCIIQO_4'FIAOD PARCEL PD ND 1 uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 34 15�1 WNITL-D. P.W.. YELLOW-ASBCSSOR, PINK -INSPECTOR, GOLDENROD-AP►LI CANT COUNTY OF BUTTE ; DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA .95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION_ DATA SHEET Permit No fr.N..Y�t •. p ' y�l I�, OWNER ✓' ` Vv�(4 IM ; A. P No. 70 —% Proposed Building Use --/" se Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have bee.► mitted. . . . . . . . . . . . — 2. Plot plans ifa�d 0_� Tiplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . 9. Letter of signature authoriz ian., 10. Sanitation approval from �- Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) • i _ 15. Improvements may be required. , . . . . . . . . . . 6. Mobilehome Installation Data. . . . . . . . . . . . Pre-Inspec. request to (Date) Pre -Inspection for—,.------ _. _ Required, Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of _ 21. — — 22. — — — -- When, you issue the permit, process as follows: Mail to owner, Mail to contractor_ •r Telephone !J93--- S �V; and hold for pickup atDrD_office, Deliver w/inspector. Other A Applicarg/�j���Date 1_2 Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. --- 2. Additional items required: ,Contractor, designer, owner, was advised of above required data by—phone_—jnail_counter by date Contractor, designer, owner, was advised c? above required data by—phone—mail—counter bye date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder to COUNTY OF BUTTE - Department'of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/t) signed an application for a building permit for the proposed work.' 3. I have contracted with the following person (firm) to provide the proposed constructio9.� ; Name-'j�'�--- Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I. have hired the following person to coordinat su ervise, and provide the major work: Name Address, City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: _C411 � ' Property Owner Social Security Number — Date '70U NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ' I - " — - 'A- - _ . r � VARIANCE BUTTE COUNTY. EAS NNINt;YC,-,OMIVCIS.S:I:O.N. Board of supervisors • ®VN • October 11., 1979 DATE 80-1 VARIANCE NO. 40-14-42 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Alfred Will -i -Amp is hereby granted a Variance NAME in accordance with application filed: 1 '/7 toallow mi.nimiim T)nreel size ,requirements_to allow three 4.65 -W&I acre parcels on property zoned "A-5" 'I no -q -1 -Ad nn � -hhP wP-,t •rela of T'gn»R nn nnej n-nprnximatAiu 1'7n south of Durham Highway, Durham, California. yy SPECIAL CONDITIONS: Applicant.must comply with all applicable State and local statutes, ordinances, and regulations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the, conditions which were imposed upon the granting of this variance, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this variance does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other,requ.irements. CC: Health Department,:,,. Department of Public."., *s (2) . Fire Department Chairman of:Plan'.ning'Commis`_si f.i Board of Supervisors TR 4 ' I - " — - 'A- - _ . r � VARIANCE BUTTE COUNTY. EAS NNINt;YC,-,OMIVCIS.S:I:O.N. Board of supervisors • ®VN • October 11., 1979 DATE 80-1 VARIANCE NO. 40-14-42 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Alfred Will -i -Amp is hereby granted a Variance NAME in accordance with application filed: 1 '/7 toallow mi.nimiim T)nreel size ,requirements_to allow three 4.65 -W&I acre parcels on property zoned "A-5" 'I no -q -1 -Ad nn � -hhP wP-,t •rela of T'gn»R nn nnej n-nprnximatAiu 1'7n south of Durham Highway, Durham, California. yy SPECIAL CONDITIONS: Applicant.must comply with all applicable State and local statutes, ordinances, and regulations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the, conditions which were imposed upon the granting of this variance, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this variance does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other,requ.irements. CC: Health Department,:,,. Department of Public."., *s (2) . Fire Department Chairman of:Plan'.ning'Commis`_si f.i Board of Supervisors Comb. Maint. Code 119 Bound. Rev -0 PARCEL SPLIT WORK SHEET New Parcel Retire 0140 - 1 ' ' ' OL4 2 r) r04r=ru-0- oa6.5—n Page Change0 Code Area Split Q Date 18Z% Mapper 7 0'7 3 901 Delete etals Parcel Number 040 - ISL D - o 3 D 001 Status Code c -f 1 Vc 002 Code Area 003 Assessed Owner WILLIAM -6 ,6,(.•P� D C-0,01 CB ' 004 c/o Owner 005 Street Address iiLT I k Z 006 City and State O -A L- 007 007 Zip Code 059 -3% 008 Property Location 'Pb"F'--T- tAKkA .ALL -DT. #24 (ES(WoO 023 Book & Page Recorded 17 q ;? Z Date 71 Maint., Maint. Code Code Code Owner e t a l n a m e Maint, Code 0 Fractional Interest Tax $ Deed of Trust First Second Benf. Benf, SEE OTHER SIDE FOR ADDITIONAL INSTRUCTIONS COPY - PUBLIC WORKS 4 Comb.71 Maint. Code 119 001 r Bound. Rev.® '-PARCEL SPLIT WORK SHEET New Parcel 0 Retire ClyO O Y2 -0 040 -,0fo�-n (00b - )H-- v - Oto4- 09.0 io 0105 Delete etals Parcel Number 40 - O - ¢u �t Status Code AC ri yr Page Change® Code Area Split Q Date 5 -12 . $ O Mapper 2 o7) 3 002 Code Area 003 Assessed Owner 1 N 1 UJ AM6 -AL ti D 1 CB 004 c/o Owner 005 Street Address 1 ) c-EoX -72- 006 City and State I HA N\ . 007 Zip Code �5 008 Property Location `i--(". �-1g•M t- '7 # 2� ( C l?D f�I 023 Book & Page Recorded I? 7q- -2- Date ' % i Maint. Maint. Code Code 35' 25OTTE CO. 2..4C,-117 Code Owner e t a 1 n a m e Maint, Code Fractional Interest Tax $ Deed of Trust First Second Benf. Benf, SEE OTHER SIDE FOR ADDITIONAL INSTRUCTIONS COPY - PUBLIC WORKS PARCEL SPLIT WORK SHEET Comb. Bound. Rev.0 New Parcel 11 Maint. Code 119 Retire 0'4'0. - 14 O 4 Z - 0 901 Delete etals Parcel Number oq.0 - I y - 1)- 0 5 001 Status Code AC -T 1 VE 002 Code Area "%D -i�� Page Changed Code Area Split 0 Date 5 -1-2 - B o Mapper 20i ►3 003 Assessed Owner 1.V 11✓1JA M= AL-REEP 4 l' I N _D i CB 004 c/o Owner 005 Street Address .D . & -77- 006 City and State VOR H A -M , CAL 007 Zip Code �1 3 {�'F 008 Property Location fbiUt om t A- gm PrU j. � 2 y � C -e, f � J 023 Book & Page Recorded 17� Date ^% Maint. Maint. Code Code ,-51 -f(z) SVT—(E CO • zgcf7/12 Code Owner 0�-1�LA-�-, etal name Maint. Code Fractional Interest Tax $ Deed of Trust First Second Benf. Benf. SEE OTHER SIDE FOR ADDITIONAL INSTRUCTIONS COPY - PUBLIC WORKS n ri 0 Nn0 "'•ori a: .Al 1..T � b • \ � � N `dam A 0 AS' c w Ali 0 0 0 G••d A hai cr 0 > CA- In A- 0 OV M.qmn > �: f> 0 m -tt 00 00 •xt � �3 m-,1 2=4M � m sig m m m�0 -1 FCXZ rn C) a o� l, MOBILEHOME .SUPPORT `DATA Mobilehome Mfr. e170V Setup Model No. 9 Year Width (ft.) Length J'rZ -(ft.) Ekpando Size ft.x ft. (Draw 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) . 45 AEC, Ajr6- SpPd, _..__.. ..`.: a sq.APo(Z..r W u -S Sin le --s� Footings -(check.dne) 1. Wood.either , pressure treated or -nte Center Support fdn-.'grade. ' :ppo t Footing Sizes 'Z. - -ca ions (in.) 2. Concrete pad. 3. Other,: specify Rn.)(in.) - — - — — — — '-Supports`(check one) �4 . , _ .. -TV 1. Concrete block 2.' Concrete piers x3t) ) 3 Steel piers - 4. Other, specify Typical Support /Zx 30 Footing Size In.) (in.)(in.) Max. Pier I WtSpacing . 3.n. .t. n.) (in.) (in.) 1 ' I J. Overhang �r f center piers are other than drawn above, craw in locations, spacing, and dimensions. BUTTE C0(1 T2Y ' BUILDING DEPAR M�W�-V� P APPROVED �,, I _ I f.. i - I i r > na 1/4, 2U1_7 o o 1 f 2}' i 1 >i 1/3 EXT. VC PtnvCCeJ &CLw:aZZO - Scc vor_ t. SID- VICV - MGP - PAD 2" X 2" x A`iGL= IR GI`1 23' I. I: 3/1i c: i*'/ 3/73 .i^J _. 3/3' x' Y MACH ECUS RUSH 'MO CCUt'E3 SUNK (aEA. rrP) END 1/1-E-78 CCS. ?P-5'UR- rRE.:iE-D ?.irp= !.1r-P!NE GRl-D= CCX P AND S ifs L %11GP cc r-. 1/* Cr:+.E 3 "ll C3 ECUA LCc< m7m t/* LCC:<,r,c - Nur C;; C---7Z;t acv ?' CIA. HOLE aI pp- t -.4a P14 11) './t ', 1 �1.� `/.-'�1'0 . •.. — ; Ir W.IJ 1 J JJJ I Ppb '� !y i ,o. C 05 1110 E X12' / ;.a r.: .>,�t0 5x�;}'r Cci.-5. :<C�.C•< X33.? a p a'; 0 r e v SPA X0 PERMANENT FOUNDATION SYSTEM GUSGUARD TUU -'i WITH MIGO PAD r sc: �:a; �-mlop,P-,o Kenneth D. Reed, P.E. ,� ro 1/•- �� _ Registered Civil Enb nzr Rd u. Yz �-?�j 7� --I _ '' � 1 8976 Si.m�-nons /✓ 'y ^ I ti^'ICAL INSTAL_nil iiGii D=in;L '-1 -!; ' I i Redding, Ca. 96001 x�-� C-rr -4 n% 13 C:._ - ,��.'- 7 , _�'.;_t:,� Voce/Fay 91G-? x_ ;13 N 1'�'C-GtM nl ` Ij _ iGli v /1 I l i Aoril 1�'97 Ci6e71 '- y } ----- - =�` r r= 1 I _ I f.. i - I i r > na 1/4, 2U1_7 o o 1 f 2}' i 1 >i 1/3 EXT. VC PtnvCCeJ &CLw:aZZO - Scc vor_ t. SID- VICV - MGP - PAD 2" X 2" x A`iGL= IR GI`1 23' I. I: 3/1i c: i*'/ 3/73 .i^J _. 3/3' x' Y MACH ECUS RUSH 'MO CCUt'E3 SUNK (aEA. rrP) END 1/1-E-78 CCS. ?P-5'UR- rRE.:iE-D ?.irp= !.1r-P!NE GRl-D= CCX P AND S ifs L %11GP cc r-. 1/* Cr:+.E 3 "ll C3 ECUA LCc< m7m t/* LCC:<,r,c - Nur C;; C---7Z;t acv ?' CIA. HOLE aI pp- t -.4a P14 11) './t ', 1 �1.� `/.-'�1'0 . •.. — ; Ir W.IJ 1 J JJJ I Ppb '� !y i ,o. C 05 1110 E X12' / ;.a r.: .>,�t0 5x�;}'r Cci.-5. :<C�.C•< X33.? a p a'; 0 r e v SPA X0 PERMANENT FOUNDATION SYSTEM GUSGUARD TUU -'i WITH MIGO PAD r sc: �:a; �-mlop,P-,o Kenneth D. Reed, P.E. ,� ro 1/•- �� _ Registered Civil Enb nzr Rd u. 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C.7 -C) l`J 111 w C) (- lJ -1 �) ;U -fn Cl_I ;uu)�� -1tI11t:) iMi�� :ai U wt .�= in I'llLf) u ;. �> af I:n =n r I)) 1' lit rtt :U 1 1'17 rh 0 u) u; 1 170 r Ca Ll fTj r►��t cj r � � .r �• 1. !.i • %+� J CJ %'r • }j -i vl 61 it �, �r r _.�i n �y� •('• 171 -,'1 t J �� rr :U Ip fl LI• . /`I Vj A ... �.Y +^� rt..l �.� :Y T1 111 r: ,iu CU `y+ // y�� � t • , ---- Li .1 -p ti � � it . r r� .:1 �, J G'1 Ui �•''•�. � Jam,./.",� ;�� Cu t.•l. W _j r) ,.......-_-.•-P1, �':. tJ vim l7 tS L) 1 I �i r 7� u) 13 (� u) .� U) ••��111 � � t -J C rn . 71- n f11 -i_, i Cyw�ry..l r Cw13-u u IY, Ca Ll fTj r►��t cj r � � .r �• 1. !.i • %+� J CJ %'r • }j -i vl 61 it �, �r r _.�i n �y� •('• 171 -,'1 t J �� rr :U Ip fl LI• . /`I Vj A ... �.Y +^� rt..l �.� :Y T1 111 r: ,iu CU `y+ // y�� � t • , ---- Li .1 -p ti � � it . r r� .:1 �, J G'1 Ui �•''•�. � Jam,./.",� ;�� Cu t.•l. W _j r) ,.......-_-.•-P1, �':. tJ vim l7 tS L) 1 I �i 13 .� U) t -J C . 71- n f11 -i_, UI l7 u IY, ) 1% - U) i) C- 171 0fit - �: rIl ll r:) i 11 U I I' C-) :J_ �_) Il �U In -i 1 -! I:n �_ -1 = CO �u :I= to .'r:'- 1 -� u) 1,. c i- -I - ri 11 1 (D i f i l - ' U -•:� -- 111 Ii1 --1 .0 u ) ;� Ca Ll fTj r►��t cj r � � .r �• 1. !.i • %+� J CJ %'r • }j -i vl 61 it �, �r r _.�i n �y� •('• 171 -,'1 t J �� rr :U Ip fl LI• . /`I Vj A ... �.Y +^� rt..l �.� :Y T1 111 r: ,iu CU `y+ // y�� � t • , ---- Li .1 -p ti � � it . r r� .:1 �, J G'1 Ui �•''•�. � Jam,./.",� ;�� Cu t.•l. W _j r) ,.......-_-.•-P1, �':. tJ vim l7 tS L) 1 I �i -1 i A regc;ras r -:w 31 -"'CO J E 'u of at, c 2 - 1 ;r..d %t .^/Y? '•an 5) ft Y N_;dcy-S are b to C� w:� :n 4 .`_t cf e erd cf a.� � ml's r�.er : a r,.,�i fe!�tr excec's SO `Ft in fence, aC�; : crz! b to ; : 2 C2f d cf eaw mary ii 3V a t' cf 6 hz; dcfirs: fic;dcyAS , o .t? augp_"S. acs::r'.las Cr'.' ✓, de -,ices -mvid.ed u ey ha^N a rated czpad y of ' 00 b.. ;X . Single VYide Units Length Length Vb:r_th b;!cih up to 4.4'. �5'-E6' Veer 56' • 10' 1 12' 1 14' 1 16. 4` 6' 8' 4' 6' 1 8' 4' 6' O' 4 6 1 8 A regc;ras r -:w 31 -"'CO J E 'u of at, c 2 - 1 ;r..d %t .^/Y? '•an 5) ft Y N_;dcy-S are b to C� w:� :n 4 .`_t cf e erd cf a.� � ml's r�.er : a r,.,�i fe!�tr excec's SO `Ft in fence, aC�; : crz! b to ; : 2 C2f d cf eaw mary ii 3V a t' cf 6 hz; dcfirs: fic;dcyAS , o .t? augp_"S. acs::r'.las Cr'.' ✓, de -,ices -mvid.ed u ey ha^N a rated czpad y of ' 00 b.. ;X 1 cies: r Gus r rv; ar, a,2 b to s; act �, appcez. �y �;� ^,as accr. each 'rme *-5 nw be cn des b a Tas cf C her an su pi s.-scw bads rV.id� t t~:e 'mere late Ciera haw pc:�'-'w atarrerrt b C.. ems teams. :a. QQ • �t r� -�;t:'•.--ifs � (:t� .i��, �',� C 05111, � a ^C0 1h :2:� C -_,::� C?JSG,LIA Doub,re y:'ide Units Length b;!cih 2T 123' uv t0 _'-' 4�6 12 12 12 over P_5' __r 16 � 16 i8 1 cies: r Gus r rv; ar, a,2 b to s; act �, appcez. �y �;� ^,as accr. each 'rme *-5 nw be cn des b a Tas cf C her an su pi s.-scw bads rV.id� t t~:e 'mere late Ciera haw pc:�'-'w atarrerrt b C.. ems teams. :a. QQ • �t r� -�;t:'•.--ifs � (:t� .i��, �',� C 05111, � a ^C0 1h :2:� C -_,::� C?JSG,LIA .� . PER:1ANENT FOUNDATION SY S I'EM x GUSGU RD i OF 9 WITH MGP PAD Kenneth D. Reed, P.E. Registered Civil Engineer 5976 Simmons Rd Redding, Ca. 9600.1 Voice/Fax 916-2R 13T6= Ap(il 1997 OF 3 ,� . �� ��- 2 sQ-a15���Q .tea. SWVI77IM..'-I 'd . - Y®y N b1 id .,Lo 7e ,_Z'909 i i 1' 1. Owner's Name:/ BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville; CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 0 /,d /" .5 2. Installer's Name: s��1 3. Is the site currently under permit? Yes © No (If yes, furnish permit number ^ O ) OR Is the site an existing site? - Yes No [:] (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What ti electrical rating? --------------- �lot Amps BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville; CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 0 /,d /" .5 2. Installer's Name: s��1 3. Is the site currently under permit? Yes © No (If yes, furnish permit number ^ O ) OR Is the site an existing site? - Yes No [:] (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? --------------- �lot Amps 6. What is the mobilehome site service rating? ------------- 20,0 Amps 7. What is.the-mobilehome site circuit breaker rating? ----- ,iii% Amps 8. Is there any other electric load to be served by the IjF] mobilehome site service? ------- Yes No (If yes, identify the load and size: p� (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- / (in.) r --- --- Natural LPG 10. What is the type of gas service. -„ ----- 11. What is the gas pipe length from meter or tank to the . P 1 1 i . •. . t , mobilehome?--------------------------------------------- .20 (ft.) ti 12. !What'is the mobilehome gas demand? ---------------------- (BTU) #,,a—''(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEROME SUPPORT DATA If other than single wide, ' Mobi.ehome Mfrfurnish Setup Model No. Year i Width2— V ft.) Box Lengt / (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) ©1. SUPPORTS (check one) I. SINGLE -WIDE Wood-pressure treated or foundation grade. 2. Other (specify) Concrete block. 112. Other (specify) Pier Footing Sizes and Locations MULTI -WIDE — Main Beams Li n 2 ---� -- --- ----- amine Z _ — — -- — Main Beams � — — — — _ Line 2 Line 1 Piers: Size -Min. ------------ Spacing-Max. - ------- F`nan Enda-Max.------- Linc "L Piers: 30 Size -Mill .------------ Spacing -Max.--------- From Ends -Max .------- (p Line 3 W of ]cads: Size-Min.------------ —j+Line Tag or Triple I1�� Line 4 Line 1 Line 1 Openings: Size -Min. ------------------ / n x b Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ---------------- S --------------- Spacing -Max. --------------- From Ends -Max .---------- - v.,xzy „ Z) x ZR„ ZA.x Z. IV,, tz„xZl „ nx z M nx „X b' -o - �� :3 ��-3 y9 �-o - Lncation (Prom FronL) ..ine. 4 Piers: - Line 5 Piers: (Under Bearing Walls Only) Siz,•-Min------------- Size -Min.------- ----------- SpacJog-Max.--------- .x �� Spacing-Mawnt �-'1 Na x " From Ends -Max. ------- �_ �� Fr� - --{ -�-- Liii� 5 Koof Wada: —PA ENT Size-Min.--..--------- 1,ocation (From Front) v wi- filY0ffl, IS, E v This -set of plans and sp cificdtions kept on the job aanis ur make any chap-os,.r� 'MWations on v out written p��rriP�34t���f�. Public Wor'Ic� am; the�Dopal 2cwttty I I ;'iluW Ot COMPLIANCE WITH DURHAM U41FIED SCII00L DfSTRICT RUOL11T N W. 87.6 DUSD NO. ',am Unified School District certifies that It ` -ne of permit appltcat(d "One WJ .et/P.O. address) - UST h j w1 (state) (zip) tl wfUl t" —lied with the requirements of Resolution No. 87.5 regarding Ir le yyi i, commercial/industrial unit(s) on Assessor Parcel no. t nt n' _ representing �... r NOTE:—AFI Materials &Wed GooalPract ceShall g and e in cordance with Recognized Specified use in the of a lity prescribed for the Sp Uniform wilding, Plumbing & Mechanical. Codes and the National Electrical Code- .Z.6 T "04 Yv Ac, --- ,7 SEP77 C. Utility connections shall be yS/L j5 110MCq' 4 ft. of the mobilehom , either 90 SO. FT IRiNUUM( directly behind or with half of the roadside (le ) of the_..-.,.-.._-.._ mobilehome.� 104 1 rl4k C�-TIFICATION OF COMPLIANCE WITH DURHAMU IFIED�CHOOL DISTRICT RESOLUTION NO. 87-5";- ..,.� DUSD NO. Durham Unified School Districtcertifies that -6 L 60",L /-rn S �y.7 S' (name of permit applicants (phone no.) (street/.P.O.. ' address) (city) ts(t1te1_ (zip) hay. complied with the requirements of Resolution No. 875 regarding residential or commercial/ind strlat unttts) on Assessor Parc o. 4' - by 'the payment of $P-�/J represeattng Af square feet. (date) (DUSD SD/ Z35L A' setbadk'of 5<�.�Fr �ropert'y firi4f"6nd a of 5C h. f . tri thif roi cente rlir shill e cl stru ur4s o0eq i.prr For a 2 ft1�aV veil Jf DATE (APPROVED By the back Of "cepf S ME 1 300N ..Irt: c SCALE DRAWN By .�. REVISED RAWING NUMBER MADE IN U.S.A 5 ry 14 nimg-, .,itjT .1 Opauvlt Aux ."T -'e) t iQEA R Y/E'W - _._:.M-rl- rF1-.A s 1-4 At.G -Orr,NkX_b IT 34 IfI rc-H., H -------� — _EXsTN.Q. Mo 8 4L -c _ :' E'IL, F'E' _Ot7A 4__ . to. =moi '7:V?"1�1_I-� ..�y ..� L.� '"F^�r1 .y,'vi�i�.1T•'e,•.�7�� .I"n.. r ..: n. ._+.h ..:.. '�'raw_�a-. .._ a - .FTN G .. D ETA -1 __L_ - _o7z:_ , /4 -2 x z p jc�=rs .J�,_V�/_11. L.L M_5 --0�� I .♦ Of 10 cJz%lvts TSP= FATED 2 IA7 j4_ _w_OYTEA- _ i� F'E' _Ot7A 4__ . to. =moi '7:V?"1�1_I-� ..�y ..� L.� '"F^�r1 .y,'vi�i�.1T•'e,•.�7�� .I"n.. r ..: n. ._+.h ..:.. '�'raw_�a-. .._ a - .FTN G .. D ETA -1 __L_ - _o7z:_ , /4 -2 x z p jc�=rs .J�,_V�/_11. L.L M_5 --0�� I .♦ Of 10 cJz%lvts TSP= FATED 2 IA7 j4_ _w_OYTEA- _ r !.. O.K9. NO. 3067.0077 ELEVATION 'CERTIFICATE Expires MQy3i, 1996 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION - FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER STREET ADDRESS (including Apt., Unit, Suite and(or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER f COMPANY NAIC NUMBER I q24 I C5oU0111 j20014� 11 OTHER DESCRIPTION (Lot and Block Numbers, etc.) APr1 oq•� - I � - ofo3 _ CITY STATE -ZIP CODE DUt2.�-IPM : GA °I5�I3 °u SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX ... 4. DATE OF FIRM INDEX 5. FIRM ZONE •-i. BASE FLOOD ELEVATION (in AO Zones. use depth) - 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑NGVb T9'�KIOth'er (describe onback) LISPS 8. For Zones A or V, where no BFEis provided on the FIRM,'and the community has established a BFE for this building site, indicate the community's BFE: lIJ s►.al feet NGVD (or other FIRM datum -see Section B, Item 7) _. SECTION C ..BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 1 2(a). FIRKI Zones Al -A30, AE, AH, and'A (with BFE). ,The top of the reference level floor from the selected diagram is at an elevation di ' I U51-71 114J feet NGVD (or other FIRM datum -see Section B, Item 7). f (b). FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of 1 IJ feet NGVD (or other FIRM datum -see Section B, Item 7). IILj (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is . feet above ❑ or below EJ(check one) the highest grade adjacent to the building. (d). FIRM Zone.AO. The floor used as the reference level from the selected diagram is L ! j.Ll feet above ❑ or below (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's.floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown u 5 ea $ 3. Indicate the elevation datum system used in determining the above reference level elevations: 17NGVD '29 M Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 71, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes [S No (See Instructions on Page 4) 5. The reference level elevation is based on: ® actual construction [I construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for. the building during the course of construction. A post -construction Elevation Certificate ' will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is:,' .I 11 i5i Q A .feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D :COMMUNITY INFORMATION ' 1•. If the community official responsible for verifying building elevations specifies that the reference is not the "lowest floor" as defined in the community's floodplain management ordinance, 16 V ' floor".as defined by the ordinance is: LLLLLi.LI feet NGVD (or other FIRM datum -v 2. Date of the start of construction or substantial improvement ---_ rVul Ll IV wu J�iwvca� I Bem ) FEMA Form 111.31, MAY 93 REPLACES ALL FREMOUS EDITIONS = SEE REVERSE SIDE FOR CONTINUATION 2 5 6 EPT q Sq 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑NGVb T9'�KIOth'er (describe onback) LISPS 8. For Zones A or V, where no BFEis provided on the FIRM,'and the community has established a BFE for this building site, indicate the community's BFE: lIJ s►.al feet NGVD (or other FIRM datum -see Section B, Item 7) _. SECTION C ..BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 1 2(a). FIRKI Zones Al -A30, AE, AH, and'A (with BFE). ,The top of the reference level floor from the selected diagram is at an elevation di ' I U51-71 114J feet NGVD (or other FIRM datum -see Section B, Item 7). f (b). FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of 1 IJ feet NGVD (or other FIRM datum -see Section B, Item 7). IILj (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is . feet above ❑ or below EJ(check one) the highest grade adjacent to the building. (d). FIRM Zone.AO. The floor used as the reference level from the selected diagram is L ! j.Ll feet above ❑ or below (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's.floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown u 5 ea $ 3. Indicate the elevation datum system used in determining the above reference level elevations: 17NGVD '29 M Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 71, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes [S No (See Instructions on Page 4) 5. The reference level elevation is based on: ® actual construction [I construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for. the building during the course of construction. A post -construction Elevation Certificate ' will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is:,' .I 11 i5i Q A .feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D :COMMUNITY INFORMATION ' 1•. If the community official responsible for verifying building elevations specifies that the reference is not the "lowest floor" as defined in the community's floodplain management ordinance, 16 V ' floor".as defined by the ordinance is: LLLLLi.LI feet NGVD (or other FIRM datum -v 2. Date of the start of construction or substantial improvement ---_ rVul Ll IV wu J�iwvca� I Bem ) FEMA Form 111.31, MAY 93 REPLACES ALL FREMOUS EDITIONS = SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation :. information when the elevation information for Zones Al -A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a;property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakavray/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAMELICENSE NUMBER (or Affix Sea[) Ma.rz� S A DP.r�I 5 C, F_ 3425'1 TITLE COMPANY NAME orL-rN S r R-' : �Ij di 1�!✓l r2— 10 g ADDRESS CITY STATE ZIP Zo-DEGI�PR-P'rl�r bfil�� GNI Go SIGNATURE DATE PHONE Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and ilding owner. 5 COMMENTS: No. C34257J*k SOF CAL*1t7 R G E. 34257 Rig. Expires 9-30-99 ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A y ,A A V ZONES ZONES ZONES ZONES ZONES n ., - lEVEI AEFERENCE AEFEaENCE Bas •... — LEVEL LEVEL FLOOD . ELEVAMN .j C {r 5.,. SASE L 0 aE;EAENCE F 00 MSE CEN AJJArENi ELEVATION FL000 .. IEVEI ELEVATION REFERENCE ADJACENT GAAJE _ LEVEL GFIAtE z - r ' r AtJA VT CAACE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones Elevations for all A Zones should be measured at the top of the reference level floor: Elevations fo`r all V Zones should be measured at the bottom of the lowest horizontal structural member. 3 , _. Page 2 i 1 GRIPPER PLATES - SEE DETAIL --1/2"X2" Mb TYP. 1/4" BASE PLATE - SEE DETAIL 1-9/16" R00 WELDGRIPPER BASE PLA1/2" FILLET BELO1/2" X S" THREADED ROD.PLUG WELD ABOVE1/4" FILLET WELD BELOW OR PLUG WELD ABOVE TO 1-1/B" X 1-3/BASE PLATE HEAVY TUBINGO.D. SCH 40 PIPE WITH 1/2" HOLE 1/4" FILLEBOTH SIDES1/2" HOLE FOR LOCKING PIN - TYP 1/4" O.D. SCH 80 PIPE J J O t r 4 - 3/8" CADMIUM -PLATED MB TYP.. o - - INTO CAST -IN-PLACE FERROL INSERTS, AFS -CP & AFS -PCP PADS [NOTE: AFS -CP PAD CAN HAVE 2-1/2" MB WITH PFFI-1/2 INSERTS] AFS-EL9 SIDE VIEW NO SCALE zt -3"ft GUSSET SUPPORT PLATE DETAIL NO SCALE 1/2" X 3" STEEL PIN WITH LOCKING KEY } o 6 ATTACH SECURELY TO MOBILE HOME SUPPORT GIRDER - TYP AFS -PCP PAD SHOWN TYPICAL INSTALLATION DETAIL g NO SCALE ' 2-1/2"f 3" COLLAPSED 9" STD. MAX. 13" TALL MAX. I" STD. 12" TALL D.IC. TYP. PERMANENT FOUNDATION SYSTEM AFS - EL9 STAND AFS - WP .l FS - CP AND AFS - PCP PADS 14 W 1 4- �►j /I 'YE F�f ry r FEW 1173-D M1NQyItEA1'. Aft�tOlYO`C;1tAND `G55K RCE 1165!. txP42/31100 ' 1465) R123:0"2 --PATENTS PENDING- APRSL 1997 � t 5F3 E'i o 4 i smEmrs AFS-EL9 FRONT VIEW NO SCALE DESIGN LISTED AND TESTED BY BSK & ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01600438 QRpFESSj PO4G"Ql�, NO. C 051110 n * Exp. � 3° Lp CIVIL qrF OF CAL���� M0g1j*1,# Me FCk)MArv_e* �rsT NEAIrH AND SAFETY CM. SECTION 1gn1 A P P R O VE O SUBJECT M CORRECTIONS NOTED lkppmvwl 40" eof Owhe ize or wP�r ve ony omissr.n .. _W61 .. fromrorrr«nwen or .P'GCoile Stofe I.ws 61-1 re State of Co&f.mio Deponmenl of Housing end C.nunvnify Devdepn.f� OrvISION F ES AND STANDARDS Qtal 4110r& SPA No. "hi�%P�'n A. srovtTi Expires -01 -- 2-1/2" ILI �- 1011 - 6 .• t�ov � , I a 311 } 0 2-1/4" '• r- 1/ f L _. 0 Z I O = 3r"11 M 9/16" DIA. TYP. O u /4" ROD, WELDED 1" TYP. OR PUNCHED DIMPLES 1/4" PLATE GRIPPER PLATE DETAIL BASE PLATE DETAIL NO SCALE NO SCALE 10'1 0 T v �I 0 2-1/4" � 'i .gyp '�1 O O 3„ 11 9/16" DIA. TYP. _ GRIPPER 2-1/4" TYP. BASE PLATE DETAIL PLATE N NO SCALE BASE PLATE DETAIL- ETAILFOR FORAFS -CP PADS NO SCALE GRIPPER PLATES - SEE DETAIL --1/2"X2" Mb TYP. 1/4" BASE PLATE - SEE DETAIL 1-9/16" R00 WELDGRIPPER BASE PLA1/2" FILLET BELO1/2" X S" THREADED ROD.PLUG WELD ABOVE1/4" FILLET WELD BELOW OR PLUG WELD ABOVE TO 1-1/B" X 1-3/BASE PLATE HEAVY TUBINGO.D. SCH 40 PIPE WITH 1/2" HOLE 1/4" FILLEBOTH SIDES1/2" HOLE FOR LOCKING PIN - TYP 1/4" O.D. SCH 80 PIPE J J O t r 4 - 3/8" CADMIUM -PLATED MB TYP.. o - - INTO CAST -IN-PLACE FERROL INSERTS, AFS -CP & AFS -PCP PADS [NOTE: AFS -CP PAD CAN HAVE 2-1/2" MB WITH PFFI-1/2 INSERTS] AFS-EL9 SIDE VIEW NO SCALE zt -3"ft GUSSET SUPPORT PLATE DETAIL NO SCALE 1/2" X 3" STEEL PIN WITH LOCKING KEY } o 6 ATTACH SECURELY TO MOBILE HOME SUPPORT GIRDER - TYP AFS -PCP PAD SHOWN TYPICAL INSTALLATION DETAIL g NO SCALE ' 2-1/2"f 3" COLLAPSED 9" STD. MAX. 13" TALL MAX. I" STD. 12" TALL D.IC. TYP. PERMANENT FOUNDATION SYSTEM AFS - EL9 STAND AFS - WP .l FS - CP AND AFS - PCP PADS 14 W 1 4- �►j /I 'YE F�f ry r FEW 1173-D M1NQyItEA1'. Aft�tOlYO`C;1tAND `G55K RCE 1165!. txP42/31100 ' 1465) R123:0"2 --PATENTS PENDING- APRSL 1997 � t 5F3 E'i o 4 i smEmrs AFS-EL9 FRONT VIEW NO SCALE DESIGN LISTED AND TESTED BY BSK & ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01600438 QRpFESSj PO4G"Ql�, NO. C 051110 n * Exp. � 3° Lp CIVIL qrF OF CAL���� M0g1j*1,# Me FCk)MArv_e* �rsT NEAIrH AND SAFETY CM. SECTION 1gn1 A P P R O VE O SUBJECT M CORRECTIONS NOTED lkppmvwl 40" eof Owhe ize or wP�r ve ony omissr.n .. _W61 .. fromrorrr«nwen or .P'GCoile Stofe I.ws 61-1 re State of Co&f.mio Deponmenl of Housing end C.nunvnify Devdepn.f� OrvISION F ES AND STANDARDS Qtal 4110r& SPA No. "hi�%P�'n A. srovtTi Expires Y I t 6 3611 �1-1/2" TYR. 1-1/2" TYR. r, r ; IL in in i" N �a o N N N r- N 1 N AFS-EL9 STAND TOP VIEW END VIEW 2" X 28" X 1 /i" STRAP - 2 EA - TYR l 0 0 0 0 1 EXT -PLYWOOD, WOLMANIZED SEE NOTE 15 O O G 1/2" CADMIUM -PLATED CARRIAGE BOLT I EA - TYR BOTTOM VIEW /2"' CLIP 11145* TYR. ( 1" X 2" X 1/8" X 28" TYR. 36" SIDE VIEW AFS—WP PAD NO SCALE 3611-1-1/2" TYR 1-1/2" TYR n CAST -IN-PLACE FERROL INSERTS FOR 3/8" CADMIUM -PLATED Md 4EA-TYR N cli IL cli c N 0,0�M11k co 0 0 1 TOP VIEW END VIEW 2" -j1 36" -- SIDE VIEW AFS—PCP PAD NO !SCALE loll 2-1A 00 PPFI-1/2 r 2 EA TYP. �I J Sn 3511 5" 45" TOP VIEW END VIEW 3-5/16" 1-15/16" 4511 SIDE VIEW AFS -EU STAND AFS—CP PAD NO SCALE 10" PFFI-1/2 - 2 EA SEE DETAIL r , , . � 1 • STD IFI -126 HEX COUPLING NUT r {' • ' - r 3-5/161 1/2" X 1-1/2" - FFFI-1/2 (2 EA) 5 - #12 REBARS TRANSVERSELY ! 7" O.C. 1/11" FILLET WELD 2 - 02 X 8-1A t" OR APPROVED EQUAL -EACH SIDE 4 - #F3 REBARS IF 5" O.C. OR APPROVED EQUAL AFS—CP REINFORCING DETAIL PPFI-1/2 DETAIL NO SCALE NO SCALE --PATENTS PENDING -- DESIGN LISTED AND TESTED BY BSK i ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01600439 pv0FESS�O� T. PO4P91F2 LLI No. '1051110 m * Exp.9�7.d2� CIViu OF Cp1-t� pRUF7ESS/pA9� y No. 11653 I \l�rFOF CAIIF��'��`P� PERMANENT FOUNDATION SYSTEM APS -RT -9 STAND AFS -WP" .AFS -CP AND AFS -PCP PADS WILLIAM A. SOMMERMEYER CIVIL ENGINEER 1173-D EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 1x'.12/31/00 (605) 499-5320 APR=L 1997 SHEET 2 02► 4 SHEETS t • R' GENERAL NOTES 1. DESIGN LOADS: ROOF LIVE LOAD --20 PSF FLOOR LIVE LOAD --40 PSF WIND LOAD --20 MPH EXPOSURE 'C' SEISMIC ZONE --4 SNOW LOAD AS REQUIRED BY BUILDING OFFICIAL 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON AN APPROXIMATELY LEVEL SITE. 3. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1000 PSF TOTAL LOAD SOIL PRESSURE. 4. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE MOBILEHOME MANUFACTURER'S INSTALLATION INSTRUCTIONS. S. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANU- FACTURED HOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/411, OR WHEN IT WILL ADVERSELY AFFECT MANUFACTURED HOME UNIT. 6. ALL PORTLAND CEMENT CONCRETE USED IN THE MANUFACTURE OF THE AFS -CP PAD SHALL HAVE A MINIMUM fc = 3000 PSI 6 28 DAYS. 7. STRUCTURAL STEEL: FABRICATE ACCORDING TO RISC SPECIFICATIONS. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES --370 PLATES --ASTM A36 BOLTS --SAE GR.5 = ASTM A449 = ASTM A3725 2. THE STAND AND PAD ASSEMBLIES SHALL BE LISTED AND LABELED BY BSK E ASSOCIATES FOR THE FOLLOWING LOADS: HORIZONTAL 1074#, VERTICAL 5970#. 9. THESE STAND AND PAD UNITS ARE DESIGNED TO BE USED WITH MOBILE - HOME CHASSIS BEAMS OF STANDARD SECTION EQUAL TO OR GREATER THAN WIX10#. ANY OTHER SECTIONS SHALL BE FIELD ENGINEERED TO ADAPT TO SECTIONS ACTUALLY ENCOUNTERED. 10. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING THESE UNITS AS SHOWN ON THE TYPICAL FOUNDATION PLAN. 11. MULTIPLE -UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF AFS UNITS MEETS THE REQUIREMENTS SHOWN ON THIS SHEET AND THE PLACEMENT AND INSTALLATION PROCEDURES ARE FOLLOWED PROPERLY. 12. FOR LONG DURATION SNOW LOADS, USE APPROPRIATE NUMBER OF ADDITIONAL UNITS AS DETERMINED BY THE FOLLOWING FORMULA: [(LONG TERM SNOW LOAD #/FTZ) X (ROOF AREA SQ.FT.)] _ 5970 . USE EVEN NUMBER OF UNITS ARRANGED 50% EACH DIRECTION. 13. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PROTECTIVE COATED. 14. METAL SURFACES IN CONTACT WITH THE EARTH SHALL BE COATED WITH OREGON RESEARCH AND DEVELOPMENT COMPANY RUBBERIZED PROTECTIVE MEMBRANE "SNOW ROOF SPRAYABLE GRADE" OR APPROVED EQUAL. 15. FOR AFS -WP PADS, USE 1-1/8" EXTERIOR PLYWOOD WITH WOLMANIZED TREATMENT TO 0.60 PCF RETENTION WITH DRYING AFTER TREATMENT. 16. FOR AFS -PCP PADS, USE CONCRETE MATERIAL CONSISTING OF SAND AND GRAVEL AGGREGATE BOUND TOGETHER WITH A POLYMER AND REINFORCED WITH CONTINUOUS WOVEN GLASS STRANDS. THE CONCRETE THUS PRODUCED MUST HAVE THE FOLLOWING MINIMUM MECHANICAL PROPERTIES: COMPRESSIVE STRENGTH - 11,000 PSI TENSILE STRENGTH - 1700 PSI FLEXURAL STRENGTH - 7500 PSI THE MANUFACTURER MUST CERTIFY THAT THE MATERIALS HAVE BEEN TESTED TO THE REQUIREMENTS OF ASTM METHOD D-543, SECTION 7, PROCEDURE 1. SAID CERTIFICATION WILL GUARANTEE THAT THE CON- CRETE HAS CHEMICAL RESISTANCE AGAINST THE FOLLOWING CHEMICALS IN THE CONCENTRATIONS NOTED: SODIUM CHLORIDE 51 SULFURIC ACID 0.1N SODIUM SULFATE 0.1N HYDROCHLORIC ACID 0.2N SODIUM HYDROXIDE 0.1N ACETIC ACID 5% KEROSENE PER ASTM D-543 TRANSFORMER OIL PER ASTM D-543 IES - 30'-77' E S S ; 2' NOM. E F1 i•--� 2' NOM. - • jEo '\QRS OM\X � I S 0�\\ZEO iNOM. .., S� SND fob C\ -f BEAM SUPPORT AS REQUIRED BY 1 t —•�-- MANUFACTURER-TYP. O O RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER-TYP.ANDARD MH FOUNDATION PIERS - AS RECOMMENDED THE MANUFACTURER OR THE ENGINEER;- TYPICAL (THROUGHOUT.RELOCATE AS NECESSARY _ TYP. O 0 PADS IN ANY PAIR MAY BE ROTATED 900 TO AVOID CLEARANCE PROBLEMS O PLAN FOR 12 AFS SUPPORTS OR LESS - THROUGHOUT. RELOCATE AS NECESSARY - E S S ; S E F1 i•--� 2' NOM. - • jEo '\QRS OM\X � I 8' NOM. j gS►No FRp C011, `�V RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER-TYP. r ---y STANDARD MH FOUNDATION PIERS - AS RECOMMENDED BY THE MANUFACTURER OR THE ENGINEER - THROUGHOUT. RELOCATE AS NECESSARY - TYPICAL TYP. 0 PADS IN ANY PAIR MAY BE ROTATED TO O AVOID CLEARANCE E '"'' PROBLEMS O PLAN FOR MORE THAN 12 AFS SUPPORTS TYPICAL PERMANENT FOUNDATION PLANS NO SCALE . E = 2' MIN / i' MAX S = G' MIN / 24/ MAX NORMAL LOADS SNOW LOAD = 0 NO. OF WIDTH LENGTH UNITS 10' TO 37' 4 1 3B -5B' 6 10' 59-78' 8 12' TO 32' 4 I 33-50' 6 51-68' a 12' 69-85' 10 13' TO 30' 4 }j 31-47' 6 48-64' a 13' 65-80' 10 14' TO 28' 4 29-44' 6 45-60' B 14' 61-76' 10 20' TO 32' 6 133-441 a 45-56' 10 57-68' 12 20' 69-80' 14 24' TO 37' B 38-48' 10 49-60' 12 24' 61-70' 14 26' TO 34' B I 35-44' 10 45-54' 12 55-64' 14 26' 65-73' 16 28' TO 32' a 33-41' 10 42-50' 12 51-59' 14 60-68' 16 28' 69-77' 1B --PATENTS PENDING -- DESIGN LISTED AND TESTED BY BSK i ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01600438 QRpFESS/0�; POOCO L C� r No. C 051110 a * Exp. A'7 Ctvi FOF CAt-t�� QRQfESszo, �`S�� P• SG�`�,�� �lc�\� NO. 1HHH-11 OF CALIM- PERMANENT FOUNDATION SYSTEM AFS-E3L9 STAND APS -WP. AFS - CP AND AFS _ PCP PADS WILLIAM A. SOMMERMEYER CIVIL ENGINEER 1173-D EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp.12/31/00 (305) 429-5390 APR=L 1997 SHEET 3 OF 4 SHEETS ■ IANNEL SUPPORT 6"X6" TOP PLATE (TYP) ADJUSTMENT BOLT OMITTED 9/16" HOLES FOR CLARITY FOR Md - TYP STI) GRIPPER PLATE — 2-1 /2 "X6"X1 /4" MSE PLATE ALTERNATE ATTACHMENT SYSTEM FOR CHANNEL SUPPORTS 20 71/2"X2" M6 - TYP NO SCALE to if 2 X2-1/2 X1/4 SECT I ON A—A pF-S NO SCALE i \\,F. S Fs, NO SCALE CC CONFIGURATION ATTACH SECURELY TO G01��.�0 yQ . MOBILE HOME SUPPORT GIRDER -TYP o r JQQ CO�.� O4 S�t V \1/2" X 3" STEEL PIN WITH 40CKING KEY ` O AFS -PCP PAD SHOWN i TYP I CIL ' 1 NSTALLAT I ON DETA I L NO SCALE OPTIONAL BRACING SYSTEM NO SCALE i --PATENTS PENDING-- i �1 DESIGN LISTED AND TESTED BY BSK & ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01600438 OQgpFESS/pN9` CO No. C 051110 rn * Exp.3n cri CIVIL F OF CA�1F QROFESSlav r CSV OF CAUF/ tit,1 mil l�/ PERMANENT POUN0ATION SYSTEM AFS -ET -9 STAND APS -WP, APS -CP AND APS -PCI- PADS WILLIAM A. SOMMERMEYER CIVIL ENGINEER 1173-D EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp.12/31/00 (905) 499-5320 APRSL 1997 SHEET 4 OF 4 SHEETS 0 R IANNEL SUPPORT 6"X6" TOP PLATE (TYP) ADJUSTMENT BOLT OMITTED 9/16" HOLES FOR CLARITY FOR Md - TYP STI) GRIPPER PLATE — 2-1 /2 "X6"X1 /4" MSE PLATE ALTERNATE ATTACHMENT SYSTEM FOR CHANNEL SUPPORTS 20 71/2"X2" M6 - TYP NO SCALE to if 2 X2-1/2 X1/4 SECT I ON A—A pF-S NO SCALE i \\,F. S Fs, NO SCALE CC CONFIGURATION ATTACH SECURELY TO G01��.�0 yQ . MOBILE HOME SUPPORT GIRDER -TYP o r JQQ CO�.� O4 S�t V \1/2" X 3" STEEL PIN WITH 40CKING KEY ` O AFS -PCP PAD SHOWN i TYP I CIL ' 1 NSTALLAT I ON DETA I L NO SCALE OPTIONAL BRACING SYSTEM NO SCALE i --PATENTS PENDING-- i �1 DESIGN LISTED AND TESTED BY BSK & ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01600438 OQgpFESS/pN9` CO No. C 051110 rn * Exp.3n cri CIVIL F OF CA�1F QROFESSlav r CSV OF CAUF/ tit,1 mil l�/ PERMANENT POUN0ATION SYSTEM AFS -ET -9 STAND APS -WP, APS -CP AND APS -PCI- PADS WILLIAM A. SOMMERMEYER CIVIL ENGINEER 1173-D EL CAMINO REAL - ARROYO GRANDE CA 93420-2554 RCE 11658 exp.12/31/00 (905) 499-5320 APRSL 1997 SHEET 4 OF 4 SHEETS