HomeMy WebLinkAbout056-140-047056-140-047 PERMIT#98-0502
SCOTT, Loyd & Nancy
570 Vilas Rd., Cohasset
Cont: Skycrest Bldg
MH on
Perm Fn-RepIaF�Z S¢0¢/Qg
056-140-047 PERMIT498-0621
"~ 056-140=04,7 �" PERMIT#98-0621
SCOTT,ni Lloyd:
570 Vila"s Rd:., Cohasset
,Demo/SF'Llllo//n)
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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 PERMITk-
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TIIYD grim
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIUNG ADDRESS
570 VTT,Aq Rn. r1TTM
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS "UNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
s '' iiTvn.,as Rn.
Energy Plan Checking Fee
$
$
Cohassett
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF EI Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: DEQ_ PER MIKE
Gas piping,system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
00
PERMIT FEE
$
"vet �<5�
9�^
f! � r
ELECTRICAL PERMIT
Fling Fee 20.00
OR LES9
Main Service Z600n00V 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.PowER
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lw for the following reason:
3; 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 OCCUP.
OR ADDNS. ( 8 ACC. BUDS.
so
3.5¢FT.
rNdON-REBID. MULTI.OUTLET RANCH CIRCUITS
@7.50
APPArurus
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
BAL % 1
Ex. Occup. OP,IT%E S . oE.-
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:
❑ 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 shell
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
I_ forthwith comply nth those provisions.
XTA 7- ter. 11 Date 4. i i (� _ _
Signature ( of, , Applicant`-`❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structuresR6ver 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
C
CONST. TYPE
TOTAL FEES 35.00
FEES IMP
I FLOOD
CDF
PARCEL
I PD
I HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Lhta Date L I U -13
PERMIT EXPIRES ON Li -16 -G/q
Data
Receipt No.
D-
WHITE-D.D.S.-E.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROAPPLICANT
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
111111141111111111111111111111111 -
1 998-0Gt 1 4363
Recorded
Official Records
I REC FEE 10.00
I COPIES 1.50
Countyy Of
I
CANDACEuJ. GRUBBS
I
.
02:09Ph1 14 -Apr -1998
I
I Pageelnof 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT �,yp
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited
to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has
established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
;SLE EXHIBIT " T1E" ATTACHED-,, -
Date: W '
- q
PROPERTYO RS:
W��Izz
A_�
Loyd E. Cott ancy r co
State of California )
County of BUTTE )
On q- I'-1 -q S before me,
S AND 0- l/ AN 1 ( FF -S T /A/ F
0
personally appeared L o y N A NC - !Z � GO T T personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand and official seal.
„z
Signature_Seal:ftk. f001
AP.#o
NOTE TO RECORDER: DO NOT RECORD THIS SIDE A.A. - I
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
Instructions for recording Agricultural Statement of Acknowledgment:
1. Insert the legal description of the property in the space provided on the other side of this form.
The legal description is the narrative description of the property - which will be on your deed. If
you don't have access to the deed, the Recorders Office can provide this information. (The
description may be handwritten or typed in the space provided or attached on a separate sheet is
more space is required).
2. Property owners must sign in the presence of a Notary Public and have the form notarized.
3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County
Center Drive, Oroville (the Administration Center building). The Recorder will record both the
original and copy. They will keep the original and return the copy to you. Just bring the copy
back to the Building Division at 7 County Center Drive.
RECORDER'S FEES: $7.00 - 1 st Page
$3.00 - Each Additional Page
RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday)
ORDER NO.. 2-64726JCW
LEGAL DESCRIPTION
'EXHIBIT "ONE",-
ALL
ONE"`
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA
OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
OCTOBER 24, 1972, IN BOOK 44 OF MAPS, AT PAGE(S) 36.
AP #056-140-047
END OF LEGAL
Page- 7 11
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P R„ T �O.
(Rev. 12/96) APPLICATION ABVD PERMIT �
ASS ESSOR PARCEL NUMBER
056-140-047
ZONING
BUILDI GPERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
970 YEAR RD- CHICO
CONTRACTOR'S NAME
OWNER
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS -E'
Energy Plan Checking Fee
$
cohassett
PERMIT FEE
S
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF R] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:DEMO— PER MIKE
,Qe K_,� �,�
t 10\e_ d"
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
$
Ke 9Sf—a��.2
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2°DAOR 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 I am exempt from the Contractors License
L@w jor 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.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to 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
forth ith comply h se provisions.
X ��79J�A____ Date _
Signa re lica 60Mer ❑ Contractor ❑ Age t
An OS r it is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A To 1000A 46.00
NEW CONST. DWELLING OCCUP. so
OR ADDNS. ( & ACC. BLDS. 3.50FT.
T
NON-RESID. MT. ULCH CIRCUITS
@7,50
8 POWER APPARATUS
SINGLE OUTLET CIR.
OUTLET OR FIXTURES 20 (P'.0°
Ex. Occu SAL o .s°
Ex. Occup. OUTLEEDTS RESID.OFR.A 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
c
o T. TV PE
TOTAL FEE $ 35.00
HA D. EES IMP
I FLOOD
I CDF
PARCEL I PD
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat d above for which fees have been paid.
By Date
PERMIT EXPIRES ON
Dale
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY --ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
.7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER OS(oIL4()_n(4.n
ZONING
BUILDING PERMIT
OWNERTELEPHO
71 V1J
2
`t"E 2-161 D
SO. FT. OCC. BUILDING VALUATION
s
,
OWNER'S MAILING AkJRESSlo/�( I n /� r )+--1
O fly- Tl1v/1U^A. C- ✓1) V\ //
CO CTOR'S NAME
cs
1
TELEPHONE '
CONTRACT &S MAILINGADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filen Fee
$ 20.00
Permit Fee
b a ` p -
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ a3.
BUILDING ADDRESS ^ 1
[/ ` `J
Energy Plan Checking Fee
E
b
PERMIT FEE
$ o% o�S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 .60
Each aas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other K
Describe Work: �QQ�i/1�►-� p� _ �(�Q,&IjOA.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
t
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 8.00=0R.1.2191
23.00 �3
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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
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.
❑ 1, 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:
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 provisions.
X Date _
Signature of Applicant - O Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWE= OCCUP. so
OR ADONS. ( s ACC. eLnS. 3.5¢FT:
No' RES MULTI OUTLET @7.50
POWER APPARATUS
d SINGLE OUTLET CI0.
Ex. Occup. OUTLET OR FIXTURES ®''O0
eAL ® .w
Ex. Occu . DFIx�E�DTSA as oEA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
43
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL 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
the applicable provisions
Resolutions to do work
been paid.
Date
re
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
4:
RESIDENTIAL
056-140-047 PERMIT#98-0502
SCOTT, Loyd & Nancy
PERMIT NO.., _570 •Vilas_ Rd. , Cohasset
' Cont: Skycrest Bldg
�PERMITEXO:—MH on Perm Fnd-Replaces SFT '
OWNER
CONTR.
C..
ASSESSOR PARCEL
LOCATION
THE HCD FORM 433A FOR T91 -79—M' C OT
' BE RECORDED UNTIL ONE OF THE FOLLOWIN
' HAVE -BE TURNED IN TO THE BLDG DIV:
1�44-
NEW MH'S)
PECTOR TO VERIFY SERIAL & LABEL. #'S
Temp. Power Is
Called PG&E
Temp. Elec. Service
}' Called PG&E �� a
i Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
V=OK
O = Not OK
Not • =
NotReady
Applicable MOBILE HOMES
Requirements - Setbacks - Easements
Pecial MH Support Sketch
V!E,"; l oca rancea Gmd-/ /Amp -Concrete
as; Location -T rap; YL
/Nat or/.3 /'L'fL/
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-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 TesM)emand ValveConnector
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 J
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
Date Card B-1 Date Card B-1
Date' Card B-1 Date Card B-1
U Z7
MISCELLANF-06S
Date DECKS, COVERSi CARPORTS, GARAGE9 (Plans) OK except #'s-
1: Zoning Requ*rnents-Setbacks•Easements
2. Footings; SoilsSisa-DepthSpacing•ConnectmSteel
3. Decks; Girders and/or Joists-DeddrV-BracingStairs-Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shtbg.-Rfg.Bracing
S. Alum. Awn.; Columns-ConnectionsSplice-0ecat-Endosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils•AnchorsStuds-Rftrs-Trusses
9. Siding; Nailinga/eneerStucco-Mesh
10. Root, Shthg-Roofing -
11. Ext; StepinDoors• I andings
12. Braced Wall.Panels
Date
Card B-1 Date Card 8-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GA
-5. Elec.;-Pool Lighting; 15 VORS-QFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7: Elec.; Bonding; Metal wffl-Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg.
Boxes-Encosures-Panelboards4ns. 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 ningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /° Ftg. Depth
RESIDENTIAL (Single & Duplex)
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
Date FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-roll Brac.-TrussShting.-Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
64. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61. Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
63. Ext Steps -Door & Sidelight Protection -Landings
64. Smoke Detector
65. Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meeh. Protection
66. Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75: A.C. Duct in Garage -Damper
76. Wtr. Ho:; 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 Instld./Drive 0 Yes 0 No/1Nalks 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:
4.
Ftg. Porches & Decks; SoilsSteel-/ P 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. P' ireplace Ftg.-Steel
.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
1 `.,.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-MaterialSupport4ns.
14.
Girders -.Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
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. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & 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 Al
30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
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-Retum 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
Date FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-roll Brac.-TrussShting.-Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
64. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61. Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
63. Ext Steps -Door & Sidelight Protection -Landings
64. Smoke Detector
65. Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meeh. Protection
66. Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75: A.C. Duct in Garage -Damper
76. Wtr. Ho:; 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 Instld./Drive 0 Yes 0 No/1Nalks 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:
COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERFST No.
(Rev. 12/96) APPLICATION AND PERMIT
�g-
ASSESSOR PARCEL NUMBER 056-140-047 -
ZONING
BUILDING PERMIT
OWNER SCOTT, LOYD &- NANCY
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
1056 R
57,024
OWNER'S MAILING ADDRESS
570 VILAS ROAD, COHASSET 95973
CONTRACTOR'S NAME SKYCREST BUILDERS
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee 450.5/2 $
225.25
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
23.00
BUILDING ADDRESS 570 VILAS ROAD, COHASSETgy
Ener Plan Checking Fee $
g
$
PERMIT FEE $
268.25
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 9 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 15.0
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CK
Describe Work: MOBILE HOME ON PERM. FND REPLACE SF
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI G1 w
920.00
PERMIT FEE $
'
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ioonOALEss
23.00 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 f rce and effect. / j t I
License Class " LIC. No. / "1
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
46.00
NEW CONST. DWELLING OCUP.
WEE CCU
OR ADDNS. ( a ACC. BUDS.
SO
3.50'r;
NEW
NON-RESIOTcl-°u7CEUf
@7.50
POWER APPARATUS
3 SINGLE OUTLET CIR.
Ex. OCCU OUTLET OR FIXTURES
20
BAL p I:ao
Ex. Occup.OUTLEEDTS(RESO)EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE t
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 polic number are:
Carrier (gip[ DCIV C/ 6L� l^/
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number I&I ttJC. 37 9'7 7 i
(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
2fohwith comply with those prov'sions.
' % o,
X Date j % �j 0 [,_
`–�—
Signature of Applicant - ❑ Owner tractor ❑ 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 $,,.-,
z 376.25
HA2.
D. fEEs I
FLOOD
cD
PARC L PD
HD S
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Da e 1,ae
PERMIT EXPIRES ON
Dele
Receipt No. 23 288
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i
• iii ilii ii ii ilii i ii ilii i i ilii i iiui
1 00 1 4363
Recorded 0
I REC FEE 10.0
AND WHEN RECORDED MAIL TO: Official Records I COPIES 1.00
BUTTE COUNTY BUILDING DIVISION CounBut
y e Of 1
7 COUNTY CENTER DRIVE CANDACE J. GRUBBS I
OROVILLE CA 95%5 I
I Maureen
02:09PM 14 -Apr -1998 I Page 1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited
to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation,
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has
established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as follows:
>, ; SEE EXHIBIT "ONE" ATTACHED%'n'r
Date: W ' - q Sr PROPERTY OW RS:
Loy L NAncy co
State of California )
County of 4 U T T £ )
On Li— I;l -9 & before me,
3AND Ark VAN TQER-S1 //1/f
personally appeared L 6 y n 4 N A NC y SCO 7 T ' personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(g) Ware subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted,
executed the Instrument.
WITNESS my hand and official seal.
ILM
Signature � &,! \(dn 1&g -J o Seal: � J
A.P.0
LEGAL DESCRIPTION
EXHIBIT "ONE"
ORDER NO. 2-64726JCW
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA
OF THE COUNTY OF BUTTE, STATE OF. CALIFORNIA, BEING MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, FILED IN THE OFFICE
OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
OCTOBER 24, 1972, IN BOOK 44 OF MAPS, AT PAGE(S) 36.
AP #056-140-047
END OF LEGAL
Page 7
i v-•-�.r v i..�^-�'^ j'-'�rrr-� •R�:.�y-.�-nf-.+e7y+�n'rF i.^�•Y-.vw�vrw, ....v.�-,. yS'.^"".J...-�.,..%1n-.-+**rx�.-.•''K""'" "' • .�. r.-.-�.� Te. -.,...+,rt -..-T
BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per iuilding)
I
School District -,C Y `k
A.P. Number ( )-7I n
Property Owner
Jurisdiction: Cit
Property Location/Address S r7D V i142's
Building
�Department No.
City
00 County
Subdivision
Lot No.
Residential Development
5/
Sq. Footage
No of Living
Mobile Home
Addition
(Group R)
Units
Installation
/ Y_ :5
Commercial/Industrial
Sq. Footage
~
New
Addition
(Including Exterior
Roofed Areas)
c3h�Dhg
uilding Department Repr entative
Date
(Floor dans reviewea ny Scnooi uistnct versonneu
ca ��District Identification No.
School District certifies that
/ . J /
(Street Address)
(City) r
has complied with the requirements of Resolution No.
square feet.
� w4 -Y,
School District Representative
i
Paid by Check # %i A Remarks:
6a&,er)
(Applicant)
(Phone Number)
(State) (Zip Code) �1
% 2242 by payment of $ X( cH/ 7
JFBW25�26� $
LL MITIGATION $
y -/319e
Date
a3/g(0)LA/
Notice: You may protest the imposition of,the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date:fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by,'the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
Whitelapplicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm
:31 1: �)-(I., q�
FA
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FAI57- RESIDEWCE-c'
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(Vxrmi(- 0 q%t-0(v2'1
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PROPOSED
LCFACH LW8
'E Yl 5 r,
plzlvi;
EXIST
4ARA46
14 )( Z-0
P� $ E- PWR,
EXIST-
6TOXA66 5,WE-.D 10
EXIST TANk
()600 4AL)
EXIST
Exisr
t-E,qC 9
ilIN45
000';MP�l
LOYD �NAtqr-Y SCOTT
570 VI LAS KD
COHiN,55ET CA 95973
A /P if 05(o - 140 - 047
SCALE I" =1,00'
9
- r ,
1
CDF FIRE SAFE REQUIREMENTS
S 4 -C( i ��� pSo Z Sc -7- L -
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the. Butte County Building Department for
compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
[�]
1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other app. -,rte -cant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
'
pounds.
[xj
1273.03, Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
1. No roadway shall have a horizontal inside radius of
,]
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
2. The length of vertical curves in roadways exclusive
II
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[�} 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of -the road.
[�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[7y 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of - 3.,
f
2 T L6 VS
AP # PERMIT # NAME
[x] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[X] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[�] 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[�C] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[�] 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ul] property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
] 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall'be completed prior to completion of
road construction )r fi:ial inspection of a building
permit.
Page 2 of 3
It 41 z L o `fes
AP # PERMIT # { NAME
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves-
- Interior automatic spri:ikler system per NFPA.I3D
-Glass area not to exceed i0%- of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of 3
P
30
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r
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1�v
PRO POSED
R�SIDENCE 2D�
(.2'BR +DEN) _
moo'
V, Ex Ex 1 sr RES/ DE14C�
�1 �TD BE DP4e�l t )
PRoposED
LEACH L/NE
remOw4—
/68;
I:XISr
Delve
ExIST .
r5o'4ARAGE
14 x z.0
EXIST
pr,t e PWPE
LXI51
,SToMAGE S/JE p lO K 10
ExIST TANK
O000 GNc.)
EXIST L' EX I Si
LEAC N WELL
APPROVED .
Butte Counter.
Pnvl o amental HOW M
Signature
Environmental Health
MAR 1 8.69
Chico. Caiifomia
LOYD �NAt4r-Y SCOTT
5'70 VI LP%S RD
COHASSET CA. 95973
A IP 1t O SG —140:- 047
SCALF- 0 = 100'
e
rI —
I CNF'F�IJL.:jIJ I I
lI I i I 1 I
I I I
UTILITY _ I ' ' I ' , ' IL ;; —; BEDROOM
—„0`,a ' . KITCHEN%DINING ` °° p ° No.
11'-10" i=r >, • I 10'-2"
i j: o r u+rFr 5 <
oP
.
�.
2
APPRo VED
i GPT ni�H I
--
SLIfte County I
I - - I KI.' -HEN: Lrt+PIGi UYIA•7 F.O,om r
Er��� ~� eMental
:.
MASTER
BEDROOM
F,-BEDROOM
LIVING ROOM �; 10E8"
, 19'-4" ;
t- '
Da,-
,
No. 1
14'
ucT
�,;
t
SI ,.
9nakn
i
t+
r
I
�
-
Environmental Health..
MAR 1 81998
Chico, California
-
__
DIVISIONS■��
111 341 552
rn
112 3 553Z
115345 571
K91
y
w
=,vx etc! i V= Ton 151
125 355 591
"MaJUAM HOOT zon �
■E1ril�F�:7�� �ssc�:
M.H.I.- 2
Mobilehome Manufacturer: 5kt1Z-? ✓6— Manufacture Year: 19
If other than single wide, furnish Setup Model Number: A ?O D
Width: -A 4 (ft.) Length: *(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.
FOOTINGS: Wood pressure treated or foundation grade[] Other:
SUPPORTS: Concrete blocv Other:
Provide Tie Down Specifications for all Mobilehomes: 770UNOA7-,-0rj
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 e 1
Line 2 Line 2
................................................................................................
Main Beams
....................................................................................:...........
Line 2 ine 2
Line 1 Line 3
Line 2
................................................................................................
Main Beams
................................................................................................
Line 2
Line 1
................:................................ine S
Tag or Triple ine 4
rinel
Line 1 Piers:
Size minimum: uz 1 x r c34 .
Spacing maximum: `
From ends -maximum: `
Line 2 Piers:
Size minimum: [ I ] x []•
Spacing maximum: 14 ` a `
From ends -maximum: O `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
Line 1 Openings
Size minimum: [ RA x [ 3 C11.
Each side of openings
with width over: O `
Line 4 Piers:
Size minimum: [ ] x [ ].
Spacing maximum: `
From ends -maximum: `
IFEMt��������
�®' IMWINI ti M�M��
1. Owner's Name:
2. .Assessor's Parcel Number:
3. Installer's Name:
4. Is the site currently under permit? Yes[ ] . No[ ] Permit No.
5. Is the site an existing site? Yes[ ] No[ ] - (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? Amperes.
7. What is the mobilehome site circuit breaker rating? Amperes.
8. What is the electrical rating of the mobilehome site? Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is
the rating? ' Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ ] No[ ] If yes, please identify the load and size:
a) The mobile home site:
Load- . Amperes -
b) The main service:
Load- Amperes -
11. Type of gas service at mobilehome site: Natural[ ] Propane[ ] None[ ]
12. Size of gas pipe at the mobilehomeA site "from the meter or
tank: inches.
13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.).
14. What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
i
May 1995 8.5
CENTERLINE SUPPORT REQUIREMENTS
THIS SHEET TO BE INSERTED WITH SUPPLEMENT
TO FIELD INSTALLATION MANUAL FOR ZC4 ROOF
SNOW LOAD
RI:'/!Elti'E(` SY kiV�INr Elfl Vti IiEI'i.
ISSUE!' SY FOLLOW tW SEIWICES DEPT.
,JLJN 2 (S 1994
U ;AV,/ R I'1 E P, S
LASORAYORIES, INC.
FILE MH 9321
VOL i
SEC. 4
ILL. _ 51 P0. 6-'Je)
A
z
0
n
a
SERIES DESCRIPTION NO.'z'
ZGsjlr ROOF
LIVE LOAD 4.4Z 4 - 3�.K-2Z +�CX�d�
Dwo. DY 'a� CHECKED SHT. nF
COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,•�O�RITIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSORPARCEL ER:
Proposed Building Use: i Building Inspector:Date:
At time of permit application, I as adWed ed the following data must be submitted prior to permit p cess' g and/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
E32. 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 .------------------
❑ 0. Fees of $---------------------------------------- -------------------------------------------
pact fees as shown on the attached schedule.55c-_l- - ---- -------- j ------------- ----- ------
`,� , -----
ornia Department of Forestry plan approval/fees.------------,
❑ 13. Flood elevation certificate. ------------------------------------------------------------------------------=---------
fe_�anitation and plot plan approval 0,Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ Plot plan and business license approval from the City of Biggs. ----------------------------------------------
7. Planning approval for (A) Use: (B) Parking: -------'--------
El
------❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel: -----------------------
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). -------------------- __--
❑20. Pre -inspection for
required. Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). ----------------------=-------------
022. Workers' Compensation carrier and policy number.------------------------------------------
--------------- �...._
E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
❑ Letter of signature authorization. -------------------------------------------
Recorded copy of Agricultural Acknowledgment Statement. ------------
026. Letter of intent on building use. ---------------------------------------------
❑27. Manufactured Home utility clearance. --------------------------------------
❑28. Existing violations and/or expires e - � � -S---------==
329. A, ❑Grant DeedTi e, Check to H.C.D $ p ,
030. Other:
(Date)
L L WWI
/Nd Eff, 1 " 1 �ro_
r
When you issue the permit, process as follows Cl Mail to owner, ❑Mail to r.
KTelep ne ' ntracto
and hold for pickup at �ecv 1 Mce. ❑ Deliver with ' ector.
i
r r k-` Applicant: Date: I 3 O ? O
U Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: 4l' By: i
Copy of plans sent ❑ Health Department, ❑ Fire Department ❑ Other: Date: By: r
1. Index pemut application for the above items numbered: i ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by..,i Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by 1- 1 ' Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by 1 Date:
Contractor, designer, • wrier, =of the aboverequiredby 13 phone, ❑ mail, ❑ Building Div' 'on counter, by ; Date:
Plans reviewed by: Date: • �j Plans approved by: Date: �,i•/(/ • qg
Sets of plans or hold ' Plan Cabinet, ❑ A.P. foldei. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
s
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DMSION
7 COUNTY CENTER DRIVE
OROVELLE CA 95965
ggg-(D01b(Oy(5
APR 2 91998
NOT COMPARED WITH
®RIG &%M� 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 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.
LOYD E. AND NANCY M. SCOTT
REAL PROPERTY OWNEIULFSSOR
570 VILAS ROAD
MAILING ADDRESS
CHICO, BUTTE, CA 95926
CnT COUNTY STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (�f also properly owar, write'SAME•)
MAILING ADDRESS
Cr" maKrr runs m
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT aM CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
9 0502 530 538-7541
ERM NO. TELEPHONE NUMBER
4/29/98
S1GNA OF I OCdL AGENCY OFFICIAL. DATE
CO SIN GARY'S FACTORY BUILT HOMES
DEALER NAME (J oa a dealer sale, write
91265
DEALER LICENSE NO.
SKYLINE 1998 WINNER A900
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
8I3;70-0.739-K-A/B .44'X24' ULI 465996/465995
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 056-140-047
SEE ATTACHED LEGAL DESCRIPTION.
HCD FORM 433(A) REV. 8/91
WHITE - Canty Reoorder CANARY - HCD PINK - Appliom GOLDENROD - Building Dep.
LEGAL DESCRIPTION
A.P. #056-140-047
A portion of the Northwest quarter of Section 26, township 24 North, Range 2 East, M.D.B.&
M., more particularly described as follows:
COMMENCING at the Southeast corner of said Northwest quarter of Section 26; thence along
the South line of said Northwest quarter, South 89 deg. 51' 22" West 512.75 feet; thence North
06 deg. O1' 19" East 3 00. 00 feet to the true point of beginning for the parcel herein described;
thence from said point of beginning and running South 89 deg. 51' 22" West 731.52 feet to a
point on the Easterly line*of Vilas Road; thence along said Easterly line of Vilas Road the
following courses, North 23 deg. 31'02" East 77.20 feet, North 37 deg. 09'02" East 467.91 feet,
North 66 deg. 3938" East 25.26 feet, South 89 deg. 17 00" East 236.77 feet and South 62 deg.
59'22" East 218.97 feet; thence leaving said Road and running South 06 deg. 01' 19" West
351.41 feet to the place of beginning.
Reserving therefrom an easement for roadway and public utility purposes set forth in that Deed
recorded February 24, 1976 as Document 22888 in Book 2050 Page 179 in the Official records of
Butte County, California.
BUILDING PERMIT NUMBER: 98-0502
Address or location of unit: 570 VILAS ROAD, CHICO
Legal Description of Real Property: A:P.# 056-140-047
SEE ATTACHED LEGAL DESCRIPTION.
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation sytem
pursuant to Health and Safety Code Section'18551.
Owner's name: LOYD E. AND NANCY M. SCOTT
Owner's address: 570 VILAS ROAD, , CHICO CA 95926
INSIGNIA OR HUD NUMBER: ULI 465996/465995
SERIAL NUMBER OR V.I.N.: 89700739-K
MANUFACTURER'S NAME: SKYLINE Y AR: 1998
OFFICIAL APPROVING INSTALLATION:
DATE: _ 4/29/98 PHONE: (530) 538-7541
H.C.D. 513C
MAR,'-11'98(WED) 10:39 FIDELF 'NATIONAL TEL:916899` 1 P.003
Recording requested by:
LOYD E. SCOTT
When Recorded Mail To:
LOYD E. SCOTT
570 Vilas Rd.
Chico, CA 95926
Mail Tax Statements To:
Loyd E. Scott and
Nancy M. Scott
570 Vilas Rd.
C:hiccl, CA 95926
t,PN ;056-140-047-000
DEED OF REALTY IN TRUST
95-0104301 1
1
4: Recorded I
011icial Records I
County 01 I
Hut�•Z I
Candace 3. Grubbs I
Recorder I
9:56am 29 -Mar -95 I
95-10430
Ree Fee 9.00
Check 9.00
PURL XX 2
TV. "'t -ed d fdnj fiya ry Caaw—" 'I, ' -'T
T. pwcbL. Lows+ k 5 None
-C—Ted an val.e, d [lac xw c�l�••.d.
�. iDTOurCd esull .i11V� 11-.• .:,,w. —d yTM..e—
i
LOYD E. SCOTT ind NANCY M. SCOTT, hereby grant.:^ LOYD E.
SCOTT, NANCY M. SCOTT, PAULA R. MARTINEZ and DEBORAH J. S^ -OTT, as
Trustees, in Joint Tenancy, under that Trust Agreeran-c dated
December 1R, 1994, between DOYD E. SCOTT and NANCY M. SCOTT, Ls
Trustors, and LOYD E. SCOTT, NANCY M. SCOTT, PAULA R. MARTINEZ,
and DEBORAH J. 15^OTT, as Trustees, all interest in that real
property situaced in the County of Butte, state of California,
described as foilo.rs:
A portion of the Northwest quarter of Section 26, Township 24
North, Range 2 East, M.D.B. 6 M., more particularly descrited as
follows:
ComM ENCING at the Southeast Corner of said Northwest quarter of
Section 26: thence along the South line of said Northwest
g4arter, South 890 51' 22" West 512.75 feet; thence North 06" O1'
19i1 Last 300.00 feet to the true point of beginning for the
parcel herein described; thence from said point of beginning and
runnin•y South 69" 51' 22" west 731.52 feet to a point on the
Easterly like of Vilas Road; thence along said Easterly line of
Vilas Road the following courses, North 230 31' 0211 East 77.20
feet, North 37' 09. 02" East 467.91 feet, North 66' 39' 38f1 East
25.26 feet, South B9' 17' 00" East 236.77 feet and South 62' 59'
2211 East 216.97 feet; thence leaving said Road and running South
06' oil 1911 West 351.41 feet to the place of beginning.
Reserving therefrom an easement for roadway and public utility
purposes set forth in that Deed recorded February 24, 1976 as
Document 22888 in Book 2050 Page 179 in the Official records of
Butte County, California.
along with all personal property located thereon.
COUSIN GARY'S HOMES
Chico,
HWY 99
Chico,, CA 95973
HCD # 91265 • Contractor's License # 295412
(91 b) 343-8494
NOTICE THIS FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN.
MANUFACTURD HOME PURCHASE ORDER AND FEDERAL DISCLOSURE STATEM T
r- e- � DATE: 9 9 b I
-HASER: DAY
KESS: 361 Z - 1te Gb
Sr% t 4- ' HONE:
'• .c d- STATE: - ZIP: � - SALESPERSON: ! FHON& EVENING
®ct to the terins:and conditions stated on both sides of this agreement Seller agrees to sell and Purchaser agrees to purchase, the following MFD.%MBL Homai3 • '
j... MODEL,y/�w�R� B. ROOMS APPROX. (NOT INCL.. EW.SITUS.'
/q�V�/ TOW BAR/EAVES.) ' ADDRESS- �l
W. ❑ USED ��(1r r.'
�l SERIA UMBER ,? .
APPROX. HUD OR HCD NO.
. DTpOF MFG. Q�t �/0� 1'lQ�b3 ti rr� , ,P •�+•
r .�X i • •'.' DEL. A E - - _1 S Coun:ys f7 fig G Y t -j i -Q
1=0. .
�1 1d �� i t tt
COS'[ OFTHE MFD /MBL HOME DES STED PRICES FOR THESE ITEM5. .SO. FT. LIVING AR A • .. AR 1�1 !' r •t• 7I . I R)= �`'ldt' 2➢36 J•L
G g • 3 �v S EAQiHEEL HUBS, TIRES,$ 50 NLEs ' MFD. HOME PRICE
W BAR, HEELS,$_.. S^ $ .
IF•D.ORD:.!:-� �F •(� ESCROW OPEN STKa/OTHER USED HOM SALES TAX, IF ANY,' 1ST SOLD PRIOR TO
ZED ACCESSORIES AND THEIR, COSTS: (SEE ADDENDUMS)
_,
E° BELOW UtIRCLED , ADDENDUM A HERETO, A : L
IC�;:S=TO;SITE APP.ROVAi_
,,� �;x9, ,rY � •� >~ ;-` rt . � _ _ - _ ,�°r, �,A, VI_ , l�io r.•_e p r. __Fb�' � �'� yV����„ ?'�/t ���,
! F .,, ( 't , S ♦` 4, z rj^v sl, =i ify'1�..t
Si:- tfr �r;-'.-•,T - .,. „ ... '�.<•js.:. -"_—q _ .. i9 �. ` � 1'� .i�i,':4j{.� •w�sn':�':D
DESCRIPTION
OF . TOTAL ACCESSORIES (OUTSIDE,HOME)
;E MODEL TOTAL MFG: HOME & ACCESSORIES1. 7
rz SALES TAX (ITEMS NOT INTEGRAL TO HOME) $r'�rl Ati°J�lv
SERIAL NO.
OUNDA11ON SYSTE TIE:DOW-f NS '
)UNT OWING ACC T NO. DELIVERY �o %�s+,+w On�t� : :,_ i• ,�; `''
SET UP 10 0' l�rvl=w� on L '
WHOM:
HCD FEES
CRESS/PHONE
INSURANCE PREMIUM (ONLY IF SOLD BY DEALER) w
VENTIL ION IMPROVEMENT-NEW
ESCROW FEES.
I HAVER VENTILATION IMPROVEMENT INFORMATI OR $
I HI D./MBL. HOME. � SCHOOL FEES
OTHER / PRE PAID TAXES IJ $ A,' 1•
li'LIYER"S SIGNATUREi0
DOC. FEE (NOT A GOVERNMENTAL CHARGE) �•$•`.�"`,'';'.;,.. ZC'
i MANUFACTURER STATES THAT INSULATION HAS BEEN 1. TOTAL CASH PRICE ' ' " ' $ ' I �► ' ` '
IALLED IN THIS HOME AS FOLLOWS: (NEW ONLY) ; ya';' '='i "'"::' i"•`!
ALLOWANCE ON TRADE-IN $ �"' ``r' :: ; :d'•,':::.• '
TYPE THICKNESS R' FACTOR LESS BAL. DUE ABOVE $ 'Cs�
,F b - 2Z NET ALLOWANCE $ "Arco-
ERIOR WALLS Li 1'L - I 1 PAID HEREWITH $. �� '� t' < < 'r$
OR H 1-) CASH BEFORE DEL A $ _ ;� t *:r3 �•
ARNING—Unless a charge is included In this Agreement for Public DESIGNATED DEPOSIT �. $; d„
lbility or Property Damage Insurance, Payment for such Coverage (INC. IN ON. PMT)
not provided by this agreement. '41, r- /.•. : ' 2. LESS BUYERS DOWN PAYMENT $
r: rs;� yrs 3. UNPAID BAL. ON CASH SALES PRICE $
the.'dealer ris `also; licensed � as a ; real estate broker,. the
Ss• • e r:4�skl ,. 4. FINANCE CHARGE $
le' of'a �manufactured home � or .mobilehome being installed S. ANNUAL PERCENTAGE RATE
a`'foundation system pursuant to Section 18551 may be 6. TOTAL PAYMENT AMOUNT (3+4) $
,luded;; Jn ``the..' purchase document for the underlying real 7. UNPAID BALANCE DUE PRIOR TO DEL. $
operty,;c p�ovided� that the •requirements of HSC SEC; 8. TOTAL DEFERRED PAYMENT PRICE (2+6) $
,�{5, �. / �" ,IN$TALL'ATION CONTRACTOR IS:
ME's `'�. zo; BU) brig Systems r '.
UC.'# oix
51N6SS'ADdIiESS ,`1x;1.3468 HWY.•99'«'? n event the manufactured home cannot bedeliveed-e /or-inspectioncompleted
with i the agreed delivery time due to nonperformance by the buyer, boxer agrees to
Y,., tz s+!rt Co �' Y ;; t� . , ;:CA`Z ZIP
one f the following at the option of seller, either (1) to pay $ Z r
I char s per day until a manufactured home installation acceptance or certificate of
�ContractorlS)slrequired by •law to bei licensed ltd r I t d'b t�� occu ancy is obtained in addition to all other consideration owing or (2) pay the sum
vtrdctorstStete•License,B6ard, P.O. Boz,26000 S.
"mento, CA 95827..
•. (�,,. i, of $ j' in lieu of total consideration.
t A% r.� wt�rR41—it--t.t r LIfR! t=NT RFFORE YOU READ IT OR IF IT CONTAINS
MAR.--11198(WED) 10:59 FIDELI` NATIONAL
tt At�j
7. t
iri
d.
TEL:916890' 71
L
1043
-
Trustees &WAAA naid'prope- ty, irl Joint n o]nt Tenar
in rder.,. hii{�i.ransferred to the remaining Truste
:one,iortimoreofk' f3 d. -Co, !Trustee*fshould die'so'Tthat death of
.,
a -Trus as-may-'-ba--astablished by.recording an Affidavit
'
...Establishing'i;the - Face of ]Death.
DATED-' -'December 16,*'1994-."
D SCO
.14ANCr- SCOTT
STATE OF CALIFORNIA
COUNTY 'OP FRESNO -'---'0'
On Decmeberbefore'me,w.*.,A. Bloyd, Notary Publ
personally appeared LOyD.E. SCOTT and NANCY M. SCOTT, l
known to me to bo the persons whose'namas are subscribepdersonato th
within instrument and acknowledged to me that they executed th
same in their authorized -capacities, and that by the4r signatu
n the instrument the persons, or the entity Upon behalf of wh
the persons acted, executed the instrument.
WITNESS my hand and official seal.
W. A. Maya
FRE -RHO COU ►ITY
Notary Public in for d State. CWMI. 0-0104 APPA 2X116
:A�
. Z
Gy
K,
P. 004
AA
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iri
AA
I
"pt or
r
DEPARTMENT OF
STATE
DLCOMMUNITY DEVELOPMENT
DIVISION OF CODES AND STANDARDS
REGISTRATION AND TITLING SECTION
STATEMENT OF FACTS
This unit is.a:,a Mobilehome EJ Commercial Coach Floating Home Truck. Camper
Decal (License)- No.(s)-
Trade Name
Serial No.(s)
I/We, the undersigned, hereby state that the unit described above:
Affiant further agrees to indemnify and save harmless the Director of Housing and Community
Development, State of California, and subsequent purchasers of said unit, for any loss they
may suffer resulting from registration of the above-described unit in California, or from
issuance of a California certificate of title covering the same.
i
I/We certify under penalty of perjury that the foregoing is true and correct.
Executed on - /4 —.1999' at c/-/♦ c o C .
Date (City) (State)
Signature of each affiant Printed name of each affiant
GENS �67AaC ddt l P
Address/31,�d' ,yGIJ y f9
C i ty cly/ c o - , State C4
HCD 476.6 (Rev 11/86)
APR -29-98 01:39 PM CHICO BUILDING SYSTEMS 530 342 9174 P.01
r � _. ...... _. . , ..».. moi.. .w..�......�._ »..
IIiOs RTATE AF CALIFORNIA B R:
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 8622749
0 DIVISION OF CODES AND STANDARDS
MANUFACTURED HOUSING PROGRAM
"° MANUFACTURER CERTIFICATE F
f O ORIGIN
t Nt
OtRtA f!U QYR y�l : RIGINAL (PINK) FORWARQ TO THfi INV NTORY CREDITOR, UNLESS TIIERfi IS NONG. THEN FORWARD TO THE PVRCM"rR (OEALIiR OR TRANSFEREE).
' COPY 1 (WHITE) FORWARD TO TI IE DE ARTMENT AT P.O. BOX 1828. SACRAMENTO, C958121828, LMTI LIN FNE (5) DAYS OF RELEASE.
COPY 2 (VF,LLOW) DELIVER TO 14-1 SPORIER TO ACCOMPANY THE UNIT 10 IIS UESI INATION
COPY 3 (GOLDENROD) TO BE RETAINCD BY THE MANUTACTURCR.
HCA 4183.0 -'Side I - (7/87)
❑ CI IECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO.
MMUFACTURED HOME OR MULTI-LL&uT UAwu L Ar- I I IR•F1) 14r11 MlNC;
X� SFD (SINGLE FAMILY OWELLINI Post -it- Fax Note 7671
Dale oho
WI
COMMERCIAL COACH: TO
From S
. ...
OCCUPANCY GROUP CuJDepi.
Co.
t o ►3ca6 .
MANUFACTURER NAME: Phono N
Phone d - -%.&7 501
MANUFACTURER LICENSt N MBER:
Fax If
SKYLINE IID ES, IN(:
Fax it
/
90002
MANUFACTURER ADDRESS:
SUGGESTED RETAIL PRICE:
SpV110 EAST ISEAMER STRF.FT ttU(. �l ^11.)
Ct fe 95 7 7 ,
$40,053-55
NUFACTURER TRADE NAME:
MODCL NAME AND/OR NUMBER'
DATE OF MANUFACTURE:
WINNER
WNR A900
4/17/98
NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO).
CALIF. DEALER NUMBER OR
DATE OF TRANSFER: '
TRANSFEREE DESIGNATION:
SKYCREST ENTERPRISES, [NC/COUST11 GARY'`:
91/`65
4/20/98
DEALER OR TRANSFEREE ADDRESS:
StAeI 68 11WY 99 FAST CUM)
Cit CA State
9592 z
INVENTORY CREDITOR NAME:
DEUTSCHE FTNANCIA1. SERV ICES
INV N ORY CREDITOR ADDRESS:
BOX 1750 TI;Z(1'F.
CI! A7, (S (a
85280—l150
RECTION
MANUf ACTURER SERIAL NUMBER
HCO INSIGNIA OR HUD LABE1. NUMHER
LENGTI I
WIDTH
WEIGHT
1-6
INCHES
INCHES
POUNDS
18D-70r07jQ—K7D
ULI
465995
528
144.
13,778
LII�T*
_Iirlsqc)fi
52A
144 114.44A*
TRANSPORTER NAME'
TRANSPORTER ADDRESS:
BOX 179 DURNA'I�
CA
95938
svAi
(StmN
DESTINATION FOR UNIT DESCRIBED ABOVE:
tMMUSIN ACY' S I ► INY 99 FAST
Ca CHICO I6
95926
I anbT undo/ pWafty of perjury Um tt IAe Itws of the Slain of f tlifornls lhtl IM aEaw tads we In.a yrQ oanect
EIIeIXAtd en[, [ �.z / g R _ .I __.._ ---•..vnm
r , I1.
ICanIY)
CA
esew,
SIGNATURE OF AVT/+ ORIZED ApiN t
t Nt
OtRtA f!U QYR y�l : RIGINAL (PINK) FORWARQ TO THfi INV NTORY CREDITOR, UNLESS TIIERfi IS NONG. THEN FORWARD TO THE PVRCM"rR (OEALIiR OR TRANSFEREE).
' COPY 1 (WHITE) FORWARD TO TI IE DE ARTMENT AT P.O. BOX 1828. SACRAMENTO, C958121828, LMTI LIN FNE (5) DAYS OF RELEASE.
COPY 2 (VF,LLOW) DELIVER TO 14-1 SPORIER TO ACCOMPANY THE UNIT 10 IIS UESI INATION
COPY 3 (GOLDENROD) TO BE RETAINCD BY THE MANUTACTURCR.
HCA 4183.0 -'Side I - (7/87)
r�X �o � ��y
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
4I!
ONLY
Phot Pim Attwhad
Floor PI. Attached
Seat to B.D. /
Owner Location AP#
Plan Approved for: Sewage Disposal _L,=, WaterSupply: Public Private Well
Clearance for bedroo mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
En ironmental 461th Specialist Date
8/92
GRIPPER PLATES - SEE DETAIL
-1/2" X.2" MB TYP.
1/4" BASE PLATE - SEE DETAIL
1-9/16" ROD WELDED TO
GRIPPER BASE PLATE. 1/2" X 5" THREADED ROD.
1/2" FILLET BELOW OR 1/4" FILLET WELD BELOW
PLUG WELD ABOVE OR PLUG WELD ABOVE TO
BASE PLATE
HEAVY TUBING. 2" O.D. SCH 40 PIPE WITH 1/2" HOLE
1/4" FILLET 1
BOTH SIDES 0 1/2" HOLE FOR LOCKING PIN - TY
0
F
H 2-1/4" 0.0. SCH 80 PIPE
J
0
Q
H
c 4 - 3/8" CADMIUM -PLATED MB TYF
INTO CAST -IN-PLACE FERROL IN!
AFS -CP & AFS -PCP PADS
N _ _ [NOTE: AFS -CP PAD CAN HAVE 2
MB WITH PPFI-1/2 INSERTS]
AFS—EL9 S 1 DE VI EW
NO SCALE
1
r
311---
GUSSET
"--GUSSET SU' PPORT
PLAT -E DETA I L
0
NO SCALE
1/2" X 3" STEEL PIN
WITH LOCKING KEY —
ATTACH SECURELY TO
MOBILE HOME SUPPORT
G I RDEFi - TYP
® I -,.,C AFS -PCP PAD SHOWN
c
®�1
TYPICAL INSTALLATION DETAIL-
Nn
ETAILNO SCAI F
AFS—EL-9 FRONT VIEW -
NO SCALE
I
--PATENTS PENDING --
I
DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F01600438
P0,`"Ql�\
co
W No C 051110
* Exp. 30 c
`!�' COIL �P
qPF OF CAUF��
0001151L000 4 FOUNUA te•rr s.artfb
HEAtrH AND SAFE" CGDE, SECTION Joni
A P P R O Y E 0
SU8IECT ro CORRECTIONS NOTED
kpproval d0w "at ou*Wdze or approve any omimon at derfolio
herrn reanro--m of applicable Stale Rave and repulotio m.
Stara of Cotifonnio
Daparurmom of Housing and Commvniy Develop wd
C DIVISION F ES AND STANDARDS
Irv�•1 Elf��%������
SPA NO. _31 __--__--------
NS P n A. ,rovai Expires
PERMANENT FOUNDATION SYSTEM
APS — E3L9 STAND
"S—WP. "S—CP AND "S—PCP PADS
WILLIAM A. SOMMERMEYER
CIVIL ENGINEER
1173-D EL CAMINO REAL - ARROYO GRANDE CA 93420-2554
RCE 11658 exp.12/31/00 (805) 489-5380
APRIL 1997 SpWTrfl (yLIT
4 S>�ETS
`'�`'L�k-ate. �1,�-1;-u�!!' '�`.6.�. . "` ° �sa�•A ,.a.
2-1n
OSP• F,�O
U
— 10" N6 �,( �yQ
91
a -a
O �. Fv�O
I\=
r y —
%hP�
1� ��,
311itAF.
I
i �- to
�;P
A .
=
I O z
2-1/4"
•-
1
9/16" DIA. TYP.
\
3"
O
/4" ROD, WELDED
1" TYP.
OR PUNCHED DIMPLES
1/4" PLATE
GRIPPER PLATE DETAIL_
BASE PLATE DETAIL-
NO SCALE
NO SCALE
10"— �O
Ole Np1A • C9
`` J
�Iw
O
" it
OSP•
1Iw
0 2-1/4"
a'
9/16" DIA. TYP.
3n II _
GRIPPER
f� a
BASE PLATE DETAIL
2-1/4" TYP.
NO SCALE
N
1/4" PLATE
BASE PLATE DETAIL-
ETAILFOR
FORAFS -CP PADS
NO SCALE
GRIPPER PLATES - SEE DETAIL
-1/2" X.2" MB TYP.
1/4" BASE PLATE - SEE DETAIL
1-9/16" ROD WELDED TO
GRIPPER BASE PLATE. 1/2" X 5" THREADED ROD.
1/2" FILLET BELOW OR 1/4" FILLET WELD BELOW
PLUG WELD ABOVE OR PLUG WELD ABOVE TO
BASE PLATE
HEAVY TUBING. 2" O.D. SCH 40 PIPE WITH 1/2" HOLE
1/4" FILLET 1
BOTH SIDES 0 1/2" HOLE FOR LOCKING PIN - TY
0
F
H 2-1/4" 0.0. SCH 80 PIPE
J
0
Q
H
c 4 - 3/8" CADMIUM -PLATED MB TYF
INTO CAST -IN-PLACE FERROL IN!
AFS -CP & AFS -PCP PADS
N _ _ [NOTE: AFS -CP PAD CAN HAVE 2
MB WITH PPFI-1/2 INSERTS]
AFS—EL9 S 1 DE VI EW
NO SCALE
1
r
311---
GUSSET
"--GUSSET SU' PPORT
PLAT -E DETA I L
0
NO SCALE
1/2" X 3" STEEL PIN
WITH LOCKING KEY —
ATTACH SECURELY TO
MOBILE HOME SUPPORT
G I RDEFi - TYP
® I -,.,C AFS -PCP PAD SHOWN
c
®�1
TYPICAL INSTALLATION DETAIL-
Nn
ETAILNO SCAI F
AFS—EL-9 FRONT VIEW -
NO SCALE
I
--PATENTS PENDING --
I
DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F01600438
P0,`"Ql�\
co
W No C 051110
* Exp. 30 c
`!�' COIL �P
qPF OF CAUF��
0001151L000 4 FOUNUA te•rr s.artfb
HEAtrH AND SAFE" CGDE, SECTION Joni
A P P R O Y E 0
SU8IECT ro CORRECTIONS NOTED
kpproval d0w "at ou*Wdze or approve any omimon at derfolio
herrn reanro--m of applicable Stale Rave and repulotio m.
Stara of Cotifonnio
Daparurmom of Housing and Commvniy Develop wd
C DIVISION F ES AND STANDARDS
Irv�•1 Elf��%������
SPA NO. _31 __--__--------
NS P n A. ,rovai Expires
PERMANENT FOUNDATION SYSTEM
APS — E3L9 STAND
"S—WP. "S—CP AND "S—PCP PADS
WILLIAM A. SOMMERMEYER
CIVIL ENGINEER
1173-D EL CAMINO REAL - ARROYO GRANDE CA 93420-2554
RCE 11658 exp.12/31/00 (805) 489-5380
APRIL 1997 SpWTrfl (yLIT
4 S>�ETS
`'�`'L�k-ate. �1,�-1;-u�!!' '�`.6.�. . "` ° �sa�•A ,.a.
I
N
1
m
TOP VIEW
2" X 28" X 1/8" STRAP - 2 EA - TYP
0 0 0 c
WOUAN I ZED
EXT9EE NO�E�15
_ - i
I 0 0 G
CADMIUM -PLATED CARRIAGE BOLT
8 EA - TYP
BOTTOM VIEW
!2"• CLIP @ 450 TYP.
j 1" X 2" X 1/8" X 28" TYP.
1-1/8"�
36"
SIDE VIEW
AFS -WP PAD
NO SCALE
N
END VIEW
3-5/1
r
N
CL
N
\
1
36'1
1-1/2" TYP 1-1/2" TYP
CAST -IN-PLACE FERROL•INSERTS
FOR 3/8" CADMIUM -PLATED MB
4 EA - TYPE--�
v1��� e0L
0\-�NER CONG��t�
O
e
TOP VIEW
z"
36" — - -
SIDE VIEW
AFS -PCP PAD
NO SCALE
N
END VIEW
TOP VIEW
SIDE'VIEW
AFS -CP PAD
END VIEW
AFS-EL9 STAND NO SCALE
10"
PPFI-1/2 - 2 EA'
SEE DETAILSTD v , ► e STD IFI -128 HEX COUPLING NUT
° 3-5/16" 1/2"X 1-1/2• - PPFI-1/2 12 EAI
5 - #2 REBARS TRANSVERSELY 111 7" O.C. 1/4- FILLET WELD t -92X8-1/4"
OR APPROVED EQUAL -EACH SIDE
4 - #3 REBARS ! 5" O.C. OR APPROVED EQUAL
-AFS-CP -
REINFORCING DETAIL PPF I -1 /2 DETAI-L. _
-
NO SCALE NO SCALE --PATENTS PENDING--
DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F01600438
Q�pFESS/pN
I - PO4 Gql F2^^
0 Q V�
No. 051110
1k Exp 051
�"Lca. >Ar
CIVIL
qTF OF CAI-i�Cp��
���Q QRUFESS/0,�,91�.
v
}
No. 1,65a !
[ti I V -I /
u jar ��P'�
�F CALF oo/
PERMANENT FOUNDATION SYSTEM
AFS - EL9 STAND
AFS -WP. AFS -CP AND AFS -PCP PADS
WILLIAM A- SOM11/I;E.R;MEYER
CIVIL ENCINE'ER
1173-0 EL CAMINO REAL - ARROYO GRANDE CA 3420-2554
RCE 11658 exp.12/31/00 '`✓' (8061489
APR=L 1997 SiiEET, 2 OF .4,>F'*'S
4'Q0
:,
GENERAL NOTES
1., -DESIGN LOADS: ROOF LIVE LOAD --20 PSF FLOOR LIVE LOAD --40 PSF
WIND LOAD --80 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.
5. IN AREAS WHERE DIFFERENTIAL SETTLEMENT ID.S.) CAN OCCUR, MANU-
FACTURED HOME SHALL BE READJUSTED WHEN D.S. EXCEEDS 1/4", 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 f. = 3000 PSI 0 28 DAYS.
7. STRUCTURAL STEEL: FABRICATE ACCORDING TO AISC SPECIFICATIONS.
WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES --370
PLATES --ASTM A36 BOLTS --SAE GR.5 = ASTM A449 = ASTM A3725
8. 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 W8X10#. 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:
[ILONG TERM SNOW LOAD #/FT=) 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 5%
SULFURIC ACID 0.1N
SODIUM SULFATE O.IN
HYDROCHLORIC ACID 0.2N
SODIUM HYDROXIDE 0.1N
ACETIC ACID 5%
KEROSENE PER ASTM D-543
TRANSFORMER OIL PER ASTM D-543
une�ve _ in1-77, GCC TA21C
J
E
S
S
.E
0
STANDARD MH
� I
PIERS - AS RECOMMENDED
2NOM.
.J
THE ENGINEER - TYPICAL
THROUGHOUT.
RELOCATE
AS NECESSARY - TYP.
pN�tt�p 8' NOM.
UNITS
4
Q��FES.S�(}�
tv
PADS IN ANY PAIR MAY
1
10'
Q���S
1� 6.0
8
BE ROTATED 900 TO
0
OO
Stpl1V fpR
CD
-•,
O
r
RIDGE BEAM SUPPORT AS
REQUIRED BY MANUFACTURER-TYP.
O
Z
STANDARD MH
FOUNDATION PIERS - AS RECOMMENDED
8
N0. C DLJ 11 1 0 �
BY THE MANUFACTURER OR THE ENGINEER;- TYPICAL
69-85'
10
THROUGHOUT.
RELOCATE AS NECESSARY - TYP.
O
-
1
0OADS IN ANY PAIR MAY BE ROTATED
'90° TO AVOID CLEARANCE PROBLEMS
O
PLAN FOR 12 AFS SUPPORTS OR LESS
E 4 S S S E
2' NOM. \ tFO
s
RP���\tV
8' NOM. 5t fO `
i
RiOGE BEAM SUPPORT AS REQUIRED BY
MANUFACTURER-TYP. O
PLAN FOR MORE THAN 12 AFS SUPPORTS
TYPICAL PERMANENT FOUNDATION PLANS
NO SCALE .
E = 2' MIN / 6' MAX S = 6' MIN / 24/ MAX
Q
d
0
STANDARD MH
FOUNDATION
PIERS - AS RECOMMENDED
SNOW LOAD
BY THE MANUFACTURER OR
THE ENGINEER - TYPICAL
THROUGHOUT.
RELOCATE
AS NECESSARY - TYP.
LENGTH
TO 37'
UNITS
4
Q��FES.S�(}�
PADS IN ANY PAIR MAY
1
10'
38-58
59-78'
8
BE ROTATED 900 TO
0
OO
O
PAVOID ROBLEMSEARANCE
PLAN FOR MORE THAN 12 AFS SUPPORTS
TYPICAL PERMANENT FOUNDATION PLANS
NO SCALE .
E = 2' MIN / 6' MAX S = 6' MIN / 24/ MAX
28' TO 32' 8
33-41' 10
42-50' 12
51-59' 14
60-68' 16
28' 69=77' 18 j) QRGFEssjo .
K
v
PERMANENT FOUNDATION SYSTEM
AFS-EL9 STA>C `
AS -W. AS -CP AND F
AS-
1�
FPFADS,
WILLIAM A. SOM , R71V I- .,ER
CIVIL ENGINEER' ''
1173-D EL CAMINO REAL - ARROYOSGRANDE CA 93420-`
RCE 11658 exp.12/31/00,'1861 4845380
--PATENTS PENDING-- APnXlL 1997 SHEET 3 OF t w
DESIGN LISTED AND TESTED BY BSK 8 ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F01600438
NORMAL LOADS
SNOW LOAD
= 0
NO. OF
WIDTH
10'
LENGTH
TO 37'
UNITS
4
Q��FES.S�(}�
6
1
10'
38-58
59-78'
8
g, PnI
12'
TO 32'
4
Z
I
I
�
51-68'
8
N0. C DLJ 11 1 0 �
12'
69-85'
10
Exp.
1�
TO 30 '
4
��.9 �'-
10
48-64'
8
13'
65-80'
10
OF CpL�F
141
TO 28'
4
29-44'
6
45-60'
8
14'
61-76'
10
20'
TO 32'
6
33-44'
8
45-56'
10
57-68'
12
20'
69-80'
14
24'
TO 37'
8
38-48'
10
I
49-60'
12
24'
61-70'
14
26'
TO 34'
8
10
135-44'
45-54'
12
55-64'
14
26'
65-73'
16 •-
28' TO 32' 8
33-41' 10
42-50' 12
51-59' 14
60-68' 16
28' 69=77' 18 j) QRGFEssjo .
K
v
PERMANENT FOUNDATION SYSTEM
AFS-EL9 STA>C `
AS -W. AS -CP AND F
AS-
1�
FPFADS,
WILLIAM A. SOM , R71V I- .,ER
CIVIL ENGINEER' ''
1173-D EL CAMINO REAL - ARROYOSGRANDE CA 93420-`
RCE 11658 exp.12/31/00,'1861 4845380
--PATENTS PENDING-- APnXlL 1997 SHEET 3 OF t w
r TYPICAL CHANNEL SUPPORT
6"X6" TOP PLATE (TYP)
ADJUSTMENT BOLT OMITTED
9/16" HOLES FOR CLARITY
FOR MB - TYP
STD.GRIPPER
PLATE -�,
.r2-1/2"X6"X1/4" ALTERNATE ATTACHMENT SYSTEM FOR CHANNEL SUPPORTS
BASE PLATE
\1/2"X2" MB - TYP NO SCALE
2"X2 -1/2"X1/4" PATE -
SECT 1 ON A -A
NO SCALE
ATTACH SECURELY TO
AF 5-tL.9 r m tjr-A 1 v I C.W
NO SCALE
- - _- -. CC CONFIGURATION
�O 00
��'\,y �y
O��
SJQ QQO�� O
.
i� SJ
\1/2" X 3" STEEL P I N
WITH LOCKING KEY
MOBILE HOME SUPPORT
GIRDER - TYP
® I / {,G AFS -PCP PAD SHOWN
ie
TYPICAL INSTALLATION DETAIL
+` NO SCALE
DoT � �w�e� 'RRA[•` 1 NG Sv�TFM _
NO SCALE
--PATENTS PENDING --
DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F01600438
Q�pFESS/p�,�
T.POz`�F2
-�
w No. 051110
Exp.
cp CIVIL �Q-
qTF OF CAL1F��
QROFESSjO,yq
S�� � P so iv,v
V \-
\FOF CALIF *\
PERMANENT F'OUN0ATION SYSTEM
AFS - EL9 S
AFS -WP. AFS-CP�MID'
A� S mrPCP PADS
WILLIAM t1MERMa..
C IN/ I L E N G lyt44Ey% .
IM -D EL CAMINO REAL = &q)tOYO GRANDE' C 20-2550
RCE 11658 exp.12/311_06 (,8051 489-67SEVA
APIt2L 1997 SgEE4 OFA S
—%01
r TYPICAL CHANNEL SUPPORT
6"X6" TOP PLATE (TYP)
ADJUSTMENT BOLT OMITTED
9/16" HOLES FOR CLARITY
FOR MB - TYP
STD.GRIPPER
PLATE -�,
.r2-1/2"X6"X1/4" ALTERNATE ATTACHMENT SYSTEM FOR CHANNEL SUPPORTS
BASE PLATE
\1/2"X2" MB - TYP NO SCALE
2"X2 -1/2"X1/4" PATE -
SECT 1 ON A -A
NO SCALE
ATTACH SECURELY TO
AF 5-tL.9 r m tjr-A 1 v I C.W
NO SCALE
- - _- -. CC CONFIGURATION
�O 00
��'\,y �y
O��
SJQ QQO�� O
.
i� SJ
\1/2" X 3" STEEL P I N
WITH LOCKING KEY
MOBILE HOME SUPPORT
GIRDER - TYP
® I / {,G AFS -PCP PAD SHOWN
ie
TYPICAL INSTALLATION DETAIL
+` NO SCALE
DoT � �w�e� 'RRA[•` 1 NG Sv�TFM _
NO SCALE
--PATENTS PENDING --
DESIGN LISTED AND TESTED BY BSK & ASSOCIATES
WAYNE T. POLVADO, PE - LISTING NO. F01600438
Q�pFESS/p�,�
T.POz`�F2
-�
w No. 051110
Exp.
cp CIVIL �Q-
qTF OF CAL1F��
QROFESSjO,yq
S�� � P so iv,v
V \-
\FOF CALIF *\
PERMANENT F'OUN0ATION SYSTEM
AFS - EL9 S
AFS -WP. AFS-CP�MID'
A� S mrPCP PADS
WILLIAM t1MERMa..
C IN/ I L E N G lyt44Ey% .
IM -D EL CAMINO REAL = &q)tOYO GRANDE' C 20-2550
RCE 11658 exp.12/311_06 (,8051 489-67SEVA
APIt2L 1997 SgEE4 OFA S