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HomeMy WebLinkAbout064-400-037•V RECORDING REQUES'~ED Bi: �0ALT E S L4 E-S(AR �, 1 35(2()461.lFFU� U&Ai 1-A 6 4. q 57 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 IIII "I II" IIII �'II"I III "I"f Iii c'�004-0(0476CS, '3 Recorded Official Records I REC FEE 10.00 1 CONFORM 1.00 County Of BUTTE I I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Shawnya 09:48AN 05 -Aug -2004 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. BONNIE STARKEL 7 COUNTY CENTER DRIVE REAL PROPERTY OWNERILESSOR MAILING ADDRESS 6420 EAST TROPICANA # 361 OROVILLE BUTTE CA MAILING ADDRESS CITY COUNTY STATE LAS VEGAS CLARK NV 89128-7616 CITY COUNTY STATE ZIP 14356 WYCLIFF /l —c iCJ LLQ DATE INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-0099 (530) 538-7541 (\BUILD G PERMIT NO. TELEPHONE NUMBER L S1�4i A OF LOCAL AGENCY OFFICIAL /l —c iCJ LLQ DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. CLAYTON HOMES 2000 SEDONA MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CEM000564AZAB 48'x28' UNKNOWN SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 064-400-037 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. Order No. 00212822-003 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 72, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 5", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AUGUST 20,1970 IN BOOK 35 OF MAPS, AT PAGES 88, 89, 90 AND 91. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM, AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISIONS THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE OF SAID LAND. AP NO. 064-400-037 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 05 -Aug -2004 2004-0047669 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. BONNIE STARKEL 7 COUNTY CENTER DRIVE REAL PROPERTY OWNERILESSOR MAIIJNG ADDRESS 6420 EAST TROPICANA # 361 OROVILLE BUTTE CA MAILING ADDRESS CITY COUNTY STATE LAS VEGAS CLARK NV 89128-7616 CITY COUNTY STATE ZIP 14356 WYCLIFF ,`// INSTALLATION MAILING ADDRESS, IF DIFFERENT DATE MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME ' MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAIIJNG ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-0099 (530) 538-7541 BUILJJ/)//n/��11GG NO. /4 TELEPHONE NUMBBEER'� �PERMIT 2M ,`// SSI1iNATL RE OF LOCAL AGENCY OFFICIAL. DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO CLAYTON HOMES 2000 SEDONA MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAMFINUMBER CEM000564AZAB 48X28' UNKNOWN SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER AP # 064-400-037 SEE ATTACHED 14r..f) RnRM 4T; (A) RFV. R/91 .z Order No. 00212822-003 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 72, AS SHOWN ON THAT CERTAIN MAP ENTITLED,."PARADISE PINES UNIT NO., 5", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AUGUST 20,1970 IN BOOK 35 OF MAPS, AT PAGES 88, 89, 90 AND 91. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM, AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISIONS THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE OF SAID LAND. AP NO. 064-400-037 BUILDING PERMIT NUMBER: 04-0099 Address or location of unit: 14356 WYCLIFF, MAGALIA CA 95954 Legal Description of Real Property: AP # 064-400-037 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: BONNIE STARKEL Owner's address: 6420 EAST TROPICANA # 361, LAS VEGAS NEVADA 89128-7616 INSIGNIA OR HUD NUMBER: UNKNOWN SERIAL NUMBER OR V.I.N.: CEM000564AZAB MANUFACTURER'S NAME: CLAYTON HOMES YEAR: 2000 OFFICIAL APPROVING INSTALLATION: �,Ilw Yrnti, DATE: 4-30-04 PHONE: (530) 538-7541 H.C.D. 513C � e ^ RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO ND= Bonnie Starkel StreAddress AeSs 2000 North Rampart Adr cu>. state zipLas Vegas, Nevada 89128-7616 OnkrN. 00212822-003 2003-12DI0838 Y 2 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 02 -Dec -2003 REC FEE 10.00 TAX 4E.90 Jason Page 1 of 2 THIS LINE FOR RECORDER'S USE Parcel No. 064-400-037 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE& ESCROW COMPANY The Undcrsigned Grantor(s) Deciam(s) Documentary Transfer Tax is $42.90 ❑ City/Town of EI computed on. full value of interest or property conveyed, or 0 Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of $ale ❑ MonumenttFee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Diane C. Gilbert Trustee, for the Diane Gilbert Trust dated August 8, 2003 hereby GRT(s) to Bonnie/V, arkel, &--wielew an Unitlarried Wavan as .her sole and •separafie property the following real property in the ❑ City of 0 Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE• A PART HEREOF Diane C Gilbert Trustee for the Diane Gilbert Trust dated August 8, 2003 Document Date: October 31, 2003 State of Arizona County of MZJh0j3A I SS. On n0V Q Dc) -�, , before me, the undersigned, a NotaryPublic in and for said County and State, personally appeared Diane C. Gilbert Personally known to me (or proved to me on the basis, of satisfactory evidence) to be the person(s) whose name(s) istare 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,cnv-band and official seat Signature FOR NOTARY SEAL OR STAMP REBECCA L. JONES Notary Public - Arizona Mohave County My Comm. E.Vires Jul 24, 2004 MAIL TAX STATEMENTS TO: Same as Above STEV13RANTDMED ' NOTES ' ' ' `. RESIINiaAL . 064-400-037, 04-0099 PERMIT NO. — STARKEL; BONNIE WYCLIFF,,MAGALIA CONT: PERCISION HOUSING NEW MH PERM FND ' y1 THE HCD FORM 433A FOR THIS MH CANNOT BE ; RECORDED UNTIL ONE OF THE FOLLOWING HAS - BEEN TURNED IN TO THE BUILDING DIVISION: y . (1-.'LICENSE PLATE(S) OR DECAL (THE • 'INSPECTOR MUST RETREIVE). , r (2) STATEMENT OF FACTS (ONLY ON NEW MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. _ SPECIAL CONDITIONS, + CHECKED BY f SRA 'f FLOOD CERTIFICATE REQ. FIRE.SPRINKLERS REQ. SPECIAL INSPECTION ITEMS OFFICE COPY u " 1 3f; T--�-- � S Address "% DateMeter LGAS By ELECTRIC Meter By Date rJ - i ®� JOB FINALED (Date) Signature J=OK 0 = Not OK . = Not Readyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd / /Amp -Concrete Roof; Shthg-Roofing 11. as; Location -Test -Wrap; -/L rL'ft. / /' Nat. or/�,/" L"ft./ /' 'G 12. 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 Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy \ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date RERP441NIENTEND SYSTEM (ONLY) 11Agnog Requirements -Setbacks -Easements otings; Size -Spacing -Marriage Line locking as; MH Test- DFZaFtjXalve . Electricity; MH/rest V Water; MH Test 7. Water and Sewer nnected 8. s and EI icity Tagged Atts 0 icense Decals 1VXVerify #'s with Office A .l DateV44e?_ Card B-1 Date Card B-1 DateCard B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI . 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5'.Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 . Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftp. -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 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 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral O Yes ❑ No Date 32. Service -Riser Conductors & Ground Main Disconnect 47. Hangers -Post Caps -Anchors -Connectors 33. Equip. Clearances Panels-Motors-Mech. Equip. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 34. Clothes Closet Light -Shower Light -Spa Light Fireplace Ties or Type A Flue -Fireplace Throat Clearance 35. Smoke Detector Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Date Card B-1 Date Card B-1 Date 53. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Shear Walls; Nailing -Bolts Card B-1 Date Card B-1 Date Brace Interior/Exterior Wall Panels Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing FINAL (Plans) OK except #'s 44. Draft Stop in Walls (rat proof) Ext. Steps -Door & Sidelight Protection -Landings 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Smoke Detector 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: C, 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING'DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541, PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - C � ASSESSOR PARCEL NUMBER 064-400-037 ZONING BUILDING PERMIT OWNER BONNIE STARKEL 873-4166 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 6420 E TROPICANA #361 IAS VEGAS CA 1344 R 72.576.00 CONTRACTOR'S NAME PRECISION HOUSING PLACEMENT KEVIN MITC TELEPHONE CONTRACTORS MAILING ADDRESS 6937 SACRAM WID DR REDOING CA 227-2268 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 72.576-00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $259.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23 00 BUILrDING ADD ESSr � . l0Energy WYCLIFF MAGALTA CA 95954 Plan Checking Fee $ $ PERMIT FEE S 302.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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: NES MH PUM PIVD Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ 50.On 4 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 60.A OR LESS 200A 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.P License Class LIC. NO. 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. d 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. ( a ACC. BLDS. S°0 3.5¢FT, Ntw CONST ID.' MULTI.OUTLET @7,50 OWER APPARATUS a SINGLE OUfLEr CR. Ex. Occup. OUTLET OR FIXTURES 20 O 1.00 SAL @ .50 LNS Ex. Occup. DvnE s AEs1D.°ERE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 43.00 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 �A performance of the work for which this permit is issued. 'in I 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.) 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 forthwith comply with those provisions. 11 X G•. IrIL Date Signature of Applicant - ❑ Owner ❑ Contractor 14 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. J�%� A Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 395.00 TOTAL FEE $ • HAZ. HAZ.. D. FEES IMP D. FE S FLOOD cOF PARCEL PD HD ISSUE 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. �p By, Date 4_3111 PERMIT EXPIRES ON '� r (Date) Receipt No. �—r L �r , / �? `� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i 1 N It , COUNTY,,OF BUTTE .' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Qroville, CA • (530) 538-7541 ' CORRECTION NOTICE f 1 OWNER PERMIT NO. 111. A routine inspection indicates that the following violations of butte county Orinances exist at the above address and should be corrected.IPlease notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �e(ere r ti� ,���,�� .�� ;•�� •fir �/1C>_�,�s e,)— t< ^(' 10 6'to REV 10/92 V _ Inspector •�' rY�"� OW tl tet)¢ 'Ri y 1 I � .. 1. I iY^" S s'� Jam.✓ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA, -.-(530)-891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTIOWNOTICE=- -� = OWNER » PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of1worW is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. - f i< »1 � .�.� �>•� c tom/ �.�f,� /����- ��� 1 ... �. 14 ilk srlpre- OX-' A 109 Lh-IL 04 /11711 jr Date REV 10/92 Inspector x� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541OL�_ ,?dlT�►vo. (Rev. 12/96) APPLICATION AND PERMIT 77 ASSESSOR PARCEL NUMBER «, 064-400-037 ZONING BUILDING PERMIT BONNIE STARKET. 873-4166 TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 6420 E TROPICANA #161 1 AS VEGAS C.A 1344 R 72,576-00 CONTRACTOR'S NAMEE TELEPHON CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER ' LENDER'S MAILING ADDRESS Fireplace Total Valuation $79 S7A -no ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $259.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 9-3-00 IL G�DRES Energy Plan Checking Fee $ $ PERMIT FEE $ 302.00 LAT NO. SUBDN610N5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um 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: " - NEW MH PERM END Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ so n ELECTRICAL PERMIT I Fling Fee 20.00 Main Service 2p0A 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, ( 9 ) 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 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. Pf 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: ❑ 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. > R3 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNs. ( a ACC. BLDS. SO 3.5¢FT; NEW CONST. MULTI.OtmUI NON RESID. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES :0050 BAL @' 50 Ex. Occup. OFIxs R�DOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43. �� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ 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 orkers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply with those provisions. X Date t I 11,0- 10 4 Sig ure of Applicant - ❑ Owner ❑ Contractor 0 Agent An OSHA permit is required for excavations ov r 60" deep and demolition or construction of structures over 3 stories in height. lelp Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 395.00 -Z. D FEES IMP FL000 CDF PARCEL PD HD IS UE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By ? PERMIT EXPIRES ON �T applicable provisions Resolutions to do work been paid. Date Bre Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR I PINK- NSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PER (Rev.12/96) J APPLICARI IOM A►ND PERIVII� —t— ASSESSOR PARCEL NUMBER/i P' ZONI _ BUILDING PERMIT It U OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION n eL # T7 ! .OWNERS MAILING D SS Q _ TL- TF' w Ot�rrc�SrG� i�Oc�srn CO RACTORS IUNG DRESS ACCOM 1 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS OARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS . PI NGS 11 '� SUBONISIONS NAME SF B --'Duple, ❑ Mobilehome ❑ Other 1 URE SPECIFY TYPE OF WORK New M- Addition ❑ Remodel ❑ Utilities ❑ Installation (('❑�- Other ❑ Describe Work: k+ -0i m. ti - / tM. is" W i -o f--- > - 20,UD Ya 2SCrb � r - �L i -XD x Dy 0,in� C_ 2 rzA PERMIT FEE PAID SRA SHERIFF OTHER 9-2z(41g H AMOUNT RECEIVED $ 4--6 y/�°° DATE RECEIVED 1-/6'0ti' RECEIPT # � gel � 9D &*6-WS- TotalValuatlon $ �(.( 5 GC 5.00 Filing Fee $ Mobile Home Facilities 20.00 Permit Fee' -°o -LC $ 00 Plan Checking Fee $ Energy Plan Checking Fee $ $ PERMIT FEE $ w PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 , Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00as Buildingsewer 15.00 S Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT EOOV OR LESS Main Service zooA oR LEss Main Service 200A TO 1000A NEW CONST. r DWELLING OCCUP. -ig Fee 20.00 23.00 3, 46.00 3.5¢FT: @7.50 EX. OCCU . OUTLET OR FIXTURES aqL "! o EX. OCCLI MD APPLNS. O.R. OunETs ESID. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 1 $ y 3 .— 0 MECHANICAL PERMIT I Fling Fee 1 20.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ ccc CONST. TYPE TOTAL FEE $ -� This permit is he�e'6y 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 Date PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 1SSESSOR PARCEL NUMBER�� Proposed Building Use: w 4," -" Counter Technician: Date: . G Mems required in order to apply for a permit. All b xes MUST be checked OR marked NA in order to pply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and,supporting documentation in duplicate. ❑ 7. Statement of Intent for Non eated,and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes`�ta sheets and installation insB Marriage line infoj.Floor Plan,oJie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate J ❑ 11. Site plan and business license approval from the City of Biggs n ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner g, 14. Hazardous Material Form y 15. Sanitation and site plan approval from the Environmental Health Department in 0?dhico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ El 20. Erosion Control Plan Required....................................................................... 40V........ 21. Fees as shown on the attached Schedule of Fees Due Sheet... �.�.GGIa ! �) { lQ'Y1 0 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval e`pa�id. Sent by:.....��.�0� 24. Planning approval (A) Use:OK (B)Parking: (C) Parcel Check: 1-`2� -- ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... OJ26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................:.. 31. Owner Builder Verification (-k-(51i'ven to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ............... .................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35-Exl*ng violations an or expired permits......................................................... ❑ i36. Domed Restrict`on....................................................................................... ❑ ,3\' 1'Grarit Deed,11 H. Title/Statement of Facts, ❑ Letter from Legal Owner, ck to H.C.D. $ 4� •`° ❑ 38. Other �� ❑ 39: Other- When issued Telephohe 3 ' (o : (°C r-? n it and hold for pickup. 1 have been i formed of the above items and requirements for obtaining a building permit. Applicant:' J�`-�Q /i,(-Q\CLL Date: 1. Index permit plication for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, ow r� r, a advised of the abP11 a b phone, ❑ mail, ❑ count �}�y Date: Plans reviewed by: Date: Plans approved by: T' ► L _ Date : Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division W E.H. USE ONLY Kol.Wen Attached Floor Wen Attschod Soni to B.D. -0 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance C4 r, s; CA �4-v� (I S11r1 Owner Lo ati n AP# Plan Approve fo : Sewage Disposal Water Supply: Pu lic Private Well Clearance foa welling. Other 'L Vic Hold final for: Final clearance O.K. for: NOTE: Environmental 8/96 cialist Date BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District ►// If(/IIS P { //� f Y I Lam%' Building Department No. �O A.P. Number ��(�1 ' � % r% Jurisdiction: City ©County Property Owner n n % �P- Property Location/Address fes' I I i T I VA/1 l �l� C�� l �C� C A. Subdivision Lot No. Residential Development /Q Q✓ ..................... _....................................... :........................... Q No of Living Mobile Home Addition/ 'Supplemental to Units Installation Conversion Permit # *(No foundation inspection) Commercial/Industrial Q Q New Addition Building Department Representative Identification No. Sq. Footage / '� // .*4/ (Group R) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage c (Including Exterior Roofed Areas) . School District certifies that /- /4; -0// Date (Applicant) IStree /Add SO VE4:��- �' (Phone Number) X7 (City) has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check X Remarks: (State) (Zip Code) by payment of $ �jC/ 7•6j 2926 $ FULL AAITIGATION $ l Date 3 Mode You may protest the Imposition of the fans identified above by submitting a written protest to the District,.ln compliance with Goventinant Coda Section 66020(a), wftldn 90 days from the date tars are pald. Failure to submit a tinily written protest will'prohlblt you from challenging the ImposMlon of the toes In any court action B, subsoqumd to the School District Representative signing this Butte County Schools Impact Fee GRlflcation Form, the School Distend Is rnotMled by the appllcW* Local Planning Agency that this pno)est Is being n- Aawed under the California Environmental Quallly Ad (CEQA), this project may ba subject to additional school teas to fully mltlpats.11s Impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) _ feeform.,ds (t0/03)dmm 91 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILL•E'CA 95965 TELEPHONE (530)538-7541 . i' SCHEDULE OF RECEIPT OF FEES OWNER (1 I�) l C� �T�a i �ie� A. P. #/ PROPROSED BUILDING USE ►V• %�-�. ��(/)') DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ l r 2. SCHOOL DISTRICT FEES/P21 �C�tveo '}0 (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) /y Residential............ X 60.00 $ Units Commercial (sq. ftg:)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X Sq. Fig. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit lication, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changeddurjhg the plan checking process. C, APPLICANT DATE I! I (AD 4 Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a Protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) Building Permit Number: Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW You± parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. ';-`;;; The following parcel map requirements shall be met: 10 All structures and a ui ment including overhangs shall be clear of all easements. A setback of OHO S om the side and N �om the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 0 OP T. GLAMOUR BATH i"o rin OPT. WINDOW LOCATION n C) 0, • Model SN -2848-3A > 6S Approximately 1260 Sq Ft 3 Bedrooms, 2 Baths Z;6 1. Owner's Name: ' b ow M l e Stark -e] � �► 2. Assessor's Parcel Number: O U4 ' 46 6 - 0'.377 3. Installer's Name: r Vre- C. t 510 N ++nLxsl 4. Is the site currently under permit? Yes[ ] Noj-]' 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? as Amperes. 7. What is the mobilehome site circuit breaker rating? 100 Amperes. 8. What is the electrical rating of the mobilehome site? 900 * Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[ ] If it is, what is the rating?�0 C7 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] NoW 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[ ] PropaneP] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3 "' inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 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). r� THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION,r• i3uir"s C;Out4f� 111 �L01�IG DEPp`'`"t" P V t May 1995 a A 8.5 ALH.L- 2 Mobilehome Manufacturer: i a -ttohte,5 'Manufacture Year: 000 If other than single wide, furnish Setup Model Number: SP-8oes P, S� ` �`b 4% - 3Pk Width: a% (ft.) Length: �$ ' (ft.) Tagalong or E'zpando Size (ft.) x_ (ft.) On all mobilehomes manufactured after October 7„ 1973, furnish manufacturer's installation manual' and structural setup sheets. : 4 s 1' FOOTINGS: Wood pressure treated or foundation grade[] Other: SUPPORTS: Concrete block[*] Other: Provide Tie Down Specifications for aU Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE Pier Line 1 e 1 Line 2 Line 2 ................................................................................................ Main Beams ...................... :....... :................................................................... Lme 3 Line 2 Line 1 Line 2 ................................................................................................ Main Beams ..................................................�... Line 2 .......................................... Line i a ............................................. S.. Tag or Triple e 4 Line 1 Piers: Size minimum: rA x o Spacing maximum: 5` a From ends -maximum: d2Z Q' ` Line 2 Piers: Size minimum: -[2y J x Spacing maximum: From ends -maximum: Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front).- May ront): May 1995 n Line 1 Openings Size minimum: [/a2 ] x 130 Each side of openings with width over: Line 4 Piers: Size minimum: ( ]. Spacing maximum: ` From ends -maximum: ` F®r AP 4` �-. M 8.4 M M V s>A TV O7 N M m OD M M v a) 0l U'l m al I CY OL cr u51Ng MARRIAGEWALL COLUMN SUPPORT LOADS AAT LOC'A7'1GIA'S IAARF214G.171W-L SUPPORTS FOR 201b ROOF LOAD IAkRRI;CC//ALL SUPPORTS FOR 301b ROOF LOAD JAeRRl4CEV/A L SUPPORTS FOR 401b ROOF LOAD �. SUPPORT LOAD REOUIRF_AIEFIrS ARE LISTED BELOW S. IAAIN I-BEAIA SI;PPORi PIERS TO BE LCCATCD AS REOUIREO BY INSTALLAr10:1 IA NUAL. F- - - - - - - - - - est -- cowl/rl COI_u1.D.1 L------------ LOADS 2633 I \ PIER f't --------------------- PIER u2 I MAIN I-E)[Anl PIER #3 4213_ PIER P3950 rrn�nn nl: n.ITl: PIER K5 1 ' 28'x48' SEDONA I � -IrcTl Pu,p T.nI"ATTnnf Amncc�:.... I'nlru/c0: I � o -------'---- 31y,0 zo io'iz 01 I_oL_Z_ 5'� r------ — — --� I.IAIN 1-BE.:AI T- - I I ?fR 1 FCR 2 0 MAIMICE SEAM o ---- PER ) PIM 1 PCR i I \ — — — — — — — —----------- -----� I.IAIFI I-3E�•1,1 0. I I � I Hai I r I — L- - - - - - ---- --- ---------- ---------- --------------J --^- us G ward J die Dowty C S �{ 5{ em ✓✓✓✓ r APR 19 10QN Reyuirect Pier Load for 301b. Roof Loa cowl/rl COI_u1.D.1 PIER ]I LOADS 2633 m oundc PIER f't 1843 PIER u2 2 I U7 PIER #3 4213_ PIER P3950 rrn�nn nl: n.ITl: PIER K5 2370 ired. Pier Load 401b_ Roof Load. !CPl 8 COLUMN LOADS (in fund: P!EFt p 2304 PIER ¢2 2633 PIER #3 5267 PIER ua .sl PIER /Y5 E37 63 7 0-00 PIER LOADS SHOM CN THIS C ORAHINC ATE TO 8E USED 10 SIZE 'FIE F0)3TcIIS G'• BELOW IME MARMACEV/AI FOR COLUMN i1)PPOR'1 T?.ERS. INEY ARE tjU 10 BE .sl USED 10 DEIERIAIRE CCLUIaR CU`tS117ut;11U`I. ' CLAYTON HOMES rrn�nn nl: n.ITl: -, •� 1/15/09 AI'IUL 1RLIJ 28'x48' SEDONA Pu,p T.nI"ATTnnf Amncc�:.... I'nlru/c0: T0'd -Pdiol. V a [ -j rn a o. 1 r , C7 cr) -_C.0 . 1 �`- t • L��'t� .L 1 Le � z � I� •• �7 S dt.; �8 7 ..i I n � � C 'u C, 20 1 0 �--.K cam( 072 M' M C ly 1 1 CU aL , c 0 o; (3) (((��� ,,DSI• I '9' — �„F+'< v � :: =3 r.7 cl 7c) A O M � • • co t0 e _ _ _ _ .. .. ri •i W # t o u O W 1 Q i- TO/T0"d EGL£ 08£ £Zb ONIb33NION3 S3WOH NOIAUI0 617:ST 666T-SO-Abl4 N m W (D Q a_ m m m N OJ N c m 2"x 2"x 3%16" - 3/8" CAL FLA—s ED BOLT, .4'- ,°! :',ASHER CAC!! "C" FRAME STEEL ANGLE COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) -REQUIRED 2" CHANNEL 1/4" STAND BASE 1/4'xt-1/4" TEK STS -� ABESCO ABS PAD X1503 (2) REQUIRED.. 1/4' GRIPPER BASE DETAIL "A" 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" CHASSIS FRAME STEEL PLATE 1/2- A307 BOLT (2) REQUIRED 1/4 GRIPPER PLATE -�®a (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC'A307 BOLT WITH NUTS (4) REQUIRED 81 1/2" SCH 40 PIPE RISER WITH A1/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 82" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLE ABESCO ABS PAD #503 STEEL FRAME SEE DETAIL "A" � -:TUF-1 `=PERMAtdENT fOEJNDATlON°liSYS,TEM -- as>rseo-our cuaRv conOarrY 5851 FLORIN - PEtK41 NS ROAD SACii1lA+ii*�FliO, CA'958�3 PH:. "(800)' 382-8831 FAX: ( 36" MAX TO BOTTOM OF PAD0 0 Ir01/2"x 3" G.R. _ LOCK PIN WITH 81 /8" BRIDGE PIN i+- 10.00 to.oa w 89/16 HOLE (TYP)-2�1 STAND BASE • TOP VIEW 916) 383=207 ; WAYNE 1/4' GRIPPEF PLATE C—BEAM -ATTACHMENT -- COACH 'J" FRAME 1-1/4' STS OUIREO J—BEAM ATTACHMENT 1/4' GRIPPER BASE-F-1� 30. cat7 C6 I/2" A307 BOLT (4) REQUIRED LVADO, PE—LISTING NO. F94249 SHEET 1 01 3 t`r $ $ S. 1/2" DIA. HOLE (B) PLACES t STEEL FRAME TOP VIEW STATE APPROVAL777) r 3d o Q i GR � ooh o U 0 LVADO, PE—LISTING NO. F94249 SHEET 1 01 3 F O U U1 W fYl a r - (s) N m co m r - m m G) N 00 N v m GENERAL NOTES GUS GUARD TUF-1 I. DESIGN LOADS: UVE LOAD - 30 L8. FLOOR UVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE "C" SEISMIC ZONE '4' *SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 3. CHASSIS BEAM SUPPORTS SHALLAC LOCATED AND SRED FOR THE LOBS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4', OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL. FOOTINGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. S. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICARONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 7. THE GUS GUARD ASSEMBLIES SHOWN 011 THIS PAGE SWn BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALLOWABLE LOADS - GUS GUARD TUF-1 GUS GUARD MGP PAD GUS GUARD E -Z TIE PAD HORIZONTAL VERTICAL 2200# 6000{(11 2200# 6000# 2200# 6000# S. DURING PRELI-MINARY INFECTION, THE ESTIMATOR SHALL ENSURE THAT;.,-„ MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. 16. FOUNDATION BLACKS 16"x 16'x12" POURED IN PLACE AT GROUND LEVEL MAY BE USED AT INSTALLERS DMCRETtON ALTERNATIVE TO PADS, SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX_ E= 2' MIN. / 11' MAX. S= 6' MN. /16' MAX. S= 6' MIN. / 22' MAX. VARIES 10'-70' (SEE TABLE ON SHEET #3) --- E S 5--+-}+---- S +7+E� u ui U ❑ ❑ U f RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER a O (TYPICAL) a ❑ ❑ ❑ z ❑ ❑-v ❑❑❑❑ 1 B' NOM. `� a^� o LJ 2' NOM. ❑ PADS IN ANY PAIR MAY BE STANDARD N.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT SUPPORT PAD (TYP) 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY {' INSTALLING GUS GUARD TUF-1 UMTS AS SHOWN ON TINS PAGE OF TYPICAL f 1TU118Ai1A!!� 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD P ? PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. t1. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-i UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE -WIDE UNITS REQUIRE ADOITHNNAL RESTRAINT. • (SEE SHEET #3) • * '� �nz Fes. Zg3 ',Sp 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL IiE PROTECTIVE COATED. _ t4. WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT REQUIRED. ANCHOR STAND TO CONCRETE SLAB WITH FOUR (4) t/2'x 3 1/2" EXPANSION ANCHORS. IS. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH MANUFACTURER OR REPLACE THEM ON A ONE TO ONE BASIS. TUF--1 PERMANENT FOUNDATION SYSTEM AHESCO-GUS GUARD COA�P[PANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE ' STATE APPROVAL f z 1 `� a^� o t 0 rtcLQ o (- �g` C U 4 o til b1 G Jx 2 U 4•• ooh 0 G. ra .. A91 Ell I �'1 YADO, PE -LISTING NO. F94249 SHEET 2 of 3 0 R W Q 0- 0 U U7 w m a N M lb M r - m m N m N v m CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4' SOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2' ADJUSTER HOLES ABESCO ASS PAD #503 STEEL FRAME 24 T'T 3/4" E)! !6" Lr-. _ 1/2"x 3 1/2" 1/2"x 8' LONG 16xt6x12 CONCRETE (4) REQUIRED EXPANSION ANCHOR (4) REQUIRED ANCHOR 80LT REQUIRED FOUNDATION 3/8" CAO PLATED NUT 8c WASHER (4) COUNTER BORED FLUSH WITH BOTTOM AT 8" d.C. \ (8) REQUIRED CONCRETE PAD INSTALLATION .01 CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4' SOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2' ADJUSTER HOLES ABESCO ASS PAD #503 STEEL FRAME 01/2"x 3" C.R. LOCK PIN W6TH O1 /8" BRIDGE PIN LENGTH OF }101t1E 24 STH OF HONE 2 28 tt UP TD 44' 8 POURED IN PLACE 16xt6x12 CONCRETE 12 i 2 12 18 aw-1' 10 86 FOUNDATION INSTALLATION 1 l l 1 1 1 LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION 36" MAX TO BOTTOM MUT.73-AIDE MIS SINGLIK W DB UNM e� OF PAD 01/2"x 3" C.R. LOCK PIN W6TH O1 /8" BRIDGE PIN LENGTH OF }101t1E 24 STH OF HONE 2 28 tt UP TD 44' 8 8 8 12 44'-1' tv 66° 12 i 2 12 18 aw-1' 10 86 20 2D ZO 2L LENGTH OF HOME t0 WIDTH OF HOME t2 l4 16 UP TO 6 6 $ 6 44'-1 to 66 8 8 8 8 B6'-1' 1e 10 10 10 10 "Untm-x yr iur->t KLQU1RLU NL"AGER OF TUF-1 REQUIRED MM- SINGLE WIDE UNITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPRDxN1ATELY EQUAL INTERVALS ALONG EACH FRAME RAIL. NATE APPROVAL TUF-3 PERMANENT FOUNDATION SYSTEM k� zAl:Ro x 0 a a '. ' % o r3 O z �.J o5 x A WAYNE. °T`. POLVADO, PE -LISTING NO. F94249 sHEET 3 of 3 0 04/28/2003 11:57 3835207 ABEko PAGE 05 "X' CHANNEL n DLES "I" BE" a "C" L ABESC4 GUS GUARD __......._--- SIZE CHART TUF-1 PIERS AND EZ -TIE SHORT FELLOW 9 3/4" - 13 3/4" SHORT 12 1/2" - 18 1/2" STANDARD 161/2" - 24" TALL WHITE 19" - 29 1/2" X -TALL 271/2" - 36" "X' CHANNEL n DLES "I" BE" a "C" L L 18" HT E -Z TIE DOWN SYSTEM m TIES 28" HT . 4 4 DESIGN LOADS: 4 4 6 IL *WIND LOAD -- 15 PSF 4 1, THIS TIE DOWN SYSTEM IS DESIGNED TO BE CONSTRUCTED ON A 6 60' FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. 4 4 MINIMUM SOIL PARAMETERS. TYPE 5 COHESIVE SOIL, WITH MINIMUM 8 66' SOIL BEARING CAPACITY OF 1000 PSF. 4 2. CHASSIS REAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS 8 70' AS SHOWN IN THE "MANUFACTURED HOME INSTALLATION INSTRUCTIONS". 6 3. IN AREAS, WHERE DIFFERENTIAL SETTLEMENT (DS) CAN OCCUR, 10 MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4", OR WHEN IT Wit ADVERSELY AFFECT MOBILE HOME UNIT. 4. THIS PLAN IS INTENOE 0 BE USED FOR MANUFACTURED HOMES UP TO (3) SECTIONS IN H. CONTACT THE DESIGN ENGINEER FOR DESIGNS OF MANUFACTURE OMES OVER (3) SECTIONS WIDE. O V 5. STRUCTURAL STEEL; FABRICATED ACCOR TO AISC SPECIFICATION. U) WELD ACCORDING TO AWS SPECIFICATIONS. ELE DES -370 PLATED—ASTM a A36. BOLTS=ASTM A307. 6. THE E—Z TIE ASSEMBLIES ARE CAPABLE OF THE FOLLO LOADS: HEIGHT HORIZONTAL, VERTICAL UPLIFT 18" 2010(Ib) 6000 (Ib 891 (lb 21 " 1825 (Ib 6000 Ib 801 Ib 25" 1510 (lb) 6000 Ib 664 �Ib 1867 36" �Ib419 3 6000 �lb . 385 (Ib� 7. ALL METAL COMPONENTS AND ATTACHMENT ITEMS SHALL BE PRO TIVE COATED. 8. WHERE STAND IS PLACED ON EXISTING CONCRETE SLAB /2" SLEEVE CN ANCHOR BOLTS MAY BE USED TO SECURE PIER BA PAD. LO m 9. ATTACHMENT METHODS FOR "C" & "J" BEAMS HOWN ON SHT. J2. 10. THE LONG DIRECTION OF THE E.-:72�TJE.. PA 37') MUST BE INSTALLED PERPENDICU £TV A I Ln m ABESCO-GUS GUARD COMPANY Pltr' 5851 FLORIN-PERKINS ROAD N ic ��? SACRAMENTO, CA 95823 PH: (800) 382-8831 m FAX: 916 383-5207 �• rr _ GI:_A SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. PARIES 10'-70' - EVENLY SPACED BETWEEN �E—wjm -- ..._._—►L—...-- E - '� ❑ O IL _j RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER 0 O (TYPICAL) ❑ ❑ ,L] ❑ 11-0 E—Z TIE UPPORT PAD — /E1 r/ TIE i i ❑ p CHASSIS BEAIM UPPORT PIERS --SIZE AND SPACING AS REOUIRE BY THE HOME MANUFACTURER. LENGTH OF HO 18" HT NUMBER 21 " HT OF E—Z 25" H7 TIES 28" HT 36" HT 4 4 4 4 4 6 0' 4 4 4 4 6 60' 4 4 4 6 8 66' 4 4 4 6 8 70' 4 6 6 6 10 STATE APPROVAL ENGINEERED TIEDOWN SYS i EM APPROVED SUBJECT TO CORRECTIONS NC-1ED !oval does nct authorize or -p Di o aay QT:°sIC11 or eVi •q1 frnm r3alliremeatS of spp rcahle tc,-vs a::d J BY :'A (40 -- This Plan AA;,Tovat Expires THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336.3 SUBSECTION (a). WAYNE T. POLVADO, PE—LISTING NO. 99001 SHEET 1 of 2"x2"0/1 6' STL. ANGLE CS) 3/8" CAD PLAFED BOLT, NUT & WASHER W COUNTER BORED FLUSH WITH BOTTOM a _ (8) REQUIRED 0_ 1/4" STAND BASE ABESCO ABS PAD #503 3/4" DIA. x 18" LG. (4) REQUIRED DETAIL "A" 0 U U7 W Co Q r` m N U') m m m r u-) 4 m CS) CS) N I - co _ N Z v CD CHASSIS FRAME 1/4" GRIPPER P1`1k1.E (2) REQUIRED 1/4" GRIPPER BASE 1/2-13UNC-A307 x 4" --'- BOLT WITH NUTS (4) REQUIRED 81 1/2" SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AN 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 - Q STEEL FRAME--\ r--1 /- 1/2" DIA. HOLE (8) PLACES 18.75 STEEL FRAME TOP VIEW 1 1/2 xEQU/12" T.S. 1(4)3 pLCs ( 4) R 36" MAX / TO BOTTOM OF PAD ------ ------------------------- SIDE ----------------------- SIDE VIEW / i �+— 10 01/2"x 3" C.R. 0. LOCK PIN WITH° ° 01/8" BRIDGE PIN 0.00 COACH "C" FRAME 1}IJ, ° cl COACH "J" FRAME 09/f6 HOLE (TYP) 1/4"xl-1/4" J STAND BASE \2- /4" GRIPPER TEK STS TOP VIEW PLATE (4) REQUIRED CHANNEL 107 1/4"x1-1 /4" " (2)2 REQUIRED 13OLT EK STS Aml-l 1/4" GRIPPER BASE 1/4" GRIPPER BASE 1/2" A307 BOLT-/--- \-1/2" 2) 307 BOLT (4) REQUIRED C -BEAM J -BEAM ATTACHMENT TTACHMENT 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 45823 PH: (800) 382-8831 FAX: (915) 383-5207 E -Z TIE DOWN STEM WAYNE T. POLVADO, PE-LISTING99001 SH 2 of 3 4 4 + 0.50 Li 30.00 18.75 STEEL FRAME TOP VIEW 1 1/2 xEQU/12" T.S. 1(4)3 pLCs ( 4) R 36" MAX / TO BOTTOM OF PAD ------ ------------------------- SIDE ----------------------- SIDE VIEW / i �+— 10 01/2"x 3" C.R. 0. LOCK PIN WITH° ° 01/8" BRIDGE PIN 0.00 COACH "C" FRAME 1}IJ, ° cl COACH "J" FRAME 09/f6 HOLE (TYP) 1/4"xl-1/4" J STAND BASE \2- /4" GRIPPER TEK STS TOP VIEW PLATE (4) REQUIRED CHANNEL 107 1/4"x1-1 /4" " (2)2 REQUIRED 13OLT EK STS Aml-l 1/4" GRIPPER BASE 1/4" GRIPPER BASE 1/2" A307 BOLT-/--- \-1/2" 2) 307 BOLT (4) REQUIRED C -BEAM J -BEAM ATTACHMENT TTACHMENT 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 45823 PH: (800) 382-8831 FAX: (915) 383-5207 E -Z TIE DOWN STEM WAYNE T. POLVADO, PE-LISTING99001 SH 2 of 3 00 m w a a O U Ln w Co a r - CD N to m 00 m m CS) m 04 co N c m INSTALLATION INSTRUCTIONS E -Z TIE DOWN SYSTEM 1. PIERS MUST BE PLACED ON BEAM WITHIN 24" OF AN OUTRIGGER OR CROSS MEMBER. OTHERWISE, INSTALL WEB STIFFENER ON CHASSIS BEAM. 2. MAKE LEVEL THE PLACE WHERE THE PAD WILL SET, DOWN TO UNDISTURBED SOIL. '3. THE PAD MUST BE CENTERED BELOW THE CHASSIS BEAM. 4. REMOVE THE FOUR (4) NUTS AND WASHERS FROM THE STUD BOLTS IN THE PAD AND PLACE THE PIER. THE HOLES IN THE .BASE PLATE WILL LINE UP WITH THE STUD BOLTS. REPLACE THE NUTS AND WASHERS AND TIGHTEN DOWN. I -BEAM 5. REMOVE THE TWO (2) GRIPPER PLATES ON THE TOP OF THE PIER. START THE HEI ADJUSTMENT BY REMOVING THE COTTER AND ADJUSTMENT PINS, PIERS CAN THEN TELESCOPE. RAISE THE,TOP OF THE PIER UNTIL THE P E IS AS CLOSE TO THE BOTTOM OF THE CHASSIS BEAM AS POSSIBLE. PLACE ADJUSTMENT PIN THRU ADJUSTMENT HOLE AND SECURE W THE COTTER PIN. 6. RAISE HE TOP PLATE USING THE ADJUSTMENT NUTS UNTIL -THE PIER TOP S TIGHT AGAINST THE BOTTOM OF THE CHASSIS BEAM. 7. PLACE IT GRIPPER PLATES OVER THE FLANGE OF THE BEAM AND TIG EN DOWN FIRMLY WITH THE TOP NUTS. %,—Dr -Nm,) nivU J C.KIV{J 8. HEAD OF PIERS REQUIRES TiTWO (2) TEK SCREWS BE;RU CED THRU THE SIDE OF THE BEAM IN ADDITION TO ONE GRIPPER PLATE. 9. FOUR (4) STEEL STAKES (SUPPLIED TO BE DRIVEN GUIDES INTO SOIL UNTIL STOPS ARE FLUSH WITH THE GUIDE. ALTERF7)N VE: (2) #12 S.M.S. OR WELD -------------- (2) #12 S.M.S.— ANGLE .M.S. ANGLE IRON 1 I/A 1'AI(Ah6„ NOTE: USE STIFFNER IF OUTRIGGER OR CROSS MEMBER DO NOT OCCUR WITHIN 24" OF STANCHION (TYP) WEB STIFFENER DETAIL ABESCO-GUS GUARD COWMY 5851 FLORW - PEAM ROAD 3ACRAMOM, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T..-POLVADO, PE -LISTING NO. 99001 SHEET 3 of CDF ME SAFE REQUIREMENTS S7?�-iLt_ L F AP# PEIMT # 4 NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart 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. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including, sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius - IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 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 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 [X] 1.Gate entrances shall be at least two feet wider than the roadway it serves. [X] 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. [X] 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 minimum 30 foot setback for buildings and accessory buildings from all 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 on page 3. 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 or final inspection of a building permit. Page 2 of 3 i AP# PERMIT # N Other Requirements [ ] If Building Setback is 15 to 30 Feet: Class A or B roof and Enclosed Eaves [� If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D - Glass area not to exceed 10 % 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 i SITE PLAN REVIEW APPLICATION Date: AP# (�' L ul - `i O© - 0'3_7 Permit Number (if applicable) O �-1 - O O Cal 9 Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: i f:� Zr--e I_ r-- �,0 0 jk) } C Owners Address:�L� 2� �=- f 2��1 C f��4, b ( LAS Ve&A 5 rp-ec "S loij 140-;Swc_, Pi �grv�aJ�1+ Telephone No.: Situs Address: Uj X G L- i -F..p W A f Proposed Use: Residential . ❑ New Single Family Residential ❑ Single Family Addition ® Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other RE Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ N/A <. DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) J1 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval M Site Plan Stamped Approved By L10 Date - O Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ® Snow Load Area:F1 Land Land Conservation Act Minimum Acreage: E] Verify residence can be built per contract F1 Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) 0 SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached)a • Flood Zone: X • Flood Panel No.: 0 Lj 0c> C. Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ---------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side 3© Side Street Rear I -3 Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special. Fees ❑ Water. Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Formula # Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Q Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Map/Parcel Map: PAP—} ,E- � ilk �S � S Map Date of Recording: & -20 7 S - Lot: 67 2- ❑ Use Permit/Minor Use Permit Permit Number: Book: 3 Date of Approval: Page: B Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. n Page 4 of 5 Ali ::� ;��,� _ � \ !mss- ,� -per ZZ ..... . . . . . . . . National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention .Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Title: d ��' isP u ©a o 3� By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.),• a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: 'Title: Date: U -U-0_A&,CA / ow'�� NPDES & SWPPP Non -Compliance Certification Butte County Storm Water Management Program Revised 7/01/03 November 20, 2003 To Whom This May Concern; I, Bonnie Sue Starkel do hereby give my permission for my sister and brother - in - law Connie and Doug Guerard to conduct business on my behalf concerning all matters relating to Parcel # 064-400-037. Should you have any questions relating to this matter please contact me at; 6420 East Tropicana # 361 Las Vegas, Nevada 89122 or Home phone (702) 436-9135 Cell Phone (702) 610-7360 sincerely; O.B.- I 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 O NO )T 2. I HAVE ❑ HAVE NOT ❑ 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: _ --r(- i R- e 6 - ADDRESS: 1 u 5 5 ?d � o CTTY: Kao oA.. a 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 provide the major work: NAME: l ADDRESS: %� % Gc�l �c'� CITY..C PHONE: CONTRACTOR'S 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: PROPERTYOWNER:1 , - A - A NOTE; This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER IlVFORMATION Dear Property Owner. O.B.- I An application for a budding 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 pedis 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 wow 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 $300 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 regi 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, wom9 m 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. Budding permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors 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 mat#eas. The building permit will not be issued until the verification is returned. ly, Mc I C. zr-a, C B.O. er, Building Inspection NOTE: This Ownff Builder fnfonnadon is required by Seddon 19830 of the Car fornia Health and Safety Code. OVER `► BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 7 County Center Drive 411 Main Street Oroville, CA 95965 P.O. Box 5364 TEL: (530) 538-7281 TEL: (530) 891-2727 FAX: (530) 538-2140 FAX: (530) 895-6512 PLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Owner's Name TI—m< 1,--a Assessor's Parcel No. 06 YOd' c) 3 Applicant's Name �— n- I �' hone No. <3") � Mailing Address 6 V Z6 L' rt 464--c"l-e 1. Construction Site J1 L[ s.0 (Street and number or direction and distance to nearest crossroad) 26 2. Lot Size feet x feet. acres 3. APPLICATION FOR: New system for new building 0 Auxiliary or secondary system ❑ Repair of or addition to old system ❑ New system to replace existing facilities ❑ 4. Type of building to be served by proposed system: Mobile Home '0) (size </1 ) No. Bedrooms ,3 Garbage disposal? House ❑ No. Bedrooms Garbage disposal? Other ❑ (specify) 5. Water supply for premises: (Must be safe, potable water) Community Private well 11Other Water supply for ajoining properties: Community Private well ❑ Other 6. WORKMEN'S COMPENSATION INSURANCE I have placed on file with the County of Butte a certificate of Workmen's I am aware of the provisions of Section 3700 of the California Labor Code. Compensation Insurance. Which requires every employer to be Insured against liability for Workmen's Compensation. ❑ 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 the Workmen's Compensation Laws of California. 7. SCALE PLOT PLAN TO BE FURNISHEO Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: a. Property lines. b. Location of all proposed and existing buildings, structures, driveways and parking areas. c. Location of large trees, rocks, or other obstacles. d. Location of any well, spring, creek or other body of water on the parcel and within 100feet of property line. e. Show direction and approximate amount of slope. f. Source of water. g. Water lines. h. Set back lines and easements. i. Proposed sewage disposal system and area for replacement. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system is required before the new building or dwelling may be occupied or the system backfilled, or put into use. I also Uunderst nd that a safe potable water must be supplied to the new building or dwelling before occupancy can take p a e. Signed at (2,-61 Owner ❑ Authorized agent ❑ Licensed contractor Date (An original letter of authorization must accompany this application in order for an authorized agent to sign.) FOR OFFICE USE ONLY Legal parcel? Zoning Access Rcpt. No. Water plans cleared Potable water Comment Use permitted? _Amount DIVISION OF ENVIRONMENTAL HEALTH 7 County Center Drive 411 Main Street Oroville, CA 95965 P.O. Box 5364 TEL: (530) 538-7281 TEL: (530) 891-2727 FAX: (530) 538-2140 FAX: (530) 895-6512 ARPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Owner's Name — �Y�'� ssessor's Parcel No. O� y 4/0�' 0 3 Applicant's Name — hone No. �3d ,P%)3 20S�P Mailing Address 1� 1/2d C yU 1. Construction Site 04 L-/x44r (Street and number or direction and distance to nearest crossroad) 2. Lot Size '/ 7` 7 r feet x 'W feet. acres 3. APPLICATION FOR: New system for new building Auxiliary or secondary system ❑ Repair of or addition to old system ❑ New system to replace existing facilities ❑ 4. Type of building to be served by proposed system: Mobile Home g) (size _ & S' Y P ) No. Bedrooms Garbage disposal? House ❑ No. Bedrooms Garbage disposal? Other ❑ (specify) 5. Water supply for premises: (Must be safe, potable water) Community/lev Private well ❑ Other Water supply for ajoining properties: Community Private well ❑ Other 6. WORKMEN'S COMPENSATION INSURANCE ' I have placed on file with the County of Butte a cwdfllwte of Workmen's I am aware of the provlslons of Section 3700 of the California Labor Coda. Compensation Insurance. Which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 cortlfy that In the performance of the work for which this permit Is Issued I shall not employ any person In any manner so uta become subject to the Workmen's Compensation Laws of California. 7. SCALE PLOT PLAN'TO BE FURNISHED Sketch to scale on reverse side hereof, or attach scale sketch of plot plan of the premises showing: a. Property lines. b. Location of all proposed and existing buildings, structures, driveways and parking areas. c. Location of large trees, rocks, or other obstacles. d. Location of any well, spring, creek or other body of water on the parcel and within 100feet of property line. e. Show direction and approximate amount of slope. f. Source of water. g. Water lines. h. Set back lines and easements. i. Proposed sewage disposal system and area for replacement. I hereby state that the information above and on the reverse side hereof or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system is required before the new building or dwelling may be occupied or the system backfilled, or put into use. I also understAnd that a safe potable water must be supplied to the new building or dwelling before occupancy can take p e. Signed Owner ❑ Authorized agent ❑ Licensed contractor Date f� �` O (An original letter of authorization must accompany this application in order for an authorized agent to sign.) FOR OFFICE USE ONLY Legal parcel? Zoning Usepermitted? Access- Rcpt. No. Amount Water plans cleared Potable water Comment S4 -579R Assessor's Parcel Number:® © Q — Q Ov Q — 0 Q Q Scale:1 " = w Y/o Fr 0 e� r TF„ Owner Name SOW,< - b o Address / Phone No. c,oxv,# Site Location 4o7-0-22- 40 ^0 Contact Name.: (�� IA.;f ��-d�7PitRa Phone Zoning: General Plan Desig: Size, Aces ' 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: w SITE PLAN Assessor's Parcel Number ®©©— 0 0 — 0 0 7] Scale: 1 " = w/o C l FF „ OFA Owner Name Address / Phone No. G y. -v L TRoPicAft4o (/iC:d,o-j Site Location 4r 0-:22- Contact: -:2zContact: Name L&titifj�e- (j--V&XAAQ Phone v I1/G G FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: ..... .. ... .... SITE PLAN KICAL MECHANICAL; A ... G" AND PLUlVIBIN Assessors Parcel Number: ®©©— 0 [0 0 — QO 0 0 Scale: 1" =W10 , /- l �F e� T rF Q O Owner Name (�o.�wi�- STA2ri Address / Phone No. 0 Site Location �T #-:2 2- �CCV �� O Contact Name VeXA A10 Phone oerober;a,2oocs Zoning: General Plan Desig: Size, Acres ' 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: