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065-120-025
AP 65-12-25 J. BROTZMAN q/s Steiffer Rd., 501 E. of Tr ils nd Rd., JUX Magalia eyruit# 'i09 =75P,E'u- ELE f GAS "/ SUPPORT STRUTURE' REQ._�� - COMPACTION TSST REQ AP 615 12-25 12-:25Z p Permit# 1755-75E(elec.--f"or 13 .. - . - �m ---AR-XN-65-12925 CONTR: Kentwood MH Sales Chi - Permit# 1,837-75NH 1190 I s saed - — -51--Iq- 65-12-e-2-5-- Pe 't #4580-80B,E(new cabana/MH) 65-12--25' Perm* #2239-81B,E(rew pri.garage) 065-120-025 PERMIT#95-0896 SUNDERMAN, Paul 6436 Steiffer Rd., Magalia New Pri Det Garage �-"-065-120-025 PERMIT#98-0889 SUNDERMAN, Paul & Sandra .6436 Steiffer Rd., Magalia Cont: Skycrest '710 -?Yl,?? New MH on Perm Fnd-Ex Site bN gar 0 a RESIDENTIAL 065-120-025 PERMIT#98-0889 SUNDERMAN, Paul & Sandra PERMIT NC 6436 Steiffer Rd., Magalia Cont:`Skycrest New MH on Perm Fnd-Ex Site PERMIT Ek OWNER CONTR. ASSESSOR PARCEL LOCATION THE HCD FORM 433A FOR THIS MH CANNOT -1 BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED INTO THE BLDG DIV: ti ' "(2)MATEMENT-OF MFACTSWONLY NEW MH'S) LI�ISPECTO�i TO VERIFY SERIAL & LABEL VS OFFICE COPY Address✓(o/� V�� GAS p Meter By Date ELECTRIC �p Meter By Date7-f8 FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL,INSPECTION ITEMS I VERIFY Temp. Power Pole Called PG&E Temn. Elec_ Service Called PG! Temp, Gas Ser Called PG1 JOB FINALED Signature V=OK O = Not OK Not Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; SoilsSize-Dep"pacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists-Decking-BracingStairs-Re ils 3. Sewer, Location-Test-Fall-C)IO-Concrete 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 5. Electricity; Locabdn-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /"LYL / /Nat. or/ PL°fL/ /LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILEIMME INSTALLATION(Plans) OK except #'s Ae,fgj-iingq' uirements- Setbacks Easements gs; Size -Spacing -Marriage Line Gas;; KW.Test DemandVaKe-Connector M Test -Crossovers -Breakers -Clearances Drai H Test -Fall -Flex Connector A , " H Test -Regulator -Connector WINaLel;,indlewer Connected -C/O to Grade -HD Approval . as and Electricity Tagged owns -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert f Occupancy ermanent Foundation Only: License Decal DateZT Card B-1 Date Card B-1 Date •7-Z(S -qp ,Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Re ils 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frrng.; Sils-AnchorsStuds-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 Lghtgq. Boxes-Enclosures-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 0 = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #s 1. ZoningSetbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth RESIDENTIAL (Single & Duplex) 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 4. Ftg. Porches & Decks; Soils -Steel-/ i Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 48. 6a. Hold Downs and Special Anchors 49. 7. Slab, Steel -Wrapped 50. 8. Piers -Fireplace Ftg.-Steel 51. 9. D.W.V.; Fall -Fitting -Test -2 Way C/OSewer Test 52. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 53. 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Siding -Nailing Veneer 15. Access & Ventilation Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 16. Insulation Glazing Area -Glass Protection -Skylights -Plastic 59. Date Card B-1 Date Card B-1 Date 61. Card B-1 Date Card B-1 Date 62. PLUMBING (Permit) OK except #s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Card B-1 Date Card B-1 19. D.W.V.; Test Fittings & Anchor -Nail Protection Card B-1 Date Card B-1 20. Shower Pan; Test, First Floor -Tub Access FINAL (Plans) OK except #'s 21. Test Tub & Shower, Second Floor -Tub Access Ext Steps -Door & Sidelight Protection -Landings 22. Gas Pipe; Sixe & Anchors Smoke Detector 65. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 68. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Bo es & No. of Conductors Stapled 26. Romex kstalled 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 Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Ught-Shower Light -Spa Light 34. Smoke Detector 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Date 82. Card B-1 Date Card B-1 Date 83. Card B-1 Date Card B-1 Date 84. 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 Aocess-Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. 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 Card B-1 Date Card B-1 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-Purtin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -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-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-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/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O 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- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION' 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 /� PE;MIT o (Rev. 12/96) r ., APPLICATIO`NAND PERMIT `7 r ASSESSOR PARCEL NUMBER 065-120-029 ZONING•- TMI BUILDINGPERMIT OWNER PAUL & SANDRA SUNDERMAN Tri NE �rJ "//JJ1629 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6436 STRIFFER RD-, MAGATIA, CA R 87,974. CONTRACTOR'S NAME SKYCREST TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee 585.5/2 $ 292.75 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS 6436 STEIFFER RD., MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ 135.75 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CX Other SPECIFY Each Trap.7.00 Solar or heapump water heater 23.00 Water piping 15.30 15.00 Each as water heater or vent 15.00 I5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: NEW MH ON PERM FND — EX SITE Gas piping s stem t- 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2.'AOA'.ss 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 orce and effect. s� License Class Lic. No. 7 �' I OWNER -BUILDER DECLARATION 1 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 reasonAll Main Service 200A TO IOooA 43.00NEW CONST. DW8LLIENG OCCUR OR ADDNS. ( C.BUDS. SO 3.50FT: NEW CONST. MULTI.OUTLET NON-RESID. ANC c cu 4. 07.50 PowER APPARATus 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL'�'.50 Ex. Occup. ouTErs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ no 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' comation insurance carrier and policy number are: Carrier Policy Number(!- eeed if (The above sections d not be completthe permi 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 fortith comply with those pro isions. X L Date _ ! 1�9 _ Signatu a of Applica t - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excava ons over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT FlirQ Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 443.75 H`Z D. FE I FLOOD CDF RggCEI p0 HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic a ab for hich fees have been paid. By DatBl PERMIT EXPIRES ON 61101f Dare Receipt No. 2315780 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT I WNIV-r-j,,,``�.: COUNTY OF BUTTE DEPARTMENT OFIDEVE'LOPMENT SERVICES - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE, C�,I�(d1MA' 95965 - TELEPHONE (916) 538-7541 i PERMIT APPLICATION DATA SHEET// OWNER: ASSESSOR PARCEL 6 5 �� © op Proposed Building Use: / Building Inspector- Date:.5--111 Z 91q- 4, At time of permit application, I was advised the following data must be su witted prior to permit processing and/or issuance: Date Received By 1-11, All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. 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.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑8. azardous Materia ---- ------------------------------------------------------------------------- . Manufactur me data and installation instructions cluding Tie Down Specifications.------------------ 10. Fees of$ -------------------------------'------/---------1---- ---------------------------------- Impact fees as shown on the attached schedule./---------------------------------- Z/-- ❑ 12. California Department of Forestry plan approval/fees. ------------------ --------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- . Sanitation and plot plan approval LLLaealth Department. ------------------------------------------- � O Q ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 111.9. ---------------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------- 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- �+ ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- 455. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- �— 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑anufactured Home utility clearance --------------------------------5-- t,VZ4 ------------ --------- Exi g violati ns and/o pir0;:�2 -------------------- ---- ----- ------------ ---- �A!� t D H.C.D $ �d.--------------- 030. other:....... When you issue the permit, psrrocce oflows 11 Mail to owner ail to c tractor. Telephone l —6) to � and hold for pickup at OV iX office. E]Deliver with insnector. Applicant: l ( S Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: 1. Index permit application for the above items numbered: / ❑Plan Check List 2. Additional items req Contractor, designer, owner, was advised of a ove req&ed dat&y ❑ ph ne, ❑ mail, ❑ Building Divio&n counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building I?Anion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building6Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di 's'on counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division � E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. 1 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Puce Q 5tAr4erM4M 643& Sfet'FFer W (0 - /W- 025 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for --t#ti - Other 26 hw6ds- wl hey✓ 2-b Hold final for: Final clearance O.K. for: NOTE: r 1 Environmental Health Specialist Date 33 1,11-�% 47 F,. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number (%j5 rAy -60 Jurisdiction': City E County Property Owner A( t4 qL SO ►'j ,(4/"0 S 1 f tiWe r101 Com/ Property Location/Address 3 e e v- Ila Q l/ Subdivision Lot No. Residential Development Sq. Footage 1649 _ No of Living Mobia Home Additi (Group R) Units Installation A Q b eLI S P� �� j yl Aq - Ss� /" �g V Commercial/Industrial F Sq. Footage fuow e.I.liti— (rioor vians reevieweo oy scnooi uistnct versonneq .D' rict Identification No. ` �0 "� O!, School District certifies that 9 9. _ (Street Address) 0,44 Le (City) has complied with the requirements of�RResolution �No. representing /(y / square feet. School District Representative Paid by Check # (Including Exterior Roofed Areas) izz, 9 Date (Applicant) (Phone Number) (State) ` (Zip Code) by payment of $ —. Remarks: //� �^7 /�• �� �' /�'� r�7 f v 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 Cijlifornia Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm f And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 1 9'38-0GD24 1 96 Recorded Official Records I REC FEE 13.00 1 COPIES 2.00 Countyy Of I CANDACEuJ. GRUBBS I RecorderVIM I 03:1VM 10 -Jun -1998 I I Paged of 3 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. e County has established plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke. noise. and odor. Butt 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 Count.• of Butte. State of California, described as follows. SEE MUBIT "ONE" ATTACHED HERETO AND MADE A PART HEREOF FOR LEGAL DESCRIPTION Date: June 4, 1998 pR RTY OWNERS: Paul R. Sunderman State of C County of On Co - J -cir before me, personally appeared known to me (or proved to me on the basis of sat within instrument and acknowledged to me that that by his/her/their signature(s) on th ' . tr'G executed the instrument. WITNESS my ha official seal. I inn •erman personally to 'de a the person(s) whose name(s) is/arc subscribed to the bekfr6y-ei'eemtcd the same in his/her/their authorized capacity(ics), and the person(s) o entity upon behalf of which the person(s) acted, Signature a �+� IV-jrn Iti• Seal: 0(,0,5- 12-D- o �L5 10.32666 NAOMI BRUNDIN NOTARY PUBLIC - CALIFORNIA COUNTY OF BUTTE My CnrrmiRsien Expires July 17, 1 o0tl LEGAL DESCRIPTION EXHIBIT "ONE" ORDER NO. 2-64771JCW ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE WEST QUARTER CORNER OF SECTION 13, TOWNSHIP 23 NORTH, RANGE 3 EAST, M.D.B. & M., AND THENCE FOLLOWING ALONG THE EAST AND WEST CENTERLINE OF SAID.SECTION SOUTH 870 14' 48" EAST, FOR 660.00 FEET; THENCE GOING NORTH 00'42' 02" WEST AND PARALLEL WITH THE WEST LINE OF SAID SECTION FOR 535:60- FEET TO THE TRUE POINT OF BEGINNING OF THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUING NORTH 00 42' 02" WEST FOR 483.39 FEET TO A POINT IN THE CENTERLINE OF STEIFFER ROAD; THENCE FOLLOWING ALONG SAID ROAD CENTERLINE NORTH 640 02' 20" EAST FOR 18.59 FEET.TO THE BEGINNING OF A 350 FOOT RADIUS CURVE TO THE RIGHT; THENCE FOLLOWING ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL, ANGLE OF 170 28' 53", FOR AN ARC DISTANCE OF 106.79 FEET TO THE. END OF SAID CURVE; THENCE NORTH 81° 31' 13" EAST, FOR 52.18 FEET; THENCE LEAVING SAID ROAD CENTERLINE AND GOING SOUTH 00 42' 02" EAST, FOR 538.91 FEET; THENCE NORTH 870 14' 48" WEST, FOR 170.80 FEET TO THE TRUE POINT OF BEGINNING. EXCEPTING THEREFROM THE NORTHERLY 30 FEET, LYING WITHIN THE BOUNDARIES OF THE STEIFFER COUNTY ROAD. ALSO EXCEPTING THEREFROM ALL MINERALS AND/OR OIL, GAS AND OTHER HYDROCARBONS, LYING WITHIN THE LIMITS OF SAID LAND BELOW A DEPTH OF 200 FEET FROM THE SURFACE. AP #065-120-025 END OF LEGAL Page 6 CALIFORNIA ALL-PURPOSE ACKNOWLEDGIMFENT State of California County of Butte On 6-5-98 before me, Naomi Brundin , Date Name and Title of Officer (e.g., 'Jane Doe, Notary Public') personally appeared Paul R. & Sandra K. Sunderman Name(s) of Signer(s) �rsonally 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. aaunnuumuouiiBliliNltlfllttluuuuuutlmutalualuln ' t� OPAL 10226 9 = WITNESS my hand and official seal. AIAOMI BRUNDIN NOTAO NBUC - CALIFONNIA a f:Mltr+r or euTrla My Cbminrssien;cirWA .duty 17. 11198 Signature of Notary Public �l[Uptttl111lltulllntpyllitPllunun+amu OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: Individual Corporate Officer Title(s): Partner — ❑ Limited ❑ General Attorney -in -Fact Trustee Guardian or Conservator Other: Signer Is Representing RIGHT THUMBPRINT OF SIGNER .. of thumb here Signer's Name: e Number of Pages: Individual Corporate Officer Title(s): Partner — ❑ Limited ❑ General Attorney -in -Fact Trustee Guardian or Conservator Other: Signer Is Representing: RIGHT THUMBPRINT OF SIGNER 0 1995 National Notary Association - 8236 Remmet Ave., P.O. Box 7184 - Canoga Park, CA 91309-7184 Prod. No. 5907 Reorder: Call Toll -Free 1-800.876.6827 - RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 29 -Jul -1998 1998-0032199 Has not been compered 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. PAUL R& SANDRA K. SUNDERMAN REAL PROPERTY OWNER/LESSOR 6436 STEIFFER RD. MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (d'also property owner, write'SAME-) MAILING ADDRESS BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAULING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 70 89 530 538-7541 B NO_�"TELEPHONE NUMBER �(�tN, 7/28/98 WSIG&APMOF LOCtLL AGENCY OFFICIAL DATE COI JSIN Y' S HOMES DEALER NAME (ri'not a dealer sale, write'NONE*) 91265 DEALER LICENSE NO. cm aocxrr a= m UNIT DESCRIPTION SKYLINE 1998 OAK MANOR 2244 MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 06-70-0-820K 62'8"X26' 46-89-17/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DWRIET70N ASSESSOR'S PARCEL NUMBER A.P. #065-120-025 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - C 'ty Recorder CANARY - HCD PINK - Applicant GOLDENROD - Bu&EM DepL LEGAL DESCRIPTION A.P. #065-120-025 All that certain real property situate in the County of Butte, State of California, described as follows: BEGINNING AT THE WEST QUARTER CORNER OF SECTION 13, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. & M., AND THENCE FOLLOWING ALONG THE EAST AND WEST CENTERLINE OF SAID SECTION SOUTH 87 DEG 14' 48" EAST, FOR 660.00 FEET; THENCE GOING NORTH 0 DEG. 42'02" WEST AND PARALLEL WITH THE WEST LINE OF SAID SECTION FOR 535.60 FEET TO THE TRUE POINT OF BEGINNING OF THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING, CONTINUING NORTH 0 DEG 42'02" WEST FOR 483.39 FEET TO A POINT IN THE CENTERLINE OF STIEFFER ROAD; THENCE FOLLOWING ALONG SAID ROAD CENTERLINE NORTH 64 DEG 02'20" EAST FOR 18.59 FEET TO THE BEGINNING OF A 350 FOOT RADIUS CURVE TO THE RIGHT; THENCE FOLLOWING ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 17 DEG 28'53", FOR A ARC DISTANCE OF 106.79 FEET TO THE END OF SAID CURVE; THENCE NORTH 81 DEG 31'.13" . EAST, FOR 52.18 FEET; THENCE LEAVING SAID ROAD CENTERLINE AND GOING SOUTH 0 DEG 42'02" EAST, FOR 538.91 FEET; THENCE NORTH 87 DEG 14'40" WEST, FOR 170.80 FEET TO THE TRUE POINT OF BEGINNING. EXCEPTING THERFROM THE NORTHERLY 30 FEET, LYING WITHIN THE BOUNDARIES OF THE STIEFFER COUNTY ROAD. ALSO EXCEPTING THEREFROM ALL MINERALS AND/OR OIL, GAS AND OTHER HYDROCARBONS, LYING WITHIN THE LIMITS OF SAID LAND BELOW A DEPTH OF 200 FEET FROM THE SURFACE. BUILDING PERNM NUMBER: 98-0889 Address or location of unit: 6436 STEIFFER RD., MAGALIA, CA 95954 Legal Description of Real Property: A.P. #065-120-025 SEE ATTACHED LEAGAL DESCRIPTION (g) 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: PAUL R. & SANDRA K. SUNDERMAN Owner's address: 6436 STEUTER RD., MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: 46-89-17/18 SERIAL NUMBER OR V.LN.: 06-70-0-820K r MANUFACTURER'S NAME: SKYLINE 998 OFFICIAL APPROVING INSTALLATION: DATE: 7/28/98 PHONE: (530) 538-7541 i H.C.D. 513C MAR. -20' 98(FR1) 15:52 FIDELF" NATIONAL RECORDING AEQVL.iTED By Butte County Title Company MAIL TAY STATEMENT TO same as directed below W I IEN K ECORUF.D hI M 1. To Paul Sunderman Sandra Sundeim. lan i i TEL:9168991"'.. 92-17196 92-0171961 Be. Fee 1 DOC Recorded I Check Official Records I County Of I Butte I Candace J. Grubbs I Recorder I A:00noo 22 -Apr -92 I 9CTC Ok DEN Mo. 42353 Escn°wfa. P17051GQ GRANT DEED (10 � Tae undenitned arannrl•1 Argil.�y •t• Dneuenenlary 11-1r 1.— 1 .95 [and value $44,200.00 l p CompaleJ m full slue of gopen) a'un.cycd. a 1 ) Canpuled en full rale IN 41ae of lima end el,Qund,.anaTa rcnvininp m ging nr mle. 1 b Unlnt",,.ird arca 1 )c of _ Ta. P.—I No. FON A VALUABLE CONSIDERATION, rcwipl or whine i. IKlcbr acknowIcdgcd JAKE BRUMM, an unmarried man hereby CRANTISI to PAUL R. SUNDE]U'1AN and SANDRA K. SUNDERMAN, husband and wife Uta following deacritwA reel propcny in the C—lyof Butte SFE UCAL DESCRIPCION AITACHM RMEM AND MADE A PARI' HMWF rt.w �pr113._.1,99L P. 003 2 ' 6.00 48,93 56.95 CO, 2 iNTTENANCY) ' I • I 1 I I I AS JOINT TENAM Swc orcauromLL 1 I' PAM 0- C4 dArr lnrll _ 14�u1 —j�QC rinlV dL4j4p PoNk Yid fa , bel,w IK. Ur "y C• r ^r YMw, P^>rrq 4'A■.d AA�Ja: C..�C0.aB10II-, •� A A ' ' A i l •uu48AAAaaA hAA AAAAAALKAAAAAAAAas *A&&* A-RA-saaahalls, at I wseAArpnf ■wde n u w M IA. Irma or .rwla►" .a.11crr r he MW P1 •Aa•1UtalsiASAsetaA..M04 soft j .a1. rid ..W. air.M .ayfr.e�rl,a1—Wpd Ih.,AA a dALI{ moot .rrr. \a1tM I�kW aaJ1 Wrr /� �� � JENNIFER . NAVES lou.r rmftslc uo.Au FMPAL K( 1A Manudlemum ronnlJ C rlAro■, Yocnrr �101 ataror Arad ra ��n'a•� ��� ar awl ra\\1\ll \II ♦f t\lt1Art-ff It Abg%VF i MAR. -20' 98(FR1) 15:53 FIDELI" NATIONAL TEL:916899"'.1 I 92-171961 DESCRIPTION All that certain -real property situate ih the County of Butte, State of California, described as followeg BEGINNING at the West quarter corner of Section 13, Township 21 North, Range 3 East, M.D.B. a M., and thence following along tie East and West centerline of said section South 87. 14' 4a" East, for 660.00 feet; thence going North 0' 42' 02" West and parali 1 with the Woat line of said section for 535.60 feet to the true Point of beginning of the parcel of land herein described; the ce from said true point of -beginning, continuing North 0' 42' 02" Weat for 483.39 feet to a poii.t in the centerline of Stieffer Road; thence following along said road centerline North 64' 011 20" East for 18.59 feet to the beginning of a 350 foot radius curve to the right; thence following along the arc of amid cure through a central angle of 17' 28' 53", for an arc distance of 106.79 feet to the end of said curve; thence North 81' 31' 13" East, for 52.18 foot; thence leaving said road centerline and going South 0' 42' 02" East, for 538.91 feet; thence North 87' 14' 40" West, for 170.80 feet to the true point of beginning. EXCEPTING THEREFROM the Northerly 30 feet, lying within the botn- dariee of the Stieffer County Road. ALSO EXCEPTING THEREFROM all minerals and/or oil, Sae and othe hydrocarbons, lying within the limits of said land below a depth of 200 feat Ecom the surfaci. - END OF DOCU 2 { P. 004 N t SvA(D62MAAA/ 4+V, OP STATE•OF,CALIFORNIA �.� DEPARTMENT OF HOUSING -'AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION 0. STATEMENT OF'FACTS This unit 'is. -.as ® Mobilehome Commercial Coach Floating Horne Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) Ff1�To2y D/1D�2 FAa0-0/zY 0AD�2 Al b 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/We certify under penalty of perjury that the foregoing is true and correct. Executed on 2 9 at C_ /J / c 0 C D to (City) (State) Signature of each affiant Printed name of each affiant Address city c o , State -� HCD 476.6 (Rev 11/86) COUSIN GARY'S HOMES •13468 -HWY 99 163-1871 Chico, CA • 95973 HCD .# 91265 • Contractor's License $i: 295412 (91 b) 343-8494 NOTICE:THIS FORM IS COPYWRITED AND REPRODUCTION OF ALL OR PART IS STRICTLY FORBIDDEN. MAKIIII►CArTllIDFn 14OMF PURCHASE ORDER AND FEDERAL DISCLOSURE STATEMENT DATE: j5&&9 PURCHASER: DAY ADDRESS:HONE: c ( '. CITY: � �+d STATE: �— ZIP: +-S� SALESPERSON: PHONEr EVENING ' , _ / 010 to the terms and conditions stated on both sides of this agreement Seller agrees to sell and Purchaser agrees to purchase the following MFD./MBL, Home: .Subject MAKE MODEL �Z,yy B. ROOMS APPROX. (NOT INCL. IOW SITUS TOW BAR/EAVES.I ADDRESS, /rJ-,to �G- M.,, �' Z 1 I W. ❑USED ry.,,r' w'l $ERIA UMBER AP ROX. HUD O/^R-HCD NO. DT. OF MFG. DE .� E �.i,../ Q R] CiOtln}yt /AGRi THE COST OF THE MFD./MBL. HOME EX LUDEEAS THE LISTED PRICES FOR THESE ITEMS. So.. FT. LIVING � #� '�— 1 Z t-7 w I✓ Z $' TOW BAR, HEELS,$ a ,/HEEL HUBS.�TIRES,$ b0 LES ,% 3 / MFD. HOME PRICE DATE MFO. ORD.' .'. ESCROW OPEN STKsioTHER . USED HOME SALES TAX. IF ANY, 1ST SOLD PRIOR TO 7/t 80 $ ADDENDUMS) trs�• ITEMIZED ACCESSORIES AND THEIR COSTS: (SEE -_.Pv ��c �_....�'r+,t ..`5..Go�w�..• SEt BEl01N CIRCLED ADDENDUM A ACH ERETOj : /►�ovvi.S:--.F7'l,cA_w'S+!+�jIE•.w��Q��o"� _. f /fG� �-'^�j PRICE SUBJECT TO SITE APPR�O,ryVAL _.. • +'.�r�s(�1+wiar__� rk-:.e_�.-" _— _ [ ,� . �..._Leh. Ca.�-a0�?_.._ . _ _ ___.. �-•-•---•-'- -'-- •- --- -' -- �y�'�) -- - - - - •- ._ /_ ,.,., - . 1�-`�rnf✓. ,.� _�'fce}� _ .lata, 1141C �-7- ACCESSORIES (OUTSIDE HOME) $ Z'o DESCRIPTION OF TkADE-INTOTAL MODEL TOTAL MFG. HOME S, ACCESSORIES $ ZZc= SA T T INTEGRAL TO HOME) $ s WC SERIAL NO. FOUNDATION SYSTEM* *AMOUNT Acc r No. DELIVERY $ SET UP $ TO WHOM: o f1 q'l' HCD FEES $ 3 ADDRESS/PHONE INSURANCE PREMIUM (ONLY IF SOLD BY DEALER) VENTILATION IMPROVEMENT -NEW O ESCROW FEES $ 0 I HAVE RECEIV ATION IMPROVEMENTINFORM, TI OR SCHOOL FEES $ THISL. HOME. OTHER / PRE PAID TAXES 1',:`t�s, ��- $ 4S BVIER'S SIGNATURE DOC. FEE (NOT A GOVERNMENTAL CHARGE) THE MANUFACTURER STATES THAT INSULATION HAS BEEN 1: TOTAL CASH PRICE' $ INSTALLED IN THIS HOME AS FOLLOWS: (NEW ONLY) ALLOWANCE ON TRADE-IN $ TYPE THICKNESS 'R' FACTOR LESS BAL. DUE ABOVE $ _41 ROOF , f v — ZZ NET ALLOWANCE $ EXTERIOR WALLS_ r — PAID HEREWITH $ l�r� FLOOR L —15 CASH BEFORE DEL. .. $ •7"!30 WARNING—Unless a charge is included in this Agreement for Public DESIGNATED DEPOSIT Liability or Property Damage Insurance, Payment for such Coverage (INC. IN DN. PMT) is not provided by this agreement. 2. LESS BUYERS DOWN PAYMENT $ ('� 3. UNPAID BAL. ON CASH SALES PRICE $ 14. If the dealer is also licensed as a real estate 'broker, the FINANCE CHARGE $ A sale of a manufactured home or mobilehome being installed S. ANNUAL PERCENTAGE RATE % on a,• foundation. system pursuant to Section 18551 may be 6. TOTAL PAYMENT AMOUNT (3+4) $ included"In the purchase document for the underlying real 7. UNPAID BALANCE DUE PRIOR TO DEL. $ property, ; proyided .that. the requirements of HSC SEC. 8. TOTAL DEFERRED PAYMENT PRICE (2+6) $ 18035:3 are met." PAYABLE AS FOLLOWS - THE DEALER CERTIFIES THAT THE INSTALLATION CONTRACTOR IS: If NAME `. Ico uilding Systems UC.,t 2 5412 ',. 13468 H WY - 99 In the event the manufactured home cannot be delivered -and/or- inspection completed BUSINESS ADDRESS within the agreed delivery time due to nonperformance by the buyer, buyer agrees to °j CITY Ico CA ZIP95973 one of the following at the option of seller, either (i) to pay $ ' charges per day until a manufactured home installation acceptance or certificate of • A, Contractor' it required by law to be licensed and regulated by the occupancy is obtainer ddition to all other consideration owing or (2) pay the sum Contractors Statd Licbhse Board, P.O. Box 26000 Sacrorrtento, CA 95827. of $ in lieu or total consideration. •' ¢ (A) DO NOT SIGN THE PURCHASE'AGREEM NT BEFORE YOU READ IT OR IF. IT CONTAINS ANY BLANK, SPACES TO BE FILLED IN. (B) YOU ARE ENTITLED TO A COMPLETELY FILLED-IN COPY OF THAT HOME COVERED BY A WARRANTY, A COPY AGREEMENT. AND,`IF PURCHASING A MANUFACTURED/MOBILE OF THE''WARRANTY:,CohMplaints concerning the purchase shall be referred to the dealer and, if the, complaint is not resolved, 'mayy,be Staridards„Occupational Licensing,'Post Office referte8tto'th®;Department°of=•Housing and Community Development, Division of Codes and Box 31; Safratneittot California.95$12-0031 (telephone (800) 952-5275). A failure to disclose pursuant to this section shall not be the, basis for. recission of a conditional sale contract. : ”' - I further certify that I understand that if subject Manufactured The Mahufactured Home that I am purchasing will be used as a residence. dence, I may be liable, to the State Board of Equalization, for the tax measured by the amount Home is used for any p, ose other than a re excluded pursuant to cert t t ZL 1 ti PURCHASER BATE J RE PT OF A FILLED -14 COPY OF THIS AGREEMENT IS HEREBY ACKNOWLEDGED BY PURCHASER representative of seller. Purchaser certifies that he is of The Purchase Order is subject to credit approval and is not binding unless signed by an authorized to sign a Security Agreement according to the terms herein. In the event payoff figures on a trade-in toward the purchase of a legal age, and agrees Manufactured or Mobile Home are more than quoted by the Purchaser, the Purchaser hereby agrees to pa this excess on demand. ET FORTH ON THE REVERSE OF THIS AGREEMENT NCORPORE►TED HE IN AND ARE FULLY ' ALL TERMS A NDITION APPLICAB S T SES 7O"FTH THE FRONT SIDE OF THIS AGREEMENT. /'� L SELLER: PURCHASER: SELLER: PURCHASER: AA �9: 4_e DATE: g_ - 19 AUTHORIZED REPRESENTATIVE OF DEALER PROPOSED SIDE-"Hz0E--- Z4� x (p 2' g ,� iso —' \ (2. ZR) 30�' — I E Xt S! Sff 60 ZDCIO g x I (o IFXST (To 8E RM6 ED) —EXIST SEPTIC EXIST ExISr CpARA4E WELL 20 x 20 1 All STRUCTURES AND EQUIPMENT tsWLUDI scz OVERHANGS SHALL BE CLEAR OF ALL P-ASEMEIr F, A SET BACK. OF FT. FROM THE SIDE A r: ..-40ki -:HE REAR PROPERTY LINES AMD FT. FROM, THEE ROAD CENTERLINE SHALLBE' CLEAR OF ;STRUCTURES AND (EQUIPMENT EXC F1 FOR A 2 FT. EAVE OVERHANG. �57E IFFEn Ro CSL '�J � ✓-Yom/-e✓e_G�� This set of plans aiid apec2tloatims UM be kept on thej ob at all times and it is unlawful to maks any changes or alterations on same without written permission from the Department of Publto Works. County of Butte. Materials & iWorkinW&V 8hon$eta NCTE: All ed Good Practices and Accordance with Rscogn� of a itY Prescribed for the Specified urge in the Uniform Building Pluanb�g ' Meeha�c� Cudta :and the D3,Nn� P1e°tsie°a Code. PAUL � SANDRA SUNDERMAN G# -34P STET FFER RD MAC�AILIA CA 95954- AA� ;t 65- 12.0 - oZS 5G,3LE /11 = 6o' E�'- �'�j/� � Lr ,� � T CNS f_= /L , .•_�' N LL� 0_ L` tD lD lL -a'—tea'-a' E2' � '-�'� i I'-4' to, (Poi' m o. c29401 ----- - � w r -29401, w o J iv i I -1 r-? L � y�4 CENTERLINE SUPPORT REQUIREMENI CL �. THIS SHEEP Td BE INSERTED WJTH SUPPLEMENT TO FIELD INSTALLATION MANUAL FOR 20� ROOF. SNOW LOAD. SEE ABOVE PRINT FOR LOAD REQUIREMENTS, e ..-., - f r -Ikf T -11 MC 7s7:0i 8661-SO-AUW PROPOSED RESIDENCE 2ld X 10-2,8" ISO 301WA — I I EXIST i40me' 19 (ro 8E REKDVED EXIST EX(Sr 4ARR4E WELL 20 X20 s ST E 1 FF ER RD Et-t 'I51En 2A g x 1(0 S1i EXi 5 - SEPTIC APPROVED Butte County Environmental MLd Environmental Health MAY 0 8 1998 ---5 a� _9 - e Chico, CA__ - Signature PAUL 5ANDRA SUNDFRMAN G#. 3(A ST'EI FFER ZD MACiR►SIA CA 9595* Ac/P tL 4a5- 12-0 - 02.S 5CR LE" a c' P 2239 -814,,E PERMIT NO. PERMIT EXPIRES Jake Brotzman OWNER owner CONTR. 65-12-25 ASSESSOR PARCEL LOCATION 6436 Steiffer Rd., Magalia 4 �l d ✓t f, Temp. Power Pole i d Called PG&E Temp. Elec. Service, I' Called PG&E i. F,. Temp. Gas Service w CalledPG&E JOB FINALED (Date)tz Signature y ' V ` LF� i J = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAR' ISingfe and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer Stemwalls, Garag lockouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. GirdVs-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date oIZ �'ac.tC WV4mac. Srtk Card-BI Date Card -BI Date Aa' A., Q L Card -BI Date Card -BI Date Card -BI Date 1.T Card I Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. 23. 24. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic El Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes E] No: Walks E) Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance tc Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in -Attic Card -BI Date Card -BI Date Card -BI -Date Card -BI Date Card -BI Date Card -BI Date Card-BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing A 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) J = OK 0 = Not OK = Not Applicable MOBILEHOMES * - Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; 'MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7.. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane Iboards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 7 County Center Drive - Oroville, California 95965 -Telephone 916i534`v 41 �' �/'�,� s -���; Cid APPLICATION AN) PERMIT ASSESSOR PARCEL NUMBER 1 —Zj ZgNING 1 '" / . BUILDING P RMIT OW I�OT M� TELEPHONE L`DIING VALUATION SQ. FT. OCC. BUIk/0 U�+ OWNER'SM (LING ADDRESS G� 3 C ,TR,Ar NTOR'S NAME W - l-ao_ LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ V V10 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER AAY-,� LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 c J e /,rice; t� 12 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. =NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECI F Building sewer Lawn sprinkler system 5.00 TYPE OF WORK WPermit New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST *D W EOR ADONS. (ACCLBLDGS.0 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [>� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CQN5T(MULTI-.U1 NON.RESID R. BRANCH CIRCTITS 2.50 ea NEw CONSTR ( POWER APPARATUS e� _ NON•RESI D. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 0250 BAL@1 FIXED APP LNS. OR EX. OCCup•(OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ %- Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the 'County of Butte Building Department aCertificate of Workmen's Compensation Insurance or a Certificate �f Consent to Self -Insure. L"J ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3,00 Ventilation permit Fee S Contractor Icertify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments costs, and expenses which may in any way accrue against s id Co my in n eq ranting of this permit. X Date Signor a of Applicant — Own' Contractor ElAgent F-1 An 0 HA permit is required for excavations over 5'0" deep and demolition or construct- ion structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ G occU GROUP 7�/] �v TYPE OF CONST. PARS L ✓ . ISSUE This permit is hereby issued under sions of the Butte County Code and/or workindicated above for which DIREC OF PUBLIC PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat �'��i��_ Receipt No. 00 ^I WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT k"ERMIT NO. 4580-80B,E PERMIT EXPIRES - 2 OWNER Jake Brotzman owner- CONTR. ASSESSOR PARCEL X %RJR Z H)XK 65-12-25 LOCATION S/S Steiffer Rd., across from Trails Bld Rd. , Npza1is -/1 2 - Temp. Temp. Power Pole s Called PG&E f Temp. Elea Servii Called PG&E Temp. Gas Service i Called PG&E, r JOB FINALED (D Signature J = OK - - O = Not OK - = Not Applicable RESIDENTIAL Ofngta and Duplex) * = Not Ready Date UNDERFLOOR P s OK exce m's Date FRAMING (Continued) 1. Zoning r irements-Se cks..geeemetris- 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing 9. Gas Pipe; Size -Anchors, 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date ights-Plastic Gard -BI Date Card -BI Date card -t41 nate Card -BI 1, ate Q& Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -131 Date Date Card -BI Date PLUMBING (Permit) OK except p's 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture &Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- 1 In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductor Staple 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 2 I o e of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners Bond Gas & Water 72• Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance j Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes E) No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes []No; Planters []Yes ❑No - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -.--- Card B -I Card B -I Date _ -- - - ` �M D to _ Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts: Insulation & Support 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval Card -BI Card -BI 32. 33. 34, 35. Vent Fan; Exhaust above Insulation Condensate_ Drain & Overflow; Size & Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI _ Date Date Card -BI Date 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. 37. 38. 39. 40. _ _ _ Walls: Studs-NaiIing, Spacing & Bracing -_Plates_ -Sound Bearing Walls over Girders & Floor Nailing_ _ Draft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub f � V ` _ U _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat V_ 45. 46. 47. A t 1-1 c Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hpt. & Dimensions Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) V = OK O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready i MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except'N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Foot ings;'Size-Depth-Spacing-Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg -Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ' 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5'-Cir6ulating Equipment -Heater B. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 6. Elec.; Grounding; Equip.w/5'-Circulating,Equip.-Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBL iC WORKS PERMIT NO. r 7 County Center Drive - Oroville, California 95965 - Te-opnont. 916/534 � �` _-� >' APPLICAMN AND PERMIT IV ASSESSOR PARCEL 111 11 ZONING - Tki, III, BUI DI � ERMI Z, OW R r - 11, ` -I`k;- LEPNE HOr c� I �O. 1 T. OCC. BUILDIN ALUA N T OWNER'S MAILING ADDRESS^/ I r l ' o L \ lL L� i CONTRACTA\ R'S NAMEEL T EPHONF. CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER �U61 UNKNOWN Fireplace SL Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER l''kril-L LICENSE NO. Plan CheCKing Fee $ ' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS r Permit fee $ BUILDING ADDR Ft=55 t—;L PLLl PLUMBING PERMIT Filing Fee 3.00 ^ jfl b'f'� � Each Tragi 2.00 _. Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 ,Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ElInstallationC :ether E]Contractor Describe work: ,rz ; Permit Fee $ ELECTRICAL PERMIT Filing Fee ( e00 Main service 1001 OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUF.&� 2¢Sgft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. icense No. Classification L� I. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEv; tONSTrt `.ULTI-OUT LET2,50 ea NON -R ESI D. BRANCH CIRC ITS NEW CONST FL POWER APPARATUS & NON•RESID. \SINGLE OUTLET CIR. Ex. OCcup(OUT:ETS OR FIXTURES 50@255 BALR 10¢ -IXEO APPLNS. OR Ex. Occup.(OUTLETS (RESID.I EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S'COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, nd expenses which may in any way accrue against said C my in nseq a of the granting of this permit. X Date ' Sig a re of Applicant — Ow er Contractor ❑ Agent An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE or CONST. 7`- - V� �i PARCEL PD �, v "C/1ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p DIRECTOR UBLIC WORKS J By Date PER XPIRES Date_ Receipt No. CG' I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, ParaAd ise, CA - (916) 872-6307 CORRECTION NOTICE - <z% PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify 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. Date 7 O (/ / Idspector REV 10192 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE z739 - OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address,end should be corrected. Please notify 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. Date 1� — Inspector REV 11/91 J V COUNTY OF BUTTE - DEPARTMrNT. OF PUBLIC WO KS PERMIT NO. 7 County Center Drive - Oroville, California 95965 -Telephone 916 34 541 APPLICATION ANS PERMIT 1 CCCJJJ ASSESSOR PARCEL NUMBER --J 2.�2.� ZONING �xf BUILDING P RMIT ow TELEPHONE SQ. FT. OCC. BUILDING VALUATION �+v OWNER'S M ILING ADDRESS C'rSTR'tATOR'5 NAME V W Ill a ek-. LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ V V100 Filing Fee .$ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A_A*A - LICENSE No. I Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 `rna Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECI F Building sewer Lawn sprinkler system 5.00 TYPE OF WORK WPermit New Nr Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 6001 OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. ( DWELLING OC OR ADDNS. \ ACC. BLDG S. ' 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El i am licensed under provisions of Chapt. 9, Div. 3 of the BusinessEx. and Professions Code and my license is in full force and effect. License No. Classification QUI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.ou L T 2,50 ea NON-RESID BRANCH CIRC TS NEW -CONSTR. (/POWER APPARATUS S\ _ NON RESID, ( SINGLE OUTLET CIR. / Occu cO L zsm Occup(OUTLETS OR FIXTURES BAL01 XED PPLNS. OR A Ex. Occup.�OIUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments costs, an' expenses which may in any way accrue against s id Co linty in n eq granting of this permit. X Date Sifteof Applicant — Own Contractor ❑ Agent is required for excavations over 5'0" eep anddemolition or construct- ioctures over 3 stories in height. /J/Fj '� Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �t Occu GROUP v ���,vvvv l TYPE of CONST. IPARCELI ✓ N� I55o� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been aid. PAnpermit WORKS a�l Dte d e Receipt No. O � o � J WNITE-D.P.W., YELLOW -ASSESSOR. PIN 1 SPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE IT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 :, APPLICATION AND PERMIT q j ASSESSOR PARCEL Nljj.A B�,R t 1)BUI ZONINGP DI ERMI ow tME R LE PH ONE SQ. FT. OCC. BUILDIN ALUA N OWNER'S MAILING ADORES r "- u CONT AC R'SNAME LL `vu- TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER L LICENSE NO. Plan Checking Fee $ If Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR SS S PLUMBING PERMIT Filing Fee 3.00 I o & n o Each Trap 2.00 Repair drainage or vent piping 2.00 r/ i ill Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2,00 Gas piping system 1 - 5 outlets USE 0 STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition [:]Remodel [—]Utilities ❑ InstallationE] Other F] Describe work: — tr CA�, �� Permit Fee $ contractor ELECTRICAL PERMIT Filing Fee (0.00 Main service 600V OR 100 AMP ORLESS5.00 Main.. service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCC „,' OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense No. Classification /1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR MULTI-OUTLE NON-RESID. BRANCH CIRCUITS) 2,50 ea NON-RESID R ( POWER SINGLE OUTLETTUS CIR &) Ex. Occup(OUTLETS OR FIXTURES 50@� BAL@10C FIXED APP LNS. OR Ex. Occup.(0UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, nd expenses which may in any way accrue against said C my in nseq e, of the granting of this permit. /) Date �v Sig a re Of Applicant — OwrKerEr,Contractor ❑ Agent An USHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in heig Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ G,3ta Occup. GROUP I TYPE OF CONST, /t✓ PARCEL v PD f✓ NE v ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR UBLIC By PER XPIRES Date the applicabl: provi- resolutions to do fees have been paid. WORKS Date �o��� Receipt No. WHITE -D. P. W., YELLOW -ASSESSOR, PIN - SPECTOR, GOLDENROD -APPLICANT BEAM STRSS CHECK-DRTA BEAM ! Unbraced Lengths! :Length Facto s !Bending Coeff! 2nd l LABEL ! Y -Y (axis) X -X l Y -Y (axis) X- ! Cm Cb ! Member? --' (ft) ' • !Default l Beam Length 1 ! 1 1 ! No !COL1 l ' 2 lCOL2 l ! 2 !COL3 ! ! 2 ! lCOL4 ! ' 2 BEAM PROPERTIZS ! ! AISC/Other!Area Inertia Elas is Weight Coef. of! Fy ! Y -Y !Property! SECTION ! I-xx Modu us Density Therm Ex.! ! Axis ! Taq !PROP. LABEL! ('n-2) (in -A) (Kai) (K/ft^z) vi ! ! Default 96'00\\04896 0:00065! 36 TS5x5x3/19 13.39 TS4x4x3/16!2.769!l 1---------------------------------------------------------------------- ! NODAL LOAD DATA 1-------------------------------------------------- ----------------- ! NODE ! Nodal Loads (K.K-ft) ! Loa• Case Factors ! LABEL ! Global X Global Y Moment! 1 2 3 4 5 M" ----------------------------------------------------------------------- ---------------------------- NODAL DATA l Global Default Temperature = 0.00 NODE Coordin s ------------------------------------- Boundary Restraints Node LABEL X Y X-dof Y-dof Z-dof Temp ----------;---------, t) --------- l--- (0.1.2.in.K-in.radians)--!--- (F) --- !A 0 0 1 1 !B 0 5 !C 0 14.5 lD 6 14.5 !E 6 5 F 6 0 BEAM DATA '------------ .�...---•� Beam Y.--�..�;.�.i�--..�-------- ' Property -•�--------------------.---------- Ends e'leases''"-f Bean • Definition Label I -end 'J -end BEAM Length ------------------ I -node J -node -- Tag -- x y x y z LABEL (ft) !A -B ------------ !TS5x5x /1 ----------------------------------- COLI 5.000 lB -C !TS5x5x3 ! ! ! COL2 ! 9.500 !F -E !TS5x5x3/1 ! ! ! COL3 ! 5.000 lE -D !TS5x5x3/l! ! ! COL4 ! 9.500 !C -D lTS4x4x3/1 ! ! ! BM1 ! 6.000 lB -E lTS4x4x3/1 l ! ! BM2 ! 6.000 BEAM STRSS CHECK-DRTA BEAM ! Unbraced Lengths! :Length Facto s !Bending Coeff! 2nd l LABEL ! Y -Y (axis) X -X l Y -Y (axis) X- ! Cm Cb ! Member? --' (ft) ' • !Default l Beam Length 1 ! 1 1 ! No !COL1 l ' 2 lCOL2 l ! 2 !COL3 ! ! 2 ! lCOL4 ! ' 2 BEAM PROPERTIZS ! ! AISC/Other!Area Inertia Elas is Weight Coef. of! Fy ! Y -Y !Property! SECTION ! I-xx Modu us Density Therm Ex.! ! Axis ! Taq !PROP. LABEL! ('n-2) (in -A) (Kai) (K/ft^z) vi ! ! Default 96'00\\04896 0:00065! 36 TS5x5x3/19 13.39 TS4x4x3/16!2.769!l 1---------------------------------------------------------------------- ! NODAL LOAD DATA 1-------------------------------------------------- ----------------- ! NODE ! Nodal Loads (K.K-ft) ! Loa• Case Factors ! LABEL ! Global X Global Y Moment! 1 2 3 4 5 M" 2 ; � �1� ssE o �v ✓� Fly 0 • COUNTY OF BUTTE — DEPARTMENT OF,PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — 0roville, California 95965 — Telephone: 534-4541 r� PERMIT APPLICATION DATA SHEET OWNER TJ &_ Proposed Building Use Permit No. A.P. No. Permit fee based upon: Complete Contract Price �` DPW Valuation Other (explain) Building Inspector I • y 914�� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... Plot plans in duplicate/triplicate..................t........................r........4• e`3. , Complete plans in duplicate/triplicate ......I 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. ��- 9. Letter of signature authorization ........ n ................................................... n. Sanitation approval from Health Dept.... ' —y -V 11. Planning approval for 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to bldg. -inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by s Date �" d OTHER: / f Copy/DPW To: Building Department From: + Environmental Health Subject: Sanitation Clearance —,2-9s, Owner Plans approved for: Hold final for: -2&e2., Lo ion AP# Sewage Disposal Water Supply ' Water Supply .Final Clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other Clearance for addition of Note** 57 - tarian Date %9 • 1 NOTE:—/all Moterials & Workmonsk- A.Shhil Be in ccordrro•ce .w7fh Rerocin;-7p G^.��1 Of n u.a:;t✓ nrescri,aed ror he Sr.e : �� .a'res and ry I. �' ! P d use 'in 1 he Uniform Building, Plumbing & Machanica! Codes a the National Electrical Code, nd This set of plans and sPecificafions MUST be kept on the job at ail +i yes and it is unlawful �® make any changes or alts?rv1-,;,-ls on some withowt written permission from the Department 6f Rubgg Works, County of Butte, A §aback of 5 ft. from the PIr®perty lines and a setback Of 50ft, from the road €enterline shall be clear of Structures or equipment except 4} �r e 2 ft. eave overhang. BUTTE COUNTY �J BUILDING DE?ARTMENY .APPROVED i 1,{ � Ur �a I ,94 0 e ' m I" �I I P -01 I A s I ( Provide 1/z" x i �'°®� bolf i CM 6' max. and within — — BUJTTa COUNTY 2!, ofid.ts. — BUILDING DEPARTMENT Cn,.e/IC-7 sLJfaAPPR®WE® �J L� x ,. 1 Oro a� Q7 `.A t' 00 , Q IV 0 o �1 11r` ficlolf W14 y /'° c 1 i � � c 4 1 c c 1 i � 4 1 irp Cil /l It r lA z ` x 10" anchor bolts . max. and within 414 �i6 0001 it eq L 1% f it �e of � � : �► E� � d� . � � x �, 96 �' / ,E� � � � +� / e� ��y/vaa� o R pea,Lfu..r 71v.a4C elf 6 � tl � �/ 0 . BUILDING DEPARTMENI a e X � W1IN014v APPROVE i i1 v ids AFS a j. -.. ,.r... .�w.��-.-..-r.�r."'�-./�.�ti!"'`�v:='^w-..��-�,r. .-. r... -•+-v sem!-^�^^v��. �`^�..--....r.. .-R---.- _ �.._ i - V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BU I,LDING DIVISION /77tCOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER _`VA�/ Permit No. A. P. No. Proposed Building Use \/ Permit Fee Based Upon: �= Complete Contra Price DPW Valuation Other (Explain) Building Inspector ri / Date L At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . .« . 2. Plot plans in duplicate./triplicate. . . . . .. . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authoriz tion. . . . . . . . � 10. Sanitation approval from �� Health Dept. 11. Planning approval for (A) se: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) Q 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . .. 16. Mobilehome Installation Data. . . . . . . . •. Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date -• Copy of plans sent Health Dept., Fire Dept., / Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Z9— Other: r Copy—DPW ' .rr . To'; Building. Department From: Environmental Health Subject: -Sanitation Clearance Owner Location 6 SAP 2 -?- .-` Plans approved for: Sewage Disposal _ Water Supply:: Hold final for: Water Supply Final Clearance O.K. for: Water Supply Clearance for bedroom mobile.home. Other Clearance for addition of Note** ani- ari.an RUM Da t e Owner: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Address: - S 12 Tenant: Building Location: Type of Inspection requested: FI 1. Housing / / 2. Financing 4. Other (specify) Present use of build A. P. # Date of Inspection--'' = 0 . Inspector 1 �l.fQ/l e2 2 ___[ 3. Change of Occupancy to A. Sanitation (Housing) , 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating'facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection' to sewage disposal: 12. Connection to water -,supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3'. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground:w 2. Receptacles• ' 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heat_ing,vents: 4. Comments: (enntinued on hack) a t E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weat!).er protection: 5. Underfloor and attic ventilation: 6. Comments: V F. Comercial 1. Build.� Roof covering: t q Orr �j 2. Distance to property lines: IA VI 3. Physically handicapped: V n ON) I-rU 1 /10 4. Restroon, floors and walls: 5. Exits: D 1, 6. Improvements: 7. Zoning:_, V, 8. Comments,A - c G. Field Problemis or Violations 1. Problem or -violation (give complete -scription): e 2. What action taken (give complete descrilkion): 3. What action recomm.'ended- T-7 A. Info7miation only fila. CA64-1,A B. Hold for ten (10.) days, then write lette Write letter. Rf D. Other: 14A U4A C�-t zl� kt-V4- I Jj .41 Ck aJ C or '. . BUTTE COUNTY..`. " BUILDING DEP ARTIvIENT _ APPROVE 44 a �3 ''`1*LA i 1 F� _J pyoi �� /J I � e � 2 i 4' Prov adeque 6r ` r if - �J- r," -�, t—= y� - 2- -- i 9UTZE C - Y � NTY w ;BUILDING DEPARTMN F3�NA 7 4— NOTE.—All NOTE:—AII Materials & Workmanship Accordance with Recognized Good Practices and This set' of plans and specifications MUST %e This on the job at all times and it is unlawful to Of a quality pres P�umbingr&hMachanicdld Codes and make any changes or altPrN+ions on same without:. Uniform Building, the National Electrical Code. written permission from the Department of Public Works, County of Butte. i i 2 b x ; I. - .i A setback of 5 ft. from the ' property lines and a setback r i. of 50ft. from the road centerline shall be clear of i structures or equipment except i r for 2 ft. eave ov 'rhang. COUNTY ' BUILDING. DTPA TVFENI - , }— A P PaR 0jVIE MH Util. iPERMIT NO. 1094-75P,E i f P z E M ^'MH UTIL. PERMIT NO. PERMIT EXPIRES TOWNER J. Brotzman 4 CONTR. `LOCATION (A.P. X 65-12-25 ) G s1s Steiffer Rd, 50t E. of Trails End Rd, Maga. 3� N kr ,'� , ,,;� �• . ... ten,: J . Y Temp. Power Pole d Called PG&E Temp. Elec. Serv. Called PG&E i. Temp. Gas Serv. Y Called PG&E t JOB FINALED (Date) (Signature) t COUNTY OF BUTTE — DEPARTMENT•OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBIN ' Setback Firew I Soil Piping Forms Parapetp 1st Floor Main Bldg. Restroo Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing, Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr.. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas 17 Slab Final Sanitation Patio F tA EPLACEFinal Footinqs Footing4 ELE TRICA Reinf. Steel Final Fixtures Bond Beam FIRE SPRIN LEFkS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEQAANICAL Grd. Fault Prot. f Scratch Heating Service Brown / Cooling Temp. Me Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final a `S ]— DATE CTIONS �y REMARKS � /44 A/4 1. Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes. No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yeses No 3. Are footings and supports properly sized, spaced, and braced as per proved plans? (Note possible variation at spring shackles.) (Sec. 082 & 5083) Yes o 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If more than a single unit', are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is f�leble connector of adequate size and properly installed (1/2" ID mein.)? (Sec. 5566) Yes ( No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes— No 7. Wastes and Drains A. Is connection made with.Schedule 40 DWV and have flex connectors at each end? Yes �No B. Does it have, minimum '" .per foot slope and is it properly supported? Yes_'' No 'C. Are any leaks detected in drainage system after running ,>_1 -1 -ons of water through each fixture including washing machine standpipe?,.Yes No D. If coach is not State of California approved, does station have re ui t,�ap Ian vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobil me gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK aser following procedure? Yes t No P g 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope.gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments.. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turnron gas, test connections with soapy water. C. Are all appliance..vents properly installed? Yes No �. ElectricalA. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes l/No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes _v No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. -Switch all breakers and switches in.the mobilehome to the "on" .position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity 'test shall then be made between the grounding electrode and the chassis of the- mobilehome. Upon satisfactory completion of.the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? ,11; If everything okay, sign off card and tag services. MOBILEHOME DATA ,r Manufacturer and/or Namestyle Length-�' Widths. f — �C J Vehicle Serial No. Mate Identification No. Additional Information or Comments: 5 -- d � D . . A_... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 Tel ephow 534-4541 APPLICATION AND PERMIT Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ;�Hdltl9 permit expires Date ..............`............... ..... BUILDING Owner ad AN SQ. FT. OCC. BUILDING VALUATION Mailing Address 1 c> 0. Teleph ne No. Fireplace Contractor ,1 Total Valuation Mailing Address 7 Permit FeePlan Checking Fee&/or Penalty G Telephone No. 3y3/ z Permit Fee $ Building Address j c s PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 a: Each Trap 1.50 ® Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. .. GJ— Z�Z� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes Sea�ier+-• Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel M p 60' R/W Improvem is Lawn sprinkler system 2.00 PiWs—IT —ec'd Porcel pproval Plans A provol Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.001. ( ab't /�,,I Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Homee-- Others ❑ Sub -panel (12 or less)'(morethonl2) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal aio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof: (( M r I YAP �� 00l� {►(O�e� I 1�Ae Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 0-7��� �Classification Misc'. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I Io an certify that in the performance of the work for which this ermit is issued I shall not em P employ y person in any manner so as to become subject to the Workmen's Compensation Laws'of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I•have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. (� X_" Date Sic oture of Permitee or Agent NSFA'7�.�i TOTAL PERMIT FEE $'a OC 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. /%SDI 'RECTOR OFUBLIC WORKS a i—Y� %1 _ _�lT- � '>A Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ;�Hdltl9 permit expires Date ..............`............... ..... COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,'Oroville, California PHONE;. -534-4541 Utility This set of plans and sped inns m -kept n e 10aT 011 times cfnd it is .,' I make any changes or aifPra;ions on sr..>t+e wi�h�eat written permission from the Department c f Public Works., County of Butte. 20' a re :c e o 1.11 r w H • c� M rr P 51 cr 0 rr n CFA Fl - 11 — — -- —w — —• ^ ��„r,s:..�.---.-fig.--mac, The the side pl be 5 property line and 50 ff I. Im the centerline of the road. aA^� m 91 inaXIM11m ws w it It MOBILEIiOME INSTALLATION INFORMATION Lot Facilities 1. Plot plan dimensioned, location of mobile andut' i.ty connections? Yes; No " 2. Electrical. service equipment am acity t+ AXcircuit breaker ampaci_ty Permanent Wiring Connection Ampa.. i ty � d ✓ Receptacle Ampacity 3. Gas: NaturalLjPG r. Gas rser size 4. Drain inlet size 5. Water riser size 3 � 6. Are utility connections located outside the rear 1/3 of the mobilehome ca thin 4 feet of the left Tall? Yes � No If not, show di.mensions. above. 7. Is the mobilehome clear of septic tank, leach fields and locatedou .side public utility easements? Yes No 8. Do you propose to do other work on the property other than the mobilehome installation which will require a permit? Yes No If so, specify U3 Z r 0 X ty H z H t"' r �3�z�►a� Mobilehome Data ,I 1. Length_ Y6 Width Manufacturer ':!)k Vehicle Serial No. Insignia Control No. 4 q 036>0 `j 2. Feeder assembly ampacity ,Jf;c5 Conduit size Power supply cord amps) 5-6 3. Gas inlet size Mobilehome connector size Capacity. 4. Drain connector: describe on reverse side 5. Water connector: describe on'reverse side 6. Designed loads: Roof live load Z' psf. Wind load /'-'- psf. . (only for.Tobilehomes manufactured after October 7, 1973). 7. Manufacturer's installation structions? �. Yes No 8. Will the mobile", home s led on' a separate suert st , i t e Yes o �3�z�►a� ADDITIONAL CO►D{.":;TS Drain Connector, Describe3' w35 'C Ju 1-e U T Water:°Connector, Describe U LOAD BEARING SUPPORT AND VOOTING INFOMATION Pier Spacing Used ,n ,A Maxymum Pier Load n Maximum Column Load (tiulti-units only) �t s \. Soil Bearing Capacity. Ja 01-t�) 1 footing Dimension Used 2 ► Z m X p TYPE OF PIER. USED �. Steel Concrete Concrete. Blocky Other TYPE OF FOOTING MATERIAL USED Pressure Treated Wood L Cor_crete Redwood (Grade) >!'t/pje174a Other 'Approved Type BUTTE COUNTY RHILnwe= DEn A n -r �Or- L0�» HARING . SU:'L'OctTS .: c s A. P P R O V E D 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oaovilie, California 95965 Tel eghooe: 534-4541 APPLICATION AND PERMIT 1'75Q5-7�- authorize representatives of the Noun y of Butte to enter upon the Above-mentioned,property for inspect' o purposes. z4�d Date Signature- of Perrmiitteeee qor Age tNo. W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees ve been paid. IRE R 0 PUBLIC WORKS By Da F Buj ing/ermit expires Date... ..Z.V.....7�.......... BUILDING Owner rz 421 &,uSQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee _ Building Address S S PLUMBING No. @ FEE PERMIT FILING FEE $2.00 E Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. // C1JS— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F SaRi4alien Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA IParking Plans I Parcel Declaration Parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg:-P+orrs—Rer-d I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 27 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 2010 Light fixtures bal(alo Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump A4P 1610 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring unI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE $ authorize representatives of the Noun y of Butte to enter upon the Above-mentioned,property for inspect' o purposes. z4�d Date Signature- of Perrmiitteeee qor Age tNo. W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees ve been paid. IRE R 0 PUBLIC WORKS By Da F Buj ing/ermit expires Date... ..Z.V.....7�.......... COUNTY OF BUTT' —"' -DEPARTMENT OF PUBLIC S / r�� � 7 County Center Drive — Oroville, California 95965 �` Tel ephope: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for ins 9ction purposes. I Date 7 ✓ Signature of Permitee�o/ent Receipt No. � /<J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date % '" f� Wunding permit expires Date ................ .................:.. ... BUILDING Owner TAA I SQ. FT. OCC. BUILDING VALUATION Mailing Address / C-zc-P_ 0— Q- AI- ZA Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address S T PLUMBING No. @ FEE PERMIT FILING FEE 9.00 /77 A — / A Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping x-59 Each gas water heater or vent 1.50 A. P. No. Is— / itf Gas piping system 1 - 5 outlets _1. Each additional outlet .30 Fe S it r Fire Dept. Fire Zone Use Permit Building sewer EQA I Parking Plans Parcel Deslaration parcel Ma P 60' R/W Im r p o ements Lawn sprinkler system 2.00 Bldg. Planc'd Parcel royal P ns Approval Permit Fee $ $ (; NEW ❑ ADDITION ❑ UTILITIES R1 OTHER OTHER ❑ No. @ FEE PERMIT FILING FEE 1 $3.00 3, Q Main service incl. 1 meter o Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home 10 Others ❑ Sub -panel 02 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbaldio Receps., switches & fix outl:ts:d—b.1a 21) CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ ZA GI WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. MI 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. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOT AL PERMIT FEE $ �I authorize representatives of the County of Butte to enter upon the above-mentioned property for ins 9ction purposes. I Date 7 ✓ Signature of Permitee�o/ent Receipt No. � /<J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date % '" f� Wunding permit expires Date ................ .................:.. ... 4,9 l 141� IV .• _..__.: ems, N .._.., iYo ...... X. irJ v //,_!; rrOt.i7the (`y,cen r arhv r J ..:._: Jm_. ....._ -.. q trt / -OcrC" O� / lit d OF"' . 5efi OT f c�Wltr€ �Y ^l5 IL�ST r 4 bG r 1 ful 10 \ \ wrjJ4, cn p rt �+ a _ p �: s� - without he Works, C �eijartment of. Pub _ - 'pet Se.pt.c.syste be �_ tq r unty. ReaAtM Dept. :Re, Butte 1 qutrents . .. � i9 utility cijrine ttohS shall bt Ibcated-within 4rear �, ---- tr section of the mobile home -- - on the left (road) side of .the mobile r .. ��� ` J ...... _ ... _.. Ioo o' ��wj Zv A,,,p s _ _ _ 4 ozs III IIS �1� !� .r�ov.,- ,✓J rre- Gam,, -,iso .�.-.� / ��G-a'-- 0 II l9d' i ii III IIS �1� !� .r�ov.,- ,✓J rre- Gam,, -,iso .�.-.� / ��G-a'-- 0 sate- i i i O 1 _ � � I.i i. .. � .. _ � . - � •i � � -., - .. � � _ r �. � . s � �, \ � i.i ` �` � �. ��. eaud* q jotda OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: PAUL SUNDERMAN ADDRESS: 6436 STEIFFER RD CITY & STATE: MAGALIA, CA 95954 IMPORTANT: 7/20/95 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT I OWNER DECIDED TO CANCEL PROJECT. NOT GOING TO BUILD. B.P.#95-0896, A.P.#065-120-028, RECEIPT#176153 DATED 5/2/95, OWNER: PAUL SUNDERMAN). TOTAL AMOUN PAID..........................................$183.35 RETAIN REFUND PROCESSING FEE .................... $25.00• i I RETAIN FILING FEES.............................$20.00 RETAIN PLAN CHECK FEE..........................$64.35 AMOUNT TO BE RETAINED..... ... ... ... .. ..........$109.35 I AMOUNT TO BE REFUNDED.....................................$74.00 TOTAL $7410C 1. the undersigned. declare under penalty of perjury that the services or articles claimed have been performed or delivered. and that this claim la 1". and correct as stated. Dated this .1...» /«L.. ..... day of l.d• at K�.L««fLLG%..«... Calif. ~�' �: • It;natun .,a 1. the undersigned. hereby certify that. to the beat of my knowledge. the service■ or ■ le elf abo f e be performed or de- livered and that there is a Budget Appropriation a or Specific Board Approval ❑ (Cheek o of o ■ e. Dated this_»....252 t........... .— day or «.....I�I1.+X.......«... 19»»95at »..QRUILLE.... Calif. .. ».... . Departmen Head or Authorl=ed D.puty« co0d`.' ,.. / .4Q�S1f12......._..«_« Cad* .......�2.1D.5QQ...«..».._».».__PAYABLE FROM ..«....».. Q�J, �R[jCTION PERMITSFUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. I PROJ. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT FOR BUILDING DIVISION USE: Receipt Information: Number Date: 5—A Issued To• ;Q. c � Amount: $ elf,3• i Fees Retained: V/ Processing Fee: $ S __t %Bldg Filing Fee J�$'''~ c�) \`6d� Plbg Filing Fee $ Elec Filing Fee $ Mech Filing Fee $ Energy P/C Fee S ✓ Plan Check Fee Inspection Fee Total.Amount Retained TOTAL REFUND DUE CLAIMANT'S NAME REFUND CLAIM APPLICATION 416-1V&e-1-V/3x-1 MAILING ADDRESS 4 w/ 57�/ ��� �'d Z22�`i�L�l9 ASSESSOR PARCEL. PERMIT # RECEIPT NUMBER (S) J 7[1 !S Request a refund of fees paid on the above receipt number(s) for the following reasons: i Please refund any appli-cable fees in the following categories: (Check those categories which you wish to have refunded.) [� Building Permit Fees [ ] Sheriff Fees [ SRA Fee (CDF Fire Planning) [ ] Urban Area Fees [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. SIGNATURE w� DATE i eaud* q ao� OROVILLE, CALIFORNIA GENERAL CLAIM' . CLAIMANT: PAUL SUNDERMAN ADDRESS: 6436 STEIFFER RD CITY & STATE: MAGALIA, CA 95954 IMPORTANT: 7/20/95 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT f/ REMAINDER OF REFUND DUE FROM CDF PLAN CHECK FEES .......... $43.00 `B.P.#95-0896, A.P.#065-120-02,x', RECEIPT #176153 DATED 5/2/95, OWNER: PAUL SUNDERMAN). i i I I AMOUNT OF.REFUND ............................... TOTAL $43 C( I. the undersigned. declare under penalty of perjury that the services or articles claimed claim to true and correct as stated. • �r �j Dated this »sass»» ..»....... day of ».. .»rn JtL/7H, 19 7»;—t calif./ ..»..»sass._._.»...._.... I. the undersigned. hereby certify that. to the best of my knowledge. the services or srdcloi s livered and that there is a Budget Appropriat�io—n or Specifle Board Approval O (Checkanvil/forr Dated this .»............ / J.....»». day of »...s C:Nr sass»_. 19„ �;t »c�K.C.- LLL: C.Uf. vered..and that this Signature of claimant 1 abovetve been/performed or do - V/ /f// / �u'c�L��� srtment 1 a or Authorised Deputy Dept. t 440-002 »» p. . 4617240 PAYABLE FROM CDF ......._........»....»... ........»sass»» sass..» .. »»............».........»»............................. ... F 1JND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. I SUB. OBJ. CLAIM NO. I INV. NO. I INV. DATE ENCUMB. GROSS AM- ;v I VAI M, & yp SE 74 I;ME 14A. per .14- Z71 1��uf, .- I v7 Ai COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 065-120-025 ZONING BUILDING PERMIT OWNER PAUL SUNDERMAN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6436 STEIFFER RD 400 MB�O[>a[I(YYfOL1CL 7200. OD CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 99.OJ ARCHrrECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 64.35 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6A36 STRIFFER RD PERMITFEE $ -t 11 0 MAGAT-TA, 95954 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other DET. GARAGE SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer _1G1 15.00 TYPE OF WORK New l7 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 400 Mobile Home _FsW @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:C0 Main Service OOeV OR LESS ( 2..A oR IFss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9commencin 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 hereb affirm under penalty of perjury that I am exempt from the Contractors License r the following reason: I, as owner of the property, or my employees with wages as their sole compensation, III 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 NEW CONST. DWELLING OCCUR OR ADONS. ( a. ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET SIR.) Ex. Occup. (OUTLET OR POSTURES) 20 Q° I•50 BAL .50 EXOCCu. p. OUTLETS RESID.OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 complywith those provisions. 11 1 0 Date � �-a ature ofnt ❑Owner ❑Contractor ❑Agent OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ o c C PE TOTAL FE $ t'�u $ c -r 7-T HA2. D. FEES IMP FLo PARCEL PD HD E This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do wor[ been paid. Date (Date) Receipt No. ... 17,6 15r�3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENT.0FDEVE-,LOffM ENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .................... * - 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. - 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7.. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ........... 10. Fees of $ . ................ 11. l2&_j2. Impact fees as shown on attached schedule California Department of Forestry plan appro v a Le�e. 13. 14. Flood elevation letter (100 year floo byCalifoirniiEngineer .................... Sanitation and plot plan approval M= Health Department . ............ 15. City of Chico plumbing permit . ........................................ 16. Plot plan and business license approval from City of Biggs/Gridley . ............. iT Planning approval for (A) Use: (B) Parking: .. ........ 18. Contact Land Developmentabout (A) Improvements (B) Drainage ............ 19. Driveway permit (construction approval required prior to occupancy)- . . ...... 20. p��,� specfion request Pre -inspection for required. to Building Inspector 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road ...... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parce2l;M��nd..frontage requirements . ............... 31 xisting violation . ................................ 32. Plan check list . ..................................................... 33. 34. =When u issue the permit, process as follows: __ Maij-to ownqr. Mail to contractor. Telephone T77-CJ0_7(o and hold for pickup at ALQ office. Deliver with inspector. Other Parcel Creation Acreage Applicar)()�4��� Date I I_T_ / Copy of Haz-Mat form sent Health Dept. Fire Dept�� Air Pollu(ion Date Copy of plans sent Health Dept. _ Fire Dept. Other - Date By The following data must be submitted prior tojermit issuance: (Circle new iteryl not I checked above). 1. Index permit for above items No. 2. Additional items required: �CC�ntrc , designer, owner, was advised of above required data by _ phone - mail A116ounter byAate Contractor, designer, owne;2 dvised of above required data by phone mail Counter by Date _ - - Plans checked by Date 15-4- i�< Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 1 TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance IS,I1, Uslu,la. ONLY w`ty Plot PL•ut Altuahkd Flnur Ilan Atuiviml ry --6�1 lli� Owner /. t--ocatiol AP# Plan Approved for: Scwage Disposal ✓ Water Supply: Public Private Well e Clearance for bedroom mobile home. Other Q `1 &4 S Hold final Final clearance O.K. for: NOTE: Environmental Hea Specialist 8/92 C-5 Cuu Date 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. G2. I personally plan to provide the major la or and materials for construction of the proposed pro rty improvement: YES[] NO[ ]. I HAVE[ f 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: ADDRESS: CITY: PHONE: CON CTOR'S LICENSE NO. 4� I ' plan to provide of this woik, but I have hired the following person to coordinate, s s , rovid major work: NAME; ADDRESS• CITY• PHONE: CONTRACTOR'S LICE NO.X�c�9 5. I will provide some oft a work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY O SOCIAL SECURITY NUMBER: DATE: !!� —,?— ' P5 - NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 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. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 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. 0 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 "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed 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 matters. The building permit will not be issued until the verification is returned. Sincerel , Michail C. Vieira, C.B.O. Manager,,Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER YP. TING P. JR 1/2" BOLT 3 NUT TYP. RP2029 PAD WITH RP2000 SERIES STAND NO SCALE 4 - 1/2" MB TYP. -/4 - 1/2" ADJUSTING l NUTS - TYP. 1/2" X 3" PIN OR 1/2" GR . 5 MACH I NE BOLT 6 NUT 4 - 3/8" MB TYP. RP2028 PAD WITH RP1900 SERIES STAND NO SCALE 0 0 • j/bv � o NG o v16- o v2- 36 V2- —� RP2029/20ZSB PADS t Z ^ NO SCALE 36" 1-1/2" TYP 1-1/2" TVP CAST -IN-PLACE FERROL INSERTS FOR 3/8" CADMIUM -PLATED MB o EA - TYPn 0 0 TOP VIEW 2" 36" SIDE VIEW RP2028 PAD NO SCALE 0 • 2-9160 Q � Ll OF RP2007 STAND ( HT 12" - 19" s I V2 0 pipe - Sch 40-7 O V_�.H v O p ; \ O O 0. �O o H O C O e � O O o 0 o B Extension A Extension FOR RP2013/2021 STANDS FOR RP2007 STAND I 'Q 6. 4 9A6'0 r I 2 -V4 -0s3' >�r-*0U4- ea side) o 181 e c - � N Q 0 0 n -� �O 3/4- 21/2-- f —13'1- T1 9/16 0 x 4 V14' bar stock nl V2 tfreoded rod U -Raga) ►1 l -I 9/16' 0 t Beam Restraint -Clamp C - Cfwnel (Joist) DESIGN LISTED AND TESTED BY BSK & ASSOCIATES WAYNE T. POLVADO, PE - LISTING N0. F01601053 F Py�ti T ad wNd. C r,5111Q w 11Ex 1. `p CML 0.`P mvwtki-� FQGM.uAftu.+ 7+YD1tN. AFAILM AND SAFETY COPE. SECTKW 18531 A P P R O V E D SU81f:CT r0 CORRECTIONS NOTED Approval doer nor outhoriie or opprovr or.) orrintw or deviorior iron reQrirewwwMr of opo6cc1:r:e Ss Me lows and repulafwv" c.L a c: :c1H,.,""o Oeparrmewl of flour "Q on.; mmuni!y i7eve;oporerll O O. Cc::*S 4,,ZD TANDARDS f SPA NO. -Mis Plan Ap ?rovol - Z OOy 2 L a 2 V2" L 2 V2 '■ 2 V2' L RFC - Chanel (joist) /16 0 l2 ►'eq'& 9/16 0 (2 req 9/160(2 req 3/8' 0 a 3' bar stock V2- ■ 3/4' ■ 6 ' fbt %I. bar 'lt. Beam Restraint - Clamp Alt. Beam Restraint - Clamp t LO' fE o o 2' 0 SIL Pipe - Sdr.60 C ' e o 3/16 St. Pbte 3►{ 0 1/4' 3 V4- IE 0 N O O i0 V. 0 RP20'1 3 STAN17) . HT 18" - 30" ) Imo— 1 0 0 2- 0 Sit Pw - Sch 80 ;z 0 3A6- St. Plat• 4 - 9/16 Or 0 3/4' IE y 0 T USE RP20298 PAD (SEE NOTE 15) N a 0 — O o N � N RP2021 STAND HT 25" - 37" �ola'L �i gra �, cl/vI �c Or CALI'r�e/_, PERMANENT FOUNDATION SYSTEM BDB POLYMER 2000 SYSTEMS RP1900 SERIES STANDS RP2000 SERIES STANDS RP2028, RP2029 AND RP2029B POLYMER CONCRETE 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 1998 SHEET 1 OF 3 SHEETS q� Sit/� %il1br'A NO. 1'6::S 1 �, cl/vI �c Or CALI'r�e/_, PERMANENT FOUNDATION SYSTEM BDB POLYMER 2000 SYSTEMS RP1900 SERIES STANDS RP2000 SERIES STANDS RP2028, RP2029 AND RP2029B POLYMER CONCRETE 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 1998 SHEET 1 OF 3 SHEETS 6�PG\,tv �'p0\0 x SAO SJQPp� �o \ EEL vA ?111" �R 5 a $' TEE OCV, %,4G KEY1 ANO NUT MACHINE BOL in C 2 1/2" MB-TYP.;zz� TYPICAL INSTALLATION DETAIL NO SCALE 1-9/16" ROD WELDED TO GRIPPER BASE PLATE. 1/2" FILLET BELOW OR PLUG WELD ABOVE 1-3/4" X 1-1/16" X 1/8" PL FORMEDTO "U" 1/4" FILLET, BOTH SIDES Ni BEAM RESTRAINT CLAMP, 9/16" 0 CENTERED 311 ON PLATE r ` 9/16" 0 HOLE 2-1/21' X 2-1/2" X 1/4" FOR 1/2" MB 1/4" PLATE PLATE GUSSET PLATES F O R r 1900 SERIES STANDS NO SCALE (BOTH ARE ACCEPTABLE) 9/16" DIA. TYP.-' O �, j X OET AI L �I SEE � WELO ` 2-1/411.1- i PLL AR I' i • i • r to 0 t1 1" TYP. 1/4" PLATE BASE PLATE DETAIL NO SCALE i SUPPORT GIRDER SEE DETAIL 1/2" MB TYP1 —1/2"X211 2" j-1/2" X 2" MB TYP. t– BEAM RESTRAINT BASE t ' PLATE - SEE DETAIL i 1/2" X 5" THREADED ROD. 1/4" FILLET WELD BELOW OR PLUG WELD ABOVE TO BASE PLATE O.D. SCH 40 PIPE WITH 1/2" HOLE 1/2" HOLE FOR LOCKING PIN - TYP__ 2-1/4" O.D. SCH 80 PIPE 4 -3/8" CADMIUM- -PLATED GR.5 MB TYP., INTO CAST -IN-PLACE FERROL INSERTS 2-1/2"t r STANDARD BEAM RESTRAINT ASSEMBLY 16" 0 - CENTERED 3" COLLAPSED 9" STD. MAX. 2" X 2-1/2" X 1/4" PLATE: 13" TALL MAX. 1/4" WELD TO BEAM RESTRAINT PLATE, BOTH SIDES OPTIONAL DIAGONAL BRACING: / 111X111X1/811 LENGTH VARIES" -42" 4– 311 - – 8" STD. i112" TALL 21" XTALL JLC � C SVP 1/2" MB CONNECTION -TYP. n Im SIDE VIEW FRONT VIEW RP2028 PAD WITH RP1900 SERIES STAND NO SCALE DESIGN LISTED AND TESTED BY BSK 3 ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01601053 Q OfESS/pN,p Ce ` 2 C7 rn No. % C11rn CC Ext. oa l,- Im `nCNl1. ac�P TF Uf C A�1FC wEAtT" AND SAf"y CODE. SECTION 1833-, AP'It R0VEO St16JEC7 TO CORRECTIONS NOTED 4ppr0vQ4 don not authorize or approve any omistron at devi rfim 4r*m requiverm "" of applicable Stw* lava rn•C —vida►ians State c: ::0!4fomio '$trprwtnM11 of Mousing and Community Developww,; ONISION 0: CO0E3 At STANDA RDS r `. Date -------- r ----- ----- tSPA NO. ��ii Aon A f P revel Gins C '- 2 -ID - 2 pO C� PERMANENT FOUNDATION SYSTEM BDB POLYMER 2000 SYSTEMS RP1900 SERIES STANDS RP2000 SERIES STANDS RP2028, RP2029 AND RP2029B POLYMER CONCRETE 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 1998 SHEET 2 OF 3 SHEETS ATTACH SECURELY TO W w MOBILE HOME SUPPORT a J GIRDER - TYP „o �q = o 2�y 4b f�'�. 9/16" D IA. TYP. 1/4" ROD X 4-1/2" oQ C2 MIN., WELDED BEAM RESTRAINT CLAMP DETAIL NO SCALE - 6" g1 Ott 1I� O. O 9/16" DIA. TYP. BEAM RESTRAINT BASE PLATE DETAIL NO SCALE TYPICAL INSTALLATION DETAIL NO SCALE 1-9/16" ROD WELDED TO GRIPPER BASE PLATE. 1/2" FILLET BELOW OR PLUG WELD ABOVE 1-3/4" X 1-1/16" X 1/8" PL FORMEDTO "U" 1/4" FILLET, BOTH SIDES Ni BEAM RESTRAINT CLAMP, 9/16" 0 CENTERED 311 ON PLATE r ` 9/16" 0 HOLE 2-1/21' X 2-1/2" X 1/4" FOR 1/2" MB 1/4" PLATE PLATE GUSSET PLATES F O R r 1900 SERIES STANDS NO SCALE (BOTH ARE ACCEPTABLE) 9/16" DIA. TYP.-' O �, j X OET AI L �I SEE � WELO ` 2-1/411.1- i PLL AR I' i • i • r to 0 t1 1" TYP. 1/4" PLATE BASE PLATE DETAIL NO SCALE i SUPPORT GIRDER SEE DETAIL 1/2" MB TYP1 —1/2"X211 2" j-1/2" X 2" MB TYP. t– BEAM RESTRAINT BASE t ' PLATE - SEE DETAIL i 1/2" X 5" THREADED ROD. 1/4" FILLET WELD BELOW OR PLUG WELD ABOVE TO BASE PLATE O.D. SCH 40 PIPE WITH 1/2" HOLE 1/2" HOLE FOR LOCKING PIN - TYP__ 2-1/4" O.D. SCH 80 PIPE 4 -3/8" CADMIUM- -PLATED GR.5 MB TYP., INTO CAST -IN-PLACE FERROL INSERTS 2-1/2"t r STANDARD BEAM RESTRAINT ASSEMBLY 16" 0 - CENTERED 3" COLLAPSED 9" STD. MAX. 2" X 2-1/2" X 1/4" PLATE: 13" TALL MAX. 1/4" WELD TO BEAM RESTRAINT PLATE, BOTH SIDES OPTIONAL DIAGONAL BRACING: / 111X111X1/811 LENGTH VARIES" -42" 4– 311 - – 8" STD. i112" TALL 21" XTALL JLC � C SVP 1/2" MB CONNECTION -TYP. n Im SIDE VIEW FRONT VIEW RP2028 PAD WITH RP1900 SERIES STAND NO SCALE DESIGN LISTED AND TESTED BY BSK 3 ASSOCIATES WAYNE T. POLVADO, PE - LISTING NO. F01601053 Q OfESS/pN,p Ce ` 2 C7 rn No. % C11rn CC Ext. oa l,- Im `nCNl1. ac�P TF Uf C A�1FC wEAtT" AND SAf"y CODE. SECTION 1833-, AP'It R0VEO St16JEC7 TO CORRECTIONS NOTED 4ppr0vQ4 don not authorize or approve any omistron at devi rfim 4r*m requiverm "" of applicable Stw* lava rn•C —vida►ians State c: ::0!4fomio '$trprwtnM11 of Mousing and Community Developww,; ONISION 0: CO0E3 At STANDA RDS r `. Date -------- r ----- ----- tSPA NO. ��ii Aon A f P revel Gins C '- 2 -ID - 2 pO C� PERMANENT FOUNDATION SYSTEM BDB POLYMER 2000 SYSTEMS RP1900 SERIES STANDS RP2000 SERIES STANDS RP2028, RP2029 AND RP2029B POLYMER CONCRETE 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 1998 SHEET 2 OF 3 SHEETS GENERAL NOTES t. DESIGN LOADS: 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 psi ALLOWABLE 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. 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 7. ALL EXPOSED STEEL SURFACES OF COMPONENT PARTS TO BE FINISHED IN DURABLE INDUSTRIAL -GRADE PAINT, OR CORROSION -RESISTANT PLATING, BEFORE DELIVERY TO THE MOBILEHOME SITE. NO STEEL SURFACES TO BE IN DIRECT CONTACT WITH SOIL SUBGRADES. 8. THE STAND AND PAD ASSEMBLIES SHALL BE LISTED AND LABELED BY BSK E ASSOCIATES FOR THE FOLLOWING LOADS: HORIZONTAL 1075#, VERTICAL 597011. 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 FOUNDATION 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: IILONG TERM .SNOW LOAD #/FTz) X (ROOF AREA SQ. FT. II _ 5970. USE EVEN NUMBER OF UNITS ARRANGED 50% EACH DIRECTION. (NOTE: DESIGN SNOW LOAD CAN BE REDUCED UP TO 75% WHEN APPROVED BY BUILDING OFFICIAL.) 13. FOR POLYMER CONCRETE PADS, USE CONCRETE MATERIAL CONSISTING OF SAND AGGREGATE BOUND TOGETHER WITH POLYESTER RESIN AND REINFORCED WITH CONTINUOUS WOVEN GLASS STRANDS. THE CONCRETE THUS PRODUCED MUST HAVE THE FOLLOWING MINIMUM MECHANICAL PROPERTIES: COMPRESSIVE STRENGTH 20,300 psi TENSILE STRENGTH9,000 psi FLEXURAL MODULUS 5.8 X 104 psi TENSILE MODULUS 5.9 X 10s psi 14. 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 OAN SODIUM SULFATE OAN HYDROCHLORIC ACID 0.2N SODIUM HYDROXIDE OAN ACETIC ACID 5% KEROSENE PER ASTM D-543 TRANSFORMER OIL PER ASTM D-543 15. IN LIEU OF RP2029B PAD THE RP2021 STAND CAN BE INSTALLED USING RP2029 PAD AND APPROPRIATE DIAGONAL BRACING PER SHEET 2. RECOMMENDED PLAN FOR 12 SUPPORTS 4 VARIES - 30'-77' SEE TABLE YAR RJ - 30-7/' Ott TABLE E. S .. S E RIDGE BEAM SUPPORT AS REQUIRED BY _F 1 = _ 2' NOM. 8' NOM. CD V RIDGE BEAM SUPPORT ASREQUIRED BY THE MANUFACTURER OR THE ENGINEER.- TYPICAL BY MANUFACTURER-TYP. THROUGHOUT. RELOCATE AS NECESSARY- ANDARD MH FOUNDATION PIERS - AS RECOMMENDED THE MANUFACTURER OR THE ENGINEER- TYPICAL O O (THROUGHOUT.RELOCATE AS NECESSARY - TYP. PAVOID ROBLEMS PADS IN ANY PAIR MAY BE ROTATED 0 - O 900 TO AVOID CLEARANCE PROBLEMS 0 RECOMMENDED PLAN FOR 12 SUPPORTS 4 VARIES - 30'-77' SEE TABLE RECOMMENDED RECOMMENDED PLAN FOR 16 SUPPORTS TYPICAL PERMANENT FOUNDATION PLANS NO SCALE E = 2' MIN / 6' MAX S = 6' MIN / 26' MAX DESIGN LISTED AND TESTED BY BSK 3 ASSOCIATES NORMAL LOADS WAYNE T. POLVADO, PE - LISTING NO. F01601053 SNOW LOAD = 0 NO. OF WIDTH LENGTH UNITS Qhr\ T.1 10' TO 37' 4 1 38-58' 6 10' 59-78' 8 Q� 9 (i- 12' TO 32' 4'.` t�r1 33-50' 6 �) No. Ci LJ111. 0 51-68' 8 l 12' 69-85' 10 Lp'`' 13' 31-47' 6 P%q (�\Q 48-64' 8 jf 13 65-80' 10 •a6rE16lFq-wslt tQll1V7�A/K)W etTltti+ 14' TO 28' 4 29-44' 6 AtAtFW AND SAfET! COM. SECTK." 18Sb1 45-60' 8 A P P R 14' 61-76' 10 V E Q SUBJECT 1`0 CORRECTIONS NOTED 20' TO 32' 6 33-44' 8 4pprovd dam not avowrize at op;wove ony omission a dt?via►ia 45-68' 12 'V*m reQi^1ee`en^ a1 applicable Stara Iow and •egulatitvn 20' 69-80' 16 State of Co'nterrro 24' TO 37' 8 0" nen! of Housing ant; Corueunity Nveloya,etu 38-60' 12 DIVISION Of CODES AND STANDARDS 24' 61-70' 16 q 26' TO 34' 8 By Date 35-54' 12 frOnaetnrt) 26' 55-73' 16 SPA NO. ----- �(p----- 28' TO 32' 8 �LILTg-�QOp 33-50' 12 Thin Plan A Cil 51-68' 16 P 28' 69-77' 18 ,, � ?ROFESs P• SO �,�r19���\ x',11 N-, 11656 PERMANENT FOUNDATION SYSTEM BDB POLYMER 2000 SYSTEMS RP1900 SERIES STANDS _ RP2000 SERIES STANDS RP2028, RP2029 AND RP2029B POLYMER CONCRETE 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 1998 SHEET 3 OF 3 SHEETS - 2' NOM. '- 8' NOM. I RIDGE BEAM SUPPORT AS REQUIRED BY l = MANUFACTURER-TYP. STANDARD MH FOUNDATION PIERS -'AS RECOMMENDED BY THE MANUFACTURER OR THE ENGINEER.- TYPICAL THROUGHOUT. RELOCATE AS NECESSARY- TYP. PADS IN ANY PAIR MAY O O 0 BE ROTATED PAVOID ROBLEMS RECOMMENDED RECOMMENDED PLAN FOR 16 SUPPORTS TYPICAL PERMANENT FOUNDATION PLANS NO SCALE E = 2' MIN / 6' MAX S = 6' MIN / 26' MAX DESIGN LISTED AND TESTED BY BSK 3 ASSOCIATES NORMAL LOADS WAYNE T. POLVADO, PE - LISTING NO. F01601053 SNOW LOAD = 0 NO. OF WIDTH LENGTH UNITS Qhr\ T.1 10' TO 37' 4 1 38-58' 6 10' 59-78' 8 Q� 9 (i- 12' TO 32' 4'.` t�r1 33-50' 6 �) No. Ci LJ111. 0 51-68' 8 l 12' 69-85' 10 Lp'`' 13' 31-47' 6 P%q (�\Q 48-64' 8 jf 13 65-80' 10 •a6rE16lFq-wslt tQll1V7�A/K)W etTltti+ 14' TO 28' 4 29-44' 6 AtAtFW AND SAfET! COM. SECTK." 18Sb1 45-60' 8 A P P R 14' 61-76' 10 V E Q SUBJECT 1`0 CORRECTIONS NOTED 20' TO 32' 6 33-44' 8 4pprovd dam not avowrize at op;wove ony omission a dt?via►ia 45-68' 12 'V*m reQi^1ee`en^ a1 applicable Stara Iow and •egulatitvn 20' 69-80' 16 State of Co'nterrro 24' TO 37' 8 0" nen! of Housing ant; Corueunity Nveloya,etu 38-60' 12 DIVISION Of CODES AND STANDARDS 24' 61-70' 16 q 26' TO 34' 8 By Date 35-54' 12 frOnaetnrt) 26' 55-73' 16 SPA NO. ----- �(p----- 28' TO 32' 8 �LILTg-�QOp 33-50' 12 Thin Plan A Cil 51-68' 16 P 28' 69-77' 18 ,, � ?ROFESs P• SO �,�r19���\ x',11 N-, 11656 PERMANENT FOUNDATION SYSTEM BDB POLYMER 2000 SYSTEMS RP1900 SERIES STANDS _ RP2000 SERIES STANDS RP2028, RP2029 AND RP2029B POLYMER CONCRETE 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 1998 SHEET 3 OF 3 SHEETS