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065-190-044
COMPLAINT TO -INSPECTORy ' 1 -19-44 V.E. ROBERTS f 115 Vine St., Magalia Permit#-1/76-75P,E(util., ELEC. (o - (g - 7 GAS (a - 10 --'' SUPPORT STRUCTURE RDQ." COMPACTION TEST REQ.vu) AP 65-19-4 CONTR: Kentwood MH Sales, Chico fiK Permit# 25 5-MHI Issued ' 7 � 7-S- 65-19-44 --65-19-44 Dale Roberts 4 Kat WC17 115 Vine St., Magalia contr: Ed Robeists, Paradise Permit #1065-77B(new deck/MH) 44 contr: Don Darby, Magalia Permit #l504-&GR-Pt..,o..=_..-- -,- �iG1�y/ d 65-19-44 _r Contr: Van Meter Ele, Magalia Permit #2941 -BOE (ele ser ch) At BE 176-91,P,,r.' 65-19-44 GRAY, Ron & Sidne 6517 Vine St ,' Maa Contr: Americanrraion e ( new sf ) 065']90 044 U1-1286 �� W I LLEFORD', RODN EY G 6517 VINE ST. MAGAL CONT: CHICO •MH I D EX MH'PERM D EX SITE 4r I l T-_ 2 � r•• �+ t3"al Q NOTES RESIDENTIAL '065-190-044 O1-]286 WILLEFORD, `RODNEY 6517 VINES"C. MAGALIA CONT: CHICO MH EX MH PERM FND EX SITE ?6rr� cove-ve 44cr_�, , to M ,r%ZA_ct5 THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S)-OR DECAL(THE INSPECTOR MUST RETREIVE) ' (2) STATEMENT OF FACTS(ONLY ON NEW MH`S) INSPECTOR TO VERIFY SERIAL & LABEL #'S 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature Z��� /= OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"H./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch B. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B -i Date Card B-1 Date Card B-1 Date FINAL (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 B. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date. Card B-1 Date Card B-1 Date Card B-1 V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Sfeel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss -Shting.-Ring. 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 Ht. & 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 -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tut 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 & Receptacles 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-Me:h. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.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 O Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J 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 Throughout 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 94. Address Posted Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: I- r xk$��, 1, BUILDING PERMIT NUMBER: 01-1286 Address or location of unit: 6517 VINE STREET, MAGALIA, CA 95954 Legal Description of Real Property: A.P.#065-190-044 SEE ATTACHED (x) Mobilehome/Manufactu red 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: RODNEY O. WILLEFORD & MARY J. WILLEFORD Owner's address: 6517 VINE STREET, MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: MH185836/37 SERIAL NUMBER OR V.I.N.: S8252U/X MANUFACTURER'S NAME: FLEETWOOD HM INC YEAR: 1975 OFFICIAL APPROVING INSTALLATION: `� DATE: 6/7/01 PHONE: (530) 538-7541 H.C.D. 513C RECORDING REQUESTED BV: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 C®PY of Document Recorded 07 -Jun -2001 •2001-0024245 Has not been compared with' original BUTTE COUNTY RECORDER SPACEE, ABOVE TIIIS 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 inaccordance. 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. RODNEY O. WILLEFORD & MARY J. WILLEFORD kli:\L PROPERTY ON'NGR/LESSOR 6517 VINE STREET 31AILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE SAME ZIP INS17 LAI ION MAILING \DDRL-'SS. IF DIFFERENT CI'T'Y COUN'I'1' STATE "LIP SAME UNIT OWNER (if also property owner, write "SAME') MAILING ADDRESS BUTTE COUNTY BUILDING DIVISION LOCAL A--,,,, ISSUING PERMIT and CERTIFICATE OF OCCUPANCY — 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY couNn' STATE 01-1286 ZIP (530)538-7541 ➢UII. I- tG PFRA711' N0. TELEPHONL• NUt.f➢ER L 6/7/01 SIGNATURE OF LOCAL AGE ' 'Y FFI AL DATE NONE DEALER NAME (if not a dealer sale, Wlite "NONE") NONE DEALER LICENSE NO. -------------- CITY COUNTY STATE !.I p UNIT DESCRIPTION FLEETWOOD HM INC 1975 FLEETWOOD HM INC MANUF.\C'f7UTRER'S NAA1C S 0p252 V /X DATE OF MANUI ACTURE MODLI. NAMFJNUM➢Ek SERIAL 24'X 60' MFI185836/37 NUM➢ER(S) Lf:NG iH X \VIU'lll INSIGN'IA/LAIIEL NUM➢ER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #065-190-044 SEE ATTACHED IICD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - FICD PINE; - Applicant GOLDENROD - Building Dept LEGAL DESCRIP`T'ION A.P. #065-190-044 All that certain real property situate in the County of Butte, State of California, described as follows: Lot 473, as shown on that certain map entitled, "f IR HAVEN SUBDIVISION", which map was filed in the Office of the Recorder of the County of Butte, State of California, on May 19, 1955 in Book 21 of Maps, at Pages 31, 32, 33, 34 and 35. EXCEPTING AND RESERVING THEREFROM all the valuable minerals beneath the surface of said land, with the right to mine and extract said minerals, it being agreed and understood that in all mining operations the surface of said land will be protected against damage, and that all such mining shall be carried on from tunnels, shafts or drifts having their orifices outside the surface area of the above described realty. I I Re^Ord Qt R30ufani Of Co:nmm-iuci � I it;r, Q Ezcrow Co. Order No, Escrow No. P-31533 Loan No. WHOORUING RcA=TEM :;Y: Commilwealth Title b Escrow Campany WHEN RECORDED MAIL TO: Mr. b Mrs. Rodney O. Willeford 6517 Vine Street i Magali.a, Ca. 95954 'I 92-31968 91G-03196 5.00 I DOC Fee 60.50 Recorded I Check 65.50 Official Racords I County Of Butte Candace J. Grubbe I Recorder I N. 9t49am 16 -Jul -92 I PUBL XX 1 I SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: LAND VALUE IS $55,000.00 NARY 'iRAMWWEA TAX S. _ .60 ��� ... Computed on the comkkretlon or value of proyvty conveyed: OR Same a S above...... compund on the eomldaretlon pr value Ion. 11". At encumbronow ►analnlnIs at time of two. r ' Corfilmnwoolth Titla 6 cYowLColt a rly y C l\ _1111oftture of Dealwarn or A pant dowmInIng to For m N—mi AP NO. 065-190-044 GRANT ,DEED ! FOR A VALUABI.E CONSIDERATION, receipt of which Is hereby acknowledged, RONALD F. GRAY and SIDNE B. GRAY, husband rind wife,'as Joint Tenants hereby GRANT(S) to RODN Y C. WILLFFORD and MARY J. td1Id,EFORD, husband and wife, as Joint Tenants the real propony In the SXVN c unincorporated ' County of Butte State of California, dncribod as Lot 473, as shown on that certain map entitled, "FIR HAVEN SUBDMSION", which map was filed in the office of the Recorder of the County of Butte, State of California, A413, 19, 1955 in . Book 21 of Maps, at Pages 31, 32, 33, 34 and 35. EXCEPTING AND RESFZtVi n TIUREFTCH all the valuable minerals bonoath the surface of said -land, with the right to mine and extract said minerals, it Wing agrood and wldnrstclod that in all mining operations the durfacu of said land will be protected against dnmacm , and that all ouch mininq shall bu carried on from tunnels, shafts or drifts having their orifices outside the surface area of the above doscribod realty. Dated_ July 9, 1991 87ATE OR CALIFORNIA Bute Toa COUNTY OF 1 oft --July 10, 1992_, before me, the underalgA84 a Notary Public In and for bed State, per oor-olvappeared_ Ronald i~ Gmy and Sidna A_ Gray ** TmNALD Y SIDNE B. GAA _ Unumnen,.nuruwww�lmiunurmuiuwo.unnienrnw� personalty known to n» (or waved to me on One hash of saltdactory ,,f,—.���,� �•� ;i•, '�..� D evident al to be the penor4) who" name() ware subscribed to the r•1 �.� ` } I fJ Cf ( 0 wnMn Instrument and eeknowtodped to that heJ~hey, executed Q \� �,o ... .r . i�rre•nr.�• (} IM wrno e Inrmnu•n.:wa•:nnu„umnn,�.•nnuunnmmuwmuru7 • r WITN1.68 m Ad offt I sea IThle was for oHMhl nou.tal owl rO.T am MAIL TAX STATEMENTS -AS DIRECTED ABOVE ENG Or Ur)CU&`IFNT 131G 877 344—j 04/16/01 11:47 FIDELITY TITLE PARADISE 4 GOLD COUNTRY LEN NO. 793 D01 STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY GRAY DAVIS, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT q Olvlslon of Codes and Standards ® .14'po I ©® �r 11r m ., Title Search , °a Date Printed: 04/12/2001 Decal #: LAP7957 Use Code: SFD Manufacturer: FLEETWOOD HM INC Original Price Code: ADL Tradename: FLEETWOOD HM 1N Rating Year: Model: Tax Type: LPT Manufactured Date: oo/00/1975 Last ILT Amount: ReRistration Exp: Date ILT Fee Paid: First Sold On: 06/06/1x975 ILT Exemption: NONE Serial Nwrtber HUD Label / Insignia Length Width S9252X MH185837 60' 12' S8252U MI -1185836 60' 12' Record Conditions: voluntary Conversion to LI'T Registered Owner: RODNEY O WILLEFORD MARY J WILLEFORD (Joint Tenants with Right of Survivorship) 6517 VINE ST M.AGALIA, CA 95954 Lost Title Date: 08/14/1992 Last Reg Card: 08/14/1992 Sale/Transfer Info: Price $26,000.00 Transferred on 07/16/1992 Situs Address: 6517 VINE ST MAGALIA, CA 95954 Situs Cuunty: BUTTE Legal Owner: BANK OF AMERICA 10089 WILLOW CREEK SAN DIEGO, CA 92131 Lien Perfected On: 07/24,`1992 07:55:00 Inactive Decal/DN V: DMV.LS7325, DNIV 1..57324, DECAL AAY7371 Title Searches: FIDELITY NATL TITLE CO 6141 CENTER ST PARADISE, CA 95969 Title File No: 302.157 -WC *#* END OF TITLE SEARCH *w* ' 4� - 69/ PACIFICI'AI,BELL. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Ir l j a9f a ASS ESSOR PARCEL NUMBER 065-190-044 ZONING R1-1AZWP BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1440 R 77,760-00 OWNERS MAILING AD .ESS 6517 T' ST- MAGATTA. CA 99994 CONTRACTOR'S NAME -XXX .CHICO MOBILE HQME TELEPHONE CONTRACTORS MAIUNG ADDRESS 0 BOX 4121 CHICO 95997 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 9300 BUILWp ffEV INE ST, MAGALIA .71 Energy Plan Checking Fee $ $ PERMIT FEE s 313.25 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 4, Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other tX EXISITIN� Describe work: PEE END EX SITE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home S G W 920.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is iKi full force and effect. License Class L 1_ % Lic. No. L/ tfs/ 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service ZDOA TO IOooA 46.00 NEW CONST. DWELLING OCC. OR ( & ACC. BBLTDLEr 3.5QF°; NEW co"� NON•RESID.CIRCUITS@7.50 POWER APPARATUS & SINGLE OUTLET CIR. EX. OCCU . OUTLET OR FIXTURES 20 1.00 B @ 00 Ex. Occup. oFxunE°s R °E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Poli Number e above sections need not be completed if the permit is for work of a valuation f 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 wo ompensation provisions of section 3700 of the Labor Code, I shall f rt ith c mply with those provisions. Date __S^O G / SigXreoApplicant - ❑Owner Co❑I' ntractor ❑Agent An A p rmit is required for excavations over 5'0"deep and demolition or construction sur s over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 353.25 HAZ. D. FEES IMP �--- FLOOD X CDF PARCEL -- PD - HD ISSUE X This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions By Dat PERMIT EXPIRES ON provisions to do work 7 J Oof o to Receipt No. 3Q 1 7 R5 WHITE-D.D.S.-B.D. CA ARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Count Center Drive • Y Oroville, California 95965 • Telephone (530) 538-75 (Rev.SESSOA � - APPLICATION AND PERMIT (� I �� a O/ PERMIT NO. ASSESSORPARCEL NuIAHEq /��i/ �) �( OWNER � n ^ !✓� UT— � � BUILDING PERMIT OCC. BU LD G, VA DATION OWNERS MAL,NO ORE - L _ CONSTRUCnON LENDER - LENDEA'S MAILING ADDRESS ARCHITECT OR ENOINEEA ARCHITECT OR ENOWEERS MAL1N0 ADDRESS SULDINGADDRESS / T / ✓'1 1 LOT NO. I SUBDIVISION'S NAME USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeKO er TYPE OF WORK New ❑ Addition ❑ Rem 'gel ❑UtiGbehsta�Ae4 Desco§e Work:/ MM. �% // *PERMIT FEE PAID SRA '- SHERIFF OTHER AMOUNT RECEIVED "RECEIPT NUMBER 6zz * TO BE PUT INTO COMPUTER — PERMIT FEE Total Valuation $ ELECTRICAL PERMIT — Filln Fee 20.00 Main Service f '"OR L'ss 200A OR LESS 23.00 Main Service 200A TO 1000A Filin Fee $ ~ � ZAIL Permit Fee MULTI -OWLET ►aN•RESIO. � 0.00 POWER APPARATUS Plan Checkin Fee & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORURES Energy Plan Checking FeeZip, S BAL .50 I IDEzc .FIXED 5.00 $ PARCEL MAP PERMIT FEE S PLUMBING PERMIT Misc. Wirin Fling Fee 20.00 Each Trap PERMIT FEE 7.00 MECHANICAL PERMIT Solar or heat um water heater 23.00 sPEcsv Water piping 15.00 Each as water heater or vent 15.00 ❑ Gas piping stem 1 - 5 outlets 15.00 �� Buil ling sewer 15.00 Mobile Home S G W @20.00 "RECEIPT NUMBER 6zz * TO BE PUT INTO COMPUTER — PERMIT FEE S ELECTRICAL PERMIT — Filln Fee 20.00 Main Service f '"OR L'ss 200A OR LESS 23.00 Main Service 200A TO 1000A 48.00 NEW CONST. OWEu.M OCCUP. ORA ~ � NEW C ° A ACC. BLDS. 3.50FT. MULTI -OWLET ►aN•RESIO. � 97.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FORURES 20 ® I.00 APPLNS.°EA Ex. OccuOVrLETS BAL .50 I IDEzc .FIXED 5.00 1 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 8.50 [Ventilation PERMIT FElt S Mobile Home Installation Fee S I Energy Inspection Fee $ OCC II CONST. TYPE TOTAL FEE $ MAL p. FEES ; IMP D COF P/1NCEL PO HD 6SUE This permit is hereby Issued under the applicable provisions i of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT. EXPIRES ON Awl COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET ASSESSOR PARR ER: OWNER: XL6_2�4 Proposed Building Use: uilding Inspector: YbL Date: — At time of permit application, I was advised the4oHowing data ingsta submitted prior to permit processing and/or issuance: Date Received By 4IAIOt l items have been submitted.------------------------------------------------------------------------------------- lplans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ngineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!------------------ E16. ----------------- ❑6. Energy Design Compliance and supporting documentation. 117. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. Manufactured Home data and installation instructions including Tie Down Specifications. r 0. Fees of $ ------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------- ; El 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- Ell 5. ----------------------------------------- ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --------------------------------- ----------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Iff rovements, ❑ Drainage, ❑ Legal Parcel. ----------------------- Encroachment Permit fo nway (, tion p . r val prior to occu cy).-------;��J------ ---- Pre -inspection for X/ ►A t1, wired Regt�Wldin for on 1. Contractor's license information. (Number, Name Style, Classification).----------------Z�L-gyp-- ---- 022. Workers' Compensation carrier and policy number.----------------------------------------- --------------- - -- ------------------- - - - -- ---- - - - 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑ 24. Letter of signature authorization.-------------------------------------------------------------------------------- . ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ---------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. E 'sting v l'ti s and/or it p ------ - ---------------------- ------------------------------- - --- -- ❑29. 'e-433 A ant Deed�1�Title, Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- �en you is pe 't ro es as follows ❑Mail to owner, ,�ir c r. elephon and hold for pickup at lYi'1 office. ❑ Deliver with inspector. K Applicant: Date 3% C7 f Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divis2in counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building r n counter, by Date Plans reviewed by: Date: Plans approved by: Date: 6 Sets of plans on hold in [].Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ti -5/7 v Sir 9.0,vtj wa t e lel S1� 17 A e.14 0 /0 ,Ale JU 4 i a7, eount* at -jqutte- OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Ronald Gray ADDRESS: 13434 Adrian Dr. CITY & STATE: Magalia, CA 95954 IMPORTANT: DATE OF CLAIM: August 6, 1991 INSTRUCTIONSSEE ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) ; AMOUNT ;Owner has decided not to do work. Permit - , , AP#65-19-44, Receipt #83995, dated 1/22/91 & #83447, dated 2/11/91. I I Total Permit Fees Paid --------------------------------- $798.25 t Retain Plan Checking Fee--------------------- $198.50 i Retain Energy Plan Checking Fee-------------- 15.00 Retain Building Permit Filing Fee------------ 10.00 j Retain Plumbing Permit Filing Fee------------ 10.00 Retain Electrical Permit Filing Fee---------- 10.00 I Retain Mechanical ermit Filing Fee---------- 10.00 Total Permit Fees Retained----------------------------- 253.50 --------------------------------------- $544.75j " i I I i I a � I � TOTAL $544175 I, the undersigned, declare under penalty of perjury that the services or articles cl ' . ed have been performed or delivered, and that this claim is true and correct as stated. Q ..... .. ...... .............. . .. Dated this ..d l tS� . F..�... day of ...... 19 f,(, at .�5..7!�`��� C if. ��:(�•C�g etur�. a/_ i n , ant i I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation a or Specific Board Approval l__�] (Check one) for th sa e. Dated this 6th .................. day of ...AugllSt l9 91 at Oroville... Calif. .......... ..............:...................................... ......... ...... ertment Head or Authorized Deputy . cde- co,,,,,,0002.................. e 4210500 PAYABLE FROM Cons Permitsd,,,,,,,,,,,,,,.......................................................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 176-91 A6SESSOR PARCEL NUMBER 65-19-44 ZONING IRTI AW BUILDING PERMIT OWNER 'Ron A qidnp Gra TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRE s 6517 Vine 2051 R 82,040 352 C 3,520 CONTRACTOR'S NAM RS TELEPHONE 532-1127 2l1 VV 0 1,08 0 CON E 3014 Ol've Hwv Or ville 95966 Fireplace 87 640 CONSTRUCTION LENDER UNKNOWN C Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee -397-00 $ 1919 - 90 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 6517 Vine ST Ma alfa Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 10 2.00 20,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF ak Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New RX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2 bdrm Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP OR LESS 10.00 10.00 CONTRACTORS LICENSE LAW I declare underenalt of perjury penalty p er f y (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 13 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 Main service EA. ADD'L 100 AMP 2.50 2.50 NEW CONST. DWELLING OCCUP.& OR ( ACC. BLDGS. 2/z ¢sq ft 51.25 ::NS. NEW C0ONST R. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e\ (SINGLE OUTLET CI R. / Ex. Occup(OUTLETS OR FIXTURES 9A 0S Oa FIXED APLNS. EX. OCCUp. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 73,75 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 6.00 split Cooling 32t 6.00 Hood 3,00 3.00 Ventilation 9.00 Permit Fee $ 34.00 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, c ts, and expenses which may in any way accrue ermit. again aid t in c equence of the granting of thi7-2 � Date no re of App icant - Owner ❑ Contractor Agent F1 An OSHA permit is required for excavations over 5 " deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 occ Co N TTYPE-i lY(// TOTAL FEE $ 798.25 HAz cuA PARK SCHL FL PAR P HD ISSUE Th's permit is hereby issued under Bions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. - 394 WHITE-D.P.W., YELLOW-ASsEssoPIr1NK-INSPECTOR. GOLDEN OD -APPLICANT Ronald F. Gray 13434 Adrian Drive Magalia, California 95954 (916) 873-2348 Building Inspection 7 County Center Drive Oroville, California 95965 July 29, 1991 Dear Sir: February of this year my wife and I cancelled our plans to build a new home at 6517 Vine. St., Magalia (AP# 65-19-044). Due to a shift in the economy and our need to be settled in our new home in a relatively short time, it made more sense fo-r us to buy a house under -construction rather than continue with our construction plans. The original plans and permit applications were submitted by Bill Sumner of American Tradition Homes., February 11, 1991, I wrote a check for five hundred forty five and 25/100 Dollars ($545.25) for final plan check. Shortly there after we told Bill of our plans to cancel the project, he was able to removed the plans from your offices before the plan check process was started. He gave me the enclosed application for refund which I have filled out. If you need any further information, please give me a call. Sincerely, Ronald F. Gray 1661 Tr `nr S1180M. onSlid :_Jp Ld3O "Bufte emwf*,of OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ADDRESS: T� � ��/��V aw CITY & STATE: AGI �G/-�ci�' d4 2,Y 9 `T y IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: �[it y Z 7. �S ,S/ ON REVERSE SIDE" SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT . Z � �/ �� U•vv L.9 -v �/-16C/ � ismer . i Ec e U N G ow -voa O Vis/ _ r i f TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been erformed or delivere and that this claim is true and correct as stated. T q/ /�%nA ` X Dated this A)Le-Y.................. day of ... VL r!...... 19i(.(.. at.L.S.L./{Y"S.�/� Calif...... ... ` ............ ......... 1 . . .......... . . . ..... ... .......... Z 12 •gnature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget AppropriationO or Specific Board Approval O (Check one) for the same. Dated this .................................... day of ............................. 19....... at .............................. . Callf..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FLMD DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. r INSTRUCTIONS to CLAIMANTS -All "claims- against the county must` be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �/ Permit No. OWNER /` U /�_ (% j A. P. No Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... –//7. Statement of Intent for Non -Heated and AC Buildings ............... [i /-8. Engineered truss details and layout in duplicate (required prior to plan check) 9.. Mob home installation data including manufacturer's installation instructions.. >................................. 10. Fees of $`7 �� a. ........................ // ! 11. Chico Urban Area fees paid ....................................... 12 Parkf I ................................................. 09 DO District fees paid ................ �4. Sanitation approval from lir Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 1 .Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 2. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... ... of signature authorization . ........ .�authorization 7~' /2TW ..M �...... 4,5,1_etter 27. When yo Issue the rmit, proc ,s as follows: —Mai nn r. Mail to contractor. Telephone3�� and hold for pickup at �� fice. Deliver w. /inspector. Other ra AppIica Date 11-7 Z/ r / Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of,planssent j Health Dept. Fire Dept. Other Date By The fol lowing data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. _/0 2. Additional items required:/offs- M Cont, or, designer, owner, was advised of above required data by_phone-_nail counter byQiD ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance O er Locatioh v AP# Plan Approved for: Hold final for: Final clearance O.K. for: i Sewaqe Disposal X Water Supply Clearance for bedroom- home. Other Water Supply Water Supply NOTE C S it rian ' l2 -17- 7© Date RESIDENTIAL PLAN CHECKING GUIDE .12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 17G - Jam/ OWNER �O Al 9 A. P. # ' 6 S --''l L_ /-/ . Plan Checker dt2 GENERAL 1. Zoning requirements: (sideyards and number of permitted -living units). 2 ---Valuation. X43 --Plans signed by designer. roper description of work on application. y - Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). PLOT PLAN omplete parcel size and dimensions. Y Setbacks, sideyards, easements, etc. a)*.Other buildings or structures.�t/�t;�y '*/N /tt ��!>cwz 2tfidtn� 04//y� A✓- lood hazard. last; b" .,a 4..4.,4 t ,. „) �—_-__$ua-� FLOOR PLAN omplete to scale plan with dimensions. iequired equired windows for light and ventilation(Sec.'1205). windows for second exit (Sec. 1204). kylights (Chapter 34 &:Sac.•5207). ' an impact glass (Sec. 5406). &`,_ equired ,room sizes, ceiling heights (Sec. 1207 + 3!CIs in b is, gage., kilhen, and exterioroutlets (Article 210-8):. 9- Light fixtures, ,switches, receptacles, and• exterior -receptacles fdr tenance of mechanicaluipment main- rW Locations of wat heater, heat and oo " equipment, other electrical or pas equipment. 1q- 3'0" exterior exit door (sec. 3304 (f). 14� Fireplace and wood stove location, alcoves, and clearance. D/ oke detectors (Sec. 1210). 1 . Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS I. Standard bracing or engineered design (Table 25V) 2. Unusual shape, size, or split level house requiring lateral design. 3. Foundation plan complete enough to construct building. 4. Floor construction details complete enough to construct building. 5. Elevations and wall construction details complete enough to construct 6. Roof construction details complete enough to construct'building. 7. Fireplace construction details and'calcs if necessary. 8. Rafter ties or bearing ridge beam. 9. Garage door or porch header sizes. 10. Stud heights. 11. Adobe soils - special foundation design. 12. Retaining walls requiring design. 13. Special Inspection required. building, 0 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR k ---,-Stairway details: landings, rise and run, head clearance, handrails ec. 3306). Guardrail details (Sec. 1711 & 3306(j). groper roof pitch for roof convering•(Chapter 32). 6/ Roof covering type - (fire hazard). n. 36" halls and stairways. e is access and ventilation (Sec. 3205). . 142. nderfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. ergy design. Flashing at all exterior openings. d/td 14 ��}�—iC•�n }� C •+rc� rcn i t !/ //jj / /l% �H/s (AMA.1 40'�� '�~ 7�USJis. W 411} zg� d� N£�a/- i- 01 Al £ r� �,/ I G.l eis �p� r r /s ��6�,c b it : �/� 4, > /�/ro All 4' /1£l K m y i Velliquette R e a d E s t a t e 6779 Skyway • Paradise, Ca. 95969 • 916-877-8800 James F. Glander Chief Building Inspecto l County of Butte 7 County Centel- Drive Orov.ille, CA 959G5 Dear Mr. Glander, The undersi ned ow P e of re 1 property, located at A.P. #��+, has requested our investigation, as to the status—weir improvements concerning building permits and/or completion certificates. Please note your comments below here and return in the enclosed envelope. �Y�►Nir�����-%�� �'/�7 (�L�r�l�% � /'/r1Q(�la' lv//off//.5 o�S " '5 //a Jid r� _ ha A 5 6110 � /�'V /g, /ca ignat o. Bu' g Date- or ataor ep. Tha4- you, Howard Velliquette Realtor, Seller's approval Date • �. PE4T NO. 1065-77B PERMIT EXPIRES OWNER' Dale Roberts CONTR. Ed Roberts, Paradise LOCATION (A:P. 65-19-44 115 Vine St.,.Magalia s p 1 i • I 1 rl� !y t i( v 4 f' Temp. Po e' r Pole Called PG&E Templea Serv. Clalled PG&E Temp. Gas Serv. Called PG&E • a. JOB FIN,ALED (Date) (Signature) A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECfION"PECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica e.1 Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final r `�' ` Sanitation Patio FIRE LACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - -- - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) y' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephony: 534-4%41 APPLICATION AND PERMIT nUU IUIIcc 1CJJ1VJGnlau vw UI LIIC UUUIII UI OUlle LU enlet UpUn Ine above-mentioned property for in Ion urp0. X Date Signature of Pe�rmiiteee or Ag e �nt // Receipt No. _ ! `o " (7 ` , / 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 OF—PUBLIC WORKS By Date 7-/0-77 i iding permit expires Date 3 BUILDING Owner L, U- �Q ��� S ° SQ. FT. OCC. BUILDING VALUATION 3-768 Mailing Address Telephone No. Fireplace Contractor e-. 016 us- �-_ , Total Valuation 6 Mailing Address Q , 26 ® X' � Q � V • Permit Fee P" Plan Checking Fee &/or Penalty ��140tsLc p -a /87, Permit Fee $ '- Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 " r Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 c t ° A. P. No. S I 1 " 7 L Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sal Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Pas Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Re Parcel Approval PI pprova1 Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL : No. @ FEE PERMIT FILING. FEE 1 $3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADO'L 100 AMP 12.50 Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil HomeP�r Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 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 st le of: %r Ex. Occup(OUTLETS OR FIXTURES)@� BAL R'1 Ex. ccu FIXED APPLNS. OR O P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification I k7 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code 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. . MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ nUU IUIIcc 1CJJ1VJGnlau vw UI LIIC UUUIII UI OUlle LU enlet UpUn Ine above-mentioned property for in Ion urp0. X Date Signature of Pe�rmiiteee or Ag e �nt // Receipt No. _ ! `o " (7 ` , / 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 OF—PUBLIC WORKS By Date 7-/0-77 i iding permit expires Date 3 ` • _ , •WUAII UC . DU11G ;aeparcm* J?:. 1`. V-1ADL1C 7 County Center Dr"ive Oroville California, 1J .. PA0'NE, 134-4541 7. Y Unlit Con 'It ' f r '2U' ' ' �/ ' �'Y ri • t: min,, Ln Yr F' W rt G ►+ ,+ n !o . N �" 1.�y' o ty 1 �.. .iii•' i ' . • ' ,r (�' tit , . r �,. 53441 t. :, > Len_vth = , , v H` " ° + MOB1•I•EHOME INSTALLATION INFORMATIOii r •'r Lot Facilities i 'Y Mobilehome Data 4. Plot plan dimensioned, location ^of-mobile 1. Lengih Width2 an d utility connections? `fy Manufacturer. F 1eC', x t Yes No ' Vehicle Serial No. �QZ�?� ��'y' Fr ,.T'•2! Electrical service equiplrt^ ampacity /bd .Insignia Contiol No, �85�3� /,[, "` `� w Circuit breaker zmpacity /d02. Feeder assembly'am acity /�j0--,¢0;,pi � +ti Permanent Wiring Connection Conduit size �r �• * ti �•' tumpacity p "'Power supply cor amps +? ReceptacleAmpac:it3. Gas inlet size A 't 3, Cas: ,,Natural LPC_ _ Nlobilebome connector size Gas riser size_ i3 -- 'Canacity fi't inlet Size " 4. Drain connector: describe on reverse Bidet 5. Eater riser -size'' IZ 1� 5. Water connector: describe on':reverse side ;6i Are utility' connections located out-side 6. Designed loads: 'tWe rear. .1/3 of tha mob `L i-iithin Roof Jive ,load_L::� psf: 1: feet of. the IeEt v, 11?, Yc'r ' L,,"�:o '' 1•1ind load_ �'� ,%f I F ,at If not, short diacns:ions.above. (only for �:Ooi.)e':lotzFs aanuC:acturect af'er` F' rfi 7. Is the molr.,.lehc,me clear of: septic tank, ` : October 7, 1973)' y t j each fields and located of side. public 7.' Naat,fa!:r. re�'c inst..illation ! F utility easements? Yes No ' it'_,_hU i. 8, ho you propose to do other work on the r � 8. Ui.11 the nobile home be installed. on" a `• `' ;f , property other than the mobilehome ! separrfte support structure? tip,.% insCallat`ion w} 'ch x1ill require n permit_ i t , t No Yes No Yes If so, specify �� S�. .! �t.•t , ii .anr);t,cnr.rif;r!arinns of .c,rnnorv. v.'t-r. In c '�+''othct1- sic}e. • .!. a ;r > - _ . a_- ""4 '�:. a r. �. :: . _:.c„ .. - ^,. .ay -. .p, � • "'.`r' - ." a `: r _ w! � � e ADDITIONAL CC\,D! 7:;TS - Drain Connector, Describe�3 �� Q Water Connector, Describe�s� `- R� LO BEARING SUPPu3T AND .,'COTING INr0!,=I0N " V Pier Spacing Used - `[atimum Pier Load °'':. ; Column yaximum Column Load (multi—units only � S Supports' �� \ _3earino Capacity /�O }cotinp, D tension Uc-od - `C�' TYPEOF FIEF. USED !r,• r ! Steel, Concrete Coacrete Block - 0 hdr TAPE OF FOOTIr?G t°LAT_.MAL USED , :. pressure Treated �dcod Redwood (Grade) v - Ot`^r Approved Type r a i v L, BUILDING DEPARTMINT `~ 1 �_ { y ,ola.� •.� �.V'-�yi+ar�v �Ge,YnYt1.Ry/.- _. - - L0�1 AF ROVE. -- _ SUPPORTS `j _ _ - - :--: - - - -a% COUNTY OF BUTTE — DEPARTMENT OF PUBLIC0 +S /1 7 County Center Drive — Orovi Ile, California 95965 ` (� Tel ephorie: 534-4541 APPLICATION AND PERMIT _-__.. __ ._�.___..._... _. ... .... .........� ... �..,.... ... ..n.c� uNvn ti— above-mentioned property for inspection purposes. X C%/�Date 41—/5--7 Signature of Permitee or Agent Receipt No. 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 OF/jF UBLIC WORKS I�Wilding�per Date L -z'—ZZ�expir�esDat�e7 ................................0 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address © o I e hone No. Fireplace Contractor Total Valuation .Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address / PLUMBING No.1 @ ,FEE PERMIT FILING FEE 9 00 04CRA 1-2,4 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping /0.0,-) Each gas water heater or vent 1.50 A. P. No. p — I ! //�7 2T/ Zon in P a Gas piping system 1 - 5 outlets Each additional outlet .30 Fe IQl,2� S on Fire Dept. FireZone Use Permit Building sewer EQA Parking Parcel Plans Declaration P"Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans c'd Par pproval Plans Approval Permit Fee $ NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 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 �Q S _! Ae FC Water Heater or Space Heater 1.00 Light fixtures be d10 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. F.urn. 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 lY__I 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ z G( 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ _-__.. __ ._�.___..._... _. ... .... .........� ... �..,.... ... ..n.c� uNvn ti— above-mentioned property for inspection purposes. X C%/�Date 41—/5--7 Signature of Permitee or Agent Receipt No. 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 OF/jF UBLIC WORKS I�Wilding�per Date L -z'—ZZ�expir�esDat�e7 ................................0 i _ -1:-���.�,.....r•- r ...,., r„��_'^-�".�!-/r'`*^'''•^-�-- z.--•�'�.'�-•i.:_.-'..rti^".r'...-.{�"'._y-+..+v.-•---.w.rq. . r�= r' COUNTY OF'BUTTE — DEPARTMENT OF PUBLIC WORKS C!J 75 7,County Center Drive — Oroville, California 95965 Telephone: 534-4541 + ,APPLICATIONIAND PERMIT White-D.P.W. — Yellow -Assessor — Pink -Inspector'— Goldenrod -Applicant l lding permit expires Date................t� --'...✓.. lQ.. BUILDING Owner I L S s SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. ! Fireplace . j Contractor, r {- a Total Valuation Mailing Address 6c� Permit Fee Plan Checking Fee &/or,Pen aIty T I phone No. Permit Fee $ $ Building Address d t�(R) PLUMBING No. ` @ FEE PERMIT FILING FEE $2.00 MC9+ + Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping .1:50 �. Each gas water heater or vent 1.50 /„ ,�Q_!�,_ /5/1l/ A. P P. No. 1 vv v7 7 zoning & Planning Gas piping 'system 1 - 5 outlets 1.50 Each additional outlet ' . .30 Fe FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking' Plans Parcel D laration • Parcel Map 60,. R/W Im prove nts Lawn sprinkler system 2.00 Bldg. Plans a Parcel ! proval an s Pl. Approval Permit Fee $ $ NEW ❑ ' a ADDITION ❑ UTILITIES[].' OTHER ELECTRICAL No. ` @ ' FEE + PERMIT FILING FEE $3.00 Main service incl. 1 meter 'Additional meters, each 1.00 Single Family ❑ Duplexa❑ Mobil Home T Others ❑ Sub -Panel '(12 or less) (more than 12) Range, Cook -top or Oven 1.00. + Water Heater or Space Heater 1.00 Light fixtures balP2 Receps., switches & fix outlets 20 5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. -3, of the +State of California Business &-Professions Code under the a Y n �st leaf: ��MCC % �' ane �S Mobil Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap., cooler, gar. di sp. or D.W. 1.00 Air conditioner.or heat pump , Home Facilities 5.00, ' Temp. Power Pole 5.00 License No.o_�� \ 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 certify that in the performance of the work for which this ❑ permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify .that I have read this application and state that the abovelS 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 mention d property for inspection purposes. / X Date Sig ture of Permitee or Agent MECHANICAL NO. @ FEE PERMIT FILING FEE $3.00 Heating ; Cooling Ventilation Hood _ 2.00 Permit Fee $- , / O/�( $ 0- C7( TOTAL PERMIT FEE $36. pc This permit is hereby issued under•the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been,paid. DIRECTOR OF BLIC WORKS By r ate W". %J White-D.P.W. — Yellow -Assessor — Pink -Inspector'— Goldenrod -Applicant l lding permit expires Date................t� --'...✓.. lQ.. -MT util. .7 PERMIT NO. 1476-75P,E' P E M UTIL. :KRMIT NO. Yh PERMIT EXPIRES OWNER V. E. Robert 9 CONTR. LOCATION (A.P. 65-19- 4 115 Vine St. Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp Gas Serv. Called PG&E JOB FINALED (Date (Sig ture) ............ -------- J.... Electrical A. Is service large enoug1t�-o'j rovide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum.of 10 --amp) and other facilities on lot, i.e. water pumps, garage, cabana, etc.? Yes .0/No/&>G B. Is there proper clearances.around panels?' Yes C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? YesNo 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. Upon completion of.the above procedurethe: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: hs job card signed by Health Department for water and sanitation? ll: Ifeverything dkay, sign -off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle MOBILEHOME INSTALLATION INSPECTION CHECK LIST 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) Yeti Ivo 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is.the mobilehome level? (Sec. 5088) Yes No 5. If mora'than a single unit, are crossover connections properly installed? (Sec: 5088) Yes d No 6. Water A. Is flexi le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes .B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow -ach is not•State of California approved, does station a e.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 4— o B. Does it have, minimum 4" .per foot slcoe and is' it properly supported? Yes C—idS C.- Are any leaks detected in drainage system after running 3—lons.of water through each fixture including washing machine standpipe?,.Yes+' No D. If coach isnot State of California approved, does station have required trap and vent? es 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 beat least as large as the mobil ome gas. line inlet without reductions other than the mobilehome connector. Yes No B. Test OK asP er following procedure?. Yes No 1. Open all appliance connector valves. 2. .Shut off appliance burner and,pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth potfnd increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No Setback Forms Main Bldg. Footinos Slab Piers Footings Stemwal I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Frami Mesh Scratch Brown, Finish Interior Lath Door Closer DATE 4 COUNTY OF BUTTE — DEPARTMENT"OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Firewall Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Prov. for physically handicapped Conformance of ex. structure^ Donn hroat inal Test Fina Heatinc Coolinc Ducts Ventila Final RIEMARKS OR CORRECTIONS AZ Soil Piping 1st Floor 2nd Floor 3rd Floor Toaout PLUMBING Water P.ipinjj Sewer Fixtures Water Htr. Heaters Appliances C Gas Piping & Test Temp. Gas Sanitatio Final1- ELECTRICAL Fixtures Water Htr. Grd. Fault Prot. Service Temp. Pole Underground Penn ent Final 40W _ .�/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLIQATION AIND PERMIT PERMIT NO. r 92 / -'P ASSESSOR PARCEL �NUMBER '- i e1'�/r ' Iit ZONING r f'}= BUILDING PERMIT O E - TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME 4! Al _rtt, TELEPHONE CONT ACTOR'S MAILING ADDRESS . 0 •11Sa � V r� CONSTRUCTION LENDER _ UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ���' G��t`� st- PLUMBING PERMIT Filing Fee 3.00 Each Trap 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❑ MobilehomeNr Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS �.-. 5.00 Main service EA. ADD -L. 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC, BLDGS. 20sgft CONTRACTORS LIC I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. ,� �� License No.f� I+1� Classification s� ❑ 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 CONSTR. MOLTI.OUTLET2,50 ea NON-RESID BRANCH CIRC ITS) NEW CONSTR ( POWER APPARATUS & 1 NON-RESID, SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES BAL@1 BAL�Ios FIXED APPLNS, OR Ex. Occup. (RESID) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ A /U Contractor (,)W WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. k1 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 FiIingFee 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 ar(d keep harmless the County of Butte against al I'fiabil`fi'es� judgm6ts, costs", and expenses which may in any way accrue "n consequence of the granting of this permit against ami °C uu.,rjty. �,.y� X V �i Date �" 7// _. r Signature of Applicant — Owner 0 Contractor ❑ Agent ❑ An OSHA 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 $ /0 OCCUP. GROUP I TYPE OF CONST. PARCEL PD NO I ISSUE 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 paid. DIRECTOR OF PUBLIC WORKS / By, It/Date PERMIT/EXPIRES Date ., I�,1 �1�" I• Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATWN Kill) PERMIT PER ASSESSOR NO ASSESSOR PARCEMBER BUILDING PERMIT O WWb RTELEPHONE ���/ v , SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME � U `Tp/ e, U C L, Ltd I TELEPHONE CONT.A(n�CTOR'S MAILING ADDRESS '0 V Zi CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ,t- PLUMBING PERMIT Filing Fee 3.00 /s,�� ✓✓ Each Trap 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)r Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.r DWELLING O OR ADDNS. ` ACC. BLDGS.CCUP.& ) 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. License No. ��CQ_4 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 CONSTR ULT. -OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR /POWER APPARATUS 81 NON-RESID. \SINGLE OUTLET CIR. / Ex. Occu 50"2'a p(ouTLErs OR FIXTURES BAL@t EX. Occup.FIXED APPLES. OR �FIXEDOUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee /0 Contractor p-, ej 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 of Consent to Self -Insure. i I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice o 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 FiIingFee 3.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save, indemnify pq keep harmless the County of Butte against al I j ts, cost nd expenses which may in any way accrue a ainst d y conseq e e of the granting of this permit. X O" (� Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA 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 $ 70 i OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ssuE 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 paid. D TOR OF PUBLIC WORKS By �� Date V PERMI EXPIRES Date Receipt No. .�3�' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 1504-80B,E. PERMIT.EXPIRES ✓/�/�/ OWNER Dale Roberts CONTR. Don Irby, Magalia 65-19-44 V LOCATION (A.P. ) 115 Vine St., Magalia 6,47 it 4� A3 ;r .b �r- F, Temp. Power Pole Called PG&E Temp. Temp. Ele/Serv. 'q p Calle/d"'PG&E —14 " Tempus Serv. Called PG&E i �e INA (Date) a� owjw. (Signatur awcco Final I Subpanels Mesh MECHANICAL Grd. Fault Pr . Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground b✓ Interior Lath Ventilation Permanent Door Closer Final Final 6 MOBILEHOME U LITIES ------------------ lec- Service Elec. Pedesta Water Piping ewer Gas Piping E OME INSTALLATION'S pport Elec. Continuit Water Piping Dr 'nage Gas Piping DATE / REMARKS OR CORRECTIONS s U (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION°RECOND BUIL DIN, ? BUILDING (Cont'd) PLUMBING Setback C9. Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI 'Siding - out Slab Roof Sheathing S/11 1 W Wa er Pi in Piers Roofing g Ai SeAr Garage Fdn. Vents Fixt res Footings Stemwa -W` Garage Vents vInsulation Water tr. Heater Slab Carport p Footings Slab Prov. for physic Ily handica ed Conformance of x. structure Final Applian es Gas Pi i g & Test Temp. Ga Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough % y"J Reinf. Steel Final Fixtures' Bond Beam FIRE SPRINKLERS Motors awcco Final I Subpanels Mesh MECHANICAL Grd. Fault Pr . Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground b✓ Interior Lath Ventilation Permanent Door Closer Final Final 6 MOBILEHOME U LITIES ------------------ lec- Service Elec. Pedesta Water Piping ewer Gas Piping E OME INSTALLATION'S pport Elec. Continuit Water Piping Dr 'nage Gas Piping DATE / REMARKS OR CORRECTIONS s U (NOTE: An entry must be made on this form each time you visit the job site.) i' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 l •„ Telephone:,534-4541 APPLICATION AND PERMIT l v authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permiteeeor Age Receipt No. v %(;12 - 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 OF PUBLIC WORKS By Date Building permit expires Date BUILDING 411 JL OwnerSQ. _ FT. OCC. BUILDING AL ATION O Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation 416Az/�4 Tel ne No. - 03 71 Pe76 Building AddressC Aj U PlanChec /or Penalty Permit Fee j� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. — �(}�� Z nQ ing'8. fanning Water piping 1.50 Each gas water heater or vent 1.50 F 4 I W-,6 S Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ���� Bldg. PlanslZec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 CrV 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD•L 100 AMP 2.50 ff Main service OVER 600V 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW CONSDWELLING OR ADDNS.T 1 ACC. BLOGS.0 �) 22 sq ft 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 st le of: y [J NEW CONSTR MULTI -OUT NON•R ESI D, . ( BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS & NON•RESID, SINGLE OUTLET CIR, EX. OCCup{OUTLETS OR FIXTIIRES) 1 BAL@BAL@ Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 Classification, ^'r License No. J j2 7 Re -_J Classification Wiring 6.25 . ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 7 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. a ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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 Land Development Fee $ TOTAL PERMIT FEE $ lcC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permiteeeor Age Receipt No. v %(;12 - 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 OF PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AIND PERMIT - .1 - ' 1 PERMIT NO ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER U /' �� y TELEPHONE '?a 310;v SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS p E ST f�I GAti CONTRACTOR'S NAME O C.J/�J C/x- '-D TELEPHONE CONTRACTOR'S MAILIN ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5-0 11zAJ6 S Permit fee $ PLUMBING PERMIT Filing Fee 10.00 I Each Trap 2.00 t Solar or heat pump water heater 20.00 LOT NO.r SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other :55AILA GC SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W ed TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: &J/,sC 6-12,4cr //n fo A:Z0 _ _-10.00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 DR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Of 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- (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.6 NEW OUTLET ) ACC.BGS. , h¢sgft CCONSTR.� A ULTI NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES e200500 ALV 30 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 00ors. Permit Fee $ &0 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs,ta¢d expenses which may in any way accrue against said Countyaino quence�of the granting of this permit. ( �r /Z r X - i • r r✓ Date / Signature of Applicant — Owner 1=l Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAz CUA PARK SCHL FID PAR PD HD Iss This permit is hereby issued under sions or the Butte County Code and/or work indicated above for whigh fees IR CTOR O UBUIC: By -�� PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date AL1 5-0 Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT F?1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 6 � 5 - PERMIT / ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS J '^9 /t CONTRACTOR'SNAME O 0^J C r__ .CS -ZJ!'✓ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS $17 E 5 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 •� �`- w A' Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome0 Other <5;,AAA6(= SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I 10.00e . TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: g45:*J!/9C 61(,C.Xi6C //O 7�0 v�-p _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE 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 CONST. DWELLING OCCUP.& OR ACDNS. ACC, BLDGS. /zQsgft NEW CONSTR. BRANCH NO N.RESID BRANCH C'RC', IRC ITS 2,50 ea POWER APPARATUS e OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50* FIXED APP LNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 4D S Permit Fee $ DY2 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation. permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, co is an expenses which may in any way accrue agai aid County in q c of the granting of this permit. Z _ Date Signature of Applicant — Owner = Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ FEE AL E HAz CUA PARK I PAR PD HD Iss This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees CT R B By PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS r y L -S g' Da�L Receipt No. S`f SC3 f WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Departmer;,t of.Public Works 7 County Center Drive, Orovil•le, CA .95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 1?6:, 2. I (have/heve-rrvC� /��!/G 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 GliX Address City Phone Contractors License No. 4. •I plan to provide portions of this work, but I have hired the following person to coordinat•, supervise, and provide the major work: Name �X� Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name ` Address Phone Type of Work Signed: Property Owner Social Security umber Date NOTE: This Owner -Builder Verification is sent to.you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. A, � 9 I°I.0 ire R.:I. : ryia No , 001 r , 4 Return to DPW AGRICULTURAL STANT T' 'NT CF ACKNOWLF; Section 26--8.1 of the Butte Count RRSIUEN'1'IAL DEVELOPrequires this acknowled, y' Code prior to issuance ofg permit. a building be recorded - - . The property; � �, ,,•F to land or inc crib ed r hein is adjacent 91-0O5831 ; Rec Fee Ea zoned Check �• QO for agricultural purposes, and residents "'7.OQ-;,, of this proper ma ' Recorded veriiences or y y be subject to i.ncon•- Official Records I ri.scomfott arising from the County of use Of agricultural chemicals, including i but not limited 'to herbicides g CandaceuJ to and fertilizers• �, ' pesticides, Grubbs and from the pursuit Recorder Of agri.cul-tur%,1 operationsbut 110t limited to cultivation, 10:39am 14 -Feb -91 spraying, plowing, XX 2pruning, and harvesting which occasionally generate :dust, smoke r' .tural zones which have as a r ' noise, and odor. Butte County has established agricul, within said zones and on edprioritpropert y use for productive agricultural purposes withiOr'dn from normal y should be prepared to accept such end residents ►necessary farm .operations. i inconvenience All that real -property situate in the County of. Butte S' follows: , . tate , oJ' California, described as 9 OFFICIAL NOTARY a LEEANNA ' K• WILSON ems, Notary Public —California Date: ` s. BUTTE COUNTY 44. �1991 RROhERTY MY Comm. Expires SEP 26.1994 C)i,�NI�RS . Jidn� State Of :141-,, 26 On this the - day of 4ArJV �Iv Countyof SS' undcrsioned Notar p� 19r� y Public, ersonppesTe�! Iiefore me, the Ll Personally known to me. Proved'to me on -the basis to be the F>erson(s) whose names) s tisfectory evidence. fe subscribed to the within instrumcht and acknowledged executed the same for the Purposes therein`co„tained.LhIt 7-)V hereunto set• my hand and officia]. gest. S WTT Present A.P. No. _ r Notary Public 91-05831 DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: y Lot 473, as shown on that certain map entitled, "FIR HAVEN` SUBDIVISION", which map was filed in the office of the Recorder". of the County of Butte, State of California, May 19, 1955.in Book 21 of Maps, a.t pages 31, 32, 33, 34 and 35. EXCEPTING and RESERVING THEREFROM all the valuable minerals beneath the surface of said land, with the right to mine and extract said minerals, it being agreed and understood that in all mining operations the surface of said land will be pro- tected against damage, and that all such mining shall be carried on -from tunnels, shafts or drifts having their orifi- ces outside the surface area of the above described realty. END OF DOCUMENT 2 w ¢ •— �O 1 MU ltL J ;,_ I�a O LL IM O Lij U t: Lj- w 0 Certificate of Compliance: Residential Climate Zone 11 Mandatory Measures Checklist: Residential MF -IR IC2d �l/ (, /1 G, // i Project Title / �J� �N07-E tawrise residential buildings subject to the Standards must contain di se measures regardless of U+e compliance /� eapproach used Items marked with th an asterisk (') may be superseded by meet stringau eompharr c requirements listed Ip < l Qy �i- Building Pessnit M on the Certificate Compliance. When this checklist is incorporated into the permit documents, the futures noted shall _ be considered by all parties as binding minimum component performance specifications for the mandatary measure Project Address wha her they arc shown elsewhere in the documents or on this rhocklist only. Checked By / Date Documentation Author Telephone Enforcement Agency UOnly DE-SCMFrnON DESIGNER ENFORCEMENT g Y - r Building Envelope Measures BUILDING DATA Glass Area % Glass ' §2-5352(x): Minimum ceiling insulation R-19 weighted avenge. r / North O§23(DY L352oose fill insumcer lationanufaur•s labeled R•Value, Conditioned Floor Area Number of Stories East ' 12.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to Slab/ a>se—� c`ur'°` mm Number of .Units South S. S� edge ,L. 3 42-5352(k}. Stab edge utsdation •water absorption rate no greater than 0396, water vapor Single Family Detached (SFD) [ ] Addition Alone r West V. 5 ' z. 12 uananission rate no greater than 2.0 perm(urch. [ J• Single FamilyAttached (SFA) [ ] ExistingBudding Skylight 34 S 12-5311: Instdation specified or installed meets California Energy Commission (CEC) quality ) $ standards Indicate type and form. [ JMulti-Family (MF) [ ] Existing -Plus -Addition Total S47".3 ^ �, , S— §2-5352(0: Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls BUILDING SHELL INSULATION - a. Doors�gdewindows between conditioned and unconditioned spaces deigned to limit air b. Doors and windows certified. Component Insulation Locaflon/Commews pped. >o pe L Doors and windows weatnerSrt a6 joints and 0115 taunted and Sealed, Type R -Value (attic, to fiangd, CMiCC. etc.): 1 12.5352(c): Special infd[ration barrier installed to comply with §2.5351 meets CEC quality standards- -5352(d): Installation of Fireplaces Wall .............. — / 9 §21. Masonry and factory -built fireplaces have Wall .............. 1 a, Tight fitting. closeable metal or glass door b. Outside air intake with damper and control Roof ............. — e7 t c Flue damper and contra Roof ............. 2 Pio continuous burning gas pilots a k wed, .. • Floor ............. 77 HVAC and Plumbing System .Measures ' Floor ............. 52-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations. -§2-5352(h) and 2-5315: Setback thennosm- on all applirable homing systems Slab Edge..... - '- - � � insulated ,..:.�:..._....._ ......... _..... . 62-5316(a): Ducts constnictcd. lled and G LAZING Shading Devices . §2-531600 Exhaust systemshahveeddamper controls. per Chapter 10, 1976 UMC Gla: iI! Glees$ .12-5314(c} Gas-fired space heating equipment has intermittent ignition deviees _..._..._ . g Area Type Interior Exterior Overhang Framing Type 62-5314: HVAC equipment. water heater. showallcads and faucets unified by the CEC , Orientation (Sf) (single, double) (roller blind etc.) (shatiescreen, etc.) (yes/no) (metal/wood) a 42-5352(0: Water homer insulation blanket (R•12 or greater) or combined interiorkxtuior IvOnth ( ) 1 04 £ �/J/f j insulation (R-16 or greater): first 5 feet a pipes closest to tank insulated (R-3 or great"). North ( ) ' t(C( r t 52-5312(Exccpton 1): Pipe insulation on steam and steam condensate ru& um recirculating _ "! piping- East ( ) §2.5318(d): Swimming Pool Heating ^ . _.... ( ) ,. system her East r off switch on heater. SOUth _ b. Weatherproof instruction plate on heater: _...... _...... . e Plumbed to allow for solar. SOU t)1 ( ) 2.75 percent therms efficiency. .. .. j -. 3_ Pool cover. I - West s Directional w West att inlet 14anAppliance Measures • 12'952(I): Ughting - 25 lumens/watterr greater for general fighting in kitchens. and bathrooms.THERMAL MASS -5314(c) ^ Gas fired appliances equipped whin intermittent ignition device Type/Covering -. Area Thickness __ 1, :_. §2_914(x): Refrigerators. refricrater-freezers, reteras andhnuorescent lamp ballasts certified (slab/exposed, tile, etc.) (sf) (inches) Location/Description by CEC. Indican make and model number. (kitchen. bath. etc.) the - : • .' - _A TEMX T _.. __........ ... . _ _ . _ COMPLIANCE ST - - ... .. • . AD.✓£ t Mis certificate of compliance lists th. building feaft= and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Clu*.r2. Subchapter4. Article I of the California Administrative code. This cia>i&2W has b tial with overall design responsibility building owner. who shall _ - HVAC SYSTEMS Minimum - D _ :Icteric a been stgnod y the uednftd gn tLty erred the Duct ; , , copy of it and transmit the certificate to any subsequent purdwser of the building. 'n Type (ftunace, air Efficiency " .Location " "" Duct Output Manufacturer / Model # - j condicionen, heat pump) (SE, SEER,HSP> (attic etc.) ' R -Value (Blah) '"°`(or approved equal) y: `";�'' "� _ Designer aY ,� Building Owner .T.t F moi.• _.- - .. .� - i. 'S Tt.K a2 ;l/(llaJ� S % �... - _ _, r ,c,> ? 5 Ntnoe Name: �k , ,, _rte ' rtwlrtrt. t •^ , u 754 a�Ts •�zlq 27 7 -r `T - Telephone Maximum Furnace Heating Output:Btuh - .HOT WATER SYSTEMS - Tank�JTrt E . _ Manufacturer/Model # O U,: x •r - a e as, etc.) Capacity" ora roved a ual i �' siV%lu - (date) signattae) (date -..:System Te (:to - .;S •,ts • - .,. - - _. -. - , -''-A -C) �- ®• r'1 \'/ Ili. - .. �. � .. : ' - ._ •• _n _- ._ __ ._ :�. -� 4> _ , t r ,� °Documentation Author ;Enforcement Agency --- - _._ of .- - - r SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) - ,_ - :Name Nt1e - _" •Addtea Tem v . 1. Ceiling Insulation r Single- Number of stories . - R -value One Two Three R-0 -103 -49 32 R-19 -8 •4 2 R-30 -2 -1 .1 R-38 0 0 0 U -value 8 6 1 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 1 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 5. Infiltration (Air Leakage) SPedfication _ ;,; .-•',- Points Starched : ` : 0 6. Glass Heat Loss - Total Single- Single - ;: Effective Percent Glass Family Family Multi - R -value Detached Aftached Family R-0 -08 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value R-11 3 -2 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 .24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 .58 14 11 7 I0.04 0.02 19 14 10 0.00 24 18 12 5. Infiltration (Air Leakage) SPedfication _ ;,; .-•',- Points Starched : ` : 0 6. Glass Heat Loss - Total 3. Raised Floor Insulation ;: Effective Percent Glass U -value Insulation in Floor Percent :West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double Number of stories .50 .40 R -value �. One Two Three -39 R-0 -17 -8 5 -90 R-11 3 -2 -1 a R-19 0 0 0 -9 R-30 3 1 1 -21 U -value -4 4 12 H -•---.0.60. -144 -70 -46 5 0.50 -120 .58 38 -10 0.40 -95 -46 30 -52 0.30 -69 -34 .22 -� 0.20 -43 -21 -14 .1 0.10 -17 -8 -5 -14 0.08 -11 -6 -4 24 :-.0.06 0.04 -6 .1 •3 0 .2 0 8 0.02 4 2 1 -4 0.00 10, 5 3 -37 -9 -3 3 9 15 Controlled Ventilation Crawispace -7 -2 4 10 15 20 31 -6 Number of stories 5 V R -value One Two Three s R-0 -11 ----7 -5 II _ R-5 R-11 _ -4 7 12 r •. R-19 .2 -1 .2 .2 -2 •2 8 12 17 16 -20 0 4 9 13 17 4. Slab Edge Insulation -17 1 6 _. Number of Stories _ 14 R -value . - . One Two Three 14 ' R-0 00 -12 0 8 R-5 8 _ 5 2 . -9 R-7 8 -6 -3 19 F2 factor -6 7 10 13 '0.90 19 10 3 9 11 14 3 -1 9 -:0.80 10 13 0 17 0.70 - - -' 2 2 - - -1 12 0.60 6 4 2 -4 0.50 '9 6 3 Two +. 0.40 - . 12 .8 4 5. Infiltration (Air Leakage) SPedfication _ ;,; .-•',- Points Starched : ` : 0 6. Glass Heat Loss - Total - = - Slab Floor ;: Effective Percent Glass U -value East Percent :West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 •61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 .2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 .1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 •4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17.. `19 9 -1 10 13 15 17 . 20 8 _ 2 12 14 16_- _-18 20 7. Shading (Shade Open) --Effective Percent Glass (percent glass x SC) Effective - = - Slab Floor ;: Effective Percent Glass %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na - 11 3 3 5 2 :na 10 2 3 5 . ;.•-2 1. 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 -'--1 - 2 - 4 - 2 3- 4 0 2- 3 _ 1 3 3 0 1 2 1 3 2 0 0- 1 0 3 1 .1 .1 -1 -1 2- 0 -1 -2 -4 -2 0 na = not allowed 4 3 0 na - not allowed 8 & Shading (Shade Closed) - = - Slab Floor ;: Effective Percent Glass Family Stories wit (Perritt ilea x SC) Stories Effective /CFA One %Glatt Nodi Eau South West Sltylight 18 •14 .48 -69 2.34 s ._ na -16 _..`"'.12- - =42 `_ _-59 755 na .1 _10 _ _35 _....50 -46 .. na 12 -8 -29 -40 37 na 11 7-7 --26 36 33 na 10 --6 --23 - -23 - 31 --29-74 1 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 __7 " -4 -14 -19 -18 -47 - 6 3 =11 ---15 : `:14 '- 38 5 2 -9 -11 ---10 ---30 4 .1 -6 -8 -7 .23 3 .. 0 -4-5 -4 --116 .: 2 .:. 1 ..1 1' :.2 '--11 , .9 1 1 1 1 1 -4 0- 2 3 4 3 0 na - not allowed 8 3.0 9. Interior Thermal Mass Interior - Slab Floor Raised Floor Mass Family Stories wit Mass Stories Attached /CFA One Two Three One Two Three 0.0 - -8 -5 -4 .2 -1 .1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 - 3 1.1 -4 .1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - _ Wall Family Family wit Mass Detached Attached Fame 0.00 0 0 0 ' 0.20 3 2 1 0.40 i 0.60 5 8 4 6 3 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11....: 1.80 10 12 12 zoo 10 11 13 11. Heating System SE or HSPF (assumes ducts In aWe) 12. Cooling Syst.!m SEER (assume; ducts In attic) Sim of 7-10 -2S or -24 to o 4 to _ Sum of 1.6 _ 16 or =25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0. 0 0 0.75 :6.88 3 3 3 2 2 1 0.80 7.33 •8 7 6 5 4 3 0.85 7.79 13 11 '10 8 7 5 0.90 8.25 17 15 13 ` 11 9 7 0.95 8.71 _ 20 " IS- 15 13 11 8 3 Effective SE or HSPF 2 .2 (SE or HSPF x duct efficiency) 6 Effective -25 or •24 to •14 to .4 to +6 to 16 or SE HSPF less -15 -6 _ +5 +15 more 0.30 275 -73 -64 -56 -47 38 30 na 3.41 -45 •39 .34 .29 .24 --18 0.40 3.67 34 30 -26 -22 _-18 _-14 0.50 4.58 .10 -9 -8 -7 -5 -4 0.56 5.13 :0 ^-:0 . '0 : 0 v 0 ' • 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 .17 .15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 -19 15 _. �. Zonal Control Adjustment _ - System Type -4 3 -2 .2 Resistance 10 ` 9 -7 6 "4 3 ._ Other -.,.6 -5 4 3 2 1 6 5 4 3 9.0 16 14 12 9 12. Cooling Syst.!m SEER (assume; ducts In attic) Sim of 7-10 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. ` Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures /t' -FCS Or R-value[381. or R -value [ 11] - /G or R -value [ 191 U -value [0.098] U -value [0.037] or R -value 101 F2 factor [0.771 C.-4-4 4 Type [double] U -value [0.65] 90 Total Glass [ 161 Point Scores IF .0 5 .+ Sum 1-6 -2S or -24 to o 4 to -410 4610 16 or SEER less .15 ; .6 +S +15 more 8.0 .14 -12 -10 -8 -6 -4 _ 8.S .9 -7 -6 -5 -4 3 8.9 -5 -4 .4 3 -2 -2 9.0 -4 3 .3 .2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 .2 1 10.5 7 6 5 4 - 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 66t 70% Efredive SEER 80% 85% 90% (SEER xauct efficiency) 100% 105% 110Ye 115% 120% 125•, 0% 0 Sem of 7-10 0.4 0.6 Effective -25 or -24 to -1410 -4lo +6 b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 .13 .9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 3 -2 .2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 .24 20 15 10 1.8 Zonal Control Adjustment 22 j 10 8 7 6 4 3 3.9 No Cooling System Installed 4.5 4.7 i :-Stories 5.1 5.3 5.6 58 47% 0.7 One -5 -4 -4 -3 -2 -2 Two +. 3 3 :. 2 2 2 1 Single -Family ,Detached and Attached 4.5 4.7 4.9 Unit Size (sQ 53 Water 5.7 1199 1?M 1700 2200 2700 Heater Credit or to to to or - Type Type less. ,1699 2199 2699 more SG None 0 ! is 0 0.. 0 0 - or Solar 12 " 8 6 5 4 HP -HWR 8 5 4 3 3 3.2 WSB 5 3 3 2 2 4.7 POU _ 8 5 4 3 •3 SE None 37 -24 -18 -15 .12 21 Solar -1 -1 -1 -0 0 3.5 HWR -18 -12 -9 -7 -6 i WSB.. -25 -16 -12 -10' -8 65% POU _ -18 _-12 -9 _7 -6 IG- -None 2.6 "-5 3 -2 -2 -2 3.8 Solar 7. .• S -4 3 2 53 POU .3__ 2 1.-� ' 1 1 IE None -28 -19 - .14 i 'A 1 -9 _ -Solar 2.9 8 5 4, 3 3 4.1 POU -10 ' .3 .5 -4 3 Multi -Funny (Individual units) 62 64 75% - Unit Size (s 1.7 Water 21 /699 700 1200 1700 2200 Heater Credt or to to 10 or _ TYPO TYPO less 1169 1699 2109 more x SG -None 0 0 0 0 0 -- -- or or Solar 14 "'7 5 4 3 HP HWR 9 5 3 2 2 S.1 WSB 9 4 3 -2 2 66 POU 9 5 3 2 2 SE None 45 -23 •15 ' .11 -9 - ... •• -Solar 2 1 1 0 0 HWR WSB 23 -12 -8 3 65 67 - P-QU_, .25 �3 -13 12 .8 8_ 6 6 -5 -5 IG None -8 -4 .3 3.6 1 -.2 4.1 Solar 6 3 2 1 :� 1 _.E r -POU .1 0 0 0 '=0_ 68 None 30 -15 .10 ' -8 -6 27 Solar 18 9 6 4 4 4.1 POU - -8 -4 .3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. ` Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures /t' -FCS Or R-value[381. or R -value [ 11] - /G or R -value [ 191 U -value [0.098] U -value [0.037] or R -value 101 F2 factor [0.771 C.-4-4 4 Type [double] U -value [0.65] 90 Total Glass [ 161 Point Scores IF .0 5 .+ Sum 1-6 % Glass SC Eff. % Glass - .. a. North __ J? 0 X 21 = , /6 - b. East -- InteriorMass/CFA , 7 C7 c. South i X . 9 9 = , -r- � vert i puss d. West „T. x 71 0 e. Skylight x 77 - 4- 4 t, - Ic,rpet.d a.bl SC Eff.'%-Glass a. North 6 X 1#4 G = s, z t TYPE 1 KA55 (UIMC • 4.2, !e: e■ oscd slab) �- -_ _.b. _East; X ,b.G = .S +_/ _. .. ..c. .-South .S, s X r 61 = 0% 5% 10% 15% 20% 2S% 30% 35% 40% 4W. 50% 55% 60% 66t 70% 75% 80% 85% 90% 95% 100% 105% 110Ye 115% 120% 125•, 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 32 9.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 47% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 59 50% 0.9 1.1 1.3 15 1.7 1.9 21 23 25 27 3 32 3.4 3.5 a8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 5.8 6 62 60% 1 12 1.4 1.7 1.9 21 23 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' S 5.2 5.4 5.6 • 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 M. 1.2 1.4 1.6 1.6 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 54 56 58 6 62 64 75% 1.3 15 1.7 1.9 21 23 2.5 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 S.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 a". 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 56 59 6.1 63 65 67 90Y.- 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 62 64 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 54 5.6 5.8 6 6.2 64 6.7 69 100% 1.7 1.9 21 2.3 25 28 3 3.2 3A 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 45 4.7 4.9 5.1 5.4 5.6 5.6 6 6.2 6.4 6.6 So 7 110% 1.9 2.1 2.3 2.5 21 29 3.1 "3.3 3.8 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 24 2.6 2.8 3 3.2 34 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 1 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.1 6.9 7.1 7.3 125% 21 23 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 ' Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. ` Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures /t' -FCS Or R-value[381. or R -value [ 11] - /G or R -value [ 191 U -value [0.098] U -value [0.037] or R -value 101 F2 factor [0.771 C.-4-4 4 Type [double] U -value [0.65] 90 Total Glass [ 161 Point Scores IF .0 5 .+ Sum 1-6 % Glass SC Eff. % Glass - .. a. North __ J? 0 X 21 = , /6 - b. East -- .. X , 7 C7 c. South i X . 9 9 = , -r- -4- d. West „T. x 71 0 e. Skylight x 77 1,16 4- 4 t, 8. Shading (Shade Closed) % Glass SC Eff.'%-Glass a. North 6 X 1#4 G = s, z r a - _.b. _East; X ,b.G = .S +_/ _. .. ..c. .-South .S, s X r 61 = 3163 d. West xi - e. Skylight / , 5 ' X , 9. Interior Thermal Mass TYPE 1 MASS AREAGOND. -,T- - -- -- ---... _ Ltterior W--%s%/CFA ' FLOOR - - - _ TYPE 2 MASS AREA _ - _ __ . AREA _ - - - -- �•� ._ 10. Exterior Wall Mass - _ _ OR AREA Exterior Wall Mass ND. L Sum 7-10 11. Heating System %oZ x 3 - = -Zonal Control? (Y / N) SE or HSPF Duct Efficiency [0.781 Effective SE or r " - .......- - a_-.._ 12. 10.7716.61. - HSPF[0.5615.151 Cooling System �, x r - - - _ `� Zonal Control? ( Y / N) SEER [9.5] -Duct Efficiency [0.741 Effective SEER [7.031 - 13. Water Heating Type [SG] Credit [none] Point Total. (0 7 �� hL.►A C� 5 A p #o6s- iqo -0y,-r- A JLJ �A �c. l a of s7-1 19131UC 6/118 III FOUNDATION OUSUNt OF MOSIIZ 0AO1. ' PLAN ;DOUBLE WIDE MOBILE COACH Scale: 1- - .10' NOTE, FoR MORE THAN TRIPLE WIDE UNITS. SUBMIT LAYOUT TO THARP A ASSOC. FOR APPROVAL. :.'TANDARD PIER A FOOTING SPACING PER MOBILE HOME MANU►ACTURLR'S INSTALLATION MANUAL t! 13 t! 04/14/00 X •' SHORT TUSE MC' ►Y' 'Y, ►v, 'ice, n 1 . h � UDGTS 1I4HTEH t t� h t3 ti I I ►ice, ,ii., ►i1, ►ice, 3GUIC MRS Q FOUNDATI0111 W a OuOTuNg or Mlnlc COACH u SINGLE: WIDE TYPICAL a f�+ t� u ►�� ►ter ►�`� ►�� (A �� UW u < vj . �o DOUBLE, a f� f ' PLAN ;DOUBLE WIDE MOBILE COACH Scale: 1- - .10' NOTE, FoR MORE THAN TRIPLE WIDE UNITS. SUBMIT LAYOUT TO THARP A ASSOC. FOR APPROVAL. :.'TANDARD PIER A FOOTING SPACING PER MOBILE HOME MANU►ACTURLR'S INSTALLATION MANUAL LAN SINGLE WIDE MOBILE COACH _Scale: 1" = 10' NOTE: STANDARD PIER h KfITING SPACING PER MOBILE !TOME MANUFACTURER'S INSTALLATION MANUAL. ELEVATION NOT TO SCALE 4 - 3/B• MAX TUNE HEIGHT LP 04/14/00 X •' SHORT TUSE MC' �w,�o,yt�us��, Y �1 Q Q 2• DIA o N . il�J tG�l � UDGTS 1I4HTEH O o tO 100 I I N D Lij 3GUIC MRS Q FOUNDATI0111 W a OuOTuNg or Mlnlc COACH w G SINGLE: WIDE TYPICAL a LAN SINGLE WIDE MOBILE COACH _Scale: 1" = 10' NOTE: STANDARD PIER h KfITING SPACING PER MOBILE !TOME MANUFACTURER'S INSTALLATION MANUAL. ELEVATION NOT TO SCALE EN -POUNDS TQI�OUE 2. THt OYION LOADS SliA1L u COrMltrllNY Mlfli R00! 11Vi 10Aa111ViTiD E.IGIAR wnu sssa4w: wP& ... TMIt1il1'! A IP COW IOCAIAA" 3/4• THREADED 3/14• PLATE LEGS 1{iTA IS1a iKIR iKIR�lJiii .' ROD T YP DF 4 2, TWi KX7NDA1iQN M in ct(nTlilzi A POIBIDAT1oN. 4. AIL MUM An Ib a ff"M= BY MK "ATL1>ItATW �� OOHY1Vs SOIL, FOOT" ARE 5/14' PLATE � lowPfP'DgZAL'WAD• "RIi>is ANDW4" ! COMTAT1Ni W[fll:,lACa1l. soil. I s/0' x 11/4• DOLL WITH I+AROENEQ WASHER J. STRUCTURALSTSR11 OLAMCONPOILMTOSEISMIC PIER Not to S c E31 e � SHALL. BE FA RICAT&D;5 >J�NO � � ATM& a SIIAIL WSI IIIID A000RDW0 TO AM /!"L rATIONS: C.P. SEISMIC PIER#1 - PATENT PENDING L; Er.�cTllao�Lll:'.: 00 R FIX= ASY1i A36 R tO1.TB: ASTM A307. ANCHp NOTE, MUNINCHO . •At(11<i•'Attlr AM! -AMM A325 100 IN -FOUNDS IS EQUIVALENT t0 ib Ft-/pt1NDS "MRAAl WI OOIADRAWNIAWCARBONIORrA ill: L ALL METAL.CO�/'L1MDrl:llOA MM NAILS • OCU" TRIC AU TO >>!s 1RaTE.t7IV!< COATs0. 0. MU FM AND RIDGE BSAM iR1►l�OST AM 'M!<LASS SHALL BR /W OOATRD Wrni SHERMWKIIAMS 'R.A-RC3 OR 2 - 3/ a' x 1 • DOLTS ARROVSD IQRAVALSNT Arm SIML ss usTSD AM WOO sY c�n�lsa'IVIwO Agra ooNslut.Two FIELD DRILL HOLES SiRV�>r(CTC)1OIttOADi. OP T I ON OF A LATIIRAII 1,706 Sw MAX 4 - $14 TEx STS COACH C VI A4 t3mIkMAX OR J SEAN T. THIS EOUNDATM IS l�Oa K.WM MANI lACTIVIRM UnLDt NW. OOI+ISTRL=W WM LOtrOtJUt1�r1A1• of I/ 4'x 2'x 4' 3' x 3' CR JRIQii>f• ANGLE 3' VIDE PLATE R TWO K>UNDATLON "IAN • DESIGNED IID SIE (XJtiSIltlll•`l7 ON A FAIRLY LEYLI. TRY W1 iH NO iJ4Slii+lU TOSS. rR+oiI1.SM, o $pTV4ISNTOtaCRJRS DUsTO BOOR$00. 1,9 Nate!". 4 - E/2' 0. IN AREAS W1U= DR'FZR NnAL. SST'n"INT (D.L) CACI OCCUR' MANUFACWRW HOMY SHALL Bs 111/2' SLISHIC R ADXJMD WREN .DA I=- LM; OIL "M-.IT'WW. ADYWALY AFF= THS U55 O" M. PIER . MANut+AL7rtAttDWOER 1 10, TIO SYSTEM IS ADAPTARLS TOIITANDARD HOLLOW MASONRY Y mv. rtm. TYPICAL BEAM CONNECTIONS UT,�oNt�, 1. ,<ra 11ORn1DATi0N PAD B1towN ort THIS IIIW �► "R1wCAST CONCRCTs FOUNIIATION "AD. T11L "LY WOOD Not _ to S c u t e 10UN1"TM!AD-MAY W4=AN AVVXATR • - _ i M*"TM RAM SH"Ild "ACED ON LAV 0LU1 NDrSI11RBRD SM it so pi DV[RSRt rw GHlMINC+ 1, AM! Dx cO1MCR.MtAi[A�it,:,' ' } a iW Mi AT AS DAYS AS TISTV. QM MAN1n'AC VVM tY $TPA T , WEIGHT CONCRSR - -�`= i. ME"YRLDlrADORRKI'ATi0ttw8sY t11fR NOMIBI.s !s TiIAT Tics IA)NO D;YSNiiW'! Or+ Tile TAD Y � ' , ' _ t'O TMS COrIC.t�I IARA�I (AB SiiOMN ON Tla "I�wi . INSERT 1`01R__ - i WHtss Rs1.0 OONDEf10NS stA�iRt "AD ROIATWN. NO MOR/ TITAN HAV TH>1 "ADS WA s.•• . 1 v4' ItTRAVSLs UNs CAN LM *W4#%T=10 WAT T141AI�Ki o" THR RADS ASS IARAL1sLTo 1 Be 24& TILS CR>~AC8 OCA �i 4. . T yA QiCsi A.tti LATS ><XTiitOt !':R.1�if CC. rid1A0RD►1'I1LR • Q+►311. lilt" -1N. �---- 36 112' -------{ MACH 3IZL Now: ur r > >.r MAXV" UR40 1I Oi SiNM WIC' COACH - N /RST. fTA1K[Sf tit[l . Aw.aw WWI 1 3.5' 2. MAX MIAW LSNOTII Of DORnI,S wl • 71, MT. 4x4-494 vvr 1 • J 1 S. LIIAM AtfAOM a TMARla.AMOC..17.0OR m mm iumff w1, To vmm � t":trrOR�a�aLsrvlDsaaAc.�w r, 11 "YT 1tgR 01P DOL1rIj wRa>s CONCH'S PRECAST CONCRETE. a"RsrK*W.Wt.AW: vWW=00ACNII 4• FOUNDATION PAD O�MM W DAiCi �� � &44 n�WEM' "ATISI<N AS SHKWN ON Tics DOUBLE WWi Mom" SCALE 1' = 1.5, S. FOR ANY CIOACH NU On= THAN AS SHOWN ON nN MAN OR RVUM4Cr0 ANOM nM FIM ANA "AD LAYOM fetAld U RRVUWW AHD ARSOM BY DON" AL TILW A ASSOCIATU 3/4' PLYWOOD SHE -CIS • SCRI VED 1 UGITHER WITH1• SrACD10 SHpWN ON THIS?1.AN ARS POR Owl= W=10 RrCII AND 12 MCH 11 AWS OR"INCH "ACO 30•x 12'x3/4' B NB x 1 112' FHWS PLYWOOD_ . __ :__,_ � ... -. . OORRU4AT�DS+iAMR ' 1 t ANY OILER i INCH BZAM 1S NOT TO C INTi� = MOR/ THAN 6.0 114T ON L&CH WD OF UNIT AND #"AMI a 11;W11C.?= CAN NO? li7pC>tiD III )IL S i SIR , . UM NNO"`-.�+a+•�DRICK �'ym 2 • {: i. x x iitAIMIA1VD SArEjY COM S)i('r" 1=1 E!P� � x APPROVED) 111' x i'4 • x l / 4' x OVUE COUNT' No. �0t4i NL Y W OO D SUli= To CORPu.. a i0N'S. NOTED, x x x ArrRloAw•lxxs NOTAIl1ILORt::, GE ARROySANYvj► f' 1. aa�sloNs oR DwIATwI+>� 1�Au�Trs of � . �� � AliSTiAT APPROVED IAMANDREGULATIONS ' R1tb grog nia . D�IViSI ZKt rf. p '1APmAIWs. 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SEISMIC PIER#1 - PATENT PENDING L; Er.�cTllao�Lll:'.: 00 R FIX= ASY1i A36 R tO1.TB: ASTM A307. ANCHp NOTE, MUNINCHO . •At(11<i•'Attlr AM! -AMM A325 100 IN -FOUNDS IS EQUIVALENT t0 ib Ft-/pt1NDS "MRAAl WI OOIADRAWNIAWCARBONIORrA ill: L ALL METAL.CO�/'L1MDrl:llOA MM NAILS • OCU" TRIC AU TO >>!s 1RaTE.t7IV!< COATs0. 0. MU FM AND RIDGE BSAM iR1►l�OST AM 'M!<LASS SHALL BR /W OOATRD Wrni SHERMWKIIAMS 'R.A-RC3 OR 2 - 3/ a' x 1 • DOLTS ARROVSD IQRAVALSNT Arm SIML ss usTSD AM WOO sY c�n�lsa'IVIwO Agra ooNslut.Two FIELD DRILL HOLES SiRV�>r(CTC)1OIttOADi. OP T I ON OF A LATIIRAII 1,706 Sw MAX 4 - $14 TEx STS COACH C VI A4 t3mIkMAX OR J SEAN T. THIS EOUNDATM IS l�Oa K.WM MANI lACTIVIRM UnLDt NW. OOI+ISTRL=W WM LOtrOtJUt1�r1A1• of I/ 4'x 2'x 4' 3' x 3' CR JRIQii>f• ANGLE 3' VIDE PLATE R TWO K>UNDATLON "IAN • DESIGNED IID SIE (XJtiSIltlll•`l7 ON A FAIRLY LEYLI. TRY W1 iH NO iJ4Slii+lU TOSS. rR+oiI1.SM, o $pTV4ISNTOtaCRJRS DUsTO BOOR$00. 1,9 Nate!". 4 - E/2' 0. IN AREAS W1U= DR'FZR NnAL. SST'n"INT (D.L) CACI OCCUR' MANUFACWRW HOMY SHALL Bs 111/2' SLISHIC R ADXJMD WREN .DA I=- LM; OIL "M-.IT'WW. ADYWALY AFF= THS U55 O" M. PIER . MANut+AL7rtAttDWOER 1 10, TIO SYSTEM IS ADAPTARLS TOIITANDARD HOLLOW MASONRY Y mv. rtm. TYPICAL BEAM CONNECTIONS UT,�oNt�, 1. ,<ra 11ORn1DATi0N PAD B1towN ort THIS IIIW �► "R1wCAST CONCRCTs FOUNIIATION "AD. T11L "LY WOOD Not _ to S c u t e 10UN1"TM!AD-MAY W4=AN AVVXATR • - _ i M*"TM RAM SH"Ild "ACED ON LAV 0LU1 NDrSI11RBRD SM it so pi DV[RSRt rw GHlMINC+ 1, AM! Dx cO1MCR.MtAi[A�it,:,' ' } a iW Mi AT AS DAYS AS TISTV. QM MAN1n'AC VVM tY $TPA T , WEIGHT CONCRSR - -�`= i. ME"YRLDlrADORRKI'ATi0ttw8sY t11fR NOMIBI.s !s TiIAT Tics IA)NO D;YSNiiW'! Or+ Tile TAD Y � ' , ' _ t'O TMS COrIC.t�I IARA�I (AB SiiOMN ON Tla "I�wi . INSERT 1`01R__ - i WHtss Rs1.0 OONDEf10NS stA�iRt "AD ROIATWN. NO MOR/ TITAN HAV TH>1 "ADS WA s.•• . 1 v4' ItTRAVSLs UNs CAN LM *W4#%T=10 WAT T141AI�Ki o" THR RADS ASS IARAL1sLTo 1 Be 24& TILS CR>~AC8 OCA �i 4. . T yA QiCsi A.tti LATS ><XTiitOt !':R.1�if CC. rid1A0RD►1'I1LR • Q+►311. lilt" -1N. �---- 36 112' -------{ MACH 3IZL Now: ur r > >.r MAXV" UR40 1I Oi SiNM WIC' COACH - N /RST. fTA1K[Sf tit[l . Aw.aw WWI 1 3.5' 2. MAX MIAW LSNOTII Of DORnI,S wl • 71, MT. 4x4-494 vvr 1 • J 1 S. LIIAM AtfAOM a TMARla.AMOC..17.0OR m mm iumff w1, To vmm � t":trrOR�a�aLsrvlDsaaAc.�w r, 11 "YT 1tgR 01P DOL1rIj wRa>s CONCH'S PRECAST CONCRETE. a"RsrK*W.Wt.AW: vWW=00ACNII 4• FOUNDATION PAD O�MM W DAiCi �� � &44 n�WEM' "ATISI<N AS SHKWN ON Tics DOUBLE WWi Mom" SCALE 1' = 1.5, S. FOR ANY CIOACH NU On= THAN AS SHOWN ON nN MAN OR RVUM4Cr0 ANOM nM FIM ANA "AD LAYOM fetAld U RRVUWW AHD ARSOM BY DON" AL TILW A ASSOCIATU 3/4' PLYWOOD SHE -CIS • SCRI VED 1 UGITHER WITH1• SrACD10 SHpWN ON THIS?1.AN ARS POR Owl= W=10 RrCII AND 12 MCH 11 AWS OR"INCH "ACO 30•x 12'x3/4' B NB x 1 112' FHWS PLYWOOD_ . __ :__,_ � ... -. . OORRU4AT�DS+iAMR ' 1 t ANY OILER i INCH BZAM 1S NOT TO C INTi� = MOR/ THAN 6.0 114T ON L&CH WD OF UNIT AND #"AMI a 11;W11C.?= CAN NO? li7pC>tiD III )IL S i SIR , . UM NNO"`-.�+a+•�DRICK �'ym 2 • {: i. x x iitAIMIA1VD SArEjY COM S)i('r" 1=1 E!P� � x APPROVED) 111' x i'4 • x l / 4' x OVUE COUNT' No. �0t4i NL Y W OO D SUli= To CORPu.. a i0N'S. NOTED, x x x ArrRloAw•lxxs NOTAIl1ILORt::, GE ARROySANYvj► f' 1. aa�sloNs oR DwIATwI+>� 1�Au�Trs of � . �� � AliSTiAT APPROVED IAMANDREGULATIONS ' R1tb grog nia . D�IViSI ZKt rf. p '1APmAIWs. AI -,T MNA`I'IVE PLYWOOD '. , -�a FOUNDATION PAI) ' S � PATENT OO 559. ._...._,�.�._.._,_... 1W11„/�w,nli�iA /D•2����_ RENEWAL Of- SCAI S'[ ATE SUBM17"1'AL 30 -SF PAVISIONS BY 4/12/49 LP 04/14/00 Y W. . � c W w G a f�+ U . O < (A �� UW y. < vj . �o a f� f a a T t O roU a 00 H0 N O N Dew. 07lVN7/ usio As Shown oral" LLT JN 95-36 3h..f 1 Of 1 >ihNM