County_Approved_Plans.pdf

PDF 6 MB Posted

Attached to
Groveland Modular Bathroom Project
Solicitation number
IFB (NPW)-2025-0015
Issued by
Tuolumne County, Glendale City, California

About this file

The document is a set of state-approved construction plans for a Commercial Modular (CM) bathroom structure, prepared by CXT Inc. for the Tuolumne County Division of Building & Safety in California. The plans detail a modular bathroom facility (Cortez CR-1802 model) with dimensions of 19'-2" long, 10'-3" wide, and 10'-1/4" height, weighing approximately 14,700 pounds. The plans were approved on 04/04/2024 with an expiration date of 07/31/2025, bearing approval number 24-002133 from the California Housing and Community Development (HCD) Northern Area Office.

The technical specifications indicate the structure is designed for U-occupancy and Type V-B construction, with a roof live load of 30 psf, floor live load of 400 psf, and wind speed of 150 mph. The modular unit includes detailed schematics for electrical, plumbing, and structural components, covering aspects such as wall panels, floor slabs, roof details, water and waste piping, and electrical configurations. The plans comply with the 2022 California Building Code and include provisions for ADA accessibility, with specifications for fixtures, lighting, ventilation, and mechanical systems. The comprehensive documentation suggests this is a prefabricated bathroom facility intended for installation at a specific site, likely part of the Tuolumne County's infrastructure development project.

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Text version

PFS CORPORATION

Corporate

1507 Matt Pass Cottage Grove, WI. 53527

Phone: (608)839-1013 Fax: (608)839-1014

APPLICATION FOR PLAN APPROVAL

Commercial Modular (CM)/Special Purpose Commercial Modular (SPCM)

California Code of Regulations Title 25 Chapter 3 Subchapter 2

Complete a separate application for each plan submittal. Provide not less than three (3) complete sets of plans, calculations and/or test data to support plans submitted.

Manufacturer _____________________________________________________

Address _____________________________________________________

City/State/Zip _____________________________________________________

Contact Person ____________________________ Date ____________________

TYPE OF SUBMITTAL TYPE OF UNIT

[ ] New model [ ] Commercial Modular (CM) [ ] Resubmission [ ] Special Purpose (SPCM) [ ] Revised Model* [ ] {Provide written instructions per 4876 (e)}

Model I.D. Description of Submittal

*Description of Modification:

Note: For Commercial Modular submittal, indicate the following design parameters:

Roof Live Load psf Occupancy Classification Floor Live Load psf Type of Construction Wind Speed (3-sec) mph Exposure Category Seismic Design Category _____ Climate Zone

For PFS Use Only: Status: [ ] Approved [ ] Rejected

Approved by: Plan Approval No:

Date Approved: Date Expires:

Mail To: State of California HCD Northern Area Office 9342 Tech Center Drive #550 Sacramento, CA. 95826

PFS Form 71WI

3/6/06 MB

Rev. 2/18/13 RG Rev for fillable 2/20/13 DN

CXT INC

6701 E. Flamingo Ave Bldg 300

Nampa, ID 83687

Nathan Penner 03/07/2024

Cortez CR-1802 Bathroom structure

30 U 400 V-B

150 C E N/A

Mark Severson 24-002133 04/04/2024 07/31/2025

Date Received at PFS: ________ IBC Transmittal No. (by PFS):_____________________

Project No. (by PFS):________________

ADDITIONAL OR MODIFIED ACCEPTANCE (MODULARS/PANELIZED)

This form is to be used only when the manufacturer is seeking acceptance of an additional model, modified model or model name change which uses a previously accepted building system.

Current PFS Building System Acceptance #:_____________________________________________________________________

Model Name/ No.___________________________________________________________________________________________

Manufacturer's Name:_______________________________________________________________________________________

Plant(s) at which model will be produced

Check One: __________ NEW MODEL __________ Revised Model*

TECHNICAL DATA

Conforms

Floor Plan Showing:

Yes No N/A

Braced Wall Method or Shearwalls

Building Size (LxW Dimensions)

Room Sizes, Light & Ventilation Schedule

Exit Requirements

Electrical Outlet Spacing & Smoke Detector

Location of Labels & Data Plates

Use Group, Type Const., Total Sq.Ft. Area

Plumbing System Design or Reference No. ( )

Heat Loss Calculations or Reference No. ( )

HVAC/Furnace Size/Model No. ( )

Thermal Performance Calculations or Reference No. ( )

Electrical Load Calculations or Reference No. ( )

Service Size and Location ( )

Applicable Building Codes_____________________________________________________________________________________

Submit model to the followingstates:__________________________________________________________________________________________________________

*Description of Modification:_______________________________________________________________________________________________________________

Requested by:________________________________________________________________ Date:_______________________________________________________

(designer)

For PFS Use

Staff Plan Reviewer________________________________________ IBC Certification #:_________________________ Date:_______________

Structural Calculation(s) Reviewed By:________________________________________ P.E. #:_________________________ Date:______________

Remarks:________________________________________________________________________________________________________________________________

**(1) copy sent to IBC within 15 days of approval.

VERBAL APPROVAL GIVEN By Whom:______________________________ To Whom_________________________ Date:_________________

MODEL WAS DEVIATED Revision Number:_______________________________________________________________________________

THIS FORM SHALL BE FILLED OUT COMPLETELY WITH EACH MODEL ACCEPTANCE OR MODIFICATION PRIOR TO SUBMITTAL TO PFS.

cc:____________________________________________________________________________________________________________________________________________ \forms\form-m Rev 05/26/16 ds

Cortez CR-1802

CXT Inc.

Nampa, ID

CA

Lorena Holmstead 03/07/2024

4/4/2024

March 15, 2024

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or altera-tions on the same without written permission from the Tuolumne County Community Development Department Division of Building and Safety.

APPROVED by _____________ Date _____________

The stamping of this plan and specifications SHALL NOT be held to permit or to be an approval to the violation of any provisions of any Ordinance or Law. Occupancy of structure not permitted until after final approval.

Jehiah DeMattei 12/19/2024

APPROVED BY

TUOLUMNE COUNTY

DIVISION OF

BUILDING & SAFETY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

INTERIOR ELEVATION - WALL W21

INTERIOR ELEVATION - WALL W13 INTERIOR ELEVATION - WALL W5 & W64

INTERIOR ELEVATION - WALL W3 & W42

March 15, 2024

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

March 15, 2024

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

Date: Expires:

Approval # PFS:

PFS CORPORATION - Cottage Grove, WI

A P P R O V E D Based on the requirements of title 25 California code of regulations Chapter 3 subchapter 2 Commerical coaches/recreation vehicles

APPLICABLE LOCAL ORDINANCES

THIS APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSION

OR DEVIATION FROM THE REQUIREMENTS OF STATE LAWS OR

MODULAR

PFS CORPORATION - Cottage Grove, WI

This approval is limited to the factory-built portion only

APPROVED: STATE OF CA - CERTIFIED DAA

Commercial Modular

. THIS APPROVAL IS LIMITED TO

FACTORY-BUILT PORTION ONLY.

PFS CORPORATION - Cottage Grove, WI

2/19/18 5/31/19

021812432021812506 04/04/2024 07/31/2025

24-002133

APPROVED BY

TUOLUMNE COUNTY

MO Packet rev.pdf
Plan Approval Checklist 3.24.16.pdf
Missouri Public Service Commission
Manufactured Housing & Modular Units Program
Plan & QC Manual Approval Checklist
Please note that plan approvals will not be processed unless the Manufacturer has a current Certificate of Manufacturer Registration on file with the Missouri Public Service Commission and up-to-date with Seals of Compliance Reports.
New Plan Approvals - Plans are approved for a period of one year and must be renewed each year until production of the models has ceased.
Revisions – Simple Revisions
Plan Renewals - Choose Option 1 or Option 2
Plans will be approved for a period of one year and must be renewed each year until production of those models has ceased.
Option 1
Option 2 (This option can be used ONLY if no changes have been made to the plan since last approval/)
Quality Control Manual (QC Manual)
Quality Control Renewals - Choose Option 1 or Option 2
Option 1
Option 2 (This option can be used ONLY if no changes have been made to the QC Manual since last approval.)
Seals Application.pdf
Instructions
Physical Location:
Jefferson City, MO 65102
Check Amount
Check Number
Transmittal Number (PSC Office Use)
Manufacturer Information
Registration Expiration Date:
Registration Number (Refer to current Certificate of Registration)
Manufacturer Name
Email Address
Contact Name
Manufacturer Address (Must provide a physical address - Cannot send to a P.O. Box. Seals will be shipped via Certified Mail)
Manufacturer City/State/Zip
Phone Number
Fax Number
Seal Information
Certification
Signature
Date
Title
Manufacturer Application - Writable.pdf
Check Amount
Check Number
Transmittal Number
PSC OFFICE USE ONLY
CORPORATIONS, Please Read Section A and Complete Sections B, C, D, E, F, G
IF NOT A CORPORATION, Please Read Section A and Complete Sections B, C, E, G
IMPORTANT: PURSUANT TO 4 CSR 240-123-040, MANUFACTURERS MUST BE REGISTERED WITH THE MISSOURI SECRETARY OF STATE OFFICE (573-751-4153 OR WWW.SOS.MO.GOV). PROOF OF REGISTRATION MUST BE SUBMITTED WITH YOUR MANUFACTURER APPLICATION. (NOTE: IF A CORPORATION, INFORMATION PROVIDED IN“SECTION D” MUST MATCH EXACTLY TO THE MISSOURI SECRETARY OF STATE REGISTRATION. IF NOT A CORPORATION, INFORMATION MUST MATCH EXACTLY WITH “SECTION C”.)
GENERAL INFORMATION
SECTION A
Each manufacturing plant must file a separate registration with the State of Missouri.
The Registration Fee is $750 for each manufacturing plant.
The Registration Certificate is valid for a period of one year from the date of issuance.
SECTION B
PLEASE COMPLETE THE FOLLOWING
If renewal, Registration Number
Manufacturer Type ( Manufactured Home Manufacturer ( Modular Unit Manufacturer (Please X the appropriate box.)
MANUFACTURER’S FACILITY INFORMATION
SECTION C
Facility Name
Contact Email Address
Contact Name
Facility Address
Facility City/State/Zip
FEIN
Fax Number
Phone Number
MANUFACTURER’S CORPORATE INFORMATION
SECTION D
State of Incorporation
Corporate Name
Contact Email Address
Contact Name
Corporate Address
Corporate City/State/Zip
Fax Number
Phone Number
Date
Title
Signature
Third Party Agencies 4-25-18.pdf
T.R. Arnold & Associates, Inc.
700 East Beardsley Avenue, Suite 2A
HWC Engineering
1627 South Myrtle Avenue
NTA, Inc.
P.O. Box 490
Pacific West Associates
1550 W. 15th Street
P.O. Box 40140
PFS Corporation
67543 CR 31
PFS Corporation
PFS Corporation
2520 K Avenue, Suite 700-735
PFS Corporation
1507 Matt Pass
58640 State Road 15
Pyramid1, Inc.
Pyramid1, Inc.
RADCO
18414 Northrop Drive
RADCO Corporate Office
3220 East 59th Street
State of Nebraska
Division of Housing & Recreational Vehicles
Underwriters Laboratories, Inc.
333 Pfingsten Road
Colorado Division of Housing
Beverly Seyler, Program Administrator
Colorado Dept of Local Affairs
Division of Housing, Standards & Technology Section
1313 Sherman, Room 321
Denver CO 80203
Phone: 303-866-4616, Fax: 303-866-3072
E.W. Keith & Associates
Elvin W. Keith, Jr., P.E. CMfge
P.O. Box 531
Springfield, MO 65801
Phone: 417-887-0927, fax: 417-887-9308
Expert Modular Consultants, LLC
Robert A. Johnson, President
13103 W. Linebaugh Ave, Ste. 202
Tampa, FL 33626
Phone: 813-336-4930
bjohnson.expertmod@gmail.com
Third Party Agencies 5-3-18.pdf
T.R. Arnold & Associates, Inc.
700 East Beardsley Avenue, Suite 2A
HWC Engineering
1627 South Myrtle Avenue
NTA, Inc.
P.O. Box 490
Pacific West Associates
1550 W. 15th Street
P.O. Box 40140
PFS Corporation
67543 CR 31
PFS Corporation
PFS Corporation
2520 K Avenue, Suite 700-735
PFS Corporation
1507 Matt Pass
58640 State Road 15
Pyramid1, Inc.
Pyramid1, Inc.
RADCO
18414 Northrop Drive
RADCO Corporate Office
3220 East 59th Street
State of Nebraska
Division of Housing & Recreational Vehicles
Underwriters Laboratories, Inc.
333 Pfingsten Road
Colorado Division of Housing
Beverly Seyler, Program Administrator
Colorado Dept of Local Affairs
Division of Housing, Standards & Technology Section
1313 Sherman, Room 321
Denver CO 80203
Phone: 303-866-4616, Fax: 303-866-3072
E.W. Keith & Associates
Elvin W. Keith, Jr., P.E. CMfge
P.O. Box 531
Springfield, MO 65801
Phone: 417-887-0927, fax: 417-887-9308
Expert Modular Consultants, LLC
Robert A. Johnson, President
13103 W. Linebaugh Ave, Ste. 102
Tampa, FL 33626
Phone: 813-336-4930
bjohnson.expertmod@gmail.com
Third Party Agencies 5-14-18.pdf
T.R. Arnold & Associates, Inc.
700 East Beardsley Avenue, Suite 2A
HWC Engineering
1627 South Myrtle Avenue
NTA, Inc.
P.O. Box 490
Pacific West Associates
1550 W. 15th Street
P.O. Box 40140
PFS Corporation
67543 CR 31
PFS Corporation
PFS Corporation
2520 K Avenue, Suite 700-735
PFS Corporation
1507 Matt Pass
58640 State Road 15
Pyramid1, Inc.
Pyramid1, Inc.
RADCO
18414 Northrop Drive
RADCO Corporate Office
3220 East 59th Street
State of Nebraska
Division of Housing & Recreational Vehicles
Underwriters Laboratories, Inc.
333 Pfingsten Road
Colorado Division of Housing
Beverly Seyler, Program Administrator
Colorado Dept of Local Affairs
Division of Housing, Standards & Technology Section
1313 Sherman, Room 321
Denver CO 80203
Phone: 303-866-4616, Fax: 303-866-3072
E.W. Keith & Associates
Elvin W. Keith, Jr., P.E. CMfge
P.O. Box 531
Springfield, MO 65801
Phone: 417-887-0927, fax: 417-887-9308
Expert Modular Consultants, LLC
Robert A. Johnson, President
13103 W. Linebaugh Ave, Ste. 102
Tampa, FL 33626
Phone: 813-336-4930
bjohnson.expertmod@gmail.com
Third Party Agencies 5-16-18.pdf
T.R. Arnold & Associates, Inc.
4703 Chester Dr.
HWC Engineering
1627 South Myrtle Avenue
NTA, Inc.
P.O. Box 490
Pacific West Associates
1550 W. 15th Street
P.O. Box 40140
PFS Corporation
67543 CR 31
PFS Corporation
PFS Corporation
2520 K Avenue, Suite 700-735
PFS Corporation
1507 Matt Pass
58640 State Road 15
Pyramid1, Inc.
Pyramid1, Inc.
RADCO
18414 Northrop Drive
RADCO Corporate Office
3220 East 59th Street
State of Nebraska
Division of Housing & Recreational Vehicles
Underwriters Laboratories, Inc.
333 Pfingsten Road
Colorado Division of Housing
Beverly Seyler, Program Administrator
Colorado Dept of Local Affairs
Division of Housing, Standards & Technology Section
1313 Sherman, Room 321
Denver CO 80203
Phone: 303-866-4616, Fax: 303-866-3072
E.W. Keith & Associates
Elvin W. Keith, Jr., P.E. CMfge
P.O. Box 531
Springfield, MO 65801
Phone: 417-887-0927, fax: 417-887-9308
Expert Modular Consultants, LLC
Robert A. Johnson, President
13103 W. Linebaugh Ave, Ste. 102
Tampa, FL 33626
Phone: 813-336-4930
bjohnson.expertmod@gmail.com
Third Party Agencies 4-10-19.pdf
T.R. Arnold & Associates, Inc.
4703 Chester Dr.
HWC Engineering
1627 South Myrtle Avenue
NTA, Inc.
P.O. Box 490
Pacific West Associates
1550 W. 15th Street
P.O. Box 40140
PFS Corporation
67543 CR 31
PFS Corporation
PFS Corporation
2520 K Avenue, Suite 700-735
PFS Corporation
1507 Matt Pass
58640 State Road 15
Pyramid1, Inc.
Pyramid1, Inc.
RADCO
18414 Northrop Drive
RADCO Corporate Office
3220 East 59th Street
State of Nebraska
Division of Housing & Recreational Vehicles
Underwriters Laboratories, Inc.
333 Pfingsten Road
Colorado Division of Housing
Beverly Seyler, Program Administrator
Colorado Dept of Local Affairs
Division of Housing, Standards & Technology Section
1313 Sherman, Room 321
Denver CO 80203
Phone: 303-866-4616
E.W. Keith & Associates
Elvin W. Keith, Jr., P.E. CMfge
P.O. Box 531
Springfield, MO 65801
Phone: 417-887-0927
Expert Modular Consultants, LLC
Robert A. Johnson, President
13103 W. Linebaugh Ave, Ste. 102
Tampa, FL 33626
Phone: 813-336-4930
Third Party Agencies 7-29-20.pdf
T.R. Arnold & Associates, Inc.
4703 Chester Dr.
HWC Engineering
1627 South Myrtle Avenue
NTA, Inc.
P.O. Box 490
Pacific West Associates
1550 W. 15th Street
P.O. Box 40140
PFS Corporation
67543 CR 31
PFS Corporation
PFS Corporation
2520 K Avenue, Suite 700-735
PFS Corporation
1507 Matt Pass
58640 State Road 15
Pyramid1, Inc.
Pyramid1, Inc.
RADCO
18414 Northrop Drive
RADCO Corporate Office
3220 East 59th Street
State of Nebraska
Division of Housing & Recreational Vehicles
Underwriters Laboratories, Inc.
333 Pfingsten Road
Colorado Division of Housing
Beverly Seyler, Program Administrator
Colorado Dept of Local Affairs
Division of Housing, Standards & Technology Section
1313 Sherman, Room 321
Denver CO 80203
Phone: 303-866-4616
E.W. Keith & Associates
Elvin W. Keith, Jr., P.E. CMfge
P.O. Box 531
Springfield, MO 65801
Phone: 417-887-0927
Expert Modular Consultants, LLC
Robert A. Johnson, President
13103 W. Linebaugh Ave, Ste. 102
Tampa, FL 33626
Phone: 813-336-4930
CR-1802 DWG.pdf
Sheets and Views
CR-1802-CR-01
CR-1802-CR-02
CR-1802-CR-03
CR-1802-CR-04
CR-1802-CR-05
CR-1802-CR-06
CR-1802-CR-07
CR-1802-CR-08
CR-1802-CR-09
CR-1802-CR-10
CR-1802-CR-11
CR-1802-CR-12
CR-1802-CR-13
CR-1802-CR-14
CR-1802-CR-15
CR-1802-CR-16
CR-1802-CR-17
CR-1802-CR-18
CR-1802-CR-19
CR-1802-CR-20
CR-1802-CR-21
CR-1802-CR-22

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