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HomeMy WebLinkAbout028-080-023BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5 HOMER LN Owner: Permit NO: B07-215$ APN: 028-080-023 GARZA ADAM R, Issued Date: 10/17/2007 By GLB Permit type: MISCELLANEOUS 3101 ERLE RD Subtype: Wood Deck MARYSVILLE, CA 95901 Expiration Date: 10/16/2008 Description: 2 NEW DECKS - FRONT 328', REAF (530) 300-5359 Occupancy: Zoning: A5 0( Contractor Applicant: Square Footage: GARZA ADAM R, Building Garage Remdl/Addn 3101 ERLE RD MARYSVILLE, CA 95901 Other Porch/Patio Total (530)300-5359 424 424 FEE,INFORMATION ' DBEH Building Review Fee $75.70 DBMSC Deck -Open (Wood) $159.00 DBSMIP Residential $0.50 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 10/17/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section nee not a completed if the permit is for one dollars ($100) oror est ❑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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 10/17/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. . ' L: CONSTRUCTION. LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $235.20 Fees Paid: $235.20 Balance Due: $0.00 Receipt No: • B5014 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed ` pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: EI, 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-buitder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this 7/2007 Owner's Signature -Date I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or su idewalk. I hereby authorize representatives of Butte County to ter the above merit a ropers or inspection purposes. I hereby certify that I am the property a 'r ' r' ed ct on owrlgfs behalf. %�- 10/17/2007 Owner ❑ Contractor OR. DAgent for Owner 0Agent for Contractor FILE COPY Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements. specified. For your protection you should be aware that as i owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY I, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. CPERSONALLY PLO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.(y�RNO) 2. (EVE�AVE NOT)/SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSEDWORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO — I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME 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 Description: 2 NEW DECKS - FRONT 328', REAR 96' Reference Number: B07-2158 Applicant Name: GARZA ADAM R, Owner's Name: GARZA ADA AP # 7 Signature of Property Owner: Date: 028-080-023. ` /0 , � —7— BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REO UIRED AT TIME OF APPLICA TION Website: www.buttecounty.netldds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nam • Firs a Mailing Address 2 D' e� Ci aA State LQ Zip 6-7�01 Phone! e)o S 3 t� J Fax E-mail APPLICANT SIG ATURE X Kid /rte �i El. PERMIT NO. or)., BIN # PROJECT LOCATION �J AP# Q Z8— (-) 3 Property Address 5 d City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 7 c -n oL (� S L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): i r office u e y: CONTRACTOR Name � a m aA Address / ( / / City Zip State Zip Phone E-mail Fax E-mail Lic. # Class APPLICANT SIG ATURE X Kid /rte �i El. PERMIT NO. or)., BIN # PROJECT LOCATION �J AP# Q Z8— (-) 3 Property Address 5 d City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 7 c -n oL (� S L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): i r office u e y: ARCHITECT/ENGINEER Name Address � a m aA City / ( / / State Zip Phone Fax E-mail Fax State License Number APPLICANT SIG ATURE X Kid /rte �i El. PERMIT NO. or)., BIN # PROJECT LOCATION �J AP# Q Z8— (-) 3 Property Address 5 d City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 7 c -n oL (� S L Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): i r office u e y: APPLICANT INFORMATION Name � a m aA Address / ( / / City 2ft Phones d _ 0©� J J7 J / Fax E-mail APPLICANT SIG ATURE X Kid /rte �i El. PERMIT NO. or)., BIN # PROJECT LOCATION �J AP# Q Z8— (-) 3 Property Address 5 d City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. 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Assessor's Parcel Number D RI R - E� IE El ® 9 F9fl a] scale: 1" = Owner Name 19 cl&m Q- -' ZL,7Al2 a- '-7: Qm2zq Nowe, 743 /&?5 Address / Phone No. 0 / SkLe p- Oelz 3-50 ZZIzz Site Location 14-6- Alvay-&4- olaWe- kilkei0goaleel e2he-g Aave, co. c4-*. Contact: Name Phone (felt - 0 , 1 7. ! I''lGf+lL U!lYUEKFLL�VK PVUIlNI � PKC 74�J!d A 0� 1MIUn 1 ! 9• CelM RAI, -C IliMO -f c" cti /N/C9' 6C:.i OT n£'C'0 1 4 / VVIII.VV V.�.11 IV JV I.IVJ/ VV /G VVVI ' I 3. ALL F-00.77NGS ARE TO aE EXCA VA T€D INTO L5'UDISTURi3c ^ a !" ! t ! ! ce JVIrtV. ELOCK —ice 1 L t I I T. 1d�;NTALIV CUEARRNCF•S SHOWN UNLESS .;PPRO'✓F'C WOO,? T \ : ! 8"''f,'N .1 ! ! nr hI,6 7irAl =CIC eAlCE TO OECe v no aarCCI ;p` _ FE I I inEA tsts 15 ^i�SEis. . !.... ! r ... I E Ty P I r POST BASE SLAB FLOOR 1' STANDOFF e i 1 i rrarr,sr rilvn�„Ft.nn� pmr— rm7pur OR Ul^lJEK DECK PlttC/�JUlrN OG'n&'rAI I ..✓W I A1., (MON0UTHIC) 'nnrr n.rr T VJI 'OAJG- �i t 1 � ! An AAfnr iVAURIES I ! Ix 4111V F0077NG Iri97N POST aASE & MOVOU774IC PEDESTAL RED.UOOD OR P. T, POST POST BASE 12' RAIN 1 1 12' i--�' MIN -�- POST FOOTING ON SLAB -FLOOR POST FOOTING - NO SLAB FLOOR EXPOSED TO WEATHER OR WATER SPLASH -OR IN BASEk4ENTS RESIDENTIAL POST ANDPIER FOO77NG DETAILS W'/ DAA 1 10/59 SCALE 1/21�1=0 DAM - 4192 l _ IG PLYWOOD CC EYT. �z jf*_j _ CLIP _ r x � .. 2' � I Z"STAI STRiW"GER, h$'a.c.. MAX. • 3� P VIEW. [2. n� fro�?O •f.,� .. r H Atl T�SFl01Ll t1 •FDR CLARITY. 2"��(�• DEMI 3�S BQLT' Srdcecl so-Fhn� a. a uG.fp rx, " r Canno'e . GiR ERS �,� `�' she G. l11 G PLYWOOD C`C EXT. a.��J -('h rca cc Ya' TA • o I° ,..PBILC� i M MKrL I MAK. CI:-1 nE q"MI I -a TV hr • • = �' �L'%tT POST 2"K 1'2°:� E 2'k4.. PRESSURE" 2DE _ B MA-701 air • ,.-.� �.UAR17R'Al: OLTS . BRFDW00Br jA*rE r, • ''M� DECKIUG' • 01(ZDk f3 MIN. .7 w fN., '" 4�9PO PRECAST o O--f •� IEK --- Apt U47E' Ma DNA L 13T YPIOAL RFs! DkWMIL ,^�T "Ps .�i,•v/,� p�-C,�C • ' + 00UNTY OF BUTTE �Ve(Op+yidw'f serves OZ• DE�7W 7 county Oontar Drive — . Orddvllle. OaifrpTnf®98986 ' I '`NUN. reown1j6 r SITE PLANAPpROVE:E) PLANNING DIVISION - BUILDING PLAN A%PROV PLANS LA N S AND Use: � Date: ...... i c :.... tm:_ FORALL IN ECT10 sing° �.........PER. N SITE _............... . ......... - - - _ .... ..:...... •oto:--• i — ... ._ .. .. .. .. .. .._ .. .. .. .. ......................... :.. .... ..:. .. . . . . . ..:.. dQ-�c, o� N '�IoT �oa� e- I.. .:... :. .:. :.. �� .. .. ..................... .. a rt .. .. .. .. _ is ........................................3.:x/3 T/.....•.................................................... .. ... c - =� �_: .. fi - �I s ' a :. :...�.. .. .. . ..._... LANDING AT EXTERIOR / t � .. ......p... � C�..._..I _D.... : �' e'`' - g--2.: c±ft.Zz- _ .. - . -.. DOORS SHALL COMPLY .. . •. � ... ;'� " CBC WITH ............... SECTIONS �L� G 1003.3 8 .. .. .. ... ..�X.Sl.T �( ..?... . ��y 1003.3.1.7 - - ...........- ............. ...5. u... p }.... N :.. - ....................... .. .. .. :.. c'Rjzp j.. NOTE a SITE CONDITIONS `N MIG// o. .. .. ... .. .. ... d.:....:. >....:<........................ ""' ................." ; ' tip, NG MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE ...: !G ONS ... . :......:.....:......:....._ .. CONDITIONS ARE OB ` ,•._..• _ „-, •,•-•-. (....•.••_.-. — - SERVED AND NOT SHOWN ON THE APPROVED......"' " b .�l'7T°]� PLANS: E :.... :......:. :. ..... :.:... .... .. ............:•.....i. .. .. • :... i._ _.i ...:.. ;.. _.;. . j.. EXCESSIVE SLOPES EXPANSIVE ............:.....:............;.....:............_......:............:......: .. .................EXCESSIVE \ : ALTERATIONS OR NATURAL DRAINAGE FILLS �"' ....... 5......:.....: :.....:... R.� _ _ .. _ ... OTHER UNUSUAL SOIL OR GEOGRAPHICAL 1 = �,:.....c......i..-. .. .. CONDITIONS :.. �< �Li^1�2ors - �irE�c?'rfzi�? .............,....:.......... ............ . ' ?i� �aJ Vs...••. ..... ,......,..... ,... Y sa : 31, De 7`/1 e- NOTE: �.,.. ............'...._.:A..::...... ......_.... .. .. •� Property owner is responsible for determining the : . n . . .. . .. ...................... . .. .. .... .. ...... •..�.....-.-..-•-•--••-•• - �locations of property lines and easements, and - { / _ = ........ .. ... .a . • ••;-•-• . ,•• .............• 1 �......:.�_......:..... _ .. maintaining required setbacks from property lines D It° and easements. A survey may be required if ........:.....:.... :... q ....... .............................. determined J = �! 3 . e ermined necessary by the Building Official .. �...... ......... ..... ..... �....� .... ...... -............ .. ... .. ... ... .. .. W .. d ............................ �. �. .v. :....I ; :..... .. :....;.. :..._:.. : ice.. Assessor's Parcel Number: ® Fo ®— 0 0 — 0 0 0 Scale: 1" _ �� Owner `Name 14 ^" f? G A r -Z /A Address/ Phone No. -3101 E��e �bA� ✓Y1A2kSUi/� �� 'S o-���3�1��5 Site Location Contact . Marne... n-, 2 U ca ►. -Phone ..G'2%/- 53 a- X00 53 5 7-0ch*wA2= FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 6, 53 /q -rye s : 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: f orv�� G7` lY/tlGr/ <<� BUTTE COUNTY Permit No: B06-2479 Address: DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Issued: 11/01/2006 APN: 028-080-023 Permit Subtype: SFD-Mobile Home Owner: GARZA, ADAM R Applicant: GARZA, ADAM R G �� Description: NEW MH NEW SITE PERM FNDN (1307) MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE S ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED► BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR SPDATE Setbacks ,i 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab_Until-Aho�_e.Siuned Rough=.y OFFIQE� OPY - - Bldg Permit: f', 'Address: t L Gas Pii': Roof El,- �• /,' as :GAS By: Date:�C—�-�-s Showe; d r Fire Sl' *Electric By: O Dater " ruiE1tn—ADuvC,wgned Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801. -- f. I Inspection Type I .. _ rl"zMUM NOW, F2 9 WA NOTES PERMITS BECOME NULL AND VOID 1 YEAR FitGPvi THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR, RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY j DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5 HOMER LN Owner: Permit N0: B06-2479 APN:028-080-023 GARZA, ADAM R Issued Date: 11/01/2006 By TMP Permit type: RESIDENTIAL 3101 ERLE RD Subtype: SFD-Mobile Home PFS MARYSVILLE, CA 95901 Expiration Date: 11/01/2007 Description: NEW MH NEW SITE PERM FNDN ( 3005357 Occupancy: R-3 Zoning: A5 0( Contractor Applicant: Square Footage: BOB WELCH & ASSOCIATES (MOBILE GARZA, ADAM R Building Garage Remdl/Addn 34-938 LILLIAN LANE 3101 ERLE RD 1,388 CATHEDRAL CITY, CA 92234 MARYSVILLE, CA 95901 Other Porch/Patio Total (530)534-5297 3005357 1.388 FEE INFORMATION Fire Inspection (SRA) -Fire -Res $95.00 Fire Plan Review (SRA) -Fire -Re $95.00 Fire Ping Appl Fee (SRA) -Bldg $109.98 Mobile Home $329.94 Mobile Home Plan Check $219.96 SMIP - Residential $9.02 Total Charged: $858.90 Fees Paid: $858.90 Balance Due: $0.00 Receipt No: B738 LICENSED CONTRACTOR'S DECLARATION OWNER/ BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License BOB WELCH & ASSOCIATES ( 668973 / C47 / 04/30/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 11/01/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR . WORKERS' COMPENSATION DECLARATION — OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a completed if the permit is for one hundred dollars ($100) or less. IAM EXEMPT under Section B. & P.C. for this reason: ❑ ❑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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 4L 11/01/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 11/01/2006 I hereby certify that I have read this application and state that the above information is cored. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused t is arising out of, or in any way connected with o,o the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pre ownero am uthorizad to act on the property owner's behalf. %�A h tI Z,4J.Z,0 11/01/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) /n Owner 1:1Contractor OR; DAgent for Owner Agent for Contractor ��++ FILE COPY Lender's Address City State . Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name irst Name Q r Addres!9/,o 2 2, City AP - 0i0 Stat�Q Zip Phone . D _ 30� 535-7 Fax E-mail CONTRACTOR Name o 4 CA Addrepds-- hi oe-kv i N City �qov� C1� states Z15-':4-2 Z15-':4-2 Phon o_S 7 Fax E-mail Lic. C 7,668 5'73 ass APPLICANT INFORMATION ARCHITECT/ENGINEER Name City(w� Address Zip QED I City Fax State Zip Phone Type Const. ` Fax E-mail Map Book State License Number APPLICANT INFORMATION Name l�Am Address. City(w� State Zip QED I Phone Q` Sao 5 3 57 Fax E-mail APPLICANT SIGNATURE X ��Ul� a For office use only: Zoning Flood Zone I SRA I As I No Occ. Type Const. ` Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 PERMIT NO. 'llft9 BIN it PROJECT LOCATION AP#O Property Address City -V S' t4alnea. d'n I v7Te 0 Cross Street 9 Qrre Go - VO-Inil� z 1& Ac _ e c.. /hfe WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living G3e Garage Open Cov ❑ Structure Built vAthout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receipt #.. 6�Dat Amount: REV 8-12-05 IP z%'90 is SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment' Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 I BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA. RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PART{ DISTRICT (DRPD) 1✓' va, Building Pennit Number �` "�� Assessor Parcel Number (s n Property Owner (s) Project Location /Address Subdivision Name Assessable Sq. Ftge \ )6 Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) / Non -Residential to Residential Multi -Family Dwelling P Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) veri 1 by Building Department Comments: X10 �U rr) 0) Building ❑ FRRPD 0 CARD ❑ PRPD ❑ DRPD certifies that: Appli cant Name. Mailing Address Date Phone Number City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No by Payment of: Remarks: Paid bv_bt-.ck No: Dwelling Units @ $ Square Feet @ $ _ Paid by Cash: �P�r;nn anri Park District Representative per unit for. a total of $ per sq foot for a total of '$ Receipt No: Date BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Building) School District % ` \ Q t Building Department No. A.P. Number U� �56' �0 Jurisdiction: City [ County tri _1 _ _ ,. i>.-_ _ , Property Owner Property Location/Address - h� 6y 1 � I DY vY(%.' Subdivision Subdivision Lot No. r..................................................................... Residential Development Q Q Q Sq. Footage 1 No of Living Mobile Home Addition/ Supplemental to (Group. ) Units Installation Conversion Permit # '• *(No foundation inspection) :...................................................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial New Addition -PT Building Department Sq. Footage (Including Exterior Roofed Areas) 1a> 1q.a(:�2 Date Dis rict Identification No. -070072 tSchool District certifies that � f J n (Applicant) A 300 5,3 S -7 (Street Address) (Phone Number) GQZ V 14, 0,A (City) (State) (Zip Code) has complied with the requirements of Resolution No. l b �d by payment of $" represen'ng C)7 square feet. B 2926 $ ULL MITIGATION $ School District Representative Paid by Check # A) rr Remarks: I Dl36JOU Date Motice : You may protest the Imposition of the tees Identified above by submitting a written protest to the District, In comptlance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the tees In any court action. H, subsequent to the School District Representative sighing this Butte County Schools Impact Fee Certlflation Form, the School District Is not! ad by the applicable Local Planning Agency that this project Is being revirwed under the California Environmental Que ty Act (CEQA), this prosect may be subject to additional school tees to fully mlllmate its Impel an the school dlstrWs schools. s White (school district), Yellow (building department), Pink (applicant). feeform.xls (3MS)dMm r AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 'f COPY of Document Recorded I-Nov_2006 2006-0057180 Has not. 'been'= compared with original BUTTE COUNT,Y.COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit., The property described herein is adjacent to Ian d or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the.use of agricultural chemicals, . including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within Said zones and on' adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date NO -v ' - a00 4 State of California County of3i f f� On 00.eo b4;> I f 1-�-7 7-1+C h e c h eh c To o o� In l4 d e a fJah -1- r a e 0 PROPERTY OWNERS: lld41 • C-7A2z/1 before me, ;h4� 6�, _U personauy appearea i6 -ix ow knewn-toim (or proved to me on the basis of satisfactory idence) to be the person(sj whose name(& is are subscribed to the within instrument and acknowledged to me that&/she/they executed the same ind%7her/their authorized capacity(ies), and that byAi /her/their signatures) -on the instrument, the person(s}or the entity upon behalf of which the personksacted, ezecut the instrument. WITNESS my han a dM -al. s al. K. MOGHANNAM�� Signature - Seal: Commlmlon # 1677594 i Ex Notary Public - Callfomic Butte County A.P. # a� - - oa MAyComm.pkes gun 24. zo1 r . "EaHIBit A". ! i A] 1 that certain • real. property situate in the Count of i3utte -:'..State .of California',' described:- as follows.: y !: Parcel``2, as shown on =thaw .certaln Parcel Map of ,a portion. of the Northeast .cuarter 'of Section 22, and the Ldorth4',est duar_�er of. Sec :.::tion, .23, .-.Township 17. North, Range 4. .East, M.D.B. & M. , which map was ,filed .iri the office of .the Recorder of the County .of i3utte ..:. '•State of Cal i-fornia,• on .February 1, 1.980 in Book 75oe tICx t -- cn,� _76. __ .0 ar . TOGETHER .WITH a 60.00 foot rd gh t of y for road 'and public ut:i= 1ity:`purposes, being : a pottion of .Pa�ce].s 2, 3. and 4; as shorn. ..upon that .cer:tain Parcel Map filed in the offi.Ce of the Recorder ' `I 'of: the:.-.Count.y of Butte, State of California, on February., l 1980: in Book: 75:.of Parcel Maps, at page 76, . the centerline ..of WYIich being more particularly described as follows: �. "Beginning at at- J. the center].i.ne of that.certaih County. Road knowri:.as La..Porte Road, south . 41 ° 00' 04" West - and distant 5.23.03-. fe,et:`from ,the most Northeasterly corner .of :that certain acre`:;parcel as shown on Record of Survey filed in Book 47, of Maps i at .page 16, . in .Butte County Records; run Lilence South 51 0.09' East,`, a .dtsta'nce.. of .1275.25 feet ; thence Sout� . `� . 41 .. 59 .. 15 East:., a ; distance of:'30.00 . fe.et. to:: the ;:adios point of:.a :cul-de=-sac, said cul=.de-sa 'having a radius of 50. G,� _ i.`..:. erect with returnsto the. Lang ent..that:':h v:e..:r:a•di;i:':of-X0.00: feet:. S = _. .. _ aid �. :c t -de -sac radi poin '.be1ng: the point of terminus of the above�descriptIon. u on:u _ _ Butte County. Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds `fir g �luc National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2479 Location: 5 HOMER LN Parcel Number: 028-080-023 Owner Name: GARZA, ADAM R Description: NEW MH NEW SITE PERM FNDN (1388) Date: 10/19/2006 By: KEJ Sub Type: SFD-Mobile Home PI Phone: 3005357 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturber one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: -10/19/2006 BUTTE COUNTY FEE SUMMARY Permit Number: B06-2479 Job Address: 5 HOMER LN 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Contractor: BOB WELCH & ASSOCIATES (MOBILE 34-938 LILLIAN LANE CATHEDRAL CITY, CA 92234 Printed: 10/19/2006 2:21 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt Fire Inspection (SRA) -Fire -Res Fire Plan Review (SRA) -Fire -Re 01004500014617240-1010 $95.00 10/19/2006 $95.00 Fire Ping Appl Fee (SRA) -Bldg 0100450001-4617240-1010 $95.00 10/19/2006 $95.00_ Mobile Home 0010-440001-4210500-1010 $109.98 Mobile Home Plan Check 0010-440001-4210500-1010 $329.94 SMIP - Residential 0010-440001-4210500-1010 $219.96 10/19/2006 $219.96 1001-0-280-1011298 $9.02 858.90 $409:96 Printed By: Karen Jones Balance Due: $448.94 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: Date: 10/19/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, _and,the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior.to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full.permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2479 Date: 10/19/2006 Location: 5 HOMER LN Parcel Number: 028-080-023 Owner Name: GARZA,'ADAM R Phone: 3005357 Description: NEW MH NEW SITE PERM FNDN (1388) Signature of Property Owner: �z. Date: 10/19/2006 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B06-2479 Date: 10/19/2006 Location: 5 HOMER LN By: KEJ Parcel Number: 028-080-023 Sub Type: SFD-Mobile Home PI Owner Name: GARZA, ADAM R Phone: 3005357 Description: NEW MH NEW SITE PERM FNDN (1388) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 0 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 El ❑ PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 VFeather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 OTHER ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Signature of Property Owner: "v 2z -f Date: 10/19/2006 FILE Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 El ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions E City of Big lanning Depart ent, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: "v 2z -f Date: 10/19/2006 FILE A DDRES MISCELLANEOUS BUILDING RECORD DESCRIPTION OF BUILDINGS PARCEL O: LOP e'223 SHEET _-OF ' SHEET Bldg. , No. Structure Size Found. Roof Wall Q Exterior Type Cover Floor 8 Interior Detail Second Story or Loft Year Est. Tot. Built Life Yrs l 'L. .( Cost '/� Good elle .� l.✓C. �,'�'�'Lt.N'%`li [. Q/J..L[etil,�.. _-� - I Total Qpp COMPUTATION Appraiser -Dote/ 3/// 198/ l9 19 19 B/dg. Area No. Unit Cost % R. C N. Co l Good N. UniP Cost Cost "/� R. C. N Good L. N. D. Unit Cost Cost '/� Good RCN unit Cost % R. C. N. L. N. D Cost Good L. N. D. 3000 I Total Qpp Appraiser- Dole Bldg. Areo No.Al. 19 Unit Cost %e R. C. N. 19 Ung —Cost % 19 c 1�G> /�- �'� 19 Un[ � Cost '� R. C. N. % R.C. N. 44Total tin ..31-11 9-40 L I I II - -1 1-771 11 I'Fi T -7: 1 1 7,71 T I I 1111 11 1 1 II V I 1 11 i 1 7-171 I I if II I I I I i 1 1 1 1 1 1 1 1 1 if f -T. I I ilt .fill I!I-II!III IIIjillill HHHHHH,III HI I if if . --ll If T77-77 I-77 i i i H 4' L! -4J I I' -7 _717— r -TT- 4.j rO Ar L. ..... L I 7 r [7-- 1! --- ck" 1 1 1 T 1-1 1 i 1-:4A —.1 fzT T1. -7. �---'-'_T77 ' II 771 if T Itlill fifll:l'' I! 1HT1HAI- L FT LiA r r7 .IiIII fill h. IlliII111 fill illull IIIIiii-if I I I i L I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1-1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1-1 1 1 1 f I I i II I II I IIIj gill II FI IIII I! IIII! II II I i H i i H 71111 1H, III II!tl III I! IIIT-.i, 11 1 1 —1! 1 1 1 1 1 If 1 11 !111 11 i i H H11 i M P 2006-0057180 AND WHEN RECORDED MAIL TO: Recorded I REC FEE 10.00 Official Records I / BUTTE COUNTY BUILDING DIVISION But Countiof I COWOWD COPY 1.00 e I 7 COUNTY CENTER DRIVE CI QJACE t 6RU13BS I OROVILLE, CA 95965 County Clerk-Recorderl I CP 03:01PN 01 -Nov -2M I Page 1 of 2 IIII'll II"II" I II�) III'I"'II �I'� AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: oxhr f" '/�'rTr+che.7o caoc Inde a f h,-raeol"- Date /-Yc'v ' - a00 4 PROPERTY OWNERS: 1 d4 A/Lz/9 State of California ) CounttOn �y of �r I- w'f� before me, /n0 iZ( j� r f9(/ry ��DG%Cu'11'L'ti1✓1 y / personally appeared / pe::senalGy known -to -int (or proved to me on the basis of satisfactory idence) to be the persons}whose name(* is are subscribed to the within instrument and acknowledged to me that executed the same in&;7her/their authorized capacity(ies), and that byai /her/their signature(s"n the instrument, the person*or the entity upon behalf of which the person(+acted, execptf the instrument. WITNESS my hand 4l s9al. Sig] A.P. # K. MOGHANNAM Seal: _JQ0.UVC6M00WJun24,201 � 1P 1077894 Naar � - caslf«nb 2 L t � 4 tlnaWAHOOM A 49pnTO fa OWut M02 natttoo . *wvww %onuao asftus ro � .PS .nuL L9`1gx3.ml 3OA "EXHIBIT � All that certain'real.property situate in the'Countof"'Butte .,:State--,of.:California,' desc ibec': as follow.� : y Parcel 2, as shown on tha,t•.certain 'Parcel Map of ,a portion of the;. Nor the as t' .quarter 'of''SectiOn 22, . and tr,e Nor' hWest quarter .of. Sec- � .2 3, Township i7 Nor'tlr, Range 4 East,•M. D.B. & M. , which map j. was .filed .iri the office of 'tl;e Recorder -of the County of :3utte.. -State of California, on :February 1, 1980 in Book, i 75 of rceh .`.--TOGETHER .WITH a-GO.Oo foot right of y for road and public uti= lity,purposes,'being.a portion of .Pa cels 2, 3 and 4; as shown upon that:'cer:tain Parcel Map filed in the Office. of the Recorder of: the.: County of .Butte, State of California, onFebruary 1. !. y 1980: �.n : Book'. of Parcel M?ps., -at page 76, . the center_1inE '.of which :. being more. particularly described as follows: . • `B.eginniing t. a point in the centerl.i.ne of that . certain County. Road ;.know'A -as La .Porte Road, south 41* 00' 04" West and distant 523.03 feet : fro;n ;the most' northeasterly cornier .of that certain 105: 45'. c acre':parccl s sho+�n on. Recoa:d of Survey filed in Book 47 �i at .:page 16 of naps;.::.: i in Butte Coun�y Records; run thence .South 51 09' Ea2.1'' st,, a distance.. of..12.75:'25 feet; theme- Sou:t� 'x:41 0 9' 1.5 East, a r '. - idistance .of. -sae'3%.00 feet `to '`the: =a'uius ''oint of a cul-del-'de=saw having' a'radius of 50.00 feet with r , said cuet urns -�o -the tangent' .that: h�v.e _:r.�di:a:-:of -40.. 00: : feet:.; _ Said;;c.ul-de-sac _.radius.:. point`': being' the point of terminu s of the above description. 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F()] FR 18 F21 — Z 1�1? 2 Scale: I 414 ev Ownerf�ame /9 L AA Q, A t, -Z- 0 Address Phone No. q101 C t2 Le- 10 bQ d, r11 Al2V -GO; Ile S`3 -7q-3 S 0 Site Location ('nntnr+ N2mp iq � pr v-,-, k & 0- N Phone 3 S 7 i FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 53 A,2,r2.e S F---- 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: I lifornia Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Building Permit # bb - 24% 9 Under authority of Public Resources Code Section 4290 and 4291, Butte County Improvement Standards, and the California Building Code, the following items are required by CDF/Butte County Fire Department for all development located within Wildland-Urban Interface Fire Areas and made part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which exceed these standards. Public Resources Code 4290 ARTICLE 1. ADMINISTRATION 1272.00 Maintenance of Defensible Space Measures To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. ARTICLE 2. EMERGENCY ACCESS 1273.00. Intent Road and street networks, whether public or private, unless exempted under Section 1270.02(e), shall provide for safe access for emergency wildland fire equipment and civilian evacuation concurrently, and shall provide unobstructed traffic circulation during a wildfire emergency consistent with Sections 1273.00 through 1273.11. 1273.02 Roadway Surface The surface shall provide unobstructed access to conventional drive vehicles, including sedans and fire engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts, and turnarounds. 1273.03 Roadway Grades The grade for all driveways shall not exceed 15% without being paved. Grades over 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Roadway Radius (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. Rcviscd 08/24/06 S A F E 1�\ I R E M E N T S Ah 1273.05 Roadway Turnarounds Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the "T" shall be a minimum of 60 feet in length. 1273.06 Roadway Turnouts Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1273.07 Roadway Structures (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures which supplement the roadway bed or shoulders) shall be constructed to carry at least the maximum load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. All bridges must be certified by a registered Civil Engineer. 1273.09. Dead -End Roads (a) The maximum length of a dead-end road, including all dead-end roads accessed from the dead-end road, shall not exceed the following cumulative lengths, regardless of the numbers of parcels served: parcels zoned for less than one acre 800 feet parcels zoned for 1 acre to 4.99 acres 1,320 feet parcels zoned for 5 acres to 19.99 acres 2,640 feet parcels zoned for 20 acres or larger 5,280 feet All lengths shall be measured from the edge of the roadway surface at the intersection that begins the road to the end of the road surface at the intersection that begins the road to the end of the road surface at its farthest point. Where a dead-end road crosses areas of differing zoned parcel sizes, requiring different length limits, the shortest allowable length shall apply. (b) Where parcels are zoned 5 acres or larger, turnarounds shall be provided at a maximum of 1320 foot intervals. (c) Each dead-end road shall have a turnaround constructed at its terminus. 1273.10 Driveways (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. Rcvised 08/24/06 s 1273.11 Gate Entrance (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. (b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. (c) Where a one-way road with a single traffic lane provides access to a gated entrance; a 40 foot turning radius shall be used. ARTICLE 3. SIGNING AND BUILDING NUMBERING 1274.00. Intent To facilitate locating a fire and to avoid delays in response, all newly constructed or approved roads, street, and buildings shall be designated by names or numbers, posted on signs clearly visible and legible from the roadway. This section shall not restrict the size of letters of numbers appearing on street signs for other purposes. 1274.08. Addresses for Buildings All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09. Size of Letters, Numbers and Symbols for Addresses Size of letters, numbers and symbols for addresses shall be a minimum 3 inch letter height, 3/8 inch stroke, reflectorized, contrasting with the background color of the sign. 1274.10. Installation, Location and Visibility of Addresses (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. (d) Where a roadway provides access solely to a single commercial or industrial business, the address sign shall be placed at the nearest road intersection providing access to that site. ARTICLE 4. EMERGENCY WATER STANDARDS 1275.00. Intent Emergency water for wildfire protection shall be available and accessible in quantities and locations specified in the statute and these regulations, in order to attack a wildfire or defend property from a wildfire. Such emergency water may be provided in a fire agency mobile water tender, or naturally occurring or man made containment structure, as long as the specified quantity is immediately available. Butte County Fire Department currently utilizes mobile water tenders to meet the emergency water for wildfire protection requirement. Rcviscd 08/24/06 ARTICLE 5. FUEL MODIFICATION STANDARDS 1276.00 Intent To reduce the intensity of a wildfire by reducing the volume and density of flammable vegetation, the strategic siting of fuel modification and greenbelts shall provide: (1) increased safety for emergency fire equipment and evacuating civilians; (2) a point of attack or defense from a wildfire. 1276.01 Setback for Structure Defensible Space (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. Same Practical Effect Requirements for buildings less then 30 feet from property line: [ ] If the Building Setback is less then 30 feet from all property lines and/or the center of the road, the following shall be required: ✓ Class A roof ✓ Fully enclosed eaves on entire structure (December 5, 2005, per 2001 California Building Code 704A.2.3, fully enclosed eaves are required on all structures in any fire hazard severity zone within State Responsibility Areas, regardless of setback distance from the property line or center of roadway) ✓ Fire rated metal doors on side toward property line with insufficient setback ✓ Siding on entire structure from the following list: (a) Stucco -3 coat (b) Non combustible Board, Plank or similar siding (c) Masonry (d) Metal (e) Other Butte County Fire Department approved materials 1276.02 Disposal of Flammable Vegetation and Fuels Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. 1276.03 Greenbelt Subdivision and other developments, which propose greenbelt as a part of the development plan, shall locate said greenbelt strategically, as a separation between wildland fuels and structures. The locations shall be approved by the inspector. Public Resources Code 4291 A person that owns, leases, controls, operates, or maintains a building or structure in, upon, or adjoining any mountainous area, forest -covered lands, brush -covered lands, grass -covered lands, or any land that is covered with flammable material, shall at all times do all of the following: Revised 08/24/06 4 `-r (a) Maintain around and adjacent to the building or structure a firebreak made by removing and clearing away, for a distance of not less than 30 feet on each side of the building or structure or to the property line, whichever is nearer, all flammable vegetation or other combustible growth. This subdivision does not apply to single specimens of trees or other vegetation that is well -pruned and maintained so as to effectively manage fuels and not form a means of rapidly transmitting fire from other nearby vegetation to any building or structure. (b) Maintain around and adjacent to the building or structure additional fire protection or firebreak made by removing all brush, flammable vegetation, or combustible growth that is located within 100 feet from the building or structure or to the property line or at a greater distance if required by state law, or local ordinance, rule, or regulation. Grass and other vegetation located more than 30 feet from the building or structure and less than 18 inches in height above the ground may be maintained where necessary to stabilize the soil and prevent erosion. This subdivision does not apply to single specimens of trees or other vegetation that is well -pruned and maintained so as to effectively manage fuels and not form a means of rapidly transmitting fire from other nearby vegetation to a dwelling or structure. (c) Remove that portion of any tree that extends within 10 feet of the outlet of a chimney or stovepipe. (d) Maintain any tree adjacent to or overhanging a building free of dead or dying wood. (e) Maintain the roof of a structure free of leaves, needles, or other dead vegetative growth. (f) Prior to constructing a new building or structure or rebuilding a building or structure damaged by a fire in such an area, the construction or rebuilding of which requires a building permit, the owner shall obtain a certification from the local building official that the dwelling or structure, as proposed to be built, complies with all applicable state and local building standards, including those described in subdivision (b) of Section 51189 of the Government Code, and shall provide a copy of the certification, upon request, to the insurer providing course of construction insurance coverage for the building or structure. Upon completion of the construction or rebuilding, the owner shall obtain from the local building official, a copy of the final inspection report that demonstrates that the dwelling or structure was constructed in compliance with all applicable state and local building standards, including those described in subdivision (b) of Section 51189 of the Government Code, and shall provide a copy. of the report, upon request, to the property insurance carrier that insures the dwelling or structure. Butte County Improvement Standards Installation of Fire Sprinklers If your property was part of a parcel split after September 1, 1991, you are required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. 2001 California Building Code, December 5, 2005 704A.1 Roofing 704A.1.1 General Roofs shall comply with the requirements of Chapter 7A and Chapter 15. Roofs shall have a roofing assembly installed in accordance with its listing and the manufacturer's installation instructions. Revised 08/24/06 704A.1.2 Roof coverings Where the roof profile allows a space between the roof and roof decking, the spaces shall be constructed to prevent the intrusion of flames and embers, be fire stopped with approved materials or have one layer of No. 72 ASTM cap sheet installed over the combustible decking. 704A.1.3 Roof valleys When provided, valley flashings shall be not less than 0.016 -inch (0.41mm) (No. 28 galvanized sheet gage) corrosion -resistant metal installed over a minimum 36 inches (914 mm) wide underlayment consisting of one layer of No. 72 ASTM cap sheet running the full length of the valley. 704A.1.4 Roof gutters Roof gutters shall be provided with the means to prevent the accumulation of leaves and debris in the gutter. 704A.2 Attic Ventilation 704A.2.1 General When required by Chapter 15, roof and attic vents shall resist the intrusion of flame and embers into the attic area of the structure, or shall be protected by corrosion resistant, noncombustible wire mesh with '/4 inch (6mm) openings or its equivalent. 704A.2.2 Eave or cornice vents. Vents shall not be installed in eaves and cornices. EXCEPTION: Eave and cornice vents may be used provided they resist the intrusion of flame and burning embers into the attic area of the structure. 704A.2.3 Eave Protection. Fully enclosed eaves on entire structure. Eaves and soffits shall meet the requirements of SFM 12-7A-3 or shall be protected by ignition -resistant materials or noncombustible construction on the exposed underside. All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http:/Ibuttefire.ort/Fireprevention/protpian/protpIan.htmI Date Rcviscd 08/24/06 6 Earren Read Fore Protection Planning BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Namefirst Name cit �G(e Sat Zip Z Addres!,/,) CityA2 �� StaQ Tip 90� Phone 0_ od S 3 5 7 Fax E-mail CONTRACTOR Name Address cit �G(e Sat Zip Z Phon ��4 7 Fax E-mail Lic.I q-7 # 6 973 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name CityL4l/L<J. I(e Address Zip t City Fax State Zip Phone Type Const.. Fax E-mail Map Book State License Number APPLICANT INFORMATION Name Address 3t o I 9 2 Le Q8 CityL4l/L<J. I(e St g( Zip t Phone o _ �DO S 35 -7 Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const.. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FOR1v1S\B1dgApp1SubRgmts.doc Page 1 of 2 PERMIT NO. BP BIN # PROJECT LOCATION AP# ` D , 0-2-3 Property Address City 1, d7k9d� -V S 146)ln e Z Q.n are &o - Cross Street .Sowt Qy 7-7e, Go - i?Q.M;'kC9 Z & ACr - £ /ZN`e WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Tpts-t,411 Q Q 7 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the pennit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other ther Total REV 8-12-05 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Concrete System Engineer Approval State Approval AIANUFACTURED HOME/MOBILE HOME FOUNDATION SYSTEM BBALTH AND SAFETY CODE, SECTION 18551 APPROVED BUBJECT TO CORRECTIONS NOTED APPROVAL DO 89 NOT AUTHORIZE OR APPROVE ANY OUISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLIQAMIJ STATE LAWS AND REGULATIONS Suft of Celifomis awwwom afAowiny and C4m=wft Da"Iap—d AND STANDARDS Page 1 of 8 0 LD ............. .._.......... o � o 0 Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections 36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" pitch). Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. VL,; * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed .to weathering shall ha4a' resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 0 LD ! o 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Installation of Xi2 Ground Systems Identify the number of systems to be used on the home using the chart provided. Identify the location where the systems will be installed. Clear all organic matter and debris from the pad site. Place U -bolts through holes in pan provided. Place pad centered under beam with the lateral strut bracket towards the inside of the home. Press or drive pan into ground until level and flush with prepared surface. Build pier according to State, Local or Home Manufacturers guidelines.(Figure 1) Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1) 1-314" Tube J -Bolt Nut & Washer Lateral Struts Strut (flag end) �° 1-1/2" Tube s 4-#12x1 Tek Screws I -Beam ` 1 Figure 2 U -Bolt & mounting Figure 1 Bracket end °f Horne Install frame bracket clamps to I-beam on in side of block/pier. Do not tighten nuts at this time. Attach longitudinal strut to U -bolt in pan using nuts provided. Insert strut in the frame bracket clamp, attach with nut and bolt. Do not tighten at this time. Pull the frame bracket clamp with the fastened strut outward to remove any slack. Tighten all nuts and bolts on the struts and beam clamps. ®> '=DOWN= ENGINEERING < 0 O O Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts). Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad, Longitudinal Strut (#59329), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Struts for Longitudinal Systems Part Strut Pier Height No. Length Up To: 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground Longitudinal Hardware Kit Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Xi2 Stabilization Pier Placement for Ground or Concrete Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Xi2 Pier Placement Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems ®> Page 4 of 8 m 0 0 0 0 Installation of Xi2 Concrete Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Build pier according to State, Local or Home Manufacturers guidelines. 4. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as a guide. Attach bracket to concrete pad using 3/8"x3-1/2" wedge anchors provided. Place nut & washer on anchor, leave enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5,1/2" x 2-1/2" bolt/nut provided. 6. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 1 next page) 7. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on I-beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove a lack. 11. Tighten all nuts and bolts on system. 1> SPS 0 0 0 0 Xi2 Lateral Concrete Systems Part #59307 Includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts and bolt. Longitudinal Struts for "Concrete Systems" Part No. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part#59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & Washer Figure 1 Beam Clamp Bracket J -501t Lone Longitudinal Strut En� of Nome Xi2 Installation Placement Fr 1� ®o ®off Concrete Longitudinal Hardware Kit Xi2 Installation Placement Offset Placement Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62' 3 Xi2 Systems* 63' - 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Hardware Breakdown #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread Beam Clamp Base 1-3/4 zinc 4 10556 Tek Screw #12 x 1 " 1 10631Z J Bolt 1/2 x 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 12107 Flat Washer 1x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 59306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Carriage Bolt 1/2-12 x 1-1/4 4 10801 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 2 10519 Hex Nut 1/2" w/Serr Flange 1-3/4 zinc 4 10640 Push Nut 1/2 4 10519 Hex Nut 1/2" w/ Serr flange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 4 10801 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 2 10801 Grade 5 zinc 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 Thread 6 10646Y 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4. 10556 Tek Screw #12 x 1 " 2 10646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 4 10801 Grade 5 zinc #59027 Hardware Kit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc 4 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc #59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2 10801 Carriage Bolt 1/2-13 x 2-1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: dAM q4 0lyw 1, % C`2A3�A.P.#Oa8 -0BU - 043 Home Manufacturer: r/t ej--W oy d Manufacture Year: Model Number / Name: 2 Width: (ft.) Length: FOOTINGS: Wood - pressure treated or foundation gradgq j Other:[ ] SUPPORTS: Concrete block X Other:[ ] Provide manufacturer's installation .manual, support blocking requirements and state approved or ngineered foundation r tie down system specifications.._. —SPQ /�77AChP.c� xj(/.2 fin /n/QC�2 �iA Pier rooting sizes'ana Locations ' - SINGLE WIDE ::` MULTI -WIDE Line1'------------------------------------------------------------ Line 1 Line Section 1 Line 2 Line 1 ��------- ------------------------------------------ ------------ ---------- Line 3 Section 2 Line 2 ------------------------------------------------------------ A"� Line 4 (triple wide only) Section 3 Line 2 Line 1 Piers: Minimum size piers: [ ] C [ Spacing maximum: " From ends maximum: " Line 2 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 3 Roof Loads: Minimum size piers: Location (from. front): Minimum size piers: Location (continued): Line 4 Roof Loads: Minimum size .piers: Location (from front).- Minimum ront):Minimum size .piers: Location (continued): X.,[�S��l J O Snow Load: psf Snow Load requirements may be obtained at http://www.upstate-ca.com/butte/butte—county/ Insert AP #, view snow load in lower right corner. Line 1 Openings: Minimum size pier: ] X [ ] Required at eac id of openings over " wide. K. lampfflmw :r :r 1� r .gip L �� �� �' � . �' >>_ i �' �(�� (- •-� � ;,� .i, . ,. It , ► i 1 a �' ct� � x r�- t Ill in fit Fa IN t LIN L6 X x >L y X M Sd �\ F V 1v1>. z CyI, , ► i o 'A Il- i n► to P � " � � I 0 I, Ivo (1 .► Q 41 Nr 11-0 , � z I n • Ir ti" r :a� � ' I� N — � w• G�0 :' cci `;'f; -. ... ►� ! a 'III `tr!► 1 ti O N '`t n nYr; ��"; �,• " :rl '1 � � I to a+ 1- • ag APPROVED o _� / SI � U I •-11 u O � _ I f � LrI�lo 11fi- Z :m�N � m > all s av > t• > m Y Jr ayy r o 'K N f SEE 114S'TAI I•ATION rvwJui t SUP PLEMS , 1 71 , Ott l "z U oil U Z :m�N � m > all s av > t• > m Y Jr ayy r o 'K N f SEE 114S'TAI I•ATION rvwJui t SUP PLEMS t^ �• e> v+ > m s w Y �• U C) AEG 1119TM./ 1,vrn�Ar. Surr�v.rI.E?j �cHT J \ OCT -01-97 WED 15:03 FLEETWOOD SALES DEPT FAX NO. 9166626425 P.01/03 d► - i SITEPLAN .......................... ................. ..................... a ... .. .. .. . _ . fhe s e u ee .. .. .. ............. -- ........... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. :. ... .. .. R ac �a ed 9: ide. s. .. ... .. .... .. _. .. .. .. ................... ._ .. ded .. .. .. ..............._.... ._ .. .. .. .. yy e- -'� 90" ................... - -.. _ .... .. .. ...................... itnts s.. .. ............. .............. . .. .. • .. _. .. :• MG -Mi !v'�s tRfi! 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J .. .. .. .. .. .. .. .. .i..... .. .. ........................... .. ... .. .. ... •!•• ... .... .. ............ _ ______ .. .. _ .. _ ._ .. ...... - .......... .. .. - /�../ _ / ........ .. .. .A • /. .� .. ._ '/.....° f�..... 7 ............... .� . - ................. .. .. .. .. .. .. .. .. .. .. .. .. .. _..... _..... ............ .. .. .. ... .. .. .. .. .. ._ .. .. .. ........_ .._._ ......................_ .. .. .. .. .. .. .. .. ... .. .. ................................ .. .;.. ................. .................... ............. .. .. .. .. .. .: .. .. .. .. .. .. _ ............ .. .. .............. .. ...... .. _ .. .. ... .. .. .. .. .. .. ... .. ............ .. .. .. .. ... .. .. .. .. .. .. .. .. ............ .. .. .. .. ............. .. .. .. ................ .. .. _.. .. .. ... .. .:. .. ... .. .. .. ................................. .. ... .. .. .. ._ .. ....................... ............ ._ ................:...... ...................: .. .. .. .. .. ... r Assessoes Parcel Number ® ® ® m Fol F81 El ® 0 ® El Scale: 1 Owner Name 19dnrn' k -� 1nW21Q 2, (c�)927-4 Address / Phone No. 3 / 0 / g2� P, d , M A(zYgw,1)e eA. WO I - P17.333 0 - Site Location ZIA ;A PQ)>0&2 Ad atieQ Av77P Co. 04" Contact: Name C-� Phone CeZZ ���o D� :�� :!S: % CGubzr 23.2M3 FOR OFFICE USE ONLY Zoning: General Plan ®esig: Size, Acres 4.®a" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: - R � � � . � /\ r* T--1 ;l.� : /.ƒk \�� R N f -1 r* T--1 ;l.� : /.ƒk \�� \�� •\ / y \ \ N f -1 i ti� I EZERMIT NO. 1758-80P,E PERMIT EXPIRES 1114;2 / OWNER James T. Long CONTR. owner 28-08-11 port. LOCATION (A.P. ) E/S LaPorte Rd., app.250'NE.of Lower Honcut Rd.(Homer Ln.), Honcut i 1 Temp. P er Pole Calld'd PG&E jelec. Serv._������� d PG& d PG D (Date) Si ture) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE &ALS AKS- iu: 25-0�"e4.." BUILDING (fR PROPERTY AD A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,or need additional explanation, please contact this office immediately. Inspector Date C.• 2 �� COUNTY OF BUTTE 'p t DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 RRECTION NOTICE ILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspec Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number `L for the following location: Owner Owner's Address Mobilehome Mfg.-.�� �� Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - O.P.W. 9. Electrical A. Is service large,enough to'_provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of l00 amp) and other facilities on lot, i.e., water pumW,�. garage, cabana, etc.? YesPl No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes_j_/No D.' Is continuity test satisfactory as per the following. procedure? Yes 1. De -energize electrical wiring system of the mobilehome at the pedesta . 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. . 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a -test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of.the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Lg�.,e� Length$% Width %a Vehicle Serial No. Z '// State Identification No. 20-31-7 33 Additional Information or Comments: /P6Y MOBILEHOME INSTALLATION INSPECTION .CHECK LIST Is'the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes VNo 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes _ZNo 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 m e than a single unit, are crossover connections properly installed? (Sec. 5088) Yes/ 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes- No B. Does it have minimum 'k" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?..Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes_ No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector,.not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes-,Z/No B. Test OK as per 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 pound 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. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING berjoacK ewall Z Sok Piping Fo s Pa pets 1 Floor Ma Bldg. ResVos Finish 2nd loor F tins Win3rd F or Jr Steftyall Siding To out Slab Roof She thin Water PI in Piers X Roofing X Sewer Garage X Fdn. Vents X Fixtures Footings Stemwal I Garage Vents Insulation X I Water Htr. Heaters Slab Carport p Footings v Prov. for physica handica ed Conformance of ex. structure X Appliances Gas PIFi.. & Test Temp. Gas Slab A Final Sanitation Patio FIRE ACE Final Footings Footing ECTRICA Masonry Walls Throat Rough Reinf. Steel Fl„Ai X M.N.— INK Water Htr. Grd. Figit Prot. Servl Talfrip. Pole F Ish 4?1 is nder rgund In Nor Lath ntllation ermanent or Closer nal I N inaI MOBILEHOM LITIE --:/--••---------- Elec_ Service .. Z 8'a Elec. Pedestal Water Piping (j Sewer 3W7Gas Piping LS C~! MOSILWONfE INST LATI N- - - - - - - - • - - - - Support Elec. Conti ity .� Water Piping r' r Drainage Gas Piping DATE REMARKS OR CORRECTIONS 20 oft- �. � - �- ��;►���� - - �� pts -�iul�.� �� �% ti � �ri�/�{. oma, c��•-� � 1 s Fid 4 (NOTE: An entr must be /o not this form eac ime yo-�t the job site.) .. � � e _, ,. .;� b_ �� t� aj �, `� .. .� COUNTY OF BUTTE - DEPARTMENT 0F 7 County Center Drive - Oroville, California 95965 - PUBLIC WORKS Telephone 916/534-4541 `APPLICATION- AND PERMIT ASSESS, }7 ARCEL NUMBER �'� Z NI Gni �-� BUILDING PERM OWNER TELE HONE —60o> SQ. FT. OCC. BUILDING • UATION OWNER'S I G ADD 6,SS �,1�, CON T RACY 'S VTEL E IFI»'lNF CONTRACTOR'S MAILING AUR SS 41 CONSTRUCTIONLENDER I _1E1"` UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS G PLUMBING PERMIT FiIingFee 3.00 /CIA I Each Trap 2.00 Repair drainage or vent piping 2.00 ' piping LO��Water LOT S BDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1- 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ R ode [J Utilities ❑ Installation Other ❑ Describe work' f 77 K Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 3.00 Main service 8001 OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELING OR ACDNS. ( ACCLBL GS.CCUP,&) 20 sq it 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 Fly 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. ULTCI OUTLET 2.50 ea NO ESI D, BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON.RESID, (SINGLE OUTLET CIR. Ex. Occu 50@250 P(O OR FIXTURES BAL@IW FIXED FIXED APPLNS. OR \ Ex. Occup.(OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. j 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag in�saidCounty in consequence the granting of this permit. �i %� Date ?J dL i ature of Applicant — Owner Cont for ElAgent❑ 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 $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOR OF BLIC s By— PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '� -� g!4, Receipt No.�a� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t BUTTE COUNTY ::DEPARTMENT OF PUBLIC WORKS 7 _County Center Drive, Oroville, CA. PHONE: .534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:�/s 2. Installer's name: 3. Is the site currently under permit? Yes / / No / / • (If yes, furnish permit number ZZ -5-K — UPt Z_ ) OR Is the'site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes TV No ' ( If no, clarify 1 ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What Is the mobilehome site service rating? --------------------- o d Amps 7.. What is the mobilehome site circuit breaker rating? -------------- SO Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No (If yes, identify the load and size: 111/�/° %JuR�/� (Load) %!, 3 (Amps) 9. What is the mobilehome site gas pipe size?----------------------� 10. What is the'type of -gas service? -----------4 P-Ijf----------- Natural/ 11. What is the -gas pipe length from mete�®r tankto the ome? (ft.) ----------------------- 12. .What is the mobilehome gas demand? -- (BTU) (This informatics of required if pipe length less than 6 ft. on natural gas or less t i 50 ft. on LPG.) Vv c( I MOBILEHOME SUPPORT DATA p If other than single wide, Mobilehome Mfr. (62)0 �'7C furnish Setup Model No. Year Width/,9, (ft.) Box Length 6 O (ft.) Tagalong or Expando Sizft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. . .. Si x" . (ft.)(in.) (in.) (in.) Center support Center s locations footing (in.) (in.) (in.) I (ft.)(in.) I Y(in.) (in.) / r�A I(ft.)(in.) (in.) in.) S (ft.)I Vin.) I (in.)j (in.) *If center piers are other than drawn above, AYAt.9 in.anrat;nnG_ gnacing. and dimensions. Footings (check one) ® 1. Wood either. pressure treated or X foundation grade. 2. Other (specify) Supports (check one) 1: Concrete block. El 2. Other (specify) Tagalong or Expando,' show support details. ia. x -- Typical Support in.) (in.) Footing Size 115�- =- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)(in.) BUTTE COU NTI , BUILDING DEPARTMEN APPROVPD /Y COUNTY OF BUTTE - DEPARTM+ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telerhone:964-4541APPLICATION AND PERMIT26'" BUILDING Ames 7 • iL O AJ SQ. FT. OCC. BUILDING V LU TIPN Mailing Address #// 4P-1 -9 C 11?et)%% D9 o f?OS E V1 t,&C 6' gS6`7 f T -"�0 Contractor Mai I i ng Address Building Address Z 60 0D, S LA r ffOMEi� one No. A. P. No. 2L/ 1 �(pa eT Zoning 8 Planning F w.(;. Sa on Fire Dept. FireZone Use Permit EQA Parking Parcel Plans I Declaration I ep t75 60' R/W Improvements P Bldg. P I a ec'd cel A ��val 2 Plans Approval y NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: Fireplace I I_ Total Valuation Permit Fee Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each TraD Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD•L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. S ACC. BLDGS. NEW CONSTR. MON.RESID. (MULTI -OUTLET BRANCH CIRCUITS Ex. OCCUD(OUTLETS OR FIXTIIRES EX. Occup.`FIXED APPLNS, OR OUTLETS (RESID.) EA/ Temporary service Mobile Home Facilities Misc. Wiring License No. Classification 7 FP__ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE .l am aware of the provisions of Section3700 of the California Labor IHeatina 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. I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date - O Signature of Permitee or Agent Receipt No. 7011& White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooli @ FEE $3.00 _&,o 1.50 1.50 1.50 1.96 .30 -5.66 2.00 @ FEE $3.00 3-00 5.00 , O0 2.50 (� 25.00 1.00 2.00 10.00 15.00 Tj,00 6.25 1'00 @ FEE $3.00 00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ ��', OC> TOTAL PERMIT FEE $B 6 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 ����� ecifications MUST bie This set of plans and sp n same without ke on the lob nt all times and it 1s unlawful to changes or cArrey+ions A Fake on ernnission from the DOpgrtmont of Publle written p Works . of Butte. , NOTE:—All Materials & Workmanship Shrill Be in Accordance with Reconnized Good Proctices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. V' / Utility connections shall be within 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the mobilehome. a . T \ 500 SQ. FT. MINIMUM 'A permit will be required for the EOR MOBILES. installation of the mobilehome. 9 R-4 o� BUTTE COUNTY ,w setback of 5 ft. from the BUILDING DEPARTMENT property lines and a setback of 50ft. from the road APPROVED D D O" C centerline shall be clear of A 1� r R V G structures or equipment except ` for a 2 ft. eave overhang. % i . a U G 4. < MI 3— J G 4. < MI 3— . ` =1 June 22, 2004 Butte County Deparonent ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR t www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile. Adam R. Garza,_ 3101 Erie Road Marysville, CA 95902 RE: Formal Warning Notice Butte County Code Violation 5 Homer Lane, Honcut SAP -028-080-023 _ Dea r Mr. Garza: 'Through our courtesy notice on Date, you were notified pursuant to Section=41-2 of the Butte County Code of the presence of code violations. on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. The accumulation of junk in public view. 2. The keeping of an open and unsecured building which is declared as a public nuisance. 3. Maintaining an unsafe structure. Your failure to eliminate the stated violations is cause for the issuance of this:formal warning notice. This is notice that as of this date, our records indicate that the following violations to the Butte County Code still exist: • Butte County Code, Chapter 24, Section 24-65 Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. • Butte County Code, Chapter 24, Section 24-90 - The A-5 (Agricultural, 5 - acre minimum parcel) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" zV 1 . A f PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed.in the County of Butte';'I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and nota party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. I am readily familiar with the. C,ounty's practice for collection and processing of correspondence/documents for mailing with the Um"ted States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On June 22, 2004, I served the foregoing 10 Day Notice on the person(s) named below by placinga true copy thereof in a sealed envelope, with first class postage thereon fully paid; addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Adam R. Garza 3101 Erie Road • Marysville, CA 95902 I declare under penalty of perjury under the laws of the State of California,that the foregoing is true and correct and that this declaration was executed on June 22; 2004, at Oroville, California. 3 Gwyn Benedict Office Assistant H .