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HomeMy WebLinkAbout028-080-0300 t. 28-08-30 JESS®& DEBARA THOMAS NIS HomerLn, 1200' E Laporte Rd (Truxton Ct Permit#55-%!8 ELEC 5 ,.Aov A AS L SUPPORT STRUCTURE REQ AjO COMPACTION TEST REO 2808=30 e.. Contr ; `Fea th. r River Homes, Y.C. Permits85MHI Iss 028-080-030 ,F THOMAS, J:ESS ti 55 HOMER LN, HONCUT Cont: DUWAYNE STILLW(!Lg ELEC SRV -200 AMP 028-080-030 06-0590 WIRTZ, DOUGLAS 55 HOMER, HO U CONT: ROY M/H PERM F ) 028-080-030 06-0597 WIRTZ, DOUGLAS 55 HOMER, HONCUT CONT: OWNER ADDITION r�:-: 028-080-030 ANE7RAGE, STOFEED OR GO Ag Pt LN JOHRNS ,k BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" nc:r OWNER INFORMATION Last Name A, irst Name Mailing Address Q City 00 XIS State rA Zip 96- Phon Fax /!d) CoSo�-7,3 7l Fa Co) 5�2— % 7/ E-mail '56-_n) 0 1. nc:r CONTRACTOR Name A, Address t O City es State Zips 6Cn Phone (oSo2 0 7 Fax /!d) CoSo�-7,3 7l rE-m it Fax Lic. #787 S Class nc:r AFPLICAJYT SIGNATURE X 12�4 Z'11=� For office use only: ARCHITECT/ENGINEER Name I A — Address t O City es State Zip Phone Zip Fax E-mail Fax State License Number AFPLICAJYT SIGNATURE X 12�4 Z'11=� For office use only: APPLICANT INFORMATION Name I A — Flood Zone t O Address es City Occ. State Zip Pho e Address Fax Page _ L Planner E-mail Gr co AFPLICAJYT SIGNATURE X 12�4 Z'11=� For office use only: AP# mfg �y Zoning I A — Flood Zone I X I SRA es No Occ. I Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION AP# mfg �y Property Address s5 4omcr L -n . City Cross Street 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: Eom Vdo ox - Sq FT- Living Garage Open Cov 0 Structure Built without Permits O 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 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. I I Received byp' Amount: h 0q q D Bldg I I SRA Receipt #:M I Sheriff ftk" � SMIP 4 n (�� P . Other Date: L`'I w MI Total 7J.'R}•Y'7`t;+c:?;, X75* _,"�;y:iut.,h'..z"ir,+yy acv. lr ,'.'fia+..9�R w��!t�t"�et!"ki`.°eix�a"�.":'vm' � �_ +'P10Rw FOR ASSESSOR'S. USE ONLYt ? r Received -A roved,,,' 'Denied Reason3j KENNETH O YIM,RS ,Y~; s'ASSESSOR _ ' i; + COUNTYOFBUTTE as a ^�'t"SEE INSTRUCTIONS BEFORE COMPLETINGoa ; �... -' PARCEL NUMBER s _,_ C?� Ll� i Print yoursop numberand name here t r ADDRESSbFDWELLING _ .. t tISSNo�'d++ t"7 S s tt�t ? tt�s i NAME; AND MAILINGADDRE� f •; 2 v e A— I r '! 028-080-030 990-250-146-000 i �'+ r j, fr',7, AME 1 . r,'�s 0027/013 05/26/2006 .5. vEt , ,,z i Pnnt.co-owner s',or spouse s'so BURNS JOHN W & DONNA L cial secuntynumber 55 HOMER LN and name when%this propertyis also his/her pnnclpalt MARYSVILLE,CA 95901-8909 residence +, i"pd°� A �yKl'j Y1r Q 1 i F rix r NAME Telephone No. (8 a.m. - 5 p:m.): / +OCOt aks' � (This'claim sub/ect;;to pubh6 i6spection ) CLAIM FOR HOMEOWNERS PROPERTY TAX EXEMPTION (CARD) tl eligible sign and file this card with the Assessor on or,before February 75, or on or before tl►e'30tli day following;tlte Date, f Notice. . ' Of SupplernentaJAt; Whlx�iel4°l CDr17eS firstcit w r • a S tr. +.I` t . "�"' 1s5 r t`- �..:r^+t•'.X4 wBOE-i66-CD ,REV. 8 (8 05).' c 'complete'both sides -o{ p' i;yY;hr�r } F ' i '► { � , '1 it y, , 7,s j•. '�` 41,t ,f4 .3.�'. p .. 9/C44 wle��oo� �Fa 9e:� fie �ve�i� �2 a nuJ C.'It RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0020342 Recorded I REC FEE 10.00 Official Records i County of I CONFORMED COPY 1.00 Butte I CANDACE J. GRUBBS i County Clerk-Recorderl I I LV 012:46PH 21 -Apr -2M 1 Page 1 of 2 IIIIIII III IIIIIIIII III I11111111111 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code QLl Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certaintybelow, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice. as to its contents to all persons thereafter dealing with the real property. DOUGLAS AND KELLY WIRTZ REAL PROPERTY OWNEWLESSOR 55 HOMER LANE MAILING ADDRESS HONCUT BUTTE CA 95901 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-059 530 538-7541 BUIL PE NO. TELEPHONE NUMBER SIGNATURE OF LOCAL AGENCY. OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FAR WEST HOMES INC. 1985 24X56BRL2BR MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 3594AM 56 x 24 300535/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 028-080-030 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. d RECORDING REQUESTED BY Mid Valley Title & Escrow Company ESCROW# 15846881511-1/CHI,-C AND WHEN RECORDED MAIL TO: Charles Hawley 555 ABREGO•STREET grid FLOOR MONTERY, CA 93940 204--Ifb05�367 Recorded Official Records Cou_ E f CANDACE J. PRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 27 -Aug -2694 REC FEE 10.00 I I I Andrew I page i of 2 Space Above This Line for Recorder's Use Only A.P.N.: 028-080-030-0 File No.: 0401-1584688 (DH) ASSIGNMENT OF DEED OF TRUST For Value Received, the undersigned hereby grants, assigns and transfers to A.W. Rogers Hawley, a married manas his sole and separate property all beneficial interest under that certain Deed of Trust dated June 8, 2004 executed by Douglas Wirtz, a married man as his sole and separate property, as Trustor, to North State Title Company, a California Corporation, as Trustee and recorded as Instrument No. 200438385 on dune 25, 2004 In book n/a, at page n/a, of Offidal Records In the County Recorder's Office of Butte County,California, describing land therein as: PARCEL 3i AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE Mcftb>I R-.OF:THE.COUNTY'OF BtII TFT' STATECALIFORNIA, O OF CALIFORNIN DECEMBER 17,1980; IN BOOK.81.OF MAPS, -AT 0AGE(S)15AND 16. PARCEL II: RIGHT. OF WAY 60 FEET 32N WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 1,. 1980, IN BOOK 75 OF MAPS, AT PAGES) 75 AND 76. �:+> PARCEL M. RIGHT OF WAY OVER TRUXTON. COURT FOR ROAD AND PUBLIC 0177 ITY PURPOSES, AS SMQIIYN ON THAT CERTAIN PARCEL MAP, RECORDED IN TiE OFiFICE OF THE RECQ$RDER OF THE COUNTY OF BUTTE, -ST.AT-E OF'CALYFORNIA, ON DECEMBER 16-1"'9601 IN BOOK 81 OF MAPS, AT PAGE(S)15 AND 16. TOGETHER with the note or notes therein described or referred to, the money due and to become due thereon With interest, and all rights accrued or to accrue under said Deed of Trust. Dated: _August 18.2004 '�� �y. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL, TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document;Recorded 21 -Apr -2006- 2006-0020342 Has not been compared vith original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice .as to its contents to all persons thereafter dealing with the real property. DOUGLAS AND KELLY WIRTZ 7 COUNTY CENTER DRIVE REAL PROPERTY OWNER/LESSOR MAILING ADDRESS 55 HOMER LANE OROVILLE BUTTE CA MAILING ADDRESS CITY COUNTY STATE HONCUT BUTTE CA 95901 CITY COUNTY STATE ZIP SAME DATE INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MA ING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-059 530 538-7541 BUI G P NO. TELEPHONE NUMBER Li- Zo --® 6 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FAR WEST HOMES INC. 1985 24X56BRL2BR MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 3594A/B 56 X 24 300535/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER 028-080-030 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE- County Recorder CANARY - HCD PINK. -Applicant GOLDENROD -Building Dept. BUILDING PERMITS NUMBER: 06-0590 Address or location of unit: 55 HOMER LANE, HONCUT r Legal Description of Real Property: 028-080-030 x SEE ATTACHED + (z) mobilehome/Manufactured Home `() :Commercial Coach Has been affixed to the real property, above by installation on a foundation system pursuant to'Health and Safety Code Section 18551. r , Owner'sname: DOUGLAS AND KELLY WIRTZ Owner's address: 55 HOMER LANE, MARYSVILLE INSIGNIA -_OR HUD NUMBER: 300535/6 T SERIAL NUMBER OR VLN.:.3594A/B' MANUFACTURER'S NAME: FAR WEST HOMESI_NC. tYEAR:-1985 APP.ROVINGINSTALLATION: OFFICIAL , , 3 DATE: PHONE: ($30) 538-7541 H.C.D. 513C � 4 t ,i BUILDING PERMITS NUMBER: 06-0590 Address or location of unit: 55 HOMER LANE, HONCUT r Legal Description of Real Property: 028-080-030 x SEE ATTACHED + (z) mobilehome/Manufactured Home `() :Commercial Coach Has been affixed to the real property, above by installation on a foundation system pursuant to'Health and Safety Code Section 18551. r , Owner'sname: DOUGLAS AND KELLY WIRTZ Owner's address: 55 HOMER LANE, MARYSVILLE INSIGNIA -_OR HUD NUMBER: 300535/6 T SERIAL NUMBER OR VLN.:.3594A/B' MANUFACTURER'S NAME: FAR WEST HOMESI_NC. tYEAR:-1985 APP.ROVINGINSTALLATION: OFFICIAL , , 3 DATE: PHONE: ($30) 538-7541 H.C.D. 513C � 4 t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060590 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/27/2006 APN: 028-080-030-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 55 HOMER LN HON Map Index: Date: Contractor: Description: EX MH ON PERM FND, EX SITE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: WIRTZ, DOUGLAS &KELLY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 55 HOMER LANE signed statement that he or she is licensed pursuant to the provisions of MARYSVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95901 she is exempt therefrom and the basis for the alleged exemption. Any (530) 742-3921 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).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: WIRTZ, DOUGLAS & KELLY Code: The Contractors' State License Law does not apply to an 55 HOMER LANE owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, MARYSVILLE, CA provided that such improvements are not intended or offered for 95901 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 742-3921 proving that he or she did not build or improve for the purpose of sale.). — / owr)er of -the property, am exclusively contracting with Lensed licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: SERVICES UNLIMITED not apply to an owner of property who builds or improves thereon, P O BOX 5057 and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). MARYSVILLE, CA El am Exempt under Article 3 of t e Business d Prof sions Code 95901 (530)743-8037 Date: 3- 2 7' °� Owner: �^- License #: 522378 WORKERS' COMP SATION DECLARATION 1 hereby affirm under penalty of erjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer:` ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 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: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: � � Lir 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. Date: 2 ' Applicant: — WARNING: Fail a to secure workers' compensation coverage is unlawful, and sh 11 subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of �Q �� 2 1 compensation, damages as provided for in Section 3706 of the Labor �. I J"- code, interest, and attorney's fees. qua acq��►� CONSTRUCTION LENDING AGENCY This permit is h reby is ued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutions w indicate above for which fees have been paid. �� Q� performance , By: Date: Name: �� G Address: PERMIT EXPIRES Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. oyer. I agr o comply with I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the dui authorized ageVntof all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of ariy offs al form or docuo Count . hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes l/ i J4!' Print Name: LL R art s 7 /a by 7 Signature: Date: 3 ^ ? ❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIONATURE X A :�Iz� For offic se only: OWNER INFORMATION Last Name Name First Name Address City Ms / State ZiP5 r'$70 7 Phone 79 ,�? S3 y 3:F3 Fax E-mail Phone APPLICANT SIONATURE X A :�Iz� For offic se only: ARCHITECT/ENGINEER CONTRACTOR Name A 9 ✓a T�z Address / State City s State �,� Zip Phone State License Number Fax E-mail Lic. # Szz 3 Class APPLICANT SIONATURE X A :�Iz� For offic se only: ARCHITECT/ENGINEER Name " / 41 Address SRA City / State Zip Phone Fax E mail Planner State License Number APPLICANT SIONATURE X A :�Iz� For offic se only: APPLICANT INFORMATION Name " / 41 Address SRA City / State.�SS� Type Const. Phone Fax E-mail Planner APPLICANT SIONATURE X A :�Iz� For offic se only: Zoning Property Address -a 6 rk Flood Zone X I SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPOWSU BIN ff PROJECT LOCATION AP# PlZ ^d 6 — 65 Property Address -a 6 rk City_ S & C Cross Street _ 6 c �v c' k l� ©/�v � v % 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: E 2. 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 OVER FOR SUBMITTAL REQUIREMENTS I[ K•\FrIRMC\Ri m flim(: FnPhAS\RirinAnniCllhRnmtc rine Paoe 1 of 2 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 cojts are not refundable. . 1 i rte._. _ A 4- -,1, r-1 , f . Received by: (,6 . Amount: Receipt #:14gsq 2 ft -M Date: '5 - 16 -0(� Sheriff SMIP Other REV 8-12-05 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 A1C 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). 1-]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 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ;II 1 1 i ti i �- ASSESSOR PARCEL NUMBER Proposed Building Use: EK on k n C 0(1 , a 5& Permit Technician: vie Date: Ite s rpquired in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. No 71 1. Site plans2pans, or 4 sets, signed by the preparer of the plans. El 2. Complete 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered. plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. �/MR 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down o4�" duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd. plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 18 Erosion Control Plan Required ... ..................................... ......, . 14 7 19. Fees as shown os-.the-attached•SctteduIm Fees•Bae-Sheet.. `3... ...... 2� ❑ 20. City of Chico Plumbing permit........................................................................ 0 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact.Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form.............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... El. 29. Worker's Compensation Carrier and Policy Number ............... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner)..................... iJ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed. ,R�estriction..... .............................. ?� 35.�egal description, M.H. Title, title search, registration or CO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone ( SSS) 7610- 1051 Vbr k %' hand hold for p c�kur I have been inform de Qf fhe aboZ iCQi reujrm e1 is for obtaining a building permit. Applicant: \ Y2_ -i( - Date: 2- A a% 1. Index permit applj ation for the above items numbered: Plan Check Letter 2. Additional items/requ' d Contractor, designer ow §rwas advised of the above data by phone, ❑mail, ❑counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Dat of -0 141 Structural approved by: Date Note transfer by: Date: Yellow: Building Division KlBuildinglPlan CheclVData Sheets/data sheet page 2 9.27.05 . Untitled Td Whome it°may Concern. give permission lo, Jack Armstrong to get any and all permits for my home' on 55 Horner In. Page 1 A.W. Rogers Hawley P.O. Box 3044 Monterey, CA 93942 November 12, 2004 Mr. Jack Armstrong % Associated Brokers 410 Century Park Drive Yuba City, CA 95991 Re: $73,000.00 Note secured by 55 Homer Road, Marysville Dear Mr. Armstrong, Per, our telephone conversation this, morning, I am enclosing a copy of the -recorded "Assignment of Deed of Trust" showing me as the owner of the, above described lien. As such, I hereby authorize the owner or his/her representative to obtain necessary county permits to .bring the property in full compliance with the county's building codes. If I can be of any further help to. you in this matter, please do not hesitate to contact me. Yours truly, A.W. Rogers awley Enclosure RECORDING REQUESTED BY Mid Valley Title & Escrow Company ESCROW# 158468'8t)H-1/CHImC AND WHEN RECORDED MAIL TO: Charles Hawley 555 ABREGO-STREET 2nd FLOOR MONTERY,,CA 939,40 A.P.N.: 028-080-030-0 11111111111111111111101111111111 Recorded Official Records CollaTEof I CANDACE J. ORUBBS Recorder ROSEMARY DICKSON I Assistant 09..00RM 27 -Aug -2894 I REC FEE 16.00 Andrew Page I of R Space Above This Una for Recorders use only ASSIGNMENT OF DEED OF TRUST File No.: 0401-1584688 (DH) For Val . ue Receivedr the undersigned hereby grants, assigns and transfers to A.W. Rogers HavASY, a married man as his solleand separate property all beneficial Interest under that certain Deed of Trust dated June 8,2004 executed by Douglas Wirtz; a married man as his sole and separate property, as Trustor, to North State Title Company, -a California Corporation, as Trustee and recorded as Instrument - No. 2004-38385 on June 25,, .;004 In book n/a, at page n/a, of official Records In the County Recorder's Office of Butte County,Calbrnla, describing land therein as: P/1iICEL'3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECON DECEMBER'17, 1980' 'IN T F 0001�_STATR OF CALIFORNIA;)RD -HE' -.OF,' COUNTY 0. S) BOOK -.81. OF MAPS, AT: 0AGW 15 AND 16. PARCEL II: RIGHT. OFWAY 60 FEET IN WIDTH FOR ROAD AND pUBUC UTILITY PURPOSES,, AS SHOWN ON THAT CERTAIN PARCEL . MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 1, 1980, IN BOOK 75 OF MAPS, AT PAGE(S) 75 AND 76. PARCEL III. RIGHT OF WAY OVER TRUMN. COURT. FOKAROAD. AND PUBLIC 01LITY PURPOSES, AS- *TAiN PARCEL MAP, REGARDED IN THE OFFICE OF THE REp.d...0DER OF SHqiq"� ON THAT. Cf. �CO 3.7, 1060j, IN BOOK -81 OF THE COUNTY OF BUTTE,,ST`ATE OF CALIFORNIA, ONDECEMBER MAPS, ATPAGE(S) 15 AND 16. TOGETHER with the note ornotestherein described or referred to, the money due and to become due thereon with interest, and all rights accrued or. to accrue . under said Deed of Trust. Dated 20-04 f -.3 ho/" - I � Butte County Department of Development Services. RREn I `t O T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vnvw.buttecountynEVdds ouHt I RESIDENTIAL APN: Permit No. Owner. 028-080-030 06-0590 WIRTZ, DOUGLAS { Site Address: _ 55 HOMER, HONCUT . CONT: ROY TATE Contractor. — M/H PERM FND_(EX) 1 Type of Permit: -- I , SPECIAL CONDITIONS CHECKED BY 0 SRA _ ❑ FLOOD CERTIFICATE EQUIRED El FIRE.SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ' Q VERIFY Q USE PERMIT CONDITIONS 0 SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID OENV HLTH CLEARANCE DATE JOB FINALED: G — _ - _. SIGNATURE: OK 0 = Not UK MANUFACTURED HOMES MISCELLAN..EOUS DATE PERMANENT FOUNDATION Lj SOFT -SET DATE D E C K S -C O V E R S`C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Sewer; Loctn-Test; Fall/CIO-Concrete j 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator + Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete j 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ J Frmg-Brcng " Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs -7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr ( 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -CIO to Grade 10 Roof, Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs ❑ Foundation ❑ 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy'* 16 HUD Label/Insignia Numbers Serial Numbers LL�f7��S r • DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI r. M I 5 Elec Pool Lting; 15 volts-GFI rd`s 0 o'er o`er � 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool lghtg Boxes-Enclsrs=pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide I Pool Drawing j t r • .r r 1 1 ' � • Y 3 I } } .p. F = OK No" OK RESIDENTIAL (Single & Duplex'I UNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Opth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel -B(ockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders -Si lls-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation .� 0 0'`1 o DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landin g -Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -W alts-Wndws o'er m o'er m DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Apptnc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ea ❑ CU or ❑AL AC Wire Sz 93 ❑ CU or ❑AL 48 Range Circ ga ❑ CU or ❑ AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector UAIt IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub. Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic O' 0 DATE FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Apptnc; Grnd-Air-Gap-Cooking Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv flr Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-App[nc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY -- EVE • r _ _ CERTIFICATE OF TITLE Manufactuied Home , Decal No: LAG8825 • Manufacturer ID/Name- . - ' j' ! _ 09945 FAR WEST HOMES INC: + Trade Name + FAR WEST - - -.. - - Model 1'24X56BRL28R, DOM 03!05!1985 _ -.DFS - - 04/10/1985 RY Exp. Date - ._�' , Serial Number - = - - '' = Label/insignia Number Weight, Length Width SPC SCC Exeinpt Use Type 3594A ; ' i .' ' 300535' ' ' _ '15,100 1 56' ... 12 58 SFD - LPT_ 35946 - _ -;_ ` - 300536 # . T 16,200: 56' 12„ , issued. Total Fees Paid Jan 12, 2006 $138.00 Addressee' -.' DOUGLAS I'WIRTZ., 55 HOMER LN _ - MARYSVILLE, CA 95901 '- - - t } K * - Registered er( }. _- * R E - =_+ DOUGLAS RTZ, + i " 55 HOME - , MARYSV ,'CAW*C- - _ Situs'A ess. 55 HO :LN - MARY SLE, (0 959 ; - v -17Y • IMPORTANT ' THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY-DEVELOPMENT'AGAINST THE'DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT.MAY. 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P .. .......... .. .. .. .. ... .. .. .. ........_ ............ .. .. .. .. .. .. .. _ .. .. .. .. .. .. .. .. .. . .. .. ... .. .. ... .. .. .. .. .. .. .. .. .. .. /..:...... ...... .... ... .. .. .. .. .. .. 7 J . .:.. ..}. .:.. .. �.. c. .�.. lAssessor's Parcel Number: ❑ ❑ ❑ _ ❑ ❑ ❑ — ❑ ❑ ❑ Scale: 1" _ Owner Name Address / Phor Site Location - Contact: dame Phone Odnb,:r ?3, =3 - FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: O128/20EIS 13:1 4ELS -AND X12 Foundation System Installation fustniction's for 0,00fornin "Yound & C*ncrate Systems for ea HUD din ,Zone i, IS PSF Wind Load Selsonic, 4 By I'le Down Enghtes-ving M criscrefe Swvem Engineer Approval State Approval ULP-NVh�CMvRFD HOME.-MObILE NMI& NUM An SAFE..: -,y coor" APPROVED CUR= To AIMMAX, DM NOT A UMOR I= 02 Al, tRo Ve Mr -M14% OR Duvallcm Fitom ROQtn&PMwM DY STAU&M AND FjGuLAncR48 balwo`orifi jM1. ftwomduumft ®8 c4vowjiv nMftw"t P. W (N foo' 22-6W IN - 1348.04') M 0 M FOO' EA LeCTRICL Ta.ANSMIss10N EAse MENT 394 0.1Z.4606 PAQCEL 1' 75 P. M. 7S -7d, \\ 1-s �•' . PArvc�, i 5.7® Ac. Sag• X81 PARC04. 2 ` 751-4.75-76 `\ . `si `\ 50' 0t_D6. Sana, lc / PaOM 4. Ron.os - 7 1 ¢ ScAL�^• I^-100' \ '\ �� (S 5+•09' 21' a •- -• Go..51') 6L t M LEGreHo . ■ Fo. Si4. IRON PIPE w/R ASTIc PLUG, L.S. 4060, OR AS NOTED • SET 2W IMON PIPe W/PLASTIC PLUG, L.S. 4<Y0C NOTHINO POUND OR sET C) EMORACG9 RECORD DATA M 61c. 75 of PAacet- MAPS, PA�ac- s -75 4 -(6 Sos No. 80.009 B. tnjAitQ1E• FO. W4- PI PE TAQaeO R.C.E. %093 TEMPOaAa`( CUL"OE'SGC gem RI R- 5 5Vq46'tb'E ^ 5.27' sys'srsse^1%' rft. Con. Pex 21 R 401 TIP Po.uce�. 4 / 5.14 AG. 60'(O�FPeR OF Deolcn.TION To C.OUN•TY OF e>LRTe POR ROAD 4. UTILITY PURPD3es To B@ Mae eaveo IN DEEO^.o z, 1 75. 75.76 .. , _ •4.y� GO' OFFe2 OF D@DILATION ro Coum" OP e)uTTe POR ROAD d UTILITY PuRPOaes QF..GoaOso UNOMVL R6coao- Ps s eIe21AL No. (0091 No-r e s I. Foa. Fua.THe1 . sU RV EY INFORMATION CON- 6ULT PARCeL MAP PILED IN �k 75 OF F3ARaCLL MAPS AT PAC.e5 75 4 76 IN PjuTT6 COUNTY Zeci- ORDO. 2. Theme HAVG ebr-aN NO Wet. -9 ORIL-eo ON THIS PROP&=T`f, 7VkeMEFORe TNeRE 19 No CNRE.[T LVIDENCe OF DOM66TIC WATCIZ. kckjave D& TO THOSE 4ritOWN ON THAT Cea-MsN PARCeL MAP P. 350.00' _ :+ r/ 151.29' T= 7(0.85 / 6 \ / RAMCML 3 i 5.10 AG on PARC04. 2 ` 751-4.75-76 `\ . `si `\ 50' 0t_D6. Sana, lc / PaOM 4. Ron.os - 7 1 ¢ ScAL�^• I^-100' \ '\ �� (S 5+•09' 21' a •- -• Go..51') 6L t M LEGreHo . ■ Fo. Si4. IRON PIPE w/R ASTIc PLUG, L.S. 4060, OR AS NOTED • SET 2W IMON PIPe W/PLASTIC PLUG, L.S. 4<Y0C NOTHINO POUND OR sET C) EMORACG9 RECORD DATA M 61c. 75 of PAacet- MAPS, PA�ac- s -75 4 -(6 Sos No. 80.009 B. tnjAitQ1E• FO. W4- PI PE TAQaeO R.C.E. %093 TEMPOaAa`( CUL"OE'SGC gem RI R- 5 5Vq46'tb'E ^ 5.27' sys'srsse^1%' rft. Con. Pex 21 R 401 TIP Po.uce�. 4 / 5.14 AG. 60'(O�FPeR OF Deolcn.TION To C.OUN•TY OF e>LRTe POR ROAD 4. UTILITY PURPD3es To B@ Mae eaveo IN DEEO^.o z, 1 75. 75.76 .. , _ •4.y� GO' OFFe2 OF D@DILATION ro Coum" OP e)uTTe POR ROAD d UTILITY PuRPOaes QF..GoaOso UNOMVL R6coao- Ps s eIe21AL No. (0091 No-r e s I. Foa. Fua.THe1 . sU RV EY INFORMATION CON- 6ULT PARCeL MAP PILED IN �k 75 OF F3ARaCLL MAPS AT PAC.e5 75 4 76 IN PjuTT6 COUNTY Zeci- ORDO. 2. Theme HAVG ebr-aN NO Wet. -9 ORIL-eo ON THIS PROP&=T`f, 7VkeMEFORe TNeRE 19 No CNRE.[T LVIDENCe OF DOM66TIC WATCIZ. PARCEL MAPux .eMiKor A Qe-otVI510N OF P,eI,.cL— CEL 'S Of' T"A.T CaRTA1N PA.R.GE;L- MAP FtLeo IN BOOK 75 OF PA.Gt- CEiL MAPS AT PAaeb 75 *-Mo, tN 1 Zecolzo9 OF BUTTE: COUNTY, C.A. OCTOO@R 1380 gtea..Mv- 614EET 2 or 2 THC EbaNVINCIS OF TM10 IbURVeY Aae IDENTICAL TO THOSE 4ritOWN ON THAT Cea-MsN PARCeL MAP FILED IN 6Oo1L 75 OF PAQGEL MAPS AT PAQe6 75 :+ r/ ¢Ifo, a uTTe C.ouNTY Mecomos. N O + 1 t w Omovltlb d' unca. I+arocur 617E 'fl -ON y 9 7 Z '1-b txjVL No ecA -e PARCEL MAPux .eMiKor A Qe-otVI510N OF P,eI,.cL— CEL 'S Of' T"A.T CaRTA1N PA.R.GE;L- MAP FtLeo IN BOOK 75 OF PA.Gt- CEiL MAPS AT PAaeb 75 *-Mo, tN 1 Zecolzo9 OF BUTTE: COUNTY, C.A. OCTOO@R 1380 gtea..Mv- 614EET 2 or 2 NAME 'l��1�lyF\P�sFj�l�`� _���' h - �� Book Page Block Parcel Code •jJAME PROPERTY LOCATION 70r.'f; f! n _ rj ,1 AL t. ZONING Assessment Year _^ x 19 649- 19 19 19 UTILITIES—SITE IMPS. Date Electricity: Yes Telephone ❑ Appraiser 162 97 r,)o/ 162 Z!'SI (_ VN4+ " 162 162 162 162 Gas: Public ❑ LPG[ --K None ❑ Supp. Assessment Yes,0 No ❑ Yes No ❑ Yes © No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Sanitary Swr.: Public D IndiL. 7'-:P7Transfer Use Code 160 P, VH:3Vv 160 R 160 160 160 160 Storm Swr.: Public D Natural Code 124 16' % 124 % 124 �t 1 % 124 % 124 % 124 Street: Cone.❑Asph. Dirt�C�'/Gravel ❑�� Acreage 108 S 108 108�� t� 108 108 108 Street Lights: Yes [] No t�Incomplete 163 P.U.nIt MerE 163 P..U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 C & G: Yes 0No' Building Class 167 167 1 M -7,C) 167 167 167 167 Sidewalks: Yes ❑ No E� Bedrooms 168 168 Z 168 168 168 168 SITE TOPOGRAPHY Baths 169 169 Z 169 169 169 169 Level❑ Rolling [5" Other[] Effective Year 170 170 1985 170 170 170 170 Slopes Up ❑ Down ❑ S -S r] Area of Residence. 171 171 1 3 171 171 171 171 At ❑Above ❑ Below ❑Grade Land Type 172 Lot❑HomesiteLN 172 Lot❑Homesitea 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ View ❑ Of: Car Shelter 173 Yes ❑ No IT] 173 Yes ❑ No ffr 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ 173 Yes [] No ❑ 173 Yes ❑ No ❑ WATER Pool 174 Yes ❑ No 0 174 Yes ❑ No 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ Quantity: Quality: Partial Complete 70% Complete 1(bQ% Complete % Complete % Complete % Complete % Complete Public ❑ Well [Y]. Ditch ❑ Supplier 5601, 'T k IU6�M P.P. Acct. Checked Yes ❑ No ❑ Yes ElNOD Yes ❑ No ❑ Yes ❑ No F) Yes ❑ No ❑ Yes ❑ No ❑ Aerial Photo Year CQWt1�c,,�]Tt :pey,. Tope Map YearEG�AQI wr1M. MARKET DATA Soil Name Index Acres Comparable 1 f SA..LZ Ats Comparable 2 ®_,�I I G b Comparable 3 Sale Date/Price I2.1!4 Z-7 6.00 PRIMARY BASE SECTION Base Year 140 140 E3 140 Y 140 140 140 Event Date 186 186 (a_ _�� 186 186 186 186 Land 109 27 500 109 i aa S-Og) 109 f109 109 109 Avg. Soi I Rating LAND REMARKS: -Ral, Improvements Trees and Vines 110 111 1700 110 111 --1 a `jdC:) —_ 110 111 110 111 110 111 110 111 pY' ✓ i LJ�. �lh.! . jf <.Y(i�r Perso,b� �"r1 112 112 112 112 112 112 r /✓1 :G CX. 'N f, ' /,ier I: r 4A Keyed By: V1 S.1 r6Q ECONDARY BASE -SECTION Ud(-`1_-r.17�V AT ] Base Year 240 240 240 240 240 240 Event Date 286 286 286 286 286 286 Land 209 209 209 209 209 209 Improvements 210 210 210 210 210 210 Trees and Vines 1.2111 211 211 12111 12111211 ywu wy: ,Af ESS MISCELLANEOUS BUILDING RECORD DESCRIPTION OF mili nipjr.c P4RCEi, OZO-08-0-03,9_0 SHEET -4 OF 5 - SHEET -5 Bldg. No. Structure Size Found. Roof Wall 8 Exterior Type I ost Floor a Interior Detail 19 R L. N. D. Uni Cost Cost 6�01"Odl R. C. N. L.N.D. Second Story or Loft Year Built Est Tot Life Yrs Cover UniP"od Cost 15 C_ Go 19 R. C. N. L. N. Q. COMPUTATION Appraiser -Dote V_ Area No 01 -?,VU Unit Co P .P 15*1 Cost Good R. C. N. N. P—.--- Unit Cost I ost 19 R L. N. D. Uni Cost Cost 6�01"Odl R. C. N. L.N.D. UniP"od Cost Cost Go 19 R. C. N. L. N. Q. Toro/ /700 As Appraiser- Date '91V. Area e a --No 19 n —if Cost R. C. N. Cost Good 19 _01i P Cost C. IV-- 19 n,t cost Cost C. N. 19 Unit Cost % R.C.N. Tofu! AR 531-14 9246 f T i • i r, NOTES RESIDENTIAL I PERMIT NO. 028-080-030 - - - 05-1589 e� THOMAS, JESS 55 HOMER LN, HONCUT Cont: DUWAYNE STILLWELL ELEC SRV -200 AMP OFFICE COPY Address 575- poe""_ GAS Meter By Date ELECTRIC p E' Z Meter By �^'� Date SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER L JOB FINALED (Date) Signature '/L'' -_/S zx� t - t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER L JOB FINALED (Date) Signature '/L'' -_/S zx� J=OK 0= Not OK . = NotReali . =Not Readyy MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date 1. Zoning Requirements -Setbacks -Easements Date 2. Soils; Special MH Support Sketch Card B-1 3. Sewer, Location -Test -Fall -C/O -Concrete PERMANENT END SYSTEM (ONLY) 4. Water, Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ft! P LPG 2. Footings; Size -Spacing -Marriage Line 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 4. Gas; MH Test -Demand -Valve 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings, Size -Spacing -Marriage Line 8. Gas and Electricity Tagged 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 10. License Decals 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch Card B-1 11. Cert. of Occupancy I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1. Zoning Requirements -Setbacks -Easements 7. Electric 2. Footings; Size -Spacing -Marriage Line 8. Frmg., Sills-Anchors-Studs-Rftrs-Trusses 3. Blocking 10. Roof; Shthg-Roofing 4. Gas; MH Test -Demand -Valve 11. Ext.; Steps -Doors -Landings 5. Electricity; MH Test 6. Water, MH Test Card B-1 Date Card B-1 Date 7. Water and Sewer Connected Date POOLS (Plans) OK except #'s 8. Gas and Electricity Tagged 1. Setbacks -Easements 9. Exits 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 10. License Decals 4. Elec.; Receptacles and Lighting, Distance-GFI 11. Verify #'s with Office 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg., Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8.. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg_, Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks-, Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection Date 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fre Sprinkler, Test 67. Bedroom Exiting Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Ktchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Clearance Looked under Floor 0 Yes Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform ff Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing Date 44, Draft Stop in Walls (rat proof) Date 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec_ Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FFI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InsUdA)rive 0 Yes O NQMalks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: f BUTTE COUNTY DEPARTMENT OF DtVELOPMENT 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.nefidds PERMIT NO. BP051589 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 06/20/2005 APN: 028-080-030-000 , the Business and Professions Code, and my license is in full force and effect. Site Address: 55 HOMER LN HON License Class : License Number: Map Index: Date: Contractor: Description: ELECTRICAL SERIVCE UP GRADE 200 AMP OWNER43UILDER DECLARATION I hereby affirm under penalty ofperjury that I am exempt from the " Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: THOMAS JESS W JR & permit to construct, alter, improve, demolish, or repair any structure, prior; to its issuance:�also requires the applicant for 'such permit to file •a' s ~° signed statement that`he or she is licensed pursuant to'the provisions off ; 1,55_ HOMER LANE { { the Contractor's Siate'License Law (Chapter 9'commencmg with 'Section MARYSVILLE, CA. , 7600), of Division 3 of•t6e Business and Professions Code) or that he or . .. , . , ; she is exempt therefrom and the basis for the alleged exemption; Any: 95901 - ,• ,: r^:;;, ;,,; violation of Sect ion7031.5 by any applicanf fora per`mit,subjects 16e. applicant toIa civil penalty. of not more than five hundred dollar§ ($500).)-: ❑ I, as•owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not :.,,,,,_.-ntended,pr,offered for,sale,(Sec. 7044.,Business and Professions - ... ........ .. �:.. "........... W-.,,..... ,>w.,. w -.:, _.,,:,• _. ,.:, ,.-4 .......,,•-w ... .... Code: The Contractors';State License:Law does „n-ot apply to an Applicant: JACK ARMSTRONG owner of property who.builds or. improves thereon, and, who does C/O ASSOCIATED BROKERS .;,.,, such work himself or herself or through his or her own employees, �. provided that such improvements are not intended or offered.f.or 410 CENTURY PARK DRIVE -sale. If however, the building or improvements are sold withinone YUBA CITY CA 95991 year of completion, the owner -builder will have the burden of • 'proving that he or she did not build or improve for the purpose of (530) 674-3597 sale.). �...l,..as- owner„of„theproperty,, am exclusively contracting with. licensed contractors- to. construct: the. project (Sec. 7044, Business r;�•:and Professions Code. , The Contractors' State License Law does ” not apply to an owner of .property who builds or improves thereon, Contractor: -DUWAYNE STILLWELL ,,and who contracts, for. such projects with a contractor(s) licensed MATHEW LANE •,,, pursuant to the Contractors' State License Law.).. - _ YUBA CITY CA i ... ti.. . ❑ - ; I am Exempt under Article 3 of the Business and Professions Code 95993 Da{e:'�'� Ownerr >l -,. _ ;+... ; . (530) 755-4556 ; LICNESE'# 102765. License M. ••"WORKERS'•COMPENSATION DECLARATION•:,_.'. ,. I hereby'affiim, under -penalty of perjury one of the following declarations:;• ❑ •.I.have 'andFwill 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. Architect: O.�. I_ have and ,wit 'maintain:workers'w compensation insurance, as� _ -Engineer: v ' • .1 .....,....., .. .. •..„._u- required:by Section 3700'the LaborCode,4or the performance of the work for which this permit is issued. My workers';compensation insurance carrier and policy number are: Carrier: w - -• Total Square Ft: 0 S. F. Policy Valuation: $0.00 •,r,e,,.wr,,; !,,, .:..�,.i:w...:. s..,.tii.+i 4N^•+.Mem .,-.+'Gf�-.,.. ,:-i JlJ�r. ... . vw I certify that in the' performance of the work for which'this permit is Census Code: ,issued,;lishall ;not temploy-any"person in' any mariner so,as •to become, subject to the workers'l compensation laws -of California, and • agree ;: that, if; Ishould c become subject to.ithe workers' compensation provisions of Section 3700 of the Labor Code, I shall. _ forthwith comply with those provisions. • , Date:G WARNING: '` Failure" to' 'secure workers" compensation *coverage `is t unlawful; and'shall 'subject an employer to criminal penalties'and one ' ^ hundred"' hos' and, dollars ($100,000); in -addition to - the -cost of compensation, damages as provided for in Section 3706 of'the Labor ,code, interest; andottomey's fees - ,CONSTRUCTION LENDING AGENCY :. • + •.:+ This permit is h reby issued under the 5130licable provisions of the Butte Cnunfy Code anrUor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097—�� Reso utions to o work indicated ab e f r which fees have been paid. /) �` Name_: gy.�jC, /- Date: (�� PERMIT EXPIRES �l/f Deo Address: - ON: V Date ❑ ~I hereby certify that,the use of this facility shall comply with -Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. , i,., , ,:,,, ; . •, ❑ Notification in accoidance with'Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ 'Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner o the duly authorized ent of th owner. I agree to comply with all county,and state laws relating to building construction.'.1 acknowledge it is unlawful to after the substance o y official form or ument ,Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose . Print Name: /2 (S 111 Signature: Qr� Date:, - ❑ Owner i• - ❑ Contractor Agent for Owner ❑ Agent for Contractor 11x12/2004 12:32 4083751253 PAGE 01 A.W. Rogers. Hawley P.O. Box 3044 Monterey, CA 93942 November 12, 2004 Mr. Jack Armstrong Associated Brokers 4.10 Century Park Drive Yuba City, CA. '95991 Re: 573;000.00 Note secured by 55 Homer Road, Marysville Dear Mr. Armstrong, Per our. telcphozic conversation this morning, I am enclosing a copy of the recorded "Assignment of Deed of Trust" showing me as the owner of the above described lien. As.such, I'hereby.authorize the owner or his/her representative to obtain necessary county :permits to. bring the.property-in full compliance with the county's building codes. If I can be of any further help to.you in this matter, please do not hesitate to contact me. Yours truly, / A.W. Rogers R(awley Enclosure 11/12x•2004 12:32 4083751253 PAGE 02 !� - •J �lllill(III!!!i!ilIIII(Illllllfll! / ��2rzr04—fd052�'E►� �RECORDING REQUESTED BY ;r Mid Valley Title •& Escrow Company Recorded I REC 'FEE lel. go 'ESC120W# I584688DH-1.{CHI-C Official P-ocords I AND WHEN RECORDI=DCounty Of . MAIL TO: CANDpCBUFIE UBB5 .. I Charles Hawley Recorder I 555 ABREGO STREET 2nd FLOOR R 3EMARY DICKSON I MONTERY, CA 93940 09;QAssistant �4M 27 pug- i pageeI of 2 Spate Above This line for R=rdees Use Only A.P.N.: 028-080-030-0 File No.: 0401-1584698. (DH) ASSIGNMENT OF DEED OF TRUST For Value Recelved, the undersigned hereby grants, assigns and transfers to A:W. RogersHawley, a married man as his sole and separate property all beneficial Interest under that certain Deed of Trust dated June 8, 2004 -executed by Douglas Wirtz, a married man as his sole and separate property, as Trustor, to North'State Title Cothpany, a.California Corporation, as Trustee and. recorded as. Instrument No. 2004-38385 4n June 25, 2004 in book n/a, at page is/a, of Official Records in the County Recorder's Office of Butte County,Californla, describing land therein as: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERYAIN PARCEL MAP, RECORDED IN THE OFFICE 'OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 17, 1980, IN BOOK 81 OF MAPS, AT PAGE(S) 15 AND 16, PARCEL TI: RIGHT OF WAY 60 FEET IN WIDTH FOR ROAD AND PUBLIC UTILITY PURPOSES, A- SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE•RECORDER.OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 1, 1980, IN BOOK 75 OF MAPS, AT PAGE(S) 75 AND 76. PARCEL III: RIGHT OF WAY OVER TRUXTON COURT FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL•MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 17, 1980, IN! BOOK 81 OF MARS, AT PAQE(S) 15 AND 16. TOGETHER with the note or notes therein described or referred to, the money due and to become due thereon with Interest, and all rights accrued or to accrue under said Deed of Trust. Dated: August 18, 2004 50, PERMIT NO. E(Nh), • `i PERMIT EXPIRES 1; OWNER JESS & DEBARA THOMAS 44 CONTR.. owner A 28-08-30 ASSESSOR PARCEL N/S Homer Ln 1200' E Laporte Rd �• LOCATION � ' P (Truxton Ct) Ei Temp. P. tall Temp. E t Call Temp. G. Call JOB FIN Sign 1 J OFFICE COPY Address GAS Meter By Date 500/f s' ELECTRIC '^ Meter By .[//T� Date • Y J OK • 0 = Not OK = Not Applicable * = Not Ready I MOBILEHOMES MISCELLANEOUS Date MOBI OME UTILITIES (Plans) OK except #'s e Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except +r's MISCELLANEOUS Date MOBI OME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except +r's Zo ing Requirements—Setbacks—Easem nts S ; Special MH Support—Sket 1. Zoning Requirements—Setbacks—.Easements 2. Footings; Size—Depth—Spacing—Connectors e er; Locatio Test—Fall-C —Con a 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. ater; Lo ion Te = asement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. tricity; Location—Clearances—Grnd.—_I ZD Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as; LocaOits` est' rap: 'L"ft./ /"Nat.or L"ft./ LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. I Card -BI DateC d -BI Date v Card -BI Date Card -BI Date Card -BI to 2,,Card-BI Date Card -BI Date Card -BI Date Date M I OM INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except p's Zo ing Requirements—Setbacks—Easements 1. Setbacks—Easements F otings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3 ; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining ricity; MH Test—Crossovers—Breakers—Clearances , 4. Elec.; Receptacles and Lighting; Distances—GFI D n; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Wa ; MH Test—Regulator—Connector 4 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ter nd Sewer Connected—C/0 to Grade—HD Approval t 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater G and Electricity Tagged I } B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9 its; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date ,Card -BI Date Card -BI Date Fv Off( 0 = Not OK - = Not Applicable = Not Ready RESIDENTIALg e and Duplex) Date UNDERFLOOR Plans OK exce t#'s _Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except k's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 26, 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. 28. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes EJ No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 75. 76. Following instld.: Drive ❑ Yes E) No; Walks E) Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card B -I Date Card -BI Date Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Comments at Final: Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.-Rfn_g_.__ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califorrbia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. /4 / ASSESSOR PARCEL NUMBER N "-5-BUILDING ZONITh PERMIT OWNER y- 1 TES%LE PHONE T SO. FT. OCC. BUILDING VA ON OWNN�ER'S MAILING ADDRESS C I - V - CONTRACTOR'SNAME ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $�7 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER V 01y) LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $^, BUILDING DDRESS S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO SUBDIVISION NAME PARCEL MAP r Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg-"Other SPECIFY Building sewer 5.00 Mobile Home 0.00ea , TYPE OF WORK, --, New ❑ Addition ❑ Remodel ❑ Utilities �� Installation ❑ Other ❑ Describe work: Permit Fee $ , D Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 to, on 'Main kled service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2I/20sq ft CONT ACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract-ors.(Sec. 7044) ors. (Sec. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON.RESID R BRANCH CIRCUITS 2.50 ea NEWCONSTR. POWER APPARATUS & NON -RESID, SINGLE OUTLET CIR. Ex. OccuP(oXOR FIXTURES 20@50a SAL@30 FIXEEDD APPLNS. OR EX. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi sc. Wiring 15.00 bv� v Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st said County in co equence of the granting of this permit. X 1�� —�5— Date Si lure of Applicant — Owner Contractor C] Agent ❑ An OSHA permit is required for excavations o er 5'0" �a d �tWor construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE 1-11 OCCUP, GROUP I TYPE OF CONST. )��JPARC PD HD 9 .E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRE R OF P LIC ? By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date"' Receipt No. WHITE-D.P.W., YELLOW -2 .,$K 5 CTOR. G L ENROD-APPLICANT Return t�'UPW• AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT ;01 IFFICIAL P.ECOF D. Section 26-8.1 of 'the Butte County Code requires this acknowledgeme,l_TC CCUNTY be -'recorded prior :to issuance of a building permit. IE�1E� :�_CORV WiOWN The property described herein is adjacent to land or included II within an area zoned for agricultural purposes, and residents of th`VI property may be subject to inconveniences or discomfort arising frcEqEAmt)j( µ the use of agricultural chemicals, including, but not limited to hftS M:Wi,. 1!10*iltfms, and fertilizers; and from the pursuit of agricultural operations including, but noLE€imited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property,should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE SCHEDULE "C" ATTACHED HERETO AND MADE A PART HEREOF. Date: January 4,, 1985 State of Arxn,A) County of OFF!CIAL SEAL PATRICIA E. PININEY NOTARY ctiµ!C.-CALIFOIN!A YUBA COUNTY Mi Co•nmission Expires FEB. 26, 1988 PROPERTY ! -4 J !.!ls:f Jr. lI/ 1. On this the 4th day of January , 19 85 , before SS. me, the undersigned Notary Public, personally appeared Jess W. Thomas, Jr. and.Debara L. Thomas // Personally known to me. ,L/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose tlame(s) a... subscribed to the within instrument and acknowledged that tha ii executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. Patricia E. Pinney l��R-[7�-�-030-4 SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel 3, as shown on that certain Parcel Map being a portion of Sections 22 and 23, Township 17, North, Range 4 East, M.D.B. & M., filed in the office of the Recorder, County of Butte, State of California, on December 17, 1980; in Book 81 of Parcel Maps, at pages 15 and 16. PARCEL B: Right of way 60 feet in width for road and public utility purposes, as shown on that certain Parcel Map being a portion of Sections 22 and 23, Township 17, North, Range 4 East, M.D.B. & M.,•filed in the office of the Recorder, County of Butte, State of California, on February 1, 1980, in Book 75 of Parcel Maps, at pages 75 and 76. PARCEL C: Right of way over Truxton Court for road and public utility purposes, as shown on that certain Parcel Map beinga portion of Sections 22 and 23, Township 17; North, Range 4 East, M.D.B. & M., filed in the office of the Recorder, County'of Butte, State of California, on December 17, 1980, in Book 81 of Parcel Maps, at pages 15 and 16. - r� NOTE - .Materials & Worfcmanshi Shull Be in This mf of plans and specifications MUST Np (apt on the job at all times and it is unlawful to Accordance with Reccrnizor: G-: o:A practices and �• .� , -, . , c, rake any changes or alterations on same withou4 of a qua�,ay ,;rasrr,r.f3., rar #i,: _ �afFed use in the written permisson from the Department of Pub$k Unifori-A trot.: i;:�, ;r:;:.i>,c� a ivlecimaical Codes a Works, County of Butte. the National - Electrical Gods. i ` '70g. f Utility connections shall be within. 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of 'the -A s tback of ft. from the mobilehome. SAO f' property linet and a setback of t. from. he road --o� centerline shitll be clear of structwres or quipment except for ao 2 ft. a 'e overhang.. r t ROO. t 500 SQ. FT. MINIM M _ 4 FOR MOBILE blue. L J BUTTE COUNTY -r LDING DEPARTMENT 'ORO APPROVED .SLOP10 rn 6 1 FkRtAS.- 6m� -OC- Arell A. e.0 / ( . 3e' COUNTY OF BUTTE - DEPARTMAT OF PUBLIC WORKS PERMIT NO. / 7 County Center Drive - Oroville,,Calitornia 95965 - Telephone 916/534-4541 ✓✓✓ APPLICATION AND PERMIT NUMBER ASSESSOR PARC^ - -Ov ZONI N .,— r5E"L BUILDING PERMIT OWNER- SS / C! TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER' MAILIPADD ESS . COQ RACTOR'S NAME_ TELEPHONE CONTRACTOR'S MAILING ADDRESS e% camas%�t Fireplace C ONSTF, CTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI ECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ `V Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DDRE � PLUMBING PERMIT Filin g Fee 10.00 C T Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome v Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK ,—/ New ❑ Addition [:1Remodel ❑ Utilities El Installation L Other ❑ Describe work: f-0 r 't Ir ('t1 a '- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 100 AMP LESS Main service 10.00 n K� Main service EA. ADD -L too AMP 2.50 NEW CONST. ( DWELLING OCCUP,& OR AODNS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Businesszo®eot and Professions Code ao my license is in full force and effect. L License No. '36*711 5 Classification C ••-61 ❑ 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 NON -RESIT R. BRANCH CIRCTITS. 2.50 ea NEW CONSTR.( POWER APPARATUS &') NON-RESID, SINGLE OUTLET CIR. / Ex. Occup(o Ts OR FIXTURES BAL030 XED FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to -Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep ha- . ess the County of Butte against all liabilities, judgments, costs, and expm's which may in any way accrue against saounty in consequenc oof .Deigrant' of this per 't. Date i© _ ` Signature of Applicant - Owner - V for ❑ Agent An OSHA permit is required for ex y�o't ons over 5'0" deep and demolition or construct- ion of structures over 3 stories in "gh ` Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. '— PARCE PD HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC BY J, PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datee is`C- Receipt NO. J P WHITE-D.P.W., -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT AP #_ OWNER�d`�ZG�.O PERMIT '# MH UTIL.CLEARANCE DAT — INSPECTOR ELECTRIC GAS Support Struc. Compaction ITest.Req. Service Size Other Load Tv -pe Pipe Size Length YES NO YES NO t. BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,`CA. PHONE: '534-4541 MOBILEHOME-INSTALLATION SHEET w/ 1. Owner's name: �r 2. Installer's name: 3. Is the site currently under permit? Yes No (If yes, furnish permit.number, 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 f septic tank and leach fields and clear of all setbacks.and easements? Yes ( If no, clarify 5. :What is the mobilehome electrical rating? ----------------- Amps 6. What is the mobilehome site service rating? --------------------- glen Amps 7.. What is the mobilehome site circuit breaker rating? ------------- / e D Amps 8. Is there any other electric load to be served by the mobilehome siteservice? -------------------------------------------------- 7- Yes No (If yes, identify the load and sizer (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- �i (in.) 10. What is the type of gas service? ----------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------ C ;1600 (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA ✓ If oth-er: than single wide, Mobilehome Mfr. (,fie 'a,' furnish Setup Model No. �L X �� !�'� Year Width6 (ft.) Box Length(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after Octbber 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. L-.n—J (ft.)(in.) .enter support locations* -, (ft.)(in.) lz 0 1 (ft.)(in.) (ft.)(in.) 1,26 (ft.) (in.) (in.) (in.) Center support footing sizes (in.) (in.) (in.) 3 f7 (in.) (in.) (in.) (in.) q 1--r xg C7 (in.)I (in.) Footings (check one) Single Wood either pressure treated or foundation grade. 2. Other: (specify) Supporta (check one) : Concrete block. •2: Other (specify) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. E --Tagalong or Expando,' show support details. `D erg' x -- Typical Support in. in. Footing Size �6 -- Max. Pier Spacing Max. Overhang (ft.)(in.) BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP060597 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/06/2006 APN: 028-080-030-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 55 HOMER LN HON Date: Contractor: Map Index: OWNER -BUILDER DECLARATION Description: addition to mh 128 I hereby affirm under penalty of perjury that I am exempt from the p Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: WIRTZ, DOUGLAS AND KELLY to its issuance, also requires the applicant for such permit to file a 55 HOMER LANE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section MARYSVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95901 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).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: WIRTZ, DOUGLAS AND KELLY Code: The Contractors' State License Law does not apply to an pp owner of property who builds or improves thereon, and who does 55 HOMER LANE such work himself or herself or through his or her own employees, MARYSVILLE, CA provided that such improvements are not intended .or offered for sale. If however, the building or improvements are sold within one 95901 year of completion, the owner -builder will have the burden of proving 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 Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' License Law.). ❑ 1 am Exempt under Article 3 of t Business a Professions Code Date: y G—� Owner: 7A --v WORKERS' COM NSATION DECLARATION License #: 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect:, is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 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: Total Square Ft: 0 S. F. 2f� Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: 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. F Date: `•� v - CQ6 1/1 Applicant: 1 WARNING: Fa' re to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This perme�� rider the pplica a provisions of the butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutioed a v for i f h ebeen paid. performance of the work for which this permit is issued (Sec 3097 Civ.)Name: By: /Date: Address: PERMIT EXPIRES ON: (Date)— ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, . handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner o duly authorized agent o he owner I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance an official for or docum of Butte ounty. I hereby authorize reprosenta)ltives of Butte County to enter upon the above mentioned property for inspection purpo es.�, - Print Name: e/✓�C1� 4R rs75 /1 J"'2' Signature: u24 Date: ❑ Owner ❑ Contractor XAgent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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 OF APPLICATION **PLEASE PRINT CLEARLY** OWNER Last NameW , , , first Im� 6 vl Address G. t -j . City /" SV (_ State c"k- Zip9dl Phone ^--�q,2�3G'� �� Fax E-mail APPLICANT NAME CONTRACTOR Name L r Address Zp'fso -k f! City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City �vr,---- C I Address Zp'fso -k f! City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name Address �e _ (1 City �vr,---- C I State Zp'fso -k f! Phone 6 7 � _3 � Fax E-mail APPLICANT IGNA URE X �-- For off a use only: Zoning Property Address /�6 /kl CZ Flood Zone Cross Street G_ SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP0605� BIN # � LOCATION AP# 02-0 �o gt� —©3O Property Address /�6 /kl CZ City ' mcL 'J Cross Street G_ 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: /MP76W 7--.> M• rl2g Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): JG�� ,�_Itu//- iN 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. Received b : Amount: / 70147 Bldg C[� CQg SRA Receipt #: b-7— r�v Date:2 OVER FOR SUBMITTAL REQUIREMENTS 1' KAFORMS\BUILDING FORMS\BldgAppISubRgmts.doc Page 1 of 2 85 -2 -SS J, -G-y Gb — Sheriff SMIP Other 7 Total REV 6-16-04 4 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ .2. . 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). . O 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ,❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: / ASSESSOR PARCEL NUMBER Proposed Building Use- "D / T7k-r J (I � Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. /P 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. / N 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered. plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. must be stamped and wet -signed by the engineer. 1110. Flood Elevation Certificate, wet -stamped and signed, in duplicate.6 y CitL �5 All of these 11. Hazardous Material Form / N 12. Acknowledgement of building permit application without required clearances. A 5 - gu/c T i ni /9'66 ❑ 13. Other Remainin s needed to issue the permit. (May require additional plan review upon receipt of the following items.) �u 4. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable _... .:...:O .Fire Sprinklers............................................................................................ r_ ; x,El ' - 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by t' ❑ ;j 17. Soils Report and/or Engineered Foundation required ........................................... r, �,.; ❑ `: 18. Erosion Control Plan Required........................................................................ 1Fees as shown on the attached Schedule of Fees Due Sheet .............................. 0. City of Chico Plumbing permit...................................................................:.... ❑ 21. Site plan and business license approval from the City of 131991...... California Department of Forestry plan approval a.l Sent by: � �.............. 23 Planning approval for (A) Use: (B) Parking: (C) Parcel Check:............ ❑ Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... IV26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) .................... ❑ .29. Worker's Compensation Carrier and Policy Number .................................. ..... :.. El 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization ................... :................ ..................... ...... .... . ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone �/Z/L p' J�"'s*�-a�(� �7and hod for pickup. I have been informedtof the above items anolrequirgments for obtaining a building permit. Applicant: Date: 3- /7 •0�4 1. Index permit applic on for thea ove items n mbered: Plan Check Letter M items re,�ired esigner, owner, was advised of the above data by hone, ❑ mail, ❑ counter, by Date:esigner, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b ,. Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Da Structural approved by: Date: Note transfer by: Date: Yellow: Building Division :j K/Building/Plan Check/Data Sheets/data sheet page 2 9:27.05 a` TO: Building Division - Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Owner j Location E.H. WgE ON Y Plot Plan Attached Ae Floor Plan Attached Sent to BD/DS 0c�?-Jp- ®00o -0,3a AP# Plan Approved for: Sewage Disposal: .-/ ' Water Supply: Public Private Well v-1/ Clearance for dwelling. Other e/ `� L P,cJ .el -4'e - Hold final for: Building Clearance 9/2005 ecialist BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner wirtz, doug APN No: 028-080-030 Application Date 3/17/2006 Permit No: BP 06 0597 Permit Type: addition 'v 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION —$426.17 Plan Check portion of Permit Fee -7�1, $170.47 $255.70 Balance of Building Permit Fee 2 FEMA BYes Flood Elevation Review $109.98 0 3 SRA* x Yes Fire Plan Check - Non -Refundable $95.00 $95.00_ (State Responsibility Area) Building Inspection $109.98 $109.98 1 — $204.98 NON-REFUNDABLE portion of fees due at application $265.47 RECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT 4 Balance of Building Permit Fees (from No. 1 above) 5 SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IIMPACT FEES - RESIDENTIAL* I lPerDwellinq I lPerDweiiinq I I Per Dwellii 10 0 RECEIPT DATE Tech/Asst 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* At the time of permit application, I was advised the above fees are req red to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. / P Applicant: k J a441 / /tom ,i V__1 Date: 3- /) -d G Pursuant to Government code ection 66020, you are hereby notified t ose Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of a porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment CoM Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 Q PATMEN-r TT� 0 Department of Public, Works County of Butte p LAND DEVELOPMENT DIVISION � 0 � J. Michael Crump, Storm Water Management Program DIr2CfOr 7 County Center Drive Oroville, CA 95965 'OveC1�� �` (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACRE] Project Description: VJ a Project Location and/or Parcel Number: 5 ��k �✓ By signing below, I, the project owner/owner's 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 build -outs 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 Control 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 a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: �_N 0- )'>I oG Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Luite Com tyDeparllnent ofDevelopinentSerices 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile CIM BUILDING PERNUT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited- to; Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once .the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to-all mitigations and conditions imposed on the paicel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: C"';C/c ��, 5i ,ev s,,S APN: O 3 0 Building site address: I have read, submission of SIGNATURE Permit No.: X06 6-"->-7 and accept the terms and conditions as expressed herein as indicated bymy referenced building permit application and my signature below: APPLICANT 3 � -- &74 DATE v Copy to Applicant/EWFile r-:Forms/BldePermirwithoutClearances 020705 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM oqv -(One form per Building) School District /ro ll�tC. Uhl on $ h ,R ml Pi*116 Building Department No. neo A.P. Number �!.-t)�Q-n Jurisdiction: City ®County Property Owner) Property Location/Address i 1'riC r Homo �) ' A 159 Subdivision Lot No. ,....................................................................................� Residential Development Q Q Q Sq. Footage No of Living Mobile Home Addition/ "Supplemental to (Group R) 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 0 Sq. Footage New Addition (Including Exterior Roofed Areai) Building Department Re resentative Date Istrict Identification No. 060209 Y(' a APU School District certifies that f (Applicant) E5gab 0-7q '&!5c77 (Street Address) (Phone Number) (State) has complied with the requirements of Resolution No. representing 0 square feet. School District Representative Paid by Check # /J J/9 Remarks: (Zip Code) by payment of $ Iql Ar B 2926 $ PULL MITIGATION $ 1116 (v 6 tv Date Notice: You may protest the Imposition of the Mss Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date Mee are paid. Failure to submit a timely wrlthn protest will prohibit you from challenging the Imposition of the fees In any court action. y ' If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school tees to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feetormids (305)<blm I�� .. _. � "tMe:.t!/.e+�b `l 4Auv'-F�.v.-.«tr�..1+.1F,dG.r. ,l. ' "a .HW. +.l.:.ei::,�✓e �., a. ._ ...3.SL4wibJ' 9.r'.v-`:. � x •"•-tom '. _i (ii�lWd�xd�taRkitaL'9.?:dlak3""swan+.mw�trotxtiW'¢�w.�ewr+i✓s+Y�+RfP1'°+�9sM'�Yrx tvMi9i�'Y'�`^Y:TV�'!tF�l�:.gY'�"+•'+w«.^++�rvro cv�: �h6edd!hroat^.SPa.,F!, ki:Y:uri�iMltida'dY'�'at«i'ahJn'YFa"3N ��yy+p�yfJMh ..... . �. .� �__ _ _ _. f o , ����' ,� � '� � (� Orr) �'j f�t 11� lint AAA MIX R A "M of X RP N- tt �0 SIT to 4 Q F'— �Q,J' Q- Wm- - �a 7 �wq Z; 14 1 "All I pulp if ARE mom 'Tp U110 �"Mz- too vhd�'� ng - 36 E ill -IF E it bit I AST 1 , ANNE 'RJR ; 4A oil, now A sy California Department of Forestry and Fare Protection Butte County Fire Department Fire Safe Requirements Permit Under authority of Public Resources Code Section 4290, the following checked items are required by CDFButte County Fire Department and made part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building -Inspectors will make compliance inspections. 1272.00 Maintenance of Defensible Space -Measures [X] 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 be included in maintenance shall the development plans and/or shall be provided as a condition of the permit, parcel or map approval. Public Resources Code 4291 information will be provided when the final inspection is completed. 1273.10 �riyeways IN (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] (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. [X] (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and st all be within 50 feet of the building. 1273.02 Roadwae Surface [X] 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 Roadayay grades [X] The grade for all driveways shall not exceed 15 percent. Grades above 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273,04 ?itoadwav ldius PY] (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. [X] (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. 1273.05 Roadwgy Turnaround [X] 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 rnin_im0_m of 60 feet in length b 1273.06 Roadway Turnouts' [X] Turnouts shall be a minimum of 10 feet wide and 30 feet long gwith a mimmum 25 foot taper on each end. k Revised 02/28/06 1 1273.07 Roadway Structures [X] (a) All driveway, road, street, and private lane roadway structures ()3ridges, 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. [X1 (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. [X] (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. 1273.11 Gate Entrance [X] (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. [X] (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. [X] (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. 1274.08 Addresses for Buildings [X] 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 Sipe of Fetters -Numbers and Symbols for Addresses [X] Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8" stroke, reflectorized, contrasting with the background color of the sign. 1274.10 Installation, Location and Visibility of Addresses [X] (a) All buildings sha>l 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. [X] (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. [X] (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. [X] (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. 1275.01 Setback for Structure Defensible Space (a) All parcels i acre and larger shall provide a minianum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] Your parcel is larger then 1 acre but your minimum setback for buildings and accessory buildings is less m then 30 feet from all property lines and/or the center of the road. You are required to meet the same practical effects requirements listed on page three. { ] (b) For parcels less than 1 acre, the local jurisdiction shall provide for the same practical effect. See page three for same practical effect requirements. Revised 02/28/06 11 11 J ' Same FracticW Effect 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 • Fire rated metal doors on side toward property line with insufficient setback m Siding from the following list: (a) Stucco -3 coat (b) Non combustible Hardi-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 [X Disposal, including chipping, burring 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. Other Re uirements Installation of Residential dire Sprinklers [XI if your property was part of a parcel split after January 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. 03/22/2906 Darren Read Sate Fire (Protection Planning i Revised 02/28/06 3 'W, ..... � REVISIONS BY I t,fEx M 7JR.AF l J"G FORM,, NO !W 'J4 s.. m OATf µ µ z' SCAOF v tiEkAWN SHEET' or SHEETS Us WrnAm; AWE I i� 1 Nat A magn I yms flow z"A "in AU . . . . . . . . . . . .