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028-130-022
AP 28-13-22 F. Sarey - w/s Bangor Park Cut-off Rd., 500' N. of LaPorte Rd.,, Bangor (FIRE REPORT - MH DESTROYED -.4/16/81) 28-13-22 Fred L. Sarey W/iBangor Park Cut-off Rd.,500' N.of LaPonte Rd., Bangor con tr: C. J NContr., Oroville Permit #1471-81B,E,,Vnew, single family) ----------- 2 8'-1 -2 2 : ContrSolar- . Hart, Sacto Per #2445-81p(solar water htr)S 028-130-022 -236 BUMPUS, ROBERT 1597 PLEASANT GROVE LN, Cont: OWNER ELEC SERV (WELL) _N, \� 028-130-022 0572657' BUMPUS, ROBERT& VE 1597 PLEASANT Q :BANGOR Cont: OWNER NEW M/H EX SITE PERM FND B07-2492 028-130-022,, MISCELLANEOUS Ag Exempt DG.': STORE HAY GRAIN) A6 BL . 5ERT 1597 507 PLEASANT GROVE LN BUMPUS, gQ8ERT. j .__ -i �_!� ','�5't'� ■ � '. __ �:�� � , 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES AGRICULTURAL BUILDING EXEMPTION PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds . PROJECT INFORMATION Site Address: 1597 PLEASANT GROVE LN Owner: Permit NO: B07-2492 APN: 028-130-022 BUMPUS, ROBERT Issued Date: 01/09/2008 By KEJ Permit type: MISCELLANEOUS 1597 PLEASANT GROVE LN Subtype: Ag Exempt MARYSVILLE, CA 95901 Expiration Date: 01/08/2009 Description: AG BLDG: STORE HAY GRAIN, FE (530) 679-1999 Occupancy: U-3 Zoning: A5 Contractor Applicant: Square Footage: BUMPUS, ROBERT Building Garage Remdl/Addn 1597 PLEASANT GROVE LN MARYSVILLE, CA 95901 Other Porch/Patio Total (530)679-1999 FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $115.98 Total Charged: $191.68 Fees Paid: $191.68 Balance Due: $0.00 Receipt No: B5559 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 01/09/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE LTJ COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). WILL WORKER'S COMPENSATION INSURANCE, by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED ❑I HAVE AND MAINTAIN as required CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number. Exp. Date: (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: n I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS L fi ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 01/09/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 01/09/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sign ure Date WARNING: FAILURE TO SECUR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to ter the above mentioned property for inspection purposes. I hereby certify that I am the prope er or am auth i o act on the property owners behalf. CONSTRUCTION LENDING AGENCY 01/09/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) ame o ermittee GN] Print Enn�ate Ui 1 ' iOwner 6W�AgentforOwner ❑ Contractor ❑Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY o�vTTF0 DEPARTMENT OF DEVELOPMENT SERVICES o BUILDING PERMIT APPLICATION o �,. o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o "r=4a`��—�, o A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds c01JN'"PLEASE PRINT CLEARLY" OWNER INFORMATION L ame Prkt Narne�, Mailing Add ss 16 V 0 P -Z, City Ste Phone Pho Fax E-mail CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PERMIT Np��17OO^. � � 6` -NI BIN # PROJECT LOCATION AP# o -1 0 01-1?.r;- Property Address sw7� O .0 City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: / Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only:,, Zoning Flood Zone SRA I Yeil No Occ. Type Const. b 1'q I -�t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net/dds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm. implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initialsc2!�"AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials 0�& AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a ' residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 1597 PLEASANT. GROVE LN Permit No: B07-2492 APN: 028-130-022 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: A5 Description: AG BLDG: STORE HAY GRAIN, FERTILI2 Required Setbacks: Applicant: BUMPUS, ROBERT Front: Side: 20' Rear: 20' 1597 PLEASANT GROVE LN Type of Construction: MARYSVILLECA95901 (530) 679-1999 Type of Siding: T-111 Owner: BUMPUS, ROBERT Est. Const. Cost: $ 1,000.00 1597 PLEASANT GROVE LN Roof Covering: Compostion MARYSVILLE, CA 95901 (530) 679-1999 Floor Type: Concrete I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and prior to occupancy. Signature of owner: Date: 12/10/2007 FILE COPY Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax Www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, withthe exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an'employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish,.the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by acceising thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE.MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. 1 PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IlvIPROVEMENT(OR NO) 1-iAV 2. 1/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR -WORK: NAME ADDRESS CITY PHONE . CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: AG BLDG: STORE HAY GRAIN, FERTILIZER, TOOLS (30'X 60) Reference Number: B07-2492 Applicant Name: BUMPUS, ROBERT Owner's Name: BUMPUS, ROBERT AP # : 028-130-022 Signature of Property Owner: Date: Butte County Department of Development Services TIM SNELLINGS, DIRECTOR PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530)538-2140. Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition; your. plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire become null and void if the work authorized by such permit is not started or completed within one year from the date of issuanc such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progr has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the iginal plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a full permit fee and additional plan checking and documentation may be required. Upon completion of work covered bythis . ermit, please contact this office for final inspection: As a reminder to you, it is illegal to occupy this building or any portion f the building for which this permit is issued without a final inspection. �g.cemp��er Eml� EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hitp://municipalcodes.lexisnexis.com/codes/butteco/ When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public, inspection and will be posted on the County's website for electronic access. Reference Number: B07-2492 Location: 1597 PLEASANT GROVE LN Parcel Number: 028-130-022 Owner Name: BUMPUS, ROBERT Description: AG BLDG: STORE HAY GRAIN, FERTILIZER, TOOLS (30'-X 60) Date: 12/10/2007 Phone: (530) 679-1999 Signature of Applicant: Date: 12/10/2007 FILE ...'Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm: Water Managment. Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B07-2492 Date: 12/10/2007 Location: 1597 PLEASANT GROVE LN By: KCG Parcel Number: 028-130-022 Sub Type: Ae Exempt Owner Name: BUMPUS, ROBERT Phone: (530) 679-1999 Description: AG BLDG: STORE HAY GRAIN, FERTILIZER, TOOLS (30' X 601) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water. Permit from the State of California Regional Water Quality Control Board. Phased projects, that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or.failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided bylaw. Signed: 110, Title:jh FILE Date: 12/10/2007 f S . ! ' AREA ' Butte County Department of Development Services ; e�Trs, N O T E S 7 County Center Drive, Oroville, CA 95965 / (530)538-7601 www.buttecountyneydds r. - t S RESIDENTIAL + ` APN: 028-130-022 _ _....._ 05-2657 BUMPUS, ROBERT & VERA Owner: r f 1597 PLEASANT GROVE LN Site Address:' BANGOR Cont: OWNER i Contractor• M/H &X—&H�ERM FND Type of Permit: , - IIII - pI po ono ()f� o ; mly SPECIAL CONDITIONS CHECKED BY. ❑ SRA ° :, ❑FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ' ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMIT CONDITIONS e ❑ SUB -STANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE r OFFICE COPY Address GAS Meter By Date { ELECTRIC Meter By O Date SPECIAL CONDITIONS CHECKED BY. ❑ SRA ° :, ❑FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ' ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMIT CONDITIONS e ❑ SUB -STANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE r M -=OK 0 = Not OK �MANUFACTURED HOMES MISCELLANEOUS DATE RMANENT FOUNDATION SOFT -SET oning-Setbacks-Easements 2 Soi , Special MH Support Sketch ewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LPO Inch Sz Ft Lngth Ickng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test -Crossovers -Breakers -Cl rncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 G d Elect icity Tagged 1 Downs Foundation ❑ Exits 15 Cert of Occupancy 16 HUD Lab Insig i Numbers Serial Numbers41 16 S9 DATE ID 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 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-CnnctrsShthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs -Studs -Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath ! 10 Roof; Shthg-Roofing I. 11 Ext; .Steps -Doors -Landings 12 Braced Wall pnls I DATE POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness 1 Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI j 5 Elec Pool Lting; 15 volts-GFI I 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl i 10 Plmb; Cir Test-Wtr Supply Test w 11 Lt Niche i 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide Oa 0\41 �!- 2Z `C• °q . x Pool Drawing v=OK o = Not OK RESIDENTIAL (Single. & Duplex) DATE JUNDERFLOOR DATE PLUMBING P 1 ZoningSetbacks-Easements -FI ood-Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test o' 0\\c 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 61 AC Ducts lnsultn & Support 14 Girders-Sills-Anchr Bolts.)oists -Vnts -Cripples 62 Vent Fan, Exhaust abv lnsultn 15 Acc & Vntitn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 41 O� 0\\C DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Pullin -Roof Brac-Truss-Shthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting DoorsSill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv flr 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass PrtctnSkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 lnsultn-Foam-Looked in Attic 38 lnsultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ONO 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑CU or ❑AL 98 Address Posted AC Wire Sz ga ❑ CU or ❑AL 99 Fire Sprinkler 48 Range Circ ga ❑CU or ❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No o' 0•\O\ o' e•\c 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052657 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 01/26/2006 APN: 028-130-022-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address: effect. 1597 PLEASANT GROVE LN BAN License Class : License Number: Map Index: Date: Contractor: OWNER -BUILDER DECLARATION Description: new mh, ex site, prm fnd (1404) 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Owner: BUMPUS, ROBERT & VERA BETTY Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a BROWN, ROGER D. & DEBRA E. signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 1597 PLEASANT GROVE LANE 7000) of Division 3 of the.Business and Professions Code) or that he or BANGOR, CA 95914 she is exempt therefrom and the basis for the alleged exemption. Any (530)679-1999 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).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BUMPUS, ROBERT Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 1597 PLEASANT GROVE LN such work himself or herself or through his or her own employees, BANGOR, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95914 year of completion, the owner -builder will have the burden of (530)679-1999 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' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code �— Dater Owner: WORKERS' COMPENSATION DECLARATION License M I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit 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: 1404 S.F. Policy #: Valuation: $91,260.00 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 became subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:�� Applicant: / WARNING: Failure 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 permit J ereby i ed un r the app able provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu ' s to dow6r indicate above which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) / -26 ,!�) Name: BY Date: PERMIT EXPIRES ON: Address: (Date) ' ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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 or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize represt;ntatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: r /o .,pCl did 12 U S Signature: Date:, ae l� �//�iY! �� Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor 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 OFAPPLICATION "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: CONTRACTOR Name u Address SRA Yes 4 City State State Zip Phone E-mail Fax E-mail Date Approved: tic. # Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name u Address SRA Yes 4 City State lip Phone Fax E-mail State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Nam 7 u Address SRA Yes 4 No Occ. City Stat S90 / Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning ' j Flood Zone SRA Yes 4 No Occ. Type Const. Subdivision Name Map ( Book I Page Lot # Date Approved: UV_ EF;CF0R"-TUh3MITTAL REQUIREMENTS PERMIT NO. BP Q 267 BIN # LENDING AGENCY Name Address Description or Scope of Work: tiew A4 H s /TZ�7 Pp -m F Sq. Footage ❑ 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 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 by: Amount: C�� Receipt #: „_p 'Db Date: l73 I z/9 b Bldg 9 sr A Sheriff SMIP Other otal v� SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEA CCEPTED. 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 GRAPH PAPER! 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. ❑ S. 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). ❑ 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. Mo ile, Manufactured, or Modular Homes: / WWICz/ 1. 3� ite Plans, signed by the preparer. NO PAPER! Ok S64. 2 Data sheets and installatio ction m 2 Marriage line informati 2 Floor plans. 0 'V 5. 2E Tie Down�Foundation plans. 0 6. Sanitation and site plan approval from the Environmen alth 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 (53 0) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.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: f 51/ "M l%U ASSESSOR PARCEL NUMBER 02 nn •---/� Proposed Building Use: /� ew / IX S� /,�� f�vPermit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. _ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. - ❑ 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 AIC 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) Find 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 i 14 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.) P1 14. Sanitation and site plan appro# al 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 ........................................... 0 18. Erosion Control Plan Required........................................................................ i19. Fees as shown on the attachea Schedule of Fees Due Sheet .............................. 20. City of Chico Plumbing permit......................................................................... ❑ 21. Site plan and business license approval from the City of.iggs .............................. �►`� 22. California Department of ForestryIan approval aid. Sent byxt�1...........: 23. Planning approval for (A) Use: l (B) Parking: (C) Parcel Check:..G . Z Zoe l ❑ 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) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... J rd 30. Owner -Builder Verification (_iGiven 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 ................... ..............................................................�-- N 35�Legal description, ❑ M.H. Title, title search, registration or MCO ........................... ..�. , 36. Other: I% C� -- v-0 ❑ 37. Other: - g c� / G�� QoldL o When issued Telephone ,' -�(- O �It_ � 1 /and hold for pickup. it, J I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date:O 1. Index permit app kation or t Reabove i 6 numbered: Plan Check Letter 2. Additional items required 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: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: D f Structural reviewed by: Date: Structural approved by: Date: (� Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM - FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) �26 3©� D 2-2—Building Permit Number /i�d Property Owner (s) Project Location /? Subdivision Name Assessable Sq. Ftge �y4 �— Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home obile home replacement _Zrtfied by Assessor Department Demo Permit (date issued ) n ied by Building Department Comments: 0 FRRPD ❑ CARD ❑ PRPD 0 DRPD certifies that: Applicant Name Mailing Address Phone Number Catty 3LaLe Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of. Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: Paid by Cash: per unit for a total of $ per sq foot for a total of $ Receipt No: Ie > a 1,j -'r) Q -;.,)lob Recreation and Park District Representative Date " LIFT ,. „•. . �-� �.+- r.�...-rr.:_.-. �... m ...+ ..-....... ��. �, .._..,...--�h- , , „r _ t _ 'M s ar-'.r-.. t ..... _...-. r.-�.-..�,... --.... .. .....F�� .....,1, p•�w_.a . � ,Y, , , BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM y (One form per Building) / �1 2G S School District &Y� /"�16 �7L Building Department No. A.P. Number Zt� ~ �y D J d. i?ion: Q City County Property Owner�/� _-- - - Property Location/Address Subdivision Lot No. Residential Development 0 Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Pefmit # '(No foundation inspection) ........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial © Sq. Footage ewMon (Including Exterior Roofed Areas) -0G Building DepartmenfRepresfkative Date District Identification No. 060154 ��c�v ►�ii) �� 1�� School District certifies that U m Qu S (Applicant) P I IF a G roves Ln(630) (Street Address)" (PhoneNumber) CA (City) '1. ` , has complied with tithrequirements - of Resolution No P representing D T square feet. School Paid by Check # ------- Remarks: (State) (Zip Code) by payment of $ —44 B 2926 E ULL MITIGATION $ Date 1nQW, Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In cotnptlanco wtfh Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School Disbict 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 fees to fully mUlgate Its Impact on the school districts schools. White (school district), Yellow (building department), Pink (applicant) feeformi to (9/05W= COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER (/ yo e u S A.P. # PROP BU - ING USE N&_Al 144DATE *1.UILDING PERMIT FEES --- Balance Due ..................... qy $ --- FEMA Flood elevation review ... $ dditional plan checking Fee.... $ SCHOOL DISTRICT FEES 67_/?-0gam a TI l l� (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. CREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL IO FIRE DISTRICT (per dwelling) $ ORTH CHICO SPECIFIC PLAN (per dwelling) Zoning _ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) ct)26 -6 2. _ -2 �;-66 RECEIPT # DATE REC. ATER TENDER FEES BATTALION # 0.00 (paid at Build' Division) IN 6' SMIP 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE G� ¢ _ Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) r, . . 3. w Y .,+ �I�.--.+-ii+.-:.r.�.. �-.�.L`-d%.:...e�i..YF--.�i-�'..:.•*..1:---••"`^..:..�w.,,r.-:-.i:..-tea..,.,,... .�.,.�. :.....v.:n- :.,,_,�.^tw<.,s .,,,t-.-,�_./,,v.....-r� ,.r ..... .. 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: Liz, ASSESSOR PARCEL NUMBER \3UM4 '(Proposed Building Use: � Permit Technicia : Date: / 2 7 0j Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1 " Site plans, 3 or 4 sets, signed by the preparer of the plans. .6-j - ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 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 ❑ t 5. Letter from Engineer or Architect for truss design review. o t 6. Energy compliance design and supporting documentation in duplicate. O 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. All of these must be stamped and wet -signed by the engineer. .0 10. Rood Elevation Certificate, wet -stamped and signed, in duplicate. O 11. Letter of intent for non-residential` buildings ❑ / 12. Hazardous Material Form `! 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable* ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required.`....................................................................... 14 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. `.-�. 21. City of Chico Plumbing permit........................................................................ 22. Site plan and business license approval from the City of Biggs ............................ 23. California Department of Forestry plan approval eid. Sent by: .... O 0 r�oe24. Planning approval for (A) Use: LL.,eVarking: Parcel Check:........... O (� ❑ 25. Contact Land, Development about -Improvements, -Drainage ........................ :T- 26. NPDES Form............................................................................................ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... O 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization..................................................................... O 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits....................:.................................... O34. Deed Restriction .................... :...................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone (-a /-I 1 (� -� and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter v 2. Additional items re wired o t�' h 4G1 Contractor, designer, was advised of the above data by phone, O mail, ❑ counter, bye Date:�_05 -Vo. voice, rmd,z q Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Jr,Sf Rrwgs,� P Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date UZ Plans approved by: Date: 44 Structural reviewed by: Date. Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY Plot Pian Anachod Float Plan Attached Sent to B.D. r c j"• TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ell, )DQ3aLAff\QI4d 1S� t' #� S aA,n - G6i)Z�- Owner Location AP# \ Plan Approved for: Sewage Disposa 1lVaterpty: Public Private 1!V I Clearance _for dwelling. Other 1 (Y��n - 1� Hold final for: Final clearance O.K. for: NOTE: P. J0 nvironmental Health Specialist Date 8/96 Butte County Department of-Developnnent Sel-vices 7 County Center Drive Oroville, CA 95965��o °�, (530) 538-7601 Telephone y° ou (530) 538-7785 Facsimile BUILDING PERMIT 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 ant required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. ® 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 Division will incur additional fees. plans to the Building Di 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 parcel 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:ZLr�_ RCin" /iD Us Building site address: Z �<Z_w e_ ( /J- k'__Permlt No.: 46(," So( Y11'e CA � 13,EcIot2) I have read, understood Ld accept the terns and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: APN: 0 V& /V 07i_ i 'S GNATURE OF APP ICANT DATE v Copy to App(icandEWFile KFonTs/BldePermitwithoutClearances 020705 Department of Public Works J. Michael Crump, Director LAND DEVELOPMENT DNISION Storm Water Management Pro;rem 7 Cdunty Center Drive oroviile. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Piollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE Project Description: Project Location andlor Parcel Number: �'�� Ccs P Z✓Yc�-e By signing below, I, the project ownerlowner's agent, certify that this project WLL,L 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: :E: q.c �.i ::s'; . :i •` ;• `'}: "�`•��r.� i.l �. ,is.i '. �t::.�:: 't._ .`%f,: - '� 40. •-+r.W.Fi4. i�'3�_.c DIM 1 `� Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and material for construction of this proposed 02 property improvement: 'YE S [] NO[ ]. 1 HAVE [X] HAVE NOT [ ] •signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIG D: PROPERTY OWNER.- DATE: WNER:DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Butte County Department of Development Services ADMINISTPZATION ° BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone = (530) 538-2140 Facsimile Dear Property Owner. o � o a An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are, personally performing their own work. if your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Micyael C. Viei.4 C.B.O. M ager, Building Inspection NOTE: This Owner -Builder Tnfnrrhntinrn is rPnnirM by CPrfinn IORZn nftha f gmfnrnio Wr Ofh anri C%fPf r f nr1P JAN 2 5 2006 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 OFAPPLICATION "*PLEASE PRINT CLEARLY" PERMIT NO. BP Q '� Z67 BIN # APPLICANT SIGNATURE X sz 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 For office use only: CONTRACTOR Name Address SRA Yes , No City 411 71e -- State Zip Phone y Fax E-mail Lic. # Class APPLICANT SIGNATURE X sz 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 For office use only: ARCHITECT/ENGINEER Name Address SRA Yes , No City 411 71e -- State Zip Phone y Fax E-mail State License Number APPLICANT SIGNATURE X sz 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 For office use only: APPLICANT NAME Name Address /.S % SRA Yes , No City ae.4 S 411 71e -- Stat S90 / Phone y Fax E-mail APPLICANT SIGNATURE X sz 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 For office use only: Zoning Flood Zone ),(, SRA Yes , No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS Description or Scope of Work: /Vew eel H . Sq. Footage ❑ . Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by --.,Amount: 6�� Receipt #: L� ,Db Date: I )-Bldg SRA Sheriff SMIP Total CDF FIRE SAFE REQUIREMENTS AP# 028430-022 1 PERMIT # 05-2657 NAME: Bumpus Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a 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. Driveway Standards [X] All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement, the -roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved or concreted. Grade will not exceed 20 percent. Driveway Radius ' [X] 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] 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 radius. [X] Turnarounds. Required if driveway is over 300'feet in length, will have a minimum turning radius of 40 feet from the center of the road and be located within 50 feet of the buildings. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] : Gate entrances shall be at least two feet wider on each end than the roadway they serve. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. Where.a one-way road with a single traffic lane provides access to a gate entrance, a 40 -foot turning radius shall be used. Addressing [X] All buildings shall have a permanently posted address, which shall be visible and legible from both directions of the road the address is located. The address shall be posted at the beginning of construction and maintained thereafter. Accessory buildings are not required to have a separate address posted. [X] Size of letters, numbers and symbols for addresses shall be a minimum of 3 inch letter height, 3/8 inch stroke, reflectorized, and contrast with the background color of the sign. [X] Where addresses cannot be seen from the roadway, the address shall also be posted a single post located at the intersection of the driveway and the road. " C IC F R E Q iJ I R E Iv1 k Setback for Structure Defensible Space [X] -Maintenance of 'Defensible Space. 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 in these•standards, annual maintenance must be provided for by the landowner. , [XJ ' 1) All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the :road. [ J '2)' For parcels less than 1 acre, local. jurisdiction shall provide for the same practical ` effect. 'See "Other Requirements below.. [X] 7.Disposal of Vegetation and Fuels: Disposal, including chipping,.burying, .buming or removal to a landfill site approved by'the local juiisdiction of ftammable'vegetation. and',fuels caused by site development and constriction, road 'and driveway construction. Disposal shall ,be completed prior to completion of. road construction,or final building. permit inspection. Other Requirements [X] if your property,was partof a parcel split after 1991, you may be required to install residential fire sprinklers. It is your'responsibil6 to inspect the official parcel map to corifinn if sprinklers are required. [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Fully enclosed eaves [ ] If Building Setback is Less Than 15 Feet:, - ✓ Class A roof with fully enclosed eaves and choose any 2 of the following: _ v Metal or no doois onIside:towani property line with insufficient'setback _ o Interior automatic spiinkierisystem:per NFPA 13D o Glass area not to exceed 10% of wall area toward property line with insufficient setback o Siding from the following list: {o Stucco 13 coat ` o Hardi-Board "br Plank o Masonry ` t o Masonry Veneer o` Metal [ ] No Additional Requirements °' ! f 4. 01/25/2006 } Darren Read Date `,' t Signature { y t r' Last Revision 1/25/2006 ! •, C t ! t. d r CDF FIRE SAFE REQUIREMENTS s. AP# 028-130-022 = PERMIT # 05-2657 NAME: Bumpus Under:authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a 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. Driveway Standards [X] All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the 'roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved or concreted. Grade will not exceed 20 percent. Driveway Radius [ [X] 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 00-200 feet. [X] 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 radius. [X] Turnarounds. Required if driveway is over 300 feet in length, will have a minimum turning radius of 40 feet from the center of the road and be located within 50 feet of the buildings. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet -along its entire length. [X] Turnouts. Driveways exceeding ,150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, tumouts shall be provided no more than 400 feet apart. Gates [X] Gate entrances shall be at least two feet wider on each end than the roadway they serve. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. Where a one-way road with a single traffic lane provides access to a gate entrance, a 40 -foot turning radius shall be used. Addressing [X] All buildings shall have a permanently posted address, which shall be visible and legible from both directions of the road the address is located. The address shall be posted at the beginning of construction and maintained thereafter. Accessory buildings are not required to have a separate address posted. [X] Size of letters, numbers and symbols for addresses shall be a minimum of 3 inch letter height, 3/8 inch stroke, reflectorized, and contrast with the background color of the sign. j [X] Where addresses cannot be seen from the roadway, the address shall also, be posted a single post located at the intersection of the driveway and the road. Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued mairitenance of properties in conformance with these standards and measures and :to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [X] 1) AU parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road., , [ ] 2) For parcels less than 1 acre, local jurisdiction shall_ provide for the same practical effect. See 'Other Requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal' -to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road' and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [X] If your property was part of a parcel split after 1991, you may be required to install residential fire ' sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. ' [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Fully enclosed eaves [ ] If Building Setback is Less Than 15 Feet: ✓ Class A roof with fully enclosed eaves and choose any 2 of .the foiiowing: o Metal or no doors on side toward property line with insufficient setback • o Interior automatic sprinkler system per NEPA 13D o Glass area not to exceed 10% of wall area toward property line with insufficient setback Ll Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry ' o Masonry Veneer o Metal [ ] No Additional Requirements 1 ' 01/25/2006 Darren Read, Date Signature , •�i Last Revision 1/25/2006 4 TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.H. USE ONLY Piot Plan Attechod Fiona Plan Attached Sent to G.D. ! f.Jt�.'�Pvs ���a� �• /�y�t.�.�5l�,vT �.P.orJ� !1��- /fib _ 6�-� Ov6ner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for ✓dwelling. Other !2� x J 02 /F.=d oGyki Hold final for: Final clearance O.K. for: 8/96 uate J `7 9 ° - W n � 2 d g•.,0' ,2..0. W3514 ,.0- W 76 ,,•0" I W.6J W-63 70._6. • I W-63 I IIL ,3•.a• L GOLDEN ESTATE - GE 524F THREE BEDROOM, TWO BATH, OPT. TRANSVERSE TAG - 1,404 SO. FT. rn � fl, J `7 9 ° - W n � 2 d g•.,0' ,2..0. W3514 ,.0- W 76 ,,•0" I W.6J W-63 70._6. • I W-63 I IIL ,3•.a• L GOLDEN ESTATE - GE 524F THREE BEDROOM, TWO BATH, OPT. TRANSVERSE TAG - 1,404 SO. FT. :T•-0' LEGEND O -SHEAR WALL R15 AMP ECEPTACLE ® ® ® ® INFO PER Q - 20 AMP RECEPTACLE �2! 74 2 DDDR SCHED. $ -WALL SWHdi 4) bbzM1Oh• to 141/rJ �W -WATER INLET - HEAT TAPE ACRDW / 6 q? HT RECEPTACLE Off. TED01A % GAS INLET R SD OR DETECTOR 6R) 332 SQ FT. ' 32 Sa OPT. TRANS. TAG (WALL .. iD Qs - SEWER OUTLET W Gu GARBAGE DISPOSAL Q - DRYER VENT GFl RECEPTACLE ' (6)2x3s0Ob-2O' 1` 1' (15 OR 20 AMP) TiH9 NOT SHOUN ARE FAL Fa Mk W (6)2Ja11Oh.3O' 6A1'@ A9 STD. FL00T2PLAN /TRANS] ALROSB 4 Cd'BjRED • (24) 490 eA FT. E - EGRESS WINDOW 10'.16' RETURN AIR GRILL - DDWNFLOW 24 24 (a (507 BO. FT) OPTION CIRCUIT --------- _ _ , (DIINFO. PER OWG. 4.4 4'x10' ABI. - F1DOR REGISTER 10' T IV -2" INLIGHT CANDESCENT OW OW28* MINDAU CLEARANCE(a EXHAUST FAN IC REQUIRED ® TUB 6 T LINEN TIl015HOWER _j f- ,• (3 3 Q A 6 DIM BOON 6 ® - 9B 90. FT. I + 7 ( I E___�=xLOCATED B- MAIN ELECTRICAL '^'�- - FLUORESCENT - THERMOSTAT LIGFIf PER CODE 3 3 1 3 1 Below #2 'D /Z BATH, / ® o _�3 (1 ® _ FfiRE9B NO LOCK► ! 145 SO. FT. I W fl LW/ e NGT. LIGHT 'NGT. _-_. a �" T 6W L LGHT9,--,A- `\ a 04 T. \•\ uNrT ' /'tU4LL 64' V 3� v\ I, 0 1 l RATM7 _t - 3 (L '4R 7O' WALK-IN 3 7T^ 21($hhl`0 7T�5i� Lt3xR9h� 3 i HR-ylA CTR 2 Q 3_—__ 3 ___________— 3 �(1)b3zIYd4�2O'� 2 r9) 4xOD 2- 20' (2)7x3xigh.2O' (6)b3dO'4-30' (6) 2x3,110'4. 30' (2) 2x3xW4. 30' TRANS/ ACROSS 9 SO �5 / UAFEROI E "8 ___________ Menufeetaring West, bm 0 LMEN ® 5 4 11AM Below4 INSaFT. m is % I11 'Sr_ -_ - UY71 �\ i Fl.�' UP SD/ �D n B -UNIT Albany Division - Plani /972 2445 S.W. PACIFIC BLVD. ALBANY, OR 97321 L7 Phone (541) 926-8631 ,\ 9 ��•I I 4 J• I 5 BEDROOM #3 Faz (8 66) 491-6847 DRAW NO Q2 SQ FT. TITLE \4 -"-`"- - - - ELECTRICAL PLAN ORIGINAL DRAWING BY S. FINSTER BW O 102• TD. • X,HBR ® 6W 0 (96.11 M' -O• !'•0' OPT. 91@ARW.I.L UYS.Q ROOF 10.8. &ll • TD. ,•TER B'•4• f V� 120, Q0• YIW. 12. rm �' 57,-0, 0• `.d' PRODUCT MDDEL NO. STRUCTURAL NOTES THERMAL & HEAT NOTES GENERAL NOTES GE 624E t ROOF DESIGN LOAD: 20 P.S.F. AND 30 P.S.F. a. INTERIOR BEARING WALLS PER 98.O4 6 99.10 CADACIIY Of AIR COOLING SUPPLY DUCT SYSTEM REGISTER SPLIT: 3 J 2 TOTAL B.T.I.H: 47,267 I. BOOR PLAN MAY BE CONSTRUCTED IN A SIDE TO SIDE REVERSE TO THAT SHOWN. 1. ABOVE SYN90L 4 GATE 01-28-04 THERMAL ZONE 1 THERMAL ZONE B 2 MAXIHUM RIDGE BEAN SPAN: 24' BEAM:20--O' PER 5. 12) 2.3 OR Ill 2x4 REOUIRED AT ALL PASSAGE 2. 90' OR 96' NOMINAL SIDEWALL MEIGT UNLESS NOTED OTHERWISE T ' HEAT LOSS RUN NO. - MAX GLAZING: - HEAT LOSS RUN NO. 48 MAX. GLAZING: JOS SiRUCT. DWG. 98.03 DOOR OPENINGS AT LONGITUDINAL C.L. WAIL UNLESS NOTED OTHERWISE 7. CERT. LAOLES. SERIAL NUMBERS. ETC. TO BE RELOCATED PER • O N0. iE _� REVISED - 3. RDOF PITCH 4:12 OR LESS. UNLESS NOTED OTHERWISE HEAT LOSS RUN NO. MAX GLAZING: - HEAT LOSS RUN NO. = MAX GLAZING: - CODE REOUNENENTS. PFR E.EC. D'NG. 4.4 13'-6" CARPET LAYOUT STANDARD CARPET LININ ROOM DINING ROOM MASTER BEDROOM MASTER 114TH 8MMS J2 & 13 k OPT. TAG 13-6 21-0 11 -U FAMILY ROOM W/ OPT. TRANS. TAG 30 P% TOTAL I I D -U 7 OPTIONAL CARPET IOTCHEN 10'-0 GUEST BATH/UMM "-a* GLAMOUR BATH 1* -0' IL - --- — ------- LINO 0 L LINO 13.0 + A I3-6xO-0 C=. A UNIT O 70 LINO 171 UON A 2'.1- tN'-tu4 3--5- 1, 4-4. 1, ----------- W-10 3/4' W-4- 111-15 La. 3'-4 112' 2'-W 3'-43/4' 1, 3'-4- 2'-D' 5'-4 V2' — - — - — - — - mim 30 PW 30 FW W FBF 1 30 --- Y F% 30 PV -030 F6F(3 3 0 PW E (BEARING WALLS) (CLEAR SPAN) fAsrwf8ctLm*m West, bm B UNIT Albany Division - Plant 1972 2445 S.W. PACIFIC BLVD. ALBANY, OR 97321 Phone (541) 926-8631 • +—.-4 .52-0 Fox (866) 491-6847 LINO DRAWINO Tir" CARPET & 'PIER LOC. ORIGINAL DRAWING BY : S. FINSTER :3 =.1- " OR e' PRODUCT GOLDEN ESTATE MODEL NO. W 524F PIER PIER FOOTING SIZE REQUIRED (SO. IN PI PIER FOOTING SIZE REQUIRED (SO. IN.) PIER PIER � FOOTING SIZE REQUIRED (SO. IN.) PIER PIER FOOTING SIZE REQUIRED (SO. IN.) 1404 4 CAPACITY U. (LBS.) S I— PSF N LB ) 1 1000 PSF 1500 PSF 20DO NER CAPACITY 0. (LBS.) 1000 PSF 150D PSF 2DOO, PSF CAPACITY NU. (UBS.) 1000 PSF 1500 PSF 2000 PSF II NO. Las.) 1000 PSF 1500 p SF 1 1 01 2000 288 192 144 (3) 4000 576 384 288 5 6000 1 864 576 432 7 10000 1440 960 720 SHEET REVISED -T 1 768 A2 2500 1 360 240 180 (4) 5000 720 480 360 8000 1152 576 12000 1728 1152 864 GENERAL. NOTES GUS_ GUARD TUF-1 1. DESIGN LOADS: LP/E LOAD - 30 LB. ���� FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE °C' SEISMIC ZONE " 4" * SNOW LOAD 100 PSF (SEE NOTE #15) 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED O '�j• !j� A FAIRLY DATION BLOacs 16'z 16'x12' POURED IN PLACE AT GROUND LEVEL MAY USD7 AT WALLERS DISCRETION ALTERNATIVE TO PADS. SINGLE WIDE COACHES DOUBLE/1dULTIPLE COACHES E= 2' MIN. / 8' MAX. E= V MIV ' LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. up; VS= 6' MIN. /16' MAX. s= 6' MIN / 11 MAX. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE "MOBILE HOME INSTALLATION INSTRUCTIONS'. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (DES.) CAN OCCUR, MANUFACTURED HOME SHALL BE READJUSTED WHEN DS EXCEEDS 1/4', OR. WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT_ 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL F007INGS ARE DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS_ CaMPACTEC SAND MAY BE USED TO FILL LOCAt VOIDS UNDER PADS. 6. STRUCTURAL STEEL;FABRICATED. ACCORDING TO AISC SPECIFICATION. WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3T25. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAG_ SHALL BE LISTED AND LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: ALIAWARLE LOADS: HORIZONTAL VERTICIL GUS GUARD TUF-1 2200# 60000 GUS GUARD MGP PAD 2200f 6000; GUS GUARD E -Z TIE PAD 2200# 6000/ 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT U081LE HOME CHASSIS REAMS ARE OF STANDARD SECTION. 9. MISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY INSTALLING GUS GUARD TUF-I UNITS AS SHOWN ON THIS PAGE OF TYPICAL FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS VMERE DEPTH OF FLOODING DOES FOT EXCEED THE HEIGHTe OF THREE FEET. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED/ THE NUMBER OF TUE-1 UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE-WfDE UNITS RECIARE ADDITIONAL RESTRAINT. s (SEE SHEET /3) _ 13. ALL WETAL CONPONEWS AND ATTACHMENTS ITEJS SHALL BE PROTECTIVE COATED. 14. WHEN CONCRETE -SLAB IS IN EAWANCE, PAD IS NOT `/ / 22 MAX. 4f f�''�0L�-VARIES I W-70'. (SEE TABLE ON SHEET 43) - -' u U D 0 - A.IOGF BEAM SUPPORT AS REQUIRED BY MANUFACTURER ❑ ❑ (TYPICAL) T—T ❑ L❑__I ❑ ❑ ❑ 8' Ncm. ❑ LJ 2— XcM. ❑ D PADS IN ANY PAIR MAY EE I STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY -SET OP TO OTHER SIDE M THEOR THE AV -310 CLEARANCE PROBLEMS. ENGINEER. TYPICALRTHRCUGHOUT REQUIP,ED. ANCHOR STAND TO CONCRETE SLA$ WITH TUF-1 PERMANENT FOUR ;4) 1/rx 3 1/2" EXPANSION ANCHORS 15. GUS GUARD TUF-1 FOUNDATION SYSTEM PROVLOES FOUNDATION SYSTEM ALLOWABLE SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCO-GUS GUARD COMPANY WITH EXISTING STANDARDS REQUIRED BY COACH SSSI FLORIN - PERKWS ROAD MANUFACTURER OR REPLACE THEM ON A *ON= TO ONE BASIS. PH. (TO$CA88823 FAX: (916) 383-5207 STATE APPROVAL MAZWFACrURW iTOMDjtjoD" ITOMZ FOUNDAnON SYSTEM MAL'M MD &MM Y 0006, UA.'TM6<i 18551 �pBUTT" OUNTY A4lAOrNALDOBST� �� OMI340N8 OB D ViAT70N FR(a1 REQUMEMEHTS OF APPLX-kVLR S?A71 LAWS A>1D RF*- LAT10N3 SIaft ofCtI famis Doe rdayal afgamng sod Commadty DeratapawA 01 i I - PVC SERIES SUPP, RT PAD (TYP) GW SANDS'PANDARDS � n�•y� ?mob' G SPA 4407. & YliiaPl�n IBzp¢p Q WAYNE T_ POLVADO. PE—LISTING NO. F9424.9 SHEET. 2 of 3 rJ N LO m OD W r rl ry y w m UT. C) O H L t. 1_- 9.1 m 1�1 x 2"x -3/16'. 3/8- CAD PLATED BOLT. NUT do WASHER STEEL ANGLE `COUNTER BORED FLUSH WITH BOTTOM AT 8' O.C. (B) REQUIRED /- Ile STAND BASE PAD /503 DETAIL "A"' - -- COACH "J" FRAME N0. � ID CHASSIS FRAME�PL. TEN STS TEK STS C3V (2) REQUIRED WAX� 3/4" GRIPPER PLATE i�f�1� TO BOTTOM (2) REQUIRED OF PAD 1/4" GRIPPER BASE i 1/2-13UNC-A307 x 4' 01/2 x 3' C.R. LACK PIN WITH BOLT WITH NUTS 01/8' BRIDGE (4) REQUIRED o PIH 01 1/2" SAH 40 PIPE RISER WMI STEEL PLATE 01%2- ADJUSTER HOLES AND 3/8' E THICK TOP PLATE J—BEAM 02' SCH 40 .PIPE STAND WITH TWO ATTACWMENT 01/2' ADJUSTER HOLES ABESCO ABS PAD X503 -1 e STEEL FRAME - 1 - all IN i COACH "C' FRAME COACH "J" FRAME 2' CHANNEL 1/4' GRIPPER 1/4`x1 -1/d' PLATE TEN STS TEK STS (4) PEQUIRED (2) REQUIRED 1/4' GRIPPER-/ 1/a' GRIPPER BASE BASE (2) REQUIRED ��L I& A317 GOLF 3 REQ0IRED STEEL PLATE E 1/2' A307 BOLT -CC J—BEAM (2) REQUIRED ATTACHMENT ATTACWMENT 09/16 HOLE (TYP) STAND BASE TOP VIEW 1791 I I $ $ 8' 1/2" DIA. HOLE (8) PLACES ` �— v ♦ + ' 30' —� STEEL FRAME TOP VIEW STATE APPROVAL 13A2i1FirACiVRED e:0lldMf SME BOMB IOUNDATIDN rts7W JII MTH AND &*'ETY cm% 88CnON ISSII APPRDVBD AYPL XA = STATE LAWS AXDREGULATIOPI3 gbu of C anfoln" ffiI C HS AND STANDARns . BIT ATE z Y o if ai eJaa �.L� sf. A t ! / J / �O�- J c WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 1 of 3 N) w �r m w co w to rti �S �1 I> w co C >i 1/2'x 3 1/2- - EXPANSION ANCHOR (4) REQUIRED CONCRETE PAD CHASSIS FRAME 1/4' GRIPPER PLATE (2] REOUIRED 1/4- GRIPPER BASE 1/2-13UNC-A307 x BOLT WITH HUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH 01/2' ADJUSTER HOLES AND 3/8 - THICK TOP PLATE 02' SCH 40 PIPE STAND W.TH TWO 01/2- ADJUSTER HOLES ABESCO•ABS PAD 1503 �4 STEEL FRAME-, 1 j 2'x 8' LONG ANCHOR BOLT (4) REQUIRED PI SrF IF;vl-¢Y1? rnNrQsrr DATION INSTALLATION No, Exp6 OF {±Mffi T08807 0M „ OF PAD 01/2'x 3" C.R. LOCK PIN WITH 01/8' BRIDGE PIN A 37' $ 1/2' E - Z TlE PAD 3/4' DIA_ x 18' LG. LIGHT HEAVY—WEIGHT PLASTIC PAD -NSTALLATION 1fmm-wolf T> mm s1HGr.B 1MIDS i3IilT8 E HOME OF HOME W10TH Of 1601i 25 44 HOME 10 1 14 1b UP TO 44' 8 8 8 12 UP TO ,{� g 440-1' M 12 12 12 18 4Y-1' to Iib' g g 8 6 6s'-}- 20 W-1' &-10 14 10 1 a NUMBER T! 1 REQtRA£p NUMBER OF TU1F-1 REQUIRED llIM' SHlQX IMIDE UMTS REQUIRE (4) E -Z 11E PADS, GUS CUA W T11F-1 PIERS ARE TO BE PLACED AT APPROXMATELY EQUAL 1NTERV S ALONG EACH FRA11E RAI, Fxp r � �4\lr v�'*vNwlo'� C TUF-1 PERMANENI7 FOUNDATION SYSTEM AHESCO-CUS GUARD COWANN 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383-5207 STATE APPROVAL MANUFACTURED ROMEMOBIL.B ROME FOUNDAnON W(SrEM HEALTH AM SAFETY CODs, SECTION ] W, APPROVa SUBJECT 70 CORRE(,^110NB WOTED APPROVAL DOM MOT ABTAORIZB 9R APPROVE ANY NU S1 IONS 01 DEVIA2ION FROM REQUlB04&, .115 OF A FLICABLESTATE.LAWSANDREGQLATIax3 Smea of wiforda ES AND STANDARD,4 By E ATE SPA N0: �) i WAYNE T. POLVADO, PE—LISTING NO. -94249 SHEET 3 of 3 LO m w w w cn N m oy m f C) G Z i1 I> m a - CO 8 10,4 a • • • e /2 /1 �y P,o..id..�- � � � : • . • .,,, � '. ' . _ �± � �/ � X12 r-o� L� H C? 6" 12'of joints; ti i I . % 2 j2U < LA 4JL's yj '� �� i lis.. a_ _ ,. ..\�_ ..� '+:a.. _ � r^�,a+'•''*.xe'?j (, r •...s• "ate. A�?•i. �.t - .. - :� ., � 1 4, Aj- �:1. fi'.lf!;- ��:. j:/rJ e/ �:wiT� :U•i� r=tl �:'.C�D�S `� 'why;" F If7f 43 Mm fr ; SUIlDIN? DE7".R7MFN1 i" APPRI j•^ a [. r � y - � � �` � D:. h "'� y k ` ,�GcL.I� ll.,a �'ai'h,�,..'^rd V t . ....�i.;..t �..F•u�,..eL.>'aC'*-_ :�:f_a,:�.:.�'`.s f�.... a v f.t . .-.� .. ��t�. ..,^.�`,{�•�S ���»�r�f�� .. SHEET; OF 1� I AME-t�C ' (? lei.�_4_f'�p_�".�.:� BUTTE d COUNTY _ PROPERTY RECORD t� PARCEL NUMBER Book Page Block Parcel Code /� NAME ee ��- PROPERTY' LOCATION ISj'7 -FLe:/1=_-n;,X\t, ZONING Assessment Year 19 19 4a 2-0Q 3 19 19 1,9 UTILITIES—SITE IMPS. Date 1_1O -Ell Electricity: Yes D' El - Appraiser 162 Z5\7(, 0,,S 162 24 162 162 162 162 .T,ellephone Gas: Public ❑ LPG L6 None 0 Supp. Assessment Yes [r No (] Yes R No ❑ Yes ® No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Sanitary Swr.: Public [_1 Indiv. Pr Use Code 160 12 pA H Z t,,\ 160 fK 4 M 160 .�M 160 160 160 Storm Swr.: Public [A Natural Transfer Code 124 11 0' % 124 d (O!? % 124 22 LO % 124 % 124 % 124 % Street: Conc.❑Asph. I Dirt L' Gravel [`�j Acreage 108 L` g 108 4 108 108 108 108 Street Lights: Yes 0 No 0 Incomplete 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 C & G: Yes 0 No " Building Class 167 M5.a 167 iu �.o i� 167 167 167 167 Sidewalks: Yes ❑ No Bedrooms 168 Z 168 "-Z-% 168 168 168 168 SITE TOPOGRAPHY Baths 1691 I 1691 1691 169 169 169 Level❑ Rolling [-K Other❑ Effective Year 170 I`770 (oD 170 11 O' 170 170 170 170 Slopes Up EJ Down F1 S -S ❑ Area of Residence 171 Jcx:�) 171 joo l 171 171 171 171 At El Above ❑ Below ❑Grade Land Type 172 Lot❑Homesite 172 Lot❑Homesiteg 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ View Lt Of: Car Shelter 173. Yes ❑ No l73' 173 Yes ❑ No X 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ 173 Yes 0 No ❑ 173 Yes C3 No WATER Pool 174 Yes ❑ Nor❑-' 174 Yes ❑ No X 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ No❑ ❑ 174 Yes ❑ No Quantity: Quality: Partial Complete % Complete % Complete % Complete % Complete % Complete % Complete Public ❑ Well 9� Ditch ❑ P.P. Acct. Checked Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Supplier TA Aerial Photo Year Topo Map Year L� I MARKET DATA Soil Name Index Acres Comparable 1 Z�-ll'3`:� ce sedSee- cpmes Comparable 2 zG lS, + Comparable 3 Sale Date/Price 3 - 3� QGp PRIMARY BASE SECTION Base Year 140 8(O 140 17 C� 140 700-,) 140 140 1 140 Event Date 186 DC -()(0 186 p _;p_qa 186 k 186 186 186 Land 109 LQ ooQ 109 Z,Z. az>�, 109 30000 109 109 109 Avg. Soil Rating Improvements 110 rJQQ 110 C)LO 110 1101) p 110 110 110 LAND REMARKS: Trees and Vines 111 111 111 111 111 il} O) C/ h Jl'i.`tC:' 121 fJ1LE V\11- Personal Property 112 112 112 112 ` 112 112 %k m '17_c;C-t.- Keyed By: SECONDARY BASE SECTION 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 211 211 I 211 1211 211 211 Keyed By: /wner s Name Mail Address MOBILEHOME BUILDING RECORD PARCEL N0. SITUS 54-r. OF na.Atn AH Sin -F FpnHT A•/, -AO {OXO TYPE -500 QUALITY YEAR ROOMS FLOOR N0. OF KITCHEN FEATURES I MODEL �U�S;ngla Wide [J Expando CLASS BUILT Double Wide Tag A qro 1-L Descrip- MAT'L PLB• DESCRI K. MANUF. / `L�� Triple Wade Other (`� tion No. FIXT'S t EXTERIOR ROOF STYLE SKIRTING EntryFA.Panels Arched Alum. Panels r G)'( (TTonite Panels Flat Alum. Shiplap Living. Shiplap Siding Gable Masonite Dining orative Stone Cut Up Fibergloss Family Other Pitch: L M H Brick or Stone Great Rm. Exp. Fasteners O'Hang Ft. Other Den WINDOWS ROOF COVER HEATING �. l.linimum Goly.-Iron Forced Air Bedroom Z SPECIAL EXTERIOR FEATU_R_,ES Tract Size Enameled Steel Down(low Dress Rm. Window Picture Asphalt Shgl. Upflow I Awnings utters Shake Roof Ba Compo. Wall or Floor Both Slid Doors Gravel, Rock Other Bath ty Lin. Ft. Other Set-up for A/C Bath % MOBILE HOME RATING (E.G.A.F.P.) INSULATION FOUNDATION COOLING Quality Condition Appea'ionce ConFerm Loeat;aa Floor R• v Permanent Re(rig. H.P. Kitchen vit`l / Walls R- Piers Heat Pump Bonus Rm. Ceiling R- Tie Downs,? Thru Wall Utility \ PARK RATING (E.G.A.F.P.) Evap. Cool Overall General -Recreation Overa 11 Location Appearance Facilities Quality TOTALS DESIGN YEAR TYPE CLASS EFF. DEPR. SQ. FEET YR. TABLE MAIN IMP. R.C.N. R.C.N. MAIN IMP. TOTAL R.C.L.N.D. ADDLDEPR. R.C. L.D. APPRAISER DATE REVIEWED DATE C." GOOD Type ;Good CK 2�'l�e 12th$ I - (a 19 e4—, Z -it- 7-19 10-%t T9 9 19 19—.- UNIT UNIT UNIT UNIT UNIT UNIT UNITIMAIN AREA COST COST AREA COST COST AREA COST COST AREA COST COST AREA COST COST itM6ViIF1HomeI� = o0 0 OQc7 ,,l 1 DO Air Condition , _ Evap. Cooler -� Dishwasher -� Bar Skirting NLI SALT ArG c('to�D Other A C�' TOTAL R.C.. Carport/Porch Roof Porch �I G� 330 5= l X00 '�� 6 So c s:eroge t>d We .P l 0 =' 1,0 o 0 Fns ' L\V,'7G17t1 2.50 (n' Z`J'O� 2- o U Z co' ttrvo 'D M R-50 (0 I 1 Uocf) o °= 005 V . 100 SUB -TOTAL R.C.N. 10 l0� Deduct (Singlewidt s) TOTAL R.C.N. 1O)OOa SA} (( ooro 1'5220 11 1 na.Atn AH Sin -F FpnHT A•/, -AO SHEET—'/OF AE-�iM � `- —a-0 14 f - e *NAME e ero-,, BUTTE COUNTY PROPERTY RECORD I PARCEL NUMBER ��`�5.�TygQ# t tI O /'f TS�-yR,•,��vy�_�Fj2 Bonk I Page I Block I Parcel Code PROPERTY LOCATION 1'; 7Le::A ZONING V, %T Assessment Year UTILITIES -SITE IMPS. Date Electricity: Yes E ❑ Appraiser rT1elephone Gas: Public ElLPG93elNone ❑ Supp. Assessment Sanitary Swr.: Public [_1 Indiv. Pr Use Code Storm Swr.: Public D NaturalLl Transfer Code Street: Conc.❑Asph. I ; Dirt[,: Gravel "[i Acreage Street Lights: Yes [J No a Incomplete C & G: Yes 0 No Building Class Sidewalks: Yes ❑ No Q Bedrooms SITE TOPOGRAPHY Baths Leve l❑ Rolling l? Other❑ Effective Year Slopes Up EJ Down El S -S ❑ Area of Residence At ❑ Above ❑ Below ❑ Grade Land Type View ❑ Of: Car Shelter WATER Pool Quantity: Quality: Partial Complete Public ❑ Well [ Ditch ❑ P.P. Acct. Checked Supplier 162 Aerial Photo Year 162 Tope Map Year Def ce L -NI Acres Comparable 1 Ze-11-3`z' 240 (e -sr -e M Event Date 286 286 19 g(p 286 19 ( -lca-A4 7A Zt�C) 209 19 209 209 19 209 19 1 10-43(0 210 7--2—�0 210 -Z - 210 Trees and Vines 12111 211 211 Sale Date/Price 9 343 C7 —75�7 162 4A( 162 162 162 162 PRIMARY Yes [T No [j Yes a No ❑ Yes LR No ❑ Base Year Yes ❑ No ❑ 140 Yes ❑ No ❑ 140 Yes ❑ No ❑ 12 2 M 160 /K 4 M 160 - 160 186 OC -()(0 i 35 186 160 186 160 186 (0 % 124 a (oo- % 124 22 O % 124 109 % 124 % 124 109 4,97 108 C> 108 110 rJQO 108 5pp 110 108 110 108 110 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 163 P.U. 19 Personal Property 167 ijk tta o C— 167 112 167 112 112 167 c)Ak S dClV sr l f' T I L2 rp y,,c C^C- 167 Z 168 2 168 168 168 168 169 I 169 169 169 169 1 c.)'/0 C� 170 -70 170 170 170 170 S01:�) 171 5CK:�. 171 1 171 171 171 Lot❑Homesite 172 Lot❑Homesiteg 172 Lot❑Homesite❑ 172 Lot-❑Homesite❑ 172 Lot❑hlomesite❑ 172 Lot❑Homesite❑ Yes ❑ No a 173 Yes ❑ NoW. 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ 173 Yes 0 No ❑ 173 Yes ❑ No ❑ Yes ❑ No ❑- 174 Yes ❑ No [N- 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes ❑ No❑ ❑ 174 Yes ❑ No % Complete % Complete % Complete % Complete % Complete % Complete Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ A IV) MARKET neTA Soil Name Index Acres Comparable 1 Ze-11-3`z' 240 (e -sr -e M Event Date 286 286 286 286 Comparable 2 -lca-A4 Land 209 WIS 209 209 209 209 Improvements Comparable 3 210 210 210 210 210 Trees and Vines 12111 211 211 Sale Date/Price 9 343 C7 211 3 oeto PRIMARY BASE SECTION Base Year 140 196O 140 0 140 *.O -1 140 140 140 Event Date 186 OC -()(0 i 35 186 186 186 186 186 Land 109 2-01. 07,-D 109 2..2. r01!> 109 00 [-) 109 109 109 Avg. Soil Rating Improvements 110 rJQO 110 5pp 110 nnn 110 110 110 LAND REMARKS: Trees and Vines 111 111 111 111 111 111 CUkr:t-- Com: �JI2-r (ZSR. NIGE 1-k Personal Property 112 112 112 112 112 112 c)Ak S dClV sr l f' T I L2 rp y,,c C^C- Keyed By: I \\ SECONDARY BASE SECTION 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 12111 211 211 211 211 211 Keyed By: CERTIFICATE OF ORIGIN . MANUFACTURED HOME CMH MANUFACA TQ WEST, INC. Golden West IDENTIFICATION NUMBER AT.S0303570R — AB DATE OF TRADE NAME MODEL YEAR TITLETRANSFER FwTdl\Ti;WI C'T'' 77UFR98593AH06 2006320015 101/ WIgTN'ETk,. LENGTH WEIGHT INVOICE d,> 52 460'47 AB fff Tt(IXy.�LUDING (EXCLUDING AITCH). $. HITCH) *The,dverajI width is as stated above which includes fixed eaves if installed. uicirgneertifies that: The home is the property of the manufacturer; this is the first trans , . riership (subject to payment being received) is properly transferred to the following: y DEALER: F COLUMBIA MANUFACTURED HOMES 1361 W. SECOND THE DALLES, OR 97058 L_ r MANUFACTURER: F -- CMH MANUFACTURING WEST, INC. GOLDEN WEST - ALBANY 2445 PACIFIC BLVD , SW 'No. 1297'' ALBANY, OR 97321 BY: .. PRESIDENT MFG 1056 FOR VALUE RECEIVED, I THE UNDER§IGNED, TRANSFER THE MOBILE/MANUFACTURED HOME DESCRIBED ON THE FACE OF THIS CERTIFICATE TO NAME OF { 2 PURCHASER(S) -� i 6e+*� I vt M QLA S _IDC' _ ADDRESS --i,59:7 4 f CA_g v, �—-(� [s 2l� e1LV(F{�� vi L AND CERTIFY CERTIFY TO THE BEST OF MY KNOWLEDGE, INFORMATION AND BELIEF UNDER PENALTY OF LAW, THAT THE MOBILE/MANUFACTURED HOME IS NEW AND HAS NOT BEEN REGISTERED IN THIS OR ANY STATE AND AT THE TIME OF DELIVERY THE MOBILE/MANUFACTURED HOME WAS SUBJECT TO p THE FOLLOWING SECURITY INTERESTS AND NONE OTHER AND WARRANT TITLE TO THE MOBILE'MANUFACTURED HOME. Z H Z AMOUNT OF LIEN DATE OF LIEN KIND OF LIEN IN FAVOR OF W Z V` - -- -- LIENHOLDER'S - --- f - ------ -- — - - ADDRESS rn DEALER rV �Ol G7()Jn Q. J BY: f�/IW (/T`Q Q .(�C�lUll/YI NAME OF DEALERSHIP AUTHO D SIG ATURE OF DEALER TITLE OR POSIT C/N Being duly sworn uponoaths hat the State of�$ statements set forth are true correct. fy Subscribed 4nd4worn to me before me this County of—aKa�i,L_. day of _.A11_ .. 20Ls r KOMI ►ee�I Nota ubli c �s d USE NOT IZA RE . UJ TITLI FOR VALUE RECEIVED, I THE UNDERSIGNED, TR NSFER THE MOBILE/MANUFACTURED HOME DESCRIBE bW CE OF THIS CERT (E zf7; NAME PURCHASERS) — PURCHASER(S) ADDRESS J AND CERTIFY TO THE BEST OF MY KNOWLEDGE, INFORMATION AND BELIEF UNDER PENALTY OF LAW, T OBILE/MANUFACTU PE +IS . NEW AND HAS NOT BEEN REGISTERED IN THIS OR ANY STATE AND AT THE TIME OF DELIVERY THE MOBILE T� jRED HOME W '1' 10 p z THE FOLLOWING SECURITY INTERESTS AND NONE OTHER AND WARRANT TITLE TO THE MOBILE/MANUFA( �►O J!r !•a AMOUNT OF LIEN DATE OF LIEN KIND OF LIEN IN FAVO Z . �( A%0' W ccW. .•Z LIENHOLDER'S .(9 ADDRESS c DEALER BY: .,Q NAME OF DEALERSHIP AUTHORIZED SIGNATURE OF DEALER TITLE OR POSITION Being duly sworn upon oath says that the Stale of _ statements set forth are true and correct. Subscribed and sworn to me before me this County of day of _ 20 Nmary Sear .x: —__-Notary Public USE NOTARIZATION ONLY IF REQUIRED IN TITLING JURISDICTION i ti; FOR VALUE RECEIVED, I THE UNDERSIGNED, TRANSFER THE MOBILE/MANUFACTURED HOME DESCRIBED ON THE FACE OF THIS CERTIFICATE TO ls: NAME OF PURCHASER(S) Sat ADDRESS i` i AND CERTIFY TO THE BEST OF MY KNOWLEDGE, INFORMATION AND BELIEF UNDER PENALTY OF LAW, THAT THE MOBILEIMANUFACTURED HOME IS "0 NEW AND HAS NOT BEEN REGISTERED IN THIS OR ANY STATE AND ATTHE TIME OF DELIVERY THE MOBILEIMANUFACTURED HOME WAS SUBJECT TO `.O THE FOLLOWING SECURITY INTERESTS AND NONE OTHER AND WARRANT TITLE TO THE MOBILE/MANUFACTURED HOME. >'j_ AMOUNT OF LIEN DATE OF LIEN KIND OF LIEN IN FAVOR OF ;Z �',W 6Z LIENHOLDER'S ::.rn ADDRESS DEALER 6Y. NAME OF DEALERSHIP AUTHORIZED SIGNATURE OF DEALER TITLE OR POSITION t Being duly sworn upon oath says that the State of statements set forth are true and correct. Subscribed and sworn to me before me this County of -1" day of 20— Norary Seal Notary Public USE NOTARIZATION ONLY IF REQUIRED IN TITLING JURISDICTION i ORDEP NO.: 00222464-001 -GW 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 FOT I.,OWS: ,LOT 52 ACCORDING TO THAT CERTAIN MAP ENTITLED, "AZEVEDO TRACT", WHICH INIAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA, APRIL, 28, 19679 IN BOOK 35 OF MAPS, AT PAGES 13 AND 14. AP NO. 028-130-022 r MUM MUM RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 17-3arn-2007 2N7-eG-@2708 Has not been compared with 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. ROBERT D. AND VERA BETTY BUMPUS BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 1597 PLEASANT GROVE LN. 17 COUNTY CENTER MAILING ADDRESS BANGOR BUTTE :CITE_ __ __. __ COUNTY-- ----.57 1597 PLEASANT GROVE LN INSTALLATION MAILING ADDRESS, CA 95914 BUTTE CA JNTY STATE SAME UNIT OWNER (if also property owner, SAME SAME UNIT DESCRIPTION ADDRESS OROVILLE BUTTE 05-2657 IT BU ERM1 914 ` ZIP S NA 0 L( NONE DEALER NAME (if NONE TE ZIP DEALER LICENSE CA 95965 STATE—ZIP 530) 538-7541 NO. TELEPHONE NUMI3EK not a dealer, write 4/28/2006 DATE GOLDEN WEST HOMES 2006 N/A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB030357ORA/B 52'X 27' ORE483735/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED 1 ASSESSOR'S PARCEL NUMBER: 028-130-022 COPY HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. ORDEP NO.: 00222464-001 - GW 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: LOT 52 ACCORDING TO THAT CERTAIN MAP ENTITLED, "AZEVEDO TRACT", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, APRICL 289 1967, IN BOOK 35 OF MAPS, AT.PAGES S 13 AND 14. AP NO. 028-130-022 u e 4 PRMJ M ' _ BUILDING PERMIT NUMBER: 05-2657 Address or location of unit: 1597 PLEASANT GROVE LN. BANGOR CA 95914 Legal Description of Real Property: 028-130-022 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health -and Safety Code Section 18551. Owner's name: ROBERT D. AND VERA BETTY BUMPUS Owner's address: 1597. PLEASANT GROVE LN. BANGOR CA 95914 INSIGNIA OR HUD NUMBER: ORE483735/6 SERIAL NUMBER OR V.I.N.: ALB0303570RA/B MANUFACTURER'S NAME: GOLDEN WEST HOMES YEAR: 2006 OFFICIAL APPROVING INSTALLATION: DATE: r PHONE: (530) 538-7541 H.C.D. 513 ABESCO ENGINEERED COMBINATION TIE -DOWNS MANUFACTURED HOME TIE -DOWN CALCULATIONS AND SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES DESIGN LOADS: DESIGN &GENERAL NOTES Of �F WIND --------- 15 PSF �F SOIL BEARING---- 1000 PSF �E TIE DOWN STRAPS- 3150# WORKING LOAD TIE -DOWN STRAPS MEETS FEDERAL SPECIFICATION 00 -S -781H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x .035 ZINC PLATED. • EARTH AUGERS -------- 2962# TESTED TO 4750# MIN.) • CROSS DRIVES -------- 2962# TESTED TO 4750# MIN.) * CONCRETE SLAB ANCHORS- 1390# CALCULATED) GENERAL NOTES: 1. THE CHARTS SHOWN HEREON ARE THE REQUIRED NUMBER OF TIE -DOWNS ON THE SIDES OF THE MANUFACTURED HOME. 2. TIE -DOWNS ARE REQUIRED AT EACH CHASSIS BEAM, EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON. 3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE -DOWNS CAN BE USED. 4. IN THE EVENT AN EARTH AUGER CANNOT BE INSTALLED DUE TO AN OBSTRUCTION, USE OF CROSS DRIVE ANCHORS' IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH EARTH AUGER THAT CANNOT BE INSTALLED. SEE PAGE #3. 5. FOR ALL TIE -DOWN INSTALLATIONS, THE MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I" BEAMS. (FOR ILLUSTRATION PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OF RFC SHAPED. 6. END TIE -DOWNS CAN BE LOCATED WITHIN 24" OF EITHER SIDE OF CHASSIS BEAM AXIS AS SHOWN. CHASSIS BEAM (ONE END TIE -DOWN MANDATORY AT EACH END OF "I" BEAM) (V 18"MIN---i 7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. LARGER, LONGER, HEAVIER MATERIALS SUPPLIED BY ABESCO MAY BE USED AT THE SAME SPACING & LOCATIONS SHOWN. I ENGINEER APPROVAL :yam' �W THIS TIEDOWN SYSTEM MEETS THE REQUIREMENTS I a OF SECTION 1336.3. SUBSECTION (a) PACIFIC CONSULTING ENGINEERS 2150 BELL AVE. SUITE 145 SAC. CA. 95838 PH: 916-564-6028 STATE APPROVAL ENGINEERED TIEDOWN SYSTEM BtJBvUNTY Approval do e$ no E !tL, POW' O C". . deviation. fieri, req:!' '- regLOa&s. ante cf CG:!fJ11i; J DepariT;ent of Housing z : c :...... By SPA Nnv , • S D (�c_ This Flan Approvaumsba&_ n A o. ABESCO - mu 5851 FLORIN-PERKINS ROAO SAC. CA. 95828 PH: 916-383-8831 ABESCO.- TIE -DOWNS CABESCO NAME STAMPED IN 1 HEADS OF TIE -DOWNS JJ /1#607 CROSS '•DRIVE ANCHOR II - #406 PIER BOLT -ON TOP �/ / ##601 30" 3002 T.D.A. / LOCK TOP ##606 STEEL BY C & R PIER ®' ® STRAP W/BUC ® I #602 48" T.D.A. 441�4 #604 CONCRETE SLAB ANCHOR W/ #608 SPLIT #SH 5822 SLEEVE #614 STEEL #615 CONCRETE #616 STABILIZER BOLT & NUT ANCHORS (DRY) STRAP W/HOLE SLAB ANCHOR (WET) PLATE SIDE TIE -DOWNS (SEE NOTE BELOW) Lj '^z o om SINGLE WIDE I � apo z � W Z W 12-1 EVENLY I SPACED 12'I Wv LENGTH' VARIES SIDE TIE -DOWNS (SEE NOTE BELOW) O m IW ►LJ O Z DOUBLE WIDE ZW W W 2'1 EVENLY SPACED EVENLY SPACED I EVENLY SPACED 12'1 LENGTH VARI NOTE: SIDE TIE -DOWNS: MUST BE WITHIN 24" OF THE END OF CHASSIS BEAM. END TIE -DOWNS: CAN BE LOCATED WITHIN 24" OF EITHER SIDE -OF CHASSIS BEAM. ONE TIE -DOWN IS MANDATORY AT EACH END OF ."I" BEAM. (SEE PAGE #1, GENERAL NOTE #6) IF SIDE WALL TIE -DOWN GROUND ANCHOR.LOCATION IS SUCH THAT THE ANGLE BETWEEN THE GROUND AND STRAP EXCEEDS 60', CONNECT THE TIE STRAP TO THE INSIDE CHASSIS BEAM ON DOUBLE AND TRIPLE WIDES AND THE OPPOSITE CHASSIS BEAM ON SINGLE WIDES. SIDE TIE -DOWNS (SEE NOTE BELOW) I TRIPLE WIDE �► ► ► ► ► 2'[ EVENLYISPACED [ EVENLY�SPACED I2'� j—T--L� V�1--1 EARTH AUGERS MAX. LENGTH' OF 36' 54' 72' 59' 68' MFG'D. HOME MINIMUM NO. OF 2 3 4 7 8 SIDE TIE -DOWNS CROSS DRIVE ANCHORS MAX. LENGTH OF 36' 54' 72' 59' 68' MFG'D. HOME MINIMUM NO. OF 2 3 1 4 7 8 SIDE TIE -DOWNS CONCRETE SLAB ANCHORS MAX. LENGTH OF 34' 42' 50' 59' 68' MFG'D. HOME MINIMUM N0. OF 4 5 6 7 8 SIDE TIE -DOWNS 0 z W CROSS DRIVE TIE -DOWN END TIE -DOWN #3002 LOCK TOP OR CHASSIS #406 PIER BOLT—ON TOP � , ' � ' _ 1 MSN_i SIDE TIE DOWN #614 STL. STRAP \ ! ! STEEL I i #608 SPLIT STRAP 6\I I / �� #TEL ��ti BOLT & NUT #607 CROSS o ��_ STRAP , DRIVE .ANCHOR 0 n CONCRETE. TIE -DOWN SIDE TIE—DOWN END TIE—DOWN #406 PIER BOLT -ON TOPS INSTALLATION INSTRUCTIONS #604 DRY 1. CONCRETE MUST BE A MINIMUM OF 3 1/2" THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY EDGE. #615 WET 1. PLACE CONCRETE ANCHOR INTO WET CONCRETE. 2. ALLOW CONCRETE TO PROPERLY DRY. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. SIDE TIE -DOWN END TIE -DOWN #3002 LOCK TOP OR — #406 PIER BOLT -ON TOP-�, TIE -DOWN ' - "I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION #606 STEEL \ ` STRAP #614 STL STRAP GRGV Co Sp ` '• �/� ��N C SEE DETAIL L A" (TYPICAL) DRILL 9/16" HOLE AT MID HEIGHT OF BEAM, INSTALL 1/2" A307 BOLT =" ' "C" BEAM CHASSIS "RFC" BEAM CHASSIS SEE "I" BEAM CHASSIS SEE "I" BEAM CHASSIS NOTE #5, SHT. 1 FOR NOTE #5, SHT. 1 FOR TIE -DOWN INFORMATION TIE -DOWN INFORMATION 0 0o O INSTALL GROUND ANCHOR INTO GROUND, LEAVING 8"-12 OF SHAFT EXPOSED. NOTE: VERTICAL OR ANGUI INSTALLATION IS OPTIC) INSTALLATION DETAIL "A" (TYPICAL) INSTRUCTIONS 1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE, UNTILL HEAD IS FLUSH WITH STABILIZER PLATE. ANCHORS SHOULD BE INSTALLED BELOW FROST LINE. 2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG. CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN ANCHOR AND CHASSIS BEAM, AND DRIVE INTO GROUND. - CONTRACTORS VERIFICATION - O FINISH TURNING ANCHOR INTO THE GROUND UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. THIS PROVIDES SECURE PROTECTION AGAINST LATERAL MOVEMENT. Z . 3 I CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. W I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE. COMPANY NAME:___________________________ CONTRACTORS LIC.#___________________-- ` DATE:------------ SIGNATURE: --------------------------------- 0 X2 CDF FIRE SAFE REQUIREMENTS AP# 028-130-022 PERMIT # 05-2657 NAME: Bumpus Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County.Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equal or exceed these standards. Butte'County Building Inspectors will make compliance inspections. Driveway Standards ' pq Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. pq Grade.; Not to exceed 16 percent unless paved. ,Driveway Radius [X] 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] 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 radius. i Pq Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. Pq Width. . All driveways shall provide. a minimum 10 -foot traffic lane and, unobstructed vertical clearance of 15 feet along its entire length. t Pq Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. ' Gates 14 Gate entrances shall be at least two feet wider than the roadway they serve. The gates must be located at least. 30 feet from the roadway and shall open to allow -a vehicle to stop without obstructing traffic on the roadway. Where a one-way road with a single traffic lane provides entrance, a 50 -foot turning radius shall be used. i� R E Q U R E M r j Setback for Structure Defensible Saace C [X] Maintenance of Defensible Space. To ensure continued maintenance of D properties in -conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for T in these standards, annual maintenance must be provided for by the landowner. r [X] 1. All parcels 1 acre and larger shall provide a minimum 30-foot setback for buildings and accessory buildings from all property lines and/or the center of the road. r r r [) 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. �� - I [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building r permit inspection. r Other Requirements [ ] If Building Setback is 15 to 30 Feet: roof R ✓ Class A ✓ Enclosed eaves [ ] If Building Setback is Less Than 15 Feet — ✓ Class A roof with enclosed eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback j T ' ❑ Interior automatic sprinkler system per NFPA 13D Lj ❑ Glass area not to exceed 10% of wall area toward property line with insufficient setback T ❑ Siding from the following list: 1 o Stucco — 3 coat o Hardi-Board or Plank o Masonry R o Masonry Veneer o Metal o Other• Butte County Fire Department approved materials , ' E • N. 10/11/2005 = Darren Read Date Signature j 3 C 09/28/2005 23:21 9163835207 ABESCO INC PAGE 01 • AUG-26-2005 15 19' PCE SIATE OF. r.Al lEa I&gWSJNrSS_ TRANSEQW.ATI[}N 9165646029 p,02 D"A I'MENT OF HOVSYNG AND COMMUNITY DEVELOPMENT MOWN OF CODES AND STANDARDS I NORTHERN AREA OFFICE I NG Q 8911 Folsom Blvd. SACRAMENTO, CA 95826 ' Z �' (916) 268•x301 w FAX (018) 2W2426 From TDD Phonas: 1-800.735-2929 From 04 Voice Phones: 1.800.735-2922 DlY August 26, 2005 ABESCO ' 5851 Florin Perkins Road Sa9ramento, CA 95828 RE: Engineered Ticdown Systcnn Standard Plan AppruvaI (SPA) ETS 106C Deas Sir's: - The purpose of this notification is to issue you an expiration extension for the abovo noted Engineered ' Tiedown Systern SPA. Effective 11110ediatcly for ETS 106C the expiration date has: been extended: Applicant: ABESCO '5851 Florin Perkins Road i Sacramento, CA 95828 Design Engineer: David A. Dahmen DBA: Pacific Consulting Etigineers 2150 Bell Avenue, Suite h.45 ;Sacramento, CA 95638 SPA Number. ETS 106C Nevr Expiration Date: September 30, 2005 If you have any questions regarding this notification you may contact me at (0 16) 2552501 • Sincerely, i l7an Fitigerald BUT'T'E COUNTY Northern Califon:uia Field Oporatiolls BUILDINGDIVISIONAdminist ator II APPROVED CC: File ETS 106C j i TOTAL P.02 09/29/05 THU 10:57 [TX/RX NO 93941 0 001 Mobilehome ivtanufacturer: /i f45 U Manufacture Year: /479 3 — lf other than single wide, furnish Setup Model Number: Width:/3/ (ft.) Length: (ft.) Tagalong or Expando Size On, all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[X] Other: SUPPORTS: Concrete block[A] Other: Provide Tie Down Specifications for all Mobilehornes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 4 Line 1 Line 2 Line 2 Main Beams Line ? ine .. Line 1 Line 3 Line 2 Main Beams ........:...........................................................:........................... Lure 2 I Line 1 ............................................... ine 5 Tag or Tripleine 4 i l,'re 1 Line.1 Piers: Size minimum: [ x [ ' Spacing maximum: From ends-maximum.1 Line 2 Piers: Size minimum: x [ Spacing maximum: 5 From ends-maximum]4 ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size. minimum: Location {from front): Line.1 Openings Size minimum: Each side of openings _ with width over: Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: APPROVED I i I t y ; ��`� Y. t •=: !�:A= �'�.Vit'` ' �fi 44 tfi „" p_ e ' KFCORDING REQUESTED IBY Bidwell Title & Escrow Company r AND WIIF.N RIECORDFI) MA11.'1'4) `Y""' Robert Bumpus Ann,/7✓f'ea .klder.+ �/6ry1` f� Ci 1�.Nwlv Zip ur&r So. 00222464-001 2005-0048184 Recorded I AEC'F1 10.00 Official Records I TAX 93.50 County of I Butte I CAMAM 1. moos I County Clerk-kecorderl I 1 NI 09:N M 16 -Aug -M I Page 1 of 2 SPACE AHO%'F'I'1111 LINE FOR RECORDER'S IISF. Parcel No. 028-130-022 GRANT DEED '1 IAS FORM FURNISI-IFI) Ill' IIll)V1'I:I_I_'ITI'LE & ESCROW COMPANY Thu I Indersigned Grantoi(s) Declarc(s) Docunlentary'I'runsfer'I'ax is $93. 50 ❑ Glyffown of 0 computed on 111611 value of interest or property conveyed, or I}( Unincorporated Arca ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monumcnt Fcc of S 10.00 FOR A VALUABLE CON'SIDERAT'ION, receipt of which is hereby acknowledged. Maurice Veal and Elisa G. Roxas, husband and wife hereby GRANT(s) to Robert Bumpus and Vera Betty Bumpus, Husband and Wife as Joint Tenants and Debra. E. Bumpus -Brown and Roger D.,Brown, Husband and Wife as Joint Tenants the Billowing real property in the ❑ City of 0 Unincorporated Area County of Butte, State of California: s SFE EXFIIRI'I' A A'1'7'ACHED HF IZFTO AND MADE A PART HEREOF U Document Date: July 26, 2005 State ol'Calitol-Ilia r Lounly of w�ln Coaf x Ss. oil Auqusr 1A,a0o5 before me, the undersigned, a Notary Public in and for said County and State, personally appeared Maurice Veal and Elisa G. Roxas Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/arc subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized cupacity(ics). and that by his/her/their signaturc(s) on the instrument'thc person(s), or the entity upon behalf of which the persons) acted, executed the instrument. WITNESS illy hand aud official seal. Sienature -a . k L1arn dIc- q'aene_S MAIL TAX STATEMENTS TO: Same as Above t FOR NO•I'ARY SEAL OR STAMP DARNELLA BARNES comm. / 1451514 r' CONTRA COSTA COUNTY COMM. -EXP. NOV. 19 2007 Order No. 00222464-001 EXHIBIT A 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: LOT 5, ACCORDING TO THAT CERTAIN MAP ENTITLED, "AZEVEDO TRACT", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, APRIL 28,1967, IN BOOK 35 OF MAPS, AT PAGES 13 AND 14. AP NO. 028-130-022 EXCEPTING THEREFROM ANY MOBILE HOME SITUATE THEREON. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2007-0002708 Recorded I REC FEE 10.00 Official Records I County of I CONFORMED COPY 1.00 Butte I CPMACE J. GRUBBS I County Clerk-Recorderl I BW @2:23PM 17 -Jan -M7 I Page 1 of 2 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. ROBERT D. AND VERA BETTY BUMPUS BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 1597 PLEASANT GROVE LN. 7 COUNTY CENTER DRIVE MAILING ADDRESS ,MAILING ADDRESS BANGOR BUTTE CA 95914 OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 1597 PLEASANT GROVE LN 05-2657 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BU I ERMIT NO. TELEPHONE NUMBER BANGOR BUTTE CA 95914 4/28/2006 CITY COUNTY STATE ZIP S116NA 0 LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDEN WEST HOMES MANUFACTURER'S NAME 2006 N/A DATE OF MANUFACTURE MODEL NAME/NUMBER ALB0303570RA/B 52'X 27' ORE483735/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: SEE ATTACHED ASSESSOR'S PARCEL NUMBER: 028-130-022 HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK—Applicant GOLDENROD— Building Dept. U 'lti/u0 1-1:uu rlL& ORDEI�NO.: 00222464-001 - GW SCENDULE 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: LOT 5, ACCORDING TO THAT CERTAIN MAP ENTITLED, "AZEVEDO TRACT", WRICH NIAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, APRIL 28, 1967, IN BOOK 35 OF MAPS, AT PAGES' 13 AND 14. AP NO. 028-130-022 PAHLIM • J . r. } 4 PAHLIM • J RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE .OROVILLE CA 95965 COPY of Document Recorded 17 -Jan -2007 2007-0002708 Has not been compared with 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. ROBERT D. AND VERA BETTY BUMPUS BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 1597 PLEASANT GROVE LN. 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS BANGOR BUTTE CA 95914 OROVI LLE BUTTE CA 95965 _CITE -_ _ _ . _ --COUNTY--. ____. STATE.__ _ -ZIP— - ____ _ _ _ CITY COUNTY STATE ZIP 1597 PLEASANT GROVE LN 05-2657 (530) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT ERMIT NO. TELEPHONE NUMBER BANGOR BUTTE CA 95914 ABU o_o 4/28/2006 CITY COUNTY STATE ZIP S NA 0 LOCAL AGENCY OFFICIAL DATE SAME NONE UNIT OWNER (if also property owner, write "SAME" DEALER NAME (if not a dealer, write "NONE") SAME NONE MAILING ADDRESS DEALER LICENSE NO. SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION GOLDEN WEST HOMES 2006 N/A MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ALB0303570RAJB 52'X 27' ORE483735/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION: ASSESSOR'S PARCEL NUMBER: 028-130-022 SEE ATTACHED HCD FORM 433(A) REV 8/91 WHITE —County Recorder CANARY — HCD PINK — Applicant GOLDENROD— Building Dept. SCEEDDLE C ORDEIRNO.: 00222464-001 - GW 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: LOT 51 ACCORDING TO THAT CERTAIN MAP ENTITLED, "AZEYEDO TRACT", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, APR (L 28, 1967, IN BOOK 35 OF MAPS, AT PAGES 13 AND 14. AP NO. 028-130-022 4 w MUM s RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 12 -Jan -2007 2007-0002254 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. TRACY L. AND SCOTT K. SNYDER REAL PROPERTY OWNER/LESSOR 6337 CUSTER LN. MAILING ADDRESS _ OROVILLE BUTTE CA 95966 CITY COUNTY STATE ZIP SAME INSTALLATION MAH ING 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 MAII.ING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE IIP 05-2883 530 538-7541 B GP vffTNO. TELEPHONE NUMBER --7 1 �� SIGN 0 • CAL AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE . DEALER LICENSE NO. UNKNOWN 1979 0000 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFINUMBER CAFL2A/B913091709 60'X 24' CAL145131/2 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL -PROPERTY LEGAL DESCRIPTION SEE ATTACHED AssESsows PARCEL NUMBER 078-040-029 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. Real property in the City'of Orpville, County of Butbe, State of Califomia ,,described as follows: COMMENQNG AT THE NORTHWEST CORNER OF THE SOUTH HALF OF THE NORTH HALF OF THE SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 32, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M.; THENCE.SOUTH 0 DEG. OT WEST ALONG THE NORTH AND SOUTH CENTERLINE OF SAID SOUTHWEST QUARTER, A DISTANCE OF 82.81 FEET TO THE -TRUE POINT OF BEGINNING; THENCE FROM SAID TRUE POINT OF BEGINNING NORTH 88 DEG. 44' 30" EAST, A DISTANCE OF 542.56 FEET TO A POINT WHICH BEARS WEST, A DISTANCE OF 791.939 FEET FROM THE, EAST LINE OF THE SOUTHWEST QUARTER OF SAID SECTION 32; THENCE SOUTH 0 DEG. OT WEST AND PARALLEL WITH THE EAST LINE OF THE SAID SOUTHWEST QUARTER, A DISTANCE OF 165.46 FEET, MORE OR LESS, TO THE NORTHEAST CORNER OF A PARCEL OF LAND DESCRIBED IN A DEED FROM WALTER L BRAY, ET --UX-,T-0-FRED HERZ3ERG, ET-U�-RECORDEDAPP I--27,-1W2,-IN-B001-117-7, PAGE.331,-OFFICIAL - --- RECORDS; THENCE WESTERLY ALONG THE NORTH LINE OF SAID HERZBERG PARCEL TO THE NORTHWEST CORNER THEREOF, SAID POINT BEING IN THE WEST LINE OF THE SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 32; THENCE ALONG SAID WEST LINE, NORTH 0 DEG: OT EAST, A DISTANCE OF 165.62 FEET TO THE TRUE POINT OF BEGINNING. - EXCEPTING. THEREFROM THE WEST 40 FEET THEREOF. APN: 036-291-045-000 �. .4 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER INFORMATION Last Nam Yt* is i a o e T Address 1507 RZ&sur ve L City State St� , Zip �, 9ey Phon 7 _ �Q Fax E-mail Lic. # APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail State License Number APPLICANT INFORMATION Name 43Adkie As A love Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning S Flood Zone Cross Street c oOA77 - ted • SRA Yes No Occ. I Type Const. . Subdivision Name Map Book Page Lot # Planner Date Approved: UvtK ruts SUt3MI I I AL KEQUIREMENTS PERMIT NO. �oS7 BP 05i0` ... PROJECT LOCATION AP# 6pr_= — l l ;�, Property Address ,a�vteL i City - & oe &A Cross Street c oOA77 - ted • WORKER'S COMPENSATION Policy Number Carrier Nhiring 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 Scop!Of Work: G e i Q gvp rn 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 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 de partfient costs are not refundable. -1 Received 6W Amount\�! 6 94,�, Bldg A211- SRA Receipt #: Sheriff SMIP Date:! W� Other f3o2 Fcas Z1'�� %,�Q1 i ` Total COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES —BUILDING DIVISION 7 COUNTY. CENTER DRIVE, OROVH LE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER Ud A. P. # O 1 PROPROSED BUILD G USE DATE RECEIPT # DATE REC. 1. BUILDING P MIT FEES ---Balance Due .................... $ --- FEMA Flood elevatido review ... $ / --- Additional plan checking ee.... $ ✓ 2. SCHOOL DISTRICT FEE (paid at School District Office) ft M after 3. SHERIFF FEES (paid at Buildin !vision) Commercials ft '''X $0.03 = $ / Sq.Ftg. V 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (formaVilablie5. RESIDENTIAL VELOPMENT IMP COUNT (per dwelling) $ AN AREA (per dwelling) $ MEDIO FIRE DISTRICT (per dwel ' g) $ NORTH CHICO SPECIFIC PLAN er dwelling) Zoning 6. SRA FIRE INSPECTION PLAN CHECK FEE $204.98 (paid at Building D' ision) 7. WATER TENDER FVS BATTALION # $200.00 (paid at Builong Division) 8. SMIP_ 9. DRAIN 10. OTHE 11. O EF G 1 c0I�iQ� r rL-Z•05 Check) At time of tmit application, I was advised the above fees are required to be paid prior to issu\mayp These fees may be anged during the plan checking process. 1 _ AP IC r d 5 ursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above man your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during whie requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) t CTAS E OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD SCHWARZENEGGER, Governor DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT °,)swG q*Zaz�'� Division of Codes and Standards Z W Title Search a� nE��° Date Printed : 09/01/2005 Decal #: LAN6717 Use Code: SFD Manufacturer: 90084 NASHUA HM IDAHO INC Original Price Co AHB Tradename: NASHUA Rating Year: Model: 70142BLN Tax Type: LPT Manufactured Da : 04/23/1990 Last ILT ount: Registration Exp: Date IL ee Paid: First Sold On: 05/1 90 ILT E emption: NONE Serial Number Label / Insignia L gth Width NNID30031 106267 70' 14' Record Conditions: Title Surrender to Another St e Registered Owner MARTHAIDUNHAM PO BX 1535 SUSANVILLE, CA 9 130 Last Title Date: 06/ /1990 Last Reg Card: 0 /11/1990 Sale/Transfer Info: rice $26,425.00 Trans rred on 05/,10/1990 Situs Address: 702 715 JO STONVILLE RD 24 \ SUSANV E. CA 96130 Situs Co nty: LASSEN Legal Owner: SE AC HOUSING SERV INC 20 1 GATEWAY PL STE 401E N JOSE, CA 95110 Lien Perfect On: 05/31/1990 10:05:00 * * * END OF TITLE 'SEARCH MOBILEHOMEc INSTALLATION ACCEPTANCE. ,COU - NTY 01 BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION .— COUNTY CENTER DRIVE OROVILLE, CA 95965 PHONE (530) 538-7541 AP PERMIT NO.: 737/7 Owner'sjName: Owner's Address: - Mobilefiome Manufacturer: Year of Manufacture: Serial r or'V.I.N.: Insignia or HUD Number:. Official approving ipstallation:Date:! -6. If.the mobi16ho ,me'ismoved,'br r 6166W; -the nobIlohome tnsfallation acceptahce,sh .11-:66co ! invalid. This not used whah'the'"mobil, t form shall ri� le o-me:i�-installed�6h*afo�ndai-on-sysem. 5138 white -Owner; Yellow- Installer, Pik -Bldg, *.Gold-*Ass6ssdr PERMIT NO. RESIDENTIAL © 5--^ / � ✓% - Al - OFFICE COPY Address PLAPSAj r GAS Meter By Date ELECTRIC Meter By Date } .SPECIAL CONDITIONS CHECKED I. BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER r JOB F I N A L E D (Date) Sianature �� J=OK 0 = Not OK - = NotReady . =Not HOMES o_ Date MOBILE HOME UTILITIES (Plans) OK except Vs Card B-1 Date 1. Zoning Requirements -Setbacks -Easements Date 2. Sols; 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'fL / P Nat or/ /" L W P LPG 2. Footings; Size -Spacing -Marriage Line 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except id's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except g'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. Elea; 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 Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except g'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. Elea; 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 Cana B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Appeable = Not Ready r r L RESIDENTIAL (Single & Duplex) tate UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd. / / Ftg. Depth 3. Ftg., Garage; Sols -Steel -Flex. 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 -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation late 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 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection -20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower_Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test 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/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ iga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. Joist-Rftr. Ties-Purfin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -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-Nairing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Naffing -Softs 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Cana B-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 -Meth. 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 ❑ Yes 83. Following Instld"ve O Yes O No/Walks 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. Fire 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: 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 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. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform 9 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 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Ging. Joist-Rftr. Ties-Purfin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -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-Nairing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Naffing -Softs 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Cana B-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 -Meth. 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 ❑ Yes 83. Following Instld"ve O Yes O No/Walks 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. Fire 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: BUTTE CQUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052368 LICENSED CONTRACTORS DECLARATION Issued Date: 09/02/2005 APN: 028-130-022-000 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address: 1597 PLEASANT GROVE LN BAN effect. License Class : License Number: Map Index: Date: Contractor: Description: elec for well only 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 Owner: BUMPUS, ROBERT Business and Professions Code: Any city or county which requires a 159 PLEASANT GROVE LN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a BANGOR, CA. signed statement that he or she is licensed pursuant to the provisions of 95914 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 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 Applicant: BUMPUS, ROBERT intended or offered for sale (Sec. 7044, Business and Professions 159 PLEASANT GROVE LN Code: The Contractors' State License Law does not apply to an BANGOR, CA. owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, .95914 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 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 Contractor: and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date:Sr Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for Architect: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit. Engineer: is issued. ❑ 1 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: Total Square Ft: 0 S. F. Carrier: Valuation: $0.00 Policy #: Census Code: 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, t and agree that if I should become subject to the workers' l/ compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure 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 permit is here issuedYoethe a licable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to work i 'c d abov for w h fees have been paid. g �2 Name: By: Date: PERMIT EXPIRES ON: r-- r— Address: 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 or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. 2n �� Bch Print Name: �iC� 5. Signature: h-F� an g7r19 Date: - --S /Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor (0 0 0 o` �0 Y � T�'�. BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 S. =_m� 0 OFFICE #: (530) 538-7541 `- A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION JN'Cy Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY APPLICANT INFORMATION OWNER INFORMATION Last Name City��� First Name Address s Q 5AL,vT&yP_aoe L Ne 7 Rke4- City�� eg"e, State Stat C1141 Z' Phone �/ O 9 Fax E-mail Lic. # APPLICANT INFORMATION CONTRACTOR Name City��� Address - - City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City��� Address - - City Fax State Zip Phone Book -Fax E-mail Planner State License Number APPLICANT INFORMATION Name Uf Address _ City��� tate ` Z� P5' -f/ c Phone _ y 9 9 Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address 597 Flood Zone Cross�Street � SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgAPolSubRgmts.doc PERMIT NO. I BIN # PROJEjCT LOCATION AP# oW ^ 3/—0a�� Property Address 597 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 Page 1 of 2 Description or Scope of Work: X t 5'r/,v ml -�g tP'7`eli %K.e A D 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 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 l/" Receipt #: �un-27 Amount: � Bldg � DateOther : `%�� .� � Total 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 A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 SEE E\Hiur A ATTACHED HERETO AND tMADE A DART HEREOF Document nate: July 26, 2005 StaicofCalifibmia County of 6�ft � } SS. On ALJgUsr la, 4005 before me, the undersigned, a Notary Public in and for said County and State, personally al) red Maurice Veal and Elisa G. Roxas Personally known to me (or proved tut me on the basis of satisfactory evidence) to be the person(s) whine nantc(s) is/arc subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized cupocity(ics). and that by his/her/their signature(s) on the instntntent the person(s), or the entity upon behalf of which the person(s)acted, executed the instrunteni. WITNESS my hand and official seal. Signature DrA�ncj�� V��nes FOR NOTARY SEAL OR STANII' n DARNELLA BARNES COMIM. 1�51Is, WrAff FU X 0 CA1�111q "[4COMM COSTA COIMTY Cantnt'Eap• NOV. 19 2007 MAIL TAX STATEMENTS TO: Same as Above I TEGGRANTDEED 1 i � . 8005-0048184 KECORDING REQUESTED 11Y Bidwell Titles Escrow Company Recorded I REC FIX 10.8® Official Records I TAX 93.50 County of I Butte I AND WIIEN RECORDED MAILTO CNINACE J. GRM 1 Robert Bumpus County Clark-Reeorderl ., r 6✓o>ovs- I I NZ ,\d,lma 09:liillM HrAug-M I Page 1 of 2 45 -1-7� Q � J X-llll ".'�°`r N�vC",-L �.- , �►�- II IIII 11lll I I I i 111111111111111 ttrdrr e,,. 00222464-001,- SPACE AROVE THIS LINE FOR RECORDER'S IISF. Pared No. 028-130-022 GRANT DEED 'I'I•Ilti FORM FURNISI•II:I) til' ItIDH'1:1.1.'I'I'I'LGfi I:tiCRO1Vt'()Ml'ANY �% the llndcnignud Granton ) lkelarly.) Documentary TrunsfcrTux is $93 .50 O City/Town of 0 computed on full value of interest or properly conveyed, or %Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale 0 Monumcnl Fcc of S 10.00 FOR A VALUABLE CONSIDERATION. receipt of which is hereby acknowledged. Maurice Veal and Elisa G. Roxas, husband and wife hereby GRANT(s) to Robert Bumpus and Vera Betty Bumpus, Husband and Wife as Joint Tenants and Debra E. Bumpus -Brown and Roger D. Brown, -Husband and Wife as Joint Tenants the fidlowing real property in the 0 City of 0 Unincorporated Area County of Butte. State ofcaufornia: SEE E\Hiur A ATTACHED HERETO AND tMADE A DART HEREOF Document nate: July 26, 2005 StaicofCalifibmia County of 6�ft � } SS. On ALJgUsr la, 4005 before me, the undersigned, a Notary Public in and for said County and State, personally al) red Maurice Veal and Elisa G. Roxas Personally known to me (or proved tut me on the basis of satisfactory evidence) to be the person(s) whine nantc(s) is/arc subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized cupocity(ics). and that by his/her/their signature(s) on the instntntent the person(s), or the entity upon behalf of which the person(s)acted, executed the instrunteni. WITNESS my hand and official seal. Signature DrA�ncj�� V��nes FOR NOTARY SEAL OR STANII' n DARNELLA BARNES COMIM. 1�51Is, WrAff FU X 0 CA1�111q "[4COMM COSTA COIMTY Cantnt'Eap• NOV. 19 2007 MAIL TAX STATEMENTS TO: Same as Above I TEGGRANTDEED 4 b lir Order No. 0022240-3-001 EXHIBIT A 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: LOT 5, ACCORDING TO THAT CERTAIN MAP ENTITLED, "A7EVEDO TRACT", WHICH MAP 1VAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, APRIL 28, 1967, IN BOOK 35 OF MAPS, AT PAGES 13 AND 14. AP NO. 028-130-022 EXCEPTING THEREFROM ANY MOBILE HOME SITUATE THEREON. COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N ./ 7 County Center Drive - Oroville,California 95965 - Telephone 916/534-4541 y' APPLICATION AND PERMITin ASSESSOR ARCEL NUMBER ZO ING 2e-13 - Z2 X-5- BUILDING PERMIT OWNE.fTELEPHONE r',e,=[ Z. See -Z3:120 SQ. FT. OCC. BUILDING VALUATION 23,9* 40 7 0E R'S (LING ADDRESS P O. �®1 49> /36k o r /I/ z o " CONTRACTOR'S NAME TELEP ONE �u rug. �S 33 - CONTRACTOR'S MAILING ADDRESS Ak Z E v Fireplace 210 CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ �; Filing Fee $ 10.00 LENDER'S MAILING ADDRESS 14 Permit Fee $ Z 3 f,0,a ARCHITECT OR ENGINEER K v LICENSE NO. Plan Checking Fee $ ' t *�� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS�� Cal- o , PLUMBING PERMIT9 Filin Fee 10.00 t ®d' Each Trap API 2.00 Z400 Repair drainage or vent piping 5.00 Water piping CDU LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFX[ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer .61dlJ Lawn sprinkler system 5.00 TYPE OF WORK New M- Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'LQQ1p000 AMP 2.50 OR ADONS. ACCLB.LDZi S•/NEW CONST. CT aiI 20 sq it 44.09—" CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification' ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code forthis reason NEW CONSTR. I.OUTLET 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. IPOWER APPARATUS 9 NON-RESID. ISINGLE OUTLET CIR. I 50 @ z,¢ Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APLNS. Ex. Occup.(OUTLETS P(RESID,)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ S6, 0"T- Sfor Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. U X Date �7 �� 7 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP _jr I TYPE OF CONST. PARC L PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC BY 77 PER EXPIRES Date _ the applicable prov6- resolutions to do fees have been paid. WORKS Cate 1 t Receipt No. , �� / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT J PERMIT N0. 1471-81B,P,E PERMIT EXPIRES OWNER Fred L. Sarey CONTR. C. J. Cortr., Oroville 28-13-22 ASSESSOR PARCEL R U W/S Bangor rd., LOCATION 500'N.ot LaPorte,Rd., Bangor r is 4 Temp. Power Pole Called PG&E r �r Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E/ JOB FINAL ED (Date) f v j Signatur 13 r RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMARCE WITH CURRENT ENERGY CONSERVATION REGULATIONS r (location) BUILDING PERMIT NO. A'. P.. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER*APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors,j�/� Walls Ceiling Roof Te -71"_ Ducts -Circulating Pipes _ APPROVED HEATER APPROVED WTR.HTR.�_ GLAZING:, Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. %eS WEATHERSTRIPPED DRS. 'Y es BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. 'APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS'NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIF ICA AS SUBMITTED. Insulation Applicator Name Signature of ease pr• t) Insulation Applicator tate Contractors License No. General Contract�ameC ,S e (ple a printj Signature of General Contract er Date / Stat Contractors' Lic nse No. f THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. j 0 0 = Not OK = Not Applicable MOBILEHOMES ' MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except a's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing S. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts -GF] 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date OK = IN OKE = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) Date UNDER OR Plans OK except #'s Date FRA G Continued o ' requirements -Setbacks -Easements q . perty Line Firewall &Openings tg., Main; Soils-Steel-Elec. Grnd.- //( /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits - z Frn ('axaq& &-.Is-Steel- / /" Ftg. Depth 5, lairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ft ches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Ae*Stemwalls, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer - -59--,Rl C Mesh -Drip Screed-Fdn. Vents-Underflr. Access - eel SY.'Glazing Area -Glass Protection -Skylights -Plastic - .W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test J,y'Shear Walls; Nailing -Bolts 0. Water Pipe; Test -Anchors -Regulator -Service Test r I 7L - Card -B Date -ar -BI Date "07-Cart:12 Date - CkckBI Date C d -BI Dat r Car -BI Date Card-B,V Date5- Card -BI Date Date FINAL Plans) OK except N's Card -BI Date Card -BI Date D 42 PLUMBING (Permit) OK except p's t. Steps -Door & Sidelight Protection -Landings 5 Smoke Detector i 14. Water Ht.; Vent -Access -Combustion Air lg,it ter Pipe; Test & Anchors -Nail Protection .60" Furnace; Vents -Clearance -Comb. Air-Connector- I Garage; Above Floor-Ducts-Mech. Protection 1 .W.V.; Test-Fttngs & Anchors -Nail Protection Bedroom Exiting an; Test, First Floor -Tub Access G.F I. & Bath Fixtures & Tub Access Qb!Es Tub & Shower, 2nd Floor -Tub Access Qi52c. Trim & Subpanel; Breaker Sizes -Labels ipe; Size & Anchors Stairs & Rails 7-e, GT L1$�{ 'T6 Fireplace or Stove; Clearances -Hearth c. Outlets at Wood Panel; Int. & Ext. Card -BI Date 7- -EY Card -BI Date Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date �,' <j Card -BI Date ebeElec. Outlets & Receptacles at Kit. Counter o Garage Fire Door; Swing -Landing -Closer Date ELEC ICAL Pe.�OK except p's A.C. Duct in Garage -Damper . Fixture &Transformer Clearance -Ins. Protection 63. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection ` 241 Elec. Receptacles Spacing -Lights & Switches at Doors Plb., Elec. & Mech. Equip. Listed for Location ize Boxes & No. of Conductors -Stapled �#- Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water Insulation -Foam -Looked in Attic ❑Yes u rd Rails & Deck Construction -Post Caps Appliance Circuits i Kitchen & Conductor Size _ 26. Subfeed Wire Size 14,fd ga. Cu o A A.C. Wire Size / / ga. Cu or At e.dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Lo ked under Floor ❑ Yes 27. Range Circ. // u or AI -Oven Circ. / / ga. Cu or Al, al Nel -'Yes ❑No u if ollowing in,.s_tl� Drive es ❑ No; Walks Yes ❑ No; Planters klYes 0 N 28. Service -Riser Conductors & un Main Disconnect <�$- Stucco; Brown -Finish 2 quip. Clearances; Panels-Motors-Mech. Equip. Jji�IA.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 36.,e2jothes Closet Light -Shower Light 7 ater Well; Disconnect, Electrical, Plumbing xtenor Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date entilation throughout House Card B-1 ` Date Card -BI Date 8 Glass Protection Date MECHANICAL (Permit) OK except q's orrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation upport ale-W!IPLA Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaus ove Insulationnergy Compliance Certificate -Other Certificates in _ 33. Condensate & Overflow; Size & Grade 34. Furnace ent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic ccess & Platform if Furnace in Attic Card- Dat Card -BI Date C -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Pik,95 OK except q's 3 Sills; Proper Material & Anchors _ 3 aI s; Studs -Nailing, Spacing & Bracing -Plates -Sound 38L-eLfaring Walls over Girders & Floor Nailing r t Stop in Walls (rat proof) t _3g Fire Stops; Furred Ceilings -Stairs -Chases T _ 4 Header & Beam -Size & Bearing _ 42. ngers-Post Caps-Anchors-Connectors- �' _ Tr -SirSS h c.-Rfng. --_ 44. Fireplace Ties or Type A Flue -Fireplace Throat ess ize & Romex Protection -Draft Stop -Ins. Baffles 4 drm. Windows or Exiting Doors -Sill Hgt. & Dimensions ier Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE •� `. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional, explanation, please contact this office immediately. 41 r ..� , j � - / / , f • ' r i \ �\ .rte r (r -IA' Inspector Date w COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. %i/ �r ✓ r.s / r 7 ( h i ail /',.i. 0 Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue., Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector /L'` d�iCo �_ Da I- " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillp, California 95965 • Telephone 916/534- 41Iry JV / APPLICATION AND PERMIT All ASSES OR ARCEL NUMB9R ZONI G --- BUILDING PERMIT OWNEr PHOPrIf SO. FT. OCC. BUILDING VALUATION OW 'S MAI LI ADDR 55 r CON RA TOR' AM t r TELEPHONE CON R C ORo''�S MAILIMG DDRESS v� cri h S U S'�G Fireplace CONSTRUCTION LENDER UNKNOW Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 8Nl LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ DR BUILDINts t" PLUMBING PERMIT Filing Fee 10.00 PEach Trap 2.00 Repair drainage or vent piping 5.00 '� Water piping LOT NO. SUBDIVISION NAME PAQEL MAP I Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets �USE OF STRUCTURE / SF K Duplex Mobilehome❑ Other SPECIFY Building sewer Lawn spri kler system 5.00 �© TYPE OF WORK New ❑ Addition ❑ R model ❑ Uti Iiti s ❑ In lation ❑ Other Describe work: 3— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR Main service 100BOOV OR LESS OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.N1 OR ADDNS. ACC. BLDGS. / 20 Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force a effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.Ou LET 2.50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS INI NON-RESID, SINGLE OUTLET CIR. / EX. Occup OUTLETS OR FIXTURES BAL21 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department 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. 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 against said County in co sequence of the granting of this permit. X / / w Date Signature of Applicant — Owner ❑ ContractorAgent Elwork An OSHA permit is required for excavations over 5'Vdeep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL'PERMIT FEE $ IS70 <150 OCCUP. GROUP I TYPE OF CONST. I PARCEL PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRE Rfp UBLIC BY -• PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS I ate 7 �/ %r! �� .� Receipt No.,,� 9 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT er F eE� /A�E,y " .. ,� • Alp* No S-roaa'l Fwov-- TotisT I I I f-%TEa-,orL WAL-L- E ' • -r{ I 2x,0 o,L f u - 7EprN Hov,N Eti6 P-,0 2 F.. tom+ M S - o-rL T F-,C,-ro fz.-J o s-rS Pee- v" O, C- , W = y- o , Lt , Z = 5 3, -3j '�EStbnJ ���►G� F� �h� MOMEnI-� lnJ %yg l/��t:o�� SPRnJ MM�x = W�Z_ sem, 3 "/� CtZi L►o,s�Z 8 18 tLt gin- Ib, S T2 I A fJG1-E X 'l y- 7: -,:t2 = • !o(p I= y = , lo(a (3 Co /2 1-7 �� _ .�7� roe- G sx3�Y`f S ,�►�-� ;, ole A,.j 6L-,eF To F,-Lpo rL To, S Lo A 0 OA) P-'> el-lM = S � ,3 C � o, S � = S SCJ 1�5 ► h 1- o A 12 PC LT = Ssc) , L,s 16,11 - cr--� i� , oiz- TI-1 tr c,� A 1�2 t g o t�T ZS t IIoo lf>S, : . % - Viz RO�rS To Ho( -D Tt4c Ani C- c E 7o THE FL.002 To , S-rTS A V 6 QU 7 f?4i• 1 OF 2 F 2 61 S A fZ-a w � ' Y"12.j3 0 �s W/ Sol WfIgil+Ei2--5 'P 67 , 2 of 2 72 150�r5 arN Nor 4 IJ i E7 Q�� goon SugFLwr�— FS-r A -A _d s/g pg S u 13 f� 2x1 O FLooc- -Fo's-T— 14-71-8-/ BUTTE COUNTY BUILDING DEPARTMENT APPROVED lr-e ., RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. A. P. A. GENERAL V Zoning requirements (sideyards and parking). Valuation. ,8;� Signature by R.C.E. or Architect (if required). B. PLOT PLAN ,Y. Complete parcel size and dimensions. Setbackq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Permit # 7 �� - J17/ # C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). 4. Allowable glazing for energy requirements (20% max.-per,State law). . Human impact glass (Sec. 5406). i. Required room sizes, ceiling heights (Sec. 1407). ,l7 . G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Y Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). 1 Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. 2 Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. sfireplace construction details and calcs if over one-story in height. ufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR ll! CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). ,3! Guardrail details (Sec. 1716). �i. Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). �! Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. JJ. Adequate bracing. building. (State law). Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. 0. Two (2) exits on three-story dwellings (Sec. 3302). t , • } COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER /j PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this m%atttteerrroor,need additional explanation, please contact this, office immediately. -e-V i r'V Jr ��.Inspect �% .! _ �..-tom' Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: Address: Tenant:' Building Location: Type of Inspection requested: Housing LJ* 2 . Financing 3. Change of Occupancy to —M,4,,. -Other (specify)_�/ .. Present use. of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: - - - - 3. Bathtub or shower: 4. Kitchen sink:' 5. Hot and cold water to fixtures: • 6: Heating' facilities: 7. Natural light and ventilation: ILI- 8. Room and space requirements: 9.. Bedroom window or door for second exit: n 10. Infestation' of insects, vermin, or rodents: �h .11. Connectior..to sewage disposal: 12. Connection to water',supply: 13. Rubbish and garbage facilities: 14. .Cc= ents B. Structural 1. Piers and footings: 2. Floor construction: 3'. ' Wall construction: . 4. Ceiling and ' roof construction: 5. Fireplaces:' 6. .Comments: C. Electrical, 1. Service aid 2. Receptac-.es: 3. Fusing: 4. Comanent s : ground: D. Plumbing . 1. F LYtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments. E. Other 1. Maintenance and repair: 2. Fire hazards: _ 3. Safety hazards: 4. WeaV!er protection: 5. Underfloor and attic ventilation: 6: ' Comments- F. ormaents- F. Camercial Buildings . 1. Roof covering:_ "-2�''Distarce to property lines: 3. Physically handicapped: 4. Restroom floors and walls: _ 5. Exits: 6.` Improvements: 7. Zoning: _ 8. Comment.-~: G. Field Probl.e,-:is cir Viclatior,s 1. Probvem or 'liolatiorl (give complete description) : ?, What action taken (giNe complete-Jescript .on) - .3. What aef-ion recomriended: 77 A. ' "Information only 7T7 B. Hold for ten (10) days, then wri'u letter. / / r. Wri.�e letter. 7D. Other: 0 DECLARATION REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume , Page Official Records of Butte County, (AP# ), I am requesting permission -to build or install an additional living unit on this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- plied with. R. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed• use of the additional living unit is and that further I shall not change this proposed use of the additional living unit ." 1 ,... . - .... .. i _ .. � ORDER NUMBER FIRE REG. R.U. JINCIDENT NO. START MO. DATE z I X2`3 03-.2 FIRE NUMBER REPORT REG. R.U. NO. thru C-18 (1/80) — -- — — — — — — ORIGIN LOCATION 2 SEC. TOW/NSrrH//IP';N RANGE �E MILES/ IRECTIO FROM OIN LZ �L []s �[]W 7 bU 3 INCIDENT TYPE. aIR FALSE ALARM TOP GO TO 10 ,7 RESPONSIBILITY (AT ORIGIN) 4B pIRECT PRAT. RP.c'D.P.R') STATUTORY Ret. ✓ STATE ZONE RESPONSIBILITY 0 WILDLAND BURNED OR THREATENED Og?SCHEDULE A D.P.R.• STATE OUNPROTECTED ❑DISTRICT 4oQ OTHER AGENCY O.P.R.CITY LOCAL ZONE ❑COUNTY I& HSCHEDULE A D.P.R. ❑U.SF.S. BOO OTHER AGENCY D.P.R. (Unincorp) OB.L.M. FEDERAL ZONE ❑ B.L4. FEDERAL( except Military) D.P.R. 0 O N.P.S. OO SCHEDULE A D.P.R. OOTHEA FEDERAL ® ❑ MISCJOTHER VZONE") F] OTHER CAUSE (STARTS IN 00 5 OROONLY) ,,-, Oki not start to 1 25 or S 0 SMOKING 0 EQUIPMENT 0 LIGHTNING 0 DEBRIS PLAY W/FIRE 0 CAMPFIRE 0 ARSON OTHER/MISC. 07NLA6 ND USE(STARTS IN 0"04ONLY) [] Db not start n<t) p 6 ar08 [] FOREST INDUSTRY []r DOMESTIC vv 0 RECREATION [] RANCH -FARM []OTHER INDUSTRY-COMRCL. 0 DUMP []WILDLAND 0 ROAD 0 NON-WILDLAND 0 UTILITY, RAILROAD []OTHER 0 UTILITY, ELECTRIC 7DAMAGE( 2 fNumb. b ORvONLY) O NO DAMAGE INrOO�Aof 1 2 6 0 8oh/Dwig 1 TIMBER 8/OR YOUNG GROWTH WILDLAND VEGETATION (Other than T&YG) AGRICULTURAL PROD (Other than T&YG) DWELLINGS &/OR CONTENTS OTHER STRUCTURES b/OR CONTENTS VEHICLES 8 CONTENTS OTHER TOTAL $ DAMA (Nearest 2 Vor — YEARf, � N� u 1Lp. P FIRE NAME: F 54 r e NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., ETC. 15a— co 2 64,� GC Ccs e ' R, p ON ARRIVAL [] 1 VEGETATION FIRE 0 OTHER, GO TO 10 DISTANCE (Origin to head) ACRES _ WEATHER (ESTIMATE AT SCENE) WIND DIRECTION FROM 000 M.P.H. R�V ER PLEASE 3S;000 FEET TEMPERATURE OF CDF 7540-130-0118 E. Other I . Maintenance and repair: 2. Fire hazards:. •.3. Safety haz.r.ds:' 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildinjzs 1. Rcof covering:_ I 2. Distance to property lines: 3. Physically handicapped: 4. Rest-oom floors and walls: 5. Exits: 6. Improvements: 7. Z-op-.Ir.g:-. 8. Comerit:z 2 G. Field Problanis.or Violatiovs 1. Probt-lem — xzv.-Lolation (give romp � ,�eta des 2. Wha� -actio en (give completp- desc 3. W ,.i ac recmm-ended: 7C�nf or -i -tat. ion Only fil'-. ption): t ion) : / /. B. Hold for tc-) (110) days, then write lrtter. 7 D. Other: ,1J' 7= Address: Tenant: Building Location: .BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT A. A0 z Z 2a, Date of Inspest�on2L/6 Inspec Type of Inspection requested: 1. Housing 2. Financing 3. Change of Occupancy to l Other (specify) Present use of buildin : A Sanitation (Housing)_ 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating'facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connectior. to sewage disposal: 12. Connection to water'.supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Coments: C. Electrical 1. Service ground: - 2. Recept;... a: 3. Fusing:_ 4. Cona, ent s' _- D• Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: c 4. Comments: lnnntinuaA nn hack) Address Tenant:' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Building Location: Type of Inspection re4� ed: A. P. # Date of Inspector 771, Housing. —77•2. Financing 3. Change of Occupancy to T-1 4: -Other (specify) — Sat- 'Present r 'Present use of buildin • W �S — r��V A. Sanitation (Housing) .1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: . 6. Heating facilities:' 7. Natural light and ventilation: 8. - Room and space requirements: 9.. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: .11. Connectior-to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. .C-1 ents B. Structural 1. Piers and footings: 2. Floor construction: 3 Wall Construction: 4. Ceiling and:roof construction: 5. Fireplaces:' 6. . Coimnents: C. Electrical. 1. Service aad grounds 2. Receptac: es: ' 3. Fusing. 4. Comment s : D. Plumb ing . 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments E. Other f 1. Maintenance 'and repair.: 2. Fire hazards: 3. Safety hazards: r ��-- 4. WeaV?er protection: S. Underfloor and attic ventilation: 6: Corm. ents F. Ccmmiercial Buildings 1. Roof covering: 2. Disrarce to property lines: 3. Physically handicapped: 4. Resn-oom floors and walls: S. Exits: 6:._ Improvements: 7. Zoning: 8. Comment�i G. Field Proble-ns or Viclatior,.s 1. Problem or-.►iolation (give nompletz desrriptio-n): ?_. What action taken (give complete -Jescription) .3. What action r.ecomrended: %7 A. Infonuation only - fil02. 77 B. Hold for ten (10) days, then wri:-u letter. rw Write letter. w %% D. 'they: -CITC f AAI socah,o PG y` Z.li e ��9• • :....: .:....:...........r-........ .. ... .. :.. :. ... .. .. .. .. .. .. ... .. .. .. .. .. _ _ - - _ .. .. .. .. .. .. .. .. ._ .. - - Ll 8TiU4:Tl1f�E,�' AND E{]tiJIP,AE1_T' INCI t �� �` �{ .• 1 :v 'fes'- .JIIV'�lS a a. �• St _ i�r�-cii�►i� " U i�1i' K:!'1P('� chree4 .,..113 T. .... D� .3 r :;tis•ii C... 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