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HomeMy WebLinkAbout028-220-049, tf yy1. BUILDING STRUCTURE W/0 PER 5/1/97 n;g ok 608-0471 0-049 ISk` RESIDENTIAL SFD-Mobile ile Home PFS NEW MH PERM FND 2503' ROY BORGSTROM 028-220-049 PERMIT#97-67AG BEAUDOIN, Keith -- 191 Darby Rd., Bangor Ag Ex Permit-Farm Equip Stg 2 2 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3 PAUL PL Owner: Permit No: B08-0471 APN: ' 028-220-049 ROY BORGSTROM Issued Date: 09/18/2008 By TMP Permit type: RESIDENTIAL 22 DONNA LANE Subtype: SFD-Mobile Home PFS DANVILLE, CA 94526 Expiration Date: 09/18/2009 Description: NEW MH PERM FND 2503' (925) 820-8273 Occupancy: R-3 Zoning: Contractor Applicant: Square Footage: R T ANGEL INC D R TECHNICIANS Building Garage Remdl/Addn 868 W ONSTOTT #J 509 S STOCKTON STREET 2,503 YUBA CITY, CA 95991 LODI, CA 95240 Other Porch/Patio Total (530) 821-5850 (209) 333-6190 2,503 FEE INFORMATION CWIF MH $1,853.79 DBFIRE SRA Fire Plan Review (S $107.00 CWIF MH $1,663.57 DBMSC Mobile Home Permit Fee. $361.74 CWIFAUD Impact Processing Audi $50.00 DBOMSCF Fire Safe Standards Re $118.98 CWIFDDS Impact Processing Fee $50.00 DBSMIP Residential $16.27 DBEH Building Review Fee $78.90 DBF MH Plan Check $241.16 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 Total Charged: $4,755.41 Fees Paid: $4,755.41 Balance Due: $0.00 Receipt No: B8620 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 R T ANGEL INC 457364 / C47 B / 06/30/2010 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in fulLfgrce 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 09/18/2008 !' the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ® ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; �M111412 — ft,8%N$(%N thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). /� b Carrier: CGMIOi{/✓Y Policy Number / .26141/Cl Exp. Date: d 'l " (This section need not be completed if the permit is for one hundreddollars ($100) or less. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers'X 09/18/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date P] X 09/18/2008 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 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, 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 thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY S FEES. County to enter the above mentioned operty for inspection purposes. I hereby certify that I am the prop owner or a uthorized to on the property owner's behalf. CONSTRUCTION LENDING AGENCY K 09/18/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR: Agent for OwnerMAgent for Contractor FILE COPY Lender's Address City State zip �VTrF BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION* 0 o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o " _ - ' o A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.neVdds IM PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last N�- :.a" Borgstrom First Name Roy Mailing Address 22 Donna Lane City Danville StateCa. T'K94526 Phone 925-820-8273 Fax E-mail APPLICANT SIGNATURE X ✓b PROJECT LOCATION AP# 028-220-049 Property Address 3 Paul Place City Bangor. PERMIT -10% 6� BIN # WORKER'S COMPENSATION Policy Number , Exemipt Carrier Nhiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit Issuance. LENDING AGENCY Name rDup- r&gAng;el1 r _ . -. Address 201`—Conc_o_urse—Blvd_. .Suite B Santa Rosa, Ca. 95403 DESCRIPTION OR SCOPE OF WORK. Install 2,503 Sq. Ft. Manufactur A ,s Home asPrimar Dwelling°t-,on a Permanent Foundation. Sq FT- Living 2, 5 0 3 Garage n • ❑ Structure Built without Penni may, ❑ Proposed Change of Occup / J (Note previous use): For office u e only_ CONTRACTOR Name r— �;. ' r R,:;T. Angel1Iric,. Address city Address 868 W. Onstott #J City Yuba City State Ca . Lp 95991 Phone 530-821-5850 Fax! 1 530-821-5854 E-mail State License Number Lic. # ;.,4.57 364 Class C471 B APPLICANT SIGNATURE X ✓b PROJECT LOCATION AP# 028-220-049 Property Address 3 Paul Place City Bangor. PERMIT -10% 6� BIN # WORKER'S COMPENSATION Policy Number , Exemipt Carrier Nhiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit Issuance. LENDING AGENCY Name rDup- r&gAng;el1 r _ . -. Address 201`—Conc_o_urse—Blvd_. .Suite B Santa Rosa, Ca. 95403 DESCRIPTION OR SCOPE OF WORK. Install 2,503 Sq. Ft. Manufactur A ,s Home asPrimar Dwelling°t-,on a Permanent Foundation. Sq FT- Living 2, 5 0 3 Garage n • ❑ Structure Built without Penni may, ❑ Proposed Change of Occup / J (Note previous use): For office u e only_ ARCHITECTIENGINEER Name D.R. Technicians (Don) Address city City State Ca. State Zip Phone Fax 209-367-0814 Fax E-mail State License Number APPLICANT SIGNATURE X ✓b PROJECT LOCATION AP# 028-220-049 Property Address 3 Paul Place City Bangor. PERMIT -10% 6� BIN # WORKER'S COMPENSATION Policy Number , Exemipt Carrier Nhiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit Issuance. LENDING AGENCY Name rDup- r&gAng;el1 r _ . -. Address 201`—Conc_o_urse—Blvd_. .Suite B Santa Rosa, Ca. 95403 DESCRIPTION OR SCOPE OF WORK. Install 2,503 Sq. Ft. Manufactur A ,s Home asPrimar Dwelling°t-,on a Permanent Foundation. Sq FT- Living 2, 5 0 3 Garage n • ❑ Structure Built without Penni may, ❑ Proposed Change of Occup / J (Note previous use): For office u e only_ APPLICANT INFORMATION Name D.R. Technicians (Don) Address 509 S. Stockton St. city Lodi State Ca. 2ip9 5 2 4 0 Phone 209-333-6190 Fax 209-367-0814 E-mail drtechniciansCyahoo.com APPLICANT SIGNATURE X ✓b PROJECT LOCATION AP# 028-220-049 Property Address 3 Paul Place City Bangor. PERMIT -10% 6� BIN # WORKER'S COMPENSATION Policy Number , Exemipt Carrier Nhiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit Issuance. LENDING AGENCY Name rDup- r&gAng;el1 r _ . -. Address 201`—Conc_o_urse—Blvd_. .Suite B Santa Rosa, Ca. 95403 DESCRIPTION OR SCOPE OF WORK. Install 2,503 Sq. Ft. Manufactur A ,s Home asPrimar Dwelling°t-,on a Permanent Foundation. Sq FT- Living 2, 5 0 3 Garage n • ❑ Structure Built without Penni may, ❑ Proposed Change of Occup / J (Note previous use): For office u e only_ Zoning Flood Zone SM Yes No Occ. Type Const. = 05 ,GJ '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 **PERMIT APPLICATION DATA SHEET** Reference Number: B08-0471 Date: 3/18/2008 Location: 3 PAUL PL By: GLB Parcel Number: 028-220-049 Sub Type: SFD-Mobile Home PI Owner Name: ROY BORGSTROM - Phone: (925) 820-8273 Description: NEW MH PERM FND 2503' ❑ The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No SEWER DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ �Fieaathfer River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 1 t ' edtiS` Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS ❑ ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 ❑ ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 ❑ ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 ❑ ❑ is Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ ❑1 City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: 1(Qf/�,—� j:2\ ❑ ❑ Other: "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. Signature of Applicant: - G� Date: 3/18/2008 FILE BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM (One form per Building) School District: Oroville Union High School District Building Permit Number: B08-0471 Tax Rate Area No: V s� .n q Assessor's Parcel Number (s): 028-220-049 Jurisdiction: County Property Owner (s): ROY BORGSTROM Project Location/Address: 3 PAUL PL BANGOR Type of Development Residential Development: 0 S Footage: 0 Q Q q• 2,503 No of Living Mobile Home Addition/ *Supplemental to Cr. Demo - existlri _ Units Installation Conversion Permit # _ g *(No Foundation Inspection) sq. ft. Net total sq. ft. Commercial/Industrial: =New = Addition Project Description: NEW MH PERM FND 2503' Buildin D arten Representative District Indentification No. 2� Deed Restricted Sq. Footage: Attach signed copy of Deed Restriction and Notice of Limited Use Facility Document Sq. Footage: (Including Exterior Roofed Areas) 3/18/2008 Date School District certifies that UQ (Pay r) o a0°1-333_io\qo (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. (w5 C� 0 by payment of $ c representing as O 3 square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # ^,), $S (.�z Remarks: -�, 1z,1 � -%'1 A Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. subsequent o the School Districtepresen a ive signing this Butte County Schools Impact Vee Certification tiorm, the c o0 District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (School District) Yellow (Building Department) Pink (Applicant) DDS—School Fee Form rev'd 3.10.08 BUTTE COUNTY DEVELOPMENT FEE ��vTrF� CERTIFICATION FORM ; Feather River Recreation & Park District .covN. Assessor's Parcel Number (s): 028-220-049 Property Owner (s): . ROY BORGSTROM Project Location/Address: '3 PAUL PL Project Description: NEW MH PERM FND 2503' Building Permit Number: BANGOR Type of Residential Development Permit Type: RESIDENTIAL Permit Subtype: SFD-Mobile Home PFS Building Type: New Mobile/Modular/Manufai New/Additional Sq Ftg: 2,503 Certificate of Existing Square Footage Existing Sq Ftg: 0 MH Replacement: No Existing Construction Type: Residential - Mobile/Manufactured Home Demo Permit Issued?: Demo Permit Issued Date: Verified by Building Records: Verified by Assessment Records: Comments: 3/18/2008 it 'ngepa ment Representative Date B08-0471 /�`FRRPD 11 CARD ElPRPD 11DRPD certifies that: 11. Z 65� - .33 3 ' 6-il'o Applicant Name Phone Number y s. 57®Ct�70AI s� .�) s CA 091:5 ayD Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ Remarks: Paid by/ Check No: �_ Paid by Cash: Receipt No: L/55 Recreation and Park District Representative Date PROORAM MANUFACTURER CERTIFICATE OF ORIGIN MTWBWM ORIGINAL (PINI4 COPY 1(VYHM COPY 2 (YELLO" copy 3(OOLOEHROO) HCD 468.0 - US OAA KOHL THEN FORWAA0 TO THI! PURCHASER W:04�R FORWAFb TO THE OFAARTM91T AST P.O.O.BOX ISM MMAMENT0. CA sm2 VNTMN ME (3) GAVE OF NEtFJ► L rwANWenea). DELr&A TO THE TjC4jMORTER TO ACCOWANY TIE UNIT TO ITS DESTWRTIOK TO Be RETAINED BY THE MANUFACTURER. IfTA /fITAR VIEW 91TAMUT aMcl ABC vva Ae * CT nut OAA7 / I T /TTI FO , m rrI: MS E A OUINU M MCd@RER CRK MAL MCO NO. N&NffeM'uRF[1 HOME OR MULTK1Nrs MANUFACTUREO HOSE NUMBER OF 3 MM (SINGLE FAWLY ) ❑ MUM 0411171M)NIT MANUFACTURED HOUSING TRANSPORTABLE swirioNs OCCUPANCY GROUP UFACTURER "PAM LICENSE N CMH Manufacturing West Inc- (Marlette) MF1126458 WUM—FACIORM ADDRESS -FIBEEMRETAXPRICE. evApW. am/P.O. Box 910 Herm' OR 97 6 $175,696.00 MANIOACMIRER TRADE NAME: eAODeL NAME ANDfOR NUMBER: DATE OF MANUF Madette Paciftw - 8261 3/192007 NAME OF DEALER OR TRANSFEREE (01160 MIP TRANSFERRED TON CALIF. DEALER HI NEER OR DATE.OF TRANSFER: TRANSFEREE DE$)IMMON: lnlRgFft Homes Inc. 1.067714 31192007 OR TRANSFER AVORM 3430 Esplanade Chico CA 95926 s INVENTORY CREDITOR NAMF-* GE COmmerCial Oisl9ribution Finance 04VENMRY CRE01TORANDORM PO Box 94900 Palatine IL 60094 (swe SECTION MAIRUACTwsERsERIAIRRANBER RCV044MAOR61WLARE' NUMBER LENGTH YADTN MIGHT s WOUNDS 1 HER026MI ORA A.C. ORE 494871 768" 160" 41,216 H 57910R8 AC. ORE 494872 768" 160" 41,216 ER025791ORC A.C. ORE 494873 76V'--160" 41,216 TnAxsvORTea RARIE: ' YRANSPORTM ADORM ONTO bt"u OF.STBLATM POR UNIT OESCPW W ABOVE Integrity Homes, Inc. 3130 Esplanade Chico CA 95926 rap) (SIMI R cMTy waro«+niT aorlwTra.aro..aRaw sao. aCW� 6u1 ur �es+aou«..V.."ae� emaAnean3119120OZo a UrrTadila I OR 97838 <s�o•> (Date 3l6NATURE OF AUITRORD� AOEMF t ' ' : r' MTWBWM ORIGINAL (PINI4 COPY 1(VYHM COPY 2 (YELLO" copy 3(OOLOEHROO) HCD 468.0 - US OAA KOHL THEN FORWAA0 TO THI! PURCHASER W:04�R FORWAFb TO THE OFAARTM91T AST P.O.O.BOX ISM MMAMENT0. CA sm2 VNTMN ME (3) GAVE OF NEtFJ► L rwANWenea). DELr&A TO THE TjC4jMORTER TO ACCOWANY TIE UNIT TO ITS DESTWRTIOK TO Be RETAINED BY THE MANUFACTURER. IfTA /fITAR VIEW 91TAMUT aMcl ABC vva Ae * CT nut OAA7 / I T /TTI >�ttliQllt��: �1► Natlotiai TRIeOatapeny d Caftornm e.Q:. JIM- ol}ioww laced. Nrt i0000iQesa9 riu. irs ossa�oa♦ec , IAlt+isa ffeosldae MIDI Oooipllwt and Tax 9tttallest Tec Mr. and Mm Roy 9osgsbvn 22 Donne Imine DhmdUe, CA 94526 INIMININIIII O0®6-0000700 &to 1 we i$ lLE Qtima law& 1 1i ISLA K ' iMOh� L #YttlB 1 Om" cWhhmdo i IL OaW •Feb- 9 1 hp I of It ORAW R� The vwd�signad 11 a) t2owttle�tatr t�rattsl�ar tax an an lub von leas valued Wns or en=ftw= renaming at One of aft j tMWaotpotaned AM Cky of fir, FOR A VALUABLE CON p INWIMM tarp! d whlkh M WOWaoltaewlodAeq, blen Lynam Wt%K an onma" men lwreb�i GRAKr(S) its �t Bergstrom and Lynn fto6troi % h{Wnd and wre aS J*K tffWft of tlhe fb&mftg damr&W m: pl -pmt- b the (ltV d eneW, iau* of Ban% SM of VL E 00N OA' ATTAR HWW AND MACE A PAItT i�F DATm rem ary v, 20aO su to dt�ilfom ) Brian Wain W Ght mty. Oaof , – I on X17 it ru O s t►efine ma, (hW ism =W ,tile ct ft Offmim Nfcm �Ny armed who p&vW to mewhO to as ft tests of s�cEory a Iden to be the cEory eddenm in be the peteon( } rYtlOie r Ei j �� fbft im inshvmunt and BdonOr� IM i P. to we da ImOat m cmmftd the same In ht3/hir/lhdr auth*&W copuftfift and that by hhyN ► SipfWWiei� an the b14b1ntaalt the pvm*l or the en* upon behaBdwhl Oe peipn(ifaMd, em the tMumnZ I car* under I+OMI Y OP PBt7 W under the la sof the Stated ealraontwa d at tete flo pool - pam"Dh tS true a w aotreat. WrrNWS my tend and 99. s aoue AAM41ry _..... (son WL A LWOR wAlte-4"e�utramaw ONO u0a.siimaad fEE saaog sipsolaI Zt£££6£0£S xvd st:zl an 8002/LZ/£0 Qaur Nr.: Lmxft tto` t-oomom Too No.- oa losomm EXHIBIT "A" THE ii M REFERRED 10 MM MM 3 StMMM m THE aXHM OF BURS, STA -E OF CALMMM AND 15 DEBCR® As POIW'M The isnd ,starred to in" report is stb jAW to the ft to of Caffomb, C=n* of Butt ad b deWIW as faNaws: Pared -1: F=04 as shown an did oertaie pand Map* kllheofTCe of the Romer Of ft Go M of Wft State of offmia on 0=.J el 31, I%k M owtc 141 of Mapk at PsM 48 and 49. Peiod,2: A rW of MY for rod and prat WON% as storm on that no 'no fmd It* rewrded in the dFca of the Reomrder of the rmnty of Uter, State of LWarg le, on Deo mbw 31,1996, b Bw k 141 of Maps. at Pages 48 and 49: tAerelomr a>s that portion tytg w0arin the borers of Prroel �, de9o�id hereto, APN:02&Z 419 £00/£ooR uoa.sllmaad FF(- sa®og SITaoluj Z££££6£0£S Yvd S6:Zt RK 80oZ/ZZ/£o AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 IIIIilIlllll111lIIIlIIIIIIIiIIIIlI Recorded I ITEC FEE Official Records I Couunuttyeof I CUPIES C 49ft J. 6111) !S I County tiler),-Reeorderl I I Bk 10:&M 1"ep-M t Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. 11 All that real property situate in the County of Butte, State of California, described as follows: ELENA IVANOVA GEORGIEV TT - Commission # 1723696 Z • Notary Public - i California � Contra Costa County My Comm. Mres Feb 4, 2011 Date PROPERTY OWNERS: State of C County of On 11.60 2.50 Z $Ililzoa� 3o1 -J; -oto, before me, personally appeared \ known to me (or proved to me on the bi to .the within instrument and acknow capacity(ies), and that by his/her/their s the person(s) acted, executed the instri WITNESS my hand and 'official seal Signature A.P. # 11-11 personally ary evidence) to be the person(s) whose name(s) is/are subscribed me that he/she/they executed the same in his/her/their authorized on the instrument, the person(s) or the entity upon behalf of which Seal: • r Y CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ��r.�C.trce���'�c",cr•,crcecc..c(.c��c:L�caCr•.�.�e:�C.�r.;c=F�,�r.�c�r.�ncc:cr��-��'.�1�"�-c-Y' �ct:_".-�'r State of California County of Cdt 1-f (,k Nt"� On Ck I I U before me, Date personally appeared L\� pY) OrO�s_ ELENA IVANOVA GEORGIEV Commission # 1723696 -� - Notary Public - C011fornio -- Contra Costo County Corrtm• res Feb 4, 2011 Place Notify Seal Above Here Insert Name and Title of the Name(s) of Signer(s) who proved to me on the basis of sa factory evidence to be the perso (s whose nam (s is(are ubscribed to t within instrument and acknowle gd to me that, t e executed the same i hei authorized capacit les , and that by thei signa ur s�j on the instrument the perso s) or the en I upon behalf of which the persorQ' acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS Signature OPTIONAL and official seal. of Notary Though the in formation below is not required by law, it may prove valuable to persons relying O IE and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Document Date: V Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Attorney in Fact • ❑ Trustee Top of thumb here ❑ Trustee TO of thumb here ❑ Guardian or Conservator ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: O 2007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313-2402 • www.NaUonalNotary.org Item #5907 Reorder: Call Toll -Free 1-800-876-6827 California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau Reference Number: B08-0471 Location: 3 PAUL PL Parcel Number: Owner Name: Description: 028-220-049 ROY BORGSTROM NEW MH PERM FND 2503' 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Date: 3/18/2008 By: GLB Sub Type: SFD-Mobile Home PI Phone: (925) 820-8273 To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 3/18/2008 Date Rev'd 5/7/07 14�c __J� Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/FireiDrevention/protplan/protplan.html FILE Butte County Department of Development Services TIM SNELLWGS, 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 NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days 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 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ "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: B08-0471 Location: 3 PAUL PL Parcel Number: 028-220-049 Date: 3/18/2008 Owner Name: ROY BORGSTROM Phone: (925) 820-8273 Description: NEW MH PERM FND 2503' Signature of Applicant: ��,zl Date: 3/18/2008 FILE BUILDING DIVISION ., • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY,CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT P SII �217-" Agricultural bu�ldi4i defined as,follows Agricuftural building is:istnictuie.designed,and constructed,to house,farm-" ,,. _ .._...,,. rt , P Implerrientshay"gram, poultry,�livestock, or other horticultural roductsThis structure shall,not be aplace of human,. habitatitm'or a place of'employment.where,agricultural products are processed; -treated; or ppackaged,.nor'shall it be a , place used; by•the'publie - `` -e ASSESSOR PARCEL NO. 028-22-0-049 ZONING A-5 OWNER(�->CAIIDOIAJ BAUDOIN PHONE NO. U / `4 7--73 FYKEITH OWNER'S ADDRESS 5321 MA DRIVE 3 PLEASANTON CA 94566 -� LOCATION OF BUILDING 191 DA-REY ROAD (I PAUL'S USE OF BUILDING o 1 hi 01 ffA Fx)7 SIZE OF STRUCTURE 3 y L X _ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify)— Specify)TYPE TYPEOF SIDING S"L OOF COVERING TLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ 0-ro . AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT SIDES �� REAR` AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. 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 mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation ' USGS Datum. I declare under penalty'of perjurythat the building will;be used.as stated above and the purposed use confirms with the AGib6ilding'definitio.nzlf.any.change`in=uie-br•occupancy of the. building is made,,l;will, contact the Building Division and obtain any_necessary`permits;Iinspections,-a6d approvals to comply with there uirements in effect at that time aril beforey- occupancy. Date �� i nature f w t �iS , • • ner Permit Fe(- $60.00J . The above described AG Building is exempVrom a b 'I intim Receipt No. Manager Building Di'visio By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant j � V LAND DEVELOPMENT BUILDING / VIRIDNMENTAL••HEALTH;= PERMIT CLEARANCE Building Permit No. r.OWNERS ; 'A.P .•NAME• �LC�/������; �;`�� s.•,„i PRI T LAST NAME FIRST ADDRESS/ LOCATION:e�/-- •��267 /�lJ COUNTY ZONING DESIGNATION: FLOOD ZONE: FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBL S PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP Z d' 1 O Ac DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: 5 -TTAc (-f--E W S (-i EET-S MAP INFORMATION: 4 DATE OF RECORDING 2 3 1 LOT BOOK 141 PAGE B COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. _ 1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building setback from right-of-way/centerline of —3. Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. leachfield setback from all existing wells. _ 5. Maintain a ft. leachfield setback from 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. �. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22. 23 24 25. 26. 'AIO iN3Wd013A30 ONVI 31Lne d0 A1NO L661 £ 0 N n r a3ni333a LD 5/97 -- C:,wce j 1cowas.KWL0-0K�.cu, r') BUTTE COUNTY DEVELOPMENT SERVICES I -omplainant: kddress: "hone Number. Xher Comments: Inspector must draw a plot plan with all building locations: additional Comments from Inspeaor---a,-,,---J- I k) eA- P. DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 MAY 27, 1997 Henry T. & Cynthia Runge P.O. box 2042 Oroville, CA 95965 RE: Building Code Violation A.P. #028-22-0-049 191 Darby #3 Dear Mr. and Mrs. Runge: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain' the required permits, inspections and approvals from this office for construction of structure. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact .Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. rely, MCV:dms el C. V'ieira, C.B.O. er, Building Inspection cc: Assessor e Mt VIOLATION CHECK LIST J A. P. # 028-22-0-049 Address 191 darby,.bangor Owner Owner's Address S 3 Owner's Phone No. Supervisoral District Tenant's Name Phone No . X-5��'{, Type of Violation in Detail with Code Section .. Priority No. UNABLE TO VERIFY COMPLAINT SEND ONE LETTER Specific P1ot'Plan with C/V Noted des no Penalties Required 1st. Notice Sent 5/27/97• 2nd. Notice Sent ate Date Comments and/or Determination Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) b. NOT E1 CONT/HUED, /S. aU/l0/Nf� IDfA/1/i/(AT/ON AAlO,1OR AOnR/55[5 5N AL 1. 1!I /A15TAI! fn /N CUN�O/:MAA/Cf WIrF� PUA41C RESUUR(fs CODL '/t 90 AND SIIALL A[. POSTfO nr tl/E RfrlNN/N!� Of AUILD/N(- CONSTRUCT/O A/ ANP MAIN TA/N (ONT /AI(IOGISL)' THf1?EAF1ER. /G. DEVELOPAAENT or THESE PARCELS MAY (7[(2(/1R[ rAYMFA►T INTO TW' 1A/ATER TENDER F'UNO. /7. N/�7'CNFS D/-AIOTE AREAS IA//?Ir ,5torf z 1N fx(Fl,S Or 7l11R'T'/ (10) rfl((fti17. ",Vf)T JOITAPkif fOA SfWAhF DISPOSAI". Ino"LfACNFlflp Sf 114A(K r RnAA pnA/D. K .� PAR Cf c\ �� F NOTE l 5 E F No iE 7 soo' VO nEVELUI'MENr ZONE r.. F I y �. . I f- h: / 7 1 F PAUL PLACF r,AACR FROM .qt) 4 >ARBY ROAO� EE /V(?TE 7 i i )YJ, v 1 5 E F NOTE 7 X X /� I O / PARCEL 2 /I PARCEL I/ 0 S0, e -v fEit/T O/I e✓E!' /N C'OA/F MANCE ;F ,6 , f/04//4 ACT T//E 2F_G' S T OC- / /,/E,QE X7ATE T .47- 7E• 17;17 r/ VE MAS /F AA./Y OF T.4/E C�A�ACTf..Q /iL /rJ TEO E/✓A�3L /E . f'f/.Q ✓E)' TO ifE s" SOD' / VO ;^EVELUI'ly CA ' ZOni£ jOARCEL y F ` THIS Ai DI':U/ l5 FOR IkIrn AS OF TPE RFCCIRD 7/- A(OTE: I 'L/MIT SOIL WORK TO PERIODS OF DRY WEATL.IFR BETWEEN APRIL IS TO NOVEMBER 15. MULCH PROTECT, HyDRO-SELO, OR OTHERWISE STABILIZC THE $OIL ON ALL AREAS WITH A SLOPE OF Ips OR GRLATfR THAT HAVE BEEN DISTLIKOED OR HAVE SEEN CLEARED OF VFGErATION AND ARE OF CRODADLE MATERIAL. It. OBTAIN A /4ON 3TREAMSED ALTERATION PERXAIT FROM THE CALIPOIINIA DEPARTMENT OF FISH AMD CAAAE /OR ANY WORM PROPOSED WITHIN ANY STREAM CHANNEL, INCLUDING /N7ER.IMITTENT STROAMtS. 3 37PvCTURES OUMPIA16, FILL MATERIAL, AND/OR EXCAVATION EXCEPT FOR ROAD CONSTRUCTION SHALL NOT BE ALLOWED WITHIN THE 90' NO DEVELOPMENT ZONES AS DCPICTCO. IIMITEO VS&17ATION REMOVAL IVECISSARy FOR FLOOD CONTROL IS PERMISSIBLE WITHIN THE NO 0FVFl0P"fNT ZONE; HOWEVER ALL L/V/ML: AND 7MRIVIN4 NATIVE TRfES SHALL BE RETAINED AND ALL vEGETAT ION REMOVAL SHALL BE APPROVED BY THE OE PAR TASFIV7 OF FISH AND GAMC PRIOR TO REMOVAL. TNF 015TANCf SHAH 8f. MfA5VRED FROM TF,E 700 CLP T.IE DA/yf< OR OUTER C,>4f OF THE R/PAR/AN vrC.ETAT/ON/ WHICHEVER /S 4AFATfA. y. P?TOR TO, OR CONCURRENTLY W17H THE SUBMITTAL OF 8L/11-01A"►LL�NS FOE+ STRUCTURES, A Pt AAI SBO, INDICATING THE NUMBER AND GENERAL LOCATION OF All CAR TREES IN Ex«SS OF y 1AJC HES At D/A ME TER A7 NO DEVELOPMENT ZONE A "E/GNT OF VFEET IN ARIAS TO SE OEVFLCPFD SNAIL OF iUDMITIED TO THS PLANNING V/VI 51 ON. THE PLANS SFE NOTE S. SX+ALL SHOW TWE PROPOSED REMOVAL OFOA►� TREES AND REMOVAL SHALL BE LIMITCD To THOSE REQUIRED TO PROVIDE AND SAFETYCE FOR SUILDIVC-S, ST-ANNOARDS. RRPLACFMFN7ROF AFMOAVSVE17 TREFSAND OSHA T"FOOCCURCOA/RA S Toar KATTo �OTA pALTH 3HALL. VTILIZC EXISTING OAK TREE STOCI<. S.STRVCTURES, DUMPING, FILL MATERIAL, AND/OR fXCAVAT/ON SHALL NOT BE ALLOWFO W/THIN THE 500' NO OFVCLOPMENT• ZONE AS DEPICTED. L/MITEO VEGiTAT10A/ REMOVAL /VLC95SAIRY FOR FLOOD CONTROL IS PERMISSIBLE* WITHIN THE NO DEVCLOPMENT ZONEDJ' HOWEVER ALL VEGETATION REMOVAL SHALL BF APPROVED BY THE OfPAR7MFN7 OF F131-4 ANO GAME PRIOR 70 RFMOXIAL. THF D/STANCE SHALL BF MEASURED FROM TIAL TOP OF THE- CREE/< 8ANK. G. cURTHER DIVISION OF THESE PARCELS WILL NOT Of AILOW[O PUS TD IMPACTS ON M/6RATORY PEER HAD/TAT UNLESS APPROVAL 15 F/,LST OgjTAINED FROM THE CALIFORNIA DEPARTMENT OF FISH AND GAME. i HOM[S/TES AND ACCESSORY 57RUCTURES SHALL DE L/MITfp TO THOSE AREAS pA/ TH/S MAP 414A DENOTED BY AN "X" NOTES• CONT/NLJEp, 8 FfNC/MG FOR AREAS OTHER THAN RESIDENTIAL AREAS SHALL OF LIMIT-Ep TO A MAXIMUM OF FIVE WIRE STRAND]. TH[ LOWF5 T 3-, AAA/D SHALL 134E A7 LEAST 14" ABOVE THE GROUND AND THE LIPPER STRAND SHALL /SE NO HIGHER THAN tee" ADOVF THF GROUND. 9. DfVELOPMEN7' OP THE PARCELS WILL Of SUE TlCT TC T'"F PAYMEM7 OF DEER HCRD IMPACT FEES AS A00F7e0 BY TNF BOARD OF SUPERVISOIRS AX'P /A/ FFFfCT AT TNf TII,AE Of BUILD/N6 Pl ICAAIT APPLICATION. 10. P/RE SL/PPRL°5510N43PRINKLER SYST[MS SHALL BE /N3TALLCO /N ALL NiW RESIDENTIAL STRUCTURES /IQ ACCORDANCE MOBIwirL THE NAT/"NAL FIICF OROTICrION ASSOCIATION STANDARD P'01�THE INfr^LLATION OF SPRINKLER SYSTiMS /N ONE AND TWO FAMItV DWELLINGS P.ND MPSI l [ HOMES, LAPPA STANDARD 130 (INLCSJ A PRESJVR)ZlD COMMUNITY WATER SVSTLAA, W/TH HYDRANTS THAT MEET FI11! OCPARTX,•ENr SP[CIfIcAT10MS, SlRVEJ TN! PPRC[LS. 11 TIDE BUILDING SETBACK FROM THE SIDE ^X117 I►IAR P.OPERTY LINtS .SHALL NOT CC JEJS T~eNc SO'. PLnnr ll.G S.� - cl/n!A BF 1J0' FiEO IN.M.FD'P'TCL •. I7 DIIA•n/G CCIISTRUrTInN, SNOT/10 ANY AP,C,.AF�lI ,�C•• n°t,rgl S DE DISCOVr•R[O, T'Hf !SC AND ALL WORK SHALL Cf ASE UNTIL A OVALIFIlD ARCHAEOLOGIST HAS EXAMINED THE ARTIFACTS AND THE SITE AND SUPMIfTED HIS OR HER FINDINGS, 7G TI+F PLANK/NG DIVISION, AND RECOMMENDED CIEARANC� TO CONT/NUE. RECOMMENCEMENT OF CONSTRUCTION SNAII BF UPONTHE APIROVAL OF Tl~L PLANA(' X/d O/VISION. /�. ADfVFLOPMCNT IMPACT FEE FOR AANC TS FACILITIES Slll►Ll Of PAID PURSUANT TU THE PROVISIONS Of CHAPTER 3. ARTICLE 11 OF 7HF BUTTE COUNTY CODE, i'PIOP TO ISSUANCE. Or SVILDI/VG PERMITS. SAID PEE AMOUNT SHALL BE Ot'TFRMINED AND CALCULATED AS OF CELS/LOTS E DATE OF ASNALL COMPLYppLICATIOrV OWITI< EFIBLILAiESi• CALIFORNIA FIR! SAP! Iv. CON37RUCTIDPJ NSTALLATION OR OSVELOPMENT OF STRVCTVRIS 'JR rACILITI[S ON TNf I 4 , � �� L COMPLY -4 f�If11 �� T�+► TIME OF ^P�LICATIO u FOR REGUTATIONS, (PUBLIC RESOURCES CODE -4270), AMC) ALL OTHER APPLICABLE 3TA' E AND COUNTY CODES, LjRO N X/.E .. /MPROVfA4FNT PFRMITS. NOTE5 CONTIN[/ED ABOVE G�L>,tlTl� .1'G�.?VE�O�S' ST�4TEME�t/ / NA✓E A41AI6/� T/+//S MA/� AN/� /T /4 41�g STAA/T/ Y, T.t/E SAME AS / EO Bit/ rAl4f TEA1r471VE MA"0 AA/>' .4.1-7/-l.POVE/.) 14 ATiOti/ T//E.QEOF .4Z4 OFT P170pv1 OA4r OF Ts./E .J'G /i3.0/ lr/ / 14.o 17er 4A/119 Z40 D•Q/O/NANCf S lop/oz /C.4gL E ,4T T,F T/•/E 7e c/r,4 r,0 V6 0.4.0 </,4VE ifEE/.' CG +i1/'L / i�//Til/•A / AM J54T/S'F/E/> ."NSC T Ts//s M7,412 A9 />.47W -O tti/1[C/.0.4,7 /sarrE COL'NrY.rt%Q✓Ero,Q � ?EG/ST.P.4Ti0�/ Ex�i.PES F/[ E/.O BOOK_ OF 4fT.4 TEhfEA.17 Y OF /9�-7- AT PAD'S (4,PEQ!/ES T /EOL /(/CTE' JAI TOFF/DAL'/� I /A ECO�I �E/Z "S Roes mmmv� CI YIL ENGINEERS LAND SURVEYORS P.O. B 0 M r W 129 •2 a ) 4s. p to N O i Cb •O. �. at o a CD !0N W Dni L1 W .o .o \l Ja .� .� �• ?? (JO A o N t0 orf 00 `662.18 w m �� 0 ft76.8 to W .w� ago n v, 46 OD Ilk flat OD R6E ? N Butte County Building Division MANUFACTURED HOME SUPPORT INFORMATION Owner's name: &' 90 6 s Teo" A.P.#Ogt f( -.290 - C f9 Home Manufacturer: /iARGc TTS" Manufacture Year: ca&7o Model Number/ Name: S26/ PAC/F/CA Width:/- O (ft.) Length: G !Z (ft.) FOOTINGS: Wood - pressure treated or foundation gradeM Other:[ 1 SUPPORTS: Concrete block DI Other:[ ] Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. GLE WI Li 1 --�'� ne 2 Line --y Line 1 Piers: rier rootmu a¢es anu Locaiions Section 1 Section 2 Section 3 Minimum size piers: r /6" 1 X 16 /.78 5F Spacing maximum: I S ' C2 " From ends maximum: I Z, ' 0 " Line 2 Piers: Minimum size piers: /6` X /C�� /-7r-S" Spacing maximum: 0 " From ends maximum: Line 3 Roof Loads: Minimum size piers: Location (from front): rbdNOs' PER P/ER Location (continued): !'MULTI -WIDE - Line 1 Line 2 ------- r Line 3 Line 2 �. ------- Line 4 (triple wide only) Line 2 Snow Load: Ao psf Snow Load requirements may be obtained at hftp:/A,vww.upstate-ca.com/buffe/bufte—county/ Insert AP *, view snow load in lower right comer. Line 1 Openings: Minimum size pier: [ 1,c ] X [ /6" ] /.79 sf Required at each side of openings over 0 wide. Line 4 Roof Loads: Minimum size piers: /c"x/6 Location (from front): ` s FboAuDS Pct Plel? /V66 Location (continued): 'rbc" 3/'/;" Af3'/Aj" 4/7`43'" 63"6V V'C' .4" 33' 631 , It Zo ,Z02 //7P 1179 a A 7091 Line 4 Roof Loads: Minimum size piers: /c"x/6 Location (from front): ` s FboAuDS Pct Plel? /V66 Location (continued): 'rbc" 3/'/;" Af3'/Aj" 4/7`43'" 63"6V 6 3456 3936 1308 430e BUTTE C,0� A'173 rP ., (LOAD IN POUNDS SUFnRTED LY !ER) LOCATION 1 -1"",361 4p# 0 8'-74V UTILITY LOCATIONS BP-� INl SYM DESCRIPTION DISTANCE, FR%,I END / FROM SIDE 1 GAS INLET 9 53'-2" 0 21_0" 2 DRAIN OUTLET 36'-8" @ 5'-g" BP -2 3 WATER INLET 0 37-10" @ 1'-p" BP -3 4 MAIN ELECTRICAL 0 42'-4W @ 1'-4y4" BP -4 5 GAS X -OVER p 32'-2" 0 13'_4• BP -5 6 DRAIN X -OVER (A/8) 0 36'-8" 0 18'-7'. 8P-6 7 WATER X -OVER (A/8 0 23'-4" 0 8 ELECT. X -OVER (A/8) 0 26'-0" 0 13'-4" BA UNIT 9 DOWN DRAFT COOKTOP 0 54'-2" 0 6'_3" BP -7 10 DUCT X -OVER (A/B) 0 4'-7" & 59'-5" 0 13'-4" 6P -a 11 DRAfN X -OVER (B/C) 0 31'-4" 0 35 ' -fill BP -9 12 WATER X—OVER JB/C� 023'_4"0 26'—S"BP-i0 13 ELECT. X -OVER B/C 0 26'-D" 0 26'-E" 8P -1N 2 14 DUCT X -OVER (B/C) 0 4'- 7" & 59'-5" 0 26'-8" BUTTE C,0� A'173 rP ., (LOAD IN POUNDS SUFnRTED LY !ER) LOCATION 1 -1"",361 4p# 0 8'-74V 2202 2753 0 i3'-1QY4" 12,202 2753 0 41'-1DY" ;1178 1473 0 S6' -3Y4" 11178 1473 0 53'-44" 12709 3366 0 63'-61,1" 12709 3386 0 3'-74" 1486 1333 Q 14'-Q3'i" 1466 11833 • 31'—tai" t 3956 1945 0 45-1146" 3956 4945 @ 47-4-%" 14308 5385 4303 5355 BUTTEILUDING APPROVE VMllY UEASUA£1dEkd1 Flod TM COVjER _-7-7 �—t • DOO.t i t .Taff Tiw J �MRTlt1F — •• =14t'• — -1 -41 -All vm I - Ja wln nt� ' yew tr 'w 1 'L' y�' of - DOR IIr �tijjlyt-l�lJdldZ <Y'» L tIIf tll lz�► t(D ,rr,�n 1 Li fttrRl�E I-fEAbl A NAt ftiJV OEPIEI 0� 12.576'. CISH Manu,facturin �.l�IIaLQ+.t ���' j�•� _Qet . .,.ri�. . 1.) 1'.re� �� hrslaJtaft� I Walt i Marlette � Fn10'141 1Q F1' L•.rk F, imra w► I +q rs i tn'c 1H BUTTE U E COU�� � a a Xi2 Foundation System installation Instructions for California for Ground. & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering It Xi2 Ground System'`.. ,. BUTTE COUNT -3UILDINC DIVISION' Xi2 Concrete System Engineer Approval State Approval WANUFACfUR'ED HOMIUMOSIVII AOM! FOUNDATION SYSTEM XULTII AND SAFETY CODE, SECTION 13551 A"ROVED 1UWC'rTO CORRECTIONS NOTED A"ROVAL DONS NOT AUTRORIZ 1 OR ATFROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF A"WASLiI STATE LAWS AND RSOUI AMONS 11w erCeNrimit D"MOMt OCNAUft Mi CWMWMitY D-d*FWAd C01lES AND ='!'ANDARDS MTX PIANO. lar^ TiistiMAFrewd>L�i�w_ l'�' 0 Page 1 of a o 0 g L0 ,d-ar Doirdtn • SAN, DOX DAY • t' -:r OFE1J) 1 1rRONT ,S1 27Lu (DUr. TRVATYENT) W-0' DORM itr-10' tOX DAY ti' -W (OPEN)-- 01,1119% WIN inn1t n - '1 HnP+i w / 5 ,44If rI 1 UII UII � — _ IArnu�ni�nnio�uuflatmr��nnUmar FROM rMDYAU APP CVeO y O y . DORMER X10'-0' t -1 -yin IOX tAY L -1L" L0 ,d-ar Doirdtn • SAN, DOX DAY • t' -:r OFE1J) 1 1rRONT ,S1 27Lu (DUr. TRVATYENT) W-0' DORM itr-10' tOX DAY ti' -W (OPEN)-- 01,1119% WIN inn1t n - '1 HnP+i w / 5 ,44If rI 1 UII UII � — _ IArnu�ni�nnio�uuflatmr��nnUmar FROM rMDYAU APP CVeO I 1 I 3 3 q•oo� S TRo>M 3 PAU1, P4ACd� 13ANCOR ?S 9/ APN: 0a$,a20• oy9 S C A,' 6 - f1f"- !o'. . Pogl; �O ivs G 5 � � fl .BAR 13 Y ROAD �v C6NOTE: '�/ ✓+� � � ponoFc-ry nwniFra i� o�conn��ic�� c V I DETERMINING LOCATIONS OF PROP AND EASEMENTS AND MAINTAININI SETBACKS FROM PROPERTY LINES EASEMENTS. A SURVEY MAY BE R 4dr DETERMINED NECESSARY BY THE i Y, Cb C64 461 C 161 c D2rv� wAr a " 001 y 36 A76 R rt TAN _ /N 6 0r-> ��igTIN�• 60C1�"�� 0"1F L a 9 tuft County F e ScPTfC 'sill ASRA N- required have: SYs TtT't &�. l �� ombl�stibk cave ----- This $.�� �� G cion re screens t vent accumu[ hof leave tructu -- L9-0 project is required to Thee e roof sista , nar>combustibk 4,� s/deb s �d 5 v ' nd a ttic v maximum �$ 0 4FILE COPY same practical effect guidelines erns vov 4 e �� �� ��oe� outlined in the attached PRC42 90 ,� t^�dr, q171 ; - INI 0b 6'� LANDINGS AT DOORS Requirements. 'r SHALL COMPLY WITH f `L 2007 CBC SECTIONS / / !�- P L-. 1006-1.5, 1 009.4 & �U� �� C ROP&S46D `( �� 1010-6 APPROVED PLANS AND SC^�.e `��- 30D' �'� _ ` , P VGI c _ _ PERMIT SHALL BE ON SITE . _ �iRc TR C vD_ C.� 6/ FOR ALL INPECTIONS j l �` 16 A01115 �l7 c .x 1 ?q�°RoP�G� BUILDING PERMIT# D`6' d`i7� q,, ASSESSOFi"_S.. wAlcp•,, PARCE 9WfpACC 'fo � TTE OUNN c ,I t� o��' r �o� . F ��, ' , �°��P � ��° 3U LDIN DIVI IOi Cr eo � • �° Y L�` ]'`� INS' �O ��- �1 , � �. � � . 6$ �°°PG�t� o IIS j Zom! A9M � o � 1 G �4 QRG° N N SITE CONDNOTITIONS I AT ^ E << r pNL O �16v_ CALIFORNIA CODE OF REGULATIONS TITLE 25 1 i 3 G ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE k; �2EQUIREMENTS AS AMENDED ���? r� CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED -•' PLANS: BY THE JURISDICTION APPLY ��0 fJ`c' 00,E-� OG fV EXCESSIVE SLOPES 1`� TO THIS PROJECT 0 :500. .R EXPANSIVE SOILS i 4Y/5T/NG rApe 6R • EXCESSIVE CUTS OR FILLS . C _ ✓--~`' 1 li GOR • ALTERATIONS TO NATURAL DRAINAGE V ' O• OTHER UNUSUAL SOIL OR GEOGRAPHICAL �` $ �/a �� ��O p o `�,� • Gb I O t - • c'Ll� ��L'flji G _ CONDITIONS D ` n,tc VI . ALL FRONT SETBACKS ARE MEASURED FRO M THE ULTIMATE EDGE OF THE - RIGHT OF WAY PLAN I G DMS N - Wi MNG PLAN PPROV Us Parking:......... Landscepin- :..r.•........ Other: Signature: .. NOTE - -- SITE CONDITIONS ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE jli SHOWN ON THE APPROVED 9 CONDITIONS ARE OBSERVED AND NOT PUNS: EXCESSIVE SLOPES If EXPANSIVE SOILS • EXCESSIVE CUTS OR FILLS TO NATURAL DRAINAGE . ALTERATIONS • OTHER UNUSUAL SOIL OR GEOGRAPHICAL CONDITIONS I'I i L b-7` ' ALL COVERED DECKS AND ' LINES OPEN SQUAREEF KS EXCEEDING EE 36 i T DUIRED IN AREA WILL f REQUIRE A BUILDING I PERMIT RED IF IISTINC''`+... )INS wtL%. �c !�4 $76 COMPLY WITH CDF/ CAL FIRE \THE 2007 CBC, CMC, CPC, ENT S PRIOR TO i REQUIREMENTS EM CEO, AND 2005 CALIFORNIA BUILDING DIVISION FINAL. ENERGY STANDARDS AS AMENDED BY THE JURISDICTION 461 C 161 c D2rv� wAr a " 001 y 36 A76 R rt TAN _ /N 6 0r-> ��igTIN�• 60C1�"�� 0"1F L a 9 tuft County F e ScPTfC 'sill ASRA N- required have: SYs TtT't &�. l �� ombl�stibk cave ----- This $.�� �� G cion re screens t vent accumu[ hof leave tructu -- L9-0 project is required to Thee e roof sista , nar>combustibk 4,� s/deb s �d 5 v ' nd a ttic v maximum �$ 0 4FILE COPY same practical effect guidelines erns vov 4 e �� �� ��oe� outlined in the attached PRC42 90 ,� t^�dr, q171 ; - INI 0b 6'� LANDINGS AT DOORS Requirements. 'r SHALL COMPLY WITH f `L 2007 CBC SECTIONS / / !�- P L-. 1006-1.5, 1 009.4 & �U� �� C ROP&S46D `( �� 1010-6 APPROVED PLANS AND SC^�.e `��- 30D' �'� _ ` , P VGI c _ _ PERMIT SHALL BE ON SITE . _ �iRc TR C vD_ C.� 6/ FOR ALL INPECTIONS j l �` 16 A01115 �l7 c .x 1 ?q�°RoP�G� BUILDING PERMIT# D`6' d`i7� q,, ASSESSOFi"_S.. wAlcp•,, PARCE 9WfpACC 'fo � TTE OUNN c ,I t� o��' r �o� . F ��, ' , �°��P � ��° 3U LDIN DIVI IOi Cr eo � • �° Y L�` ]'`� INS' �O ��- �1 , � �. � � . 6$ �°°PG�t� o IIS j Zom! A9M � o � 1 G �4 QRG° N N SITE CONDNOTITIONS I AT ^ E << r pNL O �16v_ CALIFORNIA CODE OF REGULATIONS TITLE 25 1 i 3 G ENGINEERING MAY BE REQUIRED IF ANY OF THE FOLLOWING SITE k; �2EQUIREMENTS AS AMENDED ���? r� CONDITIONS ARE OBSERVED AND NOT SHOWN ON THE APPROVED -•' PLANS: BY THE JURISDICTION APPLY ��0 fJ`c' 00,E-� OG fV EXCESSIVE SLOPES 1`� TO THIS PROJECT 0 :500. .R EXPANSIVE SOILS i 4Y/5T/NG rApe 6R • EXCESSIVE CUTS OR FILLS . C _ ✓--~`' 1 li GOR • ALTERATIONS TO NATURAL DRAINAGE V ' O• OTHER UNUSUAL SOIL OR GEOGRAPHICAL �` $ �/a �� ��O p o `�,� • Gb I O t - • c'Ll� ��L'flji G _ CONDITIONS D ` n,tc VI .