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)
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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
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and Tax 9tttallest Tec
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22 Donne Imine
DhmdUe, CA 94526
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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
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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
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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
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/ 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/>'
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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
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Flod TM COVjER _-7-7
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fttrRl�E I-fEAbl A NAt ftiJV OEPIEI 0� 12.576'.
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�.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
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•
SAN, DOX DAY
• t' -:r OFE1J)
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itr-10' tOX DAY
ti' -W (OPEN)--
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�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
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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
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?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 ��
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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
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001
y 36 A76 R
rt TAN
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/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 .