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HomeMy WebLinkAbout028-330-024C,Ulll. lULA'1 dUIV 028-330-024 Substand�qusing (see Code En orcene0 day •ems �,Y �� 28-33-24 2038-91P,E CULET, Ben / Damron, B or (mh util) GAS LFA 3/,q a0 COMPACTION TEST REQ SUPPORT STRUCT REQ- ! -7' -7 9Z 28-33-24 Permit,13186-91 (Install mh) 028-330-024 06-0256 TERRIO, PATRICIA 225 DAMRON RD, BANGOR Cont: AMERICAN MFG HOME MH PERM FND (EX) Proal %_2q,% 028-330-024 YI 06-1447 TERRIO, PATRICIA 225 DAMRON RD, BANGO Cont: OWNER CONVERSION(MH-STR 4-0 B07-0596 028-330-024 MISCELLANEOUS Demolition DEMO MH CONVERTED TO ST RAG 225 DAMRON RD TERRIO, PATRICIA A B07-0597 028-330-024 MISCELLANEOUS Ag Exempt AG BUILDING - 192 SQ FT FOR TRAC 225 DAMRON RD TERRIO, PATR.ICIA A 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 225 DAMRON RD Owner: Permit NO: B07-0597 APN: 028-330-024 TERRIO, PATRICIA A Issued Date: 4/17/2007 By GLB Permit type: MISCELLANEOUS PO BOX 421 Subtype: Ag Exempt BANGOR, CA 95914 Expiration Date: 4/16/2008 Description: AG BUILDING - 192 SQ FT FOR TR (530) 534-5891 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: TERRIO, PATRICIA A Building Garage Remdl/Addn PO BOX 421 BANGOR, CA 95914 Other Porch/Patio Total (530)534-5891 FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $109.98 Total Charged: $185.68 Fees Paid: $185.68 Balance Due: $0.00 Receipt No: B2328 LICENSED CONTRACTOR'S DECLARATION . OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 4/17/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ® I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The 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; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is or onsund>�Ilars ($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' y Compensation laws of California, and agree that if I should become subject to the workers' X t d 4/17/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date p ovisions. ^) X 4/17/2007 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 HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused t is arising out of, a in any way connected with o,o the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pr owner or am-autbocizedto act on the property owners behalf. CONSTRUCTION LENDING AGENCY 4/17/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Narne of Permittee [SIGN]— Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net/dds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials !i r AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials P-1— AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings InitialsJ?T AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 225 DAMRON RD Permit No: B07-0597 APN: 028-330-024 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: Permit Subtype: Ag Exempt Zoning: A5 Description: AG BUILDING -192 SQ FT FOR TRACTOP Required Setbacks: Applicant: TERRIO, PATRICIA A Front: 50 Side: 30 Rear: 30 PO BOX 421 BANGORCA95914 Type of Construction: (530) 534-5891 Type of Siding: T-111 Owner: TERRIO, PATRICIA A Est. Const. Cost: $ 5,300.00 PO BOX 421 BANGOR, CA 95914 Roof Covering: Compostion (530) 534-5891 Floor Type: Wood I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and prior to occupancy. 92EE:: Signature of owner: \ Date: 3/26/2007 FILE COPY BUTTE COUNTY ro - o DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION ° ° OFFICE #: (530) S38 1341 FAX #: (530) 538-2140 p 0 o 0 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds . ON "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name T t Name Mailinddress O o City State Zip 1 Phone Fax Di E-ms�! E-mail V-90 I Name CONTRACTOR Name lL Address C^ City _ Zip I State Zip Pho E-ms�! Fax E -mai Garage Lic. # Class Name ARCHITECT/ENGINEER _ Address lL City qUbCA� C^ State QA _ Zip I Phone Fax E-ms�! State License Number —,4PPLICANT INFORMATION~ P!---7 '4 City State Zi;^ I Phone Fax r........ - -__ APPLICANT` SIGAIATU.-7E i X PROJECT LOCATION AP# A n Property Address — iris City PERMIT NO. O BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. I CIU ZXrt, C-Z,N a -To C) 1 s rT- ,'ring Garage Open -ture Bu.!' •�thout Permita riior-sed C`iunge t Occupallicy '! ,te p�evi: 5 u e T, ;fie : inst. Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0597 Date: 03/26/2007 Location: 225 DAMRON RD By: GLB Parcel Number: 028-330-024 Sub Type: Ag Exempt Owner Name: TERRIO, PATRICIA A Phone: (530) 534-5891 Description: AG BUILDING - 192 SQ FT FOR TRACTORS By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: C) FILE Date: 03/26/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0597 Date: 03/26/2007 Location: 225 DAMRON RD By: GLB Parcel Number: 028-330-024 Sub Type: Ag Exempt Owner Name: TERRIO, PATRICIA A Phone: (530) 534-5891 Description: AG BUILDING - 192 SO FT FOR TRACTORS /- The above permit application has the following Clearances required prior to permit issua e. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ F1Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 9596 (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895 711 ❑ ❑ Chico Area Recreation District, 545 Vallomb/120Myers CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Mham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway,A 95969 - (530) 872-6393 ❑ ❑ ❑ ❑ Biggs Unified School District, 300 B Str t, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 st 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4 20 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 M olia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1 9 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary Scho District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2 1 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified Sc of District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy Agricultural Acknowledgment Statement- See Attached Instructions City of Bigg lanning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: ::E Date: 03/26/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds 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: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0597 Location: 225 DAMRON RD Parcel Number: 028-330-024 Date: 03/26/2007 Owner Name: TERRIO, PATRICIA A Phone: (530) 534-5891 Description: AG BUILDING - 192 SQ FT FOR TRACTORS Signature of Property Owner:c;aW— c� L'b Date: 03/26/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.neddds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perforin their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY Pek7WTO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.OR NO) 0 I ( AV ZH E NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: AG BUILDING - 192 SQ FT FOR TRACTORS Reference Number: B07-0597 Applicant Name: TERRIO, PATRICIA A Owner's Name: TERRIO, P RICIA A AP # : 028-330-024 Signature of Property Owner: Date: 3iar C. O BUTTE COUNTY FEE SUMMARY Printed: 03/26/2007 7 County Center Drive 11:46 am Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0597 Job Address: 225 DAMRON RD Contractor: Fee Description Account Number Fee Amount Paid Date Pmt Amt DBOMSCF Ag Exemption Permit 0010-4400014210500-1010 $109.98 03/26/2007 $109.98 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 03/26/2007 $75.70 185.68 $185.68 Printed By: Gwyn Benedict Balance Due: `$0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: t Date: 03/26/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). S'�T BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0596 Issued: 03/26/2007 Address: 225 DAMRON RD Area: BANGOR Owner: TERRIO, PATRICIA A APN: 028-330-024 Applicant: Map Page: Permit Type: Demolition Description: DEMO MH CONVERTED TO STORAGE UN Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVE) BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Finds Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 1 802 Mobile Home Final 1 802 Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 1 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 -rrolect anal is a _eruncare of occupancy xor txesiaennaivnmy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 225 DAMRON RD Owner: Permit No: B07-0596 APN: 028-330-024 TERRIO, PATRICIA A Issued Date: 03/26/2007 By GLB Permit type: MISCELLANEOUS PO BOX 421 Subtype: Demolition BANGOR, CA 95914 Expiration Date: 03/25/2008 Description: DEMO MH CONVERTED TO STOP (530) 679-0771 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: VERY LITTLE CONSTRUCTION Building Garage Remdl/Addn 1750 OAK STREET OROVILLE, CA 95965 Other Porch/Patio Total (530)534-5891 FEE INFORMATION DBMSC Demolition $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2327 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 VERY LITTLE CONSTRUCTION C821521 / B / 07/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 03/26/2007 [$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 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 WORKERS' COMPENSATION DECLARATION 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 Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and The Contractor's License Law dows not apply to an owner of the property who builds or improves policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred ($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 03/26/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 03/26/2007 1 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 Slate laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers,agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, a injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 03/26/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner 1:1 Contractor OR. DAgent for Owner Agent for Contractor INSPECTOR COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 225 DAMRON RD Owner: Permit No: B07-0596 APN: 028-330-024 TERRIO, PATRICIA A Issued Date: 03/26/2007 By GLB Permit type: MISCELLANEOUS PO BOX 421 Subtype: Demolition BANGOR, CA 95914 Expiration Date: 03/25/2008 Description: DEMO MH CONVERTED TO STOP (530) 679-0771 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: VERY LITTLE CONSTRUCTION Building Garage RemdUAddn 1750 OAK STREET OROVILLE, CA 95965 , Other Porch/Patio Total (530) 534-5891 FEE INFORMATION DBMSC Demolition $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2327 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 VERY LITTLE CONSTRUCTION C821521 / B / 07/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 03/26/2007 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 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 WORKERS' COMPENSATION DECLARATION 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.). AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ section 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compansation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is for one hundred dollars ($100)—or-Fess.) ❑ 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 03/26/2007 007compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date p 'ions. �� X 03/26/2007 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 ' 1 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the propm4y owner or am authorized to act on the property owners behalf. 03/26/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency forNa a of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) I Owner 1:1 Contractor OR: Agent for Owner Agent for Contractor �YI + FILE COPY Lenders Address city Sta��rtes Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X — c. For office u ly: ` OWNER INFORMATION Last Nam �--- UW'Z"( � \N irs Name Mailin Address City City Q2 State Zip q(;ny Phone Fax Fax E-mail " ,� APPLICANT SIGNATURE X — c. For office u ly: ` CONTRACTOR Name UW'Z"( � \N Address P 0 (b ooe, 1 S C' City b v k i State Zip S PhoneFax Lot # Fax E-mair Lic. # Class APPLICANT SIGNATURE X — c. For office u ly: ` ARCHITECT/ENGINEER Name C Address SRA Yes No City Type Const. State Zip Phone Lot # Fax E-mail State License Number APPLICANT SIGNATURE X — c. For office u ly: ` APPLICANT INFORMATION Name C Address SRA Yes No City Type Const. State Zip Phone Lot # Fax Date Approved: E-mail f 9— APPLICANT SIGNATURE X — c. For office u ly: ` Zoning Property Address Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # PROJECT LOCATION AP# Property Address City Cross Street Sheriff WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: V..P MO Cdj(A g -I I I - -io Sq FT- Living Garage Open 11Cov ❑ Structure Built without Perm 1 ❑ Proposed Change of Occu y O(D (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receive Amount: �i Bldg SRA Receipt #: Sheriff SM IP Other RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0044.760 Recorded I Official Records I County of I Butte I CAIVDACE J. GRUBBS I County Clerk-Recorderl I I 011:37AN 30 -Aug -2006 I REC FEE W. N CONFORMED COPY 1.00 KL Page I of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CYNTHIA M. AND PATRCIA A. TERRIO REAL PROPERTY OWNER/LESSOR P.O. BOX 421 MAILING ADDRESS BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP 225 DAMRON ROAD CITY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT 538-7541 L ING PE ]T NO.. TELEPHONE NUMBER BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0256 (530) 538-7541 L ING PE ]T NO.. TELEPHONE NUMBER �BU /� �7 �p ,I dfid A U L � —oca SIGNATURE OF LOCA GENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. FLEETWOOD HOMES 4604B 2006 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFJNUMBER CAFL617A/B29288-WA13 65'8" X 26'8" PFS0946573/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 028-330-024 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. ell— 200'�'�'� if ALLIANCE TITLE N0, 629 P. 2 ORDER NO.: 00225467.005 - FH SCHEDULE. C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL. PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA., DESCRIBED AS FOLLOWS: PARCELI: THE SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 18 NORTH, RANGE 5. EAST, M.D.B. & M. APN 028-3330-024 PARCi L II: ARIGHT OF WAY FOR ROAD PURPOSES, OVER A STRIP OF LAND 60-0 FEET IN WIDTH,. LYING 30.0 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE:. BEGINNING AT A 11OIl4T %0 -FEET SOUTH OF THE NORTHWEST CORNER. OF THE SOUTH HALF OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF THE. NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.B.B. & M.; THENCE NORTH ALONG THE LAST LINE OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 34, A DISTANCE OF 390.0 FEET TO THE SOUTHEAST CORNER OF THE. EAST HALF .OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 34; THENCE WEST ALONG THE SOUTH LINE THEREOF, A DISTANCE OF 33-2:4 FEET TO THE SOUTHWEST CORNER OF THE EAST HALF OF THE -NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 34; THENCE NORTH ALONG THE WEST LIME THEREOF, A DISTANCE OF 660.0 FEET TO THE NORT HEST CORNER OF THE EAST HALT OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF THE NOR'T'HEAST QUARTER OF SAID SECTION 3.4 AND THE. END OF THE HEREIN DESCRIBED CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE. BOUNDS OF PARCEL I,. DESCRIBED HEREIN. PARCEL..IIx:. A RIGHT OF WAY FOR WGRESS., EGRESS. AND PUBLIC UTILITY PURPOSES OVER THAT PORTION OF THE EAST 30- FEET OF THE WEST HALF OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER; AND OVER THAT PORTION OF THE WE-Si30 FEETOF THE EAST HALF OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 27, TOWN$RUP 18 NORTH, RANGE 5 EAST, M.D.B. & M.;. AND OVER THAT PORTION OF THE EAST 30 FEET OF THE WEST HALF OF THE EAST HALF OF THE. NORTHWEST QUARTER OF THE NORTHEAST QUARTER AND OVER THAT PORTIONN OF THE. WEST 3.0 FEET OF THE EAST HALF OF THE EAST HALF OF THE NORTHWEST QUARTER OF TH.E.NORTHEAST QUA.RTER.OF SECTION 34, TOWNSHIP 18 PRELIM RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 CWT of Document Recorded 3@—Aug-2W 2 W -@@4476@ Has not been co apared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. CYNTHIA M. AND PATRCIA A. TERRIO REAL PROPERTY OWNERILESSOR P.O. BOX 421 MAILING ADDRESS BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP 225 DAMRON ROAD . INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR BUTTE CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CrrY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0256 (530) 538-7541 EYING P N0. TELEPHONE NUMBER C4 Ml KI&60\ -o Cb SlGhtATURE OF LOCA114GENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write 'NONE") NONE DEALER LICENSE NO. FLEETWOOD HOMES 4604B 2006 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFL617AJB29288-WA13 65'8" x 26'8" PFS0946573/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 028-330-024 HCD FORM 433(A) REV. 8/91 ,. 1006 10:38AM . ALLIANCE TITLE N0, 629 P. 2 ORDER NO.: 00225467.005 - FH SCHEDULE. C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCELI: THE SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER QF Tj E NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.11R. & M. APN 028-330-024 PARCEL II: A RIGHT OF WAY FOR ROAD -PURPOSES, GVER A STRIP OF LAND 60-0 FEET IN WIDTH,. LYING 3Q.0 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE:. REGINNING AT A PUNT 60:0 -FEET SOUTH OF TIM NORTHWEST .CORNER OF THE SOUTH HALF OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF THE. NORTHEAST QUARTER OF SECTION 34, TOWNSHIP 18NORTH, RANGE 5 EAST, M.D.R. & M.; THENCE NORTH ALONG THE EAST LINE OF THE SOiTiFiWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 34, A DISTANCE OF 390.0 FEET TO THE SOUTFIEAST' CORNER OF THE. EAST HALF.OF THE. NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 34; THENCE WEST ALONG THE SOUTH LINE THEREOF, A DISTANCE OF 330.0- FEET TO THE SOUTHWEST CORNER OF THE EAST HALF OF THE NORTHEAST- QUARTER OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 34; THENCE NORTH ALONG THE WEST LINE THEREOF, A DISTANCE OF 660.0 FEET TO THE NORTHWEST CORNER OF THE EAST HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 3.4 AND THE. END OF THE HEREIN DESCRIBED CENTERLINE. EXCEPTING; THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I,. DESCRIBED HEREIN. PA.RCEL..II:. A RIGHT OF WAY FOR INGRESS., EGRESS AND PUBLIC UTILITY PURPOSES OVER THAT PORTION OF THE EAST 30 -FEET OF THE WEST HALF OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER; AND OVERTHAT PORTION OF THE WEST 30 FI✓ET OF THE EAST HALF OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE SOUTHEAST QUARTER OF SECTION 27, TOWNSHIP 18 NORTH, RANGE 5 EAST, M.D.B. & M.;. AND OVER THAT PORTION OF THE EAST 30 FEET OF THE WEST HALF OF THE EAST HALF OF THE NORTHWEST QUARTER OF THE NORTHEAST QUARTER AND OVER THAT PORTION OF THE. WEST 3.0 FEET OF THE EAST HALF OF THE EAST HALF OF THE NORTHWEST QUARTER OF THE. NORTHEAST QUARTER.OF SECTION 34,, TOWNSHIP 18 PI EUM TT FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-0256 Address or location of unit: 225 DAMRON ROAD, BANGOR Legal Description of Real Property: 028-330-024 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: CYNTHIA M. AND PATRICIA A. TERRIO Owner's address: P.O. BOX 421, BANGOR INSIGNIA OR HUD NUMBER: CAFL617A/B29288-WA13 SERIAL NUMBER OR V.I.N.: PFS0946573/4 MANUFACTURER'S NAME: FLEETWOOD HOMES YEAR: 2006 OFFICIAL APPROVING INSTALLATION: 'Al1. DATE: g-24-66 PHONE: (530) 538-7541 • H.C.D.513C 1y);NT.OFp� � STATE OF CALIFORNIA �•-..,_ NUMBER: e • BUSINESS, TRANSPORTATION AND HOUSING AGENCY o �' �✓ DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT -' DIVISION OF CODES AND STANDARDS 87471 sd MANUFACTURED HOUSING PROGRAM c/MITTMANUFACTURER CERTIFICATE OF ORIGIN DISTRIBUTION: ORIGINAL (PINK) FORWARD TO TWINVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE): COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT.P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELNER.TO'THE TRANSPORTER TO:A000MPARY THE UNIT TO ITS DESTINATION.- v n;, - COPY 3 (GOLDENROD) -TO BE RETAINED BY THE MANUFACTURER. HCD 483.0:- Side 1 - (7/97) ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. MANUFACTURED HOME OR MULTI -UNIT MANUFACTURED HOUSING NUMBER OF 2 ❑ SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING TRANSPORTABLE SECTIONS COMMERCIAL COACH: OCCUPANCY GROUP MANUFACTURER NAME: MANUFACTURER LICENSE NUMBER: FLEETWOOD HOMES OF CALIFORNIA, INC. 9534 MA F T)U PO BOX: 1..308 WOODLAND957,6 SUGGESTED RETAIL PRICE: (Street)r (City) State Zi MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WATERFORD 4604B 2006 02/02/2006 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBER OR DATE OF TRANSFER: TRANSFEREE DESIGNATION: AMERICAN MANUFACTURED HOME SALES, INC. 1075 .02/03/2006 DEALER OR TRANSFEREE ADDRESS: 880 ONSTOTT ROAD YUBA CITY CA 95991 Street Ci State Zi INVENTORYCREDITOR NAME: GE,. CDF IN. NTER: P O BOX 94900' PALATINE IL 60094 Street City State Zip SECTION MANUFACTURER SERIAL NUMBER HCD INSIGNIA OR HUD LABEL NUMBER LENGTH WIDTH WEIGHT 1-6 INCHES INCHES (POUNDS) 1 CAFL617A29288-WA13 PFS0946573 788 160 26,860 2 CAFL617B29288-WA13 PFS0946574 788 160 28,280 TIAWNTT TUCK TRANSPORT, INC. TFQ4V2RTjEW=WRIAL ' PARKWAY P.O. BOX 569 MCODNOUGH GA 30253 Street C' state zip DESTINATION FOR UNIT DESCRIBED ABOVE: -Y4 NAME Street C' State Zi I certify under penalty of perjury under the laws of the State of California that the above facts are true and caned 02/02/2006 WOODLAND YOLO CA Executed on at (Date) _ (City) (County) (State) SIGNATURE OF AUTHORIZED AGENT:'`: �•'l�--^��"�" ri • DISTRIBUTION: ORIGINAL (PINK) FORWARD TO TWINVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TRANSFEREE): COPY 1 (WHITE) FORWARD TO THE DEPARTMENT AT.P.O. BOX 1828, SACRAMENTO, CA 95812-1828, WITHIN FIVE (5) DAYS OF RELEASE. COPY 2 (YELLOW) DELNER.TO'THE TRANSPORTER TO:A000MPARY THE UNIT TO ITS DESTINATION.- v n;, - COPY 3 (GOLDENROD) -TO BE RETAINED BY THE MANUFACTURER. HCD 483.0:- Side 1 - (7/97) AUG,16..2006 10:38AM AUJAKE. TITLE. NO, 629 P, I TTTT.IP COMPANY .-TEL: 51-6-8 87 -2250 FAX. 5 30. 8-87-2260 FACSIMILE TK&N5?vjITTAL. SHEET Cindy Blount FAX NUj;ME, TOTAL NO. OF PACES fNCLtjDtNr. roVER: PHONE NUMBER: ESCROW NUMBER: AR: YOUR REFER11t4cE NU?45P!4— W -UR . GP_NT 0 POR REVIEW 13 PLEASE COMMENT" D PLEASE REPLY PLEASE RECYCLE t` OTRS-4 _OlvlM.ENTS; k A117 JAJI. . zl-), �,,,,� .4-2 ar�-G- o� a 'f33� IV4,-- a -d /7%-x�tf�0 /�"p - 8 6 5 E 0 G,E W ,O 0 D ROAD AUBURN, CA_ 95603 A..U.-G.- .16- 2006. 1.0.: 3.8 AM ALUAKE TITLE, NO, 629 P. 2 ORDER NO.: 00225467.005 - FH .SCHEDULE C THE LAND. REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT -CERTAIN REAL PROPERTY -SITUATE IN THE COUNTY OF BUTTE,. STATE OF CALIFORNIA, DESOMED-AS -FOLLOWS: PARCEL THE SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER OF T1IE NORTHEAST QUARTER -OF SECTION 34, TOWNSHM 18 -NORTH, RANGE 5. EAST, M.D.R. & M. APN028-330-024 . PARCEL II: A RIGHT -OF WAY FOR READ PURPOSES-, -QUER A STRIP OF LAND -60-0-EEPT _IN . WIDTH,. TH _ LY -1 N0. 3 Q-0 '. FEE - ON EACH -SIDE OF THE -F OLL 0 W I N G- - D E S C RIBED CENTERLINE:. RE -0 INNI N G - AT A - POE -4-T - 60 -. 0 - FE ET- SOUTH TH OF TIM -NORTHWEST CORNER - 0 F THE S OUTH TIALF*OF THE'SOUTH-W-EST-Q UARTER,OF THE SOUTHEAST OF THE.NORTHEAST QUARTER OF SECTION 34, TOWNSHIP- I& NORTH, RANGE 5 EAST, M.U,B. & M.; THENCE NCE NORTH ALONG THE EAST LINE OF THE SOUTHWEST QUARTER -OF THE NORTHEAST QUAKER OF SAID SECTION 34, A DISTANCE OF 390.0 FEET TO THE SOUTHEAS r- CORNER -OF THE-.EAST,HALF OF THENORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF THE NORTHEAST -QUARTER OF SAID SECTION -3k THENCE WEST ALONG THE SOUTH LINE THEREOF, A DISTANCE -OF 330-.0,FEET TO THE SOUTHWEST CORNER OF THE EAST HALF OF -THE'NORTHEAST QUARTER OF THE SOUTHWEST -QUARTER OF THE. NORTHEAST QUARTER OF SAID -SECTION 34; THENCE NORTH ALONG THE WEST LINE THEREOF, A DISTANCE OF 660.0 FEET TO'THENORTITWEST-CORNER OF THE EAST HALF OF THE - NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF THE NORTHEAST' QUARTER Of SAID SECTION 34 AND THE -END OF THE HEREIN DESCRIBED CENTERLINE. EXCEPTING THEREFROM ALL THAT PORTION Ly-'ING. WITHIN THE ROUNDS OF. PARCEL 1,, 'DESCRIBED-HERF-IN. .PARCIEL.Ift, AR140HT OF.-WA-Y-FO-R,NGRIC-SS,,EGRES.S..AND--PU-]-3LIC UTILITY PURPOSES OVER THAT -PORTION-OF THE EAST 30. FEET OF THE WEST HALF OF THE EASTHALF OF THE SOUTHWEST QUARTEk- OF THE SOUTHEAST QUARTER; AND. OVERTHKT-PORTION OF THE -WEST 30 FEETOETHE EAST HALF -OF THE -EAST HALF OF THE SOUTHWEST QUARTER -OF THE SOUTHEAST QUARTER OF' SECTION 27, TOWNISHE?- 18 NORTH, RANGE SEAST, M.D.R. & M,;. AND OVER THAT PORTION OF THE EAST '30-FELrI'OF THE WEST HALF OF THE EAST HALF.OF tHE NORTHWEST QUARTER OF THE NORTHEAST QUARTER AND OVER THAT -PORTION- OF THE. -WEST 3.0. FEET OF THE EAST HALF OF THE EAST HALF OF THE NORTHWEST -QUARTER -OF THE -NORTHEAST QUARTER.OF SECTION 34, TOWNSHIP 18 PILEUM L. A.U.G.. 1.6-20.0.6. I.0.A.9.0. AULA.N.U. TITLE N-0, 6.2 9 P'. 3. ORDER r UVA2546o-uva - FH -ScErEDULE.C. -(CON-UNUIED.). .NORTH,. RAN.GE-5-EAST,NLD.B...&-M..-ALL-LYING SOUTHERLY OF THE LOS VERJELES ROAD, A&SAIDROAD.EXIISTED ONJANUAR y � -, Y 22.1959. .PARCEL.IV;- ARIGHT-OF WAY -FOR ROAD PURPOSES-OVER.&STRIP OF.LAND.60-FEET-IN WIDTH,. LYING 30-FEET-ONEACH- SIDE -OF THE-FOLLO-V%rING-DES-CRIBED-LINE-- -REGINNING-AT THE .SOUTHEAST CORNER OF THE WEST -HALF OF -THE.NORTHEAST QUARTER OF THE. SOUTHWEST QUARTER -OF THENORTHEAST QUARTER OF SECTION 34, TOWNSHIP 1-8 NORTH., RANGE 5 --EAST, M-DR.-& M.; THENCE. WEST ALONG THE -SOUTH -LINE OF THE -WEST -HALF OF THE NORTHEAST - QUARTER OF THE SOUTHWEST QUARTER OF-TILE-NORTTiEAST-QUARTER-OF-SAID- SECTION 34, A DISTANCE -OF 330 -FEET TO-APGINT AT THE NORTHEAST CORNER -OFTHE SOUrHWE-ST- QUARTER OFTHE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF SAID SECTION 34;THENCES'OUTH ALONG THE-EAST.I. M_ -OF THE -SOUTHWEST QUARTER -OF THE -SOUTHWEST QUARTER OF THE NORTHEAST -QUARTER -OF SAID.SECTION. 34 A.DISTANCE. OF 4.0.0 FEET TO A POINT 70 FEET SOUTH -OF THENORTHEAST-CORNER OFT H-ESOUTH-HALF.OF THE,SO.UT14WEST QUARTER -OF THE SOUTHWEST -QUARTER -OF THE NORTHEAST -QUARTER OF SAID SECTION 34. AND THE END OF SAID CENTERLINE: N EXCEPTING -THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PPSLIM Butte County Department of Development Services• eurrF aREa iii O T E S 7 County Center Drive, Oroville, CA 95965 '- (530) 538-7601 vnvev.buttecoitntyneUdds �uHt A RESIDENTIAL AP N: Permit No. 028-330-024 06-0256— Owner. - TERRIO, PATRICIA - Site Address: 225 DAMRON RD, BANGOR (( Cont: AMERICAN MFG HOME - - i Contractor. MH PERM FND (EX) Type of Permit:, ' rF ��/ c SPECIAL CONDITIONS CHECKED BY ❑ FLOOD CERTIFICATE EQUIRED 1 ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMIT CONDITIONS �" ❑ SUB -STANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT L ❑ REINSPECTION FEE PAID 1 ❑ ENV HLTH CLEARANCE V DATE JOB FINALED: _ • ,SIGNATURE: _ I DohG =,SOK o = Not OK - MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET DATE D E C K S'C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements I Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 7 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Sewer; Loctn-Test; Fall/C/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 4"ard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs t-ETIckrig; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 G H Test-Demand-Valve-Cnnctr i 7 Electric Po'Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr i 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr 8. Sewer Connected -C/O to Grade -10 Roof-, Shthg-Roofing 12 G and Electricity Tagged , ie owns Q Foundation I ?� XILS ` f 11 Ext; Steps -Doors -Landings # 12 Braced Wall pnls 15 Cert of Occupancy 16 jHUD Label/insignia�Numbers Serial Numbers �^ q o' o`er o•`' 0� DATE JPOOLS } 1Setbacks-Easements t 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel -C n nctns-Thickn ess Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 /� Q 1, v r1�— t �� �� � o` 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg B6xes-Enclsrs-pniboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test l 11 Lt Niche X 12 Encisr; Fencing -Alarms r 13 Bonding, Diving board or Slide Pool Drawing = OK Not OK .RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ' 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/OSewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test °'a o 1-1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic le .0 o d o'`� o DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & flr Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 2a Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on 'Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws s` DATE JELECTRICAL 40 Fxtr & Tmsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 93 ❑ CU or DAL AC Wire Sz g, ❑ CU or DAL 48 Range Circ a+ ❑CU or DAL Oven Circ 9a D CU or D AL Insulated Neutral DYes ONo 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv flr. Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters D Yes [:]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns .95 Gas Test -Meters Tagged, Gas-Elec _ 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl .97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler `.. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES r . 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at +. the above address and should be corrected. Please call for re -inspection when correction of ` work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. rq !yam" �r ,r z� l v. idw 'DZI Erb.`, Date v - Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 t: "COUNTY OF BUTTE .. z. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE A routine inspection indicates that the following violations of Butte County Ordinances exist atIVA the above addr ss and should be corrected. Please call for re -inspection when correction of work is comprbted. If you have any questions pertaining to this matter, or need additional explanatio , please contact the Building Inspector as indicated below. et/GIG G-� /�i�, /�� • -` OG/J ///•,//err ort. M RJ�1��J i Date �/ V v b / Inspector � G �/T' ` � v I �� �-� % OWNER PERMIT NO. s A routine inspection indicates that the following violations of Butte County Ordinances exist atIVA the above addr ss and should be corrected. Please call for re -inspection when correction of work is comprbted. If you have any questions pertaining to this matter, or need additional explanatio , please contact the Building Inspector as indicated below. et/GIG G-� /�i�, /�� • -` OG/J ///•,//err ort. M RJ�1��J i Date �/ V v b / Inspector � G �/T' ` � v I �� �-� % .. •f,ar REV 4/05 Phone.#Z FOR RE -INSPECTION CALL:M:538-7636 OR 891-2834 u l ..... COUNTY OF BUTTE .......... _ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE _157?1� I) db OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. �4 4 f Date,J Inspector REV 4/05 Phone # 2"2, FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 may: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060256 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/03/2006 APN: 028-330-024-000 the Business and Professions Code, and my license is in full force and effect. n License Class : License Number: ` Site Address: 225 DAMRON RD BAN Date: Contractoc41y6�����''y J ,^Map Index: "-J-06 Description: NEW MH EX SITE PERM FNDN (1599) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: TERRIO CYNTHIA M ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a TERRIO PATRICIA A signed statement that he or she is licensed pursuant to the provisions of P O BOX 421 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or BANGOR, CA 95914-0421 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: AMERICAN MFG HOMES Code: The Contractors' State License Law does not apply to an 880 ONSTOTT RD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, YUBA CITY, CA provided that such improvements are not intended or offered for 95991 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-751-2728 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: AMERICAN MFG HOMES not apply to an owner of property who builds or improves thereon, 880 ONSTOTT RD and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). YU BA CITY, CA ❑ I am Exempt under Article 3 of the Business and Professions Code 95991 530-751-2728 Date: Owner: License #: 846086 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit 'Architect: is issued. Engineer: C3 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Total Square Ft: 1599 S.F. Policy#: 'Valuation: $103,935.00 Census Code: Y/ l7 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'L. r Date: v Applicant: WARN ..'u to secure/w ers' compensation coverage iso\ unlaw , an s I subject an loyer to criminal penalties and one I ,l �.� til V hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. _ CONSTRUCTION LENDING AGENCY This permit is hereby issue under the applicable provisions of the Butte County Code andior I hereby affirm that there is a construction lending agency for the Resolutions to dow icated abo a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Address: PERMIT EXPIRES ON: (Date) Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repn!seen�ttaatives of Butte County to enter upon the above mentioned property for inspection purposes. u` 6, Signature: Print Name:/�G/` Date:A6,V ❑ Owner ❑ Contractor ❑ Agent for Owner NAgent for Contractor B. C. Building Permit 01-16-04 pg 1 FIRE SAFE REQUIREMENTS Butte CouAty Fire Department California Department of Forestry and Fire Protection 1,76 Nelson Avenue, Oro ' rnia 95965 • (530) 538-7888/ Property Owners Name: / L' Inspector: Inspection Date: EY/ Building Permit # Property Location: 02,57 /w� !/(// City: 07t Phone: Re4ris ' action Dates is 2 n 3 E; AAM.- ENANQE;OFu EFENSIBI E SP` `CE �n�>AsuREs• (a) Gate entrances shall be at'least two feet wider on both ends then To ensure continued maintenance of properties in conformance. with these standards and measures and to assure continued availability, access, and utilization of the.defensible space provided' for these standards during a wildfire, provisions for annual maintenance shall be included' in the development plans and/or shall be provided 'as a condition of the permit; parcel or map vel. Public Resources Code 4291 information,provided? Yes ❑ No ❑ I understand it is my responsibility as the property, owner to annually' � provide def msrbie space on my property as required by law (PRC 4291). PrWerly Owners S' ✓ , x;1273110 ARIVEWAYS (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. Is the -driveway new or was ' extend es ❑ No 0 (b). All driveways shall prov mimum 1.0' traffic lane and unobstructed vertical ce of 15' along its entire len Driveway width: Vertical Clearance: (c) Driveways exceeding 150' in length, but less than 800' in length; shall provide,a turnout near the midpoint of the driveway. ""✓.�. Where the driveway exceeds 800', turnouts shall beprovided no more than400' Drivewa 1e (d)"A turnaround shall be provided to all building sites on driveways over 300'.i6 length; and shall be within 50' of the building.:: Tuinarnund disumce'fiom A'01912 RQADW IUSUR1}ACE The,surface sball provide unobstructed access to conventional drive. vehicles, including sedans and fire engines. Surfaces should' be. established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4".of class 2 aggregate base shall be nuired for all drivewa turnouts and turnarounds: Depth of aggregate base: Net1273 03, RO'ADI`VAX5 - . The grade for all,roads,streets `private lanes and driveways shall' not exceed I5%.'All grades over 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in.. excess of 20%. Percents a of sl %; W_ US: 12T3 (a.) No roadway shalt have a horizontal inside radius of curvature .of less than 50' and additional surface width `of 4' shall be added to curves of 50-100' iadtus 2' to'those Born 100-200'. ' Questionable .horizontal curve radius:: ;✓ (b)' The length of vertical curves inroadways� exciusive'of gutters, ditches, 'and'draiiiage structures designed to hold or divert water, :shall be not less than 100. 1 tionable vertical carver ,12?3, 05ROADWAYtTURNAROUNDS Turnarounds are regiured`ori'dnveways as specified fif this article. The minimum turning radtus for a hirnamund shall be"40 fro .. center line of the road If a hammerhead -T is used the top of tbe' "T"' shall bea mimmum'of 60':w:len T e of roadai ; turnaround use& ' Measurements? "" 237310r"A ADWAYWTURNOUTSy°° Turnouts shall be a minimum 0f.'10' wide and, 30' long with a: minimum 25'"m on each end. ✓ Roadwa turnout measurements and location: WA 1273:07ROADW_ AYSTItU.S.. (a) All driveway, road, street, and private lane roadway structures (Bridges,culvetts� and other apgurtenantstructures which. • •supplement the roadway bed or shoulders) shall be constructed to ' `. carry at least the maximum load and provide the minimum vertical . clearance as required by' Vehicle "o: Sections 35550, 35750'and' 35250.^ . Bridge certified b re 'sfered.civil engineer? Yes ❑::No (b) Appropriate signutg, including but pot.limited to weight:or` vertical clearance limitations, one=way road or single lane conditions, shall reflethe of .. h Brid e..:, . ' ct Correct signs insfalled? Yes :❑:. N (c) A bridge with only'one tratiic lane inay be:authorized by the local jtirisdiciion; However; it shallprovide for unobstructed' ...." visibility from one end to the other and turnouts at both ends . . Turnout measurements`'on each end: . Re4ris ' action Dates is 2 n 3 E; 127311 GATE ENTRA7VCES' :. ..Nil , ` -' 140 "- , (a) Gate entrances shall be at'least two feet wider on both ends then the width of the traffic lane(s) serving the ate. Gate measurements on ends: (b) Allgates. providing access from a road to'a driveway shall be located: at least 30' from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. - Gate distance on driveway from road: (c) Where a one-way road. with a single traffic lane provides access to a gated entrance a 40'. turning radius shall be used. Turning radios measurements: � 1?L7408AADRESSF.S)�;OR�8,U1�Dih1GS� � >: . All:btiildings shall be issued an address by the local jurisdiction, which conforms°to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit wi a building shall be separately identified. Is address correct? Yes No ❑ i 274g09S OR" IS.TTERN ' ERS. S MBflIS FaRADDRESS Size of letters, numbers and symbols for addresses shall be a minimum 3" letter height, 3/8". stroke, reflectorized, con g with the background .color of the sign. Utters,Numbers and Symbols correct?. Yes o<❑ ""✓.�. 1274:10 INST� ! � � }T1ONLOG° 'i'IOl!1�AND'�VIS$,iBiIiITS� OF •s'(a(d+.a J:..Y ZS`7'd�3' r`1.,.:g'^1 .. , , fi L� � .� � °k" '(a).. All buildings "shall have a permanently posted address, which shall be placed at each driveway entrance and visible. from both directions of travel along the road. In all'cases, the address shall be posted at the beginning of conitruction and shall be maintained thereafter, and the ad shall be visible and legible from the road on which the.address ' orated. Correct? Ye o ❑ (b) Address signs along one-way roads shall he visible from both the:intended ' e 'on of 1 and the opposite.direction. Correct?: Yes No Er (c), Where m . ti le addresses are required at a single driveway, they shall be mounted qirsingli post. Correct? Yes IT No ❑ (d) Where a roadway provides°access solely to ii single commercial or industrial business the address sign shall be placed at the nearest road intersection providmg access. to that site: Correct?, :Yes ❑ NO; ❑ 0,7, 02� SESTBACIC EOR STRU [IRE DEFI�IVSIBI:F SPACE (a) All_ parcels l acre and larger shall provide a minimum 30' setback for buildings and accessory buildings from all property lines and/or the center of.the road.' (b).For parcels less than facie, the local jurisdiction shall provide for'the same " hcal:effect ,.. ..._ ;✓ ZS'AMEMRAGTICAIEFFECI':IRE, UMNUNTVSHOW„ If a Building :Setback: is less then 30 from all property lines and/or the center of the road, the followin 'shall a •' Class A roof ` Correct? Yes ❑. No. • Full enclosed eaves on entire structure - Correct? es o ❑ Metal doors.toivard insufficient'setback_Y '-NoO., • Siding$om the following. list: (a). Stucco -3 coat (b) Non combustible Har&Board, Plank or similar. siding (c) Masonry (d) Metal e 'Other Butte, County Fire :ent a ved materials Correct siding used on entire structure?; Yes ' o'❑ ✓ 1276:03 DISPOSAL�OF'FL�A31I14tABLE YEG)�TATION�AND� Disposal, including chipping, burning or removal tota landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused bysite development and construction road and `. driveway.constrpction, and fuel modification shall be.completed : ;prior to completion of road construction or final inspection of a liiii ldin riot: �.Conr letcd?.,.Yes . No.❑` �NTS9O'F R�<REQUIREME NS`1'Ai:I.ATtU,. OI RESIDEAII7ALFIRE SPRINKTERS „ If your'property :was part of a parcel split after January„ 1, 1991, you are. required to install residential fire sprinklers: It'is,tbe property owner's responsibility to review the official I Map to _confirm if -sprinklers are iced: :.Are sprinklers required? Yes ❑ No Are rinklers:installed? Yes ❑ No N olation/Remarks Cleared Distribution: White - Building Department Yellow = Fire Prevention Pink - Property Owner OB/23/2006 23:37 --9W-751-2731 AMERICAN MFG HOMES PAGE 02/02 ). .. I (. Ig STATE OF CALIFORNIA BU INESS. TRANSPORTATION AND HOUSING AGE` d' NUMBER: DEPARTMENT OF HOUSING AND COMMUNITY OEVELO5 DIVISION OF CODES AND ENT 'y 7 STANDARDS MANUFACTURED HOUSING PROGRAM )T4 ACTURER. CERTIFICATE_ F ORIGIN ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER C F GINAL MCO NO, MANUFACTUREO HOME OR MULTI -UNIT MANUFACTURED HOUSING aax _ i SFD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED HOUSING MBER OF NSPORTABLE SECTIONS 2 COMMERCIAL COACH: OCCUPANCY GROUP hv+nVFACTVRER NAME: FLEETWOOD HOMES'OF CALIFORNIA, INC. I MANUFACTURER LICENSE NUMBER - I 9534 "IgI PF 80 8 SUGGESTED RETAIL PRICE: WOODL�ND • ,. �� y � � .. CAS � 95,76. = 1C) State I MANUFACTURER TRADE NAME: MODEL NAME AND/OR NUMBER: DATE OF MANUFACTURE: WATERFORD 46048 2 6 02/02/2006 NAME OF DEALER OR TRANSFEREE (OWNERSHIP TRANSFERRED TO): CALIF. DEALER NUMBE OR DATE OF TRANSFER: AMERICAN MANUFACTURED HOME SALES, INC. TRANSFEREE DESIG ION: 1075 02/03/2006 DEALER OR TRANSFEREE ADDRESS: 880 ONSTOTT ROAD YUBA CI CA 95991 $trett (city)State ' (zip) INVENTORY CREDITOR NAME: GH CDP i INCENTER P 0 BOE 94900, PALATINE i IL 60094 (Street) City} State I Z; SECTION t6 MANUFACTURER SERIAL NUMBER MCD INSIGNIA OR HUD LABEL NUMIJ R �ENOTH WIDTH WEIGHT INCHES INCHES POUNDS) 1 CAFL617A29288-WA13 PF90946573 1788 160 26,860 2 CAFL617829298-WA13 PFS0946574 1788 160 28,280 i i I T�'P�N�iUC1Z TRANSPORT, INC. TFQ4WQRTjW=W 1RIAL PARKWAY i P.O. 60$ $69 MCODNOUGH GA j 30253 Sveer (city)late (Z') DESTINATION FOR UNIT DESCRIBED ABOVE: i (NAME Street C' I (State) I Zi I canify unom penalty of wary muthe lore of the Stele of CalMorrtie VUR the above foam are Vue a,q oortea. 02/02/2006 WOODLAND YOLO ! E,aaaoc on - n i CA ( wnty) (stele) 'J sIGNA7UAE OF AUTHORIZED AGENT: ( D13TRIBUYIQN: ORIOINAL (PINK) FORWARD TOT INVENTORY CREDITOR. UNLESS THERE IS NONE. THEN C RWARD TO THE PURCHASER (DEALER OR TRANSFEREE): COPY r (WHITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 1828, SACRAMENTO, CA 969 - 1978. WITHIN FNEI(S) DAYS OF RELEASE. COPY 2 (YELLOW) DELIVER TONNE TRAIJSPORTER TO /ICCOMPA* THE UNIT TO ITS DESTIA COPY 3 (GOLDENROD) JO BE RETA)NEO By THE ION.- µ UFACTURER. MCD 483.0 • SICe 1 • (7/97) ' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060256 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/03/2006 APN: 028-330-024-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: SCJ Oj Site Address: 225 DAMRON RD BAN Date: �6 Contractor: hG,--1 Edy-�A7,*-I map Index: Description: NEW MH EX SITE PERM FNDN (1599) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: TERRIO CYNTHIA M ETAL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a TERRIO PATRICIA A signed statement that he or she is licensed pursuant to the provisions of P O BOX 421 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or BANGOR, CA 95914-0421 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: AMERICAN MFG HOMES Code: The Contractors' State License Law does not apply to an 880 ONSTOTT RD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, YUBA CITY, CA provided that such improvements are not intended or offered for 95991 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-751-2728 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: AMERICAN MFG HOMES not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 880 ONSTOTT RD pursuant to the Contractors' State License Law.). YUBA CITY, CA ❑ I am Exempt under Article 3 of the Business and Professions Code 95991 530-751-2728 Date: Owner: License #: 846086 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ' Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1599 S.F. Policy#: Valuation: $103,935.00 Y / lY' I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARN u to secure w ers' compensation coverage is unlaw , an s I subject an toyer to criminal penalties and one , j . hundred thousand dollars ($100,000), in addition to the cost of y� compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issue under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to do w icated abo a for which fees have been paid, `,��/i Name: , G By Date: r Address: PERMIT EXPIRES ON: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives o Butte County to enterupon the above mentioned property for inspection purposes01. Print Name: Signature: Date: ^ ©� V ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor B. C. Building Permit 01-16-04 pg 1 01/31/2006 00:12 530-751-2731 AMERICAN MFG HOMES 04/20/2005 20:36 15307492414 JEFF & ROSE, UTrlt- BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES COD o BUILDING PERMIT AP'PLIC,4WION i AND SUB'MIXTAL RTQLlIItiMMENTS =:�; 0 2.4 I• IOUR).WSPECTION#. OROVILLB: (530) 538-7G36 CHICO: (�30) 891-2834 0 OFFICE 4: (530) 538-7541 11114 A Pr -16 WI,G,L AX REQUIRED AT TlMK OFAPPZ rCA.TIO.IY ' *FLEASE PRINT CLEARLY** OWNER 1_dSt Nerne 11 a, gaoigss aim ► �,..� ?.� cityStabs A Zip Phone s�o -G-I - a t Fax C01VTf24CT0I2 Name Address 88d ONsrvT0-cm, stat Zip`f5`1 Ftto e �_7_S /_2,'7Z Fay30— 7 / - Z-73 I Email!Si pAQAml� Lic.#Bg6oSy, Classy M KAFORM Zone SRA No type Const. Map Book I Page Lot # Data ADptovad: SUBMITTAL. REQUIREF ING F0RMS%Btd0ApplSubRgmts.doc PAGE 02/02 PAUL 01/ by PERMrr Bt ierly N LID CAT70N AP. 0 Property ad'% A y A as t .%e. V _1 •sn/o WORKEW$ COMPENSATION Potidy Number Carrier IfhIH170 anyone 011ier than 11cOnse conmactora a ce"Iffoato of wonkor'o com ensat/on most be ahu*7j at the tfrrw of permit Issuanee. LEN ING AGENcy Name Address Descr[ptlon or cope of yyyyork: c yvffv yr .w� !✓„� ti ®.ry !�r� 5 Sq. Footage Structure ffLx1t withouf Perm77 ❑ PropQsed Change of Qcaupancy (Noxa previous use): i EXPIRATION OF AiF1PI x6vrION Applications fbr Which a. Permit bas not been igqued will expire one year after the date of applikatirm. Tn order to renew + ion on an applieatIvo. ager expirmioml a new application, plans ecce [Yr will be ze cited. REQUEST FOR REIT”( S Refunds can only be madc!upon written req> st by the persoxt who paid the Fee. The rertuest t»ust be mode prior to the expiration of tr.,e penult and no construction work has been dons. Filing'1'eeg, pts, check face Sor work plan checked and other depatVnent costs are nor refUndeblc. Received by: Amount: gld9 aU T SRA i SMTP Date: 3 they Page f of 2 r , a1tV 7-27-O.a ARCHITECT/ENOWEER Nwe Address aiy State Zip 2tlone FaX Email State License'Number M KAFORM Zone SRA No type Const. Map Book I Page Lot # Data ADptovad: SUBMITTAL. REQUIREF ING F0RMS%Btd0ApplSubRgmts.doc PAGE 02/02 PAUL 01/ by PERMrr Bt ierly N LID CAT70N AP. 0 Property ad'% A y A as t .%e. V _1 •sn/o WORKEW$ COMPENSATION Potidy Number Carrier IfhIH170 anyone 011ier than 11cOnse conmactora a ce"Iffoato of wonkor'o com ensat/on most be ahu*7j at the tfrrw of permit Issuanee. LEN ING AGENcy Name Address Descr[ptlon or cope of yyyyork: c yvffv yr .w� !✓„� ti ®.ry !�r� 5 Sq. Footage Structure ffLx1t withouf Perm77 ❑ PropQsed Change of Qcaupancy (Noxa previous use): i EXPIRATION OF AiF1PI x6vrION Applications fbr Which a. Permit bas not been igqued will expire one year after the date of applikatirm. Tn order to renew + ion on an applieatIvo. ager expirmioml a new application, plans ecce [Yr will be ze cited. REQUEST FOR REIT”( S Refunds can only be madc!upon written req> st by the persoxt who paid the Fee. The rertuest t»ust be mode prior to the expiration of tr.,e penult and no construction work has been dons. Filing'1'eeg, pts, check face Sor work plan checked and other depatVnent costs are nor refUndeblc. Received by: Amount: gld9 aU T SRA i SMTP Date: 3 they Page f of 2 r , a1tV 7-27-O.a APPLICANT NAME Nwe go,- r %i'Y M KAFORM Zone SRA No type Const. Map Book I Page Lot # Data ADptovad: SUBMITTAL. REQUIREF ING F0RMS%Btd0ApplSubRgmts.doc PAGE 02/02 PAUL 01/ by PERMrr Bt ierly N LID CAT70N AP. 0 Property ad'% A y A as t .%e. V _1 •sn/o WORKEW$ COMPENSATION Potidy Number Carrier IfhIH170 anyone 011ier than 11cOnse conmactora a ce"Iffoato of wonkor'o com ensat/on most be ahu*7j at the tfrrw of permit Issuanee. LEN ING AGENcy Name Address Descr[ptlon or cope of yyyyork: c yvffv yr .w� !✓„� ti ®.ry !�r� 5 Sq. Footage Structure ffLx1t withouf Perm77 ❑ PropQsed Change of Qcaupancy (Noxa previous use): i EXPIRATION OF AiF1PI x6vrION Applications fbr Which a. Permit bas not been igqued will expire one year after the date of applikatirm. Tn order to renew + ion on an applieatIvo. ager expirmioml a new application, plans ecce [Yr will be ze cited. REQUEST FOR REIT”( S Refunds can only be madc!upon written req> st by the persoxt who paid the Fee. The rertuest t»ust be mode prior to the expiration of tr.,e penult and no construction work has been dons. Filing'1'eeg, pts, check face Sor work plan checked and other depatVnent costs are nor refUndeblc. Received by: Amount: gld9 aU T SRA i SMTP Date: 3 they Page f of 2 r , a1tV 7-27-O.a ay� rs TO: FROM: Building Division — Development Services Environmental Health Y Plot Plan Attached Floor Plan Atladied Sent to BD/D / SUBJECT: Sanitation Clearance 21 T` Owner Location AP# Plan.Approved for: Sewage Disposal Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Water Supply: Publi �P ' to Well Environmental Health Specialist Date Building Clearance 9/2005 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: Q ASSESSOR PARCEL NUMBER Proposed Building Use: JV t 11 ) (1 M ��' Permit Technician:Date: c -3' 66 Items required in order to apply for a permit. All boxes UST be checked OR marked NA in orderB apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. O� 8. Manufactured homes nstallation manual, including marriage line info, Floor Plan, -(P) down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential` buildings, ❑ 12. Hazardous Material Form 711 13. Acknowledgement of building permit application without required clearances. 14. Other On�issneedeue the permit. (May require additional plan review upon receipt of the following items.) itation site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable Sprink........................................................................................... ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑��bA Erosion Control Plan Required........................................................................ Lpl Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ City of Chico Plumbing permit........................................................................ ❑ / 22. Site plan and business license approval from the City of Biggs .............................. ZV . California Department of Forestry plan approval Waaid. Sent by: / 24. Planning approval for (A) Use: A4. (B)Parking: (C) Parcel Check: ? *..... ❑ Contact Land Development about_ Improvements, _ Drainage ........................ El26. NPDES Form....................................................................:::..................... u 27. Encroachment Permit for driveway from the Public Works Dept ........................... O N%A 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ r4R. Owner-Builder Verification (_Given toToe,.,, Ma)led . o o k . Letter of Signature authorization.... r........ me q.., 7� t T '* Recorded copy of Agricultural AckntSwledgment Statement... �............ ❑ 33. Existing violations and/or expired permits ..... ...............:........... .......................... ❑ 3 Deed Restriction..........................................................::..................... Deed description H. Title, title search, registration or ...... 0 Other. ❑ 37. Other: When issued Telephone J � <KV3. ( Qi and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. 11) Applicant: J �` Date: C ' 6 0 1.. Index permit appli ation for a ov J umbe Plan Check Let er 2. Ad "nal items required ntractar, signer, owner, w ad d f the bo ` a by ❑ hone, ❑mail, ❑ counter, b Dat . designer, owner, was advise of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by:Date: Structural reviewed by: Date: Structural approved by� Date Note transfer by: -Date.' Yellow: Building Division j BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner TERRIO, PATRICIA APN No: 28-330-024 Application Date 2/3/2006 Permit No: BP 060256 Permit Type: NEW MH EX SITE PERM FNDN 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 Plan Check portion of Permit Fee $219.96 $329.94 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 (State Responsibility Area) Building Inspection $109.98 $109.98 1 - $204.98 NON-REFUNDABLE portion of fees due at application $314.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $424.94 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $340.33 $329.94 y �i95`I q 3-tfo- n. $10.39 RECEIPT DATE Tech/Asst 4 Balance of Building Permit Fees (from No. 1 above) 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200,00 9 7 Other*: 7a Other*: CHICO STORM DRAINAGE 770 Butte Creek $7,736 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwellinc Applications After 2/14/05 MFD New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 773 Big Chico Creek $6,596 County 4096.87 3071.14 3117 776 Mud -Sycamore Creek $6,070 Chico Urban Area 5372.09 3995.45 4889 EI Medio Fire District 3128.31 2297.77 2326 At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Government code Section 66020, you are hereby not d those Items followed by an ­" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 Ivonn trmco bpecitic t'lan A SR -1, SR -3, SR-1/PD 7938.53 6757.0-81 7633.49 R-1 8031.53 6850.081[-7726.49 ° R-2 7541.531 6360.081 7236.49 R-3 6780.531 5599.081 6475.49 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 0 $100.00 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200,00 9 KOUrtni DRAINAGE FEES* 10 CHICO STORM DRAINAGE 770 Butte Creek $7,736 MASTER PLAN 771 Comanche Creek $8,069 772 Little Chico Creek $8,792 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 773 Big Chico Creek $6,596 RECEIPT DATE Tech/Asst 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 More than 1 acre, existing buildings - fees to be assessed by Public Works 10a Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 $652 Maximum 11 Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling 1 $130 At time of building permit 11a $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Oroville Union High School 092 Kid 2& 12a RECREATION DISTRICT FEES* (h„,f 12/„ „ I Oroville At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Government code Section 66020, you are hereby not d those Items followed by an ­" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 Property Location/Address tk-a-�e� Subdivision Lot No. .................... ........... Residential Development Q Sq. Footage_ No of Living„ MoIXe JHome Addition/ *Supplemental to (Group. Units Installation Conversion Permit # c - No foundation inspection) 0, ............................... ........................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/industrial Q 0 Sq. Footage�'k-­-�;, • Ne Addition ::(L6_quding E)derior Roofed Areas) 7:51 b, e'ee Building Department Represents Date J D7NVt1ct Identification No. �bQ169 4,01 b,- Ur School chool District certifies that P'�k” L'� (Applicant) GLS o'�-J (Street Address) (Phone Number) 9 S -q (City )—' (State) (Zip Code) /v� �� IVI by payment has complied with the requirements of Resolution.No....' of $ representing feet AB 2926 /,square$ IVULL MITIGATION School District Representative Date Paid by Check # Remarks: � ry-\ tk) A& J 11110 Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fan are paid. Failure to submit"a timely w. n protest will prohibit you from challenging the Imposition of the fees In any court action. W, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School Ms&W is nodfled,by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental QW[ty Act (CEQA), this project may be subject to additional school fan to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) 4 fteform-XIS (3M5)drnM n� Or BUTTE COUNTY SCHOOLS IMPACTFEE CERTIFICATION FORM (One form per Building) School District o ` l = 60 -vast Building Department No. A.P. Number COF6 t: 'l b 02L� Jurisdiction: v city County Property Owner C - Property Location/Address tk-a-�e� Subdivision Lot No. .................... ........... Residential Development Q Sq. Footage_ No of Living„ MoIXe JHome Addition/ *Supplemental to (Group. Units Installation Conversion Permit # c - No foundation inspection) 0, ............................... ........................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/industrial Q 0 Sq. Footage�'k-­-�;, • Ne Addition ::(L6_quding E)derior Roofed Areas) 7:51 b, e'ee Building Department Represents Date J D7NVt1ct Identification No. �bQ169 4,01 b,- Ur School chool District certifies that P'�k” L'� (Applicant) GLS o'�-J (Street Address) (Phone Number) 9 S -q (City )—' (State) (Zip Code) /v� �� IVI by payment has complied with the requirements of Resolution.No....' of $ representing feet AB 2926 /,square$ IVULL MITIGATION School District Representative Date Paid by Check # Remarks: � ry-\ tk) A& J 11110 Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fan are paid. Failure to submit"a timely w. n protest will prohibit you from challenging the Imposition of the fees In any court action. W, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School Ms&W is nodfled,by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental QW[ty Act (CEQA), this project may be subject to additional school fan to fully mitigate Its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) 4 fteform-XIS (3M5)drnM n� BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) �a�- �J� va' Building Permit Number �� 'OC) 170 Property Owner (s) C_t, 0", Project Location /Address d a 15 -Mcoy-� Subdivision Name Assessable Sq. Ftge Type of Residential Development (check one) New Development Single Family -Detached Single Family -Attached Alteration/Addition(s) `on -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) erified by Building Comments: P1 Building Department RekSreskntative 'a � -3 1 66 - Date 0 FRRPD D CARD ❑ PRPD ❑ DRPD certifies that: e� Com,✓ ?��� � O-- %� � %�� pplicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: CRS oil ' Dwelling Units @ $ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ . Remarks: Paid by Check No: W�Tl 1124? Paid by Cash: Recr-e-art—op4 d k is presentative K:\FORMS\BUILDrNG FORMS\park-rec standard form rev Ldoc Receipt No: 0 Department of Public Works C o u n t y o f B u IAND DEVELOPMENT DIVISION Michael Crump. Director StormWaterM nagernentProerzrn 7 County + Center Drive �C�o -1 Oroville, CA 95965 QUA (530) 538-7266 p�L Wo�Fs (FAX) 538-7171 National Pollutant Discharge Elimination evenio System (NPDES) It Construction Storm Water Permit and Storni Wafer Pollution Pr Plan (SWPPP) Acknowledgement [LESS THAN 1 ACR project Description: Project Location andlor Parcel Number: By signing below, L the project owner/owner's agent, certify that this project WILL NO—T DIS'T`URB 1 acre or more of land and that L therefore, do not need to apply for a Conshas� S� what= contain from the State of California Regional Water Quality Control Board projects multiple site build -outs of less than one acre but when combined with subsequent phases total more than Storm Water Permit from the State of one acre of disturbed soil will require a C California Regional Water Quality Control Board. I am aware that submitting false andlor inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Butte County. Department of -.Develop -meat Sem'Ces 7 County Center Drive °° 1_~` Oroville, CA 95965 °c •�` ¢y° (530) 538-7601 Telephone �U (530) 538-7785 Facsimile N*1 BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, . Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. ® I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained. 0 I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required perrrrits/clearances include, but are not limited to, verification the parcel was legally created, adherence to, all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: i lr I�C� l j�G� APN: OoIE 33o -- 00-4 Building site address: c -S 06m l'D n Q . Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: Z?22:a �k 4 SIGNATURE OF APPLICANT DATE 21238 1 .......... .......... 1�n .... . . . . . . AMERICAN MFG HOMES PAGE 01/01 Vir 2 r i c U" MANIJ] CTURE DHOME SALES Rio 880 ONSTO .. RD. YUBA CITY, CA. 95991 110 t 0 0) 751-2728 To Karen Jones: Butte County Building Dept. Re:, Permit # 05-2669 I'm giving authorization to Jeff ani pick up of permits for American M Sales. The next one should be read Customer: Patricia Terrio APN# 028-330-024 Permit # 05-2669 Ji.vh Peyton Owner of AMHS lRose cCoy for kiufactu:red Home for, ------------- q .028-330-024 6-1447 T NOTES TER RIO, PATRICIA . + 225 DAMRON RU, BA_ NC}OR..; l our Cont: OWNER CONVERSION(MH-STRG) APN: Permit No. Owner. Site Address: Contractor. Type of Permit: d6_oZ�� t q SPECIAL CONDITIONS CHECKED BY Q SRA Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUBSTANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID Q ENV HLTH CLEARANCE 0 ,pQ.—o 5p -?— — c.>s--1 -6 DATE JOB FINALE - s +=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS - DATE PERMANENT FOUNDATION SOFTSETDATE 1 ZoningSetbacks-Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grad 'Am or 6 Yard Gas; Loctn-Test-Wrap "Nat or LPO Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr - 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers D E C K S'C O V E R S'C A R P O R T S'G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dctdng-Brcing Stairs-GuardlHandrails 4 Wood Awn; Posts-Beams4fts-CnnclrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSpiice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric .8 Frmg; Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 EA; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec RcptclsfUng; Distance -GR 5 Elec Pool Lung; 15 volts-GFI 6 Elec.Enclsrs; Con dult Entries Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5'. Crcitng Eqp-Pool Ightg Box,s-Enclsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Pimb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide o'er e`er Pool Drawing 0 = Not OK k -RESIDENTIAL (Single & Duplex) DATE UNDERFLOOR DATE IPLUMBING, ` 1 ZoningSetbacks-Easements-FloodSlope 2 Ftg Main; Soils-Elec Grnd Ftg DRth 3 Ftg Garage; SoilSSteel-Elec Gmd Ftg Dpth 4 Ftg Parches/Decks; Soils -Steel Ftg Dpth 5 Stemwalis Wain; Steel-Blockouts Wrapped 6 Stemwalis Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test Anchrs-RgltrService Test 12. Elec Undrgrnd 13 Plenums & Ducts; Clmc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & Vntttn 16 Insulation 4e rya o'd 4& P_ DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Wells Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, :Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & BeamsSi &'Bearing' 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlln-Root Brac-Truss 25 Frpic Ties or Type A Flu` =*rpic Throat Cirnc 26 Attic Acc; Sz &'Rmz Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Dears -Sill Ht & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs _ 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 35 Glazing Area -Glass PrtctnSkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insulin -Walls -Ceilings 39 Infiltration Walls-Wndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires In Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz Oa ❑CU or [:I AL AC Wire Sz ga Q CU or ❑ AL 48 Range Clic Qa Q CO or ❑ AL Oven Circ Qa Q CU or ❑AL Insulated Neutral ❑Yes ED No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 411 o'er o` o 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub '& Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Ace & Pltfrm If Furnace In attic o'� o`er o•'�' aT� O 66 Ext Steps -Door & SbdeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub AccSpa 71 GFI Are Fault 72 Elee Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handralls 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Cirnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Lactn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cirnc Dmge Planters Q Yes [:]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb. Appinc-Frplc-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Ihspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061447 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01.16.04 pg 1 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that.I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/16/2006 APN: 028-330-024-000 the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Site Address: 225 DAMRON RD BAN Dale: Contractor: Map Index: ion: 720 CONVERT EX MH TO ST Descri tORAGE p ( ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: TERRIO CYNTHIA M ETAL to its issuance, also requires the applicant for such permit to file a TERRIO PATRICIA A signed statement that he or she is licensed pursuant to the provisions of P 0 BOX 421 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or BANGOR, CA 95914-0421 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: TERRIO CYNTHIA M ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does TERRIO PATRICIA A such work himself or herself or through his or her own employees, P 0 BOX 421 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one BANGOR, CA 95914-0421 year of completion, the owner -builder will have the burden of (530) 679-0771 proving that he or she did not build or Improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does - Contractor: not apply to an owner of properly who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under ArtiA 3 of the Business and Professions Code Date:�o* Owner. License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: 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, -s'Oq. t and agree that If I should become subject to the workers' l('� compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.,(��� c0�p Date: 1, t WC) 67.. G - �l� " Applicant: km 1 t a WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the appllcable provisions of the Butle County Code and/or I hereby affirm that there is a construction lending agency for the Resolu ion to do work Indicated a ove f r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)IMA Name: BY /, 'D77aat'te: n 61- ITO PERMIT XPIRESON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws'relating to building construction. I acknowledge it is unlawful Io alter the substance of any official form or document of Butte County. I hereby authorize represefftati/v�es of Butte County to enter upon the above mentioned property for inspectionoses. Print Name: A 1�\C-\ A � 121 C) Signature.? Date: —i— .�Owner O Contractor O Agent for Owner Q Agent for Contractor B. C. Building Permit 01.16.04 pg 1 4� BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP061447 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that•.I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/16/2006 APN: 028-330-024-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 225 DAMRON RD BAN Date: Contractor: Map Index: 720 CONVERT EX MH TO STORAGE Description: D@BCCI AGE p ( ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: TERRIO CYNTHIA M ETAL to its issuance, also requires the applicant for such permit to file a TERRIO PATRICIA A signed statement that he or she is licensed pursuant to the provisions of P O BOX 421 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or BANGOR, CA 95914-0421 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their ' \ sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: TERRIO CYNTHIA M ETAL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does TERRIO PATRICIA A such work himself or herself or through his or her own employees, P O BOX 421 provided that such Improvements are not intended or offered for sale. If however, the building or improvements are sold within one BANGOR, CA 95914-0421 year of completion, the owner -builder will have the burden of (530) 679-0771 proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Artipq 3 of the Business and Professions Code Date: Y0166,6 � Owner x aa.tm License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit .Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier' Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.<7 62_y Date: �t f Applicant:�1I, \ a WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees.. - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Resolu ion to do work indicated a ove f r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) . Name: By: Date: Address: PERMIT 6PIRES ON: 6 I T Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are Copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize repr2septatives of Butte County entter' the above mentioned property for inspection oses. ^too (upon a Print Name: A� ��C 1 P 1 1��v0 Signature: \1 5Z�i_G. 11 l Date: 'T 'Owner ❑ Contractor ❑ Agent for Owner Q Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Last Name State irs Name Address City E-mail O City Phone State CA Zip ' Phone O 1 Fax E-mailV'k LP YEA APPLICANT INFORMATION CONTRACTOR Name State Address Phone City E-mail State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name State Address Phone City E-mail State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X \gyp For office use only: AP# oal 3 Zoning City Flood Zone Policy Number SRA I Yes No Occ. Name Type Const. Subdivision'Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP BIN # PROJECT LOCATION AP# oal 3 Property Address City Cross Street 2 I5 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: C- X 14, fn l� �o Sq FT- Living Garage Open Cov O Structure Built without Permits O Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: k G„ Receipt #: q 30b W2a3(� Date: �' - 16 -06 Amount: log n Bldg SRA Sheriff SMIP /� /�a Other Il J��t Il Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. to The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-siqned by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\E34dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 OWNER -BUILDER VERIFICATION TION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please -complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed prope improvement: YES ] NO[ ]. 2. . I HA EN ] HAAVE NOT [ ] signed an application for a.building permit for the proposed work- 3. ork3. I have -contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and -provide the major work NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: , NAME i. ADDRESS PHONE TYPE OF WORK SIGNED: —� PROPERTY OWNER c Kc� \ Q )\ r t c\ to DATE: 1, 1 1( 1 0 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. Brute County Department of Development Ser -vices �IJT T� ADMINISTRATION `BUILDING t GIS PLANNING o o o � � o 0 0 7 County Center Drive 00- Oroville, CA 95965 0 `'�` ��� o (530) 538-7541 Telephone COU (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified_ For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their oven work- If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you pian to do'your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ of otherwise engage. any persons other than your immediate family, and the work ('including materials and other costs) is $200 or more for the entire pmject and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security takes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be. contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and ram the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector I—PO—ST DATA - TJI PRO LIVE I.OAI): 30 LBS P[ I OC A' 1-6 N, UNIT 11 O.')'T 1,0A 1) III 1. G I IT LABEL lil.:AR I N(; 1)0ST PILk LOAD BLAH A A 1534 11.9 112" 1.75 32 3100 TJI A UNIT B 1534 119 112" 1.75 1. 5 32 A TJI d 12'-9 1/4 - A 4262 119 1/2" 8 8600 TJI B 12'-9 1/411 B 3 119. 1/2" 1. 8 2SG TJI C 28'-0 1/ 4 A 3614 119 1/2" 1 . .5 . E 13'-0"P 'x 26 ga STRAP 7300 TJI C 28'-0 1/411 B 3614 119 1/2" 1, 5 7 TJI D 39'-5 1/4 A 2829 119 112" 1.15 6 5100 TJI 39'-5 1/411 B 2629 119 1/2" 1.75 I 10 TJI —D E 511-10 3/4" A 4031 119 1/2" 1.;5 8 8100 TJI E 511-10 3/4" B 4031 119 1/2" I . 75 8 TJI F 651-411 A 10- 8 5 119 1/ 211 1 1.75 -32 1 3400 1 TJI F 1 65'-4" B 1685 119 1/2" 1 1.75 1 32 I EMPTY PIER LOAD IS C0112INED IN NUMBER ABOVE SHEAR WALL DATA WIND ZONE: I I LABEL UNIT WALL PANEL TYPE LENGTH NOTE TRIB JSTS Ni A B d ISG E 13'-0" 3 x 26 ga STRAP 361-0 5/811 B B 1 2SG S 10".-0" 1 JOIST & 2 LAGS 321-5 5/811 3 C B 1 2SG S 91-10" 1 JOIST & 2 LAGS 31'-10 3/4" 3 D B I I 1SG . E 13'-0"P 'x 26 ga STRAP 341-811 REQUIRES AGGRESSIVE FASTENING PATTERN & 14AX 16 O.C...FRAMING EMPTY TRIB FIELD IS COMBINED IN NUMBER ABOVE TJI P DIMEN, LIVE r r.. a BUT -re. COUNTy APPROVED DIVISION D hl;dsi OA. -.A - .JI 'r P,2 3u LOCATION ___-- AR S FROM HITCH WIND ZONE: I . 3C LRS. LOA.D: 'O LES. JUNIT FFJ'i7[TLF Pl.. !NG RE^!IHREI- l!!')r 00 -5 EAM -A �l I A 12 1/ 4 R 4, 42E2 11 11? !19 1 L2. 1 112" _j. 11 -F4.5 1 1 . 75 32 _? �. 1-1--d- TJI fjT 1 TJ I C Zb'-9 ii,- A _61! if, 112 IST 2 LAGS 32'-5 5/E'j 3 C 1 8 �B #A 1 2S, 36'-5' A JOIST 2 LAC' ?P-19 2/4-� 3 C e I I I E I 45'-S" 49'-:" 57RAP 34 - -q" REQUIRES AGGRESSIVE FASTENING PATTEP.11 , 1.-..5 i 6 YOfi TJI ABOVE 1 34'-5 1/4-1 9 2929 1 119 1/2-1 1.-$ 1 6 1 1 Tj I 8 15i'-10 3/4" A II 155 A i.75 C eloo TJI E j5r-0 3/4"1 2 40'1 i/2;1 1.'s .3 TJ! D A 65'-3" B 11 � 1 Til F 65-4-1 B 1 1685 j119 1/2' 1_ I . -5 _1 32 T-li EMPI-t FIER LGAU 15 COHEIN C o I NQlibCP. ABOVE SHEAR WALL DATA LOCATION I DIXENSDMS AR S FROM HITCH WIND ZONE: I . 3C LRS. FROM 'TO LABELIUNIT IWALL IPARELITYPE1 LENGTH. I NOTE TP.16 lj.TS L.'O STPAP i, I B I I I ISG E 131-0" 3 x 26 oa 57Fb.P 36'-6 5/8"! B 1 8 01 IST 2 LAGS 32'-5 5/E'j 3 C 1 8 �B #A 1 2S, 36'-5' A JOIST 2 LAC' ?P-19 2/4-� 3 C e I I I E I 45'-S" 49'-:" 57RAP 34 - -q" REQUIRES AGGRESSIVE FASTENING PATTEP.11 & IM Ib O.C. FRAMING E14PTY TRIG FIELD IS COMBINED IN NUMBER ABOVE R SCH TM 13-0 L 16/0,6/8 16/0 x 6/8 ISGD - SAFETY 115.50117.101 0.79 141NDOW S(-.IIFT,5_1.F__ S Y mi;i C' i, I S I z F. CR 1 PT TON VENT AREA V3 6 5 c'--,!; SIDE Lb' H 6.06 14 . 95 6 m 59 r: i. 111IN 6 x 59 k:1 I iiiING-SIDE LD 19.05 V30.' x 4 0 12 -F4 —0 L * t' I N F A C N FA; I SIZE :WU . ANi;!_E I (13 L'LO(')H 3: FC) CI 2T S 7 7 E 2 j.C_15': MATERIAL' SPF J C 1 S T 5 P A C ! .4 WA I. L. I" NI F-0 IDEVJALL HGT. Sol, _XT V)ALL SIZE 2x6 ENT SIDING MAIL '/I' CA6 1.AF0;Z CC.ILING/ROOF INFO ,.Z.F7ER C^DE ICATH) FiCl-­O-Mtlll :AFTER CODE (FLAT) I -�L.FTER SPACING NG 24 - CEILING THICKNESS I 112" G—STRAP REQUIRED CEILING MATERIAL us rm, P FRONT FAVE O' HANG 12" =---AR EAVE O'Y.ANG FRONT CABLE 0 -Hr, 12" =EAR GABLE O'HC- I 12" TJI PRO -360 SPLICE LOCATION I DIXENSDMS AR S FROM HITCH El LIVE LOAD: . 3C LRS. FROM 'TO UNI? MATE 0. 1-3" A 8 8'-3' 10'-5' A B 15-1' IT' -3" A 8 24'-2" 26'-4' A 8 30'-0' 36'-5' A B 40'-6' 44'-4" A B 45'-S" 49'-:" A 6 :3-11. 551-9" A E A B 0. B A B A IS' 0 8 A 24'-2' ?6-4" E A 30'-0* 38"5' B A 40'-6* 44'-4" D A 65'-3" B 11 � . . . .- I --- APPROVED SFS Corporation Madison W1 - 13 1/17/06 JD Manufactured No-. Construction a Gafay St..&.:0 FLEE71lVa WOODLAND 17 PRODUCT ti E WATERFORD 4 6 0 4 B DFAW114 7ITIL CUSTOM SPEC DRWG THIS A!'!:.ROVAL EXPIRES 180 DAYS FROM ['A!A .1111PROVAL S7AMPIJ, i.'ATE. AIVAR K. DATE: ('USTOMER: :RRIO ,HT v 1)ER NO 2.i 4 C. <1 0 0 0 -3 Q 0 0 W w I LL Fl: a FLUOr E3CENT Lf Gill' LINING FJ4 RECESSED Il UU T! ir L I KITCHE!l sull Ro.)m sqT 1, 1 GUT 321. sq( EXHAUST FAN PANEL BOZ I_T_ So[ -AR TORE 14"RETU" UFAN BATHAP. GFI P kTiCP CVrO&0 DIGITAL ABLE PJVIEL SO% T VIDEO CABLE OUTLEDIGITlL RcLL RETURN Aliz ' GRILLE z FLOOR REGISTER GFI =1 WALL -MOUNTED R I EG STEP. _IGE, CROSS-OVER CF? F;2! LOCATION GABLE COR14ER SUPPGRT POST 37D L-,=- SHEARWA LL ♦162 x 65'-B"l BEDROOM LIV[NG ROGM,♦ BEDROOH 2 GEDIZCCS. 3 162 ! 6$-3- 166-9 sq,' 25t0 qf ♦ 143.1 sqf i5o.1 sof F17; EG =E3 A A LL ZL NOTES 1. AE PT SHALL NOT BE INSTALLED WTTH.11l 30" or TUB/SHOWER SPACE, 2. ELECTRICAL WALL PLATES SHALL NOT BE INSTALLED WITHIN 6" OF A RANGE OR CCOOKTOP. 3. FOR PLUMBING I HEATING SYSTEM, REFER BACK TO STANDARD APPROVAL SET. 4. TNETF_-'.%"J. DISTANCE F;C'lj. ANY VEDRO011. '_00RWAY 7C AN ENTRY DOOR 15 E 2 LF. S. POOP, TITLES INCLIN)TOG (0) INDICATES SOUARE rCOTAGE HAS BEEN COMRINED FORC.I. I' "ll:JG/VEOTING REOUIRPME12TS. 6. TOE -KICK REGI! IN,:' IN KITCHEN AND f ­',*,,S. T. OVERALL SHOWN ARE FOR WX(- 1.XTER70P WALLS. THIS FLOOR Pldi:l ;iTTACHED OPTI(-N lit' APPI.l('A!:!l I I!; DESIGNED 1: -HE FOLLOWING "IND Zotif ROOF I.,'Allll I PLEEMMU WOODLAND 13' -1 112" 5- 112- 17 65-8" W/ 2,.6 SIDEWA.LLS W1 2::6 SIDEWALLS PRODUCT NAME A A WATERFORD 1 ZL S7 -C,!. 4 6048 OFAVI!;G TITLE CUSTOM FLOOR PLAN THIS APPROVAL EXPIRES 130 DAYS FROM DAPJA APPROVAL DRAcv BY: ST.POMPrD DATE. AIVAR K. DATE: 01/16/OG CUSTOMFIRI: TE,RtRl . I '"T .4 REV FP. 1c. PERIMF:'n,-:l( l'; ;,'MNG Rl�:u;..! I:'! WHEN ROOF' I. IVE LOAD ORDF'�, 02').'! 1 HEAT TAPE NECEPT ,N UNDEPSiDF, CF FLDO;. CPT.— nl$MUKf ALARM OPT OPT.— -7"i SM KF ALARM L!CHT FIXT Fl: a FLUOr E3CENT Lf Gill' LINING FJ4 RECESSED Il UU T! ir L I KITCHE!l sull Ro.)m sqT 1, 1 GUT 321. sq( EXHAUST FAN PANEL BOZ I_T_ So[ -AR TORE 14"RETU" UFAN BATHAP. GFI P kTiCP CVrO&0 DIGITAL ABLE PJVIEL SO% T VIDEO CABLE OUTLEDIGITlL RcLL RETURN Aliz ' GRILLE z FLOOR REGISTER GFI =1 WALL -MOUNTED R I EG STEP. _IGE, CROSS-OVER CF? F;2! LOCATION GABLE COR14ER SUPPGRT POST 37D L-,=- SHEARWA LL ♦162 x 65'-B"l BEDROOM LIV[NG ROGM,♦ BEDROOH 2 GEDIZCCS. 3 162 ! 6$-3- 166-9 sq,' 25t0 qf ♦ 143.1 sqf i5o.1 sof F17; EG =E3 A A LL ZL NOTES 1. AE PT SHALL NOT BE INSTALLED WTTH.11l 30" or TUB/SHOWER SPACE, 2. ELECTRICAL WALL PLATES SHALL NOT BE INSTALLED WITHIN 6" OF A RANGE OR CCOOKTOP. 3. FOR PLUMBING I HEATING SYSTEM, REFER BACK TO STANDARD APPROVAL SET. 4. TNETF_-'.%"J. DISTANCE F;C'lj. ANY VEDRO011. '_00RWAY 7C AN ENTRY DOOR 15 E 2 LF. S. POOP, TITLES INCLIN)TOG (0) INDICATES SOUARE rCOTAGE HAS BEEN COMRINED FORC.I. I' "ll:JG/VEOTING REOUIRPME12TS. 6. TOE -KICK REGI! IN,:' IN KITCHEN AND f ­',*,,S. T. OVERALL SHOWN ARE FOR WX(- 1.XTER70P WALLS. THIS FLOOR Pldi:l ;iTTACHED OPTI(-N lit' APPI.l('A!:!l I I!; DESIGNED 1: -HE FOLLOWING "IND Zotif ROOF I.,'Allll I PLEEMMU WOODLAND 13' -1 112" 5- 112- 17 65-8" W/ 2,.6 SIDEWA.LLS W1 2::6 SIDEWALLS PRODUCT NAME A A WATERFORD 1 ZL S7 -C,!. 4 6048 OFAVI!;G TITLE CUSTOM FLOOR PLAN THIS APPROVAL EXPIRES 130 DAYS FROM DAPJA APPROVAL DRAcv BY: ST.POMPrD DATE. AIVAR K. DATE: 01/16/OG CUSTOMFIRI: TE,RtRl . I '"T .4 REV FP. 1c. PERIMF:'n,-:l( l'; ;,'MNG Rl�:u;..! I:'! WHEN ROOF' I. IVE LOAD ORDF'�, 02').'! 1 9 PZEE7WOOD. Waterford Series Model 46046 4 Bedrooms • 2 Baths • 1,599 Square Feet 7 ti x , DAREA BUTTE COUNTY �.. _ INING OPT. STH' BEDROOM . i - 1z-a•x1z'•6• ge•xq.6• BEDROOM #2 .. e6x,26 BUILDING DIVISION APPROVED � 601.0• - • O L. r_' r. O �❑ —I I wW'/GIwBpR DECOR orr FIREPLACE , DECOR FIREPLACE �UTILnY;� 'DD�iS-k -k T —r- i i� DwwcRMSIDE _ _ IGLASS GU65 :2 �-F -I-^+ "k KITCHEN 1-!- 1 1� DINING AREA " I - ; t My k k k L s-rx 1z 6 DEN BEDROOM #2, OPE DEN a, T ; +- -' " - - - i x 12-6 - _ - _ . -, - - -- - - -' - - --... .. -15'•' - 9-15"I2-6• 24'-8•x12.6• O- 1 _ —i— _ _ — _ DECOR DECOR : .. L. GLASS - GLASS - - a� 1 I ONEAD 26'-6• .. _ CLASS i \ CLOSET i 1i_hk "♦,_JQ' • -__ iI -- --) __ LIVW40 ROOM MASTER O zEOx00fi BBEDROOM #4 BEDROOM #3 67 01.1"x01.4• 19•5•x 101-4• GABLE DECOR - /^. -.. DORMER � .. ENTRN`` � GLASS i s — i ` O OPT.SUNROOM. 21"-s•x1z�• OPf OPr CORNER - ,,,,� ' u' CAE1 ' OPr. CORNER BAY �L DOORS BAY �S OPT _ RECESSED ENTRY OPT.. DEN - Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams-are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is, floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. i WD/17/SEP04 '�� I' `T, I N G Exterior • Fiber cement siding built to resist weather damage • 2" x 4" exterior wall construction provides a sturdy frame • Transverse floors with 2" x 6" floor joists for better' support • Class "A" fire -rated, composition shingle roof for long- lasting, low maintenance performance • Vented roof cavitjr_ allows hot air'and condensation to .� exhaust for improvecJ �eriergy'efficiency . , r'". • 36" eight pane; with 8"'x -4!2" glass ins`wirig"front door with, brassjkrloekeiz and; cleadbolt: for'your family's safety • Inswing rear door�witli deadtbolt and.window add natural light ` j `W ' , k. • Low -E coated dual paned vinyl framed windows for better energy efficiency • Porch lights at front and rear entries for your safety Interior • drywall tape and texture in all areas (including closets) adds style to your interior • Rounded sheet rock corners in living areas soften your decor • Standard 25 oz. carpet in all living and. bedroom areas for high performance and low -maintenance - 1000/onylon to prevent fuzzing and shedding - Multi -colored dye technique minimizes tracking" and spotting , ". - Treated with StainTech-'..for easy cl,�dr ing • Glass ceiling fixtures brighten your home's interior • Vaulted ceiling throughout provides an open look and feel • White lined overhead cabinets for easy rnaintenance • Arched top wood cabinet doors add quality and natural beauty to your kitchen and bathrooms • Metal mini -blinds in living and bedroom areas for your privacy • Raised panel passage and closet doors are durable and provide convenient access • W rebond pad extends the life of your carpet Baths • `Easy -care laminate countertop with hand laid, 4" °' ceramic tile backsplash and self edge provides attractive color accent • 'Recessed medicine cabinet provides convenient "storage space in each bath • Elongated toilets for a stylish look • +Master bath has a large comer tub with separate stall shower Guest bath has a one-piece 60" fiberglass tub/shower comfortable molded design and easy maintenance • Ceiling exhaust fan provides extra ventilation in each bath • Bank of three drawers in the master bath for handy storage • Extra large vanity mirrors with Hollywood lights in both bathrooms provide an, expansive viewing area • Single lever sink faucets Kitchen • Brand name appliances provide confidence and hassle -free service . - 30" free-standing gas range - 20 cu.ft side-by-side frost -free refrigerator - Dishwasher • Single lever faucet with sprayer • Bank of 4 drawers provides convenient storage for your utensils • -Double cell porcelain sink adds flexibility in kitchen activities • Congoleum® no -wax, vinyl flooring for easy care • Elegant crown molding provides a finishing touch to overhead cabinets • 'Choice selection of 4" ceramic tile backsplash provides attractive color accent • .Ceramic tile self -edge provides a finished look • Two pull-out pot and pan drawers provide easy roll out storage convenience Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.). Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. Utility, Safety and Energy Features • Smoke detector(s) and built-in interior 100 AMP panel box for your safety and easy access • Shut-off valves at all plumbing fixtures for your convenience - • Overhead utility cabinet for added storage space Overhead ceiling lights in utility and all bedrooms to brighten rooms • Zone II insulation package for energy efficiency, includes: white vinyl framed, dual -paned windows, R-22 ceiling, R-11 wall, R-11 floor • 40 gallon gas water heater is efficient and requires low maintenance • Gas furnace provides name brand confidence and hassle -free service • Plumb/wire for washer and dryer provides convenient hook up Optional Features • Garbage disposal for quick and easy kitchen clean- up Skylights of various sizes brighten any room • Refrigerator and range upgrades meet your culinary needs • Deluxe carpet selections for increased performance and beauty • Ceiling fan circulates air for a "spring breeze" feeling all year long • Beautiful cabinet system with recessed panel arched top doors, ash face frames and adjustable overhead shelving add value and quality • Recessed fluorescent lights give your kitchen a, contemporary look • Sliding glass exterior door welcomes more natural light into your home • Zone III insulatfon package to meet the needs of the climate where you live, includes: 2" x 6" exterior walls with R-33 ceiling, R-19 wall, R-22 floor insulation �FLEET/Il 4_ __. FLEETWOOD HOMES of CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 16 N. Pioneer Avenue Woodland, CA 95776 O02003 (530) 662-3223 WD/IMAN04 2 ■ 2"1 3/16' 3/8` CAD-14ATED DOLT. MUT & WASHER COIkCH `C" FRAME COACH 'J" FRAME STEEL ANGLE CCUNTER YOREO MiSH WrrH BOTTOM AT a` 0.C. (8) REQUIRED t CHANNEL 1/4' GRIPPER 1/4"x1-i/4"PLATE 1EK STS - 1/4" STAND BASE TEK STT (4) REQUIRED ABESCO ABS PAD JS03 (2. REQUIRED - 1/4.' GRIPPM 1/4` GRIPPER BASE BASE DETAIL -.A" 1/2` A307 GMT (2) REQUIRED 1/2- A307 MU 3/az 6"x 4, (4) REGMUD CHASSIS FRAME. STEEL PLATE 1/2- A3o7 BQLT_,/ C=BEA1'' J -B EAU (2) REQUIRED ATTACHMENT ATTACHMENT 1/4' GRPPER PLATE ., - (2) REW]1RED 1/4- GIT"ER BASE 1/2-]StJNC-�13O7 x 4`J _ GM WITH NUTS (4) FEQUIN D 01 1 /2` SCH 40 PIPE RISER WITIN vfi/2L ADJUSTER HOLES AND 3/a'' •THOCK TOP FLATS Or SCH 40 'IPE STAND WMI TWO 81/2- ADJUSTER 110LS ABCSCO ALTS PAD /503 -- STEEL fWUE SEE DETAIL 36` um TO SUFTOU OF PAD 011rx S C.R. EXX P& WITH s1/a- IMOGE PW 1 _ Ir to.8o T 0 0 10.00 1 I� OV/16 MOLE (TTP) STAND BASE TOP VIEW u 3r TUF-1 PERMANENT FOUNDATION SYSTEM to 1/2` ABBSCO-GUS GUAMCowANY 5851 FLORIN S ROAD SAC ANgWrO; CA 95823 PH: (800 ) 382-8831 ,t FAIL: (916)' 3W-5207 1791a <` + 8' 1/2- Et^, NOTE (a) PLACES r.. 3O• - ST - — - - 111tp&MM CUM ssCt>tolt an quv=lwaoaffmcjxw now r .• - . �- �'Rl�fl1plR.bOe:71pK11iflsaiRsclllat/t1lltd9aJlit! `:ti•. �aOB1IA7EDliliID111�. ML>IL1ousu E L hux A>!O Q` 4. Ai "Now* WAYNE T. POLVADO, PE -LISTING NO. 19424.4 S�1 of 3 3/4- G L x 1 a' IC. 1/2-x 3 1 /2' 1/2'x a- LONG (4) REQUIRED GZPANSION ANCHOR ANCHOR BAIT 3/6- =AD PLATED BOLT, HUT A WASHER (1) BEOUIRED (4) REOUIREO COUNTER BORED FLUSH WITH BOT7011 AT 8- O.C. \ (8) REQUICED CONCRETE PAO INSTALLATION ' POURED IN PLACE 16xT6x12 CONCRETE FOUNDATION INSTAL ATIM �HILSSIS FFAUE I/s- GWPER RATE (2) REOltREO 1/e GRIPPER BASE 1/7•-13UNC-I1507 x 4 --- MET WI1H HUTS (4) sumam SI 1/2- SCH <O PIPE RISER WFM _ 01/Z' AOJU-TER HOLES AND 3/8' jtm TOP PLATE f2- SM 40 WE STAKD WITA TWO 01/2- ADJUSTU tKKM Q ABESCO RBS PAD 1503 STEEL FRAME---\ E - Z TSE PAD 01/2-x S- C.R. LOW PP WITH 01/a- "DGE PIN - LIGHT 1EAVY—WEIGHT PLASTIC PAD INSTALLATION (11 1.r ln): ti(lr! 7�,&,, 4 0171H OF" HOY7E 28 I AA- UP 8 8 B t2 12 2 12 or20 20 1 20 124 UaIGTH OF HOME vW I iMDlnH OF NOW W 1 1 76 UP i04C 6 6 6 .6 - ac 8 a a a ib -r to w !d I 1 D 1 10 1 10 numtsLx air IM -1 KUMIKED mubuiER or iwF—] umtxio SINGLE TADE UNIM REQUIRE (4) E 2 TIE tADS GtM CHARD TUF-1 PMZS_ARE TO BE PLACED AT APPR0MMATUY COLIAL Mr"ALS ALOHO EACH FRAUE RATA. TUE-1 PERMANENT FOUNDATION SYSTEIA Fss� STATE APPROVAL77) MUMAC!TUM W[Oh WOSM ROME TOUNDATI MYSTM =AHD Smr" cmff. si c==1.> m APPIMSD 1791 smlacT7+oCORPMcriomIZOMD ATfBOVALD08 Mr AUrHORI2EORAPPROY8AM L ANTL)MLISSTA]ZLAWS AND REGMA OM Of C�1SF savotCa>•do�tla H es C1mm�.�yDa.stopxot Acro as ByzY SPAM W / T1itPisAppw+sl 6 t.f WAYNE T- POLVADO, PE—USTING NO_ F94249 smEFT 3 of 3 =i 47 an r m w CD w cm N CO A `a 1-4 D m m w 1 0 0 0 w 0 0 M LOAD - 30 LEL 1. C)P.SIGFI faOADS• FLOOR LiVE LOAD - 40 PSF wtw LAAO - 80 1:PI1 ETO['OSURE 'c" SEtWC: ZCIRE -t' * SN01K LOAD loo PSf LSEE NOTE F t 5) Z. A f� LEVEL SSWEE WTH NO Eaa=HINCDE E S� PROBCENS. BE COHSFRUCTED ON 3_ Cid jrAu S.HPPORTS MAIL EE LDCAiM ALIO SUD FOR THE LOADS AS SHOWN IN• THE " MOaIIE HOME DGUI 1ATION 10116-- 4. IN AREAS MERE OffFERENTIX SEntEmENT (D -S-) � OCCUR. UANUFAClUtI D -9 _SPALL �Q LL�B� HONE [/4 013 w= R WILL ADVEISiLY S. CARRY JILL VOLT Z DOWN TO FIRM. UMISTUR" SOO,-Ft?0nWn ARE 0E =MM FOR i. W PSF TOW . LOAD SOL PRE'. AND SHAH. EE COIJPAIME WITH tOCAL SOLL COlTDIIWlIS_ CONPIACTED SAND WlT BE CSED TO FILL MAL YMS UIl= PADS. �. ti STRTICTURAL STEEL- fAIRiC/ITCD ACMM1NG TO RISC£S-�LM vm ACCORIXmG 10 AIDS SP1 TfDIM AIS BOM -SAE GR 5 -ASM A"V•=ASLY LTM 7 INIA am ITT BSC ATSGaA= COR IRE IQ[tA1NC IfJADi us" Am RORIZONTAL VVL'['ICAL Cus GUARD TUF-i GUS GUARD IkW PAD 22WI GUS GUAM E -Z 11£ PAD 2200f IL DUMIG PRELIM INA" NGPWWI% iRE BIWA= i4ML µ08[E ROUE CHASSIS BEAUS LAE OF STANDARD S. fTOSi1NG COACHES UAY BE RETAOn" D TO MST - FORCES BY WST LLPO (XIS GUARD OF -1 UNITS AS SIOM ON THIS OF TiFICAL FQUNDAWN PLATYS. 10. THE GTS GUAM'TUFT S:Sina AIE 5JFE FOR RSTALLATH�iI IN FLOOD PUN AREAS WNCRE DEFTH OF A0MC OW TOT EXCEEI INE HF161if .00 b OF TNPEE FFEF_ rr t 1_ MULTIPLE B o,��� iTIONITS CCEP ABI E g ROVIDED UNIT IS THE KUM THE SAME AS SHOWN REQUIRED PER EACH _}, NIT. 12 SOHOGIE-VIDE U.NTS REQUIRE ADDIDOHAi AESTQANC • (SET SitEtT I3) • 13- ALL UEUL COWWERIS Lim ATTAT2WINTS nEYS SIWL BE PRQFCRVE COATED. 16_ GRAND UMI MAY tISEB AT IMAM 019CREMR JIU MATIVEP4=PI sf"GLE V11DE OOACNES 0008LE/MMTtPLE =OACHES E— 2' /.ION. / a- MAX. E= Y MIN. / 11' MAX. � S= c' UK /16 MAX. S= 6!UIM- / 22' NAX- VARIES 10'-70. (SEE TABU ON SHEET �3) E__ 5 S 5 ' E LJ 3 _ ltTOG£ IEM SUPPORT AS M O El 0 El a �. a❑❑n s' tom 2 NOM. 4Ir4 ANY PAIR WAY BE STANDARA LLN. FOl)l181►TiON PVC SEItMrS ROTATED AO DEiGREES OR PARS AS PA=. )A1IElID SUP'QKT . OFFSET TO OTH£R SiDE TO THE IAAHWACTUIIER R THE t{OUT PAD (TYP AVOID M PROKENS. ENGINEER- TYPM'.0 Exp.�� IV aF c, 14. VWX CD90tElE.SLAB IS iN EXISTANCE. PAD S MOT MM ANCHOR SWD TO'COW:SEIE SLAB WITH TUF-1 PERMANENT FOUR (4) 1/2'x 3 1/2* EXPA101N AR ORS. FOUNDATION SY ST E M IS, GUS GL1AtOD TUF-1 FOUNDATION SYSnU PROVIDES (iEJ/L>RD�IKPAI�Y ALLOWABLE SWW t" TO 100 aUIRVM ABY CCACN AB�� WffH=XISTIN.0 STANCAROs SYSLFLOM-PERTIMROiAD MANUFACTURER OR REPLACE THEM ON A 091 O CA 95823 ONE USHS_ PN: (800} 382-8431 FAX (916) 383 5207 STATE APPROVAL. TOIDIDATI'Oel iY3T6>tE t�lA1.TT1 A11D iA!!6I7O' C�dD� 711C,T2CON TJIAfi SURE== wRw AT4RDYALDOID 2I0'rAtl3'HOltmi O'RATlRO7HlR/ITL>r O'FcusloecsaloatrlAtt�aaLt3�oHHt�+aQrrscr - - APTLCAHI2fTATBLAWS AHDA&0A7� `r "- aoV�ee.fH•s.u,A wA �Di..i.P..r .. 12� - - AN!4 WAYNE T_ POLVADO. PE -LISTING 1.10_ F94249 SKEET 2 all 3 1 !Z CDF FIRE SAFE REQUIREMENTS AP# 028-330-024 PERMIT # 06-0256 NAME: Terrio Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [X] All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved or concreted. Grade will not exceed 20 percent. Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. [X] The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. [X] Turnarounds. Required if driveway is over 300 feet in length, will have a minimum turning radius of 40 feet from the center of the road and be located within 50 feet of the buildings. [X] Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [X] Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates {X] Gate entrances shall be at least two feet wider on each end than the roadway they serve The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. Where a one-way road with a single traffic lane provides access to a gate entrance, a 40 -foot turning radius shall be used. Addressinq [X] All buildings shall have a permanently posted address, which shall be visible and legible from both directions of the road the address is located. The address shall be posted at the beginning of construction and maintained thereafter. Accessory buildings are not required to have a separate address posted. [X] Size of letters, numbers and symbols for addresses shall be a minimum of 3 inch letter height, 3/8 inch stroke, reflectorized, and contrast with the background color of the sign. [X] Where addresses cannot be seen from the roadway, the address shall also be posted a single post located at the intersection of the driveway and the road. C L11 is IN Q U I R E M E N T S 7 Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the landowner. [X) 1) All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. See "Other Requirements below. ] 2) For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [X] If your property was part of a parcel split after July 1991, you may be required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Fully enclosed eaves on entire structure [ ]. If Building Setback is Less Than 15 Feet: ✓ Class A roof with fully enclosed eaves on entire structure and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D L3 Glass area not to exceed 10% of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal [ ] . No Additional Requirements 02/08/2006 Date Last Revision 1/25/2006 Darren Read Signature �c FZEAE7WoWD. Waterford Series Model 46048 4 Bedrooms • 2 Baths • 1,599 Square Feet AL HEALTH CM0I ENVIRONR�ENTa) -j" -01 DINING OPT. 5TH AREA BEDROOM i Iz< x fr-rt a -e x9•rr BEDROOM #2 91-6"K Iz6• MA5TER BEDROOM fz-fo•x fz-e• CORNER. BAY WIAD55 OPE FWDo �'` RISFlREPL�GE -v �m OELOR ' OU50 DINING AREA 9'-I1x fz6• DEN BEDROOM #2 fe'-r•x Ir -e• 916•x Ir6• 'OOM BEDROOM #4 : '�' ¢'_ BEDROOM #S -`ER Ia-rxfa-a• Ia-s•xfa-a• GABLE DORMamu\ OPT CIOSEI D� CORNER wwR J� BAY GLASS OPT RECE55ED ENTRY OPT. DEN Ia-rxlz-4• FEB Z Z'M 7 COUNTY CENTER DRIVE OPT. DEN 24'-9•x 1r-6- OPf.SUNROOM 2r -8•x I2'6 - Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. ►j WD/17/SEP04 Exterior • Fiber cement siding built to resist weather damage • 2" x 4" exterior wall construction provides a sturdy frame • Transverse floors with 2" x 6" floor joists for better support • Class "A" fire -rated, composition shingle roof for long- lasting, low rriaintenance performance, • Vented roof cavity allows hot 'air and condensation to exhaust for improved energy efficiency b" • 3' eight panel with'8 x.42" glass inswing front door with, brass knocker and deadbolt for your family's safety • '» a, • Inswing rear door with deadbolt (arid window add natural light • Low -E coated dual paned vinyl framed windows for better energy efficiency • Porch lights at front'and rear entries for your safety Interior • h" drywall tape and texture in all areas (including closets) adds style to your interior • Rounded sheet rock corners in living areas soften your decor • Standard 25 oz. carpet in all living and bedroom areas for high performance and low maintenance - 100% nylon to prevent fuzzing and shedding - Multi -colored dye technique minimizes tracking and spotting - Treated with StainTech- for easy cleaning • Glass ceiling fixtures brighten your home's interior • Vaulted ceiling throughout provides an open look and feel • White lined overhead cabinets for easy maintenance • Arched top wood cabinet doors add quality and natural beauty to your kitchen and bathrooms • Metal mini -blinds in living and bedroom areas for your privacy • Raised panel passage and closet doors are durable and provide convenient access • %" rebond pad extends the life of your carpet Baths • Easy -care laminate countertop with hand laid, 4". ceramic tile backsplash and self edge provides attractive color accent • Recessed medicine cabinet provides convenient storage space in each bath • Elongated toilets for a stylish look • Master bath has a large comer tub with separate stall shower • Guest bath has a one-piece 60" fiberglass tub/shower comfortable molded design and easy maintenance • Ceiling.exhaust fan provides extra ventilation in each bath Bank of three drawers in the master bath for handy storage • Extra large vanity mirrors with Hollywood lights in both bathrooms provide an expansive viewing area • Single lever sink faucets Kitchen • Brand name appliances provide confidence and hassle -free service - 30" free-standing gas range 20 cu.ft side-by-side frost -free refrigerator - Dishwasher • Single lever faucet with sprayer • Bank of 4 drawers provides convenient storage for your utensils • Double cell porcelain sink adds flexibility in kitchen activities • Congoleum® no -wax, vinyl flooring for easy care • 'Elegant crown molding provides a finishing touch to overhead cabinets • Choice selection of 4" ceramic tile backsplash provides attractive color accent Ceramic file self -edge provides a finished look • Two pull-out pot and pan drawers provide easy roll out storage convenience Fleetwood Homes reserves the right to change colors, prices, specifications, models, dimensions and materials without notice. Rendering and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal and approximated. Square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floorplans is floor length only. The length of the hitch is not included. (Add four feet to arrive at transportable length.) Ask your retailer for specifics. PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. O02003 Utility, Safety and Energy Features • Smoke detector(s) and built-in interior 100 AMP panel box for your safety and easy access Shut-off valves at all plumbing fixtures for your convenience • Overhead utility cabinet for added storage space • Overhead ceiling lights inutility and all bedrooms to brighten rooms • Zone II insulation package for"energy efficiency, includes: white vinyl framed, dual -paned windows, R-22 ceiling, R-11 wall, R"11 floor • 40 gallon gas water heater is efficient and requires low maintenance • Gas furnace provides name brand confidence and hassle -free service • Plumb/wire for washer and dryer provides convenient hook up Optional Features • Garbage disposal for quick and easy kitchen clean- up Skylights of various sizes brighten any room • Refrigerator and range upgrades meet your culinary needs • Deluxe carpet selections for increased performance and beauty • Ceiling fan circulates air for a "spring breeze" feeling all year long • Beautiful cabinet system with recessed panel arched top doors, ash face frames and adjustable overhead shelving add value and quality • Recessed fluorescent lights give your kitchen a contemporary look • Sliding glass exterior door welcomes more natural light into your home • Zone III insulation package to meet the needs of the climate where you live, includes: 2" x 6" exterior walls with R-33 ceiling, R-19 wall, R-22 floor insulation •Ftati �c'FLEETWOiDO FLEETWOOD HOMES of CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 18 N. Pioneer Avenue Woodland, CA 95776 ; (530) 662-3223 WD/17/JAN04 S//2 OF TME SE//4 SEC. 27 di IIE SW.34 T. ANN R. SE =4.o 2.� 23 2� ' 'b PM 134-1' .s1 O I 3, xaaC vs 1, I 10.66AC S.OIAC TAc 25 , rate Aa O ® US Aa �" O I I P/M 71-90 I Q � /9 n I • a , If es -0/28 II � 2 23 - TMESE PARCELS ARE FOR ASSESPAWr PUN'DWB ONLY, AND MAY Nor CCNBrfrUrE LQML A4*CVL8. /gdllSSo/'S Mop /1b. 2B—. REY/SEG,B- 94 county of Butte, Io1/f.. July 28, 2000 Ruby Boaz P. O. Box 1025 Oroville, CA 95965 RE: - Formal Warning Notice Substandard Housing 225 Dam Ron Road„Bangor, CA AP#0287330-024 Dear Ms. Boaz: BEAUTY -------------- -- -------------- --------- 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 This department has received a complaint alleging health and/or safety hazards at the above -referenced property. Butte County Assessor's records indicate that you own or control the property. On May 15, 2000, an inspection was made regarding the complaint and the following conditions were observed which are in violation of the California Code of Regulations Title 25, Section 1704 (a); (b) 4, 9, 10; (c) 2; (d) 1, 2, 3; (f) 1; (h) 1; which pose health and safety hazards to the occupants and render the dwelling substandard. (a) Any mobile home where there exists any of the following listed conditions to an extent that endangers life, limb, health, property, safety, or welfare of the public or the occupants thereof shall be deemed and hereby declared to be a substandard mobile home. (b) Inadequate sanitation shall include but not. limited to the following: (4) . Lack of adequate heating facilities. (9) Infestation of insects, vermin, or rodents. (10) . General dilapidation or improper maintenance. (a) Structural hazards shall include but not limited to the following: (2) Defective or deteriorated flooring or floor supports. Ruby Boaz July 27, 2000 Page 2 (d) Nuisance shall include but not limited to the following: (1) Any public nuisance known at common law or in equity jurisprudence. (2) Whatever is dangerous to human life or is detrimental to health. (3) Whatever renders air, food, or drink unwholesome, or detrimental to the health of human beings. (f) Hazardous plumbing shall include but not limited to the following: (1) All plumbing except that which conformed with all the applicable laws in effect at the time of installation and which has been maintained in good condition and which is free from cross connections and siphonage between fixtures. (h) Faulty weather protection which shall -include but not be limited to the following: (1) Deteriorated or ineffective waterproofing of exterior walls, roof, or floors, including broken windows or doors. In addition to the above referenced violations the following uses are violations of the Butte County Code: Unauthorized camping activities. The accumulation of junk in public view. Sewage overflowing, accessible to humans and animals. 4. Maintaining an unsafe structure. This warning letter also advises that Item Numbers 1- 4 listed above are uses that are in violation of the Butte County Code, as follows: Butte County Code, Chapter 24, Section 24-90 - The A-5 (Agricultural, 5 acres) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard", is not an allowed use in the A-5 zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Butte County Code, Chapter 24, Section 24-260 - Camping Limitations and Prohibitions. A. No person shall place or park or allow the placing or parking of any trailer coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095) on public or private property within the County for a period in excess of 9 days in any one calendar year, except in an outdoor recreational facility, campground, recreational Ruby.Boaz July 27, 2000 Page 3 vehicle park, or hunting/fishing camp, lawfully established and maintained pursuant to this Chapter. Butte County Code, Chapter 19, Section 19-4 - Unlawful Disposal Methods. It shall be unlawful for any person to construct, maintain or use any sewage disposal system which results in any of the following: 1 (a) Sewage overflowing any lands whatever. (b) Sewage emptying, flowing, seeping or draining into any stream, spring, river, lake or other waters within the county. • ` (c) Sewage being accessible to rodents, insects or humans. Butte County Code, Chapter 26 - U.B.C., 1994 Addition, Section 102 - Unsafe Buildings or Structures. All buildings or structures regulated by this code which are structurally unsafe or not provided with adequate egress, or which constitute a fire hazard, or are otherwise dangerous to human life are, for the purpose of this section, unsafe. Any use of buildings or structures constituting a hazard to safety, health or public welfare by reason of inadequate maintenance, dilapidation, obsolescence, fire hazard, disaster, damage or abandonment is, for the purpose of this section, an unsafe use. Parapet walls, cornices, spires, towers, tanks, statuary and other appendages or structural members which are supported by, attached to, or a part of a building and which are in deteriorated condition or otherwise unable to sustain the design loads which are specified in this code are hereby designated as unsafe building appendages. All such unsafe buildings, structures or appendages are hereby declared to be public nuisances and shall be abated by repair, rehabilitation, demolition or removal in accordance with the procedures set forth in the Dangerous Building Codes or such alternate procedures as may have been or as may be adopted by this jurisdiction. As an alternative, the building official, or other employee or official of this jurisdiction as designated by the governing body, may institute any other appropriate action to prevent, restrain, correct or abate the violation. The determination that Item Numbers 1 - 4 referenced on page 2 exist on the property is based on the following definitions in the Butte County Code: . Butte County Code, Chapter 24, Section 24-305.240 -Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. Ruby Boaz July 27, 2000 Page 4 Butte County Code, Chapter 19 - Sewage Disposal. Sewage, as used in this Chapter, includes any and all waste substances, liquid or solid, associated with human habitation; this includes what is commonly referred to as gray water. It is unlawful for any person to maintain, occupy or use any building not provided with a sewage disposal system which disposes of sewage in a sanitary manner. Chapter 19 requires that prior to any dwelling or building being constructed or occupied, that plans for the means of sewage disposal be submitted to the health officer for his or her approval and that a permit be obtained for any required sewage disposal work. The Building Division requires that any dwelling, building or structure that requires a building permit, whether or not it would utilize a sewage disposal system, must first receive a clearance from the Division of Environmental Health. The,clearance by the Division of Environmental Health will verify, before construction, that a proper sewage system can be established or that the construction will not interfere with an existing sewage disposal system or that the construction will not take place in an area that has been designated as a replacement leach field. It is unlawful to construct, maintain or use any sewage disposal system which results in sewage overflowing any lands or into any body of water or to allow the sewage to be accessible to rodents, insects or humans. Not only is a permit required for the original system, but any extensive alteration, repair, relocation addition or replacement shall also require permits, inspections and approvals from the Division of Environmental Health. Butte County Code, Chapter 24, Section 24-305.095 - Camping. Occupying or maintaining for occupancy any place for temporary living, sleeping or other human occupancy purposes. "Camping" does not include: The parking or storage of an unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to permanent sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle for any accessory use allowed in the applicable zoning district. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and allotice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Furthermore, failure to comply will result in the Franchise Tax Board being notified of your non-compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Section 24436.5 of the California Revenue and Taxation Code. -. , Ruby Boaz July 27, 2000 Page 5 . To comply with the California Code of Regulations Title 25, Section 1704 (a); (b) 4, 9, 10; (c) 2; (d) 1, 2, 3; (f) 1; (h) 1; you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville, California and in order to bring the property into compliance with the Butte County Code, you are also hereby requested to take the following abatement or correction actions: Remove all "junk" in.accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2. Cease and desist camping activities on the property in accordance with the Butte County Code, Chapter 24, Section 24-260(a). 3. Bring all residential and non-residential buildings to meet minimum standards. Obtain all required permits from the Building Division of the Department of Development Services for all additions and structures built without approvals and permits. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Scot Johnson Code Enforcement Officer SJ:pa cc: Occupant, P.O. Box 582, Bangor, CA Department of Development Services, Code Enforcement • CRESIDENTIAL a 3 `} I 28-33-24 2038-91P,E i CULET, Ben �r doj p �d 4 o? 1.5 Damron,angor1 Ton o j (mh util) r 1 JOB FI Signi t ) l J=OK O =Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s onin Requirements -Setbacks -Easements 2i s; Special MH Support Sketch ewer; Location-TestFall-C/O Concrete ater; Location -Test -Easement Needed (Sketch) ectricity; Location-Clearences-Grnd-/ /Amp -Concrete �rF,3s; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft,/�/"LPG _Z7 ell Clearance & Disconnect /1? -utility Clearance D Card B-1"Date Card B-1 Da e`-2. Card B-1 /Date Card B-1 Date M_0BILE HOME INSTALLATION (Plans) OK except #'s 1. g Requirements -Setbacks Easements F__�F22tings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances rain; MH Test -Fall -Flex Connector 1, Ater. MH Test -Regulator -Connector _,o-7._W3%r and Sewer Connected -C/O to Grade -HD Approval thus insp.-5 Cert. of Occu MISCELLANEOUS #` Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements g. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals; -,Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip.:Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date.i rd B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS #` Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements g. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals; -,Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip.:Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK Not Readyable RESIDENTrALr , Date UNDERFLOOR (Plans) OK except It's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 4's Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ---------------- 18. D.W.V : Test -Fittings & Anchor -Nail Protection -------------------- - ------------------- 19. Shower Pan: Test. First Floor -Tub Access ---------------- --------------------------- 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors --------- -------- ---------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------ - -------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except n's 22. Fixture & Transformer Clearance -Ins. Protection --- - ------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ---------- -------------- ------------------- --------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water -------------------------------------------------------------- -------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------------------------------------------------------------- ---- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At - - - ------------------------ 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------------------- 30. ------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------- -------- ----------------------------------- Equip. ----------- 31. EquipClearances -----------Panels-Motors-Mech. ---------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------- ------------- 31 Smoke Detector --------- - ----- ---- - ------ -- -- - - --- ------ - ------------ ------ ------ -- ------ ---- -- Date Card B-1 Date Card -B-1 - ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------- -------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------------- 36. -------------------------- 36. Condensate Drain & Overflow: Size & Grade ---- ----- -------------------------- - -- - - - --- -- - -- --- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic --------------------- --------------------------------------------------------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------- -------------------------------------------------------------------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound ---------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- - ------------------------------------------------ -- 42. Draft Stop in Walls (rat proof) -------- ---------------------------- - ----------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- - --- ------------�-------------------------------------- 44. Headers & Beam -Size & Bearing ,+• . r jingle &. Duplex) ' Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50._Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------------- ---------- -- _ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights- Plastic 1 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows S c ----------------------------- - - Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke -Detector --------- ----------------- --- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection --------- ------------------- 64. Bedroom Exiting --------------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa s ------------- ----------------- 66. Elec. Trim &_Sub_panel: Breaker Sizes & Labels ---------------- 67.- Stairs & Rails 68 Fireplace or Stove: Clearances -Hearth ---- ------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. ----------------------------- 70. .--------- -------------------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter -------- -------------------------- --- 72. Garage Fire Door: Swing -Landing -Closer ------- -------------- 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor-Mech. Protection ------------------------------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------- 7;. Insulation -Foam -Looked in--- Attic ❑ Yes ---------------------------- ----- 78. -Guard-Rails & Deck -Construction --Post Caps ----------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------------------ --- 81. Stucco_Brown-Finish-- 82. A.C. Unit: Disconnect. Electrical, Plumbing ----------------------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings --------------------- -------------- 84. Water Well; Disconnect. Electrical, Plumbing -------------------------------------- -- - - 85. Exterior Elec. Trim; G.F.I. Receptacle-Under9round --- -- - ---------- 86. Ventilation Throughout House ------------------------- 87. ------ --------------87. Glass Protection - -- ---------------------------------------------- 88. Corrections from Previous Inspections ----------------------------------------- -------------------------- 89. Gas Test -Meters Tagged; Gas -Electric - ------------ ------------------------ ----------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ----------------------------------------------------- ---- Date Card B-1 Date Card B-1 ---------------------------------------------------- _Date ___________ Card _B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIV! OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541'� ✓� PERMIT NO. Address or locatiop of mobi lehome r 7T YI Owner's name Owner's address Insignia or hud Manufacturer's name Serial number r of V .N. ) ef)� Year of mangy acture \/ (C3Tficial Afpproving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Catifornial35965 - Toslephone: 916/538-7541 APPLICATION'A,ND PERMIT PEbJ3.[i)AIT N0. ASSESSOR PARCEL NUMBER 028-33-24 ZONING A 5 BUILDING PERMIT O Nen Culet ER TELEPI•IONE _ 8892 SQ. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 0 2 Oroville Y CONTRACTOR'S NAM Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 E.00 OF IDAMIZ00 2n, 0Ff VI ZJCL6S 03AD Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea .00 TYPE OF WORK New❑ Addition❑ Remodel❑ UtilitiesM Installation[] Other❑ Describe work: 2 Bedroom MHU Permit Fee $40,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Code and my license is in full force and effect. License No. Classification. eK I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason LIN OCCUPM oR S./ OR ( DWEACCLG yzQsgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eLe 2ALO 30 FIXED APPLNS. OR Ex. QCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 Permit Fee $ 37.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation - Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ���/"z-- Date �d Signature o Applicant — Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 92.5 HAL CLIA- PARK SCHL FLD _ cOF PAR PD HD IssuE, This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. D TOROOBLIC WORKS S BY /` % Date � 19�Z� PER IT EXPIRES Date //4 :J �/ Receipt NO. 94066 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Hold final for: ^anal clearance O.R. for: Clearance for bedroom mobil ome. Other NOTE Water Supply ` r Water Supply Water Supply AF Da Sanitarian e rf-%4 ify 'i ,r , r :- . ` j J) , ' � ; .. x�aSn;F} �} 1r vi4 �.y n• j rt_r . q It k ._ v COUNTY OF BUTTE - DEPAR jMEN`T "0'F"F�BLSC -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAL'I 965 - TELEPHONE: 916/538-7541 , PERMIT APPLICATI `BATA SHEET Permit lNo. ` OWNER_ �l? �Gt IC'�I A. o. �` �rd 171 Pro osed Buildin F p g Use- L!�""Building Inspector Date At time �,. p rmit application, I was advised the following data-muskbesubmitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . ` 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... + 6..Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8., Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid .......................:............... 12. Park fees paid .... ............................ .......... 13• School District fees paid ............... 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. 'Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 4 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) .... . �:. 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... (, 26. 27. When you issue the permit p ass as follows: Mail o owner. Mail to contractor. Telephone and hold for pickup at Qoffice. Deliver w/inspector. Other �..�T Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. ' 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—naiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by dale Plans checked byDate-k(2¢19 Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW -�f�1 � � 1 1/����^^ DUp ~ ~` (,�-C &a.�2, r. ____ ` SUBJECT DATE WE M I F�E 0 So MAN �W: r, -4 m 5 14�r- JIM 2 , SIGNED rT-UFORM4�468 - | |NO REPLY NECESSARY| |REPLY REQUESTED ' USE REVERSE SIDE' P SETS) 0468 �-_-� | | COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to,avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the majorlabor and aterials for construction of the proposed property improvement (yes r no) 2. I (have/ave no signed an application for a building permit for the p o'sed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No.' 4. I plan to provide portions of this work,.but I have hired the following person to coordinate,.supervise,'and provide the major work: Name Address City Phone Contractors License No. 5. I will provide somt of the work but 1 -have contracted "(hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security NumbYr Date NOTE: This Owner. -Builder Verification is sent:to you as required by.. Sections 19831 and 19832 of: the. California Health and' Safety Code. This verification must be completed and'returned to. our. office before we are per- mitted to issue the permit. �• -- AGRICULTURAL STATEMENT OF ACKiOWLED HENT ' e 2 FOR RESIDETTIAL DEVELMOIT '2b'--8.1 of the Butte County Code es this 'acknowledgement be recorded , it to issuance .of a .building permit. :•� -• - I , y 91=024928 I Rec Fee 7.00 The property described herein is adjacent I. Check 7..0.0, to. land or included within an area zoned Recorded- i for agricultural purposes, and residents I OfficialRecords I ; of this property may be subject to incon- County of 1 ` veniences or discomfort arising from the Butte 1 • use of agricultural chemicals, including, Candace J. Grubbs I f • i but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit I 8:25am 20 -Jun -91 'I XX -2 j 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 agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or -discomfort from normal, necessary farm operations. All that real :property situate in the County of Butte, State of California, described as follows: Date: �,%q A / State of ) On this the SS. undersigped County o PROPER OWN RS: LV-�'day of 19,?/, before me, the NQtar Public personally appeared .Personally known to me: -C Proved to me on the basis OFFICIAL SEAL of satisfa �y evidence. RUBY J. BOAZE Notary Public-Calitomla to be the person(s) whose-name(s) �y BUTTE COUNTY subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS �JHEREOF, I hereunto set my hand and official sea I OFFICIAL SEAL N�RUryBY J. 'Pre No. MY Own. F.V. Aug. 21.1992 b Nlrak4ry ublic t A 3!AO,: rimclil t, 'f Y7'.. JA33 JAGIRO 3MIOSA, Ylius sect j!SvA,W Vm 91-24928. ...4;111 that certain real property situate in •the, County of Butte, State of California, described as follows: The Southeast quarter of the Southwest quarter of the Northeast quarter of Section 34, Township 18 North, Range 5 East, M.D.D. & M. 'TOGETHER' WITH a right of way for road purposes over a strip of land 60.0 feet in width, lying 30.0 feet on each side of the following described centerline: 'BEGINNING at a point 60.0 feet South of the Northwest corner of the South half of the Southwest quarter of the Southeast quarter of the Northeast quarter of said Section 34; thence North along the East- line of the Southwest quarter of the Northeast quarter of said Section,34, a distance of 390.0 feet to the Southeast corner of the East half of the Northeast quarter of the Southwest quarter -of the Northeast quarter of. said Section 34; thence West along the South line thereof, a distance of 330.0 feet to the Southwest corner of the East half of the Northeast .quarter of the Southwest quarter of the Northeast quarter of said Section 34; thence North along the West line thereof, a distance of .660.0 feet to the Northwest corner of the East half of the Northeast quarter of the Southwest- quarter of the Northeast quarter of said Section 34 and the end of the herein described centerline. 'ALSO TOGETHER WITH a right, of way for ingress, egress and public utility purposes over that portion of the East 30.0 feet of the West - half of the East- half of the Southwest- quarter of the Southeast quarter and over that portion of the West- 30.0 feet of the East half of the East half of the Southwest- quarter of the Southeast quarter of Section 27, said Township and Range; and over that portion of the East 30.0 feet of the West half of the East half of the Northwest quarter of the Northeast quarter and over that portion of the West 30.0 feet of the East half of the East half of the Northwest quarter of the Northeast quarter of said Section 34, all in Township 18 North, Range 5 East, M.D.R. & M., all lying Southerly of the Los Verjels Road, as said road existed on January 22, 1959. ALSO TOGETHER WITH and RESERVING THEREFROM a right of way for road purposes =:over. •a. strip of land 60.0 feet in width, lying 30.0 feet on each side of the iollowing.described line:' BEGINNING at the Southeast corner of the West half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34; thence West along the South line of the West half of the Northeast quarter of the Southwest quarter of the Northeast quarter of said Section 34, a distance of 330.0 feet to a point at the Northeast corner of the Southwest quarter of the Southwest quarter of the Northeast quarter of said Section 34; thence South along the East line ,of. the Southwest quarter of the Southwest quarter of the Northeast quarter of said Section '34, a distance of 400.0 feet- to a point 70:0. feet South of the Northeast corner of the South half of the Southwest quarter of the Southweist quarter of the Northeast quarter of said Section 34 and the end of said centerline. Certificate of Compliance recorded July 18, 1985, under Recorder's Serial No. 85-21240, records of Butte County, California. ESV® OF DOCUMENT ,4.-, ► COUNTY Off' BU T Si - DEPT. OF PUBL'�C WORDS JUL 01 1991 OWNER F %L% C U L. PERMIT 4�23t3— MH 3t 3 MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load T e Pipe Size Length YES NO YES NO COUNTY OF BUTTE e DEPARTMENT OF PUBLIC WORKS 7 Cqunty^denter Drive - Orovllle, California 96996 - Telephone: 919/933.7541 APPLICATION AND'PERMIT PERMIT NO, 3186-91 RUM11111191,11 28-33-24 ZONING BUILDING PERMI Bradle Crain 408 426-9006 S0. FT. OCC. BUILDINGATION N D 1354 Elliott Rd #34 Paradise CA 95969 CONYRAC ORTFITM7ff owner TMLIZPHONM CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Damron, Bangor Permit fee $ 25.00 PLUMBING PERMIT FIIIngFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[IX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationOther ❑ Describe work: _ 2 bdrm (MHU#2038-91) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. icense No. Classification. Ynd as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a OR ADDNS. ( ACC. BLDGS. ) , /2 QSq ft NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup(ouTLETs OR FI%TURES 20®SOQ eAL93o Ex. Occup. OUTLETS ((RESID )ED APPLNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. = ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, Judgments, costs, and expenses which may in any way accrue against s Count c equence of the granting of this permit. X Date `5?_ 41- !!Z Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 45.00 occ CONST TYPE TOTAL FEE $ 70.00 HAz. cuA PARK HL fLD coF PAR Po ) HD. ISSUE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated f bove for which fees have been paid. Of EC R OF PUBLIC WORKS BY9��J, Date b �U P MIT EXPI6t S Date%�% Receipt No. 100740 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT IL ,x „. } y� n .�"►J'�'”-•`Y'yYa'..�,...c1�. F,rof,�,..n...r1..,T,.•.5.� :,i .x'7+� � � � ..r'� Tr .. ,. ,..h .., n ,. COUNTY OF BUTTE - DEPARTME.,T. PUBLIC WORKS BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALrIFO&IV 95965 - TELEPHONE: 916/536-7541 PERMIT APPLICATION DATA SHEET . Permit No :\ X1-'2 OWNER 16L i h A. o. O J �a—)L Proposed Building Use Building Inspector Date t /V At time of permit application, I was advised the following data must be'submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data irrChad'' r �Z —ins+r-uetiams...................................................... (� 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 2. Par fees pai _ 13. !j In ..0 ....f./.n . School District fees paid ............. . �L _PY�> School District fees paid : � Z 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................. 26. Oc ►^ 7. D t'M N h When y lu issue the perm" rocess as follows: M it to owner. Mail to contractor. Telephone and hold for pickup at _office. Deliver w/inspector. Other Applicant Date %-141/ — Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitte pri permit issuance: (Circle new item not checked above). 1. Index permit for above items•No;�l -2. Additional items required: Contractor, designer,wner, as advised of above required data by_phone�nail ; counter by&L_date Contractor, designer, o er, was advised of above required data by_phone"_mail—counter ,by date / Plans checked by &A) Date �I � Plans approved by Date Sets of plans on hold in File cabinet AP folder .i Copy—DPW f COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: _ An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the - labor and materials for construction of the proposed property improvement(ye or no) 2. I not) signed an application for a building permit foCa�v�Te5Ahave proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name-1— Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date --f/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ��^-`itFtTw"r,�n�^+�'t'f"'�.+y(�","+�.�' *�-_r^'*�y+:��'v��lrr.'�rfN'�r.��v..^}1FJ"4'.n'WRMY'iH'�.VCI�Y{hyMl'YM�E a"'-►+.'y,;....•--�.`r-.y,,.�t! �.... 7 BUTTE COUNTY SCHOOLS JMPACf FEE CERTIFICATION FORM (One Form Per Building) 7 � School District_ _ _ _ _ Building Department No. A.P. Number a,S__-3�2- Jurisdiction ( City County Property Owner. , Property Location/Address —�l_;�s---f.�2MIlDn &ac4n Subdivison Lot No. Residential Development 3 Commercial/Industrial COUNTY OF BUTTE BUILDING DEPT J U N 0 9 1992 Building Deparo lent Represe FVI 0 Sq. Footage 72 10 No. of Living Addition (Group R) Units 0 Sq. Footage New Addition (Including Exterior Roofed Areas) /.2DaG - 9, 0/,2- Date te District Identification No. 2 6ROuIILP Un LoN�L,�� School District certifies that Bev e,UL..e�- (Applicant) p a ,QS LOOM 12yN —-------- - ---- ---- — (Street Address) (Phone Number) t B)0/V67 v2 _ eA _ (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing _� _— _ square feet. � School District Representative Date Paid by Check Number _—_ _ Remarks: Bank Number _ Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkt (4/92) To At From A !� / l / � . i Dat Message a Signed WilsonJones GRAYLINE FORM 44.900 2 -PART 1.1983 • PRINTED IN U.S.A. 88 .217 w • knianship Shall Be in: 4."?3 narc All; 8c W16ri 6--t Alr:rn-&-nCo,� 'A"! th ni-c�ej GoodiPra�ctices anc., I -.cot om -m�fp y�iN tt� --rw'7wi-u !O11a quohl%' aaicaUcodo-s %rI5 Y oetmissigm r ri j I -A it.ical Code. A C�-Uyll 41 1!lj W -balk or C' A + Lj f . rot t e vs cienti6diles ?ail i +le r ol ruouF-s o, ------ equippl-nerET—ex-c—eff— equ F—E, ejce� 1 77' ll !DOrMit wiill �e required 1 rediforlthel Vf 4n llat"�ion the �o4Tiejomp- 100 CT AAIKI iihki �o m ES AIAn 1AA i 4 V 114, G1 ........... k'o A //r. i,.i—s---•--� I ' J`;�Ja•6!'/v (rl ri•st.sr" TA1,1.W,-,6W MT7/f LeA/Ofd/lJ0/.V/AA: r.LfilZ•!' lr,r• weu L(LO/lerE LV7fvrrO r?eAKrfv 717a, and -f----- fec Aa A'//e CAP I /!r./r -- ' \ uVEMe?/fO U/D.Vrf/f(?OUI/O JrfO/D F?/Ct Y. 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(rJW /75! 0.1e. /61 THIS MAP CORRECTLY [ Iw 47f a e. 7Itewr i Ij fig/ 3 , >o .� IZ I: ?a/3 O.Q. /da SEC. lIC 1� •. 6673 , y3 L I f sfc :LDAP. •a.•a• I � f fu../' � ffr �r SURVEYORS A RVEF}C� -COUNTY 'SURVEYORS -CERTIFICATE MY DIRECTION .H CONFORMANCE WITH THE REOUIRE $OF -TW lytD ME DR L&4DEA TH4 MAP' BUN £kAMIHED FOR Cd+FORNANCE WRH THE SUP.vETORS ACT AT THE REOUEST OF Mr REOUIRFUENTS O: THEA.rHD'SVRVE. ACT THIS. POO OAT [7 ' K seA•r. Ip0 L \\ FrQ8L Goy CASIBEMfY RCE 4LN. yTq� I M/rlEO //^:W l7flr fgN/NO P *TuoF6vcr+slirfr e(r[,E 7auE LxerioN eK y sr /rEol.rl s,wafAv.srs SM•/T'M •( )Ir.,/ /LO AEA'LE LrC. `24x7 [f/[ce re¢ /Ar /rA'cE AafT 0 Q C^. C 0 d Afua Y- f"fer e MOf o..e. sF&x A' d. P. Sff LYTa/L �' ON fufEr f TA/EAAW7-41NE LJ�7.YEN/F .PSE. M.D.M. "*IeA/6f7 A/ONOMEA/rj M Np/'r; SETMO.V. efce E OFaL0F r,r1glafT' erwrfQCE2riAv sYF[WCEf ..�-ao-so-E [..� rea.oT• Lesr(a)(a A//. fa• Tarn[ '6410 evr, (oy A1CL. [ Ce[ / ff, r0 rL _ / fL/r T! ;J11744 O. Q. /TL (nr)Arc. r :O?, AOLLS 'a�rn7v�cvo SffAl7//! �• PrvLE LW t/iEET / R -}C C SURVEYORS CERTIFICATE FILED TMSA�.(AAP �CTLY REPRESENTS ASURVEY OR umDeR M BOOK TIpR IH CD HOE WRH T+L R£ EHTSOF THE 4L ,, RS ACTAT THE R£O _ taAlT SERIAL MO.Q /-3 T'•' . i0 Y IAaI,yltrtl//yeAT-- if / THLS �- .REOUoiEIAELTT3.0 CF Ipe— BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name /SEK 0-6,6 E7- 2. Installer's Name: j3 e-x�, Cr, L -_7- 3. Is the site currently under permit? Yes �. No F] (If yes, furnish permit number ��%`��"9� ) OR Is the site an existing site? Yes ��- r' No a (If yes, furnish two plot plans.) COUNTY OF BUTTE BUILDING DEPT JUN 0 8 1992 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ® No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- /Od ,4 Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- /�p,�. Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes F1 No FA -1 (If yes, identify the load and size: (Load) (Amps) 9. What 'is the mobilehome site gas pipe size? -------------- �y (in.) 10. What is the type of-gas'_'service?===---------------- Natural' a 11. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------- of y (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less thaaU-q-"iy`ft.00�1n)kJNTY natural gas or less than 50 ft. on LPG.) mi�, .NGS- NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION.' O I, . MOBILEHOME SUPPORT DATA If', otlieY than single. wide, Mobilehome Mfr. 11441_cD �/ furnish ;Setup Model No. Width(ft.) Box Length�(ft.) Tagalong or Expando Size Year ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)® 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)©1. Concrete block. F2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line 2 ` 1. _� Main Beams — — — — — — -- - — — — —_ — — — — — . Line y Tag or Triple — — — — — — — — T— ii n p Line 1 Line 1 Piers: Line 1 Openings: Size -Min- ------------ „ Size-Min.------------------ Spacing-Max - -----------------Spacing-Max. --------- , Each Side of Openings From Ends -Max.------- '_ With Width Over --------- 'l Line 2 Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min- ------------k.d 31ze-Min------------------- Spacing -Max.------- "Spacing -Max ----------------From Ends -Max. --c---- '_ From Ends -Max -------------- Line 3 Roof loads: Size -Min.---------- -- .,x11 „x 'k II k 1.„x „ „x „ „x11 ,k „ Location (From Front) _ Line 4 Piers: - -.- Line 5 Piers:- (Under Bearing.Walla On Ly Size -Min -------------- ,k „ Size -Min -------------------- Spacing-Max ---------- ----------Spacing-Max.--------- , a Spacing -Max .--------------- From Ends -Max.------- „ From Ends -Max .------------- '= ” Line 5 Roof Loads: Size -Min.------ ---- x "x _ _ "x "x 'k "x 'k "x " Location (Prom Front) _ _ - _ - _ ,_ l SEE SLEET 2 I I N, T>f a x_00' T---.-- \ eJEr'fd•Sf�w, uC.CaP.7!/f.A`fOS JD rA/f Le•VOfd0l0/.V/.V:. 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O 2I�,�rr7d'rONMy IXD of Arn►/!-'� Ou ruFF7 r -COUNTY SURVEYORS CERTIFICATE R C SURVEYORSCERTIFaCATE UNT THIS MAP NAS SEEN EXAMINED FOR CONT-0RMANCE WTI TME FRED TM SZ• �r FCTLY REPRE5EMT5 ASURVEY MADS EOR WIPER T - REOWREUrEMS d THE l+LND SURvfIO ACT TMIS EO a RAT M BOOKTK7R IN a --CE wrtM THE RE EMS OF TME LtYD _ .gEOUDUEMEMS C # �ef�A.� 1LML jP� ^ RSACTATT"E REOOF �Tl- 6ERMLNO.3 CL'As•n�.'f.0•'�• �/IYY fYI,11tY/IMDw7-� t1 I / •� — — — — — i Q r ,a it ' : .11 7r 1- 1 ' r , : r : 1 yI I 1-- ' 1 • i I - -T r _ i i i. • . , r i .r I, r • r r i i r r . r rJ , I c° l/ , _ DO r _ -7 ✓• off/ . i ' I l 10 f .i I. L. i r 1 :0000 u. Ito i " I ; i r : r i ` J P : r 1 am u6tg i i 74 1 - - ---' -- y��eaH �e;uawua,nu3 Ob King n02iddd D3 _ -F t` : v � J r � r r - r 4' - y ? 1 1 v �w I 3lv08aLN33,UNnooj 83.1 'LL7M 7VIN3nN08G1N3 �i/off 49�jng jo Xpnoo rf -90 '60A do`v s jo'ssassw 06 , .. - - V � .. -7 C. ;' j 1. � i :: } _ I _ -. - ' ���i„//✓" , x + AV 1 rl EmNs--:aa� ! REVIEWED BY Fire Protection Planning Officer . '`r-SY1,P) 61'. CDF, Matte County Fire/l. �'This project is approved with compliance;J. - of conditions onattached-sheet..__, f ZD i , i Si ature -. Date- A/Ii41 'l!, 40 2.1 I : S _ _ ' j _' .�✓! 'D _� : _ I'S7 /... .- VV yl - ! C� I I 3'3 OI + _ _ , 1 z � i - I 12 / !/ 0.- f • _ I i i I I i ' t _ _ : i I m L4